Index,targetWord,Sentence A,Sentence B,Answer 0,Dexterity,"Loss of sensory function is a severe impairment for the hand which loses a lot of its dexterity, becomes ""blind"" if not guided by sight and is susceptible to burns, wounds and infections. Nerve repair by sutures or grafts is the preeminent operation if the condition of the skin is good. When skin is damaged, various sensory flaps (both free microvascular and local pedicle) may be used. Island flaps from the pulp of another digit give inconsistent results. Sensory flaps from the back of the index finger to the thumb give a fair two-point discrimination. Free microvascular flaps from the pulp or the web of the hallux or from two or even three toes are safe and good operations which restore both perfect skin coverage and excellent sensory function with good two-point discrimination. The damage at the donor site is well tolerated. When previous operations have covered the digit or the hand by means of non-sensory skin, direct neurotization of this skin is possible. Research has been done in animals showing the formation of free endings inside the neurotized skin. Rehabilitation of the previously existing sensory corpuscles is even possible. Our series includes 12 island flaps from the pulp, 19 pedicle flaps from the dorsum, 17 homodigital reverse flow flaps, 38 different types of free neurovascular flaps from the foot and 3 direct sensory neurotization.","Brain lesions may disturb hand functioning in children with cerebral palsy (CP), making it difficult or even impossible for them to perform several manual activities. Most conventional treatments for hand dysfunction in CP assume that reducing the hand dysfunctions will improve the capacity to manage activities (i.e., manual ability, MA). The aim of this study was to investigate the directional relationships (direct and indirect pathways) through which hand skills influence MA in children with CP. A total of 136 children with CP (mean age: 10 years; range: 6-16 years; 35 quadriplegics, 24 diplegics, 77 hemiplegics) were assessed. Six hand skills were measured on both hands: touch-pressure detection (Semmes-Weinstein esthesiometer), stereognosis (Manual Form Perception Test), proprioception (passive mobilization of the metacarpophalangeal joints), grip strength (GS) (Jamar dynamometer), gross manual dexterity (GMD) (Box and Block Test), and fine finger dexterity (Purdue Pegboard Test). MA was measured with the ABILHAND-Kids questionnaire. Correlation coefficients were used to determine the linear associations between observed variables. A path analysis of structural equation modeling was applied to test different models of causal relationships among the observed variables. Purely sensory impairments did seem not to play a significant role in the capacity to perform manual activities. According to path analysis, GMD in both hands and stereognosis in the dominant hand were directly related to MA, whereas GS was indirectly related to MA through its relationship with GMD. However, one-third of the variance in MA measures could not be explained by hand skills. It can be concluded that MA is not simply the integration of hand skills in daily activities and should be treated per se, supporting activity-based interventions. ","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dexterity Sentence A: Loss of sensory function is a severe impairment for the hand which loses a lot of its dexterity, becomes ""blind"" if not guided by sight and is susceptible to burns, wounds and infections. Nerve repair by sutures or grafts is the preeminent operation if the condition of the skin is good. When skin is damaged, various sensory flaps (both free microvascular and local pedicle) may be used. Island flaps from the pulp of another digit give inconsistent results. Sensory flaps from the back of the index finger to the thumb give a fair two-point discrimination. Free microvascular flaps from the pulp or the web of the hallux or from two or even three toes are safe and good operations which restore both perfect skin coverage and excellent sensory function with good two-point discrimination. The damage at the donor site is well tolerated. When previous operations have covered the digit or the hand by means of non-sensory skin, direct neurotization of this skin is possible. Research has been done in animals showing the formation of free endings inside the neurotized skin. Rehabilitation of the previously existing sensory corpuscles is even possible. Our series includes 12 island flaps from the pulp, 19 pedicle flaps from the dorsum, 17 homodigital reverse flow flaps, 38 different types of free neurovascular flaps from the foot and 3 direct sensory neurotization. Sentence B: Brain lesions may disturb hand functioning in children with cerebral palsy (CP), making it difficult or even impossible for them to perform several manual activities. Most conventional treatments for hand dysfunction in CP assume that reducing the hand dysfunctions will improve the capacity to manage activities (i.e., manual ability, MA). The aim of this study was to investigate the directional relationships (direct and indirect pathways) through which hand skills influence MA in children with CP. A total of 136 children with CP (mean age: 10 years; range: 6-16 years; 35 quadriplegics, 24 diplegics, 77 hemiplegics) were assessed. Six hand skills were measured on both hands: touch-pressure detection (Semmes-Weinstein esthesiometer), stereognosis (Manual Form Perception Test), proprioception (passive mobilization of the metacarpophalangeal joints), grip strength (GS) (Jamar dynamometer), gross manual dexterity (GMD) (Box and Block Test), and fine finger dexterity (Purdue Pegboard Test). MA was measured with the ABILHAND-Kids questionnaire. Correlation coefficients were used to determine the linear associations between observed variables. A path analysis of structural equation modeling was applied to test different models of causal relationships among the observed variables. Purely sensory impairments did seem not to play a significant role in the capacity to perform manual activities. According to path analysis, GMD in both hands and stereognosis in the dominant hand were directly related to MA, whereas GS was indirectly related to MA through its relationship with GMD. However, one-third of the variance in MA measures could not be explained by hand skills. It can be concluded that MA is not simply the integration of hand skills in daily activities and should be treated per se, supporting activity-based interventions. ###Answer 1. Changed Reasoning: The word ""dexterity"" has undergone a significant change in meaning between the two sentences. In Sentence A, ""dexterity"" refers to the ability to perform manual tasks with precision and skill, specifically in the context of hand surgery. In Sentence B, ""dexterity"" refers to the ability to perform daily activities, such as manual tasks, without any specific reference to hand surgery or sensory impairments. This shift in meaning suggests that the word ""dexterity"" has undergone semantic drift." 1,Dexterity,"Neurophysiological and psychological tests were administered to 107 patients--48 men and 59 women--with a diagnosis of solvent poisoning after longstanding (mean 9.6 years for males and mean 7.6 years for females) occupational exposure. Electroencephalography (EEG) and a wide psychological test battery were applied in all cases, and electroneurographic measurements were performed in 77 subjects. Sixty-five percent of the patients showed an abnormal EEG, and excessive beta activity, not induced by drugs, was found in 54% of patients. At least one abnormally slow nerve conduction velocity (CV) was found in 48 out of 77 patients. The scores of Wechsler Adult Intelligence Scale (WAIS) subtests Digit Span (DSp) and Digit Symbol (DSy) among the men and scores of Similarities (Sim), Digit Symbol (DSy), Picture Completion (PC), and Block Design (BD) among the women were statistically significantly lower than in the Finnish standardization sample. Long duration of exposure was related to poor performance in the Santa Ana Dexterity test in both sexes, to poor visual memory among the men and to poor visuoconstructive intellectual tasks among the women. The background frequency in the EEG showed a correlation to the DSp test of WAIS and some relationship emerged also between the former and the BD, the Symmetry Drawing test, the Santa Ana Dexterity test, and the Mira test. Focal slow wave abnormalities were related to inaccurate hand movements in the psychomotor Mira test. Neurophysiological and psychological tests seem to reflect partly different aspects of neurologic effects and their combined use helps in the evaluation of hazards of solvent exposure."," The hand is one of the most complex and important parts of the human body. The dexterity provided by its multiple degrees of freedom enables us to perform many of the tasks of daily living which involve grasping and manipulating objects of interest. Contemporary prosthetic devices for people with transradial amputations or wrist disarticulation vary in complexity, from passive prosthetics to complex devices that are body or electrically driven. One of the important challenges in developing smart prosthetic hands is to create devices which are able to mimic all activities that a person might perform and address the needs of a wide variety of users. The approach explored here is to develop algorithms that permit a device to adapt its behavior to the preferences of the operator through interactions with the wearer. This device uses multiple sensing modalities including muscle activity from a myoelectric armband, visual information from an on-board camera, tactile input through a touchscreen interface, and speech input from an embedded microphone. Presented within this paper are the design, software and controls of a platform used to evaluate this architecture as well as results from experiments deigned to quantify the performance. ","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dexterity Sentence A: Neurophysiological and psychological tests were administered to 107 patients--48 men and 59 women--with a diagnosis of solvent poisoning after longstanding (mean 9.6 years for males and mean 7.6 years for females) occupational exposure. Electroencephalography (EEG) and a wide psychological test battery were applied in all cases, and electroneurographic measurements were performed in 77 subjects. Sixty-five percent of the patients showed an abnormal EEG, and excessive beta activity, not induced by drugs, was found in 54% of patients. At least one abnormally slow nerve conduction velocity (CV) was found in 48 out of 77 patients. The scores of Wechsler Adult Intelligence Scale (WAIS) subtests Digit Span (DSp) and Digit Symbol (DSy) among the men and scores of Similarities (Sim), Digit Symbol (DSy), Picture Completion (PC), and Block Design (BD) among the women were statistically significantly lower than in the Finnish standardization sample. Long duration of exposure was related to poor performance in the Santa Ana Dexterity test in both sexes, to poor visual memory among the men and to poor visuoconstructive intellectual tasks among the women. The background frequency in the EEG showed a correlation to the DSp test of WAIS and some relationship emerged also between the former and the BD, the Symmetry Drawing test, the Santa Ana Dexterity test, and the Mira test. Focal slow wave abnormalities were related to inaccurate hand movements in the psychomotor Mira test. Neurophysiological and psychological tests seem to reflect partly different aspects of neurologic effects and their combined use helps in the evaluation of hazards of solvent exposure. Sentence B: The hand is one of the most complex and important parts of the human body. The dexterity provided by its multiple degrees of freedom enables us to perform many of the tasks of daily living which involve grasping and manipulating objects of interest. Contemporary prosthetic devices for people with transradial amputations or wrist disarticulation vary in complexity, from passive prosthetics to complex devices that are body or electrically driven. One of the important challenges in developing smart prosthetic hands is to create devices which are able to mimic all activities that a person might perform and address the needs of a wide variety of users. The approach explored here is to develop algorithms that permit a device to adapt its behavior to the preferences of the operator through interactions with the wearer. This device uses multiple sensing modalities including muscle activity from a myoelectric armband, visual information from an on-board camera, tactile input through a touchscreen interface, and speech input from an embedded microphone. Presented within this paper are the design, software and controls of a platform used to evaluate this architecture as well as results from experiments deigned to quantify the performance. ###Answer 1. Changed Reasoning: In Sentence A, the term ""dexterity"" is used in the context of neurophysiological and psychological tests administered to patients with solvent poisoning. The term is used to describe the patients' ability to perform various tasks, such as grasping and manipulating objects, and is associated with abnormal EEG and slow nerve conduction velocities. The meaning of ""dexterity"" in this context is related to the patients' neurological functioning and cognitive abilities. In Sentence B, the term ""dexterity"" is used in a completely different context. It is used to describe the complexity and importance of the human hand in performing various tasks of daily living. The term is associated with the development of smart prosthetic hands and the ability of these devices to mimic all activities that a person might perform. The meaning of ""dexterity"" in this context is related to the technical capabilities of prosthetic devices and the needs of users. Based on these two sentences, it is clear that the meaning of ""dexterity"" has changed significantly between the two time periods. In Sentence A, ""dexterity"" is used to describe neurological functioning and cognitive abilities, while in Sentence B, it is used to describe the technical capabilities of prosthetic devices. Therefore, I would label this term as ""Changed""." 2,Dexterity,"The aim of this study was to extend the understanding of Developmental Coordination Disorder (DCD) into adulthood. We recruited 19 adults aged between 18 and 65 who had received diagnoses of DCD or dyspraxia or who self-reported as having motor impairments consistent with a history of DCD, together with age- and gender-matched controls. Participants were given tests of manual dexterity, handwriting, construction, obstacle avoidance, dynamic balance, static balance, dual task performance, ball skills, reaction time, movement time and sequencing. As a group, adults with DCD performed more poorly than controls across all tasks. Slowness and variability of movement was a pervasive feature of their performance and many individuals had considerable problems with sequencing and with dual task performance. A discriminant function analysis conducted using six performance measures correctly classified participants as car drivers or non-drivers. Adults do retain motor difficulties and these can exclude them from important activities of daily living.","In recent decades, gaming technology has been accepted as a feasible method for complementing traditional clinical practice, especially in neurorehabilitation; however, the viability of using 3D Virtual Reality (VR) for the assessment of upper limb motor function has not been fully explored. For that purpose, we developed a VR-based version of the Box and Blocks Test (BBT), a clinical test for the assessment of manual dexterity, as an automated alternative to the classical procedure. Our VR-based BBT (VR-BBT) integrates the traditional BBT mechanics into gameplay using the Leap Motion Controller (LMC) to capture the user's hand motion and the Oculus Rift headset to provide a fully immersive experience. This paper focuses on evaluating the validity of our VR-BBT to reliably measure the manual dexterity in a sample of patients with Parkinson's Disease (PD). For this study, a group of twenty individuals in a mild to moderate stage of PD were recruited. Participants were asked to perform the physical BBT (once) and our proposed VR-BBT (twice) system, separately. Correlation analysis of collected data was carried out. Statistical analysis proved that the performance data collected by the VR-BBT significantly correlated with the conventional assessment of the BBT. The VR-BBT scores have shown a significant association with PD severity measured by the Hoehn and Yahr scale. This fact suggests that the VR-BBT could be used as a reliable indicator for health improvements in patients with PD. Finally, the VR-BBT system presented high usability and acceptability rated by clinicians and patients.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dexterity Sentence A: The aim of this study was to extend the understanding of Developmental Coordination Disorder (DCD) into adulthood. We recruited 19 adults aged between 18 and 65 who had received diagnoses of DCD or dyspraxia or who self-reported as having motor impairments consistent with a history of DCD, together with age- and gender-matched controls. Participants were given tests of manual dexterity, handwriting, construction, obstacle avoidance, dynamic balance, static balance, dual task performance, ball skills, reaction time, movement time and sequencing. As a group, adults with DCD performed more poorly than controls across all tasks. Slowness and variability of movement was a pervasive feature of their performance and many individuals had considerable problems with sequencing and with dual task performance. A discriminant function analysis conducted using six performance measures correctly classified participants as car drivers or non-drivers. Adults do retain motor difficulties and these can exclude them from important activities of daily living. Sentence B: In recent decades, gaming technology has been accepted as a feasible method for complementing traditional clinical practice, especially in neurorehabilitation; however, the viability of using 3D Virtual Reality (VR) for the assessment of upper limb motor function has not been fully explored. For that purpose, we developed a VR-based version of the Box and Blocks Test (BBT), a clinical test for the assessment of manual dexterity, as an automated alternative to the classical procedure. Our VR-based BBT (VR-BBT) integrates the traditional BBT mechanics into gameplay using the Leap Motion Controller (LMC) to capture the user's hand motion and the Oculus Rift headset to provide a fully immersive experience. This paper focuses on evaluating the validity of our VR-BBT to reliably measure the manual dexterity in a sample of patients with Parkinson's Disease (PD). For this study, a group of twenty individuals in a mild to moderate stage of PD were recruited. Participants were asked to perform the physical BBT (once) and our proposed VR-BBT (twice) system, separately. Correlation analysis of collected data was carried out. Statistical analysis proved that the performance data collected by the VR-BBT significantly correlated with the conventional assessment of the BBT. The VR-BBT scores have shown a significant association with PD severity measured by the Hoehn and Yahr scale. This fact suggests that the VR-BBT could be used as a reliable indicator for health improvements in patients with PD. Finally, the VR-BBT system presented high usability and acceptability rated by clinicians and patients. ###Answer 1. Changed The meaning of the target word ""dexterity"" has changed significantly between the two sentences. In Sentence A, the word is used to describe the motor skills of adults with Developmental Coordination Disorder (DCD), highlighting their difficulties with manual tasks. In Sentence B, the word is used to describe the potential of 3D Virtual Reality (VR) technology to assess manual dexterity in patients with Parkinson's Disease (PD), without any connotation of motor impairments. Therefore, the meaning of the word ""dexterity"" has shifted from a negative connotation to a neutral or even positive one between the two sentences." 3,Dexterity,"The appropriate suspension system results in a safe and well functioning lower extremity prosthesis. Residual limb length, joint ligament stability, and limb volume determine suspension methods as does activity level, dexterity, success of previous suspension, and cosmetic requirements. The supracondylar suspension cuff, prosthetic sleeves, and gel liners with locking mechanisms generally are indicated for the average to long transtibial amputation level. Short limbs are better fitted with supracondylar and suprapatellar suspension. Waist belts generally are indicated for patients with new amputations or those with vascular compromise. Suction suspension is the most desirable form of transfemoral suspension and is recommended for most standard to long residual limbs. Roll on silicone liners with or without locking pins and the hyperbaric sock offer the patient systems that are easier to don yet still provide unencumbered suspension. The total elastic suspension belt offers excellent auxiliary suspension and can be applied to the prosthesis by the patient. Multiple factors and patient preference should be considered when prescribing suspension systems for lower extremity prostheses."," We define sound and adequate denotational and operational semantics for the stochastic lambda calculus. These two semantic approaches build on previous work that used similar techniques to reason about higher-order probabilistic programs, but for the first time admit an adequacy theorem relating the operational and denotational views. This resolves the main issue left open in (Bacci et al. 2018). ","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dexterity Sentence A: The appropriate suspension system results in a safe and well functioning lower extremity prosthesis. Residual limb length, joint ligament stability, and limb volume determine suspension methods as does activity level, dexterity, success of previous suspension, and cosmetic requirements. The supracondylar suspension cuff, prosthetic sleeves, and gel liners with locking mechanisms generally are indicated for the average to long transtibial amputation level. Short limbs are better fitted with supracondylar and suprapatellar suspension. Waist belts generally are indicated for patients with new amputations or those with vascular compromise. Suction suspension is the most desirable form of transfemoral suspension and is recommended for most standard to long residual limbs. Roll on silicone liners with or without locking pins and the hyperbaric sock offer the patient systems that are easier to don yet still provide unencumbered suspension. The total elastic suspension belt offers excellent auxiliary suspension and can be applied to the prosthesis by the patient. Multiple factors and patient preference should be considered when prescribing suspension systems for lower extremity prostheses. Sentence B: We define sound and adequate denotational and operational semantics for the stochastic lambda calculus. These two semantic approaches build on previous work that used similar techniques to reason about higher-order probabilistic programs, but for the first time admit an adequacy theorem relating the operational and denotational views. This resolves the main issue left open in (Bacci et al. 2018). ###Answer 1. Changed Reasoning: In Sentence A, the term ""dexterity"" is used in the context of a prosthetic limb, specifically to describe the suitability of different suspension methods based on the individual's residual limb length, joint stability, and other factors. In this context, ""dexterity"" likely refers to the ability of the limb to perform specific tasks, such as walking or running. In Sentence B, the term ""dexterity"" is used in a completely different context, to describe the semantics of a stochastic lambda calculus. In this context, ""dexterity"" likely refers to the ability of the calculus to accurately model and reason about probabilistic programs. Given the significant difference in context and meaning between the two sentences, it is clear that the term ""dexterity"" has undergone semantic drift and now has a different connotation. Therefore, the label ""Changed"" is appropriate." 4,Dexterity,"Short-term effect of hand surgery on hand function in activities of daily life (dexterity) and pain were studied in 70 patients with rheumatoid arthritis. Only surgical interventions aimed at improvement of function and/or pain relief were included in the study. Patients were assessed before surgery and 6 and 12 months after surgery. Clinical change in the surgical group was observed in the number of painful and swollen joints, observed dexterity, and pain in the hand. Six months after surgery 74% of the patients showed positive clinical change in hand functioning and/or hand pain. Clinical effects remained stable between 6 and 12 months after surgical assessments. Both change in observed dexterity and pain had an independent impact on the patient's satisfaction with the results of the surgery.","Frailty is a geriatric syndrome defined by coexistence of unintentional weight loss, low physical reserve, or activity and is associated with adverse health events. Neuroimaging studies reported structural white matter changes in frail patients. In the current study, we hypothesized that clinical frailty is associated also with functional changes in motion-related cortical areas, that is, (pre-)supplementary motor areas (SMA, pre-SMA). We expected that observed functional changes are related to motor-cognitive test performance. We studied a clinical sample of 143 cognitively healthy patients ≥65 years presenting for elective surgery, enrolled in the BioCog prospective multicentric cohort study on postoperative cognitive disorders. Participants underwent preoperative resting-state functional magnetic resonance imaging, motor-cognitive testing, and assessment of Fried's modified frailty criteria. We analyzed functional connectivity associations with frailty and motor-cognitive test performance. Clinically robust patients (N = 60) showed higher connectivity in the SMA network compared to frail (N = 13) and prefrail (N = 70) patients. No changes were found in the pre-SMA network. SMA connectivity correlated with motor speed (Trail-Making-Test A) and manual dexterity (Grooved Pegboard Test). Our results suggest that diminished functional connectivity of the SMA is an early correlate of functional decline in the older adults . The SMA may serve as a potential treatment target in frailty.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dexterity Sentence A: Short-term effect of hand surgery on hand function in activities of daily life (dexterity) and pain were studied in 70 patients with rheumatoid arthritis. Only surgical interventions aimed at improvement of function and/or pain relief were included in the study. Patients were assessed before surgery and 6 and 12 months after surgery. Clinical change in the surgical group was observed in the number of painful and swollen joints, observed dexterity, and pain in the hand. Six months after surgery 74% of the patients showed positive clinical change in hand functioning and/or hand pain. Clinical effects remained stable between 6 and 12 months after surgical assessments. Both change in observed dexterity and pain had an independent impact on the patient's satisfaction with the results of the surgery. Sentence B: Frailty is a geriatric syndrome defined by coexistence of unintentional weight loss, low physical reserve, or activity and is associated with adverse health events. Neuroimaging studies reported structural white matter changes in frail patients. In the current study, we hypothesized that clinical frailty is associated also with functional changes in motion-related cortical areas, that is, (pre-)supplementary motor areas (SMA, pre-SMA). We expected that observed functional changes are related to motor-cognitive test performance. We studied a clinical sample of 143 cognitively healthy patients ≥65 years presenting for elective surgery, enrolled in the BioCog prospective multicentric cohort study on postoperative cognitive disorders. Participants underwent preoperative resting-state functional magnetic resonance imaging, motor-cognitive testing, and assessment of Fried's modified frailty criteria. We analyzed functional connectivity associations with frailty and motor-cognitive test performance. Clinically robust patients (N = 60) showed higher connectivity in the SMA network compared to frail (N = 13) and prefrail (N = 70) patients. No changes were found in the pre-SMA network. SMA connectivity correlated with motor speed (Trail-Making-Test A) and manual dexterity (Grooved Pegboard Test). Our results suggest that diminished functional connectivity of the SMA is an early correlate of functional decline in the older adults . The SMA may serve as a potential treatment target in frailty. ###Answer 1. Changed Reasoning: In Sentence A, the target word ""dexterity"" is used to describe the hand function of patients with rheumatoid arthritis before and after surgery. The sentence highlights the improvement in hand function and pain relief after surgery, indicating that the word ""dexterity"" in this context means improved ability to perform hand functions with reduced pain. In Sentence B, the target word ""frailty"" is used to describe a geriatric syndrome characterized by unintentional weight loss, low physical reserve, or activity. The sentence discusses the association of clinical frailty with functional changes in motion-related cortical areas, specifically the supplementary motor areas. The sentence highlights the correlation between functional connectivity in the SMA network and motor speed and manual dexterity, suggesting that the word ""frailty"" in this context means reduced ability to perform manual tasks due to age-related changes in the brain. Based on the context and meaning of the target word in each sentence, it is clear that the word ""dexterity"" has undergone a significant change in meaning between the two timestamps. In Sentence A, ""dexterity"" refers to improved hand function and pain relief after surgery, indicating a positive connotation. In Sentence B, ""frailty"" refers to reduced ability to perform manual tasks due to age-related changes in the brain, indicating a negative connotation. Therefore, the label ""Changed"" is appropriate for the target word ""dexterity""." 5,Dexterity,"The objective of this study was to examine the structure/function relationship between in vivo cerebellar size and higher cognitive function in a sample of healthy young subjects. The design of the study involved correlation of in vivo cerebellar volume measurements with measures of general intelligence (WAIS-R V&P FSIQ, Vocabulary, Block Design, and Digit Span subtests), motor dexterity (Halstead-Reitan Finger Tapping), verbal (WMS Logical Memory), and visual (Rey-Osterrieth Figure) memory covaring for cerebrum size. A similar analysis was performed using left temporal lobe volumes as a control region. The sample consisted of 62 healthy subjects (30 females, 32 males) enrolled as controls at the MHCRC at the University of Iowa Hospitals and Clinics. This independent sample does not overlap with the groups studied in our previous report on the relationship between cerebellar and brain size and IQ. Cerebellar and total brain size were estimated through automatic, atlas-based volume measurements using MR images obtained with a T1-weighted three-dimensional SPGR sequence on a 1.5-T GE Signa scanner and locally developed software. Cerebellar volume significantly correlated with Finger Tapping (left hand: r = 0.218, p < 0.05; right hand: r = 0.211, p < 0.05) and with memory retention of complex narrative material (r = 0.27, p < 0.02). Cerebellar volume correlated with general intelligence in the expected direction (r = 0.19, p < 0.07). This study confirms previous work indicating that the cerebellum may make a contribution to several aspects of cognition. Cerebellar volume significantly correlated with the ability to retain already encoded information in the verbal domain and with fine motor dexterity. Cerebellar volume positively correlated with general but the relationship did not reach statistical significance. The structural/functional relationship between cerebellum and verbal memory abilities is consistent with evolutionary theory for the phylogenetical increase in the size of the cerebellum.","During laparoscopic appendectomy (LA), the standard technique in securing of the base of the appendix is by endoloop ligatures. However, application of the endoloop demands dexterity and a short training, while hem-o-lok clips may be more advantageous to use due to their simplicity of application and low cost. The objective of this study was to evaluate the technical feasibility and eventual advantages of this way of securing of the base of the appendix.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dexterity Sentence A: The objective of this study was to examine the structure/function relationship between in vivo cerebellar size and higher cognitive function in a sample of healthy young subjects. The design of the study involved correlation of in vivo cerebellar volume measurements with measures of general intelligence (WAIS-R V&P FSIQ, Vocabulary, Block Design, and Digit Span subtests), motor dexterity (Halstead-Reitan Finger Tapping), verbal (WMS Logical Memory), and visual (Rey-Osterrieth Figure) memory covaring for cerebrum size. A similar analysis was performed using left temporal lobe volumes as a control region. The sample consisted of 62 healthy subjects (30 females, 32 males) enrolled as controls at the MHCRC at the University of Iowa Hospitals and Clinics. This independent sample does not overlap with the groups studied in our previous report on the relationship between cerebellar and brain size and IQ. Cerebellar and total brain size were estimated through automatic, atlas-based volume measurements using MR images obtained with a T1-weighted three-dimensional SPGR sequence on a 1.5-T GE Signa scanner and locally developed software. Cerebellar volume significantly correlated with Finger Tapping (left hand: r = 0.218, p < 0.05; right hand: r = 0.211, p < 0.05) and with memory retention of complex narrative material (r = 0.27, p < 0.02). Cerebellar volume correlated with general intelligence in the expected direction (r = 0.19, p < 0.07). This study confirms previous work indicating that the cerebellum may make a contribution to several aspects of cognition. Cerebellar volume significantly correlated with the ability to retain already encoded information in the verbal domain and with fine motor dexterity. Cerebellar volume positively correlated with general but the relationship did not reach statistical significance. The structural/functional relationship between cerebellum and verbal memory abilities is consistent with evolutionary theory for the phylogenetical increase in the size of the cerebellum. Sentence B: During laparoscopic appendectomy (LA), the standard technique in securing of the base of the appendix is by endoloop ligatures. However, application of the endoloop demands dexterity and a short training, while hem-o-lok clips may be more advantageous to use due to their simplicity of application and low cost. The objective of this study was to evaluate the technical feasibility and eventual advantages of this way of securing of the base of the appendix. ###Answer 1. Changed Reasoning: In Sentence A, the term ""dexterity"" is used in the context of a scientific study to describe the relationship between the size of the cerebellum and cognitive function. The study found that the cerebellum was significantly correlated with fine motor dexterity, as measured by finger tapping. This usage of ""dexterity"" implies a connection to physical coordination and motor skills. In Sentence B, the term ""dexterity"" is used in a different context, to describe the ease of use of a medical device. The sentence suggests that the device is easy to use and requires little training, implying a connection to simplicity and ease of use rather than physical coordination. Therefore, the meaning of ""dexterity"" has shifted from a connection to physical coordination to a connection to ease of use. This constitutes semantic drift, and the label ""Changed"" is appropriate." 6,Dexterity,"We describe a patient who has been complaining of brief jerk-like, rhythmic, involuntary movements involving the second digit of the left hand for the last three months. These involuntary jerks produced an adduction movement of the second digit and were unaffected by peripheral sensory stimuli. In addition, the patient experienced loss of dexterity in the left hand. On examination the patient showed hypotrophy of the first dorsal interosseous (FDI) muscle of the left hand and a dissociated sensory loss involving the C8-T1 dermatomes. Magnetic resonance imaging of the brain and spinal cord revealed a tonsilar hemiation characteristic of the Chiari I malformation associated with a syrinx extending from C4 to D5 that did not communicate with the fourth ventricle. The electrophysiological evaluation indicated the presence of a focal myoclonus of spinal origin that is likely to be caused by the syrinx.","Immersive Virtual Reality (VR) systems allow for highly repetitive tasks to be performed within a virtual environment that increases practice in home environments. VR can increase access to rehabilitation by reducing access barriers. However, rehabilitation outcomes between immersive VR systems and conventional physical rehabilitation are not well understood. The purpose of this case study was to assess the use of a custom clinically based VR simulation for testing gross hand dexterity with an individual with chronic stroke.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dexterity Sentence A: We describe a patient who has been complaining of brief jerk-like, rhythmic, involuntary movements involving the second digit of the left hand for the last three months. These involuntary jerks produced an adduction movement of the second digit and were unaffected by peripheral sensory stimuli. In addition, the patient experienced loss of dexterity in the left hand. On examination the patient showed hypotrophy of the first dorsal interosseous (FDI) muscle of the left hand and a dissociated sensory loss involving the C8-T1 dermatomes. Magnetic resonance imaging of the brain and spinal cord revealed a tonsilar hemiation characteristic of the Chiari I malformation associated with a syrinx extending from C4 to D5 that did not communicate with the fourth ventricle. The electrophysiological evaluation indicated the presence of a focal myoclonus of spinal origin that is likely to be caused by the syrinx. Sentence B: Immersive Virtual Reality (VR) systems allow for highly repetitive tasks to be performed within a virtual environment that increases practice in home environments. VR can increase access to rehabilitation by reducing access barriers. However, rehabilitation outcomes between immersive VR systems and conventional physical rehabilitation are not well understood. The purpose of this case study was to assess the use of a custom clinically based VR simulation for testing gross hand dexterity with an individual with chronic stroke. ###Answer 1. Changed The meaning of the target word ""dexterity"" has shifted significantly between Sentence A and Sentence B. In Sentence A, the word is used to describe a patient's loss of coordination and muscle weakness in the left hand, specifically in the context of a neurological disorder. In contrast, in Sentence B, the word is used to describe the repetitive tasks performed in a virtual environment as part of a rehabilitation program. The word's connotation has shifted from a medical context to a technological context. Therefore, the label ""Changed"" is appropriate." 7,Dexterity,"The neurobehavioral effects of lead (organic and inorganic) and organic solvents were compared in 386 U.S. workers (52 reference, 190 lead, and 144 solvent workers). The association between neurobehavioral test performance and duration of exposure to lead or solvents was also examined and compared. The neurobehavioral test battery consisted of examiner and computer-administered neurobehavioral tests, a test of olfactory function, and questionnaires that assessed neuropsychiatric symptoms. Adjusted mean differences on the neurobehavioral test scores were estimated by comparing the exposed group to the referent group using linear regression and adjusting for premorbid intellectual ability, age, and race. Both lead and solvents were associated with diminished neurobehavioral performance in all neurobehavioral areas tested. Specifically, while lead and solvent exposure had the same magnitude of adverse effects on tests of manual dexterity, lead exposure was associated with greater adverse effects on memory and learning tests but with less adverse effects on executive/motor tests and on a test of olfaction than solvent exposure. An elevated number of neuropsychiatric symptoms was reported by 7% of the referent group, 43% of the lead group, and 15% of the solvent group. For exposure duration of < or = 10 years, more neurobehavioral decrements were found in the solvent group relative to the lead group. However, for exposure duration of > or = 18 years, the lead group showed more decrements than the solvent group. Overall, these data suggest differences in neurobehavioral functioning between the lead (organic and inorganic) and solvent exposed workers examined in this study.","Computerized interfaces are able to represent 3D immersive simulations. Most of them make use of joystick, mouse, gloves, or grasp pressure transducers. Those have the drawback of 'filtering' the user interaction and/or de-locate the touch with respect to the visual stimulus. To overcome this we developed dexterity rehabilitation games on a novel touch interface that measures also force. The system allows dexterity training through 'direct' manipulation of virtual objects in 3D. Two dimensions via the touch screen, the third by the force channel. Tactile feedback is provided with a vibration device mounted on the screen back.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dexterity Sentence A: The neurobehavioral effects of lead (organic and inorganic) and organic solvents were compared in 386 U.S. workers (52 reference, 190 lead, and 144 solvent workers). The association between neurobehavioral test performance and duration of exposure to lead or solvents was also examined and compared. The neurobehavioral test battery consisted of examiner and computer-administered neurobehavioral tests, a test of olfactory function, and questionnaires that assessed neuropsychiatric symptoms. Adjusted mean differences on the neurobehavioral test scores were estimated by comparing the exposed group to the referent group using linear regression and adjusting for premorbid intellectual ability, age, and race. Both lead and solvents were associated with diminished neurobehavioral performance in all neurobehavioral areas tested. Specifically, while lead and solvent exposure had the same magnitude of adverse effects on tests of manual dexterity, lead exposure was associated with greater adverse effects on memory and learning tests but with less adverse effects on executive/motor tests and on a test of olfaction than solvent exposure. An elevated number of neuropsychiatric symptoms was reported by 7% of the referent group, 43% of the lead group, and 15% of the solvent group. For exposure duration of < or = 10 years, more neurobehavioral decrements were found in the solvent group relative to the lead group. However, for exposure duration of > or = 18 years, the lead group showed more decrements than the solvent group. Overall, these data suggest differences in neurobehavioral functioning between the lead (organic and inorganic) and solvent exposed workers examined in this study. Sentence B: Computerized interfaces are able to represent 3D immersive simulations. Most of them make use of joystick, mouse, gloves, or grasp pressure transducers. Those have the drawback of 'filtering' the user interaction and/or de-locate the touch with respect to the visual stimulus. To overcome this we developed dexterity rehabilitation games on a novel touch interface that measures also force. The system allows dexterity training through 'direct' manipulation of virtual objects in 3D. Two dimensions via the touch screen, the third by the force channel. Tactile feedback is provided with a vibration device mounted on the screen back. ###Answer 1. Changed Explanation: In Sentence A, the term ""dexterity"" is used in the context of neurobehavioral functioning, specifically in relation to the effects of lead and solvent exposure on cognitive and motor functions. The sentence highlights the negative impact of exposure on manual dexterity, memory, and learning, with a greater adverse effect observed in the lead group compared to the solvent group. The term ""dexterity"" carries a negative connotation in this context, suggesting a decline in cognitive and motor abilities due to exposure to toxic substances. In Sentence B, the term ""dexterity"" is used in a different context, specifically in relation to computerized interfaces and rehabilitation games. The sentence highlights the use of various input devices, including joysticks, mice, and force transducers, to enable ""direct"" manipulation of virtual objects in 3D. The term ""dexterity"" carries a positive connotation in this context, suggesting improved cognitive and motor abilities through training and rehabilitation. Based on these two sentences, it is clear that the term ""dexterity"" has undergone a significant shift in meaning between the two timestamps. In Sentence A, the term is associated with negative effects of exposure on cognitive and motor functions, while in Sentence B, it is associated with improved cognitive and motor abilities through training and rehabilitation. Therefore, the label ""Changed"" is appropriate for this task." 8,Dexterity,"Potentially interactive effects of hypertension and age on the performance of neuropsychological and information processing tests were examined in 123 untreated hypertensive and 50 normotensive men. After covarying education, average alcohol consumption, trait anxiety, and depression scores, results indicated an interaction of age and hypertension. Young hypertensive men (23-40 years) scored significantly worse than young normotensive men on tests of attention/executive function and working memory; middle-aged hypertensive (41-56 years) and normotensive participants were not distinguished by any measures. Hypertensive men performed significantly more poorly than normotensive men on tests of manual dexterity. Results suggest that neuropsychological sequelae of hypertension are more pronounced in young than in middle-aged hypertensive individuals and are independent of various demographic, psychosocial, and alcohol-related factors.","The combination of large mastoid processes and clavicles is unique to humans, but the biomechanical and evolutionary significance of their special configuration is poorly understood. As part of the newly conceptualized shoulder suspension apparatus, the mastoid processes and clavicles are shaped by forces exerted by the musculo-fascial components of the cleidomastoid and clavotrapezius muscles as they suspend the shoulders from the head. Because both skeletal elements develop during infancy in tandem with the attainment of an upright posture, increased manual dexterity, and the capacity for walking, we hypothesized that the same forces would have shaped them as the shoulder suspension apparatus evolved in ancestral humans in tandem with an upright posture, increased manual dexterity, and bipedality with swinging arms. Because the shoulder suspension apparatus is subjected to asymmetrical forces from handedness, we predicted that its skeletal features would grow asymmetrically. We used this prediction to test our hypothesis in a natural experiment to correlate the size of the skeletal features with the forces exerted on them. We (1) measured biomechanically relevant bony features within the shoulder suspension apparatus in 101 male human specimens (62 of known handedness); and (2) modeled and analyzed the forces within the shoulder suspension apparatus from X-ray CT data. We identified eight right-handed characters and demonstrated the causal relationship between these right-handed characters and the magnitude and direction of forces acting on them. Our data suggest that the presence of the shoulder suspension apparatus in humans was a necessary precondition for human bipedality.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dexterity Sentence A: Potentially interactive effects of hypertension and age on the performance of neuropsychological and information processing tests were examined in 123 untreated hypertensive and 50 normotensive men. After covarying education, average alcohol consumption, trait anxiety, and depression scores, results indicated an interaction of age and hypertension. Young hypertensive men (23-40 years) scored significantly worse than young normotensive men on tests of attention/executive function and working memory; middle-aged hypertensive (41-56 years) and normotensive participants were not distinguished by any measures. Hypertensive men performed significantly more poorly than normotensive men on tests of manual dexterity. Results suggest that neuropsychological sequelae of hypertension are more pronounced in young than in middle-aged hypertensive individuals and are independent of various demographic, psychosocial, and alcohol-related factors. Sentence B: The combination of large mastoid processes and clavicles is unique to humans, but the biomechanical and evolutionary significance of their special configuration is poorly understood. As part of the newly conceptualized shoulder suspension apparatus, the mastoid processes and clavicles are shaped by forces exerted by the musculo-fascial components of the cleidomastoid and clavotrapezius muscles as they suspend the shoulders from the head. Because both skeletal elements develop during infancy in tandem with the attainment of an upright posture, increased manual dexterity, and the capacity for walking, we hypothesized that the same forces would have shaped them as the shoulder suspension apparatus evolved in ancestral humans in tandem with an upright posture, increased manual dexterity, and bipedality with swinging arms. Because the shoulder suspension apparatus is subjected to asymmetrical forces from handedness, we predicted that its skeletal features would grow asymmetrically. We used this prediction to test our hypothesis in a natural experiment to correlate the size of the skeletal features with the forces exerted on them. We (1) measured biomechanically relevant bony features within the shoulder suspension apparatus in 101 male human specimens (62 of known handedness); and (2) modeled and analyzed the forces within the shoulder suspension apparatus from X-ray CT data. We identified eight right-handed characters and demonstrated the causal relationship between these right-handed characters and the magnitude and direction of forces acting on them. Our data suggest that the presence of the shoulder suspension apparatus in humans was a necessary precondition for human bipedality. ###Answer 1. Changed Reasoning: In Sentence A, the target word ""dexterity"" is used to describe the performance of neuropsychological and information processing tests. The context suggests that the term refers to the ability to perform tasks that require manual dexterity, such as attention, executive function, and working memory. In this context, the word ""dexterity"" has not undergone significant semantic drift. In Sentence B, the target word ""dexterity"" is used to describe the shape of the mastoid processes and clavicles. The context suggests that the term refers to the degree of manual dexterity required to shape these skeletal elements. In this context, the word ""dexterity"" has undergone significant semantic drift, as it now refers to a different aspect of manual dexterity, specifically the ability to shape the skeletal elements of the shoulder suspension apparatus. Therefore, the label ""Changed"" is appropriate for this task." 9,Dexterity,"The strong right hand preference in humans remains a riddle; no lateralized behavior other than fine finger dexterity relates to it. The relation between handedness and language dominance may be far weaker than currently judged; after all, both right-handers and non-right-handers utilize the left brain for speech. There is, however, a lateralized motor preference in animals, turning behavior, that is strongly associated with hemispheric dopamine (DA) asymmetries. Turning consistently occurs towards the side with less DA. The authors tested 69 right-handers and 24 non-right-handers with a device recording spontaneous turning behavior for 20 hr within 3 days. Findings indicate that right-handers preferred left-sided turning and non-right-handers preferred right-sided turning. This result suggests a link between handedness and DA asymmetries."," Sgr A* exhibits flares in the near-infrared and X-ray bands, with the luminosity in these bands increasing by factors of $10-100$ for $\approx 60$ minutes. One of the models proposed to explain these flares is synchrotron emission of non-thermal particles accelerated by magnetic reconnection events in the accretion flow. We use the results from PIC simulations of magnetic reconnection to post-process 3D two-temperature GRMHD simulations of a magnetically arrested disc (MAD). We identify current sheets, retrieve their properties, estimate their potential to accelerate non-thermal particles and compute the expected non-thermal synchrotron emission. We find that the flux eruptions of MADs can provide suitable conditions for accelerating non-thermal particles to energies $\gamma_e \lesssim 10^6$ and producing simultaneous X-ray and near-infrared flares. For a suitable choice of current-sheet parameters and a simpified synchrotron cooling prescription, the model can simultaneously reproduce the quiescent and flaring X-ray luminosities as well as the X-ray spectral shape. While the near-infrared flares are mainly due to an increase in the temperature near the black hole during the MAD flux eruptions, the X-ray emission comes from narrow current sheets bordering highly magnetized, low-density regions near the black hole and equatorial current sheets where the flux on the black hole reconnects. As a result, not all infrared flares are accompanied by X-ray ones. The non-thermal flaring emission can extend to very hard ($\lesssim 100$ keV) X-ray energies. ","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dexterity Sentence A: The strong right hand preference in humans remains a riddle; no lateralized behavior other than fine finger dexterity relates to it. The relation between handedness and language dominance may be far weaker than currently judged; after all, both right-handers and non-right-handers utilize the left brain for speech. There is, however, a lateralized motor preference in animals, turning behavior, that is strongly associated with hemispheric dopamine (DA) asymmetries. Turning consistently occurs towards the side with less DA. The authors tested 69 right-handers and 24 non-right-handers with a device recording spontaneous turning behavior for 20 hr within 3 days. Findings indicate that right-handers preferred left-sided turning and non-right-handers preferred right-sided turning. This result suggests a link between handedness and DA asymmetries. Sentence B: Sgr A* exhibits flares in the near-infrared and X-ray bands, with the luminosity in these bands increasing by factors of $10-100$ for $\approx 60$ minutes. One of the models proposed to explain these flares is synchrotron emission of non-thermal particles accelerated by magnetic reconnection events in the accretion flow. We use the results from PIC simulations of magnetic reconnection to post-process 3D two-temperature GRMHD simulations of a magnetically arrested disc (MAD). We identify current sheets, retrieve their properties, estimate their potential to accelerate non-thermal particles and compute the expected non-thermal synchrotron emission. We find that the flux eruptions of MADs can provide suitable conditions for accelerating non-thermal particles to energies $\gamma_e \lesssim 10^6$ and producing simultaneous X-ray and near-infrared flares. For a suitable choice of current-sheet parameters and a simpified synchrotron cooling prescription, the model can simultaneously reproduce the quiescent and flaring X-ray luminosities as well as the X-ray spectral shape. While the near-infrared flares are mainly due to an increase in the temperature near the black hole during the MAD flux eruptions, the X-ray emission comes from narrow current sheets bordering highly magnetized, low-density regions near the black hole and equatorial current sheets where the flux on the black hole reconnects. As a result, not all infrared flares are accompanied by X-ray ones. The non-thermal flaring emission can extend to very hard ($\lesssim 100$ keV) X-ray energies. ###Answer 1. Changed Explanation: In Sentence A, the target word ""dexterity"" is used to describe the fine finger dexterity of humans. The sentence suggests that the ability to perform complex motor tasks with precision and speed is a unique feature of humans, and there is no lateralized behavior other than this trait that relates to handedness. The sentence does not convey any negative or positive connotations associated with the word ""dexterity."" In Sentence B, the target word ""dexterity"" is used to describe the luminosity of Sgr A* in the near-infrared and X-ray bands. The sentence suggests that the luminosity of Sgr A* can increase by factors of $10-100$ over a period of $60$ minutes, and that this increase is associated with magnetic reconnection events in the accretion flow. The sentence does not convey any negative or positive connotations associated with the word ""dexterity"" in this context. Based on these two sentences, it is clear that the meaning of the target word ""dexterity"" has not changed significantly between the two time periods. The word is still used to describe fine motor skills and dexterity, but the context in which it is used has shifted from describing human abilities to describing the luminosity of Sgr A*. Therefore, the label ""Unchanged"" is appropriate." 10,Dexterity,"In order to evaluate the bilateral asymmetries in evoked electrodermal activity (EDA) and the use of EDA parameters as indices of relative hemispheric activation, skin resistance level (SRL), skin resistance response (SRR), and the SRR latency (L) were examined in 25 right-handed male subjects. We used bilateral recording with a unilateral stimulation (auditory click/patellar tendon tap) to assess the asymmetries of EDA variables related to the side of stimulation and to handedness. Although no significant asymmetry in C = SRRmax/SRL ratio was found, significant differences in latency were observed. Ipsilateral responses were 100 ms faster than contralateral responses for auditory stimulus, a result that can be explained in terms of contralateral delay of neuronal communication on EDA-l pathway. Response latency to reflex-motor activation was 60-100 ms shorter in the dominant hand, regardless of the stimulation site used. This result indicates that the reaction time of the EDA-2 pathway of the left hemisphere was shorter than the right for right-handed subjects. It is concluded that there is hemispheric asymmetry on EDA-2 pathway and that this asymmetry appears to be dependent on the preferred dexterity. These results have implications for the influence of both central and peripheral factors on EDA laterality and principally on laterality of response amplitude. Further, there is no single cortical mechanism modulating the asymmetries in the latency of this response.","Age, education, and gender are the most common covariates used to define normative standards against which neuropsychological (NP) performance is interpreted, but influences of other demographic factors have begun to be appreciated. In developing nations, urban versus rural residence may differentially affect numerous factors that could influence cognitive test performances, including quality of both formal and informal educational experiences and employment opportunities. Such disparities may necessitate corrections for urban/rural (U/R) status in NP norms. Prior investigations of the U/R effect on NP performance typically have been confounded by differences in educational attainment. We addressed in this by comparing the NP performance of large, Chinese urban (Yunnan Province, n = 201) and rural (Anhui Province, n = 141) cohorts of healthy adults, while controlling for other demographic differences. Although the groups did not differ in global NP scores, a more complex pattern was observed within specific NP ability domains and tests. Urban participants showed better performance in select measures of processing speed and executive functions, verbal fluency, and verbal learning. Self-reported daily use of academic skills was predictive of many U/R differences. Controlling for academic skill use abrogated most U/R differences but revealed rural advantages in select measures of visual reasoning and motor dexterity.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dexterity Sentence A: In order to evaluate the bilateral asymmetries in evoked electrodermal activity (EDA) and the use of EDA parameters as indices of relative hemispheric activation, skin resistance level (SRL), skin resistance response (SRR), and the SRR latency (L) were examined in 25 right-handed male subjects. We used bilateral recording with a unilateral stimulation (auditory click/patellar tendon tap) to assess the asymmetries of EDA variables related to the side of stimulation and to handedness. Although no significant asymmetry in C = SRRmax/SRL ratio was found, significant differences in latency were observed. Ipsilateral responses were 100 ms faster than contralateral responses for auditory stimulus, a result that can be explained in terms of contralateral delay of neuronal communication on EDA-l pathway. Response latency to reflex-motor activation was 60-100 ms shorter in the dominant hand, regardless of the stimulation site used. This result indicates that the reaction time of the EDA-2 pathway of the left hemisphere was shorter than the right for right-handed subjects. It is concluded that there is hemispheric asymmetry on EDA-2 pathway and that this asymmetry appears to be dependent on the preferred dexterity. These results have implications for the influence of both central and peripheral factors on EDA laterality and principally on laterality of response amplitude. Further, there is no single cortical mechanism modulating the asymmetries in the latency of this response. Sentence B: Age, education, and gender are the most common covariates used to define normative standards against which neuropsychological (NP) performance is interpreted, but influences of other demographic factors have begun to be appreciated. In developing nations, urban versus rural residence may differentially affect numerous factors that could influence cognitive test performances, including quality of both formal and informal educational experiences and employment opportunities. Such disparities may necessitate corrections for urban/rural (U/R) status in NP norms. Prior investigations of the U/R effect on NP performance typically have been confounded by differences in educational attainment. We addressed in this by comparing the NP performance of large, Chinese urban (Yunnan Province, n = 201) and rural (Anhui Province, n = 141) cohorts of healthy adults, while controlling for other demographic differences. Although the groups did not differ in global NP scores, a more complex pattern was observed within specific NP ability domains and tests. Urban participants showed better performance in select measures of processing speed and executive functions, verbal fluency, and verbal learning. Self-reported daily use of academic skills was predictive of many U/R differences. Controlling for academic skill use abrogated most U/R differences but revealed rural advantages in select measures of visual reasoning and motor dexterity. ###Answer 1. Changed Reasoning: In Sentence A, the term ""dexterity"" is used to describe the ability to perform a specific task (i.e., bilateral asymmetries in evoked electrodermal activity). The context suggests that the term refers to the subject's physical ability to perform the task, as measured by skin resistance level and skin resistance response. The sentence does not provide any information about the meaning of ""dexterity"" in a broader context, and it does not imply any connotation or emotional valence. In Sentence B, the term ""dexterity"" is used in a different context. It is used to describe the ability to perform cognitive tasks, specifically in the domain of executive functions and visual reasoning. The sentence also suggests that the term ""dexterity"" may connote a certain level of academic skill use. The context and meaning of the term have shifted significantly between the two sentences, indicating semantic drift." 11,Dexterity,"Despite the popularity of colonoscopy, very little has been published on specific technique. There are many factors that make colonoscopy easy or difficult, but the most important one is the endoscopist himself/herself. One must have excellent manual dexterity and technical ability; and, above all, one must perform enough cases to gain the needed experience to understand the procedure and to perform it rapidly, successfully, and safely. There are only so many maneuvers that can be carried out with a colonoscope, such as pushing it in, withdrawing it, turning it to the right, left, up, or down. Therefore, decision making (options), such as changing the position of the patient or applying external pressure points, must be performed rapidly before too many repetitive false moves are made. Options for each anatomical segment of the colon are outlined, based on an experience of ten thousand colonoscopies."," Combining the visibilities measured by an interferometer to form a cosmological power spectrum is a complicated process. In a delay-based analysis, the mapping between instrumental and cosmological space is not a one-to-one relation. Instead, neighbouring modes contribute to the power measured at one point, with their respective contributions encoded in the window functions. To better understand the power measured by an interferometer, we assess the impact of instrument characteristics and analysis choices on these window functions. Focusing on the Hydrogen Epoch of Reionization Array (HERA) as a case study, we find that long-baseline observations correspond to enhanced low-k tails of the window functions, which facilitate foreground leakage, whilst an informed choice of bandwidth and frequency taper can reduce said tails. With simple test cases and realistic simulations, we show that, apart from tracing mode mixing, the window functions help accurately reconstruct the power spectrum estimator of simulated visibilities. The window functions depend strongly on the beam chromaticity, and less on its spatial structure - a Gaussian approximation, ignoring side lobes, is sufficient. Finally, we investigate the potential of asymmetric window functions, down-weighting the contribution of low-k power to avoid foreground leakage. The window functions presented here correspond to the latest HERA upper limits for the full Phase I data. They allow an accurate reconstruction of the power spectrum measured by the instrument and will be used in future analyses to confront theoretical models and data directly in cylindrical space. ","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dexterity Sentence A: Despite the popularity of colonoscopy, very little has been published on specific technique. There are many factors that make colonoscopy easy or difficult, but the most important one is the endoscopist himself/herself. One must have excellent manual dexterity and technical ability; and, above all, one must perform enough cases to gain the needed experience to understand the procedure and to perform it rapidly, successfully, and safely. There are only so many maneuvers that can be carried out with a colonoscope, such as pushing it in, withdrawing it, turning it to the right, left, up, or down. Therefore, decision making (options), such as changing the position of the patient or applying external pressure points, must be performed rapidly before too many repetitive false moves are made. Options for each anatomical segment of the colon are outlined, based on an experience of ten thousand colonoscopies. Sentence B: Combining the visibilities measured by an interferometer to form a cosmological power spectrum is a complicated process. In a delay-based analysis, the mapping between instrumental and cosmological space is not a one-to-one relation. Instead, neighbouring modes contribute to the power measured at one point, with their respective contributions encoded in the window functions. To better understand the power measured by an interferometer, we assess the impact of instrument characteristics and analysis choices on these window functions. Focusing on the Hydrogen Epoch of Reionization Array (HERA) as a case study, we find that long-baseline observations correspond to enhanced low-k tails of the window functions, which facilitate foreground leakage, whilst an informed choice of bandwidth and frequency taper can reduce said tails. With simple test cases and realistic simulations, we show that, apart from tracing mode mixing, the window functions help accurately reconstruct the power spectrum estimator of simulated visibilities. The window functions depend strongly on the beam chromaticity, and less on its spatial structure - a Gaussian approximation, ignoring side lobes, is sufficient. Finally, we investigate the potential of asymmetric window functions, down-weighting the contribution of low-k power to avoid foreground leakage. The window functions presented here correspond to the latest HERA upper limits for the full Phase I data. They allow an accurate reconstruction of the power spectrum measured by the instrument and will be used in future analyses to confront theoretical models and data directly in cylindrical space. ###Answer 1. Changed Reasoning: In Sentence A, the target word ""dexterity"" is used to describe the endoscopist's manual skills and technical ability, emphasizing the importance of precise movements and experience in performing colonoscopy. The word carries a positive connotation, implying that the endoscopist must be skilled and proficient in their work. In Sentence B, the target word ""dexterity"" is used in a different context, referring to the impact of instrument characteristics and analysis choices on the accuracy of power spectrum measurements. The word carries a neutral connotation, as it is used to describe a technical aspect of the analysis rather than the endoscopist's abilities. Based on these differences in context and connotation, it can be argued that the meaning of the target word ""dexterity"" has shifted significantly between the two sentences, indicating semantic drift. Therefore, the label ""Changed"" is appropriate." 12,Dexterity,"A new eye microsurgical system is proposed. The final goal of our research project has been not only to improve surgical instruments, but also to establish a total surgical system applicable to today's most difficult microsurgery, within the eye. The new prototype micro-forceps, which have a joint that enlarges the surgical area and a built-in thin optical fibrescope to increase the dexterity of retinal microsurgery, was designed as the first step in a long-term research plan. The micro-active forceps is equipped with a thin optical fibre inside the stem, giving a lateral view of the retina and a drastic improvement in fine operations. Moreover, this new tool, with an active joint and an end-effector, could find application in other microsurgical fields, such as in the brain, ear, nose and throat.","This study examined the impact of a period of mental fatigue on manual dexterity, anticipation timing and repeated high intensity exercise performance. Using a randomised, repeated measures experimental design, eight physically trained adults (mean age = 24.8 ± 4.1 years) undertook a 40 minute vigilance task to elicit mental fatigue or a control condition followed by four repeated Wingate anaerobic performance tests. Pre, post fatigue/control and post each Wingate test, manual dexterity (Seconds), coincidence anticipation (absolute error) were assessed. A series of two (condition) by six (time) ways repeated measures ANOVAs indicated a significant condition by time interactions for manual dexterity time (p = 0.021) and absolute error (p = 0.028). Manual dexterity and coincidence anticipation were significantly poorer post mental fatigue compared with control. There were no significant differences in mean power between conditions or across trials (all p > 0.05). ","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dexterity Sentence A: A new eye microsurgical system is proposed. The final goal of our research project has been not only to improve surgical instruments, but also to establish a total surgical system applicable to today's most difficult microsurgery, within the eye. The new prototype micro-forceps, which have a joint that enlarges the surgical area and a built-in thin optical fibrescope to increase the dexterity of retinal microsurgery, was designed as the first step in a long-term research plan. The micro-active forceps is equipped with a thin optical fibre inside the stem, giving a lateral view of the retina and a drastic improvement in fine operations. Moreover, this new tool, with an active joint and an end-effector, could find application in other microsurgical fields, such as in the brain, ear, nose and throat. Sentence B: This study examined the impact of a period of mental fatigue on manual dexterity, anticipation timing and repeated high intensity exercise performance. Using a randomised, repeated measures experimental design, eight physically trained adults (mean age = 24.8 ± 4.1 years) undertook a 40 minute vigilance task to elicit mental fatigue or a control condition followed by four repeated Wingate anaerobic performance tests. Pre, post fatigue/control and post each Wingate test, manual dexterity (Seconds), coincidence anticipation (absolute error) were assessed. A series of two (condition) by six (time) ways repeated measures ANOVAs indicated a significant condition by time interactions for manual dexterity time (p = 0.021) and absolute error (p = 0.028). Manual dexterity and coincidence anticipation were significantly poorer post mental fatigue compared with control. There were no significant differences in mean power between conditions or across trials (all p > 0.05). ###Answer 1. Changed Reasoning: In Sentence A, the target word ""dexterity"" is used to describe the design of a new microsurgical system, specifically the ability of the tool to increase the surgical area and improve fine operations. The context suggests that the meaning of ""dexterity"" in this sentence is related to the ability to perform precise and delicate surgical procedures. In Sentence B, the target word ""dexterity"" is used to describe the impact of mental fatigue on manual dexterity and coordination. The context suggests that the meaning of ""dexterity"" in this sentence is related to the ability to perform physical tasks with precision and accuracy. Comparing the two sentences, it is clear that the meaning of ""dexterity"" has shifted from a focus on surgical procedures to a focus on physical coordination and dexterity in general. Therefore, the label ""Changed"" is appropriate." 13,Dexterity,"We treated 31 patients aged 65 years or more with cervical spondylotic myelopathy by microsurgical decompression and fusion at a single most appropriate level, in spite of MRI evidence of compression at several levels. Spinal cord potentials evoked at operation localised the level responsible for the principal lesion at C3-4 in 18 patients, C4-5 in 11 and at C5-6 in two. Despite the frequent coexistence of other age-related conditions, impairing ability to walk, the average Nurick grade improved from 3.5 before operation to 2.2 at a mean follow-up of 48 months. There was also good recovery of finger dexterity and sensitivity. Operation at a single optimal level, as opposed to several, has the advantage of minimising complications, of particular importance in this age group.","Background High-intensity training aims to improve hand function in children with unilateral spastic cerebral palsy (USCP). However, the extent to which skill training is required is not known. Objectives To compare the effects of intensive bimanual training with and without structured progression of skill difficulty, on manual dexterity, bimanual hand use, daily functioning, and functional goals in children with USCP. Method Twenty-two children were randomized to structured practice group (SPG) or unstructured practice group (UPG), and received 6 h/d training during 15 days. Children from the SPG were engaged in fine and gross motor bimanual activities, with skill progression and goal training. Children from UPG performed the same activities without skill progression or goal training. Participants were evaluated before, immediately and 6 months after training by a physical therapist blinded to group allocation. The primary outcomes were the Jebsen-Taylor Test of Hand Function (JTTHF) and Assisting Hand Assessment (AHA). Secondary outcomes included the Canadian Occupational Performance Measure (COPM), Pediatric Evaluation of Disability Inventory (PEDI), and ABILHAND-Kids. Results Both groups showed similar improvements in the JTTHF, AHA, ABILHAND-Kids, COPM-satisfaction, and PEDI (P < .05). A significant interaction in the COPM-performance scale (P = .03) showed superior improvements of the SPG immediately, but not 6 months, after the intervention.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dexterity Sentence A: We treated 31 patients aged 65 years or more with cervical spondylotic myelopathy by microsurgical decompression and fusion at a single most appropriate level, in spite of MRI evidence of compression at several levels. Spinal cord potentials evoked at operation localised the level responsible for the principal lesion at C3-4 in 18 patients, C4-5 in 11 and at C5-6 in two. Despite the frequent coexistence of other age-related conditions, impairing ability to walk, the average Nurick grade improved from 3.5 before operation to 2.2 at a mean follow-up of 48 months. There was also good recovery of finger dexterity and sensitivity. Operation at a single optimal level, as opposed to several, has the advantage of minimising complications, of particular importance in this age group. Sentence B: Background High-intensity training aims to improve hand function in children with unilateral spastic cerebral palsy (USCP). However, the extent to which skill training is required is not known. Objectives To compare the effects of intensive bimanual training with and without structured progression of skill difficulty, on manual dexterity, bimanual hand use, daily functioning, and functional goals in children with USCP. Method Twenty-two children were randomized to structured practice group (SPG) or unstructured practice group (UPG), and received 6 h/d training during 15 days. Children from the SPG were engaged in fine and gross motor bimanual activities, with skill progression and goal training. Children from UPG performed the same activities without skill progression or goal training. Participants were evaluated before, immediately and 6 months after training by a physical therapist blinded to group allocation. The primary outcomes were the Jebsen-Taylor Test of Hand Function (JTTHF) and Assisting Hand Assessment (AHA). Secondary outcomes included the Canadian Occupational Performance Measure (COPM), Pediatric Evaluation of Disability Inventory (PEDI), and ABILHAND-Kids. Results Both groups showed similar improvements in the JTTHF, AHA, ABILHAND-Kids, COPM-satisfaction, and PEDI (P < .05). A significant interaction in the COPM-performance scale (P = .03) showed superior improvements of the SPG immediately, but not 6 months, after the intervention. ###Answer 1. Changed Reasoning: In Sentence A, the term ""dexterity"" is used to describe the recovery of finger dexterity and sensitivity in patients with cervical spondylotic myelopathy following surgical intervention. The term is used in the context of the patient's ability to perform manual tasks, such as walking and using their hands. In this context, the term ""dexterity"" implies a high level of manual dexterity and coordination, which is necessary for everyday activities. In Sentence B, the term ""dexterity"" is used in a different context, to describe the effectiveness of a training program for children with unilateral spastic cerebral palsy. In this context, the term ""dexterity"" implies the ability to perform specific hand functions, such as fine and gross motor bimanual activities, with a high level of skill and accuracy. The term is used in the context of the child's ability to perform tasks that require hand-eye coordination and dexterity, such as writing, drawing, and using tools. Based on these differences in context and meaning, it can be concluded that the term ""dexterity"" has undergone a significant change in meaning between Sentence A and Sentence B. In Sentence A, the term is used to describe the recovery of manual dexterity in patients with a neurological condition, while in Sentence B, the term is used to describe the effectiveness of a training program for children with a developmental disorder. Therefore, the label ""Changed"" is appropriate." 14,Dexterity,"Onychomycosis, a persistent fungal infection affecting the toenails and fingernails, can interfere with standing, walking, and exercising. Associated physical impairments can result in paresthesia, pain, discomfort, and loss of manual dexterity. Patients may also suffer from loss of self-esteem and social interaction. A definitive diagnosis is crucial for effective treatment, because many other skin and nail disorders mimic onychomycosis. Diagnosis involves microscopic potassium hydroxide preparation, cultures, nail biopsy, and histologic analysis. Treatment can include topical and systemic antifungal therapies as well as nonpharmaceutical methods. This paper discusses pathophysiology, diagnosis, and treatment options for this common nail dystrophy, including the newer antifungal medications now available.",Surgery is a highly technical procedure relying on high mental acuity and manual dexterity. The possibility that surgical outcomes and post-operative complications could be subject to influence by fatigue and/or circadian rhythms in surgeons has been investigated with inconsistent results.,"###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dexterity Sentence A: Onychomycosis, a persistent fungal infection affecting the toenails and fingernails, can interfere with standing, walking, and exercising. Associated physical impairments can result in paresthesia, pain, discomfort, and loss of manual dexterity. Patients may also suffer from loss of self-esteem and social interaction. A definitive diagnosis is crucial for effective treatment, because many other skin and nail disorders mimic onychomycosis. Diagnosis involves microscopic potassium hydroxide preparation, cultures, nail biopsy, and histologic analysis. Treatment can include topical and systemic antifungal therapies as well as nonpharmaceutical methods. This paper discusses pathophysiology, diagnosis, and treatment options for this common nail dystrophy, including the newer antifungal medications now available. Sentence B: Surgery is a highly technical procedure relying on high mental acuity and manual dexterity. The possibility that surgical outcomes and post-operative complications could be subject to influence by fatigue and/or circadian rhythms in surgeons has been investigated with inconsistent results. ###Answer 1. Changed The meaning of the target word ""dexterity"" has shifted significantly between Sentence A and Sentence B. In Sentence A, ""dexterity"" is used to describe the manual skills required for diagnosing and treating a nail fungus, such as the ability to perform microscopic potassium hydroxide preparation, cultures, nail biopsy, and histologic analysis. In contrast, in Sentence B, ""dexterity"" is used to describe the mental acuity and manual dexterity required for performing surgery. The word's meaning has expanded to include a broader range of physical and mental abilities. Therefore, the label ""Changed"" is appropriate for this target word." 15,Dexterity,"Children with spastic hemiplegia have impaired dexterity in the affected extremity. The purpose of the present study was to investigate whether the force co-ordination pattern during precision grip in 13 children between 4 and 10 years of age with predominant unilateral brain lesions is related to manual dexterity and to the location and size of the brain lesion. The force co-ordination pattern was investigated by means of a specially designed object that monitored the isometric fingertip forces applied to the contact surfaces during precision grip. Hand function was measured by means of neurological examination, functional hand-grips and dexterity. Brain lesions were identified by series of ultrasound and MRI scans. Normally, the fingertip forces are applied to the object in the initial phase of the lift in an invariant force co-ordination pattern (i.e. grip-lift synergy), in which the grip and load forces are initiated simultaneously and increase in parallel with unimodal force rate trajectories. A majority of children with unilateral brain lesions had not developed the force co-ordination pattern typical for their age, but produced an immature or a pathological pattern. The developmental level of the grip-lift synergy was determined and quantified according to criteria derived from earlier studies on normally developed children. There was a clear relationship between the developmental level of the grip-lift synergy and impaired dexterity, indicating that proper development of the force co-ordination pattern is important for skilled hand function. The grip-lift synergy correlated with the total extent of lesions in the contralateral cortex and white matter and with lesions in the thalamus/basal ganglia, while no correlation was found for isolated cortical lesions. The results suggest that the neural circuits involved in the control of the precision grip are organized in a parallel and distributed system in the hemispheres, and that the basal ganglia are important during the formation of these circuits. Perinatal lesions in specific cortical motor areas may be compensated for by circuits elsewhere in the grip-lift motor system, while large lesions exclude this possibility.","Degenerative cervical myelopathy (DCM) is a prevalent condition in which spinal degeneration causes cord compression and neurological dysfunction. The spinal cord is anatomically complex and operates in conjunction with the brain, the musculoskeletal system, and numerous organs to control numerous functions, including simple and coordinated movement, sensation, and autonomic functions. As a result, accurate and comprehensive measurement of spinal cord function in patients with DCM and other spinal pathologies is challenging. This project aimed to summarize the neurological, functional, and quality of life (QoL) outcome measures currently in use to quantify impairment in DCM. A systematic review of the literature was performed to identify prospective studies with at least 100 DCM subjects that utilized one or more quantitative neurological, functional, or QoL outcome measures. A total of 148 studies were identified. The most commonly used instruments were subjective functional scales including the Japanese Orthopedic Association (JOA) (71 studies), modified JOA (mJOA) (66 studies), Neck Disability Index (NDI) (54 studies), and Nurick (39 studies), in addition to the QoL measure Short-Form-36 (SF-36, 52 studies). A total of 92% (320/349) of all outcome measures were questionnaires, whereas objective physical testing of neurological function (strength, gait, balance, dexterity, or sensation) made up 8% (29/349). Studies utilized an average of 2.36 outcomes measures, while 58 studies (39%) utilized only a single outcome measure. No studies were identified that specifically assessed the dorsal column sensory pathway or respiratory, bowel, or sexual function. In the past five years, there were no significant differences in the number of total, functional, or QoL outcome measures used, but physical testing of neurological function has increased (","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dexterity Sentence A: Children with spastic hemiplegia have impaired dexterity in the affected extremity. The purpose of the present study was to investigate whether the force co-ordination pattern during precision grip in 13 children between 4 and 10 years of age with predominant unilateral brain lesions is related to manual dexterity and to the location and size of the brain lesion. The force co-ordination pattern was investigated by means of a specially designed object that monitored the isometric fingertip forces applied to the contact surfaces during precision grip. Hand function was measured by means of neurological examination, functional hand-grips and dexterity. Brain lesions were identified by series of ultrasound and MRI scans. Normally, the fingertip forces are applied to the object in the initial phase of the lift in an invariant force co-ordination pattern (i.e. grip-lift synergy), in which the grip and load forces are initiated simultaneously and increase in parallel with unimodal force rate trajectories. A majority of children with unilateral brain lesions had not developed the force co-ordination pattern typical for their age, but produced an immature or a pathological pattern. The developmental level of the grip-lift synergy was determined and quantified according to criteria derived from earlier studies on normally developed children. There was a clear relationship between the developmental level of the grip-lift synergy and impaired dexterity, indicating that proper development of the force co-ordination pattern is important for skilled hand function. The grip-lift synergy correlated with the total extent of lesions in the contralateral cortex and white matter and with lesions in the thalamus/basal ganglia, while no correlation was found for isolated cortical lesions. The results suggest that the neural circuits involved in the control of the precision grip are organized in a parallel and distributed system in the hemispheres, and that the basal ganglia are important during the formation of these circuits. Perinatal lesions in specific cortical motor areas may be compensated for by circuits elsewhere in the grip-lift motor system, while large lesions exclude this possibility. Sentence B: Degenerative cervical myelopathy (DCM) is a prevalent condition in which spinal degeneration causes cord compression and neurological dysfunction. The spinal cord is anatomically complex and operates in conjunction with the brain, the musculoskeletal system, and numerous organs to control numerous functions, including simple and coordinated movement, sensation, and autonomic functions. As a result, accurate and comprehensive measurement of spinal cord function in patients with DCM and other spinal pathologies is challenging. This project aimed to summarize the neurological, functional, and quality of life (QoL) outcome measures currently in use to quantify impairment in DCM. A systematic review of the literature was performed to identify prospective studies with at least 100 DCM subjects that utilized one or more quantitative neurological, functional, or QoL outcome measures. A total of 148 studies were identified. The most commonly used instruments were subjective functional scales including the Japanese Orthopedic Association (JOA) (71 studies), modified JOA (mJOA) (66 studies), Neck Disability Index (NDI) (54 studies), and Nurick (39 studies), in addition to the QoL measure Short-Form-36 (SF-36, 52 studies). A total of 92% (320/349) of all outcome measures were questionnaires, whereas objective physical testing of neurological function (strength, gait, balance, dexterity, or sensation) made up 8% (29/349). Studies utilized an average of 2.36 outcomes measures, while 58 studies (39%) utilized only a single outcome measure. No studies were identified that specifically assessed the dorsal column sensory pathway or respiratory, bowel, or sexual function. In the past five years, there were no significant differences in the number of total, functional, or QoL outcome measures used, but physical testing of neurological function has increased ( ###Answer 1. Changed Reasoning: In Sentence A, the word ""dexterity"" is used to describe the ability of children with spastic hemiplegia to perform precise movements with their affected limbs. The sentence highlights the importance of manual dexterity for skilled hand function, and notes that impaired dexterity is a common feature of children with unilateral brain lesions. In contrast, Sentence B does not mention ""dexterity"" at all. Instead, it focuses on the clinical features of degenerative cervical myelopathy (DCM), including neurological dysfunction, and the various outcome measures used to quantify impairment in DCM patients. The difference in the usage and meaning of ""dexterity"" between the two sentences suggests that the term has undergone semantic drift. In Sentence A, ""dexterity"" is used in a medical context to describe a specific aspect of motor function, while in Sentence B, it is not used at all. This change in meaning could be due to a shift in the way the term is understood or used in the medical field, or it could be due to a change in the broader cultural context in which the term is used. Regardless of the reason, the difference in the usage and meaning of ""dexterity"" between the two sentences indicates that semantic drift has occurred." 16,Dexterity,"Nonhierarchical cluster analysis was used to classify 92 patients with rheumatoid arthritis drawn from a community rheumatology practice into 5 groups on the basis of biochemical measures and disease indices. The major differentiating variables were the number of active joints, number of damaged joints, overall disease activity, extraarticular complications, and history of joint surgery. Although the 5 subclasses were equivalent on measures of psychological functioning, they differed systematically on such health outcome measures as mobility, physical activity, and dexterity. Relationships between the taxonomy produced through cluster analysis and conventional classifications are discussed, and directions for further investigation are noted."," Multimorbidity, or the presence of several medical conditions in the same individual, has been increasing in the population, both in absolute and relative terms. However, multimorbidity remains poorly understood, and the evidence from existing research to describe its burden, determinants and consequences has been limited. Previous studies attempting to understand multimorbidity patterns are often cross-sectional and do not explicitly account for multimorbidity patterns' evolution over time; some of them are based on small datasets and/or use arbitrary and narrow age ranges; and those that employed advanced models, usually lack appropriate benchmarking and validations. In this study, we (1) introduce a novel approach for using Non-negative Matrix Factorisation (NMF) for temporal phenotyping (i.e., simultaneously mining disease clusters and their trajectories); (2) provide quantitative metrics for the evaluation of disease clusters from such studies; and (3) demonstrate how the temporal characteristics of the disease clusters that result from our model can help mine multimorbidity networks and generate new hypotheses for the emergence of various multimorbidity patterns over time. We trained and evaluated our models on one of the world's largest electronic health records (EHR), with 7 million patients, from which over 2 million where relevant to this study. ","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dexterity Sentence A: Nonhierarchical cluster analysis was used to classify 92 patients with rheumatoid arthritis drawn from a community rheumatology practice into 5 groups on the basis of biochemical measures and disease indices. The major differentiating variables were the number of active joints, number of damaged joints, overall disease activity, extraarticular complications, and history of joint surgery. Although the 5 subclasses were equivalent on measures of psychological functioning, they differed systematically on such health outcome measures as mobility, physical activity, and dexterity. Relationships between the taxonomy produced through cluster analysis and conventional classifications are discussed, and directions for further investigation are noted. Sentence B: Multimorbidity, or the presence of several medical conditions in the same individual, has been increasing in the population, both in absolute and relative terms. However, multimorbidity remains poorly understood, and the evidence from existing research to describe its burden, determinants and consequences has been limited. Previous studies attempting to understand multimorbidity patterns are often cross-sectional and do not explicitly account for multimorbidity patterns' evolution over time; some of them are based on small datasets and/or use arbitrary and narrow age ranges; and those that employed advanced models, usually lack appropriate benchmarking and validations. In this study, we (1) introduce a novel approach for using Non-negative Matrix Factorisation (NMF) for temporal phenotyping (i.e., simultaneously mining disease clusters and their trajectories); (2) provide quantitative metrics for the evaluation of disease clusters from such studies; and (3) demonstrate how the temporal characteristics of the disease clusters that result from our model can help mine multimorbidity networks and generate new hypotheses for the emergence of various multimorbidity patterns over time. We trained and evaluated our models on one of the world's largest electronic health records (EHR), with 7 million patients, from which over 2 million where relevant to this study. ###Answer 1. Changed Reasoning: In Sentence A, the term ""dexterity"" is used in the context of a biochemical measure, specifically the ability to perform manual tasks with precision. In Sentence B, the term is used in the context of multimorbidity patterns, specifically the ability to manage multiple medical conditions simultaneously. The meaning of the term has shifted from a physical/manual context to a broader health-related context, indicating semantic drift." 17,Dexterity,"The speed of alternating movements at the ankle, metacarpophalangeal and wrist joints in 11 healthy children and 13 adults doubled between age 3 and 11 years, despite a 32-fold increase in limb-segment inertia produced by the doubling in limb length over the same period. The data for the children showed little or no practice effect. The speeds for the adults, though faster than those for the children, were more widely dispersed, indicating the possibility that training might increase the speed of the slowest adult. The findings are consistent with a previous report demonstrating a parallel increase in the speed of calf muscles over the first 10 years of life and it is inferred that the increase in dexterity at the wrist and metacarpophalangeal joints also depends on an increase in muscle speed with age. Muscle maturation may impose a rate-limiting envelope for all motor tasks which is particularly evident in rapidly alternating movements. These findings have implications for training in sport and music and for the understanding of motor delay, clumsiness and speech difficulties.","Robots used in research on Embodied AI often need to physically explore the world, to fail in the process, and to develop from such experiences. Most research robots are unfortunately too stiff to safely absorb impacts, too expensive to repair if broken repeatedly, and are never operated without the red kill-switch prominently displayed. The GummiArm Project was intended to be an open-source ""soft"" robot arm with human-inspired tendon actuation, sufficient dexterity for simple manipulation tasks, and with an eye on enabling easy replication of robotics experiments. The arm offers variable-stiffness and damped actuation, which lowers the potential for damage, and which enables new research opportunities in Embodied AI. The arm structure is printable on hobby-grade 3D printers for ease of manufacture, exploits stretchable composite tendons for robustness to impacts, and has a repair-cycle of minutes when something does break. The material cost of the arm is less than $6000, while the full set of structural parts, the ones most likely to break, can be printed with less than $20 worth of plastic filament. All this promotes a concurrent approach to the design of ""brain"" and ""body,"" and can help increase productivity and reproducibility in Embodied AI research. In this work we describe the motivation for, and the development and application of, this 6 year project.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dexterity Sentence A: The speed of alternating movements at the ankle, metacarpophalangeal and wrist joints in 11 healthy children and 13 adults doubled between age 3 and 11 years, despite a 32-fold increase in limb-segment inertia produced by the doubling in limb length over the same period. The data for the children showed little or no practice effect. The speeds for the adults, though faster than those for the children, were more widely dispersed, indicating the possibility that training might increase the speed of the slowest adult. The findings are consistent with a previous report demonstrating a parallel increase in the speed of calf muscles over the first 10 years of life and it is inferred that the increase in dexterity at the wrist and metacarpophalangeal joints also depends on an increase in muscle speed with age. Muscle maturation may impose a rate-limiting envelope for all motor tasks which is particularly evident in rapidly alternating movements. These findings have implications for training in sport and music and for the understanding of motor delay, clumsiness and speech difficulties. Sentence B: Robots used in research on Embodied AI often need to physically explore the world, to fail in the process, and to develop from such experiences. Most research robots are unfortunately too stiff to safely absorb impacts, too expensive to repair if broken repeatedly, and are never operated without the red kill-switch prominently displayed. The GummiArm Project was intended to be an open-source ""soft"" robot arm with human-inspired tendon actuation, sufficient dexterity for simple manipulation tasks, and with an eye on enabling easy replication of robotics experiments. The arm offers variable-stiffness and damped actuation, which lowers the potential for damage, and which enables new research opportunities in Embodied AI. The arm structure is printable on hobby-grade 3D printers for ease of manufacture, exploits stretchable composite tendons for robustness to impacts, and has a repair-cycle of minutes when something does break. The material cost of the arm is less than $6000, while the full set of structural parts, the ones most likely to break, can be printed with less than $20 worth of plastic filament. All this promotes a concurrent approach to the design of ""brain"" and ""body,"" and can help increase productivity and reproducibility in Embodied AI research. In this work we describe the motivation for, and the development and application of, this 6 year project. ###Answer 1. Changed Reasoning: In Sentence A, the target word ""dexterity"" is used to describe the speed of alternating movements in children and adults. The context suggests that the meaning of ""dexterity"" is related to the ability to perform rapid movements with precision, which is consistent with the general definition of the word. However, in Sentence B, the target word ""dexterity"" is used to describe the design of a robot arm, specifically its ability to absorb impacts and its variable-stiffness and damped actuation. The context suggests that the meaning of ""dexterity"" in this sentence has shifted to relate more to the physical properties of the robot arm, such as its flexibility and durability. Therefore, the label ""Changed"" is appropriate for this sentence." 18,Dexterity,"Physical and mental correlates of dependent living were determined in 128 Catholic sisters (nuns), aged 75 to 94 years, who had similar social support systems and lifestyles. The primary a priori hypothesis was that poor manual dexterity would correlate strongly with living in the nursing home. Stepwise discriminant analysis indicated that manual dexterity explained 51% of the variance in the sisters' residential living site (ie, nursing home, retirement home, or living in community). The discriminant analysis equation using manual dexterity predicted living site correctly for 63% of the sisters in the nursing home with a specificity of 99%, a positive predictive value of 96% and negative predictive value of 84%. The addition of age and mental status to the equation improved the prediction only slightly.","In this study, we examined hemispheric differences in corticospinal excitability and in transcallosal inhibition in a selected group of young adults (n = 34) grouped into three handedness categories (RH: strongly right-handed, n = 17; LH: strongly left-handed, n = 10; MH: mixed-handed, n = 7) based on laterality quotients (LQ) derived from the Edinburgh Handedness Inventory. Performance measures were also used to derive a laterality index reflecting right-left asymmetries in manual dexterity (Dextli) and in finger tapping speed (Speedli). Corticospinal excitability was assessed in each hemisphere by means of transcranial magnetic stimulation (TMS) using the first dorsal interosseus as the target muscle. TMS measures consisted of resting motor threshold (rMT), motor evoked potential (MEP) recruitment curve (RC) and the contralateral silent period (cSP) with the accompanying MEP facilitation. Hemispheric interactions were assessed by means of the ipsilateral silent period (iSP) to determine the onset latency and the duration of transcallosal inhibition (i.e., LTI and DTI). Analysis of hemispheric variations in measures of corticospinal excitability revealed no major asymmetries in relation to degrees of laterality or handedness, with the exception of a rightward increase in rMTs in the LH group. Similarly, no clear asymmetries were found when looking at hemispheric variations in measures of transcallosal inhibition. However, a large group effect was detected for LTI measures, which were found to be significantly shorter in the MH group than in either the LH or RH group. MH participants also tended to show longer DTI than the other participants. Further inspection of overall variations in LTI and DTI measures as a function of LQs revealed that both variables followed a non-linear relationship, which was best described by a 2(nd) order polynomial function. Overall, these findings provide converging evidence for a link between mixed-handedness and more efficient interhemispheric communication when compared to either right- or left-handedness.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dexterity Sentence A: Physical and mental correlates of dependent living were determined in 128 Catholic sisters (nuns), aged 75 to 94 years, who had similar social support systems and lifestyles. The primary a priori hypothesis was that poor manual dexterity would correlate strongly with living in the nursing home. Stepwise discriminant analysis indicated that manual dexterity explained 51% of the variance in the sisters' residential living site (ie, nursing home, retirement home, or living in community). The discriminant analysis equation using manual dexterity predicted living site correctly for 63% of the sisters in the nursing home with a specificity of 99%, a positive predictive value of 96% and negative predictive value of 84%. The addition of age and mental status to the equation improved the prediction only slightly. Sentence B: In this study, we examined hemispheric differences in corticospinal excitability and in transcallosal inhibition in a selected group of young adults (n = 34) grouped into three handedness categories (RH: strongly right-handed, n = 17; LH: strongly left-handed, n = 10; MH: mixed-handed, n = 7) based on laterality quotients (LQ) derived from the Edinburgh Handedness Inventory. Performance measures were also used to derive a laterality index reflecting right-left asymmetries in manual dexterity (Dextli) and in finger tapping speed (Speedli). Corticospinal excitability was assessed in each hemisphere by means of transcranial magnetic stimulation (TMS) using the first dorsal interosseus as the target muscle. TMS measures consisted of resting motor threshold (rMT), motor evoked potential (MEP) recruitment curve (RC) and the contralateral silent period (cSP) with the accompanying MEP facilitation. Hemispheric interactions were assessed by means of the ipsilateral silent period (iSP) to determine the onset latency and the duration of transcallosal inhibition (i.e., LTI and DTI). Analysis of hemispheric variations in measures of corticospinal excitability revealed no major asymmetries in relation to degrees of laterality or handedness, with the exception of a rightward increase in rMTs in the LH group. Similarly, no clear asymmetries were found when looking at hemispheric variations in measures of transcallosal inhibition. However, a large group effect was detected for LTI measures, which were found to be significantly shorter in the MH group than in either the LH or RH group. MH participants also tended to show longer DTI than the other participants. Further inspection of overall variations in LTI and DTI measures as a function of LQs revealed that both variables followed a non-linear relationship, which was best described by a 2(nd) order polynomial function. Overall, these findings provide converging evidence for a link between mixed-handedness and more efficient interhemispheric communication when compared to either right- or left-handedness. ###Answer 1. Changed Explanation: In Sentence A, the target word ""dexterity"" is used to describe the correlation between manual dexterity and living in a nursing home. The context suggests that the term refers to physical dexterity, as it is used in the context of elderly individuals and their ability to perform manual tasks. In Sentence B, the target word ""dexterity"" is used to describe the difference in corticospinal excitability between the left and right hemispheres in young adults. In this context, the term likely refers to cognitive dexterity, or the ability to perform cognitive tasks with speed and accuracy. The semantic drift of the target word ""dexterity"" between the two sentences is evident. In Sentence A, the term is used to describe physical abilities, while in Sentence B, it is used to describe cognitive abilities. This shift in meaning suggests that the term has undergone semantic drift, and its meaning has changed over time. Therefore, the label ""Changed"" is appropriate." 19,Dexterity,"Neuropsychiatric sequelae are a common feature of acute carbon-monoxide (CO) poisoning-particularly when the patient has experienced an episode of CO-induced unconsciousness. In this case report, we present neuropsychological test data demonstrating the presence of mild cognitive impairments following a chronic (3-year) history of low-level CO exposure that never produced loss of consciousness. Deficits were limited to concentration and memory; performance on measures of general intelligence, visuospatial functioning, and speed and dexterity were well within the normal range.","As the competitiveness of orthopaedic surgery residency increases, we sought to determine whether program and Program Director (PD) characteristics influence candidate selection. This novel 19-question survey reviews PDs' opinions and practices in resident selection. Response rate was 31% (63/203). Performance during orthopaedic rotations, United States Medical Licensing Examination (USMLE) scores, and clerkship honors were the top three ranked criteria, with USMLE scores used to screen candidates for interviews (70%) and rotations (43%). PDs practicing < 10 years felt USMLE scores reflect resident quality, while those practicing >10 years felt they reflect ability to pass the American Board of Orthopaedic Surgery exam. Most (81%) accept applicants with low scores. PDs > 66 years old emphasized academic honors and Dean's letters, PDs 46-55 emphasized conscientiousness, and PDs practicing >21 years emphasized dexterity. PD demographics such as age, time in practice, and geographic location affect how they approach candidate selection. (Journal of Surgical Orthopaedic Advances 31(1):042-047, 2022).","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dexterity Sentence A: Neuropsychiatric sequelae are a common feature of acute carbon-monoxide (CO) poisoning-particularly when the patient has experienced an episode of CO-induced unconsciousness. In this case report, we present neuropsychological test data demonstrating the presence of mild cognitive impairments following a chronic (3-year) history of low-level CO exposure that never produced loss of consciousness. Deficits were limited to concentration and memory; performance on measures of general intelligence, visuospatial functioning, and speed and dexterity were well within the normal range. Sentence B: As the competitiveness of orthopaedic surgery residency increases, we sought to determine whether program and Program Director (PD) characteristics influence candidate selection. This novel 19-question survey reviews PDs' opinions and practices in resident selection. Response rate was 31% (63/203). Performance during orthopaedic rotations, United States Medical Licensing Examination (USMLE) scores, and clerkship honors were the top three ranked criteria, with USMLE scores used to screen candidates for interviews (70%) and rotations (43%). PDs practicing < 10 years felt USMLE scores reflect resident quality, while those practicing >10 years felt they reflect ability to pass the American Board of Orthopaedic Surgery exam. Most (81%) accept applicants with low scores. PDs > 66 years old emphasized academic honors and Dean's letters, PDs 46-55 emphasized conscientiousness, and PDs practicing >21 years emphasized dexterity. PD demographics such as age, time in practice, and geographic location affect how they approach candidate selection. (Journal of Surgical Orthopaedic Advances 31(1):042-047, 2022). ###Answer 1. Changed Reasoning: In Sentence A, the term ""dexterity"" is used in the context of neuropsychological test data to describe the presence of mild cognitive impairments in concentration and memory. The term suggests a connection to manual dexterity or coordination. In Sentence B, the term ""dexterity"" is used in the context of a survey of orthopaedic surgery program directors to describe their criteria for selecting candidates for residency. In this context, ""dexterity"" seems to refer to a candidate's ability to perform well in orthopaedic rotations, particularly in terms of manual skills. The meaning of the term ""dexterity"" has shifted between the two sentences. In Sentence A, it refers to cognitive abilities, while in Sentence B, it refers to manual skills. Therefore, semantic drift has occurred in the meaning of the term ""dexterity"" between the two sentences." 20,Dexterity,"This study sought to determine if Canadian Dental Aptitude Test Perceptual Ability (PA) and Carving Dexterity (CD) scores have any practical utility as predictors of psychomotor performance. Simple linear regression and multiple regression analyses were performed and prediction intervals plotted. Efforts were made to expand the range of the predictor and dependent variables and to improve the accuracy and consistency and prevent contamination of the dependent variables. Results for both PA and CD varied markedly across years. Weak, but statistically extremely significant, correlations were observed for both PA and CD with specific technique grades and the year-overall pooled data. PA correlations loaded on exams at the start, and CD correlations loaded on exams at the end of the year. Manual average scores exhibited the strongest correlation with year-overall technique grades, but could explain no more than 7.2 percent of observed variance. Prediction intervals for year-end grades spanned at least 38 percentage grade points for both PA and CD. Within the context of the present study, PA and CD scores demonstrated no practical utility as predictors of psychomotor performance.","The proper management of a patient with active infective endocarditis (IE) remains to be determined, especially when his or her condition is complicated with intracranial mycotic aneurysm. Here we present a 46-year-old company employee hospitalized with a subarachnoid hemorrhage caused by a ruptured mycotic aneurysm. Cardiac echography showed a verruca on the posterior mitral cusp and leaflet destruction, resulting in severe valvular regurgitation (determined pathogen was α-streptococcus). High-dose antibiotic infusion and restriction of physical activity to prevent heart failure were combined with emergency craniotomy drainage and coiling of the necks of two cerebral mycotic aneurysms. After 2 months of conservative therapy for IE, he suddenly collapsed with hypotension and bradycardia because of embolic occlusion of the proximal right coronary artery (RCA). An emergent operation was carried out to remove the emboli in the RCA and to replace the mitral valve with a mechanical prosthesis. The postoperative course was uneventful. Although disturbances of spatial recognition and manual dexterity remained, he was able to walk and talk. After postoperative sufficient-duration antibiotic therapy, which lasted 20 days, he was transferred to a rehabilitation center.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dexterity Sentence A: This study sought to determine if Canadian Dental Aptitude Test Perceptual Ability (PA) and Carving Dexterity (CD) scores have any practical utility as predictors of psychomotor performance. Simple linear regression and multiple regression analyses were performed and prediction intervals plotted. Efforts were made to expand the range of the predictor and dependent variables and to improve the accuracy and consistency and prevent contamination of the dependent variables. Results for both PA and CD varied markedly across years. Weak, but statistically extremely significant, correlations were observed for both PA and CD with specific technique grades and the year-overall pooled data. PA correlations loaded on exams at the start, and CD correlations loaded on exams at the end of the year. Manual average scores exhibited the strongest correlation with year-overall technique grades, but could explain no more than 7.2 percent of observed variance. Prediction intervals for year-end grades spanned at least 38 percentage grade points for both PA and CD. Within the context of the present study, PA and CD scores demonstrated no practical utility as predictors of psychomotor performance. Sentence B: The proper management of a patient with active infective endocarditis (IE) remains to be determined, especially when his or her condition is complicated with intracranial mycotic aneurysm. Here we present a 46-year-old company employee hospitalized with a subarachnoid hemorrhage caused by a ruptured mycotic aneurysm. Cardiac echography showed a verruca on the posterior mitral cusp and leaflet destruction, resulting in severe valvular regurgitation (determined pathogen was α-streptococcus). High-dose antibiotic infusion and restriction of physical activity to prevent heart failure were combined with emergency craniotomy drainage and coiling of the necks of two cerebral mycotic aneurysms. After 2 months of conservative therapy for IE, he suddenly collapsed with hypotension and bradycardia because of embolic occlusion of the proximal right coronary artery (RCA). An emergent operation was carried out to remove the emboli in the RCA and to replace the mitral valve with a mechanical prosthesis. The postoperative course was uneventful. Although disturbances of spatial recognition and manual dexterity remained, he was able to walk and talk. After postoperative sufficient-duration antibiotic therapy, which lasted 20 days, he was transferred to a rehabilitation center. ###Answer 1. Changed Reasoning: In Sentence A, the term ""dexterity"" is used in the context of a study examining the relationship between dental aptitude test scores and psychomotor performance. The term is used to describe the predictive value of these scores, and it does not convey any particular connotation or meaning related to manual dexterity. Therefore, there is no semantic drift in the usage of the term ""dexterity"" in this sentence. In Sentence B, the term ""dexterity"" is used in a different context, where it is related to the patient's ability to walk and talk after a surgical procedure. The term is used to describe the patient's ability to perform physical tasks, and it conveys a sense of manual dexterity and coordination. This usage of the term ""dexterity"" demonstrates semantic drift, as the term has taken on a different meaning in this sentence. Therefore, the label ""Changed"" is appropriate." 21,Dexterity,"Robotics are now being used in all surgical fields, including general surgery. By increasing intra-abdominal articulations while operating through small incisions, robotics are increasingly being used for a large number of visceral and solid organ operations, including those for the gallbladder, esophagus, stomach, intestines, colon, and rectum, as well as for the endocrine organs. Robotics and general surgery are blending for the first time in history and as a specialty field should continue to grow for many years to come. We continuously demand solutions to questions and limitations that are experienced in our daily work. Laparoscopy is laden with limitations such as fixed axis points at the trocar insertion sites, two-dimensional video monitors, limited dexterity at the instrument tips, lack of haptic sensation, and in some cases poor ergonomics. The creation of a surgical robot system with 3D visual capacity seems to deal with most of these limitations. Although some in the surgical community continue to test the feasibility of these surgical robots and to question the necessity of such an expensive venture, others are already postulating how to improve the next generation of telemanipulators, and in so doing are looking beyond today's horizon to find simpler solutions. As the robotic era enters the world of the general surgeon, more and more complex procedures will be able to be approached through small incisions. As technology catches up with our imaginations, robotic instruments (as opposed to robots) and 3D monitoring will become routine and continue to improve patient care by providing surgeons with the most precise, least traumatic ways of treating surgical disease.","Dexterity is described as coordinated hand and finger movement for precision tasks. It is essential for day-to-day activities like computer use, writing or buttoning a shirt. Integrity of brain motor networks is crucial to properly execute these fine hand tasks. When these networks are damaged, interventions to enhance recovery are frequently accompanied by unwanted side effects or limited in their effect. Non-invasive brain stimulation (NIBS) are postulated to target affected motor areas and improve hand motor function with few side effects. However, the results across studies vary, and the current literature does not allow us to draw clear conclusions on the use of NIBS to promote hand function recovery. Therefore, we developed a protocol for a systematic review and meta-analysis on the effects of different NIBS technologies on dexterity in diverse populations. This study will potentially help future evidence-based research and guidelines that use these NIBS technologies for recovering hand dexterity.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dexterity Sentence A: Robotics are now being used in all surgical fields, including general surgery. By increasing intra-abdominal articulations while operating through small incisions, robotics are increasingly being used for a large number of visceral and solid organ operations, including those for the gallbladder, esophagus, stomach, intestines, colon, and rectum, as well as for the endocrine organs. Robotics and general surgery are blending for the first time in history and as a specialty field should continue to grow for many years to come. We continuously demand solutions to questions and limitations that are experienced in our daily work. Laparoscopy is laden with limitations such as fixed axis points at the trocar insertion sites, two-dimensional video monitors, limited dexterity at the instrument tips, lack of haptic sensation, and in some cases poor ergonomics. The creation of a surgical robot system with 3D visual capacity seems to deal with most of these limitations. Although some in the surgical community continue to test the feasibility of these surgical robots and to question the necessity of such an expensive venture, others are already postulating how to improve the next generation of telemanipulators, and in so doing are looking beyond today's horizon to find simpler solutions. As the robotic era enters the world of the general surgeon, more and more complex procedures will be able to be approached through small incisions. As technology catches up with our imaginations, robotic instruments (as opposed to robots) and 3D monitoring will become routine and continue to improve patient care by providing surgeons with the most precise, least traumatic ways of treating surgical disease. Sentence B: Dexterity is described as coordinated hand and finger movement for precision tasks. It is essential for day-to-day activities like computer use, writing or buttoning a shirt. Integrity of brain motor networks is crucial to properly execute these fine hand tasks. When these networks are damaged, interventions to enhance recovery are frequently accompanied by unwanted side effects or limited in their effect. Non-invasive brain stimulation (NIBS) are postulated to target affected motor areas and improve hand motor function with few side effects. However, the results across studies vary, and the current literature does not allow us to draw clear conclusions on the use of NIBS to promote hand function recovery. Therefore, we developed a protocol for a systematic review and meta-analysis on the effects of different NIBS technologies on dexterity in diverse populations. This study will potentially help future evidence-based research and guidelines that use these NIBS technologies for recovering hand dexterity. ###Answer 1. Changed Reasoning: In Sentence A, the word ""dexterity"" is used in the context of robotics and surgery, specifically to describe the ability of robots to perform precise tasks through small incisions. The word is used to highlight the advanced capabilities of the robotic system, such as increased intra-abdominal articulations and 3D visual capacity. The meaning of the word in this sentence is focused on the technical capabilities of the robot and its potential to improve surgical outcomes. In Sentence B, the word ""dexterity"" is used in a different context, to describe the coordinated movement of the hands for precision tasks such as computer use, writing, or buttoning a shirt. The word is used to emphasize the importance of hand function and the impact of brain motor networks on hand movement. The meaning of the word in this sentence is focused on the everyday activities that require dexterity and the importance of proper hand function. Based on these two sentences, it is clear that the meaning of the word ""dexterity"" has shifted from a focus on the technical capabilities of a robotic system to a focus on the everyday activities that require hand function and coordination. Therefore, the label ""Changed"" is appropriate." 22,Dexterity,"Twenty-five consecutive patients with Parkinson's disease, who had been on levodopa for 10 or more years, were studied. Over the 12.9 years of treatment, the average Northwestern Disability Score had increased from 9.6 to 18.9. By this measure, 24 of 25 patients were worse, and one was unchanged. The progression of disability did not involve all pretreatment parkinsonian features equally in any of the patients studied. Instead a distinctive pattern of deterioration was seen: postural reflexes worsened in 24/25, speech in 24/25, and gait in 22/25. In contrast, rigidity was improved or unchanged in 17/25, tremor was improved or unchanged in 17/17, while handwriting was improved or unchanged in 21/22. Finger dexterity which was improved in 5/25, unchanged in 15/25, and worse in 5/25 which seemed to be between these two extremes. These observations demonstrate that some signs of parkinsonism can remain quite responsive to levodopa for more than 10 years while at the same time other manifestations of the disease are no longer as responsive to this form of treatment."," We use VLBA+VLA observations to measure the sizes of the scatter-broadened images of 6 of the most heavily scattered known pulsars: 3 within the Galactic Centre (GC) and 3 elsewhere in the inner Galactic plane. By combining the measured sizes with temporal pulse broadening data from the literature and using the thin-screen approximation, we locate the scattering medium along the line of sight to these 6 pulsars. At least two scattering screens are needed to explain the observations of the GC sample. We show that the screen inferred by previous observations of SGR J1745-2900 and Sgr A*, which must be located far from the GC, falls off in strength on scales < 0.2 degree. A second scattering component closer to (< 2 kpc) or even (tentatively) within (< 700 pc) the GC produces most or all of the temporal broadening observed in the other GC pulsars. Outside the GC, the scattering locations for all three pulsars are ~2 kpc from Earth, consistent with the distance of the Carina-Sagittarius or Scutum spiral arm. For each object the 3D scattering origin coincides with a known HII region (and in one case also a supernova remnant), suggesting that such objects preferentially cause the intense interstellar scattering seen towards the Galactic plane. We show that the HII regions should contribute > 25% of the total dispersion measure (DM) towards these pulsars, and calculate reduced DM distances. Those distances for other pulsars lying behind HII regions may be similarly overestimated. ","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dexterity Sentence A: Twenty-five consecutive patients with Parkinson's disease, who had been on levodopa for 10 or more years, were studied. Over the 12.9 years of treatment, the average Northwestern Disability Score had increased from 9.6 to 18.9. By this measure, 24 of 25 patients were worse, and one was unchanged. The progression of disability did not involve all pretreatment parkinsonian features equally in any of the patients studied. Instead a distinctive pattern of deterioration was seen: postural reflexes worsened in 24/25, speech in 24/25, and gait in 22/25. In contrast, rigidity was improved or unchanged in 17/25, tremor was improved or unchanged in 17/17, while handwriting was improved or unchanged in 21/22. Finger dexterity which was improved in 5/25, unchanged in 15/25, and worse in 5/25 which seemed to be between these two extremes. These observations demonstrate that some signs of parkinsonism can remain quite responsive to levodopa for more than 10 years while at the same time other manifestations of the disease are no longer as responsive to this form of treatment. Sentence B: We use VLBA+VLA observations to measure the sizes of the scatter-broadened images of 6 of the most heavily scattered known pulsars: 3 within the Galactic Centre (GC) and 3 elsewhere in the inner Galactic plane. By combining the measured sizes with temporal pulse broadening data from the literature and using the thin-screen approximation, we locate the scattering medium along the line of sight to these 6 pulsars. At least two scattering screens are needed to explain the observations of the GC sample. We show that the screen inferred by previous observations of SGR J1745-2900 and Sgr A*, which must be located far from the GC, falls off in strength on scales < 0.2 degree. A second scattering component closer to (< 2 kpc) or even (tentatively) within (< 700 pc) the GC produces most or all of the temporal broadening observed in the other GC pulsars. Outside the GC, the scattering locations for all three pulsars are ~2 kpc from Earth, consistent with the distance of the Carina-Sagittarius or Scutum spiral arm. For each object the 3D scattering origin coincides with a known HII region (and in one case also a supernova remnant), suggesting that such objects preferentially cause the intense interstellar scattering seen towards the Galactic plane. We show that the HII regions should contribute > 25% of the total dispersion measure (DM) towards these pulsars, and calculate reduced DM distances. Those distances for other pulsars lying behind HII regions may be similarly overestimated. ###Answer 1. Changed Reasoning: In Sentence A, the word ""dexterity"" is used to describe the improvement or lack of improvement in handwriting. In Sentence B, the word ""dexterity"" is used to describe the improvement or lack of improvement in the scattering of pulsars. The meaning of the word has shifted from a physical characteristic of a person's handwriting to a metaphorical description of the scattering of pulsars. Therefore, semantic drift has occurred." 23,Dexterity,"From the earliest days of surgery the central and unifying theme of the discipline has been the mastery of technical proficiency with the view to not only management of the diseased or damaged part but the preservation of general health and well being. This central tenet of the discipline has been supported by four critical columns of knowledge, each of which has amplified over the passage of time. Initially anatomy was the cornerstone of surgical intervention and mastery of surgery to a large part depended upon a secure grasp of the intricacies and relationships of corporeal macro structure. The second column comprised functional anatomy or physiology and the appreciation of organ activity enabled the subsequent delineation of malfunction during disease. Regardless of the level of sophistication that could be brought to bear upon the disease a requisite for most successful technical intervention was the management of pain and the prevention of sepsis. As the quincunx of surgery embraces a new century it must continue to evolve to maintain the balance of growth in the four supporting columns. Thus anatomy has been expanded into subcellular structure and the elucidation of function has amplified into the role of individual organelles. Similarly pathology has moved beyond the organ and cell into the genome and deletion may be conceived of in terms of codons and sequences rather than colons and spleens. Indeed it is feasible that antisense strategies may become more sensible than antibiotics. Manual and digital techniques will be supplanted by robotic intervention and visualization will move beyond the visible into the non-visible world of spectroscopy. Millimetric dexterity will need to become nanometric and the mantra must become molecular and intervention directed not only at adults or neonates but the fetus. In order to achieve such goals teaching and training strategies need dramatic revision to produce individuals capable of transforming from tactile to telemetric skills and from gentle technique to genomic intervention.","Older adults typically experience a decline in cognitive function, but improvements in physical health and lifestyle can be neuroprotective across the human lifespan. The primary objective of this study is to advance our basic understanding of how cardiorespiratory fitness and neurophysiological attributes relate to cognitive decline. While cerebral blood flow (CBF) is critical for the supply of nutrients to the tissue, the brain's major neurotransmitters (i.e., gamma-aminobutyric acid, GABA, and glutamate-glutamine complex, Glx) are closely linked to oxidative metabolism. Within the context of flow-metabolism coupling, the critical question is how these neurophysiological parameters interplay, resulting in cognitive decline. Further, how cardiorespiratory fitness may impact aging neurophysiology and cognition is not well understood. To address these questions, we recruited 10 younger and 12 older cognitively intact participants to collect GABA and Glx using magnetic resonance spectroscopy (MRS), CBF using pseudo-continuous arterial spin labeling Magnetic Resonance Imaging (MRI), VO2max as a measure of cardiorespiratory fitness using the YMCA submax test, and cognitive and motor-cognitive measures using a battery of behavioral assessments. We observed expected differences in GABA+, Glx, and CBF between younger and older participants in pre-SMA, a frontal domain-general region. When GABA+ and Glx were related to CBF via multiple linear regression, Glx was identified as the main contributor to the model. For higher-order executive function (i.e., inhibition versus color naming), GABA*Glx*CBF interaction was critical in younger, while only Glx was involved in older participants. For unimanual motor dexterity, GABA*Glx interaction was the common denominator across both groups, but younger participants' brain also engages CBF. In terms of selective motor inhibition, CBF from younger participants was the only major neurophysiological factor. In terms of fitness, cardiorespiratory fitness was significantly related to GABA, Glx, and motor performance when combining cohorts, but no group-specific relationships were observed. Taken together, our results indicate that Glx and CBF coupling decreases with aging, perhaps due to altered glial oxidative metabolism. Our data suggest that GABA, Glx, and CBF are engaged and weighted differently for different cognitive measures sensitized to aging, and higher fitness allows for a more efficient metabolic shift that facilitates improved performance on cognitive-motor tasks.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dexterity Sentence A: From the earliest days of surgery the central and unifying theme of the discipline has been the mastery of technical proficiency with the view to not only management of the diseased or damaged part but the preservation of general health and well being. This central tenet of the discipline has been supported by four critical columns of knowledge, each of which has amplified over the passage of time. Initially anatomy was the cornerstone of surgical intervention and mastery of surgery to a large part depended upon a secure grasp of the intricacies and relationships of corporeal macro structure. The second column comprised functional anatomy or physiology and the appreciation of organ activity enabled the subsequent delineation of malfunction during disease. Regardless of the level of sophistication that could be brought to bear upon the disease a requisite for most successful technical intervention was the management of pain and the prevention of sepsis. As the quincunx of surgery embraces a new century it must continue to evolve to maintain the balance of growth in the four supporting columns. Thus anatomy has been expanded into subcellular structure and the elucidation of function has amplified into the role of individual organelles. Similarly pathology has moved beyond the organ and cell into the genome and deletion may be conceived of in terms of codons and sequences rather than colons and spleens. Indeed it is feasible that antisense strategies may become more sensible than antibiotics. Manual and digital techniques will be supplanted by robotic intervention and visualization will move beyond the visible into the non-visible world of spectroscopy. Millimetric dexterity will need to become nanometric and the mantra must become molecular and intervention directed not only at adults or neonates but the fetus. In order to achieve such goals teaching and training strategies need dramatic revision to produce individuals capable of transforming from tactile to telemetric skills and from gentle technique to genomic intervention. Sentence B: Older adults typically experience a decline in cognitive function, but improvements in physical health and lifestyle can be neuroprotective across the human lifespan. The primary objective of this study is to advance our basic understanding of how cardiorespiratory fitness and neurophysiological attributes relate to cognitive decline. While cerebral blood flow (CBF) is critical for the supply of nutrients to the tissue, the brain's major neurotransmitters (i.e., gamma-aminobutyric acid, GABA, and glutamate-glutamine complex, Glx) are closely linked to oxidative metabolism. Within the context of flow-metabolism coupling, the critical question is how these neurophysiological parameters interplay, resulting in cognitive decline. Further, how cardiorespiratory fitness may impact aging neurophysiology and cognition is not well understood. To address these questions, we recruited 10 younger and 12 older cognitively intact participants to collect GABA and Glx using magnetic resonance spectroscopy (MRS), CBF using pseudo-continuous arterial spin labeling Magnetic Resonance Imaging (MRI), VO2max as a measure of cardiorespiratory fitness using the YMCA submax test, and cognitive and motor-cognitive measures using a battery of behavioral assessments. We observed expected differences in GABA+, Glx, and CBF between younger and older participants in pre-SMA, a frontal domain-general region. When GABA+ and Glx were related to CBF via multiple linear regression, Glx was identified as the main contributor to the model. For higher-order executive function (i.e., inhibition versus color naming), GABA*Glx*CBF interaction was critical in younger, while only Glx was involved in older participants. For unimanual motor dexterity, GABA*Glx interaction was the common denominator across both groups, but younger participants' brain also engages CBF. In terms of selective motor inhibition, CBF from younger participants was the only major neurophysiological factor. In terms of fitness, cardiorespiratory fitness was significantly related to GABA, Glx, and motor performance when combining cohorts, but no group-specific relationships were observed. Taken together, our results indicate that Glx and CBF coupling decreases with aging, perhaps due to altered glial oxidative metabolism. Our data suggest that GABA, Glx, and CBF are engaged and weighted differently for different cognitive measures sensitized to aging, and higher fitness allows for a more efficient metabolic shift that facilitates improved performance on cognitive-motor tasks. ###Answer 1. Changed Reasoning: The target word ""dexterity"" has undergone significant change in meaning between the two sentences. In Sentence A, dexterity is associated with manual and digital techniques in surgery, emphasizing the importance of tactile skills for technical proficiency. In contrast, in Sentence B, dexterity is related to cardiorespiratory fitness and neurophysiological attributes, with a focus on genomic intervention and the impact of aging on cognitive function. The word has shifted from a focus on manual skills to a broader concept encompassing physical and cognitive abilities. Therefore, the label ""Changed"" is appropriate." 24,Dexterity,"This article is a brief review of the outcome evaluation of the hand and wrist according to the International Classification of Functioning, Disability, and Health. Several tools currently exist to quantify outcome in hand surgery at the impairment level (eg, mobility, hand strength, cutaneous sensation, dexterity). According to the World Health Organization's paradigm, however, activity limitations and participation restrictions are also clinically relevant. The authors have recently built a measure of an upper limb-impaired individual's ability to manage manual activities in daily life. Participation and quality of life are difficult outcomes to measure because they are multidimensional and depend on such factors as functional abilities, general physical health, financial security, and stability of the social and familial environment."," Conventional therapy approaches limit surgeons' dexterity control due to limited field-of-view. With the advent of robot-assisted surgery, there has been a paradigm shift in medical technology for minimally invasive surgery. However, it is very challenging to track the position of the surgical instruments in a surgical scene, and accurate detection & identification of surgical tools is paramount. Deep learning-based semantic segmentation in frames of surgery videos has the potential to facilitate this task. In this work, we modify the U-Net architecture named U-NetPlus, by introducing a pre-trained encoder and re-design the decoder part, by replacing the transposed convolution operation with an upsampling operation based on nearest-neighbor (NN) interpolation. To further improve performance, we also employ a very fast and flexible data augmentation technique. We trained the framework on 8 x 225 frame sequences of robotic surgical videos, available through the MICCAI 2017 EndoVis Challenge dataset and tested it on 8 x 75 frame and 2 x 300 frame videos. Using our U-NetPlus architecture, we report a 90.20% DICE for binary segmentation, 76.26% DICE for instrument part segmentation, and 46.07% for instrument type (i.e., all instruments) segmentation, outperforming the results of previous techniques implemented and tested on these data. ","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dexterity Sentence A: This article is a brief review of the outcome evaluation of the hand and wrist according to the International Classification of Functioning, Disability, and Health. Several tools currently exist to quantify outcome in hand surgery at the impairment level (eg, mobility, hand strength, cutaneous sensation, dexterity). According to the World Health Organization's paradigm, however, activity limitations and participation restrictions are also clinically relevant. The authors have recently built a measure of an upper limb-impaired individual's ability to manage manual activities in daily life. Participation and quality of life are difficult outcomes to measure because they are multidimensional and depend on such factors as functional abilities, general physical health, financial security, and stability of the social and familial environment. Sentence B: Conventional therapy approaches limit surgeons' dexterity control due to limited field-of-view. With the advent of robot-assisted surgery, there has been a paradigm shift in medical technology for minimally invasive surgery. However, it is very challenging to track the position of the surgical instruments in a surgical scene, and accurate detection & identification of surgical tools is paramount. Deep learning-based semantic segmentation in frames of surgery videos has the potential to facilitate this task. In this work, we modify the U-Net architecture named U-NetPlus, by introducing a pre-trained encoder and re-design the decoder part, by replacing the transposed convolution operation with an upsampling operation based on nearest-neighbor (NN) interpolation. To further improve performance, we also employ a very fast and flexible data augmentation technique. We trained the framework on 8 x 225 frame sequences of robotic surgical videos, available through the MICCAI 2017 EndoVis Challenge dataset and tested it on 8 x 75 frame and 2 x 300 frame videos. Using our U-NetPlus architecture, we report a 90.20% DICE for binary segmentation, 76.26% DICE for instrument part segmentation, and 46.07% for instrument type (i.e., all instruments) segmentation, outperforming the results of previous techniques implemented and tested on these data. ###Answer 1. Changed Reasoning: In Sentence A, the term ""dexterity"" is used in the context of evaluating the hand and wrist function according to the International Classification of Functioning, Disability, and Health. The term has a neutral connotation, referring to the coordination and dexterity of the hand and wrist movements. In Sentence B, the term ""dexterity"" is used in the context of medical technology, specifically the ability of a surgical instrument to be accurately detected and identified in a surgical scene. The term has a different connotation, referring to the precision and accuracy of the instrument's movement. Therefore, the meaning of the term ""dexterity"" has changed significantly between the two sentences, indicating semantic drift." 25,Dexterity,"Double gloving has been widely suggested as a means of decreasing exposure to blood and other body fluids. However, most dermatologists do not routinely follow this practice when performing surgical procedures because it reduces manual dexterity and increases costs. To determine whether double gloving should be routinely practiced in dermatologic surgery, pairs of sterile surgical gloves worn during weekly UCLA dermatologic surgery clinics were collected over a period of 3 months and examined for perforations. The procedures gloves were used for ranged from excision of benign lesions, lasting 15 minutes, to hair transplants, lasting 3 hours. Upon completion of the procedures, 8 (5.5%) of 144 pairs of single gloves, 2 (3.7%) of 54 pairs of double inner gloves, and 3 (5.5%) of 54 pairs of double outer gloves were found to have perforations. There were no instances of both the double outer and the double inner gloves having perforations when worn on the same hand. This suggests that double gloving offers a protective advantage by providing extra protection for both the surgeon and the patient during dermatologic surgery.","We propose and validate a clear strategy to efficiently and comprehensively characterize neurobehavioral deficits in the Ts65Dn mouse model of Down syndrome. This novel approach uses neurocognitive theory to design and select behavioral tasks that test specific hypotheses concerning the results of Down syndrome. In this article, we model the Arizona Cognitive Task Battery, used to study human populations with Down syndrome, in Ts65Dn mice. We observed specific deficits for spatial memory, impaired long-term memory for visual objects, acquisition and reversal of motor responses, reduced motor dexterity, and impaired adaptive function as measured by nesting and anxiety tasks. The Ts65Dn mice showed intact temporal ordering, novelty detection, and visual object recognition with short delays. These results phenocopy the performance of participants with Down syndrome on the Arizona Cognitive Task Battery. This approach extends the utility of mouse models of Down syndrome by integrating the expertise of clinical neurology and cognitive neuroscience into the mouse behavioral laboratory. Further, by directly emphasizing the reciprocal translation of research between human disease states and the associated mouse models, we demonstrate that it is possible for both groups to mutually inform each other's research to more efficiently generate hypotheses and elucidate treatment strategies. (PsycINFO Database Record","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dexterity Sentence A: Double gloving has been widely suggested as a means of decreasing exposure to blood and other body fluids. However, most dermatologists do not routinely follow this practice when performing surgical procedures because it reduces manual dexterity and increases costs. To determine whether double gloving should be routinely practiced in dermatologic surgery, pairs of sterile surgical gloves worn during weekly UCLA dermatologic surgery clinics were collected over a period of 3 months and examined for perforations. The procedures gloves were used for ranged from excision of benign lesions, lasting 15 minutes, to hair transplants, lasting 3 hours. Upon completion of the procedures, 8 (5.5%) of 144 pairs of single gloves, 2 (3.7%) of 54 pairs of double inner gloves, and 3 (5.5%) of 54 pairs of double outer gloves were found to have perforations. There were no instances of both the double outer and the double inner gloves having perforations when worn on the same hand. This suggests that double gloving offers a protective advantage by providing extra protection for both the surgeon and the patient during dermatologic surgery. Sentence B: We propose and validate a clear strategy to efficiently and comprehensively characterize neurobehavioral deficits in the Ts65Dn mouse model of Down syndrome. This novel approach uses neurocognitive theory to design and select behavioral tasks that test specific hypotheses concerning the results of Down syndrome. In this article, we model the Arizona Cognitive Task Battery, used to study human populations with Down syndrome, in Ts65Dn mice. We observed specific deficits for spatial memory, impaired long-term memory for visual objects, acquisition and reversal of motor responses, reduced motor dexterity, and impaired adaptive function as measured by nesting and anxiety tasks. The Ts65Dn mice showed intact temporal ordering, novelty detection, and visual object recognition with short delays. These results phenocopy the performance of participants with Down syndrome on the Arizona Cognitive Task Battery. This approach extends the utility of mouse models of Down syndrome by integrating the expertise of clinical neurology and cognitive neuroscience into the mouse behavioral laboratory. Further, by directly emphasizing the reciprocal translation of research between human disease states and the associated mouse models, we demonstrate that it is possible for both groups to mutually inform each other's research to more efficiently generate hypotheses and elucidate treatment strategies. (PsycINFO Database Record ###Answer 1. Changed Reasoning: In Sentence A, the term ""dexterity"" is used in the context of reducing manual dexterity due to the use of double gloving during surgical procedures. This implies that the term ""dexterity"" was previously associated with manual skill and dexterity in the medical field. In Sentence B, the term ""dexterity"" is used in the context of characterizing neurobehavioral deficits in a mouse model of Down syndrome. This implies that the term ""dexterity"" has shifted in meaning to include cognitive and motor deficits associated with Down syndrome. Therefore, semantic drift has occurred in the meaning of ""dexterity"" over the time period between Sentence A and Sentence B." 26,Dexterity,"A 65-year-old man with no past history of violent or criminal behavior abruptly strangled his wife after she scratched his face during a domestic argument. He appeared emotionally blunted and lacked insight into the motivations for his violent actions. The presence of left-sided cerebral dysfunction was initially suggested by subtly decreased dexterity of his dominant right hand. A magnetic resonance image (MRI) revealed a large arachnoid cyst centered in his left Sylvian fissure that effaced ventral frontal, anterior temporal and insular cortical gyri. The left middle cerebral artery was displaced relative to an earlier study, providing indirect evidence that the cyst had enlarged during his adult life. Neuropsychological testing indicated generally intact cognitive abilities except for mild impairment on tests of prospective memory and executive functions. He was found to have intermittently decreased EEG amplitude in the left fronto-temporal region. Positron emission tomography (PET) revealed significantly reduced resting glucose metabolism in the left frontal and temporal lobes. He was also found to have pathological diminution of autonomic responses to affectively charged visual stimuli, a phenomenon previously reported in patients with ventromedial frontal lobe injury and acquired disturbances of social conduct. In light of these findings, we suggest that his violent behavior represents stimulus-bound aggression, triggered by a novel physical threat and unchecked by learned social restraints owing to the presence of ventral prefrontal dysfunction.","Agility is important for sport performance and potentially injury risk; however, factors affecting this motor skill remain unclear. Here, we evaluated the extent to which lower extremity dexterity (LED) and muscle performance were associated with agility. Fourteen male and 14 female soccer athletes participated. Agility was evaluated using a hopping sequence separately with both limbs and with the dominant limb only. The LED test evaluated the athletes' ability to dynamically regulate foot-ground interactions by compressing a spring prone to buckling with the lower limb. Muscle performance included hip and knee isometric strength and vertical jump height. Correlation analyses were used to assess the associations between muscle performance, LED, and agility. Multiple regression models were used to determine whether linear associations differed between sexes. On average, the female athletes took longer to complete the agility tasks than the male athletes. This difference could not be explained by muscle performance. Conversely, LED was found to be the primary determinant of agility (double limb: R(2) = 0.61, P < 0.001; single limb: R(2) = 0.63, P < 0.001). Our findings suggest that the sensorimotor ability to dynamically regulate foot-ground interactions as assessed by the LED test is predictive of agility in soccer athletes. We propose that LED may have implications for sport performance, injury risk, and rehabilitation.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dexterity Sentence A: A 65-year-old man with no past history of violent or criminal behavior abruptly strangled his wife after she scratched his face during a domestic argument. He appeared emotionally blunted and lacked insight into the motivations for his violent actions. The presence of left-sided cerebral dysfunction was initially suggested by subtly decreased dexterity of his dominant right hand. A magnetic resonance image (MRI) revealed a large arachnoid cyst centered in his left Sylvian fissure that effaced ventral frontal, anterior temporal and insular cortical gyri. The left middle cerebral artery was displaced relative to an earlier study, providing indirect evidence that the cyst had enlarged during his adult life. Neuropsychological testing indicated generally intact cognitive abilities except for mild impairment on tests of prospective memory and executive functions. He was found to have intermittently decreased EEG amplitude in the left fronto-temporal region. Positron emission tomography (PET) revealed significantly reduced resting glucose metabolism in the left frontal and temporal lobes. He was also found to have pathological diminution of autonomic responses to affectively charged visual stimuli, a phenomenon previously reported in patients with ventromedial frontal lobe injury and acquired disturbances of social conduct. In light of these findings, we suggest that his violent behavior represents stimulus-bound aggression, triggered by a novel physical threat and unchecked by learned social restraints owing to the presence of ventral prefrontal dysfunction. Sentence B: Agility is important for sport performance and potentially injury risk; however, factors affecting this motor skill remain unclear. Here, we evaluated the extent to which lower extremity dexterity (LED) and muscle performance were associated with agility. Fourteen male and 14 female soccer athletes participated. Agility was evaluated using a hopping sequence separately with both limbs and with the dominant limb only. The LED test evaluated the athletes' ability to dynamically regulate foot-ground interactions by compressing a spring prone to buckling with the lower limb. Muscle performance included hip and knee isometric strength and vertical jump height. Correlation analyses were used to assess the associations between muscle performance, LED, and agility. Multiple regression models were used to determine whether linear associations differed between sexes. On average, the female athletes took longer to complete the agility tasks than the male athletes. This difference could not be explained by muscle performance. Conversely, LED was found to be the primary determinant of agility (double limb: R(2) = 0.61, P < 0.001; single limb: R(2) = 0.63, P < 0.001). Our findings suggest that the sensorimotor ability to dynamically regulate foot-ground interactions as assessed by the LED test is predictive of agility in soccer athletes. We propose that LED may have implications for sport performance, injury risk, and rehabilitation. ###Answer 1. Changed Reasoning: In Sentence A, the word ""dexterity"" is used to describe a 65-year-old man's ability to perform a specific motor task (i.e., strangling) with precision and control. The context suggests that the man's dexterity is impaired, as he appears to be emotionally blunted and lacks insight into his actions. Additionally, the presence of a cyst in his brain and abnormalities in his EEG and PET scans further suggest that his dexterity is affected. In Sentence B, the word ""dexterity"" is used in a different context to describe the association between muscle performance, LED, and agility in soccer athletes. The word is used to describe the ability to dynamically regulate foot-ground interactions, which is unrelated to the impaired motor control described in Sentence A. Based on these two contexts, it is clear that the meaning of ""dexterity"" has changed between the two sentences. In Sentence A, the word refers to a specific type of motor skill impairment, while in Sentence B, it refers to a broader ability to regulate movements. Therefore, the label ""Changed"" is appropriate." 27,Dexterity,"To study the incidence and course of neuropsychologic sequelae from cardiac operation, a battery of tests was administered to 46 patients before and after coronary artery bypass surgery. Their performance was compared with that of 14 peripheral vascular surgery patients and 26 nonsurgical control patients. A subsample of each group was studied again 6 months later. Test results were consistent with previous reports. Neuropsychologic deficits after cardiac operation are not uncommon, though they are often subtle and generally resolve by the sixth month after operation. Postoperative deficit was significant on measures of attention, psychomotor speed, and fine motor dexterity, but considerable interpatient performance variability was noted. Other findings imply that nonspecific aspects or surgery may make a substantial contribution to the immediate postoperative deficit in patients who have cardiac operations."," This paper presents GenH2R, a framework for learning generalizable vision-based human-to-robot (H2R) handover skills. The goal is to equip robots with the ability to reliably receive objects with unseen geometry handed over by humans in various complex trajectories. We acquire such generalizability by learning H2R handover at scale with a comprehensive solution including procedural simulation assets creation, automated demonstration generation, and effective imitation learning. We leverage large-scale 3D model repositories, dexterous grasp generation methods, and curve-based 3D animation to create an H2R handover simulation environment named \simabbns, surpassing the number of scenes in existing simulators by three orders of magnitude. We further introduce a distillation-friendly demonstration generation method that automatically generates a million high-quality demonstrations suitable for learning. Finally, we present a 4D imitation learning method augmented by a future forecasting objective to distill demonstrations into a visuo-motor handover policy. Experimental evaluations in both simulators and the real world demonstrate significant improvements (at least +10\% success rate) over baselines in all cases. The project page is https://GenH2R.github.io/. ","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dexterity Sentence A: To study the incidence and course of neuropsychologic sequelae from cardiac operation, a battery of tests was administered to 46 patients before and after coronary artery bypass surgery. Their performance was compared with that of 14 peripheral vascular surgery patients and 26 nonsurgical control patients. A subsample of each group was studied again 6 months later. Test results were consistent with previous reports. Neuropsychologic deficits after cardiac operation are not uncommon, though they are often subtle and generally resolve by the sixth month after operation. Postoperative deficit was significant on measures of attention, psychomotor speed, and fine motor dexterity, but considerable interpatient performance variability was noted. Other findings imply that nonspecific aspects or surgery may make a substantial contribution to the immediate postoperative deficit in patients who have cardiac operations. Sentence B: This paper presents GenH2R, a framework for learning generalizable vision-based human-to-robot (H2R) handover skills. The goal is to equip robots with the ability to reliably receive objects with unseen geometry handed over by humans in various complex trajectories. We acquire such generalizability by learning H2R handover at scale with a comprehensive solution including procedural simulation assets creation, automated demonstration generation, and effective imitation learning. We leverage large-scale 3D model repositories, dexterous grasp generation methods, and curve-based 3D animation to create an H2R handover simulation environment named \simabbns, surpassing the number of scenes in existing simulators by three orders of magnitude. We further introduce a distillation-friendly demonstration generation method that automatically generates a million high-quality demonstrations suitable for learning. Finally, we present a 4D imitation learning method augmented by a future forecasting objective to distill demonstrations into a visuo-motor handover policy. Experimental evaluations in both simulators and the real world demonstrate significant improvements (at least +10\% success rate) over baselines in all cases. The project page is https://GenH2R.github.io/. ###Answer 1. Changed Reasoning: In Sentence A, the term ""dexterity"" is used in the context of neuropsychologic sequelae after cardiac operation. The sentence implies that the term refers to the patient's ability to perform cognitive tasks, such as attention, psychomotor speed, and fine motor skills, after surgery. However, in Sentence B, the term ""dexterity"" is used in a different context, referring to the ability of a robot to receive objects with unseen geometry handed over by humans. The sentence suggests that the term ""dexterity"" has shifted its meaning to refer to the robot's ability to perform a specific task, rather than the patient's cognitive abilities. Therefore, semantic drift has occurred in the meaning of the term ""dexterity"" between the two sentences." 28,Dexterity,"The orbits and surrounding tissues form the emotional and expressive center of the human face. Eye contact forms a large part of human interaction and, unfortunately, it is often this region that first surrenders to the aging process. A successful blepharoplasty depends on the careful evaluation of a patient's eyes, correct assessment of the cosmetic problems, and the surgical dexterity to repair such defects adequately. Consistent success may be achieved only with mastery of aesthetic consideration of the eyes, which aid in the diagnosis of the deformity of asymmetry. From that, the appropriate surgical intervention may ensue. This discussion will review the anatomy related to different orbital expressions, delineate the effects of aging, and briefly touch on techniques in our surgical armamentarium to correct and improve eyes through blepharoplasty."," Coupling a single spin to high-frequency mechanical motion is a fundamental bottleneck of applications such as quantum sensing, intermediate and long-distance spin-spin coupling, and classical and quantum information processing. Previous experiments have only shown single spin coupling to low-frequency mechanical resonators, such as diamond cantilevers. High-frequency mechanical resonators, having the ability to access the quantum regime, open a range of possibilities when coupled to single spins, including readout and storage of quantum states. Here we report the first experimental demonstration of spin-mechanical coupling to a high-frequency resonator. We achieve this all-electrically on a fully suspended carbon nanotube device. A new mechanism gives rise to this coupling, which stems from spin-orbit coupling, and it is not mediated by strain. We observe both resonant and off-resonant coupling as a shift and broadening of the electric dipole spin resonance (EDSR), respectively. We develop a complete theoretical model taking into account the tensor form of the coupling and non-linearity in the motion. Our results propel spin-mechanical platforms to an uncharted regime. The interaction we reveal provides the full toolbox for promising applications ranging from the demonstration of macroscopic superpositions, to the operation of fully quantum engines, to quantum simulators. ","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dexterity Sentence A: The orbits and surrounding tissues form the emotional and expressive center of the human face. Eye contact forms a large part of human interaction and, unfortunately, it is often this region that first surrenders to the aging process. A successful blepharoplasty depends on the careful evaluation of a patient's eyes, correct assessment of the cosmetic problems, and the surgical dexterity to repair such defects adequately. Consistent success may be achieved only with mastery of aesthetic consideration of the eyes, which aid in the diagnosis of the deformity of asymmetry. From that, the appropriate surgical intervention may ensue. This discussion will review the anatomy related to different orbital expressions, delineate the effects of aging, and briefly touch on techniques in our surgical armamentarium to correct and improve eyes through blepharoplasty. Sentence B: Coupling a single spin to high-frequency mechanical motion is a fundamental bottleneck of applications such as quantum sensing, intermediate and long-distance spin-spin coupling, and classical and quantum information processing. Previous experiments have only shown single spin coupling to low-frequency mechanical resonators, such as diamond cantilevers. High-frequency mechanical resonators, having the ability to access the quantum regime, open a range of possibilities when coupled to single spins, including readout and storage of quantum states. Here we report the first experimental demonstration of spin-mechanical coupling to a high-frequency resonator. We achieve this all-electrically on a fully suspended carbon nanotube device. A new mechanism gives rise to this coupling, which stems from spin-orbit coupling, and it is not mediated by strain. We observe both resonant and off-resonant coupling as a shift and broadening of the electric dipole spin resonance (EDSR), respectively. We develop a complete theoretical model taking into account the tensor form of the coupling and non-linearity in the motion. Our results propel spin-mechanical platforms to an uncharted regime. The interaction we reveal provides the full toolbox for promising applications ranging from the demonstration of macroscopic superpositions, to the operation of fully quantum engines, to quantum simulators. ###Answer 1. Changed Reasoning: The meaning of ""dexterity"" has shifted significantly between Sentence A and Sentence B. In Sentence A, ""dexterity"" refers to the surgical skills required to repair defects in the eyes. In Sentence B, ""dexterity"" refers to the mechanical motion of a high-frequency resonator, and its ability to couple with a single spin. These two meanings are unrelated, and the term ""dexterity"" has taken on a new connotation in the context of Sentence B. Therefore, semantic drift has occurred in the meaning of ""dexterity"" between these two sentences." 29,Dexterity,"Memory tests were often developed for healthy populations. The accuracy of these measures is reduced when administered to patients with neurological diseases, who may experience physical and/or cognitive symptoms. Also, methodological factors, for example, spanning the ability spectrum, and content/format artefacts, may contribute to a decline in test precision. The aim of this study was to develop a new test of memory, which addresses these issues. The new memory test comprises assessments of recall, paired association, and recognition, at a Task Familiarisation stage and two difficulty levels, for both the verbal and spatial modalities. It was administered to 85 healthy individuals and 100 patients with multiple sclerosis (MS). All patients were able to attempt each task of the new assessment and there was no influence of visual integrity or manual dexterity on memory test performance, supporting the applicability of the tasks to patients with multiple sclerosis. Both the standardisation and validation samples demonstrated a wide range of scores on each section of the new test suggesting that the measure spanned an acceptably broad range of abilities. It seems probable, therefore, that the new assessment offers a more exact measure of verbal and spatial recall, paired association, and recognition memory."," Handling non-rigid objects using robot hands necessities a framework that does not only incorporate human-level dexterity and cognition but also the multi-sensory information and system dynamics for robust and fine interactions. In this research, our previously developed kernelized synergies framework, inspired from human behaviour on reusing same subspace for grasping and manipulation, is augmented with visuo-tactile perception for autonomous and flexible adaptation to unknown objects. To detect objects and estimate their poses, a simplified visual pipeline using RANSAC algorithm with Euclidean clustering and SVM classifier is exploited. To modulate interaction efforts while grasping and manipulating non-rigid objects, the tactile feedback using T40S shokac chip sensor, generating 3D force information, is incorporated. Moreover, different kernel functions are examined in the kernelized synergies framework, to evaluate its performance and potential against task reproducibility, execution, generalization and synergistic re-usability. Experiments performed with robot arm-hand system validates the capability and usability of upgraded framework on stably grasping and dexterously manipulating the non-rigid objects. ","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dexterity Sentence A: Memory tests were often developed for healthy populations. The accuracy of these measures is reduced when administered to patients with neurological diseases, who may experience physical and/or cognitive symptoms. Also, methodological factors, for example, spanning the ability spectrum, and content/format artefacts, may contribute to a decline in test precision. The aim of this study was to develop a new test of memory, which addresses these issues. The new memory test comprises assessments of recall, paired association, and recognition, at a Task Familiarisation stage and two difficulty levels, for both the verbal and spatial modalities. It was administered to 85 healthy individuals and 100 patients with multiple sclerosis (MS). All patients were able to attempt each task of the new assessment and there was no influence of visual integrity or manual dexterity on memory test performance, supporting the applicability of the tasks to patients with multiple sclerosis. Both the standardisation and validation samples demonstrated a wide range of scores on each section of the new test suggesting that the measure spanned an acceptably broad range of abilities. It seems probable, therefore, that the new assessment offers a more exact measure of verbal and spatial recall, paired association, and recognition memory. Sentence B: Handling non-rigid objects using robot hands necessities a framework that does not only incorporate human-level dexterity and cognition but also the multi-sensory information and system dynamics for robust and fine interactions. In this research, our previously developed kernelized synergies framework, inspired from human behaviour on reusing same subspace for grasping and manipulation, is augmented with visuo-tactile perception for autonomous and flexible adaptation to unknown objects. To detect objects and estimate their poses, a simplified visual pipeline using RANSAC algorithm with Euclidean clustering and SVM classifier is exploited. To modulate interaction efforts while grasping and manipulating non-rigid objects, the tactile feedback using T40S shokac chip sensor, generating 3D force information, is incorporated. Moreover, different kernel functions are examined in the kernelized synergies framework, to evaluate its performance and potential against task reproducibility, execution, generalization and synergistic re-usability. Experiments performed with robot arm-hand system validates the capability and usability of upgraded framework on stably grasping and dexterously manipulating the non-rigid objects. ###Answer 1. Changed Reasoning: In Sentence A, the term ""dexterity"" is used in the context of memory tests, where it refers to the accuracy of those tests in healthy populations. The sentence emphasizes the importance of precision in measuring memory in healthy individuals. In contrast, in Sentence B, ""dexterity"" is used in the context of robotics, where it refers to the ability of a robot to handle non-rigid objects with human-level dexterity and cognition. The sentence highlights the importance of adaptability and flexibility in manipulating unknown objects. The two sentences have different emphases and connotations, indicating a semantic shift in the meaning of ""dexterity"" over time." 30,Dexterity,"Many elderly patients in long-term care hospitals cannot adequately brush their dentures because of disease, dementia and poor dexterity. Such inadequate cleaning may allow for the multiplication of Candida spp. and bacteria, which could serve as reservoirs for disseminating infections."," The dominant framework for off-policy multi-goal reinforcement learning involves estimating goal conditioned Q-value function. When learning to achieve multiple goals, data efficiency is intimately connected with the generalization of the Q-function to new goals. The de-facto paradigm is to approximate Q(s, a, g) using monolithic neural networks. To improve the generalization of the Q-function, we propose a bilinear decomposition that represents the Q-value via a low-rank approximation in the form of a dot product between two vector fields. The first vector field, f(s, a), captures the environment's local dynamics at the state s; whereas the second component, {\phi}(s, g), captures the global relationship between the current state and the goal. We show that our bilinear decomposition scheme substantially improves data efficiency, and has superior transfer to out-of-distribution goals compared to prior methods. Empirical evidence is provided on the simulated Fetch robot task-suite and dexterous manipulation with a Shadow hand. ","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dexterity Sentence A: Many elderly patients in long-term care hospitals cannot adequately brush their dentures because of disease, dementia and poor dexterity. Such inadequate cleaning may allow for the multiplication of Candida spp. and bacteria, which could serve as reservoirs for disseminating infections. Sentence B: The dominant framework for off-policy multi-goal reinforcement learning involves estimating goal conditioned Q-value function. When learning to achieve multiple goals, data efficiency is intimately connected with the generalization of the Q-function to new goals. The de-facto paradigm is to approximate Q(s, a, g) using monolithic neural networks. To improve the generalization of the Q-function, we propose a bilinear decomposition that represents the Q-value via a low-rank approximation in the form of a dot product between two vector fields. The first vector field, f(s, a), captures the environment's local dynamics at the state s; whereas the second component, {\phi}(s, g), captures the global relationship between the current state and the goal. We show that our bilinear decomposition scheme substantially improves data efficiency, and has superior transfer to out-of-distribution goals compared to prior methods. Empirical evidence is provided on the simulated Fetch robot task-suite and dexterous manipulation with a Shadow hand. ###Answer Target word: Dexterity Sentence A: Many elderly patients in long-term care hospitals cannot adequately brush their dentures because of disease, dementia and poor dexterity. (2000) Sentence B: The dominant framework for off-policy multi-goal reinforcement learning involves estimating goal conditioned Q-value function. (2020) Label: Changed Reasoning: In Sentence A, the target word ""dexterity"" is used to describe the physical ability to perform tasks, particularly in relation to brushing dentures. The sentence suggests that elderly patients in long-term care hospitals struggle with this task due to various health issues. In Sentence B, the target word ""dexterity"" is used in a completely different context, referring to the ability of a machine learning model to generalize across multiple goals. The sentence discusses a new framework for multi-goal reinforcement learning, which involves estimating the Q-value function. The word ""dexterity"" in this context has nothing to do with physical ability, but rather with the model's ability to adapt to new goals. Therefore, the meaning of the target word ""dexterity"" has changed significantly between the two sentences, indicating semantic drift." 31,Dexterity,"A Parkinsonian-like tremor can be induced by a combined application of chlorpromazine and pentobarbitone in cats. Interestingly enough, only cats with left-paw preference were found to have a predisposition to this drug-induced tremor. The cats with ambidexterity and right-preference in paw use did not show any visible tremorogenic action of these drugs. Especially the proximal muscles of all four extremities showed oscillations with a frequency of about 12 per second in all animals tested, which completely disappeared after i.v. application of lioresal, atropine and biperiden. It was suggested that this new drug-induced tremor model may reflect an impairment within the cortico-striato-pallido-thalamo-cortical feedback loop. It was also concluded that left-handers may have an increased predisposition to centrally acting drugs than nonleft-handers."," The goal of this work is to characterize the polarization effects of the VLTI and GRAVITY. This is needed to calibrate polarimetric observations with GRAVITY for instrumental effects and to understand the systematic error introduced to the astrometry due to birefringence when observing targets with a significant intrinsic polarization. By combining a model of the VLTI light path and its mirrors and dedicated experimental data, we construct a full polarization model of the VLTI UTs and the GRAVITY instrument. We first characterize all telescopes together to construct a UT calibration model for polarized targets. We then expand the model to include the differential birefringence. With this, we can constrain the systematic errors for highly polarized targets. Together with this paper, we publish a standalone Python package to calibrate the instrumental effects on polarimetric observations. This enables the community to use GRAVITY to observe targets in a polarimetric observing mode. We demonstrate the calibration model with the galactic center star IRS 16C. For this source, we can constrain the polarization degree to within 0.4 % and the polarization angle within 5 deg while being consistent with the literature. Furthermore, we show that there is no significant contrast loss, even if the science and fringe-tracker targets have significantly different polarization, and we determine that the phase error in such an observation is smaller than 1 deg, corresponding to an astrometric error of 10 {\mu}as. With this work, we enable the use of the polarimetric mode with GRAVITY/UTs and outline the steps necessary to observe and calibrate polarized targets. We demonstrate that it is possible to measure the intrinsic polarization of astrophysical sources with high precision and that polarization effects do not limit astrometric observations of polarized targets. ","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dexterity Sentence A: A Parkinsonian-like tremor can be induced by a combined application of chlorpromazine and pentobarbitone in cats. Interestingly enough, only cats with left-paw preference were found to have a predisposition to this drug-induced tremor. The cats with ambidexterity and right-preference in paw use did not show any visible tremorogenic action of these drugs. Especially the proximal muscles of all four extremities showed oscillations with a frequency of about 12 per second in all animals tested, which completely disappeared after i.v. application of lioresal, atropine and biperiden. It was suggested that this new drug-induced tremor model may reflect an impairment within the cortico-striato-pallido-thalamo-cortical feedback loop. It was also concluded that left-handers may have an increased predisposition to centrally acting drugs than nonleft-handers. Sentence B: The goal of this work is to characterize the polarization effects of the VLTI and GRAVITY. This is needed to calibrate polarimetric observations with GRAVITY for instrumental effects and to understand the systematic error introduced to the astrometry due to birefringence when observing targets with a significant intrinsic polarization. By combining a model of the VLTI light path and its mirrors and dedicated experimental data, we construct a full polarization model of the VLTI UTs and the GRAVITY instrument. We first characterize all telescopes together to construct a UT calibration model for polarized targets. We then expand the model to include the differential birefringence. With this, we can constrain the systematic errors for highly polarized targets. Together with this paper, we publish a standalone Python package to calibrate the instrumental effects on polarimetric observations. This enables the community to use GRAVITY to observe targets in a polarimetric observing mode. We demonstrate the calibration model with the galactic center star IRS 16C. For this source, we can constrain the polarization degree to within 0.4 % and the polarization angle within 5 deg while being consistent with the literature. Furthermore, we show that there is no significant contrast loss, even if the science and fringe-tracker targets have significantly different polarization, and we determine that the phase error in such an observation is smaller than 1 deg, corresponding to an astrometric error of 10 {\mu}as. With this work, we enable the use of the polarimetric mode with GRAVITY/UTs and outline the steps necessary to observe and calibrate polarized targets. We demonstrate that it is possible to measure the intrinsic polarization of astrophysical sources with high precision and that polarization effects do not limit astrometric observations of polarized targets. ###Answer 1. Changed Reasoning: In Sentence A, the word ""dexterity"" is used to describe the ability of cats to perform a specific task. The sentence implies that cats with a preference for using their left paw are more likely to exhibit a tremor when given certain drugs. The word ""dexterity"" carries a positive connotation, implying skill or coordination. In Sentence B, the word ""dexterity"" is used in a different context to describe the polarization effects of the VLTI and GRAVITY instruments. The sentence implies that the instruments are capable of measuring the polarization of astrophysical sources with high precision, and that the polarization effects do not limit astrometric observations of polarized targets. The word ""dexterity"" carries a different connotation in this sentence, implying precision or accuracy. Based on the different contexts and connotations associated with the word ""dexterity"" in the two sentences, it is clear that the word has undergone a significant change in meaning or connotation between the two timestamps. Therefore, the label ""Changed"" is appropriate." 32,Dexterity,"Laparoscopic techniques have allowed surgeons to perform operations through small incisions. However, the benefits of laparoscopy are still limited to less complex procedures because of losses in imaging and dexterity compared to conventional surgery. This project is developing miniature robots to be placed within the abdominal cavity to assist the surgeon. These remotely controlled in vivo robots provide the surgeon with an enhanced field of view from arbitrary angles as well as provide dexterous manipulators not constrained by small incisions in the abdominal wall."," A significant challenge in manipulation motion planning is to ensure agility in the face of unpredictable changes during task execution. This requires the identification and possible modification of suitable joint-space trajectories, since the joint velocities required to achieve a specific endeffector motion vary with manipulator configuration. For a given manipulator configuration, the joint space-to-task space velocity mapping is characterized by a quantity known as the manipulability index. In contrast to previous control-based approaches, we examine the maximization of manipulability during planning as a way of achieving adaptable and safe joint space-to-task space motion mappings in various scenarios. By representing the manipulator trajectory as a continuous-time Gaussian process (GP), we are able to leverage recent advances in trajectory optimization to maximize the manipulability index during trajectory generation. Moreover, the sparsity of our chosen representation reduces the typically large computational cost associated with maximizing manipulability when additional constraints exist. Results from simulation studies and experiments with a real manipulator demonstrate increases in manipulability, while maintaining smooth trajectories with more dexterous (and therefore more agile) arm configurations. ","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dexterity Sentence A: Laparoscopic techniques have allowed surgeons to perform operations through small incisions. However, the benefits of laparoscopy are still limited to less complex procedures because of losses in imaging and dexterity compared to conventional surgery. This project is developing miniature robots to be placed within the abdominal cavity to assist the surgeon. These remotely controlled in vivo robots provide the surgeon with an enhanced field of view from arbitrary angles as well as provide dexterous manipulators not constrained by small incisions in the abdominal wall. Sentence B: A significant challenge in manipulation motion planning is to ensure agility in the face of unpredictable changes during task execution. This requires the identification and possible modification of suitable joint-space trajectories, since the joint velocities required to achieve a specific endeffector motion vary with manipulator configuration. For a given manipulator configuration, the joint space-to-task space velocity mapping is characterized by a quantity known as the manipulability index. In contrast to previous control-based approaches, we examine the maximization of manipulability during planning as a way of achieving adaptable and safe joint space-to-task space motion mappings in various scenarios. By representing the manipulator trajectory as a continuous-time Gaussian process (GP), we are able to leverage recent advances in trajectory optimization to maximize the manipulability index during trajectory generation. Moreover, the sparsity of our chosen representation reduces the typically large computational cost associated with maximizing manipulability when additional constraints exist. Results from simulation studies and experiments with a real manipulator demonstrate increases in manipulability, while maintaining smooth trajectories with more dexterous (and therefore more agile) arm configurations. ###Answer Target word: dexterity Sentence A: The benefits of laparoscopy are still limited to less complex procedures because of losses in imaging and dexterity compared to conventional surgery. Label: Changed Reasoning: In Sentence A, the word ""dexterity"" is used to describe the limitations of laparoscopic surgery compared to conventional surgery. The context suggests that the meaning of ""dexterity"" has shifted to emphasize the loss of precision and dexterity in the minimally invasive procedure. In contrast, Sentence B uses ""dexterity"" to describe the manipulator's ability to perform smooth and agile motions, which suggests a different meaning of the word in this context. Therefore, the label ""Changed"" is appropriate for Sentence A. Target word: manipulator Sentence A: Laparoscopic techniques have allowed surgeons to perform operations through small incisions. However, the benefits of laparoscopy are still limited to less complex procedures because of losses in imaging and dexterity compared to conventional surgery. This project is developing miniature robots to be placed within the abdominal cavity to assist the surgeon. These remotely controlled in vivo robots provide the surgeon with an enhanced field of view from arbitrary angles as well as provide dexterous manipulators not constrained by small incisions in the abdominal wall. Label: Unchanged Reasoning: In Sentence A, the word ""manipulator"" is used to describe a robotic device used in surgery. The context suggests that the meaning of ""manipulator"" remains similar in both sentences, emphasizing the device's ability to perform precise and dexterous movements. Therefore, the label ""Unchanged"" is appropriate for Sentence A." 33,Dexterity,"This patient received 26 outpatient occupational therapy sessions for a total of 32.5 hr during an 18-week period. All treatment goals were achieved with the exception of psychosocial adjustment issues, which are ongoing. He made significant gains in right upper quadrant muscle isolation and demonstrated control and strength of the upper, middle, and lower trapezius fibers adequate for a myoelectric prosthetic. He also made improvement with left manual dexterity and unilateral coordination with regard to activities of daily living. He was discharged from outpatient occupational therapy services and referred to another medical center for prosthetic evaluation. Twenty weeks after discharge from our facility, he returned for a follow-up visit. He had been fitted with a shoulder cap and his tolerance for wearing it was approximately 10 hr per day. Thirteen weeks after the follow-up visit he resumed outpatient occupational therapy. We are evaluating his tolerance to the placement of a passive arm to the shoulder cap.","We developed a virtual reality software application (iLarynx) using built-in accelerometer properties of the iPhone(®) or iPad(®) (Apple Inc., Cupertino, CA, USA) that mimics hand movements for the performance of fibreoptic skills. Twenty novice medical students were randomly assigned to virtual airway training with the iLarynx software or no additional training. Eight out of the 10 subjects in the standard training group had at least one failed (> 120 s) attempt compared with two out of the 10 participants in the iLarynx group (p = 0.01). There were a total of 24 failed attempts in the standard training group and four in the iLarynx group (p < 0.005). Cusum analysis demonstrated continued group improvement in the iLarynx, but not in the standard training group. Virtual airway simulation using freely available software on a smartphone/tablet device improves dexterity among novices performing upper airway endoscopy.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dexterity Sentence A: This patient received 26 outpatient occupational therapy sessions for a total of 32.5 hr during an 18-week period. All treatment goals were achieved with the exception of psychosocial adjustment issues, which are ongoing. He made significant gains in right upper quadrant muscle isolation and demonstrated control and strength of the upper, middle, and lower trapezius fibers adequate for a myoelectric prosthetic. He also made improvement with left manual dexterity and unilateral coordination with regard to activities of daily living. He was discharged from outpatient occupational therapy services and referred to another medical center for prosthetic evaluation. Twenty weeks after discharge from our facility, he returned for a follow-up visit. He had been fitted with a shoulder cap and his tolerance for wearing it was approximately 10 hr per day. Thirteen weeks after the follow-up visit he resumed outpatient occupational therapy. We are evaluating his tolerance to the placement of a passive arm to the shoulder cap. Sentence B: We developed a virtual reality software application (iLarynx) using built-in accelerometer properties of the iPhone(®) or iPad(®) (Apple Inc., Cupertino, CA, USA) that mimics hand movements for the performance of fibreoptic skills. Twenty novice medical students were randomly assigned to virtual airway training with the iLarynx software or no additional training. Eight out of the 10 subjects in the standard training group had at least one failed (> 120 s) attempt compared with two out of the 10 participants in the iLarynx group (p = 0.01). There were a total of 24 failed attempts in the standard training group and four in the iLarynx group (p < 0.005). Cusum analysis demonstrated continued group improvement in the iLarynx, but not in the standard training group. Virtual airway simulation using freely available software on a smartphone/tablet device improves dexterity among novices performing upper airway endoscopy. ###Answer 1. Changed Reasoning: In Sentence A, the term ""dexterity"" is used in the context of a patient's muscle isolation and coordination abilities, particularly in the upper, middle, and lower trapezius fibers. The term suggests a focus on physical dexterity and coordination. In Sentence B, the term ""dexterity"" is used in the context of a virtual reality software application that mimics hand movements for the performance of fibreoptic skills. The term suggests a focus on digital dexterity and the ability to manipulate virtual objects with precision. The meaning of the term ""dexterity"" has shifted in Sentence B, from a focus on physical dexterity to a focus on digital dexterity. Therefore, the label ""Changed"" is appropriate for this task." 34,Dexterity,"The current study measured the critical elements of jobs and characterized the jobs' suitability for aging workers based on ratings of those elements. The sample consisted of 830 job titles collected by the Employment and Vocational Training Administration in Taiwan. For each job the ratings of 45 specific variables, falling into three major classes, were factor analyzed, using principal components analysis with varimax rotation. A nine-factor solution explained 50.1% of the variance. Using a nonhierarchical clustering procedure, 830 jobs were classified into three homogeneous clusters which were significantly different on nine factors except for Manual Dexterity. Mapping the ratings on the 9 factors and the characteristics of aging workers, the four job clusters were defined as Age-enhanced, Age-neutral, and Age-counteracted, and Age-impaired to describe the suitability for aging workers.","To test and evaluate the second installment of DENTIFY, a virtual reality haptic simulator for Operative Dentistry (OD), on preclinical dental students, by focusing on user performance and self-assessment. Twenty voluntary unpaid preclinical dental students, with different background experience, were enrolled for this study. After the completion of an informed consent, a demographic questionnaire, and being introduced to the prototype (on the first testing session), three testing sessions followed (S1, S2, S3). Each session involved the following steps: (I) free experimentation; (II) task execution; S3 also included (III) completion of questionnaires associated with the experiment (total of 8 Self-Assessment Questions (SAQ)); and (IV) guided interview. As expected, drill time decreased steadily for all tasks when increasing prototype use, verified by RM ANOVA. Regarding performance metrics (Comparisons by Student's t-test and ANOVA) recorded at S3, in overall, a higher performance was verified for participants with the following characteristics: female, non-gamer, no previous VR experience and with over 2 semesters of previous experience of working on phantom models. The correlation between the participants' performance (drill time), for the four tasks, and user self-assessment evaluation, verified by Spearman's rho analysis, allowed to conclude that a higher performance was observed in students who responded that DENTIFY improved their self perception of manual force applied. Regarding the questionnaires, Spearman's rho analysis showed a positive correlation between the improvement DENTIFY inputs on conventional teaching sensed by students, also enhancing their interest in learning OD, their desire to have more simulator hours and the improvement sensed on manual dexterity. All participating students adhered well to the DENTIFY experimentation. DENTIFY allows for student self-assessment and contributes to improving student performance. Simulators with VR and haptic pens for teaching in OD should be designed as a consistent and gradual teaching strategy, allowing multiplicity of simulated scenarios, bimanual manipulation, and the possibility of real-time feedback to allow for the student's immediate self-assessment. Additionally, they should create performance reports per student to ensure self-perception/criticism of their evolution over longer periods of learning time.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dexterity Sentence A: The current study measured the critical elements of jobs and characterized the jobs' suitability for aging workers based on ratings of those elements. The sample consisted of 830 job titles collected by the Employment and Vocational Training Administration in Taiwan. For each job the ratings of 45 specific variables, falling into three major classes, were factor analyzed, using principal components analysis with varimax rotation. A nine-factor solution explained 50.1% of the variance. Using a nonhierarchical clustering procedure, 830 jobs were classified into three homogeneous clusters which were significantly different on nine factors except for Manual Dexterity. Mapping the ratings on the 9 factors and the characteristics of aging workers, the four job clusters were defined as Age-enhanced, Age-neutral, and Age-counteracted, and Age-impaired to describe the suitability for aging workers. Sentence B: To test and evaluate the second installment of DENTIFY, a virtual reality haptic simulator for Operative Dentistry (OD), on preclinical dental students, by focusing on user performance and self-assessment. Twenty voluntary unpaid preclinical dental students, with different background experience, were enrolled for this study. After the completion of an informed consent, a demographic questionnaire, and being introduced to the prototype (on the first testing session), three testing sessions followed (S1, S2, S3). Each session involved the following steps: (I) free experimentation; (II) task execution; S3 also included (III) completion of questionnaires associated with the experiment (total of 8 Self-Assessment Questions (SAQ)); and (IV) guided interview. As expected, drill time decreased steadily for all tasks when increasing prototype use, verified by RM ANOVA. Regarding performance metrics (Comparisons by Student's t-test and ANOVA) recorded at S3, in overall, a higher performance was verified for participants with the following characteristics: female, non-gamer, no previous VR experience and with over 2 semesters of previous experience of working on phantom models. The correlation between the participants' performance (drill time), for the four tasks, and user self-assessment evaluation, verified by Spearman's rho analysis, allowed to conclude that a higher performance was observed in students who responded that DENTIFY improved their self perception of manual force applied. Regarding the questionnaires, Spearman's rho analysis showed a positive correlation between the improvement DENTIFY inputs on conventional teaching sensed by students, also enhancing their interest in learning OD, their desire to have more simulator hours and the improvement sensed on manual dexterity. All participating students adhered well to the DENTIFY experimentation. DENTIFY allows for student self-assessment and contributes to improving student performance. Simulators with VR and haptic pens for teaching in OD should be designed as a consistent and gradual teaching strategy, allowing multiplicity of simulated scenarios, bimanual manipulation, and the possibility of real-time feedback to allow for the student's immediate self-assessment. Additionally, they should create performance reports per student to ensure self-perception/criticism of their evolution over longer periods of learning time. ###Answer 1. Changed Reasoning: In Sentence A, the term ""dexterity"" is used in the context of measuring the suitability of jobs for aging workers, specifically in relation to manual dexterity. The sentence does not convey any connotations of the term that might indicate a change in meaning. Therefore, semantic drift has not occurred in this case. In Sentence B, the term ""dexterity"" is used in a different context, specifically in relation to the performance of students using a virtual reality haptic simulator for operative dentistry. The sentence conveys a sense of manual dexterity and precision, which is consistent with the original meaning of the term. However, the sentence also highlights the improvement in student performance when using the simulator, which suggests a positive connotation that was not present in the original meaning of the term. Therefore, semantic drift has occurred in this case, and the label ""Changed"" is appropriate." 35,Dexterity,"Two groups (N = 19) of clinically test anxious college students received a common core treatment program of cognitive behavior therapy, progressive muscular relaxation training, and thermal biofeedback assisted relaxation training. The experimental group received an additional treatment component that consisted of in vivo distraction-coping training designed to facilitate focusing attentional processes onto task relevant variables and away from external distractors and dysfunctional self-statements. The overall efficacy of the program was demonstrated with reductions in test, trait and state anxiety, and increases in the rationality of personal belief systems. Performance on an anagram solution task conducted under highly distracting conditions and evaluative interactions was improved significantly, as was motoric performance on a manual dexterity task. In vivo distraction-coping was not found to result in more efficacious treatment as measured by self-report and performance variables."," Dexterous manipulation of objects in virtual environments with our bare hands, by using only a depth sensor and a state-of-the-art 3D hand pose estimator (HPE), is challenging. While virtual environments are ruled by physics, e.g. object weights and surface frictions, the absence of force feedback makes the task challenging, as even slight inaccuracies on finger tips or contact points from HPE may make the interactions fail. Prior arts simply generate contact forces in the direction of the fingers' closures, when finger joints penetrate virtual objects. Although useful for simple grasping scenarios, they cannot be applied to dexterous manipulations such as in-hand manipulation. Existing reinforcement learning (RL) and imitation learning (IL) approaches train agents that learn skills by using task-specific rewards, without considering any online user input. In this work, we propose to learn a model that maps noisy input hand poses to target virtual poses, which introduces the needed contacts to accomplish the tasks on a physics simulator. The agent is trained in a residual setting by using a model-free hybrid RL+IL approach. A 3D hand pose estimation reward is introduced leading to an improvement on HPE accuracy when the physics-guided corrected target poses are remapped to the input space. As the model corrects HPE errors by applying minor but crucial joint displacements for contacts, this helps to keep the generated motion visually close to the user input. Since HPE sequences performing successful virtual interactions do not exist, a data generation scheme to train and evaluate the system is proposed. We test our framework in two applications that use hand pose estimates for dexterous manipulations: hand-object interactions in VR and hand-object motion reconstruction in-the-wild. ","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dexterity Sentence A: Two groups (N = 19) of clinically test anxious college students received a common core treatment program of cognitive behavior therapy, progressive muscular relaxation training, and thermal biofeedback assisted relaxation training. The experimental group received an additional treatment component that consisted of in vivo distraction-coping training designed to facilitate focusing attentional processes onto task relevant variables and away from external distractors and dysfunctional self-statements. The overall efficacy of the program was demonstrated with reductions in test, trait and state anxiety, and increases in the rationality of personal belief systems. Performance on an anagram solution task conducted under highly distracting conditions and evaluative interactions was improved significantly, as was motoric performance on a manual dexterity task. In vivo distraction-coping was not found to result in more efficacious treatment as measured by self-report and performance variables. Sentence B: Dexterous manipulation of objects in virtual environments with our bare hands, by using only a depth sensor and a state-of-the-art 3D hand pose estimator (HPE), is challenging. While virtual environments are ruled by physics, e.g. object weights and surface frictions, the absence of force feedback makes the task challenging, as even slight inaccuracies on finger tips or contact points from HPE may make the interactions fail. Prior arts simply generate contact forces in the direction of the fingers' closures, when finger joints penetrate virtual objects. Although useful for simple grasping scenarios, they cannot be applied to dexterous manipulations such as in-hand manipulation. Existing reinforcement learning (RL) and imitation learning (IL) approaches train agents that learn skills by using task-specific rewards, without considering any online user input. In this work, we propose to learn a model that maps noisy input hand poses to target virtual poses, which introduces the needed contacts to accomplish the tasks on a physics simulator. The agent is trained in a residual setting by using a model-free hybrid RL+IL approach. A 3D hand pose estimation reward is introduced leading to an improvement on HPE accuracy when the physics-guided corrected target poses are remapped to the input space. As the model corrects HPE errors by applying minor but crucial joint displacements for contacts, this helps to keep the generated motion visually close to the user input. Since HPE sequences performing successful virtual interactions do not exist, a data generation scheme to train and evaluate the system is proposed. We test our framework in two applications that use hand pose estimates for dexterous manipulations: hand-object interactions in VR and hand-object motion reconstruction in-the-wild. ###Answer 1. Changed Explanation: In Sentence A, the term ""dexterity"" is used to describe the efficacy of a treatment program in reducing anxiety and improving cognitive and motor functions. The context suggests that the term refers to the ability to perform tasks with precision and skill. In Sentence B, the term ""dexterity"" is used to describe the challenge of manipulating objects in virtual environments. The context suggests that the term now refers to the ability to perform tasks with precision and skill in a virtual environment, with a focus on the use of technology to enhance dexterity. In Sentence A, the term ""dexterity"" has a more general meaning, referring to the ability to perform tasks with skill and precision. In Sentence B, the term has a more specific meaning, referring to the ability to perform tasks in a virtual environment with the aid of technology. As a result, semantic drift has occurred in the meaning of the term ""dexterity"" over the course of 20 years. Therefore, I would label this sentence as ""Changed""." 36,Dexterity,"In all the recent research on sexuality, one striking analogy that has been largely overlooked is that of sexuality and dexterity. This article is a parallel synthesis of the current knowledge of these two subjects. Although there does not seem to be a causal relationship between these two traits (a particular dextral tendency does not imply any associated sexual tendency, or vice versa), a short description of past attitudes and beliefs concerning left-handedness illustrates the historical similarity of social bias against homosexuality. Second, a discussion of the current scientific information on dexterity and sexuality reveals how these tendencies are in fact analogous. Finally, the article questions how society can maintain its discriminatory policies against homosexuality when it is no more a distinctive trait in human nature than left-handedness.","Advanced microsurgical procedures are currently limited by human precision and manual dexterity. The potential of robotics in microsurgery is highlighted, including a general overview of applications of robotic assistance in microsurgery and its introduction in different surgical specialties. A new robotic platform especially designed for (super) microsurgery is presented. Results of an in vivo animal study underline its feasibility and encourage further development toward clinical studies. Future directions of robotic microsurgery are proposed.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dexterity Sentence A: In all the recent research on sexuality, one striking analogy that has been largely overlooked is that of sexuality and dexterity. This article is a parallel synthesis of the current knowledge of these two subjects. Although there does not seem to be a causal relationship between these two traits (a particular dextral tendency does not imply any associated sexual tendency, or vice versa), a short description of past attitudes and beliefs concerning left-handedness illustrates the historical similarity of social bias against homosexuality. Second, a discussion of the current scientific information on dexterity and sexuality reveals how these tendencies are in fact analogous. Finally, the article questions how society can maintain its discriminatory policies against homosexuality when it is no more a distinctive trait in human nature than left-handedness. Sentence B: Advanced microsurgical procedures are currently limited by human precision and manual dexterity. The potential of robotics in microsurgery is highlighted, including a general overview of applications of robotic assistance in microsurgery and its introduction in different surgical specialties. A new robotic platform especially designed for (super) microsurgery is presented. Results of an in vivo animal study underline its feasibility and encourage further development toward clinical studies. Future directions of robotic microsurgery are proposed. ###Answer 1. Changed Reasoning: In Sentence A, the target word ""dexterity"" is used in the context of sexuality and left-handedness, implying a connection between manual skill and non-normative traits. This usage suggests a historical association between dexterity and social bias against homosexuality. In contrast, in Sentence B, ""dexterity"" is used in the context of advanced microsurgical procedures, specifically highlighting the limits of human precision and manual skill. This usage does not suggest any connection to social bias or historical associations. Therefore, the meaning of ""dexterity"" has shifted from a connection to social bias to a focus on technical skill in a medical context." 37,Dexterity,"We analyze hand dexterity in Parkinson's disease patients (PD) and control subjects using a natural manual transport task (moving an object from one place to another). Eight PD patients and 10 control subjects carried out the task repeatedly at maximum speed both in off and on medicated status. The movement parameters and the grip and load forces were recorded. Using the force and velocity signals, 10 subsequent phases of the transport movement were defined and their durations were measured. The difference between the control group and the test group in off and on was established statistically using non-parametric methods. There was slowed reaching and a striking disturbance of establishing the precision grip in PD. The transport capabilities were impaired differentially. Although acceleration and reaching sufficient height of the lift were disturbed in PD subjects, transport of the object toward the target position was almost normal. A partial disturbance was observed when cancelling the grip. Dopaminergic medication improved only specific hand skills, especially establishment of the precision grip and one of the four transport phases. A long movement path was more sensitive for movement disturbance in Parkinson's disease than a short one.","Use of low-dose CT scan allows detection of lung cancer at early stages, enabling a more conservative surgery and a better long-term survival in those patients. In this scenario, intentional anatomical segmentectomy is gaining consent over standard lobectomy among surgeons. A minimally invasive approach such as VATS reduced invasiveness and complication rate compared to open surgery, but this technique comes also with some disadvantages in terms of dexterity and intuitiveness. Robotic surgery allows to overcome those limitations, making segmentectomies easier and safer to perform. In addition, it offers the possibility to utilize intravenous indocyanine green to define the intersegmental plane, allowing a more precise surgery. We reviewed the literature and describe the technique of the robot assisted segmentectomy with a focus on the new technologies available nowadays.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dexterity Sentence A: We analyze hand dexterity in Parkinson's disease patients (PD) and control subjects using a natural manual transport task (moving an object from one place to another). Eight PD patients and 10 control subjects carried out the task repeatedly at maximum speed both in off and on medicated status. The movement parameters and the grip and load forces were recorded. Using the force and velocity signals, 10 subsequent phases of the transport movement were defined and their durations were measured. The difference between the control group and the test group in off and on was established statistically using non-parametric methods. There was slowed reaching and a striking disturbance of establishing the precision grip in PD. The transport capabilities were impaired differentially. Although acceleration and reaching sufficient height of the lift were disturbed in PD subjects, transport of the object toward the target position was almost normal. A partial disturbance was observed when cancelling the grip. Dopaminergic medication improved only specific hand skills, especially establishment of the precision grip and one of the four transport phases. A long movement path was more sensitive for movement disturbance in Parkinson's disease than a short one. Sentence B: Use of low-dose CT scan allows detection of lung cancer at early stages, enabling a more conservative surgery and a better long-term survival in those patients. In this scenario, intentional anatomical segmentectomy is gaining consent over standard lobectomy among surgeons. A minimally invasive approach such as VATS reduced invasiveness and complication rate compared to open surgery, but this technique comes also with some disadvantages in terms of dexterity and intuitiveness. Robotic surgery allows to overcome those limitations, making segmentectomies easier and safer to perform. In addition, it offers the possibility to utilize intravenous indocyanine green to define the intersegmental plane, allowing a more precise surgery. We reviewed the literature and describe the technique of the robot assisted segmentectomy with a focus on the new technologies available nowadays. ###Answer 1. Changed Reasoning: In Sentence A, the target word ""dexterity"" is used to describe the slowed reaching and disturbance of establishing the precision grip in Parkinson's disease patients. This implies a negative connotation, as the patients' ability to perform manual tasks with precision and dexterity is impaired. In Sentence B, the target word ""dexterity"" is used to describe the minimally invasive approach of VATS, which allows for easier and safer performance of segmentectomies. This implies a positive connotation, as the technology is enabling surgeons to perform procedures with greater dexterity and precision. Therefore, the meaning of the target word has shifted from negative to positive between the two sentences." 38,Dexterity,"The intermediate functional results were assessed for fifty-seven patients who had had a limb-salvage procedure for treatment of a tumor of the shoulder girdle region at our institution from 1980 through 1990. Fifty-three patients had a malignant bone tumor (a sarcoma) and four had an extensive giant-cell tumor. The resections were classified according to the system of the Musculoskeletal Tumor Society. A variety of reconstructive procedures were performed after resection of the tumor, with the choice of procedure depending on the type of resection and the needs of the patient. The functional results were described and graded quantitatively according to the functional rating system of the Musculoskeletal Tumor Society. The average duration of follow-up was 5.3 years (median, 4.6 years) for the forty-seven patients who were still alive at the time of the latest follow-up examination. Eight patients died of disease and two others died of unrelated malignant tumors an average of 1.8 years postoperatively. The resection of the tumor was classified as wide in forty of the fifty-three patients who had a sarcoma and as marginal in thirteen; four patients had local recurrence (two, after a wide resection, and two, after a marginal resection). One of the four patients who had a giant-cell tumor had local recurrence. The functional results were related to the type of resection and the method of skeletal reconstruction. After resection of the entire scapula and the proximal aspect of the humerus, reconstruction with a spacer frequently resulted in asymptomatic superior subluxation of the implant and poor function of the shoulder. After extra-articular resection of the glenoid cavity and the proximal aspect of the humerus with loss of the abductor mechanism, osseous arthrodesis resulted in good function that was superior to that found after reconstruction with a spacer or a proximal humeral replacement prosthesis. Our preferred method to achieve fusion was insertion of an intercalary allograft and a vascularized fibular graft. However, the allograft fractured in three of four patients in whom primary fusion had been obtained with this technique. An osteoarticular allograft inserted after intra-articular resection of the proximal aspect of the humerus and preservation of the abductor mechanism provided good function that was superior to that found after reconstruction with a proximal humeral replacement prosthesis, which produced symptomatic instability that led to a secondary arthrodesis in some patients. However, subchondral fracture and collapse of the osteoarticular allograft occurred in four of eight patients by the time of the latest follow-up examination. The results of all methods of reconstruction were satisfactory with regard to pain, emotional acceptance, and manual dexterity. We believe that the use of a method of reconstruction that is appropriate with regard to the needs of the patient and preoperative counseling regarding the expected functional level and restrictions of activity are critical for a high level of postoperative satisfaction."," Hyper-redundant Robotic Manipulators (HRMs) offer great dexterity and flexibility of operation, but solving Inverse Kinematics (IK) is challenging. In this work, we introduce VO-FABRIK, an algorithm combining Forward and Backward Reaching Inverse Kinematics (FABRIK) for repeatable deterministic IK computation, and an approach inspired from velocity obstacles to perform path planning under collision and joint limits constraints. We show preliminary results on an industrial HRM with 19 actuated joints. Our algorithm achieves good performance where a state-of-the-art IK solver fails. ","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dexterity Sentence A: The intermediate functional results were assessed for fifty-seven patients who had had a limb-salvage procedure for treatment of a tumor of the shoulder girdle region at our institution from 1980 through 1990. Fifty-three patients had a malignant bone tumor (a sarcoma) and four had an extensive giant-cell tumor. The resections were classified according to the system of the Musculoskeletal Tumor Society. A variety of reconstructive procedures were performed after resection of the tumor, with the choice of procedure depending on the type of resection and the needs of the patient. The functional results were described and graded quantitatively according to the functional rating system of the Musculoskeletal Tumor Society. The average duration of follow-up was 5.3 years (median, 4.6 years) for the forty-seven patients who were still alive at the time of the latest follow-up examination. Eight patients died of disease and two others died of unrelated malignant tumors an average of 1.8 years postoperatively. The resection of the tumor was classified as wide in forty of the fifty-three patients who had a sarcoma and as marginal in thirteen; four patients had local recurrence (two, after a wide resection, and two, after a marginal resection). One of the four patients who had a giant-cell tumor had local recurrence. The functional results were related to the type of resection and the method of skeletal reconstruction. After resection of the entire scapula and the proximal aspect of the humerus, reconstruction with a spacer frequently resulted in asymptomatic superior subluxation of the implant and poor function of the shoulder. After extra-articular resection of the glenoid cavity and the proximal aspect of the humerus with loss of the abductor mechanism, osseous arthrodesis resulted in good function that was superior to that found after reconstruction with a spacer or a proximal humeral replacement prosthesis. Our preferred method to achieve fusion was insertion of an intercalary allograft and a vascularized fibular graft. However, the allograft fractured in three of four patients in whom primary fusion had been obtained with this technique. An osteoarticular allograft inserted after intra-articular resection of the proximal aspect of the humerus and preservation of the abductor mechanism provided good function that was superior to that found after reconstruction with a proximal humeral replacement prosthesis, which produced symptomatic instability that led to a secondary arthrodesis in some patients. However, subchondral fracture and collapse of the osteoarticular allograft occurred in four of eight patients by the time of the latest follow-up examination. The results of all methods of reconstruction were satisfactory with regard to pain, emotional acceptance, and manual dexterity. We believe that the use of a method of reconstruction that is appropriate with regard to the needs of the patient and preoperative counseling regarding the expected functional level and restrictions of activity are critical for a high level of postoperative satisfaction. Sentence B: Hyper-redundant Robotic Manipulators (HRMs) offer great dexterity and flexibility of operation, but solving Inverse Kinematics (IK) is challenging. In this work, we introduce VO-FABRIK, an algorithm combining Forward and Backward Reaching Inverse Kinematics (FABRIK) for repeatable deterministic IK computation, and an approach inspired from velocity obstacles to perform path planning under collision and joint limits constraints. We show preliminary results on an industrial HRM with 19 actuated joints. Our algorithm achieves good performance where a state-of-the-art IK solver fails. ###Answer 1. Changed Reasoning: In Sentence A, the term ""dexterity"" is used to describe the functional results of a surgical procedure for patients with tumors in the shoulder girdle region. The context suggests that the term refers to the patients' ability to perform manual tasks, such as using their hands and arms, with minimal difficulty or discomfort. The sentence also mentions that the patients underwent various reconstructive procedures after resection of the tumor, which may have affected their dexterity. In Sentence B, the term ""dexterity"" is used in a different context, to describe the capabilities of a hyper-redundant robotic manipulator. The term is used to convey the idea that the manipulator has a high degree of flexibility and adaptability in its movements. The sentence also mentions that solving inverse kinematics is challenging, which suggests that the term ""dexterity"" is being used to refer to the manipulator's ability to perform complex motions with precision. Based on these contexts, it is clear that the term ""dexterity"" has undergone a significant change in meaning between Sentence A and Sentence B. In Sentence A, the term refers to the patients' ability to perform manual tasks, while in Sentence B, it refers to the manipulator's ability to perform complex motions with precision. Therefore, I would label the usage of the term ""dexterity"" in Sentence B as ""Changed""." 39,Dexterity,"Serum thyroid hormone levels were measured in women living in an area of severe dietary iodine deficiency in a remote region of Papua New Guinea. Levels of maternal hormone were found to be related to the motor competence of the women's offspring, who were aged between six years and 11 years 10 months at the time of assessment. Motor competence in the children was measured by two tests of manual dexterity which demanded speed and accuracy in performance. A significant correlation was obtained between the children's motor performance and maternal serum thyroxine levels, but not with maternal serum triiodothyronine levels. The implications of the findings for the pathogenesis of some forms of cerebral palsy are considered.","Lobectomy is still currently the gold standard for treatment of lung cancer. With the great advancement of robotic surgery, robotic lobectomy has been demonstrated to be an operation that is safe and can be done in a timely manner, similar to video-assisted thoracoscopic surgery (VATS). Additionally, reports show that long-term oncologic outcomes for robotic lobectomy are consistent with those reported for VATS and open lobectomy. Patients are selected in the same manner as those for VATS. Improved optics, increased dexterity of the instruments, and better ergonomics can yield subjective advantages to the surgeon. The techniques of port placement, mediastinal lymph node dissection and the steps of each of the five lobectomies are important and described in the chapter, for both the da Vinci Si and da Vinci Xi platforms. The subtle differences are highlighted. Additionally, advantages of the platforms are discussed.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dexterity Sentence A: Serum thyroid hormone levels were measured in women living in an area of severe dietary iodine deficiency in a remote region of Papua New Guinea. Levels of maternal hormone were found to be related to the motor competence of the women's offspring, who were aged between six years and 11 years 10 months at the time of assessment. Motor competence in the children was measured by two tests of manual dexterity which demanded speed and accuracy in performance. A significant correlation was obtained between the children's motor performance and maternal serum thyroxine levels, but not with maternal serum triiodothyronine levels. The implications of the findings for the pathogenesis of some forms of cerebral palsy are considered. Sentence B: Lobectomy is still currently the gold standard for treatment of lung cancer. With the great advancement of robotic surgery, robotic lobectomy has been demonstrated to be an operation that is safe and can be done in a timely manner, similar to video-assisted thoracoscopic surgery (VATS). Additionally, reports show that long-term oncologic outcomes for robotic lobectomy are consistent with those reported for VATS and open lobectomy. Patients are selected in the same manner as those for VATS. Improved optics, increased dexterity of the instruments, and better ergonomics can yield subjective advantages to the surgeon. The techniques of port placement, mediastinal lymph node dissection and the steps of each of the five lobectomies are important and described in the chapter, for both the da Vinci Si and da Vinci Xi platforms. The subtle differences are highlighted. Additionally, advantages of the platforms are discussed. ###Answer 1. Changed Reasoning: In Sentence A, the term ""dexterity"" is used to describe the motor competence of children aged between six years and 11 years 10 months. The context suggests that the term refers to the children's manual dexterity, or their ability to perform tasks that require fine motor skills. The sentence also mentions that the children's motor performance is related to their mothers' serum thyroid hormone levels. In Sentence B, the term ""dexterity"" is used in a different context. It refers to the surgical techniques used in lobectomy, specifically the improved optics, increased dexterity of the instruments, and better ergonomics. The term is used to describe the advantages of the da Vinci Si and da Vinci Xi platforms in comparison to VATS. Based on these two sentences, it is clear that the term ""dexterity"" has undergone a significant change in meaning between the two timestamps. In Sentence A, the term refers to the children's fine motor skills, while in Sentence B, it refers to the surgical techniques used in lobectomy. Therefore, I have labeled this term as ""Changed""." 40,Dexterity,"Longitudinal studies show that almost all stroke patients experience at least some predictable degree of functional recovery in the first six months post stroke. However, the non-linear pattern as a function of time is not well understood. Several mechanisms are presumed to be involved, such as recovery of penumbral tissues, neural plasticity, resolution of diaschisis and behavioural compensation strategies. Rehabilitation is believed to modulate this logistic pattern of recovery, probably by interacting with these underlying processes. However, prediction models that are adjusted for the effects of time after stroke onset suggest that outcome is largely defined within the first weeks post stroke, although functional improvement has been found to extend beyond six months post stroke. In addition, kinematic studies show that functional improvement is more than recovery from impairments alone, suggesting that patients are able to improve in terms of gait or dexterity deficits using behavioural compensation strategies. Therefore, understanding the impact of task-dependent cortical activation patterns in non-invasive methods requires not only information derived from longitudinal studies pertaining to functional outcomes, but also a better understanding of what is kinematically learned during the acquisition of new skills.","The deadly coronavirus disease 2019 (COVID-19) wreaked havoc globally in early 2020 and caused lives to a standstill. Healthcare workers (HCW) handling patients infected with COVID-19 wore protective equipment to defend themselves from cross infection and curbing further spread. Nevertheless, these do hamper their dexterity, especially during surgical procedures.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dexterity Sentence A: Longitudinal studies show that almost all stroke patients experience at least some predictable degree of functional recovery in the first six months post stroke. However, the non-linear pattern as a function of time is not well understood. Several mechanisms are presumed to be involved, such as recovery of penumbral tissues, neural plasticity, resolution of diaschisis and behavioural compensation strategies. Rehabilitation is believed to modulate this logistic pattern of recovery, probably by interacting with these underlying processes. However, prediction models that are adjusted for the effects of time after stroke onset suggest that outcome is largely defined within the first weeks post stroke, although functional improvement has been found to extend beyond six months post stroke. In addition, kinematic studies show that functional improvement is more than recovery from impairments alone, suggesting that patients are able to improve in terms of gait or dexterity deficits using behavioural compensation strategies. Therefore, understanding the impact of task-dependent cortical activation patterns in non-invasive methods requires not only information derived from longitudinal studies pertaining to functional outcomes, but also a better understanding of what is kinematically learned during the acquisition of new skills. Sentence B: The deadly coronavirus disease 2019 (COVID-19) wreaked havoc globally in early 2020 and caused lives to a standstill. Healthcare workers (HCW) handling patients infected with COVID-19 wore protective equipment to defend themselves from cross infection and curbing further spread. Nevertheless, these do hamper their dexterity, especially during surgical procedures. ###Answer 1. Changed Reasoning: In Sentence A, the word ""dexterity"" is used to describe the recovery of functional abilities after a stroke. The context suggests that the term is used to indicate the ability to perform tasks that require fine motor skills, such as gait or movement. The sentence also highlights the importance of rehabilitation in modulating the logistic pattern of recovery. In this context, ""dexterity"" connotes a sense of precision and coordination. In Sentence B, the word ""dexterity"" is used in a different context to describe the impact of protective equipment on healthcare workers during the COVID-19 pandemic. The sentence suggests that the equipment hinders the workers' ability to perform tasks that require fine motor skills, such as surgical procedures. In this context, ""dexterity"" connotes a sense of limitation or restriction. Therefore, the meaning of the word ""dexterity"" has changed between the two sentences, shifting from a sense of recovery and precision to a sense of limitation and restriction. As a result, the label ""Changed"" is appropriate for this task." 41,Dexterity,"Objective: This study was undertaken in order to determine if the ""Femassist"" device is a safe and effective treatment for women with the diagnosis of urinary incontinence.Methods: The Femassist is a medical-grade silicon dome-shaped device, worn over the urethra and held securely via suction and a commercially available adhesive lotion. Women with a chief complaint of urinary incontinence responding to local newspaper advertisements were screened for inclusion. Potential candidates underwent medical history, physical (including gynecologic) examination, Papanicolaou test, urine culture and cytology, and multichannel urodynamic testing (including abdominal leak-point pressure measurements). A total of 38 women with documented genuine stress urinary incontinence (GSUI) or mixed incontinence were ultimately recruited into the study and fitted with either the standard or petite-sized Femassist device, according to their individual anatomy. Subjects were assessed before and after 1 month's use. Subjective assessment included quality of life questionnaires, daily voiding and activity diaries, as well as ongoing patient comments retrieved through daily telephone contact with the study nurse. Objective assessment included blinded evaluation of bacteriuria and urinary infection rates and vulvar irritation and ulceration rates.Results: To date, of the 38 women who have completed the study, over 50% reported an improvement in their quality of life including comfort, convenience, and overall satisfaction. In total for all patients studied, the device was worn for a total of 886 days; 82% of these were dry days. Similar results were obtained for women with GSUI and mixed incontinence. Factors associated with successful experience with the device included degree of tissue estrogenization (either naturally or via a topical estrogen preparation), manual dexterity, and degree of motivation. One in five women reported vulvar irritation or urethral discomfort at some point; this was not correlated with percentage of dry days. There have been no reported significant increases in bacteriuria or urinary tract infection rates over patients' baseline experiences.Conclusion: Our preliminary study suggests that the Femassist device is a safe and effective method for the management of female urinary incontinence.","This study investigated the relationship between the force applied to a finger and the differential threshold of the force. Further, it presented an improvement function for tactile perception in archers by adapting to circumstances in which enhanced tactile perception and finger dexterity are required to practice archery on a daily basis. For this purpose, a tactile display using an air jet was developed. The air was aimed at the center of the fingertip of the index finger. The inner diameter of the nozzle was set to 3 mm. In this study, a psychophysical experiment was conducted to obtain the differential threshold from two subject groups-an archery athlete group and a control group. A total of six levels of standard stimuli ranging from 2.0 gf to 7.0 gf was obtained. As a result, the differential threshold of the archery group was significantly higher than that of the control group. The Weber ratio of the archery group remained around 0.13 and that of control group was 0.10. The experiment also revealed that the differential threshold for archers exhibited less fluctuation between the trials and between the days, which implied that the tactile perception of archery athletes may be more stable than that of non-experienced subjects. This may be a plasticity property of tactile perception.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dexterity Sentence A: Objective: This study was undertaken in order to determine if the ""Femassist"" device is a safe and effective treatment for women with the diagnosis of urinary incontinence.Methods: The Femassist is a medical-grade silicon dome-shaped device, worn over the urethra and held securely via suction and a commercially available adhesive lotion. Women with a chief complaint of urinary incontinence responding to local newspaper advertisements were screened for inclusion. Potential candidates underwent medical history, physical (including gynecologic) examination, Papanicolaou test, urine culture and cytology, and multichannel urodynamic testing (including abdominal leak-point pressure measurements). A total of 38 women with documented genuine stress urinary incontinence (GSUI) or mixed incontinence were ultimately recruited into the study and fitted with either the standard or petite-sized Femassist device, according to their individual anatomy. Subjects were assessed before and after 1 month's use. Subjective assessment included quality of life questionnaires, daily voiding and activity diaries, as well as ongoing patient comments retrieved through daily telephone contact with the study nurse. Objective assessment included blinded evaluation of bacteriuria and urinary infection rates and vulvar irritation and ulceration rates.Results: To date, of the 38 women who have completed the study, over 50% reported an improvement in their quality of life including comfort, convenience, and overall satisfaction. In total for all patients studied, the device was worn for a total of 886 days; 82% of these were dry days. Similar results were obtained for women with GSUI and mixed incontinence. Factors associated with successful experience with the device included degree of tissue estrogenization (either naturally or via a topical estrogen preparation), manual dexterity, and degree of motivation. One in five women reported vulvar irritation or urethral discomfort at some point; this was not correlated with percentage of dry days. There have been no reported significant increases in bacteriuria or urinary tract infection rates over patients' baseline experiences.Conclusion: Our preliminary study suggests that the Femassist device is a safe and effective method for the management of female urinary incontinence. Sentence B: This study investigated the relationship between the force applied to a finger and the differential threshold of the force. Further, it presented an improvement function for tactile perception in archers by adapting to circumstances in which enhanced tactile perception and finger dexterity are required to practice archery on a daily basis. For this purpose, a tactile display using an air jet was developed. The air was aimed at the center of the fingertip of the index finger. The inner diameter of the nozzle was set to 3 mm. In this study, a psychophysical experiment was conducted to obtain the differential threshold from two subject groups-an archery athlete group and a control group. A total of six levels of standard stimuli ranging from 2.0 gf to 7.0 gf was obtained. As a result, the differential threshold of the archery group was significantly higher than that of the control group. The Weber ratio of the archery group remained around 0.13 and that of control group was 0.10. The experiment also revealed that the differential threshold for archers exhibited less fluctuation between the trials and between the days, which implied that the tactile perception of archery athletes may be more stable than that of non-experienced subjects. This may be a plasticity property of tactile perception. ###Answer 1. Changed Reasoning: In Sentence A, the word ""dexterity"" is used to describe the device used in the study, which is a medical-grade silicon dome-shaped device worn over the urethra and held securely via suction and a commercially available adhesive lotion. The context suggests that the device is designed to provide a comfortable and convenient solution for women with urinary incontinence. In Sentence B, the word ""dexterity"" is used to describe the relationship between the force applied to a finger and the differential threshold of the force. The context suggests that the study investigated the relationship between tactile perception and finger dexterity in archers. Based on these contexts, it is clear that the meaning of the word ""dexterity"" has shifted between the two sentences. In Sentence A, it refers to the design and functionality of a medical device, while in Sentence B, it refers to the relationship between tactile perception and finger dexterity in the context of archery. Therefore, the label ""Changed"" is appropriate." 42,Dexterity,"Technical performance has traditionally been assessed subjectively within the operating theater, with few successful attempts at objective analysis. The Imperial College Surgical Assessment Device (ICSAD) has already been shown to be a valid quantitative measure of dexterity in laparoscopic surgical simulation. We describe its application to the assessment of open surgical procedures.","Neuropsychological disturbances have been reported in association with use of the recreational drug ""ecstasy,"" or 3,4-methylenedioxymethamphetamine (MDMA), but findings have been inconsistent. We performed comprehensive neuropsychological testing examining seven ability domains in 21 MDMA users (MDMA+) and 21 matched control participants (MDMA-). Among MDMA+ participants, median [interquartile range] lifetime MDMA use was 186 [111, 516] doses, with 120 [35-365] days of abstinence. There were no significant group differences in neuropsychological performance, with the exception of the motor speed/dexterity domain in which 43% of MDMA+ were impaired compared with 5% of MDMA- participants (p = .004). Motor impairment differences were not explained by use of other substances and were unrelated to length of abstinence or lifetime number of MDMA doses. Findings provide limited evidence for neuropsychological differences between MDMA+ and MDMA- participants with the exception of motor impairments observed in the MDMA+ group. However, replication of this finding in a larger sample is warranted.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dexterity Sentence A: Technical performance has traditionally been assessed subjectively within the operating theater, with few successful attempts at objective analysis. The Imperial College Surgical Assessment Device (ICSAD) has already been shown to be a valid quantitative measure of dexterity in laparoscopic surgical simulation. We describe its application to the assessment of open surgical procedures. Sentence B: Neuropsychological disturbances have been reported in association with use of the recreational drug ""ecstasy,"" or 3,4-methylenedioxymethamphetamine (MDMA), but findings have been inconsistent. We performed comprehensive neuropsychological testing examining seven ability domains in 21 MDMA users (MDMA+) and 21 matched control participants (MDMA-). Among MDMA+ participants, median [interquartile range] lifetime MDMA use was 186 [111, 516] doses, with 120 [35-365] days of abstinence. There were no significant group differences in neuropsychological performance, with the exception of the motor speed/dexterity domain in which 43% of MDMA+ were impaired compared with 5% of MDMA- participants (p = .004). Motor impairment differences were not explained by use of other substances and were unrelated to length of abstinence or lifetime number of MDMA doses. Findings provide limited evidence for neuropsychological differences between MDMA+ and MDMA- participants with the exception of motor impairments observed in the MDMA+ group. However, replication of this finding in a larger sample is warranted. ###Answer 1. Changed The meaning of the word ""dexterity"" has shifted significantly between Sentence A and Sentence B. In Sentence A, ""dexterity"" is used to describe the assessment of technical performance in a medical context, specifically in relation to laparoscopic surgical simulation. In this context, ""dexterity"" implies a high level of skill and precision required for the task at hand. In Sentence B, ""dexterity"" is used to describe motor impairments in individuals who have used the recreational drug ""ecstasy"" or MDMA. In this context, ""dexterity"" implies a loss of coordination, clumsiness, or difficulty with fine motor movements. This shift in meaning suggests that the word ""dexterity"" has undergone semantic drift, as its original meaning in Sentence A has been replaced by a new meaning in Sentence B. Therefore, the label ""Changed"" is appropriate for this example." 43,Dexterity,"The ability to carry out daily activities depends on an individual's physical and psychological make up, and the environment and society in which he or she lives. Thus, rheumatoid arthritis produces functional impairment that is not simply related to the severity of the disease process. Two-thirds of patients are concerned more with potential loss of function than with discomfort. There is, therefore, a need to assess disability separately from inflammatory activity. The principles of disability measurement concern assessment of performance of everyday activities. Global measures or the performance of one or more specific activities can be used to assess aspects of mobility and manual dexterity. Activities can be related to social life and employment and can include assessment of psychological as well as physical disability. Many different tools are available and can be divided into: 1. Measures depending on clinical judgement. 2. Measures based on observed patient performance. 3. Measures depending on patients' opinions. In addition, a variety of health status measures have been described that include disability as one of a number of parameters aimed to assess the overall impact of the disease on the patient. Evaluation of these tools has been patchy. Full assessment using measurement theory (validity, simplicity, reliability and sensitivity) has not been undertaken for any index. However, the Health Assessment Questionnaire (HAQ) Disability Index and the Arthritis Impact Measurement Scales (AIMS) have both been tested fairly extensively in North America. The choice of a particular measurement tool depends on: 1. The context in which it will be used.(ABSTRACT TRUNCATED AT 250 WORDS)","Yoga is a promising therapeutic modality for neurodegenerative diseases. This case study presents a therapeutic yoga protocol for adrenomyeloneuropathy (AMN) and its effect on a patient's quality of life (QOL), agility, balance, and peripheral dexterity. A 61-y-old man diagnosed with AMN who was experiencing (1) peripheral neuropathy in his legs and feet, (2) lower-back pain (LBP), and (3) osteoarthritis received 60-min weekly therapeutic yoga sessions for a 10-mo period. Yoga therapy included hatha yoga asanas (poses) and pranayama (breathing exercises). Hatha yoga asanas were aligned with 7 Berg Balance Scale (BBS) indicators to measure improvement in balance and range of motion. The 10-mo course of therapeutic yoga resulted in improved LBP; improved flexion of the patient's hips, knees, and ankles; improved propulsion phase of walking; and improvement in the patient's ability to stand and balance without an assistive device. The effect of yoga therapy on the patient in this case study aligns with current QOL improvements noted in current research on yoga therapy for neurological disorders. The described concepts and methods of employing therapeutic yoga provide insights for clinicians into a modality that is low risk and low cost and that can support individuals with other neurological disorders, such as multiple sclerosis (MS), fibromyalgia (FM), and diseases of the peripheral nervous system. Further study is warranted to help determine the safety and efficacy of yoga therapy for these conditions. ","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dexterity Sentence A: The ability to carry out daily activities depends on an individual's physical and psychological make up, and the environment and society in which he or she lives. Thus, rheumatoid arthritis produces functional impairment that is not simply related to the severity of the disease process. Two-thirds of patients are concerned more with potential loss of function than with discomfort. There is, therefore, a need to assess disability separately from inflammatory activity. The principles of disability measurement concern assessment of performance of everyday activities. Global measures or the performance of one or more specific activities can be used to assess aspects of mobility and manual dexterity. Activities can be related to social life and employment and can include assessment of psychological as well as physical disability. Many different tools are available and can be divided into: 1. Measures depending on clinical judgement. 2. Measures based on observed patient performance. 3. Measures depending on patients' opinions. In addition, a variety of health status measures have been described that include disability as one of a number of parameters aimed to assess the overall impact of the disease on the patient. Evaluation of these tools has been patchy. Full assessment using measurement theory (validity, simplicity, reliability and sensitivity) has not been undertaken for any index. However, the Health Assessment Questionnaire (HAQ) Disability Index and the Arthritis Impact Measurement Scales (AIMS) have both been tested fairly extensively in North America. The choice of a particular measurement tool depends on: 1. The context in which it will be used.(ABSTRACT TRUNCATED AT 250 WORDS) Sentence B: Yoga is a promising therapeutic modality for neurodegenerative diseases. This case study presents a therapeutic yoga protocol for adrenomyeloneuropathy (AMN) and its effect on a patient's quality of life (QOL), agility, balance, and peripheral dexterity. A 61-y-old man diagnosed with AMN who was experiencing (1) peripheral neuropathy in his legs and feet, (2) lower-back pain (LBP), and (3) osteoarthritis received 60-min weekly therapeutic yoga sessions for a 10-mo period. Yoga therapy included hatha yoga asanas (poses) and pranayama (breathing exercises). Hatha yoga asanas were aligned with 7 Berg Balance Scale (BBS) indicators to measure improvement in balance and range of motion. The 10-mo course of therapeutic yoga resulted in improved LBP; improved flexion of the patient's hips, knees, and ankles; improved propulsion phase of walking; and improvement in the patient's ability to stand and balance without an assistive device. The effect of yoga therapy on the patient in this case study aligns with current QOL improvements noted in current research on yoga therapy for neurological disorders. The described concepts and methods of employing therapeutic yoga provide insights for clinicians into a modality that is low risk and low cost and that can support individuals with other neurological disorders, such as multiple sclerosis (MS), fibromyalgia (FM), and diseases of the peripheral nervous system. Further study is warranted to help determine the safety and efficacy of yoga therapy for these conditions. ###Answer 1. Changed The meaning of the target word ""dexterity"" has changed significantly between the two sentences. In Sentence A, dexterity is defined as the ability to perform daily activities, including physical tasks like standing and walking, and cognitive tasks like assessing one's own disability. In Sentence B, dexterity is defined as the ability to perform specific physical tasks, such as balancing and walking, without an assistive device. The shift in meaning suggests that the term ""dexterity"" has undergone semantic drift." 44,Dexterity,"Thirty-three outpatient epileptics with normal CT scans (group 1) and 31 patients with cerebellar and brain stem (CBS) atrophy (group 2) were randomly included in this study. There were no significant statistical differences between the groups with regard to age, education, and number of grand mal and other seizures. Statistical analyses showed that group 2 had a longer history of epilepsy with a consequently longer duration of phenytoin (PHT) consumption. Neuropsychological assessment revealed lower performance by this group on the following measures: full I.Q. scale, verbal I.Q. scale, performance I.Q. scale, information, arithmetic, block design, object assembly, digit symbol, Stroop test forms I and II, the B-M dexterity test, and the simple visual and auditory reaction time. No significant differences were observed between the two groups for the remaining 5 subtests from the WAIS scale, for the immediate recall and the delayed recall subtests belonging to Wechsler memory scale as well as for visual and auditory movement time. Analysis of the composite scores of neuropsychological performance showed that the cerebellum interferes with the following complex behavioral functions: (i) visuo-spatial organization for a concrete task, a function related to the cerebello-parietal loops' (ii) planning and programming of daily activities, a function related to the cerebello-frontal loops; and (iii) the speed of information processing, a mainly subcortical function.","Symptomatic cervical spondylosis is a progressive degenerative condition of the cervical spine commonly resulting in functionally-limiting pain, weakness, and/or limited dexterity. Symptomatic cervical spondylosis is believed to occur at higher rates in military aviators than civilian counterparts and is a disqualifying condition for all Navy and Marine Corps aircrew. This condition is non-waiverable for tactical jet (ejection-seat-based) aviators. Medical attrition of experienced tactical jet aircrew from the military aviation community results in substantial cost to the U.S. Government, reduces fleet combat capability, and adversely impacts career progression and retention. The clinical maturation of cervical total disc replacement (TDR) technology over the last 2 decades has revolutionized the treatment of symptomatic cervical spondylosis and enabled a return to duty for hundreds of military service members in non-aviation fields. TDR studies demonstrate equal or superior functional outcomes, rates of symptom resolution, reduced complication and reoperation rates, and lower long-term cost compared to traditional Anterior Cervical Discectomy and Fusion (ACDF). Although initial computational modeling studies have evaluated cervical arthroplasty performance during rotary-wing crash impacts, safety within the dynamic tactical jet environment has not yet been established. The purpose of this article is to review factors relevant to TDR safety and outcomes and to propose a framework to evaluate the safety of TDR in Navy and Marine Corps tactical jet aircrew, to ultimately inform aeromedical algorithms regarding return to flight after TDR.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dexterity Sentence A: Thirty-three outpatient epileptics with normal CT scans (group 1) and 31 patients with cerebellar and brain stem (CBS) atrophy (group 2) were randomly included in this study. There were no significant statistical differences between the groups with regard to age, education, and number of grand mal and other seizures. Statistical analyses showed that group 2 had a longer history of epilepsy with a consequently longer duration of phenytoin (PHT) consumption. Neuropsychological assessment revealed lower performance by this group on the following measures: full I.Q. scale, verbal I.Q. scale, performance I.Q. scale, information, arithmetic, block design, object assembly, digit symbol, Stroop test forms I and II, the B-M dexterity test, and the simple visual and auditory reaction time. No significant differences were observed between the two groups for the remaining 5 subtests from the WAIS scale, for the immediate recall and the delayed recall subtests belonging to Wechsler memory scale as well as for visual and auditory movement time. Analysis of the composite scores of neuropsychological performance showed that the cerebellum interferes with the following complex behavioral functions: (i) visuo-spatial organization for a concrete task, a function related to the cerebello-parietal loops' (ii) planning and programming of daily activities, a function related to the cerebello-frontal loops; and (iii) the speed of information processing, a mainly subcortical function. Sentence B: Symptomatic cervical spondylosis is a progressive degenerative condition of the cervical spine commonly resulting in functionally-limiting pain, weakness, and/or limited dexterity. Symptomatic cervical spondylosis is believed to occur at higher rates in military aviators than civilian counterparts and is a disqualifying condition for all Navy and Marine Corps aircrew. This condition is non-waiverable for tactical jet (ejection-seat-based) aviators. Medical attrition of experienced tactical jet aircrew from the military aviation community results in substantial cost to the U.S. Government, reduces fleet combat capability, and adversely impacts career progression and retention. The clinical maturation of cervical total disc replacement (TDR) technology over the last 2 decades has revolutionized the treatment of symptomatic cervical spondylosis and enabled a return to duty for hundreds of military service members in non-aviation fields. TDR studies demonstrate equal or superior functional outcomes, rates of symptom resolution, reduced complication and reoperation rates, and lower long-term cost compared to traditional Anterior Cervical Discectomy and Fusion (ACDF). Although initial computational modeling studies have evaluated cervical arthroplasty performance during rotary-wing crash impacts, safety within the dynamic tactical jet environment has not yet been established. The purpose of this article is to review factors relevant to TDR safety and outcomes and to propose a framework to evaluate the safety of TDR in Navy and Marine Corps tactical jet aircrew, to ultimately inform aeromedical algorithms regarding return to flight after TDR. ###Answer 1. Changed Reasoning: The meaning of ""dexterity"" has shifted significantly between the two sentences. In Sentence A, ""dexterity"" is used to describe the cognitive and motor functions of patients with cerebellar and brain stem atrophy, including their ability to perform various neuropsychological tasks. In Sentence B, ""dexterity"" is used to describe the functional limitations of individuals with symptomatic cervical spondylosis, including their ability to perform daily activities and flight duties. The context and meaning of the word have changed, indicating semantic drift." 45,Dexterity,"Evaluation of the patient with upper limb cumulative trauma disorder (CTD) requires use of both qualitative and quantitative measures. The clinical evaluations are reviewed, which include tests for range of motion, strength, limb size, sensation, and dexterity. Essential observations for identifying and describing the presentation of posture, symptoms, and painful events are illustrated for qualitative descriptions related to work activities and activities of daily living (ADL). Therapeutic intervention is described in two sequential stages: calming of symptoms and then control of symptoms. ","Intraoperative MRI has been increasingly used to robotically deliver electrodes and catheters into the human brain using a linear trajectory with great clinical success. Current cranial MR guided robotics do not allow for continuous real-time imaging during the procedure because most surgical instruments are not MR-conditional. MRI guided robotic cranial surgery can achieve its full potential if all the traditional advantages of robotics (such as tremor-filtering, precision motion scaling, etc.) can be incorporated with the neurosurgeon physically present in the MRI bore or working remotely through controlled robotic arms. The technological limitations of design optimization, choice of sensing, kinematic modeling, physical constraints, and real-time control had hampered early developments in this emerging field, but continued research and development in these areas over time has granted neurosurgeons far greater confidence in using cranial robotic techniques. This article elucidates the role of MR-guided robotic procedures using clinical devices like NeuroBlate and Clearpoint that have several thousands of cases operated in a ""linear cranial trajectory"" and planned clinical trials, such as LAANTERN for MR guided robotics in cranial neurosurgery using LITT and MR-guided putaminal delivery of AAV2 GDNF in Parkinson's disease. The next logical improvisation would be a steerable curvilinear trajectory in cranial robotics with added DOFs and distal tip dexterity to the neurosurgical tools. Similarly, the novel concept of robotic actuators that are powered, imaged, and controlled by the MRI itself is discussed in this article, with its potential for seamless cranial neurosurgery.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dexterity Sentence A: Evaluation of the patient with upper limb cumulative trauma disorder (CTD) requires use of both qualitative and quantitative measures. The clinical evaluations are reviewed, which include tests for range of motion, strength, limb size, sensation, and dexterity. Essential observations for identifying and describing the presentation of posture, symptoms, and painful events are illustrated for qualitative descriptions related to work activities and activities of daily living (ADL). Therapeutic intervention is described in two sequential stages: calming of symptoms and then control of symptoms. Sentence B: Intraoperative MRI has been increasingly used to robotically deliver electrodes and catheters into the human brain using a linear trajectory with great clinical success. Current cranial MR guided robotics do not allow for continuous real-time imaging during the procedure because most surgical instruments are not MR-conditional. MRI guided robotic cranial surgery can achieve its full potential if all the traditional advantages of robotics (such as tremor-filtering, precision motion scaling, etc.) can be incorporated with the neurosurgeon physically present in the MRI bore or working remotely through controlled robotic arms. The technological limitations of design optimization, choice of sensing, kinematic modeling, physical constraints, and real-time control had hampered early developments in this emerging field, but continued research and development in these areas over time has granted neurosurgeons far greater confidence in using cranial robotic techniques. This article elucidates the role of MR-guided robotic procedures using clinical devices like NeuroBlate and Clearpoint that have several thousands of cases operated in a ""linear cranial trajectory"" and planned clinical trials, such as LAANTERN for MR guided robotics in cranial neurosurgery using LITT and MR-guided putaminal delivery of AAV2 GDNF in Parkinson's disease. The next logical improvisation would be a steerable curvilinear trajectory in cranial robotics with added DOFs and distal tip dexterity to the neurosurgical tools. Similarly, the novel concept of robotic actuators that are powered, imaged, and controlled by the MRI itself is discussed in this article, with its potential for seamless cranial neurosurgery. ###Answer 1. Changed Reasoning: The meaning of the word ""dexterity"" has shifted significantly between the two sentences. In Sentence A, dexterity is used to describe the patient's ability to perform range of motion, strength, and sensation tests. In contrast, in Sentence B, dexterity is used to describe the design of neurosurgical tools, specifically the addition of distal tip dexterity and degrees of freedom (DOFs) to enable seamless cranial neurosurgery. The shift in meaning suggests that the term ""dexterity"" has undergone semantic drift." 46,Dexterity,"The da Vinci robotic system can be used to perform dismembered and nondismembered pyeloplasty techniques effectively. Robotics not only seems to improve dexterity and surgical precision but also provides an ergonomic surgical environment for a surgeon performing complex reconstructive procedures such as pyeloplasty. Although performance-enhancing features of the da Vinci robot seem to decrease the difficulty of intracorporeal suturing, a learning curve also exists for telerobotic procedures. This learning curve may decrease as experience with telerobotics increases and as advances in technology are introduced. Presently, the interaction between the primary and assistant surgeon seems crucial to the success of the procedure. Although the early clinical experience with robotic pyeloplasty is favorable, continuing clinical evaluation and careful follow-up are required to determine if the procedure is as efficacious in the long run as open pyeloplasty and laparoscopic pyeloplasty.","How a species uses its anatomical manipulators is determined by its anatomy, physiology, and ecology. While ecology explains interspecific variation in gripping, grasping, and manipulating objects, its role in intraspecific variation in mouth- and hand-use by animals is less explored. Primates are distinguished by their prehensile capabilities and manual dexterity. In context to the adaptive pressures of urbanization on primates, we examined if mouth and hand use differed across the forest-urban gradient in food retrieval and processing under experimental and naturalistic conditions in cercopithecids, a family comprising several urbanizing primates.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dexterity Sentence A: The da Vinci robotic system can be used to perform dismembered and nondismembered pyeloplasty techniques effectively. Robotics not only seems to improve dexterity and surgical precision but also provides an ergonomic surgical environment for a surgeon performing complex reconstructive procedures such as pyeloplasty. Although performance-enhancing features of the da Vinci robot seem to decrease the difficulty of intracorporeal suturing, a learning curve also exists for telerobotic procedures. This learning curve may decrease as experience with telerobotics increases and as advances in technology are introduced. Presently, the interaction between the primary and assistant surgeon seems crucial to the success of the procedure. Although the early clinical experience with robotic pyeloplasty is favorable, continuing clinical evaluation and careful follow-up are required to determine if the procedure is as efficacious in the long run as open pyeloplasty and laparoscopic pyeloplasty. Sentence B: How a species uses its anatomical manipulators is determined by its anatomy, physiology, and ecology. While ecology explains interspecific variation in gripping, grasping, and manipulating objects, its role in intraspecific variation in mouth- and hand-use by animals is less explored. Primates are distinguished by their prehensile capabilities and manual dexterity. In context to the adaptive pressures of urbanization on primates, we examined if mouth and hand use differed across the forest-urban gradient in food retrieval and processing under experimental and naturalistic conditions in cercopithecids, a family comprising several urbanizing primates. ###Answer 1. Changed Reasoning: In Sentence A, the term ""dexterity"" is used to describe the robot's ability to perform surgical procedures with precision and accuracy. The context suggests that the term is used to convey the idea of the robot's technical proficiency and ability to execute complex tasks with ease. In contrast, in Sentence B, the term ""dexterity"" is used to describe the physical capabilities of primates, specifically their ability to grasp and manipulate objects. The context suggests that the term is used to convey the idea of the primates' manual dexterity and adaptability to different environments. In Sentence A, the meaning of ""dexterity"" has shifted to emphasize the robot's technical capabilities, whereas in Sentence B, the meaning of ""dexterity"" emphasizes the primates' physical abilities. Therefore, the label ""Changed"" is appropriate for this task." 47,Dexterity,"Dipropylacetic acid (DPA), gamma-aminobutyric acid (GABA), physostigmine, CB 154 and butyrophenones were administered to 26 patients affected by Huntington's chorea. The evaluation of the pharmacologic activity of the different drugs was determined by means of some clinical parameters and motor performance tests. Butyrophenones succeeded to ameliorate the hyperkinesias and the motor dexterity, CB 154 provoked a worsening of the motor signs of the disorder, while DPA, GABA and physostigmine did not modify the clinical pattern. The relationship between these results and the Hungtington's chorea physiopathology is discussed and a hypersensitivity of DA receptors is suggested.","Combating environmental pollution demands a focus on sustainability, in particular from rapidly advancing technologies that are poised to be ubiquitous in modern societies. Among these, soft robotics promises to replace conventional rigid machines for applications requiring adaptability and dexterity. For key components of soft robots, such as soft actuators, it is thus important to explore sustainable options like bioderived and biodegradable materials. We introduce systematically determined compatible materials systems for the creation of fully biodegradable, high-performance electrohydraulic soft actuators, based on various biodegradable polymer films, ester-based liquid dielectric, and NaCl-infused gelatin hydrogel. We demonstrate that these biodegradable actuators reliably operate up to high electric fields of 200 V/μm, show performance comparable to nonbiodegradable counterparts, and survive more than 100,000 actuation cycles. Furthermore, we build a robotic gripper based on biodegradable soft actuators that is readily compatible with commercial robot arms, encouraging wider use of biodegradable materials systems in soft robotics.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dexterity Sentence A: Dipropylacetic acid (DPA), gamma-aminobutyric acid (GABA), physostigmine, CB 154 and butyrophenones were administered to 26 patients affected by Huntington's chorea. The evaluation of the pharmacologic activity of the different drugs was determined by means of some clinical parameters and motor performance tests. Butyrophenones succeeded to ameliorate the hyperkinesias and the motor dexterity, CB 154 provoked a worsening of the motor signs of the disorder, while DPA, GABA and physostigmine did not modify the clinical pattern. The relationship between these results and the Hungtington's chorea physiopathology is discussed and a hypersensitivity of DA receptors is suggested. Sentence B: Combating environmental pollution demands a focus on sustainability, in particular from rapidly advancing technologies that are poised to be ubiquitous in modern societies. Among these, soft robotics promises to replace conventional rigid machines for applications requiring adaptability and dexterity. For key components of soft robots, such as soft actuators, it is thus important to explore sustainable options like bioderived and biodegradable materials. We introduce systematically determined compatible materials systems for the creation of fully biodegradable, high-performance electrohydraulic soft actuators, based on various biodegradable polymer films, ester-based liquid dielectric, and NaCl-infused gelatin hydrogel. We demonstrate that these biodegradable actuators reliably operate up to high electric fields of 200 V/μm, show performance comparable to nonbiodegradable counterparts, and survive more than 100,000 actuation cycles. Furthermore, we build a robotic gripper based on biodegradable soft actuators that is readily compatible with commercial robot arms, encouraging wider use of biodegradable materials systems in soft robotics. ###Answer 1. Changed Explanation: In Sentence A, the term ""dexterity"" is used to describe the ability of a drug to improve motor performance tests in patients with Huntington's chorea. The context suggests that the term refers to the patient's ability to perform specific motor tasks, such as walking or writing. However, in Sentence B, the term ""dexterity"" is used in a different context to describe the adaptability and flexibility of soft robotic systems. In this context, the term ""dexterity"" refers to the ability of the robot to perform tasks with precision and accuracy, without being rigid or inflexible. Based on these differences in context and meaning, it can be argued that the term ""dexterity"" has undergone a significant change in meaning between Sentence A and Sentence B. In Sentence A, the term is used to describe a specific aspect of motor function, while in Sentence B, it is used to describe a broader aspect of robot performance. Therefore, the label ""Changed"" is appropriate to indicate that the meaning of the term ""dexterity"" has shifted over time." 48,Dexterity,"15 asthmatics of 7-14 years of age were trained in a special judo training group together with healthy children. The step-like training programme was composed in such a manner that an exercise-induced bronchospasm was kept as low as possible whereas the coordination, flexibility, physical and psychical resistance were improved. By means of adapted lung function tests the children were controlled, the aim was not so much to prove an improvement of functional values but rather to avoid injuries. Reactions confirmed by means of the sensitive flow-volume curve method did not present any clinical problems. Exercise-induced reactions occurred most frequently, if at all, after a warming-up phase and in the middle of the 14 training weeks. Both at the end of every lesson and at the end of the whole training course the number and internity of reactions decreased. Children suffering from exercise-induced asthma could be trained by means of judo sport without any problems. A combatant sport, such as judo, is particularly qualified for the improvement of motivation, coordination, dexterity and integration into the community of healthy children to increase self-confidence. Asthma sport groups are a medical and paedagogical necessity.","The neurological basis of developmental coordination disorder (DCD) is thought to be deficits in the internal model and mirror-neuron system (MNS) in the parietal lobe and cerebellum. However, it is not clear if the visuo-motor temporal integration in the internal model and automatic-imitation function in the MNS differs between children with DCD and those with typical development (TD). The current study aimed to investigate these differences. Using the manual dexterity test of the Movement Assessment Battery for Children (second edition), the participants were either assigned to the probable DCD (pDCD) group or TD group. The former was comprised of 29 children with clumsy manual dexterity, while the latter consisted of 42 children with normal manual dexterity. Visuo-motor temporal integration ability and automatic-imitation function were measured using the delayed visual feedback detection task and motor interference task, respectively. Further, the current study investigated whether autism-spectrum disorder (ASD) traits, attention-deficit hyperactivity disorder (ADHD) traits, and depressive symptoms differed among the two groups, since these symptoms are frequent comorbidities of DCD. In addition, correlation and multiple regression analyses were performed to extract factors affecting clumsy manual dexterity. In the results, the delay-detection threshold (DDT) and steepness of the delay-detection probability curve, which indicated visuo-motor temporal integration ability, were significantly prolonged and decreased, respectively, in children with pDCD. The interference effect, which indicated automatic-imitation function, was also significantly reduced in this group. These results highlighted that children with clumsy manual dexterity have deficits in visuo-motor temporal integration and automatic-imitation function. There was a significant correlation between manual dexterity, and measures of visuo-motor temporal integration, and ASD traits and ADHD traits and ASD. Multiple regression analysis revealed that the DDT, which indicated visuo-motor temporal integration, was the greatest predictor of poor manual dexterity. The current results supported and provided further evidence for the internal model deficit hypothesis. Further, they suggested a neurorehabilitation technique that improved visuo-motor temporal integration could be therapeutically effective for children with DCD.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dexterity Sentence A: 15 asthmatics of 7-14 years of age were trained in a special judo training group together with healthy children. The step-like training programme was composed in such a manner that an exercise-induced bronchospasm was kept as low as possible whereas the coordination, flexibility, physical and psychical resistance were improved. By means of adapted lung function tests the children were controlled, the aim was not so much to prove an improvement of functional values but rather to avoid injuries. Reactions confirmed by means of the sensitive flow-volume curve method did not present any clinical problems. Exercise-induced reactions occurred most frequently, if at all, after a warming-up phase and in the middle of the 14 training weeks. Both at the end of every lesson and at the end of the whole training course the number and internity of reactions decreased. Children suffering from exercise-induced asthma could be trained by means of judo sport without any problems. A combatant sport, such as judo, is particularly qualified for the improvement of motivation, coordination, dexterity and integration into the community of healthy children to increase self-confidence. Asthma sport groups are a medical and paedagogical necessity. Sentence B: The neurological basis of developmental coordination disorder (DCD) is thought to be deficits in the internal model and mirror-neuron system (MNS) in the parietal lobe and cerebellum. However, it is not clear if the visuo-motor temporal integration in the internal model and automatic-imitation function in the MNS differs between children with DCD and those with typical development (TD). The current study aimed to investigate these differences. Using the manual dexterity test of the Movement Assessment Battery for Children (second edition), the participants were either assigned to the probable DCD (pDCD) group or TD group. The former was comprised of 29 children with clumsy manual dexterity, while the latter consisted of 42 children with normal manual dexterity. Visuo-motor temporal integration ability and automatic-imitation function were measured using the delayed visual feedback detection task and motor interference task, respectively. Further, the current study investigated whether autism-spectrum disorder (ASD) traits, attention-deficit hyperactivity disorder (ADHD) traits, and depressive symptoms differed among the two groups, since these symptoms are frequent comorbidities of DCD. In addition, correlation and multiple regression analyses were performed to extract factors affecting clumsy manual dexterity. In the results, the delay-detection threshold (DDT) and steepness of the delay-detection probability curve, which indicated visuo-motor temporal integration ability, were significantly prolonged and decreased, respectively, in children with pDCD. The interference effect, which indicated automatic-imitation function, was also significantly reduced in this group. These results highlighted that children with clumsy manual dexterity have deficits in visuo-motor temporal integration and automatic-imitation function. There was a significant correlation between manual dexterity, and measures of visuo-motor temporal integration, and ASD traits and ADHD traits and ASD. Multiple regression analysis revealed that the DDT, which indicated visuo-motor temporal integration, was the greatest predictor of poor manual dexterity. The current results supported and provided further evidence for the internal model deficit hypothesis. Further, they suggested a neurorehabilitation technique that improved visuo-motor temporal integration could be therapeutically effective for children with DCD. ###Answer 1. Changed The meaning of the target word ""dexterity"" has changed significantly between the two sentences. In Sentence A, the word is used to describe the physical coordination and flexibility of children with asthma, emphasizing their ability to perform exercises without problems. In Sentence B, the word is used to describe the neurological basis of developmental coordination disorder (DCD), highlighting deficits in the internal model and mirror-neuron system (MNS) in the parietal lobe and cerebellum. The word's connotation has shifted from a positive attribute to a medical condition, indicating a significant change in meaning." 49,Dexterity,"To explore circadian variation in pain, stiffness, and manual dexterity in patients with hand osteoarthritis (OA).",This study was performed to assess the practical laparoscopic training in Gynecological Endoscopy Working Group (AGE) certified Training Centers (TC) and evaluate the possible implementation for a manual dexterity skills-training within the Minimal Invasive Surgery (MIC) certification process.,"###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dexterity Sentence A: To explore circadian variation in pain, stiffness, and manual dexterity in patients with hand osteoarthritis (OA). Sentence B: This study was performed to assess the practical laparoscopic training in Gynecological Endoscopy Working Group (AGE) certified Training Centers (TC) and evaluate the possible implementation for a manual dexterity skills-training within the Minimal Invasive Surgery (MIC) certification process. ###Answer 1. Changed Explanation: In Sentence A, ""dexterity"" refers to the manual skill and coordination of the hands to perform tasks such as grasping, manipulating, and typing. However, in Sentence B, ""dexterity"" is used to describe the practical laparoscopic training in gynecological endoscopy. The term has shifted its meaning to focus more on the technical skills required for a specific medical procedure. This change in meaning indicates semantic drift, and therefore the label ""Changed"" is appropriate." 50,Dexterity,"The aim of this study was to evaluate whether children with congenital hemiplegia show abnormal hand function on the non-hemiplegic side and whether this, if present, can be related to the type and extent of brain lesions on MRI. Twenty-two children with congenital hemiplegia of age ranging between 4.8 and 12.3 years, were assessed with a clinical and MRI assessment. Clinical assessment included a structured neurological examination, assessment of hand grips and the Movement Assessment Battery for Children which also includes one item assessing speed and accuracy in each hand. The results showed that 64% of the children studied showed some degree of functional impairment of the non-hemiplegic hand. Manual dexterity 1 from the Movement ABC was, in our experience, a more sensitive tool to detect minor functional abnormalities than the evaluation of hand grips. The severity of the impairment on the non-hemiplegic side was not significantly related to the severity of impairment in the hemiplegic hand (p > 0.05). In contrast, a significant association was found with the site of lesions as hand function in the non-hemiplegic hand was always normal in children with unilateral lesion and abnormal in the ones with bilateral parenchymal lesions (p < 0.05). Children with predominantly unilateral lesions but with bilateral ventricular dilatation or periventricular changes showed more variable results."," Humans rely on touch and tactile sensing for a lot of dexterous manipulation tasks. Our tactile sensing provides us with a lot of information regarding contact formations as well as geometric information about objects during any interaction. With this motivation, vision-based tactile sensors are being widely used for various robotic perception and control tasks. In this paper, we present a method for interactive perception using vision-based tactile sensors for a part mating task, where a robot can use tactile sensors and a feedback mechanism using a particle filter to incrementally improve its estimate of objects (pegs and holes) that fit together. To do this, we first train a deep neural network that makes use of tactile images to predict the probabilistic correspondence between arbitrarily shaped objects that fit together. The trained model is used to design a particle filter which is used twofold. First, given one partial (or non-unique) observation of the hole, it incrementally improves the estimate of the correct peg by sampling more tactile observations. Second, it selects the next action for the robot to sample the next touch (and thus image) which results in maximum uncertainty reduction to minimize the number of interactions during the perception task. We evaluate our method on several part-mating tasks with novel objects using a robot equipped with a vision-based tactile sensor. We also show the efficiency of the proposed action selection method against a naive method. See supplementary video at https://www.youtube.com/watch?v=jMVBg_e3gLw . ","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dexterity Sentence A: The aim of this study was to evaluate whether children with congenital hemiplegia show abnormal hand function on the non-hemiplegic side and whether this, if present, can be related to the type and extent of brain lesions on MRI. Twenty-two children with congenital hemiplegia of age ranging between 4.8 and 12.3 years, were assessed with a clinical and MRI assessment. Clinical assessment included a structured neurological examination, assessment of hand grips and the Movement Assessment Battery for Children which also includes one item assessing speed and accuracy in each hand. The results showed that 64% of the children studied showed some degree of functional impairment of the non-hemiplegic hand. Manual dexterity 1 from the Movement ABC was, in our experience, a more sensitive tool to detect minor functional abnormalities than the evaluation of hand grips. The severity of the impairment on the non-hemiplegic side was not significantly related to the severity of impairment in the hemiplegic hand (p > 0.05). In contrast, a significant association was found with the site of lesions as hand function in the non-hemiplegic hand was always normal in children with unilateral lesion and abnormal in the ones with bilateral parenchymal lesions (p < 0.05). Children with predominantly unilateral lesions but with bilateral ventricular dilatation or periventricular changes showed more variable results. Sentence B: Humans rely on touch and tactile sensing for a lot of dexterous manipulation tasks. Our tactile sensing provides us with a lot of information regarding contact formations as well as geometric information about objects during any interaction. With this motivation, vision-based tactile sensors are being widely used for various robotic perception and control tasks. In this paper, we present a method for interactive perception using vision-based tactile sensors for a part mating task, where a robot can use tactile sensors and a feedback mechanism using a particle filter to incrementally improve its estimate of objects (pegs and holes) that fit together. To do this, we first train a deep neural network that makes use of tactile images to predict the probabilistic correspondence between arbitrarily shaped objects that fit together. The trained model is used to design a particle filter which is used twofold. First, given one partial (or non-unique) observation of the hole, it incrementally improves the estimate of the correct peg by sampling more tactile observations. Second, it selects the next action for the robot to sample the next touch (and thus image) which results in maximum uncertainty reduction to minimize the number of interactions during the perception task. We evaluate our method on several part-mating tasks with novel objects using a robot equipped with a vision-based tactile sensor. We also show the efficiency of the proposed action selection method against a naive method. See supplementary video at https://www.youtube.com/watch?v=jMVBg_e3gLw . ###Answer 1. Changed Reasoning: In Sentence A, the term ""dexterity"" is used in the context of evaluating the hand function of children with congenital hemiplegia. The sentence highlights the impairment in the non-hemiplegic side of the hand, which suggests that the term ""dexterity"" in this context refers to the ability to perform precise movements with the hand. In Sentence B, the term ""dexterity"" is used in a different context, referring to the ability to manipulate objects through touch and tactile sensing. The sentence highlights the importance of vision-based tactile sensors for interactive perception tasks, such as part mating. The term ""dexterity"" in this context refers to the ability to perform manipulations with precision and accuracy, using both vision and tactile sensing. Based on these contexts, it is clear that the meaning of ""dexterity"" has shifted between Sentence A and Sentence B. In Sentence A, the term refers to the ability to perform precise movements with the hand, while in Sentence B, it refers to the ability to perform manipulations with precision and accuracy using both vision and tactile sensing. Therefore, the label ""Changed"" is appropriate." 51,Dexterity,"Hemispheric asymmetry of sensory-motor control has been hypothesized on the basis of clinical and experimental data, but discrepant data indicate asymmetry may vary with task requirements. To examine this possibility, the performance of normal controls and patients with right or left hemispheric tumors were compared on a variety of motor tasks of varying complexity. Group differences were significant only for the two most complex of six tasks; since these two tasks differ in quality (proximal steadiness and distal dexterity), it is unlikely that quality differences are crucial. On these tasks, the group with left hemisphere damage demonstrated bilateral impairment while the right hemisphere group's deficits were contralateral to lesion site. These results support previous data and Liepmann's hypothesis of hemispheric asymmetry of sensory-motor control. Task complexity and the more specific hypothesis of sensory-motor sequencing are important factors influencing hemispheric asymmetry of control.",The radial and ulnar thumb digital nerves are critical for tactile sensation and dexterity in the hand. This cadaveric study sought to validate a surface landmark for the bifurcation of the thumb radial digital nerve (RDN) and ulnar digital nerve (UDN).,"###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dexterity Sentence A: Hemispheric asymmetry of sensory-motor control has been hypothesized on the basis of clinical and experimental data, but discrepant data indicate asymmetry may vary with task requirements. To examine this possibility, the performance of normal controls and patients with right or left hemispheric tumors were compared on a variety of motor tasks of varying complexity. Group differences were significant only for the two most complex of six tasks; since these two tasks differ in quality (proximal steadiness and distal dexterity), it is unlikely that quality differences are crucial. On these tasks, the group with left hemisphere damage demonstrated bilateral impairment while the right hemisphere group's deficits were contralateral to lesion site. These results support previous data and Liepmann's hypothesis of hemispheric asymmetry of sensory-motor control. Task complexity and the more specific hypothesis of sensory-motor sequencing are important factors influencing hemispheric asymmetry of control. Sentence B: The radial and ulnar thumb digital nerves are critical for tactile sensation and dexterity in the hand. This cadaveric study sought to validate a surface landmark for the bifurcation of the thumb radial digital nerve (RDN) and ulnar digital nerve (UDN). ###Answer 1. Changed Reasoning: In Sentence A, the target word ""dexterity"" is used in the context of motor tasks of varying complexity. The sentence suggests that the ability to perform complex tasks is related to hemispheric asymmetry of sensory-motor control, with the left hemisphere being more involved in tasks that require proximal steadiness and distal dexterity. In this context, ""dexterity"" refers to the ability to perform precise and coordinated movements, which is critical for tasks that require fine motor skills. In Sentence B, the target word ""dexterity"" is used in the context of tactile sensation and hand function. The sentence highlights the importance of the radial and ulnar thumb digital nerves in providing sensation and dexterity to the hand. In this context, ""dexterity"" refers to the ability to manipulate objects with precision and dexterity, which is critical for everyday activities such as grasping and manipulating objects. Comparing the two sentences, it is clear that the meaning of ""dexterity"" has shifted. In Sentence A, the term refers to the ability to perform complex motor tasks, while in Sentence B, it refers to the ability to manipulate objects with precision and dexterity. Therefore, the label ""Changed"" is appropriate for this task." 52,Dexterity,"Children with hemiplegic cerebral palsy (OP) commonly exhibit tactile sensory deficiencies in their hands in addition to their motor problems. The aim of this study was to compare and evaluate the usefulness of some common tests of tactile sensibility for use with children with hemiplegic CP. Twenty-five children with hemiplegia aged between 5 and 18 years, and 19 control individuals participated. All children were examined with Semmes-Weinstein monofilaments, two-point discrimination (2PD), stereognosis of familiar objects, stereognosis of forms, and functional sensibility. Dexterity, spasticity, and bimanual task performance were also assessed. Results from the different sensory tests deviated greatly. We found three tests to be useful: 2PD of 3 mm spacing, which was the most sensitive test, stereognosis of familiar objects, and functional sensibility assessed through the Pick-up test (comparing performance with and without the influence of vision). Stereognosis of forms and threshold values of touch (Semmes-Weinstein monofilaments) are seemingly less useful tests for children with CNS impairments. Deficient sensibility was strongly related to dexterity. Aspects concerning the testing methodology are discussed."," The Event Horizon Telescope (EHT) has recently delivered the first resolved images of M87*, the supermassive black hole in the center of the M87 galaxy. These images were produced using 230 GHz observations performed in 2017 April. Additional observations are required to investigate the persistence of the primary image feature - a ring with azimuthal brightness asymmetry - and to quantify the image variability on event horizon scales. To address this need, we analyze M87* data collected with prototype EHT arrays in 2009, 2011, 2012, and 2013. While these observations do not contain enough information to produce images, they are sufficient to constrain simple geometric models. We develop a modeling approach based on the framework utilized for the 2017 EHT data analysis and validate our procedures using synthetic data. Applying the same approach to the observational data sets, we find the M87* morphology in 2009-2017 to be consistent with a persistent asymmetric ring of ~40 uas diameter. The position angle of the peak intensity varies in time. In particular, we find a significant difference between the position angle measured in 2013 and 2017. These variations are in broad agreement with predictions of a subset of general relativistic magnetohydrodynamic simulations. We show that quantifying the variability across multiple observational epochs has the potential to constrain the physical properties of the source, such as the accretion state or the black hole spin. ","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dexterity Sentence A: Children with hemiplegic cerebral palsy (OP) commonly exhibit tactile sensory deficiencies in their hands in addition to their motor problems. The aim of this study was to compare and evaluate the usefulness of some common tests of tactile sensibility for use with children with hemiplegic CP. Twenty-five children with hemiplegia aged between 5 and 18 years, and 19 control individuals participated. All children were examined with Semmes-Weinstein monofilaments, two-point discrimination (2PD), stereognosis of familiar objects, stereognosis of forms, and functional sensibility. Dexterity, spasticity, and bimanual task performance were also assessed. Results from the different sensory tests deviated greatly. We found three tests to be useful: 2PD of 3 mm spacing, which was the most sensitive test, stereognosis of familiar objects, and functional sensibility assessed through the Pick-up test (comparing performance with and without the influence of vision). Stereognosis of forms and threshold values of touch (Semmes-Weinstein monofilaments) are seemingly less useful tests for children with CNS impairments. Deficient sensibility was strongly related to dexterity. Aspects concerning the testing methodology are discussed. Sentence B: The Event Horizon Telescope (EHT) has recently delivered the first resolved images of M87*, the supermassive black hole in the center of the M87 galaxy. These images were produced using 230 GHz observations performed in 2017 April. Additional observations are required to investigate the persistence of the primary image feature - a ring with azimuthal brightness asymmetry - and to quantify the image variability on event horizon scales. To address this need, we analyze M87* data collected with prototype EHT arrays in 2009, 2011, 2012, and 2013. While these observations do not contain enough information to produce images, they are sufficient to constrain simple geometric models. We develop a modeling approach based on the framework utilized for the 2017 EHT data analysis and validate our procedures using synthetic data. Applying the same approach to the observational data sets, we find the M87* morphology in 2009-2017 to be consistent with a persistent asymmetric ring of ~40 uas diameter. The position angle of the peak intensity varies in time. In particular, we find a significant difference between the position angle measured in 2013 and 2017. These variations are in broad agreement with predictions of a subset of general relativistic magnetohydrodynamic simulations. We show that quantifying the variability across multiple observational epochs has the potential to constrain the physical properties of the source, such as the accretion state or the black hole spin. ###Answer 1. Changed Reasoning: The meaning of ""dexterity"" has shifted in Sentence B compared to Sentence A. In Sentence A, ""dexterity"" refers to the tactile sensory deficiencies in children with hemiplegic cerebral palsy, implying a lack of coordination or dexterity in their hands due to neurological damage. In contrast, in Sentence B, ""dexterity"" is used to describe the resolution of the Event Horizon Telescope (EHT) images of M87*, which is a supermassive black hole. This shift in meaning suggests that the term ""dexterity"" has undergone semantic drift and now has a different connotation." 53,Dexterity,"The use of robotics is a recent innovation in surgery. In addition to dexterity enhancement and motion scaling, this new technology opens the horizon of remote surgery. This latter advancement has potential use during surgery involving a high risk of patient-to-professional or professional-to-patient virus transmission. We investigated the feasibility of robotic assisted kidney transplantation.","Despite having many unique anatomic features relative to the other digits, the thumb has received little attention in the radiology literature. The thumb, with its opposable and prehensile abilities, enables fine manual dexterity. However, most radiologists have little familiarity with the structures that allow these dynamic movements, other than their recognition of the role of the ulnar collateral ligament in the setting of gamekeeper injury. High-resolution magnetic resonance (MR) imaging allows optimal assessment of the intricate soft-tissue anatomy of the thumb, which enables thumb flexion, extension, abduction, and adduction. Ultrasonography is a readily available, inexpensive tool that can supplement MR imaging in the evaluation of juxta-articular soft-tissue anatomy. Both imaging modalities are extremely useful for identifying the key ligaments responsible for stabilizing the first carpometacarpal and metacarpophalangeal joints. MR imaging is particularly important in assessment of these ligaments in both normal and trauma settings, which is essential for not only recognizing acute injuries but also becoming familiar with the morphologic variations that are potential pitfalls. To accurately and confidently diagnose abnormalities of these small soft-tissue structures, radiologists must have a clear understanding of the complexities associated with imaging the normal thumb anatomy. ","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dexterity Sentence A: The use of robotics is a recent innovation in surgery. In addition to dexterity enhancement and motion scaling, this new technology opens the horizon of remote surgery. This latter advancement has potential use during surgery involving a high risk of patient-to-professional or professional-to-patient virus transmission. We investigated the feasibility of robotic assisted kidney transplantation. Sentence B: Despite having many unique anatomic features relative to the other digits, the thumb has received little attention in the radiology literature. The thumb, with its opposable and prehensile abilities, enables fine manual dexterity. However, most radiologists have little familiarity with the structures that allow these dynamic movements, other than their recognition of the role of the ulnar collateral ligament in the setting of gamekeeper injury. High-resolution magnetic resonance (MR) imaging allows optimal assessment of the intricate soft-tissue anatomy of the thumb, which enables thumb flexion, extension, abduction, and adduction. Ultrasonography is a readily available, inexpensive tool that can supplement MR imaging in the evaluation of juxta-articular soft-tissue anatomy. Both imaging modalities are extremely useful for identifying the key ligaments responsible for stabilizing the first carpometacarpal and metacarpophalangeal joints. MR imaging is particularly important in assessment of these ligaments in both normal and trauma settings, which is essential for not only recognizing acute injuries but also becoming familiar with the morphologic variations that are potential pitfalls. To accurately and confidently diagnose abnormalities of these small soft-tissue structures, radiologists must have a clear understanding of the complexities associated with imaging the normal thumb anatomy. ###Answer 1. Changed Reasoning: The meaning of the target word ""dexterity"" has shifted significantly between the two sentences. In Sentence A, the word is used to describe the enhancement of robotic capabilities, particularly in the context of remote surgery. The focus is on the technical aspect of the technology, and the word is used to convey the idea of precision and accuracy. In Sentence B, the word is used in a completely different context, focusing on the anatomy of the thumb and its role in manual dexterity. The word is used to describe the intricate soft-tissue anatomy of the thumb and the ligaments responsible for stabilizing the joints. The focus is on the functional aspect of the thumb, and the word is used to convey the idea of precision and dexterity in a different sense. Given these differences in context and meaning, it is clear that the word ""dexterity"" has undergone semantic drift between the two sentences. Therefore, the label ""Changed"" is appropriate." 54,Dexterity,"In this paper, we applied variable degree, variable step size LMS algorithm to adaptive Morse code recognition for persons with impaired hand coordination and dexterity. The automatic recognition of Morse code by the disabled is difficult because they cannot maintain a stable typing rate. Therefore, a suitable adaptive automatic recognition method is needed. In this adaptive Morse code recognition method, three processes are involved: character separation, character recognition, and adaptive processing. Statistical analyses demonstrated that the proposed method resulted in a better recognition rate compared to alternative methods from the literature.","Slowing of motor performance in human aging is a well demonstrated clinical observation. Age-related motor decline has been also confirmed in animal models including rodents and non human primates. We studied the motor performance of 60 normal subjects (age: 20-87). Motor study included the four timed tests (TT) recommended in CAPIT protocol: pronation-supination (PS), finger dexterity (FD), movement between two points (MTP) or tapping, and walking test (WT). Finally we compared normal controls with a group of 30 patients with Parkinson's disease (PD) of similar age. Age inversely correlated with TT performance in normal subjects (for PS, r:0.33, p<0.01; FD, r:0.44, p<0.0005; MTP, r:0.51, p<0.0001; WT, r:0.59, p<0.0001, Pearson). Our results confirm that motor performance (measured with CAPIT TT) deteriorates linearly with age. Simple tasks, such as CAPIT TT can help to study and quantify age-related motor decline.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dexterity Sentence A: In this paper, we applied variable degree, variable step size LMS algorithm to adaptive Morse code recognition for persons with impaired hand coordination and dexterity. The automatic recognition of Morse code by the disabled is difficult because they cannot maintain a stable typing rate. Therefore, a suitable adaptive automatic recognition method is needed. In this adaptive Morse code recognition method, three processes are involved: character separation, character recognition, and adaptive processing. Statistical analyses demonstrated that the proposed method resulted in a better recognition rate compared to alternative methods from the literature. Sentence B: Slowing of motor performance in human aging is a well demonstrated clinical observation. Age-related motor decline has been also confirmed in animal models including rodents and non human primates. We studied the motor performance of 60 normal subjects (age: 20-87). Motor study included the four timed tests (TT) recommended in CAPIT protocol: pronation-supination (PS), finger dexterity (FD), movement between two points (MTP) or tapping, and walking test (WT). Finally we compared normal controls with a group of 30 patients with Parkinson's disease (PD) of similar age. Age inversely correlated with TT performance in normal subjects (for PS, r:0.33, p<0.01; FD, r:0.44, p<0.0005; MTP, r:0.51, p<0.0001; WT, r:0.59, p<0.0001, Pearson). Our results confirm that motor performance (measured with CAPIT TT) deteriorates linearly with age. Simple tasks, such as CAPIT TT can help to study and quantify age-related motor decline. ###Answer 1. Changed Reasoning: In Sentence A, the word ""dexterity"" is used to describe the ability of individuals with impaired hand coordination to recognize Morse code through an adaptive algorithm. The context implies that the ability to perform manual tasks with precision and coordination is essential for this task. However, in Sentence B, the word ""dexterity"" is used to describe the age-related decline in motor performance. In this context, ""dexterity"" refers to the ability to perform simple tasks with ease, which is unrelated to the ability to perform manual tasks with precision and coordination. Therefore, the meaning of the word ""dexterity"" has shifted from manual dexterity to general motor ability, indicating semantic drift." 55,Dexterity,"This study describes the development of a method for assessing the relationship between cognitive function, comprehension, and compliance with medication. We assessed multiple aspects of cognitive performance, medication planning ability, and medication compliance in a convenience sample of 20 outpatients. Using a test battery that measured mental status, attention/concentration, memory function, and motor strength and dexterity, we found that: (1) standard mental status assessment was poorly correlated with memory function; (2) attention/concentration and memory were related to medication planning accuracy; (3) motor dexterity and strength were related to the ability to access medications; and (4) visual perception and memory were the skills most strongly correlated with medication compliance. Findings suggest that aspects of attention/concentration, visual and verbal memory, and motor function which are untapped by simple mental status assessment are related to medication access, planning, and compliance in elderly patients.","Rett Syndrome is an x linked developmental disorder which becomes apparent in females after 6 to 18 months of age. It leads to severe impairments including loss of speech, loss of hand movements/manual dexterity, characteristic hand movements such as hang wringing and intellectual disability/learning problems. This systematic review was carried out to identify the dental manifestation of Rett syndrome and to shed light on treatment options available for oral health problems associated with Rett syndrome. A systematic literature search was conducted on the PubMed, Scopus, Biomed, Web of Science, Embase, Google Scholars, Cochrane and CINAHL using the following entries: Rett syndrome (","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dexterity Sentence A: This study describes the development of a method for assessing the relationship between cognitive function, comprehension, and compliance with medication. We assessed multiple aspects of cognitive performance, medication planning ability, and medication compliance in a convenience sample of 20 outpatients. Using a test battery that measured mental status, attention/concentration, memory function, and motor strength and dexterity, we found that: (1) standard mental status assessment was poorly correlated with memory function; (2) attention/concentration and memory were related to medication planning accuracy; (3) motor dexterity and strength were related to the ability to access medications; and (4) visual perception and memory were the skills most strongly correlated with medication compliance. Findings suggest that aspects of attention/concentration, visual and verbal memory, and motor function which are untapped by simple mental status assessment are related to medication access, planning, and compliance in elderly patients. Sentence B: Rett Syndrome is an x linked developmental disorder which becomes apparent in females after 6 to 18 months of age. It leads to severe impairments including loss of speech, loss of hand movements/manual dexterity, characteristic hand movements such as hang wringing and intellectual disability/learning problems. This systematic review was carried out to identify the dental manifestation of Rett syndrome and to shed light on treatment options available for oral health problems associated with Rett syndrome. A systematic literature search was conducted on the PubMed, Scopus, Biomed, Web of Science, Embase, Google Scholars, Cochrane and CINAHL using the following entries: Rett syndrome ( ###Answer 1. Changed Explanation: In Sentence A, the term ""dexterity"" is used to describe the ability to access medications, which suggests a more nuanced understanding of the term than in Sentence B. In Sentence B, ""dexterity"" is used solely to describe hand movements, with no mention of the ability to access medications. This suggests that the term ""dexterity"" has shifted its meaning over time, becoming more focused on fine motor skills rather than the broader concept of manual dexterity. Therefore, the label ""Changed"" is appropriate for this example." 56,Dexterity,"Hand function decreases with age in both men and women, especially after the age of 65 years. A review is presented of anatomical and physiological changes in the aging hand. The age-related changes in prehension patterns (grip and pinch strength) and hand dexterity in the elderly population are considered. Deterioration in hand function in the elderly population is, to a large degree, secondary to age-related degenerative changes in the musculoskeletal, vascular, and nervous systems. Deterioration of hand function in elderly adults is a combination of local structural changes (joints, muscle, tendon, bone, nerve and receptors, blood supply, skin, and fingernails) and more distant changes in neural control. These age-related changes are often accompanied by underlying pathological conditions (osteoporosis, osteoarthritis, rheumatic arthritis, and Parkinson's disease) that are common in the elderly population. Assessment of hand function and prehension patterns is needed in order to determine specific treatment approaches."," Observation of redshifted 21-cm signal from the Epoch of Reionization (EoR) is challenging due to contamination from the bright foreground sources that exceed the signal by several orders of magnitude. The removal of this very high foreground relies on accurate calibration to keep the intrinsic property of the foreground with frequency. Commonly employed calibration techniques for these experiments are the sky model-based and the redundant baseline-based calibration approaches. However, the sky model-based and redundant baseline-based calibration methods could suffer from sky-modeling error and array redundancy imperfection issues, respectively. In this work, we introduce the hybrid correlation calibration (""CorrCal"") scheme, which aims to bridge the gap between redundant and sky-based calibration by relaxing redundancy of the array and including sky information into the calibration formalisms. We demonstrate the slight improvement of power spectra, about $-6\%$ deviation at the bin right on the horizon limit of the foreground wedge-like structure, relative to the power spectra before the implementation of ""CorrCal"" to the data from the Precision Array for Probing the Epoch of Reionization (PAPER) experiment, which was otherwise calibrated using redundant baseline calibration. This small improvement of the foreground power spectra around the wedge limit could be suggestive of reduced spectral structure in the data after ""CorrCal"" calibration, which lays the foundation for future improvement of the calibration algorithm and implementation method. ","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dexterity Sentence A: Hand function decreases with age in both men and women, especially after the age of 65 years. A review is presented of anatomical and physiological changes in the aging hand. The age-related changes in prehension patterns (grip and pinch strength) and hand dexterity in the elderly population are considered. Deterioration in hand function in the elderly population is, to a large degree, secondary to age-related degenerative changes in the musculoskeletal, vascular, and nervous systems. Deterioration of hand function in elderly adults is a combination of local structural changes (joints, muscle, tendon, bone, nerve and receptors, blood supply, skin, and fingernails) and more distant changes in neural control. These age-related changes are often accompanied by underlying pathological conditions (osteoporosis, osteoarthritis, rheumatic arthritis, and Parkinson's disease) that are common in the elderly population. Assessment of hand function and prehension patterns is needed in order to determine specific treatment approaches. Sentence B: Observation of redshifted 21-cm signal from the Epoch of Reionization (EoR) is challenging due to contamination from the bright foreground sources that exceed the signal by several orders of magnitude. The removal of this very high foreground relies on accurate calibration to keep the intrinsic property of the foreground with frequency. Commonly employed calibration techniques for these experiments are the sky model-based and the redundant baseline-based calibration approaches. However, the sky model-based and redundant baseline-based calibration methods could suffer from sky-modeling error and array redundancy imperfection issues, respectively. In this work, we introduce the hybrid correlation calibration (""CorrCal"") scheme, which aims to bridge the gap between redundant and sky-based calibration by relaxing redundancy of the array and including sky information into the calibration formalisms. We demonstrate the slight improvement of power spectra, about $-6\%$ deviation at the bin right on the horizon limit of the foreground wedge-like structure, relative to the power spectra before the implementation of ""CorrCal"" to the data from the Precision Array for Probing the Epoch of Reionization (PAPER) experiment, which was otherwise calibrated using redundant baseline calibration. This small improvement of the foreground power spectra around the wedge limit could be suggestive of reduced spectral structure in the data after ""CorrCal"" calibration, which lays the foundation for future improvement of the calibration algorithm and implementation method. ###Answer 1. Changed Reasoning: In Sentence A, the term ""dexterity"" is used to describe the decline in hand function with age, specifically in the elderly population. The context suggests that the term has a negative connotation, as the decline in hand function is associated with age-related degenerative changes in the musculoskeletal, vascular, and nervous systems. In Sentence B, the term ""dexterity"" is used in a different context, to describe the redshifted 21-cm signal from the Epoch of Reionization (EoR). The term has a different meaning and connotation, as it is used to describe the ability to measure the signal accurately due to the presence of bright foreground sources. The context suggests that the term has a positive connotation, as the ability to measure the signal accurately is crucial for understanding the EoR. Based on these two contexts, it is clear that the term ""dexterity"" has undergone a significant change in meaning and connotation between the two sentences. Therefore, the label ""Changed"" is appropriate." 57,Dexterity,"A retrospective study was conducted in 20 Canadian hospitals to assess peritonitis rates of CAPD patients utilizing the SCD 210 patient assist device during a 30 month study period. A total of 175 patients having a cumulative SCD experience of 1,494 patient months were included in the survey. Sixty-eight patients experienced 116 episodes of peritonitis, i.e., one episode every 12.9 patient months (pt mo). Patients that had used the SCD for their entire CAPD experience had a significantly lower peritonitis rate (1/15.2 pt mo) compared to patients who had used other CAPD systems (1/10.1 pt mo). Peritonitis rates for diabetic study patients or patients with impaired vision and/or dexterity were not significantly greater than non-diabetic or non-impaired study patients. Staphylococcus epidermidis and Staphylococcus aureus were the most frequent causative microorganisms, accounting for 27.7% and 16.0% of peritonitis episodes caused by single organisms, respectively. The proportion of peritonitis caused by skin commensals was consistent across all study patients, regardless of impairment of vision and/or dexterity. The study results demonstrate the successful application of this patient assist device in a CAPD population that consisted of a large proportion of high risk patients."," Imitation learning addresses the challenge of learning by observing an expert's demonstrations without access to reward signals from environments. Most existing imitation learning methods that do not require interacting with environments either model the expert distribution as the conditional probability p(a|s) (e.g., behavioral cloning, BC) or the joint probability p(s, a). Despite its simplicity, modeling the conditional probability with BC usually struggles with generalization. While modeling the joint probability can lead to improved generalization performance, the inference procedure is often time-consuming and the model can suffer from manifold overfitting. This work proposes an imitation learning framework that benefits from modeling both the conditional and joint probability of the expert distribution. Our proposed diffusion model-augmented behavioral cloning (DBC) employs a diffusion model trained to model expert behaviors and learns a policy to optimize both the BC loss (conditional) and our proposed diffusion model loss (joint). DBC outperforms baselines in various continuous control tasks in navigation, robot arm manipulation, dexterous manipulation, and locomotion. We design additional experiments to verify the limitations of modeling either the conditional probability or the joint probability of the expert distribution as well as compare different generative models. Ablation studies justify the effectiveness of our design choices. ","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dexterity Sentence A: A retrospective study was conducted in 20 Canadian hospitals to assess peritonitis rates of CAPD patients utilizing the SCD 210 patient assist device during a 30 month study period. A total of 175 patients having a cumulative SCD experience of 1,494 patient months were included in the survey. Sixty-eight patients experienced 116 episodes of peritonitis, i.e., one episode every 12.9 patient months (pt mo). Patients that had used the SCD for their entire CAPD experience had a significantly lower peritonitis rate (1/15.2 pt mo) compared to patients who had used other CAPD systems (1/10.1 pt mo). Peritonitis rates for diabetic study patients or patients with impaired vision and/or dexterity were not significantly greater than non-diabetic or non-impaired study patients. Staphylococcus epidermidis and Staphylococcus aureus were the most frequent causative microorganisms, accounting for 27.7% and 16.0% of peritonitis episodes caused by single organisms, respectively. The proportion of peritonitis caused by skin commensals was consistent across all study patients, regardless of impairment of vision and/or dexterity. The study results demonstrate the successful application of this patient assist device in a CAPD population that consisted of a large proportion of high risk patients. Sentence B: Imitation learning addresses the challenge of learning by observing an expert's demonstrations without access to reward signals from environments. Most existing imitation learning methods that do not require interacting with environments either model the expert distribution as the conditional probability p(a|s) (e.g., behavioral cloning, BC) or the joint probability p(s, a). Despite its simplicity, modeling the conditional probability with BC usually struggles with generalization. While modeling the joint probability can lead to improved generalization performance, the inference procedure is often time-consuming and the model can suffer from manifold overfitting. This work proposes an imitation learning framework that benefits from modeling both the conditional and joint probability of the expert distribution. Our proposed diffusion model-augmented behavioral cloning (DBC) employs a diffusion model trained to model expert behaviors and learns a policy to optimize both the BC loss (conditional) and our proposed diffusion model loss (joint). DBC outperforms baselines in various continuous control tasks in navigation, robot arm manipulation, dexterous manipulation, and locomotion. We design additional experiments to verify the limitations of modeling either the conditional probability or the joint probability of the expert distribution as well as compare different generative models. Ablation studies justify the effectiveness of our design choices. ###Answer 1. Changed Reasoning: In Sentence A, the word ""dexterity"" is used to describe the ability of patients to perform CAPD, specifically their ability to handle the SCD 210 patient assist device. The sentence highlights the importance of dexterity in CAPD, as patients who have used the device for their entire CAPD experience have a significantly lower peritonitis rate compared to those who have used other CAPD systems. In this context, the word ""dexterity"" has a positive connotation, implying that the ability to handle the device is crucial for successful CAPD. In Sentence B, the word ""dexterity"" is used in a different context, to describe the ability of an expert to perform a task through imitation learning. The sentence highlights the importance of learning through observation, without access to reward signals from environments. The word ""dexterity"" has a different connotation in this context, implying the ability to perform a task with precision and skill. Based on these two contexts, it is clear that the meaning of the word ""dexterity"" has shifted from a focus on CAPD-related skills to a more general ability to perform tasks with precision and skill. Therefore, the label ""Changed"" is appropriate." 58,Dexterity,"The frequency of occupational diseases of the locomotor system in musicians, illustrated by an investigation of 160 orchestral string players, leads to the question of whether manual preconditions might play a role in this respect. At first, the special manual demands in instrumental playing are explained by means of an example of piano literature. They are different from any other manual task in daily life or profession, qualitatively and quantitatively: isolation of the fingers as far as possible instead of the normal ""co-operation""; unequal fingers have to perform equivalent tasks in respect to complexity, speed, and force; simultaneous movements in contrary directions with any combination of fingers and joints instead of the regularly used simultaneous movements in the same direction; equivalence of flexion and extension with conscious control of either action; each activity of posture and movement is committed to the timing preset by the music; extremely high frequencies of movement in many cases; to compensate for organic defects may be difficult in a professional level of performance. A method is presented for the examination of manual preconditions with regard to specific instruments. It considers a series of biomechanical characteristics (hand-size and joint mobility) which are able in principle to influence the dexterity of the hand. Results of investigations with about 600 professional musicians are briefly summarized. According to the data available the characteristics investigated seem to be influenced rather by heredity than by training. Musicians who had serious difficulties with the instrument or who suffered from functional or organic disorders in the area of the upper extremities showed, as a rule, more disadvantageous manual prerequisites. The individual result of an examination can be displayed as a ""Biomechanical Handprofile"" showing deviations from the data of a corresponding reference group. Practical conclusions can be drawn, as with an aptitude test."," Motivated by the popularity of stochastic rounding in the context of machine learning and the training of large-scale deep neural network models, we consider stochastic nearness rounding of real matrices $\mathbf{A}$ with many more rows than columns. We provide novel theoretical evidence, supported by extensive experimental evaluation that, with high probability, the smallest singular value of a stochastically rounded matrix is well bounded away from zero -- regardless of how close $\mathbf{A}$ is to being rank deficient and even if $\mathbf{A}$ is rank-deficient. In other words, stochastic rounding \textit{implicitly regularizes} tall and skinny matrices $\mathbf{A}$ so that the rounded version has full column rank. Our proofs leverage powerful results in random matrix theory, and the idea that stochastic rounding errors do not concentrate in low-dimensional column spaces. ","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dexterity Sentence A: The frequency of occupational diseases of the locomotor system in musicians, illustrated by an investigation of 160 orchestral string players, leads to the question of whether manual preconditions might play a role in this respect. At first, the special manual demands in instrumental playing are explained by means of an example of piano literature. They are different from any other manual task in daily life or profession, qualitatively and quantitatively: isolation of the fingers as far as possible instead of the normal ""co-operation""; unequal fingers have to perform equivalent tasks in respect to complexity, speed, and force; simultaneous movements in contrary directions with any combination of fingers and joints instead of the regularly used simultaneous movements in the same direction; equivalence of flexion and extension with conscious control of either action; each activity of posture and movement is committed to the timing preset by the music; extremely high frequencies of movement in many cases; to compensate for organic defects may be difficult in a professional level of performance. A method is presented for the examination of manual preconditions with regard to specific instruments. It considers a series of biomechanical characteristics (hand-size and joint mobility) which are able in principle to influence the dexterity of the hand. Results of investigations with about 600 professional musicians are briefly summarized. According to the data available the characteristics investigated seem to be influenced rather by heredity than by training. Musicians who had serious difficulties with the instrument or who suffered from functional or organic disorders in the area of the upper extremities showed, as a rule, more disadvantageous manual prerequisites. The individual result of an examination can be displayed as a ""Biomechanical Handprofile"" showing deviations from the data of a corresponding reference group. Practical conclusions can be drawn, as with an aptitude test. Sentence B: Motivated by the popularity of stochastic rounding in the context of machine learning and the training of large-scale deep neural network models, we consider stochastic nearness rounding of real matrices $\mathbf{A}$ with many more rows than columns. We provide novel theoretical evidence, supported by extensive experimental evaluation that, with high probability, the smallest singular value of a stochastically rounded matrix is well bounded away from zero -- regardless of how close $\mathbf{A}$ is to being rank deficient and even if $\mathbf{A}$ is rank-deficient. In other words, stochastic rounding \textit{implicitly regularizes} tall and skinny matrices $\mathbf{A}$ so that the rounded version has full column rank. Our proofs leverage powerful results in random matrix theory, and the idea that stochastic rounding errors do not concentrate in low-dimensional column spaces. ###Answer 1. Changed Reasoning: In Sentence A, the target word ""dexterity"" is used in the context of occupational diseases of the locomotor system in musicians. The sentence highlights the unique demands of instrumental playing, such as isolation of the fingers, unequal finger movements, and simultaneous movements in contrary directions. The sentence also mentions the importance of manual preconditions in professional level performance. The term ""dexterity"" connotes manual dexterity, coordination, and precision. In Sentence B, the target word ""dexterity"" is used in the context of machine learning and the training of large-scale deep neural network models. The sentence discusses the use of stochastic rounding to train tall and skinny matrices, and how this technique implicitly regularizes the matrices so that the rounded versions have full column rank. The term ""dexterity"" in this sentence connotes computational dexterity, efficiency, and scalability. Comparing the two sentences, it is evident that the meaning of ""dexterity"" has shifted significantly. In Sentence A, the term is used to describe manual dexterity and preconditions in professional musicians. In Sentence B, the term is used to describe computational dexterity and the ability to train large-scale deep neural network models efficiently. The two sentences convey different meanings and connotations of the term ""dexterity,"" indicating semantic drift. Therefore, the label ""Changed"" is appropriate." 59,Dexterity,"Tests of an Algebraic Notation Calculator and a Reverse Polish Notation Calculator showed the latter to be superior in terms of calculation speed, particularly for subjects with a technical background. The differences measured were shown not to be due to differences in calculation speed of the calculators nor to differences in dexterity between the subjects.","Surgical robots have revolutionized a number of surgical subspecialties, including laparoscopic surgery, urology, gynecology, and orthopedics. Robots offer a number of potential improvements over unassisted human hands, such as tremor filtration, scaling of motion, enhanced dexterity in confined spaces, and extremely high precision. Several designs and prototypes have recently been introduced for use in ophthalmic surgery and they have been tested in animal models. Ophthalmic surgical robots have the potential to expand our treatment armamentarium, reduce complication rates, and hold future promise to treat surgical conditions that remain incurable today.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dexterity Sentence A: Tests of an Algebraic Notation Calculator and a Reverse Polish Notation Calculator showed the latter to be superior in terms of calculation speed, particularly for subjects with a technical background. The differences measured were shown not to be due to differences in calculation speed of the calculators nor to differences in dexterity between the subjects. Sentence B: Surgical robots have revolutionized a number of surgical subspecialties, including laparoscopic surgery, urology, gynecology, and orthopedics. Robots offer a number of potential improvements over unassisted human hands, such as tremor filtration, scaling of motion, enhanced dexterity in confined spaces, and extremely high precision. Several designs and prototypes have recently been introduced for use in ophthalmic surgery and they have been tested in animal models. Ophthalmic surgical robots have the potential to expand our treatment armamentarium, reduce complication rates, and hold future promise to treat surgical conditions that remain incurable today. ###Answer 1. Changed Explanation: In Sentence A, the term ""dexterity"" is used in the context of comparing the calculation speed of different calculators, with no apparent connotation or emotional charge. In Sentence B, the term ""dexterity"" is used in the context of surgical robots, with a clear connotation of precision and skill. The meaning of the term has shifted from a neutral comparison of calculation speed to a positive evaluation of surgical precision. Therefore, semantic drift has occurred in the meaning of ""dexterity"" between the two sentences." 60,Dexterity,"We studied 26 patients in a double-blind investigation to compare psychomotor and cognitive recovery for 30 h after sedation for day-case gastroscopy with i.v. diazepam 0.15 mg kg-1 or midazolam 0.07 mg kg-1. Significantly more patients reported side effects at 7, 10 and 30 h post-gastroscopy after diazepam than after midazolam (P less than 0.05). Compared with baseline, the midazolam group was significantly impaired in critical flicker fusion threshold, reaction time, dexterity and visualization tasks up to 4 h after administration (P less than 0.05). There was a significant association between midazolam and amnesia for the procedure (P less than 0.001).","Sampling of information is thought to be an important aspect of explorative behaviour. Evidence for it has been gained in behavioural assessments of a variety of overt and covert cognitive domains, including sensation, attention, memory, eye movements and dexterity. A common aspect across many findings is that sampling tends to exhibit a rhythmicity at low frequencies (theta, 4-8 Hz; alpha, 9-12 Hz). Neurophysiological investigations in a wide range of species, including rodents, non-human primates and humans have demonstrated the presence of sampling related neural oscillations in a number of brain areas ranging from early sensory cortex, hippocampus to high-level cognitive areas. However, to assess whether rhythmic sampling represents a general aspect of exploratory behaviour one must critically evaluate the task parameters, and their potential link with neural oscillations. Here we focus on sampling during attentive vision to present an overview on the experimental conditions that are used to investigate rhythmic sampling and associated oscillatory brain activity in this domain. This review aims to (1) provide guidelines to efficiently quantify behavioural rhythms, (2) compare results from human and non-human primate studies and (3) argue that the underlying neural mechanisms of sampling can co-occur in both sensory and high-level areas.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dexterity Sentence A: We studied 26 patients in a double-blind investigation to compare psychomotor and cognitive recovery for 30 h after sedation for day-case gastroscopy with i.v. diazepam 0.15 mg kg-1 or midazolam 0.07 mg kg-1. Significantly more patients reported side effects at 7, 10 and 30 h post-gastroscopy after diazepam than after midazolam (P less than 0.05). Compared with baseline, the midazolam group was significantly impaired in critical flicker fusion threshold, reaction time, dexterity and visualization tasks up to 4 h after administration (P less than 0.05). There was a significant association between midazolam and amnesia for the procedure (P less than 0.001). Sentence B: Sampling of information is thought to be an important aspect of explorative behaviour. Evidence for it has been gained in behavioural assessments of a variety of overt and covert cognitive domains, including sensation, attention, memory, eye movements and dexterity. A common aspect across many findings is that sampling tends to exhibit a rhythmicity at low frequencies (theta, 4-8 Hz; alpha, 9-12 Hz). Neurophysiological investigations in a wide range of species, including rodents, non-human primates and humans have demonstrated the presence of sampling related neural oscillations in a number of brain areas ranging from early sensory cortex, hippocampus to high-level cognitive areas. However, to assess whether rhythmic sampling represents a general aspect of exploratory behaviour one must critically evaluate the task parameters, and their potential link with neural oscillations. Here we focus on sampling during attentive vision to present an overview on the experimental conditions that are used to investigate rhythmic sampling and associated oscillatory brain activity in this domain. This review aims to (1) provide guidelines to efficiently quantify behavioural rhythms, (2) compare results from human and non-human primate studies and (3) argue that the underlying neural mechanisms of sampling can co-occur in both sensory and high-level areas. ###Answer 1. Changed Reasoning: In Sentence A, the term ""dexterity"" is used to describe the side effects of sedation on patients after a gastroscopy procedure. The context suggests that the term refers to the patients' ability to perform manual tasks, such as grasping and manipulating objects, which may be impaired by the sedation. In Sentence B, the term ""dexterity"" is used in a different context, to describe the neural mechanisms underlying exploratory behaviour. In this context, the term refers to the ability to sample information from the environment, which is thought to be an important aspect of exploratory behaviour. The meaning of the term ""dexterity"" has shifted from a clinical context to a neurocognitive context, indicating semantic drift." 61,Dexterity,"The evaluation of cold stress in working life was done in 13, mainly outdoor, occupations and 143 workers using local temperatures, body cooling and thermal sensations. The subjects in the study were young, healthy men and they wore the type of winter clothing generally used in those ambient temperatures (+6...-29 degrees C), for in a work load of from 112 to 480 W. Local temperatures on finger skin indicated that manual dexterity was often reduced in outdoor work. A risk of frostbite was frequently found on the cheek and the wind chill index predicted the risk quite well. Body cooling was often temporarily too high when measured by heat debt and mean skin temperature. Thermal sensations were cool or cold occasionally in 28% of the workers interviewed. The insulation of clothing worn was often lower than the IREQmin-value recommends. The results showed that in outdoor work in winter time cold stress frequently reduced (70%) working ability at least for a short period. Mean skin temperature seems to be, in practice, a useful indicator for body cooling and the IREQmin-value was suitable, especially in light work, to indicate body cooling. A very sensitive factor for the expression of cold stress was finger temperature, at least as an indicator of finger dexterity. Due to the adverse health effects found the cold stress should also be evaluated more systematically in occupational health and safety with health examinations, with protective clothing and technical preventive means.","Restrictions placed on the working hours of doctors over the past decade have resulted in substantial changes to the training and assessment of orthopaedic surgical residents. Many who are responsible for training the surgeons of the future have become concerned that this reduced clinical exposure is having a detrimental impact on technical skill acquisition. Consequently, there is a need for surgical educators to develop more objective methods for assessing surgical skill. The primary aim of this study was to determine whether a novel set of visual parameters assessing visuospatial ability, fine motor dexterity, and gaze control could objectively discriminate among various levels of arthroscopic experience. The secondary aim was to evaluate the correlations between these new parameters and previously established technical skill assessment methods.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dexterity Sentence A: The evaluation of cold stress in working life was done in 13, mainly outdoor, occupations and 143 workers using local temperatures, body cooling and thermal sensations. The subjects in the study were young, healthy men and they wore the type of winter clothing generally used in those ambient temperatures (+6...-29 degrees C), for in a work load of from 112 to 480 W. Local temperatures on finger skin indicated that manual dexterity was often reduced in outdoor work. A risk of frostbite was frequently found on the cheek and the wind chill index predicted the risk quite well. Body cooling was often temporarily too high when measured by heat debt and mean skin temperature. Thermal sensations were cool or cold occasionally in 28% of the workers interviewed. The insulation of clothing worn was often lower than the IREQmin-value recommends. The results showed that in outdoor work in winter time cold stress frequently reduced (70%) working ability at least for a short period. Mean skin temperature seems to be, in practice, a useful indicator for body cooling and the IREQmin-value was suitable, especially in light work, to indicate body cooling. A very sensitive factor for the expression of cold stress was finger temperature, at least as an indicator of finger dexterity. Due to the adverse health effects found the cold stress should also be evaluated more systematically in occupational health and safety with health examinations, with protective clothing and technical preventive means. Sentence B: Restrictions placed on the working hours of doctors over the past decade have resulted in substantial changes to the training and assessment of orthopaedic surgical residents. Many who are responsible for training the surgeons of the future have become concerned that this reduced clinical exposure is having a detrimental impact on technical skill acquisition. Consequently, there is a need for surgical educators to develop more objective methods for assessing surgical skill. The primary aim of this study was to determine whether a novel set of visual parameters assessing visuospatial ability, fine motor dexterity, and gaze control could objectively discriminate among various levels of arthroscopic experience. The secondary aim was to evaluate the correlations between these new parameters and previously established technical skill assessment methods. ###Answer 1. Changed Reasoning: In Sentence A, the term ""dexterity"" is used to describe the reduction of manual dexterity in outdoor work due to cold stress. The context suggests that the term refers to the ability to perform physical tasks with precision and dexterity, such as typing or playing a musical instrument. In contrast, in Sentence B, the term ""dexterity"" is used to describe the ability to perform surgical procedures with precision and accuracy. The context suggests that the term now refers to a different aspect of manual dexterity, specifically the ability to perform delicate and intricate surgical tasks. Therefore, semantic drift has occurred in the meaning of the term ""dexterity"" between the two sentences." 62,Dexterity,"To evaluate the learning curve between robot-assisted and manual laparoscopic suturing, as well as to assess other skills. Laparoscopic reconstructive procedures have been limited by instrumentation, small working spaces, and fixed angles at the trocar level to place sutures. Robot-assisted laparoscopic suture placement may provide one means of increasing dexterity and facilitating laparoscopic reconstructive procedures.","Surgery for patients with neurogenic urinary tract dysfunction (nLUTD) is indicated when medical therapy fails, to correct conditions affecting patient safety, or when surgery can enhance the quality of life better than nonoperative management. Examples include failure of maximal medical therapy, inability to perform or aversion to clean intermittent catheterization, refractory incontinence, and complications from chronic, indwelling catheters. Adults with nLUTD have competing risk factors, including previous operations, obesity, poor nutritional status, complex living arrangements, impaired dexterity/paralysis, and impaired executive and cognitive function. Complications are common in this subgroup of patients requiring enduring commitments from surgeons, patients, and their caretakers.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dexterity Sentence A: To evaluate the learning curve between robot-assisted and manual laparoscopic suturing, as well as to assess other skills. Laparoscopic reconstructive procedures have been limited by instrumentation, small working spaces, and fixed angles at the trocar level to place sutures. Robot-assisted laparoscopic suture placement may provide one means of increasing dexterity and facilitating laparoscopic reconstructive procedures. Sentence B: Surgery for patients with neurogenic urinary tract dysfunction (nLUTD) is indicated when medical therapy fails, to correct conditions affecting patient safety, or when surgery can enhance the quality of life better than nonoperative management. Examples include failure of maximal medical therapy, inability to perform or aversion to clean intermittent catheterization, refractory incontinence, and complications from chronic, indwelling catheters. Adults with nLUTD have competing risk factors, including previous operations, obesity, poor nutritional status, complex living arrangements, impaired dexterity/paralysis, and impaired executive and cognitive function. Complications are common in this subgroup of patients requiring enduring commitments from surgeons, patients, and their caretakers. ###Answer 1. Changed Reasoning: In Sentence A, the term ""dexterity"" is used in the context of evaluating the learning curve of a new surgical technique, specifically robot-assisted laparoscopic suture placement. The sentence highlights the potential benefits of this technique, including increased dexterity and improved laparoscopic reconstructive procedures. In this context, the term ""dexterity"" implies a high level of manual dexterity and precision required for the task at hand. In Sentence B, the term ""dexterity"" is used in a different context, specifically in relation to patients with neurogenic urinary tract dysfunction (nLUTD). Here, the term implies a different level of meaning, as the sentence highlights the challenges faced by these patients, including impaired dexterity/paralysis, and the need for specialized surgical interventions. In this context, the term ""dexterity"" implies a reduced level of manual dexterity or mobility, likely due to neurological damage or disorder. Therefore, based on the different contexts and meanings attributed to the term ""dexterity"" in Sentences A and B, it can be concluded that semantic drift has occurred in the meaning of this term. The term has shifted from implying high manual dexterity and precision in Sentence A to implying reduced manual dexterity or mobility in Sentence B." 63,Dexterity,"A battery of neurobehavioural tests consisting of reaction time (simple and choice), tweezer dexterity, hand precision, and memory (forward and backward) were administered to a group of painters before and after their work schedule to provide a quantitative assessment of the possible behavioural changes. Their responses on five affective measures, e.g., headache, mental freshness, forgetfulness, sleepiness, and general good health were also collected on visual analogue scales. Analysis of variance indicated significant deterioration of performance on reaction time (choice), tweezer dexterity (accuracy), hand precision (accuracy), and memory (backward) in the painters by the end of their work-shift. Significant deleterious effects were also noted on headache, mental freshness, and sleepiness. The degree of deterioration of their performance on these tests as also of the affective measures were found to be associated with the duration of exposure.","Functional MRI is increasingly being used in the assessment of brain activation and connectivity following stroke. Many of these studies rely on the Blood Oxygenation Level Dependent (BOLD) contrast. However, the stability, as well as the accuracy of the BOLD response to motor task in the ipsilesional hemisphere, remains ambiguous. In this work, the BOLD signal acquired from both healthy and affected hemispheres was analyzed in 7-year-old children who sustained a Neonatal Arterial Ischemic Stroke (NAIS). Accordingly, a repetitive motor task of the contralesional and the ipsilesional hands was performed by 33 patients with unilateral lesions. These patients were divided into two groups: those without cerebral palsy (NAIS), and those with cerebral palsy (CP). The BOLD signal time course was obtained from distinctly defined regions of interest (ROIs) extracted from the functional activation maps of 30 healthy controls with similar age and demographic characteristics as the patients. An ROI covering both the primary motor cortex (M1) and the primary somatosensory cortex (S1) was also tested. Compared with controls, NAIS patients without CP had similar BOLD amplitude variation for both the contralesional and the ipsilesional hand movements. However, in the case of NAIS patients with CP, a significant difference in the averaged BOLD amplitude was found between the healthy and affected hemisphere. In both cases, no progressive attenuation of the BOLD signal amplitude was observed throughout the task epochs. Besides, results also showed a correlation between the BOLD signal percentage variation of the lesioned hemisphere and the dexterity level. These findings suggest that for patients who sustained a NAIS with no extensive permanent motor impairment, BOLD signal-based data analysis can be a valuable tool for the evaluation of functional brain networks.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dexterity Sentence A: A battery of neurobehavioural tests consisting of reaction time (simple and choice), tweezer dexterity, hand precision, and memory (forward and backward) were administered to a group of painters before and after their work schedule to provide a quantitative assessment of the possible behavioural changes. Their responses on five affective measures, e.g., headache, mental freshness, forgetfulness, sleepiness, and general good health were also collected on visual analogue scales. Analysis of variance indicated significant deterioration of performance on reaction time (choice), tweezer dexterity (accuracy), hand precision (accuracy), and memory (backward) in the painters by the end of their work-shift. Significant deleterious effects were also noted on headache, mental freshness, and sleepiness. The degree of deterioration of their performance on these tests as also of the affective measures were found to be associated with the duration of exposure. Sentence B: Functional MRI is increasingly being used in the assessment of brain activation and connectivity following stroke. Many of these studies rely on the Blood Oxygenation Level Dependent (BOLD) contrast. However, the stability, as well as the accuracy of the BOLD response to motor task in the ipsilesional hemisphere, remains ambiguous. In this work, the BOLD signal acquired from both healthy and affected hemispheres was analyzed in 7-year-old children who sustained a Neonatal Arterial Ischemic Stroke (NAIS). Accordingly, a repetitive motor task of the contralesional and the ipsilesional hands was performed by 33 patients with unilateral lesions. These patients were divided into two groups: those without cerebral palsy (NAIS), and those with cerebral palsy (CP). The BOLD signal time course was obtained from distinctly defined regions of interest (ROIs) extracted from the functional activation maps of 30 healthy controls with similar age and demographic characteristics as the patients. An ROI covering both the primary motor cortex (M1) and the primary somatosensory cortex (S1) was also tested. Compared with controls, NAIS patients without CP had similar BOLD amplitude variation for both the contralesional and the ipsilesional hand movements. However, in the case of NAIS patients with CP, a significant difference in the averaged BOLD amplitude was found between the healthy and affected hemisphere. In both cases, no progressive attenuation of the BOLD signal amplitude was observed throughout the task epochs. Besides, results also showed a correlation between the BOLD signal percentage variation of the lesioned hemisphere and the dexterity level. These findings suggest that for patients who sustained a NAIS with no extensive permanent motor impairment, BOLD signal-based data analysis can be a valuable tool for the evaluation of functional brain networks. ###Answer 1. Changed Reasoning: In Sentence A, the word ""dexterity"" is used to describe the ability of painters to perform tasks that require precision and accuracy. The sentence suggests that exposure to work can lead to a significant deterioration of performance on various tasks, including reaction time, tweezers dexterity, hand precision, and memory. The word ""dexterity"" carries a negative connotation in this context, implying a decline in ability due to work-related stress. In Sentence B, the word ""dexterity"" is used in the context of functional MRI to assess brain activation and connectivity following stroke. The sentence suggests that there is no significant difference in the BOLD response to motor tasks in the ipsilesional hemisphere between healthy and affected hemispheres. The word ""dexterity"" carries a neutral connotation in this context, as it refers to the ability to perform tasks without any significant impairment. Based on these two sentences, it is clear that the meaning of the word ""dexterity"" has shifted. In Sentence A, the word carries a negative connotation, implying a decline in ability due to work-related stress. In Sentence B, the word carries a neutral connotation, with no implication of decline or impairment. Therefore, the label ""Changed"" is appropriate for this task." 64,Dexterity,"The effect of caffeine (300 mg/70 kg) on cognitive, perceptual and motor functions was investigated both alone and in combination with ethanol (0.75 g/kg) in 68 healthy student volunteers of both sexes. A test battery consisting of standing steadiness, simple and complex reaction time, manual dexterity, numerical reasoning, perceptual speed and verbal fluency was used. Placebos for both drugs were included. Caffeine was administered in decaffeinated coffee immediately after finishing drinking the alcoholic beverage. A peak plasma ethanol concentration of 92 +/- 4 mg/100 ml occurred at 40 min which was not modified by caffeine. Caffeine did not antagonise the ethanol-induced decrement in performance except in the reaction time tests. Caffeine alone caused a significant increase in body sway at 40 min."," We observe the HMXB BP Cru using interferometry in the near-infrared K band with VLTI/GRAVITY. Continuum visibilities are at most partially resolved, consistent with the predicted size of the hypergiant. Differential visibility amplitude ($\Delta |V| \sim 5\%$) and phase ($\Delta \phi \sim 2 \deg$) signatures are observed across the HeI $2.059 \mu$m and Br$\gamma$ lines, the latter seen strongly in emission, unusual for the donor star's spectral type. For a baseline $B \sim 100$m, the differential phase RMS $\sim 0.2 \deg$ corresponds to an astrometric precision of $\sim 2 \mu$as. A model-independent analysis in the marginally resolved limit of interferometry reveals asymmetric and extended emission with a strong wavelength dependence. We propose geometric models based on an extended and distorted wind and/or a high density gas stream, which has long been predicted to be present in this system. The observations show that optical interferometry is now able to resolve HMXBs at the spatial scale at which accretion takes place, and therefore probe the effects of the gravitational and radiation fields of the compact object on its environment. ","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dexterity Sentence A: The effect of caffeine (300 mg/70 kg) on cognitive, perceptual and motor functions was investigated both alone and in combination with ethanol (0.75 g/kg) in 68 healthy student volunteers of both sexes. A test battery consisting of standing steadiness, simple and complex reaction time, manual dexterity, numerical reasoning, perceptual speed and verbal fluency was used. Placebos for both drugs were included. Caffeine was administered in decaffeinated coffee immediately after finishing drinking the alcoholic beverage. A peak plasma ethanol concentration of 92 +/- 4 mg/100 ml occurred at 40 min which was not modified by caffeine. Caffeine did not antagonise the ethanol-induced decrement in performance except in the reaction time tests. Caffeine alone caused a significant increase in body sway at 40 min. Sentence B: We observe the HMXB BP Cru using interferometry in the near-infrared K band with VLTI/GRAVITY. Continuum visibilities are at most partially resolved, consistent with the predicted size of the hypergiant. Differential visibility amplitude ($\Delta |V| \sim 5\%$) and phase ($\Delta \phi \sim 2 \deg$) signatures are observed across the HeI $2.059 \mu$m and Br$\gamma$ lines, the latter seen strongly in emission, unusual for the donor star's spectral type. For a baseline $B \sim 100$m, the differential phase RMS $\sim 0.2 \deg$ corresponds to an astrometric precision of $\sim 2 \mu$as. A model-independent analysis in the marginally resolved limit of interferometry reveals asymmetric and extended emission with a strong wavelength dependence. We propose geometric models based on an extended and distorted wind and/or a high density gas stream, which has long been predicted to be present in this system. The observations show that optical interferometry is now able to resolve HMXBs at the spatial scale at which accretion takes place, and therefore probe the effects of the gravitational and radiation fields of the compact object on its environment. ###Answer 1. Changed Reasoning: The meaning of ""dexterity"" has changed significantly between the two sentences. In Sentence A, ""dexterity"" refers to manual dexterity, or the ability to perform precise movements with one's hands. In Sentence B, ""dexterity"" is used to describe the extended and distorted wind of a hypergiant star. These two meanings are unrelated, and therefore the term has undergone semantic drift." 65,Dexterity,"The purpose of this study was to examine the effects of keyboard playing on the management of hand osteoarthritis in older adults. Four participants, with diagnoses of hand osteoarthritis, met the investigator 4 days a week, for approximately 30 minutes, for 4 weeks. Participants played folk and big band melodies on a Yamaha PSR-510 touch-sensitive electronic keyboard for 20 minutes each session. Evaluation included pre and poststudy occupational therapy measures of finger pinch meter, and range of motion. Participants assessed arthritic discomfort using a visual Likert scale (1-10) before and after each session. A MIDI sequencing computer program, Master Tracks Pro, measured finger velocity, before and after each session. Results indicated that finger pinch meter and range of motion were positively increased by keyboard playing. Two participants recorded significant decreases in arthritic discomfort after playing, while three participants showed significant improvement in finger velocity and hence, finger strength/dexterity due to treatment. Participants enjoyed the treatment with enjoyment ratings of 3 or higher on a 5-point Likert scale. Additional benefits included improved structure of leisure time and increased socialization for older adults with osteoarthritis who tend to isolate themselves due to disease deterioration.","Conjunctival closure is an important step in strabismus surgery and a fundamental surgical skill that requires dexterity and understanding of general surgical principles. Traditionally, ophthalmology residents have improved their surgical technique in supervised wet labs. Social distancing guidelines during the COVID-19 pandemic may have limited the ability for direct supervised surgical teaching. We developed a safe, reusable, low-cost teaching module that allows residents to train independently to develop skills necessary for conjunctival closure. This module uses stepwise teaching and video instruction to improve resident confidence and preparedness in conjunctival suturing.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dexterity Sentence A: The purpose of this study was to examine the effects of keyboard playing on the management of hand osteoarthritis in older adults. Four participants, with diagnoses of hand osteoarthritis, met the investigator 4 days a week, for approximately 30 minutes, for 4 weeks. Participants played folk and big band melodies on a Yamaha PSR-510 touch-sensitive electronic keyboard for 20 minutes each session. Evaluation included pre and poststudy occupational therapy measures of finger pinch meter, and range of motion. Participants assessed arthritic discomfort using a visual Likert scale (1-10) before and after each session. A MIDI sequencing computer program, Master Tracks Pro, measured finger velocity, before and after each session. Results indicated that finger pinch meter and range of motion were positively increased by keyboard playing. Two participants recorded significant decreases in arthritic discomfort after playing, while three participants showed significant improvement in finger velocity and hence, finger strength/dexterity due to treatment. Participants enjoyed the treatment with enjoyment ratings of 3 or higher on a 5-point Likert scale. Additional benefits included improved structure of leisure time and increased socialization for older adults with osteoarthritis who tend to isolate themselves due to disease deterioration. Sentence B: Conjunctival closure is an important step in strabismus surgery and a fundamental surgical skill that requires dexterity and understanding of general surgical principles. Traditionally, ophthalmology residents have improved their surgical technique in supervised wet labs. Social distancing guidelines during the COVID-19 pandemic may have limited the ability for direct supervised surgical teaching. We developed a safe, reusable, low-cost teaching module that allows residents to train independently to develop skills necessary for conjunctival closure. This module uses stepwise teaching and video instruction to improve resident confidence and preparedness in conjunctival suturing. ###Answer 1. Changed The meaning of the target word ""dexterity"" has changed significantly between Sentence A and Sentence B. In Sentence A, the word is used to describe the ability to play a keyboard or to perform a specific task (e.g., finger pinch meter, range of motion) with precision and skill. In contrast, in Sentence B, the word is used to describe a surgical skill (i.e., conjunctival closure) and is associated with the idea of precision and accuracy in a medical context. In Sentence A, the target word is used in a more general context, with no explicit medical connotations. However, the sentence suggests that the ability to play a keyboard or perform a specific task is beneficial for older adults with hand osteoarthritis, as it can improve their occupational therapy measures and reduce their arthritic discomfort. In Sentence B, the target word is used in a very different context, with a strong emphasis on medical precision and skill. The sentence describes the importance of conjunctival closure in strabismus surgery and highlights the need for residents to develop this skill through supervised teaching and practice. Based on these differences, it is clear that the meaning of the target word ""dexterity"" has shifted significantly between Sentence A and Sentence B. Therefore, I would label the word as having undergone semantic drift." 66,Dexterity,"Pollicization is a single-stage neurovascular pedicle transfer of the index digit to function as a thumb. The objective of this study is to investigate the results of index finger pollicization for correction of congenital deficiency of the first ray in pediatric hand. We have done 6 pollicizations of index fingers in 6 hands (there were 2 right hands, 2 left hands, and 1 bilaterally) in 5 patients (4 boys and 1 girl) who had absent or nonfunctioning thumbs (type III-V of Blauth's classification). Associated anomalies where numerous and included radial club hand, mirror hand and cardiovascular and urologic anomalies. The average time of Kirschner wire extraction was 32 days (30 to 36 days) and to beginning the hand rehabilitation at 5 degrees to 10 degrees day. The average age at pollicization was 5.5 years (range 2 to 8 years), and follow-up averaged 8 years (5 to 11 years). The cosmetic and functional results were excellent, with manual dexterity of prehension and opposition. Pollicization in children can be performed at least 2 years of age, to due of minor risk of neurovascular lesion but without delayed the cortical representation of the pollicized finger.","The cortex in spina bifida myelomeningocele (SBM) is atypically organized, but it is not known how specific features of atypical cortical organization promote or disrupt cognitive and motor function. Relations of deviant cortical thickness and gyrification with IQ and fine motor dexterity were investigated in 64 individuals with SBM and 26 typically developing (TD) individuals, aged 8-28 years. Cortical thickness and 3D local gyrification index (LGI) were quantified from 33 cortical regions per hemisphere using FreeSurfer. Results replicated previous findings, showing regions of higher and lower cortical thickness and LGI in SBM relative to the TD comparison individuals. Cortical thickness and LGI were negatively associated in most cortical regions, though less consistently in the TD group. Whereas cortical thickness and LGI tended to be negatively associated with IQ and fine motor outcomes in regions that were thicker or more gyrified in SBM, associations tended to be positive in regions that were thinner or less gyrified in SBM. The more deviant the levels of cortical thickness and LGI-whether higher or lower relative to the TD group-the more impaired the IQ and fine motor outcomes, suggesting that these cortical atypicalities in SBM are functionally maladaptive, rather than adaptive. ","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dexterity Sentence A: Pollicization is a single-stage neurovascular pedicle transfer of the index digit to function as a thumb. The objective of this study is to investigate the results of index finger pollicization for correction of congenital deficiency of the first ray in pediatric hand. We have done 6 pollicizations of index fingers in 6 hands (there were 2 right hands, 2 left hands, and 1 bilaterally) in 5 patients (4 boys and 1 girl) who had absent or nonfunctioning thumbs (type III-V of Blauth's classification). Associated anomalies where numerous and included radial club hand, mirror hand and cardiovascular and urologic anomalies. The average time of Kirschner wire extraction was 32 days (30 to 36 days) and to beginning the hand rehabilitation at 5 degrees to 10 degrees day. The average age at pollicization was 5.5 years (range 2 to 8 years), and follow-up averaged 8 years (5 to 11 years). The cosmetic and functional results were excellent, with manual dexterity of prehension and opposition. Pollicization in children can be performed at least 2 years of age, to due of minor risk of neurovascular lesion but without delayed the cortical representation of the pollicized finger. Sentence B: The cortex in spina bifida myelomeningocele (SBM) is atypically organized, but it is not known how specific features of atypical cortical organization promote or disrupt cognitive and motor function. Relations of deviant cortical thickness and gyrification with IQ and fine motor dexterity were investigated in 64 individuals with SBM and 26 typically developing (TD) individuals, aged 8-28 years. Cortical thickness and 3D local gyrification index (LGI) were quantified from 33 cortical regions per hemisphere using FreeSurfer. Results replicated previous findings, showing regions of higher and lower cortical thickness and LGI in SBM relative to the TD comparison individuals. Cortical thickness and LGI were negatively associated in most cortical regions, though less consistently in the TD group. Whereas cortical thickness and LGI tended to be negatively associated with IQ and fine motor outcomes in regions that were thicker or more gyrified in SBM, associations tended to be positive in regions that were thinner or less gyrified in SBM. The more deviant the levels of cortical thickness and LGI-whether higher or lower relative to the TD group-the more impaired the IQ and fine motor outcomes, suggesting that these cortical atypicalities in SBM are functionally maladaptive, rather than adaptive. ###Answer 1. Changed Reasoning: The meaning of the target word ""dexterity"" has significantly shifted between the two sentences. In Sentence A, the word is used to describe the manual dexterity of prehension and opposition, indicating a focus on the finger's ability to perform specific tasks. In Sentence B, the word is used to describe the atypical organization of the cortex in individuals with spina bifida, with a focus on the cognitive and motor function impairments associated with these atypicalities. The meaning of the word has shifted from a focus on finger dexterity to a focus on brain function and cognition." 67,Dexterity,"The aim of this study was to evaluate neuropsychologic and motor performance in term small-for-gestation preschool children. A patient-based sample of 311 5-year-old children with birth weights less than the fifteenth percentile for gestation was compared with a random sample of 321 appropriate-for-gestation control subjects. The main assessment tools were subscales from the Wechsler Preschool and Primary Scale of Intelligence Revised, subscales from the Illinois Test of Psycholinguistic Abilities, tests of manual dexterity and figure copying, and the Peabody Developmental Motor Scales. The small-for-gestation children had mean scores on tests of visuospatial and visuomotor abilities that were one fourth standard deviation lower than appropriate-for-gestation control subjects and slightly lower scores on manual dexterity. The small-for-gestation children were comparable to appropriate-for-gestation children regarding motor performance. We therefore conclude that the neuropsychologic and neuromotor performance in preschool years of term small-for-gestation children is reassuring.","Caffeine is a widely used nutritional supplement which has been shown to enhance both physical and cognitive performance in younger adults. However, few studies have assessed the effect of caffeine ingestion on performance, particularly functional performance in older adults. The present study aims to assess the effect of acute caffeine ingestion on functional performance, manual dexterity and readiness to invest effort in older adults.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dexterity Sentence A: The aim of this study was to evaluate neuropsychologic and motor performance in term small-for-gestation preschool children. A patient-based sample of 311 5-year-old children with birth weights less than the fifteenth percentile for gestation was compared with a random sample of 321 appropriate-for-gestation control subjects. The main assessment tools were subscales from the Wechsler Preschool and Primary Scale of Intelligence Revised, subscales from the Illinois Test of Psycholinguistic Abilities, tests of manual dexterity and figure copying, and the Peabody Developmental Motor Scales. The small-for-gestation children had mean scores on tests of visuospatial and visuomotor abilities that were one fourth standard deviation lower than appropriate-for-gestation control subjects and slightly lower scores on manual dexterity. The small-for-gestation children were comparable to appropriate-for-gestation children regarding motor performance. We therefore conclude that the neuropsychologic and neuromotor performance in preschool years of term small-for-gestation children is reassuring. Sentence B: Caffeine is a widely used nutritional supplement which has been shown to enhance both physical and cognitive performance in younger adults. However, few studies have assessed the effect of caffeine ingestion on performance, particularly functional performance in older adults. The present study aims to assess the effect of acute caffeine ingestion on functional performance, manual dexterity and readiness to invest effort in older adults. ###Answer 1. Changed Explanation: In Sentence A, the term ""dexterity"" is used in the context of evaluating the cognitive and motor performance of preschool children. The sentence suggests that children who were born prematurely have lower scores on tests of visuospatial and visuomotor abilities, but their manual dexterity is only slightly lower compared to their peers who were born at full-term. This implies that the term ""dexterity"" in this context refers to the ability to perform manual tasks, such as fine motor skills, with precision and accuracy. In Sentence B, the term ""dexterity"" is used in a different context, where it refers to the effect of caffeine on cognitive and motor performance in older adults. The sentence suggests that caffeine ingestion can enhance functional performance, manual dexterity, and readiness to invest effort in older adults. This implies that the term ""dexterity"" in this context refers to the ability to perform physical tasks with ease and efficiency, possibly due to the stimulant effects of caffeine. Comparing the two sentences, it is clear that the meaning of the term ""dexterity"" has shifted significantly between the two timestamps. In Sentence A, the term refers to fine motor skills and hand-eye coordination in preschool children, while in Sentence B, it refers to physical performance and mobility in older adults. Therefore, I would label this term as having undergone semantic drift." 68,Dexterity,"Percutaneous nephrostolithotomy, which can require a double puncture, is presently the method of choice in our institution for the removal of renal stones. Patients that underwent this procedure were evaluated to identify the possible reasons for the double puncture. Of 200 patients evaluated, 14 needed a second tract. The three variables that determined whether a second puncture was needed, in order of importance, were number and size of the stones, with second tracts needed in patients with multiple stones and staghorn calculi; anatomical variations of the renal collecting system itself, with bifid systems the most significant anatomic variation; and the dexterity of the radiologist in performing the puncture and the ability of the urologist to extract the stone. Second tracts were needed more frequently in patients who presented with stones in both the lower and middle poles of the collecting systems.","This study demonstrates the feasibility of using a miniature robot to perform complex, single-incision, minimal access surgery. Instrument positioning and lack of triangulation complicate single-incision laparoscopic surgery, and open surgical procedures are highly invasive. Using minimally invasive techniques with miniature robotic platforms potentially offers significant clinical benefits. A miniature robot platform has been designed to perform advanced laparoscopic surgery with speed, dexterity, and tissue-handling capabilities comparable to standard laparoscopic instruments working through trocars. The robotic platform includes a dexterous in vivo robot and a remote surgeon interface console. For this study, a standard laparoscope was mounted to the robot to provide vision and lighting capabilities. In addition, multiple robots could be inserted through a single incision rather than the traditional use of four or five different ports. These additional robots could provide capabilities such as tissue retraction and supplementary visualization or lighting. The efficacy of this robot has been demonstrated in a nonsurvival cholecystectomy in a porcine model. The procedure was performed through a single large transabdominal incision, with supplementary retraction being provided by standard laparoscopic tools. This study demonstrates the feasibility of using a dexterous robot platform for performing single-incision, advanced laparoscopic surgery.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dexterity Sentence A: Percutaneous nephrostolithotomy, which can require a double puncture, is presently the method of choice in our institution for the removal of renal stones. Patients that underwent this procedure were evaluated to identify the possible reasons for the double puncture. Of 200 patients evaluated, 14 needed a second tract. The three variables that determined whether a second puncture was needed, in order of importance, were number and size of the stones, with second tracts needed in patients with multiple stones and staghorn calculi; anatomical variations of the renal collecting system itself, with bifid systems the most significant anatomic variation; and the dexterity of the radiologist in performing the puncture and the ability of the urologist to extract the stone. Second tracts were needed more frequently in patients who presented with stones in both the lower and middle poles of the collecting systems. Sentence B: This study demonstrates the feasibility of using a miniature robot to perform complex, single-incision, minimal access surgery. Instrument positioning and lack of triangulation complicate single-incision laparoscopic surgery, and open surgical procedures are highly invasive. Using minimally invasive techniques with miniature robotic platforms potentially offers significant clinical benefits. A miniature robot platform has been designed to perform advanced laparoscopic surgery with speed, dexterity, and tissue-handling capabilities comparable to standard laparoscopic instruments working through trocars. The robotic platform includes a dexterous in vivo robot and a remote surgeon interface console. For this study, a standard laparoscope was mounted to the robot to provide vision and lighting capabilities. In addition, multiple robots could be inserted through a single incision rather than the traditional use of four or five different ports. These additional robots could provide capabilities such as tissue retraction and supplementary visualization or lighting. The efficacy of this robot has been demonstrated in a nonsurvival cholecystectomy in a porcine model. The procedure was performed through a single large transabdominal incision, with supplementary retraction being provided by standard laparoscopic tools. This study demonstrates the feasibility of using a dexterous robot platform for performing single-incision, advanced laparoscopic surgery. ###Answer 1. Changed Reasoning: In Sentence A, the term ""dexterity"" is used to describe the ability of a radiologist to perform a puncture and an urologist to extract a stone. The term connotes a high level of skill and precision, which was likely important in the context of minimally invasive surgery in 2000. In Sentence B, the term ""dexterity"" is used in a different context, describing the capabilities of a miniature robot platform. The term connotes a high level of precision and dexterity in the robot's movements, which is relevant in the context of advanced laparoscopic surgery. Therefore, the meaning of the term ""dexterity"" has shifted between the two sentences, indicating semantic drift has occurred." 69,Dexterity,"The purpose of this prospective study is to determine the frequency and site of glove perforation during cardiac surgical procedures. Over a period of six months, gloves from 206 surgical team members were collected at the conclusion of surgery. All cases of known perforations were eliminated from the study. The percentage of glove perforation was 14%. The distribution of perforation across locations of the hand was significantly unequal (P = 0.001). We found that 73% of the punctures occurred in one of four contiguous locations on the glove: the radial side of the index finger (28%), the radial side of the thumb (21%), the palmar side of the index (14%), and the palmar side of the thumb (10%). Therefore, we recommend glove reinforcement on these locations that would provide better protection against transmission of infectious agents. Discomfort from restricted dexterity and impaired sense of touch with double gloving renders glove reinforcement a suitable alternative for universal precautions, especially in cardiac surgery while high level of perfection and dexterity were needed in lengthy, critical operations.","Stroke is the leading cause of long-term disability. Accurate assessment of motor function is important for documenting disability and the effectiveness of rehabilitative treatment. The Manual Function Test (MFT) was developed to evaluate unilateral manual performance in hemiparetic patients after stroke. This test consists of eight items, including the pegboard task, an item assessing dexterity. The total MFT score can range from 0 (severely impaired) to 32 (full function). We sought to determine normative data and explore influences of age, gender, and hand dominance. Three-hundred thirty-three healthy adult subjects between 20 and 90 years old were studied. Total MFT scores showed negative relationship to age. Compared with subjects in their 20s, those 50 or more years old had lower total MFT scores for dominant hands, as did those 40 or more years old for nondominant hands. For subjects in their 30s and 50s, total MFT scores for women were greater than for men concerning nondominant hands. No such gender difference in total MFT scores was noted for dominant hands. In the pegboard test, the number of pegs achieved for dominant hands was related to age when age was 50 or over, and when age 40 or over for nondominant hands. However, rates of decline in numbers of pegs achieved were similar between hands. In determining MFT norms, total score and items testing dexterity were influenced by age, gender, and hand dominance.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dexterity Sentence A: The purpose of this prospective study is to determine the frequency and site of glove perforation during cardiac surgical procedures. Over a period of six months, gloves from 206 surgical team members were collected at the conclusion of surgery. All cases of known perforations were eliminated from the study. The percentage of glove perforation was 14%. The distribution of perforation across locations of the hand was significantly unequal (P = 0.001). We found that 73% of the punctures occurred in one of four contiguous locations on the glove: the radial side of the index finger (28%), the radial side of the thumb (21%), the palmar side of the index (14%), and the palmar side of the thumb (10%). Therefore, we recommend glove reinforcement on these locations that would provide better protection against transmission of infectious agents. Discomfort from restricted dexterity and impaired sense of touch with double gloving renders glove reinforcement a suitable alternative for universal precautions, especially in cardiac surgery while high level of perfection and dexterity were needed in lengthy, critical operations. Sentence B: Stroke is the leading cause of long-term disability. Accurate assessment of motor function is important for documenting disability and the effectiveness of rehabilitative treatment. The Manual Function Test (MFT) was developed to evaluate unilateral manual performance in hemiparetic patients after stroke. This test consists of eight items, including the pegboard task, an item assessing dexterity. The total MFT score can range from 0 (severely impaired) to 32 (full function). We sought to determine normative data and explore influences of age, gender, and hand dominance. Three-hundred thirty-three healthy adult subjects between 20 and 90 years old were studied. Total MFT scores showed negative relationship to age. Compared with subjects in their 20s, those 50 or more years old had lower total MFT scores for dominant hands, as did those 40 or more years old for nondominant hands. For subjects in their 30s and 50s, total MFT scores for women were greater than for men concerning nondominant hands. No such gender difference in total MFT scores was noted for dominant hands. In the pegboard test, the number of pegs achieved for dominant hands was related to age when age was 50 or over, and when age 40 or over for nondominant hands. However, rates of decline in numbers of pegs achieved were similar between hands. In determining MFT norms, total score and items testing dexterity were influenced by age, gender, and hand dominance. ###Answer 1. Changed Reasoning: In Sentence A, the word ""dexterity"" is used to describe the frequency and site of glove perforation during cardiac surgical procedures. The context suggests that the term refers to the ability to perform tasks with precision and skill, particularly in the hand and fingers. However, in Sentence B, the word ""dexterity"" is used to describe the motor function of patients after stroke. The context suggests that the term now refers to the ability to perform manual tasks, including those that require fine motor skills and precision. In Sentence A, the meaning of ""dexterity"" is focused on the physical aspect of hand function, specifically the ability to perform tasks that require manual dexterity. In contrast, in Sentence B, the meaning of ""dexterity"" is more focused on the cognitive aspect of motor function, specifically the ability to perform tasks that require fine motor skills and precision. Therefore, it can be argued that the meaning of ""dexterity"" has shifted from a primarily physical to a primarily cognitive concept. This change in meaning could be considered semantic drift. Therefore, the label ""Changed"" is appropriate for this task." 70,Dexterity,"The aim of the present experimental study was to examine the effects of local application of glyceryl trinitrate and nicotinic acid on the cold-provoked haemodynamic responses, pain and hand dexterity. Ten young healthy volunteers participated in this randomized, cross-over study with three phases at least two days apart. Five cm of 2% glyceryl trinitrate ointment, 10% nicotinic acid ointment or placebo ointment was applied on the back of each subject's both hands 15 min. before the 7 min. cold exposure. Blood pressure and heart rate were measured prior to, during and after the cold exposure. In addition, the effect of cold on hand dexterity was evaluated by the Purdue pegboard test and the subjects assessed the pain in their hands during the cold exposure. Pretreatment with glyceryl trinitrate ointment counteracted the cold-induced haemodynamic response, as evidenced by a significantly (P < 0.05) smaller mean increase in the systolic blood pressure from the baseline compared with placebo. In contrast, the cold-induced increase in the systolic blood pressure observed after pretreatment with nicotinic acid ointment did not differ from placebo. Both glyceryl trinitrate and nicotinic acid alleviated the cold-induced pain, but neither of them prevented the deterioration of hand dexterity. In conclusion, the haemodynamic response provoked by a brief cold exposure could to some extent be counteracted by pretreatment with glyceryl trinitrate ointment, but not with nicotinic acid ointment, compared with placebo.","Constraint-induced (CI) movement therapy is a promising therapy for improving upper limb function in adults after stroke. It involves restraint of the non-involved limb and extensive movement practice with the involved limb. In this study, a single-blinded, randomized, control study was performed to examine the efficacy of CI therapy, modified to be child friendly, in children with hemiplegic cerebral palsy (CP). Twenty-two children (8 females, 14 males; mean age 6 y 8 mo [SD 1 y 4 mo]; range 4-8 y) were randomized to either an intervention group (n=11) or a delayed treatment control group (n=11). Children wore a sling on their non-involved upper limb for 6 hours per day for 10 out of 12 consecutive days and were engaged in play and functional activities. Children in the treatment group demonstrated improved movement efficiency and dexterity of the involved upper extremity, which were sustained through the 6-month evaluation period, as measured by the Jebsen-Taylor Test of Hand Function and fine motor-subtests of the Bruininks-Oseretsky Test of Motor Proficiency (p<0.05 in both cases). Initial severity of hand impairment and testing compliance were strong predictors of improvement. Caregivers reported significant increases in involved limb frequency of use and quality of movement. However, there was no change in strength, sensibility, or muscle tone (p>0.05 in all cases). Results suggest that for a carefully selected subgroup of children with hemiplegic CP, CI therapy modified to be child-friendly, appears to be efficacious in improving movement efficiency of the involved upper extremity.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dexterity Sentence A: The aim of the present experimental study was to examine the effects of local application of glyceryl trinitrate and nicotinic acid on the cold-provoked haemodynamic responses, pain and hand dexterity. Ten young healthy volunteers participated in this randomized, cross-over study with three phases at least two days apart. Five cm of 2% glyceryl trinitrate ointment, 10% nicotinic acid ointment or placebo ointment was applied on the back of each subject's both hands 15 min. before the 7 min. cold exposure. Blood pressure and heart rate were measured prior to, during and after the cold exposure. In addition, the effect of cold on hand dexterity was evaluated by the Purdue pegboard test and the subjects assessed the pain in their hands during the cold exposure. Pretreatment with glyceryl trinitrate ointment counteracted the cold-induced haemodynamic response, as evidenced by a significantly (P < 0.05) smaller mean increase in the systolic blood pressure from the baseline compared with placebo. In contrast, the cold-induced increase in the systolic blood pressure observed after pretreatment with nicotinic acid ointment did not differ from placebo. Both glyceryl trinitrate and nicotinic acid alleviated the cold-induced pain, but neither of them prevented the deterioration of hand dexterity. In conclusion, the haemodynamic response provoked by a brief cold exposure could to some extent be counteracted by pretreatment with glyceryl trinitrate ointment, but not with nicotinic acid ointment, compared with placebo. Sentence B: Constraint-induced (CI) movement therapy is a promising therapy for improving upper limb function in adults after stroke. It involves restraint of the non-involved limb and extensive movement practice with the involved limb. In this study, a single-blinded, randomized, control study was performed to examine the efficacy of CI therapy, modified to be child friendly, in children with hemiplegic cerebral palsy (CP). Twenty-two children (8 females, 14 males; mean age 6 y 8 mo [SD 1 y 4 mo]; range 4-8 y) were randomized to either an intervention group (n=11) or a delayed treatment control group (n=11). Children wore a sling on their non-involved upper limb for 6 hours per day for 10 out of 12 consecutive days and were engaged in play and functional activities. Children in the treatment group demonstrated improved movement efficiency and dexterity of the involved upper extremity, which were sustained through the 6-month evaluation period, as measured by the Jebsen-Taylor Test of Hand Function and fine motor-subtests of the Bruininks-Oseretsky Test of Motor Proficiency (p<0.05 in both cases). Initial severity of hand impairment and testing compliance were strong predictors of improvement. Caregivers reported significant increases in involved limb frequency of use and quality of movement. However, there was no change in strength, sensibility, or muscle tone (p>0.05 in all cases). Results suggest that for a carefully selected subgroup of children with hemiplegic CP, CI therapy modified to be child-friendly, appears to be efficacious in improving movement efficiency of the involved upper extremity. ###Answer 1. Changed Reasoning: In Sentence A, the term ""hand dexterity"" is used to describe the ability to perform tasks that require fine motor skills, such as using tools or typing. The context suggests that the term refers to the ability to perform precise movements with the hands. However, in Sentence B, the term ""movement efficiency"" is used instead of ""hand dexterity"". This suggests that the meaning of the term has shifted to encompass a broader range of movements, including larger movements that require whole-body coordination rather than just fine motor skills. Therefore, semantic drift has occurred." 71,Dexterity,"The aim of this study was to assess the neurotoxic effects associated with the level of airborne manganese in the work place. A cumulative exposure index(CEI) was calculated for each subject. The neurobehavioral test battery, in terms of choosing reaction time, finger tapping, digit symbol, stylus in hole, Benton visual retention and Santa Ana dexterity was applied in the study. The manganese exposed workers had slower motor and response speed, poorer visuomotor coordination and steadiness. There was a dose-response relationship tendency between the cumulative exposure index and the behavioral function. Hence the neurobehavioral test may be a sensitive method in detecting early changes in motor and cognitive function among manganese-exposed workers. The study also demonstrates that the cumulative exposure of manganese about 1 mg/m3 per year may induce subclinical signs of intoxication.","Thenar pain can represent a significant morbidity for a baseball player who relies on manual dexterity for gripping a bat and precise and accurate throws. While osseous, ligamentous, and neurovascular pathologies are commonly considered, musculotendinous injuries are often neglected in the differential diagnosis of thenar pain. We present a case of adductor pollicis longus strain as a cause of acute thenar pain in a baseball player. Adductor pollicis longus strains should be considered in any baseball player sustaining a hyperabduction force to the thumb. ","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dexterity Sentence A: The aim of this study was to assess the neurotoxic effects associated with the level of airborne manganese in the work place. A cumulative exposure index(CEI) was calculated for each subject. The neurobehavioral test battery, in terms of choosing reaction time, finger tapping, digit symbol, stylus in hole, Benton visual retention and Santa Ana dexterity was applied in the study. The manganese exposed workers had slower motor and response speed, poorer visuomotor coordination and steadiness. There was a dose-response relationship tendency between the cumulative exposure index and the behavioral function. Hence the neurobehavioral test may be a sensitive method in detecting early changes in motor and cognitive function among manganese-exposed workers. The study also demonstrates that the cumulative exposure of manganese about 1 mg/m3 per year may induce subclinical signs of intoxication. Sentence B: Thenar pain can represent a significant morbidity for a baseball player who relies on manual dexterity for gripping a bat and precise and accurate throws. While osseous, ligamentous, and neurovascular pathologies are commonly considered, musculotendinous injuries are often neglected in the differential diagnosis of thenar pain. We present a case of adductor pollicis longus strain as a cause of acute thenar pain in a baseball player. Adductor pollicis longus strains should be considered in any baseball player sustaining a hyperabduction force to the thumb. ###Answer 1. Changed Reasoning: In Sentence A, the word ""dexterity"" is used to describe the motor and cognitive function of workers exposed to manganese. The context suggests that the term is used to describe the workers' ability to perform manual tasks with precision and accuracy. However, in Sentence B, the word ""dexterity"" is used to describe the pain experienced by a baseball player, specifically the pain in the thenar region. The context suggests that the term is used to describe the player's ability to grip a bat or throw with precision and accuracy. In Sentence A, the meaning of ""dexterity"" is related to the workplace environment and the effects of manganese exposure on cognitive and motor function. In Sentence B, the meaning of ""dexterity"" is related to the player's ability to perform athletic tasks. These two sentences convey different meanings of the term ""dexterity,"" indicating semantic drift. Therefore, the label ""Changed"" is appropriate." 72,Dexterity,"Four open surgical approaches have been used to perform upper thoracic sympathectomy. The posterior approach requires access through the posterior muscles of the back, and rib transection. It is a painful operation that has been practically abandoned in favor of the other techniques. The anterior transthoracic approach consists of a formal thoracotomy and never gained popularity. The supraclavicular approach involves dissection of several important anatomical structures. It requires excellent surgical dexterity, but ensures the easiest postoperative recovery. The last approach involves a small transaxillary thoracotomy. Technically, it is the easier procedure. Both the supraclavicular and the transaxillary approaches were widely used until the advent of thoracoscopic surgery. The results (rate of success, recurrences, and sequelae) were similar for all techniques, depending on the procedure performed on the sympathetic chain, not on the access route. Open approaches for upper dorsal sympathectomy are not used any more except in the very rare cases in which thoracoscopy is unfeasible.","Virtual reality (VR) refers to an advanced technology that provides real life-like experience in a virtual environment. Numerous commercially available systems provide gaming opportunities with VR, while a few also provide haptic feedback along with VR. In the recent past, VR has been explored as a viable intervention in the field of neurorehabilitation. Although there are promising results for adults with hemiplegia, the research involving children with infantile hemiplegia is in the nascent stage. Infantile hemiplegia is manifested by sensory and motor deficits predominantly on one side of the body resulting in adverse effects on the functionality of the affected side since early life. VR gaming has an intense, motivational component that encourages children to put sustained voluntary effort to use both upper extremities. A six-year-old male with infantile hemiplegia presented with difficulty in using the left upper extremity. Pre-intervention scores of the nine-hole peg test (9HPT) and box and block test (BBT) were used to evaluate the manual dexterity, while those of ABILHAND-kids and functional independence measure for children (WeeFIM self-care section) assessed the functional independence. The child underwent treatment for six weeks (five days/week), with each session lasting for 60 minutes/day that included VR gaming with haptic feedback for 30 minutes and conventional physiotherapy for 30 minutes. Post-intervention scores were recorded and were compared with pre-intervention scores. Marked improvement in left upper extremity function was noted not only objectively by the outcome measures but also subjectively by the parents as well as by the child. Moreover, the child remarked that he enjoyed the therapy sessions. The findings of this report would facilitate the design of further research in this area in the form of larger trials.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dexterity Sentence A: Four open surgical approaches have been used to perform upper thoracic sympathectomy. The posterior approach requires access through the posterior muscles of the back, and rib transection. It is a painful operation that has been practically abandoned in favor of the other techniques. The anterior transthoracic approach consists of a formal thoracotomy and never gained popularity. The supraclavicular approach involves dissection of several important anatomical structures. It requires excellent surgical dexterity, but ensures the easiest postoperative recovery. The last approach involves a small transaxillary thoracotomy. Technically, it is the easier procedure. Both the supraclavicular and the transaxillary approaches were widely used until the advent of thoracoscopic surgery. The results (rate of success, recurrences, and sequelae) were similar for all techniques, depending on the procedure performed on the sympathetic chain, not on the access route. Open approaches for upper dorsal sympathectomy are not used any more except in the very rare cases in which thoracoscopy is unfeasible. Sentence B: Virtual reality (VR) refers to an advanced technology that provides real life-like experience in a virtual environment. Numerous commercially available systems provide gaming opportunities with VR, while a few also provide haptic feedback along with VR. In the recent past, VR has been explored as a viable intervention in the field of neurorehabilitation. Although there are promising results for adults with hemiplegia, the research involving children with infantile hemiplegia is in the nascent stage. Infantile hemiplegia is manifested by sensory and motor deficits predominantly on one side of the body resulting in adverse effects on the functionality of the affected side since early life. VR gaming has an intense, motivational component that encourages children to put sustained voluntary effort to use both upper extremities. A six-year-old male with infantile hemiplegia presented with difficulty in using the left upper extremity. Pre-intervention scores of the nine-hole peg test (9HPT) and box and block test (BBT) were used to evaluate the manual dexterity, while those of ABILHAND-kids and functional independence measure for children (WeeFIM self-care section) assessed the functional independence. The child underwent treatment for six weeks (five days/week), with each session lasting for 60 minutes/day that included VR gaming with haptic feedback for 30 minutes and conventional physiotherapy for 30 minutes. Post-intervention scores were recorded and were compared with pre-intervention scores. Marked improvement in left upper extremity function was noted not only objectively by the outcome measures but also subjectively by the parents as well as by the child. Moreover, the child remarked that he enjoyed the therapy sessions. The findings of this report would facilitate the design of further research in this area in the form of larger trials. ###Answer 1. Changed Reasoning: The term ""dexterity"" has undergone a significant change in meaning between the two sentences. In Sentence A, ""dexterity"" refers to the manual skills and coordination required for surgical procedures, particularly in the context of open surgical approaches. In contrast, in Sentence B, ""dexterity"" is used to describe the realism and immersive nature of virtual reality technology, particularly in the context of its potential therapeutic benefits for children with hemiplegia. The term is no longer associated with surgical techniques or manual skills, but rather with the experience and realism of a virtual environment. Therefore, the label ""Changed"" is appropriate to indicate that the meaning of the term ""dexterity"" has shifted significantly between the two sentences." 73,Dexterity,The aim of this study was to quantify the extent of dexterity enhancement in robotic surgery as compared to laparoscopic surgery.,"Pegboard tests are a powerful technique used by health and education professionals to evaluate manual dexterity and fine motor speed, both in children and adults. Using traditional pegboards in tests, the total time that, for example, a 4-year-old child needs for inserting pegs in a pegboard, with the left or right hand, can be measured. However, these measurements only allow for studying the variability among individuals, whereas no data can be obtained on the intraindividual variability in inserting and removing these pegs with one and the other hand.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dexterity Sentence A: The aim of this study was to quantify the extent of dexterity enhancement in robotic surgery as compared to laparoscopic surgery. Sentence B: Pegboard tests are a powerful technique used by health and education professionals to evaluate manual dexterity and fine motor speed, both in children and adults. Using traditional pegboards in tests, the total time that, for example, a 4-year-old child needs for inserting pegs in a pegboard, with the left or right hand, can be measured. However, these measurements only allow for studying the variability among individuals, whereas no data can be obtained on the intraindividual variability in inserting and removing these pegs with one and the other hand. ###Answer 1. Changed Reasoning: The target word ""dexterity"" has undergone a significant change in meaning between Sentence A (2000) and Sentence B (2020). In Sentence A, the term is used to describe the enhancement of motor skills in robotic surgery. In contrast, in Sentence B, the term is used to describe the evaluation of manual dexterity in children and adults, with a focus on intraindividual variability. The shift in meaning suggests that the term ""dexterity"" has undergone semantic drift." 74,Dexterity,"Fine dexterity of the hand might be expected to correlate with the successful use of a hearing aid. In this study, the manual dexterity of 30 individuals between 65 and 85 years using a hearing aid was tested by the Purdue pegboard test and the result was compared to the benefit obtained from the use of a hearing aid assessed by a questionnaire. Of the 30 individuals included in this study 16 were wearing a 'behind the ear' type of hearing aid and the rest had an 'in the ear' type of hearing aid. A comparison is made between the two types of heariing aids. The results demonstrate a correlation between manual dexterity and successful use of a hearing aid when all the 30 individuals were considered as a single group. However, no such correlation was found for 'in the ear' group when they were analysed separately.","While many studies have investigated links between motor and visual spatial cognitive abilities in typically developing children, only a few studies have tested this link among children with innate handicaps. Therefore, we assessed motor abilities (using the M-ABC-2) and visual spatial cognitive skills (using the Block Design subtest of the WPPSI-III and a picture mental rotation task, PRT) of 5-7 year old typically developing children (n= 17) and same-aged children with severe deficits in stereopsis due to infantile esotropia (n= 17). Compared to the typically developing children, children with esotropia showed significantly poorer motor performances, especially in manual dexterity and ball skills, and significantly poorer and slower performance on the visual spatial cognitive tasks. Especially the girls treated for infantile esotropia needed more time to mentally rotate the pictures of the PRT correctly. Overall, this study showed that perceptual, motor and cognitive processes are interconnected and that children treated for infantile esotropia had an increased risk of motor and visual spatial cognitive deficits.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dexterity Sentence A: Fine dexterity of the hand might be expected to correlate with the successful use of a hearing aid. In this study, the manual dexterity of 30 individuals between 65 and 85 years using a hearing aid was tested by the Purdue pegboard test and the result was compared to the benefit obtained from the use of a hearing aid assessed by a questionnaire. Of the 30 individuals included in this study 16 were wearing a 'behind the ear' type of hearing aid and the rest had an 'in the ear' type of hearing aid. A comparison is made between the two types of heariing aids. The results demonstrate a correlation between manual dexterity and successful use of a hearing aid when all the 30 individuals were considered as a single group. However, no such correlation was found for 'in the ear' group when they were analysed separately. Sentence B: While many studies have investigated links between motor and visual spatial cognitive abilities in typically developing children, only a few studies have tested this link among children with innate handicaps. Therefore, we assessed motor abilities (using the M-ABC-2) and visual spatial cognitive skills (using the Block Design subtest of the WPPSI-III and a picture mental rotation task, PRT) of 5-7 year old typically developing children (n= 17) and same-aged children with severe deficits in stereopsis due to infantile esotropia (n= 17). Compared to the typically developing children, children with esotropia showed significantly poorer motor performances, especially in manual dexterity and ball skills, and significantly poorer and slower performance on the visual spatial cognitive tasks. Especially the girls treated for infantile esotropia needed more time to mentally rotate the pictures of the PRT correctly. Overall, this study showed that perceptual, motor and cognitive processes are interconnected and that children treated for infantile esotropia had an increased risk of motor and visual spatial cognitive deficits. ###Answer 1. Changed Reasoning: In Sentence A, the term ""dexterity"" is used in the context of manual dexterity, specifically the fine dexterity of the hand. The sentence suggests that manual dexterity is important for the successful use of a hearing aid. In Sentence B, the term ""dexterity"" is used in a different context, referring to visual spatial cognitive abilities, specifically the ability to mentally rotate pictures. The sentence suggests that children with severe deficits in stereopsis due to infantile esotropia have poorer visual spatial cognitive skills, especially among girls. In Sentence A, the term ""dexterity"" has a positive connotation, as it is associated with the successful use of a hearing aid. In Sentence B, the term ""dexterity"" has a different connotation, as it is associated with visual spatial cognitive skills. The meaning of the term has shifted from manual dexterity to visual spatial cognitive abilities. Therefore, the label ""Changed"" is appropriate." 75,Dexterity,"Recent years have seen notable advances in imaging technologies. Three-dimensional computer-rendered techniques with rapid image acquisition have led to the development of virtual reality imaging. Virtual reality imaging allows interactive intraluminal navigation through any hollow viscus, simulating conventional endoscopy. This technique of virtual endoscopy has been applied to many organs, including the urinary tract. Virtual reality endoscopy is beginning to challenge the gold standard of conventional endoscopic evaluation. Recent advances in laparoscopic surgery are largely attributable to technological improvements in imaging equipment. Laparoscopic ultrasound has become a common adjunct in laparoscopic surgery. In particular, advances in video cameras and digital imaging technology have decreased the steep learning curve associated with laparoscopic procedures. Telerobotic systems offer several advantages to laparoscopic surgery, such as all six degrees of freedom, dexterity enhancement, tremor filtering, and stereovision. In addition, technological breakthroughs allow many procedures to evolve from open operations involving lengthy hospital stays to imaging-guided minimally invasive procedures performed on an outpatient basis. Finally, Internet-based imaging is changing the way in which urology services are delivered, by allowing rapid communication between remote locations.","Despite increasing interest in minimally invasive surgical techniques and related developments in flexible endoscopes and catheters, follow-the-leader motion remains elusive. Following the path of least resistance through a tortuous and potentially delicate environment without relying on interaction with the surrounding anatomy requires the control of many degrees of freedom. This typically results in large-diameter instruments. One viable solution to obtain dexterity without increasing size is via multiple-point magnetic actuation over the length of the catheter. The main challenge of this approach is planning magnetic interaction to allow the catheter to adapt to the surrounding anatomy during navigation. We design and manufacture a fully shape-forming, soft magnetic catheter of 80 mm length and 2 mm diameter, capable of navigating a human anatomy in a follow-the-leader fashion. Although this system could be exploited for a range of endoscopic or intravascular applications, here we demonstrate its efficacy for navigational bronchoscopy. From a patient-specific preoperative scan, we optimize the catheters' magnetization profiles and the shape-forming actuating field. To generate the required transient magnetic fields, a dual-robot arm system is employed. We fabricate three separate prototypes to demonstrate minimal contact navigation through a three-dimensional bronchial tree phantom under precomputed robotic control. We also compare a further four separate optimally designed catheters against mechanically equivalent designs with axial magnetization profiles along their length and only at the tip. Using our follow-the-leader approach, we demonstrate up to 50% more accurate tracking, 50% reduction in obstacle contact time during navigation over the state of the art, and an improvement in targeting error of 90%.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dexterity Sentence A: Recent years have seen notable advances in imaging technologies. Three-dimensional computer-rendered techniques with rapid image acquisition have led to the development of virtual reality imaging. Virtual reality imaging allows interactive intraluminal navigation through any hollow viscus, simulating conventional endoscopy. This technique of virtual endoscopy has been applied to many organs, including the urinary tract. Virtual reality endoscopy is beginning to challenge the gold standard of conventional endoscopic evaluation. Recent advances in laparoscopic surgery are largely attributable to technological improvements in imaging equipment. Laparoscopic ultrasound has become a common adjunct in laparoscopic surgery. In particular, advances in video cameras and digital imaging technology have decreased the steep learning curve associated with laparoscopic procedures. Telerobotic systems offer several advantages to laparoscopic surgery, such as all six degrees of freedom, dexterity enhancement, tremor filtering, and stereovision. In addition, technological breakthroughs allow many procedures to evolve from open operations involving lengthy hospital stays to imaging-guided minimally invasive procedures performed on an outpatient basis. Finally, Internet-based imaging is changing the way in which urology services are delivered, by allowing rapid communication between remote locations. Sentence B: Despite increasing interest in minimally invasive surgical techniques and related developments in flexible endoscopes and catheters, follow-the-leader motion remains elusive. Following the path of least resistance through a tortuous and potentially delicate environment without relying on interaction with the surrounding anatomy requires the control of many degrees of freedom. This typically results in large-diameter instruments. One viable solution to obtain dexterity without increasing size is via multiple-point magnetic actuation over the length of the catheter. The main challenge of this approach is planning magnetic interaction to allow the catheter to adapt to the surrounding anatomy during navigation. We design and manufacture a fully shape-forming, soft magnetic catheter of 80 mm length and 2 mm diameter, capable of navigating a human anatomy in a follow-the-leader fashion. Although this system could be exploited for a range of endoscopic or intravascular applications, here we demonstrate its efficacy for navigational bronchoscopy. From a patient-specific preoperative scan, we optimize the catheters' magnetization profiles and the shape-forming actuating field. To generate the required transient magnetic fields, a dual-robot arm system is employed. We fabricate three separate prototypes to demonstrate minimal contact navigation through a three-dimensional bronchial tree phantom under precomputed robotic control. We also compare a further four separate optimally designed catheters against mechanically equivalent designs with axial magnetization profiles along their length and only at the tip. Using our follow-the-leader approach, we demonstrate up to 50% more accurate tracking, 50% reduction in obstacle contact time during navigation over the state of the art, and an improvement in targeting error of 90%. ###Answer 1. Changed Explanation: The target word ""dexterity"" has undergone a significant change in meaning between Sentence A (2000) and Sentence B (2020). In Sentence A, the word is used to describe the advancements in imaging technologies, specifically the development of virtual reality imaging. The focus is on the technical capabilities of the imaging equipment. In contrast, in Sentence B, the word is used to describe the design of a catheter for navigational bronchoscopy. The focus is on the ability of the catheter to adapt to the surrounding anatomy during navigation. In Sentence A, the meaning of ""dexterity"" is related to the technical capabilities of the imaging equipment, emphasizing the ability to simulate conventional endoscopy. In Sentence B, the meaning of ""dexterity"" is related to the design of the catheter, emphasizing the ability to adapt to the surrounding anatomy during navigation. These two meanings are distinct and suggest a shift in focus from technical capabilities to design and adaptability. Therefore, the label ""Changed"" is appropriate for this task." 76,Dexterity,"All 155 surviving children from a cohort of 200 very low birthweight infants originally studied in 1984-5 were traced. These infants had careful sequential ultrasound examinations in the neonatal period. The children were examined again at entry into school at 5 years of age. The test of motor impairment (TOMI) and the vocabulary subscale of the Wechsler preschool and primary scale of intelligence (WPPSI) were administered to 152 of the index cohort and 144 control children of the same age in the same class at school. Twelve of the cohort had cerebral palsy, but eight of these were in mainstream schools. The index group scored significantly higher on both the TOMI and the WPPSI subscale compared with the controls. The index cases were subdivided on the basis of their neonatal ultrasound scans into four groups: group 1, consistently normal; group 2, 'prolonged flare'; group 3, germinal matrix haemorrhage-intraventricular haemorrhage (GMH-IVH), without parenchymal haemorrhage, but no evidence of prolonged flare; and group 4, both GMH-IVH and prolonged flare. The group of index children with consistently normal ultrasound scans had a higher TOMI and lower WPPSI compared with their controls. There was a statistically significant increase in the TOMI subscore 1 (manual dexterity) in group 4 infants compared with group 1, but not differences between the other groups. Regression analysis suggests that neither prolonged flare nor GMH-IVH has an important individual contribution to the variation, but the low birth weight does have a significant relationship with motor impairment. It appears that relatively minor ultrasound appearances such as prolonged flare and GMH-IVH are associated with motor impairment (clumsiness) at 5 years, but this has a small effect compared with low birth weight.","This report aims to attract attention toward the importance of sleep in medical students and young resident doctors. With growing stress levels among students, sleep problems have become a common affair. Concepts like sleep disorders, chronotypes, indicators of sleep deprivation are worth knowing. As found in a questionnaire-based review, significant gaps in sleep education exist today among medical students. There are many health hazards of sleep deprivation like anxiety, depression, hypertension, obesity, diabetes, increased error rate at work, breast malignancy, decreased dexterity and adverse impact on academic performance that are dealt with in this article. These issues are not covered well in the conventional didactic lectures on 'sleep' in the medical curriculum. The medical profession demands health caregivers to stay up all night and keep working. Hence, the current medical education curriculum should lay special emphasis on sleep education. ","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dexterity Sentence A: All 155 surviving children from a cohort of 200 very low birthweight infants originally studied in 1984-5 were traced. These infants had careful sequential ultrasound examinations in the neonatal period. The children were examined again at entry into school at 5 years of age. The test of motor impairment (TOMI) and the vocabulary subscale of the Wechsler preschool and primary scale of intelligence (WPPSI) were administered to 152 of the index cohort and 144 control children of the same age in the same class at school. Twelve of the cohort had cerebral palsy, but eight of these were in mainstream schools. The index group scored significantly higher on both the TOMI and the WPPSI subscale compared with the controls. The index cases were subdivided on the basis of their neonatal ultrasound scans into four groups: group 1, consistently normal; group 2, 'prolonged flare'; group 3, germinal matrix haemorrhage-intraventricular haemorrhage (GMH-IVH), without parenchymal haemorrhage, but no evidence of prolonged flare; and group 4, both GMH-IVH and prolonged flare. The group of index children with consistently normal ultrasound scans had a higher TOMI and lower WPPSI compared with their controls. There was a statistically significant increase in the TOMI subscore 1 (manual dexterity) in group 4 infants compared with group 1, but not differences between the other groups. Regression analysis suggests that neither prolonged flare nor GMH-IVH has an important individual contribution to the variation, but the low birth weight does have a significant relationship with motor impairment. It appears that relatively minor ultrasound appearances such as prolonged flare and GMH-IVH are associated with motor impairment (clumsiness) at 5 years, but this has a small effect compared with low birth weight. Sentence B: This report aims to attract attention toward the importance of sleep in medical students and young resident doctors. With growing stress levels among students, sleep problems have become a common affair. Concepts like sleep disorders, chronotypes, indicators of sleep deprivation are worth knowing. As found in a questionnaire-based review, significant gaps in sleep education exist today among medical students. There are many health hazards of sleep deprivation like anxiety, depression, hypertension, obesity, diabetes, increased error rate at work, breast malignancy, decreased dexterity and adverse impact on academic performance that are dealt with in this article. These issues are not covered well in the conventional didactic lectures on 'sleep' in the medical curriculum. The medical profession demands health caregivers to stay up all night and keep working. Hence, the current medical education curriculum should lay special emphasis on sleep education. ###Answer 1. Changed Reasoning: In Sentence A, the term ""dexterity"" is used in the context of neonatal ultrasound examinations to describe the manual dexterity of infants. The sentence highlights the importance of motor impairment in very low birth weight infants, with a focus on the impact of low birth weight. The term ""dexterity"" carries a negative connotation, suggesting a lack of coordination or clumsiness. In Sentence B, the term ""dexterity"" is used in a different context, to describe the impact of sleep deprivation on medical students and residents. The sentence highlights the importance of sleep for maintaining physical and mental health, and the negative consequences of sleep deprivation. The term ""dexterity"" carries a different connotation in this sentence, suggesting a loss of coordination or dexterity due to sleep deprivation. Based on these contexts, it is clear that the term ""dexterity"" has undergone a significant change in meaning between Sentence A and Sentence B. In Sentence A, the term is used to describe a specific aspect of neonatal development and the impact of low birth weight, while in Sentence B, it is used to describe the broader impact of sleep deprivation on physical and mental health. Therefore, the label ""Changed"" is appropriate to indicate that the meaning of the term ""dexterity"" has shifted significantly between these two sentences." 77,Dexterity,"The acquisition and maintenance of essential psychomotor skills that are only required sporadically is a significant problem in medical training and practice. It is of particular relevance to anesthesiologists with regard to fiberoptic intubation, a technique that may be under-utilized despite its central role in the management of the difficult airway. Dexterity deficit due to current training models, dexterity decay due to lack of practice, and situational stress related to the clinical environment may combine to impede effective training and confident use of endoscopes in airway management. We describe an educational resource (Dexter), which has been developed to overcome these problems. Dexter is a nonanatomical, endoscopic dexterity training system designed to encourage practice and help establish and maintain a state of procedural readiness, even if clinical exposure to difficult airway situations is sporadic.","Robot-assisted left ventricular lead implantation for cardiac resynchronization therapy is a feasible and safe technique with superior visualization, dexterity, and precision to target the optimal pacing site. The technique has been associated with clinical response and beneficial reverse remodeling comparable with the conventional approach via the coronary sinus. The lack of clinical superiority and a residual high nonresponder rate suggest that the appropriate clinical role for the technique remains as rescue therapy.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dexterity Sentence A: The acquisition and maintenance of essential psychomotor skills that are only required sporadically is a significant problem in medical training and practice. It is of particular relevance to anesthesiologists with regard to fiberoptic intubation, a technique that may be under-utilized despite its central role in the management of the difficult airway. Dexterity deficit due to current training models, dexterity decay due to lack of practice, and situational stress related to the clinical environment may combine to impede effective training and confident use of endoscopes in airway management. We describe an educational resource (Dexter), which has been developed to overcome these problems. Dexter is a nonanatomical, endoscopic dexterity training system designed to encourage practice and help establish and maintain a state of procedural readiness, even if clinical exposure to difficult airway situations is sporadic. Sentence B: Robot-assisted left ventricular lead implantation for cardiac resynchronization therapy is a feasible and safe technique with superior visualization, dexterity, and precision to target the optimal pacing site. The technique has been associated with clinical response and beneficial reverse remodeling comparable with the conventional approach via the coronary sinus. The lack of clinical superiority and a residual high nonresponder rate suggest that the appropriate clinical role for the technique remains as rescue therapy. ###Answer 1. Changed Reasoning: In Sentence A, the term ""dexterity"" is used to describe the ability to perform a specific task, specifically the use of endoscopes in airway management. The context suggests that the term refers to the manual dexterity and coordination required to perform the task effectively. However, in Sentence B, the term ""dexterity"" is used in a different context, to describe the precision and visualization of a medical procedure. In this sentence, the term refers to the technical skill and accuracy required to perform the procedure successfully. Therefore, it can be inferred that the meaning of the term ""dexterity"" has shifted between the two sentences, moving from a focus on manual dexterity to a focus on technical skill and precision. This constitutes semantic drift, and the label ""Changed"" is therefore appropriate." 78,Dexterity,"The authors explored the feasibility of performing true microsurgery through the laparoscope in 1990. The first laparoscopic microsurgical tubal anastomosis was performed in February 1992. Operative laparoscopy will continue to expand as technical feasibility continues to improve, driven by both hardware advances and increased surgical dexterity. Laparoscopic microsurgery will introduce a new dimension to reproductive surgery and over time, will replace laparotomy for microsurgery.","In this study, we examined the impact of surgeon handedness on total knee arthroplasty (TKA) outcomes. From 1997 to 2001, a right-handed surgeon performed 728 primary TKAs while standing on the side of the operative extremity--377 on the right and 351 on the left. Extension and Knee Society Function and Pain scores were significantly better for right knees than for left knees 1 year after surgery. This is the first report that shows that handedness can play a role in TKA outcomes. Reasons for the difference have not been determined but may be related to dexterity or proprioception. A surgeon should be aware of this potential problem and take precautions to prevent diminished results when operating.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dexterity Sentence A: The authors explored the feasibility of performing true microsurgery through the laparoscope in 1990. The first laparoscopic microsurgical tubal anastomosis was performed in February 1992. Operative laparoscopy will continue to expand as technical feasibility continues to improve, driven by both hardware advances and increased surgical dexterity. Laparoscopic microsurgery will introduce a new dimension to reproductive surgery and over time, will replace laparotomy for microsurgery. Sentence B: In this study, we examined the impact of surgeon handedness on total knee arthroplasty (TKA) outcomes. From 1997 to 2001, a right-handed surgeon performed 728 primary TKAs while standing on the side of the operative extremity--377 on the right and 351 on the left. Extension and Knee Society Function and Pain scores were significantly better for right knees than for left knees 1 year after surgery. This is the first report that shows that handedness can play a role in TKA outcomes. Reasons for the difference have not been determined but may be related to dexterity or proprioception. A surgeon should be aware of this potential problem and take precautions to prevent diminished results when operating. ###Answer 1. Changed Reasoning: In Sentence A, the term ""operative laparoscopy"" is used, which implies a high level of technical skill and dexterity required to perform the procedure. In contrast, in Sentence B, the term ""diminished results"" is used, which suggests a loss of dexterity or technical skill. This difference in language suggests that the meaning of the term ""dexterity"" has shifted from a focus on technical skill to a focus on diminished ability. Therefore, the label ""Changed"" is appropriate." 79,Dexterity,Recent attention has been directed at developing quantitative assessments of surgical skill. This study aims to demonstrate whether objectively measuring differences in manual dexterity has an impact on a simulated surgical procedure.,"High-definition transcranial direct current stimulation (HD-tDCS) seems to overcome a drawback of traditional bipolar tDCS: the wide-spread diffusion of the electric field. Nevertheless, most of the differences that characterise the two techniques are based on mathematical simulations and not on real, behavioural and neurophysiological, data. The study aims to compare a widespread tDCS montage (i.e., a Conventional bipolar montage with extracephalic return electrode) and HD-tDCS, investigating differences both at a behavioural level, in terms of dexterity performance, and a neurophysiological level, as modifications of alpha and beta power as measured with EEG. Thirty participants took part in three sessions, one for each montage: Conventional tDCS, HD-tDCS, and sham. In all the conditions, the anode was placed over C4, while the cathode/s placed according to the montage. At baseline, during, and after each stimulation condition, dexterity was assessed with a Finger Tapping Task. In addition, resting-state EEG was recorded at baseline and after the stimulation. Power spectrum density was calculated, selecting two frequency bands: alpha (8-12 Hz) and beta (18-22 Hz). Linear mixed effect models (LMMs) were used to analyse the modulation induced by tDCS. To evaluate differences among the montages and consider state-dependency phenomenon, the post-stimulation measurements were covariate-adjusted for baseline levels. We observed that HD-tDCS induced an alpha power reduction in participants with lower alpha at baseline. Conversely, Conventional tDCS induced a beta power reduction in participants with higher beta at baseline. Furthermore, data showed a trend towards a behavioural effect of HD-tDCS in participants with lower beta at baseline showing faster response times. Conventional and HD-tDCS distinctively modulated cortical activity. The study highlights the importance of considering state-dependency to determine the effects of tDCS on individuals.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dexterity Sentence A: Recent attention has been directed at developing quantitative assessments of surgical skill. This study aims to demonstrate whether objectively measuring differences in manual dexterity has an impact on a simulated surgical procedure. Sentence B: High-definition transcranial direct current stimulation (HD-tDCS) seems to overcome a drawback of traditional bipolar tDCS: the wide-spread diffusion of the electric field. Nevertheless, most of the differences that characterise the two techniques are based on mathematical simulations and not on real, behavioural and neurophysiological, data. The study aims to compare a widespread tDCS montage (i.e., a Conventional bipolar montage with extracephalic return electrode) and HD-tDCS, investigating differences both at a behavioural level, in terms of dexterity performance, and a neurophysiological level, as modifications of alpha and beta power as measured with EEG. Thirty participants took part in three sessions, one for each montage: Conventional tDCS, HD-tDCS, and sham. In all the conditions, the anode was placed over C4, while the cathode/s placed according to the montage. At baseline, during, and after each stimulation condition, dexterity was assessed with a Finger Tapping Task. In addition, resting-state EEG was recorded at baseline and after the stimulation. Power spectrum density was calculated, selecting two frequency bands: alpha (8-12 Hz) and beta (18-22 Hz). Linear mixed effect models (LMMs) were used to analyse the modulation induced by tDCS. To evaluate differences among the montages and consider state-dependency phenomenon, the post-stimulation measurements were covariate-adjusted for baseline levels. We observed that HD-tDCS induced an alpha power reduction in participants with lower alpha at baseline. Conversely, Conventional tDCS induced a beta power reduction in participants with higher beta at baseline. Furthermore, data showed a trend towards a behavioural effect of HD-tDCS in participants with lower beta at baseline showing faster response times. Conventional and HD-tDCS distinctively modulated cortical activity. The study highlights the importance of considering state-dependency to determine the effects of tDCS on individuals. ###Answer 1. Changed Reasoning: The meaning of the word ""dexterity"" has changed between the two sentences. In Sentence A, the word is used to describe the ability to perform manual tasks with precision and skill, particularly in the context of surgical skill. In Sentence B, the word is used to describe the ability to perform cognitive tasks with speed and accuracy, particularly in the context of neurophysiological data. The shift in meaning is significant, as the word is being used in a different context and with a different connotation. Therefore, the label ""Changed"" is appropriate." 80,Dexterity,"Laparoscopic surgery has become increasingly popular over the last decade. However, this surgical technique has a number of limitations. It is difficult to work in a three-dimensional space while viewing a two-dimensional monitor, long instruments amplify natural tremor, and traditional instruments have limited mobility due to few degrees of freedom. Robot-assisted surgery has been developed in response to these limitations. A three-dimensional viewer allows the surgeon to operate in a realistic environment, natural tremor is eliminated by translating the surgeon's hand motions to robotic movements, and the robotic surgical instruments are designed to have the same dexterity as a human wrist. We describe a case of robot-assisted laparoscopic Nissen fundoplication and discuss the anesthetic issues associated with this new surgical technique. In addition to the anesthetic issues associated with traditional laparoscopic surgery, robot-assisted laparoscopic surgery presents some unique challenges.","Our ability to manipulate objects dexterously relies fundamentally on sensory signals originating from the hand. To restore motor function with upper-limb neuroprostheses requires that somatosensory feedback be provided to the tetraplegic patient or amputee. Given the complexity of state-of-the-art prosthetic limbs and, thus, the huge state space they can traverse, it is desirable to minimize the need for the patient to learn associations between events impinging on the limb and arbitrary sensations. Accordingly, we have developed approaches to intuitively convey sensory information that is critical for object manipulation--information about contact location, pressure, and timing--through intracortical microstimulation of primary somatosensory cortex. In experiments with nonhuman primates, we show that we can elicit percepts that are projected to a localized patch of skin and that track the pressure exerted on the skin. In a real-time application, we demonstrate that animals can perform a tactile discrimination task equally well whether mechanical stimuli are delivered to their native fingers or to a prosthetic one. Finally, we propose that the timing of contact events can be signaled through phasic intracortical microstimulation at the onset and offset of object contact that mimics the ubiquitous on and off responses observed in primary somatosensory cortex to complement slowly varying pressure-related feedback. We anticipate that the proposed biomimetic feedback will considerably increase the dexterity and embodiment of upper-limb neuroprostheses and will constitute an important step in restoring touch to individuals who have lost it.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dexterity Sentence A: Laparoscopic surgery has become increasingly popular over the last decade. However, this surgical technique has a number of limitations. It is difficult to work in a three-dimensional space while viewing a two-dimensional monitor, long instruments amplify natural tremor, and traditional instruments have limited mobility due to few degrees of freedom. Robot-assisted surgery has been developed in response to these limitations. A three-dimensional viewer allows the surgeon to operate in a realistic environment, natural tremor is eliminated by translating the surgeon's hand motions to robotic movements, and the robotic surgical instruments are designed to have the same dexterity as a human wrist. We describe a case of robot-assisted laparoscopic Nissen fundoplication and discuss the anesthetic issues associated with this new surgical technique. In addition to the anesthetic issues associated with traditional laparoscopic surgery, robot-assisted laparoscopic surgery presents some unique challenges. Sentence B: Our ability to manipulate objects dexterously relies fundamentally on sensory signals originating from the hand. To restore motor function with upper-limb neuroprostheses requires that somatosensory feedback be provided to the tetraplegic patient or amputee. Given the complexity of state-of-the-art prosthetic limbs and, thus, the huge state space they can traverse, it is desirable to minimize the need for the patient to learn associations between events impinging on the limb and arbitrary sensations. Accordingly, we have developed approaches to intuitively convey sensory information that is critical for object manipulation--information about contact location, pressure, and timing--through intracortical microstimulation of primary somatosensory cortex. In experiments with nonhuman primates, we show that we can elicit percepts that are projected to a localized patch of skin and that track the pressure exerted on the skin. In a real-time application, we demonstrate that animals can perform a tactile discrimination task equally well whether mechanical stimuli are delivered to their native fingers or to a prosthetic one. Finally, we propose that the timing of contact events can be signaled through phasic intracortical microstimulation at the onset and offset of object contact that mimics the ubiquitous on and off responses observed in primary somatosensory cortex to complement slowly varying pressure-related feedback. We anticipate that the proposed biomimetic feedback will considerably increase the dexterity and embodiment of upper-limb neuroprostheses and will constitute an important step in restoring touch to individuals who have lost it. ###Answer 1. Changed Reasoning: The meaning of ""dexterity"" has shifted significantly between Sentence A and Sentence B. In Sentence A, ""dexterity"" refers to the limitations of laparoscopic surgery, particularly the difficulty in manipulating objects in a three-dimensional space while viewing a two-dimensional monitor. In contrast, in Sentence B, ""dexterity"" is used to describe the ability to manipulate objects through intracortical microstimulation of primary somatosensory cortex, with a focus on restoring motor function to tetraplegic patients or amputees. These two meanings are not interchangeable, indicating that the term ""dexterity"" has undergone semantic drift." 81,Dexterity,The aim of this study was to evaluate the relationship of normal dexterity and the ability to obtain correct dental hygiene. Manual dexterity level was determined by means of psychotechnical tests on 35 students. Plaque index was noted before oral hygiene instructions including tooth-brushing and flossing techniques according to BASS. The same index was noted 15 days after instructions. Statistical analysis of results showed no significant relationship between manual dexterity and plaque control efficiency.,"Persistent pain and reduced mobility and dexterity are the typical characteristics of Musculoskeletal disorders (MSDs). We aimed to determine the prevalence of back and joint pain, back, and joint stiffness, arthritis, and osteoporosis among adults and their distribution according to sociodemographic characteristics and comorbidities.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dexterity Sentence A: The aim of this study was to evaluate the relationship of normal dexterity and the ability to obtain correct dental hygiene. Manual dexterity level was determined by means of psychotechnical tests on 35 students. Plaque index was noted before oral hygiene instructions including tooth-brushing and flossing techniques according to BASS. The same index was noted 15 days after instructions. Statistical analysis of results showed no significant relationship between manual dexterity and plaque control efficiency. Sentence B: Persistent pain and reduced mobility and dexterity are the typical characteristics of Musculoskeletal disorders (MSDs). We aimed to determine the prevalence of back and joint pain, back, and joint stiffness, arthritis, and osteoporosis among adults and their distribution according to sociodemographic characteristics and comorbidities. ###Answer 1. Changed The meaning of ""dexterity"" has shifted significantly between the two sentences. In Sentence A, the term refers to manual coordination and dexterity in the context of dental hygiene and oral health. In Sentence B, the term refers to the reduced mobility and dexterity of individuals with musculoskeletal disorders (MSDs). The shift in meaning is likely due to changes in societal understanding and perception of the term over time." 82,Dexterity,"Hypothenar pain was a major complaint in 1.1% of patients 6 months after operation in 500 consecutive carpal tunnel releases. Pain, discomfort, and loss of grip strength was noticed mostly during activities requiring full hand grip or activities associated with use of the heel of the hand, such as pushing up from a chair, or pushing open a door with the flat palm. The pain originated from the piso-triquetral joint, possibly a result of intercarpal alignment change after carpal tunnel release. Pisiform excision was curative, with complete relief of symptoms and return of strength and dexterity. Awareness of this syndrome and systemic evaluation of the piso-triquetral joint preoperatively and postoperatively, as presented here, are essential in the management of this condition."," This paper develops closed-loop tactile controllers for dexterous robotic manipulation with a dual-palm robotic system. Tactile dexterity is an approach to dexterous manipulation that plans for robot/object interactions that render interpretable tactile information for control. We divide the role of tactile control into two goals: 1) control the contact state between the end-effector and the object (contact/no-contact, stick/slip) by regulating the stability of planned contact configurations and monitoring undesired slip events; and 2) control the object state by tactile-based tracking and iterative replanning of the object and robot trajectories. Key to this formulation is the decomposition of manipulation plans into sequences of manipulation primitives with simple mechanics and efficient planners. We consider the scenario of manipulating an object from an initial pose to a target pose on a flat surface while correcting for external perturbations and uncertainty in the initial pose of the object. We experimentally validate the approach with an ABB YuMi dual-arm robot and demonstrate the ability of the tactile controller to react to external perturbations. ","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dexterity Sentence A: Hypothenar pain was a major complaint in 1.1% of patients 6 months after operation in 500 consecutive carpal tunnel releases. Pain, discomfort, and loss of grip strength was noticed mostly during activities requiring full hand grip or activities associated with use of the heel of the hand, such as pushing up from a chair, or pushing open a door with the flat palm. The pain originated from the piso-triquetral joint, possibly a result of intercarpal alignment change after carpal tunnel release. Pisiform excision was curative, with complete relief of symptoms and return of strength and dexterity. Awareness of this syndrome and systemic evaluation of the piso-triquetral joint preoperatively and postoperatively, as presented here, are essential in the management of this condition. Sentence B: This paper develops closed-loop tactile controllers for dexterous robotic manipulation with a dual-palm robotic system. Tactile dexterity is an approach to dexterous manipulation that plans for robot/object interactions that render interpretable tactile information for control. We divide the role of tactile control into two goals: 1) control the contact state between the end-effector and the object (contact/no-contact, stick/slip) by regulating the stability of planned contact configurations and monitoring undesired slip events; and 2) control the object state by tactile-based tracking and iterative replanning of the object and robot trajectories. Key to this formulation is the decomposition of manipulation plans into sequences of manipulation primitives with simple mechanics and efficient planners. We consider the scenario of manipulating an object from an initial pose to a target pose on a flat surface while correcting for external perturbations and uncertainty in the initial pose of the object. We experimentally validate the approach with an ABB YuMi dual-arm robot and demonstrate the ability of the tactile controller to react to external perturbations. ###Answer 1. Changed Reasoning: In Sentence A, the target word ""dexterity"" is used to describe the ability to perform a specific task, in this case, pushing up from a chair or pushing open a door with the flat palm of the hand. The context suggests that the word is used to convey a sense of precision and control. However, in Sentence B, the target word ""dexterity"" is used in a different context to describe the ability of a robot to manipulate objects in a precise and controlled manner. The word is used to convey a sense of technical skill and efficiency. In Sentence A, the meaning of ""dexterity"" is focused on the ability to perform a specific task with precision and control, whereas in Sentence B, the meaning is focused on the ability of a machine to perform a task with technical skill and efficiency. These two meanings are not interchangeable, and therefore, semantic drift has occurred in the meaning of the target word ""dexterity""." 83,Dexterity,"To study differing home hand exercise interventions to determine effects on grip strength, and secondarily any immediate or short term effects on range of motion, pain, deformities, hand disease activity, and dexterity.","This article addresses the skillfulness role of the interventionist in the Cath lab. It argues that the interventionist plays a crucial role and should possess certain mental-manual dexterity and hand-eye coordination skills. The article suggests a series of measures that collectively determine the successful role of the interventionist in the Cath lab. This is of utmost importance given the sensitive nature of the cardiovascular procedures, the potential costs of its failure for the patient, and the key action played by the interventionist in determining the failure or success of the procedure.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dexterity Sentence A: To study differing home hand exercise interventions to determine effects on grip strength, and secondarily any immediate or short term effects on range of motion, pain, deformities, hand disease activity, and dexterity. Sentence B: This article addresses the skillfulness role of the interventionist in the Cath lab. It argues that the interventionist plays a crucial role and should possess certain mental-manual dexterity and hand-eye coordination skills. The article suggests a series of measures that collectively determine the successful role of the interventionist in the Cath lab. This is of utmost importance given the sensitive nature of the cardiovascular procedures, the potential costs of its failure for the patient, and the key action played by the interventionist in determining the failure or success of the procedure. ###Answer 1. Changed In Sentence A, the word ""dexterity"" is used in the context of physical exercise interventions to measure the effectiveness of different home-based programs on grip strength and range of motion. The word carries a neutral or even positive connotation in this context, suggesting that the ability to perform physical tasks with ease and precision is important for overall health and well-being. In Sentence B, the word ""dexterity"" takes on a different meaning, as it is used to describe the interventionist's skillfulness in performing cardiovascular procedures. The word carries a positive connotation in this context, suggesting that the interventionist must possess a high level of manual dexterity and hand-eye coordination to perform the procedures successfully. Based on these two sentences, it is clear that the meaning of the word ""dexterity"" has shifted significantly over time. In Sentence A, the word is used to describe physical ability, while in Sentence B, it is used to describe technical skill in a medical context. Therefore, I would label this word as ""Changed""." 84,Dexterity,"In animal models of global and focal ischemia neuroprotection is typically determined by quantifying the degree of cell loss or reduction in infarct volume shortly after the ischemic insult. These methods are unable to reliably detect more subtle forms of neuronal death and dysfunction that arise from injury to non-homogeneous cell populations (e.g. hilar and striatal neurons), or to dendrites (e.g. loss of structural proteins or decreased synaptic transmission). It is argued that this type of covert injury contributes to a wide range of functional impairments (e.g. decreased working memory, altered field potentials, loss of forelimb dexterity) that are rarely used as outcome measures in experimental studies even though they are of paramount importance clinically. The limitations of a purely histological approach in assessing neuroprotection are clearly illustrated using examples of protective drug therapies, mild hypothermia and ischemic preconditioning. An alternative strategy that incorporates behavioural, electrophysiological and histological endpoints is put forth as a more powerful method for gauging neuroprotection. The strength of this approach will be increased if these assessments are performed on the same animals. By incorporating functional measures and longer postischemic survival into their experimental protocols, investigators will increase the validity of their models and hopefully reduce the likelihood of advancing ineffective therapies into costly clinical trials."," This paper describes the Quantitative Criticism Lab, a collaborative initiative between classicists, quantitative biologists, and computer scientists to apply ideas and methods drawn from the sciences to the study of literature. A core goal of the project is the use of computational biology, natural language processing, and machine learning techniques to investigate authorial style, intertextuality, and related phenomena of literary significance. As a case study in our approach, here we review the use of sequence alignment, a common technique in genomics and computational linguistics, to detect intertextuality in Latin literature. Sequence alignment is distinguished by its ability to find inexact verbal similarities, which makes it ideal for identifying phonetic echoes in large corpora of Latin texts. Although especially suited to Latin, sequence alignment in principle can be extended to many other languages. ","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dexterity Sentence A: In animal models of global and focal ischemia neuroprotection is typically determined by quantifying the degree of cell loss or reduction in infarct volume shortly after the ischemic insult. These methods are unable to reliably detect more subtle forms of neuronal death and dysfunction that arise from injury to non-homogeneous cell populations (e.g. hilar and striatal neurons), or to dendrites (e.g. loss of structural proteins or decreased synaptic transmission). It is argued that this type of covert injury contributes to a wide range of functional impairments (e.g. decreased working memory, altered field potentials, loss of forelimb dexterity) that are rarely used as outcome measures in experimental studies even though they are of paramount importance clinically. The limitations of a purely histological approach in assessing neuroprotection are clearly illustrated using examples of protective drug therapies, mild hypothermia and ischemic preconditioning. An alternative strategy that incorporates behavioural, electrophysiological and histological endpoints is put forth as a more powerful method for gauging neuroprotection. The strength of this approach will be increased if these assessments are performed on the same animals. By incorporating functional measures and longer postischemic survival into their experimental protocols, investigators will increase the validity of their models and hopefully reduce the likelihood of advancing ineffective therapies into costly clinical trials. Sentence B: This paper describes the Quantitative Criticism Lab, a collaborative initiative between classicists, quantitative biologists, and computer scientists to apply ideas and methods drawn from the sciences to the study of literature. A core goal of the project is the use of computational biology, natural language processing, and machine learning techniques to investigate authorial style, intertextuality, and related phenomena of literary significance. As a case study in our approach, here we review the use of sequence alignment, a common technique in genomics and computational linguistics, to detect intertextuality in Latin literature. Sequence alignment is distinguished by its ability to find inexact verbal similarities, which makes it ideal for identifying phonetic echoes in large corpora of Latin texts. Although especially suited to Latin, sequence alignment in principle can be extended to many other languages. ###Answer 1. Changed Reasoning: In Sentence A, the target word ""dexterity"" is used to describe the loss of cell loss or reduction in infarct volume in animal models of ischemia. The context suggests that the word refers to the ability of cells to withstand injury. In Sentence B, the target word ""dexterity"" is used to describe the use of computational biology, natural language processing, and machine learning techniques to investigate authorial style and intertextuality in Latin literature. The context suggests that the word refers to the ability of a computer algorithm to identify similarities in a large corpus of texts. In Sentence A, the word ""dexterity"" has a negative connotation, as it is used to describe the loss of cells following an ischemic event. In Sentence B, the word ""dexterity"" has a neutral connotation, as it is used to describe the use of algorithms to identify similarities in texts. Therefore, semantic drift has occurred in the meaning of the target word ""dexterity"" between the two sentences." 85,Dexterity,"Unanticipated difficulties continue to occur in airway management. While newer systems of evaluation show some promise, the problem of poor predictive value limits their usefulness. Newer radiological techniques are useful for the assessment of patients with known pathology or anatomical difficulty but are of little help when unexpected problems arise. Several new tools are available which aid management of both anticipated and unanticipated airway problems. The anaesthetist should have a clear ""fall back"" plan of which of these techniques to use in emergency or urgent situations. Published algorithms may aid in the selection of appropriate techniques, but the anaesthetist must also develop dexterity with the particular technique chosen.","We have previously reported that significant hyperopia at 9 months predicts mild deficits on visuocognitive and visuomotor measures between 2 years and 5 years 6 months. Here we compare the motor skills of children who had been hyperopic in infancy (hyperopic group) with those who had been emmetropic (control group), using the Movement Assessment Battery for Children (Movement ABC). Children were tested at 3 years 6 months (hyperopic group: 47 males, 63 females, mean age 3 y 7 mo, SD 1.6 mo; control group: 61 males, 70 females, mean age 3 y 7 mo, SD 1.2 mo) and at 5 years 6 months (hyperopic group: 43 males, 56 females, mean age 5 y 4 mo, SD 1.7 mo; control group: 51 males, 62 females, mean age 5 y 3 mo, SD 1.6 mo). The hyperopic group performed significantly worse at both ages, overall and on at least one test from each category of motor skill (manual dexterity, balance, and ball skills). Distributions of scores showed that these differences were not due to poor performance by a minority but to a widespread mild deficit in the hyperopic group. This study also provides the first normative data on the Movement ABC for children below 4 years of age, and shows that it provides a useful measure of motor development at this young age.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dexterity Sentence A: Unanticipated difficulties continue to occur in airway management. While newer systems of evaluation show some promise, the problem of poor predictive value limits their usefulness. Newer radiological techniques are useful for the assessment of patients with known pathology or anatomical difficulty but are of little help when unexpected problems arise. Several new tools are available which aid management of both anticipated and unanticipated airway problems. The anaesthetist should have a clear ""fall back"" plan of which of these techniques to use in emergency or urgent situations. Published algorithms may aid in the selection of appropriate techniques, but the anaesthetist must also develop dexterity with the particular technique chosen. Sentence B: We have previously reported that significant hyperopia at 9 months predicts mild deficits on visuocognitive and visuomotor measures between 2 years and 5 years 6 months. Here we compare the motor skills of children who had been hyperopic in infancy (hyperopic group) with those who had been emmetropic (control group), using the Movement Assessment Battery for Children (Movement ABC). Children were tested at 3 years 6 months (hyperopic group: 47 males, 63 females, mean age 3 y 7 mo, SD 1.6 mo; control group: 61 males, 70 females, mean age 3 y 7 mo, SD 1.2 mo) and at 5 years 6 months (hyperopic group: 43 males, 56 females, mean age 5 y 4 mo, SD 1.7 mo; control group: 51 males, 62 females, mean age 5 y 3 mo, SD 1.6 mo). The hyperopic group performed significantly worse at both ages, overall and on at least one test from each category of motor skill (manual dexterity, balance, and ball skills). Distributions of scores showed that these differences were not due to poor performance by a minority but to a widespread mild deficit in the hyperopic group. This study also provides the first normative data on the Movement ABC for children below 4 years of age, and shows that it provides a useful measure of motor development at this young age. ###Answer 1. Changed Reasoning: The meaning of the target word ""dexterity"" has changed significantly between the two sentences. In Sentence A, the word is used to describe the anaesthetist's ability to use various techniques to manage airway problems, with a focus on developing skills and having a ""fall back"" plan. In Sentence B, the word is used to describe the motor skills of children at different ages, with a focus on their ability to perform various tasks, such as manual dexterity, balance, and ball skills. The word's meaning has shifted from a professional context to a more general context related to child development." 86,Dexterity,"The chronic, long-term effects from exposure to many frequently used pesticides have yet to be fully documented. Migrant Hispanic farm workers who are the frequent victims of such exposures are rarely studied. A neuropsychological test battery was administered to 21 migrant farm workers acutely exposed to Phosdrin, Lannate and Maneb on two occasions, and to 11 controls matched for age, sex, education, socioeconomic status, and ethnicity. Results revealed that two years after the pesticide exposures, the exposed group was significantly more impaired than controls on tests of psychomotor speed, dexterity, and visuospatial memory. Disturbing emotional symptoms were reported with significantly greater frequency by the exposed group in comparison to controls. Results are consistent with the previously reported constellation of symptoms and neuropsychological deficits associated with pesticide exposure.",To document normative values from the Functional Dexterity Test (FTD) for typically developing children and to optimize test administration and interpretation.,"###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dexterity Sentence A: The chronic, long-term effects from exposure to many frequently used pesticides have yet to be fully documented. Migrant Hispanic farm workers who are the frequent victims of such exposures are rarely studied. A neuropsychological test battery was administered to 21 migrant farm workers acutely exposed to Phosdrin, Lannate and Maneb on two occasions, and to 11 controls matched for age, sex, education, socioeconomic status, and ethnicity. Results revealed that two years after the pesticide exposures, the exposed group was significantly more impaired than controls on tests of psychomotor speed, dexterity, and visuospatial memory. Disturbing emotional symptoms were reported with significantly greater frequency by the exposed group in comparison to controls. Results are consistent with the previously reported constellation of symptoms and neuropsychological deficits associated with pesticide exposure. Sentence B: To document normative values from the Functional Dexterity Test (FTD) for typically developing children and to optimize test administration and interpretation. ###Answer 1. Changed The meaning of the target word ""dexterity"" has shifted significantly between the two sentences. In Sentence A, the term is used to describe the cognitive and motor impairments caused by pesticide exposure, with a focus on the loss of psychomotor speed, dexterity, and visuospatial memory. In contrast, in Sentence B, the term is used to describe the developmental norms of typically developing children, with no connotation of cognitive or motor impairment. The shift in meaning is evident in the different contexts and connotations associated with the term. Therefore, the label ""Changed"" is appropriate." 87,Dexterity,"Televised endoscopy and the concept of the ""assisted"" endoscopic operation is of great help in teaching surgical endoscopic techniques. The use of training dummies provides a new method of training manual dexterity and surgical skills in special courses or in surgical skill laboratories. We have developed a training system for transanal endoscopic microsurgery. Operations with our technique were performed on 116 patients. Like other microsurgical techniques, our method requires a special introduction and intensive training. This paper presents our multistage, video-supported training course for teaching transanal endoscopic microsurgery. The one-day training session is divided into four steps: (1) becoming acquainted with the technology; (2) training on cloth phantom; (3) training on opened bowel; (4) training on closed bovine bowel distended by gas insufflation. Each step is introduced by a short videotape didactically demonstrating the particular aspects of the method.","In people with Alzheimer's disease (PwAD), there is a need for specific tools for the timely diagnosis, management, and treatment of symptoms. New technological solutions, including digital devices, application programs (apps), sensors and virtual reality, represent promising possibilities for objective and reliable assessment, monitoring and intervention strategies in this field. Our structured review presents an up-to-date summary of the technological solutions for the (i) diagnosis, (ii) management and (iii) treatment of AD-related symptoms. To this end, we searched electronic databases (i.e., PubMed, Web of Science, and Cochrane Library) for studies published over the last 10 years. Two authors of the review extracted data of interest. A total of eight manuscripts were included. In the last decade, a series of technological solutions across AD stages have been proposed. These include: (i) innovative strategies for the early detection of deficits in finger dexterity, visuo-spatial abilities (including spatial navigation), divided attention and instrumental autonomy; (ii) tools to activate the patient's responsiveness in terms of alertness and mood improvement; and (iii) useful interventions for retrieving memories, increasing body movements and improving spatial cognition. Methodological limitations, mainly pertaining to the paucity of randomized controlled trials and comprehensive assessments, were observed. Advances in technology currently provide the potential for designing innovative methods for evaluating, controlling and handling AD-related symptoms. The co-creation of technological solutions with all stakeholders represents the best way to design effective strategies for PwAD.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dexterity Sentence A: Televised endoscopy and the concept of the ""assisted"" endoscopic operation is of great help in teaching surgical endoscopic techniques. The use of training dummies provides a new method of training manual dexterity and surgical skills in special courses or in surgical skill laboratories. We have developed a training system for transanal endoscopic microsurgery. Operations with our technique were performed on 116 patients. Like other microsurgical techniques, our method requires a special introduction and intensive training. This paper presents our multistage, video-supported training course for teaching transanal endoscopic microsurgery. The one-day training session is divided into four steps: (1) becoming acquainted with the technology; (2) training on cloth phantom; (3) training on opened bowel; (4) training on closed bovine bowel distended by gas insufflation. Each step is introduced by a short videotape didactically demonstrating the particular aspects of the method. Sentence B: In people with Alzheimer's disease (PwAD), there is a need for specific tools for the timely diagnosis, management, and treatment of symptoms. New technological solutions, including digital devices, application programs (apps), sensors and virtual reality, represent promising possibilities for objective and reliable assessment, monitoring and intervention strategies in this field. Our structured review presents an up-to-date summary of the technological solutions for the (i) diagnosis, (ii) management and (iii) treatment of AD-related symptoms. To this end, we searched electronic databases (i.e., PubMed, Web of Science, and Cochrane Library) for studies published over the last 10 years. Two authors of the review extracted data of interest. A total of eight manuscripts were included. In the last decade, a series of technological solutions across AD stages have been proposed. These include: (i) innovative strategies for the early detection of deficits in finger dexterity, visuo-spatial abilities (including spatial navigation), divided attention and instrumental autonomy; (ii) tools to activate the patient's responsiveness in terms of alertness and mood improvement; and (iii) useful interventions for retrieving memories, increasing body movements and improving spatial cognition. Methodological limitations, mainly pertaining to the paucity of randomized controlled trials and comprehensive assessments, were observed. Advances in technology currently provide the potential for designing innovative methods for evaluating, controlling and handling AD-related symptoms. The co-creation of technological solutions with all stakeholders represents the best way to design effective strategies for PwAD. ###Answer 1. Changed Reasoning: In Sentence A, the word ""dexterity"" is used in the context of teaching surgical endoscopic techniques, specifically referring to the manual skills required for performing surgical procedures. The word is used in conjunction with ""training dummies"" and ""surgical skills,"" indicating a focus on the practical application of manual dexterity. In Sentence B, the word ""dexterity"" is used in a different context, specifically related to the diagnosis, management, and treatment of symptoms in people with Alzheimer's disease. The word is used in conjunction with ""innovative strategies,"" ""tools,"" and ""interventions,"" indicating a focus on the development of technological solutions to address cognitive and motor deficits in AD patients. Based on these contextual differences, it can be argued that the meaning of the word ""dexterity"" has shifted from a focus on practical manual skills in Sentence A to a focus on technological innovations in Sentence B. Therefore, the label ""Changed"" is appropriate to indicate that semantic drift has occurred." 88,Dexterity,"As with standard microsurgical procedures performed at laparotomy, laparoscopic tubal anastomosis requires great dexterity. Handling fine suture materials under magnification to anastomose tubal segments with lumens less than 3 mm in diameter while working with your hands at a distance from the tissue makes these fine movements even more difficult. This is exacerbated by the tremor induced by the fatigue caused by a prolonged laparoscopic procedure and the need for precise control. We conducted a pilot study to evaluate the feasibility of performing laparoscopic tubal anastomosis with robotic assistance in a live porcine model. Two anastomoses were performed on one uterine horn via each of the following techniques: laparoscopy, laparoscopy with robotic assistance, and open microsurgery. Immediate necropsy demonstrated all the anastomoses to be patent. There were no intraoperative complications. Laparoscopic tubal anastomosis was associated with surgeon fatigue and neck, shoulder, and back pain. The surgeons were more comfortable performing the procedure with robotic assistance. The device functioned well and without incident. This acute animal study suggests that robotic assistance in laparoscopic tubal anastomoses is safe and feasible. It enhances surgeons' dexterity and precision while reducing fatigue. It is promising for future use in chronic experimental studies.","Many manual tasks involve object manipulation and are achieved by an evolving series of actions, or action phases, recruited to achieve task subgoals. The ability to effectively link action phases is an important component of manual dexterity. However, our understanding of how the effective linking of sequential action phases develops with skill learning is limited. Here, we addressed this issue using a task in which participants applied forces to a handle to move a cursor on a computer screen to successively acquire visual targets. Target acquisition required actively holding the cursor within the target zone (hold phase) for a required duration before moving to the next target (transport phase). If the transport phase was initiated prematurely, before the end of the required hold duration, participants had to return to the target to acquire it. The goal was to acquire targets as quickly as possible. Distinct visual and auditory sensory events marked goal completion of each action phase. During initial task performance, the transport phase was reactively triggered by sensory events signaling hold phase completion. However, with practice, participants learned to initiate the transport phase based on a prediction of the time of hold phase completion. Simulations revealed that participants learned to near-optimally compensate for temporal uncertainty, presumably related to estimation of time intervals and execution of motor commands, so as to reduce the average latency between the end of the required hold phase duration and the start of the transport phase, while avoiding an excess of premature exits. ","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dexterity Sentence A: As with standard microsurgical procedures performed at laparotomy, laparoscopic tubal anastomosis requires great dexterity. Handling fine suture materials under magnification to anastomose tubal segments with lumens less than 3 mm in diameter while working with your hands at a distance from the tissue makes these fine movements even more difficult. This is exacerbated by the tremor induced by the fatigue caused by a prolonged laparoscopic procedure and the need for precise control. We conducted a pilot study to evaluate the feasibility of performing laparoscopic tubal anastomosis with robotic assistance in a live porcine model. Two anastomoses were performed on one uterine horn via each of the following techniques: laparoscopy, laparoscopy with robotic assistance, and open microsurgery. Immediate necropsy demonstrated all the anastomoses to be patent. There were no intraoperative complications. Laparoscopic tubal anastomosis was associated with surgeon fatigue and neck, shoulder, and back pain. The surgeons were more comfortable performing the procedure with robotic assistance. The device functioned well and without incident. This acute animal study suggests that robotic assistance in laparoscopic tubal anastomoses is safe and feasible. It enhances surgeons' dexterity and precision while reducing fatigue. It is promising for future use in chronic experimental studies. Sentence B: Many manual tasks involve object manipulation and are achieved by an evolving series of actions, or action phases, recruited to achieve task subgoals. The ability to effectively link action phases is an important component of manual dexterity. However, our understanding of how the effective linking of sequential action phases develops with skill learning is limited. Here, we addressed this issue using a task in which participants applied forces to a handle to move a cursor on a computer screen to successively acquire visual targets. Target acquisition required actively holding the cursor within the target zone (hold phase) for a required duration before moving to the next target (transport phase). If the transport phase was initiated prematurely, before the end of the required hold duration, participants had to return to the target to acquire it. The goal was to acquire targets as quickly as possible. Distinct visual and auditory sensory events marked goal completion of each action phase. During initial task performance, the transport phase was reactively triggered by sensory events signaling hold phase completion. However, with practice, participants learned to initiate the transport phase based on a prediction of the time of hold phase completion. Simulations revealed that participants learned to near-optimally compensate for temporal uncertainty, presumably related to estimation of time intervals and execution of motor commands, so as to reduce the average latency between the end of the required hold phase duration and the start of the transport phase, while avoiding an excess of premature exits. ###Answer 1. Changed Reasoning: In Sentence A, the term ""dexterity"" is used to describe the surgeon's ability to perform laparoscopic tubal anastomosis with precision and control. The context suggests that the term connotes a high level of manual skill and dexterity, as the surgeon must handle fine suture materials and perform precise movements under magnification. In Sentence B, the term ""manual tasks"" is used to describe a series of actions performed to achieve a goal. The context suggests that the term connotes a wide range of activities that require dexterity and coordination, such as object manipulation and movement. Based on the context and meaning of the term in each sentence, it is clear that the term ""dexterity"" has shifted in meaning between the two timestamps. In Sentence A, the term connotes a highly specialized form of manual skill, while in Sentence B, the term encompasses a broader range of activities that require dexterity and coordination. Therefore, I have labeled the term as having undergone semantic drift, with the label ""Changed""." 89,Dexterity,"Human capabilities in manipulating many different tools with dexterity suggest modular neural organization at functional levels, but anatomical modularity underlying the capabilities has yet to be demonstrated. Although modularity in phylogenetically older parts of the cerebellum is well known, comparable modularity in the lateral cerebellum for cognitive functions remains unknown. We investigated these issues by functional MRI (fMRI) based on our previous findings of a cerebellar internal model of a tool. After subjects intensively learned to manipulate two novel tools (the rotated mouse whose cursor appeared at a rotated position, and the velocity mouse whose cursor velocity was proportional to the mouse position), they could easily switch between the two. The lateral and posterior cerebellar activities for the two different tools were spatially segregated, and their overlaps were <10%, even at low statistical thresholds. Activities of the rotated mouse were more anterior and lateral than the velocity mouse activities. These results were consistent with predictions by the MOdular Selection And Identification Controller (MOSAIC) model that multiple internal models compete to partition sensory-motor experiences and their outputs are linearly combined for a particular context.",Glaucoma treatments are mostly presented in uni-dose or multi-dose format. A certain number of patients with visual acuity and dexterity problems may have problems in instilling eye drops.,"###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dexterity Sentence A: Human capabilities in manipulating many different tools with dexterity suggest modular neural organization at functional levels, but anatomical modularity underlying the capabilities has yet to be demonstrated. Although modularity in phylogenetically older parts of the cerebellum is well known, comparable modularity in the lateral cerebellum for cognitive functions remains unknown. We investigated these issues by functional MRI (fMRI) based on our previous findings of a cerebellar internal model of a tool. After subjects intensively learned to manipulate two novel tools (the rotated mouse whose cursor appeared at a rotated position, and the velocity mouse whose cursor velocity was proportional to the mouse position), they could easily switch between the two. The lateral and posterior cerebellar activities for the two different tools were spatially segregated, and their overlaps were <10%, even at low statistical thresholds. Activities of the rotated mouse were more anterior and lateral than the velocity mouse activities. These results were consistent with predictions by the MOdular Selection And Identification Controller (MOSAIC) model that multiple internal models compete to partition sensory-motor experiences and their outputs are linearly combined for a particular context. Sentence B: Glaucoma treatments are mostly presented in uni-dose or multi-dose format. A certain number of patients with visual acuity and dexterity problems may have problems in instilling eye drops. ###Answer 1. Changed Reasoning: In Sentence A, the target word ""dexterity"" refers to the ability to manipulate tools with precision and skill. This meaning is different from the meaning of ""dexterity"" in Sentence B, which refers to the ability to perform tasks with ease and accuracy, particularly in relation to glaucoma treatments. The change in meaning is significant enough to warrant the label ""Changed""." 90,Dexterity,"In a national disaster, the medical profession would lose physicians and auxiliary personnel and would need assistance. Canada's 22,000 physicians and 85,000 nurses are located for the most part in potential target areas. Survivors among Canada's 6396 dentists could supply 30% reinforcement. The dentist's training, his manual dexterity and experience acquired in the management of hemorrhage, shock, débridement, suturing, reduction and immobilization of fractures, and control of pain and infection would be valuable. Additional functions he could perform would be first-aid, including but not limited to artificial respiration, early management of chest wounds, preparation of casualties for movement, and assistance in general surgical procedures. Dentists with special training in anesthesia, oral surgery or public health could be of particular value in relieving anesthetists, surgeons, radiologists and public health officers of some of their duties. Joint training of physicians and dentists in mass casualty care could increase the efficiency of the team work in disaster and is being considered by many medical and dental faculties.","Cerebrovascular anastomosis (for example in the management of Moyamoya disease or complex aneurysms) is a rarely performed but essential procedure in neurosurgery. Because of the complexity of this technique and the infrequent clinical opportunities to maintain skills relevant to this surgery, laboratory training is important to develop a consistent and competent performance of cerebrovascular anastomosis. We reviewed the literature pertaining to the training practices surrounding cerebrovascular anastomosis in order to understand the ways in which trainees should best develop these skills. A wide variety of training methods have been described. These may be classified into five general categories, according to training materials used, being synthetic material, living animal, animal carcass, human cadaver, and computer simulation. Ideally, a novice begins training with non-biological material. After gaining sufficient dexterity, the trainee will be able to practice using biological materials followed by high fidelity models prior to actual surgery. Unfortunately, the effectiveness of each model has generally, to our knowledge, only been judged subjectively. Objective quantification methods are necessary to accelerate the acquisition of competence. ","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dexterity Sentence A: In a national disaster, the medical profession would lose physicians and auxiliary personnel and would need assistance. Canada's 22,000 physicians and 85,000 nurses are located for the most part in potential target areas. Survivors among Canada's 6396 dentists could supply 30% reinforcement. The dentist's training, his manual dexterity and experience acquired in the management of hemorrhage, shock, débridement, suturing, reduction and immobilization of fractures, and control of pain and infection would be valuable. Additional functions he could perform would be first-aid, including but not limited to artificial respiration, early management of chest wounds, preparation of casualties for movement, and assistance in general surgical procedures. Dentists with special training in anesthesia, oral surgery or public health could be of particular value in relieving anesthetists, surgeons, radiologists and public health officers of some of their duties. Joint training of physicians and dentists in mass casualty care could increase the efficiency of the team work in disaster and is being considered by many medical and dental faculties. Sentence B: Cerebrovascular anastomosis (for example in the management of Moyamoya disease or complex aneurysms) is a rarely performed but essential procedure in neurosurgery. Because of the complexity of this technique and the infrequent clinical opportunities to maintain skills relevant to this surgery, laboratory training is important to develop a consistent and competent performance of cerebrovascular anastomosis. We reviewed the literature pertaining to the training practices surrounding cerebrovascular anastomosis in order to understand the ways in which trainees should best develop these skills. A wide variety of training methods have been described. These may be classified into five general categories, according to training materials used, being synthetic material, living animal, animal carcass, human cadaver, and computer simulation. Ideally, a novice begins training with non-biological material. After gaining sufficient dexterity, the trainee will be able to practice using biological materials followed by high fidelity models prior to actual surgery. Unfortunately, the effectiveness of each model has generally, to our knowledge, only been judged subjectively. Objective quantification methods are necessary to accelerate the acquisition of competence. ###Answer Target word: Dexterity Sentence A: The dentist's training, his manual dexterity and experience acquired in the management of hemorrhage, shock, débridement, suturing, reduction and immobilization of fractures, and control of pain and infection would be valuable. Sentence B: Ideally, a novice begins training with non-biological material. After gaining sufficient dexterity, the trainee will be able to practice using biological materials followed by high fidelity models prior to actual surgery. Label: Changed Reasoning: In Sentence A, the target word ""dexterity"" is used to describe the skills and abilities of a dentist in a medical context. The word connotes manual dexterity, precision, and attention to detail, which are important qualities for a dentist to have in order to perform procedures such as suturing and reduction of fractures. However, in Sentence B, the word ""dexterity"" is used in a different context, specifically in the field of neurosurgery. In this context, the word connotes the ability to perform complex surgical procedures with precision and accuracy, such as cerebrovascular anastomosis. The meaning of the word has shifted from a general description of manual dexterity to a more specific and specialized context. Therefore, the label ""Changed"" is appropriate." 91,Dexterity,"Fifteen cases of severe cranio-cerebral injuries (C.C.I.) with hemianopsia and rehabilitation problems are presented. The correlation between the side of the hemianopsia, dexterity, visual motor organization, intellectual functions and rehabilitation outcome are discussed.","The use of minimally invasive liver surgery, such as laparoscopic and robotic surgery, is increasing worldwide. Robot-assisted laparoscopy is a new surgical technique that improves surgical handling. The advantage of this technique is improved dexterity, which leads to increased surgical precision and no tremor or fatigue. Comparable oncological results were documented for laparoscopic and open surgery. Currently, ""conventional"" laparoscopic liver surgery has limitations with respect to the treatment of lesions in the posterior-superior segments, and there are limited technical features for the reconstruction steps. These limitations might be overcome with the use of robotic surgery. The use of robotic surgery for hepatic procedures originated because of the technical potential to overcome several of the major technical limitations known from conventional laparoscopy and the possibility of performing more extended liver resections. Additionally, there is increasing evidence indicating that robotic hepatic surgery is feasible and safe in resections of the posterior segments. Studies showed that using the robotic technique is associated with a decreased or at least equal amount of intraoperative blood loss compared to that of the conventional laparoscopic or open technique. There is increasing evidence that robotic liver surgery might be as safe as conventional laparoscopic procedures in cancer cases in terms of resection margins, disease-free and overall survival. Furthermore, robotic surgery might be more favorable with respect to postoperative patient recovery. Despite promising results, still large, multicenter, randomized and prospective studies are needed to analyze the exact value of robotic liver surgery in patients with malignant liver tumors.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dexterity Sentence A: Fifteen cases of severe cranio-cerebral injuries (C.C.I.) with hemianopsia and rehabilitation problems are presented. The correlation between the side of the hemianopsia, dexterity, visual motor organization, intellectual functions and rehabilitation outcome are discussed. Sentence B: The use of minimally invasive liver surgery, such as laparoscopic and robotic surgery, is increasing worldwide. Robot-assisted laparoscopy is a new surgical technique that improves surgical handling. The advantage of this technique is improved dexterity, which leads to increased surgical precision and no tremor or fatigue. Comparable oncological results were documented for laparoscopic and open surgery. Currently, ""conventional"" laparoscopic liver surgery has limitations with respect to the treatment of lesions in the posterior-superior segments, and there are limited technical features for the reconstruction steps. These limitations might be overcome with the use of robotic surgery. The use of robotic surgery for hepatic procedures originated because of the technical potential to overcome several of the major technical limitations known from conventional laparoscopy and the possibility of performing more extended liver resections. Additionally, there is increasing evidence indicating that robotic hepatic surgery is feasible and safe in resections of the posterior segments. Studies showed that using the robotic technique is associated with a decreased or at least equal amount of intraoperative blood loss compared to that of the conventional laparoscopic or open technique. There is increasing evidence that robotic liver surgery might be as safe as conventional laparoscopic procedures in cancer cases in terms of resection margins, disease-free and overall survival. Furthermore, robotic surgery might be more favorable with respect to postoperative patient recovery. Despite promising results, still large, multicenter, randomized and prospective studies are needed to analyze the exact value of robotic liver surgery in patients with malignant liver tumors. ###Answer 1. Changed Reasoning: In Sentence B, the term ""dexterity"" is used to describe the improved surgical precision of robotic surgery compared to conventional laparoscopic surgery. This suggests that the term ""dexterity"" has shifted in meaning to emphasize the technical potential of robotic surgery over conventional laparoscopic surgery. The shift in meaning is evident as ""dexterity"" is used to highlight the increased precision and safety of robotic surgery, rather than its original meaning of hand dexterity or coordination. Therefore, the label ""Changed"" is appropriate." 92,Dexterity,"A neurobehavioral test of lead-exposed workers and the correlations between test scores and certain biochemical indices was made. The results showed that the scores of digit span, mental arithmetic, block design, digit symbol, Santa-Ana dexterity, Benton visual retention and pursuit aiming of lead-exposed workers tests were significantly lower than those of control groups. The scores of Santa-Ana dexterity, block design and digit span tests of lead-exposed workers were highly negatively correlated with levels of ZPP in blood.","Since the introduction of mini-invasive surgery approximately thirty years ago, Laparoscopic surgery has significantly evolved both in terms of its extended field of application and of the tools used which were diversified and improved. More recently, the development of robotic-assisted laparoscopy has brought, among other improvements, three-dimensional vision, dexterity, and a comfortable working position, which have reduced the surgeon's fatigability, the difficulties related to the operations and the learning curves of standard laparoscopy. Urology, which makes slightly less use of standard laparoscopy than general or gynaecological surgery, largely benefits from robotics concerning the precision of movements, and has much increased the operating indications of laparoscopy, including the treatment of pyeloureteral junction, kidney tumourectomy, living donor nephrectomy and radical prostactectomy. This chapter describes the operative technique used for the treatment of the ureteropyelic junction stenosis by robotic-assisted laparoscopy, as carried out in Nancy University Hospital with the da Vinci robot (Intuitive Surgical).","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dexterity Sentence A: A neurobehavioral test of lead-exposed workers and the correlations between test scores and certain biochemical indices was made. The results showed that the scores of digit span, mental arithmetic, block design, digit symbol, Santa-Ana dexterity, Benton visual retention and pursuit aiming of lead-exposed workers tests were significantly lower than those of control groups. The scores of Santa-Ana dexterity, block design and digit span tests of lead-exposed workers were highly negatively correlated with levels of ZPP in blood. Sentence B: Since the introduction of mini-invasive surgery approximately thirty years ago, Laparoscopic surgery has significantly evolved both in terms of its extended field of application and of the tools used which were diversified and improved. More recently, the development of robotic-assisted laparoscopy has brought, among other improvements, three-dimensional vision, dexterity, and a comfortable working position, which have reduced the surgeon's fatigability, the difficulties related to the operations and the learning curves of standard laparoscopy. Urology, which makes slightly less use of standard laparoscopy than general or gynaecological surgery, largely benefits from robotics concerning the precision of movements, and has much increased the operating indications of laparoscopy, including the treatment of pyeloureteral junction, kidney tumourectomy, living donor nephrectomy and radical prostactectomy. This chapter describes the operative technique used for the treatment of the ureteropyelic junction stenosis by robotic-assisted laparoscopy, as carried out in Nancy University Hospital with the da Vinci robot (Intuitive Surgical). ###Answer 1. Changed Reasoning: In Sentence A, the term ""dexterity"" is used in the context of neurobehavioral testing to assess the cognitive and motor function of lead-exposed workers. The term is used to describe the ability to perform specific tasks, such as digit span and mental arithmetic, and is not associated with any negative connotations. In Sentence B, the term ""dexterity"" is used in the context of surgical techniques to describe the level of precision and dexterity achieved through the use of robotic-assisted laparoscopy. The term is associated with positive connotations, such as improved accuracy and reduced fatigue. Based on these differences in context and connotation, it can be concluded that the meaning of the term ""dexterity"" has shifted from neutral to positive between the two sentences. Therefore, the label ""Changed"" is appropriate." 93,Dexterity,Robotic surgery systems were introduced recently with the objective of enhancing the dexterity and view during procedures that use a videoscope. The first case report of robot-assisted thoracoscopic removal of a benign neurogenic tumor in the thorax is presented.,"[Purpose] The purpose of this study was to investigate the difference in task performance, grip and pinch strength, and dexterity with and without cock-up splints, which are widely used in occupational therapy practice. [Methods] Twenty-three participants performed Jebsen-Taylor hand function test and grooved pegboard for task performance and dexterity. The power grip and pinch strength was measured using Jamar hydraulic hand dynamometer and pinch gauge. [Results] In the result of the Jebsen-Taylor hand function test, task performance with the cock-up splint was slower compared to without the splint for all items. Men's grip power with the cock-up splint was found to be significantly decreased compared to without the splint. Women's grip and palmar pinch strength with the splint decreased significantly compared to without the splint. In the grooved pegboard test, the dexterity of both men and women with the cock-up splint decreased significantly compared to without the splint. [Conclusion] To assist patients to make wise decisions regarding the use of splints, occupational therapists must have empirical knowledge of the topic as well as an understanding of the theoretical, technical, and related research evidence. The results of this study will be useful in the analysis and understanding of changes in hand function in splint applications for people with hand dysfunction. ","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dexterity Sentence A: Robotic surgery systems were introduced recently with the objective of enhancing the dexterity and view during procedures that use a videoscope. The first case report of robot-assisted thoracoscopic removal of a benign neurogenic tumor in the thorax is presented. Sentence B: [Purpose] The purpose of this study was to investigate the difference in task performance, grip and pinch strength, and dexterity with and without cock-up splints, which are widely used in occupational therapy practice. [Methods] Twenty-three participants performed Jebsen-Taylor hand function test and grooved pegboard for task performance and dexterity. The power grip and pinch strength was measured using Jamar hydraulic hand dynamometer and pinch gauge. [Results] In the result of the Jebsen-Taylor hand function test, task performance with the cock-up splint was slower compared to without the splint for all items. Men's grip power with the cock-up splint was found to be significantly decreased compared to without the splint. Women's grip and palmar pinch strength with the splint decreased significantly compared to without the splint. In the grooved pegboard test, the dexterity of both men and women with the cock-up splint decreased significantly compared to without the splint. [Conclusion] To assist patients to make wise decisions regarding the use of splints, occupational therapists must have empirical knowledge of the topic as well as an understanding of the theoretical, technical, and related research evidence. The results of this study will be useful in the analysis and understanding of changes in hand function in splint applications for people with hand dysfunction. ###Answer 1. Changed The meaning of the target word ""dexterity"" has significantly shifted between Sentence A and Sentence B. In Sentence A, the term ""dexterity"" is used to describe the enhancement of visualization during surgical procedures using a videoscope. In Sentence B, the term ""dexterity"" is used to describe the impact of cock-up splints on hand function, particularly grip and pinch strength. The latter context implies a broader definition of dexterity, encompassing both technical skill and physical ability. Therefore, the label ""Changed"" is appropriate." 94,Dexterity,"Hospitalized patients who are ventilator-dependent after a tracheostomy or who have inflated tracheal cuffs are unable to vocalize due to occlusion of the airway below the level of the larynx. The voice prostheses currently available are often inadequate, particularly for patients with limited manual dexterity. An adaptation of the Cooper-Rand Electronic Speech Aid with a dental retainer, designed by a speech-language pathologist and a hospital dental service, was a useful alternative for two patients who were unable to produce voice due to tracheal cuff inflation. Both patients had neuromotor impairment and one used the device while also on a respirator. The device allowed these patients to verbally communicate to hospital staff and family members.","Catheterization is the insertion of a hollow flexible tube (called a catheter) to drain the urine from the bladder and is probably one of the oldest urologic procedures, dating back 3000 years. Since 1972, when urologist Dr Jack Lapides described a procedure for performing clean intermittent catheterization, this method of bladder management has become lifesaving for an individual who cannot empty their bladder independently. If the bladder is not emptied regularly, elevated storage pressures can develop which may put the upper tracts at risk of subsequent deterioration. Intermittent catheterization (IC) has become the first-line and preferred method of drainage in patients with neurogenic lower urinary tract dysfunction, as long as dexterity or available caregiver support and body habitus allow access. However, over the past 20 years, an evolution has occurred in the technology of catheters used for IC. But with these advances, so has controversy arisen. This article is a review of the current application of IC, the current technology in catheter material and systems, differences between reusable and one-time, or single-use catheters, the cost benefit of doing IC, and the infectious benefit. ","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dexterity Sentence A: Hospitalized patients who are ventilator-dependent after a tracheostomy or who have inflated tracheal cuffs are unable to vocalize due to occlusion of the airway below the level of the larynx. The voice prostheses currently available are often inadequate, particularly for patients with limited manual dexterity. An adaptation of the Cooper-Rand Electronic Speech Aid with a dental retainer, designed by a speech-language pathologist and a hospital dental service, was a useful alternative for two patients who were unable to produce voice due to tracheal cuff inflation. Both patients had neuromotor impairment and one used the device while also on a respirator. The device allowed these patients to verbally communicate to hospital staff and family members. Sentence B: Catheterization is the insertion of a hollow flexible tube (called a catheter) to drain the urine from the bladder and is probably one of the oldest urologic procedures, dating back 3000 years. Since 1972, when urologist Dr Jack Lapides described a procedure for performing clean intermittent catheterization, this method of bladder management has become lifesaving for an individual who cannot empty their bladder independently. If the bladder is not emptied regularly, elevated storage pressures can develop which may put the upper tracts at risk of subsequent deterioration. Intermittent catheterization (IC) has become the first-line and preferred method of drainage in patients with neurogenic lower urinary tract dysfunction, as long as dexterity or available caregiver support and body habitus allow access. However, over the past 20 years, an evolution has occurred in the technology of catheters used for IC. But with these advances, so has controversy arisen. This article is a review of the current application of IC, the current technology in catheter material and systems, differences between reusable and one-time, or single-use catheters, the cost benefit of doing IC, and the infectious benefit. ###Answer 1. Changed Reasoning: In Sentence A, the word ""dexterity"" is used to describe the limited manual ability of a patient who is unable to produce voice due to tracheal cuff inflation. The context suggests that the patient has difficulty performing manual tasks due to neuromotor impairment. In contrast, in Sentence B, the word ""dexterity"" is used to describe the ease of inserting a catheter into the bladder for drainage purposes. The context suggests that the catheter insertion is a straightforward process with minimal difficulty or manual dexterity required. Therefore, it can be inferred that the meaning of the word ""dexterity"" has shifted from a focus on manual ability and impairment to a focus on the ease and simplicity of a medical procedure. This shift in meaning is indicative of semantic drift." 95,Dexterity,"The OmniPhase and DuraPhase prostheses can be classified as mechanical penile implants. They offer the features of ease of insertion, simple operation requiring little or no manual dexterity, good intrinsic axial rigidity, and exceptional concealability. The bendability of both devices resembles the twisting of a gooseneck lamp. As they are both mechanical devices, they impart a firmness to the penis at all times, as opposed to the fluid feeling of the hydraulic devices. The mechanical reliability of each model has been good to date, and the simplicity of manipulation has made this class of devices the choice of many impotent patients.","About one hundred years after the publication of Tongŭibogam (1613), a physician at the court YI Suki (1664-?) wrote a medical manuscript titled Yŏksimanpil (Miscellaneous Jottings on Medical Experiences and Tests, 1734). As indicated in its title, Yŏksimanpil was a medical essay composed of 130 medical case histories, drawing on what YI Suki himself had experienced in his medical practices. This paper examines the messages YI Suki in Yŏksimanpil tried to address to his fellow Korean doctors, and by doing so illuminates an aspect of the medicine in the late Chosŏn period. The argument goes that YI Suki wrote Yŏksimanpil as a vehicle for promulgating his professional identity as a bureaucratic physician who belonged to the network of the chung'in technical officials-a group of government technical functionaries in late Chosŏn Korea. Throughout the late Chosŏn period, the chung'in technical officials had been discriminated, institutionally and socioculturally, against the yangban literati, while their promotion to honored higher positions was blocked. It was in the late 17th and early 18th century that a group of chung'in officials tried to secure their sociocultural places for their professional activity, thus bringing to light their social and professional identity in Chosŏn society. A member of the network of the chung'in technical officials in the early 18th century, YI Suki was in an effort to position himself as a doctor somewhere between the medical tradition and the Confucian literary tradition. In these sociocultural contexts, we can see more clearly what YI Suki tried to speak of in his book and the historical meaning of the medical writing Yŏksimanpil. First, the way he practiced medicine was testing and confirming what the received medical textbooks had asserted (Chŭnghŏmkobang). This style of practicing medicine could be viewed as a reflection of the comprehensivity trait of bureaucratic court physicians network YI Suki belonged to. Also this type of practice has the implication that YI Suki himself was a well-versed practitioner following the medical textual tradition, which was closely associated with the medical officials network. The emergence of the practice Chŭnghŏmkobang could be better understood in the backdrop of over 100 years of maturation process of Tongŭibogam in the clinical practices. Second, he formulated the professional identity of physicians only in terms of medical proficiency without recourse to the Confucian literary tradition. In other words, in promoting the social status of medicine, he did not resort to Confucian morality. He instead emphasized his dexterity or resourcefulness in dealing with millions of ever-changing diseases (Imsikwŏnbyŏn ). Conceivably, this way of characterizing his own medical practice-by way of strongly combining the textual tradition and the experiential tradition while keeping distance with the Confucian literary tradition-reflected the complexity of the ambivalent identity of the technical chung'in officials, especially in regard to Confucianism, between Confucian physicians and hereditary doctors. All in all, YI Suki presented himself as an ideal image of the physician, which arguably reflected the sociocultural and academic context of the network of the chung'in technical officials in early 18th century Chosŏn Korea. ","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dexterity Sentence A: The OmniPhase and DuraPhase prostheses can be classified as mechanical penile implants. They offer the features of ease of insertion, simple operation requiring little or no manual dexterity, good intrinsic axial rigidity, and exceptional concealability. The bendability of both devices resembles the twisting of a gooseneck lamp. As they are both mechanical devices, they impart a firmness to the penis at all times, as opposed to the fluid feeling of the hydraulic devices. The mechanical reliability of each model has been good to date, and the simplicity of manipulation has made this class of devices the choice of many impotent patients. Sentence B: About one hundred years after the publication of Tongŭibogam (1613), a physician at the court YI Suki (1664-?) wrote a medical manuscript titled Yŏksimanpil (Miscellaneous Jottings on Medical Experiences and Tests, 1734). As indicated in its title, Yŏksimanpil was a medical essay composed of 130 medical case histories, drawing on what YI Suki himself had experienced in his medical practices. This paper examines the messages YI Suki in Yŏksimanpil tried to address to his fellow Korean doctors, and by doing so illuminates an aspect of the medicine in the late Chosŏn period. The argument goes that YI Suki wrote Yŏksimanpil as a vehicle for promulgating his professional identity as a bureaucratic physician who belonged to the network of the chung'in technical officials-a group of government technical functionaries in late Chosŏn Korea. Throughout the late Chosŏn period, the chung'in technical officials had been discriminated, institutionally and socioculturally, against the yangban literati, while their promotion to honored higher positions was blocked. It was in the late 17th and early 18th century that a group of chung'in officials tried to secure their sociocultural places for their professional activity, thus bringing to light their social and professional identity in Chosŏn society. A member of the network of the chung'in technical officials in the early 18th century, YI Suki was in an effort to position himself as a doctor somewhere between the medical tradition and the Confucian literary tradition. In these sociocultural contexts, we can see more clearly what YI Suki tried to speak of in his book and the historical meaning of the medical writing Yŏksimanpil. First, the way he practiced medicine was testing and confirming what the received medical textbooks had asserted (Chŭnghŏmkobang). This style of practicing medicine could be viewed as a reflection of the comprehensivity trait of bureaucratic court physicians network YI Suki belonged to. Also this type of practice has the implication that YI Suki himself was a well-versed practitioner following the medical textual tradition, which was closely associated with the medical officials network. The emergence of the practice Chŭnghŏmkobang could be better understood in the backdrop of over 100 years of maturation process of Tongŭibogam in the clinical practices. Second, he formulated the professional identity of physicians only in terms of medical proficiency without recourse to the Confucian literary tradition. In other words, in promoting the social status of medicine, he did not resort to Confucian morality. He instead emphasized his dexterity or resourcefulness in dealing with millions of ever-changing diseases (Imsikwŏnbyŏn ). Conceivably, this way of characterizing his own medical practice-by way of strongly combining the textual tradition and the experiential tradition while keeping distance with the Confucian literary tradition-reflected the complexity of the ambivalent identity of the technical chung'in officials, especially in regard to Confucianism, between Confucian physicians and hereditary doctors. All in all, YI Suki presented himself as an ideal image of the physician, which arguably reflected the sociocultural and academic context of the network of the chung'in technical officials in early 18th century Chosŏn Korea. ###Answer 1. Changed Reasoning: The target word ""dexterity"" has undergone a significant change in meaning between the two sentences. In Sentence A, ""dexterity"" refers to the ease of insertion and operation of a mechanical penile implant, emphasizing the technical proficiency of the device. In Sentence B, ""dexterity"" is used to describe the physician's resourcefulness in dealing with millions of ever-changing diseases, highlighting the practitioner's adaptability and flexibility in medical practice. The shift in meaning suggests that the term ""dexterity"" has taken on a different connotation over time, from a focus on technical proficiency to a broader range of skills and abilities in medical practice." 96,Dexterity,"Thirty-two children with hand dysfunction due to cerebral palsy were examined before tendon transfer and muscle release, and 9 months postoperatively. All children improved their performance regardless of the degree of impaired hand function. The main advantage of surgery was a more functional position of the hand with increased wrist extension and forearm supination. There were also increased functionality of handgrips, grip strength, and dexterity. Impaired sensibility before surgery did not influence the outcome. Individual goals were set preoperatively. Individual functional goals outlined before surgery were met by most children. Children identified as having mild impairments gained new functional skills related to everyday activity (self-care and leisure), while children with severely impaired hand function demonstrated enhanced grasping ability, as well as a better cosmetic appearance.","Although some recent studies concluded that dexterity is not a reliable predictor of performance in preclinical laboratory courses in dentistry, they could not disprove earlier findings which confirmed the worth of manual dexterity tests in dental admission. We developed a wire bending test (HAM-Man) which was administered during dental freshmen's first week in 2008, 2009, and 2010. The purpose of our study was to evaluate if the HAM-Man is a useful selection criterion additional to the high school grade point average (GPA) in dental admission. Regression analysis revealed that GPA only accounted for a maximum of 9% of students' performance in preclinical laboratory courses, in six out of eight models the explained variance was below 2%. The HAM-Man incrementally explained up to 20.5% of preclinical practical performance over GPA. In line with findings from earlier studies the HAM-Man test of manual dexterity showed satisfactory incremental validity. While GPA has a focus on cognitive abilities, the HAM-Man reflects learning of unfamiliar psychomotor skills, spatial relationships, and dental techniques needed in preclinical laboratory courses. The wire bending test HAM-Man is a valuable additional selection instrument for applicants of dental schools.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dexterity Sentence A: Thirty-two children with hand dysfunction due to cerebral palsy were examined before tendon transfer and muscle release, and 9 months postoperatively. All children improved their performance regardless of the degree of impaired hand function. The main advantage of surgery was a more functional position of the hand with increased wrist extension and forearm supination. There were also increased functionality of handgrips, grip strength, and dexterity. Impaired sensibility before surgery did not influence the outcome. Individual goals were set preoperatively. Individual functional goals outlined before surgery were met by most children. Children identified as having mild impairments gained new functional skills related to everyday activity (self-care and leisure), while children with severely impaired hand function demonstrated enhanced grasping ability, as well as a better cosmetic appearance. Sentence B: Although some recent studies concluded that dexterity is not a reliable predictor of performance in preclinical laboratory courses in dentistry, they could not disprove earlier findings which confirmed the worth of manual dexterity tests in dental admission. We developed a wire bending test (HAM-Man) which was administered during dental freshmen's first week in 2008, 2009, and 2010. The purpose of our study was to evaluate if the HAM-Man is a useful selection criterion additional to the high school grade point average (GPA) in dental admission. Regression analysis revealed that GPA only accounted for a maximum of 9% of students' performance in preclinical laboratory courses, in six out of eight models the explained variance was below 2%. The HAM-Man incrementally explained up to 20.5% of preclinical practical performance over GPA. In line with findings from earlier studies the HAM-Man test of manual dexterity showed satisfactory incremental validity. While GPA has a focus on cognitive abilities, the HAM-Man reflects learning of unfamiliar psychomotor skills, spatial relationships, and dental techniques needed in preclinical laboratory courses. The wire bending test HAM-Man is a valuable additional selection instrument for applicants of dental schools. ###Answer 1. Changed Reasoning: In Sentence A, the term ""dexterity"" is used in the context of children with hand dysfunction, where it refers to the ability to perform specific hand functions such as wrist extension and forearm supination. The term is used to describe the improvement in hand function after surgery, with a focus on the practical aspects of hand use. In contrast, in Sentence B, the term ""dexterity"" is used in the context of dental admission, where it refers to the ability to learn unfamiliar psychomotor skills, spatial relationships, and dental techniques needed in preclinical laboratory courses. The term is used to describe the incremental validity of the HAM-Man test of manual dexterity in selecting applicants for dental schools. In Sentence A, the term ""dexterity"" has a more practical and functional connotation, while in Sentence B, it has a more cognitive and learning-related connotation. Therefore, it can be argued that the meaning of the term ""dexterity"" has shifted from a focus on hand function to a focus on learning and cognition. This shift in meaning constitutes semantic drift, and therefore, the label ""Changed"" is appropriate." 97,Dexterity,"The effects of a new 1,4 benzodiazepine hypnotic, loprazolam (1.0 mg) and alcohol (0.7 g/kg body weight) were investigated over a 15 h period in eight healthy male medical students, in a placebo controlled balanced design. Loprazolam when given alone impaired performance on a manual dexterity task, on a test of mental arithmetic, on a tracking task and it impaired memory as judged by the name and address memory test. Given alone, alcohol impaired performance on the simple reaction time task and on the tracking task. Performance on the memory test and choice reaction time test actually improved. No evidence was found suggesting a potentiation of effect when loprazolam and alcohol were given together. However, (a) on the manual dexterity task the alcohol, having no effect on its own, alleviated the loprazolam-induced impairment. (b) In the tracking task both alcohol and loprazolam impaired performance when given alone but not when given together. (c) The memory test was impaired by loprazolam, improved by alcohol and the effect of the combination is the expected sum of the two effects. Similarly for the arithmetic task the effect of the combination of the alcohol and loprazolam effects is the expected sum of the independent effects. The bulk of the evidence on the interaction suggests that alcohol mitigates the effects of loprazolam. In no sense could the drug be said to be having a sobering influence.","The complexity and dexterity of the human hand make the development of natural and robust control of hand prostheses challenging. Although a large number of control approaches were developed and investigated in the last decades, limited robustness in real-life conditions often prevented their application in clinical settings and in commercial products. In this paper, we investigate a multimodal approach that exploits the use of eye-hand coordination to improve the control of myoelectric hand prostheses. The analyzed data are from the publicly available MeganePro Dataset 1, that includes multimodal data from transradial amputees and able-bodied subjects while grasping numerous household objects with ten grasp types. A continuous grasp-type classification based on surface electromyography served as both intent detector and classifier. At the same time, the information provided by eye-hand coordination parameters, gaze data and object recognition in first-person videos allowed to identify the object a person aims to grasp. The results show that the inclusion of visual information significantly increases the average offline classification accuracy by up to 15.61 ± 4.22% for the transradial amputees and of up to 7.37 ± 3.52% for the able-bodied subjects, allowing trans-radial amputees to reach average classification accuracy comparable to intact subjects and suggesting that the robustness of hand prosthesis control based on grasp-type recognition can be significantly improved with the inclusion of visual information extracted by leveraging natural eye-hand coordination behavior and without placing additional cognitive burden on the user.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dexterity Sentence A: The effects of a new 1,4 benzodiazepine hypnotic, loprazolam (1.0 mg) and alcohol (0.7 g/kg body weight) were investigated over a 15 h period in eight healthy male medical students, in a placebo controlled balanced design. Loprazolam when given alone impaired performance on a manual dexterity task, on a test of mental arithmetic, on a tracking task and it impaired memory as judged by the name and address memory test. Given alone, alcohol impaired performance on the simple reaction time task and on the tracking task. Performance on the memory test and choice reaction time test actually improved. No evidence was found suggesting a potentiation of effect when loprazolam and alcohol were given together. However, (a) on the manual dexterity task the alcohol, having no effect on its own, alleviated the loprazolam-induced impairment. (b) In the tracking task both alcohol and loprazolam impaired performance when given alone but not when given together. (c) The memory test was impaired by loprazolam, improved by alcohol and the effect of the combination is the expected sum of the two effects. Similarly for the arithmetic task the effect of the combination of the alcohol and loprazolam effects is the expected sum of the independent effects. The bulk of the evidence on the interaction suggests that alcohol mitigates the effects of loprazolam. In no sense could the drug be said to be having a sobering influence. Sentence B: The complexity and dexterity of the human hand make the development of natural and robust control of hand prostheses challenging. Although a large number of control approaches were developed and investigated in the last decades, limited robustness in real-life conditions often prevented their application in clinical settings and in commercial products. In this paper, we investigate a multimodal approach that exploits the use of eye-hand coordination to improve the control of myoelectric hand prostheses. The analyzed data are from the publicly available MeganePro Dataset 1, that includes multimodal data from transradial amputees and able-bodied subjects while grasping numerous household objects with ten grasp types. A continuous grasp-type classification based on surface electromyography served as both intent detector and classifier. At the same time, the information provided by eye-hand coordination parameters, gaze data and object recognition in first-person videos allowed to identify the object a person aims to grasp. The results show that the inclusion of visual information significantly increases the average offline classification accuracy by up to 15.61 ± 4.22% for the transradial amputees and of up to 7.37 ± 3.52% for the able-bodied subjects, allowing trans-radial amputees to reach average classification accuracy comparable to intact subjects and suggesting that the robustness of hand prosthesis control based on grasp-type recognition can be significantly improved with the inclusion of visual information extracted by leveraging natural eye-hand coordination behavior and without placing additional cognitive burden on the user. ###Answer 1. Changed The meaning of the target word ""dexterity"" has changed significantly between the two sentences. In Sentence A, the word is used to describe the impairment of manual dexterity caused by the combination of a benzodiazepine and alcohol. In Sentence B, the word is used to describe the complexity and dexterity of the human hand in the context of controlling hand prostheses. The word has taken on a different connotation, shifting from a negative to a neutral or even positive sense." 98,Dexterity,Most theories about the inheritance of hand preference assume that handedness is a unidimensional trait which forms a continuous distribution. This paper demonstrates that sampling a wide range of manual activities reveals dimensions of hand preference that are independent. 180 right handed and 110 left handed adults indicated their hand preference for 55 activities according to a five point scale. A Varimax Factor Analysis revealed four factors which accounted for 80 percent of the variance. Factor 3 was of special interest because it represented behaviors which rely upon the axial musculature and involve strength more than dexterity. Hand preference for items on this factor were less laterally biased than on factors which included such fine motor behaviors as writing or drawing. These results suggest that manual preference is governed by more than one neural system and that these systems may be independently lateralized.,"The World Health Organization estimates a 12-month prevalence rate of 8+% for an alcohol use disorder (AUD) diagnosis in people age 15 years and older in the United States and Europe, presenting significant health risks that have the potential of accelerating age-related functional decline. According to neuropathological studies, white matter systems of the cerebellum are vulnerable to chronic alcohol dependence. To pursue the effect of AUD on white matter structure and functions in vivo, this study used T1-weighted, magnetic resonance imaging (MRI) to quantify the total corpus medullare of the cerebellum and a finely grained analysis of its surface in 135 men and women with AUD (mean duration of abstinence, 248 d) and 128 age- and sex-matched control participants; subsets of these participants completed motor testing. We identified an AUD-related volume deficit and accelerated aging in the total corpus medullare. Novel deformation-based surface morphometry revealed regional shrinkage of surfaces adjacent to lobules I-V, lobule IX, and vermian lobule X. In addition, accelerated aging was detected in the regional surface areas adjacent to lobules I-V, lobule VI, lobule VIIB, and lobules VIII, IX, and X. Sex differences were not identified for any measure. For both volume-based and surface-based analyses, poorer performance in gait and balance, manual dexterity, and grip strength were linked to greater regional white matter structural deficits. Our results suggest that local deformation of the corpus medullare has the potential of identifying structurally and functionally segregated networks affected in AUD.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dexterity Sentence A: Most theories about the inheritance of hand preference assume that handedness is a unidimensional trait which forms a continuous distribution. This paper demonstrates that sampling a wide range of manual activities reveals dimensions of hand preference that are independent. 180 right handed and 110 left handed adults indicated their hand preference for 55 activities according to a five point scale. A Varimax Factor Analysis revealed four factors which accounted for 80 percent of the variance. Factor 3 was of special interest because it represented behaviors which rely upon the axial musculature and involve strength more than dexterity. Hand preference for items on this factor were less laterally biased than on factors which included such fine motor behaviors as writing or drawing. These results suggest that manual preference is governed by more than one neural system and that these systems may be independently lateralized. Sentence B: The World Health Organization estimates a 12-month prevalence rate of 8+% for an alcohol use disorder (AUD) diagnosis in people age 15 years and older in the United States and Europe, presenting significant health risks that have the potential of accelerating age-related functional decline. According to neuropathological studies, white matter systems of the cerebellum are vulnerable to chronic alcohol dependence. To pursue the effect of AUD on white matter structure and functions in vivo, this study used T1-weighted, magnetic resonance imaging (MRI) to quantify the total corpus medullare of the cerebellum and a finely grained analysis of its surface in 135 men and women with AUD (mean duration of abstinence, 248 d) and 128 age- and sex-matched control participants; subsets of these participants completed motor testing. We identified an AUD-related volume deficit and accelerated aging in the total corpus medullare. Novel deformation-based surface morphometry revealed regional shrinkage of surfaces adjacent to lobules I-V, lobule IX, and vermian lobule X. In addition, accelerated aging was detected in the regional surface areas adjacent to lobules I-V, lobule VI, lobule VIIB, and lobules VIII, IX, and X. Sex differences were not identified for any measure. For both volume-based and surface-based analyses, poorer performance in gait and balance, manual dexterity, and grip strength were linked to greater regional white matter structural deficits. Our results suggest that local deformation of the corpus medullare has the potential of identifying structurally and functionally segregated networks affected in AUD. ###Answer 1. Changed Reasoning: In Sentence A, the term ""dexterity"" is used to describe the ability to perform manual activities with strength and coordination. However, in Sentence B, the term ""dexterity"" is used in a different context to describe the local deformation of the corpus medullare in the cerebellum. The meaning of the term ""dexterity"" has shifted from a general description of manual ability to a specific reference to a neuroanatomical feature. Therefore, semantic drift has occurred in the usage of the term ""dexterity""." 99,Dexterity,"The relationship between finger skin temperature (FST) and performance was demonstrated with four manual dexterity tasks all of which were performed by black and white, male and female subjects. At air temperatures below 24 degrees C the white subjects tended to have warmer FSTs than the black subjects; white subjects were also able to equal the performance of the black subjects at air temperatures as much as 6 degrees C below that required by the black subjects.","This study examined microstructural properties of cortical and subcortical gray matter components of the dorsolateral prefrontal (DLPFC) cortical-subcortical circuit in relation to parent-rated executive function and fine motor dexterity performance in youth with spina bifida myelomeningocele (SBM). Aberrant gray matter integrity of the DLPFC, basal ganglia nuclei, and thalamus were hypothesized to differentially relate to neurobehavioral outcomes.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dexterity Sentence A: The relationship between finger skin temperature (FST) and performance was demonstrated with four manual dexterity tasks all of which were performed by black and white, male and female subjects. At air temperatures below 24 degrees C the white subjects tended to have warmer FSTs than the black subjects; white subjects were also able to equal the performance of the black subjects at air temperatures as much as 6 degrees C below that required by the black subjects. Sentence B: This study examined microstructural properties of cortical and subcortical gray matter components of the dorsolateral prefrontal (DLPFC) cortical-subcortical circuit in relation to parent-rated executive function and fine motor dexterity performance in youth with spina bifida myelomeningocele (SBM). Aberrant gray matter integrity of the DLPFC, basal ganglia nuclei, and thalamus were hypothesized to differentially relate to neurobehavioral outcomes. ###Answer 1. Changed In Sentence A, the term ""dexterity"" refers to manual coordination and dexterity in the context of finger skin temperature and performance on various tasks. However, in Sentence B, the term ""dexterity"" is used to describe the microstructural properties of cortical and subcortical gray matter components in the dorsolateral prefrontal cortex in relation to executive function and fine motor abilities. The meaning of the term ""dexterity"" has shifted significantly between the two sentences, from a focus on manual coordination and dexterity to a reference to the structure and function of brain regions involved in executive function and fine motor abilities." 0,Paraplegia,"A 19-year-old woman with a large benign hepatocellular adenoma is presented. The initial symptom was continuous anaemia demanding transfusions twice a month. Coeliac angiography revealed the hepatic tumour, which was thought to be malignant. Angiography produced permanent paraplegia as a complication. The tumour was radically removed by an extended right lobectomy. The weight of the operation specimen was 2200 g. Histologically the differential diagnosis layed between benign hepatocellular adenoma and hepatocellular carcinoma. Postoperative stricture of the common duct developed as a complication of T-tube and was successfully treated at reoperation. Liver function became totally restored after the operation and after 5 years' follow-up there has been no tumour recurrence. The very rare benign hepatocellular adenomas are discussed.","Pain is a common symptom of pancreatic disease and is frequently difficult to manage. Pain relief provided by narcotics is often suboptimal and is associated with significant side effects. An alternative approach to pain management in pancreatic disease is the use of celiac plexus block (CPB) or neurolysis (CPN). Originally performed by anesthesiologists and radiologists via a posterior approach, recent advances in endoscopic ultrasonography (EUS) have made this technique an attractive alternative. EUS guided celiac plexus block/neurolysis is simple to perform and avoids serious complications such as paraplegia or pneumothorax that are associated with the posterior approach. EUS guided CPN should be considered first line therapy in patients with pain due to pancreatic cancer. It provides superior pain control compared to traditional management with narcotics. A trend for improved survival in pancreatic cancer patients treated with CPN has been reported, but larger studies are needed to confirm this finding. At this time, the use of EUS guided CPB cannot be recommended as routine therapy for pain in chronic pancreatitis since only one-half of the patients experience pain reduction and the beneficial effect tends to be short lived. EUS guided CPB and CPN should be used as part of a multidisciplinary team approach for pain management.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Paraplegia Sentence A: A 19-year-old woman with a large benign hepatocellular adenoma is presented. The initial symptom was continuous anaemia demanding transfusions twice a month. Coeliac angiography revealed the hepatic tumour, which was thought to be malignant. Angiography produced permanent paraplegia as a complication. The tumour was radically removed by an extended right lobectomy. The weight of the operation specimen was 2200 g. Histologically the differential diagnosis layed between benign hepatocellular adenoma and hepatocellular carcinoma. Postoperative stricture of the common duct developed as a complication of T-tube and was successfully treated at reoperation. Liver function became totally restored after the operation and after 5 years' follow-up there has been no tumour recurrence. The very rare benign hepatocellular adenomas are discussed. Sentence B: Pain is a common symptom of pancreatic disease and is frequently difficult to manage. Pain relief provided by narcotics is often suboptimal and is associated with significant side effects. An alternative approach to pain management in pancreatic disease is the use of celiac plexus block (CPB) or neurolysis (CPN). Originally performed by anesthesiologists and radiologists via a posterior approach, recent advances in endoscopic ultrasonography (EUS) have made this technique an attractive alternative. EUS guided celiac plexus block/neurolysis is simple to perform and avoids serious complications such as paraplegia or pneumothorax that are associated with the posterior approach. EUS guided CPN should be considered first line therapy in patients with pain due to pancreatic cancer. It provides superior pain control compared to traditional management with narcotics. A trend for improved survival in pancreatic cancer patients treated with CPN has been reported, but larger studies are needed to confirm this finding. At this time, the use of EUS guided CPB cannot be recommended as routine therapy for pain in chronic pancreatitis since only one-half of the patients experience pain reduction and the beneficial effect tends to be short lived. EUS guided CPB and CPN should be used as part of a multidisciplinary team approach for pain management. ###Answer 1. Changed Reasoning: In Sentence A, the term ""paraplegia"" is used to describe a complication of the operation, specifically the development of a stricture in the common duct. This implies that the term ""paraplegia"" was used in the medical community at that time to refer to a specific medical condition, likely one that affects the spinal cord or nervous system. In Sentence B, the term ""paraplegia"" is used in a different context, to describe a potential alternative approach to pain management in pancreatic disease. In this context, the term ""paraplegia"" is used to refer to a minimally invasive technique that avoids serious complications such as paraplegia or pneumothorax. This suggests that the term ""paraplegia"" has taken on a different meaning in the medical community since Sentence A was written. Therefore, it can be concluded that semantic drift has occurred in the term ""paraplegia"" between Sentence A and Sentence B. The term has shifted from a medical condition to a surgical technique, indicating a change in its meaning and connotation over time." 1,Paraplegia,To develop an effective selection procedure for lower limb functional neurostimulation (LLFNS) for standing in paraplegia.,"Fatty acid 2-hydroxylase (FA2H) is responsible for the synthesis of myelin galactolipids containing hydroxy fatty acid (hFA) as the N-acyl chain. Mutations in the FA2H gene cause leukodystrophy, spastic paraplegia, and neurodegeneration with brain iron accumulation. Using the Cre-lox system, we developed two types of mouse mutants, Fa2h(-/-) mice (Fa2h deleted in all cells by germline deletion) and Fa2h(flox/flox) Cnp1-Cre mice (Fa2h deleted only in oligodendrocytes and Schwann cells). We found significant demyelination, profound axonal loss, and abnormally enlarged axons in the CNS of Fa2h(-/-) mice at 12 months of age, while structure and function of peripheral nerves were largely unaffected. Fa2h(-/-) mice also exhibited histological and functional disruption in the cerebellum at 12 months of age. In a time course study, significant deterioration of cerebellar function was first detected at 7 months of age. Further behavioral assessments in water T-maze and Morris water maze tasks revealed significant deficits in spatial learning and memory at 4 months of age. These data suggest that various regions of the CNS are functionally compromised in young adult Fa2h(-/-) mice. The cerebellar deficits in 12-month-old Fa2h(flox/flox) Cnp1-Cre mice were indistinguishable from Fa2h(-/-) mice, indicating that these phenotypes likely stem from the lack of myelin hFA-galactolipids. In contrast, Fa2h(flox/flox) Cnp1-Cre mice did not show reduced performance in water maze tasks, indicating that oligodendrocytes are not involved in the learning and memory deficits found in Fa2h(-/-) mice. These findings provide the first evidence that FA2H has an important function outside of oligodendrocytes in the CNS.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Paraplegia Sentence A: To develop an effective selection procedure for lower limb functional neurostimulation (LLFNS) for standing in paraplegia. Sentence B: Fatty acid 2-hydroxylase (FA2H) is responsible for the synthesis of myelin galactolipids containing hydroxy fatty acid (hFA) as the N-acyl chain. Mutations in the FA2H gene cause leukodystrophy, spastic paraplegia, and neurodegeneration with brain iron accumulation. Using the Cre-lox system, we developed two types of mouse mutants, Fa2h(-/-) mice (Fa2h deleted in all cells by germline deletion) and Fa2h(flox/flox) Cnp1-Cre mice (Fa2h deleted only in oligodendrocytes and Schwann cells). We found significant demyelination, profound axonal loss, and abnormally enlarged axons in the CNS of Fa2h(-/-) mice at 12 months of age, while structure and function of peripheral nerves were largely unaffected. Fa2h(-/-) mice also exhibited histological and functional disruption in the cerebellum at 12 months of age. In a time course study, significant deterioration of cerebellar function was first detected at 7 months of age. Further behavioral assessments in water T-maze and Morris water maze tasks revealed significant deficits in spatial learning and memory at 4 months of age. These data suggest that various regions of the CNS are functionally compromised in young adult Fa2h(-/-) mice. The cerebellar deficits in 12-month-old Fa2h(flox/flox) Cnp1-Cre mice were indistinguishable from Fa2h(-/-) mice, indicating that these phenotypes likely stem from the lack of myelin hFA-galactolipids. In contrast, Fa2h(flox/flox) Cnp1-Cre mice did not show reduced performance in water maze tasks, indicating that oligodendrocytes are not involved in the learning and memory deficits found in Fa2h(-/-) mice. These findings provide the first evidence that FA2H has an important function outside of oligodendrocytes in the CNS. ###Answer 1. Changed Explanation: The target word ""paraplegia"" has undergone a significant change in meaning between the two sentences. In Sentence A, the word is used to describe the development of a selection procedure for standing in patients with paraplegia, suggesting that the term is still associated with the classic definition of paralysis of the lower limbs. In Sentence B, the word is used to describe the synthesis of myelin galactolipids containing hydroxy fatty acid (hFA) as the N-acyl chain, which has no direct relation to paralysis. Therefore, the meaning of the target word has significantly shifted between the two timestamps, indicating semantic drift." 2,Paraplegia,"The patient was a 45-year-old female diagnosed with aortitis syndrome and aortic regurgitation (AR). She had been taking steroid therapy since 1975. She had recently developed congestive heart failure due to AR while both the ascending aorta and aortic arch were enlarged. She had no inflammatory reaction on admission. An aortogram showed heavy dilation of both the ascending aorta and aortic arch and maximum diameters was 11 cm in the ascending aorta and 4.5 cm in the descending aorta. There was an obstruction of the left subclavian artery. Moderate AR was seen on an echocardiogram. She had a simultaneous graft replacement of aortic root and total arch. The aortic root was replaced with composite graft and coronary arteries were implanted using Carrel's patch technique, and the aortic arch was also replaced with a graft with two side branches. The postoperative course was uneventful without complication of cerebral infarction or paraplegia. The postoperative aortogram showed stenosis of the left carotid artery, but no abnormality of the coronary orifices and graft anastomosis. She returned home with disappearance of symptoms of congestive heart failure.","For persons with spinal cord injury (SCI), severe bodily pain is related to a lower quality of life. However, the effect of pain from a specific body region on quality of life has yet to be determined. The shoulder joint is a common site of pain among persons with SCI. Therefore, our purpose was to identify the relationship of self-reported shoulder pain with quality of life, physical activity, and community activities in persons with paraplegia resulting from SCI.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Paraplegia Sentence A: The patient was a 45-year-old female diagnosed with aortitis syndrome and aortic regurgitation (AR). She had been taking steroid therapy since 1975. She had recently developed congestive heart failure due to AR while both the ascending aorta and aortic arch were enlarged. She had no inflammatory reaction on admission. An aortogram showed heavy dilation of both the ascending aorta and aortic arch and maximum diameters was 11 cm in the ascending aorta and 4.5 cm in the descending aorta. There was an obstruction of the left subclavian artery. Moderate AR was seen on an echocardiogram. She had a simultaneous graft replacement of aortic root and total arch. The aortic root was replaced with composite graft and coronary arteries were implanted using Carrel's patch technique, and the aortic arch was also replaced with a graft with two side branches. The postoperative course was uneventful without complication of cerebral infarction or paraplegia. The postoperative aortogram showed stenosis of the left carotid artery, but no abnormality of the coronary orifices and graft anastomosis. She returned home with disappearance of symptoms of congestive heart failure. Sentence B: For persons with spinal cord injury (SCI), severe bodily pain is related to a lower quality of life. However, the effect of pain from a specific body region on quality of life has yet to be determined. The shoulder joint is a common site of pain among persons with SCI. Therefore, our purpose was to identify the relationship of self-reported shoulder pain with quality of life, physical activity, and community activities in persons with paraplegia resulting from SCI. ###Answer 1. Changed Reasoning: In Sentence A, the term ""paraplegia"" is used to describe a medical condition characterized by paralysis of the lower limbs due to damage to the spinal cord. The sentence highlights the medical details of the patient's condition, including the diagnosis, treatment, and postoperative course. The term ""paraplegia"" is used in a medical context, and its meaning remains relatively consistent throughout the sentence. In Sentence B, the term ""paraplegia"" is used in a different context. The sentence discusses the quality of life and physical activity of individuals with spinal cord injury (SCI), which includes paraplegia as a common condition. The sentence highlights the impact of pain from a specific body region on quality of life and physical activity. The term ""paraplegia"" is used in a broader context, encompassing not only the medical condition but also the broader experience of individuals with SCI. Based on these differences in context and meaning, it can be argued that the term ""paraplegia"" has undergone semantic drift between Sentence A and Sentence B. In Sentence A, the term is used primarily in a medical context to describe a specific medical condition. In Sentence B, the term is used more broadly to encompass the broader experience of individuals with SCI, including the impact of pain on quality of life and physical activity. Therefore, the label ""Changed"" is appropriate to indicate that the meaning of the term ""paraplegia"" has shifted significantly between the two sentences." 3,Paraplegia,"Syphilitic myelitis is a very rare manifestation of neurosyphilis. The MRI appearance of syphilitic myelitis is not well documented and only a few cases have been reported. We present a 52-year-old woman with acute onset of paraplegia. Magnetic resonance imaging of the spine showed diffuse high signal intensity in the whole spinal cord on T2-weighted images. Focal enhancement was observed in the dorsal aspect of the thoracic cord on T1-weighted gadolinium-enhanced images. To our knowledge, diffuse spinal cord abnormality in syphilitic myelitis has not been reported in the international literature. Disappearance of the diffuse high-signal lesions with residual focal enhancement was noted after antibiotic therapy. The patient suffered significant neurological deficit despite improvement in the MR images. In this article we present the imaging findings and review the literature of this rare condition.","Joint or segment angle trajectories of able-bodied persons are often recorded or mimicked as reference trajectories for walking restoration in paraplegia. In this paper, lower limb segment angle trajectories are computed from simple mathematical models developed to represent functional electrical stimulation (FES) and a novel brace based walking. The new models incorporate the double support and single support phases of walking. Dynamic optimization is utilized to design walking trajectories that minimize muscle activations and arm reaction forces generated from the walker. Compared to the voluntary walking trajectories, the new trajectories are more representative of FES-based walking as only a limited number of muscle are stimulated to compute walking trajectories.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Paraplegia Sentence A: Syphilitic myelitis is a very rare manifestation of neurosyphilis. The MRI appearance of syphilitic myelitis is not well documented and only a few cases have been reported. We present a 52-year-old woman with acute onset of paraplegia. Magnetic resonance imaging of the spine showed diffuse high signal intensity in the whole spinal cord on T2-weighted images. Focal enhancement was observed in the dorsal aspect of the thoracic cord on T1-weighted gadolinium-enhanced images. To our knowledge, diffuse spinal cord abnormality in syphilitic myelitis has not been reported in the international literature. Disappearance of the diffuse high-signal lesions with residual focal enhancement was noted after antibiotic therapy. The patient suffered significant neurological deficit despite improvement in the MR images. In this article we present the imaging findings and review the literature of this rare condition. Sentence B: Joint or segment angle trajectories of able-bodied persons are often recorded or mimicked as reference trajectories for walking restoration in paraplegia. In this paper, lower limb segment angle trajectories are computed from simple mathematical models developed to represent functional electrical stimulation (FES) and a novel brace based walking. The new models incorporate the double support and single support phases of walking. Dynamic optimization is utilized to design walking trajectories that minimize muscle activations and arm reaction forces generated from the walker. Compared to the voluntary walking trajectories, the new trajectories are more representative of FES-based walking as only a limited number of muscle are stimulated to compute walking trajectories. ###Answer 1. Changed Reasoning: In Sentence A, the term ""paraplegia"" is used to describe a specific medical condition characterized by paralysis of the lower limbs. In Sentence B, the term ""paraplegia"" is used more broadly to refer to any type of disability or impairment affecting the lower limbs. This shift in meaning suggests that the term ""paraplegia"" has undergone semantic drift over time, becoming more of a catch-all term for any type of mobility impairment rather than a specific medical condition." 4,Paraplegia,"The authors report their experience with 70 pediatric patients with spinal cord compression (SCC) due to malignancies identified among 898 patients with solid tumors. An extradural tumor was the most frequent cause of SCC (71%); 54% of these were soft tissue sarcomas and neuroblastoma. Most intradural tumors (70%) were outside the spinal cord, 9/12 being metastatic medulloblastomas. The SCC localized mainly to the dorsal and lumbosacral regions (42% each). Pain was the most common symptom (94%). MRI proved diagnostic in all cases in which it was used, while myelography was diagnostic in 85% of 26 patients. CT scan demonstrated the lesion in 83% of the patients. Laminectomy was provided for patients with paraplegia of less than 96 h evolution; isolated recurrence of the main tumor; a primary spinal cord tumor; progression of neurologic symptoms after chemotherapy/radiotherapy; chemotherapy and radiotherapy-resistant tumor (when known); resection of a paraspinal tumor. Surgery was avoided when prognosis of primary disease was poor or risks exceeded possible benefits. Twelve/twenty-one (57%) patients with paraplegia were able to walk after laminectomy only, while 14% (2/14) improved after chemotherapy and radiotherapy. Survival rates were 38% for the former and 36% for the latter. Overall survival was related to the original malignancy. All patients (12) admitted without paraplegia and submitted to laminectomy were able to walk, and of these, 6 presented a primary spinal cord tumor. The remaining had paraspinal tumors that extended to the spinal canal. Almost 87% (20/23) of the patients without paraplegia who submitted to medical treatment were able to walk, while only one progressed to paraplegia. Patients with SCC may entertain radio- and chemotherapy when harboring tumors responding to such therapies and present no evidence of neurologic damage progression. The latter manifestation is a strong indication for laminectomy without delay.","SPOAN syndrome is a neurodegenerative disorder mainly characterized by spastic paraplegia, optic atrophy and neuropathy (SPOAN). Affected patients are wheelchair bound after 15 years old, with progressive joint contractures and spine deformities. SPOAN patients also have sub normal vision secondary to apparently non-progressive congenital optic atrophy. A potential causative gene was mapped at 11q13 ten years ago. Here we performed next-generation sequencing in SPOAN-derived samples. While whole-exome sequencing failed to identify the causative mutation, whole-genome sequencing allowed to detect a homozygous 216-bp deletion (chr11.hg19:g.66,024,557_66,024,773del) located at the non-coding upstream region of the KLC2 gene. Expression assays performed with patient's fibroblasts and motor neurons derived from SPOAN patients showed KLC2 overexpression. Luciferase assay in constructs with 216-bp deletion confirmed the overexpression of gene reporter, varying from 48 to 74%, as compared with wild-type. Knockdown and overexpression of klc2 in Danio rerio revealed mild to severe curly-tail phenotype, which is suggestive of a neuromuscular disorder. Overexpression of a gene caused by a small deletion in the non-coding region is a novel mechanism, which to the best of our knowledge, was never reported before in a recessive condition. Although the molecular mechanism of KLC2 up-regulation still remains to be uncovered, such example adds to the importance of non-coding regions in human pathology. ","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Paraplegia Sentence A: The authors report their experience with 70 pediatric patients with spinal cord compression (SCC) due to malignancies identified among 898 patients with solid tumors. An extradural tumor was the most frequent cause of SCC (71%); 54% of these were soft tissue sarcomas and neuroblastoma. Most intradural tumors (70%) were outside the spinal cord, 9/12 being metastatic medulloblastomas. The SCC localized mainly to the dorsal and lumbosacral regions (42% each). Pain was the most common symptom (94%). MRI proved diagnostic in all cases in which it was used, while myelography was diagnostic in 85% of 26 patients. CT scan demonstrated the lesion in 83% of the patients. Laminectomy was provided for patients with paraplegia of less than 96 h evolution; isolated recurrence of the main tumor; a primary spinal cord tumor; progression of neurologic symptoms after chemotherapy/radiotherapy; chemotherapy and radiotherapy-resistant tumor (when known); resection of a paraspinal tumor. Surgery was avoided when prognosis of primary disease was poor or risks exceeded possible benefits. Twelve/twenty-one (57%) patients with paraplegia were able to walk after laminectomy only, while 14% (2/14) improved after chemotherapy and radiotherapy. Survival rates were 38% for the former and 36% for the latter. Overall survival was related to the original malignancy. All patients (12) admitted without paraplegia and submitted to laminectomy were able to walk, and of these, 6 presented a primary spinal cord tumor. The remaining had paraspinal tumors that extended to the spinal canal. Almost 87% (20/23) of the patients without paraplegia who submitted to medical treatment were able to walk, while only one progressed to paraplegia. Patients with SCC may entertain radio- and chemotherapy when harboring tumors responding to such therapies and present no evidence of neurologic damage progression. The latter manifestation is a strong indication for laminectomy without delay. Sentence B: SPOAN syndrome is a neurodegenerative disorder mainly characterized by spastic paraplegia, optic atrophy and neuropathy (SPOAN). Affected patients are wheelchair bound after 15 years old, with progressive joint contractures and spine deformities. SPOAN patients also have sub normal vision secondary to apparently non-progressive congenital optic atrophy. A potential causative gene was mapped at 11q13 ten years ago. Here we performed next-generation sequencing in SPOAN-derived samples. While whole-exome sequencing failed to identify the causative mutation, whole-genome sequencing allowed to detect a homozygous 216-bp deletion (chr11.hg19:g.66,024,557_66,024,773del) located at the non-coding upstream region of the KLC2 gene. Expression assays performed with patient's fibroblasts and motor neurons derived from SPOAN patients showed KLC2 overexpression. Luciferase assay in constructs with 216-bp deletion confirmed the overexpression of gene reporter, varying from 48 to 74%, as compared with wild-type. Knockdown and overexpression of klc2 in Danio rerio revealed mild to severe curly-tail phenotype, which is suggestive of a neuromuscular disorder. Overexpression of a gene caused by a small deletion in the non-coding region is a novel mechanism, which to the best of our knowledge, was never reported before in a recessive condition. Although the molecular mechanism of KLC2 up-regulation still remains to be uncovered, such example adds to the importance of non-coding regions in human pathology. ###Answer 1. Changed Reasoning: In Sentence A, the term ""paraplegia"" is used to describe a condition where a patient is wheelchair-bound due to spinal cord compression. The context suggests that the patient has suffered significant damage to their spinal cord, which has resulted in permanent paralysis of the lower half of their body. In contrast, in Sentence B, the term ""SPOAN syndrome"" is used to describe a neurodegenerative disorder characterized by spastic paraplegia, optic atrophy, and neuropathy. The context suggests that the patient has a progressive degenerative disorder that affects their spinal cord and optic nerve, leading to muscle weakness and vision loss. In Sentence A, the term ""paraplegia"" is used in a medical context to describe a specific condition. However, in Sentence B, the term is used in a different context to describe a broader category of conditions. This suggests that the term ""paraplegia"" has undergone a shift in meaning over time, from a specific medical condition to a broader category of conditions. Therefore, the label ""Changed"" is appropriate." 5,Paraplegia,"Among all kinds of pain, deafferentation pain is the most physically and mentally debilitative; this affliction is often resistant to medications and to the effects of ablative neurosurgical procedures. Since the introduction of neurostimulation as a method of treatment of pain, stimulation of the sensory thalamic relay nucleus has been proven effective in the majority of cases of patients suffering from deafferentation pain. The method used for thalamic stimulation and the results obtained in a series of 89 patients treated from October 1978 to October 1985 will be presented. Postherpetic trigeminal pain has the best chance of responding to thalamic stimulation with a long-term success rate of 80%. This is also true for anesthesia dolorosa of any origin (after ablative surgery, nerve lesions, paraplegia). In the opposite, only 50% of patients with either brachial plexus avulsion or thalamic pain syndrome will have a significant benefit from thalamic stimulation. It would appear that the success of thalamic stimulation in these disorders may be dependent upon the extent of the central lesion from the periphery up to the thalamic regions (dorsal horn destruction, lesions of the thalamus).","A family with homocarnosinosis was reported in the literature in 1976. Three affected siblings had spastic paraplegia, retinitis pigmentosa, mental retardation, and cerebrospinal fluid (CSF) homocarnosine concentrations 20 times higher than in controls. Based on the clinical findings and new genetic techniques, we have been able to establish a precise genetic diagnosis.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Paraplegia Sentence A: Among all kinds of pain, deafferentation pain is the most physically and mentally debilitative; this affliction is often resistant to medications and to the effects of ablative neurosurgical procedures. Since the introduction of neurostimulation as a method of treatment of pain, stimulation of the sensory thalamic relay nucleus has been proven effective in the majority of cases of patients suffering from deafferentation pain. The method used for thalamic stimulation and the results obtained in a series of 89 patients treated from October 1978 to October 1985 will be presented. Postherpetic trigeminal pain has the best chance of responding to thalamic stimulation with a long-term success rate of 80%. This is also true for anesthesia dolorosa of any origin (after ablative surgery, nerve lesions, paraplegia). In the opposite, only 50% of patients with either brachial plexus avulsion or thalamic pain syndrome will have a significant benefit from thalamic stimulation. It would appear that the success of thalamic stimulation in these disorders may be dependent upon the extent of the central lesion from the periphery up to the thalamic regions (dorsal horn destruction, lesions of the thalamus). Sentence B: A family with homocarnosinosis was reported in the literature in 1976. Three affected siblings had spastic paraplegia, retinitis pigmentosa, mental retardation, and cerebrospinal fluid (CSF) homocarnosine concentrations 20 times higher than in controls. Based on the clinical findings and new genetic techniques, we have been able to establish a precise genetic diagnosis. ###Answer 1. Changed Explanation: In Sentence A, the term ""paraplegia"" is used to describe a type of pain that is resistant to medications and surgical procedures. The context suggests that this type of pain is caused by damage to the central nervous system, specifically the thalamus. In this sentence, the term ""paraplegia"" has a negative connotation, implying a debilitating and chronic condition. In Sentence B, the term ""paraplegia"" is used to describe a family with a genetic disorder that causes spastic paraplegia, retinitis pigmentosa, mental retardation, and high levels of homocarnosine in the cerebrospinal fluid. In this sentence, the term ""paraplegia"" has a different connotation, suggesting a genetic disorder with a specific set of symptoms. The context suggests that this type of paraplegia is not necessarily debilitating or chronic, but rather a specific set of symptoms associated with a genetic mutation. Therefore, the meaning of the term ""paraplegia"" has changed significantly between the two sentences, from a debilitating and chronic condition to a specific set of symptoms associated with a genetic disorder. This indicates semantic drift has occurred." 6,Paraplegia,"Among 50 patients with small cell bronchogenic carcinoma who were placed on a protocol of combined chemotherapy and radiation therapy, seven patients developed recurrence in the spinal cord. Five cases terminated in paraplegia and death. One patient with pontine recurrence recovered with local radiation therapy. One patient, diagnosed early, responded to local radiation therapy and is ambulatory. Methods of diagnosis were myelogram, computerized axial tomography, cerebro spinal fluid, chemistry and cytologies. The poor prognosis and the difficulty of diagnosis suggest that we should evaluate prophylactic therapy of the entire cranio-spinal axis.","PNPLA6-related disorders include several phenotypes, such as Boucher-Neuhäuser syndrome, Gordon Holmes syndrome, spastic paraplegia, photoreceptor degeneration, Oliver-McFarlane syndrome and Laurence-Moon syndrome. In this study, detailed clinical evaluations and genetic testing were performed in five (4 Chinese and 1 Caucasian/Chinese) syndromic retinal dystrophy patients. Genotype-phenotype correlations were analyzed based on review of the literatures of previously published PNPLA6-related cases. The mean age of patients and at first visit were 20.8 years (11, 12, 25, 28, 28) and 14.2 years (4, 7, 11, 24, 25), respectively. They all presented with severe chorioretinal dystrophy and profoundly decreased vision. The best corrected visual acuity (BCVA) ranged from 20/200 to 20/2000. Systemic manifestations included cerebellar ataxia, hypogonadotropic hypogonadism and hair anomalies. Six novel and three reported pathogenic variants in PNPLA6 (NM_001166111) were identified. The genotypes of the five cases are: c.3134C > T (p.Ser1045Leu) and c.3846+1G > A, c.3547C > T (p.Arg1183Trp) and c.1841+3A > G, c.3436G > A (p.Ala1146Thr) and c.2212-10A > G, c.3436G > A (p.Ala1146Thr) and c.2266C > T (p.Gln756*), c.1238_1239insC (p.Leu414Serfs*28) and c.3130A > G (p.Thr1044Ala). RT-PCR confirmed that the splicing variants indeed led to abnormal splicing. Missense variants p.Thr1044Ala, p.Ser1045Leu, p.Ala1146Thr, p.Arg1183Trp and c.3846+1G > A are located in Patatin-like phospholipase (Pat) domain. In conclusion, we report the phenotypes in five patients with PNPLA6 associated syndromic retinal dystrophy with variable systemic involvement and typical choroideremia-like fundus changes. Ocular manifestations may be the first and the only findings for years. All of our patients carried one severe deleterious variant (stop-gain or splicing variant) and one milder variant (missense variant). Retinal involvement was significantly correlated with severe deleterious variants and variants in Pat domain.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Paraplegia Sentence A: Among 50 patients with small cell bronchogenic carcinoma who were placed on a protocol of combined chemotherapy and radiation therapy, seven patients developed recurrence in the spinal cord. Five cases terminated in paraplegia and death. One patient with pontine recurrence recovered with local radiation therapy. One patient, diagnosed early, responded to local radiation therapy and is ambulatory. Methods of diagnosis were myelogram, computerized axial tomography, cerebro spinal fluid, chemistry and cytologies. The poor prognosis and the difficulty of diagnosis suggest that we should evaluate prophylactic therapy of the entire cranio-spinal axis. Sentence B: PNPLA6-related disorders include several phenotypes, such as Boucher-Neuhäuser syndrome, Gordon Holmes syndrome, spastic paraplegia, photoreceptor degeneration, Oliver-McFarlane syndrome and Laurence-Moon syndrome. In this study, detailed clinical evaluations and genetic testing were performed in five (4 Chinese and 1 Caucasian/Chinese) syndromic retinal dystrophy patients. Genotype-phenotype correlations were analyzed based on review of the literatures of previously published PNPLA6-related cases. The mean age of patients and at first visit were 20.8 years (11, 12, 25, 28, 28) and 14.2 years (4, 7, 11, 24, 25), respectively. They all presented with severe chorioretinal dystrophy and profoundly decreased vision. The best corrected visual acuity (BCVA) ranged from 20/200 to 20/2000. Systemic manifestations included cerebellar ataxia, hypogonadotropic hypogonadism and hair anomalies. Six novel and three reported pathogenic variants in PNPLA6 (NM_001166111) were identified. The genotypes of the five cases are: c.3134C > T (p.Ser1045Leu) and c.3846+1G > A, c.3547C > T (p.Arg1183Trp) and c.1841+3A > G, c.3436G > A (p.Ala1146Thr) and c.2212-10A > G, c.3436G > A (p.Ala1146Thr) and c.2266C > T (p.Gln756*), c.1238_1239insC (p.Leu414Serfs*28) and c.3130A > G (p.Thr1044Ala). RT-PCR confirmed that the splicing variants indeed led to abnormal splicing. Missense variants p.Thr1044Ala, p.Ser1045Leu, p.Ala1146Thr, p.Arg1183Trp and c.3846+1G > A are located in Patatin-like phospholipase (Pat) domain. In conclusion, we report the phenotypes in five patients with PNPLA6 associated syndromic retinal dystrophy with variable systemic involvement and typical choroideremia-like fundus changes. Ocular manifestations may be the first and the only findings for years. All of our patients carried one severe deleterious variant (stop-gain or splicing variant) and one milder variant (missense variant). Retinal involvement was significantly correlated with severe deleterious variants and variants in Pat domain. ###Answer 1. Changed Reasoning: In Sentence A, the word ""paraplegia"" is used to describe a spinal cord injury that resulted in death or recovery with local radiation therapy. In Sentence B, the word ""paraplegia"" is used to describe a genetic disorder that affects the spinal cord and causes various systemic and ocular manifestations. In Sentence A, the word ""paraplegia"" has a negative connotation, as it refers to a serious injury that can result in death or long-term disability. In contrast, in Sentence B, the word ""paraplegia"" has a neutral or even positive connotation, as it refers to a genetic disorder that can be diagnosed and managed with medical interventions. Therefore, it can be concluded that the meaning of the target word ""paraplegia"" has shifted significantly between the two sentences, indicating semantic drift." 7,Paraplegia,"Two young children suffering from acute thoracic kyphosis due to vertebral tuberculosis (Pott's disease) are described. One patient presented with recent onset spastic paraplegia due to cord compression. Anterior decompression and stabilization with a vascularized rib strut graft was performed in both patients. The neurological recovery in the compromised patient was remarkable; spinal stability was achieved in both patients, thus avoiding the necessity for a posterior spinal fusion.","Corticospinal motor neurons (CSMN) are the cortical component of motor neuron circuitry, which controls voluntary movement and degenerates in diseases such as amyotrophic lateral sclerosis, primary lateral sclerosis and hereditary spastic paraplegia. By using dual labeling combined with molecular marker analysis, we identified AAV2-2 mediated retrograde transduction as an effective approach to selectively target CSMN without affecting other neuron populations both in wild-type and hSOD1(G93A) transgenic ALS mice. This approach reveals very precise details of cytoarchitectural defects within vulnerable neurons in vivo. We report that CSMN vulnerability is marked by selective degeneration of apical dendrites especially in layer II/III of the hSOD1(G93A) mouse motor cortex, where cortical input to CSMN function is vastly modulated. While our findings confirm the presence of astrogliosis and microglia activation, they do not lend support to their direct role for the initiation of CSMN vulnerability. This study enables development of targeted gene replacement strategies to CSMN in the cerebral cortex, and reveals CSMN cortical modulation defects as a potential cause of neuronal vulnerability in ALS.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Paraplegia Sentence A: Two young children suffering from acute thoracic kyphosis due to vertebral tuberculosis (Pott's disease) are described. One patient presented with recent onset spastic paraplegia due to cord compression. Anterior decompression and stabilization with a vascularized rib strut graft was performed in both patients. The neurological recovery in the compromised patient was remarkable; spinal stability was achieved in both patients, thus avoiding the necessity for a posterior spinal fusion. Sentence B: Corticospinal motor neurons (CSMN) are the cortical component of motor neuron circuitry, which controls voluntary movement and degenerates in diseases such as amyotrophic lateral sclerosis, primary lateral sclerosis and hereditary spastic paraplegia. By using dual labeling combined with molecular marker analysis, we identified AAV2-2 mediated retrograde transduction as an effective approach to selectively target CSMN without affecting other neuron populations both in wild-type and hSOD1(G93A) transgenic ALS mice. This approach reveals very precise details of cytoarchitectural defects within vulnerable neurons in vivo. We report that CSMN vulnerability is marked by selective degeneration of apical dendrites especially in layer II/III of the hSOD1(G93A) mouse motor cortex, where cortical input to CSMN function is vastly modulated. While our findings confirm the presence of astrogliosis and microglia activation, they do not lend support to their direct role for the initiation of CSMN vulnerability. This study enables development of targeted gene replacement strategies to CSMN in the cerebral cortex, and reveals CSMN cortical modulation defects as a potential cause of neuronal vulnerability in ALS. ###Answer 1. Changed Reasoning: In Sentence A, the word ""paraplegia"" is used to describe a specific medical condition, specifically spastic paraplegia caused by cord compression. The sentence highlights the neurological recovery of the patient after surgery, indicating that the word is used to convey a sense of medical urgency and the need for prompt intervention. In Sentence B, the word ""paraplegia"" is used in a different context, referring to corticospinal motor neurons (CSMN) rather than a medical condition. The sentence discusses the degeneration of these neurons in various neurodegenerative diseases, including amyotrophic lateral sclerosis (ALS). The word is used to convey a sense of scientific precision and detail, highlighting the specificity of the study's findings. Based on these differences in context and meaning, it is clear that the word ""paraplegia"" has undergone a significant change in meaning between Sentence A and Sentence B. In Sentence A, the word is used to describe a specific medical condition, while in Sentence B, it is used to refer to a type of neuron. Therefore, the label ""Changed"" is appropriate." 8,Paraplegia,"The effects of differing strategies of serotonergic manipulation on vascular permeability, prostaglandin E2 (PGE2) synthesis, and the clinical course are evaluated in an experimental model of neoplastic spinal cord compression in rats. Serotonergic manipulations include in vivo inhibition of serotonin (5-HT) synthesis by p-chlorophenylalanine (p-CPA) and in vivo blockage of serotonin type 2 (5-HT2) receptors either by the selective antagonist ketanserin or by cyproheptadine. In paralyzed rats, the ratio of 5-hydroxyindole-3-acetic acid (5-HIAA) to 5-HT is significantly elevated in the compressed segments, suggesting that 5-HT utilization is increased. Treatment with p-CPA attenuates spinal 5-HT levels by 62.8% +/- 5.1% (mean +/- standard deviation) and reduces the elevated 5-HIAA:5-HT ratio to the normal value. The increased synthesis of PGE2 observed in the compressed cord is unaffected by p-CPA or ketanserin treatment but is markedly attenuated by cyproheptadine. Ketanserin reduces the 10-fold increase in spinal cord permeability observed in paralyzed rats in a clearly dose-related manner. If given at the first sign of neurological dysfunction, ketanserin delays the onset of paraplegia with the 1-mg/kg dose being clearly superior. Cyproheptadine and p-CPA also reduce the increased permeability and protract the course to paraplegia. A comparison of the effect of dexamethasone, indomethacin, cyproheptadine, p-CPA, and ketanserin reveals that they protract the disease course by 48%, 57%, 60%, 64%, and 78%, respectively. These data suggest that 5-HT2 receptors mediate some of the deleterious vascular consequences observed in the compressed spinal cord by a mechanism not coupled with PGE2 synthesis. A potential benefit of serotonergic manipulations for the acute treatment of neoplastic spinal cord compression is suggested.","A 5-month-old intact female mixed cat presented with repetitive paraplegia and drainage of pus from the back despite continuous antibiotic medication. Neurologic examination was consistent with below T3-L3 myelopathy. Computed tomography and magnetic resonance imaging revealed a contrast-enhanced mass in the L1-3 spinal canal, and bone fragments in the T13 and L1 spinal canal. Spinal epidural empyema was suspected, and hemilaminectomy was performed for T12-L2 on the right side and T11-12 on the left side. Bone fragments were diagnosed as sequestrum infected with Bacteroides sp. The cat recovered enough to ambulate next day. One month after surgery, there was no deficit in neurological function. This is the first report of spinal epidural empyema concurrent with sequestrum in a cat.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Paraplegia Sentence A: The effects of differing strategies of serotonergic manipulation on vascular permeability, prostaglandin E2 (PGE2) synthesis, and the clinical course are evaluated in an experimental model of neoplastic spinal cord compression in rats. Serotonergic manipulations include in vivo inhibition of serotonin (5-HT) synthesis by p-chlorophenylalanine (p-CPA) and in vivo blockage of serotonin type 2 (5-HT2) receptors either by the selective antagonist ketanserin or by cyproheptadine. In paralyzed rats, the ratio of 5-hydroxyindole-3-acetic acid (5-HIAA) to 5-HT is significantly elevated in the compressed segments, suggesting that 5-HT utilization is increased. Treatment with p-CPA attenuates spinal 5-HT levels by 62.8% +/- 5.1% (mean +/- standard deviation) and reduces the elevated 5-HIAA:5-HT ratio to the normal value. The increased synthesis of PGE2 observed in the compressed cord is unaffected by p-CPA or ketanserin treatment but is markedly attenuated by cyproheptadine. Ketanserin reduces the 10-fold increase in spinal cord permeability observed in paralyzed rats in a clearly dose-related manner. If given at the first sign of neurological dysfunction, ketanserin delays the onset of paraplegia with the 1-mg/kg dose being clearly superior. Cyproheptadine and p-CPA also reduce the increased permeability and protract the course to paraplegia. A comparison of the effect of dexamethasone, indomethacin, cyproheptadine, p-CPA, and ketanserin reveals that they protract the disease course by 48%, 57%, 60%, 64%, and 78%, respectively. These data suggest that 5-HT2 receptors mediate some of the deleterious vascular consequences observed in the compressed spinal cord by a mechanism not coupled with PGE2 synthesis. A potential benefit of serotonergic manipulations for the acute treatment of neoplastic spinal cord compression is suggested. Sentence B: A 5-month-old intact female mixed cat presented with repetitive paraplegia and drainage of pus from the back despite continuous antibiotic medication. Neurologic examination was consistent with below T3-L3 myelopathy. Computed tomography and magnetic resonance imaging revealed a contrast-enhanced mass in the L1-3 spinal canal, and bone fragments in the T13 and L1 spinal canal. Spinal epidural empyema was suspected, and hemilaminectomy was performed for T12-L2 on the right side and T11-12 on the left side. Bone fragments were diagnosed as sequestrum infected with Bacteroides sp. The cat recovered enough to ambulate next day. One month after surgery, there was no deficit in neurological function. This is the first report of spinal epidural empyema concurrent with sequestrum in a cat. ###Answer 1. Changed Reasoning: In Sentence A, the term ""paraplegia"" is used to describe a neurological condition characterized by weakness or paralysis of the lower limbs. This usage suggests that the term has a specific medical meaning related to neurological function. In contrast, in Sentence B, the term ""paraplegia"" is used to describe a non-medical condition, specifically a repetitive occurrence of paralysis in a cat. This usage suggests that the term has undergone a significant change in meaning, shifting from a medical term to a non-medical term. Therefore, the label ""Changed"" is appropriate." 9,Paraplegia,"We describe a previously independent T11 paraplegic patient who had delayed-onset hand weakness and recurrent pneumonia caused by myotonic dystrophy. A man in his late thirties suffered a thoracic spinal cord injury (SCI) from a gunshot wound at the age of 17 years, with resultant T11 American Spinal Injury Association class A paraplegia. He lived independently until the age of 36 years when he was hospitalized multiple times for pneumonia. During a rehabilitation stay after one of the acute hospitalizations, the patient's hand weakness and diffuse muscular atrophy were noted. Electrodiagnostic testing was performed, which showed myotonic discharges. Genetic testing was consistent with myotonic dystrophy. This case shows the importance of considering causes of weakness that affect the population as a whole when evaluating a patient with SCI who presents with delayed-onset weakness.","Extramedullary hematopoiesis (EMH) occurs in patients with various hematologic disorders involving a chronic increase in the production of red blood cells, and is often associated polycythemia vera and sickle cell anaemia, but is less common with thalassemia especially with hemoglobin E-beta thalassemia. Spinal cord compression due to EMH is a extremely rare complication of thalassemia and may present with paraparesis or paraplegia with or without sensory impairment. Treatment options mostly include surgery and/or radiotherapy. Whereas cases presenting with paraplegia have been treated with either surgery or radiotherapy with equal frequency and efficacy, almost all reported cases with paraplegia have been treated with surgery with or without radiation therapy. We hereby report a case of hemoglobin E-beta thalassemia with paraplegia treated successfully with radiotherapy.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Paraplegia Sentence A: We describe a previously independent T11 paraplegic patient who had delayed-onset hand weakness and recurrent pneumonia caused by myotonic dystrophy. A man in his late thirties suffered a thoracic spinal cord injury (SCI) from a gunshot wound at the age of 17 years, with resultant T11 American Spinal Injury Association class A paraplegia. He lived independently until the age of 36 years when he was hospitalized multiple times for pneumonia. During a rehabilitation stay after one of the acute hospitalizations, the patient's hand weakness and diffuse muscular atrophy were noted. Electrodiagnostic testing was performed, which showed myotonic discharges. Genetic testing was consistent with myotonic dystrophy. This case shows the importance of considering causes of weakness that affect the population as a whole when evaluating a patient with SCI who presents with delayed-onset weakness. Sentence B: Extramedullary hematopoiesis (EMH) occurs in patients with various hematologic disorders involving a chronic increase in the production of red blood cells, and is often associated polycythemia vera and sickle cell anaemia, but is less common with thalassemia especially with hemoglobin E-beta thalassemia. Spinal cord compression due to EMH is a extremely rare complication of thalassemia and may present with paraparesis or paraplegia with or without sensory impairment. Treatment options mostly include surgery and/or radiotherapy. Whereas cases presenting with paraplegia have been treated with either surgery or radiotherapy with equal frequency and efficacy, almost all reported cases with paraplegia have been treated with surgery with or without radiation therapy. We hereby report a case of hemoglobin E-beta thalassemia with paraplegia treated successfully with radiotherapy. ###Answer 1. Changed Explanation: In Sentence A, the term ""paraplegia"" is used to describe a patient who is unable to walk due to a spinal cord injury. The context suggests that the patient has suffered a severe injury that has resulted in permanent damage to the spinal cord, leaving them unable to walk or feel sensation below the level of injury. The term is used in the context of a medical diagnosis, and the meaning is clear and unambiguous. In Sentence B, the term ""paraplegia"" is used in a different context. The term is now used to describe a complication of a hematologic disorder, specifically extramedullary hematopoiesis. The context suggests that the patient has an excessive production of red blood cells, which can lead to compression of the spinal cord and result in paraparesis or paraplegia. The term is used in a different context than in Sentence A, and the meaning has shifted to include a new medical concept. Therefore, semantic drift has occurred, and the label ""Changed"" is appropriate." 10,Paraplegia,Primary orthostatic tremor is characterized by 16-Hz motor activity that is coherent between muscles. It has been suggested that this tremor originates in the brain. This view is questioned by findings from a patient with complete paraplegia who experiences intermittent leg spasms at rest. The EMG activity within the spasms showed a 16-Hz component that was coherent between muscles unilaterally and bilaterally. This raises the possibility that the spinal cord could be the source of orthostatic tremor.,Porokeratoma (acanthoma with features of porokeratosis) is a recently described entity with a distinct pattern of cornoid lamellation and clinically different from typical porokeratosis. We present a case of multiple porokeratomas on the buttock of a 78-year-old man with paraplegia secondary to poliomyelitis and ankylosing spondylarthritis. We briefly review the characteristics and controversies of this new entity.,"###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Paraplegia Sentence A: Primary orthostatic tremor is characterized by 16-Hz motor activity that is coherent between muscles. It has been suggested that this tremor originates in the brain. This view is questioned by findings from a patient with complete paraplegia who experiences intermittent leg spasms at rest. The EMG activity within the spasms showed a 16-Hz component that was coherent between muscles unilaterally and bilaterally. This raises the possibility that the spinal cord could be the source of orthostatic tremor. Sentence B: Porokeratoma (acanthoma with features of porokeratosis) is a recently described entity with a distinct pattern of cornoid lamellation and clinically different from typical porokeratosis. We present a case of multiple porokeratomas on the buttock of a 78-year-old man with paraplegia secondary to poliomyelitis and ankylosing spondylarthritis. We briefly review the characteristics and controversies of this new entity. ###Answer 1. Changed Reasoning: In Sentence A, the target word ""paraplegia"" is used to describe a condition characterized by complete paralysis of the lower limbs. In this context, the word has a negative connotation, implying a severe loss of mobility and function. In Sentence B, the target word ""paraplegia"" is used in a different context to describe a patient with multiple porokeratomas on their buttock. In this context, the word has a different connotation, implying a benign and non-progressive condition. The meaning of the word has shifted from a negative connotation to a neutral or even positive one. Therefore, semantic drift has occurred in the meaning of ""paraplegia"" between the two sentences." 11,Paraplegia,"Acute traumatic tear of the thoracic aorta is a severe injury with a high mortality rate. This condition requires expeditious evaluation and prompt surgical intervention in order to improve patient survival. The experience at the authors' institution from 1971 to 1987 includes 41 patients who sustained acute traumatic tear of the thoracic aorta and reached the hospital alive. The purpose of the study was to evaluate the surgical management of this injury with regards to mortality rate and the incidence of spinal cord injury. Five patients died from exsanguination before definitive repair could be undertaken. Thirty-six patients had repair of traumatic aortic tear in the area of the isthmus. Nine patients were operated upon with the clamp and sew technique, 20 patients had a heparin-bonded shunt placed, and seven patients were treated by repair with cardiopulmonary bypass. There were five operative deaths that were not related to the technique employed. Two patients without preoperative evidence of spinal cord injury developed paraparesis. No patient had postoperative paraplegia. Despite rapid transport, expeditious evaluation, and emergency thoracotomy, some patients die from exsanguination prior to definitive repair. Even with the provision of distal aortic perfusion during clamping, the risk of spinal cord injury is not eliminated.","Previous studies to identify risk factors for postoperative deep infection following instrumented spinal fusion surgery for degenerative spinal disease are based on insufficient information and have limited use in clinical practice. This study aims to fill this gap by assessing the risk factors and their adjusted relative risks through a comprehensive analysis, including all core information. In this nationwide, population-based, cohort study, data were obtained from the Korean National Health Insurance claims database between 1 January 2014, and 31 December 2018. This study included a cohort of 194,036 patients older than 19 years, who underwent instrumented spinal fusion surgery for degenerative spinal disease. We divided this population into cases (patients with postoperative deep infection) and controls (patients without postoperative deep infection); risk factors for postoperative deep infection were determined by multivariable analysis. The definition of postoperative deep infection varied, and sensitivity analyses were performed according to each definition. The estimates of all the statistical models were internally validated using bootstrap samples. The study included 767 patients (0.39%) with postoperative deep spinal infections and 193,269 controls. The final multivariable model identified the following variables as significant risk factors for postoperative deep infection: age between 60-69 years (OR = 1.6 [1.1-2.3]); age between 70-79 years (OR = 1.7 [1.2-2.5]); age > 80 years (OR = 2.1 [1.3-3.2]); male sex (OR = 1.7 [1.5-2.0]); rural residence (OR = 1.3 [1.1-1.5]); anterior cervical approach (OR = 0.2 [0.1-0.3]); posterior cervical approach (OR = 0.5 [0.2-1.0]); multiple approaches (OR = 1.4 [1.2-1.6]); cerebrovascular disease (OR = 1.5 [1.2-1.8]); peripheral vascular disease (OR = 1.3 [1.1-1.5]); chronic pulmonary disease (OR = 1.2 [1.0-1.4]); rheumatologic disease (OR = 1.6 [1.3-2.1]); liver disease (OR = 1.4 [1.1-1.7]); diabetes (OR = 1.5 [1.3-1.7]); hemiplegia or paraplegia (OR = 2.2 [1.5-3.3]); allogenous transfusion (OR = 1.6 [1.3-1.8]); and use of systemic steroids over 2 weeks (OR = 1.5 [1.1-2.0]). Our results, which are based on homogenous patient groups, provide clinicians with an acceptable tool for comprehensive risk assessment of postoperative deep infection in patients who will undergo instrumented spinal fusion surgery for degenerative spinal disease.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Paraplegia Sentence A: Acute traumatic tear of the thoracic aorta is a severe injury with a high mortality rate. This condition requires expeditious evaluation and prompt surgical intervention in order to improve patient survival. The experience at the authors' institution from 1971 to 1987 includes 41 patients who sustained acute traumatic tear of the thoracic aorta and reached the hospital alive. The purpose of the study was to evaluate the surgical management of this injury with regards to mortality rate and the incidence of spinal cord injury. Five patients died from exsanguination before definitive repair could be undertaken. Thirty-six patients had repair of traumatic aortic tear in the area of the isthmus. Nine patients were operated upon with the clamp and sew technique, 20 patients had a heparin-bonded shunt placed, and seven patients were treated by repair with cardiopulmonary bypass. There were five operative deaths that were not related to the technique employed. Two patients without preoperative evidence of spinal cord injury developed paraparesis. No patient had postoperative paraplegia. Despite rapid transport, expeditious evaluation, and emergency thoracotomy, some patients die from exsanguination prior to definitive repair. Even with the provision of distal aortic perfusion during clamping, the risk of spinal cord injury is not eliminated. Sentence B: Previous studies to identify risk factors for postoperative deep infection following instrumented spinal fusion surgery for degenerative spinal disease are based on insufficient information and have limited use in clinical practice. This study aims to fill this gap by assessing the risk factors and their adjusted relative risks through a comprehensive analysis, including all core information. In this nationwide, population-based, cohort study, data were obtained from the Korean National Health Insurance claims database between 1 January 2014, and 31 December 2018. This study included a cohort of 194,036 patients older than 19 years, who underwent instrumented spinal fusion surgery for degenerative spinal disease. We divided this population into cases (patients with postoperative deep infection) and controls (patients without postoperative deep infection); risk factors for postoperative deep infection were determined by multivariable analysis. The definition of postoperative deep infection varied, and sensitivity analyses were performed according to each definition. The estimates of all the statistical models were internally validated using bootstrap samples. The study included 767 patients (0.39%) with postoperative deep spinal infections and 193,269 controls. The final multivariable model identified the following variables as significant risk factors for postoperative deep infection: age between 60-69 years (OR = 1.6 [1.1-2.3]); age between 70-79 years (OR = 1.7 [1.2-2.5]); age > 80 years (OR = 2.1 [1.3-3.2]); male sex (OR = 1.7 [1.5-2.0]); rural residence (OR = 1.3 [1.1-1.5]); anterior cervical approach (OR = 0.2 [0.1-0.3]); posterior cervical approach (OR = 0.5 [0.2-1.0]); multiple approaches (OR = 1.4 [1.2-1.6]); cerebrovascular disease (OR = 1.5 [1.2-1.8]); peripheral vascular disease (OR = 1.3 [1.1-1.5]); chronic pulmonary disease (OR = 1.2 [1.0-1.4]); rheumatologic disease (OR = 1.6 [1.3-2.1]); liver disease (OR = 1.4 [1.1-1.7]); diabetes (OR = 1.5 [1.3-1.7]); hemiplegia or paraplegia (OR = 2.2 [1.5-3.3]); allogenous transfusion (OR = 1.6 [1.3-1.8]); and use of systemic steroids over 2 weeks (OR = 1.5 [1.1-2.0]). Our results, which are based on homogenous patient groups, provide clinicians with an acceptable tool for comprehensive risk assessment of postoperative deep infection in patients who will undergo instrumented spinal fusion surgery for degenerative spinal disease. ###Answer 1. Changed Reasoning: The meaning of ""paraplegia"" has shifted significantly between the two sentences. In Sentence A, ""paraplegia"" is used to describe a specific complication of traumatic aortic tear, where five patients developed paraparesis after surgery. In Sentence B, ""paraplegia"" is used more broadly to describe a risk factor for postoperative deep infection in instrumented spinal fusion surgery, with no mention of its relationship to traumatic aortic tear. This shift in meaning suggests that the term ""paraplegia"" has undergone semantic drift." 12,Paraplegia,"The hereditary spastic paraplegias (HSPs) are a complex group of neurodegenerative disorders characterized by lower-limb spasticity and weakness. Silver syndrome (SS) is a particularly disabling dominantly inherited form of HSP, complicated by amyotrophy of the hand muscles. Having excluded the multiple known HSP loci, we undertook a genomewide screen for linkage of SS in one large multigenerational family, which revealed evidence for linkage of the SS locus, which we have designated ""SPG17,"" to chromosome 11q12-q14. Haplotype construction and analysis of recombination events permitted the minimal interval defining SPG17 to be refined to approximately 13 cM, flanked by markers D11S1765 and D11S4136. SS in a second family was not linked to SPG17, demonstrating further genetic heterogeneity in HSP, even within this clinically distinct subtype.","This study aimed to perform a systematic review of studies that address the influence of physical activity on the quality of life and functional independence of adult individuals with spinal cord injury. The review was performed using data obtained from the MEDLINE, CINAHL, SciELO, LILACS, SPORTDiscus, Web of Science, Academic Search Premier, and PEDro databases using the following keywords: quality of life; functional independence; autonomy; independence; physical activity; activities of daily living; physical exercise; tetraplegia; paraplegia; spinal cord injury; physical disabilities; and wheelchair. Eleven studies met the inclusion criteria. Although there was a lack of consensus among the selected studies, the majority of them presented a strong correlation between physical activity and variables of quality of life and/or functional independence. Thus, physical activity appears to have an important influence on social relationships, functional independence, psychological factors, and physical aspects, which can enhance quality of life and independence in the performance of daily activities. ","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Paraplegia Sentence A: The hereditary spastic paraplegias (HSPs) are a complex group of neurodegenerative disorders characterized by lower-limb spasticity and weakness. Silver syndrome (SS) is a particularly disabling dominantly inherited form of HSP, complicated by amyotrophy of the hand muscles. Having excluded the multiple known HSP loci, we undertook a genomewide screen for linkage of SS in one large multigenerational family, which revealed evidence for linkage of the SS locus, which we have designated ""SPG17,"" to chromosome 11q12-q14. Haplotype construction and analysis of recombination events permitted the minimal interval defining SPG17 to be refined to approximately 13 cM, flanked by markers D11S1765 and D11S4136. SS in a second family was not linked to SPG17, demonstrating further genetic heterogeneity in HSP, even within this clinically distinct subtype. Sentence B: This study aimed to perform a systematic review of studies that address the influence of physical activity on the quality of life and functional independence of adult individuals with spinal cord injury. The review was performed using data obtained from the MEDLINE, CINAHL, SciELO, LILACS, SPORTDiscus, Web of Science, Academic Search Premier, and PEDro databases using the following keywords: quality of life; functional independence; autonomy; independence; physical activity; activities of daily living; physical exercise; tetraplegia; paraplegia; spinal cord injury; physical disabilities; and wheelchair. Eleven studies met the inclusion criteria. Although there was a lack of consensus among the selected studies, the majority of them presented a strong correlation between physical activity and variables of quality of life and/or functional independence. Thus, physical activity appears to have an important influence on social relationships, functional independence, psychological factors, and physical aspects, which can enhance quality of life and independence in the performance of daily activities. ###Answer 1. Changed Explanation: The target word ""paraplegia"" has undergone a significant change in meaning between Sentence A (2000) and Sentence B (2020). In Sentence A, ""paraplegia"" is used to describe a specific type of neurodegenerative disorder characterized by lower-limb spasticity and weakness. In contrast, in Sentence B, ""paraplegia"" is used more broadly to describe the influence of physical activity on the quality of life and functional independence of individuals with spinal cord injury, regardless of the underlying cause of their condition. In Sentence A, the term ""paraplegia"" is associated with a specific medical condition, while in Sentence B, it is used as a general term to describe a broader range of conditions related to spinal cord injury. This shift in meaning indicates semantic drift, as the term ""paraplegia"" has taken on a different connotation over time. Therefore, the label ""Changed"" is appropriate to indicate that the meaning of the target word has significantly shifted between the two sentences." 13,Paraplegia,"The major controversy in the surgical repair of acute traumatic rupture of the aorta (TRA) is about the need for distal perfusion and whether or not the benefits of clamping justify the risks involved. To resolve this issue, our experience and 596 cases of acute TRA reported in the English-language literature were reviewed. The operative mortality and incidence of paraplegia among patients who underwent total or partial cardiopulmonary bypass, local temporary aorto-aortic shunting or simple cross-clamping were analysed statistically. The respective mortality rates after the above three procedures were 16,7%, 11,4% and 5,8%, and mortality was significantly increased when distal perfusion techniques were used (P less than 0,01). The incidences of paraplegia among patients who underwent partial left heart bypass, temporary shunting and simple aortic cross-clamping were 2,2%, 2,3% and 5,8% respectively (the differences did not reach statistical significance). Methods of management are discussed. Simple aortic cross-clamping remains the method of choice in uncomplicated cases of acute TRA.","Collectively, rare genetic diseases affect a significant number of individuals worldwide. In this study, we have conducted whole-exome sequencing (WES) and identified underlying pathogenic or likely pathogenic variants in five children with rare genetic diseases. We present evidence for disease-causing autosomal recessive variants in a range of disease-associated genes such as DHH-associated 46,XY gonadal dysgenesis (GD) or 46,XY sex reversal 7, GNPTAB-associated mucolipidosis II alpha/beta (ML II), BBS1-associated Bardet-Biedl Syndrome (BBS), SURF1-associated Leigh Syndrome (LS) and AP4B1-associated spastic paraplegia-47 (SPG47) in unrelated affected members from Bangladesh. Our analysis pipeline detected three homozygous mutations, including a novel c. 863 G > C (p.Pro288Arg) variant in DHH, and two compound heterozygous variants, including two novel variants: c.2972dupT (p.Met991Ilefs*) in GNPTAB and c.229 G > C (p.Gly77Arg) in SURF1. All mutations were validated by Sanger sequencing. Collectively, this study adds to the genetic heterogeneity of rare genetic diseases and is the first report elucidating the genetic profile of (consanguineous and nonconsanguineous) rare genetic diseases in the Bangladesh population.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Paraplegia Sentence A: The major controversy in the surgical repair of acute traumatic rupture of the aorta (TRA) is about the need for distal perfusion and whether or not the benefits of clamping justify the risks involved. To resolve this issue, our experience and 596 cases of acute TRA reported in the English-language literature were reviewed. The operative mortality and incidence of paraplegia among patients who underwent total or partial cardiopulmonary bypass, local temporary aorto-aortic shunting or simple cross-clamping were analysed statistically. The respective mortality rates after the above three procedures were 16,7%, 11,4% and 5,8%, and mortality was significantly increased when distal perfusion techniques were used (P less than 0,01). The incidences of paraplegia among patients who underwent partial left heart bypass, temporary shunting and simple aortic cross-clamping were 2,2%, 2,3% and 5,8% respectively (the differences did not reach statistical significance). Methods of management are discussed. Simple aortic cross-clamping remains the method of choice in uncomplicated cases of acute TRA. Sentence B: Collectively, rare genetic diseases affect a significant number of individuals worldwide. In this study, we have conducted whole-exome sequencing (WES) and identified underlying pathogenic or likely pathogenic variants in five children with rare genetic diseases. We present evidence for disease-causing autosomal recessive variants in a range of disease-associated genes such as DHH-associated 46,XY gonadal dysgenesis (GD) or 46,XY sex reversal 7, GNPTAB-associated mucolipidosis II alpha/beta (ML II), BBS1-associated Bardet-Biedl Syndrome (BBS), SURF1-associated Leigh Syndrome (LS) and AP4B1-associated spastic paraplegia-47 (SPG47) in unrelated affected members from Bangladesh. Our analysis pipeline detected three homozygous mutations, including a novel c. 863 G > C (p.Pro288Arg) variant in DHH, and two compound heterozygous variants, including two novel variants: c.2972dupT (p.Met991Ilefs*) in GNPTAB and c.229 G > C (p.Gly77Arg) in SURF1. All mutations were validated by Sanger sequencing. Collectively, this study adds to the genetic heterogeneity of rare genetic diseases and is the first report elucidating the genetic profile of (consanguineous and nonconsanguineous) rare genetic diseases in the Bangladesh population. ###Answer 1. Changed Explanation: The target word ""paraplegia"" has undergone a significant change in meaning between the two sentences. In Sentence A, the word is used to describe the operative mortality and incidence of paralysis after various surgical procedures. In this context, paraplegia refers to a state of paralysis or weakness in one or more limbs, often resulting from injury or disease. In Sentence B, the word ""paraplegia"" is used in a different context, referring to genetic diseases that can cause paralysis or weakness. The sentence highlights the genetic mutations identified in unrelated individuals with rare genetic diseases, including paraplegia-related genes. In this context, paraplegia no longer refers to physical paralysis but rather to a genetic condition that can result in paralysis or weakness. Therefore, the meaning of the target word ""paraplegia"" has changed significantly between the two sentences, indicating semantic drift." 14,Paraplegia,"A 42-year-old man with T-4 ASIA B thoracic paraplegia presented with chronic constipation, fecal incontinence, and bowel-related autonomic dysreflexia (AD) refractory to conservative bowel program. His usual toileting time lasted one to five hours. Antegrade continence enemas (ACE) were performed. The ACE technique, which requires creating a continent catheterizable appendicocecostomy, is described. Postoperatively, a daily enema was given through the stoma. The patient's toileting time was reduced to 20 minutes and his AD resolved. The role of the ACE is discussed in adult spinal cord injury (SCI).","27 patients with thoracic aortic aneurism with dissection type III were operated on and stented. The mean age was 56±11,17 years. Men were 24, women 3. 1 patient developed intraoperative stent-graft leakage type IV, and 1 - type II. Both cases needed no additional manipulations. Minimal invasiveness of the procedure and pain absence allowed early activisation of patients. 2 patients had postoperative paraplegia, which was successfully treated by spinal drainage. There were no lethal cases. The long-term follow-up showed no leakage on CT scans; 11 patients demonstrated complete closure of false canal of the stented segment. The overall survival rate was 92.6% after 60 months of follow-up. Unfavorable results were registered in 29.6%.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Paraplegia Sentence A: A 42-year-old man with T-4 ASIA B thoracic paraplegia presented with chronic constipation, fecal incontinence, and bowel-related autonomic dysreflexia (AD) refractory to conservative bowel program. His usual toileting time lasted one to five hours. Antegrade continence enemas (ACE) were performed. The ACE technique, which requires creating a continent catheterizable appendicocecostomy, is described. Postoperatively, a daily enema was given through the stoma. The patient's toileting time was reduced to 20 minutes and his AD resolved. The role of the ACE is discussed in adult spinal cord injury (SCI). Sentence B: 27 patients with thoracic aortic aneurism with dissection type III were operated on and stented. The mean age was 56±11,17 years. Men were 24, women 3. 1 patient developed intraoperative stent-graft leakage type IV, and 1 - type II. Both cases needed no additional manipulations. Minimal invasiveness of the procedure and pain absence allowed early activisation of patients. 2 patients had postoperative paraplegia, which was successfully treated by spinal drainage. There were no lethal cases. The long-term follow-up showed no leakage on CT scans; 11 patients demonstrated complete closure of false canal of the stented segment. The overall survival rate was 92.6% after 60 months of follow-up. Unfavorable results were registered in 29.6%. ###Answer 1. Changed Reasoning: In Sentence A, the term ""paraplegia"" is used to describe a specific medical condition (T-4 ASIA B thoracic paraplegia) and its symptoms (chronic constipation, fecal incontinence, and bowel-related autonomic dysreflexia). The term is used to convey the severity of the condition and the impact it has on the patient's quality of life. In Sentence B, the term ""paraplegia"" is used in a different context. It is mentioned as a complication of the surgery, specifically in the context of two patients who developed postoperative paraplegia. In this case, the term is used to describe a temporary loss of motor function in the lower half of the body. Based on these differences in context and meaning, it can be concluded that the term ""paraplegia"" has undergone a significant change in meaning between Sentence A and Sentence B. In Sentence A, the term is used to describe a specific medical condition, while in Sentence B, it is used to describe a temporary complication after surgery. Therefore, the label ""Changed"" is appropriate." 15,Paraplegia,"Two sibs, a boy and a girl, had both hypoplasia of the cerebellar hemispheres and partial agenesis of the cerebellar vermis with normal communication between the fourth ventricle and arachnoid spaces, i.e., the manifestations of the Dandy-Walker variant malformation associated with agenesis of the corpus callosum. Both sibs were mentally retarded and had spastic paraplegia. The occurrence of a distinct and similar pattern of congenital anomalies in sibs born to healthy parents points toward a ""new"" syndrome caused by the homozygous state of an autosomal recessive gene. Prenatal ultrasonographic diagnosis is possible at least for the more severe form of the brain anomalies.","Monogenic neurodegenerative diseases represent a heterogeneous group of disorders caused by mutations in genes involved in various cellular functions including autophagy, which mediates degradation of cytoplasmic contents by their transport into lysosomes. Abnormal autophagy is associated with hereditary ataxia and spastic paraplegia, amyotrophic lateral sclerosis and frontal dementia, characterised by intracellular accumulation of non-degraded proteins. We investigated the genetic basis of complex HSP in a consanguineous family of Arab-Muslim origin, consistent with autosomal recessive inheritance.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Paraplegia Sentence A: Two sibs, a boy and a girl, had both hypoplasia of the cerebellar hemispheres and partial agenesis of the cerebellar vermis with normal communication between the fourth ventricle and arachnoid spaces, i.e., the manifestations of the Dandy-Walker variant malformation associated with agenesis of the corpus callosum. Both sibs were mentally retarded and had spastic paraplegia. The occurrence of a distinct and similar pattern of congenital anomalies in sibs born to healthy parents points toward a ""new"" syndrome caused by the homozygous state of an autosomal recessive gene. Prenatal ultrasonographic diagnosis is possible at least for the more severe form of the brain anomalies. Sentence B: Monogenic neurodegenerative diseases represent a heterogeneous group of disorders caused by mutations in genes involved in various cellular functions including autophagy, which mediates degradation of cytoplasmic contents by their transport into lysosomes. Abnormal autophagy is associated with hereditary ataxia and spastic paraplegia, amyotrophic lateral sclerosis and frontal dementia, characterised by intracellular accumulation of non-degraded proteins. We investigated the genetic basis of complex HSP in a consanguineous family of Arab-Muslim origin, consistent with autosomal recessive inheritance. ###Answer 1. Changed Reasoning: In Sentence A, the term ""spastic paraplegia"" is used to describe the condition of the two siblings, which suggests that the term was previously used to describe a specific type of paralysis or muscle weakness. However, in Sentence B, the term ""spastic paraplegia"" is not used, and instead, the term ""hereditary ataxia and spastic paraplegia"" is used to describe the same condition. This suggests that the term ""spastic paraplegia"" may have undergone a shift in meaning or connotation between the two timestamps, and is no longer used to describe the same condition. Therefore, the label ""Changed"" is appropriate." 16,Paraplegia,"In three cases, anterior cervical discectomy was complicated by acute postoperative paraplegia secondary to epidural hematomas at the operative sites. Prompt evacuation of the hematomas was followed by recovery in each instance. The source of bleeding was an arterial arcade that may be encountered during the course of removing the posterior longitudinal ligament. As a result of this experience, the authors suggest steps to be taken to avoid this uncommon complication.","Neoplastic spinal cord compression is a cause of severe disability in cancer patients. To prevent irreversible paraplegia, a structured strategy is required to address the various impairments present in cancer patients. In this study, we aimed to identify the status where rehabilitation with minimally invasive spine stabilization (MISt) effectively improves ADL.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Paraplegia Sentence A: In three cases, anterior cervical discectomy was complicated by acute postoperative paraplegia secondary to epidural hematomas at the operative sites. Prompt evacuation of the hematomas was followed by recovery in each instance. The source of bleeding was an arterial arcade that may be encountered during the course of removing the posterior longitudinal ligament. As a result of this experience, the authors suggest steps to be taken to avoid this uncommon complication. Sentence B: Neoplastic spinal cord compression is a cause of severe disability in cancer patients. To prevent irreversible paraplegia, a structured strategy is required to address the various impairments present in cancer patients. In this study, we aimed to identify the status where rehabilitation with minimally invasive spine stabilization (MISt) effectively improves ADL. ###Answer 1. Changed Reasoning: The meaning of ""paraplegia"" has shifted significantly between Sentence A (2000) and Sentence B (2020). In Sentence A, the term refers to a specific complication of a surgical procedure, with a clear cause and resolution. In Sentence B, the term is used more broadly to describe a broader impairment, without a specific cause or resolution. The shift in meaning suggests that the term ""paraplegia"" has undergone semantic drift." 17,Paraplegia,"This article reports the author's experience with the surgical treatment of metastatic lung cancer to the thoracic spine. A 65-year-old woman (case 1) had undergone a right upper lobectomy with a diagnosis of adenocarcinoma. Three years later, she complained of severe back pain, and visited our hospital. CT scan showed a metastatic spine disease (Th6 and 7) which caused the back pain. A 59-year-old woman (case 27 was admitted to our hospital complaining of an abrupt onset of paraplegia. Two years ago, she underwent left upper lobectomy with a diagnosis of adenocarcinoma. Urgent examination revealed a large metastatic lesion on Th5 and 6 which compressed the spinal cord. After excision of the tumor as extensively as possible, the both patients underwent surgical decompression of the spinal cord, bone grafting and posterior reconstruction of the spine with a metallic instrumentation. Severe back pain was relieved postoperatively. Improvement of neurological deficit was dramatic in case 2. The goal of surgical treatment of metastatic thoracic spine disease is to improve the quality of the remaining life, by relief of pain and preservation or restoration of neurologic function. The dismal consequences of prolonged bed rest, paraplegia, and a painful premature death can be avoided with thoughtful and timely surgical treatment.","We used a combined approach of whole-exome sequencing and candidate mutation validation to identify the disease-causing gene in a hereditary spastic paraplegia (HSP) patient with lower motor neuron involvement, mild cerebellar signs and dysgenesis of the corpus callosum. HSP is a clinically and genetically heterogeneous neurodegenerative disorder characterized by degeneration of the corticospinal tract motor neurons and resulting in progressive lower limb spasticity, often with a complicated phenotype. We identified novel compound heterozygous mutations in the SPG11 gene in this patient as follows: a mutation in exon 32, c.6194C > G transition (p.S2056X) and a novel c.5121+1C > T splicing mutation. Our finding suggests that these novel compound heterozygous mutations in SPG11 are associated with HSP and lower motor neuron involvement, mild cerebellar signs and dysgenesis of the corpus callosum. This study also demonstrates that exome sequencing is an efficient and rapid diagnostic tool for identifying the causes of some complex and genetically heterogeneous neurodegenerative diseases.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Paraplegia Sentence A: This article reports the author's experience with the surgical treatment of metastatic lung cancer to the thoracic spine. A 65-year-old woman (case 1) had undergone a right upper lobectomy with a diagnosis of adenocarcinoma. Three years later, she complained of severe back pain, and visited our hospital. CT scan showed a metastatic spine disease (Th6 and 7) which caused the back pain. A 59-year-old woman (case 27 was admitted to our hospital complaining of an abrupt onset of paraplegia. Two years ago, she underwent left upper lobectomy with a diagnosis of adenocarcinoma. Urgent examination revealed a large metastatic lesion on Th5 and 6 which compressed the spinal cord. After excision of the tumor as extensively as possible, the both patients underwent surgical decompression of the spinal cord, bone grafting and posterior reconstruction of the spine with a metallic instrumentation. Severe back pain was relieved postoperatively. Improvement of neurological deficit was dramatic in case 2. The goal of surgical treatment of metastatic thoracic spine disease is to improve the quality of the remaining life, by relief of pain and preservation or restoration of neurologic function. The dismal consequences of prolonged bed rest, paraplegia, and a painful premature death can be avoided with thoughtful and timely surgical treatment. Sentence B: We used a combined approach of whole-exome sequencing and candidate mutation validation to identify the disease-causing gene in a hereditary spastic paraplegia (HSP) patient with lower motor neuron involvement, mild cerebellar signs and dysgenesis of the corpus callosum. HSP is a clinically and genetically heterogeneous neurodegenerative disorder characterized by degeneration of the corticospinal tract motor neurons and resulting in progressive lower limb spasticity, often with a complicated phenotype. We identified novel compound heterozygous mutations in the SPG11 gene in this patient as follows: a mutation in exon 32, c.6194C > G transition (p.S2056X) and a novel c.5121+1C > T splicing mutation. Our finding suggests that these novel compound heterozygous mutations in SPG11 are associated with HSP and lower motor neuron involvement, mild cerebellar signs and dysgenesis of the corpus callosum. This study also demonstrates that exome sequencing is an efficient and rapid diagnostic tool for identifying the causes of some complex and genetically heterogeneous neurodegenerative diseases. ###Answer 1. Changed Reasoning: In Sentence A, the term ""paraplegia"" is used to describe a condition where a patient has severe back pain due to a metastatic spine disease. The term is used in the context of a medical article discussing the surgical treatment of metastatic lung cancer. In this context, the term ""paraplegia"" likely refers to the physical disability and loss of motor function associated with the spine disease, and may not have any specific connotations or associations with disability or marginalization. In Sentence B, the term ""paraplegia"" is used in a different context, to describe a genetic disorder characterized by degeneration of the corticospinal tract motor neurons and resulting in progressive lower limb spasticity. In this context, the term ""paraplegia"" likely carries a different meaning and connotation than in Sentence A. Specifically, the term may connote a more severe and degenerative form of disability, and may be associated with a greater sense of urgency and concern for the patient's condition. Based on these differences in context and meaning, it can be concluded that the term ""paraplegia"" has undergone a significant change in meaning or connotation between the two sentences. Therefore, the label ""Changed"" is appropriate." 18,Paraplegia,"Multifocal motor neuropathy (MMN) is a disorder of peripheral nerve often associated with a high monosialoganglioside (GM1) antibody and multifocal conduction block. It has a chronic, indolent course with involvement of predominantly peripheral motor nerves, usually in an asymmetric fashion. There have been few reported cases of progression to frank quadriplegia. Secondary amyloidosis refers to the deposition of amyloid in various tissues due to an underlying chronic inflammatory state. We report the first case, to our knowledge, of a patient with MMN associated with high titer of GM1 antibody who developed acute paraplegia with both cranial nerve and worsening sensory involvement associated with multiorgan compromise due to a secondary amyloidosis involving the myocardium.",Bronchial artery embolization was attempted several times in a 74-year-old man undergoing right pneumonectomy for persistent hemoptysis. Paraplegia developed after surgery. Both thoracotomy for lung surgery and bronchial artery embolization have been reported to cause spinal cord ischemia. We analyze the possible mechanisms through which such ischemia may develop.,"###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Paraplegia Sentence A: Multifocal motor neuropathy (MMN) is a disorder of peripheral nerve often associated with a high monosialoganglioside (GM1) antibody and multifocal conduction block. It has a chronic, indolent course with involvement of predominantly peripheral motor nerves, usually in an asymmetric fashion. There have been few reported cases of progression to frank quadriplegia. Secondary amyloidosis refers to the deposition of amyloid in various tissues due to an underlying chronic inflammatory state. We report the first case, to our knowledge, of a patient with MMN associated with high titer of GM1 antibody who developed acute paraplegia with both cranial nerve and worsening sensory involvement associated with multiorgan compromise due to a secondary amyloidosis involving the myocardium. Sentence B: Bronchial artery embolization was attempted several times in a 74-year-old man undergoing right pneumonectomy for persistent hemoptysis. Paraplegia developed after surgery. Both thoracotomy for lung surgery and bronchial artery embolization have been reported to cause spinal cord ischemia. We analyze the possible mechanisms through which such ischemia may develop. ###Answer 1. Changed Reasoning: In Sentence A, ""paraplegia"" is used to describe a neurological disorder affecting peripheral nerves, with a chronic and indolent course. The context suggests that the term has a specific medical meaning related to motor nerve damage. In Sentence B, ""paraplegia"" is used in a different context, describing a complication of surgery. The term is now associated with a sudden and potentially reversible loss of motor function, rather than a chronic and indolent neurological disorder. This shift in meaning suggests that the term has undergone semantic drift. Therefore, the label ""Changed"" is appropriate for this task." 19,Paraplegia,"Sixty-six dogs suffering from intervertebral disk diseases on cervical and/or thoracolumbar disks were treated by a ventral fenestration. The breeds affected with disk diseases were Dachshund (65.1%), Beagle (15.2%), Shih Tsu (4.5%), Pekingese (4.5%), and others (18.2%). Sites suffered from disk diseases and received disk fenestration most frequently were from T10-11 to L2-3. However, other disks were also needed the operation in some cases. An average number of disks received fenestration was 6.0. Days to walk after the fenestration in 51 cases varied 1 to 120 days (average: 14.9 +/- 22.0 days, mean +/- S.D.) depending on their severity. The recovery rates from the follow-up study were as follows: In grade I (3 cases, able to walk with back pain) and grade II (14 cases, slight ataxia and paresis) it was 100%, respectively. The rates in grade III (23 cases, paraplegia with positive deep pain) and grade IV (26 cases, paraplegia with lack of deep pain) were 73.9% and 65.4%, respectively. A few recurrence after the operation were observed in this study. As a result, the ventral fenestration was extremely effective as a treatment for disk diseases in the dog.","The hereditary spastic paraplegias (HSPs) are a group of more than 90 genetic disorders in which lower extremity spasticity and weakness are either the primary neurologic impairments (""uncomplicated HSP"") or when accompanied by other neurologic deficits (""complicated HSP""), important features of the clinical syndrome. Various genetic types of HSP are inherited such as autosomal dominant, autosomal recessive, X-linked, and maternal (mitochondrial) traits. Symptoms that begin in early childhood may be nonprogressive and resemble spastic diplegic cerebral palsy. Symptoms that begin later, typically progress insidiously over a number of years. Genetic testing is able to confirm the diagnosis for many subjects. Insights from gene discovery indicate that abnormalities in diverse molecular processes underlie various forms of HSP, including disturbance in axon transport, endoplasmic reticulum morphogenesis, vesicle transport, lipid metabolism, and mitochondrial function. Pathologic studies in ""uncomplicated"" HSP have shown axon degeneration particularly involving the distal ends of corticospinal tracts and dorsal column fibers. Treatment is limited to symptom reduction including amelioration of spasticity, reducing urinary urgency, proactive physical therapy including strengthening, stretching, balance, and agility exercise.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Paraplegia Sentence A: Sixty-six dogs suffering from intervertebral disk diseases on cervical and/or thoracolumbar disks were treated by a ventral fenestration. The breeds affected with disk diseases were Dachshund (65.1%), Beagle (15.2%), Shih Tsu (4.5%), Pekingese (4.5%), and others (18.2%). Sites suffered from disk diseases and received disk fenestration most frequently were from T10-11 to L2-3. However, other disks were also needed the operation in some cases. An average number of disks received fenestration was 6.0. Days to walk after the fenestration in 51 cases varied 1 to 120 days (average: 14.9 +/- 22.0 days, mean +/- S.D.) depending on their severity. The recovery rates from the follow-up study were as follows: In grade I (3 cases, able to walk with back pain) and grade II (14 cases, slight ataxia and paresis) it was 100%, respectively. The rates in grade III (23 cases, paraplegia with positive deep pain) and grade IV (26 cases, paraplegia with lack of deep pain) were 73.9% and 65.4%, respectively. A few recurrence after the operation were observed in this study. As a result, the ventral fenestration was extremely effective as a treatment for disk diseases in the dog. Sentence B: The hereditary spastic paraplegias (HSPs) are a group of more than 90 genetic disorders in which lower extremity spasticity and weakness are either the primary neurologic impairments (""uncomplicated HSP"") or when accompanied by other neurologic deficits (""complicated HSP""), important features of the clinical syndrome. Various genetic types of HSP are inherited such as autosomal dominant, autosomal recessive, X-linked, and maternal (mitochondrial) traits. Symptoms that begin in early childhood may be nonprogressive and resemble spastic diplegic cerebral palsy. Symptoms that begin later, typically progress insidiously over a number of years. Genetic testing is able to confirm the diagnosis for many subjects. Insights from gene discovery indicate that abnormalities in diverse molecular processes underlie various forms of HSP, including disturbance in axon transport, endoplasmic reticulum morphogenesis, vesicle transport, lipid metabolism, and mitochondrial function. Pathologic studies in ""uncomplicated"" HSP have shown axon degeneration particularly involving the distal ends of corticospinal tracts and dorsal column fibers. Treatment is limited to symptom reduction including amelioration of spasticity, reducing urinary urgency, proactive physical therapy including strengthening, stretching, balance, and agility exercise. ###Answer 1. Changed Reasoning: In Sentence A, the term ""paraplegia"" is used to describe a specific type of dog disease, where the dogs suffer from intervertebral disk diseases on cervical and/or thoracolumbar disks. The term is used to describe the severity of the disease, with the dogs experiencing paralysis or weakness in their lower extremities. In Sentence B, the term ""hereditary spastic paraplegias"" is used to describe a group of genetic disorders that affect the lower extremities and cause spasticity and weakness. The term is used to describe the underlying genetic cause of the disease, rather than the severity of the symptoms. Therefore, the meaning of the term ""paraplegia"" has changed significantly between the two sentences. In Sentence A, the term is used to describe a specific type of dog disease, while in Sentence B, the term is used to describe a broader group of genetic disorders. As a result, the label ""Changed"" is appropriate." 20,Paraplegia,"A 53-year-old patient with multiple cartilagineous exostoses developed narrowing of the thoracic spinal canal with compression of the cord and spastic paraplegia. The importance of radiologic examination of the whole spine as well as of the extremities is emphasized. When there is an exostosis in the spine neurologic examination disclosing cord compression should be carried out at regular intervals. If there are signs of cord compression, early decompressive laminectomy is the treatment of choice.","Spastic ataxias are rare neurogenetic disorders involving spinocerebellar and pyramidal tracts. Many genes are involved. Among them, CAPN1, when mutated, is responsible for a complex inherited form of spastic paraplegia (SPG76). We report the largest published series of 21 novel patients with nine new CAPN1 disease-causing variants and their clinical characteristics from two European university hospitals (Paris and Stockholm). After a formal clinical examination, causative variants were identified by next-generation sequencing and confirmed by Sanger sequencing. CAPN1 variants are a rare cause (~ 1.4%) of young-adult-onset spastic ataxia; however, together with all published cases, they allowed us to better describe the clinical and genetic spectra of this form. Truncating variants are the most frequent, and missense variants lead to earlier age at onset in favor of an additional deleterious effect. Cerebellar ataxia with cerebellar atrophy, dysarthria and lower limb weakness are often associated with spasticity. We also suggest that cognitive impairment and depression should be assessed specifically in the follow-up of SPG76 cases.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Paraplegia Sentence A: A 53-year-old patient with multiple cartilagineous exostoses developed narrowing of the thoracic spinal canal with compression of the cord and spastic paraplegia. The importance of radiologic examination of the whole spine as well as of the extremities is emphasized. When there is an exostosis in the spine neurologic examination disclosing cord compression should be carried out at regular intervals. If there are signs of cord compression, early decompressive laminectomy is the treatment of choice. Sentence B: Spastic ataxias are rare neurogenetic disorders involving spinocerebellar and pyramidal tracts. Many genes are involved. Among them, CAPN1, when mutated, is responsible for a complex inherited form of spastic paraplegia (SPG76). We report the largest published series of 21 novel patients with nine new CAPN1 disease-causing variants and their clinical characteristics from two European university hospitals (Paris and Stockholm). After a formal clinical examination, causative variants were identified by next-generation sequencing and confirmed by Sanger sequencing. CAPN1 variants are a rare cause (~ 1.4%) of young-adult-onset spastic ataxia; however, together with all published cases, they allowed us to better describe the clinical and genetic spectra of this form. Truncating variants are the most frequent, and missense variants lead to earlier age at onset in favor of an additional deleterious effect. Cerebellar ataxia with cerebellar atrophy, dysarthria and lower limb weakness are often associated with spasticity. We also suggest that cognitive impairment and depression should be assessed specifically in the follow-up of SPG76 cases. ###Answer 1. Changed Reasoning: The meaning of ""paraplegia"" has shifted significantly between Sentence A and Sentence B. In Sentence A, ""paraplegia"" is used to describe a specific medical condition characterized by compression of the spinal cord and resulting in spasticity, ataxia, and weakness in the lower limbs. In contrast, in Sentence B, ""paraplegia"" is used more broadly to describe a range of neurogenetic disorders involving spinocerebellar and pyramidal tracts, including those caused by mutations in the CAPN1 gene. The term is no longer limited to a specific medical condition, but rather encompasses a broader range of neurological disorders. Therefore, the label ""Changed"" is appropriate for this example." 21,Paraplegia,"Patients with spinal cord lesions are exposed to vesico-sphincter dysfunctions which can aggravate the vital or functional prognosis. The pathophysiological characteristics of these neurogenic bladders explains the usefulness of surgical treatment. The objective of the Brindley technique is to improve both voiding and effective continence. Any patient with a stable supra-sacral spinal cord lesion (paraplegia, tetraplegia) with a reflex bladder (incontinence, vesico-sphincter dyssynergia resistant to medical treatment with the risk of upper urinary tract involvement) can benefit from the Brindley technique. The electrodes are placed on the anterior sacral roots in order to obtain the desired micturation. Posterior sacral rhizotomies are indispensable to the technique as they suppress detrusor and sphincter hyperreflexia and improve continence thereby protecting the upper urinary tract. About 90% of the patients considered have an improved quality of life after implantation of the Brindley stimulator. The bladder capacity was constantly improved and the majority of the patients become continent. Micturation was excellent with low residual volume and low rate of urinary tract infections. Complications are analyzed in this review of the literature. The Brindley technique is an excellent alternative to medical treatment in these highly distressed patients. It restores satisfactory continence and improves psychological as well as economical constraints related to auto/hetero catheterisations performed several times a day.","We report a case of monozygotic twin sisters with hereditary spastic paraplegia type 4 (SPG4) and epilepsy, only one of whom had a diagnosis of narcolepsy type 1 (NT1). The older sister with NT1 exhibited excessive daytime sleepiness, cataplexy, sleep-onset rapid eye movement period in the multiple sleep latency test, and decreased orexin levels in cerebrospinal fluid. Both sisters had HLA-DRB1*15:01-DQB1*06:02 and were further identified to have a novel missense mutation (c.1156A > C, p.Asn386His) in the coding exon of the spastin (SPAST) gene. The novel missense mutation might be involved in the development of epilepsy. This case is characterised by a combined diagnosis of SPG4 and epilepsy, and it is the first report of NT1 combined with epilepsy and genetically confirmed SPG4. The fact that only one of the twins has NT1 suggests that acquired and environmental factors are important in the pathogenesis of NT1.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Paraplegia Sentence A: Patients with spinal cord lesions are exposed to vesico-sphincter dysfunctions which can aggravate the vital or functional prognosis. The pathophysiological characteristics of these neurogenic bladders explains the usefulness of surgical treatment. The objective of the Brindley technique is to improve both voiding and effective continence. Any patient with a stable supra-sacral spinal cord lesion (paraplegia, tetraplegia) with a reflex bladder (incontinence, vesico-sphincter dyssynergia resistant to medical treatment with the risk of upper urinary tract involvement) can benefit from the Brindley technique. The electrodes are placed on the anterior sacral roots in order to obtain the desired micturation. Posterior sacral rhizotomies are indispensable to the technique as they suppress detrusor and sphincter hyperreflexia and improve continence thereby protecting the upper urinary tract. About 90% of the patients considered have an improved quality of life after implantation of the Brindley stimulator. The bladder capacity was constantly improved and the majority of the patients become continent. Micturation was excellent with low residual volume and low rate of urinary tract infections. Complications are analyzed in this review of the literature. The Brindley technique is an excellent alternative to medical treatment in these highly distressed patients. It restores satisfactory continence and improves psychological as well as economical constraints related to auto/hetero catheterisations performed several times a day. Sentence B: We report a case of monozygotic twin sisters with hereditary spastic paraplegia type 4 (SPG4) and epilepsy, only one of whom had a diagnosis of narcolepsy type 1 (NT1). The older sister with NT1 exhibited excessive daytime sleepiness, cataplexy, sleep-onset rapid eye movement period in the multiple sleep latency test, and decreased orexin levels in cerebrospinal fluid. Both sisters had HLA-DRB1*15:01-DQB1*06:02 and were further identified to have a novel missense mutation (c.1156A > C, p.Asn386His) in the coding exon of the spastin (SPAST) gene. The novel missense mutation might be involved in the development of epilepsy. This case is characterised by a combined diagnosis of SPG4 and epilepsy, and it is the first report of NT1 combined with epilepsy and genetically confirmed SPG4. The fact that only one of the twins has NT1 suggests that acquired and environmental factors are important in the pathogenesis of NT1. ###Answer 1. Changed Reasoning: The word ""paraplegia"" has undergone a significant change in meaning between Sentence A (2000) and Sentence B (2020). In Sentence A, ""paraplegia"" refers to a specific type of spinal cord injury that results in neurogenic bladder dysfunction. In Sentence B, ""paraplegia"" is used more broadly to refer to any type of spinal cord injury that can result in neurogenic bladder dysfunction, as well as other neurological symptoms. This broader usage of the term ""paraplegia"" indicates a semantic shift in the meaning of the word over time." 22,Paraplegia,"In one hundred patients (86 males, 14 females) with relatively recent spinal cord injuries the oxygen supporting system was evaluated during graded arm ergometry. The patients were assigned according to injury level to 5 subgroups with complete, and to 2 additional groups with incomplete injuries. Mean peak oxygen uptake (VO2) was found to be as low as 0.74 l/min in males with complete tetraplegia and 1.9 l/min in patients with conus and cauda lesions. Peak VO2 was closely correlated (r = 0.74) to the injury level. Peak VO2 was also closely correlated to peak minute ventilation (VE) in all groups. In patients with higher injury levels most of the increase in VE during maximal exercise was due to an increase in respiratory frequency (fR). In patients with tetraplegia and high paraplegia, arm cranking revealed deficient sympathetic regulation of cardiovascular functions resulting in hypotension. In both the complete and incomplete tetraplegic patients there was a relatively low peak heart rate (fH). Peak fH and VO2 varied more in patients with incomplete tetraplegia than in those with complete tetraplegia. Peak VO2 in females with mid-level thoracic paraplegia was on the average lower than in males with corresponding injury levels (16 ml/kg/min against 22 ml/kg/min, respectively). Evaluation of cardiorespiratory functions in spinal cord injured patients during high intensity endurance work performed shortly after the injury adds diagnostic and functionally useful information for the design of rehabilitation and should be recommended as clinical routine.","Spinal tuberculosis (TB) accounts for approximately half of all cases of musculoskeletal tuberculosis. Kyphosis is the rule in spinal tuberculosis and has potential detrimental effects on both the spinal cord and pulmonary function. Late-onset paraplegia is best avoided with the surgical correction of severe kyphosis, where at the same time anterior decompression of the cord is performed and the remnants of the tuberculosis-destroyed vertebral bodies are excised.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Paraplegia Sentence A: In one hundred patients (86 males, 14 females) with relatively recent spinal cord injuries the oxygen supporting system was evaluated during graded arm ergometry. The patients were assigned according to injury level to 5 subgroups with complete, and to 2 additional groups with incomplete injuries. Mean peak oxygen uptake (VO2) was found to be as low as 0.74 l/min in males with complete tetraplegia and 1.9 l/min in patients with conus and cauda lesions. Peak VO2 was closely correlated (r = 0.74) to the injury level. Peak VO2 was also closely correlated to peak minute ventilation (VE) in all groups. In patients with higher injury levels most of the increase in VE during maximal exercise was due to an increase in respiratory frequency (fR). In patients with tetraplegia and high paraplegia, arm cranking revealed deficient sympathetic regulation of cardiovascular functions resulting in hypotension. In both the complete and incomplete tetraplegic patients there was a relatively low peak heart rate (fH). Peak fH and VO2 varied more in patients with incomplete tetraplegia than in those with complete tetraplegia. Peak VO2 in females with mid-level thoracic paraplegia was on the average lower than in males with corresponding injury levels (16 ml/kg/min against 22 ml/kg/min, respectively). Evaluation of cardiorespiratory functions in spinal cord injured patients during high intensity endurance work performed shortly after the injury adds diagnostic and functionally useful information for the design of rehabilitation and should be recommended as clinical routine. Sentence B: Spinal tuberculosis (TB) accounts for approximately half of all cases of musculoskeletal tuberculosis. Kyphosis is the rule in spinal tuberculosis and has potential detrimental effects on both the spinal cord and pulmonary function. Late-onset paraplegia is best avoided with the surgical correction of severe kyphosis, where at the same time anterior decompression of the cord is performed and the remnants of the tuberculosis-destroyed vertebral bodies are excised. ###Answer 1. Changed Reasoning: In Sentence A, the term ""paraplegia"" is used to describe a specific type of spinal cord injury, characterized by a complete or incomplete loss of motor and sensory function in the lower extremities. The sentence highlights the importance of evaluating cardiorespiratory functions in these patients during high-intensity endurance work. In Sentence B, the term ""paraplegia"" is used in a different context, to describe a complication of spinal tuberculosis, specifically late-onset paraplegia. The sentence emphasizes the importance of surgical correction of severe kyphosis to avoid detrimental effects on both the spinal cord and pulmonary function. Based on these two sentences, it is clear that the term ""paraplegia"" has undergone a significant change in meaning. In Sentence A, it refers to a specific type of spinal cord injury, while in Sentence B, it is used to describe a complication of a different condition (spinal tuberculosis). Therefore, I would label this task as ""Changed""." 23,Paraplegia,"Spinal cord lesion leads to an interruption of pathways from brain to the peripheral sympathetic nervous system, which results in pathological changes in sympathetic innervation. Free epinephrine (E), norepinephrine (NE) and dopamine (DA) were measured in 30 tetraplegics (TETRA), 15 high-lesion paraplegics (T1 and T4, HPARA), 15 paraplegics with injuries between T5 and T10 (MPARA), 15 low-lesion paraplegics (below T10, LPARA) and 16 non-handicapped control persons (C) at rest, at 60 and 100% of maximal oxygen consumption during graded wheelchair ergometry (WCE). The TETRA showed significant lower E and NE levels at rest and only slight increases during physical exercise. The E and NE concentrations of the paraplegics with a lesion below T5 were significantly higher than those of the high-lesion paraplegics, as well as those of the control persons at every point in the study. All paraplegics and the control persons showed, at submaximal and maximal exercise, a significant increase in NE. Only a slight increase in E in HAPRA was shown. No differences were found at rest and during exercise in E and NE levels in the MPARA and LPARA. No significant differences were found in the dopamine concentration at rest or during exercise for any of the groups. In summary, different levels of lesion and the resulting interruption to sympathetic pathways in the spinal cord are decisive factors in the degree of impairment of sympathetic innervation in SCI persons. Tetraplegics show less preganglionic resting activity because of interruption of impulses from central centers and no considerable stimulation of the sympathetic nervous system during maximal exercise. Individuals with high paraplegia have a partial impairment of catecholamine release, especially of epinephrine, at rest and during exercise. Paraplegics with a lesion level below T5 showed an augmented basal and exercise-induced upper spinal thoracic sympathetic activity in comparison to control persons.","Two hypotheses were investigated in the present study: 1) Patients with full posttraumatic stress symptoms following spinal cord injury (SCI) would experience more general health problems than those with partial posttraumatic stress disorder (PTSD), with no-PTSD and the control group; 2) Patients with full PTSD would endorse the external locus of control more than those with partial PTSD, no-PTSD and the control group. Sixty-two patients were recruited from a specialized rehabilitation clinic for spinal cord injury. The control group comprised 60 participants without SCI. Patients with SCI were assessed using the Posttraumatic Stress Disorder Checklist, the General Health Questionnaire-28 (GHQ-28) and the Multidimensional Health Locus of Control (MHLC). The control group was assessed using the GHQ-28 and the MHLC. The full PTSD group experienced more somatic problems, anxiety, social dysfunction and depression than the partial PTSD, the no-PTSD and the control groups. The results also showed that the full PTSD group endorsed significantly more external health locus of control than the control group. However, no significant differences were found between the three patient groups in health locus of control. The three PTSD sub-scales were positively correlated with general health problems. Further analyses showed that partial PTSD patients with paraplegia and partial PTSD patients whose SCI had a medically related cause were more likely to report less internal locus of control than other patients. Patients who suffered from full PTSD experienced more general health problems than those with fewer PTSD symptoms and those without SCI. External locus of control was a distinctive strategy that SCI-PTSD patients used in coping with the effects of SCI-PTSD.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Paraplegia Sentence A: Spinal cord lesion leads to an interruption of pathways from brain to the peripheral sympathetic nervous system, which results in pathological changes in sympathetic innervation. Free epinephrine (E), norepinephrine (NE) and dopamine (DA) were measured in 30 tetraplegics (TETRA), 15 high-lesion paraplegics (T1 and T4, HPARA), 15 paraplegics with injuries between T5 and T10 (MPARA), 15 low-lesion paraplegics (below T10, LPARA) and 16 non-handicapped control persons (C) at rest, at 60 and 100% of maximal oxygen consumption during graded wheelchair ergometry (WCE). The TETRA showed significant lower E and NE levels at rest and only slight increases during physical exercise. The E and NE concentrations of the paraplegics with a lesion below T5 were significantly higher than those of the high-lesion paraplegics, as well as those of the control persons at every point in the study. All paraplegics and the control persons showed, at submaximal and maximal exercise, a significant increase in NE. Only a slight increase in E in HAPRA was shown. No differences were found at rest and during exercise in E and NE levels in the MPARA and LPARA. No significant differences were found in the dopamine concentration at rest or during exercise for any of the groups. In summary, different levels of lesion and the resulting interruption to sympathetic pathways in the spinal cord are decisive factors in the degree of impairment of sympathetic innervation in SCI persons. Tetraplegics show less preganglionic resting activity because of interruption of impulses from central centers and no considerable stimulation of the sympathetic nervous system during maximal exercise. Individuals with high paraplegia have a partial impairment of catecholamine release, especially of epinephrine, at rest and during exercise. Paraplegics with a lesion level below T5 showed an augmented basal and exercise-induced upper spinal thoracic sympathetic activity in comparison to control persons. Sentence B: Two hypotheses were investigated in the present study: 1) Patients with full posttraumatic stress symptoms following spinal cord injury (SCI) would experience more general health problems than those with partial posttraumatic stress disorder (PTSD), with no-PTSD and the control group; 2) Patients with full PTSD would endorse the external locus of control more than those with partial PTSD, no-PTSD and the control group. Sixty-two patients were recruited from a specialized rehabilitation clinic for spinal cord injury. The control group comprised 60 participants without SCI. Patients with SCI were assessed using the Posttraumatic Stress Disorder Checklist, the General Health Questionnaire-28 (GHQ-28) and the Multidimensional Health Locus of Control (MHLC). The control group was assessed using the GHQ-28 and the MHLC. The full PTSD group experienced more somatic problems, anxiety, social dysfunction and depression than the partial PTSD, the no-PTSD and the control groups. The results also showed that the full PTSD group endorsed significantly more external health locus of control than the control group. However, no significant differences were found between the three patient groups in health locus of control. The three PTSD sub-scales were positively correlated with general health problems. Further analyses showed that partial PTSD patients with paraplegia and partial PTSD patients whose SCI had a medically related cause were more likely to report less internal locus of control than other patients. Patients who suffered from full PTSD experienced more general health problems than those with fewer PTSD symptoms and those without SCI. External locus of control was a distinctive strategy that SCI-PTSD patients used in coping with the effects of SCI-PTSD. ###Answer 1. Paraplegia: Changed The meaning of ""paraplegia"" has shifted significantly between Sentence A (2000) and Sentence B (2020). In Sentence A, ""paraplegia"" is used to describe a spinal cord lesion that results in pathological changes in sympathetic innervation. The term implies a disruption in the pathways from the brain to the peripheral sympathetic nervous system, leading to impaired sympathetic innervation. In contrast, in Sentence B (2020), ""paraplegia"" is used to describe patients with full or partial posttraumatic stress disorder (PTSD) following spinal cord injury (SCI). The term no longer connotes a disruption in the sympathetic nervous system, but rather a psychological response to the trauma of SCI. Therefore, the semantic drift of ""paraplegia"" suggests a shift from a medical to a psychological context." 24,Paraplegia,"A 69-year-old woman with Takayasu's disease was referred to our hospital for surgical treatment of a descending aortic aneurysm. Preoperative angiography and computed tomography revealed abdominal aortic stenosis and severe calcification in the descending aorta. The abdominal aorta was first replaced, since the aortic stenosis would have disturbed blood flow to the abdominal organs during extracorporeal circulation, which would be needed for subsequent thoracic surgery. The descending aortic aneurysm was then resected under femoro-femoral bypass. Since the descending aorta was severely calcified, two occlusion balloon catheters were used to clear the aorta. After aortic walls just proximal and distal to the aneurysm were decalcified, a short prosthetic tube graft was anastomosed. Only 2 pairs of intercostal arteries were sacrificed and paraplegia was prevented. Vascular lesions must thus be accurately evaluated and suitable procedures selected in surgically treating Takayasu's disease.","Acute polyneuropathy is a rare manifestation of severe hyperthyroidism. We report a 22-year-old Omani male who presented to the Sohar Hospital, Sohar, Oman, in 2016 with acute-onset rapidly progressive flaccid areflexic paraplegia as the presenting manifestation of thyrotoxicosis. Nerve conduction studies revealed mixed axonal and demyelinating polyneuropathy in both the motor and sensory nerves. Treatment of the hyperthyroidism with β-blockers and carbimazole along with physiotherapy resulted in the patient's full recovery and the alleviation of his symptoms. Besides highlighting this rare association, this report underscores the importance of including thyroid function tests in the evaluation of patients with acute polyneuropathy.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Paraplegia Sentence A: A 69-year-old woman with Takayasu's disease was referred to our hospital for surgical treatment of a descending aortic aneurysm. Preoperative angiography and computed tomography revealed abdominal aortic stenosis and severe calcification in the descending aorta. The abdominal aorta was first replaced, since the aortic stenosis would have disturbed blood flow to the abdominal organs during extracorporeal circulation, which would be needed for subsequent thoracic surgery. The descending aortic aneurysm was then resected under femoro-femoral bypass. Since the descending aorta was severely calcified, two occlusion balloon catheters were used to clear the aorta. After aortic walls just proximal and distal to the aneurysm were decalcified, a short prosthetic tube graft was anastomosed. Only 2 pairs of intercostal arteries were sacrificed and paraplegia was prevented. Vascular lesions must thus be accurately evaluated and suitable procedures selected in surgically treating Takayasu's disease. Sentence B: Acute polyneuropathy is a rare manifestation of severe hyperthyroidism. We report a 22-year-old Omani male who presented to the Sohar Hospital, Sohar, Oman, in 2016 with acute-onset rapidly progressive flaccid areflexic paraplegia as the presenting manifestation of thyrotoxicosis. Nerve conduction studies revealed mixed axonal and demyelinating polyneuropathy in both the motor and sensory nerves. Treatment of the hyperthyroidism with β-blockers and carbimazole along with physiotherapy resulted in the patient's full recovery and the alleviation of his symptoms. Besides highlighting this rare association, this report underscores the importance of including thyroid function tests in the evaluation of patients with acute polyneuropathy. ###Answer 1. Changed The meaning of the target word ""paraplegia"" has shifted significantly between the two sentences. In Sentence A, the word is used to describe a medical condition where the abdominal aorta is replaced to prevent blood flow disruption to the abdominal organs during surgery. In Sentence B, the word is used to describe a rare manifestation of severe hyperthyroidism, specifically acute polyneuropathy. The word's connotation has shifted from a medical condition related to vascular surgery to a symptom of a hormonal disorder. Therefore, the label ""Changed"" is appropriate." 25,Paraplegia,"A growing number of hereditary neurodegenerative disorders have been found to be caused by expansion of trinucleotide repeats. A smaller number of diseases such as fragile X syndrome, myotonic dystrophy, and Friedreich's ataxia, have been found to be due to expansions in non-coding DNA. In a large group of diseases, the expansion consists of CAG repeats in the coding region of the gene, producing an expanded polyglutamine sequence in the protein. Nine diseases have so far been identified as belonging to this group: Huntington's disease, spinobulbar muscular atrophy (SBMA), dentatorubral pallidoluysian atrophy (DRPLA), autosomal dominant ""pure"" spastic paraplegia (ADPSP), and five forms of spinocerebellar ataxia (SCA 1,2,3,6 and 7). Except for SBMA, all of the CAG repeat disorders are characterised by autosomal dominant heredity and anticipation (i.e., earlier onset age and increasing severity in successive generations). The mutated protein causes disease via an as yet unidentified gain-of-function mechanism in specific subsets of neurones. Today, DNA analysis permits the diagnosis of a trinucleotide disease in individual cases.","Homo- and heterodimers of Kif5 proteins form the motor domain of Kinesin-1, a major plus-end directed microtubule motor. Kif5s have been implicated in the intracellular transport of organelles, vesicles, proteins, and RNAs in many cell types. There are three mammalian KIF5s. KIF5A and KIF5C proteins are strictly neural in mouse whereas, KIF5B is ubiquitously expressed. Mouse knockouts indicate crucial roles for KIF5 in development and human mutations in KIF5A lead to the neurodegenerative disease Hereditary Spastic Paraplegia. However, the developmental functions and the extent to which individual kif5 functions overlap have not been elucidated. Zebrafish possess five kif5 genes: kif5Aa, kif5Ab, kif5Ba, kif5Bb, and kif5C. Here we report their tissue specific expression patterns in embryonic and larval stages. Specifically, we find that kif5As are strictly zygotic and exhibit neural-specific expression. In contrast, kif5Bs exhibit strong maternal contribution and are ubiquitously expressed. Lastly, kif5C exhibits weak maternal expression followed by enrichment in neural populations. In addition, kif5s show distinct expression domains in the larval retina.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Paraplegia Sentence A: A growing number of hereditary neurodegenerative disorders have been found to be caused by expansion of trinucleotide repeats. A smaller number of diseases such as fragile X syndrome, myotonic dystrophy, and Friedreich's ataxia, have been found to be due to expansions in non-coding DNA. In a large group of diseases, the expansion consists of CAG repeats in the coding region of the gene, producing an expanded polyglutamine sequence in the protein. Nine diseases have so far been identified as belonging to this group: Huntington's disease, spinobulbar muscular atrophy (SBMA), dentatorubral pallidoluysian atrophy (DRPLA), autosomal dominant ""pure"" spastic paraplegia (ADPSP), and five forms of spinocerebellar ataxia (SCA 1,2,3,6 and 7). Except for SBMA, all of the CAG repeat disorders are characterised by autosomal dominant heredity and anticipation (i.e., earlier onset age and increasing severity in successive generations). The mutated protein causes disease via an as yet unidentified gain-of-function mechanism in specific subsets of neurones. Today, DNA analysis permits the diagnosis of a trinucleotide disease in individual cases. Sentence B: Homo- and heterodimers of Kif5 proteins form the motor domain of Kinesin-1, a major plus-end directed microtubule motor. Kif5s have been implicated in the intracellular transport of organelles, vesicles, proteins, and RNAs in many cell types. There are three mammalian KIF5s. KIF5A and KIF5C proteins are strictly neural in mouse whereas, KIF5B is ubiquitously expressed. Mouse knockouts indicate crucial roles for KIF5 in development and human mutations in KIF5A lead to the neurodegenerative disease Hereditary Spastic Paraplegia. However, the developmental functions and the extent to which individual kif5 functions overlap have not been elucidated. Zebrafish possess five kif5 genes: kif5Aa, kif5Ab, kif5Ba, kif5Bb, and kif5C. Here we report their tissue specific expression patterns in embryonic and larval stages. Specifically, we find that kif5As are strictly zygotic and exhibit neural-specific expression. In contrast, kif5Bs exhibit strong maternal contribution and are ubiquitously expressed. Lastly, kif5C exhibits weak maternal expression followed by enrichment in neural populations. In addition, kif5s show distinct expression domains in the larval retina. ###Answer 1. Changed (Semantic drift has occurred in the meaning of the target word ""Paraplegia"".) Reasoning: In Sentence A, the target word ""Paraplegia"" is used to describe a group of hereditary neurodegenerative disorders caused by expansions in trinucleotide repeats. The meaning of the word is related to the medical field and the diagnosis of genetic disorders. In Sentence B, the target word ""Paraplegia"" is used to describe the formation of the motor domain of Kinesin-1, a microtubule motor protein. The meaning of the word is related to the field of cell biology and the function of motor proteins. Comparing the usage of the word ""Paraplegia"" in the two sentences, it is clear that the meaning of the word has shifted significantly. In Sentence A, the word is used to describe a group of genetic disorders, while in Sentence B, it is used to describe the function of a protein in cell biology. The word's meaning has changed from being related to genetics and medical diagnosis to being related to cell biology and protein function. Therefore, the label ""Changed"" is appropriate to indicate that semantic drift has occurred in the meaning of the target word." 26,Paraplegia,"Syringomyelia management is showing some progressive improvements following surgical methods of investigation and treatment. Investigation of simultaneous pressure changes in the cerebrospinal fluid pathways has illustrated the importance of craniospinal pressure dissociation in impacting the cerebellar and medullary tissues in the foramen magnum in hindbrain related syringomyelia. Such pressure differences may be referred to as 'suck' and similar changes are to be found in non-hindbrain related forms of syringomyelia such as those associated with spinal arachnoiditis. When cavities have formed then impulsive movements may occur with them and enlargement of the cavities may be continued by sloshing of the fluid within them. Investigations have been improved following the widespread use of water soluble contrast media and CT scanning with reconstructions after myelography. A definite relationship between birth injury and hindbrain related syringomyelia has been established especially with cases showing arachnoiditis. The nature of the relationship to hindbrain hernia and basilar invagination remains unclear. Magnetic resonance imaging holds great promise particularly in showing hindbrain deformation in new-born babies, showing whether or not a communication commonly exists between the fourth ventricle and the cavities within the spinal cord in early childhood and also in outlining the changes in the spinal cord in the presence of acute traumatic paraplegia. Treatment still relies upon valved ventricular to extrathecal shunts for hydrocephalus, cranio-vertebral decompression to prevent suck and drainage of the syrinx in appropriate cases. Syrinx to extrathecal shunting may be preferred to shunts to the subarachnoid space. The peritoneum and the pleura are favoured sites and a valve is not necessary. The advances for the future may depend on earlier diagnosis and greater understanding of the mechanisms of pathogenesis in which MRI seems likely to play an increasingly important part.","A 79-year-old Chinese gentleman presented with unilateral acute lower limb ischaemia and received intra-arterial catheter-directed thrombolysis, initially with good result and reversal of the ischaemia. However, he developed an extensive spontaneous spinal epidural haematoma within hours of the procedure and was left with permanent paraplegia after being deemed unsuitable for decompressive spinal surgery. This report serves as a reminder of the risk of severe complications of catheter-directed thrombolysis by describing this rare but devastating side-effect that occurred even despite early detection from onset of symptoms.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Paraplegia Sentence A: Syringomyelia management is showing some progressive improvements following surgical methods of investigation and treatment. Investigation of simultaneous pressure changes in the cerebrospinal fluid pathways has illustrated the importance of craniospinal pressure dissociation in impacting the cerebellar and medullary tissues in the foramen magnum in hindbrain related syringomyelia. Such pressure differences may be referred to as 'suck' and similar changes are to be found in non-hindbrain related forms of syringomyelia such as those associated with spinal arachnoiditis. When cavities have formed then impulsive movements may occur with them and enlargement of the cavities may be continued by sloshing of the fluid within them. Investigations have been improved following the widespread use of water soluble contrast media and CT scanning with reconstructions after myelography. A definite relationship between birth injury and hindbrain related syringomyelia has been established especially with cases showing arachnoiditis. The nature of the relationship to hindbrain hernia and basilar invagination remains unclear. Magnetic resonance imaging holds great promise particularly in showing hindbrain deformation in new-born babies, showing whether or not a communication commonly exists between the fourth ventricle and the cavities within the spinal cord in early childhood and also in outlining the changes in the spinal cord in the presence of acute traumatic paraplegia. Treatment still relies upon valved ventricular to extrathecal shunts for hydrocephalus, cranio-vertebral decompression to prevent suck and drainage of the syrinx in appropriate cases. Syrinx to extrathecal shunting may be preferred to shunts to the subarachnoid space. The peritoneum and the pleura are favoured sites and a valve is not necessary. The advances for the future may depend on earlier diagnosis and greater understanding of the mechanisms of pathogenesis in which MRI seems likely to play an increasingly important part. Sentence B: A 79-year-old Chinese gentleman presented with unilateral acute lower limb ischaemia and received intra-arterial catheter-directed thrombolysis, initially with good result and reversal of the ischaemia. However, he developed an extensive spontaneous spinal epidural haematoma within hours of the procedure and was left with permanent paraplegia after being deemed unsuitable for decompressive spinal surgery. This report serves as a reminder of the risk of severe complications of catheter-directed thrombolysis by describing this rare but devastating side-effect that occurred even despite early detection from onset of symptoms. ###Answer 1. Changed Reasoning: In Sentence A, the term ""paraplegia"" is used to describe a condition characterized by pressure changes in the cerebrospinal fluid pathways, leading to impacted cerebellar and medullary tissues in the foramen magnum. The term is used in the context of investigating and treating syringomyelia, a condition involving fluid accumulation in the spinal cord. The word ""paraplegia"" does not carry any significant negative connotations or associations in this context. In Sentence B, the term ""paraplegia"" is used to describe a condition resulting from a complication of catheter-directed thrombolysis, specifically an extensive spontaneous spinal epidural haematoma leading to permanent paralysis. The term is used in the context of describing a severe and devastating side-effect of a medical procedure. In this context, the term ""paraplegia"" carries a negative connotation, as it is associated with a serious and irreversible loss of mobility. Therefore, the semantic drift of the term ""paraplegia"" can be observed between Sentence A and Sentence B, as the meaning of the term shifts from a neutral or positive connotation in Sentence A to a negative connotation in Sentence B." 27,Paraplegia,"Cycling by means of functional electrical stimulation (FES) is an attractive training method for individuals with paraplegia. The physiological benefits of FES are combined with the psychological incentive of independent locomotion. In addition, cycling has the advantage in that the generated muscle forces are converted into drive power with relatively high efficiency compared to other means of locomotion, e.g., walking. For the design of an appropriate cycling device and the development of optimal stimulation patterns, it has to be investigated how the geometry for FES cycling, influenced by individual parameters of the FES-generated drive torques and the magnitude of variations among subjects with paraplegia, can be optimized. This study shows the design of a freely adjustable test bed with additional motor drive which allows static and dynamic measurements of force components and drive torque at the crank. Furthermore, the influence of geometry and various individual parameters on FES pedaling can be tested for each subject individually. A pedal path realized by a three-bar linkage that was optimized according to preliminary simulations further increases leg cycling efficiency. Safety precautions avoid injuries in case of excessive forces, e.g., spasms. Test results illustrate the application of the test bed and measurement routines. A test series with four paraplegic test persons showed that the presented static and dynamic measurement routines allow to provide optimal stimulation patterns for individual paraplegic subjects. While pedaling with these optimal stimulation patterns only negligible negative active drive torques, due to active muscle forces, were applied to the crank and sufficient drive power was generated to power a cycle independently.","Skin fibroblasts were obtained from a 47-year-old hereditary spastic paraplegia patient carrying a homozygous mutation Y275X in CYP7B1 (Cytochrome P450, Family 7, Subfamily B, Polypeptide 1), responsible for causing hereditary spastic paraplegia type 5 (SPG5). Induced pluripotent stem cells (iPSCs) were generated by transfection with episomal plasmids carrying hOCT4, hSOX2, hKLF4, hL-MYC and hLIN28. The generated line iPS-SPG5-Y275X was transgene-free, retained the specific mutation with no additional genomic aberrations, expressed pluripotency markers and was able to differentiate into cells of all germ layers in vitro. The generated iPS-SPG5-Y275X line may be a useful resource for disease modelling of SPG5.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Paraplegia Sentence A: Cycling by means of functional electrical stimulation (FES) is an attractive training method for individuals with paraplegia. The physiological benefits of FES are combined with the psychological incentive of independent locomotion. In addition, cycling has the advantage in that the generated muscle forces are converted into drive power with relatively high efficiency compared to other means of locomotion, e.g., walking. For the design of an appropriate cycling device and the development of optimal stimulation patterns, it has to be investigated how the geometry for FES cycling, influenced by individual parameters of the FES-generated drive torques and the magnitude of variations among subjects with paraplegia, can be optimized. This study shows the design of a freely adjustable test bed with additional motor drive which allows static and dynamic measurements of force components and drive torque at the crank. Furthermore, the influence of geometry and various individual parameters on FES pedaling can be tested for each subject individually. A pedal path realized by a three-bar linkage that was optimized according to preliminary simulations further increases leg cycling efficiency. Safety precautions avoid injuries in case of excessive forces, e.g., spasms. Test results illustrate the application of the test bed and measurement routines. A test series with four paraplegic test persons showed that the presented static and dynamic measurement routines allow to provide optimal stimulation patterns for individual paraplegic subjects. While pedaling with these optimal stimulation patterns only negligible negative active drive torques, due to active muscle forces, were applied to the crank and sufficient drive power was generated to power a cycle independently. Sentence B: Skin fibroblasts were obtained from a 47-year-old hereditary spastic paraplegia patient carrying a homozygous mutation Y275X in CYP7B1 (Cytochrome P450, Family 7, Subfamily B, Polypeptide 1), responsible for causing hereditary spastic paraplegia type 5 (SPG5). Induced pluripotent stem cells (iPSCs) were generated by transfection with episomal plasmids carrying hOCT4, hSOX2, hKLF4, hL-MYC and hLIN28. The generated line iPS-SPG5-Y275X was transgene-free, retained the specific mutation with no additional genomic aberrations, expressed pluripotency markers and was able to differentiate into cells of all germ layers in vitro. The generated iPS-SPG5-Y275X line may be a useful resource for disease modelling of SPG5. ###Answer 1. Changed Reasoning: In Sentence A, the term ""paraplegia"" is used to describe an individual's condition, emphasizing their independence in locomotion through the use of functional electrical stimulation. The term does not carry any negative connotations or associations. In contrast, in Sentence B, the term ""hereditary spastic paraplegia"" is used to describe a specific type of neurodegenerative disorder caused by a mutation in the CYP7B1 gene. The term ""spastic"" carries a negative connotation, suggesting increased muscle tone or spasticity. This difference in terminology suggests that the meaning of the term ""paraplegia"" has shifted over time, with the term now being used in a more neutral or positive context. Therefore, the label ""Changed"" is appropriate." 28,Paraplegia,"Fifteen cases of ruptured thoracoabdominal aneurysm (-TAA) were encountered in 1987-July 1994. These patients included 13 males (86.6%), 2 females (13.4%) with a mean age of 66.3 years (range 58-78). Surgery was performed on 13 patients of whom 6 (46.1%) died within 30 days. The two other patients had died of heart failure prior to surgery. In 8 of these patients (53.4%) the condition was not diagnosed until clear symptoms had appeared. The ruptured aneurysms were thoracic in 9 cases (60%), abdominal in 6 (40%). The maximum aneurysm diameter in the most frequently ruptured group was 6.1-8 cm (in 9 patients-60%)./ For 5 cases (33.4%) the maximum diameter of ruptured aneurysms included dorsolumbar pain. In one patient a concomitant aortobronchial fistula had produced rupture. Low blood pressure was found in 9 cases (60%). In 5 cases (38.4%) curative surgery was performed within 24 hours of the onset of symptoms. In this group, the mortality rate was 40% (2 patients). In the remaining 8 cases, on whom surgery could not be performed within 24 hours (range 25 hours-4 months) the mortality rate was 50% (4 cases). All four cases of paraplegia (30.7%) were encountered among patients in the second group, 2 of whom died. Follow-up revealed a 5-year mortality rate of 71.4%.",To estimate the minimum prevalence of adult hereditary ataxias (HA) and spastic paraplegias (HSP) in Eastern Quebec and to evaluate the proportion of associated mutations in identified genes.,"###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Paraplegia Sentence A: Fifteen cases of ruptured thoracoabdominal aneurysm (-TAA) were encountered in 1987-July 1994. These patients included 13 males (86.6%), 2 females (13.4%) with a mean age of 66.3 years (range 58-78). Surgery was performed on 13 patients of whom 6 (46.1%) died within 30 days. The two other patients had died of heart failure prior to surgery. In 8 of these patients (53.4%) the condition was not diagnosed until clear symptoms had appeared. The ruptured aneurysms were thoracic in 9 cases (60%), abdominal in 6 (40%). The maximum aneurysm diameter in the most frequently ruptured group was 6.1-8 cm (in 9 patients-60%)./ For 5 cases (33.4%) the maximum diameter of ruptured aneurysms included dorsolumbar pain. In one patient a concomitant aortobronchial fistula had produced rupture. Low blood pressure was found in 9 cases (60%). In 5 cases (38.4%) curative surgery was performed within 24 hours of the onset of symptoms. In this group, the mortality rate was 40% (2 patients). In the remaining 8 cases, on whom surgery could not be performed within 24 hours (range 25 hours-4 months) the mortality rate was 50% (4 cases). All four cases of paraplegia (30.7%) were encountered among patients in the second group, 2 of whom died. Follow-up revealed a 5-year mortality rate of 71.4%. Sentence B: To estimate the minimum prevalence of adult hereditary ataxias (HA) and spastic paraplegias (HSP) in Eastern Quebec and to evaluate the proportion of associated mutations in identified genes. ###Answer 1. Changed Reasoning: In Sentence A, the term ""paraplegia"" is used to describe a condition characterized by paralysis of the lower limbs, often as a result of an aneurysm rupture. The sentence provides information about the demographics of the patients, the symptoms they experienced, and the surgical interventions performed. In this context, ""paraplegia"" carries a negative connotation, as it is associated with a serious medical condition that can lead to death. In Sentence B, the term ""paraplegia"" is used in the context of a research study to estimate the prevalence of adult hereditary ataxias and spastic paraplegias in Eastern Quebec. In this context, ""paraplegia"" does not carry the same negative connotation as in Sentence A, as it is used to describe a specific type of genetic disorder. Therefore, semantic drift has occurred in the meaning of ""paraplegia"" between Sentence A and Sentence B. In Sentence A, the term refers to a serious medical condition, while in Sentence B, it refers to a specific type of genetic disorder." 29,Paraplegia,A rare case of a mediastinal enterogenic cyst with an intraspinal extension through a anterior vertebral defect presenting with paraplegia in a 10 year boy is presented. Laminectomy and the trans-thoracic excision of the cyst resulted in the complete recovery of the neural deficit.,"Hereditary spastic paraplegias are a clinically and genetically heterogeneous group of gait disorders. Their pathological hallmark is a length-dependent distal axonopathy of nerve fibers in the corticospinal tract. Involvement of other neurons can cause additional neurological symptoms, which define a diverse set of complex hereditary spastic paraplegias. We present two siblings who have the unusual combination of early-onset spastic paraplegia, optic atrophy, and neuropathy. Genome-wide SNP-typing, linkage analysis, and exome sequencing revealed a homozygous c.316C>T (p.R106C) variant in the Trk-fused gene (TFG) as the only plausible mutation. Biochemical characterization of the mutant protein demonstrated a defect in its ability to self-assemble into an oligomeric complex, which is critical for normal TFG function. In cell lines, TFG inhibition slows protein secretion from the endoplasmic reticulum (ER) and alters ER morphology, disrupting organization of peripheral ER tubules and causing collapse of the ER network onto the underlying microtubule cytoskeleton. The present study provides a unique link between altered ER architecture and neurodegeneration.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Paraplegia Sentence A: A rare case of a mediastinal enterogenic cyst with an intraspinal extension through a anterior vertebral defect presenting with paraplegia in a 10 year boy is presented. Laminectomy and the trans-thoracic excision of the cyst resulted in the complete recovery of the neural deficit. Sentence B: Hereditary spastic paraplegias are a clinically and genetically heterogeneous group of gait disorders. Their pathological hallmark is a length-dependent distal axonopathy of nerve fibers in the corticospinal tract. Involvement of other neurons can cause additional neurological symptoms, which define a diverse set of complex hereditary spastic paraplegias. We present two siblings who have the unusual combination of early-onset spastic paraplegia, optic atrophy, and neuropathy. Genome-wide SNP-typing, linkage analysis, and exome sequencing revealed a homozygous c.316C>T (p.R106C) variant in the Trk-fused gene (TFG) as the only plausible mutation. Biochemical characterization of the mutant protein demonstrated a defect in its ability to self-assemble into an oligomeric complex, which is critical for normal TFG function. In cell lines, TFG inhibition slows protein secretion from the endoplasmic reticulum (ER) and alters ER morphology, disrupting organization of peripheral ER tubules and causing collapse of the ER network onto the underlying microtubule cytoskeleton. The present study provides a unique link between altered ER architecture and neurodegeneration. ###Answer 1. Changed Reasoning: In Sentence A, the term ""paraplegia"" is used to describe a specific medical condition (a rare case of a mediastinal enterogenic cyst with an intraspinal extension through a anterior vertebral defect presenting with paraplegia in a 10 year boy). The term is used to describe the symptoms of the condition, which include weakness or paralysis of the lower half of the body. In this context, the term ""paraplegia"" has a clear medical meaning, related to the loss of function of the spinal cord. In Sentence B, the term ""paraplegia"" is used in a different context, to describe a group of gait disorders. In this context, the term ""paraplegia"" does not have the same specific medical meaning as in Sentence A, but rather refers to a broader category of conditions that affect the ability to walk. The term is used to describe a diverse set of complex hereditary spastic paraplegias, which are characterized by a length-dependent distal axonopathy of nerve fibers in the corticospinal tract. Based on these differences in context and meaning, it can be argued that the term ""paraplegia"" has undergone a significant change in meaning between Sentence A and Sentence B. In Sentence A, the term is used to describe a specific medical condition, while in Sentence B, it is used to describe a broader category of conditions. Therefore, the label ""Changed"" is appropriate." 30,Paraplegia,"Our clinical experience employing heparinless left heart bypass for the resection of twenty-three thoracic aneurysms is presented. In our current technic of heparinless left heart bypass, plastic tubing coated with nonthrombogenic polyurethane-polyvinyl-graphite material and a conventional roller pump are employed. The reduced size of the aneurysm below the aortic clamp during bypass facilitates careful dissection of the aneurysm and the aorta. Twenty-two of twenty-three patients underwent successful thoracic aneurysmectomy with this technic. None had subsequent paraplegia and the postoperative blood loss was minimal. Heparinless left heart bypass is a simple and safe procedure to facilitate thoracic aneurysm resection.","Peripheral nerves have peculiar energetic requirements because of considerable length of axons and therefore correct mitochondria functioning and distribution along nerves is fundamental. Mitochondrial dynamics refers to the continuous change in size, shape, and position of mitochondria within cells. Abnormalities of mitochondrial dynamics produced by mutations in proteins involved in mitochondrial fusion (mitofusin-2, MFN2), fission (ganglioside-induced differentiation-associated protein-1, GDAP1), and mitochondrial axonal transport usually present with a Charcot-Marie-Tooth disease (CMT) phenotype. MFN2 mutations cause CMT type 2A by altering mitochondrial fusion and trafficking along the axonal microtubule system. CMT2A is an axonal autosomal dominant CMT type which in most cases is characterized by early onset and rather severe course. GDAP1 mutations also alter fission, fusion and transport of mitochondria and are associated either with recessive demyelinating (CMT4A) and axonal CMT (AR-CMT2K) and, less commonly, with dominant, milder, axonal CMT (CMT2K). OPA1 (Optic Atrophy-1) is involved in fusion of mitochondrial inner membrane, and its heterozygous mutations lead to early-onset and progressive dominant optic atrophy which may be complicated by other neurological symptoms including peripheral neuropathy. Mutations in several proteins fundamental for the axonal transport or forming the axonal cytoskeleton result in peripheral neuropathy, i.e., CMT, distal hereditary motor neuropathy (dHMN) or hereditary sensory and autonomic neuropathy (HSAN), as well as in hereditary spastic paraplegia. Indeed, mitochondrial transport involves directly or indirectly components of the kinesin superfamily (KIF5A, KIF1A, KIF1B), responsible of anterograde transport, and of the dynein complex and related proteins (DYNC1H1, dynactin, dynamin-2), implicated in retrograde flow. Microtubules, neurofilaments, and chaperones such as heat shock proteins (HSPs) also have a fundamental role in mitochondrial transport and mutations in some of related encoding genes cause peripheral neuropathy (TUBB3, NEFL, HSPB1, HSPB8, HSPB3, DNAJB2). In this review, we address the abnormalities in mitochondrial dynamics and their role in determining CMT disease and related neuropathies. ","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Paraplegia Sentence A: Our clinical experience employing heparinless left heart bypass for the resection of twenty-three thoracic aneurysms is presented. In our current technic of heparinless left heart bypass, plastic tubing coated with nonthrombogenic polyurethane-polyvinyl-graphite material and a conventional roller pump are employed. The reduced size of the aneurysm below the aortic clamp during bypass facilitates careful dissection of the aneurysm and the aorta. Twenty-two of twenty-three patients underwent successful thoracic aneurysmectomy with this technic. None had subsequent paraplegia and the postoperative blood loss was minimal. Heparinless left heart bypass is a simple and safe procedure to facilitate thoracic aneurysm resection. Sentence B: Peripheral nerves have peculiar energetic requirements because of considerable length of axons and therefore correct mitochondria functioning and distribution along nerves is fundamental. Mitochondrial dynamics refers to the continuous change in size, shape, and position of mitochondria within cells. Abnormalities of mitochondrial dynamics produced by mutations in proteins involved in mitochondrial fusion (mitofusin-2, MFN2), fission (ganglioside-induced differentiation-associated protein-1, GDAP1), and mitochondrial axonal transport usually present with a Charcot-Marie-Tooth disease (CMT) phenotype. MFN2 mutations cause CMT type 2A by altering mitochondrial fusion and trafficking along the axonal microtubule system. CMT2A is an axonal autosomal dominant CMT type which in most cases is characterized by early onset and rather severe course. GDAP1 mutations also alter fission, fusion and transport of mitochondria and are associated either with recessive demyelinating (CMT4A) and axonal CMT (AR-CMT2K) and, less commonly, with dominant, milder, axonal CMT (CMT2K). OPA1 (Optic Atrophy-1) is involved in fusion of mitochondrial inner membrane, and its heterozygous mutations lead to early-onset and progressive dominant optic atrophy which may be complicated by other neurological symptoms including peripheral neuropathy. Mutations in several proteins fundamental for the axonal transport or forming the axonal cytoskeleton result in peripheral neuropathy, i.e., CMT, distal hereditary motor neuropathy (dHMN) or hereditary sensory and autonomic neuropathy (HSAN), as well as in hereditary spastic paraplegia. Indeed, mitochondrial transport involves directly or indirectly components of the kinesin superfamily (KIF5A, KIF1A, KIF1B), responsible of anterograde transport, and of the dynein complex and related proteins (DYNC1H1, dynactin, dynamin-2), implicated in retrograde flow. Microtubules, neurofilaments, and chaperones such as heat shock proteins (HSPs) also have a fundamental role in mitochondrial transport and mutations in some of related encoding genes cause peripheral neuropathy (TUBB3, NEFL, HSPB1, HSPB8, HSPB3, DNAJB2). In this review, we address the abnormalities in mitochondrial dynamics and their role in determining CMT disease and related neuropathies. ###Answer 1. Changed The target word ""paraplegia"" has undergone a significant change in meaning between the two sentences. In Sentence A, ""paraplegia"" refers to the resection of an aneurysm in the thoracic region, with no mention of neurological symptoms. In Sentence B, ""paraplegia"" is used to describe peripheral neuropathy, which is a neurological disorder characterized by weakness, numbness, or loss of sensation in the arms or legs. The shift in meaning suggests that the term ""paraplegia"" has changed in connotation, possibly due to changes in medical understanding or terminology." 31,Paraplegia,"The pathophysiology of osteoporosis as it relates to immobilization or disuse osteoporosis in paraplegics is briefly reviewed. The physiology of bone formation and resorption is discussed, and the influence of piezoelectric forces on bone integrity and the consequences of the loss of this effect in paraplegics is addressed. When bone is stressed, negative charges accumulate on the side from which the stress is applied and positive charges accumulate on the opposite side. Presumably the collagenous component of bone plays the major role in the generation of electrical potentials. Another mechanism important in the generation of electrical potentials is created by liquid planes streaming past solid planes. Diminished forces acting on bone, as in paraplegia, are translated into changes in the activity of bone remodeling units which can be assessed by histomorphic and histoenzymatic techniques. Other biochemical and endocrine consequences of immobilization involve increased serum calcium, decreased serum parathyroid hormone (PTH), and decreased dihydroxy-vitamin D synthesis. Urinary hydroxyproline and calcium excretion are increased, as is stool calcium. The bone loss that follows immobilization may produce an increased susceptibility to fractures involving long bones more than the spinal column, and is due more to decreased bone formation than to accelerated bone resorption. The treatment of immobilization osteoporosis primarily involves early remobilization, but other treatments, including the use of electrical fields and the administration of bisphosphonates, calcitonin, and a growth hormone are being actively investigated.","Mutations in the gene encoding strumpellin cause autosomal dominant hereditary spastic paraplegia (HSP), in which there is degeneration of corticospinal tract axons. Strumpellin is a component of the WASH complex, an actin-regulating complex that is recruited to endosomes by interactions with the retromer complex. The WASH complex and its relationship to retromer have not been fully characterised in neurons, and the molecular pathological mechanism of strumpellin mutation is unclear. Here we demonstrate that the WASH complex assembles in the brain, where it interacts with retromer. Members of both complexes co-localise with each other and with endosomes in primary cortical neurons, and are present in somato-dendritic and axonal compartments. We show that strumpellin is not required for normal transferrin receptor traffic, but is required for the correct subcellular distribution of the β-2-adrenergic receptor. However, strumpellin disease mutations do not affect its incorporation into the WASH complex or its subcellular localisation, nor do they have a dominant effect on functions of the WASH complex, including regulation of endosomal tubulation, transferrin receptor traffic or β-2-adrenergic receptor localisation. Models of the WASH complex indicate that it contains a single strumpellin molecule, so in patients with strumpellin mutations, complexes containing wild-type and mutant strumpellin should be present in equal numbers. In most cell types this would provide sufficient functional WASH to allow normal cellular physiology. However, owing to the demands on membrane traffic imposed by their exceptionally long axons, we suggest that corticospinal neurons are especially vulnerable to reductions in functional WASH.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Paraplegia Sentence A: The pathophysiology of osteoporosis as it relates to immobilization or disuse osteoporosis in paraplegics is briefly reviewed. The physiology of bone formation and resorption is discussed, and the influence of piezoelectric forces on bone integrity and the consequences of the loss of this effect in paraplegics is addressed. When bone is stressed, negative charges accumulate on the side from which the stress is applied and positive charges accumulate on the opposite side. Presumably the collagenous component of bone plays the major role in the generation of electrical potentials. Another mechanism important in the generation of electrical potentials is created by liquid planes streaming past solid planes. Diminished forces acting on bone, as in paraplegia, are translated into changes in the activity of bone remodeling units which can be assessed by histomorphic and histoenzymatic techniques. Other biochemical and endocrine consequences of immobilization involve increased serum calcium, decreased serum parathyroid hormone (PTH), and decreased dihydroxy-vitamin D synthesis. Urinary hydroxyproline and calcium excretion are increased, as is stool calcium. The bone loss that follows immobilization may produce an increased susceptibility to fractures involving long bones more than the spinal column, and is due more to decreased bone formation than to accelerated bone resorption. The treatment of immobilization osteoporosis primarily involves early remobilization, but other treatments, including the use of electrical fields and the administration of bisphosphonates, calcitonin, and a growth hormone are being actively investigated. Sentence B: Mutations in the gene encoding strumpellin cause autosomal dominant hereditary spastic paraplegia (HSP), in which there is degeneration of corticospinal tract axons. Strumpellin is a component of the WASH complex, an actin-regulating complex that is recruited to endosomes by interactions with the retromer complex. The WASH complex and its relationship to retromer have not been fully characterised in neurons, and the molecular pathological mechanism of strumpellin mutation is unclear. Here we demonstrate that the WASH complex assembles in the brain, where it interacts with retromer. Members of both complexes co-localise with each other and with endosomes in primary cortical neurons, and are present in somato-dendritic and axonal compartments. We show that strumpellin is not required for normal transferrin receptor traffic, but is required for the correct subcellular distribution of the β-2-adrenergic receptor. However, strumpellin disease mutations do not affect its incorporation into the WASH complex or its subcellular localisation, nor do they have a dominant effect on functions of the WASH complex, including regulation of endosomal tubulation, transferrin receptor traffic or β-2-adrenergic receptor localisation. Models of the WASH complex indicate that it contains a single strumpellin molecule, so in patients with strumpellin mutations, complexes containing wild-type and mutant strumpellin should be present in equal numbers. In most cell types this would provide sufficient functional WASH to allow normal cellular physiology. However, owing to the demands on membrane traffic imposed by their exceptionally long axons, we suggest that corticospinal neurons are especially vulnerable to reductions in functional WASH. ###Answer 1. Changed Reasoning: In Sentence A, the target word ""paraplegia"" is used to describe a specific medical condition, specifically immobilization osteoporosis, and its associated symptoms and consequences. The word is used in the context of medical research and treatment options. In Sentence B, the target word ""paraplegia"" is used to describe a genetic condition, specifically hereditary spastic paraplegia, and its associated symptoms and molecular mechanisms. The word is used in the context of scientific research and medical literature. Comparing the two sentences, it is clear that the meaning of the word ""paraplegia"" has shifted significantly between the two timestamps. In Sentence A, the word is used to describe a specific medical condition with a clear medical context, while in Sentence B, the word is used to describe a genetic condition with a strong scientific and medical focus. The word's connotation has changed from a medical to a scientific and medical focus. Therefore, the label ""Changed"" is appropriate." 32,Paraplegia,"205 paraplegic inpatients with urinary infections were treated with trimethoprim-sulfamethoxazole (TMP-SMZ) bladder instillations (160 mg TMP 800 mg SMZ daily for 2 consecutive weeks). 89.3% out of 84 patients with recent vertebral trauma and no history of previous urinary infection (group A), and 68.6% out of 121 patients with paraplegia since more than 2 years, severe chronic infection and various pathological conditions of the urinary tract (group B) were found to be sterile at the end of the trial. The intravesical concentrations of 3.2 mg/ml TMP and 16 mg/ml SMZ which are reached immediately after instillation are 50--100 times superior to the minimal growth-inhibitory concentrations for most sensitive germs as determined with agar dilution tests. Several strains of Klebsiella and Proteus which had previously proved resistant to oral treatment were eliminated with intravesical TMP-SMZ. The incidence of reinfection, evaluated 1 month after interruption of treatment, was particularly high (62.7%) in patients with known involvement of the upper tract of intravesical obstruction with postmicturition residuals above 75 ml. On the other hand, 28% only among the patients with recent spinal injury and integrity of the upper urinary tract became reinfected after the same interval. The absence of local intolerance could be confirmed in all 21 cystoscopically examined patients between the 6th and 11th day of treatment. Hematuria was never encountered. Systemic side effects were noted in 7.8% Serum concentrations of both drug components are being investigated; results will be published elsewhere.","We present a case of spinal cord infarction following an operation on a 64-year-old man for mesenteric vascular occlusion under combined general and epidural anesthesia. Several etiological factors, each one able to affect blood flow in the spinal cord and cause infarction, might have been present in our patient, including generalized degenerative atherosclerotic vascular disease, secondary polycythemia resulting from the patient's chronic obstructive pulmonary disease, and intraoperative hypotensive episodes. This case shows that, even with careful technique, hemodynamic monitoring, and early evaluation of neurologic status, patients can experience irreversible spinal cord ischaemia that results in permanent paraplegia.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Paraplegia Sentence A: 205 paraplegic inpatients with urinary infections were treated with trimethoprim-sulfamethoxazole (TMP-SMZ) bladder instillations (160 mg TMP 800 mg SMZ daily for 2 consecutive weeks). 89.3% out of 84 patients with recent vertebral trauma and no history of previous urinary infection (group A), and 68.6% out of 121 patients with paraplegia since more than 2 years, severe chronic infection and various pathological conditions of the urinary tract (group B) were found to be sterile at the end of the trial. The intravesical concentrations of 3.2 mg/ml TMP and 16 mg/ml SMZ which are reached immediately after instillation are 50--100 times superior to the minimal growth-inhibitory concentrations for most sensitive germs as determined with agar dilution tests. Several strains of Klebsiella and Proteus which had previously proved resistant to oral treatment were eliminated with intravesical TMP-SMZ. The incidence of reinfection, evaluated 1 month after interruption of treatment, was particularly high (62.7%) in patients with known involvement of the upper tract of intravesical obstruction with postmicturition residuals above 75 ml. On the other hand, 28% only among the patients with recent spinal injury and integrity of the upper urinary tract became reinfected after the same interval. The absence of local intolerance could be confirmed in all 21 cystoscopically examined patients between the 6th and 11th day of treatment. Hematuria was never encountered. Systemic side effects were noted in 7.8% Serum concentrations of both drug components are being investigated; results will be published elsewhere. Sentence B: We present a case of spinal cord infarction following an operation on a 64-year-old man for mesenteric vascular occlusion under combined general and epidural anesthesia. Several etiological factors, each one able to affect blood flow in the spinal cord and cause infarction, might have been present in our patient, including generalized degenerative atherosclerotic vascular disease, secondary polycythemia resulting from the patient's chronic obstructive pulmonary disease, and intraoperative hypotensive episodes. This case shows that, even with careful technique, hemodynamic monitoring, and early evaluation of neurologic status, patients can experience irreversible spinal cord ischaemia that results in permanent paraplegia. ###Answer 1. Changed (Semantic drift has occurred in the meaning of the target word ""paraplegia"".) In Sentence A, the term ""paraplegia"" refers to a specific medical condition characterized by paralysis of the lower limbs due to spinal cord injury. The sentence highlights the medical treatment of patients with paraplegia, including the use of antibiotics for urinary infections. In Sentence B, the term ""paraplegia"" has taken on a different meaning. It no longer refers to a specific medical condition but rather to a permanent neurological deficit resulting from spinal cord infarction. The sentence highlights the irreversible nature of the injury and the potential causes, including generalized degenerative atherosclerotic vascular disease, polycythemia, and intraoperative hypotensive episodes. The change in meaning of the term ""paraplegia"" between Sentence A and Sentence B is significant, as it indicates a shift from a medical condition with a specific diagnosis to a broader term encompassing a range of neurological deficits. Therefore, the label ""Changed"" is appropriate to indicate semantic drift has occurred." 33,Paraplegia,"The combination of paraplegia with an above-knee amputation is a complex injury that makes the rehabilitation process difficult. This article describes a case of T12 paraplegia and an above-knee amputation. After the rehabilitation course, the patient achieved full ambulatory independence with an ischial containment, contoured adducted trochanteric controlled alignment method (CATCAM) prosthesis and a knee ankle foot orthosis (KAFO). Difficulties in fitting a functional prosthesis to an insensate limb and the rehabilitation stages leading to functional ambulation are reviewed.","Receptor expression enhancing proteins (REEPs) were identified by their ability to enhance cell surface expression of a subset of G protein-coupled receptors (GPCRs), specifically GPCRs that have proven difficult to express in heterologous cell systems. Further analysis revealed that they belong to the Yip (Ypt-interacting protein) family and that some REEP subtypes affect ER structure. Yip family comparisons have established other potential roles for REEPs, including regulation of ER-Golgi transport and processing/neuronal localization of cargo proteins. However, these other potential REEP functions and the mechanism by which they selectively enhance GPCR cell surface expression have not been clarified. By utilizing several REEP family members (REEP1, REEP2, and REEP6) and model GPCRs (α2A and α2C adrenergic receptors), we examined REEP regulation of GPCR plasma membrane expression, intracellular processing, and trafficking. Using a combination of immunolocalization and biochemical methods, we demonstrated that this REEP subset is localized primarily to ER, but not plasma membranes. Single cell analysis demonstrated that these REEPs do not specifically enhance surface expression of all GPCRs, but affect ER cargo capacity of specific GPCRs and thus their surface expression. REEP co-expression with α2 adrenergic receptors (ARs) revealed that this REEP subset interacts with and alter glycosidic processing of α2C, but not α2A ARs, demonstrating selective interaction with cargo proteins. Specifically, these REEPs enhanced expression of and interacted with minimally/non-glycosylated forms of α2C ARs. Most importantly, expression of a mutant REEP1 allele (hereditary spastic paraplegia SPG31) lacking the carboxyl terminus led to loss of this interaction. Thus specific REEP isoforms have additional intracellular functions besides altering ER structure, such as enhancing ER cargo capacity, regulating ER-Golgi processing, and interacting with select cargo proteins. Therefore, some REEPs can be further described as ER membrane shaping adapter proteins. ","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Paraplegia Sentence A: The combination of paraplegia with an above-knee amputation is a complex injury that makes the rehabilitation process difficult. This article describes a case of T12 paraplegia and an above-knee amputation. After the rehabilitation course, the patient achieved full ambulatory independence with an ischial containment, contoured adducted trochanteric controlled alignment method (CATCAM) prosthesis and a knee ankle foot orthosis (KAFO). Difficulties in fitting a functional prosthesis to an insensate limb and the rehabilitation stages leading to functional ambulation are reviewed. Sentence B: Receptor expression enhancing proteins (REEPs) were identified by their ability to enhance cell surface expression of a subset of G protein-coupled receptors (GPCRs), specifically GPCRs that have proven difficult to express in heterologous cell systems. Further analysis revealed that they belong to the Yip (Ypt-interacting protein) family and that some REEP subtypes affect ER structure. Yip family comparisons have established other potential roles for REEPs, including regulation of ER-Golgi transport and processing/neuronal localization of cargo proteins. However, these other potential REEP functions and the mechanism by which they selectively enhance GPCR cell surface expression have not been clarified. By utilizing several REEP family members (REEP1, REEP2, and REEP6) and model GPCRs (α2A and α2C adrenergic receptors), we examined REEP regulation of GPCR plasma membrane expression, intracellular processing, and trafficking. Using a combination of immunolocalization and biochemical methods, we demonstrated that this REEP subset is localized primarily to ER, but not plasma membranes. Single cell analysis demonstrated that these REEPs do not specifically enhance surface expression of all GPCRs, but affect ER cargo capacity of specific GPCRs and thus their surface expression. REEP co-expression with α2 adrenergic receptors (ARs) revealed that this REEP subset interacts with and alter glycosidic processing of α2C, but not α2A ARs, demonstrating selective interaction with cargo proteins. Specifically, these REEPs enhanced expression of and interacted with minimally/non-glycosylated forms of α2C ARs. Most importantly, expression of a mutant REEP1 allele (hereditary spastic paraplegia SPG31) lacking the carboxyl terminus led to loss of this interaction. Thus specific REEP isoforms have additional intracellular functions besides altering ER structure, such as enhancing ER cargo capacity, regulating ER-Golgi processing, and interacting with select cargo proteins. Therefore, some REEPs can be further described as ER membrane shaping adapter proteins. ###Answer 1. Changed Explanation: In Sentence A, the target word ""paraplegia"" is used to describe a specific medical condition, a combination of paraplegia with an above-knee amputation. The context suggests that the word has a negative connotation, as the rehabilitation process is described as ""difficult."" In Sentence B, the target word ""paraplegia"" is used in a different context, to describe the interaction between REEPs and GPCRs. The word has a different meaning and connotation in this sentence, as it refers to a specific type of protein interaction. In Sentence A, the word ""paraplegia"" has a clear medical definition and is used to describe a specific condition. The context suggests that the word has a negative connotation, as the rehabilitation process is described as ""difficult."" In Sentence B, the word ""paraplegia"" is used in a different context, to describe the interaction between REEPs and GPCRs. The word has a different meaning and connotation in this sentence, as it refers to a specific type of protein interaction. Therefore, semantic drift has occurred in the usage of the target word ""paraplegia"" between Sentence A and Sentence B." 34,Paraplegia,"Subsequent to traumatic injury of the spinal cord, a series of pathophysiological events occurs in the injured tissue that leads to tissue destruction and paraplegia. These include hemorrhagic necrosis, ischemia, edema, inflammation, neuronophagia, loss of Ca2+ from the extracellular space, and loss of K+ from the intracellular space. In addition, there is trauma-initiated lipid peroxidation and hydrolysis in cellular membranes. Both lipid peroxidation and hydrolysis can damage cells directly; hydrolysis also results in the formation of the biologically active prostaglandins and leukotrienes (eicosanoids). The time course of membrane lipid alterations seen in studies of antioxidant interventions suggests that posttraumatic ischemia, edema, inflammation, and ionic fluxes are the result of extensive membrane peroxidative reactions and lipolysis that produce vasoactive and chemotactic eicosanoids. A diverse group of compounds has been shown to be effective in ameliorating spinal cord injury in experimental animals. These include the synthetic glucocorticoid methylprednisolone sodium succinate (MPSS); the antioxidants vitamin E, selenium, and dimethyl sulfoxide (DMSO); the opiate antagonist naloxone; and thyrotropin-releasing hormone (TRH). With the exception of TRH, all of these agents have demonstrable antioxidant and/or anti-lipid-hydrolysis properties. Thus the effectiveness of these substances may lie in their ability to quench membrane peroxidative reactions or to inhibit the release of fatty acids from membrane phospholipids, or both. Whatever the mode of action, early administration appears to be a requirement for maximum effectiveness.","Sir Ludwig Guttmann's pioneering work in the treatment of spinal injury not only improved the care for patients with paraplegia up to now but revolutionized basic principles of neurorehabilitation. A wide selection of publications honors the personal and academic life of this singular German neurologist and neurosurgeon of Jewish descent. When the Nazis came into power, Guttmann was dismissed from his hospital workplace, humiliated, and later forced to leave Germany. Surprisingly, after the Second World War, the psychiatrist Friedrich Panse, who had been a member of the Nazi party, initiated Guttmann's academic rehabilitation up to his nomination as emeritus professor of Cologne University in 1964. The present article recounts the difficult academic restitution and poses the question why Guttmann sought to re-establish connections to Germany, a country that had expelled him so harshly some decades before.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Paraplegia Sentence A: Subsequent to traumatic injury of the spinal cord, a series of pathophysiological events occurs in the injured tissue that leads to tissue destruction and paraplegia. These include hemorrhagic necrosis, ischemia, edema, inflammation, neuronophagia, loss of Ca2+ from the extracellular space, and loss of K+ from the intracellular space. In addition, there is trauma-initiated lipid peroxidation and hydrolysis in cellular membranes. Both lipid peroxidation and hydrolysis can damage cells directly; hydrolysis also results in the formation of the biologically active prostaglandins and leukotrienes (eicosanoids). The time course of membrane lipid alterations seen in studies of antioxidant interventions suggests that posttraumatic ischemia, edema, inflammation, and ionic fluxes are the result of extensive membrane peroxidative reactions and lipolysis that produce vasoactive and chemotactic eicosanoids. A diverse group of compounds has been shown to be effective in ameliorating spinal cord injury in experimental animals. These include the synthetic glucocorticoid methylprednisolone sodium succinate (MPSS); the antioxidants vitamin E, selenium, and dimethyl sulfoxide (DMSO); the opiate antagonist naloxone; and thyrotropin-releasing hormone (TRH). With the exception of TRH, all of these agents have demonstrable antioxidant and/or anti-lipid-hydrolysis properties. Thus the effectiveness of these substances may lie in their ability to quench membrane peroxidative reactions or to inhibit the release of fatty acids from membrane phospholipids, or both. Whatever the mode of action, early administration appears to be a requirement for maximum effectiveness. Sentence B: Sir Ludwig Guttmann's pioneering work in the treatment of spinal injury not only improved the care for patients with paraplegia up to now but revolutionized basic principles of neurorehabilitation. A wide selection of publications honors the personal and academic life of this singular German neurologist and neurosurgeon of Jewish descent. When the Nazis came into power, Guttmann was dismissed from his hospital workplace, humiliated, and later forced to leave Germany. Surprisingly, after the Second World War, the psychiatrist Friedrich Panse, who had been a member of the Nazi party, initiated Guttmann's academic rehabilitation up to his nomination as emeritus professor of Cologne University in 1964. The present article recounts the difficult academic restitution and poses the question why Guttmann sought to re-establish connections to Germany, a country that had expelled him so harshly some decades before. ###Answer 1. Changed Reasoning: In Sentence A, the term ""paraplegia"" is used in the context of a medical condition caused by traumatic injury to the spinal cord, with associated pathophysiological events including hemorrhagic necrosis, ischemia, edema, inflammation, neuronophagia, and loss of Ca2+ and K+. The focus is on the underlying biological processes and the potential therapeutic interventions to ameliorate the condition. In Sentence B, the term ""paraplegia"" is used in a different context, to describe the work of Sir Ludwig Guttmann in the treatment of spinal injury. The focus is on Guttmann's personal and academic life, including his dismissal from his hospital workplace, his forced departure from Germany, and his subsequent academic rehabilitation. The term ""paraplegia"" is not used in the context of a medical condition, but rather as a way to connect Guttmann's work to his personal experiences and the broader historical context in which he worked. Based on these differences in context and meaning, it is clear that the term ""paraplegia"" has undergone a significant change in meaning between Sentence A and Sentence B. In Sentence A, the term is used in a highly technical and specialized manner, focused on the biological processes underlying the condition. In Sentence B, the term is used in a more general and historical manner, to describe the impact of Guttmann's work on the field of neurorehabilitation. Therefore, the label ""Changed"" is appropriate for this task." 35,Paraplegia,Neurologic deficit (paraplegia or paraparesis) remains a significant morbidity in the repair of descending thoracic aortic aneurysm.,"Hemicorporectomy or translumbar amputation is an extensive surgical procedure consisting in removing the lower portion of the body. Thakur et al. found a total of 71 hemicorporectomies described in literature before 2017. In the form of a case study we present the case of our patient with terminal pelvic osteomyelitis, in whom hemicorporectomy was subsequently performed, namely from the spine surgery perspective. The man, 19 years old, was exposed to high-voltage electricity and fell down from a height of 4 meters. He suffered an instable comminuted fracture of T10 (AO A3.3.) with paraplegia (Frankel A) and multiple third-degree burns affecting 25% of his total body surface area. Subsequently, the patient underwent a total of 16 surgical procedures performed by medical experts in various specialties (orthopaedic surgery, general surgery, plastic surgery, urology, vascular surgery), but in spite of that the extensive pelvic osteomyelitis has not been successfully managed. At first, urine and stool diversion were performed. After 3 weeks, i.e. 18 months after the injury, the removal of the lower portion of the body was scheduled. The hemicorporectomy was divided into 4 stages. The surgery started by posterior transecting the spine at L4-L5 segment with nerve root and dural sac ligation and treating the bleeding venous plexus in the spinal canal. After turning the patient to the supine position, the second stage of the operation followed, consisting in transecting large vessels and harvesting a musculocutaneous flap from the right thigh. During the third stage of the surgery the separation of the L4-L5 motion segment was completed by the transaction of the anterior longitudinal ligament and m. psoas major, subsequently followed by the amputation of the lower portion of the body. During the last stage of the surgery, the wound was closed by musculocutaneous flap from the fight thigh with preserved a. femoralis. The patient was discharged to home in a generally good condition 127 days after the amputation of the lower portion of the body. Now, 1 year after the surgery, the patient enjoys good physical as well as mental health. Hemicorporectomy is an extensive surgical technique, which can despite multiple complications be offered to patients with otherwise unmanageable condition. Terminal pelvic osteomyelitis is currently the most frequent diagnostic indication and the resulting condition makes possible a long-term survival of the patient in a satisfactory condition. The spinal surgeon is an irreplaceable member of the multidisciplinary team performing the surgical procedure, the primary treatment of the spinal column considerably limits blood losses. Key words: hemicorporectomy, en bloc sacrectomy, terminal pelvic osteomyelitis, sacral tumors.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Paraplegia Sentence A: Neurologic deficit (paraplegia or paraparesis) remains a significant morbidity in the repair of descending thoracic aortic aneurysm. Sentence B: Hemicorporectomy or translumbar amputation is an extensive surgical procedure consisting in removing the lower portion of the body. Thakur et al. found a total of 71 hemicorporectomies described in literature before 2017. In the form of a case study we present the case of our patient with terminal pelvic osteomyelitis, in whom hemicorporectomy was subsequently performed, namely from the spine surgery perspective. The man, 19 years old, was exposed to high-voltage electricity and fell down from a height of 4 meters. He suffered an instable comminuted fracture of T10 (AO A3.3.) with paraplegia (Frankel A) and multiple third-degree burns affecting 25% of his total body surface area. Subsequently, the patient underwent a total of 16 surgical procedures performed by medical experts in various specialties (orthopaedic surgery, general surgery, plastic surgery, urology, vascular surgery), but in spite of that the extensive pelvic osteomyelitis has not been successfully managed. At first, urine and stool diversion were performed. After 3 weeks, i.e. 18 months after the injury, the removal of the lower portion of the body was scheduled. The hemicorporectomy was divided into 4 stages. The surgery started by posterior transecting the spine at L4-L5 segment with nerve root and dural sac ligation and treating the bleeding venous plexus in the spinal canal. After turning the patient to the supine position, the second stage of the operation followed, consisting in transecting large vessels and harvesting a musculocutaneous flap from the right thigh. During the third stage of the surgery the separation of the L4-L5 motion segment was completed by the transaction of the anterior longitudinal ligament and m. psoas major, subsequently followed by the amputation of the lower portion of the body. During the last stage of the surgery, the wound was closed by musculocutaneous flap from the fight thigh with preserved a. femoralis. The patient was discharged to home in a generally good condition 127 days after the amputation of the lower portion of the body. Now, 1 year after the surgery, the patient enjoys good physical as well as mental health. Hemicorporectomy is an extensive surgical technique, which can despite multiple complications be offered to patients with otherwise unmanageable condition. Terminal pelvic osteomyelitis is currently the most frequent diagnostic indication and the resulting condition makes possible a long-term survival of the patient in a satisfactory condition. The spinal surgeon is an irreplaceable member of the multidisciplinary team performing the surgical procedure, the primary treatment of the spinal column considerably limits blood losses. Key words: hemicorporectomy, en bloc sacrectomy, terminal pelvic osteomyelitis, sacral tumors. ###Answer 1. Changed Reasoning: The meaning of the target word ""paraplegia"" has changed between the two sentences. In Sentence A, the term is used to describe a neurologic deficit, specifically paraparesis or hemiparesis, which is a significant morbidity in the repair of an aortic aneurysm. In Sentence B, the term is used to describe a surgical procedure, specifically hemicorporectomy or translumbar amputation, which involves removing the lower portion of the body. In Sentence A, the term ""paraplegia"" is used in a medical context to describe a specific neurological disorder. In Sentence B, the term is used in a surgical context to describe a different procedure altogether. Therefore, the meaning of the target word has significantly shifted between the two sentences, indicating semantic drift." 36,Paraplegia,"We have examined a pedigree in which familial spastic paraplegia (FSP) is segregating in four generations. The data show a high rate of transmission of the trait, late onset, reduced penetrance, variable age and symptom expressivity, and an autosomal dominant mode of transmission. A summary of our data together with the FSP data of other shows a 1:1 transmission from males and from females, and an overall 1:1 transmission ratio. The risks for the children of symptomatic and non-symptomatic parents are illustrated.","Diffuse cerebral vasospasm after subarachnoid hemorrhage (SAH) is a complication resulting in an ischemic condition presenting with altered mentality and followed by motor or speech impairment. It is uncommon in pediatric population and requires differential diagnosis from Moyamoya disease, which is relatively common in Korea. We report a case of a 15-year-old girl who was presented with a seizure and subsequent headache, poor oral intake, and altered mentality, who was finally diagnosed with sporadic vasospasm followed by multiple aneurysm ruptures. The patient had recurrent seizures and persistent headache at the time of transfer. On the second day after transfer, she showed focal motor weakness and dysarthria, and her symptoms gradually progressed, showing paraplegia and aphasia on the third hospitalization day. Brain magnetic resonance imaging and magnetic resonance angiography demonstrated diffuse narrowing cerebral vasospasm of bilateral middle cerebral arteries, anterior cerebral arteries, and distal internal carotid arteries and three unruptured aneurysms. The patient was treated with intravenous hydration and nimodipine to expand the narrowed vessels. After confirming that the vessels were enlarged, we successfully executed the endovascular coil embolization. Her neurological deficits were improved through medical, interventional, and rehabilitation treatments and fully restored 11 months after discharge.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Paraplegia Sentence A: We have examined a pedigree in which familial spastic paraplegia (FSP) is segregating in four generations. The data show a high rate of transmission of the trait, late onset, reduced penetrance, variable age and symptom expressivity, and an autosomal dominant mode of transmission. A summary of our data together with the FSP data of other shows a 1:1 transmission from males and from females, and an overall 1:1 transmission ratio. The risks for the children of symptomatic and non-symptomatic parents are illustrated. Sentence B: Diffuse cerebral vasospasm after subarachnoid hemorrhage (SAH) is a complication resulting in an ischemic condition presenting with altered mentality and followed by motor or speech impairment. It is uncommon in pediatric population and requires differential diagnosis from Moyamoya disease, which is relatively common in Korea. We report a case of a 15-year-old girl who was presented with a seizure and subsequent headache, poor oral intake, and altered mentality, who was finally diagnosed with sporadic vasospasm followed by multiple aneurysm ruptures. The patient had recurrent seizures and persistent headache at the time of transfer. On the second day after transfer, she showed focal motor weakness and dysarthria, and her symptoms gradually progressed, showing paraplegia and aphasia on the third hospitalization day. Brain magnetic resonance imaging and magnetic resonance angiography demonstrated diffuse narrowing cerebral vasospasm of bilateral middle cerebral arteries, anterior cerebral arteries, and distal internal carotid arteries and three unruptured aneurysms. The patient was treated with intravenous hydration and nimodipine to expand the narrowed vessels. After confirming that the vessels were enlarged, we successfully executed the endovascular coil embolization. Her neurological deficits were improved through medical, interventional, and rehabilitation treatments and fully restored 11 months after discharge. ###Answer 1. Changed Reasoning: The meaning of the target word ""paraplegia"" has changed significantly between the two sentences. In Sentence A, the term refers to a specific genetic disorder characterized by progressive muscle weakness and paralysis. In Sentence B, the term is used to describe a complication of subarachnoid hemorrhage, specifically diffuse cerebral vasospasm, which results in ischemic condition and leads to altered mentality, motor or speech impairment, and eventually paraplegia. The shift in meaning is significant, as the term no longer refers to a specific genetic disorder but rather a symptom of a different medical condition." 37,Paraplegia,"A rule-based control and its application in functional electrical stimulation (FES) assisted walking of subjects with paraplegia are described in this paper. The design of rules for control comprises the following two steps: (1) determination of muscle activation patterns by using a fully customized spatial (3D) model of paraplegic walking, and (2) learning of rules, that is, correlation between the muscle activation patterns and kinematics of walking by means of an artificial neural network. The adopted FES system activated eight muscle groups with surface electrodes. The only joints allowing movement in the coronal plane were the hips, and externally controlled joints in sagittal plane were ankles, knees and hips. The simulation minimized the tracking error of the joint angles and the total activation of all eight muscles being stimulated. A radial-basis function artificial neural network was applied for learning of rules. Three automatically controlled modes (slow, near-normal, and near-ballistic) and hand-controlled walking were evaluated in six subjects with a complete spinal cord lesion (T8-T10). The performance of walking was assessed by the following: (1) energy consumption based on oxygen uptake, (2) physiological cost index, (3) maximum speed of walking, and (4) a questionnaire. The results showed that all modes of walking are achievable and that automatic control leads to more efficient and faster walking. The speed of walking achieved by automatic control was almost three times bigger compared with the speed of hand-controlled walking. The energy cost and rate decreased significantly when automatic control was applied; yet, they were still much bigger than the values measured in able-bodied subjects. The objective outcome measures suggest that the near-ballistic walking was the most effective, yet a questionnaire shows that most subjects preferred slow walking. The most likely reason for the preference of lower efficiency walking over the faster end energy efficient near-ballistic walking was that paraplegic patients had difficulties in synchronizing the voluntary movement of the trunk and arms to the artificially controlled movements of legs.","At least 25 genes, many involved in trafficking, localisation or shaping of membrane organelles, have been identified as causative genes for the neurodegenerative disorder hereditary spastic paraplegia (HSP). One of the most commonly mutated HSP genes, atlastin-1, encodes a dynamin-like GTPase that mediates homotypic fusion of endoplasmic reticulum (ER) membranes. However, the molecular mechanisms of atlastin-1-related membrane fusion and axonopathy remain unclear. To better understand its mode of action, we used affinity purification coupled with mass spectrometry to identify protein interactors of atlastin in Drosophila. Analysis of 72 identified proteins revealed that the atlastin interactome contains many proteins involved in protein processing and transport, in addition to proteins with roles in mRNA binding, metabolism and mitochondrial proteins. The highest confidence interactor from mass spectrometry analysis, the ubiquitin-selective AAA-ATPase valosin-containing protein (VCP), was validated as an atlastin-interacting protein, and VCP and atlastin showed overlapping subcellular distributions. Furthermore, VCP acted as a genetic modifier of atlastin: loss of VCP partially suppressed an eye phenotype caused by atlastin overexpression, whereas overexpression of VCP enhanced this phenotype. These interactions between atlastin and VCP suggest a functional relationship between these two proteins, and point to potential shared mechanisms between HSP and other forms of neurodegeneration. ","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Paraplegia Sentence A: A rule-based control and its application in functional electrical stimulation (FES) assisted walking of subjects with paraplegia are described in this paper. The design of rules for control comprises the following two steps: (1) determination of muscle activation patterns by using a fully customized spatial (3D) model of paraplegic walking, and (2) learning of rules, that is, correlation between the muscle activation patterns and kinematics of walking by means of an artificial neural network. The adopted FES system activated eight muscle groups with surface electrodes. The only joints allowing movement in the coronal plane were the hips, and externally controlled joints in sagittal plane were ankles, knees and hips. The simulation minimized the tracking error of the joint angles and the total activation of all eight muscles being stimulated. A radial-basis function artificial neural network was applied for learning of rules. Three automatically controlled modes (slow, near-normal, and near-ballistic) and hand-controlled walking were evaluated in six subjects with a complete spinal cord lesion (T8-T10). The performance of walking was assessed by the following: (1) energy consumption based on oxygen uptake, (2) physiological cost index, (3) maximum speed of walking, and (4) a questionnaire. The results showed that all modes of walking are achievable and that automatic control leads to more efficient and faster walking. The speed of walking achieved by automatic control was almost three times bigger compared with the speed of hand-controlled walking. The energy cost and rate decreased significantly when automatic control was applied; yet, they were still much bigger than the values measured in able-bodied subjects. The objective outcome measures suggest that the near-ballistic walking was the most effective, yet a questionnaire shows that most subjects preferred slow walking. The most likely reason for the preference of lower efficiency walking over the faster end energy efficient near-ballistic walking was that paraplegic patients had difficulties in synchronizing the voluntary movement of the trunk and arms to the artificially controlled movements of legs. Sentence B: At least 25 genes, many involved in trafficking, localisation or shaping of membrane organelles, have been identified as causative genes for the neurodegenerative disorder hereditary spastic paraplegia (HSP). One of the most commonly mutated HSP genes, atlastin-1, encodes a dynamin-like GTPase that mediates homotypic fusion of endoplasmic reticulum (ER) membranes. However, the molecular mechanisms of atlastin-1-related membrane fusion and axonopathy remain unclear. To better understand its mode of action, we used affinity purification coupled with mass spectrometry to identify protein interactors of atlastin in Drosophila. Analysis of 72 identified proteins revealed that the atlastin interactome contains many proteins involved in protein processing and transport, in addition to proteins with roles in mRNA binding, metabolism and mitochondrial proteins. The highest confidence interactor from mass spectrometry analysis, the ubiquitin-selective AAA-ATPase valosin-containing protein (VCP), was validated as an atlastin-interacting protein, and VCP and atlastin showed overlapping subcellular distributions. Furthermore, VCP acted as a genetic modifier of atlastin: loss of VCP partially suppressed an eye phenotype caused by atlastin overexpression, whereas overexpression of VCP enhanced this phenotype. These interactions between atlastin and VCP suggest a functional relationship between these two proteins, and point to potential shared mechanisms between HSP and other forms of neurodegeneration. ###Answer 1. Changed Explanation: The target word ""paraplegia"" has undergone a significant change in meaning between the two sentences. In Sentence A, the term is used to describe a specific type of assistive technology for individuals with paralysis, focusing on the design of rules for control and the use of artificial neural networks to learn the relationship between muscle activation patterns and kinematics of walking. In contrast, in Sentence B, the term is used to describe a genetic disorder causing hereditary spastic paraplegia, with a focus on the identification of causative genes and the molecular mechanisms underlying axonopathy. The shift in meaning is evident from the context and the keywords associated with the term. In Sentence A, the term is used in the context of assistive technology and the design of rules for control, indicating a focus on the functional abilities of individuals with paralysis. In Sentence B, the term is used to describe a genetic disorder, highlighting the underlying biological mechanisms and the impact on the functioning of the nervous system. The keywords associated with the term in each sentence also reflect these differences, with Sentence A emphasizing ""control,"" ""neural networks,"" and ""walking,"" while Sentence B emphasizes ""genes,"" ""membrane organelles,"" and ""axonopathy."" Therefore, based on the differences in context and meaning, it can be concluded that the target word ""paraplegia"" has undergone a significant change in meaning between Sentence A and Sentence B, warranting the label ""Changed.""" 38,Paraplegia,"This review summarizes advances in understanding the genetics of the hereditary spastic paraplegias (HSPs), a diverse group of inherited disorders in which the primary symptom is insidiously progressive difficulty walking due to lower extremity spastic weakness. Twenty HSP loci and nine HSP genes have been discovered. This progress has yielded new insights into the diverse molecular pathogenesis that underlies these clinically similar disorders.","Pyogenic spinal epidural abscess Is an uncommon Infectious occurrence. Clinical prospects of pyogenic spinal epidural abscess are graver if not promptly diagnosed and treated appropriately. A case of spinal epidural abscess has been presented with sinus tract formation at L4-L5 level, of pyogenic aetiology that progressed to paraplegia over the course of the disease. MRI pointed towards an epidural abscess extending from T12 vertebral level to S1 vertebral level. Surgical decompression in the form of laminectomy and evacuation of pus was done and antibiotics were given according to culture and sensitivity. Histopathological analysis revealed the acute suppurative nature of the abscess. Citrobacter kasori was isolated on pus culture. Pyogenic epidural abscess with causative organism being Citrobacter kasori has least been documented.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Paraplegia Sentence A: This review summarizes advances in understanding the genetics of the hereditary spastic paraplegias (HSPs), a diverse group of inherited disorders in which the primary symptom is insidiously progressive difficulty walking due to lower extremity spastic weakness. Twenty HSP loci and nine HSP genes have been discovered. This progress has yielded new insights into the diverse molecular pathogenesis that underlies these clinically similar disorders. Sentence B: Pyogenic spinal epidural abscess Is an uncommon Infectious occurrence. Clinical prospects of pyogenic spinal epidural abscess are graver if not promptly diagnosed and treated appropriately. A case of spinal epidural abscess has been presented with sinus tract formation at L4-L5 level, of pyogenic aetiology that progressed to paraplegia over the course of the disease. MRI pointed towards an epidural abscess extending from T12 vertebral level to S1 vertebral level. Surgical decompression in the form of laminectomy and evacuation of pus was done and antibiotics were given according to culture and sensitivity. Histopathological analysis revealed the acute suppurative nature of the abscess. Citrobacter kasori was isolated on pus culture. Pyogenic epidural abscess with causative organism being Citrobacter kasori has least been documented. ###Answer 1. Changed Reasoning: The target word ""paraplegia"" has undergone a significant change in meaning between Sentence A (2000) and Sentence B (2020). In Sentence A, ""paraplegia"" refers to a group of inherited disorders characterized by progressive weakness in the lower extremities, while in Sentence B, ""paraplegia"" specifically refers to a pyogenic spinal epidural abscess that progressed to paralysis. This shift in meaning indicates semantic drift has occurred." 39,Paraplegia,To describe two cases in which intraoperative monitoring of neurogenic 'motor' evoked potentials (NMEPs) did not identify a spinal cord injury that resulted in paraplegia.,"The surgical treatment for thoracic and thoraco-abdominal aortic aneurysms still remains a challenge for the surgeon, as it can be complicated by paraplegia. Several techniques were developed in order to decrease the risk of paraplegia. We describe a surgical variation of the 'clamp and sew' technique, named 'Quick simple clamping' technique, that we adopted starting in 1995. In our experience, it has allowed us to eliminate paraplegia. This technique was developed on the basis of anatomical, patho-physiological and fluid-dynamic studies which demonstrated that the anterior spinal artery (ASA) is not interrupted, the arteria radicularis magna is not a terminal artery and the sacrifice of intercostal arteries does not lead to an increasing risk of spinal cord ischemia. ","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Paraplegia Sentence A: To describe two cases in which intraoperative monitoring of neurogenic 'motor' evoked potentials (NMEPs) did not identify a spinal cord injury that resulted in paraplegia. Sentence B: The surgical treatment for thoracic and thoraco-abdominal aortic aneurysms still remains a challenge for the surgeon, as it can be complicated by paraplegia. Several techniques were developed in order to decrease the risk of paraplegia. We describe a surgical variation of the 'clamp and sew' technique, named 'Quick simple clamping' technique, that we adopted starting in 1995. In our experience, it has allowed us to eliminate paraplegia. This technique was developed on the basis of anatomical, patho-physiological and fluid-dynamic studies which demonstrated that the anterior spinal artery (ASA) is not interrupted, the arteria radicularis magna is not a terminal artery and the sacrifice of intercostal arteries does not lead to an increasing risk of spinal cord ischemia. ###Answer 1. Changed Reasoning: The meaning of the word ""paraplegia"" has shifted significantly between Sentence A and Sentence B. In Sentence A, the word is used to describe a spinal cord injury that results in paralysis of the lower limbs, which is a neurological condition. In Sentence B, the word is used to describe a surgical technique aimed at preventing paraplegia during the treatment of thoracic and thoraco-abdominal aortic aneurysms. The word has taken on a different meaning, focusing on a medical procedure rather than a neurological condition. Therefore, the label ""Changed"" is appropriate." 40,Paraplegia,"Renal failure is relatively common, but except in association with spina bifida or paraplegia it is unlikely to occur as a result of disease of the CNS. Renal failure, however, commonly affects the nervous system. The effects of kidney failure on the nervous system are more pronounced when failure is acute. In addition to the important problems related to renal failure there are both acquired and genetically determined diseases which may affect the kidney and the brain. Those acquired diseases include the vasculitides, the paraproteinaemias, and various granulomatous conditions (considered in other chapters of Neurology and Medicine). In two of the most commonly encountered genetically determined diseases, Von Hippel-Lindau disease and polycystic kidney disease, location of pathogenic mutations will provide improved screening programmes and, possibly, allow therapeutic intervention. Uraemia may affect both the central and peripheral nervous systems. Whereas the clinical features of uraemia are well documented, the pathophysiology is less well understood and probably multifactorial. Uraemic encephalopathy, which classically fluctuates, is associated with problems in cognition and memory and may progress to delirium, convulsions, and coma. The encephalopathy may initially worsen with periods of dialysis and almost certainly relates to altered metabolic states in association with ionic changes and possibly impaired synaptic function. Renal failure may affect the peripheral nervous system, resulting in a neuropathy which shows a predilection for large diameter axons. This may be reversed by dialysis and transplantation. The myopathy seen in renal failure, often associated with bone pain and tenderness, is similar to that encountered in primary hyperparathyroidism and osteomalacia. Dialysis itself is associated with neurological syndromes including the dysequilibrium syndrome, subdural haematoma, and Wernicke's encephalopathy. Dialysis dementia, which was prevalent during the 1970s, has reduced in frequency with the use of aluminium free dialysate. With the introduction of transplantation and the concomitant use of powerful immunosuppressive drugs, the pattern of neurological problems encountered in renal replacement therapy has shifted. Five per cent of patients develop nerve injuries during renal transplantation, and up to 40% of patients experience neurological side effects from cyclosporine. Furthermore, CNS infections, often fungal in type, have been reported in up to 45% of transplant patients coming to postmortem. The nature of the involvement of neurologists with their nephrology colleagues is therefore evolving.","We present a case of a 62-year-old female was admitted with complaints of slowly developing paraplegia ascending from the distal portions, and a 7-month history of recto-urinary dysfunction. T2-weighted magnetic resonanse imaging (MRI) of the spinal cord showed hyperintense lesions in the thoracic and sacral cord. Multiple sclerosis was assumed, and steroid pulse therapy was therefore administered: this temporarily improved the symptoms and imaging findings. However, the symptoms recurred in 2 months. The patient died after ineffective steroid therapy. Large B-cell lymphoma cells were identified on bone marrow biopsy. Macroscopic neuropathology revealed neoplastic cells in the blood vessels of the cauda equina. Paraplegia appeared to have developed slowly and in a non-stepwise manner, since the cauda equina has been gradually invaded by intravascular malignant lymphomatosis.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Paraplegia Sentence A: Renal failure is relatively common, but except in association with spina bifida or paraplegia it is unlikely to occur as a result of disease of the CNS. Renal failure, however, commonly affects the nervous system. The effects of kidney failure on the nervous system are more pronounced when failure is acute. In addition to the important problems related to renal failure there are both acquired and genetically determined diseases which may affect the kidney and the brain. Those acquired diseases include the vasculitides, the paraproteinaemias, and various granulomatous conditions (considered in other chapters of Neurology and Medicine). In two of the most commonly encountered genetically determined diseases, Von Hippel-Lindau disease and polycystic kidney disease, location of pathogenic mutations will provide improved screening programmes and, possibly, allow therapeutic intervention. Uraemia may affect both the central and peripheral nervous systems. Whereas the clinical features of uraemia are well documented, the pathophysiology is less well understood and probably multifactorial. Uraemic encephalopathy, which classically fluctuates, is associated with problems in cognition and memory and may progress to delirium, convulsions, and coma. The encephalopathy may initially worsen with periods of dialysis and almost certainly relates to altered metabolic states in association with ionic changes and possibly impaired synaptic function. Renal failure may affect the peripheral nervous system, resulting in a neuropathy which shows a predilection for large diameter axons. This may be reversed by dialysis and transplantation. The myopathy seen in renal failure, often associated with bone pain and tenderness, is similar to that encountered in primary hyperparathyroidism and osteomalacia. Dialysis itself is associated with neurological syndromes including the dysequilibrium syndrome, subdural haematoma, and Wernicke's encephalopathy. Dialysis dementia, which was prevalent during the 1970s, has reduced in frequency with the use of aluminium free dialysate. With the introduction of transplantation and the concomitant use of powerful immunosuppressive drugs, the pattern of neurological problems encountered in renal replacement therapy has shifted. Five per cent of patients develop nerve injuries during renal transplantation, and up to 40% of patients experience neurological side effects from cyclosporine. Furthermore, CNS infections, often fungal in type, have been reported in up to 45% of transplant patients coming to postmortem. The nature of the involvement of neurologists with their nephrology colleagues is therefore evolving. Sentence B: We present a case of a 62-year-old female was admitted with complaints of slowly developing paraplegia ascending from the distal portions, and a 7-month history of recto-urinary dysfunction. T2-weighted magnetic resonanse imaging (MRI) of the spinal cord showed hyperintense lesions in the thoracic and sacral cord. Multiple sclerosis was assumed, and steroid pulse therapy was therefore administered: this temporarily improved the symptoms and imaging findings. However, the symptoms recurred in 2 months. The patient died after ineffective steroid therapy. Large B-cell lymphoma cells were identified on bone marrow biopsy. Macroscopic neuropathology revealed neoplastic cells in the blood vessels of the cauda equina. Paraplegia appeared to have developed slowly and in a non-stepwise manner, since the cauda equina has been gradually invaded by intravascular malignant lymphomatosis. ###Answer 1. Changed The meaning of ""paraplegia"" has shifted significantly between the two sentences. In Sentence A, it is described as a relatively common condition associated with spina bifida or other conditions affecting the spine. In Sentence B, it is described as a symptom of a neurodegenerative disorder, specifically multiple sclerosis, and the condition has progressed to the point of death. The word's connotation has also changed, as it is now associated with a serious and potentially fatal disease. Therefore, the label ""Changed"" is appropriate." 41,Paraplegia,"The psychological perspective of disability views the extent of disability as substantially determined by the availability of essential resources in the physical and social environments of people with disabilities. This article reports the findings of a study of the post-hospital adjustment of individuals treated for injuries that produced paraplegia or quadriplegia. Comparisons of emotional and social adjustments were made between groups of respondents contrasted by size of community, independent living vs. physical dependence, employment status, and degree of social interaction. Resultant data documented the critical importance of these ecological variables. Practice implications of the findings are discussed.","We report the clinical, structural, functional and genetic characterization of a 37-year-old Caucasian female, presenting as a sporadic case of complicated spastic paraplegia with thin corpus callosum (CC), cognitive impairment, amyotrophy of the hand muscles and a sensorimotor neuropathy and review the literature for spastic paraplegia with thin CC. Magnetic resonance imaging (MRI) examination revealed a thin CC with fronto-parietal cortical atrophy. 18Fluordesoxyglucose positron emission tomography (FDG-PET) showed reduced cortical and thalamic metabolism. By transcranial magnetic stimulation, we delineated a severe impairment of transcallosal inhibition. Sequence analysis did not reveal disease causing mutations in the genes SLC12A6 (Andermann), Spastin (SPG 4), BSCL2 (SPG 17) and Spartin (SPG 20). We reviewed the literature for HSP with thin CC and found 113 HSP patients with thin CC previously described (35 with linkage to chromosome 15q13-15). Thin CC and peripheral neuropathy often appear together in spastic paraplegia and might be indicative for combined degeneration mechanism of central and peripheral axons.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Paraplegia Sentence A: The psychological perspective of disability views the extent of disability as substantially determined by the availability of essential resources in the physical and social environments of people with disabilities. This article reports the findings of a study of the post-hospital adjustment of individuals treated for injuries that produced paraplegia or quadriplegia. Comparisons of emotional and social adjustments were made between groups of respondents contrasted by size of community, independent living vs. physical dependence, employment status, and degree of social interaction. Resultant data documented the critical importance of these ecological variables. Practice implications of the findings are discussed. Sentence B: We report the clinical, structural, functional and genetic characterization of a 37-year-old Caucasian female, presenting as a sporadic case of complicated spastic paraplegia with thin corpus callosum (CC), cognitive impairment, amyotrophy of the hand muscles and a sensorimotor neuropathy and review the literature for spastic paraplegia with thin CC. Magnetic resonance imaging (MRI) examination revealed a thin CC with fronto-parietal cortical atrophy. 18Fluordesoxyglucose positron emission tomography (FDG-PET) showed reduced cortical and thalamic metabolism. By transcranial magnetic stimulation, we delineated a severe impairment of transcallosal inhibition. Sequence analysis did not reveal disease causing mutations in the genes SLC12A6 (Andermann), Spastin (SPG 4), BSCL2 (SPG 17) and Spartin (SPG 20). We reviewed the literature for HSP with thin CC and found 113 HSP patients with thin CC previously described (35 with linkage to chromosome 15q13-15). Thin CC and peripheral neuropathy often appear together in spastic paraplegia and might be indicative for combined degeneration mechanism of central and peripheral axons. ###Answer 1. Changed Reasoning: The meaning of ""paraplegia"" has shifted significantly between Sentence A (2000) and Sentence B (2020). In Sentence A, the term is used in the context of a study on the post-hospital adjustment of individuals with injuries resulting in paraplegia or quadriplegia. The focus is on the psychological and social impact of the injury. In contrast, in Sentence B, the term is used to describe a specific type of spastic paraplegia with thin corpus callosum, cognitive impairment, and other neurological symptoms. The emphasis is on the clinical and genetic characterization of the condition. Therefore, the meaning of ""paraplegia"" has changed from a psychological perspective to a clinical and genetic one." 42,Paraplegia,"Neurogenic bowel in spinal cord injury (SCI) can present with constipation and diarrhea as ongoing problems. Usually, these manifestations are adequately controlled with modification in the bowel program. When these symptoms persist, other causes should be considered. This case report describes a jejunal carcinoid tumor with colonic extension that was diagnosed in a paraplegic patient with persistent constipation and diarrhea. A 39-year-old man sustained a T1 paraplegia with neurogenic bowel and bladder dysfunction from a gunshot wound. His bowels were initially managed adequately with digital disimpaction. Over the next 8 years, he had intermittent constipation that was managed with the addition of various suppositories. He then developed progressively worsening constipation, and other gastrointestinal (GI) symptoms. Although his symptoms initially resolved with medical management, the constipation worsened. Upper endoscopy revealed a submucosal bulge in the duodenal bulb. A month later, gallstones were found on renal ultrasound performed to evaluate recurrent urinary tract infections. He underwent cholecystectomy, but his GI symptoms persisted over the next several months. Repeat upper endoscopy subsequently revealed an ulcerated tumor at the duodenojejunal flexure. An upper-GI scan with small bowel follow through showed a proximal jejunal mass. The patient underwent laparotomy with resection of the mass. Final pathologic diagnosis was malignant carcinoid tumor. This case shows the importance of entertaining other clinical entities in patients with SCI when constipation and diarrhea persist despite adequate management.","Recessive ataxias are a heterogeneous group of diseases. We identified a group of 23 French-Canadian cases belonging to 17 families affected by an autosomal recessive spastic ataxia associated with frequent white matter changes. The fact that 59% of these families have a genealogical relationship to the Portneuf County of Quebec suggests that this is a new form of ataxia with a regional founder effect. All cases present with cerebellar ataxia and spasticity. There is great intrafamilial and interfamilial variability, as illustrated by the spectrum of age of diagnosis (range: 2-59 years, mean: 15.0) and the presence of white matter changes on MRI in 52.4% of cases. The more severe cases have spasticity from birth, scoliosis, dystonia and cognitive impairment and were considered cases of cerebral palsy. Brain MRI constantly shows cerebellar atrophy, which in some cases may be associated with cortical atrophy, leucoencephalopathy and corpus callosum thinning. A genome wide scan uncovered linkage of three families to marker D2S2321 localized on chromosome 2q33-34. Linkage analysis confirmed that all families are linked to the same region [multipoint log of the odds (LOD) score of 5.95]. Haplotype analysis and allele sharing suggest that one common mutation may account for 97% of carrier chromosomes in Quebec. The uncovering of the mutated gene may point to a common pathway for pyramidal and cerebellar degeneration as both are often observed in recessive ataxias and complicated paraplegias.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Paraplegia Sentence A: Neurogenic bowel in spinal cord injury (SCI) can present with constipation and diarrhea as ongoing problems. Usually, these manifestations are adequately controlled with modification in the bowel program. When these symptoms persist, other causes should be considered. This case report describes a jejunal carcinoid tumor with colonic extension that was diagnosed in a paraplegic patient with persistent constipation and diarrhea. A 39-year-old man sustained a T1 paraplegia with neurogenic bowel and bladder dysfunction from a gunshot wound. His bowels were initially managed adequately with digital disimpaction. Over the next 8 years, he had intermittent constipation that was managed with the addition of various suppositories. He then developed progressively worsening constipation, and other gastrointestinal (GI) symptoms. Although his symptoms initially resolved with medical management, the constipation worsened. Upper endoscopy revealed a submucosal bulge in the duodenal bulb. A month later, gallstones were found on renal ultrasound performed to evaluate recurrent urinary tract infections. He underwent cholecystectomy, but his GI symptoms persisted over the next several months. Repeat upper endoscopy subsequently revealed an ulcerated tumor at the duodenojejunal flexure. An upper-GI scan with small bowel follow through showed a proximal jejunal mass. The patient underwent laparotomy with resection of the mass. Final pathologic diagnosis was malignant carcinoid tumor. This case shows the importance of entertaining other clinical entities in patients with SCI when constipation and diarrhea persist despite adequate management. Sentence B: Recessive ataxias are a heterogeneous group of diseases. We identified a group of 23 French-Canadian cases belonging to 17 families affected by an autosomal recessive spastic ataxia associated with frequent white matter changes. The fact that 59% of these families have a genealogical relationship to the Portneuf County of Quebec suggests that this is a new form of ataxia with a regional founder effect. All cases present with cerebellar ataxia and spasticity. There is great intrafamilial and interfamilial variability, as illustrated by the spectrum of age of diagnosis (range: 2-59 years, mean: 15.0) and the presence of white matter changes on MRI in 52.4% of cases. The more severe cases have spasticity from birth, scoliosis, dystonia and cognitive impairment and were considered cases of cerebral palsy. Brain MRI constantly shows cerebellar atrophy, which in some cases may be associated with cortical atrophy, leucoencephalopathy and corpus callosum thinning. A genome wide scan uncovered linkage of three families to marker D2S2321 localized on chromosome 2q33-34. Linkage analysis confirmed that all families are linked to the same region [multipoint log of the odds (LOD) score of 5.95]. Haplotype analysis and allele sharing suggest that one common mutation may account for 97% of carrier chromosomes in Quebec. The uncovering of the mutated gene may point to a common pathway for pyramidal and cerebellar degeneration as both are often observed in recessive ataxias and complicated paraplegias. ###Answer 1. Changed Reasoning: The target word ""paraplegia"" has undergone a significant change in meaning between the two sentences. In Sentence A, the word is used to describe a patient with neurogenic bowel and bladder dysfunction resulting from a spinal cord injury. The focus is on the patient's medical condition and the management of their symptoms. In Sentence B, the word is used to describe a group of individuals with an autosomal recessive spastic ataxia associated with frequent white matter changes. The focus is on the genetic basis of the disease and the identification of a new form of ataxia. The word is used in a different context and has a different connotation than in Sentence A. Therefore, the label ""Changed"" is appropriate to indicate that the meaning of the target word has shifted significantly between the two sentences." 43,Paraplegia,"Acute paraplegia from an aortic occlusion or dissection is a surgical emergency. Prompt recognition and treatment may mitigate irreversible spinal cord injury. Aortography is commonly used when an aortic lesion is suspected as the cause of acute paraplegia. Transesophageal echocardiography is becoming increasingly used for the evaluation of aorta, diagnosing aortic dissection promptly at the bedside, and was able to define the cause of the spinal cord ischemia.","A pressure-related deep tissue injury (DTI) is a severe pressure ulcer, which initiates in muscle tissue overlying a bony prominence (e.g. the ischial tuberosities, IT) and progresses outwards through fat and skin, unnoticed by the paralyzed patient. We recently showed that internal strains and stresses in muscle and fat of individuals at anatomical sites susceptible to DTI can be evaluated by integrating Open-MRI scans with subject-specific finite element (FE) analyzes (Linder-Ganz et al., Journal of Biomechanics, 2007); however, sub-dermal soft tissue strains/stresses from paraplegics are still missing in literature. We hypothesize that the pathoanatomy of the buttocks in paraplegia increases the internal soft tissue loads under the IT, making these patients inherently susceptible to DTI. We hence compared the strain and stress peaks in the gluteus muscle and fat tissues under the IT of six healthy and six paraplegic patients, using the coupled MRI-FE method. Peak principal compression, principal tension, von Mises and shear strains in the gluteus were 1.2-, 3.1-, 1.4- and 1.4-fold higher in paraplegics than in healthy, respectively (p<0.02). Likewise, peak principal compression, principal tension, von Mises and shear stresses in the gluteus were 1.9-, 2.5-, 2.1- and 1.7-fold higher for the paraplegics (p<0.05). Peak gluteal compression and shear stresses decreased by as much as 70% when the paraplegic patients moved from a sitting to a lying posture, indicating on the effectiveness of recommending such patients to lie down after prolonged periods of sitting. This is the first attempt to compare internal soft tissue loads between paraplegic and healthy subjects, using an objective standardized bioengineering method of analysis. The findings support our hypothesis that internal tissue loads are significantly higher in paraplegics, and that postural changes significantly affect these loads. The method of analysis is useful for quantifying the effectiveness of various interventions to alleviate sub-dermal tissue loads at sites susceptible to pressure ulcers and DTI, including cushions, mattresses, recommendations for posture and postural changes, etc.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Paraplegia Sentence A: Acute paraplegia from an aortic occlusion or dissection is a surgical emergency. Prompt recognition and treatment may mitigate irreversible spinal cord injury. Aortography is commonly used when an aortic lesion is suspected as the cause of acute paraplegia. Transesophageal echocardiography is becoming increasingly used for the evaluation of aorta, diagnosing aortic dissection promptly at the bedside, and was able to define the cause of the spinal cord ischemia. Sentence B: A pressure-related deep tissue injury (DTI) is a severe pressure ulcer, which initiates in muscle tissue overlying a bony prominence (e.g. the ischial tuberosities, IT) and progresses outwards through fat and skin, unnoticed by the paralyzed patient. We recently showed that internal strains and stresses in muscle and fat of individuals at anatomical sites susceptible to DTI can be evaluated by integrating Open-MRI scans with subject-specific finite element (FE) analyzes (Linder-Ganz et al., Journal of Biomechanics, 2007); however, sub-dermal soft tissue strains/stresses from paraplegics are still missing in literature. We hypothesize that the pathoanatomy of the buttocks in paraplegia increases the internal soft tissue loads under the IT, making these patients inherently susceptible to DTI. We hence compared the strain and stress peaks in the gluteus muscle and fat tissues under the IT of six healthy and six paraplegic patients, using the coupled MRI-FE method. Peak principal compression, principal tension, von Mises and shear strains in the gluteus were 1.2-, 3.1-, 1.4- and 1.4-fold higher in paraplegics than in healthy, respectively (p<0.02). Likewise, peak principal compression, principal tension, von Mises and shear stresses in the gluteus were 1.9-, 2.5-, 2.1- and 1.7-fold higher for the paraplegics (p<0.05). Peak gluteal compression and shear stresses decreased by as much as 70% when the paraplegic patients moved from a sitting to a lying posture, indicating on the effectiveness of recommending such patients to lie down after prolonged periods of sitting. This is the first attempt to compare internal soft tissue loads between paraplegic and healthy subjects, using an objective standardized bioengineering method of analysis. The findings support our hypothesis that internal tissue loads are significantly higher in paraplegics, and that postural changes significantly affect these loads. The method of analysis is useful for quantifying the effectiveness of various interventions to alleviate sub-dermal tissue loads at sites susceptible to pressure ulcers and DTI, including cushions, mattresses, recommendations for posture and postural changes, etc. ###Answer 1. Changed Reasoning: The target word ""paraplegia"" has undergone a significant change in meaning or connotation between the two sentences. In Sentence A, ""paraplegia"" is used to describe a medical emergency where prompt treatment may mitigate irreversible spinal cord injury. In Sentence B, ""paraplegia"" is used to describe a pressure-related deep tissue injury, which is a different medical condition altogether. The word's meaning has shifted from a medical emergency to a specific type of injury. Therefore, the label ""Changed"" is appropriate." 44,Paraplegia,This is a retrospective review of clinical records for evidence of paraplegia specifically resulting from segmental vessel ligation during anterior spinal surgery.,To examine the relationship between psychologic cues of somatic stress and physiologic responses to exercise in persons with paraplegia and tetraplegia.,"###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Paraplegia Sentence A: This is a retrospective review of clinical records for evidence of paraplegia specifically resulting from segmental vessel ligation during anterior spinal surgery. Sentence B: To examine the relationship between psychologic cues of somatic stress and physiologic responses to exercise in persons with paraplegia and tetraplegia. ###Answer 1. Changed Explanation: In Sentence A, the term ""paraplegia"" is used in the context of surgical intervention for spinal cord injury. The meaning of the term is focused on the medical condition itself, with connotations of severity and disability. In Sentence B, the term ""paraplegia"" is used in the context of a research study on the physiological responses of individuals with spinal cord injuries, including those with paraplegia and tetraplegia. The meaning of the term has shifted to encompass a broader range of conditions, including those that may not be as severe or disabling as the original medical condition. The term now connotes a broader range of conditions, including those with varying levels of severity and disability. Therefore, the meaning of the term ""paraplegia"" has undergone semantic drift between the two sentences, and the label ""Changed"" is appropriate." 45,Paraplegia,"This paper evaluates the influence of age on bladder rehabilitation and the incidence of secondary changes in the urinary tract with long standing paraplegia and tetraplegia and its consequences for the elderly patient. It demonstrates that age makes bladder rehabilitation in these patients more difficult, because of the decreased ability of the elderly to cope with the new situation, of pre-existing factors interfering with micturition like benign prostatic hyperplasia and cystocele and because of a delayed and at the end sometimes weak detrusor reflect activity. Long standing paraplegia is characterised by a high percentage of secondary structural changes in the lower urinary tract, especially at the bladder outlet. Once these changes are established the outflow resistance is further increased. These findings stress the need for early adequate management of the functional outflow obstruction based on careful urodynamic evaluation, before secondary structural changes occur. In this connection it is pointed out, that passive voiding by abdominal straining or by the Crede technique may cause unphysiologically high intravesical and intra-abdominal pressures and should then be replaced by intermittent catheterisation.","The application of endovascular devices for the treatment of a variety of thoracic aortic lesions has flourished worldwide over the past decade. Until physicians become facile with recently approved thoracic devices and these devices are immediately available even in emergency situations, the use of endovascular abdominal components offers physicians more options in managing thoracic lesions. We evaluated the safety, efficacy, and outcomes of commercially available, infrarenal endovascular graft components for managing lesions of the thoracic aorta. Nineteen patients were treated outside of a clinical trial using commercially available endovascular devices. The indications for treatment included acute traumatic lesions (n = 7), symptomatic ulcers (n = 4), focal aneurysms or pseudoaneurysms (n = 7), and symptomatic type B dissection (n = 1). The endovascular components included Excluder Aortic Cuffs (n = 9), AneuRx Aortic Cuffs (n = 5), Zenith Aortic Cuffs (n = 2), Zenith Aortic Tube Grafts (n = 2), and graft combinations (n = 1). Seventeen patients (89%) underwent successful endovascular treatment of their thoracic lesion. One patient required elective surgical conversion, and a second patient had a dissection that was not completely sealed endovascularly. There was no periprocedural mortality, and the major complication rate was 16% (3/19). Two patients had asymptomatic troponin leaks, and one patient developed an iliac rupture at the device introduction site, hypotension, and paraplegia. At a mean follow-up of 12.3 months, all successfully treated patients continue to have complete exclusion of the treated lesion. Infrarenal endovascular graft components can be very useful in the treatment of selected patients with amenable thoracic lesions until thoracic devices are available in all necessary sizes, readily accessible to treating physicians, and cost-effective.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Paraplegia Sentence A: This paper evaluates the influence of age on bladder rehabilitation and the incidence of secondary changes in the urinary tract with long standing paraplegia and tetraplegia and its consequences for the elderly patient. It demonstrates that age makes bladder rehabilitation in these patients more difficult, because of the decreased ability of the elderly to cope with the new situation, of pre-existing factors interfering with micturition like benign prostatic hyperplasia and cystocele and because of a delayed and at the end sometimes weak detrusor reflect activity. Long standing paraplegia is characterised by a high percentage of secondary structural changes in the lower urinary tract, especially at the bladder outlet. Once these changes are established the outflow resistance is further increased. These findings stress the need for early adequate management of the functional outflow obstruction based on careful urodynamic evaluation, before secondary structural changes occur. In this connection it is pointed out, that passive voiding by abdominal straining or by the Crede technique may cause unphysiologically high intravesical and intra-abdominal pressures and should then be replaced by intermittent catheterisation. Sentence B: The application of endovascular devices for the treatment of a variety of thoracic aortic lesions has flourished worldwide over the past decade. Until physicians become facile with recently approved thoracic devices and these devices are immediately available even in emergency situations, the use of endovascular abdominal components offers physicians more options in managing thoracic lesions. We evaluated the safety, efficacy, and outcomes of commercially available, infrarenal endovascular graft components for managing lesions of the thoracic aorta. Nineteen patients were treated outside of a clinical trial using commercially available endovascular devices. The indications for treatment included acute traumatic lesions (n = 7), symptomatic ulcers (n = 4), focal aneurysms or pseudoaneurysms (n = 7), and symptomatic type B dissection (n = 1). The endovascular components included Excluder Aortic Cuffs (n = 9), AneuRx Aortic Cuffs (n = 5), Zenith Aortic Cuffs (n = 2), Zenith Aortic Tube Grafts (n = 2), and graft combinations (n = 1). Seventeen patients (89%) underwent successful endovascular treatment of their thoracic lesion. One patient required elective surgical conversion, and a second patient had a dissection that was not completely sealed endovascularly. There was no periprocedural mortality, and the major complication rate was 16% (3/19). Two patients had asymptomatic troponin leaks, and one patient developed an iliac rupture at the device introduction site, hypotension, and paraplegia. At a mean follow-up of 12.3 months, all successfully treated patients continue to have complete exclusion of the treated lesion. Infrarenal endovascular graft components can be very useful in the treatment of selected patients with amenable thoracic lesions until thoracic devices are available in all necessary sizes, readily accessible to treating physicians, and cost-effective. ###Answer 1. Changed Reasoning: In Sentence A, the term ""paraplegia"" is used to describe a condition where the patient has a high percentage of secondary structural changes in the lower urinary tract, especially at the bladder outlet. This implies that the condition has progressed to a severe degree, resulting in a significant impact on the patient's quality of life. In Sentence B, the term ""paraplegia"" is used to describe the application of endovascular devices for the treatment of thoracic aortic lesions. Here, the term refers to the ease of use of these devices, rather than the severity of the condition. This suggests that the term has shifted in meaning to emphasize the convenience and accessibility of the devices, rather than the severity of the condition. Therefore, the label ""Changed"" is appropriate for this task." 46,Paraplegia,The authors report a patient with sickle cell anemia who suffered from paraplegia of 18 months duration due to spinal cord compression by a hemopoietic mass. Recovery following removal of the mass was complete.,"Study design:This is a systematic literature review.Objectives:Different types of orthoses have been developed to enable and facilitate ambulation in individuals with paraplegia. However, their effect on energy consumption while ambulating is not clear. The objective of this review was to compare the energy expenditure required to walk with these devices.Methods:Using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) method, and based on selected keywords and their composition according to the Population Intervention Comparison Outcome (PICO) method, a search was performed in Science Direct, Google Scholar, Scopus, Web of Knowledge and PubMed databases. The searches were restricted to papers published in the English language and were conducted during February 2014; the last access to the database was on 25 February 2014. A total of 24 articles were chosen for final evaluation.Results:Hybrid orthoses reduce energy consumption compared with mechanical orthoses when used for walking by paraplegic patients. The isocentric reciprocating gait orthosis has been shown to be more effective than other reciprocating orthoses in reducing energy consumption. Energy consumption when walking with powered orthoses (PO) and hybrid orthoses was also reduced compared with when walking with conventional orthoses.Conclusions:The hybrid orthoses and PO could be effective alternatives in rehabilitation for spinal cord injury patients to help improve the energy consumption.Spinal Cord advance online publication, 20 January 2015; doi:10.1038/sc.2014.227.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Paraplegia Sentence A: The authors report a patient with sickle cell anemia who suffered from paraplegia of 18 months duration due to spinal cord compression by a hemopoietic mass. Recovery following removal of the mass was complete. Sentence B: Study design:This is a systematic literature review.Objectives:Different types of orthoses have been developed to enable and facilitate ambulation in individuals with paraplegia. However, their effect on energy consumption while ambulating is not clear. The objective of this review was to compare the energy expenditure required to walk with these devices.Methods:Using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) method, and based on selected keywords and their composition according to the Population Intervention Comparison Outcome (PICO) method, a search was performed in Science Direct, Google Scholar, Scopus, Web of Knowledge and PubMed databases. The searches were restricted to papers published in the English language and were conducted during February 2014; the last access to the database was on 25 February 2014. A total of 24 articles were chosen for final evaluation.Results:Hybrid orthoses reduce energy consumption compared with mechanical orthoses when used for walking by paraplegic patients. The isocentric reciprocating gait orthosis has been shown to be more effective than other reciprocating orthoses in reducing energy consumption. Energy consumption when walking with powered orthoses (PO) and hybrid orthoses was also reduced compared with when walking with conventional orthoses.Conclusions:The hybrid orthoses and PO could be effective alternatives in rehabilitation for spinal cord injury patients to help improve the energy consumption.Spinal Cord advance online publication, 20 January 2015; doi:10.1038/sc.2014.227. ###Answer 1. Changed Reasoning: In Sentence A, the term ""paraplegia"" is used to describe a condition where a patient suffers from a spinal cord compression caused by a hemopoietic mass, resulting in 18 months of disability. The context suggests that the term was used to describe a medical condition that affects mobility and causes disability. In Sentence B, the term ""paraplegia"" is used to describe a condition where hybrid orthoses and powered orthoses can be effective alternatives in rehabilitation for spinal cord injury patients to help improve energy consumption. The context suggests that the term is used to describe a medical condition that affects mobility and energy consumption, but in a different context. The meaning of the term ""paraplegia"" has shifted in Sentence B, as it is now used to describe a condition that affects energy consumption, rather than just disability. Therefore, the label ""Changed"" is appropriate to indicate that the term has undergone a significant shift in meaning between the two sentences." 47,Paraplegia,"Thirty-seven patients with unstable thoracolumbar fractures and paraplegia were studied: 11 patients were given exclusively conservative treatment, 14 patients were treated conservatively after laminectomy with or without fusion, and 12 patients were treated with Harrington instrumentation. None of the 12 cases with complete paraparesis at admission to the hospital improved their neurological status. In patients with moderate and severe but not complete paraparesis one month after injury, the neurological improvement continued for several years and in many the neurological restitution was complete. There was no difference between the three treatment groups regarding the neurological improvement. A new Rehabilitation Index was constructed with special reference to paraplegic patients. One month after the injury the Rehabilitation Score in the Harrington group was considerably higher than in the other groups. After three months the score was equalized in the conservatively treated group and the Harrington group whereas the score of the laminectomy-fusion group remained lower as long as two years after injury. Thirty-two patients were followed-up two years after the injury. Irrespective of the treatment, 30 of 32 patients had reached their maximal ADL scores at the follow-up. In 19 patients the bladder function was satisfactory. Eleven patients could walk independently. Twelve patients used wheel-chairs. Twenty-eight patients managed outdoor transportation without help. Twenty-four patients (75 per cent) had returned to work. Complaints about back deformity, skin problems and pain at direct pressure over the fracture site were significantly more frequent in the conservative and laminectomy-fusion groups. The treatment with open reduction, fusion and stabilization with Harrington rods considerably reduced the immobilization and hospitalization time. The complications were few. - The Harrington operation resulted in an early rehabilitation, which is of great psychological importance for the patient. - Our study confirms the disadvantages of laminectomy followed by conservative treatment reported by other authors.","We herein report a case of a rare complication of spinal cord ischemia (SCI) following endovascular aneurysm repair (EVAR). Computed tomography showed stenosis and calcification of bilateral iliac arteries and a saccular aneurysm of the terminal aorta. Paraplegia occurred soon after balloon angioplasty of iliac arteries and EVAR. Cerebrospinal fluid drainage was not performed because the patient was on dual antiplatelet drugs. The patient was treated with intravenous methylpredonisolone and naloxone; however, this did not improve his paraplegia. SCI after EVAR is extremely rare and unpredictable complication, however, physicians should be aware of SCI after EVAR in patients with atherosclerosis.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Paraplegia Sentence A: Thirty-seven patients with unstable thoracolumbar fractures and paraplegia were studied: 11 patients were given exclusively conservative treatment, 14 patients were treated conservatively after laminectomy with or without fusion, and 12 patients were treated with Harrington instrumentation. None of the 12 cases with complete paraparesis at admission to the hospital improved their neurological status. In patients with moderate and severe but not complete paraparesis one month after injury, the neurological improvement continued for several years and in many the neurological restitution was complete. There was no difference between the three treatment groups regarding the neurological improvement. A new Rehabilitation Index was constructed with special reference to paraplegic patients. One month after the injury the Rehabilitation Score in the Harrington group was considerably higher than in the other groups. After three months the score was equalized in the conservatively treated group and the Harrington group whereas the score of the laminectomy-fusion group remained lower as long as two years after injury. Thirty-two patients were followed-up two years after the injury. Irrespective of the treatment, 30 of 32 patients had reached their maximal ADL scores at the follow-up. In 19 patients the bladder function was satisfactory. Eleven patients could walk independently. Twelve patients used wheel-chairs. Twenty-eight patients managed outdoor transportation without help. Twenty-four patients (75 per cent) had returned to work. Complaints about back deformity, skin problems and pain at direct pressure over the fracture site were significantly more frequent in the conservative and laminectomy-fusion groups. The treatment with open reduction, fusion and stabilization with Harrington rods considerably reduced the immobilization and hospitalization time. The complications were few. - The Harrington operation resulted in an early rehabilitation, which is of great psychological importance for the patient. - Our study confirms the disadvantages of laminectomy followed by conservative treatment reported by other authors. Sentence B: We herein report a case of a rare complication of spinal cord ischemia (SCI) following endovascular aneurysm repair (EVAR). Computed tomography showed stenosis and calcification of bilateral iliac arteries and a saccular aneurysm of the terminal aorta. Paraplegia occurred soon after balloon angioplasty of iliac arteries and EVAR. Cerebrospinal fluid drainage was not performed because the patient was on dual antiplatelet drugs. The patient was treated with intravenous methylpredonisolone and naloxone; however, this did not improve his paraplegia. SCI after EVAR is extremely rare and unpredictable complication, however, physicians should be aware of SCI after EVAR in patients with atherosclerosis. ###Answer 1. Changed Reasoning: In Sentence A, the term ""paraplegia"" is used to describe a condition where a patient is unable to walk due to a spinal cord injury. The sentence highlights the patient's inability to walk and the lack of improvement in their neurological status over time. The term ""paraplegia"" is used in a medical context to describe a specific type of spinal cord injury. In Sentence B, the term ""paraplegia"" is used in a different context to describe a rare complication of spinal cord ischemia following endovascular aneurysm repair. The sentence highlights the sudden onset of paraplegia after a medical procedure and the lack of improvement in the patient's condition despite treatment. The term ""paraplegia"" is used in a different context to describe a different type of medical condition. Based on these two sentences, it is clear that the term ""paraplegia"" has undergone a significant change in meaning and connotation between the two timestamps. In Sentence A, the term is used to describe a specific type of spinal cord injury with a negative connotation, while in Sentence B, the term is used to describe a rare complication of spinal cord ischemia with a different negative connotation. Therefore, the label ""Changed"" is appropriate." 48,Paraplegia,Two patients from families with hereditary spastic paraplegia (recessive and dominant type) were examined electromyographically. It was found that the peripheral motor neuron is involved. It is assumed that in cases of infantile recessive familial spastic paraplegia the peripheral motor neuron is rather more involved than in those of the dominant type of spastic paraplegia.,Hereditary spastic paraplegia encompasses a group of disorders that are characterized by progressive lower extremity weakness and spasticity. We describe two patients with Silver phenotype including one with a novel SPG4 (Spastin) mutation and a second with a known SPG 4 mutation (previously unassociated with this phenotype) and a concomitant previously unreported mutation in SPG3A (Atlastin). These cases suggest that Silver syndrome may be associated with a wider variety of genotypes than previously described.,"###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Paraplegia Sentence A: Two patients from families with hereditary spastic paraplegia (recessive and dominant type) were examined electromyographically. It was found that the peripheral motor neuron is involved. It is assumed that in cases of infantile recessive familial spastic paraplegia the peripheral motor neuron is rather more involved than in those of the dominant type of spastic paraplegia. Sentence B: Hereditary spastic paraplegia encompasses a group of disorders that are characterized by progressive lower extremity weakness and spasticity. We describe two patients with Silver phenotype including one with a novel SPG4 (Spastin) mutation and a second with a known SPG 4 mutation (previously unassociated with this phenotype) and a concomitant previously unreported mutation in SPG3A (Atlastin). These cases suggest that Silver syndrome may be associated with a wider variety of genotypes than previously described. ###Answer 1. Changed The meaning of the target word ""paraplegia"" has shifted significantly between the two sentences. In Sentence A, the term is used to describe a specific type of hereditary spastic paraplegia, with a focus on the involvement of peripheral motor neurons. In Sentence B, the term is used more broadly to describe a group of disorders characterized by progressive lower extremity weakness and spasticity, without specific reference to peripheral motor neurons. The shift in meaning suggests that the term ""paraplegia"" has undergone semantic drift." 49,Paraplegia,Spinal cord ischemia is a major cause of morbidity and mortality after thoracoabdominal aortic aneurysm operations. The incidence of paraplegia is high even in experienced institutions.,"The infection of endovascular stents remains one of the most problematic complications of aortic surgery. This article describes the case of a 61-year-old male with ascendant and descendent aorta endovascular stents, hospitalized for pyrexia, weight loss and back pain. Blood culture was positive for Staphylococcus hominis resistant to oxacillin and ciprofloxacin. Spiral computed tomography, magnetic resonance imaging and leukocyte-labelled scintigraphy showed that the patient developed a perigraft infection which spondylodiscitis in correspondence of D7, D8 and D9 vertebras. The biopsy CT-scan guided of vertebral inflammed tissue revealed a coagulase-negative Staphylo-coccus and the presence of numerous neutrophilis granulocytes. The reintervention for substituting an infected graft was excluded due to the high risk of death or paraplegia. A therapy with vancomycin, rifampicin and ceftazidime was started. On the basis of clinical and radiological findings, it was decided to switch empirical antimicrobial therapy to levofloxacin, minocycline and teicoplanin and a reduction of inflammation indices was observed. The patient was discharged maintaining this chronic suppressive antimicrobial therapy with a 28-day cycle of linezolid with complete regression of pain, and normalization of inflammation blood indices. After, therapy switched to teicoplanin three times a week while maintaining good clinical and radiological features. In the present, due to the high risk in performing a surgical procedure, a conservative chronic suppressive antimicrobial therapy with teicoplanin allowed to control the infection on an outpatient basis, thereby reducing the costs.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Paraplegia Sentence A: Spinal cord ischemia is a major cause of morbidity and mortality after thoracoabdominal aortic aneurysm operations. The incidence of paraplegia is high even in experienced institutions. Sentence B: The infection of endovascular stents remains one of the most problematic complications of aortic surgery. This article describes the case of a 61-year-old male with ascendant and descendent aorta endovascular stents, hospitalized for pyrexia, weight loss and back pain. Blood culture was positive for Staphylococcus hominis resistant to oxacillin and ciprofloxacin. Spiral computed tomography, magnetic resonance imaging and leukocyte-labelled scintigraphy showed that the patient developed a perigraft infection which spondylodiscitis in correspondence of D7, D8 and D9 vertebras. The biopsy CT-scan guided of vertebral inflammed tissue revealed a coagulase-negative Staphylo-coccus and the presence of numerous neutrophilis granulocytes. The reintervention for substituting an infected graft was excluded due to the high risk of death or paraplegia. A therapy with vancomycin, rifampicin and ceftazidime was started. On the basis of clinical and radiological findings, it was decided to switch empirical antimicrobial therapy to levofloxacin, minocycline and teicoplanin and a reduction of inflammation indices was observed. The patient was discharged maintaining this chronic suppressive antimicrobial therapy with a 28-day cycle of linezolid with complete regression of pain, and normalization of inflammation blood indices. After, therapy switched to teicoplanin three times a week while maintaining good clinical and radiological features. In the present, due to the high risk in performing a surgical procedure, a conservative chronic suppressive antimicrobial therapy with teicoplanin allowed to control the infection on an outpatient basis, thereby reducing the costs. ###Answer 1. Changed Reasoning: In Sentence A, the term ""paraplegia"" is used to describe a specific type of spinal cord injury caused by ischemia. The sentence implies that paraplegia is a significant medical concern after thoracoabdominal aortic aneurysm operations, and the incidence of this condition is high even in experienced institutions. In Sentence B, the term ""paraplegia"" is used in a different context. The sentence describes a patient who has developed a perigraft infection after endovascular stent surgery, which has led to spondylodiscitis in the vertebrae. The term ""paraplegia"" is not used to describe the specific type of spinal cord injury, but rather as a part of a broader description of the patient's condition. Based on these differences in usage, it appears that the term ""paraplegia"" has undergone a significant change in meaning between Sentence A and Sentence B. In Sentence A, the term is used to describe a specific medical condition, while in Sentence B, it is used more broadly to describe a patient's overall condition. Therefore, I would label this as a case of semantic drift." 50,Paraplegia,"We have developed an experimental model of spinal cord compression in rats. Tumor injected anterior to the T-12 vertebral body grows through the intervertebral foramina to compress the cord and produces paraplegia in 3 to 4 weeks. Evidence for vasogenic edema in spinal cord compressed by tumor includes increased water content, leakage of horseradish peroxidase into gray matter, and histologic evidence of edema. The vascular supply to the cord overlying the tumor appears to be compromised. Both spinal cord edema and clinical symptoms are lessened by treating symptomatic animals with dexamethasone.","87 patients with scoliosis, 32 cases with kyphosis of a various etiology were operated. Patients with severe scoliotic deformations (the total angle 75-140 [Russian character: see text]) got 2 types of the treatment. The first group consisted of 18 patients who were operated in two-stage surgery during the same anesthesia. In the second group (69 patients) after anterior diskectomy within 10-20 days preliminary correction of deformation with halo-pelvic traction was carried out followed by main stage of operation the final dorsal correction of deformation with Cotrel-Dubousset instruments. A significant (more than 40%) correction of deformation was achieved in both groups. However in the 2nd group the value of main angle exceeded 90 [Russian character: see text]. There were operated 32 patients with severe kyphotic deformities. Out of them 15 patients had severe posttraumatic vertebral kyphotic deformations (dislocation fractures of III-IV type according to Denis classification), 11 cases had--postlaminectomy kyphoses, 6 patients suffered from Scheuermann-Mau's disease. The patients with dislocation-fractures underwent laminectomy, reposition of dislocation, and transpedicular fixation of the vertebral column. In 14 patients dislocation was reduced completely, in the one case partially, but in all cases stable spondylosyndesis was achieved. In 8 patients dislocation-fractures were complicated by paraplegia or rough paraparesis), the 3 cases showed practically entire regress after operation, in the 5 cases no evident improvement in the neurologic status occurred. Patients with postlaminectomy kyphoses were treated with wedge vertebrotomy at the top of a curve, dorsal correction and fixation of the vertebral column with CDI system. In the 4 cases there was noted significant improvement in the neurologic status. Patients with Scheuermann-Mau's kyphosis were treated with anterior multilevel diskectomy, followed by halo-pelvic traction, and later dorsal correction of deformation with CDI system. Treatment resulted in significant correction of deformation was achieved and physiological or close to physiological sagittal profile of spine was restored.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Paraplegia Sentence A: We have developed an experimental model of spinal cord compression in rats. Tumor injected anterior to the T-12 vertebral body grows through the intervertebral foramina to compress the cord and produces paraplegia in 3 to 4 weeks. Evidence for vasogenic edema in spinal cord compressed by tumor includes increased water content, leakage of horseradish peroxidase into gray matter, and histologic evidence of edema. The vascular supply to the cord overlying the tumor appears to be compromised. Both spinal cord edema and clinical symptoms are lessened by treating symptomatic animals with dexamethasone. Sentence B: 87 patients with scoliosis, 32 cases with kyphosis of a various etiology were operated. Patients with severe scoliotic deformations (the total angle 75-140 [Russian character: see text]) got 2 types of the treatment. The first group consisted of 18 patients who were operated in two-stage surgery during the same anesthesia. In the second group (69 patients) after anterior diskectomy within 10-20 days preliminary correction of deformation with halo-pelvic traction was carried out followed by main stage of operation the final dorsal correction of deformation with Cotrel-Dubousset instruments. A significant (more than 40%) correction of deformation was achieved in both groups. However in the 2nd group the value of main angle exceeded 90 [Russian character: see text]. There were operated 32 patients with severe kyphotic deformities. Out of them 15 patients had severe posttraumatic vertebral kyphotic deformations (dislocation fractures of III-IV type according to Denis classification), 11 cases had--postlaminectomy kyphoses, 6 patients suffered from Scheuermann-Mau's disease. The patients with dislocation-fractures underwent laminectomy, reposition of dislocation, and transpedicular fixation of the vertebral column. In 14 patients dislocation was reduced completely, in the one case partially, but in all cases stable spondylosyndesis was achieved. In 8 patients dislocation-fractures were complicated by paraplegia or rough paraparesis), the 3 cases showed practically entire regress after operation, in the 5 cases no evident improvement in the neurologic status occurred. Patients with postlaminectomy kyphoses were treated with wedge vertebrotomy at the top of a curve, dorsal correction and fixation of the vertebral column with CDI system. In the 4 cases there was noted significant improvement in the neurologic status. Patients with Scheuermann-Mau's kyphosis were treated with anterior multilevel diskectomy, followed by halo-pelvic traction, and later dorsal correction of deformation with CDI system. Treatment resulted in significant correction of deformation was achieved and physiological or close to physiological sagittal profile of spine was restored. ###Answer 1. Changed Explanation: In Sentence A, the term ""paraplegia"" is used to describe a specific type of spinal cord compression caused by a tumor. The sentence explains that the compression results in paraplegia in 3 to 4 weeks, which suggests that the term is being used to describe a specific medical condition with a clear and consistent definition. In Sentence B, the term ""paraplegia"" is used in a different context. The sentence mentions that 87 patients with scoliosis were operated, including 32 cases with kyphosis of various etiologies. The sentence then describes the treatment methods used for these patients, including dorsal correction of deformation with Cotrel-Dubousset instruments. The term ""paraplegia"" is used to describe the improvement in neurological status in some patients, but it is not used to describe a specific medical condition. Instead, it seems to be used as a general term to describe a range of neurological symptoms. Based on these differences in usage, it appears that the term ""paraplegia"" has undergone a significant change in meaning or connotation between Sentence A and Sentence B. In Sentence A, the term is used to describe a specific medical condition with a clear definition, while in Sentence B, it is used more broadly to describe a range of neurological symptoms without a specific definition. Therefore, I would label the usage of ""paraplegia"" in Sentence B as ""Changed.""" 51,Paraplegia,"The relationship between participation in competitive wheelchair sports and health maintenance in individuals having paraplegia was examined. Twenty-one wheelchair athletes and 21 nonathletes completed two self-report questionnaires. The t-test for Independent Groups, the Mann-Whitney U-Test, and the Test for Significance of Difference Between Two Proportions were used to test for group differences. A p value of 0.05 significance level was used. The subjects were similar in age, sex, race, education, age at onset of injury, duration of injury, and preinjury level of sports involvement. A large percentage of both groups had been hospitalized since rehabilitation discharge; however, the mean number of hospitalizations per year since discharge was almost three times greater for nonathletes. Fewer athletes had been hospitalized for pressure sores. Within the athlete group the more serious medical complications occurred before beginning wheelchair sports. Frequency counts of specific complications occurring during the past year showed that nonathletes had more serious conditions such as kidney infections and skin breakdowns due to pressure as opposed to those due to external trauma. The findings indicate that paraplegic athletes are more successful than nonathletes in avoiding the major medical complications for which they are at risk. It follows, then, that this athletically active subgroup of the paraplegic population is costing the individual, medical insurance companies, and the state less money for ongoing medical care and extensive repeat hospitalizations.","Spinal cord injury affects more than 2.5 million people worldwide and can lead to paraplegia and quadriplegia. Anatomical discontinuity in the spinal cord results in disruption of the impulse conduction that causes temporary or permanent changes in the cord's normal functions. Although axonal regeneration is limited, damage to the spinal cord is often accompanied by spontaneous plasticity and axon regeneration that help improve sensory and motor skills. The recovery process depends mainly on synaptic plasticity in the preexisting circuits and on the formation of new pathways through collateral sprouting into neighboring denervated territories. However, spontaneous recovery after spinal cord injury can go on for several years, and the degree of recovery is very limited. Therefore, the development of new approaches that could accelerate the gain of motor function is of high priority to patients with damaged spinal cord. Although there are no fully restorative treatments for spinal injury, various rehabilitative approaches have been tested in animal models and have reached clinical trials. In this paper, a closer look will be given at the potential therapies that could facilitate axonal regeneration and improve locomotor recovery after injury to the spinal cord. This article highlights the application of several interventions including locomotor training, molecular and cellular treatments, and spinal cord stimulation in the field of rehabilitation research. Studies investigating therapeutic approaches in both animal models and individuals with injured spinal cords will be presented. ","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Paraplegia Sentence A: The relationship between participation in competitive wheelchair sports and health maintenance in individuals having paraplegia was examined. Twenty-one wheelchair athletes and 21 nonathletes completed two self-report questionnaires. The t-test for Independent Groups, the Mann-Whitney U-Test, and the Test for Significance of Difference Between Two Proportions were used to test for group differences. A p value of 0.05 significance level was used. The subjects were similar in age, sex, race, education, age at onset of injury, duration of injury, and preinjury level of sports involvement. A large percentage of both groups had been hospitalized since rehabilitation discharge; however, the mean number of hospitalizations per year since discharge was almost three times greater for nonathletes. Fewer athletes had been hospitalized for pressure sores. Within the athlete group the more serious medical complications occurred before beginning wheelchair sports. Frequency counts of specific complications occurring during the past year showed that nonathletes had more serious conditions such as kidney infections and skin breakdowns due to pressure as opposed to those due to external trauma. The findings indicate that paraplegic athletes are more successful than nonathletes in avoiding the major medical complications for which they are at risk. It follows, then, that this athletically active subgroup of the paraplegic population is costing the individual, medical insurance companies, and the state less money for ongoing medical care and extensive repeat hospitalizations. Sentence B: Spinal cord injury affects more than 2.5 million people worldwide and can lead to paraplegia and quadriplegia. Anatomical discontinuity in the spinal cord results in disruption of the impulse conduction that causes temporary or permanent changes in the cord's normal functions. Although axonal regeneration is limited, damage to the spinal cord is often accompanied by spontaneous plasticity and axon regeneration that help improve sensory and motor skills. The recovery process depends mainly on synaptic plasticity in the preexisting circuits and on the formation of new pathways through collateral sprouting into neighboring denervated territories. However, spontaneous recovery after spinal cord injury can go on for several years, and the degree of recovery is very limited. Therefore, the development of new approaches that could accelerate the gain of motor function is of high priority to patients with damaged spinal cord. Although there are no fully restorative treatments for spinal injury, various rehabilitative approaches have been tested in animal models and have reached clinical trials. In this paper, a closer look will be given at the potential therapies that could facilitate axonal regeneration and improve locomotor recovery after injury to the spinal cord. This article highlights the application of several interventions including locomotor training, molecular and cellular treatments, and spinal cord stimulation in the field of rehabilitation research. Studies investigating therapeutic approaches in both animal models and individuals with injured spinal cords will be presented. ###Answer 1. Changed Explanation: In Sentence A, the term ""paraplegia"" is used to describe individuals who have a spinal cord injury resulting in paralysis of the lower half of their body. The sentence highlights the positive aspect of athletic participation among this group, as they are able to avoid major medical complications compared to nonathletes. The term is used without any negative connotations or associations with disability. In Sentence B, the term ""paraplegia"" is used to describe the global spinal cord injury that affects millions of people worldwide. The sentence highlights the severity of the injury and the limited recovery process. The term is used without any positive connotations or associations with athletic participation. Based on the context and meaning of the term in each sentence, it is clear that the term ""paraplegia"" has undergone a significant change in meaning between the two timestamps. In Sentence A, the term is used to describe a positive aspect of athletic participation among individuals with spinal cord injuries. In Sentence B, the term is used to describe the severity of the injury and the limited recovery process. Therefore, I would label the term ""paraplegia"" as having undergone semantic drift, with the meaning shifting from a positive association with athletic participation to a negative association with the severity of the injury." 52,Paraplegia,Second malignant neoplasms are an infrequent but well-documented sequelae of radiation therapy for childhood cancer. We report a 34-year-old man with chondrosarcoma of the spine and thyroid carcinoma diagnosed 24 years after radiation therapy for Hodgkin's lymphoma. Both tumors arose in the previously irradiated field and were not detected until the patient presented with paraplegia. The propensity of these neoplasms to arise in the previously irradiated field warrants physicians to be alert to any manifestations arising in this anatomic area.,"A young amateur wrestler presented with a burst fracture of the seventh cervical vertebra with complete paraplegia. He was treated with surgery for spine stabilisation and was actively rehabilitated. Adolescents and teenagers are indulging in high-contact sports like wrestling, without proper training and technical know-how, which can lead to severe injuries and possibly, permanent handicap or death. Trainers, assistants and institutions should be well equipped to diagnose and provide initial care of people with a spinal injury to prevent a partial injury from progressing to complete injury. Athletes, coaches and the public should be aware of methods of first aid and how to transport a patient with a cervical spine injury. Authorities should take steps to improve infrastructures in training institutions and ambulance services. Specialised spinal centres should be established throughout the country for management and rehabilitation of patients with paraplegia.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Paraplegia Sentence A: Second malignant neoplasms are an infrequent but well-documented sequelae of radiation therapy for childhood cancer. We report a 34-year-old man with chondrosarcoma of the spine and thyroid carcinoma diagnosed 24 years after radiation therapy for Hodgkin's lymphoma. Both tumors arose in the previously irradiated field and were not detected until the patient presented with paraplegia. The propensity of these neoplasms to arise in the previously irradiated field warrants physicians to be alert to any manifestations arising in this anatomic area. Sentence B: A young amateur wrestler presented with a burst fracture of the seventh cervical vertebra with complete paraplegia. He was treated with surgery for spine stabilisation and was actively rehabilitated. Adolescents and teenagers are indulging in high-contact sports like wrestling, without proper training and technical know-how, which can lead to severe injuries and possibly, permanent handicap or death. Trainers, assistants and institutions should be well equipped to diagnose and provide initial care of people with a spinal injury to prevent a partial injury from progressing to complete injury. Athletes, coaches and the public should be aware of methods of first aid and how to transport a patient with a cervical spine injury. Authorities should take steps to improve infrastructures in training institutions and ambulance services. Specialised spinal centres should be established throughout the country for management and rehabilitation of patients with paraplegia. ###Answer 1. Changed The meaning of ""paraplegia"" has shifted significantly between Sentence A and Sentence B. In Sentence A, ""paraplegia"" is used to describe a rare complication of radiation therapy for childhood cancer, specifically the development of a second malignant neoplasm in the previously irradiated field. The context suggests that the term is used to convey a sense of danger or risk associated with radiation exposure. In Sentence B, ""paraplegia"" is used to describe a spinal injury sustained by an amateur wrestler, specifically a burst fracture of the seventh cervical vertebra resulting in complete paralysis. The context suggests that the term is used to convey a sense of severity and urgency, as the injury requires immediate medical attention. Compared to Sentence A, the term ""paraplegia"" in Sentence B has a stronger connotation of urgency and severity, indicating a shift in meaning towards a more negative and life-threatening connotation. Therefore, the label ""Changed"" is appropriate." 53,Paraplegia,"The authors have resected the upper part of the femur on 17 occasions in 12 teenagers suffering from spastic paraplegia or quadriplegia. The patient had no hope whatsoever of walking. The hips were dislocated and painful. This type of procedure is justified by failure of other procedures aiming to stabilise the hips in spastic patients. It was performed by a double approach-anterior and posterolateral. The quality of post-operative care is very important. After an average follow-up of 3 years the results were satisfactory in 8 patients. Three had post-operative complications of pain, increased spasticity and secondary fracture of the femur. The indications must be considered because secondary bone formation may take place and decrease the quality of the result. The main goal is to diminish pain and increase comfort.",Objective: White cord syndrome is extremely rare and search of the literature has revealed very few cases. Postoperative MR scan revealed hyperintense intrinsic cord signal changes within cord ischemia and edema. It is thought to be caused by reperfusion injury of the spinal cord. This is called white cord syndrome. This report is very rare case of 'White Cord Syndrome' with paraplegia after anterior cervical discectomy and fusion (ACDF).,"###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Paraplegia Sentence A: The authors have resected the upper part of the femur on 17 occasions in 12 teenagers suffering from spastic paraplegia or quadriplegia. The patient had no hope whatsoever of walking. The hips were dislocated and painful. This type of procedure is justified by failure of other procedures aiming to stabilise the hips in spastic patients. It was performed by a double approach-anterior and posterolateral. The quality of post-operative care is very important. After an average follow-up of 3 years the results were satisfactory in 8 patients. Three had post-operative complications of pain, increased spasticity and secondary fracture of the femur. The indications must be considered because secondary bone formation may take place and decrease the quality of the result. The main goal is to diminish pain and increase comfort. Sentence B: Objective: White cord syndrome is extremely rare and search of the literature has revealed very few cases. Postoperative MR scan revealed hyperintense intrinsic cord signal changes within cord ischemia and edema. It is thought to be caused by reperfusion injury of the spinal cord. This is called white cord syndrome. This report is very rare case of 'White Cord Syndrome' with paraplegia after anterior cervical discectomy and fusion (ACDF). ###Answer 1. Changed Explanation: In Sentence A from 2000, ""paraplegia"" is used to describe a condition where a patient has no hope of walking due to dislocation and pain in their hips. The context suggests that the term is used in a medical setting to describe a severe and debilitating condition. In Sentence B from 2020, ""paraplegia"" is used to describe a rare condition called ""white cord syndrome,"" which is caused by reperfusion injury of the spinal cord. The context suggests that the term is used in a medical setting to describe a specific type of spinal cord injury. Compared to Sentence A, the meaning of ""paraplegia"" in Sentence B has shifted to include a specific type of spinal cord injury. Therefore, the label ""Changed"" is appropriate." 54,Paraplegia,"This animal experiment was in succession to the research on paraplegia caused by spinal cord local ischemia in an animal model. Immediately after the operative production of local spinal cord ischemia, pedicled omentum spinal transposition onto the ischemic segments of spinal cord was performed. The animals recovered from paraplegia around two months afterwards. Spinal cord specimens showed adhesion of omentum to the spinal cord without compression. Omental vessels grew into the cord. Gross sections of specimen stained with Nissl method revealed that normal structure of nerve cells were preserved but number of nerve cell decreased.",Siblings with hereditary spastic paraplegia and corpus callosum thinning associated with a novel TUBβ4A mutation.,"###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Paraplegia Sentence A: This animal experiment was in succession to the research on paraplegia caused by spinal cord local ischemia in an animal model. Immediately after the operative production of local spinal cord ischemia, pedicled omentum spinal transposition onto the ischemic segments of spinal cord was performed. The animals recovered from paraplegia around two months afterwards. Spinal cord specimens showed adhesion of omentum to the spinal cord without compression. Omental vessels grew into the cord. Gross sections of specimen stained with Nissl method revealed that normal structure of nerve cells were preserved but number of nerve cell decreased. Sentence B: Siblings with hereditary spastic paraplegia and corpus callosum thinning associated with a novel TUBβ4A mutation. ###Answer 1. Changed Reasoning: In Sentence A, the term ""paraplegia"" is used to describe the outcome of an animal experiment, where the animal recovers from the condition around two months after the operative procedure. The term is used in the context of medical research and has a specific meaning related to spinal cord injury. In Sentence B, the term ""paraplegia"" is used to describe a genetic condition affecting siblings. The term is used in a different context and has a different meaning. The sentence suggests that the condition is a result of a genetic mutation and is associated with thinning of the corpus callosum. As a result, the meaning of the term ""paraplegia"" has changed significantly between the two sentences. In Sentence A, the term is used to describe a specific medical condition, while in Sentence B, it is used to describe a genetic condition. Therefore, the label ""Changed"" is appropriate." 55,Paraplegia,"During first 6 months of 1978 skin lesions of 22 patients suffering from paraplegia were treated with Debrisorb at the Dept. of spinal cord injuries of Bergmannsheil, Bochum. Contrary to the earlier used treatment (wet dressings, necrectomy and fibrinolytic ointments) it appeared that under Debrisorb treatment edema around expanded lesions was quickly reduced. Thereby this infections no longer had a sufficient nutrient. The necessary plastic surgery could be performed earlier than in the past. Debrisorb represent an essential help in the treatment of pressure sores. The common methods of treating pressure sores especially in paraplegic patients may not be changed. The load capacity of the scar is attained faster through Debrisorb. However, Debrisorb cannot replace plastic surgery.","Epithelioid hemangioendothelioma is a rare vascular tumor that has an epithelioid and histiocytoid appearance, originates from vascular endothelial or pre-endothelial cells and comprises less than 1% of all vascular tumors. It was described for the first time in 1975 as pulmonary epithelioid hemangioendothelioma, because initially it was believed to be an aggressive form of bronchoalveolar cell carcinoma with a remarkable propensity to invade adjacent blood vessels and small airways. Only a few cases have been reported in the literature to date. Tumor cells expressing Fli-1 and CD31 have been identified as relatively specific endothelial markers. Epithelioid hemangioendothelioma may affect multiple organs and may vary considerably in its clinical and radiological presentation. More than 50% to 76% of pulmonary epithelioid hemangioendothelioma patients are asymptomatic. They are usually incidentally diagnosed on the basis of abnormal chest radiography during routine physical examinations. Hematologic and gastrointestinal disorders and weakness or numbness may also be observed, in addition to respiratory symptoms, in cases of disseminated pulmonary epithelioid hemangioendothelioma. Pain and swelling, pathological fractures, spine compression or paresthesia, loss of muscular strength and paraplegia may be present when bone metastases occur. Because of the rarity of this disease, there is no standard for treatment.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Paraplegia Sentence A: During first 6 months of 1978 skin lesions of 22 patients suffering from paraplegia were treated with Debrisorb at the Dept. of spinal cord injuries of Bergmannsheil, Bochum. Contrary to the earlier used treatment (wet dressings, necrectomy and fibrinolytic ointments) it appeared that under Debrisorb treatment edema around expanded lesions was quickly reduced. Thereby this infections no longer had a sufficient nutrient. The necessary plastic surgery could be performed earlier than in the past. Debrisorb represent an essential help in the treatment of pressure sores. The common methods of treating pressure sores especially in paraplegic patients may not be changed. The load capacity of the scar is attained faster through Debrisorb. However, Debrisorb cannot replace plastic surgery. Sentence B: Epithelioid hemangioendothelioma is a rare vascular tumor that has an epithelioid and histiocytoid appearance, originates from vascular endothelial or pre-endothelial cells and comprises less than 1% of all vascular tumors. It was described for the first time in 1975 as pulmonary epithelioid hemangioendothelioma, because initially it was believed to be an aggressive form of bronchoalveolar cell carcinoma with a remarkable propensity to invade adjacent blood vessels and small airways. Only a few cases have been reported in the literature to date. Tumor cells expressing Fli-1 and CD31 have been identified as relatively specific endothelial markers. Epithelioid hemangioendothelioma may affect multiple organs and may vary considerably in its clinical and radiological presentation. More than 50% to 76% of pulmonary epithelioid hemangioendothelioma patients are asymptomatic. They are usually incidentally diagnosed on the basis of abnormal chest radiography during routine physical examinations. Hematologic and gastrointestinal disorders and weakness or numbness may also be observed, in addition to respiratory symptoms, in cases of disseminated pulmonary epithelioid hemangioendothelioma. Pain and swelling, pathological fractures, spine compression or paresthesia, loss of muscular strength and paraplegia may be present when bone metastases occur. Because of the rarity of this disease, there is no standard for treatment. ###Answer 1. Changed Reasoning: The target word ""paraplegia"" has undergone a significant change in meaning between the two sentences. In Sentence A, the word is used to describe a medical condition in which the patient has a spinal cord injury resulting in paralysis of the lower half of the body. In Sentence B, the word is used to describe a symptom of a rare vascular tumor, where the patient may experience weakness or numbness, including paraplegia, due to bone metastases. The meaning of the word has shifted from a medical condition to a symptom of a different disease. Therefore, the label ""Changed"" is appropriate." 56,Paraplegia,Isolated tubercular involvement of craniovertebral junction in a human immunodeficiency virus-positive patient causing paraplegia and sudden death with radiologic features is presented.,"Objective Despite centralisation of the provision of vascular care, not all areas in England and Wales are able to offer emergency treatment for patients with acute conditions affecting the aorta proximal to the renal arteries. While cardiothoracic centres have made network arrangements to coordinate care for the repair of type A dissections, a similar plan for vascular care is lacking. This study investigates early outcomes in patients with ruptured suprarenal aortic aneurysm or dissection (rSRAD) transferred to a specialist centre. Methods Retrospective observational study over a five-year period (2009-2014) assessing outcomes of patients with ruptured sRAD diagnosed at their local hospital and then transferred to a tertiary centre capable of offering such treatment. Results Fifty-two patients (median age 73 years, 32 male) with rSRAD were transferred and a further four died during transit. The mean distance of patient transfer was 35 miles (range 4-211 miles). One patient did not undergo intervention due to frailty and two died before reaching the operating theatre. A total of 23 patients underwent endovascular repair, 9 hybrid repair and 17 open surgery. Median follow-up was 12 months (range 1-43 months). Complications included paraplegia (n = 3), stroke (n = 2), type IA endoleak (n = 4); 30-day and in-hospital mortality were 16% and 27%. For patients discharged alive from hospital, one-year survival was 67%. Conclusions Although the number of patients with rSRAD is low and those who are transferred alive are a self-selecting group, this study suggests that transfer of such patients to a specialist vascular centre is associated with acceptable mortality rates following emergency complex aortic repair.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Paraplegia Sentence A: Isolated tubercular involvement of craniovertebral junction in a human immunodeficiency virus-positive patient causing paraplegia and sudden death with radiologic features is presented. Sentence B: Objective Despite centralisation of the provision of vascular care, not all areas in England and Wales are able to offer emergency treatment for patients with acute conditions affecting the aorta proximal to the renal arteries. While cardiothoracic centres have made network arrangements to coordinate care for the repair of type A dissections, a similar plan for vascular care is lacking. This study investigates early outcomes in patients with ruptured suprarenal aortic aneurysm or dissection (rSRAD) transferred to a specialist centre. Methods Retrospective observational study over a five-year period (2009-2014) assessing outcomes of patients with ruptured sRAD diagnosed at their local hospital and then transferred to a tertiary centre capable of offering such treatment. Results Fifty-two patients (median age 73 years, 32 male) with rSRAD were transferred and a further four died during transit. The mean distance of patient transfer was 35 miles (range 4-211 miles). One patient did not undergo intervention due to frailty and two died before reaching the operating theatre. A total of 23 patients underwent endovascular repair, 9 hybrid repair and 17 open surgery. Median follow-up was 12 months (range 1-43 months). Complications included paraplegia (n = 3), stroke (n = 2), type IA endoleak (n = 4); 30-day and in-hospital mortality were 16% and 27%. For patients discharged alive from hospital, one-year survival was 67%. Conclusions Although the number of patients with rSRAD is low and those who are transferred alive are a self-selecting group, this study suggests that transfer of such patients to a specialist vascular centre is associated with acceptable mortality rates following emergency complex aortic repair. ###Answer 1. Changed Reasoning: The target word ""paraplegia"" has undergone a significant change in meaning between the two sentences. In Sentence A, it is used to describe a specific medical condition caused by an injury or illness, with a clear medical context. In Sentence B, the term is used more broadly to describe any type of disability or impairment, without any specific medical context. This shift in meaning indicates semantic drift, and the label ""Changed"" is appropriate." 57,Paraplegia,"The differential diagnosis of a progressive spastic paraparesis in the young adult is broad and includes rare neuro-metabolic diseases like cerebro-tendinous xanthomatosis, adrenomyeloneuropathy and hypovitaminosis. Their clinical presentation as well as the result of paraclinical examinations can be similar to those of multiple sclerosis. The early recognition of these diseases is important, because a dietary regimen may reduce the severity and progression of symptoms and signs and genetic counselling can be important. The relevant biochemical examinations for their detection are discussed. These neuro-metabolic diseases have to be differentiated from other neuro-degenerative diseases like amyotrophic lateral sclerosis and hereditary spastic paraplegias.","The First World War was a global war, beginning on 28 July 1914, until 11 November 1918. Soon after the beginning of the war, there was an ""epidemic"" of neurological conversion symptoms. Soldiers on both sides started to present in large numbers with neurological symptoms, such as dizziness, tremor, paraplegia, tinnitus, amnesia, weakness, headache and mutism of psychosomatic origin. This condition was known as shell shock, or ""war neurosis"". Because medically unexplained symptoms remain a major challenge, and considering the close relationship of symptoms described in shell shock with clinical neurology, we should study their history in order to improve future care.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Paraplegia Sentence A: The differential diagnosis of a progressive spastic paraparesis in the young adult is broad and includes rare neuro-metabolic diseases like cerebro-tendinous xanthomatosis, adrenomyeloneuropathy and hypovitaminosis. Their clinical presentation as well as the result of paraclinical examinations can be similar to those of multiple sclerosis. The early recognition of these diseases is important, because a dietary regimen may reduce the severity and progression of symptoms and signs and genetic counselling can be important. The relevant biochemical examinations for their detection are discussed. These neuro-metabolic diseases have to be differentiated from other neuro-degenerative diseases like amyotrophic lateral sclerosis and hereditary spastic paraplegias. Sentence B: The First World War was a global war, beginning on 28 July 1914, until 11 November 1918. Soon after the beginning of the war, there was an ""epidemic"" of neurological conversion symptoms. Soldiers on both sides started to present in large numbers with neurological symptoms, such as dizziness, tremor, paraplegia, tinnitus, amnesia, weakness, headache and mutism of psychosomatic origin. This condition was known as shell shock, or ""war neurosis"". Because medically unexplained symptoms remain a major challenge, and considering the close relationship of symptoms described in shell shock with clinical neurology, we should study their history in order to improve future care. ###Answer 1. Changed Reasoning: The meaning of ""paraplegia"" has shifted significantly between Sentence A and Sentence B. In Sentence A, ""paraplegia"" is used to describe a rare neuro-metabolic disease with symptoms including progressive spastic paraparesis, dizziness, tremor, paraplegia, tinnitus, amnesia, weakness, headache, and mutism. In contrast, in Sentence B, ""paraplegia"" is used to describe a common condition experienced by soldiers during World War I, known as ""shell shock"" or ""war neurosis"", characterized by neurological symptoms such as dizziness, tremor, paraplegia, tinnitus, amnesia, weakness, headache, and mutism. The term ""paraplegia"" no longer refers to a specific medical condition, but rather to a general term for neurological symptoms. Therefore, semantic drift has occurred." 58,Paraplegia,"A 43-year-old Japanese male with hepatocellular carcinoma suddenly developed paraplegia. The spinal cord signs first progressed rapidly but then gradually subsided. The patient died of hepatic failure ten months later. The autopsy disclosed cavitation and softening of the spinal cord from the level of C6 to T10, a characteristic of necrotizing myelopathy. Neither local nor apparent systemic causes to explain the spinal cord lesion were disclosed at the autopsy. This seems to be the first documented rare paraneoplastic syndrome, associated with hepatocellular carcinoma.","The lumbar intrathecal (subarachnoid) space is accessed for both therapeutic and diagnostic purposes. Occasionally, the needle may unintentionally enter the intrathecal space during lumbar interlaminar epidural steroid injections (LESIs)-one of the most commonly performed medical procedures in the United States. Ordinarily, this merely constitutes a minor complication or even a desired placement (in the case of some diagnostic procedures). However, some patients have a rare condition wherein the spinal cord terminates below the L2 vertebral level (tethered cord). In such cases, injections administered at the lumbar level may potentially result in spinal cord damage and irreversible paraplegia if the physician performing the intervention does not recognize the intramedullary position of the needle.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Paraplegia Sentence A: A 43-year-old Japanese male with hepatocellular carcinoma suddenly developed paraplegia. The spinal cord signs first progressed rapidly but then gradually subsided. The patient died of hepatic failure ten months later. The autopsy disclosed cavitation and softening of the spinal cord from the level of C6 to T10, a characteristic of necrotizing myelopathy. Neither local nor apparent systemic causes to explain the spinal cord lesion were disclosed at the autopsy. This seems to be the first documented rare paraneoplastic syndrome, associated with hepatocellular carcinoma. Sentence B: The lumbar intrathecal (subarachnoid) space is accessed for both therapeutic and diagnostic purposes. Occasionally, the needle may unintentionally enter the intrathecal space during lumbar interlaminar epidural steroid injections (LESIs)-one of the most commonly performed medical procedures in the United States. Ordinarily, this merely constitutes a minor complication or even a desired placement (in the case of some diagnostic procedures). However, some patients have a rare condition wherein the spinal cord terminates below the L2 vertebral level (tethered cord). In such cases, injections administered at the lumbar level may potentially result in spinal cord damage and irreversible paraplegia if the physician performing the intervention does not recognize the intramedullary position of the needle. ###Answer 1. Changed Explanation: The target word ""paraplegia"" has undergone a significant change in meaning between Sentence A (2000) and Sentence B (2020). In Sentence A, the term is used to describe a rare paraneoplastic syndrome associated with hepatocellular carcinoma. In contrast, in Sentence B, the term is used to describe a complication of lumbar interlaminar epidural steroid injections, specifically the risk of spinal cord damage and irreversible paraplegia if the physician performing the intervention does not recognize the intramedullary position of the needle. In Sentence A, the term ""paraplegia"" is used in a medical context to describe a specific clinical condition. However, in Sentence B, the term is used more broadly to describe a complication of a medical procedure. The meaning of the term has shifted from a specific medical condition to a more general risk associated with a medical procedure. Therefore, the label ""Changed"" is appropriate." 59,Paraplegia,The authors present a case of bilateral angioma of the paracentral area with paraplegia and generalized epileptic seizures. The onset of the disease was after a head injury.,"The S113R mutation (c.339T>G) (MIM #603690.0001) in SLC33A1 (MIM #603690), an ER membrane acetyl-CoA transporter, has been previously identified in individuals with hereditary spastic paraplegia type 42 (SPG42; MIM #612539). SLC33A1 has also been shown to inhibit the bone morphogenetic protein (BMP) signaling pathway in zebrafish. To better understand the function of SLC33A1, we generated and characterized Slc33a1","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Paraplegia Sentence A: The authors present a case of bilateral angioma of the paracentral area with paraplegia and generalized epileptic seizures. The onset of the disease was after a head injury. Sentence B: The S113R mutation (c.339T>G) (MIM #603690.0001) in SLC33A1 (MIM #603690), an ER membrane acetyl-CoA transporter, has been previously identified in individuals with hereditary spastic paraplegia type 42 (SPG42; MIM #612539). SLC33A1 has also been shown to inhibit the bone morphogenetic protein (BMP) signaling pathway in zebrafish. To better understand the function of SLC33A1, we generated and characterized Slc33a1 ###Answer 1. Changed Reasoning: In Sentence A, the target word ""paraplegia"" is used to describe a neurological condition characterized by paralysis of the lower half of the body, resulting from a head injury. This usage implies a clear medical or scientific context, where the term has a well-defined meaning. In Sentence B, the target word ""paraplegia"" is used in a different context, to describe a genetic mutation associated with hereditary spastic paraplegia type 42 (SPG42). The mutation is described as affecting the SLC33A1 gene, which is involved in the bone morphogenetic protein (BMP) signaling pathway in zebrafish. This usage implies a different meaning or connotation of the term, as it is now associated with a genetic disorder rather than a neurological condition. Therefore, the meaning of the target word ""paraplegia"" has significantly shifted between the two sentences, indicating semantic drift has occurred." 60,Paraplegia,"A highly aggressive subclone of the human CALLA+C mu+ pre-B acute lymphoblastic leukemia (ALL) cell line NALM-6 (designated NALM-6-UM1) caused disseminated and fatal leukemia in CB.17 mice with severe combined immunodeficiency (SCID). An intravenous challenge with 1 x 10(6) (NALM-6-UM1 cells caused 15 of 27 (56%) SCID mice to become paraplegic at 31 +/- 2 days (median = 33 days) and 27 of 27 (100%) mice to die of disseminated leukemia at 38 +/- 1 days (median = 39 days). We used this SCID mouse model of aggressive human pre-B ALL to evaluate the in vivo antileukemic efficacy of B43 (anti-CD19)-pokeweed antiviral protein (PAP) immunotoxin. A 3-day treatment with nontoxic doses of B43-PAP markedly reduced the incidence of paraplegia and improved event-free survival (EFS) in SCID mice challenged with 1 x 10(6) NALM-6-UM1 pre-B ALL cells, as reflected by significantly higher cumulative proportions of mice free of paraplegia or alive at 1 to 7 months, as compared with phosphate-buffered saline (PBS) treated control mice. The Kaplan-Meier estimates and standard errors of the probability of developing paraplegia after inoculation of 1 x 10(6) NALM-6-UM1 cells was 64% +/- 10% for PBS-treated mice (median time to paraplegia = 37 days) (N = 27), 18% +/- 8% for mice treated with 15 micrograms B43-PAP (5 micrograms/mouse/d x 3 days) (N = 23) and 5% +/- 5% for mice treated with 30 micrograms B43-PAP (10 micrograms/mouse/d x 3 days) (N = 21). While 27 of 27 PBS-treated control SCID mice died of leukemia at 38 +/- 1 days (range = 24 to 54 days), only 16 of 44 B43-PAP-treated mice developed leukemia at 74 +/- 12 days (range = 30 to 182 days), consistent with greater than or equal to 6 logs kill of clonogenic NALM-6-UM1 cells in 64% of SCID mice. The Kaplan-Meier estimates and standard errors of the probability of long-term EFS after inoculation of 1 x 10(6) NALM-6-UM1 cells were 65% +/- 10% for mice treated with 15 micrograms B43-PAP and 60% +/- 11% for mice treated with 30 micrograms B43-PAP with a median survival time of greater than 7 months for both groups. In contrast, neither unconjugated B43 monoclonal antibody nor the anti-T-cell immunotoxin G17.2 (anti-CD4)-PAP decreased the incidence of paraplegia or improved EFS.(ABSTRACT TRUNCATED AT 400 WORDS)","Autosomal recessive cerebellar ataxias (ARCA) encompass a heterogeneous group of rare diseases that affect the cerebellum, the spinocerebellar tract and/or the sensory tracts of the spinal cord. We investigated a consanguineous Cypriot family with spastic ataxia, aiming towards identification of the causative mutation. Family members were clinically evaluated and studied at the genetic level. Linkage analysis at marker loci spanning known ARCA genes/loci revealed linkage to the APTX locus. Thorough investigation of the APTX gene excluded any possible mutation. Whole genome linkage screening using microsatellite markers and whole genome SNP homozygosity mapping using the Affymetrix Genome-Wide Human SNP Array 6.0 enabled mapping of the disease gene/mutation in this family to Chromosome 9p21.1-p13.2. Due to the large number of candidate genes within this region, whole-exome sequencing of the proband was performed and further analysis of the obtained data focused on the mapped interval. Further investigation of the candidate variants resulted in the identification of a novel missense mutation in the GBA2 gene. GBA2 mutations have recently been associated with hereditary spastic paraplegia and ARCA with spasticity. We hereby report a novel GBA2 mutation associated with spastic ataxia and suggest that GBA2 mutations may be a relatively frequent cause of ARCA. ","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Paraplegia Sentence A: A highly aggressive subclone of the human CALLA+C mu+ pre-B acute lymphoblastic leukemia (ALL) cell line NALM-6 (designated NALM-6-UM1) caused disseminated and fatal leukemia in CB.17 mice with severe combined immunodeficiency (SCID). An intravenous challenge with 1 x 10(6) (NALM-6-UM1 cells caused 15 of 27 (56%) SCID mice to become paraplegic at 31 +/- 2 days (median = 33 days) and 27 of 27 (100%) mice to die of disseminated leukemia at 38 +/- 1 days (median = 39 days). We used this SCID mouse model of aggressive human pre-B ALL to evaluate the in vivo antileukemic efficacy of B43 (anti-CD19)-pokeweed antiviral protein (PAP) immunotoxin. A 3-day treatment with nontoxic doses of B43-PAP markedly reduced the incidence of paraplegia and improved event-free survival (EFS) in SCID mice challenged with 1 x 10(6) NALM-6-UM1 pre-B ALL cells, as reflected by significantly higher cumulative proportions of mice free of paraplegia or alive at 1 to 7 months, as compared with phosphate-buffered saline (PBS) treated control mice. The Kaplan-Meier estimates and standard errors of the probability of developing paraplegia after inoculation of 1 x 10(6) NALM-6-UM1 cells was 64% +/- 10% for PBS-treated mice (median time to paraplegia = 37 days) (N = 27), 18% +/- 8% for mice treated with 15 micrograms B43-PAP (5 micrograms/mouse/d x 3 days) (N = 23) and 5% +/- 5% for mice treated with 30 micrograms B43-PAP (10 micrograms/mouse/d x 3 days) (N = 21). While 27 of 27 PBS-treated control SCID mice died of leukemia at 38 +/- 1 days (range = 24 to 54 days), only 16 of 44 B43-PAP-treated mice developed leukemia at 74 +/- 12 days (range = 30 to 182 days), consistent with greater than or equal to 6 logs kill of clonogenic NALM-6-UM1 cells in 64% of SCID mice. The Kaplan-Meier estimates and standard errors of the probability of long-term EFS after inoculation of 1 x 10(6) NALM-6-UM1 cells were 65% +/- 10% for mice treated with 15 micrograms B43-PAP and 60% +/- 11% for mice treated with 30 micrograms B43-PAP with a median survival time of greater than 7 months for both groups. In contrast, neither unconjugated B43 monoclonal antibody nor the anti-T-cell immunotoxin G17.2 (anti-CD4)-PAP decreased the incidence of paraplegia or improved EFS.(ABSTRACT TRUNCATED AT 400 WORDS) Sentence B: Autosomal recessive cerebellar ataxias (ARCA) encompass a heterogeneous group of rare diseases that affect the cerebellum, the spinocerebellar tract and/or the sensory tracts of the spinal cord. We investigated a consanguineous Cypriot family with spastic ataxia, aiming towards identification of the causative mutation. Family members were clinically evaluated and studied at the genetic level. Linkage analysis at marker loci spanning known ARCA genes/loci revealed linkage to the APTX locus. Thorough investigation of the APTX gene excluded any possible mutation. Whole genome linkage screening using microsatellite markers and whole genome SNP homozygosity mapping using the Affymetrix Genome-Wide Human SNP Array 6.0 enabled mapping of the disease gene/mutation in this family to Chromosome 9p21.1-p13.2. Due to the large number of candidate genes within this region, whole-exome sequencing of the proband was performed and further analysis of the obtained data focused on the mapped interval. Further investigation of the candidate variants resulted in the identification of a novel missense mutation in the GBA2 gene. GBA2 mutations have recently been associated with hereditary spastic paraplegia and ARCA with spasticity. We hereby report a novel GBA2 mutation associated with spastic ataxia and suggest that GBA2 mutations may be a relatively frequent cause of ARCA. ###Answer For the target word ""paraplegia"", the semantic drift between Sentence A and Sentence B is significant. In Sentence A, ""paraplegia"" is used to describe the severe combined immunodeficiency (SCID) mice that became paraplegic after being challenged with a leukemia cell line. The context suggests that the term ""paraplegia"" refers to a specific type of paralysis caused by a severe immune deficiency. In Sentence B, ""paraplegia"" is used to describe a rare genetic disorder called autosomal recessive cerebellar ataxias (ARCA). The context suggests that the term ""paraplegia"" now refers to a broader range of symptoms, including cerebellar ataxia, spinocerebellar tract abnormalities, and sensory tract abnormalities in the spinal cord. The term ""paraplegia"" no longer carries the same specific connotation as it did in Sentence A. Therefore, the label ""Changed"" is appropriate for this target word. The meaning of ""paraplegia"" has shifted to encompass a broader range of symptoms, indicating a semantic drift has occurred." 61,Paraplegia,"The hereditary spastic paraplegias are a clinically variable and genetically heterogeneous group of disorders characterized by progressive and lower limb spasticity and weakness. Silver syndrome (SS) is a particularly disabling autosomal dominant form of the disease in which there is associated wasting of the hand muscles. In view of the fact that genes for hereditary spastic paraplegia can produce highly variable phenotypes, the eight known autosomal dominant loci were investigated for linkage to Silver syndrome. Genotyping of these loci in two large multigenerational families was incompatible with linkage to any of these regions, suggesting that an additional locus is responsible for this syndrome.","Decreasing the intracranial pressure has been advocated as one of the major protective strategies to prevent spinal cord ischemia after endovascular aortic repair. However, the actual changes of cerebrospinal fluid (CSF) pressure and its relation with spinal cord ischemia have been poorly understood. We performed CSF pressure measurements and provisional CSF withdrawal after thoracic endovascular aortic repair, and compared the changes of CSF pressure in high risk patients and in patients with new onset paraplegia and paraparesis.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Paraplegia Sentence A: The hereditary spastic paraplegias are a clinically variable and genetically heterogeneous group of disorders characterized by progressive and lower limb spasticity and weakness. Silver syndrome (SS) is a particularly disabling autosomal dominant form of the disease in which there is associated wasting of the hand muscles. In view of the fact that genes for hereditary spastic paraplegia can produce highly variable phenotypes, the eight known autosomal dominant loci were investigated for linkage to Silver syndrome. Genotyping of these loci in two large multigenerational families was incompatible with linkage to any of these regions, suggesting that an additional locus is responsible for this syndrome. Sentence B: Decreasing the intracranial pressure has been advocated as one of the major protective strategies to prevent spinal cord ischemia after endovascular aortic repair. However, the actual changes of cerebrospinal fluid (CSF) pressure and its relation with spinal cord ischemia have been poorly understood. We performed CSF pressure measurements and provisional CSF withdrawal after thoracic endovascular aortic repair, and compared the changes of CSF pressure in high risk patients and in patients with new onset paraplegia and paraparesis. ###Answer 1. Changed The target word ""paraplegia"" has undergone a significant change in meaning between the two sentences. In Sentence A, it refers to a group of hereditary spastic disorders characterized by progressive lower limb spasticity and weakness. In Sentence B, it refers to a protective strategy to prevent spinal cord ischemia after endovascular aortic repair. The term has shifted from a medical condition to a surgical intervention. Therefore, the label ""Changed"" is appropriate." 62,Paraplegia,Paraplegia with a total anesthesia level was found in a patient who had Cushing's syndrome. There was marked osteoporosis of the spine and a moderate wedge shaped compression fracture of the T4 vertebral body but no stenosis of the canal could be observed. On the grounds of the CT findings stretching of the spinal cord caused by the rapidly evolving kyphosis of the thoracic tract has been thought to be the responsible factor of the clinical deficits.,"The overall survival of patients with thoracic aortic aneurysm (TAA) has improved significantly in the past few years. Endovascular treatment, proposed as an alternative to surgery, has been considered a therapeutic innovation because of its low degree of invasiveness, which allows the treatment of even high-surgical risk patients with limited complications and mortality. A major limitation is the lack of adequate evidence regarding long-term benefit and durability because follow-up has been limited to just a few years even in the largest series. The combination of endovascular exclusion with visceral branch revascularization for the treatment of thoraco-abdominal aortic aneurysms involving the visceral aorta has also been attempted. As an alternative, endografts with branches represent a technological evolution that allows treatment of complex anatomy. Even if only small numbers of patients and short follow-up are available, this technical approach, which has with limited mortality (<10%) and paraplegia rates, to expand endovascular treatment to TAA seems feasible. With improved capability to recognize proper anatomy and select clinical candidates, the choice of endovascular stent-graft placement may offer a strategy to optimize management and improve prognosis.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Paraplegia Sentence A: Paraplegia with a total anesthesia level was found in a patient who had Cushing's syndrome. There was marked osteoporosis of the spine and a moderate wedge shaped compression fracture of the T4 vertebral body but no stenosis of the canal could be observed. On the grounds of the CT findings stretching of the spinal cord caused by the rapidly evolving kyphosis of the thoracic tract has been thought to be the responsible factor of the clinical deficits. Sentence B: The overall survival of patients with thoracic aortic aneurysm (TAA) has improved significantly in the past few years. Endovascular treatment, proposed as an alternative to surgery, has been considered a therapeutic innovation because of its low degree of invasiveness, which allows the treatment of even high-surgical risk patients with limited complications and mortality. A major limitation is the lack of adequate evidence regarding long-term benefit and durability because follow-up has been limited to just a few years even in the largest series. The combination of endovascular exclusion with visceral branch revascularization for the treatment of thoraco-abdominal aortic aneurysms involving the visceral aorta has also been attempted. As an alternative, endografts with branches represent a technological evolution that allows treatment of complex anatomy. Even if only small numbers of patients and short follow-up are available, this technical approach, which has with limited mortality (<10%) and paraplegia rates, to expand endovascular treatment to TAA seems feasible. With improved capability to recognize proper anatomy and select clinical candidates, the choice of endovascular stent-graft placement may offer a strategy to optimize management and improve prognosis. ###Answer 1. Changed Reasoning: In Sentence A, the term ""paraplegia"" is used to describe a patient with Cushing's syndrome who has marked osteoporosis of the spine and a moderate wedge-shaped compression fracture of the T4 vertebral body, but no stenosis of the canal can be observed. The context suggests that the patient has spinal cord compression, which can lead to paralysis or paraplegia. However, the term ""paraplegia"" does not convey any significant change in meaning or connotation compared to its usage in the medical literature in the past. In Sentence B, the term ""paraplegia"" is used in a different context to describe the potential benefits of endovascular treatment for thoracic aortic aneurysm (TAA). The term is used to describe the potential for reduced mortality and paraplegia rates with the new treatment approach. The context suggests that the term ""paraplegia"" has taken on a new meaning, implying a reduction in the risk of paralysis or paraplegia associated with the new treatment. Therefore, this sentence indicates that the term ""paraplegia"" has undergone a significant change in meaning or connotation between the two timestamps." 63,Paraplegia,"Mutations of the major myelin gene, proteolipid protein (Plp), cause Pelizaeus-Merzbacher disease and some forms of spastic paraplegia in man and dysmyelinating phenotypes in animals. The clinical severity is markedly heterogeneous, ranging from relatively mild to severe and fatal. Point mutations, or frame shifts, which are predicted to result in translation of structurally altered proteins account for many of these cases, including 3 of the allelic murine conditions. Plp(jp-rsh), Plp(jp-msd), and Plp(jp) represent an increasing severity of clinical and pathological phenotypes, respectively. In this study we determined whether there was any correlation between the severity of phenotype and the transport of the predicted abnormal protein. We examined the ability of the two products of the Plp gene, PLP and DM20, to insert into the plasma membrane of transfected BHK or COS-7 cells, and into the myelin sheath of oligodendrocytes. With these complementary in vitro and in vivo approaches we find that proteins of Plp(jp-rsh), associated with the mildest phenotype, have a far greater ability to insert into the cell membrane or myelin than those associated with the severe phenotypes. Additionally, altered DM20 is more readily transported to the cell surface and to myelin than the PLP isoprotein. Interestingly, the two clonal cell lines chosen for transient transfection differ in their ability to fold DM20 from Plp(jp-rsh) and Plp(jp-msd) mice correctly, as inferred by staining for the conformation-sensitive O10 epitope. In the case of Plp(jp), which is associated with the most severe phenotype, no PLP or O10 staining is present at the cell surface or in myelin. The perturbation in trafficking observed for altered Plp(jp) PLP and DM20 in oligodendrocytes does not extend to other myelin membrane proteins, such as MAG and MOG, nor to wild type PLP co-expressed in the same cell, all of which are correctly inserted into myelin. As Plp-knockout mice do not have a dysmyelinating phenotype it seems unlikely that absence of PLP and/or DM20 in the membrane is responsible for the pathology. It remains to be determined whether the perturbation in protein trafficking is associated with the dysmyelination, or if the altered product of the mutant alleles acquire a novel function which is deleterious to myelin production by oligodendrocytes.","Injuries to the cauda equina and conus medullaris of the spinal cord commonly result in paraplegia, sensory deficits, neuropathic pain, as well as bladder, bowel, and reproductive dysfunctions. In a recently developed lower motoneuron model for cauda equina injury and repair, we have demonstrated that an acute surgical implantation of avulsed lumbosacral ventral roots into the conus medullaris is neuroprotective, promotes regeneration of efferent spinal cord axons into the implanted roots, and may result in functional reinnervation of the lower urinary tract. Here, we investigated the effects of a bilateral lumbosacral ventral root avulsion (VRA) injury and re-implantation on the morphology of the rat bladder at twelve weeks post-operatively. We demonstrated a VRA-induced overall thinning of the bladder wall, which exhibited reduced thickness of both the lamina propria and smooth muscle. In contrast, the bladder epithelium markedly increased its thickness in the injured series. Quantitative immunohistochemical studies showed a selective increase in CGRP immunoreactivity in the lamina propria after the VRA injury. Interestingly, the injury-induced changes in bladder wall morphology were ameliorated by an acute implantation of the lesioned roots into the conus medullaris. Specifically, bladders of the implanted group showed a partial restoration of the thickness of the lamina propria and epithelium as well as a return of CGRP immunoreactivity to baseline levels in the lamina propria. Our results support the notion that surgical implantation of severed ventral roots into the spinal cord may promote the recovery of a normal morphological phenotype in peripheral end organs.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Paraplegia Sentence A: Mutations of the major myelin gene, proteolipid protein (Plp), cause Pelizaeus-Merzbacher disease and some forms of spastic paraplegia in man and dysmyelinating phenotypes in animals. The clinical severity is markedly heterogeneous, ranging from relatively mild to severe and fatal. Point mutations, or frame shifts, which are predicted to result in translation of structurally altered proteins account for many of these cases, including 3 of the allelic murine conditions. Plp(jp-rsh), Plp(jp-msd), and Plp(jp) represent an increasing severity of clinical and pathological phenotypes, respectively. In this study we determined whether there was any correlation between the severity of phenotype and the transport of the predicted abnormal protein. We examined the ability of the two products of the Plp gene, PLP and DM20, to insert into the plasma membrane of transfected BHK or COS-7 cells, and into the myelin sheath of oligodendrocytes. With these complementary in vitro and in vivo approaches we find that proteins of Plp(jp-rsh), associated with the mildest phenotype, have a far greater ability to insert into the cell membrane or myelin than those associated with the severe phenotypes. Additionally, altered DM20 is more readily transported to the cell surface and to myelin than the PLP isoprotein. Interestingly, the two clonal cell lines chosen for transient transfection differ in their ability to fold DM20 from Plp(jp-rsh) and Plp(jp-msd) mice correctly, as inferred by staining for the conformation-sensitive O10 epitope. In the case of Plp(jp), which is associated with the most severe phenotype, no PLP or O10 staining is present at the cell surface or in myelin. The perturbation in trafficking observed for altered Plp(jp) PLP and DM20 in oligodendrocytes does not extend to other myelin membrane proteins, such as MAG and MOG, nor to wild type PLP co-expressed in the same cell, all of which are correctly inserted into myelin. As Plp-knockout mice do not have a dysmyelinating phenotype it seems unlikely that absence of PLP and/or DM20 in the membrane is responsible for the pathology. It remains to be determined whether the perturbation in protein trafficking is associated with the dysmyelination, or if the altered product of the mutant alleles acquire a novel function which is deleterious to myelin production by oligodendrocytes. Sentence B: Injuries to the cauda equina and conus medullaris of the spinal cord commonly result in paraplegia, sensory deficits, neuropathic pain, as well as bladder, bowel, and reproductive dysfunctions. In a recently developed lower motoneuron model for cauda equina injury and repair, we have demonstrated that an acute surgical implantation of avulsed lumbosacral ventral roots into the conus medullaris is neuroprotective, promotes regeneration of efferent spinal cord axons into the implanted roots, and may result in functional reinnervation of the lower urinary tract. Here, we investigated the effects of a bilateral lumbosacral ventral root avulsion (VRA) injury and re-implantation on the morphology of the rat bladder at twelve weeks post-operatively. We demonstrated a VRA-induced overall thinning of the bladder wall, which exhibited reduced thickness of both the lamina propria and smooth muscle. In contrast, the bladder epithelium markedly increased its thickness in the injured series. Quantitative immunohistochemical studies showed a selective increase in CGRP immunoreactivity in the lamina propria after the VRA injury. Interestingly, the injury-induced changes in bladder wall morphology were ameliorated by an acute implantation of the lesioned roots into the conus medullaris. Specifically, bladders of the implanted group showed a partial restoration of the thickness of the lamina propria and epithelium as well as a return of CGRP immunoreactivity to baseline levels in the lamina propria. Our results support the notion that surgical implantation of severed ventral roots into the spinal cord may promote the recovery of a normal morphological phenotype in peripheral end organs. ###Answer 1. Changed Reasoning: In Sentence A, the target word ""paraplegia"" is used to describe a severe neurological disorder characterized by paralysis of the lower half of the body, sensory deficits, and other complications. The sentence highlights the clinical heterogeneity of the disorder and mentions specific molecular mutations associated with the disease. The word ""paraplegia"" is used in a medical context, and its meaning has not significantly shifted in Sentence B. In Sentence B, the target word ""paraplegia"" is used to describe the effects of a bilateral lumbosacral ventral root avulsion injury on the morphology of the rat bladder. The sentence focuses on the changes in bladder wall morphology and the effects of a surgical implantation of the lesioned roots into the conus medullaris on the bladder. The word ""paraplegia"" is used in a different context than in Sentence A, and its meaning has shifted to refer specifically to the effects of the injury on the bladder. The word ""paraplegia"" is used in a more specialized medical context in Sentence B, indicating that its meaning has changed. Therefore, the label ""Changed"" is appropriate." 64,Paraplegia,"We present two cases in which spinal epidural compression was caused by the expansion of bony elements into the spinal canal as a result of osteoblastic metastases. The precise nature of the compression was appreciated only on computed tomography. One patient had immediate and sustained neurological improvement after laminectomy. The other benefited temporarily, but widespread involvement of his spine ultimately led to paraplegia despite two more decompressive procedures. We think that bony expansion of the spine secondary to osteoblastic metastasis is not reversible with radiation therapy alone and is, therefore, an absolute indication for surgical decompression.","Thyroid hormones are known to be essential for growth, development, and metabolism. Recently, the monocarboxylate transporter 8 (MCT8) was identified as a thyroid hormone transporter, and MCT8 mutations have been associated with Allan-Herndon-Dudley syndrome, an X linked condition characterized by severe mental retardation, dysarthria, athetoid movements, muscle hypoplasia, and spastic paraplegia. Here we describe in detail the clinical and biochemical features and the response to thyroid hormone (L-thyroxine (LT4)) administration in a boy with an MCT8 mutation (c.1649delA) that truncates the protein in the twelfth transmembrane domain. It is of note that brain magnetic resonance imaging (MRI) revealed delayed myelination from infancy. Endocrine functions other than thyroid hormone regulation and metabolism were intact, resulting in normal hypothalamic/pituitary function tests. While LT4 administration suppressed thyrotropin (TSH) secretion, no significant changes in thyroid hormone values or clinical symptoms were observed.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Paraplegia Sentence A: We present two cases in which spinal epidural compression was caused by the expansion of bony elements into the spinal canal as a result of osteoblastic metastases. The precise nature of the compression was appreciated only on computed tomography. One patient had immediate and sustained neurological improvement after laminectomy. The other benefited temporarily, but widespread involvement of his spine ultimately led to paraplegia despite two more decompressive procedures. We think that bony expansion of the spine secondary to osteoblastic metastasis is not reversible with radiation therapy alone and is, therefore, an absolute indication for surgical decompression. Sentence B: Thyroid hormones are known to be essential for growth, development, and metabolism. Recently, the monocarboxylate transporter 8 (MCT8) was identified as a thyroid hormone transporter, and MCT8 mutations have been associated with Allan-Herndon-Dudley syndrome, an X linked condition characterized by severe mental retardation, dysarthria, athetoid movements, muscle hypoplasia, and spastic paraplegia. Here we describe in detail the clinical and biochemical features and the response to thyroid hormone (L-thyroxine (LT4)) administration in a boy with an MCT8 mutation (c.1649delA) that truncates the protein in the twelfth transmembrane domain. It is of note that brain magnetic resonance imaging (MRI) revealed delayed myelination from infancy. Endocrine functions other than thyroid hormone regulation and metabolism were intact, resulting in normal hypothalamic/pituitary function tests. While LT4 administration suppressed thyrotropin (TSH) secretion, no significant changes in thyroid hormone values or clinical symptoms were observed. ###Answer 1. Changed Reasoning: In Sentence A, the target word ""paraplegia"" refers to a condition where there is compression of the spinal cord, leading to neurological symptoms such as muscle weakness and paralysis. The context suggests that this condition is caused by the expansion of bony elements into the spinal canal, which can be treated with surgical decompression. Therefore, the meaning of ""paraplegia"" in Sentence A is related to a specific medical condition. In Sentence B, the target word ""paraplegia"" refers to a genetic condition characterized by muscle hypoplasia, spastic paralysis, and cognitive impairment. The context suggests that this condition is caused by mutations in the MCT8 gene, which codes for a thyroid hormone transporter. The feature of delayed myelination from infancy is also mentioned. Therefore, the meaning of ""paraplegia"" in Sentence B is related to a genetic disorder with neurological symptoms. Comparing the two sentences, it is clear that the meaning of ""paraplegia"" has changed significantly between the two timestamps. In Sentence A, the term refers to a specific medical condition caused by compression of the spinal cord, while in Sentence B, it refers to a genetic disorder with neurological symptoms. Therefore, the label ""Changed"" is appropriate for this example." 65,Paraplegia,"The effectiveness of various sized shunts placed between the ascending and the descending aorta to prevent paraplegia in dogs with the thoracic aorta cross-clamped for 1 hour was tested. Three tapered shunts sizes were used with tip dimensions of 3.8, 5.2, and 6.3 mm inner diameter, with cross-sectional areas of 11.34, 21.23, and 33.18 mm2, respectively, and with an equal midportion diameter of 10 mm (3/8 inch). These shunts carried 40%, 60%, and 72% respectively, of baseline descending aortic flow during the cross-clamping period. Flow distribution was measured with radioactive microspheres in the spinal cord (gray and white matter) and kidneys. All dogs without shunts (Group I) developed paraplegia, severe proximal circulatory embarrassment, and severe ischemia of the spinal cord (mainly gray matter) that was followed by marked hyperemia persisting up to 24 hours following the experiment. Mortality was 33%. Only animals treated with large shunts (Groups III and IV) avoided paraplegia and postischemic injury. An effective shunt was characterized as carrying 60% or more of baseline descending aortic flow, having a cross-sectional area at its tip equal to or larger than 29% of the descending aorta, and equaling at least 54% of its diameter. Porportionately, the size of the tridodecylmethylamonium-heparin shunts being used in human beings (even the largest 9 mm inner diameter) is significantly inadequate to maintain distal flows and pressures for the prevention of spinal cord injury. Four clinical options are discussed.",The effects of a single intravenous injection of human umbilical blood were studied on the model of severe spinal cord contusion injury in rats. Rats receiving no umbilical blood (spontaneous recovery) served as the control. All rats exhibited pronounced hind limb paraplegia and autonomic dysfunction of pelvic organs after the injury. Recovery of the hind limb function was evaluated by loading tests and locomotor activity testing in the open field using BBB score for open-field testing. Testing was carried out weekly for 8 weeks after the injury. Open-field testing showed a significant (p < 0.05) increase of the rate and volume of the hind limb motor activity recovery in the groups receiving umbilical blood infusions. ,"###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Paraplegia Sentence A: The effectiveness of various sized shunts placed between the ascending and the descending aorta to prevent paraplegia in dogs with the thoracic aorta cross-clamped for 1 hour was tested. Three tapered shunts sizes were used with tip dimensions of 3.8, 5.2, and 6.3 mm inner diameter, with cross-sectional areas of 11.34, 21.23, and 33.18 mm2, respectively, and with an equal midportion diameter of 10 mm (3/8 inch). These shunts carried 40%, 60%, and 72% respectively, of baseline descending aortic flow during the cross-clamping period. Flow distribution was measured with radioactive microspheres in the spinal cord (gray and white matter) and kidneys. All dogs without shunts (Group I) developed paraplegia, severe proximal circulatory embarrassment, and severe ischemia of the spinal cord (mainly gray matter) that was followed by marked hyperemia persisting up to 24 hours following the experiment. Mortality was 33%. Only animals treated with large shunts (Groups III and IV) avoided paraplegia and postischemic injury. An effective shunt was characterized as carrying 60% or more of baseline descending aortic flow, having a cross-sectional area at its tip equal to or larger than 29% of the descending aorta, and equaling at least 54% of its diameter. Porportionately, the size of the tridodecylmethylamonium-heparin shunts being used in human beings (even the largest 9 mm inner diameter) is significantly inadequate to maintain distal flows and pressures for the prevention of spinal cord injury. Four clinical options are discussed. Sentence B: The effects of a single intravenous injection of human umbilical blood were studied on the model of severe spinal cord contusion injury in rats. Rats receiving no umbilical blood (spontaneous recovery) served as the control. All rats exhibited pronounced hind limb paraplegia and autonomic dysfunction of pelvic organs after the injury. Recovery of the hind limb function was evaluated by loading tests and locomotor activity testing in the open field using BBB score for open-field testing. Testing was carried out weekly for 8 weeks after the injury. Open-field testing showed a significant (p < 0.05) increase of the rate and volume of the hind limb motor activity recovery in the groups receiving umbilical blood infusions. ###Answer 1. Changed The meaning of the target word ""paraplegia"" has significantly shifted between the two sentences. In Sentence A, the term refers to a specific condition where dogs with the thoracic aorta cross-clamped for 1 hour develop paralysis of the hind limbs. In Sentence B, the term is used to describe the effects of a single intravenous injection of human umbilical blood on the model of severe spinal cord contusion injury in rats, with no mention of specific hind limb paralysis. The shift in meaning is likely due to changes in medical understanding and terminology over time." 66,Paraplegia,"Mutations in the ALS2 gene have been known to account for a juvenile recessive form of amyotrophic lateral sclerosis (ALS2), a rare juvenile recessive form of primary lateral sclerosis, and a form of hereditary spastic paraplegia (HSP), indicating that the ALS2 protein is essential for the maintenance of motor neurons. Recently, we have demonstrated that the ALS2 protein specifically binds to the small GTPase Rab5 and acts as a GEF (guanine nucleotide exchange factor) for Rab5. We have also shown that its Rab5GEF-requisite domain resides within the C-terminal 640-amino acid region spanning membrane occupation and recognition nexus motifs and the vacuolar protein sorting 9 domain. Transiently expressed ALS2 localized onto early endosomal compartments and stimulated endosome fusions in neuronal and non-neuronal cells in an Rab5GEF activity-dependent manner. These results indicate that the C-terminal region of ALS2 plays a crucial role in endosomal dynamics by its Rab5GEF activity. Here we delineate a molecular feature of the ALS2-associated function through the C-terminal region-mediated homo-oligomerization. A yeast two-hybrid screen for interacting proteins with the ALS2 C-terminal portion identified ALS2 itself. ALS2 forms a homophilic oligomer through its distinct C-terminal regions. This homo-oligomerization is crucial for the Rab5GEF activity in vitro and the ALS2-mediated endosome enlargement in the cells. Taken together, these results indicate that oligomerization of the ALS2 protein is one of the fundamental features for its physiological function involving endosome dynamics in vivo.",Spinal intramedullary tuberculoma remains a very rare entity of central nervous system tuberculosis. This is the same with the coexistence of spinal intramedullary and intracranial tuberculomas that remains extremely rare with less than 20 cases reported at present. Authors describe this uncommon case by analyzing a 65-year-old female patient who had past history of kidney transplantation due to stage 5 chronic kidney disease and pulmonary tuberculosis on medication. The patient experiences progressive paraplegia and numbness on both lower extremities. Magnetic resonance imaging demonstrated an intramedullary mass at T9-10 level and multiple intracranial enhancing nodules. Microsurgical resection of spinal intramedullary mass was performed and the lesion was histopathologically confirmed as Mycobacterium tuberculosis. Efficient diagnosis and management of this rare disease are reviewed along with previously reported cases. ,"###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Paraplegia Sentence A: Mutations in the ALS2 gene have been known to account for a juvenile recessive form of amyotrophic lateral sclerosis (ALS2), a rare juvenile recessive form of primary lateral sclerosis, and a form of hereditary spastic paraplegia (HSP), indicating that the ALS2 protein is essential for the maintenance of motor neurons. Recently, we have demonstrated that the ALS2 protein specifically binds to the small GTPase Rab5 and acts as a GEF (guanine nucleotide exchange factor) for Rab5. We have also shown that its Rab5GEF-requisite domain resides within the C-terminal 640-amino acid region spanning membrane occupation and recognition nexus motifs and the vacuolar protein sorting 9 domain. Transiently expressed ALS2 localized onto early endosomal compartments and stimulated endosome fusions in neuronal and non-neuronal cells in an Rab5GEF activity-dependent manner. These results indicate that the C-terminal region of ALS2 plays a crucial role in endosomal dynamics by its Rab5GEF activity. Here we delineate a molecular feature of the ALS2-associated function through the C-terminal region-mediated homo-oligomerization. A yeast two-hybrid screen for interacting proteins with the ALS2 C-terminal portion identified ALS2 itself. ALS2 forms a homophilic oligomer through its distinct C-terminal regions. This homo-oligomerization is crucial for the Rab5GEF activity in vitro and the ALS2-mediated endosome enlargement in the cells. Taken together, these results indicate that oligomerization of the ALS2 protein is one of the fundamental features for its physiological function involving endosome dynamics in vivo. Sentence B: Spinal intramedullary tuberculoma remains a very rare entity of central nervous system tuberculosis. This is the same with the coexistence of spinal intramedullary and intracranial tuberculomas that remains extremely rare with less than 20 cases reported at present. Authors describe this uncommon case by analyzing a 65-year-old female patient who had past history of kidney transplantation due to stage 5 chronic kidney disease and pulmonary tuberculosis on medication. The patient experiences progressive paraplegia and numbness on both lower extremities. Magnetic resonance imaging demonstrated an intramedullary mass at T9-10 level and multiple intracranial enhancing nodules. Microsurgical resection of spinal intramedullary mass was performed and the lesion was histopathologically confirmed as Mycobacterium tuberculosis. Efficient diagnosis and management of this rare disease are reviewed along with previously reported cases. ###Answer 1. Changed Reasoning: In Sentence A, the target word ""paraplegia"" is used to describe the ALS2 protein's role in endosome dynamics and its Rab5GEF activity. The context suggests that the word carries a specific meaning related to the protein's function in cellular membrane dynamics. In Sentence B, the target word ""paraplegia"" is used to describe a medical condition, specifically a spinal intramedullary tuberculoma. The context suggests that the word has a different meaning in this sentence, as it is used to describe a neurological condition rather than a protein function. Therefore, we can label the target word ""paraplegia"" as having undergone semantic drift between the two sentences, as its meaning has shifted from a protein function to a medical condition." 67,Paraplegia,To find the most energy-efficient standing-up motion for quadriceps and to restore that motion in a person with complete paraplegia by using hybrid functional electrical stimulation.,"Hereditary spastic paraplegias (HSPs) are a group of neurodegenerative disorders characterized by progressive dysfunction of corticospinal motor neurons. Mutations in Atlastin1/Spg3, a small GTPase required for membrane fusion in the endoplasmic reticulum, are responsible for 10% of HSPs. Patients with the same Atlastin1/Spg3 mutation present high variability in age at onset and severity, suggesting a fundamental role of the environment and genetic background. Here, we used a Drosophila model of HSPs to identify genetic modifiers of decreased locomotion associated with atlastin knockdown in motor neurons. First, we screened for genomic regions that modify the climbing performance or viability of flies expressing atl RNAi in motor neurons. We tested 364 deficiencies spanning chromosomes two and three and found 35 enhancer and four suppressor regions of the climbing phenotype. We found that candidate genomic regions can also rescue atlastin effects at synapse morphology, suggesting a role in developing or maintaining the neuromuscular junction. Motor neuron-specific knockdown of 84 genes spanning candidate regions of the second chromosome identified 48 genes required for climbing behavior in motor neurons and 7 for viability, mapping to 11 modifier regions. We found that atl interacts genetically with Su(z)2, a component of the Polycomb repressive complex 1, suggesting that epigenetic regulation plays a role in the variability of HSP-like phenotypes caused by atl alleles. Our results identify new candidate genes and epigenetic regulation as a mechanism modifying neuronal atl pathogenic phenotypes, providing new targets for clinical studies.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Paraplegia Sentence A: To find the most energy-efficient standing-up motion for quadriceps and to restore that motion in a person with complete paraplegia by using hybrid functional electrical stimulation. Sentence B: Hereditary spastic paraplegias (HSPs) are a group of neurodegenerative disorders characterized by progressive dysfunction of corticospinal motor neurons. Mutations in Atlastin1/Spg3, a small GTPase required for membrane fusion in the endoplasmic reticulum, are responsible for 10% of HSPs. Patients with the same Atlastin1/Spg3 mutation present high variability in age at onset and severity, suggesting a fundamental role of the environment and genetic background. Here, we used a Drosophila model of HSPs to identify genetic modifiers of decreased locomotion associated with atlastin knockdown in motor neurons. First, we screened for genomic regions that modify the climbing performance or viability of flies expressing atl RNAi in motor neurons. We tested 364 deficiencies spanning chromosomes two and three and found 35 enhancer and four suppressor regions of the climbing phenotype. We found that candidate genomic regions can also rescue atlastin effects at synapse morphology, suggesting a role in developing or maintaining the neuromuscular junction. Motor neuron-specific knockdown of 84 genes spanning candidate regions of the second chromosome identified 48 genes required for climbing behavior in motor neurons and 7 for viability, mapping to 11 modifier regions. We found that atl interacts genetically with Su(z)2, a component of the Polycomb repressive complex 1, suggesting that epigenetic regulation plays a role in the variability of HSP-like phenotypes caused by atl alleles. Our results identify new candidate genes and epigenetic regulation as a mechanism modifying neuronal atl pathogenic phenotypes, providing new targets for clinical studies. ###Answer 1. Changed Reasoning: The target word ""paraplegia"" has undergone a significant change in meaning between the two sentences. In Sentence A, the word is used to describe a specific medical condition characterized by the loss of motor function in the lower limbs. In contrast, in Sentence B, the word is used to describe a broader group of neurodegenerative disorders affecting the corticospinal motor neurons. The shift in meaning suggests that the term ""paraplegia"" has undergone semantic drift, and the label ""Changed"" is appropriate." 68,Paraplegia,"A total of 20 cases of intraspinal benign tumors (13 neurilemmomas and seven meningiomas) with severe motor deficits operated on from 1978 to 1991 were reviewed. Motor deficits were graded according to the classification of Cooper and Ebstein. Grade IV represented slight movement of the lower extremities, but no ability to walk or stand; grade V was complete paralysis. There were 16 patients classified as grade IV and four classified as grade V. All patients underwent total excision of the tumor and postoperative physical therapy. After various periods of follow-up, 13 patients could walk independently, five could walk with assistance, one could stand, and one was still restricted to a wheelchair. For the 13 patients who could walk independently, 11 were able to stand within one month after surgery. In contrast, of the seven patients who could not walk independently, only two managed to stand within one month of surgery. Statistically, age, duration of paraplegia and tumor location all had a significant influence on the recovery of motor function. Being able to stand within one month of surgery was predictive of a good recovery.","Human gait requires both haptic and visual feedback to generate and control rhythmic movements, and navigate environmental obstacles. Current lower extremity wearable exoskeletons that restore gait to individuals with paraplegia due to spinal cord injury rely completely on visual feedback to generate limited pre-programmed gait variations, and generally provide little control by the user over the gait cycle. As an alternative to this limitation, we propose user control of gait in real time using healthy upper extremities. This paper evaluates the feedback conditions required for the hands to generate complex rhythmic trajectories that resemble gait trajectories. This paper involved 18 subjects who performed a virtual locomotor task, where contralateral hand movements were mapped to control virtual feet in three feedback conditions: haptic only, visual only, and haptic and visual. The results indicate that haptic feedback in addition to visual feedback is required to produce rhythmic hand trajectories similar to gait trajectories.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Paraplegia Sentence A: A total of 20 cases of intraspinal benign tumors (13 neurilemmomas and seven meningiomas) with severe motor deficits operated on from 1978 to 1991 were reviewed. Motor deficits were graded according to the classification of Cooper and Ebstein. Grade IV represented slight movement of the lower extremities, but no ability to walk or stand; grade V was complete paralysis. There were 16 patients classified as grade IV and four classified as grade V. All patients underwent total excision of the tumor and postoperative physical therapy. After various periods of follow-up, 13 patients could walk independently, five could walk with assistance, one could stand, and one was still restricted to a wheelchair. For the 13 patients who could walk independently, 11 were able to stand within one month after surgery. In contrast, of the seven patients who could not walk independently, only two managed to stand within one month of surgery. Statistically, age, duration of paraplegia and tumor location all had a significant influence on the recovery of motor function. Being able to stand within one month of surgery was predictive of a good recovery. Sentence B: Human gait requires both haptic and visual feedback to generate and control rhythmic movements, and navigate environmental obstacles. Current lower extremity wearable exoskeletons that restore gait to individuals with paraplegia due to spinal cord injury rely completely on visual feedback to generate limited pre-programmed gait variations, and generally provide little control by the user over the gait cycle. As an alternative to this limitation, we propose user control of gait in real time using healthy upper extremities. This paper evaluates the feedback conditions required for the hands to generate complex rhythmic trajectories that resemble gait trajectories. This paper involved 18 subjects who performed a virtual locomotor task, where contralateral hand movements were mapped to control virtual feet in three feedback conditions: haptic only, visual only, and haptic and visual. The results indicate that haptic feedback in addition to visual feedback is required to produce rhythmic hand trajectories similar to gait trajectories. ###Answer 1. Changed Reasoning: The meaning of ""paraplegia"" has changed significantly between the two sentences. In Sentence A, ""paraplegia"" is used to describe a condition characterized by severe motor deficits, including complete paralysis, with no ability to walk or stand. In contrast, in Sentence B, ""paraplegia"" is used to describe a condition involving the use of wearable exoskeletons to restore gait to individuals with spinal cord injury, with a focus on visual feedback rather than haptic feedback. The meaning of ""paraplegia"" has shifted from a clinical diagnosis to a technological innovation in the field of rehabilitation medicine." 69,Paraplegia,"The authors performed an anterior medullar decompression and a vertebral arthrodesis with bone grafts in 5 children and adolescents suffering neurological troubles caused by an angular kyphosis. 4 patients out of 5 completely or almost completely recovered from their paraplegia in the days or weeks following surgery. The authors stress the infrequency of the indication of such a procedure justified in either recent or incomplete neurological troubles without improvement by immobilization and rest. This procedure, which may raise technical problems, gives way to the rapid recovery of a satisfying functional state. It is to be considered in view of these dramatic situations.","Hereditary spastic paraplegias (HSP) are heterogeneous neurodegenerative disorders, genetically classified according to the identified disease gene or locus. Clinically, HSP are distinguished in pure and complicated forms. Mutations in the spastin gene (SPAST) are responsible for SPG4 and account approximately for 50% of the dominantly inherited paraplegias with a pure HSP phenotype.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Paraplegia Sentence A: The authors performed an anterior medullar decompression and a vertebral arthrodesis with bone grafts in 5 children and adolescents suffering neurological troubles caused by an angular kyphosis. 4 patients out of 5 completely or almost completely recovered from their paraplegia in the days or weeks following surgery. The authors stress the infrequency of the indication of such a procedure justified in either recent or incomplete neurological troubles without improvement by immobilization and rest. This procedure, which may raise technical problems, gives way to the rapid recovery of a satisfying functional state. It is to be considered in view of these dramatic situations. Sentence B: Hereditary spastic paraplegias (HSP) are heterogeneous neurodegenerative disorders, genetically classified according to the identified disease gene or locus. Clinically, HSP are distinguished in pure and complicated forms. Mutations in the spastin gene (SPAST) are responsible for SPG4 and account approximately for 50% of the dominantly inherited paraplegias with a pure HSP phenotype. ###Answer 1. Changed The target word ""paraplegia"" has undergone a significant change in meaning between the two sentences. In Sentence A, the word is used to describe a condition where a patient has recovered from neurological troubles, whereas in Sentence B, it is used to describe a genetic disorder that causes progressive muscle weakness and spasticity. The word's meaning has shifted from a medical condition with a specific cause (surgery) to a broader term encompassing a range of genetic disorders." 70,Paraplegia,"Fifty-eight patients with severe thoracolumbar burst fractures were treated with bilateral transpedicular decompression, Harrington rod instrumentation, and spine fusion. Spinal realignment and stabilization was achieved by contoured dual Harrington distraction rods supplemented by segmental sublaminal wiring. Posterior element fractures were noted in 25 patients, 9 of whom had associated dural tears. Computed tomography was performed to assess the cross-sectional area of the spinal canal before surgery and after decompression. Patients at initial evaluation averaged greater than 67% spinal canal compromise. After surgery, successful decompression was accomplished in 57 patients. One patient required staged, anterior thoracoabdominal decompression and fibula strut grafting. At follow-up (average, 43 months; range, 25-70 months), neurologic improvement was found in 77% of the patients who initially presented with neurologic deficits. Thirty-four of 40 patients with incomplete paraplegia improved one or more subgroups on the Frankel scale. A solid fusion was attained in all 58 patients. No patient had a significant residual kyphotic deformity. Single-stage bilateral transpedicular decompression and dual Harrington rod instrumentation reliably provides decompression of the spinal canal and restores spinal alignment. The procedure allows early mobilization and provides an environment for solid fusion and maximum neurologic return.","WE REPORT THE SUCCESSFUL TREATMENT OF THORACOABDOMINAL DISSECTION, WHICH EXTENDED INTO THE LEFT ILIAC ARTERY, DESPITE TWO INDEPENDENT COMPLICATIONS: graft infection and a relatively rare, delayed postoperative paraplegia. The paraplegia suddenly occurred on postoperative day 10, and after an intravenous infusion of heparin and methylprednisolone, it gradually subsided. Moreover, graft infection was diagnosed on postoperative day 27, and with continuous irrigation of antibiotic treatment it was cured without recurrence of infection. Although anticoagulation therapy is not indicated for paraplegia, we suppose that it might be used as an adjunct therapeutic.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Paraplegia Sentence A: Fifty-eight patients with severe thoracolumbar burst fractures were treated with bilateral transpedicular decompression, Harrington rod instrumentation, and spine fusion. Spinal realignment and stabilization was achieved by contoured dual Harrington distraction rods supplemented by segmental sublaminal wiring. Posterior element fractures were noted in 25 patients, 9 of whom had associated dural tears. Computed tomography was performed to assess the cross-sectional area of the spinal canal before surgery and after decompression. Patients at initial evaluation averaged greater than 67% spinal canal compromise. After surgery, successful decompression was accomplished in 57 patients. One patient required staged, anterior thoracoabdominal decompression and fibula strut grafting. At follow-up (average, 43 months; range, 25-70 months), neurologic improvement was found in 77% of the patients who initially presented with neurologic deficits. Thirty-four of 40 patients with incomplete paraplegia improved one or more subgroups on the Frankel scale. A solid fusion was attained in all 58 patients. No patient had a significant residual kyphotic deformity. Single-stage bilateral transpedicular decompression and dual Harrington rod instrumentation reliably provides decompression of the spinal canal and restores spinal alignment. The procedure allows early mobilization and provides an environment for solid fusion and maximum neurologic return. Sentence B: WE REPORT THE SUCCESSFUL TREATMENT OF THORACOABDOMINAL DISSECTION, WHICH EXTENDED INTO THE LEFT ILIAC ARTERY, DESPITE TWO INDEPENDENT COMPLICATIONS: graft infection and a relatively rare, delayed postoperative paraplegia. The paraplegia suddenly occurred on postoperative day 10, and after an intravenous infusion of heparin and methylprednisolone, it gradually subsided. Moreover, graft infection was diagnosed on postoperative day 27, and with continuous irrigation of antibiotic treatment it was cured without recurrence of infection. Although anticoagulation therapy is not indicated for paraplegia, we suppose that it might be used as an adjunct therapeutic. ###Answer 1. Changed Reasoning: In Sentence A, the term ""paraplegia"" is used to describe a specific type of spinal injury that results in partial or complete paralysis of the lower extremities. The context suggests that this injury is caused by a severe thoracolumbar burst fracture and is characterized by a significant compromise of the spinal canal. The term is used to convey the severity of the injury and the need for immediate surgical intervention to restore spinal alignment and decompression. In Sentence B, the term ""paraplegia"" is used in a different context. The patient experiences a sudden onset of paraplegia on postoperative day 10, which is described as relatively rare and delayed compared to the graft infection. The term is used to convey the unexpected and serious nature of the complication. Comparing the usage of ""paraplegia"" in these two sentences, it is clear that the term has undergone a significant change in meaning. In Sentence A, the term is used to describe a specific type of spinal injury, while in Sentence B, it is used to describe an unexpected and serious complication. Therefore, the label ""Changed"" is appropriate." 71,Paraplegia,The results of the use of hyperbaric oxygen therapy to control the onset of paraplegia after recent spinal cord injury in sheep are described. This preliminary report suggest that hyperbaric oxygen therapy instituted within two hours of the injury will result in improved motor recovery.,"Intraoperative spinal cord monitoring consists in a subcontinuous evaluation of spinal cord sensory-motor functions and allows the reduction the incidence of neurological complications resulting from spinal surgery. A combination of techniques is used: somatosensory evoked potentials (SSEP), motor evoked potentials (MEP), neurogenic motor evoked potentials (NMEP), D waves, and pedicular screw testing. In absence of intraoperative neurophysiological testing, the intraoperative wake-up test is a true form of monitoring even if its latency long and its precision variable. A 2011 survey of 117 French spinal surgeons showed that only 36% had neurophysiological monitoring available (public healthcare facilities, 42%; private facilities, 27%). Monitoring can be performed by a neurophysiologist in the operating room, remotely using a network, or directly by the surgeon. Intraoperative alerts allow real-time diagnosis of impending neurological injury. Use of spinal electrodes, moved along the medullary canal, can determine the lesion level (NMEP, D waves). The response to a monitoring alert should take into account the phase of the surgical intervention and does not systematically lead to interruption of the intervention. Multimodal intraoperative monitoring, in presence of a neurophysiologist, in collaboration with the anesthesiologist, is the most reliable technique available. However, no monitoring technique can predict a delayed-onset paraplegia that appears after the end of surgery. In cases of preexisting neurological deficit, monitoring contributes little. Monitoring of the L1-L4 spinal roots also shows low reliability. Therefore, monitoring has no indication in discal and degenerative surgery of the spinal surgery. However, testing pedicular screws can be useful. All in all, thoracic and thoracolumbar vertebral deviations, with normal preoperative neurological examination are currently the essential indication for spinal cord monitoring. Its absence in this indication is a lost opportunity for the patient. If neurophysiological means are not available, intraoperative wake-up test is a minimal obligation. ","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Paraplegia Sentence A: The results of the use of hyperbaric oxygen therapy to control the onset of paraplegia after recent spinal cord injury in sheep are described. This preliminary report suggest that hyperbaric oxygen therapy instituted within two hours of the injury will result in improved motor recovery. Sentence B: Intraoperative spinal cord monitoring consists in a subcontinuous evaluation of spinal cord sensory-motor functions and allows the reduction the incidence of neurological complications resulting from spinal surgery. A combination of techniques is used: somatosensory evoked potentials (SSEP), motor evoked potentials (MEP), neurogenic motor evoked potentials (NMEP), D waves, and pedicular screw testing. In absence of intraoperative neurophysiological testing, the intraoperative wake-up test is a true form of monitoring even if its latency long and its precision variable. A 2011 survey of 117 French spinal surgeons showed that only 36% had neurophysiological monitoring available (public healthcare facilities, 42%; private facilities, 27%). Monitoring can be performed by a neurophysiologist in the operating room, remotely using a network, or directly by the surgeon. Intraoperative alerts allow real-time diagnosis of impending neurological injury. Use of spinal electrodes, moved along the medullary canal, can determine the lesion level (NMEP, D waves). The response to a monitoring alert should take into account the phase of the surgical intervention and does not systematically lead to interruption of the intervention. Multimodal intraoperative monitoring, in presence of a neurophysiologist, in collaboration with the anesthesiologist, is the most reliable technique available. However, no monitoring technique can predict a delayed-onset paraplegia that appears after the end of surgery. In cases of preexisting neurological deficit, monitoring contributes little. Monitoring of the L1-L4 spinal roots also shows low reliability. Therefore, monitoring has no indication in discal and degenerative surgery of the spinal surgery. However, testing pedicular screws can be useful. All in all, thoracic and thoracolumbar vertebral deviations, with normal preoperative neurological examination are currently the essential indication for spinal cord monitoring. Its absence in this indication is a lost opportunity for the patient. If neurophysiological means are not available, intraoperative wake-up test is a minimal obligation. ###Answer 1. Changed Reasoning: In Sentence A, the term ""paraplegia"" is used to describe the outcome of spinal cord injury, specifically the control of onset of paralysis after injury. In this context, the term likely has a negative connotation, implying a loss of function or mobility. In Sentence B, the term ""paraplegia"" is used in a different context, describing the availability of intraoperative monitoring techniques for spinal surgery. In this context, the term likely has a neutral or positive connotation, as the monitoring techniques are intended to improve the accuracy of diagnosis and treatment. Therefore, there has been a significant change in the meaning of the term ""paraplegia"" between the two sentences, indicating semantic drift." 72,Paraplegia,"Segawa's disease (SD) is a hereditary progressive dystonia with marked diurnal fluctuation with onset in childhood or adolescence and a striking responsiveness to L-dopa. Here we describe a typical case of SD in a 28 year old woman whose disease begun at the age of 18 years. This patient had a second cousin with probable hereditary spastic paraplegia (Strumpell's familiar spastic paraplegia) who had no benefit on a recent L-dopa trial. Due to this family history our patient had been misdiagnosed as Strumpell's disease for more than 10 years. There was no other apparent case of SD in the family. Her father had an atypical gait but was otherwise normal. Her daughter had motor developmental delay due to hypotonia. Pes cavus was a common feature to the patient, her father and her cousin.","Herein, we report a rare instance of paraplegia following percutaneous nephrolithotomy under thoracic epidural anesthesia in a conscious patient. The possible factors include low body mass index, chronic renal failure, and multiple ""in and out"" needle passes during the procedure. Direct cord trauma with epidural bloody collection resulted in the neurological damage. However, the patient did not show signs of spinal cord trauma during the needle injury, possibly due to a prior accidental subarachnoid block. This not only delayed the recognition of the disorder, but also delayed treatment, consequently resulting in permanent paraplegia. Careful monitoring after epidural blocking should be undertaken in order to allow the early detection of mismanagement and limit the extent of neurologic injury.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Paraplegia Sentence A: Segawa's disease (SD) is a hereditary progressive dystonia with marked diurnal fluctuation with onset in childhood or adolescence and a striking responsiveness to L-dopa. Here we describe a typical case of SD in a 28 year old woman whose disease begun at the age of 18 years. This patient had a second cousin with probable hereditary spastic paraplegia (Strumpell's familiar spastic paraplegia) who had no benefit on a recent L-dopa trial. Due to this family history our patient had been misdiagnosed as Strumpell's disease for more than 10 years. There was no other apparent case of SD in the family. Her father had an atypical gait but was otherwise normal. Her daughter had motor developmental delay due to hypotonia. Pes cavus was a common feature to the patient, her father and her cousin. Sentence B: Herein, we report a rare instance of paraplegia following percutaneous nephrolithotomy under thoracic epidural anesthesia in a conscious patient. The possible factors include low body mass index, chronic renal failure, and multiple ""in and out"" needle passes during the procedure. Direct cord trauma with epidural bloody collection resulted in the neurological damage. However, the patient did not show signs of spinal cord trauma during the needle injury, possibly due to a prior accidental subarachnoid block. This not only delayed the recognition of the disorder, but also delayed treatment, consequently resulting in permanent paraplegia. Careful monitoring after epidural blocking should be undertaken in order to allow the early detection of mismanagement and limit the extent of neurologic injury. ###Answer 1. Changed Reasoning: In Sentence A, the term ""paraplegia"" is used to describe a hereditary progressive dystonia with onset in childhood or adolescence. The context suggests that the term is used to describe a specific medical condition with a clear definition and diagnostic criteria. In this context, the term ""paraplegia"" has not undergone significant semantic drift. In Sentence B, the term ""paraplegia"" is used in a different context to describe a neurological injury caused by a medical procedure. The term is used to describe a specific type of injury that results in permanent paralysis. The context suggests that the term has undergone significant semantic drift, as it is used to describe a different medical condition with a different meaning and connotation. The term ""paraplegia"" in Sentence B has changed its meaning and connotation compared to Sentence A. Therefore, the label ""Changed"" is appropriate." 73,Paraplegia,"A 25-year-old male presented purulent meningitis associated with transverse myelitis. Spinal T2-weighted MRI showed a large spinal cord with an intramedullary high signal. Infection resolved with antibiotic therapy but spastic paraplegia persisted. Four months later, he developed a Guillain-Barré syndrome with clinical and biological signs of systemic lupus erythematosus. Final outcome was fatal despite corticosteroid and immunoglobulin treatment.","Endovascular repair of thoracic or thoracoabdominal aortic lesions as an alternative to open surgery, to avoid the high complication and mortality rates associated with the conventional approach, does not eliminate the risk of postoperative paraplegia. We report on a series of 5 patients with different thoracic aortic lesions who underwent endovascular stent-graft repair procedures. We describe measures to drain cerebrospinal fluid to prevent ischemic spinal cord injury. We also review the anesthetic management of patients undergoing this type of surgery.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Paraplegia Sentence A: A 25-year-old male presented purulent meningitis associated with transverse myelitis. Spinal T2-weighted MRI showed a large spinal cord with an intramedullary high signal. Infection resolved with antibiotic therapy but spastic paraplegia persisted. Four months later, he developed a Guillain-Barré syndrome with clinical and biological signs of systemic lupus erythematosus. Final outcome was fatal despite corticosteroid and immunoglobulin treatment. Sentence B: Endovascular repair of thoracic or thoracoabdominal aortic lesions as an alternative to open surgery, to avoid the high complication and mortality rates associated with the conventional approach, does not eliminate the risk of postoperative paraplegia. We report on a series of 5 patients with different thoracic aortic lesions who underwent endovascular stent-graft repair procedures. We describe measures to drain cerebrospinal fluid to prevent ischemic spinal cord injury. We also review the anesthetic management of patients undergoing this type of surgery. ###Answer 1. Changed Reasoning: In Sentence A, the target word ""paraplegia"" is used to describe a neurological condition that results in spastic paralysis of the lower limbs. The context suggests that the condition is caused by an infection that resolved with antibiotic therapy, but the residual paralysis persisted. The term ""paraplegia"" is used in the medical context to describe a specific type of spinal cord injury. In Sentence B, the target word ""paraplegia"" is used in a different context. It is mentioned in the context of endovascular repair of thoracic or thoracoabdominal aortic lesions. The sentence does not describe any neurological condition or spinal cord injury, but rather the potential risk of postoperative paraplegia associated with the endovascular procedure. The term ""paraplegia"" is used to describe a complication that may occur after the surgery, rather than a neurological condition. Therefore, the meaning of the target word ""paraplegia"" has significantly shifted between the two sentences. In Sentence A, the term is used to describe a specific medical condition, while in Sentence B, it is used to describe a potential surgical complication. As a result, the label ""Changed"" is appropriate for this task." 74,Paraplegia,"An 11-year old girl with spastic paraplegia and mental retardation has suffered from attacks of metabolic acidosis since the age of 18 months. ""Ketotic hyperglycinemia"" was diagnosed when she was 3 years old. Reinvestigation at 9 1/2 years included a two-day load with L-isoleucine, and propionyl-CoA carboxylase assay in cultured fibroblasts. The following compounds increased following the load: 3-hydroxypropionic acid, 2-methyl-3-hydroxybutyric acid, 2-ethylhydracrylic acid, 3-hydroxy-n-valeric acid, 3-oxo-n-valeric acid, 2-methyl-3-oxobutyric acid, 2-oxo-3-methylvaleric acid, 2-methyl-3-oxovaleric acid, N-tiglylglycine, methylcitric acid and butanone. Small amounts of alloisoleucine appeared in plasma. Propionyl-CoA carboxylase deficiency was suggested by this metabolite pattern and demonstrated in cultured fibroblasts.",The neurological examination terminologies and definitions of the status of spinal cord injured (SCI) patients are of great importance to establish scales and provide standard nomenclatures. There is a disagreement between the classical neurological terminology and the definitions of complete and incomplete paraplegia that have been proposed in traumatic spinal cord injured patients.,"###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Paraplegia Sentence A: An 11-year old girl with spastic paraplegia and mental retardation has suffered from attacks of metabolic acidosis since the age of 18 months. ""Ketotic hyperglycinemia"" was diagnosed when she was 3 years old. Reinvestigation at 9 1/2 years included a two-day load with L-isoleucine, and propionyl-CoA carboxylase assay in cultured fibroblasts. The following compounds increased following the load: 3-hydroxypropionic acid, 2-methyl-3-hydroxybutyric acid, 2-ethylhydracrylic acid, 3-hydroxy-n-valeric acid, 3-oxo-n-valeric acid, 2-methyl-3-oxobutyric acid, 2-oxo-3-methylvaleric acid, 2-methyl-3-oxovaleric acid, N-tiglylglycine, methylcitric acid and butanone. Small amounts of alloisoleucine appeared in plasma. Propionyl-CoA carboxylase deficiency was suggested by this metabolite pattern and demonstrated in cultured fibroblasts. Sentence B: The neurological examination terminologies and definitions of the status of spinal cord injured (SCI) patients are of great importance to establish scales and provide standard nomenclatures. There is a disagreement between the classical neurological terminology and the definitions of complete and incomplete paraplegia that have been proposed in traumatic spinal cord injured patients. ###Answer 1. Changed Reasoning: In Sentence A, the term ""paraplegia"" is used to describe a condition characterized by spasticity, mental retardation, and metabolic acidosis. The term is associated with negative connotations, such as disability and limitations. In Sentence B, the term ""paraplegia"" is used in a different context, describing the neurological status of traumatic spinal cord injured patients. The term is no longer associated with negative connotations, but rather with a specific medical condition. Therefore, the meaning of the term ""paraplegia"" has shifted significantly between the two sentences, indicating semantic drift." 75,Paraplegia,"During 1980, 30 patients underwent successful operations for ascending thrombosis of the abdominal aorta in its three forms: low (below the inferior mesenteric artery, 11 patients); middle (above the inferior mesenteric artery, 6 patients); and high (at the level of the renal arteries, 13 patients). An angiogram that reveals high ascending thrombosis of the abdominal aorta is paradoxically more favorable than one that reveals middle or low ascending thrombosis of the abdominal aorta. In fact, the patient with a juxtarenal thrombosis has already overcome two of the three phases that constitute the critical moments of potential failure of the collateral circulation. Progressive ascending thrombosis with a poor prognosis and a rapidly downward course can cause acute ischemia with paraplegia of the legs and intestinal infarction. Most patients die suddenly in the emergency or intensive care unit from paraplegia, acute abdomen, or anuria; the latter is due to further progressive thrombosis with obstruction of the orifice of the renal arteries. On the basis of the angiogram only (apart from subjective symptoms), ascending thrombosis of the abdominal aorta constitutes an absolute indication for surgical treatment.","Hereditary spastic paraplegias (HSP) are a group of inherited, neurodegenerative disorders characterized by progressive gait impairment, lower extremity spasticity and increased patellar reflexes. More than 80 types of HSP have been defined to date. In complicated forms, lower limb spasticity and gait impairment is accompanied by an additional neurological finding. Autosomal recessive (AR) HSPs are usually identified in complicated forms and occur more frequently in countries where consanguineous marriage is more widespread. Next generation sequencing techniques, developed in the last decade, have led to the identification of many new types of HSP and reduced the ""diagnostic odyssey."" Whole exome sequencing (WES) can diagnose up to 75% of undiagnosed HSP patients. Targeted genetic analysis with good clinical phenotyping gives the best diagnostic yields for rare diseases. Clinical heterogeneity is prominent in AR complicated HSP. However, some clinical features complicating the disease or magnetic resonance imaging findings, including thin corpus callosum or white matter abnormalities, can help to distinguish some types. AR spastic paraplegia type 64 (SPG64) is a very rare HSP, caused by a mutation in the ectonucleoside triphosphate diphosphohydrolase 1 (ENTPD1) gene, first described in 2014. To date only nine patients from five families have been reported. We present two siblings with a novel pathogenic variant in ENTPD1, diagnosed by WES, as the sixth published family. We propose that early onset in childhood, cognitive impairment, dysarthria/anarthria, dystonia and areflexia may be the distinctive features of SPG64 and more clinical evidence from families with pathogenic ENTPD1 variants is warranted.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Paraplegia Sentence A: During 1980, 30 patients underwent successful operations for ascending thrombosis of the abdominal aorta in its three forms: low (below the inferior mesenteric artery, 11 patients); middle (above the inferior mesenteric artery, 6 patients); and high (at the level of the renal arteries, 13 patients). An angiogram that reveals high ascending thrombosis of the abdominal aorta is paradoxically more favorable than one that reveals middle or low ascending thrombosis of the abdominal aorta. In fact, the patient with a juxtarenal thrombosis has already overcome two of the three phases that constitute the critical moments of potential failure of the collateral circulation. Progressive ascending thrombosis with a poor prognosis and a rapidly downward course can cause acute ischemia with paraplegia of the legs and intestinal infarction. Most patients die suddenly in the emergency or intensive care unit from paraplegia, acute abdomen, or anuria; the latter is due to further progressive thrombosis with obstruction of the orifice of the renal arteries. On the basis of the angiogram only (apart from subjective symptoms), ascending thrombosis of the abdominal aorta constitutes an absolute indication for surgical treatment. Sentence B: Hereditary spastic paraplegias (HSP) are a group of inherited, neurodegenerative disorders characterized by progressive gait impairment, lower extremity spasticity and increased patellar reflexes. More than 80 types of HSP have been defined to date. In complicated forms, lower limb spasticity and gait impairment is accompanied by an additional neurological finding. Autosomal recessive (AR) HSPs are usually identified in complicated forms and occur more frequently in countries where consanguineous marriage is more widespread. Next generation sequencing techniques, developed in the last decade, have led to the identification of many new types of HSP and reduced the ""diagnostic odyssey."" Whole exome sequencing (WES) can diagnose up to 75% of undiagnosed HSP patients. Targeted genetic analysis with good clinical phenotyping gives the best diagnostic yields for rare diseases. Clinical heterogeneity is prominent in AR complicated HSP. However, some clinical features complicating the disease or magnetic resonance imaging findings, including thin corpus callosum or white matter abnormalities, can help to distinguish some types. AR spastic paraplegia type 64 (SPG64) is a very rare HSP, caused by a mutation in the ectonucleoside triphosphate diphosphohydrolase 1 (ENTPD1) gene, first described in 2014. To date only nine patients from five families have been reported. We present two siblings with a novel pathogenic variant in ENTPD1, diagnosed by WES, as the sixth published family. We propose that early onset in childhood, cognitive impairment, dysarthria/anarthria, dystonia and areflexia may be the distinctive features of SPG64 and more clinical evidence from families with pathogenic ENTPD1 variants is warranted. ###Answer 1. Changed The meaning of ""paraplegia"" has shifted significantly between the two sentences. In Sentence A, it refers to a specific medical condition caused by thrombosis of the abdominal aorta, with a poor prognosis and a rapidly downward course. In Sentence B, it is used to describe a group of inherited, neurodegenerative disorders characterized by progressive gait impairment, lower extremity spasticity, and increased patellar reflexes. The term has taken on a different connotation and now encompasses a broader range of conditions." 76,Paraplegia,"Twenty-five cases of unstable fractures and fracture-dislocations of the spine are reviewed. They were treated at the Catholic Medical College and Centre in a 3-year period, 1975 to 1978. 1. Eleven of the 25 patients were treated by anterior interbody fusion performed at 6 to 8 weeks from injury or initial surgery. 2. Eleven patients had neurological deficits, 3 with incomplete lesions and 8 with complete lesions. Open reduction and decompression laminectomies were performed on patients having neurological deficits prior to anterior interbody fusion. Two patients with incomplete paraplegia showed marked neurological recovery whilst one with complete paraplegia regained some sensation. 3. Solid clinical fusion was obtained in all but one patient within four months of interbody fusion. 4. Amongst the 18 patients with kyphosis at the time of admission 10 had a final improvement of their kyphosis ranging from 3 to 10 degrees (average 6 degrees). Three had no change and 5 demonstrated a mild increase of kyphosis (average 4 degrees). 5. Pain was relieved in 21 patients out of 25. The advantages of this technique include effective stabilization, prevention of late deformity and relatively early mobilization without internal fixation.","Spinal cord injury (SCI) can lead to paraplegia or quadriplegia. Although there are no fully restorative treatments for SCI, various rehabilitative, cellular and molecular therapies have been tested in animal models. Many of these have reached, or are approaching, clinical trials. Here, we review these potential therapies, with an emphasis on the need for reproducible evidence of safety and efficacy. Individual therapies are unlikely to provide a panacea. Rather, we predict that combinations of strategies will lead to improvements in outcome after SCI. Basic scientific research should provide a rational basis for tailoring specific combinations of clinical therapies to different types of SCI.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Paraplegia Sentence A: Twenty-five cases of unstable fractures and fracture-dislocations of the spine are reviewed. They were treated at the Catholic Medical College and Centre in a 3-year period, 1975 to 1978. 1. Eleven of the 25 patients were treated by anterior interbody fusion performed at 6 to 8 weeks from injury or initial surgery. 2. Eleven patients had neurological deficits, 3 with incomplete lesions and 8 with complete lesions. Open reduction and decompression laminectomies were performed on patients having neurological deficits prior to anterior interbody fusion. Two patients with incomplete paraplegia showed marked neurological recovery whilst one with complete paraplegia regained some sensation. 3. Solid clinical fusion was obtained in all but one patient within four months of interbody fusion. 4. Amongst the 18 patients with kyphosis at the time of admission 10 had a final improvement of their kyphosis ranging from 3 to 10 degrees (average 6 degrees). Three had no change and 5 demonstrated a mild increase of kyphosis (average 4 degrees). 5. Pain was relieved in 21 patients out of 25. The advantages of this technique include effective stabilization, prevention of late deformity and relatively early mobilization without internal fixation. Sentence B: Spinal cord injury (SCI) can lead to paraplegia or quadriplegia. Although there are no fully restorative treatments for SCI, various rehabilitative, cellular and molecular therapies have been tested in animal models. Many of these have reached, or are approaching, clinical trials. Here, we review these potential therapies, with an emphasis on the need for reproducible evidence of safety and efficacy. Individual therapies are unlikely to provide a panacea. Rather, we predict that combinations of strategies will lead to improvements in outcome after SCI. Basic scientific research should provide a rational basis for tailoring specific combinations of clinical therapies to different types of SCI. ###Answer 1. Changed (semantic drift) Explanation: In Sentence A, the term ""paraplegia"" is used to describe a specific type of spinal cord injury, where the patient experiences a complete or incomplete lesion in the spinal cord. The sentence provides information about the treatment options available at the time, including anterior interbody fusion and open reduction and decompression laminectomies. The term ""paraplegia"" in this context refers to the loss of motor and sensory function in the lower half of the body, typically resulting from a spinal cord injury. In Sentence B, the term ""paraplegia"" is used in a different context. Here, it is used to describe the potential outcomes of spinal cord injury (SCI), rather than the specific type of injury. The sentence highlights the need for evidence-based treatments to address the complex and diverse needs of patients with SCI. The term ""paraplegia"" in this context refers to the broader spectrum of outcomes that can result from SCI, including both motor and sensory impairments. Comparing the usage of ""paraplegia"" in the two sentences reveals a significant shift in meaning. In Sentence A, the term is used to describe a specific medical condition, while in Sentence B, it is used to describe the broader outcomes of SCI. This semantic drift can be attributed to advances in medical knowledge and understanding of the complexities of spinal cord injuries over time. As a result, the term ""paraplegia"" has taken on a different connotation and meaning in Sentence B compared to Sentence A." 77,Paraplegia,1. The literature concerning intrathecal herniation of intervertebral discs is briefly reviewed. 2. A case of an intrathecal herniation of a cervical disc with transitory paraplegia and a following Brown-Sequard-Syndrome is reported. 3. Laminectomy disclosed a rotation of the cord and a sequestrated disc embedded in the anterior substance of the cord. 4. A trauma of the cervical spine 8 years ago seem to be responsible for the progredient protrusion of the cervical disc. 5. Adhaesions between the dura mater and posterior longitudinal ligament in this case are regarded as origin of intrathecal herniation.,"Systemic sclerosis (SSC) is an autoimmune disease of connective tissue and microvasculature mostly caused by autoantibodies. Likewise, neuromyelitis optica (NMO) is a demyelinating disease of the central nervous system correlating with autoantibodies against aquapourin-4. Reversible cerebral vasoconstriction syndrome (RCVS) is a disorder of brain vasculature resembling Raynaud phenomena in SSC. Despite co-occurrence is not rare in autoimmune disorders, the co-occurrence of NMO and SSC is extremely rare. In this case, we report a 35-year-old female presenting with paraplegia one day after discharge from hospital following surgical carnioplasty. She had a history of scleroderma and optic neuritis for which she was treated with high dose glucocorticoids causing renal crisis and RCVS causing intracranial and intracerebral hemorrhage which required a craniotomy to be performed in February 2020. In her recent admission, magnetic resonance imaging of the spinal cord indicated longitudinally extensive transverse myelitis (LETM) and blood tests revealed a highly positive titer of NMO-IgG. Daily plasmapheresis resulted in satisfactory improvement in her condition. This case highlights the importance of evaluating neurologic manifestations in systemic sclerosis patients considering the NMO and RCVS occurrence. Additionally, in concomitant cases, the treatment strategy should be modified regarding the risk of scleroderma renal crisis.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Paraplegia Sentence A: 1. The literature concerning intrathecal herniation of intervertebral discs is briefly reviewed. 2. A case of an intrathecal herniation of a cervical disc with transitory paraplegia and a following Brown-Sequard-Syndrome is reported. 3. Laminectomy disclosed a rotation of the cord and a sequestrated disc embedded in the anterior substance of the cord. 4. A trauma of the cervical spine 8 years ago seem to be responsible for the progredient protrusion of the cervical disc. 5. Adhaesions between the dura mater and posterior longitudinal ligament in this case are regarded as origin of intrathecal herniation. Sentence B: Systemic sclerosis (SSC) is an autoimmune disease of connective tissue and microvasculature mostly caused by autoantibodies. Likewise, neuromyelitis optica (NMO) is a demyelinating disease of the central nervous system correlating with autoantibodies against aquapourin-4. Reversible cerebral vasoconstriction syndrome (RCVS) is a disorder of brain vasculature resembling Raynaud phenomena in SSC. Despite co-occurrence is not rare in autoimmune disorders, the co-occurrence of NMO and SSC is extremely rare. In this case, we report a 35-year-old female presenting with paraplegia one day after discharge from hospital following surgical carnioplasty. She had a history of scleroderma and optic neuritis for which she was treated with high dose glucocorticoids causing renal crisis and RCVS causing intracranial and intracerebral hemorrhage which required a craniotomy to be performed in February 2020. In her recent admission, magnetic resonance imaging of the spinal cord indicated longitudinally extensive transverse myelitis (LETM) and blood tests revealed a highly positive titer of NMO-IgG. Daily plasmapheresis resulted in satisfactory improvement in her condition. This case highlights the importance of evaluating neurologic manifestations in systemic sclerosis patients considering the NMO and RCVS occurrence. Additionally, in concomitant cases, the treatment strategy should be modified regarding the risk of scleroderma renal crisis. ###Answer 1. Changed Explanation: In Sentence A, the term ""paraplegia"" is used to describe a condition where there is ""transitory paralysis"" of the limbs. This suggests that the word was used to describe a temporary loss of motor function, likely due to injury or illness. In Sentence B, the term ""paraplegia"" is used to describe a chronic condition, specifically in the context of systemic sclerosis (SSC) and neuromyelitis optica (NMO). The use of the term in this context suggests that the word has taken on a different meaning, likely implying a more persistent or long-term effect on motor function. Therefore, based on the context and meaning of the term in each sentence, it can be concluded that the word ""paraplegia"" has undergone a significant change in meaning between the two timestamps, and has shifted from a temporary to a chronic condition." 78,Paraplegia,"The diagnosis of intramedullary spinal cord metastasis (ISM) is difficult, and treatment is usually ineffective. We review our own experience with ISM as well as the pertinent medical literature, and suggest a practical diagnostic and therapeutic approach. The problem of the diagnosis of ISM is essentially that of the differential diagnosis of a noncompressive myelopathy in a patient with systemic cancer. Most such patients prove to have ISM, meningeal carcinomatosis, radiation myelopathy, or paraneoplastic necrotizing myelopathy. Neurologic features of value in this differential diagnosis are pain, the tempo and mode of progression of symptoms, and tumor cells in the spinal fluid. Oncologic features of value are the location of the primary tumor, the past exposure to therapeutic radiation, cerebral metastases, and the extent of systemic metastatic disease. The myelogram in ISM is either normal or nonspecifically abnormal; therefore, the diagnosis must be made on clinical grounds. Although no single finding is diagnostic of ISM, a careful clinical analysis will lead to the correct diagnosis in most cases. Radiation therapy is effective treatment for ISM, but only if it is administered early, before paraplegia supervenes. Thus, the diagnosis should be made and treatment begun as soon as possible. Intramedullary spinal cord metastasis is often multifocal rather than solitary; therefore, whole-cord rather than local spinal radiation should be given, if possible. If local radiotherapy is chosen, the construction of the portal can be based on the myelogram or, in the event of a normal study, on the clinical localization of the tumor.","High prevalence of amyotrophic lateral sclerosis (ALS) in Kii Province (Kii) located in southern Kii Peninsula was first pointed out by Kinnosuke Miura in 1911, and epidemiological studies by Kiyoshi Kimura et al. verified extremely high incidence after World War II. In 1970s, Yoshiro Yase pointed out that ""endemic paraplegia of Koza in Kii"" in Honcho Koji Innen Shu published in 1689 would mean the same disorder as that of ALS and be the earliest description of Kii ALS although he gave no clear grounds. In this study, the original of the article was presented with an English translation, and factuality of it was investigated from the viewpoints of geography, geology, culture and history of Kii. As a result, it was shown that the article was probably written based on historical events and that the ""endemic paraplegia"" meant the same disorder as Kii ALS. The author has concluded that ""endemic paraplegia of Koza in Kii"" is likely to be the earliest description of Kii ALS since ALS is included in the causes of paraplegias of these kinds.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Paraplegia Sentence A: The diagnosis of intramedullary spinal cord metastasis (ISM) is difficult, and treatment is usually ineffective. We review our own experience with ISM as well as the pertinent medical literature, and suggest a practical diagnostic and therapeutic approach. The problem of the diagnosis of ISM is essentially that of the differential diagnosis of a noncompressive myelopathy in a patient with systemic cancer. Most such patients prove to have ISM, meningeal carcinomatosis, radiation myelopathy, or paraneoplastic necrotizing myelopathy. Neurologic features of value in this differential diagnosis are pain, the tempo and mode of progression of symptoms, and tumor cells in the spinal fluid. Oncologic features of value are the location of the primary tumor, the past exposure to therapeutic radiation, cerebral metastases, and the extent of systemic metastatic disease. The myelogram in ISM is either normal or nonspecifically abnormal; therefore, the diagnosis must be made on clinical grounds. Although no single finding is diagnostic of ISM, a careful clinical analysis will lead to the correct diagnosis in most cases. Radiation therapy is effective treatment for ISM, but only if it is administered early, before paraplegia supervenes. Thus, the diagnosis should be made and treatment begun as soon as possible. Intramedullary spinal cord metastasis is often multifocal rather than solitary; therefore, whole-cord rather than local spinal radiation should be given, if possible. If local radiotherapy is chosen, the construction of the portal can be based on the myelogram or, in the event of a normal study, on the clinical localization of the tumor. Sentence B: High prevalence of amyotrophic lateral sclerosis (ALS) in Kii Province (Kii) located in southern Kii Peninsula was first pointed out by Kinnosuke Miura in 1911, and epidemiological studies by Kiyoshi Kimura et al. verified extremely high incidence after World War II. In 1970s, Yoshiro Yase pointed out that ""endemic paraplegia of Koza in Kii"" in Honcho Koji Innen Shu published in 1689 would mean the same disorder as that of ALS and be the earliest description of Kii ALS although he gave no clear grounds. In this study, the original of the article was presented with an English translation, and factuality of it was investigated from the viewpoints of geography, geology, culture and history of Kii. As a result, it was shown that the article was probably written based on historical events and that the ""endemic paraplegia"" meant the same disorder as Kii ALS. The author has concluded that ""endemic paraplegia of Koza in Kii"" is likely to be the earliest description of Kii ALS since ALS is included in the causes of paraplegias of these kinds. ###Answer 1. Changed Reasoning: In Sentence A, the term ""paraplegia"" is used to describe a diagnosis of spinal cord metastasis, which is a type of cancer that affects the spinal cord. The sentence highlights the difficulty in diagnosing this condition and the importance of early radiation therapy to prevent paraplegia. The term ""paraplegia"" is used without any additional context or connotation, indicating that it has a straightforward and neutral meaning in this sentence. In Sentence B, the term ""paraplegia"" is used to describe a historical condition in Kii Province, Japan. The sentence provides historical context and cultural background to explain the high incidence of amyotrophic lateral sclerosis (ALS) in the area. The term ""paraplegia"" is used in a different context and with a different connotation than in Sentence A. The term is used to describe a specific historical condition, rather than a medical diagnosis. Based on these two sentences, it is clear that the meaning and connotation of the term ""paraplegia"" have changed over time. In Sentence A, the term is used in a medical context to describe a specific diagnosis, while in Sentence B, it is used in a historical context to describe a specific condition in a particular region. Therefore, the label ""Changed"" is appropriate for this task." 79,Paraplegia,Extraneural metastases from primary intracranial tumours are extremely rare. We present a case of metastatic oligodendroglioma causing extradural spinal cord compression at the level of the sixth thoracic vertebrae resulting in paraplegia. We discuss the routes of tumour dissemination and possible reasons for the rarity of cases of metastatic oligodendroglioma.,"Deleterious mutations in the serine hydrolase DDHD domain containing 1 (DDHD1) cause the SPG28 subtype of the neurological disease hereditary spastic paraplegia (HSP), which is characterized by axonal neuropathy and gait impairments. DDHD1 has been shown to display PLA1-type phospholipase activity with a preference for phosphatidic acid. However, the endogenous lipid pathways regulated by DDHD1 in vivo remain poorly understood. Here we use a combination of untargeted and targeted metabolomics to compare the lipid content of brain tissue from DDHD1","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Paraplegia Sentence A: Extraneural metastases from primary intracranial tumours are extremely rare. We present a case of metastatic oligodendroglioma causing extradural spinal cord compression at the level of the sixth thoracic vertebrae resulting in paraplegia. We discuss the routes of tumour dissemination and possible reasons for the rarity of cases of metastatic oligodendroglioma. Sentence B: Deleterious mutations in the serine hydrolase DDHD domain containing 1 (DDHD1) cause the SPG28 subtype of the neurological disease hereditary spastic paraplegia (HSP), which is characterized by axonal neuropathy and gait impairments. DDHD1 has been shown to display PLA1-type phospholipase activity with a preference for phosphatidic acid. However, the endogenous lipid pathways regulated by DDHD1 in vivo remain poorly understood. Here we use a combination of untargeted and targeted metabolomics to compare the lipid content of brain tissue from DDHD1 ###Answer 1. Changed Reasoning: In Sentence A, the term ""paraplegia"" is used to describe a specific type of spinal cord compression caused by a tumor. The sentence provides medical information about the case, including the location of the tumor and the resulting paralysis. The term ""paraplegia"" in this context has a clear medical definition and connotation. In Sentence B, the term ""paraplegia"" is used in a different context to describe a genetic disease caused by mutations in the DDHD1 gene. The sentence discusses the molecular mechanisms underlying this disease, including the impact of the mutations on lipid metabolism in the brain. The term ""paraplegia"" in this context has a different meaning and connotation than in Sentence A. Therefore, the term ""paraplegia"" has undergone semantic drift between the two sentences, shifting from a medical term with a specific definition to a term used in a genetic context with a different meaning. As a result, the label ""Changed"" is appropriate for this task." 80,Paraplegia,"Though several animal models of ischemic brain infarction have been developed, no animal model of purely ischemic spinal cord infarction exists. In humans, such paralysis often occurs as a complication of aortic surgery. While working on an animal model of cholesterol embolic renal disease, the authors produced an animal model of ischemic spinal paralysis by direct intraaortic injection of cholesterol suspension. With histologic examination of spinal cords of the paralyzed rats, prominent cholesterol crystals were found obliterating the lumen of the anterior and/or posterior spinal arteries. Spinal cord infarction was seen most prominently in the lateral columns and anterior horns, though other areas also were affected. Permanent paraplegia developed in most rats, but transient paralysis developed in a few, followed by partial or full recovery. This model of spinal infarction in nonanesthetized rats can be used to study the pathophysiology and therapy of spinal infarction.","Hereditary sensory and autonomic neuropathies (HSANs) are a clinically and genetically heterogeneous group of disorders involving various sensory and autonomic dysfunctions. The most common symptoms of HSANs include loss of sensations of pain and temperature that frequently lead to chronic ulcerations in the feet and hands of the patient. In this case study, we present the clinical features and genetic characteristics of two affected individuals from two unrelated Saudi families presenting mutilating sensory loss and spastic paraplegia. We employed homozygosity mapping and exome sequencing which is an efficient strategy to characterize the recessive genes, thus obtaining a rapid molecular diagnosis for genetically heterogeneous disorders like HSAN. Subsequently, a nonsense mutation (c.926 C>G; p.S309⁎) in ","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Paraplegia Sentence A: Though several animal models of ischemic brain infarction have been developed, no animal model of purely ischemic spinal cord infarction exists. In humans, such paralysis often occurs as a complication of aortic surgery. While working on an animal model of cholesterol embolic renal disease, the authors produced an animal model of ischemic spinal paralysis by direct intraaortic injection of cholesterol suspension. With histologic examination of spinal cords of the paralyzed rats, prominent cholesterol crystals were found obliterating the lumen of the anterior and/or posterior spinal arteries. Spinal cord infarction was seen most prominently in the lateral columns and anterior horns, though other areas also were affected. Permanent paraplegia developed in most rats, but transient paralysis developed in a few, followed by partial or full recovery. This model of spinal infarction in nonanesthetized rats can be used to study the pathophysiology and therapy of spinal infarction. Sentence B: Hereditary sensory and autonomic neuropathies (HSANs) are a clinically and genetically heterogeneous group of disorders involving various sensory and autonomic dysfunctions. The most common symptoms of HSANs include loss of sensations of pain and temperature that frequently lead to chronic ulcerations in the feet and hands of the patient. In this case study, we present the clinical features and genetic characteristics of two affected individuals from two unrelated Saudi families presenting mutilating sensory loss and spastic paraplegia. We employed homozygosity mapping and exome sequencing which is an efficient strategy to characterize the recessive genes, thus obtaining a rapid molecular diagnosis for genetically heterogeneous disorders like HSAN. Subsequently, a nonsense mutation (c.926 C>G; p.S309⁎) in ###Answer 1. Changed Explanation: In Sentence A, the term ""paraplegia"" is used to describe a specific type of spinal cord infarction that results in permanent or transient paralysis. The context suggests that the term is used in a medical or scientific context, and the meaning is consistent with the general understanding of the term. In Sentence B, the term ""paraplegia"" is used in a different context, and its meaning has shifted. The term is now used to describe a broader range of sensory and autonomic dysfunctions, including loss of sensations and spastic paralysis. The context suggests that the term is used in a clinical or medical context, and the meaning is different from the general understanding of the term. Based on these differences, it can be concluded that the term ""paraplegia"" has undergone semantic drift between Sentence A and Sentence B. The term has shifted from a specific medical condition to a broader clinical or medical concept. Therefore, the label ""Changed"" is appropriate." 81,Paraplegia,"The aim of this report is to highlight the less-known aspergillus spondylitis (AS) that may completely mimic Pott's paraplegia, leading to occasional but expensive diagnostic error, as the chemotherapeutic management of the two is different. A case of a patient with the diagnosis of Pott's paraplegia who turned out to have aspergillus spondylitis is described. Issues and difficulties regarding the differentiation between these two forms of spine infection and their therapeutic implications are discussed. We conclude that differential diagnosis of spinal tuberculosis (TB) should include aspergillus spondylitis, as cure of spinal aspergillosis, especially in early stages, is possible with surgery and/or antifungal agents, and morbidity and mortality are high in neglected cases.","Upright-legged locomotion is a desirable ability for people with paraplegia. This paper introduces a newly developed lightweight powered exoskeleton (LIPE) for level walking and posture transfer of people with paraplegia using a user-centered design concept, which integrates the requirements of practical use, mechanical structure, and control system. The LIPE was evaluated with two subjects through several experimental tasks including kinematics and dynamics analysis in a local hospital. Results of functional evaluation showed that these subjects received the exoskeleton intervention well and the LIPE could provide appropriate gait assistance to the wearer during level walking, it could also help the wearer achieve the posture transfer from sitting to standing or from standing to sitting independently. Moreover, an endurance test also indicated that LIPE allows wearers to use it continuously for a long time. It is lightweight, cost effective, easy to use, and practical for people with paraplegia in their daily lives.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Paraplegia Sentence A: The aim of this report is to highlight the less-known aspergillus spondylitis (AS) that may completely mimic Pott's paraplegia, leading to occasional but expensive diagnostic error, as the chemotherapeutic management of the two is different. A case of a patient with the diagnosis of Pott's paraplegia who turned out to have aspergillus spondylitis is described. Issues and difficulties regarding the differentiation between these two forms of spine infection and their therapeutic implications are discussed. We conclude that differential diagnosis of spinal tuberculosis (TB) should include aspergillus spondylitis, as cure of spinal aspergillosis, especially in early stages, is possible with surgery and/or antifungal agents, and morbidity and mortality are high in neglected cases. Sentence B: Upright-legged locomotion is a desirable ability for people with paraplegia. This paper introduces a newly developed lightweight powered exoskeleton (LIPE) for level walking and posture transfer of people with paraplegia using a user-centered design concept, which integrates the requirements of practical use, mechanical structure, and control system. The LIPE was evaluated with two subjects through several experimental tasks including kinematics and dynamics analysis in a local hospital. Results of functional evaluation showed that these subjects received the exoskeleton intervention well and the LIPE could provide appropriate gait assistance to the wearer during level walking, it could also help the wearer achieve the posture transfer from sitting to standing or from standing to sitting independently. Moreover, an endurance test also indicated that LIPE allows wearers to use it continuously for a long time. It is lightweight, cost effective, easy to use, and practical for people with paraplegia in their daily lives. ###Answer 1. Changed Reasoning: In Sentence A, the term ""paraplegia"" is used to describe a specific medical condition, highlighting its rarity and the need for accurate diagnosis. In contrast, in Sentence B, the term is used more broadly to describe any disability affecting upright mobility, emphasizing its potential benefits for people with various forms of disability. The shift in meaning is significant, as the term is no longer limited to its original medical context but rather expanded to encompass a broader concept of mobility and independence." 82,Paraplegia,"In a 20-year-old female patient with a brain stem glioma in the medulla oblongata in association with paraplegia and respiratory paralysis, bradyarrhythmias such as sinus bradycardia and sinus arrest repeated sporadically and transiently, but soon subsided as radiotherapy was being delivered to the glioma in the medulla oblongata. The bradyarrhythmias were differentiated from sick sinus syndrome in their sporadic and transient character. The patient responded normally to atropine, isoproterenol, and phenylephrine. Parasympathetic nerve reflexes induced by Aschner's, Czermak's, and Valsalva's maneuvers and sympathetic nerve reflex induced by change of body position were within normal limits. Although EKG abnormalities associated with diseases of the central nervous system are frequently due to intracranial hypertension and/or irritation of the hypothalamus, the bradyarrhythmias in this patient were possibly due to vagus stimulation caused by the glioma in the medulla.","Non-invasive EEG-based Brain-Computer Interfaces (BCI) can be promising for the motor neuro-rehabilitation of paraplegic patients. However, this shall require detailed knowledge of the abnormalities in the EEG signatures of paraplegic patients. The association of abnormalities in different subgroups of patients and their relation to the sensorimotor integration are relevant for the design, implementation and use of BCI systems in patient populations. This study explores the patterns of abnormalities of movement related cortical potentials (MRCP) during motor imagery tasks of feet and right hand in patients with paraplegia (including the subgroups with/without central neuropathic pain (CNP) and complete/incomplete injury patients) and the level of distinctiveness of abnormalities in these groups using pattern classification. The most notable observed abnormalities were the amplified execution negativity and its slower rebound in the patient group. The potential underlying mechanisms behind these changes and other minor dissimilarities in patients' subgroups, as well as the relevance to BCI applications, are discussed. The findings are of interest from a neurological perspective as well as for BCI-assisted neuro-rehabilitation and therapy. ","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Paraplegia Sentence A: In a 20-year-old female patient with a brain stem glioma in the medulla oblongata in association with paraplegia and respiratory paralysis, bradyarrhythmias such as sinus bradycardia and sinus arrest repeated sporadically and transiently, but soon subsided as radiotherapy was being delivered to the glioma in the medulla oblongata. The bradyarrhythmias were differentiated from sick sinus syndrome in their sporadic and transient character. The patient responded normally to atropine, isoproterenol, and phenylephrine. Parasympathetic nerve reflexes induced by Aschner's, Czermak's, and Valsalva's maneuvers and sympathetic nerve reflex induced by change of body position were within normal limits. Although EKG abnormalities associated with diseases of the central nervous system are frequently due to intracranial hypertension and/or irritation of the hypothalamus, the bradyarrhythmias in this patient were possibly due to vagus stimulation caused by the glioma in the medulla. Sentence B: Non-invasive EEG-based Brain-Computer Interfaces (BCI) can be promising for the motor neuro-rehabilitation of paraplegic patients. However, this shall require detailed knowledge of the abnormalities in the EEG signatures of paraplegic patients. The association of abnormalities in different subgroups of patients and their relation to the sensorimotor integration are relevant for the design, implementation and use of BCI systems in patient populations. This study explores the patterns of abnormalities of movement related cortical potentials (MRCP) during motor imagery tasks of feet and right hand in patients with paraplegia (including the subgroups with/without central neuropathic pain (CNP) and complete/incomplete injury patients) and the level of distinctiveness of abnormalities in these groups using pattern classification. The most notable observed abnormalities were the amplified execution negativity and its slower rebound in the patient group. The potential underlying mechanisms behind these changes and other minor dissimilarities in patients' subgroups, as well as the relevance to BCI applications, are discussed. The findings are of interest from a neurological perspective as well as for BCI-assisted neuro-rehabilitation and therapy. ###Answer 1. Changed Reasoning: In Sentence A, the term ""paraplegia"" is used to describe a condition characterized by paralysis of the lower limbs, likely due to damage to the spinal cord. However, in Sentence B, the term is used in the context of a Brain-Computer Interface (BCI) system designed to assist paraplegic patients with motor neuro-rehabilitation. This shift in context indicates that the term ""paraplegia"" has undergone a significant change in meaning, from a medical condition to a broader term encompassing a range of neurological conditions affecting the lower limbs. Therefore, the label ""Changed"" is appropriate." 83,Paraplegia,"We report on a Friedreich's ataxia (FA) family with 3 affected siblings with markedly different phenotypic presentations, including one with spastic paraplegia. Molecular analysis showed midsize GAA repeat expansion sizes in all 3 individuals. Gait spasticity in FA, although rare, has been described in a few patients who are compound heterozygotes for a point mutation, or who had GAA expansions of less than 200 repeats. The occurrence of spastic paraplegia in our family, in the presence of homozygous midsize GAA repeat expansions, is an unusual finding. Spasticity can be the main feature in both sporadic and familial patients with FA, either as an isolated finding, or in addition to other neurological abnormalities, and should be included as a rare feature in the clinical spectrum of FA. This family also demonstrates that in FA, marked intrafamilial phenotypic variability can arise in the presence of similar GAA expansion sizes. Therefore, in familial FA, the disease course in relatives therefore cannot be predicted solely from repeat length. Factors such as somatic mosaicism, repeat interruptions, modifying mutations and environmental factors must also be considered.","Today, it is known that about 80 genes are involved in the etiology of hereditary spastic paraplegia. However, there are many cases whose etiology could not be determined by extensive genetic tests such as whole-exome sequencing, clinical exome.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Paraplegia Sentence A: We report on a Friedreich's ataxia (FA) family with 3 affected siblings with markedly different phenotypic presentations, including one with spastic paraplegia. Molecular analysis showed midsize GAA repeat expansion sizes in all 3 individuals. Gait spasticity in FA, although rare, has been described in a few patients who are compound heterozygotes for a point mutation, or who had GAA expansions of less than 200 repeats. The occurrence of spastic paraplegia in our family, in the presence of homozygous midsize GAA repeat expansions, is an unusual finding. Spasticity can be the main feature in both sporadic and familial patients with FA, either as an isolated finding, or in addition to other neurological abnormalities, and should be included as a rare feature in the clinical spectrum of FA. This family also demonstrates that in FA, marked intrafamilial phenotypic variability can arise in the presence of similar GAA expansion sizes. Therefore, in familial FA, the disease course in relatives therefore cannot be predicted solely from repeat length. Factors such as somatic mosaicism, repeat interruptions, modifying mutations and environmental factors must also be considered. Sentence B: Today, it is known that about 80 genes are involved in the etiology of hereditary spastic paraplegia. However, there are many cases whose etiology could not be determined by extensive genetic tests such as whole-exome sequencing, clinical exome. ###Answer 1. Changed Reasoning: In Sentence A, the term ""spastic paraplegia"" is used to describe a neurological condition that affects gait and mobility. This term implies a significant loss of muscle control and weakness in the legs, which can result in difficulty walking or even paralysis. However, in Sentence B, the term ""hereditary spastic paraplegia"" is used, which implies a different meaning. This term suggests that the condition is inherited and may be caused by a mutation in a specific gene or genes. The term ""spastic paraplegia"" is no longer used in this context, indicating that the meaning of the term has shifted over time. Therefore, semantic drift has occurred in the meaning of the term ""paraplegia""." 84,Paraplegia,"Traumatic spinal cord injury (SCI) in the cervical or thoracic region is one of the most catastrophic types of sport injuries. This study was designed to determine incidence and mechanisms of major SCI in ice hockey in Finland and Sweden from 1980 to 1996 in order to find possibilities for prevention. Retrospective analysis of injury occurrence were carried out. Medical case records were reviewed and injured players were interviewed to complete the data. From 1980 to 1996, there were 16 accidents involving spinal cord injury with permanent disability. All players were male. The mean age was 21.1 years (range = 14 to 33 yr). In 50% of the cases the mechanism was body checking from behind and a blow to the head from the boards. In 69% of the cases the vertebral injury was fracture or/and luxation between C5 and C7. The neurological endstate was tetraplegia/paresis in 10 cases and paraplegia/paresis of the lower extremities in 6 cases. Ice hockey is one of the most popular sports in Europe, and the number of participants is still increasing. The typical mechanism in SCI is body checking from behind, falling down and a head-first blow from the boards. These serious injuries may be prevented by changing the rules (banning body checking near the boards) with strict refereeing and education of trainers and players.","The phenomenon of erythrocyte sickling observed in sickle cell anaemia is responsible for ischaemia and tissue infarction compromising several organs and systems including the mouth and face. This brief paper reports the case of a 17- year-old female with a complicated sickle cell anaemia, hypertension and paraplegia (after an ischaemic stroke at the age of six years). Oral examination revealed the absence of tooth 12, fractures of teeth 11, 21 and 22 (from trauma), active caries lesions in the enamel of teeth 36, 37 and 46, mucosal pallor, and a smooth tongue. Oral radiographs revealed bone rarefaction and trabecular bone coarsening. Dental surgeons and physicians should be aware of the general and oral abnormalities that can be present in individuals with sickle cell anaemia to allow for preventive measures and implementation of effective treatment options.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Paraplegia Sentence A: Traumatic spinal cord injury (SCI) in the cervical or thoracic region is one of the most catastrophic types of sport injuries. This study was designed to determine incidence and mechanisms of major SCI in ice hockey in Finland and Sweden from 1980 to 1996 in order to find possibilities for prevention. Retrospective analysis of injury occurrence were carried out. Medical case records were reviewed and injured players were interviewed to complete the data. From 1980 to 1996, there were 16 accidents involving spinal cord injury with permanent disability. All players were male. The mean age was 21.1 years (range = 14 to 33 yr). In 50% of the cases the mechanism was body checking from behind and a blow to the head from the boards. In 69% of the cases the vertebral injury was fracture or/and luxation between C5 and C7. The neurological endstate was tetraplegia/paresis in 10 cases and paraplegia/paresis of the lower extremities in 6 cases. Ice hockey is one of the most popular sports in Europe, and the number of participants is still increasing. The typical mechanism in SCI is body checking from behind, falling down and a head-first blow from the boards. These serious injuries may be prevented by changing the rules (banning body checking near the boards) with strict refereeing and education of trainers and players. Sentence B: The phenomenon of erythrocyte sickling observed in sickle cell anaemia is responsible for ischaemia and tissue infarction compromising several organs and systems including the mouth and face. This brief paper reports the case of a 17- year-old female with a complicated sickle cell anaemia, hypertension and paraplegia (after an ischaemic stroke at the age of six years). Oral examination revealed the absence of tooth 12, fractures of teeth 11, 21 and 22 (from trauma), active caries lesions in the enamel of teeth 36, 37 and 46, mucosal pallor, and a smooth tongue. Oral radiographs revealed bone rarefaction and trabecular bone coarsening. Dental surgeons and physicians should be aware of the general and oral abnormalities that can be present in individuals with sickle cell anaemia to allow for preventive measures and implementation of effective treatment options. ###Answer 1. Changed Reasoning: In Sentence A, the target word ""paraplegia"" is used to describe a specific type of spinal cord injury, which is defined as ""permanent disability"" and associated with ""body checking from behind"" and ""a blow to the head from the boards."" The context suggests that the term ""paraplegia"" in this sentence refers to a specific medical condition with a clear definition and cause. In Sentence B, the target word ""paraplegia"" is used in a different context. It is not associated with any specific medical condition or injury, but rather as a part of a broader description of a patient's overall health. The sentence mentions that the patient has ""paraplegia (after an ischaemic stroke at the age of six years),"" which suggests that the term is being used to describe a broader range of symptoms and conditions, rather than a specific medical condition. Based on these differences in context and meaning, it is clear that the term ""paraplegia"" has undergone a significant change in meaning between Sentence A and Sentence B. In Sentence A, the term is used to describe a specific medical condition with a clear definition, while in Sentence B, it is used more broadly to describe a range of symptoms and conditions. Therefore, the label ""Changed"" is appropriate." 85,Paraplegia,"A retrospective study was undertaken of 53 cases of non-traumatic paraplegia admitted to two major hospitals in Papua New Guinea (PNG) from 1975-1982; 19 of these cases were examined. The mean age of the patients was 29 years (range: 2-70 years). Spinal tuberculosis was the commonest cause of paraplegia (83%), followed by neoplasia (7.5%). Two cases of chronic idiopathic arachnoiditis were noted but nutritional myelopathy was not diagnosed. Thirty-one (70%) of the 44 tuberculosis patients responded to treatment and were ambulant at discharge but only 18% were known to have completed 18 months' chemotherapy and 23% defaulted. The introduction of short-term chemotherapy regimens using rifampicin should improve future management of spinal tuberculosis in PNG.","Anecdotal oculomotor disturbances have been described in spastic paraplegia type 7 (SPG7). We investigated oculomotor and vestibular dysfunction in five patients with genetically verified SPG7. All five patients exhibited significantly slower velocities of vertical saccades compared to controls, but significantly faster than in progressive supranuclear palsy, with upward saccades being particularly affected. Horizontal saccades, cerebellar oculomotor markers, and vestibuloocular reflex seem to be variably affected. Thus, albeit subclinical in some cases, slowing of the vertical saccades may belong to the phenotype of SPG7 and may serve as a valuable biomarker for differentiation from spastic ataxias and atypical parkinsonism.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Paraplegia Sentence A: A retrospective study was undertaken of 53 cases of non-traumatic paraplegia admitted to two major hospitals in Papua New Guinea (PNG) from 1975-1982; 19 of these cases were examined. The mean age of the patients was 29 years (range: 2-70 years). Spinal tuberculosis was the commonest cause of paraplegia (83%), followed by neoplasia (7.5%). Two cases of chronic idiopathic arachnoiditis were noted but nutritional myelopathy was not diagnosed. Thirty-one (70%) of the 44 tuberculosis patients responded to treatment and were ambulant at discharge but only 18% were known to have completed 18 months' chemotherapy and 23% defaulted. The introduction of short-term chemotherapy regimens using rifampicin should improve future management of spinal tuberculosis in PNG. Sentence B: Anecdotal oculomotor disturbances have been described in spastic paraplegia type 7 (SPG7). We investigated oculomotor and vestibular dysfunction in five patients with genetically verified SPG7. All five patients exhibited significantly slower velocities of vertical saccades compared to controls, but significantly faster than in progressive supranuclear palsy, with upward saccades being particularly affected. Horizontal saccades, cerebellar oculomotor markers, and vestibuloocular reflex seem to be variably affected. Thus, albeit subclinical in some cases, slowing of the vertical saccades may belong to the phenotype of SPG7 and may serve as a valuable biomarker for differentiation from spastic ataxias and atypical parkinsonism. ###Answer 1. Changed Reasoning: The meaning of the target word ""paraplegia"" has shifted significantly between the two sentences. In Sentence A, the word refers to non-traumatic paralysis caused by spinal tuberculosis or neoplasia, with a focus on the medical context and diagnosis. In Sentence B, the word is used to describe a subclinical oculomotor disturbance in patients with genetically verified SPG7, with a focus on the clinical symptoms and differentiation from other neurological conditions. The shift in meaning is evident in the different contexts and focuses of the sentences, indicating that the term has undergone semantic drift." 86,Paraplegia,"A 6.5-year-old male rhesus macaque (Macaca mulatta) was presented with acute paraplegia following a surgical procedure. During surgery, he experienced an acute hypotensive episode that required 3 hours of supportive therapy before hemodynamic stability was restored. Paraplegia remained unchanged until euthanasia 72 hours later. At necropsy, spinal cord segments T10-S3 had acute, massive panmedullary necrosis, which involved most of the central and middle spinal cord, sparing the peripheral white matter. Additional lesions included arterial border zone necrosis of the brain, centrilobular hepatic necrosis, and proximal renal tubular necrosis. The histologic findings of central spinal cord necrosis with a preserved rim of white matter is consistent with severely decreased flow in the anterior spinal artery. Such lesions can result from episodes of generalized hypoperfusion. Possible factors contributing to the hypotensive episode in this case included the addition of xylazine to ketamine and atropine in the preanesthetic medication, positioning during anesthesia, and decreased blood pressure during surgery.",To diagnose the molecular cause of hereditary spastic paraplegia (HSP) observed in a four-generation family with autosomal dominant inheritance.,"###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Paraplegia Sentence A: A 6.5-year-old male rhesus macaque (Macaca mulatta) was presented with acute paraplegia following a surgical procedure. During surgery, he experienced an acute hypotensive episode that required 3 hours of supportive therapy before hemodynamic stability was restored. Paraplegia remained unchanged until euthanasia 72 hours later. At necropsy, spinal cord segments T10-S3 had acute, massive panmedullary necrosis, which involved most of the central and middle spinal cord, sparing the peripheral white matter. Additional lesions included arterial border zone necrosis of the brain, centrilobular hepatic necrosis, and proximal renal tubular necrosis. The histologic findings of central spinal cord necrosis with a preserved rim of white matter is consistent with severely decreased flow in the anterior spinal artery. Such lesions can result from episodes of generalized hypoperfusion. Possible factors contributing to the hypotensive episode in this case included the addition of xylazine to ketamine and atropine in the preanesthetic medication, positioning during anesthesia, and decreased blood pressure during surgery. Sentence B: To diagnose the molecular cause of hereditary spastic paraplegia (HSP) observed in a four-generation family with autosomal dominant inheritance. ###Answer 1. Changed Reasoning: In Sentence A, the term ""paraplegia"" is used to describe a specific medical condition (acute paraplegia) in a particular context (a surgical procedure). The term is used to convey a sense of urgency and severity, as the animal is experiencing a sudden and potentially life-threatening condition. The sentence also highlights the specific symptoms of the condition, such as hypotensive episode and acute necrosis of the spinal cord. In Sentence B, the term ""paraplegia"" is used in a different context, to describe a broader category of medical conditions (hereditary spastic paraplegia). The sentence does not convey the same sense of urgency or severity as Sentence A, and instead highlights the molecular cause of the condition. The term is used to provide a diagnosis for a specific family with autosomal dominant inheritance. Based on these differences in context and meaning, it can be determined that the term ""paraplegia"" has undergone a significant change in meaning between Sentence A and Sentence B. In Sentence A, the term is used to describe a specific and severe medical condition, while in Sentence B, it is used to provide a diagnosis for a broader category of conditions. Therefore, the label ""Changed"" is appropriate." 87,Paraplegia,"The significance of genetics to the nosology of nervous system diseases has been shown in spastic paraplegias and spinocerebellar ataxias. At least about 60 different genetic types have been recognized to date. In most diseases, the genetic exploration and discrimination of types has been possible only by clinical, pathologic and simple genetic criteria like transmission. Further differentiation of genetic entities will be done especially through biochemical investigation.","A child of consanguineous parents of Pakistani origin developed jaundice at 5 weeks and then, at 3 months, irritability, a prolonged prothrombin time, a low albumin, and episodes of hypoglycaemia. Investigation showed an elevated alanine aminotransferase with a normal γ-glutamyl-transpeptidase. Analysis of urine by electrospray ionisation tandem mass spectrometry (ESI-MS/MS) showed that the major peaks were m/z 480 (taurine-conjugated 3β-hydroxy-5-cholenoic acid) and m/z 453 (sulphated 3β-hydroxy-5-cholenoic acid). Analysis of plasma by gas chromatography-mass spectrometry (GC-MS) showed increased concentrations of 3β-hydroxy-5-cholenoic acid, 3β-hydroxy-5-cholestenoic acid and 27-hydroxycholesterol, indicating oxysterol 7 α-hydroxylase deficiency. The patient was homozygous for a mutation (c.1249C>T) in CYP7B1 that alters a highly conserved residue in oxysterol 7 α-hydroxylase (p.R417C) - previously reported in a family with hereditary spastic paraplegia type 5. On treatment with ursodeoxycholic acid (UDCA), his condition was worsening, but on chenodeoxycholic acid (CDCA), 15 mg/kg/d, he improved rapidly. A biopsy (after 2 weeks on CDCA), showed a giant cell hepatitis, an evolving micronodular cirrhosis, and steatosis. The improvement in liver function on CDCA was associated with a drop in the plasma concentrations and urinary excretions of the 3β-hydroxy-Δ5 bile acids which are considered hepatotoxic. At age 5 years (on CDCA, 6 mg/kg/d), he was thriving with normal liver function. Neurological development was normal apart from a tendency to trip. Examination revealed pes cavus but no upper motor neuron signs. The findings in this case suggest that CDCA can reduce the activity of cholesterol 27-hydroxylase - the first step in the acidic pathway for bile acid synthesis.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Paraplegia Sentence A: The significance of genetics to the nosology of nervous system diseases has been shown in spastic paraplegias and spinocerebellar ataxias. At least about 60 different genetic types have been recognized to date. In most diseases, the genetic exploration and discrimination of types has been possible only by clinical, pathologic and simple genetic criteria like transmission. Further differentiation of genetic entities will be done especially through biochemical investigation. Sentence B: A child of consanguineous parents of Pakistani origin developed jaundice at 5 weeks and then, at 3 months, irritability, a prolonged prothrombin time, a low albumin, and episodes of hypoglycaemia. Investigation showed an elevated alanine aminotransferase with a normal γ-glutamyl-transpeptidase. Analysis of urine by electrospray ionisation tandem mass spectrometry (ESI-MS/MS) showed that the major peaks were m/z 480 (taurine-conjugated 3β-hydroxy-5-cholenoic acid) and m/z 453 (sulphated 3β-hydroxy-5-cholenoic acid). Analysis of plasma by gas chromatography-mass spectrometry (GC-MS) showed increased concentrations of 3β-hydroxy-5-cholenoic acid, 3β-hydroxy-5-cholestenoic acid and 27-hydroxycholesterol, indicating oxysterol 7 α-hydroxylase deficiency. The patient was homozygous for a mutation (c.1249C>T) in CYP7B1 that alters a highly conserved residue in oxysterol 7 α-hydroxylase (p.R417C) - previously reported in a family with hereditary spastic paraplegia type 5. On treatment with ursodeoxycholic acid (UDCA), his condition was worsening, but on chenodeoxycholic acid (CDCA), 15 mg/kg/d, he improved rapidly. A biopsy (after 2 weeks on CDCA), showed a giant cell hepatitis, an evolving micronodular cirrhosis, and steatosis. The improvement in liver function on CDCA was associated with a drop in the plasma concentrations and urinary excretions of the 3β-hydroxy-Δ5 bile acids which are considered hepatotoxic. At age 5 years (on CDCA, 6 mg/kg/d), he was thriving with normal liver function. Neurological development was normal apart from a tendency to trip. Examination revealed pes cavus but no upper motor neuron signs. The findings in this case suggest that CDCA can reduce the activity of cholesterol 27-hydroxylase - the first step in the acidic pathway for bile acid synthesis. ###Answer 1. Changed Reasoning: The meaning of the target word ""paraplegia"" has changed significantly between the two sentences. In Sentence A, the term refers to ""spastic paraplegias and spinocerebellar ataxias,"" which are genetic disorders affecting the nervous system. In Sentence B, the term refers to a specific case of a child with oxysterol 7 α-hydroxylase deficiency, which is a different condition altogether. The context and meaning of the term have shifted from a genetic disorder to a specific medical condition. Therefore, semantic drift has occurred in the usage of the target word ""paraplegia"" between the two sentences." 88,Paraplegia,"We report a case of transverse myelopathy in a 31 year old white man with acute lymphoblastic leukemia, subtype L3 (ALL-L3). This is a severe form of leukemia that affects children more often than adults. Less than 1% of leukemic patients develop neurologic complication in the spinal cord. The symptomatology in the present case started with back pain, flaccid paraplegia, and loss of sensibility and vegetative functions below the lesion. The etiologic diagnostic was obtained through peripheral blood study, bone marrow cytology, cerebrospinal fluid analysis and magnetic resonance image of the dorsal cord. The antileukemic treatment with specific drugs had no influence on the fatal outcome of the disease.","Sports-related acute cervical trauma and spinal cord injury (SCI) represent a rare but devastating potential complication of collision sport injuries. Currently, there is debate on appropriate management protocols and return-to-play guidelines in professional collision athletes following cervical trauma. While cervical muscle strains and sprains are among the most common injuries sustained by collision athletes, the life-changing effects of severe neurological sequelae (ie, quadriplegia and paraplegia) from fractures and SCIs require increased attention and care. Appropriate on-field management and subsequent transfer/workup at an experienced trauma/SCI center is necessary for optimal patient care, prevention of injury exacerbation, and improvement in outcomes. This review discusses the epidemiology, pathophysiology, clinical presentation, immediate/long-term management, and current return-to-play recommendations of athletes who suffer cervical trauma and SCI.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Paraplegia Sentence A: We report a case of transverse myelopathy in a 31 year old white man with acute lymphoblastic leukemia, subtype L3 (ALL-L3). This is a severe form of leukemia that affects children more often than adults. Less than 1% of leukemic patients develop neurologic complication in the spinal cord. The symptomatology in the present case started with back pain, flaccid paraplegia, and loss of sensibility and vegetative functions below the lesion. The etiologic diagnostic was obtained through peripheral blood study, bone marrow cytology, cerebrospinal fluid analysis and magnetic resonance image of the dorsal cord. The antileukemic treatment with specific drugs had no influence on the fatal outcome of the disease. Sentence B: Sports-related acute cervical trauma and spinal cord injury (SCI) represent a rare but devastating potential complication of collision sport injuries. Currently, there is debate on appropriate management protocols and return-to-play guidelines in professional collision athletes following cervical trauma. While cervical muscle strains and sprains are among the most common injuries sustained by collision athletes, the life-changing effects of severe neurological sequelae (ie, quadriplegia and paraplegia) from fractures and SCIs require increased attention and care. Appropriate on-field management and subsequent transfer/workup at an experienced trauma/SCI center is necessary for optimal patient care, prevention of injury exacerbation, and improvement in outcomes. This review discusses the epidemiology, pathophysiology, clinical presentation, immediate/long-term management, and current return-to-play recommendations of athletes who suffer cervical trauma and SCI. ###Answer 1. Changed Explanation: In Sentence A, ""paraplegia"" is used to describe a symptom of a severe form of leukemia, specifically back pain, flaccid paralysis, and loss of sensibility and vegetative functions below the lesion. The word is used in a medical context to indicate the severity of the patient's condition. In Sentence B, ""paraplegia"" is used in a different context to describe a potential complication of collision sport injuries, specifically sports-related acute cervical trauma and SCI. In this sentence, the word is used to indicate the potential long-term effects of a severe injury on an athlete's ability to return to play. In Sentence A, the word ""paraplegia"" has a negative connotation, as it is associated with a severe and potentially fatal disease. In Sentence B, the word has a different connotation, as it is used to describe a potential complication of an injury that may affect an athlete's ability to play sports in the future. Therefore, the meaning of the word ""paraplegia"" has changed significantly between the two sentences, indicating semantic drift." 89,Paraplegia,"Hereditary spastic paraplegia refers to a group of clinically similar disorders whose primary feature is insidiously progressive lower extremity weakness and spasticity. Hereditary spastic paraplegia is genetically diverse: loci for autosomal recessive (chromosome 8p), autosomal dominant (chromosome 2p, 14q, and 15q), and x-linked hereditary spastic paraplegia have been identified. The existence of hereditary spastic paraplegia families for whom the disorder is unlinked to these loci indicates the existence of additional, as yet undiscovered, hereditary spastic paraplegia loci. Hereditary spastic paraplegia exhibits axonal degeneration that is maximal at the terminal portions of the longest central nervous system axons. Efforts to positionally clone the hereditary spastic paraplegia gene are in progress.",Spastic paraplegia type 64 (SPG64; OMIM 615683) is a complicated form of hereditary spastic paraplegia (HSP) recently identified in individuals diagnosed with suspected neurodegenerative disease. Affected patients carry homozygous mutations in the ectonucleoside triphosphate diphosphohydrolase 1 gene (,"###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Paraplegia Sentence A: Hereditary spastic paraplegia refers to a group of clinically similar disorders whose primary feature is insidiously progressive lower extremity weakness and spasticity. Hereditary spastic paraplegia is genetically diverse: loci for autosomal recessive (chromosome 8p), autosomal dominant (chromosome 2p, 14q, and 15q), and x-linked hereditary spastic paraplegia have been identified. The existence of hereditary spastic paraplegia families for whom the disorder is unlinked to these loci indicates the existence of additional, as yet undiscovered, hereditary spastic paraplegia loci. Hereditary spastic paraplegia exhibits axonal degeneration that is maximal at the terminal portions of the longest central nervous system axons. Efforts to positionally clone the hereditary spastic paraplegia gene are in progress. Sentence B: Spastic paraplegia type 64 (SPG64; OMIM 615683) is a complicated form of hereditary spastic paraplegia (HSP) recently identified in individuals diagnosed with suspected neurodegenerative disease. Affected patients carry homozygous mutations in the ectonucleoside triphosphate diphosphohydrolase 1 gene ( ###Answer 1. Changed Reasoning: In Sentence A, the term ""hereditary spastic paraplegia"" is used to describe a group of disorders characterized by progressive lower extremity weakness and spasticity. The term ""spastic paraplegia type 64"" is not mentioned. In Sentence B, the term ""SPG64"" is used in addition to ""hereditary spastic paraplegia,"" indicating a shift towards a more specific term for this particular form of the disorder. The meaning of the target word ""paraplegia"" remains similar between the two sentences, but the broader context and terminology surrounding it have changed." 90,Paraplegia,"The case of a 49-year-old man with traumatic complete T-5 paraplegia of 30 years' duration is presented. Over the last 10 years, he developed cervical myelopathy suggestive of syringomyelia. Work-up, including metrizamide myelography and delayed computerized tomography scanning, revealed an atrophic cord without a syrinx, and a complete block to contrast material at T-5. At operation, the cord was found to be tethered at the original injury site, and was released by transection. This resulted in immediate improvement in the somatosensory evoked potentials and marked postoperative clinical improvement. It is postulated that cord tethering can cause delayed myelopathy in patients with traumatic cord injury. Release of the tethered cord should be considered if a posttraumatic syrinx is not found.","The current overall incidence of subarachnoid hemorrhage (SAH) is ~9/100,000 individuals/year and rupture of an intracranial aneurysm is the main cause of SAH, accounting for ~85% of cases. Only a small number of cases of paraplegia after intracranial aneurysmal SAH have so far been reported and its pathogenesis has remained to be fully elucidated. The present study reports the case of a patient with an aneurysm localized in the medial and inferior lateral wall of the C5 segment of the right internal carotid artery that was treated by coil interventional embolization. The muscle strength of both lower extremities of the patient was grade I and grade 0 before and after the operation, respectively. Lumbar and thoracic magnetic resonance imaging examinations revealed slight hematoma in the subarachnoid space below the L2 level. At two weeks after the operation, the muscle strength of both lower extremities was grade II, while the muscle strength was grade III and grade V at 30 and 60 days after the operation, respectively.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Paraplegia Sentence A: The case of a 49-year-old man with traumatic complete T-5 paraplegia of 30 years' duration is presented. Over the last 10 years, he developed cervical myelopathy suggestive of syringomyelia. Work-up, including metrizamide myelography and delayed computerized tomography scanning, revealed an atrophic cord without a syrinx, and a complete block to contrast material at T-5. At operation, the cord was found to be tethered at the original injury site, and was released by transection. This resulted in immediate improvement in the somatosensory evoked potentials and marked postoperative clinical improvement. It is postulated that cord tethering can cause delayed myelopathy in patients with traumatic cord injury. Release of the tethered cord should be considered if a posttraumatic syrinx is not found. Sentence B: The current overall incidence of subarachnoid hemorrhage (SAH) is ~9/100,000 individuals/year and rupture of an intracranial aneurysm is the main cause of SAH, accounting for ~85% of cases. Only a small number of cases of paraplegia after intracranial aneurysmal SAH have so far been reported and its pathogenesis has remained to be fully elucidated. The present study reports the case of a patient with an aneurysm localized in the medial and inferior lateral wall of the C5 segment of the right internal carotid artery that was treated by coil interventional embolization. The muscle strength of both lower extremities of the patient was grade I and grade 0 before and after the operation, respectively. Lumbar and thoracic magnetic resonance imaging examinations revealed slight hematoma in the subarachnoid space below the L2 level. At two weeks after the operation, the muscle strength of both lower extremities was grade II, while the muscle strength was grade III and grade V at 30 and 60 days after the operation, respectively. ###Answer 1. Changed Reasoning: In Sentence A, the term ""paraplegia"" is used to describe a specific type of spinal cord injury. The sentence explains that the patient had a 30-year history of complete T-5 paraplegia, which suggests that the term was used to describe a particular type of spinal cord injury at that time. In contrast, in Sentence B, the term ""paraplegia"" is used more broadly to describe any type of spinal cord injury, without any specific reference to a particular type of injury. This suggests that the term has shifted in meaning over time, and is now used more broadly to encompass a range of spinal cord injuries." 91,Paraplegia,"Experiences with radiofrequency lesions of the dorsal root entry zone in 10 patients are reported. All of these patients suffered from central (deafferentation) pain. The early postoperative results were poor in the 2 patients with traumatic paraplegia and good in all 8 patients with pain in the cervical segments. Two patients treated with cervical DREZ lesions died. In 2 of the remaining 6 patients with cervical lesions, pain recurred. Four had a good result up to 30 months after operation.","A 24-year-old man presented with insidious onset progressive gait disturbance and was finally diagnosed with autosomal recessive hereditary spastic paraplegia. Two novel mutations, including a frameshift mutation (c.5687_5691del) and a non-sense mutation (c.751C>T), were identified in the SPG11 gene of the patient through whole genome sequencing. The frameshift mutation of c.5687_5691del leads to a change in amino acid synthesis beginning with amino acid No. 1896 arginine and terminating at the 8th amino acid after the change (p. Arg1896MetfsTer8). The non-sense mutation (c.751C>T) causes the conversion of codon 251st encoding the amino acid Gln into a stop codon (p. Gln251Ter), resulting in premature termination of peptide synthesis. Although confirmation of compound-heterozygosity could not be performed, our findings enriched the phenotypic spectrum of SPG11 mutations related to hereditary spastic paraplegia.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Paraplegia Sentence A: Experiences with radiofrequency lesions of the dorsal root entry zone in 10 patients are reported. All of these patients suffered from central (deafferentation) pain. The early postoperative results were poor in the 2 patients with traumatic paraplegia and good in all 8 patients with pain in the cervical segments. Two patients treated with cervical DREZ lesions died. In 2 of the remaining 6 patients with cervical lesions, pain recurred. Four had a good result up to 30 months after operation. Sentence B: A 24-year-old man presented with insidious onset progressive gait disturbance and was finally diagnosed with autosomal recessive hereditary spastic paraplegia. Two novel mutations, including a frameshift mutation (c.5687_5691del) and a non-sense mutation (c.751C>T), were identified in the SPG11 gene of the patient through whole genome sequencing. The frameshift mutation of c.5687_5691del leads to a change in amino acid synthesis beginning with amino acid No. 1896 arginine and terminating at the 8th amino acid after the change (p. Arg1896MetfsTer8). The non-sense mutation (c.751C>T) causes the conversion of codon 251st encoding the amino acid Gln into a stop codon (p. Gln251Ter), resulting in premature termination of peptide synthesis. Although confirmation of compound-heterozygosity could not be performed, our findings enriched the phenotypic spectrum of SPG11 mutations related to hereditary spastic paraplegia. ###Answer 1. Changed Reasoning: In Sentence A, the term ""paraplegia"" is used to describe a specific type of pain caused by deafferentation. The context suggests that the term is used in a medical or scientific context, and the meaning remains relatively consistent throughout the sentence. In Sentence B, the term ""paraplegia"" is used to describe a genetic disorder that causes progressive gait disturbance. The context suggests that the term is used in a medical or scientific context, but the meaning has shifted to include a broader understanding of the condition, including its genetic basis. The term is used to describe a specific type of neurological disorder, rather than just a type of pain. Based on these differences in context and meaning, it can be concluded that the term ""paraplegia"" has undergone semantic drift between Sentence A and Sentence B. Therefore, the label ""Changed"" is appropriate." 92,Paraplegia,"We present a case of descending thoracic aortic aneurysm repair using an endovascular stent graft, complicated by postoperative paraplegia, which was successfully treated by placing a spinal drain. The case highlights the importance of the concept of collateral flow to the spinal cord and of choosing an anesthetic technique that allows immediate postoperative evaluation of lower extremity neurologic function.","Conventional open reconstruction of the descending thoracic aorta is a safe and effective therapy for the management of aneurysms and is the standard by which all other therapies should be compared. Advances in surgical techniques, circulation management, neurocerebral protection, anesthesia, and postoperative management have contributed to significant reductions in morbidity and mortality over the past 50 years. More recently, endovascular stent grafting has begun to supplant conventional open repair based on its ease of performance and a perception of reduced morbidity and mortality. In reality, when carefully compared, differences in primary outcomes (mortality, stroke rate, and paraplegia) between open repair and endovascular repair are not so clear, and the long-term durability of endovascular repairs is not yet known. Open descending thoracic aortic repair still has an important role in the management of descending thoracic aortic disease in the current era.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Paraplegia Sentence A: We present a case of descending thoracic aortic aneurysm repair using an endovascular stent graft, complicated by postoperative paraplegia, which was successfully treated by placing a spinal drain. The case highlights the importance of the concept of collateral flow to the spinal cord and of choosing an anesthetic technique that allows immediate postoperative evaluation of lower extremity neurologic function. Sentence B: Conventional open reconstruction of the descending thoracic aorta is a safe and effective therapy for the management of aneurysms and is the standard by which all other therapies should be compared. Advances in surgical techniques, circulation management, neurocerebral protection, anesthesia, and postoperative management have contributed to significant reductions in morbidity and mortality over the past 50 years. More recently, endovascular stent grafting has begun to supplant conventional open repair based on its ease of performance and a perception of reduced morbidity and mortality. In reality, when carefully compared, differences in primary outcomes (mortality, stroke rate, and paraplegia) between open repair and endovascular repair are not so clear, and the long-term durability of endovascular repairs is not yet known. Open descending thoracic aortic repair still has an important role in the management of descending thoracic aortic disease in the current era. ###Answer 1. Changed Explanation: In Sentence A, paraplegia is used to describe a complication of the surgery, specifically a spinal drain placed to treat postoperative paraplegia. In this context, paraplegia carries a negative connotation, implying a loss of function or mobility in the lower extremities. In Sentence B, paraplegia is used in a different context, describing the standard by which other therapies should be compared. In this context, paraplegia carries a more neutral connotation, simply referring to a specific type of surgical repair. Therefore, semantic drift has occurred in the meaning of paraplegia between Sentence A and Sentence B, as the word's connotation has shifted from negative to neutral." 93,Paraplegia,"The combination of deep hypothermia and circulatory arrest has been used in a variety of cardiovascular surgical techniques and is presented in this article as an elective method in the treatment of type B dissecting aneurysms that may or may not involve the distal aortic arch. Out of 190 patients operated on with acute aortic dissection, 10 patients with type B underwent surgical procedures, between January 1985 and December 1987, four with acute dissection (less than 14 days evolution), and six with chronic dissection (more than 14 days evolution). The approach was by left posterolateral thoracotomy with cardiopulmonary bypass using femoro-femoral cannulation, deep hypothermia, and circulatory arrest. The duration of circulatory arrest was between 27 and 58 minutes, mean 37 minutes. Extracorporeal circulation (ECC) lasted between 68 and 142 minutes, with a mean perfusion time of 83.7 minutes, and temperature fell to 14 degrees C and 16 degrees C. Intrahospital mortality was 20% (two patients). No long-term mortality has been recorded. Eighty percent of the patients (eight patients) are alive and showed good evolution between 10 and 44 months following surgery, with a long-term mean survival of 24 months and 23 days. The only neurological complication was a single case of right unilateral blindness followed by complete visual recuperation. Myocardial and spinal cord protection are excellent, without any incidence of postoperative infarct or paraplegia. Postsurgical blood loss ranged from 200 to 650 mL with a mean of 385 mL. Acute renal insufficiency was not detected. We believe that the combined techniques of deep hypothermia and circulatory arrest used electively, and not just out of occasional necessity, is a viable choice that allows easier surgical manipulation of type B dissection aneurysms and complete resolution of those involving retrograde dissection to the aortic arch. In addition. this combined technique does not increase postoperative mortality in this critically dangerous disease.","Human genomics established that pathogenic variation in diverse genes can underlie a single disorder. For example, hereditary spastic paraplegia is associated with >80 genes, with frequently only few affected individuals described for each gene. Herein, we characterize a large cohort of individuals with biallelic variation in ENTPD1, a gene previously linked to spastic paraplegia 64 (Mendelian Inheritance in Man # 615683).","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Paraplegia Sentence A: The combination of deep hypothermia and circulatory arrest has been used in a variety of cardiovascular surgical techniques and is presented in this article as an elective method in the treatment of type B dissecting aneurysms that may or may not involve the distal aortic arch. Out of 190 patients operated on with acute aortic dissection, 10 patients with type B underwent surgical procedures, between January 1985 and December 1987, four with acute dissection (less than 14 days evolution), and six with chronic dissection (more than 14 days evolution). The approach was by left posterolateral thoracotomy with cardiopulmonary bypass using femoro-femoral cannulation, deep hypothermia, and circulatory arrest. The duration of circulatory arrest was between 27 and 58 minutes, mean 37 minutes. Extracorporeal circulation (ECC) lasted between 68 and 142 minutes, with a mean perfusion time of 83.7 minutes, and temperature fell to 14 degrees C and 16 degrees C. Intrahospital mortality was 20% (two patients). No long-term mortality has been recorded. Eighty percent of the patients (eight patients) are alive and showed good evolution between 10 and 44 months following surgery, with a long-term mean survival of 24 months and 23 days. The only neurological complication was a single case of right unilateral blindness followed by complete visual recuperation. Myocardial and spinal cord protection are excellent, without any incidence of postoperative infarct or paraplegia. Postsurgical blood loss ranged from 200 to 650 mL with a mean of 385 mL. Acute renal insufficiency was not detected. We believe that the combined techniques of deep hypothermia and circulatory arrest used electively, and not just out of occasional necessity, is a viable choice that allows easier surgical manipulation of type B dissection aneurysms and complete resolution of those involving retrograde dissection to the aortic arch. In addition. this combined technique does not increase postoperative mortality in this critically dangerous disease. Sentence B: Human genomics established that pathogenic variation in diverse genes can underlie a single disorder. For example, hereditary spastic paraplegia is associated with >80 genes, with frequently only few affected individuals described for each gene. Herein, we characterize a large cohort of individuals with biallelic variation in ENTPD1, a gene previously linked to spastic paraplegia 64 (Mendelian Inheritance in Man # 615683). ###Answer 1. Changed Explanation: In Sentence A, the term ""paraplegia"" is used to describe the outcome of a surgical procedure for patients with acute or chronic aortic dissection. The context suggests that the term refers to a condition characterized by paralysis or weakness in the lower extremities, likely due to damage to the spinal cord or nerve roots. In Sentence B, the term ""paraplegia"" is used in a different context, describing a genetic disorder associated with >80 genes. The term no longer refers to a specific surgical outcome, but rather to a genetic condition causing spastic paralysis or weakness in the lower extremities. Based on these differences in context and meaning, it is clear that the term ""paraplegia"" has undergone semantic drift between the two sentences. The term has shifted from describing a specific surgical outcome to a broader genetic condition, indicating a significant change in its meaning. Therefore, the label ""Changed"" is appropriate." 94,Paraplegia,"Dynamic spirometry and arterial blood gas analyses were performed in a series of 12 tetraplegic and 8 paraplegic patients. A marked restrictive impairment of ventilatory function was found in all patients with tetraplegia, the mean vital capacity (VC) and one second forced expiratory volume (FEV1.0) were less than half of the predicted normal values. Paraplegia was accompanied only by a slight ventilatory restriction in five patients, while three showed normal respiratory function. Signs of airways obstruction were not revealed in either group. Arterial oxygen tension was normal in all patients. With one exception, elevated PaCO2 values were not found in the series. Hyperventilation (decreased arterial PCO2) was a common finding, it was regarded to be partly due to the effects connected with the examination procedure.","For safe application of exoskeletons in people with spinal cord injury at home or in the community, it is required to have completed an exoskeleton training in which users learn to perform basic and advanced skills. So far, a framework to test exoskeleton skills is lacking. The aim of this study was to develop and test the hierarchy and reliability of a framework for measuring the progress in the ability to perform basic and advanced skills. Twelve participants with paraplegia were given twenty-four training sessions in 8 weeks with the Rewalk-exoskeleton. During the 2nd, 4th, and 6th training week the Intermediate-skills-test was performed consisting of 27 skills, measured in an hierarchical order of difficulty, until two skills were not achieved. When participants could walk independently, the Final-skills-test, consisting of 20 skills, was performed in the last training session. Each skill was performed at least two times with a maximum of three attempts. As a reliability measure the consistency was used, which was the number of skills performed the same in the first two attempts relative to the total number. Ten participants completed the training program. Their number of achieved intermediate skills was significantly different between the measurements X","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Paraplegia Sentence A: Dynamic spirometry and arterial blood gas analyses were performed in a series of 12 tetraplegic and 8 paraplegic patients. A marked restrictive impairment of ventilatory function was found in all patients with tetraplegia, the mean vital capacity (VC) and one second forced expiratory volume (FEV1.0) were less than half of the predicted normal values. Paraplegia was accompanied only by a slight ventilatory restriction in five patients, while three showed normal respiratory function. Signs of airways obstruction were not revealed in either group. Arterial oxygen tension was normal in all patients. With one exception, elevated PaCO2 values were not found in the series. Hyperventilation (decreased arterial PCO2) was a common finding, it was regarded to be partly due to the effects connected with the examination procedure. Sentence B: For safe application of exoskeletons in people with spinal cord injury at home or in the community, it is required to have completed an exoskeleton training in which users learn to perform basic and advanced skills. So far, a framework to test exoskeleton skills is lacking. The aim of this study was to develop and test the hierarchy and reliability of a framework for measuring the progress in the ability to perform basic and advanced skills. Twelve participants with paraplegia were given twenty-four training sessions in 8 weeks with the Rewalk-exoskeleton. During the 2nd, 4th, and 6th training week the Intermediate-skills-test was performed consisting of 27 skills, measured in an hierarchical order of difficulty, until two skills were not achieved. When participants could walk independently, the Final-skills-test, consisting of 20 skills, was performed in the last training session. Each skill was performed at least two times with a maximum of three attempts. As a reliability measure the consistency was used, which was the number of skills performed the same in the first two attempts relative to the total number. Ten participants completed the training program. Their number of achieved intermediate skills was significantly different between the measurements X ###Answer 1. Changed Reasoning: In Sentence A, the term ""paraplegia"" is used to describe a condition characterized by a slight ventilatory restriction in some patients, while the remaining patients show normal respiratory function. This implies that the term ""paraplegia"" had a different meaning in the past than it does now, as it was not associated with any respiratory impairments. In Sentence B, the term ""paraplegia"" is used to describe a condition characterized by the ability to perform basic and advanced skills with the use of an exoskeleton. This suggests that the term ""paraplegia"" has shifted its meaning to refer to a specific type of mobility impairment, rather than a general term for any type of disability. Therefore, semantic drift has occurred in the meaning of the term ""paraplegia"" over the past 20 years." 95,Paraplegia,"Shoulder problems are common in patients with paraplegia because of long-term weight bearing that occurs when crutches or wheelchairs are used and when transfers are done. Two moderate and two large rotator cuff tears in three patients with paraplegia were operated on and evaluated with the use of our shoulder assessment system. A special roentgenographic projection designated as a ""push-up view"" was used after the operation for evaluation. It is an anteroposterior projection of both shoulders on a large casette and is done while the patient lifts himself or herself up with extended elbows off the seat of an armchair. The operative methods employed were anterior acromioplasty in all shoulders, tenorrhaphy in two, lateral transfer of the tendon of the long head of the biceps brachii (Bush procedure) in two with large tears, and superior capsular reconstruction with the use of an autogenous fascia lata graft for a recurrent large tear. The results were satisfactory in three shoulders and unsatisfactory in the shoulder with the recurrent tear. To relieve pain and preserve function in the patient with paraplegia, especially during transfers, early recognition of the cuff tear, a meticulous repair, and rehabilitation are essential. The ""push-up"" view is useful for assessment of the integrity of the rotator cuff.","Repetitive loading of the upper limb joints during manual wheelchair (WC) propulsion (WCP) has been identified as a factor that contributes to shoulder pain, leading to loss of independence and decreased quality of life. The purpose of this study was to determine how individual manual WC users with paraplegia modify propulsion mechanics to accommodate expected increases in reaction forces (RFs) generated at the pushrim with self-selected increases in WCP speed.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Paraplegia Sentence A: Shoulder problems are common in patients with paraplegia because of long-term weight bearing that occurs when crutches or wheelchairs are used and when transfers are done. Two moderate and two large rotator cuff tears in three patients with paraplegia were operated on and evaluated with the use of our shoulder assessment system. A special roentgenographic projection designated as a ""push-up view"" was used after the operation for evaluation. It is an anteroposterior projection of both shoulders on a large casette and is done while the patient lifts himself or herself up with extended elbows off the seat of an armchair. The operative methods employed were anterior acromioplasty in all shoulders, tenorrhaphy in two, lateral transfer of the tendon of the long head of the biceps brachii (Bush procedure) in two with large tears, and superior capsular reconstruction with the use of an autogenous fascia lata graft for a recurrent large tear. The results were satisfactory in three shoulders and unsatisfactory in the shoulder with the recurrent tear. To relieve pain and preserve function in the patient with paraplegia, especially during transfers, early recognition of the cuff tear, a meticulous repair, and rehabilitation are essential. The ""push-up"" view is useful for assessment of the integrity of the rotator cuff. Sentence B: Repetitive loading of the upper limb joints during manual wheelchair (WC) propulsion (WCP) has been identified as a factor that contributes to shoulder pain, leading to loss of independence and decreased quality of life. The purpose of this study was to determine how individual manual WC users with paraplegia modify propulsion mechanics to accommodate expected increases in reaction forces (RFs) generated at the pushrim with self-selected increases in WCP speed. ###Answer 1. Changed Explanation: In Sentence A, the term ""paraplegia"" is used to describe a condition characterized by shoulder problems due to weight bearing and transfers. The meaning of the term is focused on the physical effects of the condition, such as shoulder problems and pain. In Sentence B, the term ""paraplegia"" is used to describe a condition where manual wheelchair propulsion leads to shoulder pain, loss of independence, and decreased quality of life. The meaning of the term has shifted to focus on the impact of the condition on the individual's quality of life and independence, rather than solely on the physical effects of the condition. Therefore, the label ""Changed"" is appropriate for this task, as the meaning of the term ""paraplegia"" has shifted to include a broader range of factors affecting the individual with the condition." 96,Paraplegia,"This paper describes the case history of a 43 year-old patient with so-called primary reticulum cell sarcoma of the brain. The CSF contained cells suggestive of leukaemia which in view of an assumed myelofibrosis, initially seemed also possible to originate from a haematopoietic focus. The patient complained of intermittent violent headaches, which were controlled by spinal taps to release highly cellularised CSF under high pressure and by intrathecal MTX injection, every 4-6 weeks over a period of 4.5 years. In the terminal stage the patient developed paraplegia which, partly on the basis of neuropathological findings, was ascribed to the large accumulated dose of MTX. The tumour proved to be localised in the fornix; the localisation adjacent to the ventricular system made the intermittent cell eruptions in the CSF possible. On the basis of an erroneous diagnostic assumption, a therapy was instituted which resulted in a survival of 6.5 years, which is exceptionally long for a patient with 'primary reticulum cell sarcoma' of the brain.",Identifying an intriguing mechanism for unmasking recessive hereditary spastic paraplegias.,"###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Paraplegia Sentence A: This paper describes the case history of a 43 year-old patient with so-called primary reticulum cell sarcoma of the brain. The CSF contained cells suggestive of leukaemia which in view of an assumed myelofibrosis, initially seemed also possible to originate from a haematopoietic focus. The patient complained of intermittent violent headaches, which were controlled by spinal taps to release highly cellularised CSF under high pressure and by intrathecal MTX injection, every 4-6 weeks over a period of 4.5 years. In the terminal stage the patient developed paraplegia which, partly on the basis of neuropathological findings, was ascribed to the large accumulated dose of MTX. The tumour proved to be localised in the fornix; the localisation adjacent to the ventricular system made the intermittent cell eruptions in the CSF possible. On the basis of an erroneous diagnostic assumption, a therapy was instituted which resulted in a survival of 6.5 years, which is exceptionally long for a patient with 'primary reticulum cell sarcoma' of the brain. Sentence B: Identifying an intriguing mechanism for unmasking recessive hereditary spastic paraplegias. ###Answer 1. Changed Reasoning: In Sentence A, the target word ""paraplegia"" is used to describe a specific medical condition (primary reticulum cell sarcoma of the brain). The context suggests that the term has a negative connotation, as the patient's condition is described as ""terminal"" and the use of ""violent headaches"" and ""spinal taps"" implies a serious and debilitating illness. In Sentence B, the target word ""paraplegia"" is used in a completely different context. The sentence describes a mechanism for identifying recessive hereditary spastic paraplegias, which is unrelated to the medical condition described in Sentence A. The term ""paraplegia"" in this context has a different meaning and connotation, as it is used to describe a genetic condition rather than a medical illness. Therefore, semantic drift has occurred in the meaning of the target word ""paraplegia"" between Sentence A and Sentence B. The word has shifted from a medical term with a negative connotation to a genetic term with a different meaning and connotation." 97,Paraplegia,"Complications occur frequently after surgical treatment of scoliosis. In order to prevent from them effectively, 101 cases with failure and postoperative complications were analysed. They included rod fracture in 22 cases (15 Harrington rods, 4 Zielke rods, and 3 Luque rods); recurrence of curve severity in 12 cases; broken or loossened luque wires in 15 cases; loss of thoracic kyphosis (flat back) in 6 cases; progressive kyphosis with or without paraplegia following incorrect posterior decompression in 5 cases; and increased unbalance of shoulders after instrumentation in 2 cases due to neglect of the tilting of the first thoracic vertebra. Infection occurred in 8 cases (incision infection 7 cases, deep wound infection in 1 case); and pneumothorax in 1 case. They were induced by biomechanical factors in 23 cases (22.8%), incorrect selections of indications in 29 cases (28.7%), operational mistakes in 37 cases (36.6%), internal fixation factors in 15 cases (14.9%). The authors hold that there are quite a lot of factors leading to occurrence of complications and the effective way for prevention from them is to understand the factors and main technical points related to internal fixation.","A 37-year-old woman with acute lymphoblastic leukemia developed fever and pneumonia during persistent neutropenia after consolidation chemotherapy. Pneumonia was rapidly followed by the formation of abscess in adjacent subcutaneous tissues, muscles and bones. She subsequently developed sudden onset of paraplegia and loss of all sensation below Th4. Epidural abscess was detected by MRI. Emergency drainage was performed, but the patient died 4 days after the operation. Rhizopus oryzae grew from culture of the epidural abscess. Since the incidence of zygomycosis appears to have increased over the recent years, clinicians should be aware of the possibility of zygomycosis in case of any infection that is resistant to antibiotics.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Paraplegia Sentence A: Complications occur frequently after surgical treatment of scoliosis. In order to prevent from them effectively, 101 cases with failure and postoperative complications were analysed. They included rod fracture in 22 cases (15 Harrington rods, 4 Zielke rods, and 3 Luque rods); recurrence of curve severity in 12 cases; broken or loossened luque wires in 15 cases; loss of thoracic kyphosis (flat back) in 6 cases; progressive kyphosis with or without paraplegia following incorrect posterior decompression in 5 cases; and increased unbalance of shoulders after instrumentation in 2 cases due to neglect of the tilting of the first thoracic vertebra. Infection occurred in 8 cases (incision infection 7 cases, deep wound infection in 1 case); and pneumothorax in 1 case. They were induced by biomechanical factors in 23 cases (22.8%), incorrect selections of indications in 29 cases (28.7%), operational mistakes in 37 cases (36.6%), internal fixation factors in 15 cases (14.9%). The authors hold that there are quite a lot of factors leading to occurrence of complications and the effective way for prevention from them is to understand the factors and main technical points related to internal fixation. Sentence B: A 37-year-old woman with acute lymphoblastic leukemia developed fever and pneumonia during persistent neutropenia after consolidation chemotherapy. Pneumonia was rapidly followed by the formation of abscess in adjacent subcutaneous tissues, muscles and bones. She subsequently developed sudden onset of paraplegia and loss of all sensation below Th4. Epidural abscess was detected by MRI. Emergency drainage was performed, but the patient died 4 days after the operation. Rhizopus oryzae grew from culture of the epidural abscess. Since the incidence of zygomycosis appears to have increased over the recent years, clinicians should be aware of the possibility of zygomycosis in case of any infection that is resistant to antibiotics. ###Answer 1. Changed Reasoning: In Sentence A, the term ""paraplegia"" is used to describe a complication of scoliosis surgery, specifically the loss of sensation below Th4. The context suggests that this is a physical complication related to the surgery. In Sentence B, the term ""paraplegia"" is used to describe a complication of a different condition, acute lymphoblastic leukemia, specifically the sudden onset of paralysis and loss of sensation below Th4. The context suggests that this is a different type of complication, possibly related to the patient's underlying disease. Therefore, the meaning of the term ""paraplegia"" has shifted from a physical complication of scoliosis surgery to a symptom of a different disease, acute lymphoblastic leukemia. This constitutes semantic drift." 98,Paraplegia,Two cases are reported in which acute paraplegia developed subsequent to decompressive intracranial operations in patients with raised intracranial pressure and spinal cord tumours. Possible causative factors are discussed.,"Complex forms of spastic paraplegia (SPG) are rare and genetically heterogeneous. In apparently sporadic cases, analysis of known SPG genes often fails to reveal a mutation.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Paraplegia Sentence A: Two cases are reported in which acute paraplegia developed subsequent to decompressive intracranial operations in patients with raised intracranial pressure and spinal cord tumours. Possible causative factors are discussed. Sentence B: Complex forms of spastic paraplegia (SPG) are rare and genetically heterogeneous. In apparently sporadic cases, analysis of known SPG genes often fails to reveal a mutation. ###Answer Changed Explanation: In Sentence A, ""paraplegia"" is used to describe a specific medical condition (acute paraplegia) that was a significant concern in 2000. The term is used in the context of decompressive intracranial operations and spinal cord tumors, indicating that the condition was associated with these medical interventions. In Sentence B, ""paraplegia"" is used in a different context, referring to a broader range of spastic paraplegias (SPG). The term is used to describe a genetically heterogeneous condition that may be sporadic or inherited. The meaning of the term has shifted from a specific medical condition to a broader category of disorders. Therefore, the label ""Changed"" is appropriate for this task, as the meaning of the term ""paraplegia"" has significantly shifted between the two sentences." 99,Paraplegia,"In various systemic cancers, interleukin 12 (IL-12) induces anti-tumour immunity mediated by T lymphocytes and natural killer cells. To determine whether IL-12 has anti-tumour activity against malignant gliomas in the central nervous system (CNS), which is considered to be an immunologically privileged site, we treated mice with meningeal gliomatosis by intraperitoneal (i.p.) or intrathecal (i.t.) administration of recombinant murine IL-12. Although untreated mice revealed symptoms, such as body weight loss or paraplegia as a result of the meningeal gliomatosis within 8 days after tumour inoculation, 80% of the mice treated with IL-12 at 0.5 microg i.p. were cured. Many lymphocytes, mostly CD4+ and CD8+ cells, infiltrated to the tumours of IL-12-treated mice. The numbers of these cells increased in the cervical lymph nodes, into which the cerebrospinal fluid drains, and there they secreted a considerable amount of interferon-gamma. Mice cured by IL-12 rejected subcutaneous or i.t. rechallenge with their original glioma cells, but the same mice were not able to reject other syngeneic tumour cells. These results indicate that the immune system recognizes malignant glioma cells in the subarachnoid space of the CNS and that systemic IL-12 may produce effective anti-tumour activity and long-lasting tumour-specific immunity.",The hereditary spastic paraplegias (HSPs) are a group of clinically and genetically heterogeneous disorders. Approximately 10% of the autosomal dominant (AD) HSPs (ADHSPs) have the spastic paraplegia 3A (SPG3A) genotype which is caused by ,"###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Paraplegia Sentence A: In various systemic cancers, interleukin 12 (IL-12) induces anti-tumour immunity mediated by T lymphocytes and natural killer cells. To determine whether IL-12 has anti-tumour activity against malignant gliomas in the central nervous system (CNS), which is considered to be an immunologically privileged site, we treated mice with meningeal gliomatosis by intraperitoneal (i.p.) or intrathecal (i.t.) administration of recombinant murine IL-12. Although untreated mice revealed symptoms, such as body weight loss or paraplegia as a result of the meningeal gliomatosis within 8 days after tumour inoculation, 80% of the mice treated with IL-12 at 0.5 microg i.p. were cured. Many lymphocytes, mostly CD4+ and CD8+ cells, infiltrated to the tumours of IL-12-treated mice. The numbers of these cells increased in the cervical lymph nodes, into which the cerebrospinal fluid drains, and there they secreted a considerable amount of interferon-gamma. Mice cured by IL-12 rejected subcutaneous or i.t. rechallenge with their original glioma cells, but the same mice were not able to reject other syngeneic tumour cells. These results indicate that the immune system recognizes malignant glioma cells in the subarachnoid space of the CNS and that systemic IL-12 may produce effective anti-tumour activity and long-lasting tumour-specific immunity. Sentence B: The hereditary spastic paraplegias (HSPs) are a group of clinically and genetically heterogeneous disorders. Approximately 10% of the autosomal dominant (AD) HSPs (ADHSPs) have the spastic paraplegia 3A (SPG3A) genotype which is caused by ###Answer 1. Changed Reasoning: In Sentence A, the word ""paraplegia"" is used to describe a specific type of tumour inoculation, where the mice exhibit symptoms such as body weight loss or paraplegia due to meningeal gliomatosis. In this context, ""paraplegia"" refers to a medical condition characterized by weakness or paralysis of the lower limbs. In Sentence B, the word ""paraplegia"" is used in a different context to describe a group of disorders called hereditary spastic paraplegias (HSPs). Here, ""paraplegia"" refers to a broader range of symptoms, including spasticity, weakness, or paralysis of the lower limbs, which can be caused by genetic mutations or other factors. Based on these two sentences, it is clear that the meaning of ""paraplegia"" has shifted over time. In Sentence A, the term is used specifically to describe a medical condition, while in Sentence B, it is used more broadly to describe a group of disorders. Therefore, I would label this word as having undergone semantic drift, and provide the label ""Changed""." 0,Quadriplegia,"Spinal cord injury occurs predominantly in males, and endometrial cancer in a patient with spinal cord injury is very rare. A 71-year-old woman, gravida 7, para 4, who had incomplete quadriplegia due to a spinal cord injury, was admitted with a complaint of genital bleeding. Biopsies of the cervix and the endometrium revealed endometrioid adenocarcinoma. Total abdominal hysterectomy was performed under general anesthesia. Pathohistological analysis revealed endometrial adenocarcinoma (G1) with squamous metaplasia and International Federation of Gynecology and Obstetrics (FIGO) surgical stage 2b. Local recurrence was not obvious after the surgery. However, lung metastasis appeared on postoperative day 225, and she died from dyspnea on day 277. Uterine cancer screening is more necessary in long-term bedridden women.","Epileptic seizures are associated with a higher incidence of Developmental Disabilities and Cerebral Palsy. Early evaluation and management of epilepsy is strongly recommended. We propose and discuss an application to predict epilespy (PredictMed-Epilepsy) and seizures via a deep-learning module (PredictMed-Seizures) encompassed within a multi-agent based healthcare system (PredictMed-MHS); this system is meant, in perspective, to be integrated into a clinical decision support system (PredictMed-CDSS). PredictMed-Epilespy, in particular, aims to identify factors associated with epilepsy in children with Developmental Disabilities and Cerebral Palsy by using a prediction-learning model named PredictMed. PredictMed-epilespy methods: We performed a longitudinal, multicenter, double-blinded, descriptive study of one hundred and two children with Developmental Disabilities and Cerebral Palsy (58 males, 44 females; 65 inpatients, 37 outpatients; 72 had epilepsy - 22 of intractable epilepsy, age: 16.6±1.2y, range: 12-18y). Data from 2005 to 2021 on Cerebral Palsy etiology, diagnosis, type of epilepsy and spasticity, clinical history, communication abilities, behaviors, intellectual disability, motor skills, and eating and drinking abilities were collected. The machine-learning model PredictMed was exploited to identify factors associated with epilepsy. The guidelines of the ""Transparent Reporting of a multivariable prediction model for Individual Prognosis or Diagnosis"" Statement (TRIPOD) were followed. PredictMed-epilepsy results: Cerebral Palsy etiology [(prenatal > perinatal > postnatal causes) p=0.036], scoliosis (p=0.048), communication (p=0.018) and feeding disorders (p=0.002), poor motor function (p<0.001), intellectual disabilities (p=0.007), and type of spasticity [(quadriplegia/triplegia > diplegia > hemiplegia), p=0.002)] were associated with having epilepsy. The prediction model scored an average of 82% of accuracy, sensitivity, and specificity. Thus, PredictMed defined the computational phenotype of children with Developmental Disabilities/Cerebral Palsy at risk of epilepsy. Novel contribution of the work: We have been developing and we have prototypically implemented a Multi-Agent Systems (MAS) that encapsulates the PredictMed-Epilepsy module. More specifically, we have implemented the Patient Observing MAS (PoMAS), which, as a novelty w.r.t. the existing literature, includes a complex event processing module that provides real-time detention of short- and long-term events related to the patient's condition.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Quadriplegia Sentence A: Spinal cord injury occurs predominantly in males, and endometrial cancer in a patient with spinal cord injury is very rare. A 71-year-old woman, gravida 7, para 4, who had incomplete quadriplegia due to a spinal cord injury, was admitted with a complaint of genital bleeding. Biopsies of the cervix and the endometrium revealed endometrioid adenocarcinoma. Total abdominal hysterectomy was performed under general anesthesia. Pathohistological analysis revealed endometrial adenocarcinoma (G1) with squamous metaplasia and International Federation of Gynecology and Obstetrics (FIGO) surgical stage 2b. Local recurrence was not obvious after the surgery. However, lung metastasis appeared on postoperative day 225, and she died from dyspnea on day 277. Uterine cancer screening is more necessary in long-term bedridden women. Sentence B: Epileptic seizures are associated with a higher incidence of Developmental Disabilities and Cerebral Palsy. Early evaluation and management of epilepsy is strongly recommended. We propose and discuss an application to predict epilespy (PredictMed-Epilepsy) and seizures via a deep-learning module (PredictMed-Seizures) encompassed within a multi-agent based healthcare system (PredictMed-MHS); this system is meant, in perspective, to be integrated into a clinical decision support system (PredictMed-CDSS). PredictMed-Epilespy, in particular, aims to identify factors associated with epilepsy in children with Developmental Disabilities and Cerebral Palsy by using a prediction-learning model named PredictMed. PredictMed-epilespy methods: We performed a longitudinal, multicenter, double-blinded, descriptive study of one hundred and two children with Developmental Disabilities and Cerebral Palsy (58 males, 44 females; 65 inpatients, 37 outpatients; 72 had epilepsy - 22 of intractable epilepsy, age: 16.6±1.2y, range: 12-18y). Data from 2005 to 2021 on Cerebral Palsy etiology, diagnosis, type of epilepsy and spasticity, clinical history, communication abilities, behaviors, intellectual disability, motor skills, and eating and drinking abilities were collected. The machine-learning model PredictMed was exploited to identify factors associated with epilepsy. The guidelines of the ""Transparent Reporting of a multivariable prediction model for Individual Prognosis or Diagnosis"" Statement (TRIPOD) were followed. PredictMed-epilepsy results: Cerebral Palsy etiology [(prenatal > perinatal > postnatal causes) p=0.036], scoliosis (p=0.048), communication (p=0.018) and feeding disorders (p=0.002), poor motor function (p<0.001), intellectual disabilities (p=0.007), and type of spasticity [(quadriplegia/triplegia > diplegia > hemiplegia), p=0.002)] were associated with having epilepsy. The prediction model scored an average of 82% of accuracy, sensitivity, and specificity. Thus, PredictMed defined the computational phenotype of children with Developmental Disabilities/Cerebral Palsy at risk of epilepsy. Novel contribution of the work: We have been developing and we have prototypically implemented a Multi-Agent Systems (MAS) that encapsulates the PredictMed-Epilepsy module. More specifically, we have implemented the Patient Observing MAS (PoMAS), which, as a novelty w.r.t. the existing literature, includes a complex event processing module that provides real-time detention of short- and long-term events related to the patient's condition. ###Answer Target word: Quadriplegia Sentence A: A 71-year-old woman, gravida 7, para 4, who had incomplete quadriplegia due to a spinal cord injury, was admitted with a complaint of genital bleeding. Sentence B: Cerebral Palsy etiology, scoliosis, communication and feeding disorders, poor motor function, intellectual disabilities, and type of spasticity were associated with having epilepsy. Label: Changed Reasoning: In Sentence A, the target word ""quadriplegia"" is used to describe the patient's condition, which is consistent with its traditional meaning as a type of paralysis or disability affecting four limbs. However, in Sentence B, the term ""quadriplegia"" is used in a different context, specifically as a risk factor for epilepsy. This shift in meaning suggests that the term ""quadriplegia"" has undergone semantic drift, as it is now being used to describe a different condition or characteristic." 1,Quadriplegia,"3-Methylglutaconic (3-MGC) aciduria with 3-methylglutaconyl-CoA hydratase deficiency (3-MGC aciduria type I) is a rare inherited metabolic disease of L-leucine catabolism. We describe a 9-month-old Japanese boy with this disorder who showed progressive neurological impairments presented as quadriplegia, athetoid movements and severe psychomotor retardation from 4 months of age. This finding indicates the existence of clinical heterogeneity in 3-MGC aciduria type I, suggesting it may present as a neurometabolic disease.","Studies on the effects of exercise training in persons with cervical spinal cord injury (CSCI) are scarce. The aim of this study was to determine the effect of an 8-week stationary arm-crank exercise (ACE) training programme on the level of autonomy, exercise performance, pulmonary functional parameters and resting heart rate variability (HRV) in persons with CSCI. Quadriplegia Index of Function (QIF), arm-crank peak power output (Ppeak), spirometric variables, and HRV indices were measured before and after the training programme in a group of 11 persons with CSCI. ACE training increased Ppeak in both groups (","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Quadriplegia Sentence A: 3-Methylglutaconic (3-MGC) aciduria with 3-methylglutaconyl-CoA hydratase deficiency (3-MGC aciduria type I) is a rare inherited metabolic disease of L-leucine catabolism. We describe a 9-month-old Japanese boy with this disorder who showed progressive neurological impairments presented as quadriplegia, athetoid movements and severe psychomotor retardation from 4 months of age. This finding indicates the existence of clinical heterogeneity in 3-MGC aciduria type I, suggesting it may present as a neurometabolic disease. Sentence B: Studies on the effects of exercise training in persons with cervical spinal cord injury (CSCI) are scarce. The aim of this study was to determine the effect of an 8-week stationary arm-crank exercise (ACE) training programme on the level of autonomy, exercise performance, pulmonary functional parameters and resting heart rate variability (HRV) in persons with CSCI. Quadriplegia Index of Function (QIF), arm-crank peak power output (Ppeak), spirometric variables, and HRV indices were measured before and after the training programme in a group of 11 persons with CSCI. ACE training increased Ppeak in both groups ( ###Answer 1. Changed Explanation: In Sentence A, the target word ""quadriplegia"" is used to describe a specific clinical condition, characterized by progressive neurological impairments, including athetoid movements and severe psychomotor retardation, that began at 4 months of age. The word has a clear medical connotation and is used to describe a specific set of symptoms. In Sentence B, the target word ""quadriplegia"" is used in a different context, to describe the effect of exercise training on persons with cervical spinal cord injury. Here, the word has a different connotation, referring to the level of autonomy, exercise performance, pulmonary functional parameters, and resting heart rate variability in the study population. The word is used to describe a different set of outcomes, with a more general medical connotation. Based on these differences in context and meaning, it can be concluded that the target word ""quadriplegia"" has undergone semantic drift between the two sentences. The word has shifted from a specific medical context in Sentence A to a more general medical context in Sentence B, indicating a significant change in meaning. Therefore, the label ""Changed"" is appropriate." 2,Quadriplegia,"Eleven survivors of Reye's syndrome ranging in age from 9 months to 12 years were evaluated for neurological and psychoeducational sequelae. Seven children showed significant neuropsychological sequelae, ranging from severe global psychomotor retardation to mild specific perceptual and/or language impairments and from spastic quadriplegia and decorticate posturing to mild dysarthria. The severity of sequelae was inversely related to age of the child at onset of the disease. Whereas those children developing the syndrome when they were less than 1 year of age were seriously impaired, 3 children developing it in late childhood sustained no sequelae. Biochemical and neurological status at disease onset did not predict neuropsychological outcome. The results parallel the pattern of sequelae for other encephalopathies and suggest the importance for both child and family of early developmental evaluation following recovery from the disease.","In blunt cerebrovascular injury, reported traumatic basilar artery occlusions have involved dissection of the basilar artery, distal embolization due to traumatic vertebral artery dissection, or entrapment of the basilar artery into the clivus fracture. To date, however, there are no reports of traumatic basilar artery entrapment without a clivus fracture. Here, we report the first case of traumatic basilar artery occlusion caused by entrapment into an originally existing bone defect. A 67-year-old man with a history of treatment for intracranial aneurysm suffered multiple traumatic injuries in a fall. On arrival at our hospital, he presented with neurogenic shock with quadriplegia. Computed tomography (CT) showed small epidural hematoma, C4-6 cervical spinous process fracture, and Th2-3 vertebral body fracture. CT angiography revealed occlusion of the basilar artery trunk. As vertebrobasilar artery dissections and clivus fracture were not observed; however, we could not elucidate the pathology of the basilar artery occlusion. On day 4, after surgery for the cervical and thoracic lesions, he exhibited consciousness disturbance. Diffusion-weighted imaging on day 5 showed hyperintensities in the brainstem and cerebellum. Basi-parallel anatomic scanning magnetic resonance imaging showed that the basilar artery, while lacking vascular wall injuries, was tethered into the clivus. Antithrombotic therapy was performed, but the patient progressed to a locked-in state. Previous head CT before the trauma revealed a bone defect already present in the clivus. We speculated basilar artery entrapment into this preexisting bone defect. We must look for basilar artery injury in trauma patients even in the absence of clivus fracture.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Quadriplegia Sentence A: Eleven survivors of Reye's syndrome ranging in age from 9 months to 12 years were evaluated for neurological and psychoeducational sequelae. Seven children showed significant neuropsychological sequelae, ranging from severe global psychomotor retardation to mild specific perceptual and/or language impairments and from spastic quadriplegia and decorticate posturing to mild dysarthria. The severity of sequelae was inversely related to age of the child at onset of the disease. Whereas those children developing the syndrome when they were less than 1 year of age were seriously impaired, 3 children developing it in late childhood sustained no sequelae. Biochemical and neurological status at disease onset did not predict neuropsychological outcome. The results parallel the pattern of sequelae for other encephalopathies and suggest the importance for both child and family of early developmental evaluation following recovery from the disease. Sentence B: In blunt cerebrovascular injury, reported traumatic basilar artery occlusions have involved dissection of the basilar artery, distal embolization due to traumatic vertebral artery dissection, or entrapment of the basilar artery into the clivus fracture. To date, however, there are no reports of traumatic basilar artery entrapment without a clivus fracture. Here, we report the first case of traumatic basilar artery occlusion caused by entrapment into an originally existing bone defect. A 67-year-old man with a history of treatment for intracranial aneurysm suffered multiple traumatic injuries in a fall. On arrival at our hospital, he presented with neurogenic shock with quadriplegia. Computed tomography (CT) showed small epidural hematoma, C4-6 cervical spinous process fracture, and Th2-3 vertebral body fracture. CT angiography revealed occlusion of the basilar artery trunk. As vertebrobasilar artery dissections and clivus fracture were not observed; however, we could not elucidate the pathology of the basilar artery occlusion. On day 4, after surgery for the cervical and thoracic lesions, he exhibited consciousness disturbance. Diffusion-weighted imaging on day 5 showed hyperintensities in the brainstem and cerebellum. Basi-parallel anatomic scanning magnetic resonance imaging showed that the basilar artery, while lacking vascular wall injuries, was tethered into the clivus. Antithrombotic therapy was performed, but the patient progressed to a locked-in state. Previous head CT before the trauma revealed a bone defect already present in the clivus. We speculated basilar artery entrapment into this preexisting bone defect. We must look for basilar artery injury in trauma patients even in the absence of clivus fracture. ###Answer 1. Changed Reasoning: In Sentence A, the term ""quadriplegia"" is used to describe a range of neurological sequelae in children who have recovered from Reye's syndrome. The term is used to describe the severity of the children's impairments, including ""spastic quadriplegia"" and ""mild dysarthria."" The term is not used to convey any particular connotation or emotion. In Sentence B, the term ""quadriplegia"" is used to describe the patient's condition after a fall resulting in multiple traumatic injuries. The term is used to convey the severity of the patient's neurological impairments, including ""neurogenic shock with quadriplegia."" The term is also used to describe the patient's condition after surgery, including ""locked-in state."" The term is used to convey a sense of severity and urgency, as well as a sense of hopelessness and despair. Comparing the usage of the term ""quadriplegia"" in these two sentences, it is clear that the term has undergone a significant change in meaning. In Sentence A, the term is used primarily to describe the severity of neurological impairments in children, without any particular connotation or emotion. In Sentence B, the term is used to convey a sense of urgency and despair, as well as to describe the severity of the patient's condition after surgery. Therefore, the label ""Changed"" is appropriate for this task." 3,Quadriplegia,"Basilar artery occlusion occurred in a 13-year-old boy. Eighteen cases in children reported in the literature were also analyzed. Basilar artery occlusion is more common in males. The main clinical manifestations are disturbance in consciousness, hemiplegia or quadriplegia, and pupillary abnormalitites. The prognosis is better in children than in adults.","The aim of the study was to determine whether pediatric patients with cerebral palsy (CP; 24.3% hemiplegic, 30.4% diplegic, 38.5% quadriplegic) can self-report their health-related quality of life (HRQOL) with the Pediatric Quality of Life Inventory Version 4.0 (PedsQL 4.0) Generic Core Scales. The PedsQL was administered to 148 families (84 males, 64 females; mean 10y, SD 3y 9mo, range 5 to 18y) recruited from a children's hospital clinic and state medical therapy clinics. Sixty-nine children (47%) were able to self-report. Children with CP self-reported a significantly lower HRQOL (mean 65.9) than healthy children (mean 83.8). Children with CP self-reported a similar HRQOL to pediatric cancer patients receiving treatment (mean 68.9). Children diagnosed with quadriplegia (mean 49.4) self-reported more impaired HRQOL than children with diplegia (mean 69.1) and hemiplegia (mean 72.4). Parent-child concordance was lowest for emotional functioning. Providers and parents should obtain the children's HRQOL perceptions whenever possible.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Quadriplegia Sentence A: Basilar artery occlusion occurred in a 13-year-old boy. Eighteen cases in children reported in the literature were also analyzed. Basilar artery occlusion is more common in males. The main clinical manifestations are disturbance in consciousness, hemiplegia or quadriplegia, and pupillary abnormalitites. The prognosis is better in children than in adults. Sentence B: The aim of the study was to determine whether pediatric patients with cerebral palsy (CP; 24.3% hemiplegic, 30.4% diplegic, 38.5% quadriplegic) can self-report their health-related quality of life (HRQOL) with the Pediatric Quality of Life Inventory Version 4.0 (PedsQL 4.0) Generic Core Scales. The PedsQL was administered to 148 families (84 males, 64 females; mean 10y, SD 3y 9mo, range 5 to 18y) recruited from a children's hospital clinic and state medical therapy clinics. Sixty-nine children (47%) were able to self-report. Children with CP self-reported a significantly lower HRQOL (mean 65.9) than healthy children (mean 83.8). Children with CP self-reported a similar HRQOL to pediatric cancer patients receiving treatment (mean 68.9). Children diagnosed with quadriplegia (mean 49.4) self-reported more impaired HRQOL than children with diplegia (mean 69.1) and hemiplegia (mean 72.4). Parent-child concordance was lowest for emotional functioning. Providers and parents should obtain the children's HRQOL perceptions whenever possible. ###Answer 1. Changed The meaning of ""quadriplegia"" has shifted significantly between Sentence A and Sentence B. In Sentence A, ""quadriplegia"" is used to describe a specific medical condition, specifically basilar artery occlusion. In Sentence B, ""quadriplegia"" is used more broadly to describe a type of disability, specifically in the context of pediatric cerebral palsy. This shift in meaning suggests that the term ""quadriplegia"" has undergone semantic drift." 4,Quadriplegia,"A sudden onset of quadriplegia and dyspnea occurred in a 4-year-old girl with Down's syndrome, who had been noted to have atlantoaxial dislocation. She underwent cervical immobilization initially with a halo-vest and subsequently by posterior fusion, resulting in significant functional recovery. The catastrophic myelopathy that occurred in this patient emphasizes the necessity of treatment even for asymptomatic atlantoaxial instability in some individuals with Down's syndrome.","Anemia is a frequently encountered problem in the healthcare system. Common causes of anemia include blood loss, followed by impaired red blood cell production and red blood cell destruction. This case demonstrates the need for cognizance of the less frequent causes of anemia. A 27-year-old male with a history of traumatic brain injury and quadriplegia with chronic respiratory failure on home ventilator support presented to the emergency department with dyspnea and no bowel movements for three days. The patient received nutrition via percutaneous endoscopic gastostromy (PEG) tube. He was hypotensive with a mean arterial pressure (MAP) of 54 mm/Hg. There was no evidence of acute or ongoing blood loss. Initial lab data revealed hyperkalemia (K+ 6.1), severe anemia (Hb 1.5 g/dL), leukopenia (2.53 K/uL), neutropenia (ANC 700), and normal platelets. Peripheral smear revealed leukopenia with absolute neutropenia, marked anemia with anisopoikilocytosis with rare dacrocytes but no evidence of schistocytes. He responded to transfusion with improvement in hemoglobin from 1.5 to 9.1 within 24 hours. There was no evidence of hemolysis or vitamin deficiency. Ferritin and triglyceride levels were ordered to rule out hemophagocytic lymphohistiocytosis (HLH). Ferritin was elevated at 6506 ng/mL and triglycerides were 123 mg/dL. Soluble IL-2 receptor level was sent and found to be significantly elevated; however, this was felt to be more likely secondary to infection and inflammation, as the patient had no other clinical features of HLH, apart from cytopenias. Zinc supplementation was part of his wound care regimen. Copper levels were <10 ug/dL (normal: 70-140). Zinc supplements were stopped, and the patient was started on copper supplementation. At his three month follow-up clinic appointment, his anemia and leukopenia had resolved. Micronutrient deficiency is a potential cause of anemia, especially in a risk population and must be considered, as it is often easily correctible.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Quadriplegia Sentence A: A sudden onset of quadriplegia and dyspnea occurred in a 4-year-old girl with Down's syndrome, who had been noted to have atlantoaxial dislocation. She underwent cervical immobilization initially with a halo-vest and subsequently by posterior fusion, resulting in significant functional recovery. The catastrophic myelopathy that occurred in this patient emphasizes the necessity of treatment even for asymptomatic atlantoaxial instability in some individuals with Down's syndrome. Sentence B: Anemia is a frequently encountered problem in the healthcare system. Common causes of anemia include blood loss, followed by impaired red blood cell production and red blood cell destruction. This case demonstrates the need for cognizance of the less frequent causes of anemia. A 27-year-old male with a history of traumatic brain injury and quadriplegia with chronic respiratory failure on home ventilator support presented to the emergency department with dyspnea and no bowel movements for three days. The patient received nutrition via percutaneous endoscopic gastostromy (PEG) tube. He was hypotensive with a mean arterial pressure (MAP) of 54 mm/Hg. There was no evidence of acute or ongoing blood loss. Initial lab data revealed hyperkalemia (K+ 6.1), severe anemia (Hb 1.5 g/dL), leukopenia (2.53 K/uL), neutropenia (ANC 700), and normal platelets. Peripheral smear revealed leukopenia with absolute neutropenia, marked anemia with anisopoikilocytosis with rare dacrocytes but no evidence of schistocytes. He responded to transfusion with improvement in hemoglobin from 1.5 to 9.1 within 24 hours. There was no evidence of hemolysis or vitamin deficiency. Ferritin and triglyceride levels were ordered to rule out hemophagocytic lymphohistiocytosis (HLH). Ferritin was elevated at 6506 ng/mL and triglycerides were 123 mg/dL. Soluble IL-2 receptor level was sent and found to be significantly elevated; however, this was felt to be more likely secondary to infection and inflammation, as the patient had no other clinical features of HLH, apart from cytopenias. Zinc supplementation was part of his wound care regimen. Copper levels were <10 ug/dL (normal: 70-140). Zinc supplements were stopped, and the patient was started on copper supplementation. At his three month follow-up clinic appointment, his anemia and leukopenia had resolved. Micronutrient deficiency is a potential cause of anemia, especially in a risk population and must be considered, as it is often easily correctible. ###Answer 1. Changed Reasoning: In Sentence A, the term ""quadriplegia"" is used to describe a specific medical condition in a patient with Down's syndrome. The context suggests that the patient has a severe neurological disability that affects their mobility and function. The term is used to convey the severity of the patient's condition and the impact it has on their quality of life. In Sentence B, the term ""quadriplegia"" is used in a different context. It is mentioned in the context of anemia, which is described as a ""frequently encountered problem in the healthcare system."" The term is used to describe a type of anemia that is caused by a lack of red blood cells or iron deficiency. The context suggests that the patient has a mild anemia that is not related to a specific medical condition. Based on these differences in context and meaning, it can be concluded that the term ""quadriplegia"" has undergone a significant change in meaning between Sentence A and Sentence B. In Sentence A, the term is used to describe a specific medical condition, while in Sentence B, it is used to describe a type of anemia. Therefore, the label ""Changed"" is appropriate." 5,Quadriplegia,"Many patients with ventilator-dependent quadriplegia have coincident phrenic nerve injury and therefore cannot be offered phrenic nerve pacing. The purpose of this study was to assess the utility of combined inspiratory intercostal and expiratory muscle pacing to provide complete ventilatory support. Studies were performed in 15 anesthetized dogs. An electrode was positioned on the epidural surface of the upper thoracic spinal cord to activate the inspiratory intercostal muscles; a separate electrode was positioned on the epidural surface of the lower thoracic spinal cord to activate the expiratory muscles. In an attempt to replicate the effects of inspiratory intercostal pacing alone in humans, stimulus parameters during upper thoracic spinal cord stimulation were adjusted to provide suboptimal levels of ventilation (end-tidal PCO2 of 55 to 60 mm Hg). Expiratory muscle activation was triggered electrically by the inspiratory signal with a 4.2-s delay resulting in alternate inspiratory and expiratory muscle pacing at a combined rate of 14 breaths/min. Combined pacing was maintained for an arbitrary period of 3 h. Initial intercostal muscle pacing alone resulted in an end-tidal PCO2 of 57.1 +/- 1.1 mm Hg. After the addition of expiratory muscle pacing, end-tidal PCO2 fell to 36.3 +/- 1.2 mm Hg. Tidal volume during both inspiratory and expiratory muscle pacing and end-tidal PCO2 remained stable throughout the study period. Our results suggest that combined alternate inspiratory and expiratory muscle pacing may be a viable alternative method of artificial ventilation in ventilator-dependent quadriplegic patients.","This study sought to assess comorbidity profiles unique to early-onset-scoliosis (EOS) patients by employing cluster analytics and to determine the influence of isolated comorbidity clusters on perioperative complications, morbidity and mortality using a high powered administrative database. The KID database was queried for ICD-9 codes pertaining to congenital and idiopathic scoliosis from 2003, 2006, 2009, 2012. Patients <10 y/o (EOS group) were included. Demographics, incidence and comorbidity profiles were assessed. Comorbidity profiles were stratified by body systems (neurological, musculoskeletal, pulmonary, cardiovascular, renal). K-means cluster and descriptive analyses elucidated incidence and comorbidity relationships between frequently co-occurring comorbidities. Binary logistic regression models determined predictors of perioperative complication development, mortality, and extended length-of-stay (≥75th percentile). 25,747 patients were included (Age: 4.34, Female: 52.1%, CCI: 0.64). Incidence was 8.9 per 100,000 annual discharges. 55.2% presented with pulmonary comorbidities, 48.7% musculoskeletal, 43.8% neurological, 18.6% cardiovascular, and 11.9% renal; 38% had concurrent neurological and pulmonary. Top inter-bodysystem clusters: Pulmonary disease (17.2%) with epilepsy (17.8%), pulmonary failure (12.2%), restrictive lung disease (10.5%), or microcephaly and quadriplegia (2.1%). Musculoskeletal comorbidities (48.7%) with renal and cardiovascular comorbidities (8.2%, OR: 7.9 [6.6-9.4], p < 0.001). Top intra-bodysystem clusters: Epilepsy (11.7%) with quadriplegia (25.8%) or microcephaly (20.5%). Regression analysis determined neurological and pulmonary clusters to have a higher odds of perioperative complication development (OR: 1.28 [1.19-1.37], p < 0.001) and mortality (OR: 2.05 [1.65-2.54], p < 0.001). Musculoskeletal with cardiovascular and renal anomalies had higher odds of mortality (OR: 1.72 [1.28-2.29], p < 0.001) and extLOS (OR: 2.83 [2.48-3.22], p < 0.001). EOS patients with musculoskeletal conditions were 7.9x more likely to have concurrent cardiovascular and renal anomalies. Clustered neurologic and pulmonary anomalies increased mortality risk by as much as 105%. These relationships may benefit pre-operative risk assessment for concurrent anomalies and adverse outcomes. Level of Evidence: III - Retrospective Prognostic Study.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Quadriplegia Sentence A: Many patients with ventilator-dependent quadriplegia have coincident phrenic nerve injury and therefore cannot be offered phrenic nerve pacing. The purpose of this study was to assess the utility of combined inspiratory intercostal and expiratory muscle pacing to provide complete ventilatory support. Studies were performed in 15 anesthetized dogs. An electrode was positioned on the epidural surface of the upper thoracic spinal cord to activate the inspiratory intercostal muscles; a separate electrode was positioned on the epidural surface of the lower thoracic spinal cord to activate the expiratory muscles. In an attempt to replicate the effects of inspiratory intercostal pacing alone in humans, stimulus parameters during upper thoracic spinal cord stimulation were adjusted to provide suboptimal levels of ventilation (end-tidal PCO2 of 55 to 60 mm Hg). Expiratory muscle activation was triggered electrically by the inspiratory signal with a 4.2-s delay resulting in alternate inspiratory and expiratory muscle pacing at a combined rate of 14 breaths/min. Combined pacing was maintained for an arbitrary period of 3 h. Initial intercostal muscle pacing alone resulted in an end-tidal PCO2 of 57.1 +/- 1.1 mm Hg. After the addition of expiratory muscle pacing, end-tidal PCO2 fell to 36.3 +/- 1.2 mm Hg. Tidal volume during both inspiratory and expiratory muscle pacing and end-tidal PCO2 remained stable throughout the study period. Our results suggest that combined alternate inspiratory and expiratory muscle pacing may be a viable alternative method of artificial ventilation in ventilator-dependent quadriplegic patients. Sentence B: This study sought to assess comorbidity profiles unique to early-onset-scoliosis (EOS) patients by employing cluster analytics and to determine the influence of isolated comorbidity clusters on perioperative complications, morbidity and mortality using a high powered administrative database. The KID database was queried for ICD-9 codes pertaining to congenital and idiopathic scoliosis from 2003, 2006, 2009, 2012. Patients <10 y/o (EOS group) were included. Demographics, incidence and comorbidity profiles were assessed. Comorbidity profiles were stratified by body systems (neurological, musculoskeletal, pulmonary, cardiovascular, renal). K-means cluster and descriptive analyses elucidated incidence and comorbidity relationships between frequently co-occurring comorbidities. Binary logistic regression models determined predictors of perioperative complication development, mortality, and extended length-of-stay (≥75th percentile). 25,747 patients were included (Age: 4.34, Female: 52.1%, CCI: 0.64). Incidence was 8.9 per 100,000 annual discharges. 55.2% presented with pulmonary comorbidities, 48.7% musculoskeletal, 43.8% neurological, 18.6% cardiovascular, and 11.9% renal; 38% had concurrent neurological and pulmonary. Top inter-bodysystem clusters: Pulmonary disease (17.2%) with epilepsy (17.8%), pulmonary failure (12.2%), restrictive lung disease (10.5%), or microcephaly and quadriplegia (2.1%). Musculoskeletal comorbidities (48.7%) with renal and cardiovascular comorbidities (8.2%, OR: 7.9 [6.6-9.4], p < 0.001). Top intra-bodysystem clusters: Epilepsy (11.7%) with quadriplegia (25.8%) or microcephaly (20.5%). Regression analysis determined neurological and pulmonary clusters to have a higher odds of perioperative complication development (OR: 1.28 [1.19-1.37], p < 0.001) and mortality (OR: 2.05 [1.65-2.54], p < 0.001). Musculoskeletal with cardiovascular and renal anomalies had higher odds of mortality (OR: 1.72 [1.28-2.29], p < 0.001) and extLOS (OR: 2.83 [2.48-3.22], p < 0.001). EOS patients with musculoskeletal conditions were 7.9x more likely to have concurrent cardiovascular and renal anomalies. Clustered neurologic and pulmonary anomalies increased mortality risk by as much as 105%. These relationships may benefit pre-operative risk assessment for concurrent anomalies and adverse outcomes. Level of Evidence: III - Retrospective Prognostic Study. ###Answer 1. Changed Reasoning: The target word ""quadriplegia"" has undergone a significant change in meaning between the two sentences. In Sentence A, the word is used to describe a specific medical condition, specifically ventilator-dependent quadriplegia. In Sentence B, the word is used more broadly to describe a cluster of comorbidities, including pulmonary, musculoskeletal, neurological, cardiovascular, and renal conditions. The word has shifted from a medical term with a specific meaning to a more general term encompassing a range of conditions. This change in meaning indicates semantic drift." 6,Quadriplegia,"A man developed severe spastic quadriplegia following a mixed drug overdose-induced coma. Diagnostic studies were consistent with hypoxic leukoencephalopathy. The patient made a dramatic functional recovery 3 1/2 months after admission, with Computed tomography scan and EEG findings returning to normal. The time course of recovery suggests that remyelination may have taken place. This case illustrates the importance of early and continued vigorous rehabilitation therapy for patients in whom late recovery from critical illness is possible.","Primary spinal glioblastoma multiforme is a rare and aggressive spinal tumor with dismal outcomes CASE DESCRIPTION: We have presented an unusual case-the first, to the best of our knowledge, to be reported-with intratumoral hemorrhage and sudden-onset quadriplegia in a patients with primary spinal glioblastoma multiforme. The patient underwent emergency surgical decompression. The patient died after a prolonged intensive care unit stay.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Quadriplegia Sentence A: A man developed severe spastic quadriplegia following a mixed drug overdose-induced coma. Diagnostic studies were consistent with hypoxic leukoencephalopathy. The patient made a dramatic functional recovery 3 1/2 months after admission, with Computed tomography scan and EEG findings returning to normal. The time course of recovery suggests that remyelination may have taken place. This case illustrates the importance of early and continued vigorous rehabilitation therapy for patients in whom late recovery from critical illness is possible. Sentence B: Primary spinal glioblastoma multiforme is a rare and aggressive spinal tumor with dismal outcomes CASE DESCRIPTION: We have presented an unusual case-the first, to the best of our knowledge, to be reported-with intratumoral hemorrhage and sudden-onset quadriplegia in a patients with primary spinal glioblastoma multiforme. The patient underwent emergency surgical decompression. The patient died after a prolonged intensive care unit stay. ###Answer 1. Changed The meaning of ""quadriplegia"" has significantly shifted between Sentence A and Sentence B. In Sentence A, the term refers to a condition resulting from a drug overdose, with a focus on the potential for recovery through rehabilitation. In Sentence B, the term refers to a rare and aggressive spinal tumor with a poor prognosis, with no mention of potential recovery. The shift in meaning suggests that the term ""quadriplegia"" has undergone semantic drift, with a change in connotation from ""recovery-focused"" to ""prognosis-focused""." 7,Quadriplegia,"Among 848 cases of profound mental retardation with motor disturbance admitted to Metropolitan Medical Center of Severely Handicapped in the last 20 years, 98 died. The 94 cases whose cause of death was determined were clinically investigated. There was no difference in sex, and 72% of the patients died before the age of 15 years. Half of the patients died of pneumonia; sudden death occurred in 9, and ileus in 8. These three were thought to be the most important and characteristic causes of death in severely handicapped patients. In recent years, deaths due to pneumonia have decreased and those due to ileus have disappeared, but deaths due to malignant neoplasm have begun to be recognized. There were also some deaths from intracranial hemorrhage in young children, and some deaths from tracheal bleeding in those who had tracheal tubes. These two were also important causes of death in the patients. Sudden death had certain characteristics: most cases were adolescent or young patients with mixed quadriplegia who were sensitive to environmental changes and often showed marked hypertonia by athetosis, and in addition, all of their acute changes occurred between 5 and 8 a.m. or between 6 and 9 p.m.",Guillain-Barre syndromé (GBS) is an autoimmune disorder. It is rare in pregnancy as there is a decrease in cell-mediated immunity. A case of 28-year-old pregnant woman who presented with acute flaccid quadriplegia suffering from GBS is discussed in this study. She was treated with plasma exchange in her immediate post-partum period. The management of GBS in pregnancy has been discussed. ,"###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Quadriplegia Sentence A: Among 848 cases of profound mental retardation with motor disturbance admitted to Metropolitan Medical Center of Severely Handicapped in the last 20 years, 98 died. The 94 cases whose cause of death was determined were clinically investigated. There was no difference in sex, and 72% of the patients died before the age of 15 years. Half of the patients died of pneumonia; sudden death occurred in 9, and ileus in 8. These three were thought to be the most important and characteristic causes of death in severely handicapped patients. In recent years, deaths due to pneumonia have decreased and those due to ileus have disappeared, but deaths due to malignant neoplasm have begun to be recognized. There were also some deaths from intracranial hemorrhage in young children, and some deaths from tracheal bleeding in those who had tracheal tubes. These two were also important causes of death in the patients. Sudden death had certain characteristics: most cases were adolescent or young patients with mixed quadriplegia who were sensitive to environmental changes and often showed marked hypertonia by athetosis, and in addition, all of their acute changes occurred between 5 and 8 a.m. or between 6 and 9 p.m. Sentence B: Guillain-Barre syndromé (GBS) is an autoimmune disorder. It is rare in pregnancy as there is a decrease in cell-mediated immunity. A case of 28-year-old pregnant woman who presented with acute flaccid quadriplegia suffering from GBS is discussed in this study. She was treated with plasma exchange in her immediate post-partum period. The management of GBS in pregnancy has been discussed. ###Answer 1. Changed Explanation: In Sentence A, Quadriplegia is used to describe the physical condition of individuals with severe mental retardation. The context suggests that the term was used to describe a specific set of physical characteristics, including athetosis, hypertonia, and mixed quadriplegia. The sentence also highlights the causes of death in this population, which were primarily related to infections such as pneumonia and ileus. In Sentence B, Quadriplegia is used in a different context, to describe the symptoms of Guillain-Barre syndrome. The term is used to describe an autoimmune disorder that causes acute flaccid quadriplegia. The sentence highlights the rarity of GBS in pregnancy and the management of the disorder in this population. Based on these differences in context and meaning, it is clear that the term Quadriplegia has undergone a significant change in meaning between Sentence A and Sentence B. In Sentence A, the term was used to describe a specific set of physical characteristics of individuals with severe mental retardation, while in Sentence B, it is used to describe a different set of symptoms related to an autoimmune disorder. Therefore, the label ""Changed"" is appropriate." 8,Quadriplegia,"Previous reports of catecholamine metabolism in spinal cord injury (SCI) have found elevated levels of urinary norepinephrine metabolites. These data have been cited as evidence of a sustained increase in peripheral norepinephrine activity in this population. A study was designed to test this hypothesis and to control for the effect of affective disorders on catecholamine metabolism. Determinations were made of the level of urinary 3-methoxy-4-hydroxyphenylethylglycol (MHPG) and vanillylmandelic acid (VMA) in 30 patients with SCI. Urinary MHPG and VMA were not significantly higher than normal in the total sample. However, in spastic quadriplegia, urinary MHPG was lower than normal, and a calculated VMA:MHPG ratio was higher than normal in complete quadriplegia and spastic quadriplegia. This high ratio was due primarily to decreased MHPG. The authors suggest that these changes are due to decreased norepinephrine turnover in the damaged SC and that a VMA:MHPG ratio is the most useful measure of norepinephrine activity in SCI.","The authors report a 24-year-old man who developed encephalopathy and rapid quadriplegia following ingestion of a solution containing diethylene glycol (DEG). As quadriparesis evolved, motor response amplitudes were markedly reduced with preserved conduction velocities. Studies during clinical recovery revealed marked motor conduction velocity slowing and prolonged distal latencies. These data indicate that DEG intoxication may cause a primary acute axonal sensorimotor polyneuropathy with demyelinating physiology during recovery.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Quadriplegia Sentence A: Previous reports of catecholamine metabolism in spinal cord injury (SCI) have found elevated levels of urinary norepinephrine metabolites. These data have been cited as evidence of a sustained increase in peripheral norepinephrine activity in this population. A study was designed to test this hypothesis and to control for the effect of affective disorders on catecholamine metabolism. Determinations were made of the level of urinary 3-methoxy-4-hydroxyphenylethylglycol (MHPG) and vanillylmandelic acid (VMA) in 30 patients with SCI. Urinary MHPG and VMA were not significantly higher than normal in the total sample. However, in spastic quadriplegia, urinary MHPG was lower than normal, and a calculated VMA:MHPG ratio was higher than normal in complete quadriplegia and spastic quadriplegia. This high ratio was due primarily to decreased MHPG. The authors suggest that these changes are due to decreased norepinephrine turnover in the damaged SC and that a VMA:MHPG ratio is the most useful measure of norepinephrine activity in SCI. Sentence B: The authors report a 24-year-old man who developed encephalopathy and rapid quadriplegia following ingestion of a solution containing diethylene glycol (DEG). As quadriparesis evolved, motor response amplitudes were markedly reduced with preserved conduction velocities. Studies during clinical recovery revealed marked motor conduction velocity slowing and prolonged distal latencies. These data indicate that DEG intoxication may cause a primary acute axonal sensorimotor polyneuropathy with demyelinating physiology during recovery. ###Answer 1. Changed Explanation: In Sentence A, the target word ""quadriplegia"" is used to describe the condition of patients with spinal cord injury. The meaning of this word is related to the loss of function in the lower limbs, and it suggests a significant impact on the patient's mobility and independence. In this context, the word ""quadriplegia"" carries a negative connotation, as it implies a significant impairment in the patient's quality of life. In Sentence B, the target word ""quadriplegia"" is used to describe the condition of a patient who developed encephalopathy and rapid quadriplegia following ingestion of a solution containing diethylene glycol (DEG). The meaning of this word has shifted significantly, as it now implies a rapid onset of paralysis and a severe impact on the patient's respiratory and cardiovascular systems. The word ""quadriplegia"" carries a more severe and life-threatening connotation than in Sentence A. Based on these two sentences, it is clear that the meaning of the target word ""quadriplegia"" has undergone significant change over time. The word has shifted from a primarily medical term related to spinal cord injury to a more general term related to paralysis and neurological damage. Therefore, the label ""Changed"" is appropriate for this target word." 9,Quadriplegia,"The acardius foetal malformation is a rare abnormality occurring in monozygotic multiple pregnancies. This is a case report of a pair of twins with the ""twin reversed arterial perfusion (TRAP)"" sequence and its complications. The recipient twin was born acardius acephalus. The pump twin had problems of prematurity, disseminated intravascular coagulation, sclerema and right ventricular hypertrophy. On follow-up at seven months he has failure to thrive, spastic quadriplegia and developmental delay. An awareness of the TRAP sequence may lead to better antenatal diagnosis and optimal management of the twin pregnancy.","A 74-year-old Chinese man with triple-vessel coronary artery disease, developed quadriplegia following coronary artery bypass graft surgery, secondary to cervical disc anterior herniation and a C5-6 to T1 acute spinal hematoma. Preoperatively, no neurological signs or symptoms had been reported.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Quadriplegia Sentence A: The acardius foetal malformation is a rare abnormality occurring in monozygotic multiple pregnancies. This is a case report of a pair of twins with the ""twin reversed arterial perfusion (TRAP)"" sequence and its complications. The recipient twin was born acardius acephalus. The pump twin had problems of prematurity, disseminated intravascular coagulation, sclerema and right ventricular hypertrophy. On follow-up at seven months he has failure to thrive, spastic quadriplegia and developmental delay. An awareness of the TRAP sequence may lead to better antenatal diagnosis and optimal management of the twin pregnancy. Sentence B: A 74-year-old Chinese man with triple-vessel coronary artery disease, developed quadriplegia following coronary artery bypass graft surgery, secondary to cervical disc anterior herniation and a C5-6 to T1 acute spinal hematoma. Preoperatively, no neurological signs or symptoms had been reported. ###Answer 1. Changed 2. Unchanged Explanation: In Sentence A, the target word ""quadriplegia"" refers to a congenital malformation of the nervous system, specifically a type of cerebral palsy. This meaning is significantly different from the medical condition described in Sentence B, which refers to a spinal injury resulting in quadriplegia after surgery. The term's meaning has shifted from a congenital condition to a acquired injury. Therefore, the label ""Changed"" is appropriate." 10,Quadriplegia,"A register of infants with cerebral palsy born to mothers resident in the Mersey region from 1967-84 has been maintained using various sources of information. A total of 1056 patients are registered of whom 331 (31%) have hemiplegia or mixed hemiplegia, 236 (22%) have diplegias or mixed diplegia, and 369 (35%) have quadriplegia or mixed quadriplegia. The remainder have dyskinetic or dystonic forms except for seven, who are unclassified. There has been no significant change in the prevalence of cerebral palsy among infants of normal birth weight (greater than 2500 g). Among low birthweight infants (less than or equal to 2500 g) there has been a significant increase in prevalence of all the main clinical types. This increase started later among the very low birthweight infants (less than or equal to 1500 g) than among those weighing 1501-2500 g. These changes in prevalence could be the result of either improved survival of prenatally impaired infants because of improvements in medical care, or a reflection of failure to maintain optimal conditions at or around the time of birth.","COVID-19 patients often develop neuromuscular complications, and critically ill patients often develop ICU-acquired weakness. We report a COVID-19 patient who developed flaccid quadriplegia after ECMO therapy and achieved a slow but consistent recovery during a 14-month period of sustained holistic rehabilitation including early mobilization to an outdoor environment.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Quadriplegia Sentence A: A register of infants with cerebral palsy born to mothers resident in the Mersey region from 1967-84 has been maintained using various sources of information. A total of 1056 patients are registered of whom 331 (31%) have hemiplegia or mixed hemiplegia, 236 (22%) have diplegias or mixed diplegia, and 369 (35%) have quadriplegia or mixed quadriplegia. The remainder have dyskinetic or dystonic forms except for seven, who are unclassified. There has been no significant change in the prevalence of cerebral palsy among infants of normal birth weight (greater than 2500 g). Among low birthweight infants (less than or equal to 2500 g) there has been a significant increase in prevalence of all the main clinical types. This increase started later among the very low birthweight infants (less than or equal to 1500 g) than among those weighing 1501-2500 g. These changes in prevalence could be the result of either improved survival of prenatally impaired infants because of improvements in medical care, or a reflection of failure to maintain optimal conditions at or around the time of birth. Sentence B: COVID-19 patients often develop neuromuscular complications, and critically ill patients often develop ICU-acquired weakness. We report a COVID-19 patient who developed flaccid quadriplegia after ECMO therapy and achieved a slow but consistent recovery during a 14-month period of sustained holistic rehabilitation including early mobilization to an outdoor environment. ###Answer 1. Changed Explanation: In Sentence A, ""quadriplegia"" refers to a specific type of cerebral palsy, characterized by weakness or paralysis of four limbs. In Sentence B, ""quadriplegia"" is used to describe a neuromuscular complication of COVID-19 patients, unrelated to cerebral palsy. The meaning of the word has shifted from a medical condition to a symptom of a disease." 11,Quadriplegia,"Plasmapheresis was used in the treatment of a 55-year-old man with serious Guillain-Barré polyneuropathy increasing in intensity despite treatment with steroids and azathioprine. The treatment was started in view of reports in the world literature suggesting that the method is effective in autoimmune diseases. A very good effect was obtained, the patient who had had quadriplegia and respiratory failure began to move about unaided. No complications were observed during this treatment. In severe Guillain-Barré syndrome plasmapheresis should be used after exhaustion of other therapeutic methods since it gives a probability of improvement.","By definition, ""quad fever"" is an extreme elevation in body core temperature beyond 40.8°C (105.4°F) in a patient with spinal cord injury. This type of central nervous system hyperpyrexia is seen in spinal cord injury patients, particularly those with high cervical spine injury with quadriplegia. However, it has also been described in paraplegics with a mid- or higher level thoracic spine injury. The incidence of ""quad fever"" is rare, with the highest reported temperature being 44°C (111.2°F) with chronicled fatal outcomes. Though the use of antipyretics is generally efficacious, they are considerably ineffective in treating the hyperpyrexia seen in this type of severe central autonomic thermodysregulation. Here, we present a case of high cervical spine injury in a 24-year-old male. The trauma resulted in a C3-5 level cord contusion with incomplete quadriplegia (ASIA [American Spinal Cord Injury Association Impairment Scale] grade B). The patient developed high grade fever of 106°F within a week of admission postoperatively. Pancultures were negative and the wound was clean. Despite treatment with higher antibiotics and an infection disease specialist's consult, no obvious etiology was found. Drug-induced fever and thyroid function tests were excluded in other less-common causes. Based on the diagnosis of exclusion, ""quad fever"" was inferred as the cause. He had other signs of autonomic instability during the episodes such as bradycardia with hypotension. Our patient showed an almost early response to treatment to betablockers and antipsychotics after failure to respond to antibiotics, mechanical hypothermia, and antipyretics.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Quadriplegia Sentence A: Plasmapheresis was used in the treatment of a 55-year-old man with serious Guillain-Barré polyneuropathy increasing in intensity despite treatment with steroids and azathioprine. The treatment was started in view of reports in the world literature suggesting that the method is effective in autoimmune diseases. A very good effect was obtained, the patient who had had quadriplegia and respiratory failure began to move about unaided. No complications were observed during this treatment. In severe Guillain-Barré syndrome plasmapheresis should be used after exhaustion of other therapeutic methods since it gives a probability of improvement. Sentence B: By definition, ""quad fever"" is an extreme elevation in body core temperature beyond 40.8°C (105.4°F) in a patient with spinal cord injury. This type of central nervous system hyperpyrexia is seen in spinal cord injury patients, particularly those with high cervical spine injury with quadriplegia. However, it has also been described in paraplegics with a mid- or higher level thoracic spine injury. The incidence of ""quad fever"" is rare, with the highest reported temperature being 44°C (111.2°F) with chronicled fatal outcomes. Though the use of antipyretics is generally efficacious, they are considerably ineffective in treating the hyperpyrexia seen in this type of severe central autonomic thermodysregulation. Here, we present a case of high cervical spine injury in a 24-year-old male. The trauma resulted in a C3-5 level cord contusion with incomplete quadriplegia (ASIA [American Spinal Cord Injury Association Impairment Scale] grade B). The patient developed high grade fever of 106°F within a week of admission postoperatively. Pancultures were negative and the wound was clean. Despite treatment with higher antibiotics and an infection disease specialist's consult, no obvious etiology was found. Drug-induced fever and thyroid function tests were excluded in other less-common causes. Based on the diagnosis of exclusion, ""quad fever"" was inferred as the cause. He had other signs of autonomic instability during the episodes such as bradycardia with hypotension. Our patient showed an almost early response to treatment to betablockers and antipsychotics after failure to respond to antibiotics, mechanical hypothermia, and antipyretics. ###Answer 1. Changed Reasoning: The target word ""quadriplegia"" has undergone a significant change in meaning between the two sentences. In Sentence A, the term is used to describe a patient's condition following treatment with plasmapheresis, specifically mentioning the patient's ability to move about unaided. In Sentence B, the term is used to describe a type of hyperpyrexia seen in spinal cord injury patients, particularly those with high cervical spine injury. The two sentences imply different meanings of the term, with Sentence A focusing on the patient's neurological function, and Sentence B focusing on the patient's body temperature. Therefore, semantic drift has occurred for the target word ""quadriplegia""." 12,Quadriplegia,"The authors present the second reported case of acute central cervical spinal cord syndrome caused by a missile injury. A low caliber, low velocity bullet penetrated the spinal cord posteroanteriorly at C-2, C-3 in the midline, producing quadriplegia and respiratory failure. Within 3 months the patient was ambulatory. Because such a good outcome is possible, patients with similar injuries should be supported vigorously. Injury to the central cervical spinal cord seems to produce a constant syndrome irrespective of the specific nature of the primary injury. The literature on this syndrome is briefly reviewed.","Bilateral cerebral peduncular infarction (BCPI) is a very rare disorder among stroke patients. The main clinical manifestations in the previously reported BCPI case reports was associated with locked-in syndrome or persistent vegetative state. Here, we present a 51-year-old woman who had pseudobulbar palsy and quadriplegia. Magnetic resonance imaging showed an acute infarction in the middle areas of the cerebral peduncle with a unique ""Mickey Mouse ears"" sign. Diffusion tensor imaging and tractography showed relatively preserved corticospinal tracts, but the corticobulbar tracts were not detected. Magnetic resonance angiography showed posterior cerebral artery and vertebrobasilar artery occlusion. Cerebral perfusion insufficiency due to stenosis or occlusion of the vertebrobasilar artery and its branches may lead to BCPI. The prognosis and clinical manifestations of BCPI are related to the extent of the infarction in the involved cerebral peduncle and whether other territories are involved. Isolated BCPI may present a severe pseudobulbar palsy with relatively preserved limb function depending on the involvement pattern.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Quadriplegia Sentence A: The authors present the second reported case of acute central cervical spinal cord syndrome caused by a missile injury. A low caliber, low velocity bullet penetrated the spinal cord posteroanteriorly at C-2, C-3 in the midline, producing quadriplegia and respiratory failure. Within 3 months the patient was ambulatory. Because such a good outcome is possible, patients with similar injuries should be supported vigorously. Injury to the central cervical spinal cord seems to produce a constant syndrome irrespective of the specific nature of the primary injury. The literature on this syndrome is briefly reviewed. Sentence B: Bilateral cerebral peduncular infarction (BCPI) is a very rare disorder among stroke patients. The main clinical manifestations in the previously reported BCPI case reports was associated with locked-in syndrome or persistent vegetative state. Here, we present a 51-year-old woman who had pseudobulbar palsy and quadriplegia. Magnetic resonance imaging showed an acute infarction in the middle areas of the cerebral peduncle with a unique ""Mickey Mouse ears"" sign. Diffusion tensor imaging and tractography showed relatively preserved corticospinal tracts, but the corticobulbar tracts were not detected. Magnetic resonance angiography showed posterior cerebral artery and vertebrobasilar artery occlusion. Cerebral perfusion insufficiency due to stenosis or occlusion of the vertebrobasilar artery and its branches may lead to BCPI. The prognosis and clinical manifestations of BCPI are related to the extent of the infarction in the involved cerebral peduncle and whether other territories are involved. Isolated BCPI may present a severe pseudobulbar palsy with relatively preserved limb function depending on the involvement pattern. ###Answer 1. Changed Reasoning: In Sentence A, the target word ""quadriplegia"" refers to a specific type of paralysis caused by injury to the spinal cord. The sentence highlights the patient's ability to walk within three months of the injury, which suggests that the term was used to describe a relatively mild form of paralysis. In Sentence B, the target word ""quadriplegia"" has a different meaning. It refers to a broader range of motor impairments, including pseudobulbar palsy, which is characterized by weakness or paralysis of the muscles in the face, arms, and legs. The sentence also mentions that the patient had relatively preserved limb function, which suggests that the term was used to describe a more severe form of paralysis. Therefore, the meaning of the target word has changed significantly between the two sentences, indicating semantic drift." 13,Quadriplegia,"Fibrocartilaginous emboli to spinal cord vessels are a rare and fatal cause of spinal cord injury. We reviewed the medical literature and discovered only 24 cases reported, all in the last 28 years. For all previously reported patients, onset of initial symptoms to maximal neurologic deficit was from a few minutes to as much as two days. All 24 of these patients died an average of 9.6 weeks post-onset (range = three hours to 11 months) due to complications related to their spinal cord injury; in all cases, the pathologic diagnosis was made postmortem. We report a 20-year-old man with high-level quadriplegia and respiratory paralysis due to fibrocartilaginous emboli to spinal cord vessels, which occurred after a minor automobile accident. He was the longest-surviving patient reported with this diagnosis. He died six years and seven months after onset, having been on 24-hour ventilatory support. The pathologic diagnosis was not suspected before his death; it was made during postmortem examination.","Tiagabine, developed as an anti-epileptic medication, has the potential to reduce spasticity. The purpose of the present study was to assess the effectiveness of tiagabine in decreasing spasticity and improving the functional abilities of children with spastic cerebral palsy (CP). Nine children (seven females, two males) with CP (six spastic quadriplegia, three moderate to severe spastic diplegia) were treated with tiagabine for a mean of 7.2 months. Median age was 4y 5mo (range 3y 2mo-10y). All children were non-ambulatory. According to the Gross Motor Function Classification System, six were Level IV and three were Level V. Only one child showed a median decrease >or=1.0 grade on the modified Ashworth scale in upper extremities, lower extremities, and overall. Another child had significant improvement in the Pediatric Evaluation of Disability Inventory Self-care score and improved feeding. None of the participants was found to have a significant improvement in motor function or a decrease in the number of motions (passive range of motion and muscle length test) that were limited. Reduction of nocturnal awakenings from painful spasms was reported in one child. Eight of the nine children experienced adverse side-effects during treatment. Although tiagabine was not found to be effective in decreasing children's spasticity or improving their function, its potential use in the relief of painful spasms associated with neurological conditions in the pediatric population warrants further investigation.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Quadriplegia Sentence A: Fibrocartilaginous emboli to spinal cord vessels are a rare and fatal cause of spinal cord injury. We reviewed the medical literature and discovered only 24 cases reported, all in the last 28 years. For all previously reported patients, onset of initial symptoms to maximal neurologic deficit was from a few minutes to as much as two days. All 24 of these patients died an average of 9.6 weeks post-onset (range = three hours to 11 months) due to complications related to their spinal cord injury; in all cases, the pathologic diagnosis was made postmortem. We report a 20-year-old man with high-level quadriplegia and respiratory paralysis due to fibrocartilaginous emboli to spinal cord vessels, which occurred after a minor automobile accident. He was the longest-surviving patient reported with this diagnosis. He died six years and seven months after onset, having been on 24-hour ventilatory support. The pathologic diagnosis was not suspected before his death; it was made during postmortem examination. Sentence B: Tiagabine, developed as an anti-epileptic medication, has the potential to reduce spasticity. The purpose of the present study was to assess the effectiveness of tiagabine in decreasing spasticity and improving the functional abilities of children with spastic cerebral palsy (CP). Nine children (seven females, two males) with CP (six spastic quadriplegia, three moderate to severe spastic diplegia) were treated with tiagabine for a mean of 7.2 months. Median age was 4y 5mo (range 3y 2mo-10y). All children were non-ambulatory. According to the Gross Motor Function Classification System, six were Level IV and three were Level V. Only one child showed a median decrease >or=1.0 grade on the modified Ashworth scale in upper extremities, lower extremities, and overall. Another child had significant improvement in the Pediatric Evaluation of Disability Inventory Self-care score and improved feeding. None of the participants was found to have a significant improvement in motor function or a decrease in the number of motions (passive range of motion and muscle length test) that were limited. Reduction of nocturnal awakenings from painful spasms was reported in one child. Eight of the nine children experienced adverse side-effects during treatment. Although tiagabine was not found to be effective in decreasing children's spasticity or improving their function, its potential use in the relief of painful spasms associated with neurological conditions in the pediatric population warrants further investigation. ###Answer 1. Changed Reasoning: In Sentence A, the target word ""quadriplegia"" is used to describe a specific medical condition (spinal cord injury) with a clear and consistent meaning. The sentence provides detailed medical information about the condition, including its causes, symptoms, and prognosis. In Sentence B, the target word ""quadriplegia"" has a different meaning and connotation. In this sentence, it is used to describe a potential treatment outcome (reducing spasticity) rather than a medical condition. The sentence does not provide any detailed medical information about the condition, and the word is used in a different context. Based on these differences, it can be concluded that the meaning of the target word ""quadriplegia"" has changed significantly between the two sentences. Therefore, the label ""Changed"" is appropriate." 14,Quadriplegia,"A patient, young fisherman, with a locked-in syndrome is reported, in whom intact consciousness, quadriplegia of spastic type, voluntary eye blinking, (de)sursumvergence and anarthria were observed. Thrombosis of the basilar artery and slightly disturbed bioelectrogenesis of the cerebral cortex were proved by clinical examination. The patient died after 41 days. At the autopsy thrombosis a. basilaris and ventrobasal pontine infarction were confirmed. Differential diagnosis of this and similar syndromes has been discussed.","Mood disorder and depressive syndromes represent a common comorbid condition in neurological disorders with a prevalence rate that ranges between 20% and 50% of patients with stroke, epilepsy, multiple sclerosis, and Parkinson's disease. Notwithstanding, these conditions are often under-diagnosed and under-treated in the clinical practice and negatively affect the functional recovery, the adherence to treatment, the quality of life, and even the mortality risk. In addition, a bidirectional association between depression and neurological disorders may be possible being that depressive syndromes may be considered as a risk factor for certain neurological diseases. Despite the large amount of evidence regarding the effects of music therapy (MT) and other musical interventions on different aspects of neurological disorders, no updated article reviewing outcomes such as mood, emotions, depression, activity of daily living and so on is actually available; for this reason, little is known about the effectiveness of music and MT on these important outcomes in neurological patients. The aim of this article is to provide a narrative review of the current literature on musical interventions and their effects on mood and depression in patients with neurological disorders. Searching on PubMed and PsycInfo databases, 25 studies corresponding to the inclusion criteria have been selected; 11 of them assess the effects of music or MT in Dementia, 9 explore the efficacy on patients with Stroke, and 5 regard other neurological diseases like Multiple Sclerosis, Amyotrophic Lateral Sclerosis/motor neuron disease, Chronic quadriplegia, Parkinson's Disease, and Acquired Brain dysfunctions. Selected studies are based on relational and rehabilitative music therapy approaches or concern music listening interventions. Most of the studies support the efficacy of MT and other musical interventions on mood, depressive syndromes, and quality of life on neurological patients. ","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Quadriplegia Sentence A: A patient, young fisherman, with a locked-in syndrome is reported, in whom intact consciousness, quadriplegia of spastic type, voluntary eye blinking, (de)sursumvergence and anarthria were observed. Thrombosis of the basilar artery and slightly disturbed bioelectrogenesis of the cerebral cortex were proved by clinical examination. The patient died after 41 days. At the autopsy thrombosis a. basilaris and ventrobasal pontine infarction were confirmed. Differential diagnosis of this and similar syndromes has been discussed. Sentence B: Mood disorder and depressive syndromes represent a common comorbid condition in neurological disorders with a prevalence rate that ranges between 20% and 50% of patients with stroke, epilepsy, multiple sclerosis, and Parkinson's disease. Notwithstanding, these conditions are often under-diagnosed and under-treated in the clinical practice and negatively affect the functional recovery, the adherence to treatment, the quality of life, and even the mortality risk. In addition, a bidirectional association between depression and neurological disorders may be possible being that depressive syndromes may be considered as a risk factor for certain neurological diseases. Despite the large amount of evidence regarding the effects of music therapy (MT) and other musical interventions on different aspects of neurological disorders, no updated article reviewing outcomes such as mood, emotions, depression, activity of daily living and so on is actually available; for this reason, little is known about the effectiveness of music and MT on these important outcomes in neurological patients. The aim of this article is to provide a narrative review of the current literature on musical interventions and their effects on mood and depression in patients with neurological disorders. Searching on PubMed and PsycInfo databases, 25 studies corresponding to the inclusion criteria have been selected; 11 of them assess the effects of music or MT in Dementia, 9 explore the efficacy on patients with Stroke, and 5 regard other neurological diseases like Multiple Sclerosis, Amyotrophic Lateral Sclerosis/motor neuron disease, Chronic quadriplegia, Parkinson's Disease, and Acquired Brain dysfunctions. Selected studies are based on relational and rehabilitative music therapy approaches or concern music listening interventions. Most of the studies support the efficacy of MT and other musical interventions on mood, depressive syndromes, and quality of life on neurological patients. ###Answer 1. Changed Reasoning: The meaning of the target word ""quadriplegia"" has significantly shifted between the two sentences. In Sentence A, the term is used to describe a specific medical condition characterized by spastic paralysis of the limbs, while in Sentence B, it is used more broadly to refer to a mood disorder and depressive syndromes in neurological patients. The shift in meaning is evident in the context of the sentences, as the term is used differently in each sentence. Therefore, the label ""Changed"" is appropriate." 15,Quadriplegia,"A 37-year-old woman was admitted to our university hospital because of severe flaccid quadriplegia. Her laboratory data, lip biopsy and muscle biopsy findings were compatible with hypokalemic myopathy due to renal tubular acidosis(RTA) type I associated with primary Sjögren's syndrome. Kidney biopsy revealed chronic tubulointerstitial nephritis(TIN), consisting of focal mononuclear cell infiltration with tubulitis, interstitial fibrosis and tubular atrophy. Immunohistochemical analysis of the renal biopsy specimens showed that the infiltrating mononuclear cells were predominantly CD8+T cells, and CD68+ cells(macrophages), whereas CD4+ T cells were fewer in number. Following potassium administration and alkali therapy, hypokalemia and metabolic acidosis were ameliorated and limb palsy gradually subsided. Finally, RTA improved with prednisolon and short term cyclophosphamide treatment without supplemental potassium and alkali therapy.","Anton's syndrome is a rare neuropsychiatric syndrome that is characterized by cortical blindness and anosognosia with visual confabulation, but without global cognitive impairment. We herein report a rare case of Anton's syndrome as a presentation of Trousseau syndrome involving the bilateral optic radiation. The patient had been diagnosed with gallbladder cancer 2 months previously, and he was admitted to the hospital with confusion and quadriplegia. He was found to be blind, but denied any visual impairment and demonstrated visual confabulation despite evidence of his blindness. These signs were consistent with a diagnosis of Anton's syndrome. Brain computed tomography (CT) and magnetic resonance imaging revealed infarcts in the bilateral temporo-parieto-occipital junction with hemorrhagic transformation, mainly involving the bilateral optic radiation. The presence of gallbladder cancer with peripheral metastasis on abdominal CT, as well as markedly increased tumor markers and D-dimer levels, supported the presence of cancer-related hypercoagulability and the diagnosis of Trousseau syndrome.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Quadriplegia Sentence A: A 37-year-old woman was admitted to our university hospital because of severe flaccid quadriplegia. Her laboratory data, lip biopsy and muscle biopsy findings were compatible with hypokalemic myopathy due to renal tubular acidosis(RTA) type I associated with primary Sjögren's syndrome. Kidney biopsy revealed chronic tubulointerstitial nephritis(TIN), consisting of focal mononuclear cell infiltration with tubulitis, interstitial fibrosis and tubular atrophy. Immunohistochemical analysis of the renal biopsy specimens showed that the infiltrating mononuclear cells were predominantly CD8+T cells, and CD68+ cells(macrophages), whereas CD4+ T cells were fewer in number. Following potassium administration and alkali therapy, hypokalemia and metabolic acidosis were ameliorated and limb palsy gradually subsided. Finally, RTA improved with prednisolon and short term cyclophosphamide treatment without supplemental potassium and alkali therapy. Sentence B: Anton's syndrome is a rare neuropsychiatric syndrome that is characterized by cortical blindness and anosognosia with visual confabulation, but without global cognitive impairment. We herein report a rare case of Anton's syndrome as a presentation of Trousseau syndrome involving the bilateral optic radiation. The patient had been diagnosed with gallbladder cancer 2 months previously, and he was admitted to the hospital with confusion and quadriplegia. He was found to be blind, but denied any visual impairment and demonstrated visual confabulation despite evidence of his blindness. These signs were consistent with a diagnosis of Anton's syndrome. Brain computed tomography (CT) and magnetic resonance imaging revealed infarcts in the bilateral temporo-parieto-occipital junction with hemorrhagic transformation, mainly involving the bilateral optic radiation. The presence of gallbladder cancer with peripheral metastasis on abdominal CT, as well as markedly increased tumor markers and D-dimer levels, supported the presence of cancer-related hypercoagulability and the diagnosis of Trousseau syndrome. ###Answer 1. Changed Explanation: Quadriplegia is a term that refers to paralysis of four limbs, typically resulting from spinal cord injury or disease. In Sentence A, the term is used to describe a patient who has severe flaccid quadriplegia due to renal tubular acidosis (RTA) type I associated with primary Sjögren's syndrome. The context suggests that the patient has significant muscle weakness and paralysis, which is consistent with the traditional meaning of the term. However, in Sentence B, the term is used to describe a patient who has blindness and anosognosia (denial of illness) with visual confabulation, but without global cognitive impairment. The patient has been diagnosed with gallbladder cancer, which may be related to the development of Trousseau syndrome involving the bilateral optic radiation. The context suggests that the patient has a different type of neurological impairment compared to the patient in Sentence A, which may indicate a shift in the meaning of the term. Therefore, based on the context and the difference in the meaning of the term between the two sentences, it can be labeled as ""Changed."" The term ""quadriplegia"" has undergone a significant shift in meaning, from a traditional definition of paralysis of four limbs, to a broader definition encompassing a range of neurological impairments." 16,Quadriplegia,"A case is presented of a 64-year-old male with chronic inflammatory polyradiculoneuropathy (CIP) relentlessly progressing (despite steroids) to virtually complete quadriplegia over seven months. Once commenced on Azathioprine he dramatically improved over a six week period. The truly progressive form of CIP is rare. It is, however, immunologically similar to relapsing CIP and to the more common acute inflammatory polyradiculoneuropathy (AIP). Although the place of steroid therapy is still in doubt it would seem that cytotoxic immunosuppressives have something definite to offer in these conditions where there is progression beyond 4-5 weeks. In the largest series of CIP available (where the patients were untreated, or treated with steroids alone) the mortality rate was 11%, and the ""complete recovery"" rate only 5%. Although only isolated case reports are available, it would seem that if more aggressive immunosuppressive therapy was used more frequently, the prognosis might be considerably improved.","Cervical spinal cord injuries may occur with catastrophic sequelae (e.g. quadriplegia) in collision sport activities. The discovery was made that the head-down tackling technique in football straightens the spine into a position vulnerable for compression and, thus, is responsible for these incidents. This led to rule changes requiring head-up tackling, which in turn resulted in the reduction of the incidence of these injuries. However, the dramatic initial reduction in the occurrence - from 32 and 34 catastrophic injuries in 1975 and 1976, respectively, down to 12 in 1977 - has levelled off with ten and eight reported cases in 2006 and 2007, respectively. The football community has increased their efforts to prevent head-down tackling with additional rule changes. Brachial plexus injury prevention must rely on properly fitted shoulder pads and use of equipment such as 'cowboy' collars. Furthermore, physicians must take into consideration cervical cord neurapraxia, congenital stenosis and other risk factors in patients who wish to return to contact sports.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Quadriplegia Sentence A: A case is presented of a 64-year-old male with chronic inflammatory polyradiculoneuropathy (CIP) relentlessly progressing (despite steroids) to virtually complete quadriplegia over seven months. Once commenced on Azathioprine he dramatically improved over a six week period. The truly progressive form of CIP is rare. It is, however, immunologically similar to relapsing CIP and to the more common acute inflammatory polyradiculoneuropathy (AIP). Although the place of steroid therapy is still in doubt it would seem that cytotoxic immunosuppressives have something definite to offer in these conditions where there is progression beyond 4-5 weeks. In the largest series of CIP available (where the patients were untreated, or treated with steroids alone) the mortality rate was 11%, and the ""complete recovery"" rate only 5%. Although only isolated case reports are available, it would seem that if more aggressive immunosuppressive therapy was used more frequently, the prognosis might be considerably improved. Sentence B: Cervical spinal cord injuries may occur with catastrophic sequelae (e.g. quadriplegia) in collision sport activities. The discovery was made that the head-down tackling technique in football straightens the spine into a position vulnerable for compression and, thus, is responsible for these incidents. This led to rule changes requiring head-up tackling, which in turn resulted in the reduction of the incidence of these injuries. However, the dramatic initial reduction in the occurrence - from 32 and 34 catastrophic injuries in 1975 and 1976, respectively, down to 12 in 1977 - has levelled off with ten and eight reported cases in 2006 and 2007, respectively. The football community has increased their efforts to prevent head-down tackling with additional rule changes. Brachial plexus injury prevention must rely on properly fitted shoulder pads and use of equipment such as 'cowboy' collars. Furthermore, physicians must take into consideration cervical cord neurapraxia, congenital stenosis and other risk factors in patients who wish to return to contact sports. ###Answer 1. Changed Explanation: In Sentence A, the target word ""quadriplegia"" is used to describe a progressive form of chronic inflammatory polyradiculoneuropathy (CIP) that leads to complete quadriplegia over a period of seven months. The word has a negative connotation, implying a severe and debilitating condition. In Sentence B, the target word ""quadriplegia"" is used in the context of collision sport activities, specifically football. The word is used to describe the catastrophic sequelae of head-down tackling, which can result in quadriplegia. However, the sentence does not convey the same negative connotation as Sentence A. Instead, it implies that the term ""quadriplegia"" is being used to describe a specific type of injury caused by a particular action or behavior. Based on these two sentences, it is clear that the meaning of the target word ""quadriplegia"" has shifted over time. In Sentence A, it is used to describe a severe and progressive medical condition, while in Sentence B, it is used to describe a specific type of injury caused by a particular action or behavior in the context of collision sport activities. Therefore, the label ""Changed"" is appropriate." 17,Quadriplegia,"This report presents a retrospective analysis of the authors' experience with occipitocervical fusions in children and adolescents during the last 2 decades. A description of an operative technique devised by the senior author (JEH), and a comparison of the results using this and other methods of fusion are given. Twenty-three patients underwent occipitocervical fusion. Fifteen of the patients were operated on using the authors' technique. To achieve stable fixation of the distal cervical vertebra a threaded Kirschner wire was passed transversely through the spinous process; occipital fixation was achieved by the traditional method of wiring corticocancellous bone graft to the skull through burr holes. The occipital wires then were wrapped around the Kirschner wire and the graft was cradled in the resulting nest. Halo immobilization was used in 10 patients for an average of 12.5 weeks (range, 6-24 weeks). Twenty-two patients achieved successful fusion at an average followup of 5.8 years (range, 1-14.33 years). Several complications, including transient quadriplegia in one patient, pseudarthrosis in two (one of which persists), hardware fixation failure in one, unintended distal extension of the fusion, pneumonia, wound infection, halo pin infection, skin breakdown under the halo vest, hydrocephalus, cerebrospinal fluid leak, and traumatic fusion fracture were encountered. Results using the technique described herein are comparable with or better than the results reported in the previous literature, and the results of the patients in this series in whom the technique was not used.","A small heterozygous deletion involving KANK1 was originally reported in 2005 to cause cerebral palsy in one large Israeli family of Jewish Moroccan origin. There were nine affected children over two generations to five unaffected fathers. All of these children had congenital hypotonia that evolved into spastic quadriplegia over the first year of life, along with intellectual impairment and brain atrophy. The subsequent clinical depictions of other individuals with neurological disease harbouring a comparable KANK1 deletion have been extremely variable and most often quite dissimilar to the original family. The reported pathogenicity of these deletions has also been variable, due to an inconsistent nature of reported disease associations and limited data. We therefore sought to perform a review of the significance of small distal interstitial chromosome 9p24.3 deletions principally involving KANK1, including data from the VCGS cytogenetics laboratory. We found that carrier parents do not appear to display an increased frequency of neurological disease, individuals with a small KANK1 deletion have sometimes been found to have an alternate genetic diagnosis that explained their neurological condition, and small KANK1 deletions can be seen with approximate equal frequency in case and control populations. These data led us to conclude that small deletions involving KANK1 do not cause a highly-penetrant influence of large effect size and they are unlikely to contribute significantly to the aetiology of disease in patients with development delay, intellectual disability, autism or cerebral palsy. We recommend searching for an alternate explanation for disease in individuals with a neurological disorder found to have a small deletion involving KANK1.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Quadriplegia Sentence A: This report presents a retrospective analysis of the authors' experience with occipitocervical fusions in children and adolescents during the last 2 decades. A description of an operative technique devised by the senior author (JEH), and a comparison of the results using this and other methods of fusion are given. Twenty-three patients underwent occipitocervical fusion. Fifteen of the patients were operated on using the authors' technique. To achieve stable fixation of the distal cervical vertebra a threaded Kirschner wire was passed transversely through the spinous process; occipital fixation was achieved by the traditional method of wiring corticocancellous bone graft to the skull through burr holes. The occipital wires then were wrapped around the Kirschner wire and the graft was cradled in the resulting nest. Halo immobilization was used in 10 patients for an average of 12.5 weeks (range, 6-24 weeks). Twenty-two patients achieved successful fusion at an average followup of 5.8 years (range, 1-14.33 years). Several complications, including transient quadriplegia in one patient, pseudarthrosis in two (one of which persists), hardware fixation failure in one, unintended distal extension of the fusion, pneumonia, wound infection, halo pin infection, skin breakdown under the halo vest, hydrocephalus, cerebrospinal fluid leak, and traumatic fusion fracture were encountered. Results using the technique described herein are comparable with or better than the results reported in the previous literature, and the results of the patients in this series in whom the technique was not used. Sentence B: A small heterozygous deletion involving KANK1 was originally reported in 2005 to cause cerebral palsy in one large Israeli family of Jewish Moroccan origin. There were nine affected children over two generations to five unaffected fathers. All of these children had congenital hypotonia that evolved into spastic quadriplegia over the first year of life, along with intellectual impairment and brain atrophy. The subsequent clinical depictions of other individuals with neurological disease harbouring a comparable KANK1 deletion have been extremely variable and most often quite dissimilar to the original family. The reported pathogenicity of these deletions has also been variable, due to an inconsistent nature of reported disease associations and limited data. We therefore sought to perform a review of the significance of small distal interstitial chromosome 9p24.3 deletions principally involving KANK1, including data from the VCGS cytogenetics laboratory. We found that carrier parents do not appear to display an increased frequency of neurological disease, individuals with a small KANK1 deletion have sometimes been found to have an alternate genetic diagnosis that explained their neurological condition, and small KANK1 deletions can be seen with approximate equal frequency in case and control populations. These data led us to conclude that small deletions involving KANK1 do not cause a highly-penetrant influence of large effect size and they are unlikely to contribute significantly to the aetiology of disease in patients with development delay, intellectual disability, autism or cerebral palsy. We recommend searching for an alternate explanation for disease in individuals with a neurological disorder found to have a small deletion involving KANK1. ###Answer 1. Quadriplegia has undergone semantic drift. Explanation: In Sentence A, the term ""quadriplegia"" is used to describe the result of a surgical procedure, specifically occipitocervical fusion, where the patient has transient quadriplegia. The term is used to describe the unstable fixation of the distal cervical vertebra, which is a specific medical condition. In this context, the term has a clear medical definition and connotation. In Sentence B, the term ""quadriplegia"" is used to describe a genetic condition, specifically a deletion involving KANK1, which causes cerebral palsy in one large Israeli family of Jewish Moroccan origin. In this context, the term has a different meaning and connotation than in Sentence A. The term is used to describe a genetic condition that affects brain development and causes congenital hypotonia, spastic quadriplegia, intellectual impairment, and brain atrophy. Based on these two sentences, it is clear that the term ""quadriplegia"" has undergone semantic drift. The meaning and connotation of the term have shifted from a specific medical condition to a genetic condition with a different cause and effect. Therefore, the label ""Changed"" is appropriate." 18,Quadriplegia,"Electromyography was done in patients at the C6 level of quadriplegia after transfer of the brachioradialis to the flexor pollicis longus to restore lateral pinch and transfer of the posterior deltoid to the triceps to restore elbow extension. The relationship of the integrated electromyogram to pinch force during a graduated isometric contraction enabled characterization of the motor recruitment pattern. After tendon transfer, the pattern of the electromyographic response for the brachioradialis was the same as in the flexor pollicis longus in normal subjects, and the posterior deltoid after transfer to the triceps fired synergistically with the brachioradialis. These findings indicate reeducation of transferred muscles occurred after surgery and that they functioned as active primary motors.","We present an extremely rare case of traumatic spinal cord herniation due to a brachial plexus avulsion injury and provide a review of the literature of spinal cord herniation. Spinal cord herniation is an uncommon condition that can occur spontaneously or as a result of surgery or trauma. This condition often presents with symptoms and signs as Brown-Séquard syndrome. Traumatic pseudomeningoceles after a brachial plexus avulsion injury have been reported. But transdural herniation of the spinal cord into this pseudomeningocele is an extremely rare and poorly documented condition. There is only two reports of this condition in a thoracic case. The authors report the case of a 22-year-old man presented with a 2-year history of quadriplegia. He was involved in a motorcycle accident, 3 years prior to his presentation. Four years after the initial right brachial plexus injury, he was not able to walk independently. Magnetic resonance imaging (MRI) and computerized tomography (CT) myelography revealed a lateral pseudomeningocele arising from the right C6-7 and C7-T1 intervetebral foramen and cervical spinal cord herniation into this pseudomeningocele. The patient underwent primary closure of pseudomeningocele to prevent spinal cord reherniation. He can walk with cane and use left arm unrestrictedly at the 2-year follow-up examination. Spinal cord herniation following traumatic nerve root avulsion is extremely rare but it should be considered in the differential diagnosis of patients presenting with delayed myelopathy or Brown-Séquard syndrome.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Quadriplegia Sentence A: Electromyography was done in patients at the C6 level of quadriplegia after transfer of the brachioradialis to the flexor pollicis longus to restore lateral pinch and transfer of the posterior deltoid to the triceps to restore elbow extension. The relationship of the integrated electromyogram to pinch force during a graduated isometric contraction enabled characterization of the motor recruitment pattern. After tendon transfer, the pattern of the electromyographic response for the brachioradialis was the same as in the flexor pollicis longus in normal subjects, and the posterior deltoid after transfer to the triceps fired synergistically with the brachioradialis. These findings indicate reeducation of transferred muscles occurred after surgery and that they functioned as active primary motors. Sentence B: We present an extremely rare case of traumatic spinal cord herniation due to a brachial plexus avulsion injury and provide a review of the literature of spinal cord herniation. Spinal cord herniation is an uncommon condition that can occur spontaneously or as a result of surgery or trauma. This condition often presents with symptoms and signs as Brown-Séquard syndrome. Traumatic pseudomeningoceles after a brachial plexus avulsion injury have been reported. But transdural herniation of the spinal cord into this pseudomeningocele is an extremely rare and poorly documented condition. There is only two reports of this condition in a thoracic case. The authors report the case of a 22-year-old man presented with a 2-year history of quadriplegia. He was involved in a motorcycle accident, 3 years prior to his presentation. Four years after the initial right brachial plexus injury, he was not able to walk independently. Magnetic resonance imaging (MRI) and computerized tomography (CT) myelography revealed a lateral pseudomeningocele arising from the right C6-7 and C7-T1 intervetebral foramen and cervical spinal cord herniation into this pseudomeningocele. The patient underwent primary closure of pseudomeningocele to prevent spinal cord reherniation. He can walk with cane and use left arm unrestrictedly at the 2-year follow-up examination. Spinal cord herniation following traumatic nerve root avulsion is extremely rare but it should be considered in the differential diagnosis of patients presenting with delayed myelopathy or Brown-Séquard syndrome. ###Answer 1. Changed Reasoning: The target word ""quadriplegia"" has undergone a significant change in meaning between Sentence A (2000) and Sentence B (2020). In Sentence A, ""quadriplegia"" refers to a specific type of paralysis caused by damage to the brachial plexus nerves. In contrast, in Sentence B, ""quadriplegia"" is used more broadly to describe any type of paralysis or weakness in the limbs. In Sentence A, the word ""quadriplegia"" is used in the context of electromyography and the restoration of motor function after surgery. The sentence highlights the specific muscles involved in the patient's condition and the extent of their paralysis. In Sentence B, the word ""quadriplegia"" is used in the context of a rare condition called spinal cord herniation. The sentence discusses the symptoms and signs of this condition and the rarity of the condition. Based on these differences in context and meaning, it is clear that the word ""quadriplegia"" has undergone a significant shift in meaning between Sentence A (2000) and Sentence B (2020). Therefore, the label ""Changed"" is appropriate." 19,Quadriplegia,"A 3-year-old Chinese girl with alternating hemiplegia syndrome failed to respond to anticonvulsants, antimigrainous drugs, and calcium channel blockers. She made a complete remission with a 4-week course of steroid, and relapsed after steroid withdrawal. Electroencephalogram and brain mapping during the hemiplegic attack showed unilateral high-voltage sharp slow-wave discharges in the temporo-occipital region contralateral to the hemiplegic side and diffuse high-voltage slowing during attacks of quadriplegia or other clinical manifestation such as dullness, lethargy, or yawning. Brain perfusion single photon emission computed tomographic (SPECT) scan study during the attack showed decreased uptake in the temporoparietal region contralateral to the hemiplegic side and in the ipsilateral basal ganglia, whereas the perfusion was normal between attacks. Electroencephalogram background activity was improved while the child was in clinical remission with steroid treatment. Computed tomographic and magnetic resonance imaging scans of the brain were normal. Carotid angiogram failed to show any structural or dynamic changes of the carotid arteries. The possible mechanism underlying alternating hemiplegia syndrome might be transient and reversible cerebral ischemia with high-voltage slow-wave discharges shown in the electroencephalogram and decreased perfusion in SPECT scan.","Acephate is a commercial organophosphate pesticide formerly used in households and now used primarily for agriculture. Poisoning symptoms include salivation, lacrimation, urination, defecation, gastrointestinal illness, and emesis. In addition to these classic symptoms, neurodegeneration can result from increased and continued exposure of organophosphates. This 55-year-old woman presented with organophosphate-induced delayed neuropathy in the form of quadriplegia due to the commonly used pesticide acephate. She was exposed to this pesticide through multiple sprayings in her work office with underrecognized poisoning symptoms. She presented to her primary care physician with neuropathic pain and paralysis in her arm following the sprayings and eventual complete paralysis. The patient lived for 2 years following her toxic exposure and quadriplegia. A complete autopsy after her death confirmed a transverse myelitis in her spinal cord. We conclude that in susceptible individuals, acephate in excessive amounts can produce severe delayed neurotoxicity as demonstrated in animal studies. ","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Quadriplegia Sentence A: A 3-year-old Chinese girl with alternating hemiplegia syndrome failed to respond to anticonvulsants, antimigrainous drugs, and calcium channel blockers. She made a complete remission with a 4-week course of steroid, and relapsed after steroid withdrawal. Electroencephalogram and brain mapping during the hemiplegic attack showed unilateral high-voltage sharp slow-wave discharges in the temporo-occipital region contralateral to the hemiplegic side and diffuse high-voltage slowing during attacks of quadriplegia or other clinical manifestation such as dullness, lethargy, or yawning. Brain perfusion single photon emission computed tomographic (SPECT) scan study during the attack showed decreased uptake in the temporoparietal region contralateral to the hemiplegic side and in the ipsilateral basal ganglia, whereas the perfusion was normal between attacks. Electroencephalogram background activity was improved while the child was in clinical remission with steroid treatment. Computed tomographic and magnetic resonance imaging scans of the brain were normal. Carotid angiogram failed to show any structural or dynamic changes of the carotid arteries. The possible mechanism underlying alternating hemiplegia syndrome might be transient and reversible cerebral ischemia with high-voltage slow-wave discharges shown in the electroencephalogram and decreased perfusion in SPECT scan. Sentence B: Acephate is a commercial organophosphate pesticide formerly used in households and now used primarily for agriculture. Poisoning symptoms include salivation, lacrimation, urination, defecation, gastrointestinal illness, and emesis. In addition to these classic symptoms, neurodegeneration can result from increased and continued exposure of organophosphates. This 55-year-old woman presented with organophosphate-induced delayed neuropathy in the form of quadriplegia due to the commonly used pesticide acephate. She was exposed to this pesticide through multiple sprayings in her work office with underrecognized poisoning symptoms. She presented to her primary care physician with neuropathic pain and paralysis in her arm following the sprayings and eventual complete paralysis. The patient lived for 2 years following her toxic exposure and quadriplegia. A complete autopsy after her death confirmed a transverse myelitis in her spinal cord. We conclude that in susceptible individuals, acephate in excessive amounts can produce severe delayed neurotoxicity as demonstrated in animal studies. ###Answer 1. Changed The meaning of ""quadriplegia"" has shifted significantly between Sentence A (2000) and Sentence B (2020). In Sentence A, the term refers to a neurological disorder caused by transient and reversible cerebral ischemia, with associated high-voltage slow-wave discharges in the electroencephalogram and decreased perfusion in the SPECT scan. In contrast, in Sentence B, ""quadriplegia"" is used to describe a toxic exposure to the organophosphate pesticide acephate, resulting in neurodegeneration and paralysis. The term has taken on a different meaning in the intervening years, indicating semantic drift." 20,Quadriplegia,"One hundred and ninety infants with cerebral palsy were studied in Riyadh , Saudi Arabia. Bleeding during pregnancy and toxemic complications seemed to be important causative factors, particularly in preterm and small-for-date infants. Infants born after breech presentation, assisted labour and failed obstetric procedures totalled 20.0% of all cases. Poor feeding, stiffness and infection were the main clinical presentations. Spasticity was the predominant neurological abnormality irrespective of birth weight, with spastic diplegia (31.0%) and quadriplegia (26.3%) contributing greatly to the overall pattern. Speech defects and, to a lesser extent, epilepsy were the most frequent associated handicaps. The majority of children with cerebral palsy (65.8%) were severely handicapped. Saudi Arabia is making rapid economic, social and medical progress, but currently facilities to meet the needs of cerebral palsy victims and their families are inadequate. Based on the above study it is recommended that: (1) paramedical services at community level be initiated; (2) more rehabilitative and educational programs be established; (3) better and more modern obstetric care be provided; (4) close co-operation among the medical professionals be facilitated since cerebral palsy cases can be managed best through a team approach.","The aim of this study was to investigate the validity of the Rotterdam Transition Profile (RTP) to describe the transition process from childhood to adulthood in young adults with cerebral palsy (CP). Participants were recruited from rehabilitation centres and hospital departments of rehabilitation. In total, 81 young adults (47 males, 34 females) with CP and normal intelligence participated (mean age 20y 5mo [SD 1y 4mo] range 18-22y; 95% spastic CP, 48% hemiplegia, 38% diplegia, 14% quadriplegia; 78% Gross Motor Function Classification System Level I, 83% Manual Ability Classification System Level I). The RTP and the Assessment of Life Habits questionnaire are used to measure transition and functioning in daily activities and participation. Almost all participants were in the transition process or had reached an independent adult lifestyle (ranging from 60-100%, housing 42%). Compared with able-bodied peers, young adults with CP lagged behind in their development in housing (25 vs 36%; p<0.05), employment (33 vs 49%; p<0.05), and intimate relationships (37 vs 76%; p<0.01). Associations were found between the phase of transition and age, parents' level of education, gross motor functioning, manual ability, level of education, and level of functioning in daily activities and participation. The RTP is a valid tool to gain more insight into the transition process, at the individual as well as at group level.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Quadriplegia Sentence A: One hundred and ninety infants with cerebral palsy were studied in Riyadh , Saudi Arabia. Bleeding during pregnancy and toxemic complications seemed to be important causative factors, particularly in preterm and small-for-date infants. Infants born after breech presentation, assisted labour and failed obstetric procedures totalled 20.0% of all cases. Poor feeding, stiffness and infection were the main clinical presentations. Spasticity was the predominant neurological abnormality irrespective of birth weight, with spastic diplegia (31.0%) and quadriplegia (26.3%) contributing greatly to the overall pattern. Speech defects and, to a lesser extent, epilepsy were the most frequent associated handicaps. The majority of children with cerebral palsy (65.8%) were severely handicapped. Saudi Arabia is making rapid economic, social and medical progress, but currently facilities to meet the needs of cerebral palsy victims and their families are inadequate. Based on the above study it is recommended that: (1) paramedical services at community level be initiated; (2) more rehabilitative and educational programs be established; (3) better and more modern obstetric care be provided; (4) close co-operation among the medical professionals be facilitated since cerebral palsy cases can be managed best through a team approach. Sentence B: The aim of this study was to investigate the validity of the Rotterdam Transition Profile (RTP) to describe the transition process from childhood to adulthood in young adults with cerebral palsy (CP). Participants were recruited from rehabilitation centres and hospital departments of rehabilitation. In total, 81 young adults (47 males, 34 females) with CP and normal intelligence participated (mean age 20y 5mo [SD 1y 4mo] range 18-22y; 95% spastic CP, 48% hemiplegia, 38% diplegia, 14% quadriplegia; 78% Gross Motor Function Classification System Level I, 83% Manual Ability Classification System Level I). The RTP and the Assessment of Life Habits questionnaire are used to measure transition and functioning in daily activities and participation. Almost all participants were in the transition process or had reached an independent adult lifestyle (ranging from 60-100%, housing 42%). Compared with able-bodied peers, young adults with CP lagged behind in their development in housing (25 vs 36%; p<0.05), employment (33 vs 49%; p<0.05), and intimate relationships (37 vs 76%; p<0.01). Associations were found between the phase of transition and age, parents' level of education, gross motor functioning, manual ability, level of education, and level of functioning in daily activities and participation. The RTP is a valid tool to gain more insight into the transition process, at the individual as well as at group level. ###Answer 1. Quadriplegia has undergone significant semantic drift. In Sentence A, ""quadriplegia"" is used to describe a specific type of cerebral palsy characterized by spasticity and stiffness in all four limbs. The word is used in the context of a medical study to describe the prevalence and characteristics of cerebral palsy in a specific population. In Sentence B, ""quadriplegia"" is used in a different context to describe the transition process and functioning of young adults with cerebral palsy. The word is used to describe the level of independence and participation in daily activities and intimate relationships. The meaning of ""quadriplegia"" has shifted significantly between the two sentences. In Sentence A, it is a medical term used to describe a specific type of cerebral palsy, while in Sentence B, it is used to describe the level of independence and participation in daily activities and intimate relationships. This difference in meaning indicates semantic drift has occurred. 2. Unchanged. In both sentences, ""quadriplegia"" is used to describe a specific type of disability, and its meaning remains similar. While the context and usage of the word may have evolved over time, its core meaning and connotation have not changed significantly. Therefore, the label ""Unchanged"" is appropriate." 21,Quadriplegia,"Severe combined immunodeficiency (SCID) mice are genetically deficient in both B and T cells. To study immune-mediated phenomena in the CNS, myelin basic protein-reactive T cell clones, admixed with peripheral blood lymphocytes as a source of antigen-presenting cells, derived from a healthy human donor, were injected intracerebrally (IC) into 10 SCID mice. One mouse developed quadriplegia 2 months after the last injection. Autopsy revealed marked meningeal and parenchymal infiltration by large cell lymphoma. There was no evidence of lymphoma outside of the CNS. The majority of the tumor cells were positive for L26 (a human pan B cell marker), with some cells positive for UCHL-1 (a human pan T cell marker). The majority of the tumor cells were also positive for Epstein-Barr virus (EBV) genome by in situ hybridization. Thus, primary CNS, EBV-positive B cell lymphoma can be produced in SCID mice by IC injection of nontransformed human peripheral blood lymphocytes. This phenomenon can be used as a model system for the study of primary CNS lymphomas under immunodeficiency conditions.","Sjogren-Larsson syndrome is characterized by congenital ichthyosis, mental retardation and spastic diplegia or quadriplegia. The primary defect in this syndrome is mutation of ALDH3A2 gen that codes for the fatty aldehyde dehydrogenase. Deficiency of this enzyme causes an accumulation of fatty alcohols and fatty aldehydes, leading to altered cell-membrane integrity. Skin, eyes, and the central nervous system are affected latter. The diagnosis is carried out through the cuantification of the enzyme activity. This case report describes the diagnosis of a clinical syndrome with symptoms of Sjogren-Larsson syndrome by the quantification of the enzymatic activity in a culture of fibroblasts. Also, taking into account the genealogy of the patient, the study was conducted in the parents and a brother with signs suggestive of Sjogren-Larsson syndrome.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Quadriplegia Sentence A: Severe combined immunodeficiency (SCID) mice are genetically deficient in both B and T cells. To study immune-mediated phenomena in the CNS, myelin basic protein-reactive T cell clones, admixed with peripheral blood lymphocytes as a source of antigen-presenting cells, derived from a healthy human donor, were injected intracerebrally (IC) into 10 SCID mice. One mouse developed quadriplegia 2 months after the last injection. Autopsy revealed marked meningeal and parenchymal infiltration by large cell lymphoma. There was no evidence of lymphoma outside of the CNS. The majority of the tumor cells were positive for L26 (a human pan B cell marker), with some cells positive for UCHL-1 (a human pan T cell marker). The majority of the tumor cells were also positive for Epstein-Barr virus (EBV) genome by in situ hybridization. Thus, primary CNS, EBV-positive B cell lymphoma can be produced in SCID mice by IC injection of nontransformed human peripheral blood lymphocytes. This phenomenon can be used as a model system for the study of primary CNS lymphomas under immunodeficiency conditions. Sentence B: Sjogren-Larsson syndrome is characterized by congenital ichthyosis, mental retardation and spastic diplegia or quadriplegia. The primary defect in this syndrome is mutation of ALDH3A2 gen that codes for the fatty aldehyde dehydrogenase. Deficiency of this enzyme causes an accumulation of fatty alcohols and fatty aldehydes, leading to altered cell-membrane integrity. Skin, eyes, and the central nervous system are affected latter. The diagnosis is carried out through the cuantification of the enzyme activity. This case report describes the diagnosis of a clinical syndrome with symptoms of Sjogren-Larsson syndrome by the quantification of the enzymatic activity in a culture of fibroblasts. Also, taking into account the genealogy of the patient, the study was conducted in the parents and a brother with signs suggestive of Sjogren-Larsson syndrome. ###Answer 1. Changed Reasoning: In Sentence A, the term ""quadriplegia"" is used to describe a specific type of paralysis in a mouse that developed after injection of peripheral blood lymphocytes into the brain. The context suggests that the term refers to a severe and permanent loss of motor function in the limbs, which is consistent with the medical definition of the term. In Sentence B, the term ""quadriplegia"" is used to describe a clinical syndrome characterized by congenital ichthyosis, mental retardation, and spastic diplegia or quadriplegia. The context suggests that the term refers to a broader range of motor disabilities, including spastic and non-spastic quadriplegia, which may not necessarily be severe or permanent. Based on these differences in context and meaning, it can be concluded that the term ""quadriplegia"" has undergone a significant change in meaning between Sentence A and Sentence B, indicating semantic drift. Therefore, the label ""Changed"" is appropriate." 22,Quadriplegia,"We present the case of a patient who sustained a cervical spinal injury and subsequent transient quadriplegia with full recovery from the spinal cord concussion. Initial plain X-ray films and magnetic resonance imaging did not show any pathological findings, but lateral radiographs in flexion and extension performed 10 days later revealed a fracture of the C4 spinous process without ligamentous instability, confirming significant injury to the cervical spine.",The most commonly ingested foreign body in Asians is fish bone. The vast majority of patients have obvious symptoms and can be timely diagnosed and treated. Cases of pyogenic cervical spondylitis and diskitis with retropharyngeal and epidural abscess resulting in incomplete quadriplegia due to foreign body ingestion have been rarely reported. The absence of pharyngeal or esophageal discomfort and negative computed tomography (CT) findings of fish bone have not been reported. We report the case of an elderly female patient with delayed cervical infection and incomplete quadriplegia who had a history of fish bone ingestion.,"###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Quadriplegia Sentence A: We present the case of a patient who sustained a cervical spinal injury and subsequent transient quadriplegia with full recovery from the spinal cord concussion. Initial plain X-ray films and magnetic resonance imaging did not show any pathological findings, but lateral radiographs in flexion and extension performed 10 days later revealed a fracture of the C4 spinous process without ligamentous instability, confirming significant injury to the cervical spine. Sentence B: The most commonly ingested foreign body in Asians is fish bone. The vast majority of patients have obvious symptoms and can be timely diagnosed and treated. Cases of pyogenic cervical spondylitis and diskitis with retropharyngeal and epidural abscess resulting in incomplete quadriplegia due to foreign body ingestion have been rarely reported. The absence of pharyngeal or esophageal discomfort and negative computed tomography (CT) findings of fish bone have not been reported. We report the case of an elderly female patient with delayed cervical infection and incomplete quadriplegia who had a history of fish bone ingestion. ###Answer 1. Changed The meaning of ""quadriplegia"" has shifted significantly between the two sentences. In Sentence A, it refers to a temporary condition resulting from a spinal injury, with a full recovery expected. In Sentence B, it refers to a permanent condition resulting from foreign body ingestion, with no expectation of recovery. The shift in meaning is evident in the context of the sentences and the medical terminology used." 23,Quadriplegia,"Between January, 1974, and December, 1976, 123 patients with traumatic quadriplegia were admitted to the California Regional Spinal Cord Injury Care System. The spinal cord injury resulted from gunshot wounds in five, from a stab wound in one, from neck injuries with no bone damage seen on x-ray studies in 10, and from fracture dislocations of the cervical spine in 107. One-year following-up information was available on 114 patients. Neurological impairment using the Frankel classification system was compared at 72 hours postinjury to the 1-year follow-up examination. Fifty of 62 patients with complete injury at 72 hours were unchanged at 1 year. Five of these 62 patients had developed motor useful function in the legs or became ambulatory by 1 year, but all had sustained serious head injuries at the time of their trauma making initial neurological assessment unreliable. Ten percent of all cases had combined head injury impairing consciousness. Among 103 cognitively intact patients, none with complete injury at 72 hours were walking at 1 year. Of patients with sensory incomplete functions at 72 hours postinjury, 47% were walking at 1 year; 87% of patients with motor incomplete function at 72 hours postinjury were walking at 1 year. Spinal surgery during the first 4 weeks postinjury did not improve neurological recovery. A method of analyzing neurological and functional outcomes of spinal cork injury is presented in order to more accurately evaluate the results of future treatment protocols for acute spinal injury.","As of January 2022, there have been over 350 million confirmed cases of COVID-19 in the world. The most common symptoms in those infected are fever, cough, malaise, and myalgia, however pulmonary, hematologic, gastrointestinal, renal, and neurologic complications have also been reported. Acute transverse myelitis (ATM) is an uncommon neurological syndrome characterized by acute or subacute spinal cord dysfunction that can lead to paresthesias, sensory and autonomic impairment, and even paralysis. Etiologies are often unclear; however, potential causes include infection, neoplastic, drug or toxin induced, autoimmune, and acquired. Treatment for ATM primarily consists of steroids and plasmapheresis, which often reverses any neurologic symptoms. ATM has rarely been reported as a complication of COVID-19 infections. A 43-year-old female presented to the emergency department for evaluation of progressive numbness and tingling in her legs ten days after developing upper respiratory symptoms from a COVID-19 infection. Physical examination and magnetic resonance imaging confirmed a diagnosis of ATM. During her hospital course, she experienced rapid progression of her paresthesias and developed complete loss of motor function in her upper and lower extremities. Within 48 hours after emergency department arrival, she required intubation due to worsening diaphragmatic and chest wall paralysis. Her treatment included a long-term steroid regimen and plasmapheresis, and unfortunately, she did not have any neurologic recovery. We present a very rare case of ATM progressing to complete quadriplegia following COVID-19 infection.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Quadriplegia Sentence A: Between January, 1974, and December, 1976, 123 patients with traumatic quadriplegia were admitted to the California Regional Spinal Cord Injury Care System. The spinal cord injury resulted from gunshot wounds in five, from a stab wound in one, from neck injuries with no bone damage seen on x-ray studies in 10, and from fracture dislocations of the cervical spine in 107. One-year following-up information was available on 114 patients. Neurological impairment using the Frankel classification system was compared at 72 hours postinjury to the 1-year follow-up examination. Fifty of 62 patients with complete injury at 72 hours were unchanged at 1 year. Five of these 62 patients had developed motor useful function in the legs or became ambulatory by 1 year, but all had sustained serious head injuries at the time of their trauma making initial neurological assessment unreliable. Ten percent of all cases had combined head injury impairing consciousness. Among 103 cognitively intact patients, none with complete injury at 72 hours were walking at 1 year. Of patients with sensory incomplete functions at 72 hours postinjury, 47% were walking at 1 year; 87% of patients with motor incomplete function at 72 hours postinjury were walking at 1 year. Spinal surgery during the first 4 weeks postinjury did not improve neurological recovery. A method of analyzing neurological and functional outcomes of spinal cork injury is presented in order to more accurately evaluate the results of future treatment protocols for acute spinal injury. Sentence B: As of January 2022, there have been over 350 million confirmed cases of COVID-19 in the world. The most common symptoms in those infected are fever, cough, malaise, and myalgia, however pulmonary, hematologic, gastrointestinal, renal, and neurologic complications have also been reported. Acute transverse myelitis (ATM) is an uncommon neurological syndrome characterized by acute or subacute spinal cord dysfunction that can lead to paresthesias, sensory and autonomic impairment, and even paralysis. Etiologies are often unclear; however, potential causes include infection, neoplastic, drug or toxin induced, autoimmune, and acquired. Treatment for ATM primarily consists of steroids and plasmapheresis, which often reverses any neurologic symptoms. ATM has rarely been reported as a complication of COVID-19 infections. A 43-year-old female presented to the emergency department for evaluation of progressive numbness and tingling in her legs ten days after developing upper respiratory symptoms from a COVID-19 infection. Physical examination and magnetic resonance imaging confirmed a diagnosis of ATM. During her hospital course, she experienced rapid progression of her paresthesias and developed complete loss of motor function in her upper and lower extremities. Within 48 hours after emergency department arrival, she required intubation due to worsening diaphragmatic and chest wall paralysis. Her treatment included a long-term steroid regimen and plasmapheresis, and unfortunately, she did not have any neurologic recovery. We present a very rare case of ATM progressing to complete quadriplegia following COVID-19 infection. ###Answer 1. Changed The target word ""quadriplegia"" has undergone a significant change in meaning between Sentence A and Sentence B. In Sentence A, the word refers to a specific type of spinal cord injury, specifically traumatic quadriplegia caused by gunshot wounds or neck injuries. In Sentence B, the word is used to describe a neurological syndrome caused by COVID-19 infection, specifically acute transverse myelitis (ATM). The word is used in a different context and with a different connotation in each sentence, indicating a semantic drift has occurred." 24,Quadriplegia,"A multilocular extradural cervical spinal hydatid cyst that causes severe spinal cord compression and quadriplegia is relatively rare and difficult to treat. In a patient with this disorder, computerized tomography-guided needle aspiration of the cyst loculations and irrigation using hypertonic saline eliminated the need for emergency surgery and provided complete resolution of the patient's quadriplegia. The subsequent course of the disease was controlled by treatment with albendazole. Magnetic resonance imaging performed 4 months after the procedure demonstrated collapsed cysts and absence of spinal cord compression.","Hereditary motor and sensory neuropathy with proximal dominant involvement (HMSN-P) is an intractable neurological disease with autosomal dominant inheritance, four-limb weakness, sensory impairment, and a slowly progressive course. HMSN-P patients develop four-limb paralysis at the advanced-stage, as in amyotrophic lateral sclerosis (ALS). There is a natural 20- to 30-year course from initial painful muscle cramps and four-limb paralysis to respiratory dysfunction. A delay in the diagnosis of HMSN-P occurs due to the 20- to 30-year span from the initial symptom(s) to typical quadriplegia. Its early diagnosis is important, but the involvement of painful muscle cramps as an early symptom has not been clear. Following our earlier survey, we conducted a re-survey focusing on painful muscle cramps, assistive-device use, and hope for specific therapies in 16 Japanese patients with advanced-stage HMSN-P. Fifteen patients presented painful muscle cramps as the initial symptom, and muscle cramps in the lower abdomen including the flank were described by 10 of the patients. The presence of painful muscle cramps including those in the abdominal region may be a clue for the early diagnosis of HMSN-P. Painful abdominal cramps have not described in related diseases, ","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Quadriplegia Sentence A: A multilocular extradural cervical spinal hydatid cyst that causes severe spinal cord compression and quadriplegia is relatively rare and difficult to treat. In a patient with this disorder, computerized tomography-guided needle aspiration of the cyst loculations and irrigation using hypertonic saline eliminated the need for emergency surgery and provided complete resolution of the patient's quadriplegia. The subsequent course of the disease was controlled by treatment with albendazole. Magnetic resonance imaging performed 4 months after the procedure demonstrated collapsed cysts and absence of spinal cord compression. Sentence B: Hereditary motor and sensory neuropathy with proximal dominant involvement (HMSN-P) is an intractable neurological disease with autosomal dominant inheritance, four-limb weakness, sensory impairment, and a slowly progressive course. HMSN-P patients develop four-limb paralysis at the advanced-stage, as in amyotrophic lateral sclerosis (ALS). There is a natural 20- to 30-year course from initial painful muscle cramps and four-limb paralysis to respiratory dysfunction. A delay in the diagnosis of HMSN-P occurs due to the 20- to 30-year span from the initial symptom(s) to typical quadriplegia. Its early diagnosis is important, but the involvement of painful muscle cramps as an early symptom has not been clear. Following our earlier survey, we conducted a re-survey focusing on painful muscle cramps, assistive-device use, and hope for specific therapies in 16 Japanese patients with advanced-stage HMSN-P. Fifteen patients presented painful muscle cramps as the initial symptom, and muscle cramps in the lower abdomen including the flank were described by 10 of the patients. The presence of painful muscle cramps including those in the abdominal region may be a clue for the early diagnosis of HMSN-P. Painful abdominal cramps have not described in related diseases, ###Answer 1. Changed Reasoning: In Sentence A, the target word ""quadriplegia"" is used to describe a specific medical condition (spinal cord compression) that results in loss of motor function in four limbs. The context suggests that the term has a specific medical meaning, and there is no indication of any change in connotation. In Sentence B, the target word ""quadriplegia"" is used in a different context, to describe a neurological disease (HMSN-P) that causes four-limb paralysis. The word is used to describe the progression of the disease, including the development of four-limb paralysis and respiratory dysfunction. The context suggests that the term has evolved to have a different meaning, indicating a change in semantic drift. Therefore, the label for the target word in Sentence B is ""Changed""." 25,Quadriplegia,"Although in able-bodied individuals heart rate (HR) indicates exercise intensity, the linearity of the HR/oxygen uptake (VO2) relationship has not been established in persons with quadriplegia with impaired sympathetic function. The HR/VO2 relationship and four ACSM recommended methods of exercise prescription were evaluated in 11 individuals with quadriplegia during intermittent progressive peak exercise tests. Tests were conducted in either a supine or sitting position using an arm ergometer. The HR response was highly variable, with HR/VO2 correlation coefficients ranging from 0.22 to 0.99. A 2 x 2 ANOVA revealed an interaction between injury level, high-level (above C7) vs low-level (C7 and below) and exercise position, with the high-level group exhibiting the lower coefficient (0.68) between the HR/VO2 relationship in the sitting position. For all subjects, the target of 55-90% peak HR (mean = 72.5%) corresponded to 34% peak power output (PO) in sitting and 44% peak PO in supine. Similarly, 70% peak VO2 corresponded to 46% and 50% of peak PO (sitting and supine, respectively). A rating of perceived exertion (RPE) of 10-12 corresponded to 50-60% peak PO and was associated with a higher PO than that predicted by the HR or VO2 methods. The results of this study indicate that exercise intensity for quadriplegics be based on 50-60% peak PO and/or an RPE of 10-12.","This study evaluated the hypothesis that upper extremity function and range of motion can be quantified reliably in children with cerebral palsy (CP) in a busy clinical setting. The specific aim was to determine the inter- and intrarater reliability of a modified House Functional Classification (MHC) system to evaluate upper extremity function and a standardized instrument to document upper extremity range of motion (Upper Extremity Rating Scale [UERS]). Sixty-five children with CP (43 males, 22 females, mean age 9y 2mo, SD 4y 1mo) with spasticity involving the upper extremity (quadriplegia n=22; hemiplegia n=36; diplegia n=7; Gross Motor Functional Classification System Levels I n=41, II n=6, III n=3, IV n=5, V n=10) were evaluated independently by occupational therapists and orthopedic surgeons using both instruments at several visits. Inter- and intrarater reliability were determined for both instruments by calculating measures of agreement (weighted kappa values and intraclass correlation coefficients [ICCs]). Interrater agreement (ICC=0.94) and intrarater agreement (ICC=0.96) on the MHC were good to excellent. Similarly, inter-rater agreement (kappa 0.66-0.81) and intrarater agreement (kappa 0.64-0.88) on the UERS was either good or excellent. The MHC and the UERS provide standardized, reliable, reproducible, and efficient instruments that can be used by occupational therapists and orthopedic surgeons to evaluate the upper extremities of children with CP.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Quadriplegia Sentence A: Although in able-bodied individuals heart rate (HR) indicates exercise intensity, the linearity of the HR/oxygen uptake (VO2) relationship has not been established in persons with quadriplegia with impaired sympathetic function. The HR/VO2 relationship and four ACSM recommended methods of exercise prescription were evaluated in 11 individuals with quadriplegia during intermittent progressive peak exercise tests. Tests were conducted in either a supine or sitting position using an arm ergometer. The HR response was highly variable, with HR/VO2 correlation coefficients ranging from 0.22 to 0.99. A 2 x 2 ANOVA revealed an interaction between injury level, high-level (above C7) vs low-level (C7 and below) and exercise position, with the high-level group exhibiting the lower coefficient (0.68) between the HR/VO2 relationship in the sitting position. For all subjects, the target of 55-90% peak HR (mean = 72.5%) corresponded to 34% peak power output (PO) in sitting and 44% peak PO in supine. Similarly, 70% peak VO2 corresponded to 46% and 50% of peak PO (sitting and supine, respectively). A rating of perceived exertion (RPE) of 10-12 corresponded to 50-60% peak PO and was associated with a higher PO than that predicted by the HR or VO2 methods. The results of this study indicate that exercise intensity for quadriplegics be based on 50-60% peak PO and/or an RPE of 10-12. Sentence B: This study evaluated the hypothesis that upper extremity function and range of motion can be quantified reliably in children with cerebral palsy (CP) in a busy clinical setting. The specific aim was to determine the inter- and intrarater reliability of a modified House Functional Classification (MHC) system to evaluate upper extremity function and a standardized instrument to document upper extremity range of motion (Upper Extremity Rating Scale [UERS]). Sixty-five children with CP (43 males, 22 females, mean age 9y 2mo, SD 4y 1mo) with spasticity involving the upper extremity (quadriplegia n=22; hemiplegia n=36; diplegia n=7; Gross Motor Functional Classification System Levels I n=41, II n=6, III n=3, IV n=5, V n=10) were evaluated independently by occupational therapists and orthopedic surgeons using both instruments at several visits. Inter- and intrarater reliability were determined for both instruments by calculating measures of agreement (weighted kappa values and intraclass correlation coefficients [ICCs]). Interrater agreement (ICC=0.94) and intrarater agreement (ICC=0.96) on the MHC were good to excellent. Similarly, inter-rater agreement (kappa 0.66-0.81) and intrarater agreement (kappa 0.64-0.88) on the UERS was either good or excellent. The MHC and the UERS provide standardized, reliable, reproducible, and efficient instruments that can be used by occupational therapists and orthopedic surgeons to evaluate the upper extremities of children with CP. ###Answer 1. Changed Reasoning: Quadriplegia has undergone a significant change in meaning between Sentence A (2000) and Sentence B (2020). In Sentence A, quadriplegia refers to a condition characterized by impaired sympathetic function, while in Sentence B, it is used to describe a broader range of conditions affecting the upper extremities of children with cerebral palsy. The term is now more inclusive and encompasses a broader range of impairments, indicating a shift in its meaning. Therefore, the label ""Changed"" is appropriate." 26,Quadriplegia,"A database of femoral anteversion and neck-shaft angle was compiled of measurements made by the trigonometric fluoroscopic method of 147 patients (267 hips) with cerebral palsy. The angles of femoral anteversion were similar at early ages between healthy children and children with cerebral palsy. However, as the age of the children increased, those with cerebral palsy showed little change in anteversion angle, whereas the healthy children had progressively decreasing angles of femoral anteversion as they approached adulthood. The neck-shaft angle was increased significantly in children with cerebral palsy compared with the angles of healthy children. Patients who were ambulatory were shown to have an increased angle of femoral anteversion and a decreased neck-shaft angle compared with nonambulatory patients. There was no significant difference in angles among the various distributions of involvement, including patients with diplegia, hemiplegia, and quadriplegia.","The objective of this analysis was to understand the relationship between knowledge and attitudes regarding methicillin-resistant Staphylococcus aureus and hand hygiene behavior based on a baseline survey administered to Veterans with spinal cord injuries and disorders. Higher knowledge was associated with higher attitude scores (r = 0.35, P = .003), but knowledge and attitudes were not associated with behavior. Also, those with quadriplegia had higher knowledge scores (P = .03). Knowledge and attitudes, although related, do not appear to fully explain patients' hand hygiene behavior. ","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Quadriplegia Sentence A: A database of femoral anteversion and neck-shaft angle was compiled of measurements made by the trigonometric fluoroscopic method of 147 patients (267 hips) with cerebral palsy. The angles of femoral anteversion were similar at early ages between healthy children and children with cerebral palsy. However, as the age of the children increased, those with cerebral palsy showed little change in anteversion angle, whereas the healthy children had progressively decreasing angles of femoral anteversion as they approached adulthood. The neck-shaft angle was increased significantly in children with cerebral palsy compared with the angles of healthy children. Patients who were ambulatory were shown to have an increased angle of femoral anteversion and a decreased neck-shaft angle compared with nonambulatory patients. There was no significant difference in angles among the various distributions of involvement, including patients with diplegia, hemiplegia, and quadriplegia. Sentence B: The objective of this analysis was to understand the relationship between knowledge and attitudes regarding methicillin-resistant Staphylococcus aureus and hand hygiene behavior based on a baseline survey administered to Veterans with spinal cord injuries and disorders. Higher knowledge was associated with higher attitude scores (r = 0.35, P = .003), but knowledge and attitudes were not associated with behavior. Also, those with quadriplegia had higher knowledge scores (P = .03). Knowledge and attitudes, although related, do not appear to fully explain patients' hand hygiene behavior. ###Answer 1. Changed Reasoning: In Sentence A, the term ""quadriplegia"" is used to describe a condition characterized by ""little change in anteversion angle"" and ""decreasing angles of femoral anteversion as they approached adulthood."" This implies that the term was used to describe a condition with a specific range of motion or mobility limitations. In Sentence B, the term ""quadriplegia"" is used to describe a condition with ""higher knowledge scores (P = .03)."" This suggests that the term has taken on a different meaning, possibly implying a higher level of understanding or awareness of the condition. Therefore, the meaning of the term ""quadriplegia"" has undergone a significant change between the two sentences, indicating semantic drift." 27,Quadriplegia,"A 30-year-old man was hospitalized with dysarthria and weakness of his right arm and leg. Three months previously, he had noticed numbness and weakness of his right shoulder, which spread to involve his left leg but which improved after 8 months. On admission, neurological examination revealed limb kinetic apraxia and constructive apraxia of the right hand, motor aphasia, dysarthria, and spastic quadriplegia. Sensory examination revealed hyperalgesia and dysesthesia in the right arm and left leg. Deep tendon reflexes were hyperactive in all four extremities. And he had bilateral Babinski signs. Laboratory examination revealed pH 7.38, PCO2 46.1 Torr, PO2 93.4 Torr, BE 1.7, and blood lactate, 9.0 mg/dl (normal 5-20 mg/dl). Cerebrospinal fluid lactate level was 20.0 mg/dl. pyruvate 1.34 mg/dl. and protein 83 mg/dl. Blood lactate and pyruvate values were markedly elevated after aerobic exercise. T2WI brain MRI showed scattered high signal lesions in the left precentral and postcentral gyrus, right paracentral lobes, both superior frontal gyri, and right superior temporal gyrus. Right biceps brachi biopsy showed almost complete cytochrome c oxidase (COX) deficiency. There were no ragged-red fibers. There was marked decrease of COX activity: 2.7 nmol/min/mg-mitochondrial protein (normal range: 33.0 +/- 16.1, n = 7) in the biopsied muscle. Open brain biopsy (after permission from the patient and his family) revealed gliosis and perivascular infiltration of lymphocytes and macrophages without vascular proliferation. There was no mitochondrial DNA mutations, deletion or duplication, including tRNA-Leu 3243, 8993, 3271, 9176, 3291, and tRNA-Lys 8344, 8356, and 8363. From these findings, a diagnosis of COX deficiency presenting as MELAS-like episodes was done. His mother also showed abnormality on aerobic exercise test, but she had no episode of stroke or neurological dysfunction. Six months later, his aphasia and apraxia of the right hand had resolved, and at discharge he was able to ambulate with a cane. Ten months later, he returned to his work. There has been no recurrence of neurologic symptoms over the next 3 years and 10 months. This patient appears to represent a rare case of adult onset COX deficiency presenting as MELAS-like episodes.","Central pontine myelinolysis covers very different clinical aspects, ranging from discrete tremor to quadriplegia. Rapid correction of hyponatraemia is a well-known risk factor, particularly in chronic alcohol abusers. We describe the case of a 46-year-old chronic alcoholic, suffering from denutrition. He developed a quadriplegia and a facial diplegia two weeks after a slow correction of a chronic hyponatraemia associated with hypokalaemia. Central pontine myelinolysis was formally diagnosed by MRI findings. In our case, the correction of hyponatraemia is not the only causal agent of this syndrome; hypokalaemia and denutrition seem to be predisposing factors too. For these reasons, glial cells are more vulnerable to osmotic variations. Despite of severe initial symptoms, the evolution was favourable with a quasi complete recovery.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Quadriplegia Sentence A: A 30-year-old man was hospitalized with dysarthria and weakness of his right arm and leg. Three months previously, he had noticed numbness and weakness of his right shoulder, which spread to involve his left leg but which improved after 8 months. On admission, neurological examination revealed limb kinetic apraxia and constructive apraxia of the right hand, motor aphasia, dysarthria, and spastic quadriplegia. Sensory examination revealed hyperalgesia and dysesthesia in the right arm and left leg. Deep tendon reflexes were hyperactive in all four extremities. And he had bilateral Babinski signs. Laboratory examination revealed pH 7.38, PCO2 46.1 Torr, PO2 93.4 Torr, BE 1.7, and blood lactate, 9.0 mg/dl (normal 5-20 mg/dl). Cerebrospinal fluid lactate level was 20.0 mg/dl. pyruvate 1.34 mg/dl. and protein 83 mg/dl. Blood lactate and pyruvate values were markedly elevated after aerobic exercise. T2WI brain MRI showed scattered high signal lesions in the left precentral and postcentral gyrus, right paracentral lobes, both superior frontal gyri, and right superior temporal gyrus. Right biceps brachi biopsy showed almost complete cytochrome c oxidase (COX) deficiency. There were no ragged-red fibers. There was marked decrease of COX activity: 2.7 nmol/min/mg-mitochondrial protein (normal range: 33.0 +/- 16.1, n = 7) in the biopsied muscle. Open brain biopsy (after permission from the patient and his family) revealed gliosis and perivascular infiltration of lymphocytes and macrophages without vascular proliferation. There was no mitochondrial DNA mutations, deletion or duplication, including tRNA-Leu 3243, 8993, 3271, 9176, 3291, and tRNA-Lys 8344, 8356, and 8363. From these findings, a diagnosis of COX deficiency presenting as MELAS-like episodes was done. His mother also showed abnormality on aerobic exercise test, but she had no episode of stroke or neurological dysfunction. Six months later, his aphasia and apraxia of the right hand had resolved, and at discharge he was able to ambulate with a cane. Ten months later, he returned to his work. There has been no recurrence of neurologic symptoms over the next 3 years and 10 months. This patient appears to represent a rare case of adult onset COX deficiency presenting as MELAS-like episodes. Sentence B: Central pontine myelinolysis covers very different clinical aspects, ranging from discrete tremor to quadriplegia. Rapid correction of hyponatraemia is a well-known risk factor, particularly in chronic alcohol abusers. We describe the case of a 46-year-old chronic alcoholic, suffering from denutrition. He developed a quadriplegia and a facial diplegia two weeks after a slow correction of a chronic hyponatraemia associated with hypokalaemia. Central pontine myelinolysis was formally diagnosed by MRI findings. In our case, the correction of hyponatraemia is not the only causal agent of this syndrome; hypokalaemia and denutrition seem to be predisposing factors too. For these reasons, glial cells are more vulnerable to osmotic variations. Despite of severe initial symptoms, the evolution was favourable with a quasi complete recovery. ###Answer 1. Changed The meaning of the target word ""Quadriplegia"" has significantly shifted between the two sentences. In Sentence A, it is used to describe a neurological disorder characterized by weakness of the right arm and leg, dysarthria, and other symptoms. In Sentence B, it is used to describe a condition that affects the central nervous system and causes tremors, quadriplegia, and other symptoms. The word's connotation has changed from a medical term to a broader term encompassing various symptoms and conditions." 28,Quadriplegia,"The use of intermittent positive-pressure ventilation via nasal mask with a rocking bed provided the necessary ventilatory support for a person with quadriplegia living at home. This option was required to maintain an independent life-style of choice. The combination of techniques and the linkage of devices demonstrated an effective use of simple available technology for respiratory care at home and the adaptation of the respiratory prescription to the total needs of each person: medical, social, and financial. The further use of nasal mask ventilation in selected cases is encouraged by clinical research protocol.","Central pontine myelinolysis (CPM) is a part of the spectrum of osmotic demyelination syndrome (ODS), which is a rare demyelinating disorder due to the rapid correction of low serum sodium. It affects the neurons of the pons but may also involve other extra-pontine sites. The disease is characterized by a wide variety of clinical features ranging from dysarthria, dysphagia, bulbar palsy, quadriplegia, and behavioral and psychiatric disturbances. We present a case of a young female who developed CPM due to rapid sodium correction after vomiting. She presented with quadriplegia and locked-in syndrome. The diagnosis is on the basis of clinical and radiographic features. Magnetic resonance imaging (MRI) of the brain is superior to computed tomography (CT) in detecting changes. It shows hyperintensities on T2-weighted images that are classically known as the trident sign in the region of the pons. The patient was managed supportively, and the family was counseled regarding the poor prognosis of the disease. Unfortunately, she met a fatal fate due to a complication of CPM that is aspiration pneumonia. It is, therefore, imperative to create more awareness regarding the disease, and measures should be taken for its prevention that includes correction of low sodium levels not greater than 10 mmol/L/day.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Quadriplegia Sentence A: The use of intermittent positive-pressure ventilation via nasal mask with a rocking bed provided the necessary ventilatory support for a person with quadriplegia living at home. This option was required to maintain an independent life-style of choice. The combination of techniques and the linkage of devices demonstrated an effective use of simple available technology for respiratory care at home and the adaptation of the respiratory prescription to the total needs of each person: medical, social, and financial. The further use of nasal mask ventilation in selected cases is encouraged by clinical research protocol. Sentence B: Central pontine myelinolysis (CPM) is a part of the spectrum of osmotic demyelination syndrome (ODS), which is a rare demyelinating disorder due to the rapid correction of low serum sodium. It affects the neurons of the pons but may also involve other extra-pontine sites. The disease is characterized by a wide variety of clinical features ranging from dysarthria, dysphagia, bulbar palsy, quadriplegia, and behavioral and psychiatric disturbances. We present a case of a young female who developed CPM due to rapid sodium correction after vomiting. She presented with quadriplegia and locked-in syndrome. The diagnosis is on the basis of clinical and radiographic features. Magnetic resonance imaging (MRI) of the brain is superior to computed tomography (CT) in detecting changes. It shows hyperintensities on T2-weighted images that are classically known as the trident sign in the region of the pons. The patient was managed supportively, and the family was counseled regarding the poor prognosis of the disease. Unfortunately, she met a fatal fate due to a complication of CPM that is aspiration pneumonia. It is, therefore, imperative to create more awareness regarding the disease, and measures should be taken for its prevention that includes correction of low sodium levels not greater than 10 mmol/L/day. ###Answer 1. Changed Explanation: Quadriplegia is a term that was previously used to describe paralysis or weakness in four limbs, typically resulting from spinal cord injury or disease. In Sentence A, the term is used in the context of a person with quadriplegia living at home and using intermittent positive-pressure ventilation via nasal mask to maintain an independent life-style. The term is used to describe the necessary ventilatory support for this individual. In Sentence B, the term quadriplegia is used in a different context. It is used to describe a patient who developed central pontine myelinolysis (CPM) due to rapid sodium correction after vomiting, resulting in quadriplegia and locked-in syndrome. The term is used to describe the patient's clinical features, including dysarthria, dysphagia, bulbar palsy, and behavioral and psychiatric disturbances. In Sentence B, the term quadriplegia has taken on a different meaning than in Sentence A. In Sentence A, it is used to describe a person's need for ventilatory support, while in Sentence B, it is used to describe a patient's clinical features. Therefore, semantic drift has occurred in the meaning of the term quadriplegia between the two sentences." 29,Quadriplegia,"Autonomic dysreflexia is an acute disorder of autonomic homeostasis occurring in persons with spinal cord lesions above the major splanchnic sympathetic outflow. Atrial fibrillation is a serious cardiac arrhythmia characterized by disorganized atrial depolarization and an irregular ventricular response. Previously reported complications of autonomic dysreflexia have included seizures, strokes and cardiac arrhythmias other than atrial fibrillation. We present a 60-yr-old man with C-5 incomplete quadriplegia in whom atrial fibrillation was apparently induced by an episode of autonomic dysreflexia. Mechanisms by which autonomic dysreflexia may cause this arrhythmia include altered cardiac autonomic tone as well as atrial distention. The simultaneous occurrence of autonomic dysreflexia and atrial fibrillation poses special diagnostic problems and treatment risks. Atrial fibrillation incidence increases with age in the general population. With the aging of the spinal cord-injured population, we expect to see more episodes of atrial fibrillation associated with autonomic dysreflexia.","Patients with high spinal cord injury may present with significant cardiac dysautonomia. There is a dearth of data regarding electromechanical interference to cardiac pacemakers from phrenic nerve stimulators which are used in such patients for respiratory support. We report an instance of bipolar lead permanent pacemaker insertion for ventricular standstill in a man with quadriplegia following C2 fracture and the measures we adopted to minimise electromagnetic interference with phrenic nerve stimulators. To the best of our knowledge, this is the first reported instance of successful pacemaker insertion in a quadriplegic patient on long-term diaphragmatic pacing.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Quadriplegia Sentence A: Autonomic dysreflexia is an acute disorder of autonomic homeostasis occurring in persons with spinal cord lesions above the major splanchnic sympathetic outflow. Atrial fibrillation is a serious cardiac arrhythmia characterized by disorganized atrial depolarization and an irregular ventricular response. Previously reported complications of autonomic dysreflexia have included seizures, strokes and cardiac arrhythmias other than atrial fibrillation. We present a 60-yr-old man with C-5 incomplete quadriplegia in whom atrial fibrillation was apparently induced by an episode of autonomic dysreflexia. Mechanisms by which autonomic dysreflexia may cause this arrhythmia include altered cardiac autonomic tone as well as atrial distention. The simultaneous occurrence of autonomic dysreflexia and atrial fibrillation poses special diagnostic problems and treatment risks. Atrial fibrillation incidence increases with age in the general population. With the aging of the spinal cord-injured population, we expect to see more episodes of atrial fibrillation associated with autonomic dysreflexia. Sentence B: Patients with high spinal cord injury may present with significant cardiac dysautonomia. There is a dearth of data regarding electromechanical interference to cardiac pacemakers from phrenic nerve stimulators which are used in such patients for respiratory support. We report an instance of bipolar lead permanent pacemaker insertion for ventricular standstill in a man with quadriplegia following C2 fracture and the measures we adopted to minimise electromagnetic interference with phrenic nerve stimulators. To the best of our knowledge, this is the first reported instance of successful pacemaker insertion in a quadriplegic patient on long-term diaphragmatic pacing. ###Answer 1. Changed Explanation: In Sentence A, the word ""quadriplegia"" is used to describe a specific type of spinal cord injury. The sentence highlights the impact of this injury on the patient's autonomic nervous system, including the development of autonomic dysreflexia. The word ""quadriplegia"" in this context connotes a loss of function and mobility in the patient's upper and lower extremities, as well as potential cardiovascular complications. In Sentence B, the word ""quadriplegia"" is used in a different context. The sentence focuses on patients with high spinal cord injuries, including those with cardiac dysautonomia. The word ""quadriplegia"" in this context connotes a broader range of symptoms and complications, including respiratory problems and electromagnetic interference with cardiac pacemakers. Based on these two sentences, it is clear that the meaning of the word ""quadriplegia"" has shifted over time. In Sentence A, the word is used to describe a specific medical condition with a clear clinical context. In Sentence B, the word is used more broadly to describe a range of symptoms and complications in patients with spinal cord injuries. Therefore, the label ""Changed"" is appropriate for this task." 30,Quadriplegia,"We present a case of a laryngectomized patient who underwent re-puncture of tracheo-oesophageal fistula for speaking valve voice restoration, resulting in a previously unreported inherent complication of this procedure: extradural abscess of the cervical spine with transient quadriplegia.","A 51-year-old man developed coma, bilateral pupillary dilation, ophthalmoplegia and quadriplegia 4 weeks after testing positive for COVID-19. MRI demonstrated a symmetric midline pontine non-enhancing T2-FLAIR hyperintense lesion. The patient was treated with intravenous methylprednisolone, which resulted in improvement of his Glasgow Coma Scale (GCS) from 3 to 15 over the next 5 days. To our knowledge, this is the first case of a post-infectious steroid-responsive brainstem lesion associated with COVID-19. The clinical picture best fits in the family of a steroid-responsive encephalopathy and reminds us that COVID-19 may cause severe post-infectious neurological complications.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Quadriplegia Sentence A: We present a case of a laryngectomized patient who underwent re-puncture of tracheo-oesophageal fistula for speaking valve voice restoration, resulting in a previously unreported inherent complication of this procedure: extradural abscess of the cervical spine with transient quadriplegia. Sentence B: A 51-year-old man developed coma, bilateral pupillary dilation, ophthalmoplegia and quadriplegia 4 weeks after testing positive for COVID-19. MRI demonstrated a symmetric midline pontine non-enhancing T2-FLAIR hyperintense lesion. The patient was treated with intravenous methylprednisolone, which resulted in improvement of his Glasgow Coma Scale (GCS) from 3 to 15 over the next 5 days. To our knowledge, this is the first case of a post-infectious steroid-responsive brainstem lesion associated with COVID-19. The clinical picture best fits in the family of a steroid-responsive encephalopathy and reminds us that COVID-19 may cause severe post-infectious neurological complications. ###Answer 1. Changed Reasoning: In Sentence A, the target word ""quadriplegia"" refers to a specific medical condition, ""transient quadriplegia,"" which is caused by an extradural abscess of the cervical spine. This condition is described as ""inherent"" to the procedure of re-puncture of tracheo-oesophageal fistula for speaking valve voice restoration. In Sentence B, the target word ""quadriplegia"" has a different meaning. Here, it refers to a post-infectious steroid-responsive brainstem lesion associated with COVID-19. This condition is described as belonging to a family of steroid-responsive encephalopathy. Therefore, the meaning of the target word ""quadriplegia"" has significantly shifted between the two sentences, indicating semantic drift has occurred. The label ""Changed"" is appropriate to reflect this change in meaning." 31,Quadriplegia,"Prochlorperazine, a piperazine phenothiazine, is a commonly used anti-emetic that blocks dopamine receptors in the central nervous system. Prochlorperazine causes various extrapyramidal syndromes, with the incidence in the inpatient population estimated to be 0.5 to 0.8%. These side effects are typically manifested by motor dysfunction and easily observed on physical examination. We report the case of an 18-year-old male with C4 complete quadriplegia who developed an acute dystonic reaction isolated to the tongue during short-term treatment with prochlorperazine. This case demonstrates the importance of maintaining a high level of suspicion in the spinal cord population, considering that many key physical findings may be absent below the level of function.","The patient was an 88-year-old man referred to a physical therapist by his primary care physician for a 1-week history of severe neck pain of insidious onset. Based upon the history and physical examination, the physical therapist concluded that the patient's neck pain was mechanical in nature. Initial physical therapist intervention included cervical taping, cervical collar use and instruction in home exercise. At his follow-up visit 4 days after his initial physical therapy visit, the patient reported no improvement. The patient's son, who accompanied him to this visit, also reported that his father had a recent onset of fever and mild confusion. The case was discussed with the patient's physician and it was recommended that the patient report to the emergency department. Evaluation in the emergency department revealed that the patient was febrile with diminished oxygen saturation and an elevated white blood cell count. Chest radiographs were consistent with pneumonia and blood cultures were positive for methicillin-resistant Staphylococcus aureus. The patient was hospitalized and over the next 6 days, his condition progressively declined and quadriplegia below the C4 myotomal level developed. Magnetic resonance imaging of the cervical spine revealed severe cervical central canal stenosis with extensive signal abnormality in the cervical cord, as well as diffuse oedema in the perivertebral soft tissues that was consistent with a retropharyngeal abscess. Despite medical management, the patient subsequently succumbed to the complications of pneumonia and quadriplegia.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Quadriplegia Sentence A: Prochlorperazine, a piperazine phenothiazine, is a commonly used anti-emetic that blocks dopamine receptors in the central nervous system. Prochlorperazine causes various extrapyramidal syndromes, with the incidence in the inpatient population estimated to be 0.5 to 0.8%. These side effects are typically manifested by motor dysfunction and easily observed on physical examination. We report the case of an 18-year-old male with C4 complete quadriplegia who developed an acute dystonic reaction isolated to the tongue during short-term treatment with prochlorperazine. This case demonstrates the importance of maintaining a high level of suspicion in the spinal cord population, considering that many key physical findings may be absent below the level of function. Sentence B: The patient was an 88-year-old man referred to a physical therapist by his primary care physician for a 1-week history of severe neck pain of insidious onset. Based upon the history and physical examination, the physical therapist concluded that the patient's neck pain was mechanical in nature. Initial physical therapist intervention included cervical taping, cervical collar use and instruction in home exercise. At his follow-up visit 4 days after his initial physical therapy visit, the patient reported no improvement. The patient's son, who accompanied him to this visit, also reported that his father had a recent onset of fever and mild confusion. The case was discussed with the patient's physician and it was recommended that the patient report to the emergency department. Evaluation in the emergency department revealed that the patient was febrile with diminished oxygen saturation and an elevated white blood cell count. Chest radiographs were consistent with pneumonia and blood cultures were positive for methicillin-resistant Staphylococcus aureus. The patient was hospitalized and over the next 6 days, his condition progressively declined and quadriplegia below the C4 myotomal level developed. Magnetic resonance imaging of the cervical spine revealed severe cervical central canal stenosis with extensive signal abnormality in the cervical cord, as well as diffuse oedema in the perivertebral soft tissues that was consistent with a retropharyngeal abscess. Despite medical management, the patient subsequently succumbed to the complications of pneumonia and quadriplegia. ###Answer 1. Changed The meaning of the target word ""quadriplegia"" has significantly shifted between the two sentences. In Sentence A, it is used to describe a specific neurological condition (C4 complete quadriplegia), with a clear medical context and connotation. In Sentence B, the word is used to describe a broader range of symptoms and conditions, including mechanical neck pain, fever, and confusion, with no specific medical context or connotation. This shift in meaning suggests that the term ""quadriplegia"" has undergone semantic drift." 32,Quadriplegia,"This study aimed to evaluate functional effects of Bobath therapy in children with cerebral palsy (CP). Fifteen children with a diagnosis of CP were recruited (9 males, 6 females; mean age 7 years 4 months, SD 2 years 8 months; age range 2 to 12 years). Types of motor disorder were as follows: spastic quadriplegia (n=9); spastic diplegia (n=4); athetoid quadriplegia (n=1), and ataxia (n=1). Participants were distributed across the following Gross Motor Function Classification levels: level I, n=1; level II, n=4; level III, n=5; level IV, n=4; and level V, n=1. Children awaiting orthopaedic intervention were excluded. A repeated measures design was used with participants tested with the Gross Motor Function Measure (GMFM) and Pediatric Evaluation of Disability Inventory (PEDI) at 6-weekly intervals (baseline, before and after Bobath therapy, and follow-up). As the data were of ordinal type, non-parametric statistics were used, i.e. Wilcoxon's test. Participants showed a significant improvement in scores in the following areas following Bobath therapy compared with the periods before and after Bobath therapy: GMFM total score (p=0.009); GMFM goal total (p=0.001); PEDI self care skills (p=0.036); and PEDI caregiver assistance total score (p=0.012). This demonstrates that in this population, gains were made in motor function and self care following a course of Bobath therapy.","During a 29-month period, 11 (12%) of 92 hospitalized patients with influenza B virus infection presented neurologic manifestations, which included febrile seizure in 4 cases and encephalopathy/encephalitis in 7 cases. Without appropriate antiviral therapy, recovery was uneventful in all but 1 patient, who had neurologic sequelae of quadriplegia and developmental delay.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Quadriplegia Sentence A: This study aimed to evaluate functional effects of Bobath therapy in children with cerebral palsy (CP). Fifteen children with a diagnosis of CP were recruited (9 males, 6 females; mean age 7 years 4 months, SD 2 years 8 months; age range 2 to 12 years). Types of motor disorder were as follows: spastic quadriplegia (n=9); spastic diplegia (n=4); athetoid quadriplegia (n=1), and ataxia (n=1). Participants were distributed across the following Gross Motor Function Classification levels: level I, n=1; level II, n=4; level III, n=5; level IV, n=4; and level V, n=1. Children awaiting orthopaedic intervention were excluded. A repeated measures design was used with participants tested with the Gross Motor Function Measure (GMFM) and Pediatric Evaluation of Disability Inventory (PEDI) at 6-weekly intervals (baseline, before and after Bobath therapy, and follow-up). As the data were of ordinal type, non-parametric statistics were used, i.e. Wilcoxon's test. Participants showed a significant improvement in scores in the following areas following Bobath therapy compared with the periods before and after Bobath therapy: GMFM total score (p=0.009); GMFM goal total (p=0.001); PEDI self care skills (p=0.036); and PEDI caregiver assistance total score (p=0.012). This demonstrates that in this population, gains were made in motor function and self care following a course of Bobath therapy. Sentence B: During a 29-month period, 11 (12%) of 92 hospitalized patients with influenza B virus infection presented neurologic manifestations, which included febrile seizure in 4 cases and encephalopathy/encephalitis in 7 cases. Without appropriate antiviral therapy, recovery was uneventful in all but 1 patient, who had neurologic sequelae of quadriplegia and developmental delay. ###Answer 1. Changed In Sentence A, the term ""quadriplegia"" is used to describe a specific type of motor disorder in children with cerebral palsy. The context suggests that the term is used to indicate a severe level of disability, with the children being unable to walk or perform other daily activities without assistance. In Sentence B, the term ""quadriplegia"" is used in a different context to describe a patient who has neurological manifestations of influenza B virus infection, including fever and seizures. The term is used to indicate a severe and life-threatening condition, with the patient experiencing neurological damage and potential long-term consequences such as developmental delay. Based on these differences in context and meaning, it is clear that the term ""quadriplegia"" has undergone a significant change in meaning between Sentence A and Sentence B. In Sentence A, the term is used to describe a specific type of motor disorder in children, while in Sentence B, it is used to describe a severe and life-threatening condition in an adult patient. Therefore, the label ""Changed"" is appropriate to indicate that the meaning of the term ""quadriplegia"" has shifted significantly between these two sentences." 33,Quadriplegia,"The phenotypic features of Down's syndrome are easily recognized and include characteristic facial features, hypotonia, ligament laxity, transverse palmar creases and mental subnormality. Associated manifestations and complications are also familiar and involve almost every organ system. Congenital heart defects, bowel malformations and a tendency to leukemia are common attendant problems. Less common, however, are defects of the skeletal system; in fact, the most recent edition of a standard pediatric textbook makes no mention of anomalies of the vertebral column. The purpose of this paper is to call attention to the association between Down's syndrome and atlantoaxial dislocation, which in our patient resulted in quadriplegia and eventually death.",People living with quadriplegia are at risk for social isolation and depression. Research with other marginalized groups has indicated that music therapy can have a positive effect on mood and social interaction.,"###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Quadriplegia Sentence A: The phenotypic features of Down's syndrome are easily recognized and include characteristic facial features, hypotonia, ligament laxity, transverse palmar creases and mental subnormality. Associated manifestations and complications are also familiar and involve almost every organ system. Congenital heart defects, bowel malformations and a tendency to leukemia are common attendant problems. Less common, however, are defects of the skeletal system; in fact, the most recent edition of a standard pediatric textbook makes no mention of anomalies of the vertebral column. The purpose of this paper is to call attention to the association between Down's syndrome and atlantoaxial dislocation, which in our patient resulted in quadriplegia and eventually death. Sentence B: People living with quadriplegia are at risk for social isolation and depression. Research with other marginalized groups has indicated that music therapy can have a positive effect on mood and social interaction. ###Answer 1. Changed In Sentence A, the term ""quadriplegia"" is used to describe a specific medical condition associated with Down's syndrome, including characteristic facial features, hypotonia, and other complications. The term is used in a medical context to describe a specific condition. In Sentence B, the term ""quadriplegia"" is used in a different context, to describe a broader group of people living with disabilities. The term is used to describe a social and psychological phenomenon, rather than a specific medical condition. Based on these differences in context and meaning, it is clear that the term ""quadriplegia"" has undergone a significant change in meaning between Sentence A and Sentence B. The term has shifted from being a medical term associated with a specific condition, to a social and psychological term used to describe a broader group of people. Therefore, the label ""Changed"" is appropriate." 34,Quadriplegia,Motorists may improperly use the diagonal shoulder belt of newer passive restraint systems by failing to use the lap belt. An unusual case of patient who did not wear a lap belt and who sustained a cervical C5-6 distraction injury resulting in quadriplegia is reported. Emergency physicians should be aware of this injury mechanism and should reinforce proper passive restraint use.,Medical and radiographic review of 19 consecutive patients with spastic quadriplegia before and after intrathecal baclofen pump insertion with special attention paid to progression of scoliosis.,"###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Quadriplegia Sentence A: Motorists may improperly use the diagonal shoulder belt of newer passive restraint systems by failing to use the lap belt. An unusual case of patient who did not wear a lap belt and who sustained a cervical C5-6 distraction injury resulting in quadriplegia is reported. Emergency physicians should be aware of this injury mechanism and should reinforce proper passive restraint use. Sentence B: Medical and radiographic review of 19 consecutive patients with spastic quadriplegia before and after intrathecal baclofen pump insertion with special attention paid to progression of scoliosis. ###Answer 1. Changed 2. Unchanged Explanation: In Sentence A, the target word ""quadriplegia"" refers to a specific type of spinal cord injury resulting in paralysis of all four limbs. However, in Sentence B, the target word has a different meaning, referring to a specific medical condition characterized by spasticity and scoliosis. Therefore, semantic drift has occurred in the meaning of the target word between the two sentences." 35,Quadriplegia,"Trichinella encephalitis remains a rare but life-threatening illness. Although well known to clinicians of another era, this disease currently may represent a diagnostic dilemma because of its infrequent occurrence and varied presentations. This report of trichinella encephalitis, presenting as quadriplegia, demonstrates that technological advances such as CAT scan, angiogram, and EEG are of no diagnostic assistance and add nothing to traditional diagnostic modalities, i.e., eosinophilia, sedimentation rate, and muscle biopsy. In some cases of trichinosis encephalitis where hypersensitivity reaction and/or vasculitis is believed to be the inciting factor, cortical steroids may have a role in treatment.","Monocarboxylate transporter 8 (MCT8) is an active and specific thyroid hormone transporter into neurons. MCT8 mutations cause an X-linked condition known as Allan-Herndon-Dudley syndrome and are characterized by impaired psychomotor development and typical abnormal thyroid function. We describe a 10-year-old boy with severe cognitive disability, axial hypotonia, spastic quadriplegia and sporadic dyskinetic episodes. He initially presented with thyroid dysfunction (high FT3, low rT3, low FT4 and normal TSH) and generalized retardation of the cerebral and cerebellar myelination in brain magnetic resonance imaging. The clinical and laboratory findings led to sequencing of the SLC16A2/MCT8 gene, which identified a novel missense mutation in exon 5. The study of peripheral markers of thyroid function suggests a paradoxical state of thyrotoxicosis in some peripheral tissues. Our patient had a typical clinical presentation at birth but because of the rarity of his disease his diagnosis was not made until the age of 7. The delay can also be explained by the omission of the free T3 assay in the first thyroid evaluation performed. This case therefore highlights the possible benefit of including the T3 assay in the study of patients with severe psychomotor disability of unknown etiology, thus eliminating extra costs for unnecessary complementary diagnostic tests.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Quadriplegia Sentence A: Trichinella encephalitis remains a rare but life-threatening illness. Although well known to clinicians of another era, this disease currently may represent a diagnostic dilemma because of its infrequent occurrence and varied presentations. This report of trichinella encephalitis, presenting as quadriplegia, demonstrates that technological advances such as CAT scan, angiogram, and EEG are of no diagnostic assistance and add nothing to traditional diagnostic modalities, i.e., eosinophilia, sedimentation rate, and muscle biopsy. In some cases of trichinosis encephalitis where hypersensitivity reaction and/or vasculitis is believed to be the inciting factor, cortical steroids may have a role in treatment. Sentence B: Monocarboxylate transporter 8 (MCT8) is an active and specific thyroid hormone transporter into neurons. MCT8 mutations cause an X-linked condition known as Allan-Herndon-Dudley syndrome and are characterized by impaired psychomotor development and typical abnormal thyroid function. We describe a 10-year-old boy with severe cognitive disability, axial hypotonia, spastic quadriplegia and sporadic dyskinetic episodes. He initially presented with thyroid dysfunction (high FT3, low rT3, low FT4 and normal TSH) and generalized retardation of the cerebral and cerebellar myelination in brain magnetic resonance imaging. The clinical and laboratory findings led to sequencing of the SLC16A2/MCT8 gene, which identified a novel missense mutation in exon 5. The study of peripheral markers of thyroid function suggests a paradoxical state of thyrotoxicosis in some peripheral tissues. Our patient had a typical clinical presentation at birth but because of the rarity of his disease his diagnosis was not made until the age of 7. The delay can also be explained by the omission of the free T3 assay in the first thyroid evaluation performed. This case therefore highlights the possible benefit of including the T3 assay in the study of patients with severe psychomotor disability of unknown etiology, thus eliminating extra costs for unnecessary complementary diagnostic tests. ###Answer 1. Changed The target word ""quadriplegia"" has undergone a significant change in meaning between the two sentences. In Sentence A, the word is used to describe a rare disease, specifically trichinella encephalitis, which causes inflammation and damage to the brain and spinal cord, resulting in quadriplegia. In Sentence B, the word is used to describe a different condition, specifically Allan-Herndon-Dudley syndrome, which is an X-linked condition characterized by impaired psychomotor development and typical abnormal thyroid function. The meaning of the word has shifted from a medical condition to a specific type of thyroid disorder." 36,Quadriplegia,"The article presents diagnostic problems concerning the case of 54-year old woman with a delayed diagnosis of a severe attack of acute intermittent porphyria (AIP), which on admission manifested mainly as flaccid quadriplegia. The signs of neurological deficit were accompanied by changes in electrocardiographic recording that suggested acute myocardial ischaemia without apparent chest pain. Based upon a detailed history and identification of potential factors that might have triggered the attack the suspicion of acute hepatic porphyria was raised. The suspicion was confirmed by biochemical testing in the Institute of Hematology and Transfusiology in Warsaw. The treatment with glucose was administered, drugs contraindicated in porphyria were excluded, and early rehabilitation programme was instituted, which led to a marked improvement of general status and resolution of quadriplegia after 16 weeks. Parallel to the improvement of neurological status and a decrease in urinary excretion of heme precursors the normalisation of ECG changes was observed. The authors point out that differential diagnosis of abdominal pain with concomitant hyponatraemia should include an attack of acute porphyria since early administration of proper management prevents the development of life-threatening neurological signs accompanying the severe attack. The diagnosis of an attack of acute porphyria in the phase of predominant neurological signs, in the absence of abdominal pain, may be difficult and always warrants, apart from anamnestic data, the confirmation with appropriate biochemical testing.","Sjögren-Larsson syndrome (SLS) is a rare autosomal-recessive neurocutaneous disorder comprising a triad of ichthyosis, mental retardation, and spastic diplegia or quadriplegia. It has rarely been reported in Asian and Indian populations. We report the case of an Indian patient with SLS who presented with the classical clinical triad and demonstrated characteristic findings on magnetic resonance spectroscopy. In resource-restricted settings where enzymatic and genetic analyses are not available, magnetic resonance spectroscopy serves as a useful adjunct in confirming the diagnosis of SLS.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Quadriplegia Sentence A: The article presents diagnostic problems concerning the case of 54-year old woman with a delayed diagnosis of a severe attack of acute intermittent porphyria (AIP), which on admission manifested mainly as flaccid quadriplegia. The signs of neurological deficit were accompanied by changes in electrocardiographic recording that suggested acute myocardial ischaemia without apparent chest pain. Based upon a detailed history and identification of potential factors that might have triggered the attack the suspicion of acute hepatic porphyria was raised. The suspicion was confirmed by biochemical testing in the Institute of Hematology and Transfusiology in Warsaw. The treatment with glucose was administered, drugs contraindicated in porphyria were excluded, and early rehabilitation programme was instituted, which led to a marked improvement of general status and resolution of quadriplegia after 16 weeks. Parallel to the improvement of neurological status and a decrease in urinary excretion of heme precursors the normalisation of ECG changes was observed. The authors point out that differential diagnosis of abdominal pain with concomitant hyponatraemia should include an attack of acute porphyria since early administration of proper management prevents the development of life-threatening neurological signs accompanying the severe attack. The diagnosis of an attack of acute porphyria in the phase of predominant neurological signs, in the absence of abdominal pain, may be difficult and always warrants, apart from anamnestic data, the confirmation with appropriate biochemical testing. Sentence B: Sjögren-Larsson syndrome (SLS) is a rare autosomal-recessive neurocutaneous disorder comprising a triad of ichthyosis, mental retardation, and spastic diplegia or quadriplegia. It has rarely been reported in Asian and Indian populations. We report the case of an Indian patient with SLS who presented with the classical clinical triad and demonstrated characteristic findings on magnetic resonance spectroscopy. In resource-restricted settings where enzymatic and genetic analyses are not available, magnetic resonance spectroscopy serves as a useful adjunct in confirming the diagnosis of SLS. ###Answer 1. Changed The target word ""quadriplegia"" has undergone a significant change in meaning between Sentence A (2000) and Sentence B (2020). In Sentence A, ""quadriplegia"" refers to a specific neurological condition characterized by flaccid paralysis. In Sentence B, ""quadriplegia"" is used more broadly to describe any type of spastic paralysis or weakness. This shift in meaning suggests that the term ""quadriplegia"" has changed in its semantic drift." 37,Quadriplegia,"A 36-year-old female was admitted to the intensive care unit after resuscitation diagnosed with diabetic ketoacidotic coma, which was the first manifestation of her diabetes mellitus. It may have been provoked by pulmonary or gastrointestinal coinfection. Five days following admission the patient regained consciousness and homeostasis returned to normal. One week after the stabilization of her cardiopulmonary state, weaning from the respirator turned out to be unsuccessful: flaccid tetraparesis developed with rapid muscle atrophy and absence of deep tendon reflexes. The sensory system and cranial nerves remained intact. Electrophysiological studies and muscle biopsy showed serious acute illness myopathy with mild demyelination owing probably to the latent diabetes. The course of acute quadriplegia was fluctuating and correlated mainly with the activity of the systemic inflammatory response syndrome mechanisms. Myopathy might have been aggravated by using high-dose glucocorticoid therapy. The patient's general condition improved quickly as a result of full recovery from sepsis, discontinuation of glucocorticoids and normoglicaemia maintained by subcutan insulin substitution. Eight months after admission almost full neuromuscular restitution was achieved showing the reversibility of this grave illness.","Locked-in Syndrome is a severe pontine stroke causing quadriplegia, lower cranial nerve paralysis, and mutism with preservation of only vertical gaze and upper eyelid movement in a conscious patient. We present a case of a Locked-in Syndrome patient who received communication training with augmentative and alternative communication equipment by using eye blinks. After 3 weeks of training, the patient was able to make an attempt to interact with other people, and associate a new word by Korean alphabet selection. Augmentative and alternative communication equipment which uses eye blinks might be considered to be beneficial in improving the communication skills of locked-in syndrome patients.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Quadriplegia Sentence A: A 36-year-old female was admitted to the intensive care unit after resuscitation diagnosed with diabetic ketoacidotic coma, which was the first manifestation of her diabetes mellitus. It may have been provoked by pulmonary or gastrointestinal coinfection. Five days following admission the patient regained consciousness and homeostasis returned to normal. One week after the stabilization of her cardiopulmonary state, weaning from the respirator turned out to be unsuccessful: flaccid tetraparesis developed with rapid muscle atrophy and absence of deep tendon reflexes. The sensory system and cranial nerves remained intact. Electrophysiological studies and muscle biopsy showed serious acute illness myopathy with mild demyelination owing probably to the latent diabetes. The course of acute quadriplegia was fluctuating and correlated mainly with the activity of the systemic inflammatory response syndrome mechanisms. Myopathy might have been aggravated by using high-dose glucocorticoid therapy. The patient's general condition improved quickly as a result of full recovery from sepsis, discontinuation of glucocorticoids and normoglicaemia maintained by subcutan insulin substitution. Eight months after admission almost full neuromuscular restitution was achieved showing the reversibility of this grave illness. Sentence B: Locked-in Syndrome is a severe pontine stroke causing quadriplegia, lower cranial nerve paralysis, and mutism with preservation of only vertical gaze and upper eyelid movement in a conscious patient. We present a case of a Locked-in Syndrome patient who received communication training with augmentative and alternative communication equipment by using eye blinks. After 3 weeks of training, the patient was able to make an attempt to interact with other people, and associate a new word by Korean alphabet selection. Augmentative and alternative communication equipment which uses eye blinks might be considered to be beneficial in improving the communication skills of locked-in syndrome patients. ###Answer 1. Changed Reasoning: In Sentence A, the term ""quadriplegia"" is used to describe a condition characterized by flaccid tetraparesis, rapid muscle atrophy, and the absence of deep tendon reflexes. This usage implies a more severe and debilitating form of the condition. In Sentence B, the term is used to describe a condition where the patient is conscious and able to make attempts to interact with others using eye blinks. This usage implies a less severe and more manageable form of the condition. Therefore, there has been a significant change in the meaning of the term ""quadriplegia"" between the two sentences." 38,Quadriplegia,"Spinal muscular atrophy (SMA), the second most common fatal, autosomal recessive disease of infants, manifests as generalized muscle weakness. The most severe form (Type I, Werdnig-Hoffmann disease) is associated with quadriplegia, respiratory muscle paralysis and death in infancy. Less severe forms are classified as Type II and Type III, based on age of onset and ultimate motor disability. Some spinal motor neurons show chromatolysis and the number of these cells is decreased. Recently, SMA has been mapped to chromosome 5q11.2-13.3 (Gilliam et al., 1990), a region that contains three candidate genes: Survival Motor Neuron (SMN) (Lefebvre et al., 1995); Neuronal Apoptosis Inhibitory Protein (NAIP) (Roy et al., 1995); and p44, a subunit of transcription factor II H (TFIIH) (Carter et al., 1995; Bürglen et al., 1997). Homozygous deletions or deleterious mutations in SMN are present in all SMA patients, and in some affected individuals, deletions have been identified in one or both of the other genes. These extensive deletions may be associated with a more severe phenotype. We have identified and characterized the mouse homologue of SMN, MoSMN, which is 82% identical to SMN at the amino-acid level. Unlike the duplicated human SMN, MoSMN is present in single copy. Like its human counterpart, MoSMN is ubiquitously expressed, but unlike SMN, MoSMN does not appear to be alternatively spliced. In-situ hybridization analysis of the mouse nervous system revealed that MoSMN mRNA is expressed in spinal cord and throughout the brain, with relatively higher levels of expression in the hippocampus and cerebellum.","CVA6 is one of Enteroviruses causing worldwide epidemics of HFMD with neurological and systemic complications. A suitable animal model is necessary for studying the pathogenesis of CVA6 and evaluating antiviral and vaccine efficacy. In this study, we generated a mouse-adapted CVA6 strain that successfully infected 10-day-old ICR mice via oral route. All infected mice were paralyzed and died within 11 dpi. Analysis of pathological changes and virus loads in fourteen tissues showed that CVA6 triggered systematic damage similar to i.p. inoculation route. Unlike i.p. route, we detected oral and gastrointestinal lesions with the presence of viral antigens. Both specific anti-CVA6 serum and inactivated vaccines successfully generated immune protection in mice. Meanwhile, we also established a successful infection of CVA6 via i.p. and i.m. route in 10-day-old mice. After infection, mice developed remarkably neurological signs and systemic manifestations such as emaciation, polypnea, quadriplegia, depilation and even death. Through i.p. inoculation, pathological examination showed brain and spinal cord damage caused by the virus infection with neuronal reduction, apoptosis, astrocyte activation, and recruitment of neutrophils and monocytes. Following neurological manifestation, the CVA6 infection became systemic, and high viral loads were detected in multiple organs along with morphological changes and inflammation. Moreover, analysis of spleen cells by FACS indicated that CVA6 led to immune system activation, which further contributed to systemic inflammation. Taken together, our novel murine model of CVA6 provides a useful tool for studying the pathogenesis and evaluating antiviral and vaccine efficacy.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Quadriplegia Sentence A: Spinal muscular atrophy (SMA), the second most common fatal, autosomal recessive disease of infants, manifests as generalized muscle weakness. The most severe form (Type I, Werdnig-Hoffmann disease) is associated with quadriplegia, respiratory muscle paralysis and death in infancy. Less severe forms are classified as Type II and Type III, based on age of onset and ultimate motor disability. Some spinal motor neurons show chromatolysis and the number of these cells is decreased. Recently, SMA has been mapped to chromosome 5q11.2-13.3 (Gilliam et al., 1990), a region that contains three candidate genes: Survival Motor Neuron (SMN) (Lefebvre et al., 1995); Neuronal Apoptosis Inhibitory Protein (NAIP) (Roy et al., 1995); and p44, a subunit of transcription factor II H (TFIIH) (Carter et al., 1995; Bürglen et al., 1997). Homozygous deletions or deleterious mutations in SMN are present in all SMA patients, and in some affected individuals, deletions have been identified in one or both of the other genes. These extensive deletions may be associated with a more severe phenotype. We have identified and characterized the mouse homologue of SMN, MoSMN, which is 82% identical to SMN at the amino-acid level. Unlike the duplicated human SMN, MoSMN is present in single copy. Like its human counterpart, MoSMN is ubiquitously expressed, but unlike SMN, MoSMN does not appear to be alternatively spliced. In-situ hybridization analysis of the mouse nervous system revealed that MoSMN mRNA is expressed in spinal cord and throughout the brain, with relatively higher levels of expression in the hippocampus and cerebellum. Sentence B: CVA6 is one of Enteroviruses causing worldwide epidemics of HFMD with neurological and systemic complications. A suitable animal model is necessary for studying the pathogenesis of CVA6 and evaluating antiviral and vaccine efficacy. In this study, we generated a mouse-adapted CVA6 strain that successfully infected 10-day-old ICR mice via oral route. All infected mice were paralyzed and died within 11 dpi. Analysis of pathological changes and virus loads in fourteen tissues showed that CVA6 triggered systematic damage similar to i.p. inoculation route. Unlike i.p. route, we detected oral and gastrointestinal lesions with the presence of viral antigens. Both specific anti-CVA6 serum and inactivated vaccines successfully generated immune protection in mice. Meanwhile, we also established a successful infection of CVA6 via i.p. and i.m. route in 10-day-old mice. After infection, mice developed remarkably neurological signs and systemic manifestations such as emaciation, polypnea, quadriplegia, depilation and even death. Through i.p. inoculation, pathological examination showed brain and spinal cord damage caused by the virus infection with neuronal reduction, apoptosis, astrocyte activation, and recruitment of neutrophils and monocytes. Following neurological manifestation, the CVA6 infection became systemic, and high viral loads were detected in multiple organs along with morphological changes and inflammation. Moreover, analysis of spleen cells by FACS indicated that CVA6 led to immune system activation, which further contributed to systemic inflammation. Taken together, our novel murine model of CVA6 provides a useful tool for studying the pathogenesis and evaluating antiviral and vaccine efficacy. ###Answer 1. Changed Reasoning: In Sentence A, the target word ""quadriplegia"" is used to describe the severe form of spinal muscular atrophy (SMA), which is characterized by generalized muscle weakness, respiratory muscle paralysis, and death in infancy. The word is used to convey the severity of the disease and its impact on the patient's quality of life. In contrast, in Sentence B, the word ""quadriplegia"" is used to describe the systemic inflammation and damage caused by the CVA6 virus infection. The word is used to convey the severity of the virus-induced neurological damage and its impact on the patient's overall health. In Sentence A, the meaning of ""quadriplegia"" is focused on the muscular and respiratory symptoms of SMA, while in Sentence B, the meaning is focused on the systemic inflammation and damage caused by the virus infection. The context and meaning of the word have shifted from a specific disease to a broader description of neurological damage. Therefore, the label ""Changed"" is appropriate to indicate that the word has undergone a significant change in meaning or connotation between the two timestamps." 39,Quadriplegia,"Two young patients are described who made good recoveries from a ""locked-in"" syndrome presumed to be due to ventral pontine ischemia. The first patient recovered completely from quadriplegia and mutism. In the second patient the only permanent sequellae were slight dysarthria and mild spasticity. Since patients may recover nearly completely from a ""locked-in"" syndrome, aggressive supportive therapy seems justified during the initial weeks or months.","This study aimed to investigate the high risk factors, cerebral palsy (CP) subtypes and comorbidities of periventricular leukomalacia (PVL). Based on treatment conditions at a specialist hospital, a cross-sectional clinical study and retrospective analysis of computed tomography and magnetic resonance imaging examinations was conducted to evaluate the risk factors, subtypes and comorbidities of CP in children with PVL. Among the 408 children with PVL, 8.58% were born with a weight of ≤1,500 g and 44.36% were born with a weight of ≥2,500 g. In addition, 36.76% of these children had a gestational age of ≤32 weeks and 37.75% had a gestational age of ≥37 weeks. The proportion of the children born with various high risk factors was 95.59%, including perinatal infections and hypoxia. Severe PVL was observed in preterm infants (63.41% with a gestational age of <28 weeks and 21.95% with a gestational age of 28-30 weeks) and low-birth weight infants, which were prone to quadriplegia (43.90%). The common comorbidities included visual and auditory disorders, epilepsy, mental retardation and language barriers. Visual and auditory disorders (26.96%) were the most common comorbidities. PVL was identified primarily in premature and low-birth weight infants. The degree of PVL was found to be negatively correlated with gestational age and birth weight. The degree of PVL in the full-term infants correlated with exposure to infections or hypoxia. Quadriplegia is common among the various subtypes of CP. Visual and hearing disorders are the most common comorbidities of CP; these comorbidities occurred most frequently with quadriplegia.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Quadriplegia Sentence A: Two young patients are described who made good recoveries from a ""locked-in"" syndrome presumed to be due to ventral pontine ischemia. The first patient recovered completely from quadriplegia and mutism. In the second patient the only permanent sequellae were slight dysarthria and mild spasticity. Since patients may recover nearly completely from a ""locked-in"" syndrome, aggressive supportive therapy seems justified during the initial weeks or months. Sentence B: This study aimed to investigate the high risk factors, cerebral palsy (CP) subtypes and comorbidities of periventricular leukomalacia (PVL). Based on treatment conditions at a specialist hospital, a cross-sectional clinical study and retrospective analysis of computed tomography and magnetic resonance imaging examinations was conducted to evaluate the risk factors, subtypes and comorbidities of CP in children with PVL. Among the 408 children with PVL, 8.58% were born with a weight of ≤1,500 g and 44.36% were born with a weight of ≥2,500 g. In addition, 36.76% of these children had a gestational age of ≤32 weeks and 37.75% had a gestational age of ≥37 weeks. The proportion of the children born with various high risk factors was 95.59%, including perinatal infections and hypoxia. Severe PVL was observed in preterm infants (63.41% with a gestational age of <28 weeks and 21.95% with a gestational age of 28-30 weeks) and low-birth weight infants, which were prone to quadriplegia (43.90%). The common comorbidities included visual and auditory disorders, epilepsy, mental retardation and language barriers. Visual and auditory disorders (26.96%) were the most common comorbidities. PVL was identified primarily in premature and low-birth weight infants. The degree of PVL was found to be negatively correlated with gestational age and birth weight. The degree of PVL in the full-term infants correlated with exposure to infections or hypoxia. Quadriplegia is common among the various subtypes of CP. Visual and hearing disorders are the most common comorbidities of CP; these comorbidities occurred most frequently with quadriplegia. ###Answer 1. Changed Reasoning: In Sentence A, the term ""quadriplegia"" is used to describe a condition where two young patients have recovered from a ""locked-in"" syndrome, with one patient recovering completely and the other experiencing only slight dysarthria and mild spasticity. The term is used to convey the severity of the patients' condition, with the implication that they are unable to move or speak. In Sentence B, the term ""quadriplegia"" is used in a different context. It is described as a common comorbidity of periventricular leukomalacia (PVL), a condition that affects preterm and low-birth weight infants. The term is used to convey the likelihood that infants born with certain risk factors will experience severe PVL, including quadriplegia. The term is also used to describe the various subtypes of cerebral palsy (CP), with quadriplegia being one of the most common subtypes. Based on these two sentences, it is clear that the term ""quadriplegia"" has undergone a significant change in meaning. In Sentence A, it is used to describe a severe condition where patients are unable to move or speak, while in Sentence B, it is used to describe a comorbidity of PVL and a subtype of CP. The term has shifted from being used to describe a specific medical condition to being used more broadly to describe a range of conditions. Therefore, the label ""Changed"" is appropriate." 40,Quadriplegia,"To describe the quality of life for surviving very low birthweight (VLBW, less than 1.5 kg) children and their families, the authors interviewed the parents of 22 neurologically abnormal VLBW children, 3 to 7 years after their birth and compared them to the parents of 15 neurologically normal VLBW children. The infants were born between 1976 and 1979, (mean birthweight, 1.2 kg; mean gestational age, 30 weeks). They included three with spastic quadriplegia, 14 with spastic diplegia, and five with hydrocephalus. Eight children were not walking. Seven families rated their child's neurologic problem as severe, while 15 rated the problem as mild. Neurologically abnormal children tended to display more screaming and crying than the normal children. Cost of ongoing medical care was a problem for families of nine neurologically abnormal as compared with two families of normal children. The abnormal children required a total of 61 postneonatal rehospitalizations versus 11 in the normal group. Families of neurologically abnormal children reported on significant major changes in their personal lives for the care of their child. Both groups of parents reported heightened appreciation of their child. Plans for future children were affected in both. Parents identified an urgent need for better medical information, education of pediatricians regarding preterm development and neurologic sequelae, and better contact and support among parents themselves.","The incidence of quadriplegia following drainage of cerebrospinal fluid by lumbar puncture (LP) below a spinal occupying lesion is rare. We report a case of acute quadriplegia following LP for presumed normal pressure hydrocephalus (NPH) in a 66-year-old man. Acute cervical myelopathy with a herniated cervical disc was subsequently found on magnetic resonance imaging (MRI) at the C5-6 level. After posterior decompression and anterior cervical discectomy and fusion at the C5-6 level with a cervical plate, the patient's motor and sensory functions recovered. Clinicians should be aware that symptoms of NPH and cervical myelopathy may overlap, and that serious complications may occur when performing LP below a spinal lesion. As a safety measure, cervical spine MRI should be performed before LP.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Quadriplegia Sentence A: To describe the quality of life for surviving very low birthweight (VLBW, less than 1.5 kg) children and their families, the authors interviewed the parents of 22 neurologically abnormal VLBW children, 3 to 7 years after their birth and compared them to the parents of 15 neurologically normal VLBW children. The infants were born between 1976 and 1979, (mean birthweight, 1.2 kg; mean gestational age, 30 weeks). They included three with spastic quadriplegia, 14 with spastic diplegia, and five with hydrocephalus. Eight children were not walking. Seven families rated their child's neurologic problem as severe, while 15 rated the problem as mild. Neurologically abnormal children tended to display more screaming and crying than the normal children. Cost of ongoing medical care was a problem for families of nine neurologically abnormal as compared with two families of normal children. The abnormal children required a total of 61 postneonatal rehospitalizations versus 11 in the normal group. Families of neurologically abnormal children reported on significant major changes in their personal lives for the care of their child. Both groups of parents reported heightened appreciation of their child. Plans for future children were affected in both. Parents identified an urgent need for better medical information, education of pediatricians regarding preterm development and neurologic sequelae, and better contact and support among parents themselves. Sentence B: The incidence of quadriplegia following drainage of cerebrospinal fluid by lumbar puncture (LP) below a spinal occupying lesion is rare. We report a case of acute quadriplegia following LP for presumed normal pressure hydrocephalus (NPH) in a 66-year-old man. Acute cervical myelopathy with a herniated cervical disc was subsequently found on magnetic resonance imaging (MRI) at the C5-6 level. After posterior decompression and anterior cervical discectomy and fusion at the C5-6 level with a cervical plate, the patient's motor and sensory functions recovered. Clinicians should be aware that symptoms of NPH and cervical myelopathy may overlap, and that serious complications may occur when performing LP below a spinal lesion. As a safety measure, cervical spine MRI should be performed before LP. ###Answer 1. Changed Reasoning: In Sentence A, the target word ""quadriplegia"" is used to describe the quality of life for surviving very low birthweight (VLBW) children and their families. The meaning of the word is focused on the neurological and physical challenges faced by these children, including difficulty walking and screaming/crying. The word is also used to describe the impact of these challenges on the families, including the need for better medical information and support. In Sentence B, the target word ""quadriplegia"" is used to describe a specific medical condition, acute quadriplegia, following lumbar puncture (LP) for presumed normal pressure hydrocephalus (NPH). The meaning of the word is focused on the neurological symptoms and complications that can arise after LP, including cervical myelopathy and herniated discs. Based on these two sentences, it is clear that the meaning of the target word ""quadriplegia"" has shifted significantly between the two timestamps. In Sentence A, the word is used to describe the broader context of quality of life for VLBW children and their families, while in Sentence B, the word is used to describe a specific medical condition and its symptoms. Therefore, I would label the target word as ""Changed""." 41,Quadriplegia,"The clinical and biochemical findings in three patients with glutaric aciduri Type 1 (GAT1) are presented. They had a normal postnatal period of three to 14 months. They developed sudden and severe encephalopathy following an infection or trauma (patient 3) that gradually progressed to severe dystonia, choreathetosis, spastic quadriplegia and mental retardation. Neuroradiologic studies of the brain revealed while matter disease and frontotemporal lobe hypoplasia. The urine findings by gas chromatography/mass spectrometry (GC)/(MS) were characteristic of GAT1. Since GAT1 is an organic acidemia without intermittent acidotic attacks, but primarily manifests with progressive encephalopathy, it is important to recognize the potential of its existence among handicapped children in chronic care facilities. The good clinical response in two of the patients urges early diagnosis in subsequent newborn siblings of the families with the disease. The diagnosis of three patients in less than two years indicate the need for neonatal screening for the recognition of this disease, among other treatable metabolic diseases, in Saudi Arabia.","Here we describe the genotype-phenotype correlations of diseases caused by variants in Fibroblast Growth Factor Receptor 1 ( FGFR1) and report a novel, de novo variant in FGFR1 in an individual with multiple congenital anomalies. The proband presented with bilateral cleft lip and palate, malformed auricles, and bilateral ectrodactyly of his hands and feet at birth. He was later diagnosed with diabetes insipidus, spastic quadriplegia, developmental delay, agenesis of the corpus callosum, and enlargement of the third cerebral ventricle. We noted the substantial phenotypic overlap with individuals with Hartsfield syndrome, the rare combination of holoprosencephaly and ectrodactyly. Sequencing of FGFR1 identified a previously unreported de novo variant in exon 11 (p.Gly487Cys), which we modeled to determine its predicted effect on the protein structure. Although it was not predicted to significantly alter protein folding stability, it is possible this variant leads to the formation of nonnative intra- or intermolecular disulfide bonds. We then mapped this and other disease-associated variants to a 3-dimensional model of FGFR1 to assess which protein domains harbored the highest number of pathogenic changes. We observed the greatest number of variants within the domains involved in FGF binding and FGFR activation. To further explore the contribution of each variant to disease, we recorded the phenotype resulting from each FGFR1 variant to generate a series of phenotype-specific protein maps and compared our results to benign variants appearing in control databases. It is our hope that the use of phenotypic maps such as these will further the understanding of genetic disease in general and diseases caused by variation in FGFR1 specifically.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Quadriplegia Sentence A: The clinical and biochemical findings in three patients with glutaric aciduri Type 1 (GAT1) are presented. They had a normal postnatal period of three to 14 months. They developed sudden and severe encephalopathy following an infection or trauma (patient 3) that gradually progressed to severe dystonia, choreathetosis, spastic quadriplegia and mental retardation. Neuroradiologic studies of the brain revealed while matter disease and frontotemporal lobe hypoplasia. The urine findings by gas chromatography/mass spectrometry (GC)/(MS) were characteristic of GAT1. Since GAT1 is an organic acidemia without intermittent acidotic attacks, but primarily manifests with progressive encephalopathy, it is important to recognize the potential of its existence among handicapped children in chronic care facilities. The good clinical response in two of the patients urges early diagnosis in subsequent newborn siblings of the families with the disease. The diagnosis of three patients in less than two years indicate the need for neonatal screening for the recognition of this disease, among other treatable metabolic diseases, in Saudi Arabia. Sentence B: Here we describe the genotype-phenotype correlations of diseases caused by variants in Fibroblast Growth Factor Receptor 1 ( FGFR1) and report a novel, de novo variant in FGFR1 in an individual with multiple congenital anomalies. The proband presented with bilateral cleft lip and palate, malformed auricles, and bilateral ectrodactyly of his hands and feet at birth. He was later diagnosed with diabetes insipidus, spastic quadriplegia, developmental delay, agenesis of the corpus callosum, and enlargement of the third cerebral ventricle. We noted the substantial phenotypic overlap with individuals with Hartsfield syndrome, the rare combination of holoprosencephaly and ectrodactyly. Sequencing of FGFR1 identified a previously unreported de novo variant in exon 11 (p.Gly487Cys), which we modeled to determine its predicted effect on the protein structure. Although it was not predicted to significantly alter protein folding stability, it is possible this variant leads to the formation of nonnative intra- or intermolecular disulfide bonds. We then mapped this and other disease-associated variants to a 3-dimensional model of FGFR1 to assess which protein domains harbored the highest number of pathogenic changes. We observed the greatest number of variants within the domains involved in FGF binding and FGFR activation. To further explore the contribution of each variant to disease, we recorded the phenotype resulting from each FGFR1 variant to generate a series of phenotype-specific protein maps and compared our results to benign variants appearing in control databases. It is our hope that the use of phenotypic maps such as these will further the understanding of genetic disease in general and diseases caused by variation in FGFR1 specifically. ###Answer 1. Changed Reasoning: In Sentence A, the term ""quadriplegia"" is used to describe a condition where a patient has ""severe dystonia, choreathetosis, spastic quadriplegia and mental retardation."" This suggests that the term ""quadriplegia"" was used to describe a specific set of symptoms, including muscle stiffness and disability, which were likely associated with a severe neurological disorder. In Sentence B, the term ""quadriplegia"" is used to describe a different condition, where the individual has ""bilateral cleft lip and palate, malformed auricles, and bilateral ectrodactyly of his hands and feet at birth."" This suggests that the term ""quadriplegia"" has shifted in meaning, and is now used to describe a broader range of symptoms, including congenital anomalies. Based on these two sentences, it appears that the term ""quadriplegia"" has undergone a significant change in meaning, shifting from a term used to describe a specific set of neurological symptoms to a term used to describe a broader range of congenital anomalies. Therefore, the label ""Changed"" is appropriate." 42,Quadriplegia,"A study was conducted to evaluate the outcome of massive proximal femoral shortening in the cerebral palsy patient with severe spastic quadriplegia and hip instability. A retrospective review of 13 children (age range: three to 19 years of age) representing 18 hips treated with massive shortening of the proximal femur was conducted. Bilateral procedures were performed in five patients. All procedures were performed between February 1986 and March 1990. Radiographs were evaluated for preoperative and postoperative migration percentage (MP) and femoral neck-shaft angle (NSA). Charts were reviewed for complications and clinical results. All femoral osteotomies healed without difficulty. Clinical follow-up averaged 27.6 months. Satisfactory results occurred in all but one hip. Radiographs taken an average of 19.5 months postoperatively showed improved MP in all but one hip. The average preoperative MP was 70% and postoperative MP was 18%. Femoral NSA also was improved. Heterotopic bone formed in 13 hips but caused no significant problems. Other complications included postoperative seizure, urinary tract infection, cast sores, transient arm weakness, weight loss, pin protrusion through skin, and femur fracture after cast removal. Based on the good results and minimal complications in this series, massive femoral shortening appears to be a superior alternative to proximal femoral resection in these difficult patients.","A 36-year-old male developed acute renal failure and severe metabolic acidosis following acute severe gastroenteritis. Two hours following haemodialysis he developed generalized muscle weakness, which progressed to quadriplegia over the next 4 hours. Electrocardiography (ECG) revealed classic signs of hypokalaemia. Serum potassium (K+) levels were 0.98 mmol/L. He was immediately started on intravenous (i/v) and oral potassium supplementation. He gradually improved and his ECG changes also reverted as potassium levels normalized. Postdialysis hypokalaemia can be a serious complication in patients who are already in total body potassium deficit. Dialysis fluid potassium levels should be kept higher in such patients.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Quadriplegia Sentence A: A study was conducted to evaluate the outcome of massive proximal femoral shortening in the cerebral palsy patient with severe spastic quadriplegia and hip instability. A retrospective review of 13 children (age range: three to 19 years of age) representing 18 hips treated with massive shortening of the proximal femur was conducted. Bilateral procedures were performed in five patients. All procedures were performed between February 1986 and March 1990. Radiographs were evaluated for preoperative and postoperative migration percentage (MP) and femoral neck-shaft angle (NSA). Charts were reviewed for complications and clinical results. All femoral osteotomies healed without difficulty. Clinical follow-up averaged 27.6 months. Satisfactory results occurred in all but one hip. Radiographs taken an average of 19.5 months postoperatively showed improved MP in all but one hip. The average preoperative MP was 70% and postoperative MP was 18%. Femoral NSA also was improved. Heterotopic bone formed in 13 hips but caused no significant problems. Other complications included postoperative seizure, urinary tract infection, cast sores, transient arm weakness, weight loss, pin protrusion through skin, and femur fracture after cast removal. Based on the good results and minimal complications in this series, massive femoral shortening appears to be a superior alternative to proximal femoral resection in these difficult patients. Sentence B: A 36-year-old male developed acute renal failure and severe metabolic acidosis following acute severe gastroenteritis. Two hours following haemodialysis he developed generalized muscle weakness, which progressed to quadriplegia over the next 4 hours. Electrocardiography (ECG) revealed classic signs of hypokalaemia. Serum potassium (K+) levels were 0.98 mmol/L. He was immediately started on intravenous (i/v) and oral potassium supplementation. He gradually improved and his ECG changes also reverted as potassium levels normalized. Postdialysis hypokalaemia can be a serious complication in patients who are already in total body potassium deficit. Dialysis fluid potassium levels should be kept higher in such patients. ###Answer 1. Changed Reasoning: The target word ""quadriplegia"" has undergone a significant change in meaning between Sentence A and Sentence B. In Sentence A, the term refers to a specific type of cerebral palsy characterized by severe spasticity and hip instability. In Sentence B, the term is used to describe a generalised muscle weakness that progressed to quadriplegia over a short period of time. This shift in meaning suggests that the term ""quadriplegia"" has evolved to encompass a broader range of conditions, including acute renal failure and severe metabolic acidosis. Therefore, the label ""Changed"" is appropriate." 43,Quadriplegia,"A 12-year-old boy was admitted with electrical burn and loss of consciousness. On physical examination his general condition was poor. Extensive burn areas, second and third degree, were present on his face, scalp, bilateral auricles, right cervical region, shoulders, right axilla, upper region of the thorax, and proximal region of the upper extremities. The total burned surface area was about 25%. Pupils were isocoric, but response to light was bilateral poor. He was stuporous and responsive only to pain. Deep tendon reflexes were exaggerated and plantar responses were bilateral extensor. Bilateral decorticate rigidity was noted. Computerized tomography of brain revealed brain edema and right thalamic hemorrhage. Magnetic resonance imaging of brain, examined 25 days after admission, revealed right thalamic hemorrhage and mild right subdural effusion. He was discharged form hospital 40 days after admission. However, spastic quadriplegia and severe mental retardation remained as sequela. On the 4th month of follow-up, no improvement was noted in his neurological examination. On the 9th month of follow-up, his clinical condition was better, but bilateral electric cataract was diagnosed. Both eyes were operated on and intraocular lenses were implanted with good results. Now he is 16th month of follow-up: neurological examination revealed only mild hemiparesis on the left side and mild articulation disorder. His school performance was moderate and intelligence quotient was 71. Magnetic resonance imaging of brain showed markedly improvement of the hemorrhage. To our best knowledge thalamic hemorrhage resulting from high-voltage electrical injury has not previously been reported in the literature.","We aimed to decipher the molecular genetic basis of disease in a cohort of children with a uniform clinical presentation of neonatal irritability, spastic or dystonic quadriplegia, virtually absent psychomotor development, axonal neuropathy, and elevated blood/CSF lactate.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Quadriplegia Sentence A: A 12-year-old boy was admitted with electrical burn and loss of consciousness. On physical examination his general condition was poor. Extensive burn areas, second and third degree, were present on his face, scalp, bilateral auricles, right cervical region, shoulders, right axilla, upper region of the thorax, and proximal region of the upper extremities. The total burned surface area was about 25%. Pupils were isocoric, but response to light was bilateral poor. He was stuporous and responsive only to pain. Deep tendon reflexes were exaggerated and plantar responses were bilateral extensor. Bilateral decorticate rigidity was noted. Computerized tomography of brain revealed brain edema and right thalamic hemorrhage. Magnetic resonance imaging of brain, examined 25 days after admission, revealed right thalamic hemorrhage and mild right subdural effusion. He was discharged form hospital 40 days after admission. However, spastic quadriplegia and severe mental retardation remained as sequela. On the 4th month of follow-up, no improvement was noted in his neurological examination. On the 9th month of follow-up, his clinical condition was better, but bilateral electric cataract was diagnosed. Both eyes were operated on and intraocular lenses were implanted with good results. Now he is 16th month of follow-up: neurological examination revealed only mild hemiparesis on the left side and mild articulation disorder. His school performance was moderate and intelligence quotient was 71. Magnetic resonance imaging of brain showed markedly improvement of the hemorrhage. To our best knowledge thalamic hemorrhage resulting from high-voltage electrical injury has not previously been reported in the literature. Sentence B: We aimed to decipher the molecular genetic basis of disease in a cohort of children with a uniform clinical presentation of neonatal irritability, spastic or dystonic quadriplegia, virtually absent psychomotor development, axonal neuropathy, and elevated blood/CSF lactate. ###Answer 1. Changed (Semantic drift) The target word ""quadriplegia"" has undergone a significant change in meaning between Sentence A (2000) and Sentence B (2020). In Sentence A, the word is used to describe a specific medical condition with clear neurological symptoms, including spasticity, rigidity, and hemiparesis. However, in Sentence B, the word is used more broadly to describe a general clinical presentation characterized by neonatal irritability, spastic or dystonic quadriplegia, and virtually absent psychomotor development. The meaning of the word has shifted from a specific medical condition to a broader clinical presentation. Therefore, the label ""Changed"" is appropriate to indicate semantic drift has occurred." 44,Quadriplegia,"We report herein a case of a intraspinal hematoma in a 9-year-old boy with factor IX deficiency. Replacement of factor IX resulted in resolution of symptoms. The most frequent presentations of intraspinal hematomas are neck or back pain, paresis, sensory impairment, and urinary retention. Intraspinal hematomas may have devastating sequelae, including hemiplegia and quadriplegia. The occurrence or development of sequelae are related to the length of time between onset of symptoms and factor replacement. Whenever the physician suspects intraspinal hematoma, immediate replacement should be given to obtain levels of 80-100% prior to any imaging studies. Factor levels should be maintained at 30-50% for 10-14 days while the patient is monitored closely with serial neurological examinations. Most patients respond to factor replacement, but laminectomy should be considered for intractable or progressive cases.","Clinicians make decisions about patient management on a daily basis and are required to act in a way that is both legally and ethically correct. To act legally requires compliance with a set of rules which reflect the values and interests of society. Ethical decisions are based on what we believe as a group to be morally right. Morals are, however, unique to the individual. Balancing the legal, ethical and moral dimensions of clinical decisions has the potential, therefore, to generate conflict for the individual practitioner. In this paper we report a case study of a patient with a high cervical spine injury resulting in quadriplegia, without prospect of a ventilator independent life. The patient, who was assessed as having capacity to make decisions, subsequently elected to have treatment withdrawn. In this case, withdrawal of treatment constituted removal of mechanical ventilation which ultimately resulted in death. The patient also requested for his organs to be donated after he was deceased. This case study, to our knowledge, is the first report of donation after cardiac death following a high cervical spinal injury in a cognitively intact patient. As such, this case study allows us to discuss the moral, ethical and legal implications of donation after cardiac death following withdrawal of medical treatment.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Quadriplegia Sentence A: We report herein a case of a intraspinal hematoma in a 9-year-old boy with factor IX deficiency. Replacement of factor IX resulted in resolution of symptoms. The most frequent presentations of intraspinal hematomas are neck or back pain, paresis, sensory impairment, and urinary retention. Intraspinal hematomas may have devastating sequelae, including hemiplegia and quadriplegia. The occurrence or development of sequelae are related to the length of time between onset of symptoms and factor replacement. Whenever the physician suspects intraspinal hematoma, immediate replacement should be given to obtain levels of 80-100% prior to any imaging studies. Factor levels should be maintained at 30-50% for 10-14 days while the patient is monitored closely with serial neurological examinations. Most patients respond to factor replacement, but laminectomy should be considered for intractable or progressive cases. Sentence B: Clinicians make decisions about patient management on a daily basis and are required to act in a way that is both legally and ethically correct. To act legally requires compliance with a set of rules which reflect the values and interests of society. Ethical decisions are based on what we believe as a group to be morally right. Morals are, however, unique to the individual. Balancing the legal, ethical and moral dimensions of clinical decisions has the potential, therefore, to generate conflict for the individual practitioner. In this paper we report a case study of a patient with a high cervical spine injury resulting in quadriplegia, without prospect of a ventilator independent life. The patient, who was assessed as having capacity to make decisions, subsequently elected to have treatment withdrawn. In this case, withdrawal of treatment constituted removal of mechanical ventilation which ultimately resulted in death. The patient also requested for his organs to be donated after he was deceased. This case study, to our knowledge, is the first report of donation after cardiac death following a high cervical spinal injury in a cognitively intact patient. As such, this case study allows us to discuss the moral, ethical and legal implications of donation after cardiac death following withdrawal of medical treatment. ###Answer 1. Changed Reasoning: The target word ""quadriplegia"" has undergone a significant change in meaning between Sentence A (2000) and Sentence B (2020). In Sentence A, the word is used to describe a spinal injury resulting in paralysis, with a focus on the medical consequences. In Sentence B, the word is used to describe a patient's decision to withdraw treatment and donate their organs after death, with a focus on ethical and moral considerations. The meaning of the word has shifted from a purely medical context to a broader ethical and moral context." 45,Quadriplegia,"This is a prospective observational study of a consecutive series of 34 children with spastic cerebral palsy treated at a single center. 10 had spastic quadriplegia and 24 had spastic diplegia. All were followed for at least one year. After selective dorsal rhizotomy (SDR), all children received one month of physical therapy at the center and were prescribed a program of physical therapy in their community. The children were assessed before and one year after SDR and physical therapy, using the Ashworth Scale, deep tendon reflex response, range of motion and the Gross Motor Function Measure. The results show that there is often a decrease in lower-extremity spasticity and functional improvement after SDR with physical therapy, but that there is considerable variability in outcome. Randomized prospective clinical trials with masked objective outcome measures are needed to determine the efficacy of SDR.","Massive cerebral and spinal gas embolism occurs rarely as a complication of discectomy. We report a 54-year-old female who had undergone a discectomy (L3/4 and L4/5) under epidural anesthesia in a local hospital developed multiple massive gas embolisms. At closure, surgeons irrigated the incision wound with hydrogen peroxide. Soon after the irrigation, the patient suddenly developed tachycardia, hypotension, and rapid oxygen desaturation. Subsequently, patient progressed into unconsciousness and right hemianopsia quadriplegia. Computed tomography (CT) scan showed multiple hypointensity spots around the brain due to cerebral gas embolism, which indicated the pneumoencephalos. The likely mechanism was the absorption of hydrogen peroxide into blood. When the amount of oxygen evolved exceeded its maximal blood solubility, venous embolization occurred. Though the patient was treated with supportive treatments and hyperbaric oxygen, she did not get full recovery and was left with severe long-term cerebral injury. ","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Quadriplegia Sentence A: This is a prospective observational study of a consecutive series of 34 children with spastic cerebral palsy treated at a single center. 10 had spastic quadriplegia and 24 had spastic diplegia. All were followed for at least one year. After selective dorsal rhizotomy (SDR), all children received one month of physical therapy at the center and were prescribed a program of physical therapy in their community. The children were assessed before and one year after SDR and physical therapy, using the Ashworth Scale, deep tendon reflex response, range of motion and the Gross Motor Function Measure. The results show that there is often a decrease in lower-extremity spasticity and functional improvement after SDR with physical therapy, but that there is considerable variability in outcome. Randomized prospective clinical trials with masked objective outcome measures are needed to determine the efficacy of SDR. Sentence B: Massive cerebral and spinal gas embolism occurs rarely as a complication of discectomy. We report a 54-year-old female who had undergone a discectomy (L3/4 and L4/5) under epidural anesthesia in a local hospital developed multiple massive gas embolisms. At closure, surgeons irrigated the incision wound with hydrogen peroxide. Soon after the irrigation, the patient suddenly developed tachycardia, hypotension, and rapid oxygen desaturation. Subsequently, patient progressed into unconsciousness and right hemianopsia quadriplegia. Computed tomography (CT) scan showed multiple hypointensity spots around the brain due to cerebral gas embolism, which indicated the pneumoencephalos. The likely mechanism was the absorption of hydrogen peroxide into blood. When the amount of oxygen evolved exceeded its maximal blood solubility, venous embolization occurred. Though the patient was treated with supportive treatments and hyperbaric oxygen, she did not get full recovery and was left with severe long-term cerebral injury. ###Answer 1. Changed Reasoning: In Sentence A, the term ""quadriplegia"" is used to describe a specific type of cerebral palsy. The context suggests that the term is used to refer to a specific medical condition, and the meaning remains relatively consistent throughout the sentence. In Sentence B, the term ""quadriplegia"" is used in a different context and has a different meaning. The term is used to describe a complication of a surgical procedure, specifically gas embolism. The context suggests that the term is used to refer to a specific medical condition with a different meaning than in Sentence A. Therefore, semantic drift has occurred in the usage of the term ""quadriplegia"" between the two sentences." 46,Quadriplegia,"Self-help orthotics have been developed to assist functional activities for high-level spinal cord injured patients. The goal of rehabilitation has been to do this with as little intrusion on independence and cosmesis as possible. This paper describes devices to help a patient with C6 quadriplegia independently place his own utensils and eat with an almost normal appearance. The new self-help aids are made from standard silverware, a rivet, and two one-eighth-inch Kydex loops. The loops are riveted centrally on the utensil, allowing for free rotation. The device was evaluated on a patient with C6, complete quadriplegia. The subject demonstrated independence in donning and doffing the device and in eating with an almost normal appearance.","Acute aortic dissection is a medical emergency. Without prompt recognition and treatment, the mortality rate is high. An atypical presentation makes timely diagnosis difficult, especially if the patient is experiencing no characteristic pain. Many patients with aortic dissection are reported to have presented with various neurologic manifestations, but none with only a presentation of transient locked-in syndrome.Herein, we report a case of completely painless aortic dissection in a woman who presented with a transient episode of anarthria, quadriplegia, and preserved consciousness. On physical examination, she had a 40-point difference in blood pressure between her left and right arms, and a loud diastolic murmur. The diagnosis of acute aortic dissection was reached via a combination of radiography, computed tomography, echocardiography, and a high index of clinical suspicion. The patient underwent emergency surgery and ultimately experienced a successful outcome.To our knowledge, this is the 1st report of aortic dissection that presented solely as locked-in syndrome. We suggest that silent aortic dissection be added to the differential diagnosis for transient locked-in syndrome.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Quadriplegia Sentence A: Self-help orthotics have been developed to assist functional activities for high-level spinal cord injured patients. The goal of rehabilitation has been to do this with as little intrusion on independence and cosmesis as possible. This paper describes devices to help a patient with C6 quadriplegia independently place his own utensils and eat with an almost normal appearance. The new self-help aids are made from standard silverware, a rivet, and two one-eighth-inch Kydex loops. The loops are riveted centrally on the utensil, allowing for free rotation. The device was evaluated on a patient with C6, complete quadriplegia. The subject demonstrated independence in donning and doffing the device and in eating with an almost normal appearance. Sentence B: Acute aortic dissection is a medical emergency. Without prompt recognition and treatment, the mortality rate is high. An atypical presentation makes timely diagnosis difficult, especially if the patient is experiencing no characteristic pain. Many patients with aortic dissection are reported to have presented with various neurologic manifestations, but none with only a presentation of transient locked-in syndrome.Herein, we report a case of completely painless aortic dissection in a woman who presented with a transient episode of anarthria, quadriplegia, and preserved consciousness. On physical examination, she had a 40-point difference in blood pressure between her left and right arms, and a loud diastolic murmur. The diagnosis of acute aortic dissection was reached via a combination of radiography, computed tomography, echocardiography, and a high index of clinical suspicion. The patient underwent emergency surgery and ultimately experienced a successful outcome.To our knowledge, this is the 1st report of aortic dissection that presented solely as locked-in syndrome. We suggest that silent aortic dissection be added to the differential diagnosis for transient locked-in syndrome. ###Answer 1. Changed Reasoning: In Sentence A, the term ""quadriplegia"" is used to describe a patient with a spinal cord injury who is able to perform functional activities with minimal intrusion on independence and cosmesis. The term implies a relatively high level of mobility and independence for someone with this condition. In Sentence B, the term ""quadriplegia"" is used to describe a patient who is experiencing a medical emergency and has lost all mobility and independence. The term implies a significant loss of function and a dire medical situation. Therefore, the meaning of the term ""quadriplegia"" has changed significantly between the two sentences, indicating semantic drift. The term has shifted from a relatively positive connotation in Sentence A to a negative connotation in Sentence B." 47,Quadriplegia,"A 77-year-old man was admitted because of muscle weakness in both upper and lower extremities. Diabetes mellitus was diagnosed in 1988 and he had been treated by oral hypoglycemic agents. He had a common cold at the end of January, 1997. Muscle weakness appeared in the upper extremities, followed by the lower extremities at the end of February. No sensory disturbance or dysuria was recognized. Nerve conduction study revealed distally dominant demyelinating polyneuropathy. Guillain-Barré's syndrome was diagnosed and he recovered completely following immunological absorption therapy (IAT). However, he had quadriplegia again at the end of April. He was treated by IAT combined with corticosteroid and has shown no relapse. In June, 1997, gastric cancer was detected by upper gastrointestinal fiberscopy and subtotal gastrectomy was performed. Judging from this clinical course, this case seems to be chronic inflammatory demyelinating polyneuropathy (CIDP) with acute onset. Many kinds of causes often contribute to the pathogenesis of neuropathy in the elderly. So in cases of progression or worsening, we should consider such possibilities and it is necessary not to exclude treatable causes of neuropathy.","Glucocorticoids (GC) are used for intensive care unit (ICU) patients on several indications. We present a patient who was admitted to the ICU due to severe respiratory failure caused by bronchospasm requiring mechanical ventilation and treated with methylprednisolone 240 mg/day in addition to antibiotics and bronchiolytics. When the sedation was lifted on day 10, the patient was awake but quadriplegic. Blood samples revealed elevated muscle enzymes, electromyography showed myopathy, and a muscle biopsy was performed. Glucocorticoid-induced myopathy was suspected, GC treatment was tapered, and muscle strength gradually returned. The patient made full recovery from the quadriplegia a few months later. ","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Quadriplegia Sentence A: A 77-year-old man was admitted because of muscle weakness in both upper and lower extremities. Diabetes mellitus was diagnosed in 1988 and he had been treated by oral hypoglycemic agents. He had a common cold at the end of January, 1997. Muscle weakness appeared in the upper extremities, followed by the lower extremities at the end of February. No sensory disturbance or dysuria was recognized. Nerve conduction study revealed distally dominant demyelinating polyneuropathy. Guillain-Barré's syndrome was diagnosed and he recovered completely following immunological absorption therapy (IAT). However, he had quadriplegia again at the end of April. He was treated by IAT combined with corticosteroid and has shown no relapse. In June, 1997, gastric cancer was detected by upper gastrointestinal fiberscopy and subtotal gastrectomy was performed. Judging from this clinical course, this case seems to be chronic inflammatory demyelinating polyneuropathy (CIDP) with acute onset. Many kinds of causes often contribute to the pathogenesis of neuropathy in the elderly. So in cases of progression or worsening, we should consider such possibilities and it is necessary not to exclude treatable causes of neuropathy. Sentence B: Glucocorticoids (GC) are used for intensive care unit (ICU) patients on several indications. We present a patient who was admitted to the ICU due to severe respiratory failure caused by bronchospasm requiring mechanical ventilation and treated with methylprednisolone 240 mg/day in addition to antibiotics and bronchiolytics. When the sedation was lifted on day 10, the patient was awake but quadriplegic. Blood samples revealed elevated muscle enzymes, electromyography showed myopathy, and a muscle biopsy was performed. Glucocorticoid-induced myopathy was suspected, GC treatment was tapered, and muscle strength gradually returned. The patient made full recovery from the quadriplegia a few months later. ###Answer 1. Changed Explanation: In Sentence A, the target word ""quadriplegia"" is used to describe the patient's condition after being admitted to the hospital. The context suggests that the patient has lost muscle function in both upper and lower extremities, resulting in immobility. The word carries a negative connotation, implying a significant loss of mobility and independence. In Sentence B, the target word ""quadriplegia"" is used to describe the patient's condition after being treated with glucocorticoids. The context suggests that the patient has regained muscle function and mobility. The word carries a different connotation, implying a positive outcome from the treatment. Based on these two sentences, it is clear that the meaning of the target word ""quadriplegia"" has shifted. In Sentence A, it implies a severe loss of muscle function, while in Sentence B, it implies a recovery from muscle weakness. Therefore, the label ""Changed"" is appropriate." 48,Quadriplegia,"The sagittal fracture of the cervical vertebral body is an uncommon injury producing the paradoxic situation of profound quadriplegia with either normal or minimal radiographic findings and may be overlooked if polytomography or computed tomography (CT) is not performed. The sagittal fracture was the sole fracture of the vertebral body in seven cases encountered in a review of 270 consecutive cervical fractures, and was readily apparent on routine anteroposterior radiographs in two cases, suspected in two cases, but clearly demonstrated in all cases by polytomography or CT. Most (five of seven) occurred with multiple levels of sagittal fractures in which only one case was apparent on routine radiographs. Posterior ring fractures at the lamina or pedicle were commonly present (six of seven), but detected by plain radiographs in only two cases. The sagittal fracture is frequently a component of the teardrop fracture, occurring in 44% (51/116) of teardrop fractures that were additionally reviewed. The plain radiographic findings are emphasized, since they provide the initial clues as to the presence of this injury. Computed tomography and polytomography either confirmed the presence of or detected additional sagittal fractures, as well as determined the presence of frequently associated arch fractures, and should be used if the plain film findings are uncertain, especially if there is quadriplegia present.","Quadriplegia is a serious group of spinal disability. Cases with quadriplegia usually present unsatisfactory sexual life. In male, the main problem is the ability to reach orgasm deficient. In female, pregnancy problem should be noted. Management of sexuality problem in quadriplegia is of interest. In this article, the author will briefly review on this topic.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Quadriplegia Sentence A: The sagittal fracture of the cervical vertebral body is an uncommon injury producing the paradoxic situation of profound quadriplegia with either normal or minimal radiographic findings and may be overlooked if polytomography or computed tomography (CT) is not performed. The sagittal fracture was the sole fracture of the vertebral body in seven cases encountered in a review of 270 consecutive cervical fractures, and was readily apparent on routine anteroposterior radiographs in two cases, suspected in two cases, but clearly demonstrated in all cases by polytomography or CT. Most (five of seven) occurred with multiple levels of sagittal fractures in which only one case was apparent on routine radiographs. Posterior ring fractures at the lamina or pedicle were commonly present (six of seven), but detected by plain radiographs in only two cases. The sagittal fracture is frequently a component of the teardrop fracture, occurring in 44% (51/116) of teardrop fractures that were additionally reviewed. The plain radiographic findings are emphasized, since they provide the initial clues as to the presence of this injury. Computed tomography and polytomography either confirmed the presence of or detected additional sagittal fractures, as well as determined the presence of frequently associated arch fractures, and should be used if the plain film findings are uncertain, especially if there is quadriplegia present. Sentence B: Quadriplegia is a serious group of spinal disability. Cases with quadriplegia usually present unsatisfactory sexual life. In male, the main problem is the ability to reach orgasm deficient. In female, pregnancy problem should be noted. Management of sexuality problem in quadriplegia is of interest. In this article, the author will briefly review on this topic. ###Answer 1. Changed Reasoning: In Sentence A, the target word ""quadriplegia"" is used to describe a specific type of spinal injury, with a focus on the radiographic findings and management of the injury. The word is used in a medical context, with a clear definition of the term. In Sentence B, the target word ""quadriplegia"" is used in a completely different context. It is no longer a medical term, but rather a general term to describe a group of people with spinal disabilities. The word is used in a non-medical context, and its meaning has shifted to include a broader definition of the term. As a result, the meaning of the target word has undergone a significant change between the two sentences, indicating semantic drift has occurred." 49,Quadriplegia,"The case of a 34-yr-old Caucasian male with Graves' disease presenting with a flaccid quadriplegia and severe hypokalemia is reported. The weakness was prevalent at the lower extremities and began during nocturnal sleep, after a strenuous physical exertion performed during the day. Correction of hypokalemia promptly reversed the quadriplegia. The occurrence of hypokalemic thyrotoxic periodic paralysis several months after the beginning of thyrotoxic symptoms, and the normal insulin serum levels on admission differentiate this patient from most of the previously reported cases.","Whole-exome sequencing (WES) represents a significant breakthrough in clinical genetics, and identifies a genetic etiology in up to 30% of cases of intellectual disability (ID). Using WES, we identified seven unrelated patients with a similar clinical phenotype of severe intellectual disability or neurodevelopmental delay who were all heterozygous for de novo truncating variants in the AT-hook DNA-binding motif-containing protein 1 (AHDC1). The patients were all minimally verbal or nonverbal and had variable neurological problems including spastic quadriplegia, ataxia, nystagmus, seizures, autism, and self-injurious behaviors. Additional common clinical features include dysmorphic facial features and feeding difficulties associated with failure to thrive and short stature. The AHDC1 gene has only one coding exon, and the protein contains conserved regions including AT-hook motifs and a PDZ binding domain. We postulate that all seven variants detected in these patients result in a truncated protein missing critical functional domains, disrupting interactions with other proteins important for brain development. Our study demonstrates that truncating variants in AHDC1 are associated with ID and are primarily associated with a neurodevelopmental phenotype. ","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Quadriplegia Sentence A: The case of a 34-yr-old Caucasian male with Graves' disease presenting with a flaccid quadriplegia and severe hypokalemia is reported. The weakness was prevalent at the lower extremities and began during nocturnal sleep, after a strenuous physical exertion performed during the day. Correction of hypokalemia promptly reversed the quadriplegia. The occurrence of hypokalemic thyrotoxic periodic paralysis several months after the beginning of thyrotoxic symptoms, and the normal insulin serum levels on admission differentiate this patient from most of the previously reported cases. Sentence B: Whole-exome sequencing (WES) represents a significant breakthrough in clinical genetics, and identifies a genetic etiology in up to 30% of cases of intellectual disability (ID). Using WES, we identified seven unrelated patients with a similar clinical phenotype of severe intellectual disability or neurodevelopmental delay who were all heterozygous for de novo truncating variants in the AT-hook DNA-binding motif-containing protein 1 (AHDC1). The patients were all minimally verbal or nonverbal and had variable neurological problems including spastic quadriplegia, ataxia, nystagmus, seizures, autism, and self-injurious behaviors. Additional common clinical features include dysmorphic facial features and feeding difficulties associated with failure to thrive and short stature. The AHDC1 gene has only one coding exon, and the protein contains conserved regions including AT-hook motifs and a PDZ binding domain. We postulate that all seven variants detected in these patients result in a truncated protein missing critical functional domains, disrupting interactions with other proteins important for brain development. Our study demonstrates that truncating variants in AHDC1 are associated with ID and are primarily associated with a neurodevelopmental phenotype. ###Answer 1. Changed Explanation: In Sentence A, the word ""quadriplegia"" is used to describe a condition where the patient has weakness in their lower extremities, primarily at night, after physical exertion during the day. The word is used in the context of a medical case study, and the meaning is straightforward and unambiguous. In Sentence B, the word ""quadriplegia"" is used to describe a broader range of neurological problems, including spastic quadriplegia, ataxia, nystagmus, seizures, autism, and self-injurious behaviors. The word is used in the context of a scientific study, and the meaning has shifted to include a broader range of symptoms and conditions. The word is also used to describe a genetic etiology of intellectual disability. Based on these differences, it is clear that the meaning of the word ""quadriplegia"" has changed significantly between Sentence A and Sentence B. In Sentence A, the word is used to describe a specific medical condition, while in Sentence B, the word is used to describe a broader range of neurological problems and genetic etiologies. Therefore, the label ""Changed"" is appropriate for this task." 50,Quadriplegia,Portage is a home-based teaching technique for mentally handicapped children. It would also appear to be useful for some neurologically impaired people. This paper describes how Portage has been adapted for brain-damaged adults. Three examples are given of Portage type programmes. The first describes the use of checklists for assessment of a blind aphasic woman who had suffered anoxia. The second describes part of the treatment of a woman who developed encephalitis which left her with quadriplegia. The final example outlines the treatment of a patient who had a subarachnoid haemorrhage which resulted in a fear of walking alone.,"Spontaneous spinal epidural hematoma (SSEH) represents 0.3% to 0.9% of spinal epidural space-occupying lesions, and most surgeons advocate aggressive and early surgical intervention. In this article, we describe a patient with SSEH with sudden quadriplegia after sit-ups exercise.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Quadriplegia Sentence A: Portage is a home-based teaching technique for mentally handicapped children. It would also appear to be useful for some neurologically impaired people. This paper describes how Portage has been adapted for brain-damaged adults. Three examples are given of Portage type programmes. The first describes the use of checklists for assessment of a blind aphasic woman who had suffered anoxia. The second describes part of the treatment of a woman who developed encephalitis which left her with quadriplegia. The final example outlines the treatment of a patient who had a subarachnoid haemorrhage which resulted in a fear of walking alone. Sentence B: Spontaneous spinal epidural hematoma (SSEH) represents 0.3% to 0.9% of spinal epidural space-occupying lesions, and most surgeons advocate aggressive and early surgical intervention. In this article, we describe a patient with SSEH with sudden quadriplegia after sit-ups exercise. ###Answer 1. Changed Reasoning: In Sentence A, the term ""quadriplegia"" is used to describe a person with brain damage, specifically anoxia and encephalitis. The context suggests that the term was used to describe a person with severe physical disability, likely including paralysis. In Sentence B, the term ""quadriplegia"" is used to describe a specific medical condition, spontaneous spinal epidural hematoma (SSEH). The context suggests that the term is now used to describe a specific medical condition, rather than a person with disability. The shift in meaning is significant, as the term is now used to describe a medical condition rather than a person with disability. Therefore, the label ""Changed"" is appropriate." 51,Quadriplegia,"A case is reported of a 46-year old male who has been suffering from recurrent episodes of quadriplegia, characteristic of hypokalemic periodic paralysis, for 28 years. During this period he has developed typical signs and symptoms of multiple sclerosis. The association of hypokalemic periodic paralysis and multiple sclerosis is extremely unusual.","Dens fractures are a common traumatic cervical spine injury. Among them, a type III fracture is the second common fracture. Although there are several treatment options, it has been accepted that type III fracture is usually healed by non-surgical method. After adequate reduction with traction, subsequent external immobilization has been associated with successful union rates. However, in the review of literatures, there are some cases with neurological deterioration after application of skull traction. So, the authors report a case of type III dens fracture with initially unrecognized ligamentous injury in which vertical dissociation and quadriplegia occurred after only five-pound Gardner-Well tongs traction. And also, the authors raise awareness of this potentially injury. ","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Quadriplegia Sentence A: A case is reported of a 46-year old male who has been suffering from recurrent episodes of quadriplegia, characteristic of hypokalemic periodic paralysis, for 28 years. During this period he has developed typical signs and symptoms of multiple sclerosis. The association of hypokalemic periodic paralysis and multiple sclerosis is extremely unusual. Sentence B: Dens fractures are a common traumatic cervical spine injury. Among them, a type III fracture is the second common fracture. Although there are several treatment options, it has been accepted that type III fracture is usually healed by non-surgical method. After adequate reduction with traction, subsequent external immobilization has been associated with successful union rates. However, in the review of literatures, there are some cases with neurological deterioration after application of skull traction. So, the authors report a case of type III dens fracture with initially unrecognized ligamentous injury in which vertical dissociation and quadriplegia occurred after only five-pound Gardner-Well tongs traction. And also, the authors raise awareness of this potentially injury. ###Answer 1. Changed Reasoning: In Sentence A, the term ""quadriplegia"" is used to describe a specific medical condition, hypokalemic periodic paralysis, which is characterized by recurrent episodes of weakness and paralysis. However, in Sentence B, the term ""quadriplegia"" is used in a different context, to describe a type of traumatic injury to the cervical spine. In this context, the term has a different meaning and connotation than in Sentence A. Therefore, semantic drift has occurred in the usage of the term ""quadriplegia""." 52,Quadriplegia,"A 57-year-old black female burned in a house fire sustained 22.5% total body surface area burns. On postburn day 45, she developed Staphylococcus aureus septicemia, and vancomycin was begun. On postburn day 50, quadriplegia developed. Magnetic resonance imaging revealed an anterior cervical mass, and cervical drainage of a staphylococcal cervical abscess was conducted. Antibiotics were continued. The patient regained almost complete neurologic function and was discharged doing well.","The locked-in syndrome (LIS) is a severe condition originated by a ventral pons lesion causing quadriplegia and anarthria but with a preserved consciousness. LIS seems to be a well defined clinical picture, although different problems still persist, such as the diagnosis as it is usually mistaken for akinetic mutism and a vegetative state; the unclear prognosis, because of the patient's psychological state and the lack of information and data concerning the different types of available treatment and the need for results. Rehabilitation is a challenge for physicians, new methods and techniques of specialized treatments for these patients are opening a new future that will allow us to abandon the initial pessimism. A more efficient rehabilitation of these patients depends on the intensity of the rehabilitation, the multidisciplinary approach, and duration of the treatment.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Quadriplegia Sentence A: A 57-year-old black female burned in a house fire sustained 22.5% total body surface area burns. On postburn day 45, she developed Staphylococcus aureus septicemia, and vancomycin was begun. On postburn day 50, quadriplegia developed. Magnetic resonance imaging revealed an anterior cervical mass, and cervical drainage of a staphylococcal cervical abscess was conducted. Antibiotics were continued. The patient regained almost complete neurologic function and was discharged doing well. Sentence B: The locked-in syndrome (LIS) is a severe condition originated by a ventral pons lesion causing quadriplegia and anarthria but with a preserved consciousness. LIS seems to be a well defined clinical picture, although different problems still persist, such as the diagnosis as it is usually mistaken for akinetic mutism and a vegetative state; the unclear prognosis, because of the patient's psychological state and the lack of information and data concerning the different types of available treatment and the need for results. Rehabilitation is a challenge for physicians, new methods and techniques of specialized treatments for these patients are opening a new future that will allow us to abandon the initial pessimism. A more efficient rehabilitation of these patients depends on the intensity of the rehabilitation, the multidisciplinary approach, and duration of the treatment. ###Answer 1. Changed 2. Unchanged Explanation: In Sentence A, the target word ""quadriplegia"" is used to describe the patient's condition after a burn injury. The context suggests that the patient has lost function in all four limbs, resulting in limited mobility and dependence on others for daily activities. The sentence does not convey any significant change in the meaning of the word ""quadriplegia"" from its traditional definition as a condition characterized by paralysis of four limbs. Therefore, the label ""Unchanged"" is appropriate. In Sentence B, the target word ""quadriplegia"" is used to describe a specific medical condition, locked-in syndrome (LIS), which is characterized by a ventral pons lesion causing quadriplegia and anarthria, but with a preserved consciousness. The context suggests that the word ""quadriplegia"" has taken on a new meaning in this sentence, specifically referring to the specific medical condition of LIS. This new meaning is distinct from the traditional definition of the word, which emphasizes the loss of function in all four limbs. Therefore, the label ""Changed"" is appropriate." 53,Quadriplegia,"A 23-year-old woman developed acute respiratory failure in the course of multiple sclerosis. The lack of bulbar dysfunction, the presence of quadriplegia, and the bilateral diaphragmatic weakness indicated the presence of spinal cord lesions involving pyramidal tracts bilaterally. Magnetic resonance imaging revealed a cervical demyelinating lesion between C1 and C3.","Intrathecal baclofen (ITB) therapy is popular for the management of intractable spasticity. In 2007, the indications of ITB therapy expanded to include spasticity of children in Japan. In this report, we assessed the utility of radioisotopic scintigraphy in the diagnosis of failed ITB therapy. A 7-year-old boy with schizencephaly, hydrocephalus, and spastic quadriplegia had an ITB pump implanted. In his infancy, he had undergone ventriculoperitoneal shunt implantation. One month after the ITB operation, the ITB therapeutic effect diminished. Several examinations confirmed that the pump function was normal and catheter failure had not occurred. However, radioisotopic scintigraphy revealed that the baclofen had been washed out to blood circulation more rapidly than is typically observed. We considered two possible causes for this; obstruction of the cerebrospinal space due to kyphosis and excessive washout of celebrospinal fluid through the ventriculoperitoneal shunt. The catheter was moved to a more caudal site surgically, and his spasticity improved. The use of radioisotopic scintigraphy to identify the distribution of baclofen is an effective technique for investigation of baclofen pump system malfunction.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Quadriplegia Sentence A: A 23-year-old woman developed acute respiratory failure in the course of multiple sclerosis. The lack of bulbar dysfunction, the presence of quadriplegia, and the bilateral diaphragmatic weakness indicated the presence of spinal cord lesions involving pyramidal tracts bilaterally. Magnetic resonance imaging revealed a cervical demyelinating lesion between C1 and C3. Sentence B: Intrathecal baclofen (ITB) therapy is popular for the management of intractable spasticity. In 2007, the indications of ITB therapy expanded to include spasticity of children in Japan. In this report, we assessed the utility of radioisotopic scintigraphy in the diagnosis of failed ITB therapy. A 7-year-old boy with schizencephaly, hydrocephalus, and spastic quadriplegia had an ITB pump implanted. In his infancy, he had undergone ventriculoperitoneal shunt implantation. One month after the ITB operation, the ITB therapeutic effect diminished. Several examinations confirmed that the pump function was normal and catheter failure had not occurred. However, radioisotopic scintigraphy revealed that the baclofen had been washed out to blood circulation more rapidly than is typically observed. We considered two possible causes for this; obstruction of the cerebrospinal space due to kyphosis and excessive washout of celebrospinal fluid through the ventriculoperitoneal shunt. The catheter was moved to a more caudal site surgically, and his spasticity improved. The use of radioisotopic scintigraphy to identify the distribution of baclofen is an effective technique for investigation of baclofen pump system malfunction. ###Answer 1. Changed Reasoning: In Sentence B, the term ""quadriplegia"" is used to describe a 7-year-old boy with spasticity, which is a significant shift from its original meaning. In the past, quadriplegia typically referred to a condition where a person has a complete loss of motor function in all four limbs, usually as a result of spinal cord injury or disease. However, in Sentence B, the term is used to describe a child with spasticity, which is a milder condition characterized by muscle stiffness and spasms. This shift in meaning indicates that the term ""quadriplegia"" has undergone semantic drift." 54,Quadriplegia,"The neurosurgical role in rehabilitation rehabilitation was studied. Over a 5-year period, 850 individuals were referred to a rehabilitation center after initial acute care. Surgery was indicated for 66 patients. There were 28 quadriplegic or paraplegic individuals with intractable spasticity. Percutaneous radiofrequency foramenal rhizotomies were found to be 98% effective in relieving posttraumatic spasticity. In 14 patients with cognitive impairment, intellectual improvement had reached a plateau level. These persons underwent computed tomography scanning and cisternography, revealing significant communicating hydrocephalus. After surgical shunt therapy, cognitive improvement was noted in 86%. Nineteen individuals were sent for rehabilitation following spine fracture or progressive quadriplegia; 17 were found to have persistent spinal instability requiring surgical stabilization by fusion. This was successful in all cases without complications. Two persons required decompressive spinal operations, resulting in neurological stabilization or improvement. Five patients developed pain, spasticity, ascending neurological deficit, or autonomic dysreflexia due to posttraumatic syrinx. These symptoms were stabilized or improved following syringosubarachnoid shunting. The authors submit that comprehensive neurosurgical reevaluation is desirable in patients received for rehabilitation. Periodic neurosurgical follow-up is recommended. The neurosurgeon's role is not limited to the acute process.","Sjögren-Larsson syndrome (SLS) is an autosomal recessive disease characterized by a triad of congenital ichthyosis, spastic quadriplegia and mental retardation. An 11-year-old girl (body weight 30 kg) diagnosed as SLS was admitted with Benett fracture of the right thumb. She was monitored with standard protocol. General anesthesia was induced by rapid induction method with propofol 50 mg and rocuronium 0.6 mg - kg⁻¹. She was ventilated with bag and mask, and intu- bated without difficulty. Neuromuscular function was continuously assessed by 40 mA-TOF-stimulation re- sponses with acceleromyography immediately after induction of general anesthesia by TOF-Watch® SX (Organon Ireland, division of MSD, Ireland). Anesthe- sia was maintained with total intravenous anesthesia with propofol 6-8-10 mg⁻¹ · hr⁻¹ in oxygen. No abnor- mal responses were observed by TOF-Watche SX despite the neuromuscular disease. Residual effect of the neuromuscular blocking agent was successfully reversed by sugammadex and she was extubated without any respiratory trouble. She was discharged on the postoperative day 1 without complications.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Quadriplegia Sentence A: The neurosurgical role in rehabilitation rehabilitation was studied. Over a 5-year period, 850 individuals were referred to a rehabilitation center after initial acute care. Surgery was indicated for 66 patients. There were 28 quadriplegic or paraplegic individuals with intractable spasticity. Percutaneous radiofrequency foramenal rhizotomies were found to be 98% effective in relieving posttraumatic spasticity. In 14 patients with cognitive impairment, intellectual improvement had reached a plateau level. These persons underwent computed tomography scanning and cisternography, revealing significant communicating hydrocephalus. After surgical shunt therapy, cognitive improvement was noted in 86%. Nineteen individuals were sent for rehabilitation following spine fracture or progressive quadriplegia; 17 were found to have persistent spinal instability requiring surgical stabilization by fusion. This was successful in all cases without complications. Two persons required decompressive spinal operations, resulting in neurological stabilization or improvement. Five patients developed pain, spasticity, ascending neurological deficit, or autonomic dysreflexia due to posttraumatic syrinx. These symptoms were stabilized or improved following syringosubarachnoid shunting. The authors submit that comprehensive neurosurgical reevaluation is desirable in patients received for rehabilitation. Periodic neurosurgical follow-up is recommended. The neurosurgeon's role is not limited to the acute process. Sentence B: Sjögren-Larsson syndrome (SLS) is an autosomal recessive disease characterized by a triad of congenital ichthyosis, spastic quadriplegia and mental retardation. An 11-year-old girl (body weight 30 kg) diagnosed as SLS was admitted with Benett fracture of the right thumb. She was monitored with standard protocol. General anesthesia was induced by rapid induction method with propofol 50 mg and rocuronium 0.6 mg - kg⁻¹. She was ventilated with bag and mask, and intu- bated without difficulty. Neuromuscular function was continuously assessed by 40 mA-TOF-stimulation re- sponses with acceleromyography immediately after induction of general anesthesia by TOF-Watch® SX (Organon Ireland, division of MSD, Ireland). Anesthe- sia was maintained with total intravenous anesthesia with propofol 6-8-10 mg⁻¹ · hr⁻¹ in oxygen. No abnor- mal responses were observed by TOF-Watche SX despite the neuromuscular disease. Residual effect of the neuromuscular blocking agent was successfully reversed by sugammadex and she was extubated without any respiratory trouble. She was discharged on the postoperative day 1 without complications. ###Answer 1. Changed Explanation: In Sentence A, ""quadriplegia"" is used to describe individuals with ""intractable spasticity,"" implying a severe and debilitating form of the condition. In Sentence B, ""quadriplegia"" is used to describe a child with Sjögren-Larsson syndrome, which is a different condition altogether. The meaning of ""quadriplegia"" has shifted from a medical condition to a descriptive term for a specific population." 55,Quadriplegia,"An 11-year-old girl with splastic quadriplegia, and immobilization atrophy developed a stress fracture of the calcaneus, are rare cause of heel pain in children. There was complete remission of symptoms with healing of the fracture.","Cerebral palsy (CP) is a disorder characterized by abnormal tone, posture and movement and clinically classified based on the predominant motor syndrome-spastic hemiplegia, spastic diplegia, spastic quadriplegia, and extrapyramidal or dyskinetic. The incidence of CP is 2-3 per 1,000 live births. Prematurity and low birthweight are important risk factors for CP; however, multiple other factors have been associated with an increased risk for CP, including maternal infections, and multiple gestation. In most cases of CP the initial injury to the brain occurs during early fetal brain development; intracerebral hemorrhage and periventricular leukomalacia are the main pathologic findings found in preterm infants who develop CP. The diagnosis of CP is primarily based on clinical findings. Early diagnosis is possible based on a combination of clinical history, use of standardized neuromotor assessment and findings on magnetic resonance imaging (MRI); however, in most clinical settings CP is more reliably recognized by 2 years of age. MRI scan is indicated to delineate the extent of brain lesions and to identify congenital brain malformations. Genetic tests and tests for inborn errors of metabolism are indicated based on clinical findings to identify specific disorders. Because CP is associated with multiple associated and secondary medical conditions, its management requires a multidisciplinary team approach. Most children with CP grow up to be productive adults.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Quadriplegia Sentence A: An 11-year-old girl with splastic quadriplegia, and immobilization atrophy developed a stress fracture of the calcaneus, are rare cause of heel pain in children. There was complete remission of symptoms with healing of the fracture. Sentence B: Cerebral palsy (CP) is a disorder characterized by abnormal tone, posture and movement and clinically classified based on the predominant motor syndrome-spastic hemiplegia, spastic diplegia, spastic quadriplegia, and extrapyramidal or dyskinetic. The incidence of CP is 2-3 per 1,000 live births. Prematurity and low birthweight are important risk factors for CP; however, multiple other factors have been associated with an increased risk for CP, including maternal infections, and multiple gestation. In most cases of CP the initial injury to the brain occurs during early fetal brain development; intracerebral hemorrhage and periventricular leukomalacia are the main pathologic findings found in preterm infants who develop CP. The diagnosis of CP is primarily based on clinical findings. Early diagnosis is possible based on a combination of clinical history, use of standardized neuromotor assessment and findings on magnetic resonance imaging (MRI); however, in most clinical settings CP is more reliably recognized by 2 years of age. MRI scan is indicated to delineate the extent of brain lesions and to identify congenital brain malformations. Genetic tests and tests for inborn errors of metabolism are indicated based on clinical findings to identify specific disorders. Because CP is associated with multiple associated and secondary medical conditions, its management requires a multidisciplinary team approach. Most children with CP grow up to be productive adults. ###Answer 1. Changed Reasoning: In Sentence A, the target word ""quadriplegia"" is used to describe a specific type of disability, where a child with spastic quadriplegia has developed a stress fracture of the calcaneus. The context suggests that the term is used to describe a condition characterized by immobility and atrophy. In Sentence B, the target word ""quadriplegia"" is used in a different context to describe a disorder characterized by abnormal tone, posture, and movement. The term is used to describe a condition that is different from the one described in Sentence A. Therefore, semantic drift has occurred in the meaning of the target word ""quadriplegia""." 56,Quadriplegia,"Individuals with spinal cord injury are evaluated according to a set of guidelines based on motor, sensory, and functional tests. The resulting scores are used to quantify the extent of neurological injury and functional loss. The purpose of the present study was to compare certain scoring systems using the same group of patients. Twenty-nine subjects with cervical spine cord injury were evaluated by the same examiner using three scales: (1) The American Spinal Cord Injury Association (ASIA) (2) The Quadriplegia Index of Function (QIF) (3) The Functional Independence Measure (FIM) Assessments were made both at admission to, and discharge from, the rehabilitation center. Positive change in motor score is widely used as an indicator of recovery after spinal cord injury. We assessed the relationship of the two functional tests, the FIM and the QIF, to ASIA scores and found strong correlations in both cases. The feeding and dressing categories of QIF showed an even stronger correlation to ASIA motor scores, though the statistical significance was the same for corresponding categories of FIM and QIF. The percent of recovery on ASIA motor scores was significantly correlated only to gain in QIF scores, not FIM. FIM lacks the category of bed activities. Some additions to the FIM may be useful, especially in the feeding and dressing categories, and a category of bed activities could be included as well, in order to improve sensitivity.","The case of 19-year old men with iatrogenic esophageal wall perforation is presented. The patient underwent anterior cervical stabilization using plate and screw for fracture of the C4 and C5 vertebra followed by an abscess of prevertebral space with discharging pus and food from the wound. The general condition was poor. Symptoms included: pneumonia, pleuritis with effusion, septicemia with mediastinitis, fever up to 40 and quadriplegia on neurological examination. During surgical procedure the implant loose but was still fixed into the esophagus causing a large defect in the posterior wall of the hypopharynx and cervical part of esophagus was found. The patient undergone three step surgery with wide drainage of prevertebral abscess, removing of osteosynthetic plate removal and formation of pedicle flap with sterno-cleido-mastoideus muscule. The finnal fourth procedure with using of pediculed infrahyoid flap gave an excellent result. During 160 days hospitalization the pus culture showed growth of the 11 bacterials species (like Pseudomonas aeruginosa, Staphylococcus aureus, Enterococcus faecalis) and 2 species of fungus. He was treated 13 types of antybiotics. This special case we present because of live threatening complication (mediastinitis) and complicated clinical course as well as because of unique technique of the defect closure, i.e. the infrahyoid flap occurred to be successful.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Quadriplegia Sentence A: Individuals with spinal cord injury are evaluated according to a set of guidelines based on motor, sensory, and functional tests. The resulting scores are used to quantify the extent of neurological injury and functional loss. The purpose of the present study was to compare certain scoring systems using the same group of patients. Twenty-nine subjects with cervical spine cord injury were evaluated by the same examiner using three scales: (1) The American Spinal Cord Injury Association (ASIA) (2) The Quadriplegia Index of Function (QIF) (3) The Functional Independence Measure (FIM) Assessments were made both at admission to, and discharge from, the rehabilitation center. Positive change in motor score is widely used as an indicator of recovery after spinal cord injury. We assessed the relationship of the two functional tests, the FIM and the QIF, to ASIA scores and found strong correlations in both cases. The feeding and dressing categories of QIF showed an even stronger correlation to ASIA motor scores, though the statistical significance was the same for corresponding categories of FIM and QIF. The percent of recovery on ASIA motor scores was significantly correlated only to gain in QIF scores, not FIM. FIM lacks the category of bed activities. Some additions to the FIM may be useful, especially in the feeding and dressing categories, and a category of bed activities could be included as well, in order to improve sensitivity. Sentence B: The case of 19-year old men with iatrogenic esophageal wall perforation is presented. The patient underwent anterior cervical stabilization using plate and screw for fracture of the C4 and C5 vertebra followed by an abscess of prevertebral space with discharging pus and food from the wound. The general condition was poor. Symptoms included: pneumonia, pleuritis with effusion, septicemia with mediastinitis, fever up to 40 and quadriplegia on neurological examination. During surgical procedure the implant loose but was still fixed into the esophagus causing a large defect in the posterior wall of the hypopharynx and cervical part of esophagus was found. The patient undergone three step surgery with wide drainage of prevertebral abscess, removing of osteosynthetic plate removal and formation of pedicle flap with sterno-cleido-mastoideus muscule. The finnal fourth procedure with using of pediculed infrahyoid flap gave an excellent result. During 160 days hospitalization the pus culture showed growth of the 11 bacterials species (like Pseudomonas aeruginosa, Staphylococcus aureus, Enterococcus faecalis) and 2 species of fungus. He was treated 13 types of antybiotics. This special case we present because of live threatening complication (mediastinitis) and complicated clinical course as well as because of unique technique of the defect closure, i.e. the infrahyoid flap occurred to be successful. ###Answer 1. Changed The meaning of ""quadriplegia"" has shifted significantly between the two sentences. In Sentence A, the term is used to describe the evaluation of individuals with spinal cord injuries based on motor, sensory, and functional tests. The focus is on the extent of neurological injury and functional loss. In Sentence B, the term is used to describe a patient with iatrogenic esophageal wall perforation who has developed pneumonia, pleuritis, septicemia, and quadriplegia on neurological examination. The focus is on the patient's condition and the surgical procedures performed to treat the complications. In Sentence A, ""quadriplegia"" is used in the context of a medical evaluation, emphasizing the assessment of neurological function. In contrast, in Sentence B, ""quadriplegia"" is used in the context of a patient's condition, emphasizing the severity of the injury. The shift in meaning is likely due to changes in medical understanding and terminology over time, as well as the different contexts in which the term is used in each sentence. Therefore, the label ""Changed"" is appropriate for this example." 57,Quadriplegia,"A 22 year old man with incomplete quadriplegia (C6-7) was unable to perform either a sliding or a pivot transfer. He was instrumented with an implanted functional neuromuscular stimulation (FNS) system, radio frequency-linked to a belt-worn controller. The system activated eight muscles selected from among quadriceps, hamstrings, posterior portion of the adductor magnus, gluteus maximus, and erector spinae, bilaterally. The two-stage implantation procedure included electrode implantation with percutaneous leads followed by stimulator implantation and removal of the percutaneous leads. All implants were well tolerated with no adverse effects. The subject was able independently to put on the external controller portion of the system and to perform a standing pivot transfer with only standby assistance. An unexpected outcome of the FNS system use was increased voluntary upper body strength that resulted in improvement of the sliding transfer from 'inability' to 'independent'.","Asparagine synthetase (ASNS) deficiency was recently discovered as a metabolic disorder of non-essential amino acids, and presents as severe progressive microcephaly, intellectual disorder, dyskinetic quadriplegia, and intractable seizures.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Quadriplegia Sentence A: A 22 year old man with incomplete quadriplegia (C6-7) was unable to perform either a sliding or a pivot transfer. He was instrumented with an implanted functional neuromuscular stimulation (FNS) system, radio frequency-linked to a belt-worn controller. The system activated eight muscles selected from among quadriceps, hamstrings, posterior portion of the adductor magnus, gluteus maximus, and erector spinae, bilaterally. The two-stage implantation procedure included electrode implantation with percutaneous leads followed by stimulator implantation and removal of the percutaneous leads. All implants were well tolerated with no adverse effects. The subject was able independently to put on the external controller portion of the system and to perform a standing pivot transfer with only standby assistance. An unexpected outcome of the FNS system use was increased voluntary upper body strength that resulted in improvement of the sliding transfer from 'inability' to 'independent'. Sentence B: Asparagine synthetase (ASNS) deficiency was recently discovered as a metabolic disorder of non-essential amino acids, and presents as severe progressive microcephaly, intellectual disorder, dyskinetic quadriplegia, and intractable seizures. ###Answer 1. Changed Reasoning: The meaning of ""quadriplegia"" in Sentence A is focused on the physical aspect of the condition, emphasizing the impairment of the muscles in the upper and lower limbs. The term is used to describe the subject's inability to perform certain movements, and the mention of the implanted FNS system highlights the medical intervention to address the condition. In Sentence B, the term ""quadriplegia"" takes on a different meaning, as it is used to describe a metabolic disorder rather than a physical impairment. The emphasis is on the metabolic origin of the condition, and the mention of ""ASNS deficiency"" highlights the underlying genetic cause. This shift in meaning is indicative of semantic drift, as the term ""quadriplegia"" has taken on a new connotation that is unrelated to its original meaning." 58,Quadriplegia,"To clarify the plantar reflex profile at 1 year of life in different categories of neurodevelopmental abnormalities, plantar responses were examined prospectively in 204 high-risk infants, of whom 58 developed cerebral palsy, 22 had developmental retardation without motor disturbance, and 124 were normal at a follow-up examination at 3 years of age. The plantar response was extensor in 82.3% of infants subsequently found to be neurologically normal at the first month of life, becoming flexor at the age of 9 and 11 months in 68.5% and 86.3%, respectively. Twenty-one (42.9%) of 49 patients with various types of spastic cerebral palsy demonstrated a combined extensor response (ie, dorsiflexion of the great toe with fanning of the remaining toes) as early as the first month of life. Children with spastic quadriplegia and hemiplegia more frequently demonstrated a combined extensor response compared to diplegic patients. The combined extensor plantar response remains a reliable prognostic clinical tool that contributes to an earlier diagnosis of spastic cerebral palsy as early as the first month of life.","Thyrotoxic hypokalemic periodic paralysis (THPP) is a very rare complication of thyrotoxicosis in whites, but is more frequently reported in individuals of Asian descent. Hypokalemia, with associated flaccid paralysis, and signs of hyperthyroidism, are the hallmark. We have reported a case of a 28-yr-old white man with Graves' disease presenting with a 2-wk history of episodic flaccid quadriplegia. Physical examination disclosed a resting tachycardia and symmetrical, proximal weakness involving both arms and legs. Electrocardiogram and electrolyte analysis showed a severe hypokalemia, and thyroid function tests revealed hyperthyroidism. The patient was diagnosed as having Graves' hyperthyroidism and THPP. Paralysis resolved with potassium supplements. He was treated with propranolol and, subsequently, methimazole. He had no further episodes of hypokalemic paralysis. To the best of the author's knowledge, and after a Medline search, THPP has not been described previously in a Turkish man.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Quadriplegia Sentence A: To clarify the plantar reflex profile at 1 year of life in different categories of neurodevelopmental abnormalities, plantar responses were examined prospectively in 204 high-risk infants, of whom 58 developed cerebral palsy, 22 had developmental retardation without motor disturbance, and 124 were normal at a follow-up examination at 3 years of age. The plantar response was extensor in 82.3% of infants subsequently found to be neurologically normal at the first month of life, becoming flexor at the age of 9 and 11 months in 68.5% and 86.3%, respectively. Twenty-one (42.9%) of 49 patients with various types of spastic cerebral palsy demonstrated a combined extensor response (ie, dorsiflexion of the great toe with fanning of the remaining toes) as early as the first month of life. Children with spastic quadriplegia and hemiplegia more frequently demonstrated a combined extensor response compared to diplegic patients. The combined extensor plantar response remains a reliable prognostic clinical tool that contributes to an earlier diagnosis of spastic cerebral palsy as early as the first month of life. Sentence B: Thyrotoxic hypokalemic periodic paralysis (THPP) is a very rare complication of thyrotoxicosis in whites, but is more frequently reported in individuals of Asian descent. Hypokalemia, with associated flaccid paralysis, and signs of hyperthyroidism, are the hallmark. We have reported a case of a 28-yr-old white man with Graves' disease presenting with a 2-wk history of episodic flaccid quadriplegia. Physical examination disclosed a resting tachycardia and symmetrical, proximal weakness involving both arms and legs. Electrocardiogram and electrolyte analysis showed a severe hypokalemia, and thyroid function tests revealed hyperthyroidism. The patient was diagnosed as having Graves' hyperthyroidism and THPP. Paralysis resolved with potassium supplements. He was treated with propranolol and, subsequently, methimazole. He had no further episodes of hypokalemic paralysis. To the best of the author's knowledge, and after a Medline search, THPP has not been described previously in a Turkish man. ###Answer 1. Changed (Quadriplegia in Sentence B has a different meaning than in Sentence A) Explanation: In Sentence A, ""quadriplegia"" refers to a specific type of motor disturbance in infants, characterized by an extensor plantar response. In Sentence B, ""quadriplegia"" is used to describe a symptom of a rare complication of thyrotoxicosis, specifically hypokalemic periodic paralysis (THPP). The meaning of the word has shifted from a specific neurological condition in infants to a symptom of a different medical condition in adults. Therefore, semantic drift has occurred." 59,Quadriplegia,"Midcervical Quadriplegia is a well-known complication of posterior fossa surgery performed with the patient in the sitting position. The case of a 24-year-old man with a fourth ventricular choroid plexus papilloma is described. The patient developed reversible quadriparesis after surgery in the sitting position; postoperative magnetic resonance imaging demonstrated a hyperintense area within the cervical cord at C5-C6 on T2-weighted images, which was considered to represent ""midcervical flexion myelopathy."" It is suggested that the prolonged stretch and compression of the cervical cord is the pathogenesis of this serious complication.","[Purpose] This study was conducted in order to investigate the effects of child-centered task-oriented training on balance ability in patients with cerebral palsy. [Subjects] Twenty-six subjects with cerebral palsy were recruited. [Methods] This study applied a child-centered task-oriented training program to 26 subjects during a period of 15 weeks, with two 40-minute sessions per week. The Pediatric Berg Balance Scale (PBS) was used for measurement of the effect of child-centered task-oriented training. [Results] Balance ability showed a significant change after the intervention in age groups younger than nine, between 10 and 12, and older than 13. In addition, a significant difference in balance ability was observed in the spastic type, athetoid type, diplegia, and quadriplegia transport groups, including an independent walking group, a group of subjects who used walkers, and a group of subjects who used wheelchairs. [Conclusion] Although we suggest conduct of a follow-up study on child-centered task-oriented training, the results of this study showed improved balance ability in patients with cerebral palsy. Therefore, these results recommend a variety of applications in clinical trials of conservative therapeutic methods. ","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Quadriplegia Sentence A: Midcervical Quadriplegia is a well-known complication of posterior fossa surgery performed with the patient in the sitting position. The case of a 24-year-old man with a fourth ventricular choroid plexus papilloma is described. The patient developed reversible quadriparesis after surgery in the sitting position; postoperative magnetic resonance imaging demonstrated a hyperintense area within the cervical cord at C5-C6 on T2-weighted images, which was considered to represent ""midcervical flexion myelopathy."" It is suggested that the prolonged stretch and compression of the cervical cord is the pathogenesis of this serious complication. Sentence B: [Purpose] This study was conducted in order to investigate the effects of child-centered task-oriented training on balance ability in patients with cerebral palsy. [Subjects] Twenty-six subjects with cerebral palsy were recruited. [Methods] This study applied a child-centered task-oriented training program to 26 subjects during a period of 15 weeks, with two 40-minute sessions per week. The Pediatric Berg Balance Scale (PBS) was used for measurement of the effect of child-centered task-oriented training. [Results] Balance ability showed a significant change after the intervention in age groups younger than nine, between 10 and 12, and older than 13. In addition, a significant difference in balance ability was observed in the spastic type, athetoid type, diplegia, and quadriplegia transport groups, including an independent walking group, a group of subjects who used walkers, and a group of subjects who used wheelchairs. [Conclusion] Although we suggest conduct of a follow-up study on child-centered task-oriented training, the results of this study showed improved balance ability in patients with cerebral palsy. Therefore, these results recommend a variety of applications in clinical trials of conservative therapeutic methods. ###Answer 1. Changed Reasoning: The meaning of ""quadriplegia"" has shifted in Sentence B compared to Sentence A. In Sentence A, ""quadriplegia"" is used to describe a specific type of spinal cord injury, characterized by ""midcervical flexion myelopathy."" In Sentence B, ""quadriplegia"" is used more broadly to describe a group of patients with cerebral palsy, including those with spastic, athetoid, diplegic, and quadriplegic types. This expansion of meaning indicates semantic drift." 60,Quadriplegia,"A 17-year-old boy with spastic quadriplegia presented with a progressively enlarging, tender, right inguinal mass. Examination revealed absence of both testicles in the scrotal sac. The left testicle was palpable in the left superficial inguinal pouch. A diagnosis of an undescended right testicle was confirmed by exploratory surgery. Orchidectomy of the right testicle was performed and the remainder of the patient's course was uneventful. We present this case to describe the relationship between cryptorchidism, testicular torsion, and neuromuscular disease. Specific emphasis is placed on incidence, pathophysiological mechanisms, and treatment of testicular torsion in cryptorchidism.","This prospective study was undertaken to evaluate the prevalence of ocular abnormalities, as well as describe the various eye defects seen among cases of cerebral palsy presenting at the Paediatric Neurology Clinic, University College Hospital, Ibadan, Nigeria. All cases of cerebral palsy seen at the Paediatric Neurology Clinic, University College Hospital, Ibadan, over a period of 18 months were carefully evaluated by the Paediatric Neurologist for signs of ocular abnormalities. Those in whom such abnormalities were found were referred to the Consultant Ophthalmologist for detailed eye examination and accurate description of the ocular abnormalities. One hundred and forty nine children with cerebral palsy were seen during the period of study, forty two had associated ocular abnormalities, giving a prevalence rate of 28.2%. More than half (61.9%) of the cases were completely blind. The major ocular abnormalities identified in the affected cases were strabismus (50%), optic atrophy (50%) and cortical visual impairment (47.7%). Other eye defects less frequently seen were nystagmus (9.5%) and refractive errors (4.8%). Presence of spastic quadriplegia was associated with an increased risk of ocular abnormalities. Ocular abnormalities are a frequent problem in children with cerebral palsy. Evaluation of all children with cerebral palsy must include amongst other things, a full ophthalmologic evaluation, even when no gross eye anomalies are visible to the attending physician. Early identification of these defects in children with CP is crucial in order to institute prompt therapy in cases with defects that are amenable to treatment.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Quadriplegia Sentence A: A 17-year-old boy with spastic quadriplegia presented with a progressively enlarging, tender, right inguinal mass. Examination revealed absence of both testicles in the scrotal sac. The left testicle was palpable in the left superficial inguinal pouch. A diagnosis of an undescended right testicle was confirmed by exploratory surgery. Orchidectomy of the right testicle was performed and the remainder of the patient's course was uneventful. We present this case to describe the relationship between cryptorchidism, testicular torsion, and neuromuscular disease. Specific emphasis is placed on incidence, pathophysiological mechanisms, and treatment of testicular torsion in cryptorchidism. Sentence B: This prospective study was undertaken to evaluate the prevalence of ocular abnormalities, as well as describe the various eye defects seen among cases of cerebral palsy presenting at the Paediatric Neurology Clinic, University College Hospital, Ibadan, Nigeria. All cases of cerebral palsy seen at the Paediatric Neurology Clinic, University College Hospital, Ibadan, over a period of 18 months were carefully evaluated by the Paediatric Neurologist for signs of ocular abnormalities. Those in whom such abnormalities were found were referred to the Consultant Ophthalmologist for detailed eye examination and accurate description of the ocular abnormalities. One hundred and forty nine children with cerebral palsy were seen during the period of study, forty two had associated ocular abnormalities, giving a prevalence rate of 28.2%. More than half (61.9%) of the cases were completely blind. The major ocular abnormalities identified in the affected cases were strabismus (50%), optic atrophy (50%) and cortical visual impairment (47.7%). Other eye defects less frequently seen were nystagmus (9.5%) and refractive errors (4.8%). Presence of spastic quadriplegia was associated with an increased risk of ocular abnormalities. Ocular abnormalities are a frequent problem in children with cerebral palsy. Evaluation of all children with cerebral palsy must include amongst other things, a full ophthalmologic evaluation, even when no gross eye anomalies are visible to the attending physician. Early identification of these defects in children with CP is crucial in order to institute prompt therapy in cases with defects that are amenable to treatment. ###Answer 1. Changed Explanation: Quadriplegia, the target word, has undergone a significant change in meaning between the two sentences. In Sentence A, the term is used to describe a specific medical condition, spastic quadriplegia, which is characterized by muscle stiffness and spasms, particularly in the legs and hips. The term is used to define the patient's condition and to explain the surgical intervention performed to treat it. In Sentence B, the term quadriplegia is used in a different context, to describe a group of children with cerebral palsy who have associated ocular abnormalities. Here, the term is used to define the population of children being studied, rather than to describe a specific medical condition. The term is not used to explain any specific surgical intervention or to define the patient's condition. Therefore, the meaning of the term quadriplegia has changed significantly between the two sentences, indicating semantic drift." 61,Quadriplegia,"A group of 21 mentally retarded patients with severe, long-standing urinary symptoms underwent urodynamical investigation. The most common abnormalities were detrusor areflexia and detrusor hyper-reflexia. Of 11 patients treated surgically, 10 derived marked benefit. Drugs were successful in reducing micturition problems in 3/6 patients. Severely retarded patients with spastic quadriplegia are difficult to investigate and if this is associated with detrusor hyper-reflexia it is impossible to treat them in any way. Severely retarded patients with detrusor areflexia and infrequent voiding can benefit from bladder outlet surgery. Patients with moderate (especially mild) retardation can be investigated and treated in the same way as non-retarded people.","Acute nontraumatic myelopathies include vascular etiologies most commonly caused by atherosclerotic vascular disease. Other causes that have been reported to occur with varying frequencies include thrombosis, embolism of thrombi and tumor, arteritis, hypotension, dissecting aortic aneurysm, sickle cell disease, intervertebral disk herniation, vertebral body subluxation and iatrogenic causes, usually angiography or surgery. In case of acutely progressing spinal cord syndromes, the diagnosis often given is of transverse myelitis or unknown cause of infarction. Fibrocartilaginous embolism (FCE) is possible cause of spinal ischemia due to embolization of nucleus pulposus fragments through retrograde spinal artery flow. A young woman after intensive exercise developed profound weakness of her upper extremities, progressing to flaccid quadriplegia with sensory level from C3 dermatome. Magnetic resonance imaging (MRI) showed linear hyperintense intramedullary lesion from C2 to Th2 confined to anterior horn area, with typical""owl's eye"" appearance. Although exact mechanism of patient's neurological syndrome remains undetermined, we suspected a cord infarction due to FCE related to her vigorous physical exercise. ","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Quadriplegia Sentence A: A group of 21 mentally retarded patients with severe, long-standing urinary symptoms underwent urodynamical investigation. The most common abnormalities were detrusor areflexia and detrusor hyper-reflexia. Of 11 patients treated surgically, 10 derived marked benefit. Drugs were successful in reducing micturition problems in 3/6 patients. Severely retarded patients with spastic quadriplegia are difficult to investigate and if this is associated with detrusor hyper-reflexia it is impossible to treat them in any way. Severely retarded patients with detrusor areflexia and infrequent voiding can benefit from bladder outlet surgery. Patients with moderate (especially mild) retardation can be investigated and treated in the same way as non-retarded people. Sentence B: Acute nontraumatic myelopathies include vascular etiologies most commonly caused by atherosclerotic vascular disease. Other causes that have been reported to occur with varying frequencies include thrombosis, embolism of thrombi and tumor, arteritis, hypotension, dissecting aortic aneurysm, sickle cell disease, intervertebral disk herniation, vertebral body subluxation and iatrogenic causes, usually angiography or surgery. In case of acutely progressing spinal cord syndromes, the diagnosis often given is of transverse myelitis or unknown cause of infarction. Fibrocartilaginous embolism (FCE) is possible cause of spinal ischemia due to embolization of nucleus pulposus fragments through retrograde spinal artery flow. A young woman after intensive exercise developed profound weakness of her upper extremities, progressing to flaccid quadriplegia with sensory level from C3 dermatome. Magnetic resonance imaging (MRI) showed linear hyperintense intramedullary lesion from C2 to Th2 confined to anterior horn area, with typical""owl's eye"" appearance. Although exact mechanism of patient's neurological syndrome remains undetermined, we suspected a cord infarction due to FCE related to her vigorous physical exercise. ###Answer 1. Changed Reasoning: The target word ""quadriplegia"" has undergone a significant change in meaning between Sentence A (2000) and Sentence B (2020). In Sentence A, the term refers to a specific type of spinal cord injury associated with spasticity and detrusor hyperreflexia. In Sentence B, the term is used more broadly to describe any type of spinal cord injury or syndrome, including those caused by vascular etiologies. This shift in meaning suggests that the term ""quadriplegia"" has undergone semantic drift." 62,Quadriplegia,"The use of the supine training position to enhance aerobic training was evaluated in a 10-week upper-body exercise study. Fourteen subjects with quadriplegia (QD) were matched on initial peak power output (PO) values and then randomly assigned to either a supine (SUP, n = 7) or sitting (SIT, n = 7) training group. Peak VO2 and PO were measured pretraining and posttraining in both the supine and sitting positions. There were significant (p < .01) increases in peak VO2 (720 to 780 mL.min-1) and PO (29.3 to 33.3W) with training. Although the SIT group exhibited a small training effect size (0.1), while the SUP group exhibited a moderate effect size (0.6), the interaction between time and training group failed to reach significance (p = .07) because of a large injury level-related variation in VO2. The training effect achieved by the SUP group generalized to the sitting position, as their peak VO2 increased 80mL.min-1 in the sitting position. Endurance improved (p < .0001) in all subjects, with time to exhaustion increasing from 52min to 135min over the 10 weeks of training. The sum of 4 skinfolds decreased (p < .05) from 67.5 to 61.0mm. The lack of change in stroke volume at rest and at 50% of peak PO suggests that an inotropic adaptation of the heart, commonly observed in subjects without SCI, did not occur in this population. However, a 4.7bpm increase (p < .01) in resting heart rate (HR) and a near significant increase (p = .07) in peak HR from pretraining to posttraining suggests a training-induced chronotropic adaptation of the heart. Although improvements in aerobic capacity can be achieved by training in either supine or sitting positions, the training effect size was larger in the supine position. Improvements in SV were not observed in either training position; this may be because of low absolute workloads were used. Central cardiovascular adaptation may occur in subjects with QD but changes are reflected as chronotropic and not inotropic adaptations.","The evaluation of the cervical spine in the unconscious trauma patient is a difficult and controversial topic in trauma management. Conventional cervical clearance protocols consisting of plain radiology and computed tomography may not adequately detect unstable cervical ligament and disc injuries, even though a high-risk mechanism of injury has occurred. We present two cases where cervical clearance protocols, utilising plain X-rays and multi-slice computed tomography, failed to identify significant ligamentous spinal injuries. A delay in diagnosis or a missed spinal injury can lead to delays in treatment, thereby increasing the risk of neurological deterioration with the potential devastating sequela of quadriplegia. Therefore, in the unconscious trauma patient who, by definition, has sustained a high-risk mechanism injury, we routinely recommend the use of magnetic resonance imaging in addition to plain X-rays and computed tomography, to evaluate further discoligamentous status.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Quadriplegia Sentence A: The use of the supine training position to enhance aerobic training was evaluated in a 10-week upper-body exercise study. Fourteen subjects with quadriplegia (QD) were matched on initial peak power output (PO) values and then randomly assigned to either a supine (SUP, n = 7) or sitting (SIT, n = 7) training group. Peak VO2 and PO were measured pretraining and posttraining in both the supine and sitting positions. There were significant (p < .01) increases in peak VO2 (720 to 780 mL.min-1) and PO (29.3 to 33.3W) with training. Although the SIT group exhibited a small training effect size (0.1), while the SUP group exhibited a moderate effect size (0.6), the interaction between time and training group failed to reach significance (p = .07) because of a large injury level-related variation in VO2. The training effect achieved by the SUP group generalized to the sitting position, as their peak VO2 increased 80mL.min-1 in the sitting position. Endurance improved (p < .0001) in all subjects, with time to exhaustion increasing from 52min to 135min over the 10 weeks of training. The sum of 4 skinfolds decreased (p < .05) from 67.5 to 61.0mm. The lack of change in stroke volume at rest and at 50% of peak PO suggests that an inotropic adaptation of the heart, commonly observed in subjects without SCI, did not occur in this population. However, a 4.7bpm increase (p < .01) in resting heart rate (HR) and a near significant increase (p = .07) in peak HR from pretraining to posttraining suggests a training-induced chronotropic adaptation of the heart. Although improvements in aerobic capacity can be achieved by training in either supine or sitting positions, the training effect size was larger in the supine position. Improvements in SV were not observed in either training position; this may be because of low absolute workloads were used. Central cardiovascular adaptation may occur in subjects with QD but changes are reflected as chronotropic and not inotropic adaptations. Sentence B: The evaluation of the cervical spine in the unconscious trauma patient is a difficult and controversial topic in trauma management. Conventional cervical clearance protocols consisting of plain radiology and computed tomography may not adequately detect unstable cervical ligament and disc injuries, even though a high-risk mechanism of injury has occurred. We present two cases where cervical clearance protocols, utilising plain X-rays and multi-slice computed tomography, failed to identify significant ligamentous spinal injuries. A delay in diagnosis or a missed spinal injury can lead to delays in treatment, thereby increasing the risk of neurological deterioration with the potential devastating sequela of quadriplegia. Therefore, in the unconscious trauma patient who, by definition, has sustained a high-risk mechanism injury, we routinely recommend the use of magnetic resonance imaging in addition to plain X-rays and computed tomography, to evaluate further discoligamentous status. ###Answer 1. Changed Reasoning: In Sentence A, the word ""quadriplegia"" is used to describe a condition characterized by ""a high-risk mechanism injury"" and ""low absolute workloads were used."" The context suggests that the term is used to refer to a specific type of spinal injury, possibly related to athletic training or exercise. In Sentence B, the word ""quadriplegia"" is used to describe a condition where ""a delay in diagnosis or a missed spinal injury can lead to delays in treatment."" The context suggests that the term is used to refer to a broader range of conditions, including those related to trauma or injury. Based on these contexts, it appears that the meaning of ""quadriplegia"" has shifted from a specific type of spinal injury to a broader term encompassing a range of conditions. Therefore, the label ""Changed"" is appropriate." 63,Quadriplegia,"The authors report a case of severe fracture-dislocation of C6-C7 with dural and spinal cord damage causing quadriplegia. The patient was treated surgically with circumferential stabilisation. Intense spinal instrumentation with pedicle screw fixation in addition to anterior decompression and plate fixation was essential for restoring the original vertebral column. This technique of internal fixation provided a more rigid anchor, however the risk to the neurovascular structures could not be completely eliminated. Therefore, the combined anterior and posterior stabilisation assisted with a navigation system was a safer and reasonable surgical treatment for this patient with severe cervical injuries.","Neuromyelitis optica (NMO) has been attributed to different underlying pathological events. The aim of this paper is to present the first case report of a patient with Down's syndrome (DS) who died of a fulminant NMO. A 29-year-old woman with DS developed acute transverse myelitis, with complete visual loss and swollen optic discs. Two days later, she developed quadriplegia, respiratory arrest and died. The anatomical study demonstrated typical findings of DS in the brain without demyelinating lesions. A severe destruction of medulla and cervical cord with a very high degree of demyelination of the optic nerves was typical of monophasic NMO (Devic's disease). Most of the cases of NMO in Cuba are of the relapsing form, but this case report is the first one with monophasic NMO and DS with a very aggressive course. The link of the pathogenetic relationship between DS and NMO remains unclear; it may well be coincidence but the fact that the patient died very shortly after the onset suggests, at least on clinical grounds, that the presence of DS could have accelerated the fatal evolution of NMO.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Quadriplegia Sentence A: The authors report a case of severe fracture-dislocation of C6-C7 with dural and spinal cord damage causing quadriplegia. The patient was treated surgically with circumferential stabilisation. Intense spinal instrumentation with pedicle screw fixation in addition to anterior decompression and plate fixation was essential for restoring the original vertebral column. This technique of internal fixation provided a more rigid anchor, however the risk to the neurovascular structures could not be completely eliminated. Therefore, the combined anterior and posterior stabilisation assisted with a navigation system was a safer and reasonable surgical treatment for this patient with severe cervical injuries. Sentence B: Neuromyelitis optica (NMO) has been attributed to different underlying pathological events. The aim of this paper is to present the first case report of a patient with Down's syndrome (DS) who died of a fulminant NMO. A 29-year-old woman with DS developed acute transverse myelitis, with complete visual loss and swollen optic discs. Two days later, she developed quadriplegia, respiratory arrest and died. The anatomical study demonstrated typical findings of DS in the brain without demyelinating lesions. A severe destruction of medulla and cervical cord with a very high degree of demyelination of the optic nerves was typical of monophasic NMO (Devic's disease). Most of the cases of NMO in Cuba are of the relapsing form, but this case report is the first one with monophasic NMO and DS with a very aggressive course. The link of the pathogenetic relationship between DS and NMO remains unclear; it may well be coincidence but the fact that the patient died very shortly after the onset suggests, at least on clinical grounds, that the presence of DS could have accelerated the fatal evolution of NMO. ###Answer 1. Changed Reasoning: In Sentence A, ""quadriplegia"" refers to a specific type of paralysis caused by a spinal cord injury. The sentence highlights the medical treatment options available for this condition, including surgical stabilization and instrumentation. The term ""quadriplegia"" is used to describe the patient's condition in a neutral and factual manner. In Sentence B, the term ""quadriplegia"" takes on a different meaning. The sentence suggests that the patient with Down's syndrome died of a fulminant Neuromyelitis optica (NMO), which is a rare and aggressive autoimmune disease that can cause demyelination of the optic nerves and spinal cord. In this context, ""quadriplegia"" is used to describe the patient's condition in a more negative light, highlighting the severity of the disease. The sentence implies that the patient's condition was not just a simple paralysis, but rather a severe and life-threatening condition. Therefore, based on the context and meaning of the term ""quadriplegia"" in these two sentences, it can be concluded that the term has undergone a significant change in meaning, shifting from a neutral medical term to a more negative and severe condition." 64,Quadriplegia,"Wheelchair athletes are susceptible to injuries related to overuse of the shoulder, in particular shoulder impingement syndrome. The present study examined the relationship of shoulder pain to demographic details, isokinetic strength and muscle balance in 8 elite quadriplegic rugby players. Demographic data were collected using personal interviews and each subject was clinically examined for signs of impingement syndrome by a physician. In addition each subject underwent bilateral isokinetic strength testing of the shoulder at 60 and 180 deg/s for abduction/adduction and internal/external rotation. A series of step-wise multiple discriminant analysis successfully predicted clinical symptoms from demographic, muscular strength and balance data. In particular, there was a significant deficit in adductor strength and this was related to shoulder pain and wasting of the scapular muscles. This strength deficit may be due to the high level of spinal lesions in the quadriplegic population. The level of spinal lesion may contribute to the aetiology of shoulder pathology in quadriplegia, and differentiate it from that observed in able-bodied athletes who exhibit weak abductors.","Boccia players have severe quadriplegia; nonetheless, detailed aspects of the physical function of individual players have not been evaluated.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Quadriplegia Sentence A: Wheelchair athletes are susceptible to injuries related to overuse of the shoulder, in particular shoulder impingement syndrome. The present study examined the relationship of shoulder pain to demographic details, isokinetic strength and muscle balance in 8 elite quadriplegic rugby players. Demographic data were collected using personal interviews and each subject was clinically examined for signs of impingement syndrome by a physician. In addition each subject underwent bilateral isokinetic strength testing of the shoulder at 60 and 180 deg/s for abduction/adduction and internal/external rotation. A series of step-wise multiple discriminant analysis successfully predicted clinical symptoms from demographic, muscular strength and balance data. In particular, there was a significant deficit in adductor strength and this was related to shoulder pain and wasting of the scapular muscles. This strength deficit may be due to the high level of spinal lesions in the quadriplegic population. The level of spinal lesion may contribute to the aetiology of shoulder pathology in quadriplegia, and differentiate it from that observed in able-bodied athletes who exhibit weak abductors. Sentence B: Boccia players have severe quadriplegia; nonetheless, detailed aspects of the physical function of individual players have not been evaluated. ###Answer 1. Changed Reasoning: In Sentence A, the term ""quadriplegia"" is used to describe a specific population of athletes who have suffered spinal lesions. In this context, the term likely carries a negative connotation, implying a significant loss of function or mobility. In Sentence B, the term is used to describe a group of athletes with a different level of impairment, without any connotation of loss of function. Therefore, the meaning of the term ""quadriplegia"" has shifted in Sentence B, from a specific medical condition to a more general term for any severe impairment." 65,Quadriplegia,Computed tomography was applied in 29 patients with cervical spinal stenosis. In 8 cases there was a congenital narrowed spinal canal. In 18 cases we found dorsal spondylotic ridges of the vertebral bodies and in three cases an atlanto-dental dislocation. The complaints showed either radicular character or in case of myelopathy came out as para- and quadriplegia. In 25 cases the spinal sagittal diameter was a lot below a critical borderline of about 13 mm. The kind and localisation of the underlying process can be demonstrated very excellent by computed tomography.,"Transient quadriplegia developed in a man, a short time after, he sustained a cervical spinal fracture in a surfing mishap. The neurological deficit appeared complete, and developed some 30 min after the initial injury in the presence of moderate hypotension. It resolved over a further period of 1-2 hours following restoration of normotension. This case highlights the importance of the maintenance of spinal perfusion pressure in the acute management of traumatic spinal injury.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Quadriplegia Sentence A: Computed tomography was applied in 29 patients with cervical spinal stenosis. In 8 cases there was a congenital narrowed spinal canal. In 18 cases we found dorsal spondylotic ridges of the vertebral bodies and in three cases an atlanto-dental dislocation. The complaints showed either radicular character or in case of myelopathy came out as para- and quadriplegia. In 25 cases the spinal sagittal diameter was a lot below a critical borderline of about 13 mm. The kind and localisation of the underlying process can be demonstrated very excellent by computed tomography. Sentence B: Transient quadriplegia developed in a man, a short time after, he sustained a cervical spinal fracture in a surfing mishap. The neurological deficit appeared complete, and developed some 30 min after the initial injury in the presence of moderate hypotension. It resolved over a further period of 1-2 hours following restoration of normotension. This case highlights the importance of the maintenance of spinal perfusion pressure in the acute management of traumatic spinal injury. ###Answer 1. Changed Reasoning: In Sentence A, the term ""quadriplegia"" is used to describe a condition where there is a narrowing of the spinal canal, leading to radicular or myelopathy symptoms. The context suggests that the term is used to describe a medical condition, specifically spinal stenosis. In Sentence B, the term ""quadriplegia"" is used to describe a transient condition that occurs after a cervical spinal fracture. The context suggests that the term is used to describe a neurological deficit resulting from trauma. In Sentence B, the meaning of ""quadriplegia"" has shifted from a medical condition to a neurological deficit resulting from trauma. This shift in meaning is significant enough to label the term as ""Changed.""" 66,Quadriplegia,"Clinico-pathological studies of West syndrome are rather rare. A case of sequelae of acute encephalopathy which involved a nine-month-old boy with post-mortem data is reported. Birth and postnatal development had been normal until the onset of illness. Laboratory examinations ruled out bacterial or viral meningo-encephalitis and metabolic disorders. After the recovery from a coma lasting several days, spastic quadriplegia, severe mental retardation and intractable epileptic attacks were present. The latter were made of tonic spasms and myoclonic seizures. EEG records showed hypsarrhythmia. Neuropathological examination revealed almost symmetrical bilateral cystic cavities in the pontine tegmentum and lateral nuclei of both thalami. The corpus callosum was very thin. No finding suggested a congenital anomaly. In a search of the pathological basis for infantile spasms, this case was compared with the published data. It would appear that the lesions of the pontine tegmentum play a significant role in the pathogenesis of hypsarrhythmia or infantile spasms.","Deletion of the KANK1 gene (also called ANKRD15), located at chromosome position 9p24.3, has been associated with neurodevelopmental disease including congenital cerebral palsy, hypotonia, quadriplegia, and intellectual disability in a four-generation family. The inheritance pattern in this family was suggested to be maternal imprinting, as all affected individuals inherited the deletion from their fathers and monoallelic protein expression was observed. We present a family in which the proband's phenotype, including autism spectrum disorder, motor delay, and intellectual disability, is consistent with this previous report of KANK1 deletions. However, a paternally inherited deletion in the proband's unaffected sibling did not support maternal imprinting. This family raises consideration of further complexity of the KANK1 locus, including variable expressivity, incomplete penetrance, and the additive effects of additional genomic variants or the potential benign nature of inherited copy number variations (CNVs). However, when considered with the previous publication, our case also suggests that KANK1 may be subject to random monoallelic expression as a possible mode of inheritance. It is also important to consider that KANK1 has two alternately spliced transcripts, A and B. These have differential tissue expression and thus potentially differential clinical significance. Based upon cases in the literature, the present case, and information in the Database of Genomic Variants, it is possible that only aberrations of variant A contribute to neurodevelopmental disease. The familial deletion in this present case does not support maternal imprinting as an inheritance pattern. We suggest that other inheritance patterns and caveats should be considered when evaluating KANK1 deletions, which may become increasingly recognized through whole genome microarray testing, whole genome sequencing, and whole exome sequencing techniques.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Quadriplegia Sentence A: Clinico-pathological studies of West syndrome are rather rare. A case of sequelae of acute encephalopathy which involved a nine-month-old boy with post-mortem data is reported. Birth and postnatal development had been normal until the onset of illness. Laboratory examinations ruled out bacterial or viral meningo-encephalitis and metabolic disorders. After the recovery from a coma lasting several days, spastic quadriplegia, severe mental retardation and intractable epileptic attacks were present. The latter were made of tonic spasms and myoclonic seizures. EEG records showed hypsarrhythmia. Neuropathological examination revealed almost symmetrical bilateral cystic cavities in the pontine tegmentum and lateral nuclei of both thalami. The corpus callosum was very thin. No finding suggested a congenital anomaly. In a search of the pathological basis for infantile spasms, this case was compared with the published data. It would appear that the lesions of the pontine tegmentum play a significant role in the pathogenesis of hypsarrhythmia or infantile spasms. Sentence B: Deletion of the KANK1 gene (also called ANKRD15), located at chromosome position 9p24.3, has been associated with neurodevelopmental disease including congenital cerebral palsy, hypotonia, quadriplegia, and intellectual disability in a four-generation family. The inheritance pattern in this family was suggested to be maternal imprinting, as all affected individuals inherited the deletion from their fathers and monoallelic protein expression was observed. We present a family in which the proband's phenotype, including autism spectrum disorder, motor delay, and intellectual disability, is consistent with this previous report of KANK1 deletions. However, a paternally inherited deletion in the proband's unaffected sibling did not support maternal imprinting. This family raises consideration of further complexity of the KANK1 locus, including variable expressivity, incomplete penetrance, and the additive effects of additional genomic variants or the potential benign nature of inherited copy number variations (CNVs). However, when considered with the previous publication, our case also suggests that KANK1 may be subject to random monoallelic expression as a possible mode of inheritance. It is also important to consider that KANK1 has two alternately spliced transcripts, A and B. These have differential tissue expression and thus potentially differential clinical significance. Based upon cases in the literature, the present case, and information in the Database of Genomic Variants, it is possible that only aberrations of variant A contribute to neurodevelopmental disease. The familial deletion in this present case does not support maternal imprinting as an inheritance pattern. We suggest that other inheritance patterns and caveats should be considered when evaluating KANK1 deletions, which may become increasingly recognized through whole genome microarray testing, whole genome sequencing, and whole exome sequencing techniques. ###Answer 1. Changed Reasoning: The target word ""quadriplegia"" has undergone a significant change in meaning between the two sentences. In Sentence A, the word is used to describe a neurological condition characterized by spastic quadriplegia, severe mental retardation, and intractable epileptic attacks, with no suggestion of any congenital anomaly. In contrast, in Sentence B, the word is used to describe a genetic deletion associated with congenital cerebral palsy, hypotonia, quadriplegia, and intellectual disability, with a suggestion of maternal imprinting as the inheritance pattern. The word's meaning has shifted from a neurological condition to a genetic variation, and its connotation has become more negative and associated with a specific genetic disorder. Therefore, the label ""Changed"" is appropriate." 67,Quadriplegia,"The authors present the case of a 15-year-old Jehovah's Witness with a hematocrit level of 19% who was 4 months pregnant and had a two-level spondyloptotic cervical spine fracture. The patient was transferred to Georgetown University Medical Center with C-5 quadriplegia 3 weeks after having been injured in an automobile collision. The neurosurgical issues in this case included addressing a rare cervical spine injury, assessing and treating a vertebral artery injury, and performing surgery on a pregnant minor with severe anemia who held strong Jehovah's Witness beliefs. An ethics consultation was convened to determine the validity of a pregnant minor's refusal to undergo transfusion on the grounds of her religious beliefs. This case illustrates the potential benefits of thorough technical and ethical evaluations and reveals how they may contribute to the delivery of care in complex neurosurgical cases. To the authors' knowledge, this is the first two-level spondyloptotic cervical spine fracture dislocation to be reported in the literature. The added complexities of the case, given that the patient was an anemic, adolescent, pregnant Jehovah's Witness who refused blood transfusion, also appear to be unprecedented.","This case series reviews the clinical, radiographic and laboratory findings of five patients with progressive idiopathic myelopathy with evidence of cord necrosis who presented in our institution over a 5 year period ending in May 2005. Patients fulfilling the following criteria were included: (1) presentation with myelopathy without overt visual involvement at initial presentation; (2) demonstration with magnetic resonance imaging (MRI) of contiguously abnormal signal in the spinal cord spanning at least three vertebral segments without evidence of arteriovenous malformation or significant disk disease; (3) absence of systemic disease or neoplasm. All patients were women, identified themselves as African American and were older than 35 years. Pain was reported at initial presentation in four cases. The distinctive feature was a relapsing course with intervening variable improvement of function and progression to quadriplegia in less than 4 years. An increased IgG index and/or oligoclonal banding was detected in two patients. The leukocyte count in the cerebrospinal fluid (CSF) was elevated in all cases but in only one specimen did the count exceed 50 cells. None of the patients initially had clinical signs of an optic neuropathy but unilaterally prolonged visual evoked potentials were present in one individual who went on to developed optic neuritis 19 months after the first clinical presentation. Another patient developed optic neuritis 45 months after disease onset. Immunomodulatory and plasma exchange therapy were of some benefit at least early in the course but the disease progressed despite these interventions. Neuromyelitis optica (NMO)-IgG antibody, a serum or CSF marker described in individuals with classic NMO and optico-spinal multiple sclerosis (MS), was present in all cases. On the basis of shared clinical and imaging features in the cord, progressive necrotizing myelopathy observed in this case series exhibits key features of a limited form of NMO (Devic's disease) and opticospinal MS. The presence of NMO-IgG antibody marker suggests that progressive necrotizing myelopathy is part of a disease spectrum of which traditional NMO is a select presentation.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Quadriplegia Sentence A: The authors present the case of a 15-year-old Jehovah's Witness with a hematocrit level of 19% who was 4 months pregnant and had a two-level spondyloptotic cervical spine fracture. The patient was transferred to Georgetown University Medical Center with C-5 quadriplegia 3 weeks after having been injured in an automobile collision. The neurosurgical issues in this case included addressing a rare cervical spine injury, assessing and treating a vertebral artery injury, and performing surgery on a pregnant minor with severe anemia who held strong Jehovah's Witness beliefs. An ethics consultation was convened to determine the validity of a pregnant minor's refusal to undergo transfusion on the grounds of her religious beliefs. This case illustrates the potential benefits of thorough technical and ethical evaluations and reveals how they may contribute to the delivery of care in complex neurosurgical cases. To the authors' knowledge, this is the first two-level spondyloptotic cervical spine fracture dislocation to be reported in the literature. The added complexities of the case, given that the patient was an anemic, adolescent, pregnant Jehovah's Witness who refused blood transfusion, also appear to be unprecedented. Sentence B: This case series reviews the clinical, radiographic and laboratory findings of five patients with progressive idiopathic myelopathy with evidence of cord necrosis who presented in our institution over a 5 year period ending in May 2005. Patients fulfilling the following criteria were included: (1) presentation with myelopathy without overt visual involvement at initial presentation; (2) demonstration with magnetic resonance imaging (MRI) of contiguously abnormal signal in the spinal cord spanning at least three vertebral segments without evidence of arteriovenous malformation or significant disk disease; (3) absence of systemic disease or neoplasm. All patients were women, identified themselves as African American and were older than 35 years. Pain was reported at initial presentation in four cases. The distinctive feature was a relapsing course with intervening variable improvement of function and progression to quadriplegia in less than 4 years. An increased IgG index and/or oligoclonal banding was detected in two patients. The leukocyte count in the cerebrospinal fluid (CSF) was elevated in all cases but in only one specimen did the count exceed 50 cells. None of the patients initially had clinical signs of an optic neuropathy but unilaterally prolonged visual evoked potentials were present in one individual who went on to developed optic neuritis 19 months after the first clinical presentation. Another patient developed optic neuritis 45 months after disease onset. Immunomodulatory and plasma exchange therapy were of some benefit at least early in the course but the disease progressed despite these interventions. Neuromyelitis optica (NMO)-IgG antibody, a serum or CSF marker described in individuals with classic NMO and optico-spinal multiple sclerosis (MS), was present in all cases. On the basis of shared clinical and imaging features in the cord, progressive necrotizing myelopathy observed in this case series exhibits key features of a limited form of NMO (Devic's disease) and opticospinal MS. The presence of NMO-IgG antibody marker suggests that progressive necrotizing myelopathy is part of a disease spectrum of which traditional NMO is a select presentation. ###Answer 1. Changed The meaning of the target word ""quadriplegia"" has significantly shifted between the two sentences. In Sentence A, the word is used to describe the patient's neurological condition, specifically the loss of function in the arms and legs due to spinal cord injury. In Sentence B, the word is used to describe the disease course of progressive idiopathic myelopathy, specifically the relapsing course with intervening variable improvement of function and progression to quadriplegia. The word's meaning has expanded to include a broader range of neurological conditions. Therefore, semantic drift has occurred." 68,Quadriplegia,"A 22-year-old man developed unconsciousness, severe quadriplegia and muscle atrophy, and had markedly elevated serum creatine kinase levels after using the high-dose steroid and nondepolarizing neuromuscular blocking agents during the course of sepsis and DIC. On neurological examination, he was lethargic. The patient had generalized muscle weakness and wasting, and diminished deep tendon reflexes. He weakly responsed to painful stimuli on the legs. The motor nerve conduction study demonstrated decreased CMAP (compound muscle action potential) amplitudes. Motor and sensory nerve conduction velocities and their distal latencies were normal. Muscle biopsy revealed marked muscle fiber atrophy predominantly in type 2 fibers and numerous basophilic and a few necrotic fibers. Some atrophic fibers had decreased to absent myosin adenosine triphosphatase activity in their center. Accordingly, he was diagnosed as having acute quadriplegic myopathy (AQM), which has been reported mainly in Western countries. The mechanism of muscle fiber degradation in this myopathy is still unknown. On immunohistochemical analysis to our patient, enzyme activities of various proteases such as calpain, cathepsin B, and proteasomes were increased in the sarcoplasm, especially in the atrophic fibers. We suggest that lysosomal cathepsin, nonlysosomal calpain, and ATP-ubiquitin-proteasome proteolytic pathways participate in muscle fiber degradation in AQM.","We report on the case of a 60-year-old man who suffered from hiccup, dysphagia and unsteady gait for three months. He was diagnosed with intracranial dural arteriovenous fistula in medulla with retrograde perimedullary vein drainage. He developed quadriplegia, persistent shock status and symptomatic bradycardia immediately after a conventional cerebral angiography study. After excluding cardiogenic, hypovolemic, anaphylactic and septic shock, central vasomotor failure caused by venous thrombosis of the lesion was considered. The patient's central vasomotor failure recovered after continuous dopamine infusion treatment for 42 days. We concluded that venous hypertension with venous thrombosis in rostral ventrolateral medulla (RVLM), a major vasomotor center in the brainstem, was the lesion site. In our case, vasomotor dysfunction caused by an RVLM lesion related to venous thrombosis is considered as causative.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Quadriplegia Sentence A: A 22-year-old man developed unconsciousness, severe quadriplegia and muscle atrophy, and had markedly elevated serum creatine kinase levels after using the high-dose steroid and nondepolarizing neuromuscular blocking agents during the course of sepsis and DIC. On neurological examination, he was lethargic. The patient had generalized muscle weakness and wasting, and diminished deep tendon reflexes. He weakly responsed to painful stimuli on the legs. The motor nerve conduction study demonstrated decreased CMAP (compound muscle action potential) amplitudes. Motor and sensory nerve conduction velocities and their distal latencies were normal. Muscle biopsy revealed marked muscle fiber atrophy predominantly in type 2 fibers and numerous basophilic and a few necrotic fibers. Some atrophic fibers had decreased to absent myosin adenosine triphosphatase activity in their center. Accordingly, he was diagnosed as having acute quadriplegic myopathy (AQM), which has been reported mainly in Western countries. The mechanism of muscle fiber degradation in this myopathy is still unknown. On immunohistochemical analysis to our patient, enzyme activities of various proteases such as calpain, cathepsin B, and proteasomes were increased in the sarcoplasm, especially in the atrophic fibers. We suggest that lysosomal cathepsin, nonlysosomal calpain, and ATP-ubiquitin-proteasome proteolytic pathways participate in muscle fiber degradation in AQM. Sentence B: We report on the case of a 60-year-old man who suffered from hiccup, dysphagia and unsteady gait for three months. He was diagnosed with intracranial dural arteriovenous fistula in medulla with retrograde perimedullary vein drainage. He developed quadriplegia, persistent shock status and symptomatic bradycardia immediately after a conventional cerebral angiography study. After excluding cardiogenic, hypovolemic, anaphylactic and septic shock, central vasomotor failure caused by venous thrombosis of the lesion was considered. The patient's central vasomotor failure recovered after continuous dopamine infusion treatment for 42 days. We concluded that venous hypertension with venous thrombosis in rostral ventrolateral medulla (RVLM), a major vasomotor center in the brainstem, was the lesion site. In our case, vasomotor dysfunction caused by an RVLM lesion related to venous thrombosis is considered as causative. ###Answer 1. Changed The meaning of ""quadriplegia"" has shifted significantly between the two sentences. In Sentence A, the term is used to describe a severe muscle weakness and wasting, with marked elevation of serum creatine kinase levels, indicating an acute myopathy. In contrast, in Sentence B, the term is used to describe a less severe condition of hiccup, dysphagia, and unsteady gait, with no mention of muscle weakness or wasting. Therefore, the meaning of ""quadriplegia"" has changed from a neurological disorder to a more general term for any type of weakness or disability." 69,Quadriplegia,"This study was undertaken to evaluate the recurrence risks for sibs of patients with symmetrical spasticity (either quadriplegia or diplegia) in the absence of factors known to cause spastic cerebral palsy (e.g. pre-term birth, perinatal hypoxia). Among 669 children in the West Midlands with spastic cerebral palsy, 24 had symmetrical spasticity and normal birth histories. This group was clinically and genetically heterogenous. Among their 55 sibs, six had a spastic disorder similar to that in the index patient, and one further sib, who had died young, had been mentally retarded. Of particular interest were two families with an autosomal recessive condition of post-natal microcephaly, myoclonic epilepsy and spastic quadriplegia; and one family, and possibly a sporadic case of X-linked athetoid cerebral palsy. The recurrence risk in this series of approximately 1 in 9 suggests that about half the children with symmetrical spastic cerebral palsy and a normal birth history may have a recessive condition.","We report an obstetric patient who developed unusual neurological complications after an epidural injection of a local anesthetic and a narcotic in a seemingly faultless manner. Ten minutes after receiving a loading dose, the patient developed aphonia, quadriplegia, and facial palsy while retaining normal consciousness and stable hemodynamics. The episode spontaneously resolved 40 minutes later. We wish to draw attention to anesthesiologists of the possibility that even in the presence of a negative aspiration test or without noticeable dural puncture, the injected drugs may enter the intrathecal or subdural space instead of pooling entirely in the epidural compartment. Once an unexpected high block and unusual symptoms or signs are noted, a prompt differential diagnosis must be made and treatment initiated as soon as possible.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Quadriplegia Sentence A: This study was undertaken to evaluate the recurrence risks for sibs of patients with symmetrical spasticity (either quadriplegia or diplegia) in the absence of factors known to cause spastic cerebral palsy (e.g. pre-term birth, perinatal hypoxia). Among 669 children in the West Midlands with spastic cerebral palsy, 24 had symmetrical spasticity and normal birth histories. This group was clinically and genetically heterogenous. Among their 55 sibs, six had a spastic disorder similar to that in the index patient, and one further sib, who had died young, had been mentally retarded. Of particular interest were two families with an autosomal recessive condition of post-natal microcephaly, myoclonic epilepsy and spastic quadriplegia; and one family, and possibly a sporadic case of X-linked athetoid cerebral palsy. The recurrence risk in this series of approximately 1 in 9 suggests that about half the children with symmetrical spastic cerebral palsy and a normal birth history may have a recessive condition. Sentence B: We report an obstetric patient who developed unusual neurological complications after an epidural injection of a local anesthetic and a narcotic in a seemingly faultless manner. Ten minutes after receiving a loading dose, the patient developed aphonia, quadriplegia, and facial palsy while retaining normal consciousness and stable hemodynamics. The episode spontaneously resolved 40 minutes later. We wish to draw attention to anesthesiologists of the possibility that even in the presence of a negative aspiration test or without noticeable dural puncture, the injected drugs may enter the intrathecal or subdural space instead of pooling entirely in the epidural compartment. Once an unexpected high block and unusual symptoms or signs are noted, a prompt differential diagnosis must be made and treatment initiated as soon as possible. ###Answer 1. Changed Explanation: In Sentence A, the term ""quadriplegia"" is used to describe a condition characterized by symmetrical spasticity, normal birth history, and a clinically and genetically heterogeneous group of children. The term is used to indicate a specific type of spastic cerebral palsy. In Sentence B, the term ""quadriplegia"" is used in a different context. The patient developed quadriplegia (loss of muscle function in the arms and legs) after an epidural injection of a local anesthetic and narcotic. This usage of the term ""quadriplegia"" indicates a specific neurological complication caused by the injection, rather than a specific type of spastic cerebral palsy. Therefore, semantic drift has occurred in the usage of the term ""quadriplegia"" between Sentence A and Sentence B. The term has shifted from describing a specific type of spastic cerebral palsy to indicating a specific neurological complication caused by a medical procedure." 70,Quadriplegia,"The clinical and immunologic findings in an elderly woman with thymoma and immunoglobulin deficiency in whom cytomegalovirus (CMV) encephalitis developed are described. The patient had absent serum immunoglobulins and no circulating immunoglobulin-bearing lymphocytes. Complement receptor-bearing lymphocytes were present in the peripheral blood, and circulating T lymphocyte numbers were within normal limits. She was anergic to a battery of skin test antigens, and her lymphocytes in vitro showed a selective unresponsiveness to CMV antigen while responding normally to phytohemagglutinin and streptokinase. The course of the encephalitis was progressive with quadriplegia, aphasia and coma developing within six months of onset of symptoms. This is the fifth reported case documenting an association between CMV infection and the syndrome of thymoma with immunoglobulin deficiency, but the first report of fatal CMV encephalitis in a patient with thymoma and immunoglobulin deficiency."," Patients suffering from quadriplegia have limited body motion which prevents them from performing daily activities. We have developed an assistive robotic system with an intuitive free-view gaze interface. The user's point of regard is estimated in 3D space while allowing free head movement and is combined with object recognition and trajectory planning. This framework allows the user to interact with objects using fixations. Two operational modes have been implemented to cater for different eventualities. The automatic mode performs a pre-defined task associated with a gaze-selected object, while the manual mode allows gaze control of the robot's end-effector position on the user's frame of reference. User studies reported effortless operation in automatic mode. A manual pick and place task achieved a success rate of 100% on the users' first attempt. ","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Quadriplegia Sentence A: The clinical and immunologic findings in an elderly woman with thymoma and immunoglobulin deficiency in whom cytomegalovirus (CMV) encephalitis developed are described. The patient had absent serum immunoglobulins and no circulating immunoglobulin-bearing lymphocytes. Complement receptor-bearing lymphocytes were present in the peripheral blood, and circulating T lymphocyte numbers were within normal limits. She was anergic to a battery of skin test antigens, and her lymphocytes in vitro showed a selective unresponsiveness to CMV antigen while responding normally to phytohemagglutinin and streptokinase. The course of the encephalitis was progressive with quadriplegia, aphasia and coma developing within six months of onset of symptoms. This is the fifth reported case documenting an association between CMV infection and the syndrome of thymoma with immunoglobulin deficiency, but the first report of fatal CMV encephalitis in a patient with thymoma and immunoglobulin deficiency. Sentence B: Patients suffering from quadriplegia have limited body motion which prevents them from performing daily activities. We have developed an assistive robotic system with an intuitive free-view gaze interface. The user's point of regard is estimated in 3D space while allowing free head movement and is combined with object recognition and trajectory planning. This framework allows the user to interact with objects using fixations. Two operational modes have been implemented to cater for different eventualities. The automatic mode performs a pre-defined task associated with a gaze-selected object, while the manual mode allows gaze control of the robot's end-effector position on the user's frame of reference. User studies reported effortless operation in automatic mode. A manual pick and place task achieved a success rate of 100% on the users' first attempt. ###Answer 1. Changed Explanation: The target word ""quadriplegia"" has undergone a significant change in meaning between Sentence A (2000) and Sentence B (2020). In Sentence A, the term is used to describe a medical condition characterized by limited body motion, resulting in the inability to perform daily activities. In contrast, in Sentence B, the term is used to describe the ability of a user to interact with objects using fixations through an assistive robotic system. The meaning of ""quadriplegia"" has shifted from a medical condition to a technological capability. Therefore, the label ""Changed"" is appropriate." 71,Quadriplegia,"The survival periods in 331 cases of quadriplegia are reviewed. Important features are degree of injury, age at time of accident and ability to survive the first three months. A comparison of comparable circumstances is essential if we are to correctly interpret our respective mortality rates.","Hypokalemia is a common biochemical abnormality. Severe hypokalemia can produce cardiac rhythm alterations and neurologic manifestations. Early detection and treatment allow clinician to prevent morbidity and mortality from cardiac arrhythmias and respiratory failure. Here, we describe a case of severe hypokalemia inducing pseudoischemic electrocardiographic (ECG) alterations and quadriplegia, in a patient affected by chronic diarrhea. Electrocardiographic alterations and neurologic manifestations completely disappeared after potassium replacement; however, prolonged potassium supplementation was required to achieve the normalization of plasmatic potassium levels. Consecutive figures show ECG improvement until normalization of ECG findings.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Quadriplegia Sentence A: The survival periods in 331 cases of quadriplegia are reviewed. Important features are degree of injury, age at time of accident and ability to survive the first three months. A comparison of comparable circumstances is essential if we are to correctly interpret our respective mortality rates. Sentence B: Hypokalemia is a common biochemical abnormality. Severe hypokalemia can produce cardiac rhythm alterations and neurologic manifestations. Early detection and treatment allow clinician to prevent morbidity and mortality from cardiac arrhythmias and respiratory failure. Here, we describe a case of severe hypokalemia inducing pseudoischemic electrocardiographic (ECG) alterations and quadriplegia, in a patient affected by chronic diarrhea. Electrocardiographic alterations and neurologic manifestations completely disappeared after potassium replacement; however, prolonged potassium supplementation was required to achieve the normalization of plasmatic potassium levels. Consecutive figures show ECG improvement until normalization of ECG findings. ###Answer 1. Changed The meaning of the target word ""quadriplegia"" has significantly shifted between the two sentences. In Sentence A, the term is used to describe the duration of survival in cases of spinal cord injury. In Sentence B, the term is used to describe a specific biochemical abnormality, specifically hypokalemia, and its effects on the cardiovascular and nervous systems. The shift in meaning suggests that the term ""quadriplegia"" has undergone semantic drift." 72,Quadriplegia,"Rapid correction of severe chronic hyponatremia with hypertonic saline has been known to cause osmotic demyelination syndrome (ODS). Less recognized are the dangers of rapid correction with normal saline. A 60-year-old woman on thiazide diuretics for hypertension presented with profound hyponatremia (94 mmol/L) and hypokalemia (1.9 mmol/L) associated with volume depletion. Normal saline (2 L/day) and (KCl 40 mmol/day) were given for 5 days. Serum Na+ concentration rose to 106 mmol/L within 18 hours. With improvement of her hyponatremia, she became more alert although the hypokalemia persisted. However, she developed progressive obtundation, quadriplegia, and respiratory failure 6 days later. Magnetic resonance imaging of the brain clearly showed typical features of pontine and extrapontine myelinolysis. We suggest that the aggressive KCl supplement would have been the first-line therapy for this patient presenting with chronic hyponatremia and hypokalemia associated with volume depletion.","Locked-in syndrome (LIS) is the combination of quadriplegia and anarthria (inability to speak), with the preservation of consciousness. The majority of cases are caused by basilar artery occlusion leading to brainstem infarction in the ventral pons, yet numerous other etiologies have been described. The diagnosis of LIS is completely dependent on the physician's ability to know that these manifestations originate in the brainstem and the posterior circulation that supplies it. This knowledge hinges on the ability of the examining physician to conduct a rapid, yet appropriately thorough neurologic examination. With recent advances in interventional neuroradiology leading to improved patient outcomes, LIS has evolved into a critical, time-dependent diagnosis. Herein, we present the case of a male patient who initially presented to the emergency department of a community hospital with coma of unknown cause. By presenting this case and focusing on the importance of the occulomotor exam, we hope to help in the rapid identification and treatment of patients with LIS in the emergency room and avoid outcomes similar to that of our patient.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Quadriplegia Sentence A: Rapid correction of severe chronic hyponatremia with hypertonic saline has been known to cause osmotic demyelination syndrome (ODS). Less recognized are the dangers of rapid correction with normal saline. A 60-year-old woman on thiazide diuretics for hypertension presented with profound hyponatremia (94 mmol/L) and hypokalemia (1.9 mmol/L) associated with volume depletion. Normal saline (2 L/day) and (KCl 40 mmol/day) were given for 5 days. Serum Na+ concentration rose to 106 mmol/L within 18 hours. With improvement of her hyponatremia, she became more alert although the hypokalemia persisted. However, she developed progressive obtundation, quadriplegia, and respiratory failure 6 days later. Magnetic resonance imaging of the brain clearly showed typical features of pontine and extrapontine myelinolysis. We suggest that the aggressive KCl supplement would have been the first-line therapy for this patient presenting with chronic hyponatremia and hypokalemia associated with volume depletion. Sentence B: Locked-in syndrome (LIS) is the combination of quadriplegia and anarthria (inability to speak), with the preservation of consciousness. The majority of cases are caused by basilar artery occlusion leading to brainstem infarction in the ventral pons, yet numerous other etiologies have been described. The diagnosis of LIS is completely dependent on the physician's ability to know that these manifestations originate in the brainstem and the posterior circulation that supplies it. This knowledge hinges on the ability of the examining physician to conduct a rapid, yet appropriately thorough neurologic examination. With recent advances in interventional neuroradiology leading to improved patient outcomes, LIS has evolved into a critical, time-dependent diagnosis. Herein, we present the case of a male patient who initially presented to the emergency department of a community hospital with coma of unknown cause. By presenting this case and focusing on the importance of the occulomotor exam, we hope to help in the rapid identification and treatment of patients with LIS in the emergency room and avoid outcomes similar to that of our patient. ###Answer 1. Changed Reasoning: The meaning of the word ""quadriplegia"" has shifted significantly between the two sentences. In Sentence A, the word is used to describe a patient with severe hyponatremia and hypokalemia, associated with volume depletion, who later develops progressive obtundation, quadriplegia, and respiratory failure. In Sentence B, the word is used to describe a patient with locked-in syndrome (LIS), a combination of quadriplegia and anarthria (inability to speak), with the preservation of consciousness. The meaning of ""quadriplegia"" in Sentence B is different from its meaning in Sentence A, where it refers to a specific neurological condition caused by brainstem infarction. Therefore, semantic drift has occurred in the usage of the word ""quadriplegia""." 73,Quadriplegia,"The existence of cervical spinal cord injury without bony nor disco-ligamentous lesion rises pathogenic, prognostic and therapeutic challenges. The extent and localisation of cord injury, which depends on intensity and direction of the applied force, can explain the different clinical patterns: incomplete quadriplegia: 8 cases, incomplete Brown-Sequard-like quadriplegia: 2 cases, diplegia brachialis: 5 cases. We have not observed any complete quadriplegia. The presence of arthritic or congenital spinal canal stenosis has been found in 12 cases. We have used a coupled myelographic-CT Scan study. MRI has been employed more recently. This X-ray study has never found any major cord compression. Improvement of neurologic troubles, under medical treatment, was constant, but sequelae were always present, hands being most concerned; their importance was paralleled to the initial clinical feature. The Brown-Sequard-like quadriplegia were more pejorative. 3 patients, after an initial improvement, have presented a cervical myelopathic evolution and have been successfully operated on. On the other hand, the only initially operated on patient has been immediately worsened. Operation is indicated by the third week, when coexist: a spinal stenosis and a poor clinical evolution.","In this article we describe visual perceptual abilities of a clinical population, referred for visual problems to our multidisciplinary team and assessed with the five computer tasks from the L94 visual perceptual battery. Clinical and neuroimaging findings were correlated with the findings on this task battery. Seventy children (35 males, 35 females) constituted our cohort. Age ranged from 4 to 20 years (mean 7y [SD 3y]). Forty children were born before 37 weeks gestational age. Thirty-six children had cerebral palsy (CP), of whom 24 had spastic diplegia, five had spastic hemiplegia, and four had spastic quadriplegia. Three children had ataxic CP. Perceptual visual impairment (PVI) was established in comparison to the performance age obtained on non-verbal intelligence subtests, instead of chronological age. Our results suggest that children with a history of preterm birth and a clinical CP picture are most at risk for a specific PVI. Correlations among other clinical variables did not define a clinical subgroup more at risk. Children with periventricular leucomalacia were almost equally represented in both PVI and non-PVI groups. Normal magnetic resonance imaging did not exclude the presence of PVI. In these children, however, we found another impairment profile, more in favour of dorsal stream impairment.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Quadriplegia Sentence A: The existence of cervical spinal cord injury without bony nor disco-ligamentous lesion rises pathogenic, prognostic and therapeutic challenges. The extent and localisation of cord injury, which depends on intensity and direction of the applied force, can explain the different clinical patterns: incomplete quadriplegia: 8 cases, incomplete Brown-Sequard-like quadriplegia: 2 cases, diplegia brachialis: 5 cases. We have not observed any complete quadriplegia. The presence of arthritic or congenital spinal canal stenosis has been found in 12 cases. We have used a coupled myelographic-CT Scan study. MRI has been employed more recently. This X-ray study has never found any major cord compression. Improvement of neurologic troubles, under medical treatment, was constant, but sequelae were always present, hands being most concerned; their importance was paralleled to the initial clinical feature. The Brown-Sequard-like quadriplegia were more pejorative. 3 patients, after an initial improvement, have presented a cervical myelopathic evolution and have been successfully operated on. On the other hand, the only initially operated on patient has been immediately worsened. Operation is indicated by the third week, when coexist: a spinal stenosis and a poor clinical evolution. Sentence B: In this article we describe visual perceptual abilities of a clinical population, referred for visual problems to our multidisciplinary team and assessed with the five computer tasks from the L94 visual perceptual battery. Clinical and neuroimaging findings were correlated with the findings on this task battery. Seventy children (35 males, 35 females) constituted our cohort. Age ranged from 4 to 20 years (mean 7y [SD 3y]). Forty children were born before 37 weeks gestational age. Thirty-six children had cerebral palsy (CP), of whom 24 had spastic diplegia, five had spastic hemiplegia, and four had spastic quadriplegia. Three children had ataxic CP. Perceptual visual impairment (PVI) was established in comparison to the performance age obtained on non-verbal intelligence subtests, instead of chronological age. Our results suggest that children with a history of preterm birth and a clinical CP picture are most at risk for a specific PVI. Correlations among other clinical variables did not define a clinical subgroup more at risk. Children with periventricular leucomalacia were almost equally represented in both PVI and non-PVI groups. Normal magnetic resonance imaging did not exclude the presence of PVI. In these children, however, we found another impairment profile, more in favour of dorsal stream impairment. ###Answer 1. Changed Explanation: In Sentence A, the term ""quadriplegia"" is used to describe a specific type of spinal cord injury, where the extent and localization of the injury determine the clinical pattern. The term is used in the context of medical diagnosis and treatment. In Sentence B, the term ""quadriplegia"" is used to describe a subtype of cerebral palsy, specifically spastic quadriplegia. The term is used in the context of a clinical study to assess visual perceptual abilities in children with cerebral palsy. In Sentence A, the term ""quadriplegia"" has a specific medical meaning that is consistent with the context. However, in Sentence B, the term has a different meaning and connotation, as it is used to describe a subtype of cerebral palsy. The change in meaning is significant, as it suggests a shift in the term's usage from a purely medical context to a broader clinical context. Therefore, the label ""Changed"" is appropriate." 74,Quadriplegia,"The potential or actual involvement of the nervous system in injuries to the cervical spine requires that management must proceed with particular care. Prevention of further injury is the main objective. Proper management must begin with the removal of the athlete from the field, and the correct procedures for doing this are reviewed. Treatment procedures for the following injuries are discussed: (1) nerve root and brachial plexus neurapraxia; (2) acute cervical sprain syndrome; (3) cervical vertebral subluxation without fracture; (4) cervical fractures and dislocations; (5) cervical spinal cord neurapraxia with transient quadriplegia; and (6) cervical spinal instability. Also, guidelines for activity restrictions are presented.","People with quadriplegia have a high risk for respiratory illness, social isolation and depression. Previous research has demonstrated that therapeutic singing interventions can not only improve breathing function and speech loudness, but also improve mood and social connectedness for people with quadriplegia. Face-to-face group attendance is difficult for this population due to difficulties with distance and travel. Online environments offer an accessible and cost-effective solution for people to connect with others without leaving their home. In a two-phase iterative design, we explored and tested different approaches for delivering online music therapy sessions with 12 patients from an inpatient spinal cord injury rehabilitation service. Six participants in Phase 1 trialled different virtual reality headsets and completed a short interview about their experience of the equipment and online singing trials. Outcomes from Phase 1 testing led to the development of a custom-built virtual reality application for online group music therapy sessions with low-latency audio. We tested the acceptability and feasibility of this platform in comparison to face-to-face and teleconference options for music therapy with six different patients. These participants completed three validated questionnaires: System Usability Scale, Quebec User Evaluation of Satisfaction with assistive Technology, and Psychosocial Impact of Assistive Devices Scale, and an interview about their experience. Questionnaire scores were good with mean ratings of 4.4 for Quebec User Evaluation of Satisfaction with assistive Technology, 53 for System Usability Scale and positive mean Psychosocial Impact of Assistive Devices Scale scores of 1.5 for competence, 2 for adaptability and 1.5 for self-esteem. Thematic analysis of post-session qualitative interviews revealed five themes: virtual reality was a positive experience, virtual reality was immersive and transportative, virtual reality reduced inhibitions about singing in front of others, virtual reality may reduce social cues, and the virtual reality equipment was comfortable, accessible and easy to use. Telehealth options, including a custom-designed virtual reality program, with low-latency audio are an acceptable and feasible mode of delivery for therapeutic singing interventions for people with spinal cord injury. Future non-inferiority research is needed to test online delivery modes for music therapy in comparison to face-to-face treatment.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Quadriplegia Sentence A: The potential or actual involvement of the nervous system in injuries to the cervical spine requires that management must proceed with particular care. Prevention of further injury is the main objective. Proper management must begin with the removal of the athlete from the field, and the correct procedures for doing this are reviewed. Treatment procedures for the following injuries are discussed: (1) nerve root and brachial plexus neurapraxia; (2) acute cervical sprain syndrome; (3) cervical vertebral subluxation without fracture; (4) cervical fractures and dislocations; (5) cervical spinal cord neurapraxia with transient quadriplegia; and (6) cervical spinal instability. Also, guidelines for activity restrictions are presented. Sentence B: People with quadriplegia have a high risk for respiratory illness, social isolation and depression. Previous research has demonstrated that therapeutic singing interventions can not only improve breathing function and speech loudness, but also improve mood and social connectedness for people with quadriplegia. Face-to-face group attendance is difficult for this population due to difficulties with distance and travel. Online environments offer an accessible and cost-effective solution for people to connect with others without leaving their home. In a two-phase iterative design, we explored and tested different approaches for delivering online music therapy sessions with 12 patients from an inpatient spinal cord injury rehabilitation service. Six participants in Phase 1 trialled different virtual reality headsets and completed a short interview about their experience of the equipment and online singing trials. Outcomes from Phase 1 testing led to the development of a custom-built virtual reality application for online group music therapy sessions with low-latency audio. We tested the acceptability and feasibility of this platform in comparison to face-to-face and teleconference options for music therapy with six different patients. These participants completed three validated questionnaires: System Usability Scale, Quebec User Evaluation of Satisfaction with assistive Technology, and Psychosocial Impact of Assistive Devices Scale, and an interview about their experience. Questionnaire scores were good with mean ratings of 4.4 for Quebec User Evaluation of Satisfaction with assistive Technology, 53 for System Usability Scale and positive mean Psychosocial Impact of Assistive Devices Scale scores of 1.5 for competence, 2 for adaptability and 1.5 for self-esteem. Thematic analysis of post-session qualitative interviews revealed five themes: virtual reality was a positive experience, virtual reality was immersive and transportative, virtual reality reduced inhibitions about singing in front of others, virtual reality may reduce social cues, and the virtual reality equipment was comfortable, accessible and easy to use. Telehealth options, including a custom-designed virtual reality program, with low-latency audio are an acceptable and feasible mode of delivery for therapeutic singing interventions for people with spinal cord injury. Future non-inferiority research is needed to test online delivery modes for music therapy in comparison to face-to-face treatment. ###Answer 1. Changed The target word ""quadriplegia"" has undergone a significant change in meaning or connotation between the two timestamps. In Sentence A, the word is used to describe the involvement of the nervous system in injuries to the cervical spine, with a focus on management and prevention of further injury. In Sentence B, the word is used to describe the social and respiratory challenges faced by people with quadriplegia, with a focus on the accessibility of online environments for connecting with others. The word's meaning has shifted from a medical context to a broader social context, indicating semantic drift." 75,Quadriplegia,"Results of surgery to correct fixed flexion contracture of the knee and improve voluntary knee extension in 39 knees in 20 children (11 females, 9 males; mean age 12 years 8 months, age range 5 to 20 years) with cerebral palsy were analyzed. All patients had neuromotor disease and 18 children had spastic diplegia or quadriplegia. All patients could initiate voluntary knee extension but lacked full passive extension. Five patients (10 knees) were free walkers with a mean motor severity index of 19 and mean fixed knee contracture of 20 degrees. Fifteen patients (29 knees) were not free walkers and 13 were wheelchair ambulators. They had a mean motor severity index of 8 and mean fixed knee contractures of 30 degrees. Surgical procedures included various combinations of hamstring lengthening and/or posterior capsulotomy to allow free passive knee extension, with or without quadriceps mechanism shortening, to enhance voluntary extension. The best results were in patients who had hamstring lengthening, posterior capsulotomy, and quadriceps mechanism shortening.","The abrupt onset of sensorimotor deficits is a neurologic emergency that requires immediate management. Acute spontaneous spinal cord infarction (SCI) is rare, but can cause the sudden onset of quadriplegia or quadriparesis. Magnetic resonance imaging (MRI) is an essential imaging modality to diagnose SCI.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Quadriplegia Sentence A: Results of surgery to correct fixed flexion contracture of the knee and improve voluntary knee extension in 39 knees in 20 children (11 females, 9 males; mean age 12 years 8 months, age range 5 to 20 years) with cerebral palsy were analyzed. All patients had neuromotor disease and 18 children had spastic diplegia or quadriplegia. All patients could initiate voluntary knee extension but lacked full passive extension. Five patients (10 knees) were free walkers with a mean motor severity index of 19 and mean fixed knee contracture of 20 degrees. Fifteen patients (29 knees) were not free walkers and 13 were wheelchair ambulators. They had a mean motor severity index of 8 and mean fixed knee contractures of 30 degrees. Surgical procedures included various combinations of hamstring lengthening and/or posterior capsulotomy to allow free passive knee extension, with or without quadriceps mechanism shortening, to enhance voluntary extension. The best results were in patients who had hamstring lengthening, posterior capsulotomy, and quadriceps mechanism shortening. Sentence B: The abrupt onset of sensorimotor deficits is a neurologic emergency that requires immediate management. Acute spontaneous spinal cord infarction (SCI) is rare, but can cause the sudden onset of quadriplegia or quadriparesis. Magnetic resonance imaging (MRI) is an essential imaging modality to diagnose SCI. ###Answer 1. Changed Explanation: In Sentence A, the term ""quadriplegia"" is used to describe a condition where a patient has difficulty initiating and completing voluntary knee extension due to neuromotor disease. The sentence suggests that the patient has some degree of spasticity and fixed knee contracture, but the focus is on the surgical interventions aimed at improving knee function. In Sentence B, the term ""quadriplegia"" is used in a different context. The sentence highlights the sudden onset of sensorimotor deficits, including quadriplegia or quadriparesis, as a result of acute spontaneous spinal cord infarction (SCI). The emphasis is on the neurological emergency and the diagnostic role of MRI in identifying the cause of the symptoms. Comparing the usage of ""quadriplegia"" in these two sentences reveals a significant change in meaning. In Sentence A, the term refers to a specific condition related to knee function, while in Sentence B, it is used to describe a broader range of neurological symptoms, including paralysis. Therefore, I would label this term as having undergone semantic drift." 76,Quadriplegia,"Rapid baclofen withdrawal is known to cause markedly increased spasticity, but high fever associated with this complication has not been reported. We describe a 13-year-old boy with sensory incomplete C1 quadriplegia two years after injury who was on 200mg of baclofen per day for spasticity. Concerns about adverse side effects prompted tapering of his baclofen. Severely increased spasticity was noted with associated hyperthermia to 107 degrees F after the dosage was gradually decreased. Sepsis work-up was negative, head computed tomography scan was unchanged, and electroencephalogram showed no epileptiform activity. Cooling blankets, intravenous diazepam, and return of baclofen to 160mg per day decreased spasticity and normalized body temperature without recurrence of hyperthermia. Possible fever etiology is the hypermetabolic state associated with the acute return of spasticity.","We describe a 13-year-old boy with mitochondrial encephalopathy with lactic acidosis and stroke-like episodes (MELAS) who experienced a stroke-like episode resulting in severe mental regression and quadriplegia. We tested 14-3-3 protein in the cerebrospinal fluid (CSF) of the patient four times around a stroke-like episode in a magnetic resonance imaging (MRI) study. Detection of the protein in the CSF was well correlated with the clinical course and range of damage of the brain lesion on MRI. Interestingly, 14-3-3 CSF protein was detected at the beginning of mitochondrial encephalopathy without new MRI abnormalities, suggesting that it is a sensitive brain marker. We conclude that 14-3-3 CSF protein is a useful biological marker of brain disruption in MELAS as well as other neurological disorders.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Quadriplegia Sentence A: Rapid baclofen withdrawal is known to cause markedly increased spasticity, but high fever associated with this complication has not been reported. We describe a 13-year-old boy with sensory incomplete C1 quadriplegia two years after injury who was on 200mg of baclofen per day for spasticity. Concerns about adverse side effects prompted tapering of his baclofen. Severely increased spasticity was noted with associated hyperthermia to 107 degrees F after the dosage was gradually decreased. Sepsis work-up was negative, head computed tomography scan was unchanged, and electroencephalogram showed no epileptiform activity. Cooling blankets, intravenous diazepam, and return of baclofen to 160mg per day decreased spasticity and normalized body temperature without recurrence of hyperthermia. Possible fever etiology is the hypermetabolic state associated with the acute return of spasticity. Sentence B: We describe a 13-year-old boy with mitochondrial encephalopathy with lactic acidosis and stroke-like episodes (MELAS) who experienced a stroke-like episode resulting in severe mental regression and quadriplegia. We tested 14-3-3 protein in the cerebrospinal fluid (CSF) of the patient four times around a stroke-like episode in a magnetic resonance imaging (MRI) study. Detection of the protein in the CSF was well correlated with the clinical course and range of damage of the brain lesion on MRI. Interestingly, 14-3-3 CSF protein was detected at the beginning of mitochondrial encephalopathy without new MRI abnormalities, suggesting that it is a sensitive brain marker. We conclude that 14-3-3 CSF protein is a useful biological marker of brain disruption in MELAS as well as other neurological disorders. ###Answer 1. Changed Reasoning: In Sentence A, the term ""quadriplegia"" is used to describe the patient's condition as ""sensory incomplete C1 quadriplegia."" This implies that the patient has lost sensation in certain parts of their body, specifically the upper and lower extremities. The term ""quadriplegia"" in this context suggests a more severe form of paralysis than the more common usage of the term, which typically refers to paralysis of all four limbs. In Sentence B, the term ""quadriplegia"" is used differently, as ""quadriplegia"" is described as a ""stroke-like episode"" resulting in ""severe mental regression and quadriplegia."" In this context, the term ""quadriplegia"" suggests a more general loss of motor function, rather than the specific loss of sensation described in Sentence A. This difference in usage suggests that the term ""quadriplegia"" has undergone a significant change in meaning or connotation between the two sentences. Therefore, the label ""Changed"" is appropriate." 77,Quadriplegia,A 58-year-old hypertensive man presented with the sudden onset of quadriplegia and inability to protrude the tongue. Magnetic resonance imaging showed a bilateral medial medullary infarction associated with an abnormally dilated and partially occluded vertebral artery.,"Athletes that participate in contact and collision sports assume risk of serious injury each time they take the field. For those athletes that have sustained an episode of transient quadriplegia, the decision of whether to return to competition can be a difficult one. Some athletes, realizing how close they may have come to permanent injury, may decide that further participation is not in their best interest. Others may be somewhat undecided, and some may want to return at all costs. As the treating physician, the goal is to identify those athletes who after a single episode of transient quadriplegia are at increased risk for further injury and consequently should discontinue participation in contact sports. Factors that may contribute to that determination include mechanism of injury, prior history of neurologic symptoms or injury, and anatomic features that may predispose to further injury such as disc herniation, fracture, or cervical stenosis.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Quadriplegia Sentence A: A 58-year-old hypertensive man presented with the sudden onset of quadriplegia and inability to protrude the tongue. Magnetic resonance imaging showed a bilateral medial medullary infarction associated with an abnormally dilated and partially occluded vertebral artery. Sentence B: Athletes that participate in contact and collision sports assume risk of serious injury each time they take the field. For those athletes that have sustained an episode of transient quadriplegia, the decision of whether to return to competition can be a difficult one. Some athletes, realizing how close they may have come to permanent injury, may decide that further participation is not in their best interest. Others may be somewhat undecided, and some may want to return at all costs. As the treating physician, the goal is to identify those athletes who after a single episode of transient quadriplegia are at increased risk for further injury and consequently should discontinue participation in contact sports. Factors that may contribute to that determination include mechanism of injury, prior history of neurologic symptoms or injury, and anatomic features that may predispose to further injury such as disc herniation, fracture, or cervical stenosis. ###Answer 1. Changed Reasoning: The meaning of ""quadriplegia"" has shifted significantly between Sentence A (2000) and Sentence B (2020). In Sentence A, the term refers to a specific medical condition resulting from a bilateral medial medullary infarction associated with an abnormally dilated and partially occluded vertebral artery. However, in Sentence B, the term is used more broadly to describe athletes who have experienced a temporary episode of quadriplegia, without any specific medical context. This broader usage suggests a change in the semantic field of the term ""quadriplegia,"" indicating a semantic drift." 78,Quadriplegia,"Twenty infants, diagnosed by cranial ultrasound as having extensive cystic leukomalacia, had visual evoked responses (VER) and electroencephalograms (EEG) in the neonatal period and MRI scans later in infancy. The early ultrasound findings and results from the electrophysiological tests were correlated with later MRI findings and functional abilities. In infants with periventricular leukomalacia (PVL), the cysts were usually no longer visible by ultrasonography, beyond 40 weeks postmenstrual age (PMA), but later MRI scans showed a consistent pattern of delayed myelination around the irregularly dilated occipital horns of the lateral ventricles. VER's were present in the neonatal period and vision was maintained, although all infants developed a marked squint. EEG's were either normal or abnormal initially, but improvement was noted within several weeks. In those with subcortical or mixed lesions, cysts were noted to persist beyond 40 weeks PMA. Later MRI scans showed very poor myelination, with poor progress on subsequent scans and cortical atrophy. VER's were absent and all infants later became cortically blind. EEG's were severely abnormal and recovery was very poor. The infants with PVL developed spastic diplegia with moderate developmental delay, while those with mixed or subcortical lesions developed quadriplegia with severe mental retardation. An integrated approach, consisting of ultrasound imaging and electrophysiological recordings in the neonatal period and MRI imaging later in infancy, may provide a more reliable prediction of the pattern of later deficits.","(1) Background: Cerebral palsy (CP) is associated with a higher incidence of epileptic seizures. This study uses a prediction model to identify the factors associated with epilepsy in children with CP. (2) Methods: This is a retrospective longitudinal study of the clinical characteristics of 102 children with CP. In the study, there were 58 males and 44 females, 65 inpatients and 37 outpatients, 72 had epilepsy, and 22 had intractable epilepsy. The mean age was 16.6 ± 1.2 years, and the age range for this study was 12−18 years. Data were collected on the CP etiology, diagnosis, type of epilepsy and spasticity, clinical history, communication abilities, behaviors, intellectual disability, motor function, and feeding abilities from 2005 to 2020. A prediction model, Epi-PredictMed, was implemented to forecast the factors associated with epilepsy. We used the guidelines of “Transparent Reporting of a multivariable prediction model for Individual Prognosis or Diagnosis” (TRIPOD). (3) Results: CP etiology [(prenatal > perinatal > postnatal causes) p = 0.036], scoliosis (p = 0.048), communication (p = 0.018), feeding disorders (p = 0.002), poor motor function (p < 0.001), intellectual disabilities (p = 0.007), and the type of spasticity [(quadriplegia/triplegia > diplegia > hemiplegia), p = 0.002)] were associated with having epilepsy. The model scored an average of 82% for accuracy, sensitivity, and specificity. (4) Conclusion: Prenatal CP etiology, spasticity, scoliosis, severe intellectual disabilities, poor motor skills, and communication and feeding disorders were associated with epilepsy in children with CP. To implement preventive and/or management measures, caregivers and families of children with CP and epilepsy should be aware of the likelihood that these children will develop these conditions.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Quadriplegia Sentence A: Twenty infants, diagnosed by cranial ultrasound as having extensive cystic leukomalacia, had visual evoked responses (VER) and electroencephalograms (EEG) in the neonatal period and MRI scans later in infancy. The early ultrasound findings and results from the electrophysiological tests were correlated with later MRI findings and functional abilities. In infants with periventricular leukomalacia (PVL), the cysts were usually no longer visible by ultrasonography, beyond 40 weeks postmenstrual age (PMA), but later MRI scans showed a consistent pattern of delayed myelination around the irregularly dilated occipital horns of the lateral ventricles. VER's were present in the neonatal period and vision was maintained, although all infants developed a marked squint. EEG's were either normal or abnormal initially, but improvement was noted within several weeks. In those with subcortical or mixed lesions, cysts were noted to persist beyond 40 weeks PMA. Later MRI scans showed very poor myelination, with poor progress on subsequent scans and cortical atrophy. VER's were absent and all infants later became cortically blind. EEG's were severely abnormal and recovery was very poor. The infants with PVL developed spastic diplegia with moderate developmental delay, while those with mixed or subcortical lesions developed quadriplegia with severe mental retardation. An integrated approach, consisting of ultrasound imaging and electrophysiological recordings in the neonatal period and MRI imaging later in infancy, may provide a more reliable prediction of the pattern of later deficits. Sentence B: (1) Background: Cerebral palsy (CP) is associated with a higher incidence of epileptic seizures. This study uses a prediction model to identify the factors associated with epilepsy in children with CP. (2) Methods: This is a retrospective longitudinal study of the clinical characteristics of 102 children with CP. In the study, there were 58 males and 44 females, 65 inpatients and 37 outpatients, 72 had epilepsy, and 22 had intractable epilepsy. The mean age was 16.6 ± 1.2 years, and the age range for this study was 12−18 years. Data were collected on the CP etiology, diagnosis, type of epilepsy and spasticity, clinical history, communication abilities, behaviors, intellectual disability, motor function, and feeding abilities from 2005 to 2020. A prediction model, Epi-PredictMed, was implemented to forecast the factors associated with epilepsy. We used the guidelines of “Transparent Reporting of a multivariable prediction model for Individual Prognosis or Diagnosis” (TRIPOD). (3) Results: CP etiology [(prenatal > perinatal > postnatal causes) p = 0.036], scoliosis (p = 0.048), communication (p = 0.018), feeding disorders (p = 0.002), poor motor function (p < 0.001), intellectual disabilities (p = 0.007), and the type of spasticity [(quadriplegia/triplegia > diplegia > hemiplegia), p = 0.002)] were associated with having epilepsy. The model scored an average of 82% for accuracy, sensitivity, and specificity. (4) Conclusion: Prenatal CP etiology, spasticity, scoliosis, severe intellectual disabilities, poor motor skills, and communication and feeding disorders were associated with epilepsy in children with CP. To implement preventive and/or management measures, caregivers and families of children with CP and epilepsy should be aware of the likelihood that these children will develop these conditions. ###Answer 1. Changed The meaning of the target word ""quadriplegia"" has significantly shifted between the two sentences. In Sentence A, it is used to describe a type of cerebral palsy characterized by spastic diplegia with moderate developmental delay. In Sentence B, it is used to describe a type of epilepsy associated with cerebral palsy, specifically in children with quadriplegia. The shift in meaning is likely due to changes in medical understanding and terminology over time." 79,Quadriplegia,"Quadriplegia as a presenting syndrome in a case of primary hyperparathyroidism is reported. The clinical picture was misdiagnosed as a space-occupying lesion in the cervical spinal canal, for which an unnecessary laminectomy was performed. The neurologic deficits disappeared following the removal of a parathyroid adenoma. The neurologic presentations of hyperparathyroidism are reviewed and discussed.","The surgical treatment of delayed, unstable sub-axial cervical spine injuries is challenging. Multiple treatment regimens have been described in the literature, although there is no consensus regarding the best treatment approach. This report presents a 35-year-old obese woman who experienced a delayed sub-axial fracture-dislocation following a motor vehicle accident (MVA) and was successfully managed after three weeks via pre-operative traction followed by a novel single-surgery, single-approach technique with pedicle screws and tension-band wiring as a reduction method. A 35-year-old obese woman with a body mass index (BMI) of 30.1 sustained a frontal impact MVA and suffered from complete quadriplegia below C5 (American Spinal Cord Association Injury A) three weeks prior to presentation. She was intubated and presented with a Glasgow Coma Scale score of 11/15. Trauma computed tomography (CT) showed an isolated spine injury. Moreover, whole-spine CT showed an isolated cervical spine injury involving a basin tip fracture, a comminuted C1 arch fracture, a C2 fracture, and a C6-C7 fracture-dislocation. In addition, magnetic resonance imaging revealed cord contusion at the same level, with C1-C2 left atlantoaxial joint instability. Neck magnetic resonance angiograms and carotid CT angiograms showed left vertebral artery attenuation. She was admitted to the intensive care unit and taken for C6-C7 reduction and instrumentation using only a posterior approach after medical optimization and the application of sufficient traction. Delayed cervical spine fracture-dislocation imposes a challenge for surgical reduction. However, a proper reduction can be achieved through a sufficient duration of pre-operative traction and an isolated anterior or posterior approach.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Quadriplegia Sentence A: Quadriplegia as a presenting syndrome in a case of primary hyperparathyroidism is reported. The clinical picture was misdiagnosed as a space-occupying lesion in the cervical spinal canal, for which an unnecessary laminectomy was performed. The neurologic deficits disappeared following the removal of a parathyroid adenoma. The neurologic presentations of hyperparathyroidism are reviewed and discussed. Sentence B: The surgical treatment of delayed, unstable sub-axial cervical spine injuries is challenging. Multiple treatment regimens have been described in the literature, although there is no consensus regarding the best treatment approach. This report presents a 35-year-old obese woman who experienced a delayed sub-axial fracture-dislocation following a motor vehicle accident (MVA) and was successfully managed after three weeks via pre-operative traction followed by a novel single-surgery, single-approach technique with pedicle screws and tension-band wiring as a reduction method. A 35-year-old obese woman with a body mass index (BMI) of 30.1 sustained a frontal impact MVA and suffered from complete quadriplegia below C5 (American Spinal Cord Association Injury A) three weeks prior to presentation. She was intubated and presented with a Glasgow Coma Scale score of 11/15. Trauma computed tomography (CT) showed an isolated spine injury. Moreover, whole-spine CT showed an isolated cervical spine injury involving a basin tip fracture, a comminuted C1 arch fracture, a C2 fracture, and a C6-C7 fracture-dislocation. In addition, magnetic resonance imaging revealed cord contusion at the same level, with C1-C2 left atlantoaxial joint instability. Neck magnetic resonance angiograms and carotid CT angiograms showed left vertebral artery attenuation. She was admitted to the intensive care unit and taken for C6-C7 reduction and instrumentation using only a posterior approach after medical optimization and the application of sufficient traction. Delayed cervical spine fracture-dislocation imposes a challenge for surgical reduction. However, a proper reduction can be achieved through a sufficient duration of pre-operative traction and an isolated anterior or posterior approach. ###Answer 1. Changed Reasoning: In Sentence A, the term ""quadriplegia"" is used to describe a specific neurological condition, specifically the presence of neurologic deficits following the removal of a parathyroid adenoma. The term is used in the context of a medical condition and does not carry any significant connotations or associations beyond its medical definition. In Sentence B, the term ""quadriplegia"" is used in a different context, to describe a delayed sub-axial fracture-dislocation injury. The term is used to convey the severity of the injury, specifically the loss of function in the upper and lower extremities. The term also carries connotations of trauma and injury, which are different from its medical definition. Based on these differences in context and meaning, it can be argued that the term ""quadriplegia"" has undergone a significant change in meaning between Sentence A and Sentence B. Therefore, the label ""Changed"" is appropriate." 80,Quadriplegia,"The clinical pattern and etiology of 544 cases of cerebral palsy were studied retrospectively. Of these cases, 354 (65.1%) were males. Four hundred and ninety seven (91.4%) cases were of spastic type. Hypotonic, ataxic and athetoid cerebral palsy were observed in 5.5, 1.5 and 1.3% cases, respectively. There was one case each of tremor and mixed type. In the spastic group, quadriplegia comprised the maximum number of cases (34.9%). Hemiplegia (28.7%) and diplegia (21.9) were also common. Mental retardation was found in 47.2%, while speech impairment was observed in 37% cases. Other handicaps included visual (9%), seizures (8.8%), and auditory handicap (2.9%). The etiological factors were prenatal in 7.7% cases, natal in 43.8% cases and postnatal in 26.1% cases. More than one etiological factor was observed in 14.5% cases, while in 7.9% cases, no apparent cause could be found.","Acute Quadriplegic Myopathy with selective Thick Filament Loss (AQM-TFL) is likely an under-recognized cause of acquired areflexic quadriplegia in the ICU setting. An autopsy study of a patient with AQM-TFL revealed widespread limb thick filament loss, but with complete diaphragmatic and cardiac sparing and relative intercostal muscle sparing, was observed. Due to increased lipid accumulation, biochemical studies were performed and showed an increased free carnitine percentage, suggesting possible impaired carnitine esterification. These findings suggest that moving muscles might be resistant to the deleterious effects of AQM-TFL. These findings may have therapeutic implications.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Quadriplegia Sentence A: The clinical pattern and etiology of 544 cases of cerebral palsy were studied retrospectively. Of these cases, 354 (65.1%) were males. Four hundred and ninety seven (91.4%) cases were of spastic type. Hypotonic, ataxic and athetoid cerebral palsy were observed in 5.5, 1.5 and 1.3% cases, respectively. There was one case each of tremor and mixed type. In the spastic group, quadriplegia comprised the maximum number of cases (34.9%). Hemiplegia (28.7%) and diplegia (21.9) were also common. Mental retardation was found in 47.2%, while speech impairment was observed in 37% cases. Other handicaps included visual (9%), seizures (8.8%), and auditory handicap (2.9%). The etiological factors were prenatal in 7.7% cases, natal in 43.8% cases and postnatal in 26.1% cases. More than one etiological factor was observed in 14.5% cases, while in 7.9% cases, no apparent cause could be found. Sentence B: Acute Quadriplegic Myopathy with selective Thick Filament Loss (AQM-TFL) is likely an under-recognized cause of acquired areflexic quadriplegia in the ICU setting. An autopsy study of a patient with AQM-TFL revealed widespread limb thick filament loss, but with complete diaphragmatic and cardiac sparing and relative intercostal muscle sparing, was observed. Due to increased lipid accumulation, biochemical studies were performed and showed an increased free carnitine percentage, suggesting possible impaired carnitine esterification. These findings suggest that moving muscles might be resistant to the deleterious effects of AQM-TFL. These findings may have therapeutic implications. ###Answer 1. Changed Reasoning: The target word ""quadriplegia"" has undergone a significant change in meaning between Sentence A and Sentence B. In Sentence A, the term refers to a clinical pattern of cerebral palsy, specifically the maximum number of cases in the spastic group. In Sentence B, the term is used to describe a specific type of myopathy, Acute Quadriplegic Myopathy with selective Thick Filament Loss (AQM-TFL), which is characterized by widespread limb thick filament loss with complete sparing of the diaphragm and cardiac muscles. The term ""quadriplegia"" has evolved to have a different meaning and connotation in the medical field, indicating a shift in its semantic field." 81,Quadriplegia,"A young man was admitted to the ICU for acute asthmatic respiratory failure. He was sedated with propofol, curarized with pancuronium and put on mechanical ventilation for 15 day because of the persistent asthmatics crisis. Drug therapy for asthma included high-dose corticosteroids. When sedation and paralysis were stopped, the patient, that was fully conscious, showed flaccid quadriplegia. A muscular biopsy showed elective loss of the myosin thick filaments. Electrophysiologic evaluation was compatible with both neurologic or muscular pathology. The evolution of the disease was good; a drop-out performed 5 months later showed a complete motor recovery.","Quadriplegia is a severe, catastrophic injury that predominantly affects people early in life, resulting in lifelong physical disability. Obstructive sleep apnoea is a direct consequence of quadriplegia and is associated with neurocognitive deficits, sleepiness and reduced quality of life. The usual treatment for sleep apnoea is nasal continuous positive airway pressure (CPAP); however, this is poorly tolerated in quadriplegia. To encourage patients to use this therapy, we have to demonstrate that the benefits outweigh the inconvenience. We therefore propose a prospective, multinational randomized controlled trial of three months of CPAP for obstructive sleep apnoea after acute quadriplegia.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Quadriplegia Sentence A: A young man was admitted to the ICU for acute asthmatic respiratory failure. He was sedated with propofol, curarized with pancuronium and put on mechanical ventilation for 15 day because of the persistent asthmatics crisis. Drug therapy for asthma included high-dose corticosteroids. When sedation and paralysis were stopped, the patient, that was fully conscious, showed flaccid quadriplegia. A muscular biopsy showed elective loss of the myosin thick filaments. Electrophysiologic evaluation was compatible with both neurologic or muscular pathology. The evolution of the disease was good; a drop-out performed 5 months later showed a complete motor recovery. Sentence B: Quadriplegia is a severe, catastrophic injury that predominantly affects people early in life, resulting in lifelong physical disability. Obstructive sleep apnoea is a direct consequence of quadriplegia and is associated with neurocognitive deficits, sleepiness and reduced quality of life. The usual treatment for sleep apnoea is nasal continuous positive airway pressure (CPAP); however, this is poorly tolerated in quadriplegia. To encourage patients to use this therapy, we have to demonstrate that the benefits outweigh the inconvenience. We therefore propose a prospective, multinational randomized controlled trial of three months of CPAP for obstructive sleep apnoea after acute quadriplegia. ###Answer 1. Changed 2. Unchanged Explanation: In Sentence A, the target word ""quadriplegia"" is used to describe a condition in which a patient shows flaccid paralysis after being sedated and paralyzed for 15 days. The context suggests that the patient has suffered a neurological injury, and the term ""quadriplegia"" is used to convey the severity of the condition. In Sentence B, the target word ""quadriplegia"" is used to describe a catastrophic injury that affects people early in life, resulting in lifelong physical disability. The term is used to convey the severity and permanence of the condition. The context suggests that the term ""quadriplegia"" has shifted its meaning to include a broader range of conditions, including obstructive sleep apnoea, which is associated with neurocognitive deficits, sleepiness, and reduced quality of life. Based on these two sentences, it is clear that the meaning of the term ""quadriplegia"" has shifted significantly between the two time periods. In Sentence A, the term is used to describe a specific neurological condition, while in Sentence B, it is used to describe a broader range of conditions, including obstructive sleep apnoea. Therefore, the label ""Changed"" is appropriate for this example." 82,Quadriplegia,"Many paediatricians believe that there are circumstances in which infants should be allowed to die without having their lives prolonged by intensive care or surgery. During a four-year period, in a regional neonatal intensive-care unit, 75 infants were so seriously ill that withdrawal of treatment was discussed. 26 infants had severe acquired neurological damage, 26 had been born after extremely short gestation (25 weeks or less), and 23 had severe congenital abnormalities. The decision to withdraw treatment from a particular infant had to be unanimous among all the medical and nursing staff caring for that child and was based on a virtual certainty, not just of handicap, but of total incapacity--eg, microcephaly, spastic quadriplegia, and blindness. Of the 75 infants, the decision of the medical team was to withdraw treatment from 51. The parents of 47 infants accepted the decision and all these infants died. The parents of 4 infants chose continued intensive care, and 2 infants survived with disabilities. In the other 24 cases, the medical decision was to continue treatment. Of these, 17 survived and 7 died. When a thorough medical assessment had led to unanimous agreement among staff and parents that treatment should be withdrawn, its continuation on purely legal grounds is not justifiable.","Cerebral air embolism (CAE) is a rare neurologic complication that can occur in patients undergoing various medical procedures or trauma. CAE can sometimes result in death caused by severe brain edema. In spite of these implications, the pathophysiologic mechanisms and radiologic features of fatal CAE remain to be elucidated. In this case report, a patient with carcinomatous pleuritis lost consciousness and developed quadriplegia and had generalized seizures during intrathoracic lavage. Serial computed tomography (CT) revealed the presence of air in intracranial blood vessels following severe brain edema; these are typically observed on the CT scans of patients with fatal CAE. Diffusion-weighted imaging (DWI) of the brain obtained at 24 hours after the onset of CAE revealed scattered cortical gyriform high signal intensity often observed in CAE cases, whereas the apparent diffusion coefficient and T2-weighted imaging revealed diffuse hyperintensity in the subcortical deep white matter, indicating vasogenic edema. Our case showed predominant vasogenic edema rather than cortical ischemic changes in the subcortical deep white matter area. These findings indicate that diffuse subcortical vasogenic edema could be the main cause of mortality in fatal CAE.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Quadriplegia Sentence A: Many paediatricians believe that there are circumstances in which infants should be allowed to die without having their lives prolonged by intensive care or surgery. During a four-year period, in a regional neonatal intensive-care unit, 75 infants were so seriously ill that withdrawal of treatment was discussed. 26 infants had severe acquired neurological damage, 26 had been born after extremely short gestation (25 weeks or less), and 23 had severe congenital abnormalities. The decision to withdraw treatment from a particular infant had to be unanimous among all the medical and nursing staff caring for that child and was based on a virtual certainty, not just of handicap, but of total incapacity--eg, microcephaly, spastic quadriplegia, and blindness. Of the 75 infants, the decision of the medical team was to withdraw treatment from 51. The parents of 47 infants accepted the decision and all these infants died. The parents of 4 infants chose continued intensive care, and 2 infants survived with disabilities. In the other 24 cases, the medical decision was to continue treatment. Of these, 17 survived and 7 died. When a thorough medical assessment had led to unanimous agreement among staff and parents that treatment should be withdrawn, its continuation on purely legal grounds is not justifiable. Sentence B: Cerebral air embolism (CAE) is a rare neurologic complication that can occur in patients undergoing various medical procedures or trauma. CAE can sometimes result in death caused by severe brain edema. In spite of these implications, the pathophysiologic mechanisms and radiologic features of fatal CAE remain to be elucidated. In this case report, a patient with carcinomatous pleuritis lost consciousness and developed quadriplegia and had generalized seizures during intrathoracic lavage. Serial computed tomography (CT) revealed the presence of air in intracranial blood vessels following severe brain edema; these are typically observed on the CT scans of patients with fatal CAE. Diffusion-weighted imaging (DWI) of the brain obtained at 24 hours after the onset of CAE revealed scattered cortical gyriform high signal intensity often observed in CAE cases, whereas the apparent diffusion coefficient and T2-weighted imaging revealed diffuse hyperintensity in the subcortical deep white matter, indicating vasogenic edema. Our case showed predominant vasogenic edema rather than cortical ischemic changes in the subcortical deep white matter area. These findings indicate that diffuse subcortical vasogenic edema could be the main cause of mortality in fatal CAE. ###Answer 1. Changed Reasoning: In Sentence A, the term ""quadriplegia"" is used to describe a condition in which there is severe brain damage resulting in total incapacity. The context suggests that this condition is severe and irreversible, and the medical team's decision to withdraw treatment is based on this assessment. In Sentence B, the term ""quadriplegia"" is used to describe a complication of cerebral air embolism (CAE), where air enters the blood vessels in the brain and causes edema. The context suggests that this condition is different from the one described in Sentence A, and the term ""quadriplegia"" is used to describe the specific neurological symptoms associated with CAE. Based on these differences in context and meaning, it can be concluded that the term ""quadriplegia"" has undergone a significant change in meaning between Sentence A and Sentence B. In Sentence A, the term is used to describe a severe and irreversible condition, while in Sentence B, it is used to describe a specific complication of CAE. Therefore, the label ""Changed"" is appropriate." 83,Quadriplegia,"In devastating neurological disorders, such as quadriplegia resulting from high-level spinal cord injury, it is essential to focus on functions that have been spared and optimally exploit them to enhance the individual's quality of life. It follows that certain muscles, which prior to the paralysis of much of the rest of the body seemed to have no useful function, might be used to provide unique signals to control assistive devices. This report presents preliminary electrophysiological data demonstrating potentially useful myoelectrical signals from 3 functionally vestigial muscles in humans; the posterior, anterior, and superior auricular muscles. In phylogenetically lower species, these muscles serve to position the ear to enhance hearing. The auricular muscles receive their major innervation from cranial nerve VII and should not be compromised by even high-level spinal cord lesions. In this study, it was found that the muscles could be voluntarily activated and, by standard surface-electrode recording, had potentials ranging to 680 microV in amplitude. Posterior auricular muscle potentials were used to command a paddle in a computer ping-pong task that employed a CyberLink interface. The t values for accuracy scores and ball hits were both significant at the p = .0001 level. These facts indicate that the auricular muscles may be useful for controlling assistive devices."," Teleoperation of mobile manipulators within a home environment can significantly enhance the independence of individuals with severe motor impairments, allowing them to regain the ability to perform self-care and household tasks. There is a critical need for novel teleoperation interfaces to offer effective alternatives for individuals with impairments who may encounter challenges in using existing interfaces due to physical limitations. In this work, we iterate on one such interface, HAT (Head-Worn Assistive Teleoperation), an inertial-based wearable integrated into any head-worn garment. We evaluate HAT through a 7-day in-home study with Henry Evans, a non-speaking individual with quadriplegia who has participated extensively in assistive robotics studies. We additionally evaluate HAT with a proposed shared control method for mobile manipulators termed Driver Assistance and demonstrate how the interface generalizes to other physical devices and contexts. Our results show that HAT is a strong teleoperation interface across key metrics including efficiency, errors, learning curve, and workload. Code and videos are located on our project website. ","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Quadriplegia Sentence A: In devastating neurological disorders, such as quadriplegia resulting from high-level spinal cord injury, it is essential to focus on functions that have been spared and optimally exploit them to enhance the individual's quality of life. It follows that certain muscles, which prior to the paralysis of much of the rest of the body seemed to have no useful function, might be used to provide unique signals to control assistive devices. This report presents preliminary electrophysiological data demonstrating potentially useful myoelectrical signals from 3 functionally vestigial muscles in humans; the posterior, anterior, and superior auricular muscles. In phylogenetically lower species, these muscles serve to position the ear to enhance hearing. The auricular muscles receive their major innervation from cranial nerve VII and should not be compromised by even high-level spinal cord lesions. In this study, it was found that the muscles could be voluntarily activated and, by standard surface-electrode recording, had potentials ranging to 680 microV in amplitude. Posterior auricular muscle potentials were used to command a paddle in a computer ping-pong task that employed a CyberLink interface. The t values for accuracy scores and ball hits were both significant at the p = .0001 level. These facts indicate that the auricular muscles may be useful for controlling assistive devices. Sentence B: Teleoperation of mobile manipulators within a home environment can significantly enhance the independence of individuals with severe motor impairments, allowing them to regain the ability to perform self-care and household tasks. There is a critical need for novel teleoperation interfaces to offer effective alternatives for individuals with impairments who may encounter challenges in using existing interfaces due to physical limitations. In this work, we iterate on one such interface, HAT (Head-Worn Assistive Teleoperation), an inertial-based wearable integrated into any head-worn garment. We evaluate HAT through a 7-day in-home study with Henry Evans, a non-speaking individual with quadriplegia who has participated extensively in assistive robotics studies. We additionally evaluate HAT with a proposed shared control method for mobile manipulators termed Driver Assistance and demonstrate how the interface generalizes to other physical devices and contexts. Our results show that HAT is a strong teleoperation interface across key metrics including efficiency, errors, learning curve, and workload. Code and videos are located on our project website. ###Answer 1. Changed Reasoning: In Sentence A, the target word ""quadriplegia"" is used to describe a neurological disorder resulting in paralysis of much of the body. The word is used in the context of medical research, specifically in relation to the potential use of certain muscles to control assistive devices. The meaning of the word in this sentence is focused on the medical and scientific aspects of the disorder. In Sentence B, the target word ""quadriplegia"" is used to describe the ability of individuals with severe motor impairments to regain independence through teleoperation of mobile manipulators. The word is used in the context of technology and assistive devices, with a focus on the potential benefits for individuals with impairments. The meaning of the word in this sentence is focused on the technological and assistive aspects of the disorder. Comparing the two sentences, it is clear that the meaning of the target word has shifted significantly. In Sentence A, the word is used primarily in a medical and scientific context, while in Sentence B, it is used primarily in a technological and assistive context. The word has undergone a significant change in meaning, indicating semantic drift. Therefore, the label ""Changed"" is appropriate." 84,Quadriplegia,"A 5-year-old boy with spastic quadriplegia, T cell immunodeficiency, hypouricemia and immune cytopenias from age 8 months, was found to have purine nucleoside phosphorylase (PNP) deficiency, and developed chronic lung disease. Successful matched sibling BMT for PNP deficiency has not previously been reported. BMT using marrow from an HLA-identical sibling donor was performed after conditioning with busulfan (16 mg/kg), cyclophosphamide (200 mg/kg), melphalan (90 mg/m2) and anti-thymocyte globulin (36 mg/kg). T lymphocyte numbers, PNP activity and uric acid levels rapidly improved and he remains well 12 months after transplant.","Varicella zoster virus (VZV) causes chickenpox at the primary infection and then becomes latent in the spinal dorsal root ganglia; VZV can reactivate with aging, immunosuppression, stress, and other factors, occurring as herpes zoster (HZ) at 1-2 skin segments. HZ peripheral nerve complications caused by VZV reactivation include Hunt syndrome, segmental HZ paresis, post-herpetic neuralgia, and Guillain-Barré syndrome (GBS). We have encountered the rare HZ complications of upper-limb paresis, myeloradiculitis, and polyradiculoneuritis: an adult woman with upper-limb paresis consistent with the nerve root on segments above the thoracic HZ dermatome; another woman exhibiting ascending myeloradiculitis originating at the Th11-12 roots; an elderly woman with ascending VZV polyradiculoneuritis resembling GBS; an adult with VZV quadriplegia with disseminated HZ; and an elderly patient with VZV-associated polyradiculoneuritis. The three polyradiculoneuritis cases may be a new subtype of HZ peripheral neuropathy, but the pathophysiology for these HZ peripheral nerve complications unrelated to HZ dermatomes is unclear. We analyzed host factors, skin lesions, neurological and virological findings, and MRI results including 3D NerveVIEW in 15 Japanese patients treated at our facility for HZ peripheral neuropathy, including six differing from the HZ dermatome. Based on the clinical findings including MRI results of spinal ganglia and roots, we identified four possible routes for the patterns of VZV spread: (","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Quadriplegia Sentence A: A 5-year-old boy with spastic quadriplegia, T cell immunodeficiency, hypouricemia and immune cytopenias from age 8 months, was found to have purine nucleoside phosphorylase (PNP) deficiency, and developed chronic lung disease. Successful matched sibling BMT for PNP deficiency has not previously been reported. BMT using marrow from an HLA-identical sibling donor was performed after conditioning with busulfan (16 mg/kg), cyclophosphamide (200 mg/kg), melphalan (90 mg/m2) and anti-thymocyte globulin (36 mg/kg). T lymphocyte numbers, PNP activity and uric acid levels rapidly improved and he remains well 12 months after transplant. Sentence B: Varicella zoster virus (VZV) causes chickenpox at the primary infection and then becomes latent in the spinal dorsal root ganglia; VZV can reactivate with aging, immunosuppression, stress, and other factors, occurring as herpes zoster (HZ) at 1-2 skin segments. HZ peripheral nerve complications caused by VZV reactivation include Hunt syndrome, segmental HZ paresis, post-herpetic neuralgia, and Guillain-Barré syndrome (GBS). We have encountered the rare HZ complications of upper-limb paresis, myeloradiculitis, and polyradiculoneuritis: an adult woman with upper-limb paresis consistent with the nerve root on segments above the thoracic HZ dermatome; another woman exhibiting ascending myeloradiculitis originating at the Th11-12 roots; an elderly woman with ascending VZV polyradiculoneuritis resembling GBS; an adult with VZV quadriplegia with disseminated HZ; and an elderly patient with VZV-associated polyradiculoneuritis. The three polyradiculoneuritis cases may be a new subtype of HZ peripheral neuropathy, but the pathophysiology for these HZ peripheral nerve complications unrelated to HZ dermatomes is unclear. We analyzed host factors, skin lesions, neurological and virological findings, and MRI results including 3D NerveVIEW in 15 Japanese patients treated at our facility for HZ peripheral neuropathy, including six differing from the HZ dermatome. Based on the clinical findings including MRI results of spinal ganglia and roots, we identified four possible routes for the patterns of VZV spread: ( ###Answer 1. Changed The meaning of ""quadriplegia"" has significantly shifted between the two sentences. In Sentence A, it refers to a specific medical condition (spastic quadriplegia) with a clear medical definition. In Sentence B, it is used more broadly to refer to any type of paralysis or weakness, without any specific medical definition. This shift in meaning indicates semantic drift." 85,Quadriplegia,"We examined 2 siblings with schizencephaly. A 23-year-old female (Case-1) had a mild left hemiparesis, and her 25-year-old brother (Case-2) presented a quadriplegia. Both cases achieved a borderline intellectual level and both had seizure disorders. The magnetic resonance imaging (MRI) of Case-1 revealed thickened gray matter around the fused schizencephalic clefts in the bilateral frontal lobes, mild ventricular enlargement and absence of the septum pellucidum. And, the MRI result of Case-2 disclosed similar but more severe abnormalities. The positron emission tomography (PET) using 18F-Fluoro-2-deoxy-D-glucose of Case-1 demonstrated focal hypermetabolic activity in the ectopic gray matter with the absence of epileptic discharges on the electroencephalogram on the day of PET study. And the single photon emission computed tomography (SPECT) using 123I-N-isopropyl-p-iodoamphetamine of Case-1 delineated focal hyperperfusion in the same lesions. The PET and SPECT findings are unique, since previous reports have indicated focal hypoperfusion and hypometabolism in abnormal gray matter. Familial schizencephaly is a very rare malformation, and this is the first report of that in Japan. Further evaluation in similar cases is needed to determine the pathophysiology of this anomaly.","This article introduces a new index, the GDI-Kinetic; a direct analog of the GDI based on joint kinetics rather than kinematics. The method consists of: (1) identifying ""features"" of the raw gait kinetic data using singular value decomposition, (2) identifying a subset of features that account for a large percentage of the information in the raw gait kinetic data, (3) expressing the raw data from a group of typically developing children as a linear combination of these features, (4) expressing a subject's raw data as a linear combination of these features, (5) calculating the magnitude of the difference between the subject and the mean of the control, and (6) scaling and transforming the difference, in order to provide a simple, and statistically well-behaved, measure. Linear combinations of the first 20 gait features produced a 91% faithful reconstruction of the data. Concurrent and face validity for the GDI-Kinetic are presented through comparisons with the GDI, Gillette Functional Assessment Questionnaire Walking Scale (FAQ), and topographic classifications within the diagnosis of Cerebral Palsy (CP). The GDI-Kinetic and GDI are linearly related but not strongly correlated (r(2)=0.24). Like the GDI, the GDI-Kinetic scales with FAQ level, distinguishes levels from one another, and is normally distributed across FAQ levels six to ten, and among typically developing children. The GDI-Kinetic also scales with respect to clinical involvement based on topographic CP classification in Hemiplegia types I-IV, Diplegia, Triplegia, and Quadriplegia. The GDI-Kinetic complements the GDI in order to give a more comprehensive measure of gait pathology.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Quadriplegia Sentence A: We examined 2 siblings with schizencephaly. A 23-year-old female (Case-1) had a mild left hemiparesis, and her 25-year-old brother (Case-2) presented a quadriplegia. Both cases achieved a borderline intellectual level and both had seizure disorders. The magnetic resonance imaging (MRI) of Case-1 revealed thickened gray matter around the fused schizencephalic clefts in the bilateral frontal lobes, mild ventricular enlargement and absence of the septum pellucidum. And, the MRI result of Case-2 disclosed similar but more severe abnormalities. The positron emission tomography (PET) using 18F-Fluoro-2-deoxy-D-glucose of Case-1 demonstrated focal hypermetabolic activity in the ectopic gray matter with the absence of epileptic discharges on the electroencephalogram on the day of PET study. And the single photon emission computed tomography (SPECT) using 123I-N-isopropyl-p-iodoamphetamine of Case-1 delineated focal hyperperfusion in the same lesions. The PET and SPECT findings are unique, since previous reports have indicated focal hypoperfusion and hypometabolism in abnormal gray matter. Familial schizencephaly is a very rare malformation, and this is the first report of that in Japan. Further evaluation in similar cases is needed to determine the pathophysiology of this anomaly. Sentence B: This article introduces a new index, the GDI-Kinetic; a direct analog of the GDI based on joint kinetics rather than kinematics. The method consists of: (1) identifying ""features"" of the raw gait kinetic data using singular value decomposition, (2) identifying a subset of features that account for a large percentage of the information in the raw gait kinetic data, (3) expressing the raw data from a group of typically developing children as a linear combination of these features, (4) expressing a subject's raw data as a linear combination of these features, (5) calculating the magnitude of the difference between the subject and the mean of the control, and (6) scaling and transforming the difference, in order to provide a simple, and statistically well-behaved, measure. Linear combinations of the first 20 gait features produced a 91% faithful reconstruction of the data. Concurrent and face validity for the GDI-Kinetic are presented through comparisons with the GDI, Gillette Functional Assessment Questionnaire Walking Scale (FAQ), and topographic classifications within the diagnosis of Cerebral Palsy (CP). The GDI-Kinetic and GDI are linearly related but not strongly correlated (r(2)=0.24). Like the GDI, the GDI-Kinetic scales with FAQ level, distinguishes levels from one another, and is normally distributed across FAQ levels six to ten, and among typically developing children. The GDI-Kinetic also scales with respect to clinical involvement based on topographic CP classification in Hemiplegia types I-IV, Diplegia, Triplegia, and Quadriplegia. The GDI-Kinetic complements the GDI in order to give a more comprehensive measure of gait pathology. ###Answer 1. Changed Explanation: Quadriplegia has undergone a significant change in meaning between the two sentences. In Sentence A, the term refers to a specific neurological disorder characterized by fused schizencephalic clefts in the bilateral frontal lobes, mild ventricular enlargement, and absence of the septum pellucidum. In contrast, in Sentence B, the term is used to describe a new index, the GDI-Kinetic, which is a direct analog of the GDI based on joint kinetics rather than kinematics. The context and meaning of the term have shifted from a neurological disorder to a statistical measure used in a specific field. Therefore, semantic drift has occurred in the usage of the term ""quadriplegia""." 86,Quadriplegia,"A 40-year-old man was admitted with fever and purpura. He was diagnosed as having acute promyelocytic leukemia, and treated with all-trans retinoic acid. After achieving complete remission, he received consolidation therapy. During the chemotherapy, quadriplegia occurred three times. This was diagnosed as hypokalemic periodic paralysis because of the patient's low serum potassium level. Results of hormone and urine examinations showed no indication of secondary hypokalemia. However, the patient had a history of quadriplegia of unknown etiology at the age of 36. We speculated that in addition to the patient's predisposition to hypokalemic periodic paralysis, chemotherapy including prednisolone, and excessive ingestion of carbohydrate had induced his quadriplegia.","Microtubules are dynamic cytoskeletal elements coordinating and supporting a variety of neuronal processes, including cell division, migration, polarity, intracellular trafficking, and signal transduction. Mutations in genes encoding tubulins and microtubule-associated proteins are known to cause neurodevelopmental and neurodegenerative disorders. Growing evidence suggests that altered microtubule dynamics may also underlie or contribute to neurodevelopmental disorders and neurodegeneration. We report that biallelic mutations in TBCD, encoding one of the five co-chaperones required for assembly and disassembly of the αβ-tubulin heterodimer, the structural unit of microtubules, cause a disease with neurodevelopmental and neurodegenerative features characterized by early-onset cortical atrophy, secondary hypomyelination, microcephaly, thin corpus callosum, developmental delay, intellectual disability, seizures, optic atrophy, and spastic quadriplegia. Molecular dynamics simulations predicted long-range and/or local structural perturbations associated with the disease-causing mutations. Biochemical analyses documented variably reduced levels of TBCD, indicating relative instability of mutant proteins, and defective β-tubulin binding in a subset of the tested mutants. Reduced or defective TBCD function resulted in decreased soluble α/β-tubulin levels and accelerated microtubule polymerization in fibroblasts from affected subjects, demonstrating an overall shift toward a more rapidly growing and stable microtubule population. These cells displayed an aberrant mitotic spindle with disorganized, tangle-shaped microtubules and reduced aster formation, which however did not alter appreciably the rate of cell proliferation. Our findings establish that defective TBCD function underlies a recognizable encephalopathy and drives accelerated microtubule polymerization and enhanced microtubule stability, underscoring an additional cause of altered microtubule dynamics with impact on neuronal function and survival in the developing brain.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Quadriplegia Sentence A: A 40-year-old man was admitted with fever and purpura. He was diagnosed as having acute promyelocytic leukemia, and treated with all-trans retinoic acid. After achieving complete remission, he received consolidation therapy. During the chemotherapy, quadriplegia occurred three times. This was diagnosed as hypokalemic periodic paralysis because of the patient's low serum potassium level. Results of hormone and urine examinations showed no indication of secondary hypokalemia. However, the patient had a history of quadriplegia of unknown etiology at the age of 36. We speculated that in addition to the patient's predisposition to hypokalemic periodic paralysis, chemotherapy including prednisolone, and excessive ingestion of carbohydrate had induced his quadriplegia. Sentence B: Microtubules are dynamic cytoskeletal elements coordinating and supporting a variety of neuronal processes, including cell division, migration, polarity, intracellular trafficking, and signal transduction. Mutations in genes encoding tubulins and microtubule-associated proteins are known to cause neurodevelopmental and neurodegenerative disorders. Growing evidence suggests that altered microtubule dynamics may also underlie or contribute to neurodevelopmental disorders and neurodegeneration. We report that biallelic mutations in TBCD, encoding one of the five co-chaperones required for assembly and disassembly of the αβ-tubulin heterodimer, the structural unit of microtubules, cause a disease with neurodevelopmental and neurodegenerative features characterized by early-onset cortical atrophy, secondary hypomyelination, microcephaly, thin corpus callosum, developmental delay, intellectual disability, seizures, optic atrophy, and spastic quadriplegia. Molecular dynamics simulations predicted long-range and/or local structural perturbations associated with the disease-causing mutations. Biochemical analyses documented variably reduced levels of TBCD, indicating relative instability of mutant proteins, and defective β-tubulin binding in a subset of the tested mutants. Reduced or defective TBCD function resulted in decreased soluble α/β-tubulin levels and accelerated microtubule polymerization in fibroblasts from affected subjects, demonstrating an overall shift toward a more rapidly growing and stable microtubule population. These cells displayed an aberrant mitotic spindle with disorganized, tangle-shaped microtubules and reduced aster formation, which however did not alter appreciably the rate of cell proliferation. Our findings establish that defective TBCD function underlies a recognizable encephalopathy and drives accelerated microtubule polymerization and enhanced microtubule stability, underscoring an additional cause of altered microtubule dynamics with impact on neuronal function and survival in the developing brain. ###Answer 1. Changed Reasoning: In Sentence A, the term ""quadriplegia"" is used to describe a specific neurological disorder (hypokalemic periodic paralysis) that is caused by a combination of genetic and environmental factors. The term is used to explain the patient's symptoms and the diagnosis is based on a combination of clinical features and laboratory tests. In Sentence B, the term ""quadriplegia"" is used in a different context, to describe the structural dynamics of microtubules in neurons. In this context, the term ""quadriplegia"" refers to the dynamic instability of microtubules, which can lead to altered microtubule dynamics and neuronal function. Therefore, the semantic drift of the term ""quadriplegia"" has occurred between the two sentences. In Sentence A, the term is used to describe a specific medical condition, while in Sentence B, it is used to describe a biological process. The two sentences have different meanings and connotations associated with the term ""quadriplegia"", indicating a semantic drift has occurred." 87,Quadriplegia,"To investigate the selective role of intraspinal opioids on the perception and modulation of pain, seven subjects with chronic hip or back pain and one subject with C-6 quadriplegia received 25 micrograms of intrathecal fentanyl. The effect of lumbar intrathecal fentanyl on reported pain, nociceptive flexor withdrawal reflexes, a monosynaptic motor arc (H-reflex), and supraspinal effects such as miosis, nausea, respiratory depression was evaluated. In five of eight subjects the flexor withdrawal reflex was completely abolished within 15 min. In the others the reflex was significantly depressed from control values. Decreases in reported pain paralleled the decrease in the flexor reflex, H-reflexes remained unchanged, and no supraspinal side effects were observed. It is likely that these selective changes observed were from the isolated effect of fentanyl modulating nociception at the spinal cord level.","Spontaneous spinal epidural hematoma without discernable underlying conditions is a rare complication during pregnancy. We report a pregnant woman who developed the hematoma at 16 weeks of pregnancy; the earliest occurrence ever reported. A 36-year-old Japanese primipara with twins felt shoulder, neck and back pain at 16(+1) weeks with progressive quadriplegia. Magnetic resonance imaging revealed a mass in the C3-7 epidural space, compatible with a spinal epidural hematoma, and decompression was performed 9 h after symptom onset. Rehabilitation started and she gave birth abdominally to healthy twin infants at the 29th week. Motor, sensory and sphincter disturbances remained. This case demonstrates that spinal epidural hematoma can occur even without known underlying conditions and even at an early gestational age.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Quadriplegia Sentence A: To investigate the selective role of intraspinal opioids on the perception and modulation of pain, seven subjects with chronic hip or back pain and one subject with C-6 quadriplegia received 25 micrograms of intrathecal fentanyl. The effect of lumbar intrathecal fentanyl on reported pain, nociceptive flexor withdrawal reflexes, a monosynaptic motor arc (H-reflex), and supraspinal effects such as miosis, nausea, respiratory depression was evaluated. In five of eight subjects the flexor withdrawal reflex was completely abolished within 15 min. In the others the reflex was significantly depressed from control values. Decreases in reported pain paralleled the decrease in the flexor reflex, H-reflexes remained unchanged, and no supraspinal side effects were observed. It is likely that these selective changes observed were from the isolated effect of fentanyl modulating nociception at the spinal cord level. Sentence B: Spontaneous spinal epidural hematoma without discernable underlying conditions is a rare complication during pregnancy. We report a pregnant woman who developed the hematoma at 16 weeks of pregnancy; the earliest occurrence ever reported. A 36-year-old Japanese primipara with twins felt shoulder, neck and back pain at 16(+1) weeks with progressive quadriplegia. Magnetic resonance imaging revealed a mass in the C3-7 epidural space, compatible with a spinal epidural hematoma, and decompression was performed 9 h after symptom onset. Rehabilitation started and she gave birth abdominally to healthy twin infants at the 29th week. Motor, sensory and sphincter disturbances remained. This case demonstrates that spinal epidural hematoma can occur even without known underlying conditions and even at an early gestational age. ###Answer 1. Changed The target word ""quadriplegia"" has undergone a significant change in meaning between the two sentences. In Sentence A, it is used to describe the condition of a patient with chronic back or hip pain, specifically mentioning C-6 quadriplegia. In Sentence B, it is used to describe a pregnant woman who developed a spinal epidural hematoma, which resulted in progressive quadriplegia. The term is now being used to describe a broader range of conditions, including those unrelated to back or hip pain." 88,Quadriplegia,"Cerebral palsy is caused by a static lesion to the cerebral motor cortex that is acquired before, at, or within 5 years of birth. Multiple causes for the condition exist and include cerebral anoxia, cerebral hemorrhage, infection, and genetic syndromes. Cerebral palsy is commonly classified according to the type of movement problem that is present (spastic or athetoid) or according to the body parts involved (hemiplegia, diplegia, or quadriplegia). To care for children with cerebral palsy, a team approach is most effective; the team should include the pediatrician and orthopedist, among others. In the nonambulatory patient, good sitting posture, the prevention of hip dislocation (spastic hip disease), and the maintenance of proper custodial care are prime concerns. Careful monitoring and treatment of spastic hip disease and the correction of scoliotic spinal deformity are also important. In the ambulatory patient, the main goal is to maximize function. Computerized gait analysis in patients with complex gait patterns helps to show whether orthotic or surgical treatment is indicated. In this paper, we also review both the proper indications for orthopedic intervention in patients with upper extremity involvement and recent methods to control spasticity, such as selective dorsal rhizotomy and administration of botulinum toxin or intrathecal baclofen.",Pneumonia is one of the leading causes of acute- and chronic-phase mortality in patients with cervical spinal cord injury (CSCI) with quadriplegia. The risk factors for chronic-phase pneumonia recurrence in CSCI are still unknown. This study aimed to investigate the incidence of pneumonia in the chronic phase after injury and to identify its risk factors.,"###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Quadriplegia Sentence A: Cerebral palsy is caused by a static lesion to the cerebral motor cortex that is acquired before, at, or within 5 years of birth. Multiple causes for the condition exist and include cerebral anoxia, cerebral hemorrhage, infection, and genetic syndromes. Cerebral palsy is commonly classified according to the type of movement problem that is present (spastic or athetoid) or according to the body parts involved (hemiplegia, diplegia, or quadriplegia). To care for children with cerebral palsy, a team approach is most effective; the team should include the pediatrician and orthopedist, among others. In the nonambulatory patient, good sitting posture, the prevention of hip dislocation (spastic hip disease), and the maintenance of proper custodial care are prime concerns. Careful monitoring and treatment of spastic hip disease and the correction of scoliotic spinal deformity are also important. In the ambulatory patient, the main goal is to maximize function. Computerized gait analysis in patients with complex gait patterns helps to show whether orthotic or surgical treatment is indicated. In this paper, we also review both the proper indications for orthopedic intervention in patients with upper extremity involvement and recent methods to control spasticity, such as selective dorsal rhizotomy and administration of botulinum toxin or intrathecal baclofen. Sentence B: Pneumonia is one of the leading causes of acute- and chronic-phase mortality in patients with cervical spinal cord injury (CSCI) with quadriplegia. The risk factors for chronic-phase pneumonia recurrence in CSCI are still unknown. This study aimed to investigate the incidence of pneumonia in the chronic phase after injury and to identify its risk factors. ###Answer 1. Changed Reasoning: In Sentence A, the term ""quadriplegia"" is used to describe a condition characterized by impaired movement in all four limbs. This definition suggests that the term was used to describe a specific type of movement disorder or paralysis. However, in Sentence B, the term ""quadriplegia"" is used in a different context, to describe a patient population with cervical spinal cord injury. In this context, the term ""quadriplegia"" seems to have taken on a different meaning, specifically referring to patients with spinal cord injuries that result in quadriplegia. This difference in meaning suggests that the term ""quadriplegia"" has undergone semantic drift, as its meaning has shifted from a specific medical condition to a more general term for patients with spinal cord injuries." 89,Quadriplegia,"Stimulating electrodes were chronically implanted unilaterally (in 1975-1977) in the vicinity of the locus coeruleus (LC) in three patients, one with cerebral palsy-spastic quadriplegia, two with epilepsy (one grand mal, one psychomotor). Effective excitation of efferent LC axons was indicated by measuring rises in 3-methoxy-4-hydroxyphenylethyleneglycol in the jugular and systemic venous blood following a 6-min stimulus with discontinuous bursts of pulses. There was a substantial reduction of spasticity during and after stimulation. Improvement was verified by double-blind failures of the stimulator, and the stimulus therapy is still in use after 9 years. There appeared to be a reduction in incidence and severity of both types of epileptic seizures, although this was not rigorously established. The patient with psychomotor epilepsy reported a considerable lengthening of preseizure auras (to 15-30 min), an unusual number of which terminated without a seizure.","Cerebral palsy (CP) can occur in term infants with or without preceding newborn encephalopathy. We compared the type and severity of CP and associated disability in these two groups. Participants from a population-based case-control study of term newborn encephalopathy were followed up for 6 years and linked to the Western Australian Cerebral Palsy Register. The remaining term infants with CP for the same period were also identified from the Cerebral Palsy Register. 13% of neonatal survivors of term newborn encephalopathy had CP, a rate of 116 per 1000 term live births. Overall, 24% of term infants with CP followed newborn encephalopathy. CP following newborn encephalopathy was more likely to: affect males (72% vs 56%); be severe (47% vs 25%); and be of spastic quadriplegia or dyskinetic types. Cognitive impairment was more common (75% vs 43%) and severe (41% vs 16%), as was epilepsy (53% vs 29%) in survivors of encephalopathy. These children were also more likely to: be non-verbal (47% vs 22%); have a severe composite disability score (47% vs 26%); and die between time of diagnosis of CP and age 6 years (5-year cumulative mortality 19% vs 5%). Children born at term who develop CP following newborn encephalopathy have a poorer prognosis than those with CP who were not encephalopathic in the first week of life.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Quadriplegia Sentence A: Stimulating electrodes were chronically implanted unilaterally (in 1975-1977) in the vicinity of the locus coeruleus (LC) in three patients, one with cerebral palsy-spastic quadriplegia, two with epilepsy (one grand mal, one psychomotor). Effective excitation of efferent LC axons was indicated by measuring rises in 3-methoxy-4-hydroxyphenylethyleneglycol in the jugular and systemic venous blood following a 6-min stimulus with discontinuous bursts of pulses. There was a substantial reduction of spasticity during and after stimulation. Improvement was verified by double-blind failures of the stimulator, and the stimulus therapy is still in use after 9 years. There appeared to be a reduction in incidence and severity of both types of epileptic seizures, although this was not rigorously established. The patient with psychomotor epilepsy reported a considerable lengthening of preseizure auras (to 15-30 min), an unusual number of which terminated without a seizure. Sentence B: Cerebral palsy (CP) can occur in term infants with or without preceding newborn encephalopathy. We compared the type and severity of CP and associated disability in these two groups. Participants from a population-based case-control study of term newborn encephalopathy were followed up for 6 years and linked to the Western Australian Cerebral Palsy Register. The remaining term infants with CP for the same period were also identified from the Cerebral Palsy Register. 13% of neonatal survivors of term newborn encephalopathy had CP, a rate of 116 per 1000 term live births. Overall, 24% of term infants with CP followed newborn encephalopathy. CP following newborn encephalopathy was more likely to: affect males (72% vs 56%); be severe (47% vs 25%); and be of spastic quadriplegia or dyskinetic types. Cognitive impairment was more common (75% vs 43%) and severe (41% vs 16%), as was epilepsy (53% vs 29%) in survivors of encephalopathy. These children were also more likely to: be non-verbal (47% vs 22%); have a severe composite disability score (47% vs 26%); and die between time of diagnosis of CP and age 6 years (5-year cumulative mortality 19% vs 5%). Children born at term who develop CP following newborn encephalopathy have a poorer prognosis than those with CP who were not encephalopathic in the first week of life. ###Answer 1. Changed Reasoning: The target word ""quadriplegia"" has undergone a significant change in meaning between Sentence A (1975-1977) and Sentence B (2020). In Sentence A, the term is used to describe a specific type of cerebral palsy, where the patient has spastic quadriplegia. In contrast, in Sentence B, the term is used more broadly to describe any type of cerebral palsy, including spastic, dyskinetic, and ataxic types. The change in meaning suggests that the term ""quadriplegia"" has evolved to encompass a broader range of disabilities, and its original specific meaning has become less prominent. Therefore, the label ""Changed"" is appropriate." 90,Quadriplegia,"Thirteen patients with prior cervical spinal cord injury resulting in quadriplegia were evaluated with magnetic resonance imaging (MRI) long after their initial injury, either because of the relatively recent onset of new and worsening neurologic symptoms or to rule our residual compression on the spinal cord or nerve roots. The results of MRI were compared with delayed metrizamide computed tomography (CT) in 10 cases, and in five of those the results were also compared with intraoperative spinal sonography. It was found that MRI more accurately demonstrated the intramedullary abnormalities in the injured spinal cord than did delayed metrizamide CT because the former could separate myelomalacia from a posttraumatic spinal cord cyst, a differentiation that was frequently difficult with delayed metrizamide CT. T2-weighted spin-echo pulsing sequences with long echo times were particularly useful in evaluating these patients.","An 11-year-old female with spastic quadriplegia was seen in the emergency room with abdominal pain, vomiting and anorexia. Labs revealed possible pancreatitis and signs of a urinary tract infection. A CT scan was performed to assess her abdominal pain and demonstrated circumferential air within the bladder wall. Following cultures being drawn, she was started on broad spectrum antibiotics. Her urine eventually grew Klebsiella Pneumoniae. Follow up imaging 2 weeks later demonstrated resolution of the air. Emphysematous cystitis is an exceedingly rare condition in the pediatric population, with this report representing the second case within the literature. ","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Quadriplegia Sentence A: Thirteen patients with prior cervical spinal cord injury resulting in quadriplegia were evaluated with magnetic resonance imaging (MRI) long after their initial injury, either because of the relatively recent onset of new and worsening neurologic symptoms or to rule our residual compression on the spinal cord or nerve roots. The results of MRI were compared with delayed metrizamide computed tomography (CT) in 10 cases, and in five of those the results were also compared with intraoperative spinal sonography. It was found that MRI more accurately demonstrated the intramedullary abnormalities in the injured spinal cord than did delayed metrizamide CT because the former could separate myelomalacia from a posttraumatic spinal cord cyst, a differentiation that was frequently difficult with delayed metrizamide CT. T2-weighted spin-echo pulsing sequences with long echo times were particularly useful in evaluating these patients. Sentence B: An 11-year-old female with spastic quadriplegia was seen in the emergency room with abdominal pain, vomiting and anorexia. Labs revealed possible pancreatitis and signs of a urinary tract infection. A CT scan was performed to assess her abdominal pain and demonstrated circumferential air within the bladder wall. Following cultures being drawn, she was started on broad spectrum antibiotics. Her urine eventually grew Klebsiella Pneumoniae. Follow up imaging 2 weeks later demonstrated resolution of the air. Emphysematous cystitis is an exceedingly rare condition in the pediatric population, with this report representing the second case within the literature. ###Answer 1. Changed Reasoning: In Sentence A, the term ""quadriplegia"" is used to describe patients with cervical spinal cord injury resulting in paralysis. In Sentence B, the term is used to describe a child with spastic quadriplegia, which is a different condition altogether. The term ""quadriplegia"" has taken on a different meaning in the second sentence, indicating that semantic drift has occurred." 91,Quadriplegia,"Five boys and two girls from a large consanguineous British Muslim family of Pakistani origin are described. All presented from infancy to early childhood with progressive moderate to severe developmental delay, postnatal microcephaly, spastic quadriplegia, refractory seizures, and visual handicap. Cerebrospinal fluid (CSF) pleocytosis was present in three children. Neuroimaging with computerized tomography on three boys and a girl showed generalized cortical atrophy, dilatation of the lateral, third, and fourth ventricles, widening of the surface CSF spaces, hypoplasia of the posterior fossa structures, and multiple and solitary calcifications in the cerebral cortex and punctate calcifications involving basal ganglia, cerebellum, and the Sylvian fissure. Histopathological examination of the brain from three boys and one girl confirmed generalized cortical and cerebellar atrophy with widespread calcifications within the cortical grey and white matter, the basal ganglia, the cerebellum, and in some areas along the capillaries. Investigations excluded a possible nongenetic cause. Parental consanguinity favor autosomal recessive inheritance. This appears to be a recognizable syndrome overlapping the syndrome of Aicardi and Goutières (MIM 225750).","High cervical quadriplegia is associated with high morbidity and mortality. Artificial respiration in these patients carries significant long-term risks such as infection, atelectasis, and respiratory failure. As phrenic nerve pacing has been proven to free many of these patients from ventilatory dependency, we hypothesized that neurotization of the phrenic nerve with the spinal accessory nerve (SAN) may offer one potential alternative to phrenic nerve stimulation via pacing and may be more efficacious and longer lasting without the complications of an implantable device.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Quadriplegia Sentence A: Five boys and two girls from a large consanguineous British Muslim family of Pakistani origin are described. All presented from infancy to early childhood with progressive moderate to severe developmental delay, postnatal microcephaly, spastic quadriplegia, refractory seizures, and visual handicap. Cerebrospinal fluid (CSF) pleocytosis was present in three children. Neuroimaging with computerized tomography on three boys and a girl showed generalized cortical atrophy, dilatation of the lateral, third, and fourth ventricles, widening of the surface CSF spaces, hypoplasia of the posterior fossa structures, and multiple and solitary calcifications in the cerebral cortex and punctate calcifications involving basal ganglia, cerebellum, and the Sylvian fissure. Histopathological examination of the brain from three boys and one girl confirmed generalized cortical and cerebellar atrophy with widespread calcifications within the cortical grey and white matter, the basal ganglia, the cerebellum, and in some areas along the capillaries. Investigations excluded a possible nongenetic cause. Parental consanguinity favor autosomal recessive inheritance. This appears to be a recognizable syndrome overlapping the syndrome of Aicardi and Goutières (MIM 225750). Sentence B: High cervical quadriplegia is associated with high morbidity and mortality. Artificial respiration in these patients carries significant long-term risks such as infection, atelectasis, and respiratory failure. As phrenic nerve pacing has been proven to free many of these patients from ventilatory dependency, we hypothesized that neurotization of the phrenic nerve with the spinal accessory nerve (SAN) may offer one potential alternative to phrenic nerve stimulation via pacing and may be more efficacious and longer lasting without the complications of an implantable device. ###Answer 1. Changed Reasoning: In Sentence A, the term ""quadriplegia"" is used to describe a group of children with developmental delay, microcephaly, seizures, and visual impairment. The context suggests that the term is used to describe a specific medical condition with clear diagnostic criteria. In contrast, in Sentence B, the term ""quadriplegia"" is used to describe a broader concept of high cervical quadriplegia, which is associated with high morbidity and mortality. The term is not used to describe a specific medical condition, but rather a category of patients with certain characteristics. Therefore, the meaning of the term ""quadriplegia"" has shifted from a specific medical condition to a broader category of patients in Sentence B compared to Sentence A. This constitutes semantic drift, and the label ""Changed"" is appropriate." 92,Quadriplegia,A frequent complication of posterior fossa exploration with the patient in the sitting position is venous air embolism. Spinal cord deficits following such a mishap have rarely been reported. We report a case in which a patient who suffered venous air embolism developed quadriplegia from the C6 level. The mechanisms of passage of air into the arterial system are discussed.,"Thyrotoxic periodic paralysis (TPP) is rare in non-Orientals, and sporadic case reports were reported world-wide. Eight cases were reported in Arabs, including 3 Saudis. We present an additional case of TPP in a 38-year-old Saudi man, and review the literature on TPP in Arabs. Our patient presented with complete flaccid quadriplegia, 5 weeks after he was diagnosed with Graves' disease that was treated with carbimazole and propranolol. He was hyperthyroid, and his potassium was extremely low (1.5 mmol/L). During initial evaluation in the emergency room, he developed transient asystole manifested by syncope. He was resuscitated and his hypokalemia was corrected, and he had a full recovery. This case emphasizes the notion that TPP can occur in patients of any ethnic background. The development of serious cardiac complications in our patient underscores the importance of early and correct diagnosis of this potentially life-threatening complication of hyperthyroidism.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Quadriplegia Sentence A: A frequent complication of posterior fossa exploration with the patient in the sitting position is venous air embolism. Spinal cord deficits following such a mishap have rarely been reported. We report a case in which a patient who suffered venous air embolism developed quadriplegia from the C6 level. The mechanisms of passage of air into the arterial system are discussed. Sentence B: Thyrotoxic periodic paralysis (TPP) is rare in non-Orientals, and sporadic case reports were reported world-wide. Eight cases were reported in Arabs, including 3 Saudis. We present an additional case of TPP in a 38-year-old Saudi man, and review the literature on TPP in Arabs. Our patient presented with complete flaccid quadriplegia, 5 weeks after he was diagnosed with Graves' disease that was treated with carbimazole and propranolol. He was hyperthyroid, and his potassium was extremely low (1.5 mmol/L). During initial evaluation in the emergency room, he developed transient asystole manifested by syncope. He was resuscitated and his hypokalemia was corrected, and he had a full recovery. This case emphasizes the notion that TPP can occur in patients of any ethnic background. The development of serious cardiac complications in our patient underscores the importance of early and correct diagnosis of this potentially life-threatening complication of hyperthyroidism. ###Answer 1. Changed Explanation: Quadriplegia has undergone a significant change in meaning between Sentence A (2000) and Sentence B (2020). In Sentence A, the term is used to describe a specific spinal cord injury resulting from a venous air embolism. However, in Sentence B, the term is used to describe a broader range of symptoms related to hyperthyroidism, including transient asystole and hypokalemia. The term is no longer limited to a specific medical condition, but rather encompasses a broader range of symptoms. Therefore, the meaning of the term ""quadriplegia"" has changed significantly between the two timestamps, indicating semantic drift." 93,Quadriplegia,"The purpose of this article is to define as a distinct clinical entity, the syndrome of cervical spinal cord neurapraxia with transient quadriplegia. Sensory changes include burning pain, numbness, tingling, or loss of sensation, whereas motor changes consist of weakness or complete paralysis. The phenomenon of cervical spinal cord neurapraxia occurs in individuals with (1) developmental cervical spinal stenosis, (2) congenital fusions, (3) cervical instability, or (4) intervertebral disc protrusions when associated with a decrease in the anteroposterior diameter of the spinal canal. There is no evidence that the occurrence of cervical spinal cord neurapraxia predisposes an individual to permanent neurologic injury. However, patients with this syndrome and associated with cervical spine instability or acute or chronic degenerative changes should be precluded from further participation in contact sports. Those with developmental spinal stenosis or spinal stenosis associated with congenital abnormalities should be treated on an individual basis.","Locked-in syndrome is defined as quadriplegia and anarthria with the preservation of consciousness. Typically, locked-in syndrome is caused by an insult to the ventral pons secondary to trauma or vascular disease. Presented herein is a case of a locked-in syndrome with an initial MRI with no restricted diffusion and clinical deterioration over the course of four days. Repeat interval MRI demonstrated bilateral pontine ischemia.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Quadriplegia Sentence A: The purpose of this article is to define as a distinct clinical entity, the syndrome of cervical spinal cord neurapraxia with transient quadriplegia. Sensory changes include burning pain, numbness, tingling, or loss of sensation, whereas motor changes consist of weakness or complete paralysis. The phenomenon of cervical spinal cord neurapraxia occurs in individuals with (1) developmental cervical spinal stenosis, (2) congenital fusions, (3) cervical instability, or (4) intervertebral disc protrusions when associated with a decrease in the anteroposterior diameter of the spinal canal. There is no evidence that the occurrence of cervical spinal cord neurapraxia predisposes an individual to permanent neurologic injury. However, patients with this syndrome and associated with cervical spine instability or acute or chronic degenerative changes should be precluded from further participation in contact sports. Those with developmental spinal stenosis or spinal stenosis associated with congenital abnormalities should be treated on an individual basis. Sentence B: Locked-in syndrome is defined as quadriplegia and anarthria with the preservation of consciousness. Typically, locked-in syndrome is caused by an insult to the ventral pons secondary to trauma or vascular disease. Presented herein is a case of a locked-in syndrome with an initial MRI with no restricted diffusion and clinical deterioration over the course of four days. Repeat interval MRI demonstrated bilateral pontine ischemia. ###Answer 1. Changed Reasoning: In Sentence A, the term ""quadriplegia"" is used to describe a specific clinical entity characterized by sensory and motor changes. The term is defined in the context of cervical spinal cord neurapraxia, a condition caused by various factors such as developmental stenosis or congenital fusions. In contrast, in Sentence B, ""quadriplegia"" is used to describe a broader condition, specifically locked-in syndrome, which is characterized by anarthria and preserved consciousness, typically caused by insult to the ventral pons. The shift in meaning is significant, as the term is now used to describe a broader range of conditions, including a more severe form of paralysis. Therefore, the label ""Changed"" is appropriate." 94,Quadriplegia,"Muscle paralysis due to potassium depletion are unusual. We report the case of a patient who developed quadriplegia and language disorders due to potassium depletion, following large intestinal resection. Potassium supplementation was given intravenously at a rate of 0.25 mmol.kg-1.h-1 during the first 48 h. This allowed complete total and rapid recovery from the paralysis.","Quadriplegic subjects present extensive muscle mass paralysis which is responsible for the dramatic decrease in bone mass, increasing the risk of bone fractures. There has been much effort to find an efficient treatment to prevent or reverse this significant bone loss. We used 21 male subjects, mean age 31.95 +/- 8.01 years, with chronic quadriplegia, between C4 and C8, to evaluate the effect of treadmill gait training using neuromuscular electrical stimulation, with 30-50% weight relief, on bone mass, comparing individual dual-energy X-ray absorptiometry responses and biochemical markers of bone metabolism. Subjects were divided into gait (N = 11) and control (N = 10) groups. The gait group underwent gait training for 6 months, twice a week, for 20 min, while the control group did not perform gait. Bone mineral density (BMD) of lumbar spine, femoral neck, trochanteric area, and total femur, and biochemical markers (osteocalcin, bone alkaline phosphatase, pyridinoline, and deoxypyridinoline) were measured at the beginning of the study and 6 months later. In the gait group, 81.8% of the subjects presented a significant increase in bone formation and 66.7% also presented a significant decrease of bone resorption markers, whereas 30% of the controls did not present any change in markers and 20% presented an increase in bone formation. Marker results did not always agree with BMD data. Indeed, many individuals with increased bone formation presented a decrease in BMD. Most individuals in the gait group presented an increase in bone formation markers and a decrease in bone resorption markers, suggesting that gait training, even with 30-50% body weight support, was efficient in improving the bone mass of chronic quadriplegics.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Quadriplegia Sentence A: Muscle paralysis due to potassium depletion are unusual. We report the case of a patient who developed quadriplegia and language disorders due to potassium depletion, following large intestinal resection. Potassium supplementation was given intravenously at a rate of 0.25 mmol.kg-1.h-1 during the first 48 h. This allowed complete total and rapid recovery from the paralysis. Sentence B: Quadriplegic subjects present extensive muscle mass paralysis which is responsible for the dramatic decrease in bone mass, increasing the risk of bone fractures. There has been much effort to find an efficient treatment to prevent or reverse this significant bone loss. We used 21 male subjects, mean age 31.95 +/- 8.01 years, with chronic quadriplegia, between C4 and C8, to evaluate the effect of treadmill gait training using neuromuscular electrical stimulation, with 30-50% weight relief, on bone mass, comparing individual dual-energy X-ray absorptiometry responses and biochemical markers of bone metabolism. Subjects were divided into gait (N = 11) and control (N = 10) groups. The gait group underwent gait training for 6 months, twice a week, for 20 min, while the control group did not perform gait. Bone mineral density (BMD) of lumbar spine, femoral neck, trochanteric area, and total femur, and biochemical markers (osteocalcin, bone alkaline phosphatase, pyridinoline, and deoxypyridinoline) were measured at the beginning of the study and 6 months later. In the gait group, 81.8% of the subjects presented a significant increase in bone formation and 66.7% also presented a significant decrease of bone resorption markers, whereas 30% of the controls did not present any change in markers and 20% presented an increase in bone formation. Marker results did not always agree with BMD data. Indeed, many individuals with increased bone formation presented a decrease in BMD. Most individuals in the gait group presented an increase in bone formation markers and a decrease in bone resorption markers, suggesting that gait training, even with 30-50% body weight support, was efficient in improving the bone mass of chronic quadriplegics. ###Answer 1. Changed Reasoning: The target word ""quadriplegia"" has undergone a significant change in meaning between the two sentences. In Sentence A, the word is used to describe a medical condition characterized by muscle paralysis due to potassium depletion. In Sentence B, the word is used to describe a condition where the muscle mass is paralyzed, resulting in a dramatic decrease in bone mass and an increased risk of fractures. The two sentences imply different aspects of the condition, with Sentence A focusing on the medical aspects, and Sentence B focusing on the bone-related aspects. Therefore, the meaning of the target word has significantly shifted between the two timestamps, indicating semantic drift has occurred." 95,Quadriplegia,"Fifty-five infants who presented bacterial neonatal meningitis were prospectively studied to analyze the frequency and the type of sequelae. All the infants were full term newborns. There were 38 boys and 17 girls; the age of disease onset varied from 3 to 28 days. The causative organism was represented mainly by enterobacteriae. The median time of follow-up was 5 years. The frequency of neurologic sequelae was 63.7%, represented mainly by neuropsychomotor development delay (58.2%), hydrocephaly (45.5%) and convulsions (34.5%). Severe motor abnormalities ocurred in 23.6% of children (quadriplegia, diplegia, hemiparesia and ataxia). Convulsions in the acute phase of the disease and the positive cerebrospinal fluid culture were highly associated to sequelae. The school performance, obtained in 25 children, showed presence of disabilities in 48% of cases, which were significantly associated to mental retardation.",Patients with cervical spinal injury with quadriplegia are at an increased risk of developing serious gastrointestinal complications. We report an unusual case of spontaneous rectosigmoid perforation in a quadriplegic patient. ,"###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Quadriplegia Sentence A: Fifty-five infants who presented bacterial neonatal meningitis were prospectively studied to analyze the frequency and the type of sequelae. All the infants were full term newborns. There were 38 boys and 17 girls; the age of disease onset varied from 3 to 28 days. The causative organism was represented mainly by enterobacteriae. The median time of follow-up was 5 years. The frequency of neurologic sequelae was 63.7%, represented mainly by neuropsychomotor development delay (58.2%), hydrocephaly (45.5%) and convulsions (34.5%). Severe motor abnormalities ocurred in 23.6% of children (quadriplegia, diplegia, hemiparesia and ataxia). Convulsions in the acute phase of the disease and the positive cerebrospinal fluid culture were highly associated to sequelae. The school performance, obtained in 25 children, showed presence of disabilities in 48% of cases, which were significantly associated to mental retardation. Sentence B: Patients with cervical spinal injury with quadriplegia are at an increased risk of developing serious gastrointestinal complications. We report an unusual case of spontaneous rectosigmoid perforation in a quadriplegic patient. ###Answer 1. Changed (Quadriplegia) In Sentence A, the term ""quadriplegia"" is used to describe the severe motor abnormalities occurring in children who have bacterial meningitis. The term is used in the context of neurological disabilities, specifically mentioning the children's inability to walk or have any voluntary movement. In Sentence B, the term ""quadriplegia"" is used to describe a patient with cervical spinal injury. The context is different, as the term is now used to describe a patient with a spinal cord injury, specifically mentioning the patient's inability to move their limbs. The term carries a different connotation, implying a loss of mobility and independence. Based on these differences in context and meaning, it can be concluded that the term ""quadriplegia"" has undergone a significant change in meaning between Sentence A and Sentence B. In Sentence A, the term is used to describe a specific type of neurological disability in children, while in Sentence B, it is used to describe a patient with a spinal cord injury. Therefore, the label ""Changed"" is appropriate." 96,Quadriplegia,"A 6-year-old boy with acquired immunodeficiency syndrome (AIDS) developed aphasia and quadriplegia 3 months before his death. Cerebral vascular ectasia and multiple cerebral infarcts were noted on premortem radiological studies. Postmortem evaluation revealed diffuse aneurysmal dilatation of the circle of Willis associated with fresh and organizing thrombi, destruction of the elastic lamina, and marked intimal fibroplasia. Multiple cerebral infarcts and subacute AIDS encephalitis with basal ganglia calcification were also present. Immunohistochemistry with a monoclonal antibody (anti-gp41) to human immunodeficiency virus (HIV) demonstrated positively stained cells in the arterial wall of the circle of Willis and in the cerebral parenchyma. Double immunostaining demonstrated that gp41-positive cells in the circle of Willis were also positive for a macrophage marker or leukocyte-common antigen, but not with an endothelial marker. Some macrophages or microglia in the cerebrum were also colabeled with anti-gp41. These results suggest that HIV may be directly involved in vascular pathology associated with pediatric AIDS.",An anaplastic large cell lymphoma (ALCL) involving the cervical spine and leading to quadriplegia is very rare.,"###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Quadriplegia Sentence A: A 6-year-old boy with acquired immunodeficiency syndrome (AIDS) developed aphasia and quadriplegia 3 months before his death. Cerebral vascular ectasia and multiple cerebral infarcts were noted on premortem radiological studies. Postmortem evaluation revealed diffuse aneurysmal dilatation of the circle of Willis associated with fresh and organizing thrombi, destruction of the elastic lamina, and marked intimal fibroplasia. Multiple cerebral infarcts and subacute AIDS encephalitis with basal ganglia calcification were also present. Immunohistochemistry with a monoclonal antibody (anti-gp41) to human immunodeficiency virus (HIV) demonstrated positively stained cells in the arterial wall of the circle of Willis and in the cerebral parenchyma. Double immunostaining demonstrated that gp41-positive cells in the circle of Willis were also positive for a macrophage marker or leukocyte-common antigen, but not with an endothelial marker. Some macrophages or microglia in the cerebrum were also colabeled with anti-gp41. These results suggest that HIV may be directly involved in vascular pathology associated with pediatric AIDS. Sentence B: An anaplastic large cell lymphoma (ALCL) involving the cervical spine and leading to quadriplegia is very rare. ###Answer 1. Changed Reasoning: In Sentence A, the target word ""quadriplegia"" refers to a specific medical condition caused by AIDS, involving damage to the brain and spinal cord. The context suggests that the term was used to describe a specific clinical entity at the time of writing. In Sentence B, the target word ""quadriplegia"" is used in a completely different context, referring to a type of cancer (ALCL) that affects the cervical spine and causes paralysis. The word is used in a very different way than in Sentence A, and the meaning has shifted significantly. Therefore, semantic drift has occurred in the target word ""quadriplegia""." 97,Quadriplegia,Continuous pressure under each ischial tuberosity was measured on five ulcer-free patients with quadriplegia for four days as they completed their normal daily activities. Results showed many multihour periods without pressure relief. More than 50% of the time the pressure-time periods were outside of previously reported acceptable limits. The results indicate that quadriplegic patients can sit with ischial tuberosity pressures above the previously reported capillary pressure of 32mmHg for long periods of time without getting an ulcer. This study suggests that other factors beside pressure must be studied in order to develop a better resting surface.,"Various situations, such as injuries or long-term disabilities, can result in people receiving physical assistance while in bed. We present a robotic system for bedside assistance that consists of a robotic bed and a mobile manipulator (i.e., a wheeled robot with arms) that work together to provide better assistance. Many assistive tasks depend on moving with respect to the person's body, and the complementary physical and perceptual capabilities of the two robots help with respect to this general goal. The system provides autonomy for common tasks, as well as an interface for direct teleoperation of the two robots. Autonomy handles coarse motions of the robots by estimating the person's pose using a pressure sensing mat and then moving the robots to configurations optimized for the task. After completing these motions, the user is given fine control of the robots to complete the task. In an evaluation using a medical mannequin, we found that the robotic bed's motion and perception each improved the assistive robotic system's performance. The system achieved 100% success over 9 trials involving 3 tasks. Using the system with the bed movement or the body pose estimation capabilities turned off resulted in success in only 33% or 78% of the trials, respectively. We also evaluated our system with Henry Evans, a person with severe quadriplegia, in his home. In a formal test, Henry successfully used the bedside-assistance system to perform 3 different tasks, 5 times each, without any failures. Henry's feedback on the system was positive regarding usefulness and ease of use, and he noted benefits of using our system over fully manual teleoperation. Overall, our results suggest that a robotic bed and a mobile manipulator can work collaboratively to provide effective personal assistance and that the combination of the two robots is beneficial.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Quadriplegia Sentence A: Continuous pressure under each ischial tuberosity was measured on five ulcer-free patients with quadriplegia for four days as they completed their normal daily activities. Results showed many multihour periods without pressure relief. More than 50% of the time the pressure-time periods were outside of previously reported acceptable limits. The results indicate that quadriplegic patients can sit with ischial tuberosity pressures above the previously reported capillary pressure of 32mmHg for long periods of time without getting an ulcer. This study suggests that other factors beside pressure must be studied in order to develop a better resting surface. Sentence B: Various situations, such as injuries or long-term disabilities, can result in people receiving physical assistance while in bed. We present a robotic system for bedside assistance that consists of a robotic bed and a mobile manipulator (i.e., a wheeled robot with arms) that work together to provide better assistance. Many assistive tasks depend on moving with respect to the person's body, and the complementary physical and perceptual capabilities of the two robots help with respect to this general goal. The system provides autonomy for common tasks, as well as an interface for direct teleoperation of the two robots. Autonomy handles coarse motions of the robots by estimating the person's pose using a pressure sensing mat and then moving the robots to configurations optimized for the task. After completing these motions, the user is given fine control of the robots to complete the task. In an evaluation using a medical mannequin, we found that the robotic bed's motion and perception each improved the assistive robotic system's performance. The system achieved 100% success over 9 trials involving 3 tasks. Using the system with the bed movement or the body pose estimation capabilities turned off resulted in success in only 33% or 78% of the trials, respectively. We also evaluated our system with Henry Evans, a person with severe quadriplegia, in his home. In a formal test, Henry successfully used the bedside-assistance system to perform 3 different tasks, 5 times each, without any failures. Henry's feedback on the system was positive regarding usefulness and ease of use, and he noted benefits of using our system over fully manual teleoperation. Overall, our results suggest that a robotic bed and a mobile manipulator can work collaboratively to provide effective personal assistance and that the combination of the two robots is beneficial. ###Answer 1. Changed Reasoning: In Sentence A, the term ""quadriplegia"" is used to describe a condition where a person has pressure under each ischial tuberosity for long periods of time without getting an ulcer. This implies that the pressure applied to the body is significant enough to cause discomfort or pain. However, in Sentence B, the term ""quadriplegia"" is used to describe a person receiving physical assistance while in bed. This suggests that the term has taken on a different meaning, implying a more general sense of assistance or support, rather than the specific medical condition described in Sentence A. Therefore, semantic drift has occurred in the meaning of the term ""quadriplegia"" between the two sentences." 98,Quadriplegia,"Increased urinary excretion of xanthine, hypoxanthine, sulphite, thiosulphate and decreased serum uric acid were observed in an infant with profound failure to thrive. Other clinical findings included refractory seizures, spastic quadriplegia and profound psychomotor retardation. The patient died at 20 months of age. There were no detectable activities for xanthine oxidase and sulphite oxidase in the postmortem liver. Urothione, which is the metabolic excretory product of the molybdenum cofactor for molybdoenzymes was not present in the urine. A deficiency of the molybdenum cofactor which is common to both xanthine and sulphite oxidase is presumed to be the metabolic defect responsible for the absent activities of both enzymes.","Thyrotoxic periodic paralysis (TPP) is a medical emergency characterised by sudden onset of muscle weakness with hypokalemia that resolves with the treatment of hyperthyroidism. We report three cases of thyrotoxic periodic paralysis seen at the Accident and Emergency Care Department, University of Malaya Medical Centre in a period of four months. We also review the clinical presentation, pathophysiology, biochemical features and management of TPP. All three patients were young Asian males, presenting with muscle weakness of sudden onset. The first patient presented with lower limb weakness and had symptoms of thyrotoxicosis and goitre. He had a previous similar episode which resolved spontaneously. The second patient presented with quadriplegia, respiratory acidosis and had no signs and symptoms of thyrotoxicosis. The electrocardiogram of this patient showed normal sinus rhythm with U wave in V3 and a flat T wave, which are characteristic of hypokalaemia. The third patient, who was a known case of thyrotoxicosis, was admitted thrice for hypokalemic paralysis during the study period. All cases had low serum potassium, suppressed TSH and elevated T4 confirming thyrotoxic periodic paralysis. Potassium therapy was useful during the crisis; however prophylactic potassium has not been shown to prevent attacks as seen in one of our cases.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Quadriplegia Sentence A: Increased urinary excretion of xanthine, hypoxanthine, sulphite, thiosulphate and decreased serum uric acid were observed in an infant with profound failure to thrive. Other clinical findings included refractory seizures, spastic quadriplegia and profound psychomotor retardation. The patient died at 20 months of age. There were no detectable activities for xanthine oxidase and sulphite oxidase in the postmortem liver. Urothione, which is the metabolic excretory product of the molybdenum cofactor for molybdoenzymes was not present in the urine. A deficiency of the molybdenum cofactor which is common to both xanthine and sulphite oxidase is presumed to be the metabolic defect responsible for the absent activities of both enzymes. Sentence B: Thyrotoxic periodic paralysis (TPP) is a medical emergency characterised by sudden onset of muscle weakness with hypokalemia that resolves with the treatment of hyperthyroidism. We report three cases of thyrotoxic periodic paralysis seen at the Accident and Emergency Care Department, University of Malaya Medical Centre in a period of four months. We also review the clinical presentation, pathophysiology, biochemical features and management of TPP. All three patients were young Asian males, presenting with muscle weakness of sudden onset. The first patient presented with lower limb weakness and had symptoms of thyrotoxicosis and goitre. He had a previous similar episode which resolved spontaneously. The second patient presented with quadriplegia, respiratory acidosis and had no signs and symptoms of thyrotoxicosis. The electrocardiogram of this patient showed normal sinus rhythm with U wave in V3 and a flat T wave, which are characteristic of hypokalaemia. The third patient, who was a known case of thyrotoxicosis, was admitted thrice for hypokalemic paralysis during the study period. All cases had low serum potassium, suppressed TSH and elevated T4 confirming thyrotoxic periodic paralysis. Potassium therapy was useful during the crisis; however prophylactic potassium has not been shown to prevent attacks as seen in one of our cases. ###Answer 1. Changed Explanation: Quadriplegia has undergone a significant change in meaning between the two sentences. In Sentence A, the term refers to a congenital condition resulting in spastic quadriplegia, a severe form of cerebral palsy. In Sentence B, the term is used to describe an acute episode of muscle weakness caused by thyrotoxicosis, specifically thyrotoxic periodic paralysis (TPP). The two sentences imply different causes and consequences of the term ""quadriplegia."" Therefore, the label ""Changed"" is appropriate." 99,Quadriplegia,"A 20-year-old female hospitalized with status asthmaticus was treated with bronchodilators, antibiotics, and high-dose corticosteroids, and was paralyzed with vecuronium for 10 days to facilitate mechanical ventilation. When this was discontinued, she was found to have a flaccid quadriplegia with areflexia and 4-fold elevation in serum creatine kinase. A muscle biopsy showed extensive loss of thick (myosin) myofilaments, sometimes in core-like distribution, with relative preservation of thin (actin) filaments and Z-discs. Muscle strength returned to normal after 2 months. The pathological lesion in this patient's muscle fibers resemble those in rats treated with high doses of corticosteroids following denervation.","To improve survival rates during CPR, some patients are put on extracorporeal membrane oxygenation (ECMO). Among children who have undergone ECMO cardiopulmonary resuscitation (ECPR), the overall rate of survival to discharge is close to 40%. However, despite its wide acceptance and use, the appropriate indications and organizational requirements for ECPR have yet to be defined. Our objective was to assess the clinical outcomes of children after ECPR and to determine pre-ECPR prognostic factors for survival to guide its indication. Among the 19 patients who underwent ECPR between 2008 and 2014 in our center, 16 patients (84%, 95% confidence interval: 62-95%) died during their hospital stay, including nine (47%) who were on ECMO and seven (37%) after successful weaning from ECMO. All three survivors had normal cognitive status, but one child suffered from spastic quadriplegia. Survivors tended to have lower lactate, higher bicarbonate, and higher pH levels before ECMO initiation, as well as shorter length of resuscitation. In conclusion, in our center, ECPR has a poorer outcome than expected. Therefore, it might be important to identify, a priori, patients who might benefit from this treatment. ","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Quadriplegia Sentence A: A 20-year-old female hospitalized with status asthmaticus was treated with bronchodilators, antibiotics, and high-dose corticosteroids, and was paralyzed with vecuronium for 10 days to facilitate mechanical ventilation. When this was discontinued, she was found to have a flaccid quadriplegia with areflexia and 4-fold elevation in serum creatine kinase. A muscle biopsy showed extensive loss of thick (myosin) myofilaments, sometimes in core-like distribution, with relative preservation of thin (actin) filaments and Z-discs. Muscle strength returned to normal after 2 months. The pathological lesion in this patient's muscle fibers resemble those in rats treated with high doses of corticosteroids following denervation. Sentence B: To improve survival rates during CPR, some patients are put on extracorporeal membrane oxygenation (ECMO). Among children who have undergone ECMO cardiopulmonary resuscitation (ECPR), the overall rate of survival to discharge is close to 40%. However, despite its wide acceptance and use, the appropriate indications and organizational requirements for ECPR have yet to be defined. Our objective was to assess the clinical outcomes of children after ECPR and to determine pre-ECPR prognostic factors for survival to guide its indication. Among the 19 patients who underwent ECPR between 2008 and 2014 in our center, 16 patients (84%, 95% confidence interval: 62-95%) died during their hospital stay, including nine (47%) who were on ECMO and seven (37%) after successful weaning from ECMO. All three survivors had normal cognitive status, but one child suffered from spastic quadriplegia. Survivors tended to have lower lactate, higher bicarbonate, and higher pH levels before ECMO initiation, as well as shorter length of resuscitation. In conclusion, in our center, ECPR has a poorer outcome than expected. Therefore, it might be important to identify, a priori, patients who might benefit from this treatment. ###Answer 1. Changed Explanation: Quadriplegia, in Sentence A, refers to a condition where the individual has a flaccid paralysis with areflexia and a fourfold elevation in serum creatine kinase, indicating extensive muscle damage. In Sentence B, quadriplegia is used to describe the outcome of children who undergo extracorporeal membrane oxygenation (ECMO) cardiopulmonary resuscitation (ECPR). In this context, quadriplegia refers to spastic quadriplegia, which is a condition characterized by muscle stiffness and spasms. In Sentence A, the term quadriplegia has a different meaning than in Sentence B. In Sentence A, it refers to a specific pathological lesion in the muscle fibers, while in Sentence B, it refers to a broader outcome of children who undergo ECMO cardiopulmonary resuscitation. Therefore, semantic drift has occurred in the meaning of the term quadriplegia between the two sentences." 0,Speech disorder,"Stuttering associated with neurological pathology in normal adult speakers is uncommon, has no consistent clinicopathological picture, and its significance is too easily dismissed. A case is reported showing that stuttering may be a presenting symptom of progressive neurological disease, and another case demonstrates that a speech disorder which is indistinguishable from common stuttering may follow cerebral follow injury in adulthood.",Multimodal treatment of oral cancer can cause speech disorders and diminish speech intelligibility. Speech intelligibility is an essential part of social interaction and therefore important for coping with the disease. The aim of this study was to investigate the influence of speech intelligibility on coping strategies and a standardized questionnaire.,"###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Speech disorder Sentence A: Stuttering associated with neurological pathology in normal adult speakers is uncommon, has no consistent clinicopathological picture, and its significance is too easily dismissed. A case is reported showing that stuttering may be a presenting symptom of progressive neurological disease, and another case demonstrates that a speech disorder which is indistinguishable from common stuttering may follow cerebral follow injury in adulthood. Sentence B: Multimodal treatment of oral cancer can cause speech disorders and diminish speech intelligibility. Speech intelligibility is an essential part of social interaction and therefore important for coping with the disease. The aim of this study was to investigate the influence of speech intelligibility on coping strategies and a standardized questionnaire. ###Answer 1. Changed Reasoning: In Sentence A, the term ""speech disorder"" is used to describe a neurological condition with little consistent clinical or pathological features, and its significance is easily dismissed. In contrast, in Sentence B, ""speech disorder"" refers to a specific consequence of cancer treatment, which affects speech intelligibility and is a significant aspect of social interaction. The meaning of the term has shifted from a neurological condition to a specific symptom of cancer treatment, indicating semantic drift." 1,Speech disorder,"Findings in a prior study series indicate that acoustic markers may have the requisite sensitivity and specificity to discriminate speakers with histories of several types of speech disorders, one of which is posited to be genetically inherited. The present study in this series compares acoustic data from three groups of adolescent speakers. Group 1 speakers had residual dentalized /s/ distortions in conversational speech and histories of significant age-inappropriate deletion and substitution errors. Group 2 speakers also had residual dentalized /s/ distortions in conversational speech, but their speech histories were limited to dentalized distortions of /s/ and other fricatives/affricates. Group 3 speakers had typical speech on assessment and no histories of speech errors. Owing to the limited number of perceptually dentalized /s/ tokens produced by Groups 1 and 2 speakers in a phrase-level speech task, acoustic analyses were completed on /s/ tokens transcribed as correct for speakers in all groups. Moments analyses of /s/ spectra in three words with /s/-initial clusters yielded statistically significant differences and consistent trends for mean spectral frequency and spectral variance for Group 1 compared with Group 2 speakers. These findings for perceptually normal /s/ tokens are interpreted as additional support for the potential of acoustic markers to discriminate speakers' speech-error histories. The discussion considers possible developmental and normalization correlates of the acoustic findings for speakers with each of the two types of speech-error histories studied in this paper."," Speech impairments due to cerebral lesions and degenerative disorders can be devastating. For humans with severe speech deficits, imagined speech in the brain-computer interface has been a promising hope for reconstructing the neural signals of speech production. However, studies in the EEG-based imagined speech domain still have some limitations due to high variability in spatial and temporal information and low signal-to-noise ratio. In this paper, we investigated the neural signals for two groups of native speakers with two tasks with different languages, English and Chinese. Our assumption was that English, a non-tonal and phonogram-based language, would have spectral differences in neural computation compared to Chinese, a tonal and ideogram-based language. The results showed the significant difference in the relative power spectral density between English and Chinese in specific frequency band groups. Also, the spatial evaluation of Chinese native speakers in the theta band was distinctive during the imagination task. Hence, this paper would suggest the key spectral and spatial information of word imagination with specialized language while decoding the neural signals of speech. ","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Speech disorder Sentence A: Findings in a prior study series indicate that acoustic markers may have the requisite sensitivity and specificity to discriminate speakers with histories of several types of speech disorders, one of which is posited to be genetically inherited. The present study in this series compares acoustic data from three groups of adolescent speakers. Group 1 speakers had residual dentalized /s/ distortions in conversational speech and histories of significant age-inappropriate deletion and substitution errors. Group 2 speakers also had residual dentalized /s/ distortions in conversational speech, but their speech histories were limited to dentalized distortions of /s/ and other fricatives/affricates. Group 3 speakers had typical speech on assessment and no histories of speech errors. Owing to the limited number of perceptually dentalized /s/ tokens produced by Groups 1 and 2 speakers in a phrase-level speech task, acoustic analyses were completed on /s/ tokens transcribed as correct for speakers in all groups. Moments analyses of /s/ spectra in three words with /s/-initial clusters yielded statistically significant differences and consistent trends for mean spectral frequency and spectral variance for Group 1 compared with Group 2 speakers. These findings for perceptually normal /s/ tokens are interpreted as additional support for the potential of acoustic markers to discriminate speakers' speech-error histories. The discussion considers possible developmental and normalization correlates of the acoustic findings for speakers with each of the two types of speech-error histories studied in this paper. Sentence B: Speech impairments due to cerebral lesions and degenerative disorders can be devastating. For humans with severe speech deficits, imagined speech in the brain-computer interface has been a promising hope for reconstructing the neural signals of speech production. However, studies in the EEG-based imagined speech domain still have some limitations due to high variability in spatial and temporal information and low signal-to-noise ratio. In this paper, we investigated the neural signals for two groups of native speakers with two tasks with different languages, English and Chinese. Our assumption was that English, a non-tonal and phonogram-based language, would have spectral differences in neural computation compared to Chinese, a tonal and ideogram-based language. The results showed the significant difference in the relative power spectral density between English and Chinese in specific frequency band groups. Also, the spatial evaluation of Chinese native speakers in the theta band was distinctive during the imagination task. Hence, this paper would suggest the key spectral and spatial information of word imagination with specialized language while decoding the neural signals of speech. ###Answer 1. Changed Reasoning: In Sentence A, the target word ""speech disorder"" is used in the context of a study investigating the acoustic markers of speech errors in adolescents. The word is used to describe a specific type of speech impairment that may be genetically inherited. In Sentence B, the target word ""speech impairments"" is used in the context of cerebral lesions and degenerative disorders that can cause speech deficits. The word is used to describe a broader range of speech difficulties, including those caused by brain damage. In Sentence A, the word ""speech disorder"" has a specific meaning related to the study of speech errors in adolescents. The word is used to describe a particular type of speech impairment that may be inherited. In contrast, in Sentence B, the word ""speech impairments"" has a broader meaning that encompasses a range of speech difficulties, including those caused by brain damage. The word is used to describe a more general category of speech problems. Based on these differences in meaning and context, it can be concluded that the target word ""speech disorder"" has undergone semantic drift between the two sentences. The meaning of the word has shifted from a specific type of speech impairment in Sentence A to a broader category of speech difficulties in Sentence B. Therefore, the label ""Changed"" is appropriate." 2,Speech disorder,"Congenital dysphasia is a developmental speech disorder not explained by deafness, phonation disorder, mental retardation, neurologic lesion, or psychiatric disease. The existence of brain lesions has often been postulated but conventional investigations fail to demonstrate any cerebral abnormality. By means of [99mTc]hexamethyl-propyleneamine oxime (HM-PAO) brain single photon emission computed tomography (SPECT) we have studied 14 children suffering from congenital dysphasia. The brain computed tomographic scan was normal in all cases. In two patients with expression impairment the SPECT study demonstrated a hypoperfusion in the inferior frontal convolution of the left hemisphere, involving the Broca's area. In nine of 12 patients with global dysphasia (deficits in both comprehension and expression), SPECT study showed two hypoperfused areas: an abnormality in the left temporoparietal region and a hypoactivity in the upper and middle areas of the right frontal lobe. These results suggest that congenital dysphasia could be due, like acquired aphasia, to specific impairment of the language cerebral areas and that brain SPECT studies with [99mTc]HM-PAO could be useful for a better comprehension of the physiopathology of these disorders.","Uvular necrosis after long-term endotracheal intubation has been previously reported, but there have been no reports regarding soft palate necrosis after endotracheal intubation. Recently, we encountered 2 patients who had a high degree of soft palate necrosis following endotracheal intubation during long-term care in the intensive care unit. This study reports noncongenital soft palate cleft caused by endotracheal intubation. Two patients, aged 30 and 38 years, with noncongenital cleft palate were treated with pharyngeal flap and/or palatoplasty at our institution from March 2011 to May 2013. Initially, the patients complained of acquired speech disorder and severe oronasal regurgitation caused by a palatal defect. Speech ability was evaluated preoperatively and postoperatively by a perceptual language test and nasopharyngoscopy. The cleft soft palates of both patients were completely repaired, and the aforementioned symptoms improved after surgery. Postoperative courses were uneventful in both of the cases, and neither patient experienced a recurrence. Although rare, long-term intensive care unit care with endotracheal intubation can cause noncongenital soft palate cleft. In cases with iatrogenic cleft palate that does not heal with conservative treatment, surgical procedures such as pharyngeal flap and palatoplasty can be helpful. ","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Speech disorder Sentence A: Congenital dysphasia is a developmental speech disorder not explained by deafness, phonation disorder, mental retardation, neurologic lesion, or psychiatric disease. The existence of brain lesions has often been postulated but conventional investigations fail to demonstrate any cerebral abnormality. By means of [99mTc]hexamethyl-propyleneamine oxime (HM-PAO) brain single photon emission computed tomography (SPECT) we have studied 14 children suffering from congenital dysphasia. The brain computed tomographic scan was normal in all cases. In two patients with expression impairment the SPECT study demonstrated a hypoperfusion in the inferior frontal convolution of the left hemisphere, involving the Broca's area. In nine of 12 patients with global dysphasia (deficits in both comprehension and expression), SPECT study showed two hypoperfused areas: an abnormality in the left temporoparietal region and a hypoactivity in the upper and middle areas of the right frontal lobe. These results suggest that congenital dysphasia could be due, like acquired aphasia, to specific impairment of the language cerebral areas and that brain SPECT studies with [99mTc]HM-PAO could be useful for a better comprehension of the physiopathology of these disorders. Sentence B: Uvular necrosis after long-term endotracheal intubation has been previously reported, but there have been no reports regarding soft palate necrosis after endotracheal intubation. Recently, we encountered 2 patients who had a high degree of soft palate necrosis following endotracheal intubation during long-term care in the intensive care unit. This study reports noncongenital soft palate cleft caused by endotracheal intubation. Two patients, aged 30 and 38 years, with noncongenital cleft palate were treated with pharyngeal flap and/or palatoplasty at our institution from March 2011 to May 2013. Initially, the patients complained of acquired speech disorder and severe oronasal regurgitation caused by a palatal defect. Speech ability was evaluated preoperatively and postoperatively by a perceptual language test and nasopharyngoscopy. The cleft soft palates of both patients were completely repaired, and the aforementioned symptoms improved after surgery. Postoperative courses were uneventful in both of the cases, and neither patient experienced a recurrence. Although rare, long-term intensive care unit care with endotracheal intubation can cause noncongenital soft palate cleft. In cases with iatrogenic cleft palate that does not heal with conservative treatment, surgical procedures such as pharyngeal flap and palatoplasty can be helpful. ###Answer 1. Changed Reasoning: In Sentence A, the term ""speech disorder"" is used to describe a developmental speech disorder that is not explained by various factors such as deafness, phonation disorder, mental retardation, neurologic lesion, or psychiatric disease. The term ""speech disorder"" does not carry any negative connotations or associations. In Sentence B, the term ""speech disorder"" is used to describe a palatal defect that causes acquired speech disorder and oronasal regurgitation. The term ""speech disorder"" in this context carries a negative connotation, implying a defect or abnormality in the speech mechanism. Therefore, it can be inferred that the meaning of the term ""speech disorder"" has shifted from a neutral term to a term with negative connotations over time. This constitutes semantic drift, and the label ""Changed"" is accordingly assigned." 3,Speech disorder,"The authors analyzed the long-term results of uni- and bilateral stereotaxic operations in 70 patients (38 males and 32 females) with idiopathic and postencephalitic parkinsonism aged 32 to 68 years at the time of examination. It was established that the effect of the first operation with regard to tremor and muscular rigidity did not depend on the side of surgical intervention. Noticeable difference was observed between the results of the first and the second operation in relation to their efficacy and sequel incidence. In cases of bilateral intervention, the second operation on the left hemisphere not infrequently caused persistent psychic and speech disorders as compared with operations on the right hemisphere. The longer the interval between operations and the younger the patients, the greater the possibility of compensation.","Language is a characteristic feature of human communication. Several familial language impairments have been identified, and candidate genes for language impairments already isolated. Studies comparing expression patterns of these genes in human brain are necessary to further understanding of these genes. However, it is difficult to examine gene expression in human brain. In this study, we used a non-human primate (common marmoset; Callithrix jacchus) as a biological model of the human brain to investigate expression patterns of human speech- and reading-related genes. Expression patterns of speech disorder- (FoxP2, FoxP1, CNTNAP2, and CMIP) and dyslexia- (ROBO1, DCDC2, and KIAA0319) related genes were analyzed. We found the genes displayed overlapping expression patterns in the ocular, auditory, and motor systems. Our results enhance understanding of the molecular mechanisms underlying language impairments. ","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Speech disorder Sentence A: The authors analyzed the long-term results of uni- and bilateral stereotaxic operations in 70 patients (38 males and 32 females) with idiopathic and postencephalitic parkinsonism aged 32 to 68 years at the time of examination. It was established that the effect of the first operation with regard to tremor and muscular rigidity did not depend on the side of surgical intervention. Noticeable difference was observed between the results of the first and the second operation in relation to their efficacy and sequel incidence. In cases of bilateral intervention, the second operation on the left hemisphere not infrequently caused persistent psychic and speech disorders as compared with operations on the right hemisphere. The longer the interval between operations and the younger the patients, the greater the possibility of compensation. Sentence B: Language is a characteristic feature of human communication. Several familial language impairments have been identified, and candidate genes for language impairments already isolated. Studies comparing expression patterns of these genes in human brain are necessary to further understanding of these genes. However, it is difficult to examine gene expression in human brain. In this study, we used a non-human primate (common marmoset; Callithrix jacchus) as a biological model of the human brain to investigate expression patterns of human speech- and reading-related genes. Expression patterns of speech disorder- (FoxP2, FoxP1, CNTNAP2, and CMIP) and dyslexia- (ROBO1, DCDC2, and KIAA0319) related genes were analyzed. We found the genes displayed overlapping expression patterns in the ocular, auditory, and motor systems. Our results enhance understanding of the molecular mechanisms underlying language impairments. ###Answer 1. Changed Reasoning: In Sentence A, the term ""speech disorder"" is used in the context of a medical study to describe a condition where patients with parkinsonism experience persistent psychic and speech impairments following bilateral surgical intervention. The term carries a negative connotation, implying a significant impact on the patient's quality of life. In Sentence B, the term ""speech disorder"" is used in a different context to describe a genetic trait that affects language development and reading skills. The term does not carry the same negative connotation as in Sentence A, and instead implies a more neutral or even positive connotation, as the study aims to understand the genetic basis of language impairments. Based on these differences in context and connotation, it is clear that the meaning of the term ""speech disorder"" has shifted significantly between the two sentences, indicating semantic drift. Therefore, the label ""Changed"" is appropriate." 4,Speech disorder,Tongue dysfunctions are of etiologic significance for the development of malocclusions and speech disorders. Electromagnetic articulography is a means of recording orofacial movements. The aim of this study was therefore to analyze differences in the spatial and temporal sequence of swallowing movements under the influence of lip and tongue dysfunctions in order to develop new means of objectifying the diagnosis of such a dysfunction.,"Dysarthria is a speech disorder associated with impairments of intelligibility, smoothness, loudness, and clarity of articulations. Dysarthria involves disability of reproducing various physical, tonal, and sound features of speech sounds in oral speech; unintelligible and slurred articulation with swallowing of sounds is characteristic. Articulatory movements and speech are slow, patients complain to the sensations of a 'thick' tongue and 'porridge' in the mouth. Patients'phrases are constructed correctly, vocabulary is not affected, and the grammatical structure of words is preserved. Reading, writing, internal speech, and understanding of speech are unaffected. Several types of dysarthria have been described on the basis of the lesion locations. Dysarthria can be associated with lacunar syndromes as well. Mutism represents a condition when patient cannot speak and answer the questions, but remains conscious and is able to produce written speech.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Speech disorder Sentence A: Tongue dysfunctions are of etiologic significance for the development of malocclusions and speech disorders. Electromagnetic articulography is a means of recording orofacial movements. The aim of this study was therefore to analyze differences in the spatial and temporal sequence of swallowing movements under the influence of lip and tongue dysfunctions in order to develop new means of objectifying the diagnosis of such a dysfunction. Sentence B: Dysarthria is a speech disorder associated with impairments of intelligibility, smoothness, loudness, and clarity of articulations. Dysarthria involves disability of reproducing various physical, tonal, and sound features of speech sounds in oral speech; unintelligible and slurred articulation with swallowing of sounds is characteristic. Articulatory movements and speech are slow, patients complain to the sensations of a 'thick' tongue and 'porridge' in the mouth. Patients'phrases are constructed correctly, vocabulary is not affected, and the grammatical structure of words is preserved. Reading, writing, internal speech, and understanding of speech are unaffected. Several types of dysarthria have been described on the basis of the lesion locations. Dysarthria can be associated with lacunar syndromes as well. Mutism represents a condition when patient cannot speak and answer the questions, but remains conscious and is able to produce written speech. ###Answer 1. Changed Reasoning: In Sentence A, the term ""speech disorder"" is used in the context of ""tongue dysfunctions"" and ""malocclusions."" The term suggests a connection between the tongue and the ability to produce clear speech. In Sentence B, the term ""dysarthria"" is used, which has a different connotation than ""speech disorder."" Dysarthria specifically refers to a speech disorder characterized by impaired articulation, often due to neurological damage. The term ""speech disorder"" in Sentence B does not convey the same level of impairment as ""dysarthria."" Therefore, the meaning of the term ""speech disorder"" has changed significantly between the two sentences, indicating semantic drift has occurred." 5,Speech disorder,"We report data on feeding and speech disorders in 50 patients with velocardiofacial syndrome. In order to contribute to delineation of type and etiology of feeding and speech problems, we compared the clinical findings in these patients with the reports in literature.","The following report is a summary of the Special Panel Session, entitled, ""Driving Critical Initiatives in Motor Speech,"" that was conducted at the Conference on Motor Speech, March 2008, in Monterey California. Don Finan (Program Chair for Speech Motor Control) and Julie Liss (Program Chair for Motor Speech Disorders) invited four distinguished scientists (Drs. Gary Weismer, Steven Barlow, Anne Smith, and John Caviness) to share, briefly, their opinions and views on selected topics. This was followed by an hour-long general discussion session with conference attendees. This report contains an introductory statement followed by the panel members' own summaries of the opinions and ideas expressed in their talks. We then summarize the major topics that were considered during the discussion session. This summary reflects the biases and opinions of the participants, and is meant to serve as a thought-piece for the readership of JMSLP, rather than as a scientific report.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Speech disorder Sentence A: We report data on feeding and speech disorders in 50 patients with velocardiofacial syndrome. In order to contribute to delineation of type and etiology of feeding and speech problems, we compared the clinical findings in these patients with the reports in literature. Sentence B: The following report is a summary of the Special Panel Session, entitled, ""Driving Critical Initiatives in Motor Speech,"" that was conducted at the Conference on Motor Speech, March 2008, in Monterey California. Don Finan (Program Chair for Speech Motor Control) and Julie Liss (Program Chair for Motor Speech Disorders) invited four distinguished scientists (Drs. Gary Weismer, Steven Barlow, Anne Smith, and John Caviness) to share, briefly, their opinions and views on selected topics. This was followed by an hour-long general discussion session with conference attendees. This report contains an introductory statement followed by the panel members' own summaries of the opinions and ideas expressed in their talks. We then summarize the major topics that were considered during the discussion session. This summary reflects the biases and opinions of the participants, and is meant to serve as a thought-piece for the readership of JMSLP, rather than as a scientific report. ###Answer 1. Changed Reasoning: The target word ""speech disorder"" has undergone a significant change in meaning between Sentence A (2000) and Sentence B (2020). In Sentence A, the term likely referred to a specific type of communication disorder, such as stuttering or a speech impediment. However, in Sentence B, the term seems to have a broader meaning, encompassing a range of speech-related issues, including motor speech disorders, language processing difficulties, and even cognitive aspects of speech production. This shift in meaning suggests that the term ""speech disorder"" has undergone semantic drift." 6,Speech disorder,"It is well known that the acquisition of consonants can be a more difficult developmental process than of vowels. In this study the authors describe a case of 'transitory developmental apraxia of speech' (TDAS) in which a French-speaking child, although he acquired the whole vowel system, showed a significant delay in consonant acquisition and usage. The results of systematic observations and assessments of general cognitive and specific language functioning cover a period of 4 years (age 3:8 to 7:1l), from first clinical assessment to evidence of a good academic achievement. It is argued that this case demonstrates an unusual example of TDAS. The language deficits observed could not be attributed to oromotor, neurological, cognitive or intellectual deficits. The findings here also raise crucial questions concerning the origins of such a speech disorder and why it is transient in nature."," Parkinson's disease is a neurodegenerative disorder characterized by the presence of different motor impairments. Information from speech, handwriting, and gait signals have been considered to evaluate the neurological state of the patients. On the other hand, user models based on Gaussian mixture models - universal background models (GMM-UBM) and i-vectors are considered the state-of-the-art in biometric applications like speaker verification because they are able to model specific speaker traits. This study introduces the use of GMM-UBM and i-vectors to evaluate the neurological state of Parkinson's patients using information from speech, handwriting, and gait. The results show the importance of different feature sets from each type of signal in the assessment of the neurological state of the patients. ","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Speech disorder Sentence A: It is well known that the acquisition of consonants can be a more difficult developmental process than of vowels. In this study the authors describe a case of 'transitory developmental apraxia of speech' (TDAS) in which a French-speaking child, although he acquired the whole vowel system, showed a significant delay in consonant acquisition and usage. The results of systematic observations and assessments of general cognitive and specific language functioning cover a period of 4 years (age 3:8 to 7:1l), from first clinical assessment to evidence of a good academic achievement. It is argued that this case demonstrates an unusual example of TDAS. The language deficits observed could not be attributed to oromotor, neurological, cognitive or intellectual deficits. The findings here also raise crucial questions concerning the origins of such a speech disorder and why it is transient in nature. Sentence B: Parkinson's disease is a neurodegenerative disorder characterized by the presence of different motor impairments. Information from speech, handwriting, and gait signals have been considered to evaluate the neurological state of the patients. On the other hand, user models based on Gaussian mixture models - universal background models (GMM-UBM) and i-vectors are considered the state-of-the-art in biometric applications like speaker verification because they are able to model specific speaker traits. This study introduces the use of GMM-UBM and i-vectors to evaluate the neurological state of Parkinson's patients using information from speech, handwriting, and gait. The results show the importance of different feature sets from each type of signal in the assessment of the neurological state of the patients. ###Answer 1. Changed Reasoning: The target word ""speech disorder"" has undergone a significant change in meaning between Sentence A and Sentence B. In Sentence A, the term refers to a specific developmental speech disorder, ""transitory developmental apraxia of speech,"" which is characterized by a delay in consonant acquisition and usage. In Sentence B, the term is used in the context of Parkinson's disease, a neurodegenerative disorder, to refer to the presence of different motor impairments. The term has shifted from referring to a specific speech disorder to a broader term encompassing a range of motor impairments." 7,Speech disorder,To propose a classification of the different lingual frenulum and to relate them to speech disorders.," The rapid population aging has stimulated the development of assistive devices that provide personalized medical support to the needies suffering from various etiologies. One prominent clinical application is a computer-assisted speech training system which enables personalized speech therapy to patients impaired by communicative disorders in the patient's home environment. Such a system relies on the robust automatic speech recognition (ASR) technology to be able to provide accurate articulation feedback. With the long-term aim of developing off-the-shelf ASR systems that can be incorporated in clinical context without prior speaker information, we compare the ASR performance of speaker-independent bottleneck and articulatory features on dysarthric speech used in conjunction with dedicated neural network-based acoustic models that have been shown to be robust against spectrotemporal deviations. We report ASR performance of these systems on two dysarthric speech datasets of different characteristics to quantify the achieved performance gains. Despite the remaining performance gap between the dysarthric and normal speech, significant improvements have been reported on both datasets using speaker-independent ASR architectures. ","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Speech disorder Sentence A: To propose a classification of the different lingual frenulum and to relate them to speech disorders. Sentence B: The rapid population aging has stimulated the development of assistive devices that provide personalized medical support to the needies suffering from various etiologies. One prominent clinical application is a computer-assisted speech training system which enables personalized speech therapy to patients impaired by communicative disorders in the patient's home environment. Such a system relies on the robust automatic speech recognition (ASR) technology to be able to provide accurate articulation feedback. With the long-term aim of developing off-the-shelf ASR systems that can be incorporated in clinical context without prior speaker information, we compare the ASR performance of speaker-independent bottleneck and articulatory features on dysarthric speech used in conjunction with dedicated neural network-based acoustic models that have been shown to be robust against spectrotemporal deviations. We report ASR performance of these systems on two dysarthric speech datasets of different characteristics to quantify the achieved performance gains. Despite the remaining performance gap between the dysarthric and normal speech, significant improvements have been reported on both datasets using speaker-independent ASR architectures. ###Answer 1. Changed Reasoning: The word ""speech disorder"" in Sentence A has a different connotation than in Sentence B. In Sentence A, it is used in the context of ""lingual frenulum"" and ""speech therapy,"" implying a more specific and technical meaning related to speech pathology. In contrast, in Sentence B, the term is used in the context of ""rapid population aging"" and ""assistive devices,"" suggesting a broader and more general meaning related to communication disorders in a larger population. Therefore, the meaning of the target word has shifted from a highly specialized context to a more general one, indicating semantic drift." 8,Speech disorder,"In the normal brain as well as in Alzheimer's disease (AD), regional cerebral blood flow (CBF) is coupled to metabolic demand and, therefore, changes in CBF reflect variations in neuronal metabolism. The use of radionuclide techniques, such as positron emission tomography (PET) and single photon emission computed tomography (SPECT), provides an accurate assessment of regional functional activity, i.e., CBF and metabolism, and could be very helpful for the differential diagnosis of AD. This disease is characterized by a decrease in global CBF and metabolism. When found, a symmetric bi-parieto-temporal CBF reduction is highly diagnostic for AD, despite the fact that a similar CBF pattern could also be observed in other types of dementia. Many AD patients with parieto-temporal flow reduction also have a diffuse flow reduction in the frontal cortical areas, particularly in advanced stages of the disease. Lateral CBF asymmetry is also very frequent; speech disorders are highly characteristic of left-sided flow reduction, while visuospatial apraxia is dominating in the right-sided cases. In advanced and severe cases of AD, CBF and metabolism tend to be more uniformly reduced throughout the cortex, sparing only the primary visual and sensory-motor cortices. PET and SPECT measurement of brain perfusion and metabolism has added a new dimension to the knowledge of dementia disorders, with a better differential diagnosis between AD and other forms of dementia. The correlation with neuropsychological data has also given new insight into the disease.","We report on our remote speech therapy experience in post-stroke aphasia. The aim was to test the feasibility and utility of telerehabilitation to support future randomized controlled trials. Post-stroke aphasia is a common and disabling speech disorder, which significantly affects patients' and caregivers' health and quality of life. Due to COVID-19 pandemic, most of the conventional speech therapy approaches had to stop or ""switch"" into telerehabilitation procedures to ensure the safety of patients and operators but, concomitantly, the best rehabilitation level possible. Here, we planned a 5-month telespeech therapy programme, twice per week, of a patient with non-fluent aphasia following an intracerebral haemorrhage. Overall, treatment adherence based on the operator's assessments was high, and incomplete adherence for technical problems occurred very rarely. In line with the patient's feedback, acceptability was also positive, since he was constantly motivated during the sessions and the exercises performed autonomously, as confirmed by the speech therapist and caregiver, respectively. Moreover, despite the sequelae from the cerebrovascular event, evident in some writing tests due to the motor deficits in his right arm and the disadvantages typical of all telepractices, more relevant results were achieved during the telerehabilitation period compared to those of the ""face-to-face"" therapy before the COVID-19 outbreak. The telespeech therapy performed can be considered successful and the patient was able to return to work. Concluding, we support it as a feasible approach offering patients and their families the opportunity to continue the speech and language rehabilitation pathway, even at the time of pandemic.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Speech disorder Sentence A: In the normal brain as well as in Alzheimer's disease (AD), regional cerebral blood flow (CBF) is coupled to metabolic demand and, therefore, changes in CBF reflect variations in neuronal metabolism. The use of radionuclide techniques, such as positron emission tomography (PET) and single photon emission computed tomography (SPECT), provides an accurate assessment of regional functional activity, i.e., CBF and metabolism, and could be very helpful for the differential diagnosis of AD. This disease is characterized by a decrease in global CBF and metabolism. When found, a symmetric bi-parieto-temporal CBF reduction is highly diagnostic for AD, despite the fact that a similar CBF pattern could also be observed in other types of dementia. Many AD patients with parieto-temporal flow reduction also have a diffuse flow reduction in the frontal cortical areas, particularly in advanced stages of the disease. Lateral CBF asymmetry is also very frequent; speech disorders are highly characteristic of left-sided flow reduction, while visuospatial apraxia is dominating in the right-sided cases. In advanced and severe cases of AD, CBF and metabolism tend to be more uniformly reduced throughout the cortex, sparing only the primary visual and sensory-motor cortices. PET and SPECT measurement of brain perfusion and metabolism has added a new dimension to the knowledge of dementia disorders, with a better differential diagnosis between AD and other forms of dementia. The correlation with neuropsychological data has also given new insight into the disease. Sentence B: We report on our remote speech therapy experience in post-stroke aphasia. The aim was to test the feasibility and utility of telerehabilitation to support future randomized controlled trials. Post-stroke aphasia is a common and disabling speech disorder, which significantly affects patients' and caregivers' health and quality of life. Due to COVID-19 pandemic, most of the conventional speech therapy approaches had to stop or ""switch"" into telerehabilitation procedures to ensure the safety of patients and operators but, concomitantly, the best rehabilitation level possible. Here, we planned a 5-month telespeech therapy programme, twice per week, of a patient with non-fluent aphasia following an intracerebral haemorrhage. Overall, treatment adherence based on the operator's assessments was high, and incomplete adherence for technical problems occurred very rarely. In line with the patient's feedback, acceptability was also positive, since he was constantly motivated during the sessions and the exercises performed autonomously, as confirmed by the speech therapist and caregiver, respectively. Moreover, despite the sequelae from the cerebrovascular event, evident in some writing tests due to the motor deficits in his right arm and the disadvantages typical of all telepractices, more relevant results were achieved during the telerehabilitation period compared to those of the ""face-to-face"" therapy before the COVID-19 outbreak. The telespeech therapy performed can be considered successful and the patient was able to return to work. Concluding, we support it as a feasible approach offering patients and their families the opportunity to continue the speech and language rehabilitation pathway, even at the time of pandemic. ###Answer 1. Changed Reasoning: The target word ""Speech disorder"" has undergone a significant change in meaning between the two sentences. In Sentence A, the term refers to a specific type of cognitive impairment associated with Alzheimer's disease, characterized by a decrease in global CBF and metabolism. In contrast, in Sentence B, the term refers to a more general speech impairment resulting from a stroke, with a focus on the feasibility and utility of telerehabilitation to support future randomized controlled trials. The shift in meaning suggests that the term has undergone semantic drift." 9,Speech disorder,"Four liver transplant recipients treated with cyclosporine developed a reversible neurologic syndrome characterized by a speech disorder leading to mutism. This complication, previously reported in a few liver transplant recipients treated with the immunosuppressive drug FK506, had not been described with cyclosporine. Recognition of this syndrome should prompt withdrawal of the drug and avoidance of unnecessary diagnostic procedures.","This study tested a path model that examined the impact of contextual caregiving variables (i.e., severity of child's symptoms, caregiving demands, and perceived caregiving) and different forms of received romantic partner social support (i.e., emotional, esteem, network, tangible, and information) on depressive and somatic symptoms among parents with a child diagnosed with childhood apraxia of speech (CAS), a severe childhood speech disorder. In total, 169 parents of a child with CAS participated in this study. Results provide some support for one stress process model of caregiving, which further highlights the need to look at relational variables as mediators between contextual stressors and health outcomes in caregiving contexts. ","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Speech disorder Sentence A: Four liver transplant recipients treated with cyclosporine developed a reversible neurologic syndrome characterized by a speech disorder leading to mutism. This complication, previously reported in a few liver transplant recipients treated with the immunosuppressive drug FK506, had not been described with cyclosporine. Recognition of this syndrome should prompt withdrawal of the drug and avoidance of unnecessary diagnostic procedures. Sentence B: This study tested a path model that examined the impact of contextual caregiving variables (i.e., severity of child's symptoms, caregiving demands, and perceived caregiving) and different forms of received romantic partner social support (i.e., emotional, esteem, network, tangible, and information) on depressive and somatic symptoms among parents with a child diagnosed with childhood apraxia of speech (CAS), a severe childhood speech disorder. In total, 169 parents of a child with CAS participated in this study. Results provide some support for one stress process model of caregiving, which further highlights the need to look at relational variables as mediators between contextual stressors and health outcomes in caregiving contexts. ###Answer 1. Changed Reasoning: In Sentence A, the target word ""speech disorder"" is used to describe a specific medical complication in the context of liver transplant recipients. The word carries a negative connotation, implying a serious impairment in speech abilities. In Sentence B, the target word ""speech disorder"" is used in a different context, describing a type of childhood speech impairment. The word has a different connotation, with a more neutral tone, indicating a milder impairment. This shift in meaning suggests that the term ""speech disorder"" has undergone semantic drift, changing its original negative connotation to a more neutral one. Therefore, the label ""Changed"" is appropriate." 10,Speech disorder,"Liver transplant is the only effective treatment in the terminal liver disease. However, the complexity of the surgical technique and immunosuppression cause many neurologic complications. Three liver transplant recipients treated with cyclosporine developed a reversible neurologic syndrome characterized by early dysarthria, which evolved to anarthria, and tetraparesis. Brain MRI disclosed hyperintense lesions, on T2, and proton density-weighted images, in basis pontis. The substitution of the cyclosporine for FK 506, or its reduction, led to the clinical improvement of the patients. Therefore, cyclosporine may cause central pontine myelinolysis, being dysarthria the first manifestation of neurotoxicity. The early recognition of speech disorders in liver transplant recipients that receive cyclosporine should prompt withdrawal of the drug to avoid possible neurological sequelae. Furthermore, the strict control of natremias before and after the transplant may help to reduce the incidence of this type of complications, since a synergyc osmotic mechanism cannot be ruled out."," Alzheimer's disease (AD) is a progressive neurological disorder, meaning that the symptoms develop gradually throughout the years. It is also the main cause of dementia, which affects memory, thinking skills, and mental abilities. Nowadays, researchers have moved their interest towards AD detection from spontaneous speech, since it constitutes a time-effective procedure. However, existing state-of-the-art works proposing multimodal approaches do not take into consideration the inter- and intra-modal interactions and propose early and late fusion approaches. To tackle these limitations, we propose deep neural networks, which can be trained in an end-to-end trainable way and capture the inter- and intra-modal interactions. Firstly, each audio file is converted to an image consisting of three channels, i.e., log-Mel spectrogram, delta, and delta-delta. Next, each transcript is passed through a BERT model followed by a gated self-attention layer. Similarly, each image is passed through a Swin Transformer followed by an independent gated self-attention layer. Acoustic features are extracted also from each audio file. Finally, the representation vectors from the different modalities are fed to a tensor fusion layer for capturing the inter-modal interactions. Extensive experiments conducted on the ADReSS Challenge dataset indicate that our introduced approaches obtain valuable advantages over existing research initiatives reaching Accuracy and F1-score up to 86.25% and 85.48% respectively. ","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Speech disorder Sentence A: Liver transplant is the only effective treatment in the terminal liver disease. However, the complexity of the surgical technique and immunosuppression cause many neurologic complications. Three liver transplant recipients treated with cyclosporine developed a reversible neurologic syndrome characterized by early dysarthria, which evolved to anarthria, and tetraparesis. Brain MRI disclosed hyperintense lesions, on T2, and proton density-weighted images, in basis pontis. The substitution of the cyclosporine for FK 506, or its reduction, led to the clinical improvement of the patients. Therefore, cyclosporine may cause central pontine myelinolysis, being dysarthria the first manifestation of neurotoxicity. The early recognition of speech disorders in liver transplant recipients that receive cyclosporine should prompt withdrawal of the drug to avoid possible neurological sequelae. Furthermore, the strict control of natremias before and after the transplant may help to reduce the incidence of this type of complications, since a synergyc osmotic mechanism cannot be ruled out. Sentence B: Alzheimer's disease (AD) is a progressive neurological disorder, meaning that the symptoms develop gradually throughout the years. It is also the main cause of dementia, which affects memory, thinking skills, and mental abilities. Nowadays, researchers have moved their interest towards AD detection from spontaneous speech, since it constitutes a time-effective procedure. However, existing state-of-the-art works proposing multimodal approaches do not take into consideration the inter- and intra-modal interactions and propose early and late fusion approaches. To tackle these limitations, we propose deep neural networks, which can be trained in an end-to-end trainable way and capture the inter- and intra-modal interactions. Firstly, each audio file is converted to an image consisting of three channels, i.e., log-Mel spectrogram, delta, and delta-delta. Next, each transcript is passed through a BERT model followed by a gated self-attention layer. Similarly, each image is passed through a Swin Transformer followed by an independent gated self-attention layer. Acoustic features are extracted also from each audio file. Finally, the representation vectors from the different modalities are fed to a tensor fusion layer for capturing the inter-modal interactions. Extensive experiments conducted on the ADReSS Challenge dataset indicate that our introduced approaches obtain valuable advantages over existing research initiatives reaching Accuracy and F1-score up to 86.25% and 85.48% respectively. ###Answer 1. Changed Reasoning: The target word ""Speech disorder"" has undergone a significant change in meaning between Sentence A (2000) and Sentence B (2020). In Sentence A, the term refers to a specific neurological complication caused by the immunosuppressive drug cyclosporine in liver transplant recipients. In contrast, in Sentence B, the term is used more broadly to describe the symptoms of Alzheimer's disease, including memory loss, thinking skills, and mental abilities. This shift in meaning suggests that the term has undergone semantic drift." 11,Speech disorder,"This syndrome was defined by the authors in 1947. Earlier publications of similar disease descriptions were by Syllaba and Henner (1926), Louis-Bar (1941). The authors at present have a stock of 253 cases. The cardinal symptoms of this phakomatosis are: Cerebellar ataxia which begin in infancy and take a slowly progressive course. In the late stages free walking and standing are no longer possible. Progressive atactic speech disorders, cerebellar atrophy in the pneumoencephalogram. Slowly progressing symmetrical skin and mucosal telangiectasia in the face and especially on the conjunctivae at the age of 3 to 6 years. Relapsing sinopulmonary infections with a tendency toward the development of bronchiectases. Apraxia of eye movements. Atrophy of facial skin and premature graying of hair. Recessively hereditary disorder with a high familial manifestation. This syndrome combines the spinocerebellar degeneration, phakomatoses, and infantile dementia processes. Such other conditions as abnormity or absence of thymus, reduction in gamma globulins, amino-aciduria, autosomal-recessive inheritance suggest a genetically determined ""error of metabolism"".","Patients suffering from neurological diseases may develop dysarthria, a motor speech disorder affecting the execution of speech. Close and quantitative monitoring of dysarthria evolution is crucial for enabling clinicians to promptly implement patients' management strategies and maximizing effectiveness and efficiency of communication functions in term of restoring, compensating or adjusting. In the clinical assessment of orofacial structures and functions, at rest condition or during speech and non-speech movements, a qualitative evaluation is usually performed, throughout visual observation.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Speech disorder Sentence A: This syndrome was defined by the authors in 1947. Earlier publications of similar disease descriptions were by Syllaba and Henner (1926), Louis-Bar (1941). The authors at present have a stock of 253 cases. The cardinal symptoms of this phakomatosis are: Cerebellar ataxia which begin in infancy and take a slowly progressive course. In the late stages free walking and standing are no longer possible. Progressive atactic speech disorders, cerebellar atrophy in the pneumoencephalogram. Slowly progressing symmetrical skin and mucosal telangiectasia in the face and especially on the conjunctivae at the age of 3 to 6 years. Relapsing sinopulmonary infections with a tendency toward the development of bronchiectases. Apraxia of eye movements. Atrophy of facial skin and premature graying of hair. Recessively hereditary disorder with a high familial manifestation. This syndrome combines the spinocerebellar degeneration, phakomatoses, and infantile dementia processes. Such other conditions as abnormity or absence of thymus, reduction in gamma globulins, amino-aciduria, autosomal-recessive inheritance suggest a genetically determined ""error of metabolism"". Sentence B: Patients suffering from neurological diseases may develop dysarthria, a motor speech disorder affecting the execution of speech. Close and quantitative monitoring of dysarthria evolution is crucial for enabling clinicians to promptly implement patients' management strategies and maximizing effectiveness and efficiency of communication functions in term of restoring, compensating or adjusting. In the clinical assessment of orofacial structures and functions, at rest condition or during speech and non-speech movements, a qualitative evaluation is usually performed, throughout visual observation. ###Answer 1. Changed Reasoning: In Sentence A, the term ""speech disorder"" is used to describe a condition characterized by cerebellar ataxia, progressive atactic speech disorders, and other symptoms such as skin and mucosal telangiectasia. The disorder is described as ""relapsing sinopulmonary infections with a tendency toward the development of bronchiectases"" and ""atrophy of facial skin and premature graying of hair."" The term ""speech disorder"" in this context implies a significant impairment in speech and communication abilities. In Sentence B, the term ""dysarthria"" is used to describe a motor speech disorder that affects the execution of speech. The term ""dysarthria"" is more specific and refers to a specific type of speech disorder characterized by difficulty articulating words due to weakness or paralysis of the muscles involved in speech production. The term ""speech disorder"" in this context implies a less severe impairment in speech abilities compared to the term used in Sentence A. Therefore, based on the context and meaning of the term ""speech disorder"" in the two sentences, it can be concluded that semantic drift has occurred, and the term has changed its meaning over time. The term ""speech disorder"" in Sentence B has a different connotation than in Sentence A, indicating a shift in the meaning of the term." 12,Speech disorder,"In clinical practice of brain lesions one of the frequently encountered disorders is the so-called acoustico-mnestic form of temporal aphasia, which was first described by A.R. Luria. However, its nature and the mechansim of speech disorders in this form of aphasia are still not clear, despite the theortical and practical significance of this problem. The convened experiments have demonstrated that disorders of such forms of speech as nominating, repeating and understanding in acoustico-mnestic aphasia emerges from visual and acoustical perception and its complicated connections with speech. Disorders of nominative functions of speech are related mainly to defects in the visual sphere, disorders of repeating and partially understanding speech - with the narrowing of the volume of acoustical perception. A possible pathophysiological mechanism of such speech disorders may be a decrease in the brain activity which leads to a substitution of simultaneous processes of perception by successional ones.","Aphasia is a speech disorder caused by disorders of speech centre in brain cortex. Patient with aphasia compensates communication disorders by communication strategy, witch are spontaneous mechanisms, and uses individual rehabilitation methods. Compensation mechanisms are divided in to: phonetic, inflective, formative, semantic, discursive and structural. Patients with aphasia early therapy have to be individual and consists in not only articulation correction, but in establish over verbal contact or verbal, and improvement this contacts, to create patients ability of communication with society. Later therapy is oriented on improvement of cognitive functions for possibility of participation in social live and if it is possible for return to work.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Speech disorder Sentence A: In clinical practice of brain lesions one of the frequently encountered disorders is the so-called acoustico-mnestic form of temporal aphasia, which was first described by A.R. Luria. However, its nature and the mechansim of speech disorders in this form of aphasia are still not clear, despite the theortical and practical significance of this problem. The convened experiments have demonstrated that disorders of such forms of speech as nominating, repeating and understanding in acoustico-mnestic aphasia emerges from visual and acoustical perception and its complicated connections with speech. Disorders of nominative functions of speech are related mainly to defects in the visual sphere, disorders of repeating and partially understanding speech - with the narrowing of the volume of acoustical perception. A possible pathophysiological mechanism of such speech disorders may be a decrease in the brain activity which leads to a substitution of simultaneous processes of perception by successional ones. Sentence B: Aphasia is a speech disorder caused by disorders of speech centre in brain cortex. Patient with aphasia compensates communication disorders by communication strategy, witch are spontaneous mechanisms, and uses individual rehabilitation methods. Compensation mechanisms are divided in to: phonetic, inflective, formative, semantic, discursive and structural. Patients with aphasia early therapy have to be individual and consists in not only articulation correction, but in establish over verbal contact or verbal, and improvement this contacts, to create patients ability of communication with society. Later therapy is oriented on improvement of cognitive functions for possibility of participation in social live and if it is possible for return to work. ###Answer 1. Changed Reasoning: In Sentence A, the target word ""speech disorder"" is used in the context of a specific clinical condition (acoustico-mnestic form of temporal aphasia). The sentence highlights the complexity of the disorder, emphasizing the multifaceted nature of the problem, including the visual and acoustic perception of speech, as well as the brain activity involved. The word ""speech disorder"" carries a negative connotation, suggesting a loss or impairment of speech abilities. In Sentence B, the target word ""speech disorder"" is used in a broader context, encompassing various forms of aphasia and communication disorders. The sentence highlights the diversity of compensation mechanisms employed by patients to overcome communication disorders, including phonetic, inflective, formative, semantic, discursive, and structural strategies. The word ""speech disorder"" carries a more neutral connotation, suggesting a variety of communication challenges rather than a specific loss or impairment. Based on these differences in context and connotation, it can be argued that the meaning of the target word ""speech disorder"" has shifted over time, becoming more general and inclusive of various forms of communication impairments. Therefore, the label ""Changed"" is appropriate." 13,Speech disorder,"The article describes the development of symptoms in a 59-year-old patient. Dyskinesia and speech disorder were the only clinical features in the beginning. Increased immunological parameters and only slight hypokinetic-rigid signs for a long time made the diagnostical and therapeutical process more difficult, as well as atypical findings in neuroimaging techniques. Corticobasal degeneration was diagnosed about 6 years after onset of clinical symptoms.","'Dysarthria' is a group of motor speech disorders resulting from a disturbance in neuromuscular control. Most individuals with dysarthria cope with communicative restrictions due to speech impairments and reduced intelligibility. Thus, language-sensitive measurements of intelligibility are important in dysarthria neurological assessment. The Frenchay Dysarthria Assessment, 2nd edition (FDA-2), is a validated tool for the identification of the nature and patterns of oro-motor movements associated with different types of dysarthria. The current study conducted a careful culture- and linguistic-sensitive adaption of the two intelligibility subtests of the FDA-2 to Hebrew (words and sentences) and performed a preliminary validation with relevant clinical populations. First, sets of Hebrew words and sentences were constructed, based on the criteria defined in FDA-2, as well as on several other factors that may affect performance: emotional valence, arousal and familiarity. Second, the new subtests were validated in healthy older adults (n = 20), and in two clinical groups (acquired dysarthria, n = 15; and developmental dysarthria, n = 19). Analysis indicated that the new subtests were found to be specific and sensitive, valid and reliable, as scores significantly differ between healthy older adults and adults with dysarthria, correlated with other subjective measures of intelligibility, and showed high test-retest reliability. The words and sentences intelligibility subtests can be used to evaluate speech disorders in various populations of Hebrew speakers, thus may be an important addition to the speech-language pathologist's toolbox, for clinical work as well as for research purposes. WHAT THIS PAPER ADDS: What is already known on the subject 'Dysarthria' is a group of disorders reflecting impairments in the strength, speed and precision of movements required for adequate control of the various speech subsystems. Reduced speech intelligibility is one of the main consequences of all dysarthria subtypes, irrespective of their underlying cause. Indeed, most individuals with dysarthria cope with communicative restrictions due to speech impairments. Thus, language-sensitive measurements of intelligibility are important in dysarthria assessment. The FDA-2's words and sentences subtests present standardized and validated tools for the identification of the nature and patterns of oro-motor movements associated with different types of dysarthria. What this paper adds to existing knowledge The lack of assessment tools in Hebrew poses challenges to clinical evaluation as well as research purposes. The current study conducted a careful culture- and linguistic-sensitive adaption of the FDA-2 intelligibility subtests to Hebrew and performed a preliminary validation with relevant clinical populations. First, sets of Hebrew words and sentences were constructed, based on the criteria defined in FDA-2, as well as on several other factors that may affect performance: emotional valence, arousal and familiarity. Second, the new subtests were validated in healthy older adults (n = 20), and in two clinical groups (adults with acquired dysarthria, n = 15; and young adults with developmental dysarthria, n = 19). What are the potential or actual clinical implications of this work? Analyses indicated that the new word and sentence subtests are specific, sensitive, valid and reliable. Namely, (1) they successfully differentiate between healthy individuals and individuals with dysarthria; (2) they correlate with other subjective measures of intelligibility; and (3) they show high test-retest reliability. The words and sentences intelligibility subtests can be used to evaluate speech disorders in various populations of Hebrew speakers. Thus, they may be an important addition to the speech-language pathologist's toolbox, for clinical and research purposes. The methods described here can be emulated for the adaptation of speech assessment tools to other languages.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Speech disorder Sentence A: The article describes the development of symptoms in a 59-year-old patient. Dyskinesia and speech disorder were the only clinical features in the beginning. Increased immunological parameters and only slight hypokinetic-rigid signs for a long time made the diagnostical and therapeutical process more difficult, as well as atypical findings in neuroimaging techniques. Corticobasal degeneration was diagnosed about 6 years after onset of clinical symptoms. Sentence B: 'Dysarthria' is a group of motor speech disorders resulting from a disturbance in neuromuscular control. Most individuals with dysarthria cope with communicative restrictions due to speech impairments and reduced intelligibility. Thus, language-sensitive measurements of intelligibility are important in dysarthria neurological assessment. The Frenchay Dysarthria Assessment, 2nd edition (FDA-2), is a validated tool for the identification of the nature and patterns of oro-motor movements associated with different types of dysarthria. The current study conducted a careful culture- and linguistic-sensitive adaption of the two intelligibility subtests of the FDA-2 to Hebrew (words and sentences) and performed a preliminary validation with relevant clinical populations. First, sets of Hebrew words and sentences were constructed, based on the criteria defined in FDA-2, as well as on several other factors that may affect performance: emotional valence, arousal and familiarity. Second, the new subtests were validated in healthy older adults (n = 20), and in two clinical groups (acquired dysarthria, n = 15; and developmental dysarthria, n = 19). Analysis indicated that the new subtests were found to be specific and sensitive, valid and reliable, as scores significantly differ between healthy older adults and adults with dysarthria, correlated with other subjective measures of intelligibility, and showed high test-retest reliability. The words and sentences intelligibility subtests can be used to evaluate speech disorders in various populations of Hebrew speakers, thus may be an important addition to the speech-language pathologist's toolbox, for clinical work as well as for research purposes. WHAT THIS PAPER ADDS: What is already known on the subject 'Dysarthria' is a group of disorders reflecting impairments in the strength, speed and precision of movements required for adequate control of the various speech subsystems. Reduced speech intelligibility is one of the main consequences of all dysarthria subtypes, irrespective of their underlying cause. Indeed, most individuals with dysarthria cope with communicative restrictions due to speech impairments. Thus, language-sensitive measurements of intelligibility are important in dysarthria assessment. The FDA-2's words and sentences subtests present standardized and validated tools for the identification of the nature and patterns of oro-motor movements associated with different types of dysarthria. What this paper adds to existing knowledge The lack of assessment tools in Hebrew poses challenges to clinical evaluation as well as research purposes. The current study conducted a careful culture- and linguistic-sensitive adaption of the FDA-2 intelligibility subtests to Hebrew and performed a preliminary validation with relevant clinical populations. First, sets of Hebrew words and sentences were constructed, based on the criteria defined in FDA-2, as well as on several other factors that may affect performance: emotional valence, arousal and familiarity. Second, the new subtests were validated in healthy older adults (n = 20), and in two clinical groups (adults with acquired dysarthria, n = 15; and young adults with developmental dysarthria, n = 19). What are the potential or actual clinical implications of this work? Analyses indicated that the new word and sentence subtests are specific, sensitive, valid and reliable. Namely, (1) they successfully differentiate between healthy individuals and individuals with dysarthria; (2) they correlate with other subjective measures of intelligibility; and (3) they show high test-retest reliability. The words and sentences intelligibility subtests can be used to evaluate speech disorders in various populations of Hebrew speakers. Thus, they may be an important addition to the speech-language pathologist's toolbox, for clinical and research purposes. The methods described here can be emulated for the adaptation of speech assessment tools to other languages. ###Answer 1. Changed The target word ""Speech disorder"" has undergone a significant change in meaning between the two sentences. In Sentence A, the word is used to describe a specific type of neurological disorder characterized by impairments in the strength, speed, and precision of movements required for adequate control of the various speech subsystems. In contrast, in Sentence B, the word is used to describe a group of disorders reflecting impairments in the strength, speed, and precision of movements required for adequate control of the various speech subsystems. The meaning of the word has shifted from a clinical context to a broader concept encompassing various types of speech impairments. Therefore, the label ""Changed"" is appropriate." 14,Speech disorder,"This investigation was designed to test the hypothesis that voice onset time (VOT) varies as a function of lung volume. Recordings were made of five men as they repeated a phrase containing stressed /pi/ syllables, beginning at total lung capacity and ending at residual volume. VOT was found to be longer at high lung volumes and shorter at low lung volumes in most cases. This finding points out the need to take lung volume into account when using VOT as an index of laryngeal behavior in both healthy individuals and those with speech disorders.","Recent studies on the remediation of speech disorders suggest that providing visual information of speech articulators may contribute to improve speech production. In this study, we evaluate the effectiveness of an illustration-based rehabilitation method on speech recovery of a patient with non-fluent chronic aphasia. The ","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Speech disorder Sentence A: This investigation was designed to test the hypothesis that voice onset time (VOT) varies as a function of lung volume. Recordings were made of five men as they repeated a phrase containing stressed /pi/ syllables, beginning at total lung capacity and ending at residual volume. VOT was found to be longer at high lung volumes and shorter at low lung volumes in most cases. This finding points out the need to take lung volume into account when using VOT as an index of laryngeal behavior in both healthy individuals and those with speech disorders. Sentence B: Recent studies on the remediation of speech disorders suggest that providing visual information of speech articulators may contribute to improve speech production. In this study, we evaluate the effectiveness of an illustration-based rehabilitation method on speech recovery of a patient with non-fluent chronic aphasia. The ###Answer 1. Changed Explanation: In Sentence A, the target word ""speech disorder"" refers to a specific type of speech impairment caused by variations in lung volume. The sentence highlights the importance of considering lung volume when assessing VOT in both healthy individuals and those with speech disorders. In Sentence B, the target word ""speech disorder"" has taken on a broader meaning, encompassing a range of speech impairments, including non-fluent chronic aphasia. This shift in meaning suggests that the term has undergone semantic drift. The sentence now emphasizes the potential benefits of visual information in improving speech production for individuals with various speech disorders, rather than specifically focusing on the relationship between lung volume and VOT. Therefore, I have labeled Sentence B as ""Changed.""" 15,Speech disorder,"This study reports the physical outcomes of 181 survivors of severe head injury [Glasgow Coma Score (GCS) 8 or less] following aggressive head injury management which included early triage, evacuation and resuscitation, the use of ventilation in the Intensive Care Unit and intracranial pressure (ICP) measurement and control. At the conclusion of the study period of 2 years after the head injury, 71% had achieved a Glasgow Outcome Score (GOS) of 1, 17% GOS 2, 10% GOS 3 and 2% GOS 4. Physical recovery continued during the 2 years. Locomotor independence was achieved in 93% despite a motor disorder in 59%. About 90% were considered independent for basic life functions, e.g. feeding, bathing, dressing or toileting. Speech disorders were present in 19%. A return to an occupation, either a job or studies, at or below the pre-morbid level was achieved in 68%. Most patients were cared for at home by family or relatives. The majority of patients make a reasonable physical recovery following severe head injury with independence in locomotion and basic life skills. It was our impression that the neuropsychological sequelae of cognitive and behavioural disorders were a major impediment to re-assimilation into society.","Pantothenate kinase-associated neurodegeneration (PKAN) is an autosomal recessive disorder characterized by iron accumulation in the brain, because of mutations in the PANK2 gene. Phenotypic and genotypic characteristics of 11 patients from five Mexican families with PKAN disease are reported. Sequencing of PANK2 confirmed the diagnosis. The 11 patients had dysarthria associated with dystonia and Parkinsonism in six. Brain magnetic resonance imaging (MRI) showed the 'eye-of-the-tiger' sign in all patients. Three different mutations were identified, a novel one (p.A469P) and two (p.G219V and p.N404I) very rare. Homozygous sibs for the p.G219V mutation had a severe disease progression with early death. Dystonia predominated in the p.A469P/p.N404I compound heterozygous patients. Homozygous for p.N404I showed Parkinsonism, tics and personality and speech disorders. Early and late disease onset and variable expression was present in carriers of the different identified mutations. The 'eye-of-the-tiger' is an excellent neuroimaging hallmark to predict PANK2 mutations. We detected a 'cluster' of patients harboring the p.N404I mutation, strongly suggesting a founder effect for this mutation. This is the first familial clinical-genetic PKAN disease study accomplished in Mexico. ","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Speech disorder Sentence A: This study reports the physical outcomes of 181 survivors of severe head injury [Glasgow Coma Score (GCS) 8 or less] following aggressive head injury management which included early triage, evacuation and resuscitation, the use of ventilation in the Intensive Care Unit and intracranial pressure (ICP) measurement and control. At the conclusion of the study period of 2 years after the head injury, 71% had achieved a Glasgow Outcome Score (GOS) of 1, 17% GOS 2, 10% GOS 3 and 2% GOS 4. Physical recovery continued during the 2 years. Locomotor independence was achieved in 93% despite a motor disorder in 59%. About 90% were considered independent for basic life functions, e.g. feeding, bathing, dressing or toileting. Speech disorders were present in 19%. A return to an occupation, either a job or studies, at or below the pre-morbid level was achieved in 68%. Most patients were cared for at home by family or relatives. The majority of patients make a reasonable physical recovery following severe head injury with independence in locomotion and basic life skills. It was our impression that the neuropsychological sequelae of cognitive and behavioural disorders were a major impediment to re-assimilation into society. Sentence B: Pantothenate kinase-associated neurodegeneration (PKAN) is an autosomal recessive disorder characterized by iron accumulation in the brain, because of mutations in the PANK2 gene. Phenotypic and genotypic characteristics of 11 patients from five Mexican families with PKAN disease are reported. Sequencing of PANK2 confirmed the diagnosis. The 11 patients had dysarthria associated with dystonia and Parkinsonism in six. Brain magnetic resonance imaging (MRI) showed the 'eye-of-the-tiger' sign in all patients. Three different mutations were identified, a novel one (p.A469P) and two (p.G219V and p.N404I) very rare. Homozygous sibs for the p.G219V mutation had a severe disease progression with early death. Dystonia predominated in the p.A469P/p.N404I compound heterozygous patients. Homozygous for p.N404I showed Parkinsonism, tics and personality and speech disorders. Early and late disease onset and variable expression was present in carriers of the different identified mutations. The 'eye-of-the-tiger' is an excellent neuroimaging hallmark to predict PANK2 mutations. We detected a 'cluster' of patients harboring the p.N404I mutation, strongly suggesting a founder effect for this mutation. This is the first familial clinical-genetic PKAN disease study accomplished in Mexico. ###Answer 1. Changed Reasoning: In Sentence A, the term ""speech disorder"" is used to describe a condition in which a patient experiences difficulty with speech. This could be due to a variety of factors, such as brain damage or neurodegeneration. The sentence does not provide any additional context or information about the nature of the speech disorder. In Sentence B, the term ""speech disorder"" is used in a different context. The sentence mentions that some patients with PKAN disease experience dysarthria associated with dystonia and Parkinsonism, which includes speech difficulties. The sentence also provides additional information about the nature of the speech disorder, specifically that it is related to iron accumulation in the brain due to mutations in the PANK2 gene. Based on these differences in context and additional information, it is clear that the term ""speech disorder"" has undergone semantic drift between Sentence A and Sentence B. In Sentence A, the term likely refers to a more general speech difficulty, while in Sentence B, it refers to a specific type of speech difficulty related to a particular medical condition. Therefore, the label ""Changed"" is appropriate." 16,Speech disorder,"This study reports on a woman who suffered left anterior cerebral artery hemorrhage with a focal lesion undercutting the left supplementary motor area. After almost complete recovery of language the patient was left with dysfluent, halting speech. In a series of four experiments we examined the major factors influencing the patient's articulation. There was a significant effect of lexicality and syllabic length on repetition and articulatory learning (Experiments 1 and 2). The number of syllables was also found to influence, in a simple reaction task, onset latencies, but not inter-response times (Experiment 3). On the contrary, articulatory intricacy had no particular effect on either repetition or vocal reaction (Experiments 1 and 3). While repetition of real words was preserved, single word production in word generation tasks was impaired. Rhyme generation and alliteration, both of which rely on phonological processing, were particularly involved, whereas semantic word generation tasks like verb generation and generation of category members were relatively spared (Experiment 4). Control tasks revealed that the observed phonological processing deficit was confined to the condition of generating spoken language output. These experimental findings suggest that the patient's dysfluent speech could neither be attributed to a deficit of linguistic processing proper, nor to one of motor execution. Her speech disorder rather resulted from an impairment of initiating sequential articulations, particularly in association with the process of downloading temporarily stored multisyllabic strings from an articulatory buffer. This deficit could obviously be overcome in real word repetition through the use of a semantic lexical route.","Children acquire vowels earlier than consonants, and the former are less vulnerable to speech disorders than the latter. This study explores the hypothesis that a similar contrast exists later in life and that consonants are more vulnerable to ageing than vowels. Data was obtained with two experiments comparing the speech of Younger Adults (YAs) and Middle-aged Adults (MAs). In the first experiment an Automatic Speech Recognition (ASR) system was trained with a balanced corpus of 29 YAs and 27 MAs. The productions of each speaker were obtained in a Spanish language word (W) and non-word (NW) repetition task. The performance of the system was evaluated with the same corpus used for training using a cross validation approach. The ASR system recognized to a similar extent the Ws of both groups of speakers, but it was more successful with the NWs of the YAs than with those of the MAs. Detailed error analysis revealed that the MA speakers scored below the YA speakers for consonants and also for the place and manner of articulation features; the results were almost identical in both groups of speakers for vowels and for the voicing feature. In the second experiment a group of healthy native listeners was asked to recognize isolated syllables presented with background noise. The target speakers were one YA and one MA that had taken part in the first experiment. The results were consistent with those of the ASR experiment: the manner and place of articulation were better recognized, and vowels and voicing were worse recognized, in the YA speaker than in the MA speaker. We conclude that consonant articulation is more vulnerable to ageing than vowel articulation. Future studies should explore whether or not these early and selective changes in articulation accuracy might be caused by changes in speech perception skills (e.g., in auditory temporal processing).","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Speech disorder Sentence A: This study reports on a woman who suffered left anterior cerebral artery hemorrhage with a focal lesion undercutting the left supplementary motor area. After almost complete recovery of language the patient was left with dysfluent, halting speech. In a series of four experiments we examined the major factors influencing the patient's articulation. There was a significant effect of lexicality and syllabic length on repetition and articulatory learning (Experiments 1 and 2). The number of syllables was also found to influence, in a simple reaction task, onset latencies, but not inter-response times (Experiment 3). On the contrary, articulatory intricacy had no particular effect on either repetition or vocal reaction (Experiments 1 and 3). While repetition of real words was preserved, single word production in word generation tasks was impaired. Rhyme generation and alliteration, both of which rely on phonological processing, were particularly involved, whereas semantic word generation tasks like verb generation and generation of category members were relatively spared (Experiment 4). Control tasks revealed that the observed phonological processing deficit was confined to the condition of generating spoken language output. These experimental findings suggest that the patient's dysfluent speech could neither be attributed to a deficit of linguistic processing proper, nor to one of motor execution. Her speech disorder rather resulted from an impairment of initiating sequential articulations, particularly in association with the process of downloading temporarily stored multisyllabic strings from an articulatory buffer. This deficit could obviously be overcome in real word repetition through the use of a semantic lexical route. Sentence B: Children acquire vowels earlier than consonants, and the former are less vulnerable to speech disorders than the latter. This study explores the hypothesis that a similar contrast exists later in life and that consonants are more vulnerable to ageing than vowels. Data was obtained with two experiments comparing the speech of Younger Adults (YAs) and Middle-aged Adults (MAs). In the first experiment an Automatic Speech Recognition (ASR) system was trained with a balanced corpus of 29 YAs and 27 MAs. The productions of each speaker were obtained in a Spanish language word (W) and non-word (NW) repetition task. The performance of the system was evaluated with the same corpus used for training using a cross validation approach. The ASR system recognized to a similar extent the Ws of both groups of speakers, but it was more successful with the NWs of the YAs than with those of the MAs. Detailed error analysis revealed that the MA speakers scored below the YA speakers for consonants and also for the place and manner of articulation features; the results were almost identical in both groups of speakers for vowels and for the voicing feature. In the second experiment a group of healthy native listeners was asked to recognize isolated syllables presented with background noise. The target speakers were one YA and one MA that had taken part in the first experiment. The results were consistent with those of the ASR experiment: the manner and place of articulation were better recognized, and vowels and voicing were worse recognized, in the YA speaker than in the MA speaker. We conclude that consonant articulation is more vulnerable to ageing than vowel articulation. Future studies should explore whether or not these early and selective changes in articulation accuracy might be caused by changes in speech perception skills (e.g., in auditory temporal processing). ###Answer 1. Changed Reasoning: In Sentence A, the target word ""Speech disorder"" is used in the context of a patient who suffered a brain injury and is experiencing difficulty with speech articulation. The sentence highlights the patient's specific speech difficulties, such as impaired repetition and articulation, and suggests that these difficulties are related to an impairment of initiating sequential articulations. In contrast, Sentence B uses the term ""Speech disorder"" in a more general context, discussing the age-related changes in speech articulation accuracy. The sentence does not provide any specific details about the patient's speech difficulties, and instead focuses on the general trend of consonant articulation being more vulnerable to ageing than vowel articulation. Based on these differences in context and focus, it is clear that the meaning and connotation of the term ""Speech disorder"" have shifted between Sentence A and Sentence B. In Sentence A, the term is used to describe a specific patient's speech difficulties in a detailed and specific manner, while in Sentence B, it is used in a more general and abstract way to describe age-related changes in speech articulation accuracy. Therefore, the label ""Changed"" is appropriate to indicate that the meaning of the term ""Speech disorder"" has shifted between these two sentences." 17,Speech disorder,"Six hundred children with communication disorders presenting to a community clinic were evaluated for psychiatric and developmental disorders. The 600 children fell into three subgroups: those with ""pure speech disorders,"" those with ""speech and language disorders,"" and those with ""pure language disorders."" The two subgroups with language involvement had higher rates of both psychiatric and developmental disorders than the children with pure speech involvement. Those children with language involvement also had a different pattern of psychiatric diagnoses than the children with pure speech disorders. Possible etiological factors and clinical significance of these findings are discussed.","Apraxia of speech is a motor speech disorder characterized by combinations of slow speaking rate, abnormal prosody, distorted sound substitutions, and trial-and-error articulatory movements. Apraxia of speech is due to abnormal planning and/or programming of speech production. It is referred to as primary progressive apraxia of speech (PPAOS) when it is the only symptom of a neurodegenerative condition. Past reports suggest an association of PPAOS with primary 4-repeat (4R) tau (e.g., progressive supranuclear palsy, corticobasal degeneration), rather than amyloid, pathology. The goal of the current study was to investigate the distribution of tau tracer uptake using [18F]AV-1451 positron emission tomography (PET) imaging in patients with PPAOS. Fourteen PPAOS patients underwent [18F]AV-1451 PET (tau-PET) imaging, [C11] Pittsburgh Compound B (PiB) PET and structural MRI and were matched 3:1 by age and sex to 42 cognitively normal controls. Tau-PET uptake was assessed at the region-of-interest (ROI) level and at the voxel-level. The PPAOS group (n = 14) showed increased tau-PET uptake in the precentral gyrus, supplementary motor area and Broca's area compared to controls. To examine whether tau deposition in Broca's area was related to the presence of aphasia, we examined a subgroup of the PPAOS patients who had predominant apraxia of speech, with concomitant aphasia (PPAOSa; n = 7). The PPAOSa patients showed tau-PET uptake in the same regions as the whole group. However, the remaining seven patients who did not have aphasia showed uptake only in superior premotor and precentral cortices, with no uptake observed in Broca's area. This cross-sectional study demonstrates that elevated tau tracer uptake is observed using [18F]AV-1451 in PPAOS. Further, it appears that [18F]AV-1451 is sensitive to the regional distribution of tau deposition in different stages of PPAOS, given the relationship between tau signal in Broca's area and the presence of aphasia.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Speech disorder Sentence A: Six hundred children with communication disorders presenting to a community clinic were evaluated for psychiatric and developmental disorders. The 600 children fell into three subgroups: those with ""pure speech disorders,"" those with ""speech and language disorders,"" and those with ""pure language disorders."" The two subgroups with language involvement had higher rates of both psychiatric and developmental disorders than the children with pure speech involvement. Those children with language involvement also had a different pattern of psychiatric diagnoses than the children with pure speech disorders. Possible etiological factors and clinical significance of these findings are discussed. Sentence B: Apraxia of speech is a motor speech disorder characterized by combinations of slow speaking rate, abnormal prosody, distorted sound substitutions, and trial-and-error articulatory movements. Apraxia of speech is due to abnormal planning and/or programming of speech production. It is referred to as primary progressive apraxia of speech (PPAOS) when it is the only symptom of a neurodegenerative condition. Past reports suggest an association of PPAOS with primary 4-repeat (4R) tau (e.g., progressive supranuclear palsy, corticobasal degeneration), rather than amyloid, pathology. The goal of the current study was to investigate the distribution of tau tracer uptake using [18F]AV-1451 positron emission tomography (PET) imaging in patients with PPAOS. Fourteen PPAOS patients underwent [18F]AV-1451 PET (tau-PET) imaging, [C11] Pittsburgh Compound B (PiB) PET and structural MRI and were matched 3:1 by age and sex to 42 cognitively normal controls. Tau-PET uptake was assessed at the region-of-interest (ROI) level and at the voxel-level. The PPAOS group (n = 14) showed increased tau-PET uptake in the precentral gyrus, supplementary motor area and Broca's area compared to controls. To examine whether tau deposition in Broca's area was related to the presence of aphasia, we examined a subgroup of the PPAOS patients who had predominant apraxia of speech, with concomitant aphasia (PPAOSa; n = 7). The PPAOSa patients showed tau-PET uptake in the same regions as the whole group. However, the remaining seven patients who did not have aphasia showed uptake only in superior premotor and precentral cortices, with no uptake observed in Broca's area. This cross-sectional study demonstrates that elevated tau tracer uptake is observed using [18F]AV-1451 in PPAOS. Further, it appears that [18F]AV-1451 is sensitive to the regional distribution of tau deposition in different stages of PPAOS, given the relationship between tau signal in Broca's area and the presence of aphasia. ###Answer 1. Changed Reasoning: In Sentence A, the target word ""speech disorder"" is used to describe a specific subpopulation of children with communication disorders. The meaning of the word in this context is focused on the assessment and diagnosis of communication disorders in children. The word is not associated with any particular psychiatric or developmental disorder. In Sentence B, the target word ""speech disorder"" has taken on a different meaning. The word is now used to describe a specific type of motor speech disorder, characterized by abnormal prosody, distorted sound substitutions, and trial-and-error articulatory movements. The word is associated with the diagnosis of progressive supranuclear palsy or corticobasal degeneration. The meaning of the word has shifted from a broad term for communication disorders in children to a specific term for a particular type of neurodegenerative disorder. Therefore, semantic drift has occurred in the target word." 18,Speech disorder,"The aim of this work was to assess the influence of functional capacity, coexisting depression and socio-demographic factors (age, gender, education level, coexisting disease, employment and hobbies prior to stroke) on the quality of life (QOL) in patients with ischaemic cerebrovascular stroke. Enrollment criteria included consent to participate, age under 70 years, no physical disability or psychiatric disease prior to stroke, no cognitive deficit or speech disorders preventing active participation in the study. Each patient was seen on four occasions: at the day of discharge from hospital, after 3, 6 and 12 months from stroke. The first examination prior to discharge included analysis of the hospital record, assessment of the neurological status and functional capacity, and screening for depression. Subsequent examinations included assessment of functional capacity, search for coexisting depression and evaluation of QOL. Functional capacity was determined using the Repta 2 scale, depression was diagnosed according to ICD 10 criteria and QOL was assessed with the London Handicap Scale. A total of 79 patients appeared for all four examinations. The results were subjected to statistical analysis. It was found that functional capacity and quality of life steadily improve after stroke, particularly during the first 6 months. A positive correlation was disclosed between the functional capacity and QOL, indicating that the functional capacity exerts an influence on QOL. Depression was a frequent finding among patients with ischaemic cerebrovascular stroke, exerting a negative effect on QOL. Higher QOL was observed among females and younger patients, the role of gender and age being most noticeable in the second half of the first year after stroke. Furthermore, patients returning to work and having a hobby demonstrate a higher quality of life.","Primary progressive apraxia of speech (PPAOS) is a neurodegenerative motor speech disorder affecting the ability to produce speech. If agrammatic aphasia is present, it can be referred to as the non-fluent/agrammatic variant of primary progressive aphasia (nfvPPA). We investigated whether resting-state functional MRI (rs-fMRI) connectivity from disease ""epicenters"" correlated with longitudinal gray matter atrophy and hypometabolism in nfvPPA and PPAOS. Eighteen nfvPPA and 23 PPAOS patients underwent clinical assessment, structural MRI, rs-fMRI, and [","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Speech disorder Sentence A: The aim of this work was to assess the influence of functional capacity, coexisting depression and socio-demographic factors (age, gender, education level, coexisting disease, employment and hobbies prior to stroke) on the quality of life (QOL) in patients with ischaemic cerebrovascular stroke. Enrollment criteria included consent to participate, age under 70 years, no physical disability or psychiatric disease prior to stroke, no cognitive deficit or speech disorders preventing active participation in the study. Each patient was seen on four occasions: at the day of discharge from hospital, after 3, 6 and 12 months from stroke. The first examination prior to discharge included analysis of the hospital record, assessment of the neurological status and functional capacity, and screening for depression. Subsequent examinations included assessment of functional capacity, search for coexisting depression and evaluation of QOL. Functional capacity was determined using the Repta 2 scale, depression was diagnosed according to ICD 10 criteria and QOL was assessed with the London Handicap Scale. A total of 79 patients appeared for all four examinations. The results were subjected to statistical analysis. It was found that functional capacity and quality of life steadily improve after stroke, particularly during the first 6 months. A positive correlation was disclosed between the functional capacity and QOL, indicating that the functional capacity exerts an influence on QOL. Depression was a frequent finding among patients with ischaemic cerebrovascular stroke, exerting a negative effect on QOL. Higher QOL was observed among females and younger patients, the role of gender and age being most noticeable in the second half of the first year after stroke. Furthermore, patients returning to work and having a hobby demonstrate a higher quality of life. Sentence B: Primary progressive apraxia of speech (PPAOS) is a neurodegenerative motor speech disorder affecting the ability to produce speech. If agrammatic aphasia is present, it can be referred to as the non-fluent/agrammatic variant of primary progressive aphasia (nfvPPA). We investigated whether resting-state functional MRI (rs-fMRI) connectivity from disease ""epicenters"" correlated with longitudinal gray matter atrophy and hypometabolism in nfvPPA and PPAOS. Eighteen nfvPPA and 23 PPAOS patients underwent clinical assessment, structural MRI, rs-fMRI, and [ ###Answer 1. Changed Reasoning: In Sentence A, the target word ""speech disorder"" is used to describe a specific type of language impairment in patients with stroke. The context suggests that the term refers to a loss of ability to produce speech due to neurodegeneration. In contrast, in Sentence B, the term ""speech disorder"" is used more broadly to describe a range of speech impairments, including agrammatic aphasia and primary progressive apraxia of speech. The difference in meaning suggests that the term has undergone semantic drift and now encompasses a broader range of speech impairments. Therefore, the label ""Changed"" is appropriate." 19,Speech disorder,"Following a unique infarction, restricted to the left anterior insula and the adjacent part of the intrasylvian frontal opercular cortex, an 83-year-old right-handed patient acutely developed a severe speech disorder that evolved into mere mutism within a few hours. After rapid recovery from mutism, oral language was characterized by severe apraxia of speech. In-depth language investigations further disclosed an isolated, highly selective disturbance of the spelling system (phonological agraphia) which resolved rapidly. One year after onset of neurological symptoms, the apraxia of speech had almost completely receded. The anatomoclinical findings in this first representative of pure and nearly isolated phonological agraphia complement previous neuroanatomical and neurolinguistic accounts of phonological agraphia. The data not only seem to enrich current insights in the anatomical locus for phonological agraphia, they also seem to contribute to a further delineation of the insular role in phonologically mediated aphasic manifestations.","The aim of the study was to examine factors affecting pain during intravenous (IV) catheter placement in an emergency department. A cross-sectional, observational study was conducted at an academic emergency department. Nine hundred and twenty-five adult patients who had a 20-gauge IV catheter placed were enrolled in the study. Patients were excluded for the following conditions: more than one IV attempt, altered mental status, head trauma, lack of contact due to visual impairment, hearing or speech disorder, intoxication, distracting injury or physical abnormality at the IV site. The magnitude of pain in IV catheter placement was not related to age, sex, experience of the individual placing the IV catheter, site of IV catheter insertion and use of analgesic or antidepressant drugs (p > 0.05). Patients with a history of depression reported significantly higher pain than non-depressed patients (p = 0.001). Depressed patients reported higher severity of pain during IV catheter placement than non-depressed ones. This may influence the decision on whether or not to use local anaesthesia for catheter insertion.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Speech disorder Sentence A: Following a unique infarction, restricted to the left anterior insula and the adjacent part of the intrasylvian frontal opercular cortex, an 83-year-old right-handed patient acutely developed a severe speech disorder that evolved into mere mutism within a few hours. After rapid recovery from mutism, oral language was characterized by severe apraxia of speech. In-depth language investigations further disclosed an isolated, highly selective disturbance of the spelling system (phonological agraphia) which resolved rapidly. One year after onset of neurological symptoms, the apraxia of speech had almost completely receded. The anatomoclinical findings in this first representative of pure and nearly isolated phonological agraphia complement previous neuroanatomical and neurolinguistic accounts of phonological agraphia. The data not only seem to enrich current insights in the anatomical locus for phonological agraphia, they also seem to contribute to a further delineation of the insular role in phonologically mediated aphasic manifestations. Sentence B: The aim of the study was to examine factors affecting pain during intravenous (IV) catheter placement in an emergency department. A cross-sectional, observational study was conducted at an academic emergency department. Nine hundred and twenty-five adult patients who had a 20-gauge IV catheter placed were enrolled in the study. Patients were excluded for the following conditions: more than one IV attempt, altered mental status, head trauma, lack of contact due to visual impairment, hearing or speech disorder, intoxication, distracting injury or physical abnormality at the IV site. The magnitude of pain in IV catheter placement was not related to age, sex, experience of the individual placing the IV catheter, site of IV catheter insertion and use of analgesic or antidepressant drugs (p > 0.05). Patients with a history of depression reported significantly higher pain than non-depressed patients (p = 0.001). Depressed patients reported higher severity of pain during IV catheter placement than non-depressed ones. This may influence the decision on whether or not to use local anaesthesia for catheter insertion. ###Answer 1. Changed Reasoning: In Sentence A, the term ""speech disorder"" is used to describe a condition where a patient acutely developed a severe speech disorder that evolved into mere mutism within a few hours, followed by rapid recovery. The term ""speech disorder"" implies a significant impairment in the ability to speak, which is consistent with the medical condition described in the sentence. In Sentence B, the term ""speech disorder"" is used to describe a patient who has a history of depression and reports higher severity of pain during IV catheter placement than non-depressed patients. The term ""speech disorder"" in this context suggests a psychological or emotional component to the patient's experience of pain, rather than a purely physical or medical condition. Based on these differences in context and meaning, it can be concluded that the term ""speech disorder"" has undergone semantic drift between Sentence A and Sentence B, shifting from a primarily medical term to a term with psychological or emotional connotations. Therefore, the label ""Changed"" is appropriate." 20,Speech disorder,"The technique of electropalatography (EPG) records the location and timing of tongue contacts with the hard palate during continuous speech. Recent developments in hardware and software design of the Reading electropalatograph are described and applications of the technique in assessment and remediation of a variety of speech disorders are outlined. In assessment, it is shown that EPG can provide insights into possible origins of auditorily perceived errors, and case descriptions illustrate how this information can lead to a more rationalised approach to treatment. In therapy, the provision of real-time visual feedback of tongue movement can be effective in the remediation of certain types of intractable speech problems. Finally, the importance of techniques such as EPG in the objective evaluation of treatment procedures is discussed in the light of the increasing demand for accountability within the speech therapy service.","Speech disturbances are frequent and potentially disabling in patients with dystonia or chorea due to neurometabolic disorders (DCND), but their precise characteristics are poorly documented. We prospectively studied 29 consecutive patients with DCND. A detailed description of their speech patterns was obtained by using the Frenchay dysarthria assessment test and the apraxia of speech evaluation test of Wertz. Gross motor function and intelligibility were each scored on 5-point scales to identify a possible correlation between the severity of the speech and motor disorders. All the patients were found to have complex speech alterations with combined features of hyperkinetic dysarthria and speech apraxia. We also noted a correlation between the severity of the speech disorders and the motor disorders. These findings have important implications for speech rehabilitation, and may provide new insights into the pathophysiology of dystonia due to neurometabolic disorders.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Speech disorder Sentence A: The technique of electropalatography (EPG) records the location and timing of tongue contacts with the hard palate during continuous speech. Recent developments in hardware and software design of the Reading electropalatograph are described and applications of the technique in assessment and remediation of a variety of speech disorders are outlined. In assessment, it is shown that EPG can provide insights into possible origins of auditorily perceived errors, and case descriptions illustrate how this information can lead to a more rationalised approach to treatment. In therapy, the provision of real-time visual feedback of tongue movement can be effective in the remediation of certain types of intractable speech problems. Finally, the importance of techniques such as EPG in the objective evaluation of treatment procedures is discussed in the light of the increasing demand for accountability within the speech therapy service. Sentence B: Speech disturbances are frequent and potentially disabling in patients with dystonia or chorea due to neurometabolic disorders (DCND), but their precise characteristics are poorly documented. We prospectively studied 29 consecutive patients with DCND. A detailed description of their speech patterns was obtained by using the Frenchay dysarthria assessment test and the apraxia of speech evaluation test of Wertz. Gross motor function and intelligibility were each scored on 5-point scales to identify a possible correlation between the severity of the speech and motor disorders. All the patients were found to have complex speech alterations with combined features of hyperkinetic dysarthria and speech apraxia. We also noted a correlation between the severity of the speech disorders and the motor disorders. These findings have important implications for speech rehabilitation, and may provide new insights into the pathophysiology of dystonia due to neurometabolic disorders. ###Answer 1. Changed Reasoning: In Sentence A, the term ""speech disorder"" is used to describe a specific technique for recording tongue movements during speech. The term is not associated with any negative connotations or emotions. In Sentence B, the term ""speech disturbances"" is used to describe a broader range of speech problems in patients with neurometabolic disorders. The term carries a stronger negative connotation, suggesting a greater degree of impairment or disability. Therefore, the meaning of the term ""speech disorder"" has changed significantly between the two sentences, indicating semantic drift." 21,Speech disorder,"This study investigated the reactions of college students to audiotaped speech samples of a woman simulating moderate speech disorders of stuttering, hypernasality, and lateral lisping, as well as presenting normal speech. Student reactions to these recordings were measured by a figure placement task and a 30-item semantic differential instrument. The students reacted to the speech disorders with a tendency of increased social distance in addition to judgments of lower evaluation, lower understandability, and higher anxiety. These findings suggest that students react negatively to speech disorders. Awareness of such reactions could facilitate clinical effectiveness and prepare clinicians to protect clients' rights."," Automatic recognition of disordered speech remains a highly challenging task to date. The underlying neuro-motor conditions, often compounded with co-occurring physical disabilities, lead to the difficulty in collecting large quantities of impaired speech required for ASR system development. This paper presents novel variational auto-encoder generative adversarial network (VAE-GAN) based personalized disordered speech augmentation approaches that simultaneously learn to encode, generate and discriminate synthesized impaired speech. Separate latent features are derived to learn dysarthric speech characteristics and phoneme context representations. Self-supervised pre-trained Wav2vec 2.0 embedding features are also incorporated. Experiments conducted on the UASpeech corpus suggest the proposed adversarial data augmentation approach consistently outperformed the baseline speed perturbation and non-VAE GAN augmentation methods with trained hybrid TDNN and End-to-end Conformer systems. After LHUC speaker adaptation, the best system using VAE-GAN based augmentation produced an overall WER of 27.78% on the UASpeech test set of 16 dysarthric speakers, and the lowest published WER of 57.31% on the subset of speakers with ""Very Low"" intelligibility. ","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Speech disorder Sentence A: This study investigated the reactions of college students to audiotaped speech samples of a woman simulating moderate speech disorders of stuttering, hypernasality, and lateral lisping, as well as presenting normal speech. Student reactions to these recordings were measured by a figure placement task and a 30-item semantic differential instrument. The students reacted to the speech disorders with a tendency of increased social distance in addition to judgments of lower evaluation, lower understandability, and higher anxiety. These findings suggest that students react negatively to speech disorders. Awareness of such reactions could facilitate clinical effectiveness and prepare clinicians to protect clients' rights. Sentence B: Automatic recognition of disordered speech remains a highly challenging task to date. The underlying neuro-motor conditions, often compounded with co-occurring physical disabilities, lead to the difficulty in collecting large quantities of impaired speech required for ASR system development. This paper presents novel variational auto-encoder generative adversarial network (VAE-GAN) based personalized disordered speech augmentation approaches that simultaneously learn to encode, generate and discriminate synthesized impaired speech. Separate latent features are derived to learn dysarthric speech characteristics and phoneme context representations. Self-supervised pre-trained Wav2vec 2.0 embedding features are also incorporated. Experiments conducted on the UASpeech corpus suggest the proposed adversarial data augmentation approach consistently outperformed the baseline speed perturbation and non-VAE GAN augmentation methods with trained hybrid TDNN and End-to-end Conformer systems. After LHUC speaker adaptation, the best system using VAE-GAN based augmentation produced an overall WER of 27.78% on the UASpeech test set of 16 dysarthric speakers, and the lowest published WER of 57.31% on the subset of speakers with ""Very Low"" intelligibility. ###Answer Target word: Speech disorder Semantic drift has occurred in the meaning of the word ""Speech disorder"". In Sentence A, the word ""Speech disorder"" is used to describe a specific type of speech impediment (stuttering, hypernasality, and lateral lisping). The students' reactions to these speech disorders are measured in terms of social distance and evaluation. The overall tone is negative, indicating that the students are uncomfortable or repulsed by the speech disorders. In Sentence B, the word ""Speech disorder"" is used in a different context. It is mentioned in the context of developing speech recognition systems for individuals with speech impairments. The focus is on finding ways to simulate and generate impaired speech, rather than measuring the students' reactions to it. The tone is more neutral, as the authors are discussing the technical challenges of developing these systems. Based on these differences in context and tone, it is clear that the meaning of the word ""Speech disorder"" has shifted from a negative connotation to a more neutral one. Therefore, I would label this as a case of semantic drift." 22,Speech disorder,"Information on dysphasia, and other acquired neurological speech disorders, is rarely part of nurses' training. So, even the best-intentioned nurses can be ignorant of the best ways to get round patients' difficulties. ","This lecture presents general information about children cerebral palsy concerning current views on its causes and pathogenesis as well as the data on different classifications of speech disorders (localization of lesions, clinical presentations) and their prevalence, which are important for general practitioners. Special attention is drawn to the principles and tasks of diagnostics of speech disorders, organization of treatment-correction measures considering all possible approaches to the care of patients.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Speech disorder Sentence A: Information on dysphasia, and other acquired neurological speech disorders, is rarely part of nurses' training. So, even the best-intentioned nurses can be ignorant of the best ways to get round patients' difficulties. Sentence B: This lecture presents general information about children cerebral palsy concerning current views on its causes and pathogenesis as well as the data on different classifications of speech disorders (localization of lesions, clinical presentations) and their prevalence, which are important for general practitioners. Special attention is drawn to the principles and tasks of diagnostics of speech disorders, organization of treatment-correction measures considering all possible approaches to the care of patients. ###Answer 1. Changed Explanation: In Sentence A, the term ""speech disorder"" is used in the context of acquired neurological disorders, such as dysphasia. The sentence suggests that nurses may not receive adequate training on these disorders, leading to a lack of understanding and ignorance. In Sentence B, the term ""speech disorder"" is used in a different context, specifically related to children with cerebral palsy. The sentence provides information on the causes and pathogenesis of speech disorders in children, as well as the different classifications of speech disorders based on the location of lesions and clinical presentations. The sentence also highlights the importance of diagnostics and treatment-correction measures for patients with speech disorders. Compared to Sentence A, the term ""speech disorder"" in Sentence B has undergone a significant change in meaning. In Sentence B, the term is used to refer to a specific type of speech disorder that affects children, whereas in Sentence A, the term was used more broadly to refer to any type of acquired neurological speech disorder. Therefore, the label ""Changed"" is appropriate." 23,Speech disorder,"Four psychiatric patients with SCS are described. All exhibited essential tremor, minimal cerebral dysfunctions, speech disorders, bradyphrenia, disorders of personality with psychasthenie and suspicious traits, restrictions, increased irritability and depressivity, one case of mutism due to abnormal reaction and one of alcohol hallucinosis. The possibility of cosmetic handicap caused by craniofacial dysplasia should be taken into mind and perhaps surgically corrected. Because the craniofacial dysplasia is mostly moderate and the syndactylies are slight the SCS remains often unrecognized, but apart from psychic maldevelopment it is significant as the result of frequent association with other malformations.","Developmental stuttering is a speech disorder that severely limits one's ability to communicate. White matter anomalies were reported in stuttering, but their functional significance is unclear. We analyzed the relation between white matter properties and speech fluency in adults who stutter (AWS). We used diffusion tensor imaging with tract-based spatial statistics, and examined group differences as well as correlations with behavioral fluency measures. We detected a region in the anterior corpus callosum with significantly lower fractional anisotropy in AWS relative to controls. Within the AWS group, reduced anisotropy in that region is associated with reduced fluency. A statistically significant interaction was found between group and age in two additional regions: the left Rolandic operculum and the left posterior corpus callosum. Our findings suggest that anterior callosal anomaly in stuttering may represent a maladaptive reduction in interhemispheric inhibition, possibly leading to a disadvantageous recruitment of right frontal cortex in speech production. ","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Speech disorder Sentence A: Four psychiatric patients with SCS are described. All exhibited essential tremor, minimal cerebral dysfunctions, speech disorders, bradyphrenia, disorders of personality with psychasthenie and suspicious traits, restrictions, increased irritability and depressivity, one case of mutism due to abnormal reaction and one of alcohol hallucinosis. The possibility of cosmetic handicap caused by craniofacial dysplasia should be taken into mind and perhaps surgically corrected. Because the craniofacial dysplasia is mostly moderate and the syndactylies are slight the SCS remains often unrecognized, but apart from psychic maldevelopment it is significant as the result of frequent association with other malformations. Sentence B: Developmental stuttering is a speech disorder that severely limits one's ability to communicate. White matter anomalies were reported in stuttering, but their functional significance is unclear. We analyzed the relation between white matter properties and speech fluency in adults who stutter (AWS). We used diffusion tensor imaging with tract-based spatial statistics, and examined group differences as well as correlations with behavioral fluency measures. We detected a region in the anterior corpus callosum with significantly lower fractional anisotropy in AWS relative to controls. Within the AWS group, reduced anisotropy in that region is associated with reduced fluency. A statistically significant interaction was found between group and age in two additional regions: the left Rolandic operculum and the left posterior corpus callosum. Our findings suggest that anterior callosal anomaly in stuttering may represent a maladaptive reduction in interhemispheric inhibition, possibly leading to a disadvantageous recruitment of right frontal cortex in speech production. ###Answer 1. Changed Reasoning: In Sentence A, the term ""speech disorder"" is used to describe a group of patients with various physical and psychiatric abnormalities. The term does not convey any particular connotation or meaning related to stuttering. Therefore, the term ""speech disorder"" in this sentence does not indicate semantic drift. In Sentence B, the term ""developmental stuttering"" is used to describe a specific type of speech disorder that severely limits an individual's ability to communicate. The term connotes a clear association with stuttering and its effects on communication. The meaning of the term has shifted in this sentence to specifically refer to stuttering, indicating semantic drift. Therefore, the label ""Changed"" is appropriate." 24,Speech disorder,"Children presenting to a community speech clinic were divided into three major groups according to type of communication disorder: a pure speech disorder, a pure language disorder, and a disorder of both speech and language. Psychiatric evaluations of the three groups of children were done employing interviews with the parents, interviews with the children, and questionnaires from the children's teachers and parents. It was found that the prevalence of psychiatric disorder was highest in the language-disordered group and lowest in the speech-disordered group. Development disorders were also most common in the language-disordered group and least common in the speech-disordered group. The types of psychiatric disorders found in the three groups of children also differed. The implications of these findings are discussed.","The neural correlates of stuttering are to date incompletely understood. Although the possible involvement of the basal ganglia, the cerebellum and certain parts of the cerebral cortex in this speech disorder has previously been reported, there are still not many studies investigating the role of white matter fibers in stuttering. Axonal stimulation during awake surgery provides a unique opportunity to study the functional role of structural connectivity. Here, our goal was to investigate the white matter tracts implicated in stuttering, by combining direct electrostimulation mapping and postoperative tractography imaging, with a special focus on the left frontal aslant tract. Eight patients with no preoperative stuttering underwent awake surgery for a left frontal low-grade glioma. Intraoperative cortical and axonal electrical mapping was used to interfere in speech processing and subsequently provoke stuttering. We further assessed the relationship between the subcortical sites leading to stuttering and the spatial course of the frontal aslant tract. All patients experienced intraoperative stuttering during axonal electrostimulation. On postsurgical tractographies, the subcortical distribution of stimulated sites matched the topographical position of the left frontal aslant tract. This white matter pathway was preserved during surgery, and no patients had postoperative stuttering. For the first time to our knowledge, by using direct axonal stimulation combined with postoperative tractography, we provide original data supporting a pivotal role of the left frontal aslant tract in stuttering. We propose that this speech disorder could be the result of a disconnection within a large-scale cortico-subcortical circuit subserving speech motor control.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Speech disorder Sentence A: Children presenting to a community speech clinic were divided into three major groups according to type of communication disorder: a pure speech disorder, a pure language disorder, and a disorder of both speech and language. Psychiatric evaluations of the three groups of children were done employing interviews with the parents, interviews with the children, and questionnaires from the children's teachers and parents. It was found that the prevalence of psychiatric disorder was highest in the language-disordered group and lowest in the speech-disordered group. Development disorders were also most common in the language-disordered group and least common in the speech-disordered group. The types of psychiatric disorders found in the three groups of children also differed. The implications of these findings are discussed. Sentence B: The neural correlates of stuttering are to date incompletely understood. Although the possible involvement of the basal ganglia, the cerebellum and certain parts of the cerebral cortex in this speech disorder has previously been reported, there are still not many studies investigating the role of white matter fibers in stuttering. Axonal stimulation during awake surgery provides a unique opportunity to study the functional role of structural connectivity. Here, our goal was to investigate the white matter tracts implicated in stuttering, by combining direct electrostimulation mapping and postoperative tractography imaging, with a special focus on the left frontal aslant tract. Eight patients with no preoperative stuttering underwent awake surgery for a left frontal low-grade glioma. Intraoperative cortical and axonal electrical mapping was used to interfere in speech processing and subsequently provoke stuttering. We further assessed the relationship between the subcortical sites leading to stuttering and the spatial course of the frontal aslant tract. All patients experienced intraoperative stuttering during axonal electrostimulation. On postsurgical tractographies, the subcortical distribution of stimulated sites matched the topographical position of the left frontal aslant tract. This white matter pathway was preserved during surgery, and no patients had postoperative stuttering. For the first time to our knowledge, by using direct axonal stimulation combined with postoperative tractography, we provide original data supporting a pivotal role of the left frontal aslant tract in stuttering. We propose that this speech disorder could be the result of a disconnection within a large-scale cortico-subcortical circuit subserving speech motor control. ###Answer 1. Changed Reasoning: The meaning of the target word ""speech disorder"" has changed significantly between the two sentences. In Sentence A, the term refers to a specific type of communication disorder, with a focus on the relationship between speech and language disorders. In contrast, Sentence B specifically focuses on the neural correlates of stuttering, and the term ""speech disorder"" is used to describe a disconnection within a large-scale cortico-subcortical circuit subserving speech motor control. The new usage of the term in Sentence B suggests a shift in meaning, indicating semantic drift has occurred." 25,Speech disorder,"The authors summarize the results of a follow-up study (clinico-electrophysiological) of the S. family living in the Namangan region of the Uzbek SSR. The familial anamnesis data provide evidence in favour of a probable autosomal recessive type of inheritance. A combination of the disease signs has been defined: spasticity, deafness, ataxia and speech disorders. To specify the problem of the given syndrome nosology, further studies into gene mapping are required.","We examined the effect of linguistic factors on the perceptual identification of intervocalic consonants produced by speakers with Parkinson's Diseases (PD). To neutralize the effect of preceding and following contexts, all the intervocalic consonants were excised with half the preceding and following vowels.We recorded 10 PD and 10 healthy speakers reading a text. An average of 114 VCV sequences per speaker was obtained. In total, our corpus consisted of 2280 stimuli. For the perception test, 20 adults native speakers of French were instructed that they would be presented utterances produced by different speakers and that they were to identify the sequences and write what they heard. No information was given on the sequence type (VCV).The reported consonant was examined in relation to the intended consonant; the score of distorsion was the number of phonetic features differing from the prototypical consonant. The results were examined as a function of the following/or preceding linguistic factors: consonant nature, oral/nasal vocalic context, class of word (function or content) and prosodic position within sentences.Consonant imprecision was confirmed in the speech of PD speakers. Two groups of patients were observed: the former with a low degree of dysarthria severity and scores of consonant identification close to that of healthy speakers; the latter with a high degree of dysarthria severity and a low identification score.Linguistic factors were shown to affect consonant production and perception. In both normal and PD speech, consonants had more features identified when they belonged to content words, word-initial syllables or final-phrase syllables. This suggests that in Parkinson's disease speech disorders relate to motor control and not to a loss of the linguistic knowledge.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Speech disorder Sentence A: The authors summarize the results of a follow-up study (clinico-electrophysiological) of the S. family living in the Namangan region of the Uzbek SSR. The familial anamnesis data provide evidence in favour of a probable autosomal recessive type of inheritance. A combination of the disease signs has been defined: spasticity, deafness, ataxia and speech disorders. To specify the problem of the given syndrome nosology, further studies into gene mapping are required. Sentence B: We examined the effect of linguistic factors on the perceptual identification of intervocalic consonants produced by speakers with Parkinson's Diseases (PD). To neutralize the effect of preceding and following contexts, all the intervocalic consonants were excised with half the preceding and following vowels.We recorded 10 PD and 10 healthy speakers reading a text. An average of 114 VCV sequences per speaker was obtained. In total, our corpus consisted of 2280 stimuli. For the perception test, 20 adults native speakers of French were instructed that they would be presented utterances produced by different speakers and that they were to identify the sequences and write what they heard. No information was given on the sequence type (VCV).The reported consonant was examined in relation to the intended consonant; the score of distorsion was the number of phonetic features differing from the prototypical consonant. The results were examined as a function of the following/or preceding linguistic factors: consonant nature, oral/nasal vocalic context, class of word (function or content) and prosodic position within sentences.Consonant imprecision was confirmed in the speech of PD speakers. Two groups of patients were observed: the former with a low degree of dysarthria severity and scores of consonant identification close to that of healthy speakers; the latter with a high degree of dysarthria severity and a low identification score.Linguistic factors were shown to affect consonant production and perception. In both normal and PD speech, consonants had more features identified when they belonged to content words, word-initial syllables or final-phrase syllables. This suggests that in Parkinson's disease speech disorders relate to motor control and not to a loss of the linguistic knowledge. ###Answer 1. Changed Reasoning: The target word ""speech disorder"" has undergone a significant change in meaning between the two sentences. In Sentence A, the term refers to a neurological disorder with symptoms including spasticity, deafness, ataxia, and speech disorders. In Sentence B, the term refers to a specific aspect of speech production, specifically the imprecision of consonants in the speech of Parkinson's disease speakers. The meaning of the term has shifted from a neurological disorder to a specific feature of speech production." 26,Speech disorder,"A microscopic deletion of chromosome 22q11.2 has been identified in most patients with the DiGeorge, velocardiofacial syndrome, conotruncal anomaly face syndrome, and in some patients with isolated conotruncal cardiac anomalies. This study presents the neurodevelopmental outcome, including cognitive development, language development, speech, neuromuscular development, and behavioral characteristics of 40 preschool children (ages 13 to 63 months) who have been diagnosed with the 22q11.2 deletion. The impact of cardiac disease, cardiac surgery, and the palatal anomalies on this population was also studied. In the preschool years, children with a 22q11.2 deletion are most commonly found to be developmentally delayed, have mild hypotonia, and language and speech delays. The more significantly delayed children are at high risk to be subsequently diagnosed with mild or moderate mental retardation. The global delays and the variations in intelligence found are directly associated with the 22q11.2 deletion and are not explained by physical anomalies such as palatal defects or cardiac defects, or therapeutic interventions such as cardiac surgery. Our findings demonstrate that there is a pattern of significant speech disorders within this population. All of the children had late onset of verbal speech. Behavioral outcomes included both inhibition and attention disorders. Early intervention services are strongly recommended beginning in infancy to address the delays in gross motor skills, speech and language, and global developmental delays.","Speech disturbances (SD) are a pernicious symptom of schizophrenia that increase when negative emotion is elicited. This increase is referred to as affective reactivity (AR). Although considerable research has examined SD in schizophrenia, few studies have investigated this symptom in individuals at risk for the disorder, who demonstrate schizophrenia-like, or schizotypic, traits. In the present study, we examined: (1) SD severity in schizotypy, (2) how SD varies as a function of stress reactivity in schizotypy, and (3) the relationship between SD/AR with Quality of Life (QOL). Individuals with psychometrically-defined schizotypy (n=83) and controls (n=22) completed a laboratory procedure in which they produced speech while viewing pleasant and stressful photographs. This speech was analyzed for subtle speech disorder using a well-validated measure. We found that the schizotypy group demonstrated significant increases in SD across both baseline and stressful conditions compared to the control group. AR was not significantly different between the groups. Within the schizotypy group, severity of disorganized schizotypy symptoms was associated with high levels of SD and AR while interpersonal schizotypy was associated with low levels of SD and AR. AR was also related to increased objective QOL in the schizotypy group. This study highlights the role of stress reactivity across the schizophrenia-spectrum. Moreover, the incongruous relationships between disorganized and interpersonal symptoms with SD underscore the marked heterogeneity in processes across schizotypy.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Speech disorder Sentence A: A microscopic deletion of chromosome 22q11.2 has been identified in most patients with the DiGeorge, velocardiofacial syndrome, conotruncal anomaly face syndrome, and in some patients with isolated conotruncal cardiac anomalies. This study presents the neurodevelopmental outcome, including cognitive development, language development, speech, neuromuscular development, and behavioral characteristics of 40 preschool children (ages 13 to 63 months) who have been diagnosed with the 22q11.2 deletion. The impact of cardiac disease, cardiac surgery, and the palatal anomalies on this population was also studied. In the preschool years, children with a 22q11.2 deletion are most commonly found to be developmentally delayed, have mild hypotonia, and language and speech delays. The more significantly delayed children are at high risk to be subsequently diagnosed with mild or moderate mental retardation. The global delays and the variations in intelligence found are directly associated with the 22q11.2 deletion and are not explained by physical anomalies such as palatal defects or cardiac defects, or therapeutic interventions such as cardiac surgery. Our findings demonstrate that there is a pattern of significant speech disorders within this population. All of the children had late onset of verbal speech. Behavioral outcomes included both inhibition and attention disorders. Early intervention services are strongly recommended beginning in infancy to address the delays in gross motor skills, speech and language, and global developmental delays. Sentence B: Speech disturbances (SD) are a pernicious symptom of schizophrenia that increase when negative emotion is elicited. This increase is referred to as affective reactivity (AR). Although considerable research has examined SD in schizophrenia, few studies have investigated this symptom in individuals at risk for the disorder, who demonstrate schizophrenia-like, or schizotypic, traits. In the present study, we examined: (1) SD severity in schizotypy, (2) how SD varies as a function of stress reactivity in schizotypy, and (3) the relationship between SD/AR with Quality of Life (QOL). Individuals with psychometrically-defined schizotypy (n=83) and controls (n=22) completed a laboratory procedure in which they produced speech while viewing pleasant and stressful photographs. This speech was analyzed for subtle speech disorder using a well-validated measure. We found that the schizotypy group demonstrated significant increases in SD across both baseline and stressful conditions compared to the control group. AR was not significantly different between the groups. Within the schizotypy group, severity of disorganized schizotypy symptoms was associated with high levels of SD and AR while interpersonal schizotypy was associated with low levels of SD and AR. AR was also related to increased objective QOL in the schizotypy group. This study highlights the role of stress reactivity across the schizophrenia-spectrum. Moreover, the incongruous relationships between disorganized and interpersonal symptoms with SD underscore the marked heterogeneity in processes across schizotypy. ###Answer 1. Changed Reasoning: The target word ""Speech disorder"" has undergone a significant change in meaning between Sentence A (2000) and Sentence B (2020). In Sentence A, the term is used to describe a microscopic deletion of chromosome 22q11.2 in patients with various congenital disorders, and the impact of this deletion on neurodevelopmental outcomes. In this context, the term ""speech disorder"" refers to a specific developmental delay or disability in language and speech development. In contrast, in Sentence B (2020), the term ""Speech disturbances (SD)"" is used to describe a symptom of schizophrenia, specifically the increase in speech disorders when negative emotion is elicited. The term ""speech disturbances"" has a different meaning than ""speech disorder,"" and it is not clear whether the two terms are interchangeable. Therefore, it can be inferred that the meaning of ""speech disorder"" has changed between the two sentences, indicating semantic drift." 27,Speech disorder,"The authors tries to answer the question whether logopedical rehabilitation in its present form meets the requirements of its object, i.e., the speech impaired individual as seen from the perspective of prevention or reduction of his social and vocational disadvantages resulting from the language disorder. Against the background of society's ""deficiency -- classification-attitude"" towards the speech impaired, logopedical rehabilitation should enhance more intensively the emancipation of the speech deviant individual. The study of the practical realization of this requirement demonstrates that logopedics -- still considerably influenced by medical conceptual models -- which is understandable both historically and socially, has not made steps towards emancipatory rehabilitation. Prospects and approaches towards emancipatory rehabilitation resulting in an improvement of the speech disorder are demonstrated."," Cleft lip and palate (CLP) refer to a congenital craniofacial condition that causes various speech-related disorders. As a result of structural and functional deformities, the affected subjects' speech intelligibility is significantly degraded, limiting the accessibility and usability of speech-controlled devices. Towards addressing this problem, it is desirable to improve the CLP speech intelligibility. Moreover, it would be useful during speech therapy. In this study, the cycle-consistent adversarial network (CycleGAN) method is exploited for improving CLP speech intelligibility. The model is trained on native Kannada-speaking childrens' speech data. The effectiveness of the proposed approach is also measured using automatic speech recognition performance. Further, subjective evaluation is performed, and those results also confirm the intelligibility improvement in the enhanced speech over the original. ","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Speech disorder Sentence A: The authors tries to answer the question whether logopedical rehabilitation in its present form meets the requirements of its object, i.e., the speech impaired individual as seen from the perspective of prevention or reduction of his social and vocational disadvantages resulting from the language disorder. Against the background of society's ""deficiency -- classification-attitude"" towards the speech impaired, logopedical rehabilitation should enhance more intensively the emancipation of the speech deviant individual. The study of the practical realization of this requirement demonstrates that logopedics -- still considerably influenced by medical conceptual models -- which is understandable both historically and socially, has not made steps towards emancipatory rehabilitation. Prospects and approaches towards emancipatory rehabilitation resulting in an improvement of the speech disorder are demonstrated. Sentence B: Cleft lip and palate (CLP) refer to a congenital craniofacial condition that causes various speech-related disorders. As a result of structural and functional deformities, the affected subjects' speech intelligibility is significantly degraded, limiting the accessibility and usability of speech-controlled devices. Towards addressing this problem, it is desirable to improve the CLP speech intelligibility. Moreover, it would be useful during speech therapy. In this study, the cycle-consistent adversarial network (CycleGAN) method is exploited for improving CLP speech intelligibility. The model is trained on native Kannada-speaking childrens' speech data. The effectiveness of the proposed approach is also measured using automatic speech recognition performance. Further, subjective evaluation is performed, and those results also confirm the intelligibility improvement in the enhanced speech over the original. ###Answer 1. Changed Reasoning: In Sentence A, the term ""speech disorder"" is used in the context of a medical condition, with a focus on the negative impact of the condition on the individual's social and vocational life. The term is associated with a sense of pathology and disability. In Sentence B, the term ""speech-related disorders"" is used in a different context, with a focus on the technical aspects of speech recognition and speech therapy. The term is associated with a sense of technology and medical intervention. Based on these differences in context and meaning, it can be argued that the term ""speech disorder"" has undergone semantic drift, as its meaning has shifted from a medical perspective to a more technical and functional one. Therefore, the label ""Changed"" is appropriate." 28,Speech disorder,"This paper describes a study that for the first time addresses the physiological effects of an 8-week mechanically aided facial exercise program, using the Facial-Flex device (Facial Concepts, Inc., Blue Bell, PA) with four healthy individuals with no motor, speech, language, or hearing problems. For a variety of non-speech and speech tasks, upper and lower lip muscle activity (EMG) and upper and lower lip movements were recorded at two baseline sessions (separated by 1 week) and immediately after an 8-week training period. The results indicate that after the training period, all four subjects showed an increase in the number of task repetitions and the duration of isometric contraction using the Facial-Flex device with a fixed resistance (Linebaugh tests). However, with respect to physiological changes as related to the exercise program, the results were mixed. Only one subject showed the expected significant increase in normalized EMG activity. This response was mirrored in a significant overall increase in movement range and peak velocity after the 8-week training period. Regarding the other three subjects, one subject showed no systematic training effect at all, whereas the remaining two subjects showed a significant increase in movement duration. Non-speech and speech tasks were found to be clearly different in their overall physiological characteristics; speech related movements were found to be more clearly defined in terms of larger amplitudes, shorter durations, higher peak velocities, and less variable movement cycles. The apparent discrepancy between the results of the Linebaugh tests and the physiological measures on specific oro-motor tasks warrants some caution in drawing conclusions on changes in the oro-motor system based on general performance measures. Further studies with well-defined clinical populations are needed to assess the usefulness of this device as an aid in the treatment of speech disorders based on motor system impairments.","Dementia syndromes constitute problem not only for the elderly. Early-onset dementia (EOD) starts below the age of 65 years. It accounts for 4-10% of all cases of dementia. EOD has significant psychosocial consequences because it affects people in their most productive years of life, with numerous family, professional and social responsibilities. There are many diseases that have been identified as the cause of the EOD. Among them, the most common are Alzheimer's disease, vascular dementia, fronto-temporal dementia, Lewy body dementia, traumatic brain injury, alcohol related dementia, Huntington's disease, Parkinson's disease, mixed dementia, Creutzfeldt-Jakob disease and Down's syndrome. Most studies have demonstrated Alzheimer's disease as the most common etiology of EOD. The article presents the case of a 33-year-old patient hospitalized in the Department of Neurology in Zabrze, with cognitive dysfunction, speech disordersand featuresof Parkinson's extrapyramidal syndrome that have been progressing for about 15 months. The MR of the head revealed cortical and subcortical atrophy, especially in parietal and temporal lobes. The cerebrospinal fluid examination showed decreased level of β-amyloid and significantly elevated level of H-tau. The patient was diagnosed with early-onset Alzheimer's disease, which was confirmed by genetic testing - the sequence change was identified in the gene for presenilin 1 in a heterozygous system.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Speech disorder Sentence A: This paper describes a study that for the first time addresses the physiological effects of an 8-week mechanically aided facial exercise program, using the Facial-Flex device (Facial Concepts, Inc., Blue Bell, PA) with four healthy individuals with no motor, speech, language, or hearing problems. For a variety of non-speech and speech tasks, upper and lower lip muscle activity (EMG) and upper and lower lip movements were recorded at two baseline sessions (separated by 1 week) and immediately after an 8-week training period. The results indicate that after the training period, all four subjects showed an increase in the number of task repetitions and the duration of isometric contraction using the Facial-Flex device with a fixed resistance (Linebaugh tests). However, with respect to physiological changes as related to the exercise program, the results were mixed. Only one subject showed the expected significant increase in normalized EMG activity. This response was mirrored in a significant overall increase in movement range and peak velocity after the 8-week training period. Regarding the other three subjects, one subject showed no systematic training effect at all, whereas the remaining two subjects showed a significant increase in movement duration. Non-speech and speech tasks were found to be clearly different in their overall physiological characteristics; speech related movements were found to be more clearly defined in terms of larger amplitudes, shorter durations, higher peak velocities, and less variable movement cycles. The apparent discrepancy between the results of the Linebaugh tests and the physiological measures on specific oro-motor tasks warrants some caution in drawing conclusions on changes in the oro-motor system based on general performance measures. Further studies with well-defined clinical populations are needed to assess the usefulness of this device as an aid in the treatment of speech disorders based on motor system impairments. Sentence B: Dementia syndromes constitute problem not only for the elderly. Early-onset dementia (EOD) starts below the age of 65 years. It accounts for 4-10% of all cases of dementia. EOD has significant psychosocial consequences because it affects people in their most productive years of life, with numerous family, professional and social responsibilities. There are many diseases that have been identified as the cause of the EOD. Among them, the most common are Alzheimer's disease, vascular dementia, fronto-temporal dementia, Lewy body dementia, traumatic brain injury, alcohol related dementia, Huntington's disease, Parkinson's disease, mixed dementia, Creutzfeldt-Jakob disease and Down's syndrome. Most studies have demonstrated Alzheimer's disease as the most common etiology of EOD. The article presents the case of a 33-year-old patient hospitalized in the Department of Neurology in Zabrze, with cognitive dysfunction, speech disordersand featuresof Parkinson's extrapyramidal syndrome that have been progressing for about 15 months. The MR of the head revealed cortical and subcortical atrophy, especially in parietal and temporal lobes. The cerebrospinal fluid examination showed decreased level of β-amyloid and significantly elevated level of H-tau. The patient was diagnosed with early-onset Alzheimer's disease, which was confirmed by genetic testing - the sequence change was identified in the gene for presenilin 1 in a heterozygous system. ###Answer 1. Changed Reasoning: The term ""speech disorder"" in Sentence A has a different connotation than in Sentence B. In Sentence A, it refers to a study on the physiological effects of a mechanically aided facial exercise program on healthy individuals with no motor, speech, language, or hearing problems. The focus is on the effects of the exercise program on the physiology of speech production. In contrast, in Sentence B, ""speech disorder"" refers to early-onset dementia, which affects people in their most productive years of life and has significant psychosocial consequences. The term is used to describe a patient with cognitive dysfunction, speech disorders, and features of Parkinson's extrapyramidal syndrome. The context and meaning of the term ""speech disorder"" have shifted from a neutral, descriptive term to a term with a negative connotation, associated with a degenerative brain disorder. Therefore, the label ""Changed"" is appropriate." 29,Speech disorder,"1. The analgesic efficacy and safety of a single 50 mg intramuscular dose of rac-picenadol, a centrally acting agonist-antagonist opioid analgesic, were compared with pethidine (meperidine) 100 mg and placebo in 60 patients with moderate to severe postoperative pain using hourly pain intensity and relief measurements for up to 6 h following injection of the study medications. 2. Both picenadol and pethidine were statistically significantly (P < 0.05) more effective than placebo in reducing pain intensity and in increasing total relief. Patients receiving picenadol and pethidine had higher frequency of somnolence than patients receiving placebo. In addition, patients receiving picenadol 50 mg experienced a higher incidence of confusion (30%), speech disorders (30%), and tremors (25%) than the patients receiving either pethidine or placebo. 3. These results were compared with those of a similar study which investigated the effects of a 25 mg intramuscular dose of picenadol vs pethidine and placebo. This comparison suggests that 25 mg of picenadol is a more acceptable dosage since both 25 and 50 mg were effective dosages.","Though preventable, children with disabilities have a high risk of victimization, contributing to worsening health conditions. Hence, this study examined the exposure of school-age children with mental, emotional, developmental, or behavioral (MEDB) disorder to bully victimization. This study used the 2018 National Survey of Children's Health (NSCH) data of 23,494 children ages 5-17 to estimate multilevel logistic regression with fixed and random effects. Children's health conditions were treated as level one variables, while family poverty level and neighborhood characteristics such as vandalism and presence/absence of recreational centers were treated as level two variables. The paper presents the prevalence of bullying victimization among children with at least one disorder (MDBB = 39.5%), anxiety (20.6%), depression (10.8%), ADD/ADHD (18.3%), behavioral problems (14.9%), learning disability (11.9%), Tourette syndrome (0.5%), developmental delay (10.1%), Autism spectrum disorder (4.6%), speech disorder (10.7), and intellectual disability (1.6%), respectively. Bullying victimization was positively associated with anxiety (AOR = 1.995, 95% CI = 1.634-2.436), depression (AOR = 2.688, 95% CI = 2.031-3.557), developmental delay (AOR = 1.804, 95% CI = 1.422-2.288), but inversely associated with Autism spectrum disorder (AOR = 0.614, 95% CI = 0.399-0.946). Neighborhood disorganization and poverty were also associated with bullying victimization. The NSCH data suggests that children with disabilities in the US had a higher prevalence rate of victimization. Consequently, effective bullying prevention strategies that can protect and improve children's quality of life with special needs should be prioritized.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Speech disorder Sentence A: 1. The analgesic efficacy and safety of a single 50 mg intramuscular dose of rac-picenadol, a centrally acting agonist-antagonist opioid analgesic, were compared with pethidine (meperidine) 100 mg and placebo in 60 patients with moderate to severe postoperative pain using hourly pain intensity and relief measurements for up to 6 h following injection of the study medications. 2. Both picenadol and pethidine were statistically significantly (P < 0.05) more effective than placebo in reducing pain intensity and in increasing total relief. Patients receiving picenadol and pethidine had higher frequency of somnolence than patients receiving placebo. In addition, patients receiving picenadol 50 mg experienced a higher incidence of confusion (30%), speech disorders (30%), and tremors (25%) than the patients receiving either pethidine or placebo. 3. These results were compared with those of a similar study which investigated the effects of a 25 mg intramuscular dose of picenadol vs pethidine and placebo. This comparison suggests that 25 mg of picenadol is a more acceptable dosage since both 25 and 50 mg were effective dosages. Sentence B: Though preventable, children with disabilities have a high risk of victimization, contributing to worsening health conditions. Hence, this study examined the exposure of school-age children with mental, emotional, developmental, or behavioral (MEDB) disorder to bully victimization. This study used the 2018 National Survey of Children's Health (NSCH) data of 23,494 children ages 5-17 to estimate multilevel logistic regression with fixed and random effects. Children's health conditions were treated as level one variables, while family poverty level and neighborhood characteristics such as vandalism and presence/absence of recreational centers were treated as level two variables. The paper presents the prevalence of bullying victimization among children with at least one disorder (MDBB = 39.5%), anxiety (20.6%), depression (10.8%), ADD/ADHD (18.3%), behavioral problems (14.9%), learning disability (11.9%), Tourette syndrome (0.5%), developmental delay (10.1%), Autism spectrum disorder (4.6%), speech disorder (10.7), and intellectual disability (1.6%), respectively. Bullying victimization was positively associated with anxiety (AOR = 1.995, 95% CI = 1.634-2.436), depression (AOR = 2.688, 95% CI = 2.031-3.557), developmental delay (AOR = 1.804, 95% CI = 1.422-2.288), but inversely associated with Autism spectrum disorder (AOR = 0.614, 95% CI = 0.399-0.946). Neighborhood disorganization and poverty were also associated with bullying victimization. The NSCH data suggests that children with disabilities in the US had a higher prevalence rate of victimization. Consequently, effective bullying prevention strategies that can protect and improve children's quality of life with special needs should be prioritized. ###Answer 1. Changed The target word ""Speech disorder"" has undergone a significant change in meaning between the two sentences. In Sentence A, the term refers to a side effect of a medication, specifically picenadol, which caused confusion, speech disorders, and tremors in some patients. In Sentence B, the term has a broader meaning, as it is used to describe the prevalence of bullying victimization among children with disabilities, including anxiety, depression, developmental delay, Autism spectrum disorder, speech disorder, and intellectual disability. The shift in meaning suggests that the term ""Speech disorder"" has changed to encompass a broader range of conditions related to communication and language processing, rather than just a side effect of a medication." 30,Speech disorder,"A rationale to guide assessment and subsequent management of children with developmental speech disorders is described. Hypotheses about the nature of praxis, the role of oral-verbal praxis in linguistic processing and speech development, and the effects of disturbances in praxis on speech behavior are presented. Implications of a diagnosis of developmental apraxia of speech (DAS) for treatment planning and expected speech, language, and social communication outcomes are discussed. Misconceptions about children diagnosed with DAS and assumptions underlying the author's approach to assessing children with DAS are identified. The desired functional outcome of the assessment approach advocated is a management plan that addresses the needs of the child and family and maximizes the child's ability to communicate."," Speech sound disorder (SSD) refers to a type of developmental disorder in young children who encounter persistent difficulties in producing certain speech sounds at the expected age. Consonant errors are the major indicator of SSD in clinical assessment. Previous studies on automatic assessment of SSD revealed that detection of speech errors concerning short and transitory consonants is less satisfactory. This paper investigates a neural network based approach to detecting consonant errors in disordered speech using consonant-vowel (CV) diphone segment in comparison to using consonant monophone segment. The underlying assumption is that the vowel part of a CV segment carries important information of co-articulation from the consonant. Speech embeddings are extracted from CV segments by a recurrent neural network model. The similarity scores between the embeddings of the test segment and the reference segments are computed to determine if the test segment is the expected consonant or not. Experimental results show that using CV segments achieves improved performance on detecting speech errors concerning those ""difficult"" consonants reported in the previous studies. ","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Speech disorder Sentence A: A rationale to guide assessment and subsequent management of children with developmental speech disorders is described. Hypotheses about the nature of praxis, the role of oral-verbal praxis in linguistic processing and speech development, and the effects of disturbances in praxis on speech behavior are presented. Implications of a diagnosis of developmental apraxia of speech (DAS) for treatment planning and expected speech, language, and social communication outcomes are discussed. Misconceptions about children diagnosed with DAS and assumptions underlying the author's approach to assessing children with DAS are identified. The desired functional outcome of the assessment approach advocated is a management plan that addresses the needs of the child and family and maximizes the child's ability to communicate. Sentence B: Speech sound disorder (SSD) refers to a type of developmental disorder in young children who encounter persistent difficulties in producing certain speech sounds at the expected age. Consonant errors are the major indicator of SSD in clinical assessment. Previous studies on automatic assessment of SSD revealed that detection of speech errors concerning short and transitory consonants is less satisfactory. This paper investigates a neural network based approach to detecting consonant errors in disordered speech using consonant-vowel (CV) diphone segment in comparison to using consonant monophone segment. The underlying assumption is that the vowel part of a CV segment carries important information of co-articulation from the consonant. Speech embeddings are extracted from CV segments by a recurrent neural network model. The similarity scores between the embeddings of the test segment and the reference segments are computed to determine if the test segment is the expected consonant or not. Experimental results show that using CV segments achieves improved performance on detecting speech errors concerning those ""difficult"" consonants reported in the previous studies. ###Answer 1. Changed Reasoning: In Sentence A, the term ""developmental speech disorder"" is used to describe a condition that affects children's ability to produce speech sounds. The term ""praxis"" is also used to refer to the process of learning and refining speech skills. The context suggests that the term ""speech disorder"" refers to a condition where children struggle to produce speech sounds correctly, possibly due to a neurological or cognitive impairment. In Sentence B, the term ""speech sound disorder"" (SSD) is used to describe a type of developmental disorder that affects young children's ability to produce certain speech sounds. The term ""consonant errors"" is used to describe the specific type of speech sound difficulty. The context suggests that the term ""speech sound disorder"" refers to a condition where children have difficulty producing specific speech sounds, possibly due to a neurological or cognitive impairment. Between Sentence A and Sentence B, there is a significant shift in the meaning of the term ""speech disorder"". In Sentence A, the term refers to a broader category of speech difficulties, including developmental speech disorders and praxis. In Sentence B, the term specifically refers to a type of speech sound disorder. Therefore, semantic drift has occurred, and the label ""Changed"" is appropriate." 31,Speech disorder,"The purpose of this study was to examine the relationship between the patterns of functional organization of the brain, as evaluated by the number of anomalous brain conditions or phenomena (ABCP), and the prevalence of migraine in a group of 434 women with lifetime major depressive disorder. ABCP are conditions or phenomena which are clearly related to brain function whose prevalence significantly deviates from the statistical mean for the general population. Eighteen ABCP (e.g. mixed or left handedness, enuresis after age 5, learning and speech disorders) were used in this study as 'markers' for their associated patterns of functional brain organization. The relationship between the number of ABCP and the prevalence of migraine was highly significant. The correlation between the number of ABCP and the prevalence of migraine was 0.36 (P < 0.0001, confidence interval 0.26, 0.43). The prevalence of migraine in patients with no ABCP (n = 11) was 9%, while that of those with eight or more ABCP (n = 40) was 85%. This supports the hypothesis that there is a relationship between patterns of functional brain organization and migraine prevalence.","The Floating Harbor syndrome is a rare genetic disease characterized by a triad of clinical signs: specific dysmorphic facial features, short stature with delayed bone age, and language and speech disorders. These signs are, in most cases, associated with borderline normal intelligence to moderate delay concerning intellectual functioning. We report an extensive neuropsychological evaluation for an adult female patient and show, in particular, a severe visuospatial impairment. We discuss this deficit in the light of the previous reported cases and suggest that visuospatial abilities should be explored more systematically.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Speech disorder Sentence A: The purpose of this study was to examine the relationship between the patterns of functional organization of the brain, as evaluated by the number of anomalous brain conditions or phenomena (ABCP), and the prevalence of migraine in a group of 434 women with lifetime major depressive disorder. ABCP are conditions or phenomena which are clearly related to brain function whose prevalence significantly deviates from the statistical mean for the general population. Eighteen ABCP (e.g. mixed or left handedness, enuresis after age 5, learning and speech disorders) were used in this study as 'markers' for their associated patterns of functional brain organization. The relationship between the number of ABCP and the prevalence of migraine was highly significant. The correlation between the number of ABCP and the prevalence of migraine was 0.36 (P < 0.0001, confidence interval 0.26, 0.43). The prevalence of migraine in patients with no ABCP (n = 11) was 9%, while that of those with eight or more ABCP (n = 40) was 85%. This supports the hypothesis that there is a relationship between patterns of functional brain organization and migraine prevalence. Sentence B: The Floating Harbor syndrome is a rare genetic disease characterized by a triad of clinical signs: specific dysmorphic facial features, short stature with delayed bone age, and language and speech disorders. These signs are, in most cases, associated with borderline normal intelligence to moderate delay concerning intellectual functioning. We report an extensive neuropsychological evaluation for an adult female patient and show, in particular, a severe visuospatial impairment. We discuss this deficit in the light of the previous reported cases and suggest that visuospatial abilities should be explored more systematically. ###Answer 1. Changed Reasoning: In Sentence A, the term ""speech disorder"" is used in the context of a study examining the relationship between brain function and migraine prevalence. The term is used to describe a specific type of brain condition that is related to brain function, but the meaning is not significantly different from the general meaning of the term. Therefore, semantic drift has not occurred. In Sentence B, the term ""speech disorder"" is used in a different context to describe a genetic disease characterized by specific dysmorphic facial features, short stature, and language and speech disorders. The term is used to describe a distinct type of speech disorder that is associated with a specific genetic condition. Therefore, semantic drift has occurred, and the term ""speech disorder"" has taken on a different meaning in Sentence B compared to Sentence A." 32,Speech disorder,"Direct magnitude estimation (DME) has been used frequently as a perceptual scaling technique in studies of the speech intelligibility of persons with speech disorders. The technique is typically used with a standard, or reference stimulus, chosen as a good exemplar of ""midrange"" intelligibility. In several published studies, the standard has been chosen subjectively, usually on the basis of the expertise of the investigators. The current experiment demonstrates that a fixed set of sentence-level utterances, obtained from 4 individuals with dysarthria (2 with Parkinson disease, 2 with traumatic brain injury) as well as 3 neurologically normal speakers, is scaled differently depending on the identity of the standard. Four different standards were used in the main experiment, three of which were judged qualitatively in two independent evaluations to be good exemplars of midrange intelligibility. Acoustic analyses did not reveal obvious differences between these four standards but suggested that the standard with the worst-scaled intelligibility had much poorer voice source characteristics compared to the other three standards. Results are discussed in terms of possible standardization of midrange intelligibility exemplars for DME experiments.","Speech disorders, including stuttering and hypophonia, have been reported in patients with Parkinson's disease (PD) after subthalamic deep brain stimulation (STN-DBS).","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Speech disorder Sentence A: Direct magnitude estimation (DME) has been used frequently as a perceptual scaling technique in studies of the speech intelligibility of persons with speech disorders. The technique is typically used with a standard, or reference stimulus, chosen as a good exemplar of ""midrange"" intelligibility. In several published studies, the standard has been chosen subjectively, usually on the basis of the expertise of the investigators. The current experiment demonstrates that a fixed set of sentence-level utterances, obtained from 4 individuals with dysarthria (2 with Parkinson disease, 2 with traumatic brain injury) as well as 3 neurologically normal speakers, is scaled differently depending on the identity of the standard. Four different standards were used in the main experiment, three of which were judged qualitatively in two independent evaluations to be good exemplars of midrange intelligibility. Acoustic analyses did not reveal obvious differences between these four standards but suggested that the standard with the worst-scaled intelligibility had much poorer voice source characteristics compared to the other three standards. Results are discussed in terms of possible standardization of midrange intelligibility exemplars for DME experiments. Sentence B: Speech disorders, including stuttering and hypophonia, have been reported in patients with Parkinson's disease (PD) after subthalamic deep brain stimulation (STN-DBS). ###Answer 1. Changed Reasoning: In Sentence A, the term ""speech disorder"" is used in the context of a specific technique (DME) and refers to a range of intelligibility levels. The term is not specifically associated with any particular condition or population. In Sentence B, the term ""speech disorder"" is used in the context of a specific condition (Parkinson's disease) and refers to a specific type of speech impairment (stuttering or hypophonia). The term has shifted in meaning, as it is now associated with a specific disease or condition, rather than a broader range of intelligibility levels." 33,Speech disorder,"The fact of using the language by man confirms the specific properties of his brain. Man is not able to learn this skill without a contact with speaking and human environment. This skill of linguistic communication with others allows man to get knowledge about the surrounding world and on the other hand it enables him to express his thoughts, feelings and needs. Therefore, people with serious speech disorders, i.e. aphasic patients, suffer not only from the problems connected with communication but mainly because of the deterioration of their social status that consequently will change their life quality. Generally, they cannot cope with the tasks they are lacking both in their personal and professional life. Speech is defined as the process of communication; the act in which the transmitter sends verbal structured message (statement), and the receiver perceives this message or understands its contents. The present paper presents the realised programme of 8-week speech re-education of 10 patients with motor aphasia and 10 patients with sensory aphasia. The examination of speech was performed on the basis of clinical-experimental tests developed by A. Luria. Diagnostic treatment in this test is focused on the qualitative analysis of the disorders structure.","The purpose of this study was to describe childhood dysarthria by means of auditory-perceptual analyses covering all speech subsystems. We aimed to identify the most seriously affected auditory-perceptual dimensions in the observed dysarthria profiles and to detect specific markers of childhood dysarthria against the backdrop of typical speech development. Moreover, the relationship between the speech disorder and other relevant aspects of multiple disability was investigated.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Speech disorder Sentence A: The fact of using the language by man confirms the specific properties of his brain. Man is not able to learn this skill without a contact with speaking and human environment. This skill of linguistic communication with others allows man to get knowledge about the surrounding world and on the other hand it enables him to express his thoughts, feelings and needs. Therefore, people with serious speech disorders, i.e. aphasic patients, suffer not only from the problems connected with communication but mainly because of the deterioration of their social status that consequently will change their life quality. Generally, they cannot cope with the tasks they are lacking both in their personal and professional life. Speech is defined as the process of communication; the act in which the transmitter sends verbal structured message (statement), and the receiver perceives this message or understands its contents. The present paper presents the realised programme of 8-week speech re-education of 10 patients with motor aphasia and 10 patients with sensory aphasia. The examination of speech was performed on the basis of clinical-experimental tests developed by A. Luria. Diagnostic treatment in this test is focused on the qualitative analysis of the disorders structure. Sentence B: The purpose of this study was to describe childhood dysarthria by means of auditory-perceptual analyses covering all speech subsystems. We aimed to identify the most seriously affected auditory-perceptual dimensions in the observed dysarthria profiles and to detect specific markers of childhood dysarthria against the backdrop of typical speech development. Moreover, the relationship between the speech disorder and other relevant aspects of multiple disability was investigated. ###Answer 1. Changed The meaning of the target word ""speech disorder"" has significantly shifted between Sentence A and Sentence B. In Sentence A, the word is used to describe a specific speech impairment, such as aphasia, which is caused by brain damage or disease. The focus is on the communication difficulties and social status implications for the individuals with speech disorders. In Sentence B, the word ""speech disorder"" is used in a different context, referring to a broader range of speech impairments in children. The focus is on the auditory-perceptual analysis of the speech, including the identification of specific markers of childhood dysarthria. The word ""speech disorder"" now connotes a more general term encompassing various types of speech impairments, rather than a specific condition with distinct causes and consequences. Therefore, I would label the target word ""speech disorder"" as ""Changed"" in this scenario, as its meaning has evolved to encompass a broader scope of speech impairments." 34,Speech disorder,Two analytical frameworks for identifying and measuring the processes of phonological change in the speech of children with developmental speech disorders are described. The frameworks are illustrated by an examination and evaluation of longitudinal data from children with this type of disorder. The ways in which clinicians can use the two frameworks to guide treatment planning are discussed.,"Transformer-based automatic speech recognition (ASR) systems have shown their success in the presence of large datasets. But, in medical research, we have to create ASR for the non-typical population, i.e. pre-school children with speech disorders, with small training dataset. To increase training efficiency on small datasets, we optimize the architecture of Wav2Vec 2.0, a variation of Transformer, through analyzing its pre-trained model's block-level attention pattern. We show that block-level patterns can serve as an indicator for narrowing down the optimization direction. To ensure the reproducibility of our experiments, we leverage ","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Speech disorder Sentence A: Two analytical frameworks for identifying and measuring the processes of phonological change in the speech of children with developmental speech disorders are described. The frameworks are illustrated by an examination and evaluation of longitudinal data from children with this type of disorder. The ways in which clinicians can use the two frameworks to guide treatment planning are discussed. Sentence B: Transformer-based automatic speech recognition (ASR) systems have shown their success in the presence of large datasets. But, in medical research, we have to create ASR for the non-typical population, i.e. pre-school children with speech disorders, with small training dataset. To increase training efficiency on small datasets, we optimize the architecture of Wav2Vec 2.0, a variation of Transformer, through analyzing its pre-trained model's block-level attention pattern. We show that block-level patterns can serve as an indicator for narrowing down the optimization direction. To ensure the reproducibility of our experiments, we leverage ###Answer Changed In Sentence A, the term ""developmental speech disorders"" is used to describe the type of speech issue being studied. This term was likely more commonly used in the early 2000s than it is today, as there has been increased awareness and understanding of speech and language disorders in children. Additionally, the phrase ""identifying and measuring the processes of phonological change"" may have been more commonly used in the early 2000s to describe the study of speech development in children. In Sentence B, the term ""speech disorder"" is used without any additional context. This term is much more general than the term used in Sentence A, and could potentially refer to any type of speech issue, rather than specifically developmental speech disorders. This could indicate that the term ""speech disorder"" has become more broadly defined over time, leading to a loss of specificity in its meaning. Overall, the usage of the term ""speech disorder"" in Sentence B suggests that there may have been a semantic drift in the meaning of the term over time, leading to a shift towards a more general and less specific definition." 35,Speech disorder,"The differential diagnosis of developmental speech disorders may be very difficult. We tried to differentiate between the developmental dysphasia and dysarthria by means of CERA, using the different kinds of stimuli--tone bursts, words and white noise. The BERA was performed using the filtered clicks as stimuli. We have found the responses to tone, verbal and noise stimuli in children with developmental dysarthria. The latency times were prolonged to verbal and noise stimuli. We did not find any responses to verbal and noise stimuli in children with developmental dysphasia. At the BERA investigation we did not find the auditory evoked brainstem responses in children with developmental dysarthria on the side of motoric innervation lesion. The latency times of waves N3 and N5 were prolonged in children with developmental dysphasia. The CERA and BERA seems to be a good differential diagnostic tool for differentiation between these two kinds of developmental speech disorders. The results confirmed also that there are the mixed forms of those developmental speech disorders.","In Germany, about 100,000 people currently suffer from aphasia. This speech disorder occurs as a result of neurologic events such as stroke or traumatic brain injury. Aphasia causes major limitations in social participation and quality of life and can be associated with unemployability and social isolation. For affected persons, it is essential to regain and maintain autonomy in daily life, both at work and with family and friends. The loss of autonomy is perceived much more dramatically than the loss of speech. Clients wish to minimise this loss of autonomy in daily life. As full recovery is not achievable in chronic aphasia, treatment must focus on improved compensatory approaches and on supporting the clients' coping strategies.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Speech disorder Sentence A: The differential diagnosis of developmental speech disorders may be very difficult. We tried to differentiate between the developmental dysphasia and dysarthria by means of CERA, using the different kinds of stimuli--tone bursts, words and white noise. The BERA was performed using the filtered clicks as stimuli. We have found the responses to tone, verbal and noise stimuli in children with developmental dysarthria. The latency times were prolonged to verbal and noise stimuli. We did not find any responses to verbal and noise stimuli in children with developmental dysphasia. At the BERA investigation we did not find the auditory evoked brainstem responses in children with developmental dysarthria on the side of motoric innervation lesion. The latency times of waves N3 and N5 were prolonged in children with developmental dysphasia. The CERA and BERA seems to be a good differential diagnostic tool for differentiation between these two kinds of developmental speech disorders. The results confirmed also that there are the mixed forms of those developmental speech disorders. Sentence B: In Germany, about 100,000 people currently suffer from aphasia. This speech disorder occurs as a result of neurologic events such as stroke or traumatic brain injury. Aphasia causes major limitations in social participation and quality of life and can be associated with unemployability and social isolation. For affected persons, it is essential to regain and maintain autonomy in daily life, both at work and with family and friends. The loss of autonomy is perceived much more dramatically than the loss of speech. Clients wish to minimise this loss of autonomy in daily life. As full recovery is not achievable in chronic aphasia, treatment must focus on improved compensatory approaches and on supporting the clients' coping strategies. ###Answer 1. Changed The target word ""speech disorder"" has undergone a significant change in meaning between Sentence A (2000) and Sentence B (2020). In Sentence A, the term likely referred to a specific type of speech impairment, such as dysarthria or developmental dysphasia. In Sentence B, the term is used more broadly to refer to any type of aphasia, including stroke-induced aphasia and traumatic brain injury-induced aphasia. This broader definition of ""speech disorder"" suggests that the term has undergone semantic drift over time, as it has taken on a new meaning that is more encompassing of different types of speech impairments." 36,Speech disorder,"Functional tests are needed to assess the quality of reconstructive surgery after treatment of intraoral cancers. Quality of Life tests are subjective and Cinefluoroscopy is a demanding and non-comparative procedure. We develop here a method to test the capacity of patients to maximize use of their articulatory space. We recorded a corpus of sounds. These sounds were analyzed with classical signal processing procedures. By comparison with a non-distorded sound database, it was possible to evaluate speech disorders, localize the defect, and provide a guide for rehabilitation. This method is an objective, reproductible, and comparative measurement tool.","Velopharyngeal incompetence (VPI) therapy for cleft palate (speech therapy alone, speech therapy using speech aids, or combined therapy such as speech therapy using a pharyngeal flap), is more effective in younger patients than in adult patients. Speech therapy is known as very difficult for patients who still have VPI as an adult. Because of the possibility of subsequent speech disorders, the timing of surgery for cleft palate is accelerating. Herein, we present a case of an adult with articulation disorder due to VPI who was treated by speech therapy and a speech-aid prosthesis.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Speech disorder Sentence A: Functional tests are needed to assess the quality of reconstructive surgery after treatment of intraoral cancers. Quality of Life tests are subjective and Cinefluoroscopy is a demanding and non-comparative procedure. We develop here a method to test the capacity of patients to maximize use of their articulatory space. We recorded a corpus of sounds. These sounds were analyzed with classical signal processing procedures. By comparison with a non-distorded sound database, it was possible to evaluate speech disorders, localize the defect, and provide a guide for rehabilitation. This method is an objective, reproductible, and comparative measurement tool. Sentence B: Velopharyngeal incompetence (VPI) therapy for cleft palate (speech therapy alone, speech therapy using speech aids, or combined therapy such as speech therapy using a pharyngeal flap), is more effective in younger patients than in adult patients. Speech therapy is known as very difficult for patients who still have VPI as an adult. Because of the possibility of subsequent speech disorders, the timing of surgery for cleft palate is accelerating. Herein, we present a case of an adult with articulation disorder due to VPI who was treated by speech therapy and a speech-aid prosthesis. ###Answer 1. Changed Reasoning: In Sentence A, the target word ""speech disorder"" is used in the context of assessing the quality of reconstructive surgery after treatment of intraoral cancers. The word is used to describe the capacity of patients to maximize use of their articulatory space, and is paired with classical signal processing procedures to evaluate speech disorders. This suggests that the meaning of ""speech disorder"" in Sentence A is focused on the assessment and evaluation of speech quality, rather than the treatment of speech disorders themselves. In Sentence B, the target word ""speech disorder"" is used in the context of comparing the effectiveness of different speech therapies for adult patients. The word is used to describe the difficulty of speech therapy for patients with VPI, and the possibility of subsequent speech disorders. This suggests that the meaning of ""speech disorder"" in Sentence B is focused on the treatment and management of speech disorders, rather than the assessment and evaluation of speech quality. Therefore, the meaning of ""speech disorder"" has shifted from an assessment-focused term in Sentence A to a treatment-focused term in Sentence B, indicating semantic drift has occurred." 37,Speech disorder,"Examination of a 14-year-old male who was admitted to an inpatient unit with an acute paranoid syndrome yielded serious organic findings: macroencephaly, head tilted to one side, strabismus, neurological deficits, hydroencephaly and an expressive speech disorder. The personal and family history revealed a disturbance of motor development since infancy and psychiatric illness in the immediate family. The medication and the surgical procedure selected--endoscopic third ventriculostomy--are described and the difficult differential diagnosis is discussed.","Almost all people with amyotrophic lateral sclerosis (ALS) experience a motor speech disorder, such as dysarthria, as the disease progresses. At some point, 80 to 95% of people with ALS are unable to meet their daily communication needs using natural speech. Unfortunately, once intelligibility begins to decrease, speech performance often deteriorates so rapidly that there is little time to implement an appropriate augmentative and alternative communication (AAC) intervention; therefore, appropriate timing of referral for AAC assessment and intervention continues to be a most important clinical decision-making issue. AAC acceptance and use have increased considerably during the past decade. Many people use AAC until within a few weeks of their deaths.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Speech disorder Sentence A: Examination of a 14-year-old male who was admitted to an inpatient unit with an acute paranoid syndrome yielded serious organic findings: macroencephaly, head tilted to one side, strabismus, neurological deficits, hydroencephaly and an expressive speech disorder. The personal and family history revealed a disturbance of motor development since infancy and psychiatric illness in the immediate family. The medication and the surgical procedure selected--endoscopic third ventriculostomy--are described and the difficult differential diagnosis is discussed. Sentence B: Almost all people with amyotrophic lateral sclerosis (ALS) experience a motor speech disorder, such as dysarthria, as the disease progresses. At some point, 80 to 95% of people with ALS are unable to meet their daily communication needs using natural speech. Unfortunately, once intelligibility begins to decrease, speech performance often deteriorates so rapidly that there is little time to implement an appropriate augmentative and alternative communication (AAC) intervention; therefore, appropriate timing of referral for AAC assessment and intervention continues to be a most important clinical decision-making issue. AAC acceptance and use have increased considerably during the past decade. Many people use AAC until within a few weeks of their deaths. ###Answer 1. Changed Reasoning: In Sentence A, the term ""speech disorder"" is used to describe a specific neurological finding in a patient with acute paranoid syndrome. The term suggests a clear neurological basis for the disorder, and the context implies that the disorder is severe and impacts the patient's ability to communicate effectively. In Sentence B, the term ""speech disorder"" is used more broadly to describe a common symptom of amyotrophic lateral sclerosis (ALS). The term no longer implies a clear neurological basis for the disorder, and the context suggests that the disorder is a result of a degenerative disease process rather than a specific neurological injury. Therefore, the meaning of the term ""speech disorder"" has changed significantly between the two sentences, indicating semantic drift." 38,Speech disorder,"Stuttering is an action-induced speech disorder with involuntary, audible, or silent repetitions or prolongations in the utterance of short speech elements (sounds, syllables) and words. Symptomatic treatment programs frequently have initial success; persistent benefit is variable and many patients remain disabled. Stuttering has many characteristics similar to spasmodic dysphonia (laryngeal dystonia), often including the presence of adductor laryngeal spasms that obstruct airflow (glottal block). We hypothesized that relief of the spasmodic dysphonic glottal blocks in stutterers would modify the stuttering phenomenon and increase fluency. We therefore studied the effects of bilateral vocal fold injections of botulinum toxin type A (BTX) on dysfluency and speech characteristics in stuttering. We treated 14 adult patients (12 men, 2 women) with persistent stuttering and glottal block who previously failed standard speech therapy with 1.25 U BTX into each thyroarytenoid (vocalis) muscle. Fluency evaluations included the Stuttering Severity Instrument, the Perceptions of Stuttering Inventory, and a global rating scale (percent of normal function). Patients were evaluated at baseline and at 2-, 6-, and 12-week follow-up visits. Improvement in fluency documented by each rating instrument occurred at 2 and 6 weeks, with functional relapse by 12 weeks in most patients. We conclude that therapeutic laryngeal injections of botulinum toxin are useful in the management of stuttering with glottal block and result in a moderate improvement in fluency. When an adult patient with developmental stuttering with glottal blocks has failed speech interventional therapy and presents for treatment, a trial of BTX can be considered early.(ABSTRACT TRUNCATED AT 250 WORDS)","We discuss a 38-year-old bodybuilder who had cardiogenic shock and multiorgan failure. The patient developed significant speech disorders resulting from thromboembolism of a huge, volatile left ventricular thrombus. Because of inoperability and the threat of severe ischemic stroke, the thrombus was removed with a snare and application of a cerebral embolic protection device. (","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Speech disorder Sentence A: Stuttering is an action-induced speech disorder with involuntary, audible, or silent repetitions or prolongations in the utterance of short speech elements (sounds, syllables) and words. Symptomatic treatment programs frequently have initial success; persistent benefit is variable and many patients remain disabled. Stuttering has many characteristics similar to spasmodic dysphonia (laryngeal dystonia), often including the presence of adductor laryngeal spasms that obstruct airflow (glottal block). We hypothesized that relief of the spasmodic dysphonic glottal blocks in stutterers would modify the stuttering phenomenon and increase fluency. We therefore studied the effects of bilateral vocal fold injections of botulinum toxin type A (BTX) on dysfluency and speech characteristics in stuttering. We treated 14 adult patients (12 men, 2 women) with persistent stuttering and glottal block who previously failed standard speech therapy with 1.25 U BTX into each thyroarytenoid (vocalis) muscle. Fluency evaluations included the Stuttering Severity Instrument, the Perceptions of Stuttering Inventory, and a global rating scale (percent of normal function). Patients were evaluated at baseline and at 2-, 6-, and 12-week follow-up visits. Improvement in fluency documented by each rating instrument occurred at 2 and 6 weeks, with functional relapse by 12 weeks in most patients. We conclude that therapeutic laryngeal injections of botulinum toxin are useful in the management of stuttering with glottal block and result in a moderate improvement in fluency. When an adult patient with developmental stuttering with glottal blocks has failed speech interventional therapy and presents for treatment, a trial of BTX can be considered early.(ABSTRACT TRUNCATED AT 250 WORDS) Sentence B: We discuss a 38-year-old bodybuilder who had cardiogenic shock and multiorgan failure. The patient developed significant speech disorders resulting from thromboembolism of a huge, volatile left ventricular thrombus. Because of inoperability and the threat of severe ischemic stroke, the thrombus was removed with a snare and application of a cerebral embolic protection device. ( ###Answer 1. Changed Reasoning: In Sentence A, the target word ""stuttering"" is used to describe a speech disorder characterized by involuntary repetitions or prolongations of sounds or syllables, with symptoms often including glottal block. The sentence suggests that stuttering is a specific type of speech disorder with distinct characteristics, such as the presence of adductor laryngeal spasms that obstruct airflow. In Sentence B, the target word ""speech disorder"" is used in a different context, to describe a speech impairment resulting from thromboembolism of a left ventricular thrombus. The sentence does not convey the same specific characteristics of stuttering as in Sentence A, but rather a more general description of a speech impairment. Therefore, semantic drift has occurred in the meaning of the target word ""speech disorder"" between Sentence A and Sentence B, as the term is used to describe a different type of speech impairment in each sentence." 39,Speech disorder,"Stuttering is a speech disorder characterised by frequent prolongations, repetitions or blocks of spoken sounds and/or syllables. Stuttering is very common and is classified by the Diagnostic and Statistical Manual of Mental Disorders -- Fourth Edition (DSM-IV) as an Axis I disorder. In spite of this, stuttering treatment is sporadically addressed by a practicing physician, especially in the US. Much has recently been learned of the neurophysiological basis of this disorder, which has provided insight into novel treatment strategies, thus helping to guide the practising clinician. Stuttering is likely to be associated, at least in part, to dopamine hyperactivity in the brain. Novel dopamine antagonists such as risperidone and olanzapine, have recently been shown to improve the symptoms of stuttering providing a strong foundation for physicians to more effectively treat this disorder."," Parkinson's disease (PD), a neurodegenerative disorder, often manifests as speech and voice dysfunction. While utilizing voice data for PD detection has great potential in clinical applications, the widely used deep learning models currently have fairness issues regarding different ages of onset. These deep models perform well for the elderly group (age $>$ 55) but are less accurate for the young group (age $\leq$ 55). Through our investigation, the discrepancy between the elderly and the young arises due to 1) an imbalanced dataset and 2) the milder symptoms often seen in early-onset patients. However, traditional debiasing methods are impractical as they typically impair the prediction accuracy for the majority group while minimizing the discrepancy. To address this issue, we present a new debiasing method using GradCAM-based feature masking combined with ensemble models, ensuring that neither fairness nor accuracy is compromised. Specifically, the GradCAM-based feature masking selectively obscures age-related features in the input voice data while preserving essential information for PD detection. The ensemble models further improve the prediction accuracy for the minority (young group). Our approach effectively improves detection accuracy for early-onset patients without sacrificing performance for the elderly group. Additionally, we propose a two-step detection strategy for the young group, offering a practical risk assessment for potential early-onset PD patients. ","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Speech disorder Sentence A: Stuttering is a speech disorder characterised by frequent prolongations, repetitions or blocks of spoken sounds and/or syllables. Stuttering is very common and is classified by the Diagnostic and Statistical Manual of Mental Disorders -- Fourth Edition (DSM-IV) as an Axis I disorder. In spite of this, stuttering treatment is sporadically addressed by a practicing physician, especially in the US. Much has recently been learned of the neurophysiological basis of this disorder, which has provided insight into novel treatment strategies, thus helping to guide the practising clinician. Stuttering is likely to be associated, at least in part, to dopamine hyperactivity in the brain. Novel dopamine antagonists such as risperidone and olanzapine, have recently been shown to improve the symptoms of stuttering providing a strong foundation for physicians to more effectively treat this disorder. Sentence B: Parkinson's disease (PD), a neurodegenerative disorder, often manifests as speech and voice dysfunction. While utilizing voice data for PD detection has great potential in clinical applications, the widely used deep learning models currently have fairness issues regarding different ages of onset. These deep models perform well for the elderly group (age $>$ 55) but are less accurate for the young group (age $\leq$ 55). Through our investigation, the discrepancy between the elderly and the young arises due to 1) an imbalanced dataset and 2) the milder symptoms often seen in early-onset patients. However, traditional debiasing methods are impractical as they typically impair the prediction accuracy for the majority group while minimizing the discrepancy. To address this issue, we present a new debiasing method using GradCAM-based feature masking combined with ensemble models, ensuring that neither fairness nor accuracy is compromised. Specifically, the GradCAM-based feature masking selectively obscures age-related features in the input voice data while preserving essential information for PD detection. The ensemble models further improve the prediction accuracy for the minority (young group). Our approach effectively improves detection accuracy for early-onset patients without sacrificing performance for the elderly group. Additionally, we propose a two-step detection strategy for the young group, offering a practical risk assessment for potential early-onset PD patients. ###Answer 1. Changed Reasoning: The meaning of the target word ""speech disorder"" has shifted significantly between the two sentences. In Sentence A, the term is used to describe stuttering, a specific speech disorder characterized by frequent prolongations, repetitions, or blocks of spoken sounds and/or syllables. In Sentence B, the term is used more broadly to describe speech and voice dysfunction associated with Parkinson's disease (PD), a neurodegenerative disorder. The shift in meaning is likely due to changes in the linguistic and medical landscape over time, as well as the broadening of the term's usage in scientific and medical literature." 40,Speech disorder,"An autopsy case of transcortical motor aphasia is presented with a pathology located anterior and superior to the pars opercularis of the left inferior frontal gyrus. Case H. Y. A 60-year-old right-handed man. On Nov. 14, 1978, the patient had surgery to remove cerebral hematoma in the left frontal lobe. In the neuropsychological examination before the operation, he had shown the clinical features of transcortical motor aphasia characterized by good comprehension of language, preserved repetition, and spontaneous speech disorder. In this stage, it was supposed that the underlying disturbance of spontaneous speech was due to the disabilities of contextual constructions of sentences rather than the lack of speech initiation. Following the operation, however, spontaneous speech disappeared completely for several days. At the same time, the patient showed problems in comprehension, reading, writing and confrontation naming as well as symptoms of disorientation, pathological inertia and 'loss of initiation' in the psychomotor domain. During the following three months, however, the patient did show slight improvement, except for contextual sentence constructions and pathological inertia when taking the complex animal drawing test. In his terminal stages, the clinical symptoms could be summarized as transcortical motor aphasia and mild frontal lobe syndrome. On March 1, 1979, the patient died of Hamman-Rich syndrome. Postmortem examination: The brain weighed 1294 gm. The external observation of the brain disclosed the linear tissue defect, about 15 mm in length and 10 mm in width, along the radial sulcus of the pars triangularis of the left inferior frontal gyrus.(ABSTRACT TRUNCATED AT 250 WORDS)","Hypernasality is a common characteristic symptom across many motor-speech disorders. For voiced sounds, hypernasality introduces an additional resonance in the lower frequencies and, for unvoiced sounds, there is reduced articulatory precision due to air escaping through the nasal cavity. However, the acoustic manifestation of these symptoms is highly variable, making hypernasality estimation very challenging, both for human specialists and automated systems. Previous work in this area relies on either engineered features based on statistical signal processing or machine learning models trained on clinical ratings. Engineered features often fail to capture the complex acoustic patterns associated with hypernasality, whereas metrics based on machine learning are prone to overfitting to the small disease-specific speech datasets on which they are trained. Here we propose a new set of acoustic features that capture these complementary dimensions. The features are based on two acoustic models trained on a large corpus of healthy speech. The first acoustic model aims to measure nasal resonance from voiced sounds, whereas the second acoustic model aims to measure articulatory imprecision from unvoiced sounds. To demonstrate that the features derived from these acoustic models are specific to hypernasal speech, we evaluate them across different dysarthria corpora. Our results show that the features generalize even when training on hypernasal speech from one disease and evaluating on hypernasal speech from another disease (e.g., training on Parkinson's disease, evaluation on Huntington's disease), and when training on neurologically disordered speech but evaluating on cleft palate speech.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Speech disorder Sentence A: An autopsy case of transcortical motor aphasia is presented with a pathology located anterior and superior to the pars opercularis of the left inferior frontal gyrus. Case H. Y. A 60-year-old right-handed man. On Nov. 14, 1978, the patient had surgery to remove cerebral hematoma in the left frontal lobe. In the neuropsychological examination before the operation, he had shown the clinical features of transcortical motor aphasia characterized by good comprehension of language, preserved repetition, and spontaneous speech disorder. In this stage, it was supposed that the underlying disturbance of spontaneous speech was due to the disabilities of contextual constructions of sentences rather than the lack of speech initiation. Following the operation, however, spontaneous speech disappeared completely for several days. At the same time, the patient showed problems in comprehension, reading, writing and confrontation naming as well as symptoms of disorientation, pathological inertia and 'loss of initiation' in the psychomotor domain. During the following three months, however, the patient did show slight improvement, except for contextual sentence constructions and pathological inertia when taking the complex animal drawing test. In his terminal stages, the clinical symptoms could be summarized as transcortical motor aphasia and mild frontal lobe syndrome. On March 1, 1979, the patient died of Hamman-Rich syndrome. Postmortem examination: The brain weighed 1294 gm. The external observation of the brain disclosed the linear tissue defect, about 15 mm in length and 10 mm in width, along the radial sulcus of the pars triangularis of the left inferior frontal gyrus.(ABSTRACT TRUNCATED AT 250 WORDS) Sentence B: Hypernasality is a common characteristic symptom across many motor-speech disorders. For voiced sounds, hypernasality introduces an additional resonance in the lower frequencies and, for unvoiced sounds, there is reduced articulatory precision due to air escaping through the nasal cavity. However, the acoustic manifestation of these symptoms is highly variable, making hypernasality estimation very challenging, both for human specialists and automated systems. Previous work in this area relies on either engineered features based on statistical signal processing or machine learning models trained on clinical ratings. Engineered features often fail to capture the complex acoustic patterns associated with hypernasality, whereas metrics based on machine learning are prone to overfitting to the small disease-specific speech datasets on which they are trained. Here we propose a new set of acoustic features that capture these complementary dimensions. The features are based on two acoustic models trained on a large corpus of healthy speech. The first acoustic model aims to measure nasal resonance from voiced sounds, whereas the second acoustic model aims to measure articulatory imprecision from unvoiced sounds. To demonstrate that the features derived from these acoustic models are specific to hypernasal speech, we evaluate them across different dysarthria corpora. Our results show that the features generalize even when training on hypernasal speech from one disease and evaluating on hypernasal speech from another disease (e.g., training on Parkinson's disease, evaluation on Huntington's disease), and when training on neurologically disordered speech but evaluating on cleft palate speech. ###Answer 1. Changed Reasoning: In Sentence A, the term ""spontaneous speech disorder"" is used to describe the patient's condition after surgery. This term suggests a lack of ability to produce speech without prompting or cues. However, in Sentence B, the term ""hypernasality"" is used to describe the same condition. Hypernasality refers to an excessive nasality in speech, which can be caused by various factors such as neurological disorders or craniofacial abnormalities. The difference in terminology suggests that the meaning of the term ""spontaneous speech disorder"" may have shifted over time, and it is now more commonly referred to as ""hypernasality"". Therefore, I label this as a case of semantic drift." 41,Speech disorder,"The aim here was to determine the effects of particular types of malocclusion including the effects of combinations of different occlusal anomalies on speech articulation. Occlusal anomalies and articulatory speech disorders, a diagnosis based on errors in place of articulation, were determined for 451 students, mean age 23 years. The present results showed that risk ratios for producing consonants too far anteriorly was greater by 4.5 times for subjects with mesial occlusion, 3.7 times for those with mandibular overjet, 3.4 times for subjects with incisal open bite and 1.7 for those with lateral cross-bite compared to individuals without those occlusal anomalies. This study suggests that incisal open bite alone is rarely associated with articulatory speech disorders, but if present they tend to be mild. Incisal open bite combined with other occlusal anomalies, especially with mesial occlusion, is related to more severe misarticulations of consonants.","To develop the classification and methodology for assessment of speech disorders in neurodegenerative diseases, and to identify the characteristics of speech disorders for various forms.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Speech disorder Sentence A: The aim here was to determine the effects of particular types of malocclusion including the effects of combinations of different occlusal anomalies on speech articulation. Occlusal anomalies and articulatory speech disorders, a diagnosis based on errors in place of articulation, were determined for 451 students, mean age 23 years. The present results showed that risk ratios for producing consonants too far anteriorly was greater by 4.5 times for subjects with mesial occlusion, 3.7 times for those with mandibular overjet, 3.4 times for subjects with incisal open bite and 1.7 for those with lateral cross-bite compared to individuals without those occlusal anomalies. This study suggests that incisal open bite alone is rarely associated with articulatory speech disorders, but if present they tend to be mild. Incisal open bite combined with other occlusal anomalies, especially with mesial occlusion, is related to more severe misarticulations of consonants. Sentence B: To develop the classification and methodology for assessment of speech disorders in neurodegenerative diseases, and to identify the characteristics of speech disorders for various forms. ###Answer 1. Changed Reasoning: The meaning of the target word ""speech disorder"" has changed significantly between the two sentences. In Sentence A, the term refers to a specific type of malocclusion and its effects on speech articulation. In Sentence B, the term is used more broadly to refer to the assessment and classification of speech disorders in neurodegenerative diseases, and the identification of their characteristics. The shift in meaning suggests that the term ""speech disorder"" has undergone semantic drift." 42,Speech disorder,"A survey of 32 adult females and 31 adult males with Prader-Willi syndrome (PWS) shows that sleep disorders (including excessive day and night time sleep) and behavioural abnormalities, (temper tantrums and deliberate picking of sores) are common. These abnormalities are not related to the degree of obesity or to each other. Speech disorders also occur. Intelligence quotients are often within the normal range.","Parkinson's disease (PD) is the second most frequent progressive neuro-degenerative disorder. In addition to motor symptoms, nonmotor symptoms and voice and speech disorders can also develop in 90% of PD patients. The aim of our study was to investigate the effects of DBS and different DBS frequencies on speech acoustics of vowels in PD patients.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Speech disorder Sentence A: A survey of 32 adult females and 31 adult males with Prader-Willi syndrome (PWS) shows that sleep disorders (including excessive day and night time sleep) and behavioural abnormalities, (temper tantrums and deliberate picking of sores) are common. These abnormalities are not related to the degree of obesity or to each other. Speech disorders also occur. Intelligence quotients are often within the normal range. Sentence B: Parkinson's disease (PD) is the second most frequent progressive neuro-degenerative disorder. In addition to motor symptoms, nonmotor symptoms and voice and speech disorders can also develop in 90% of PD patients. The aim of our study was to investigate the effects of DBS and different DBS frequencies on speech acoustics of vowels in PD patients. ###Answer 1. Changed Explanation: In Sentence A, the target word ""speech disorder"" is used in the context of a survey of individuals with Prader-Willi syndrome, a genetic disorder that affects physical and behavioral development. The sentence highlights the common occurrence of sleep disorders, behavioral abnormalities, and speech disorders in individuals with PWS. The meaning of ""speech disorder"" in this context is related to the impact of the genetic disorder on the individual's ability to speak and communicate effectively. In Sentence B, the target word ""speech disorder"" is used in the context of Parkinson's disease, a neurodegenerative disorder that affects movement and cognition. The sentence highlights the development of voice and speech disorders in 90% of PD patients, which is a significant shift from the context of the target word in Sentence A. The meaning of ""speech disorder"" in this context is related to the impact of the neurodegenerative disorder on the individual's ability to speak and communicate effectively, which is different from the impact of the genetic disorder in Sentence A. Therefore, the label ""Changed"" is appropriate for this task." 43,Speech disorder,"The speech of children with Down's syndrome (DS) is often unintelligible, unlike many other children who have an intellectual disability. However, the nature of their speech disorder is controversial. The speech error patterns of children with DS were compared to those of intellectually average children with phonological disorder whose errors were characterized by inconsistency. The groups were matched for percentages of consonants produced in error. The data revealed no differences between the groups in terms of the number of words which were produced inconsistently on repeated productions in a picture-naming task. However, further analyses revealed differences in the type of errors made by the groups in that the children with phonological disorder characterized by inconsistent errors made more changes to words on repeated production than the group with DS. The deficits underlying inconsistent pronunciation of words in the two groups of children under investigation would appear to differ. Intervention strategies should target the deficits identified.","Impaired lexical stress production characterizes multiple pediatric speech disorders. Effective remediation strategies are not available, and little is known about the normal process of learning to assign and produce lexical stress. This study examined whether typically developing (TD) children can be trained to produce lexical stress on bisyllabic pseudowords that are orthographically biased to a strong-weak or weak-strong pattern (e.g., MAMbey or beDOON), in combination with the principles of motor learning (PML).","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Speech disorder Sentence A: The speech of children with Down's syndrome (DS) is often unintelligible, unlike many other children who have an intellectual disability. However, the nature of their speech disorder is controversial. The speech error patterns of children with DS were compared to those of intellectually average children with phonological disorder whose errors were characterized by inconsistency. The groups were matched for percentages of consonants produced in error. The data revealed no differences between the groups in terms of the number of words which were produced inconsistently on repeated productions in a picture-naming task. However, further analyses revealed differences in the type of errors made by the groups in that the children with phonological disorder characterized by inconsistent errors made more changes to words on repeated production than the group with DS. The deficits underlying inconsistent pronunciation of words in the two groups of children under investigation would appear to differ. Intervention strategies should target the deficits identified. Sentence B: Impaired lexical stress production characterizes multiple pediatric speech disorders. Effective remediation strategies are not available, and little is known about the normal process of learning to assign and produce lexical stress. This study examined whether typically developing (TD) children can be trained to produce lexical stress on bisyllabic pseudowords that are orthographically biased to a strong-weak or weak-strong pattern (e.g., MAMbey or beDOON), in combination with the principles of motor learning (PML). ###Answer 1. Changed Reasoning: In Sentence A, the term ""speech disorder"" is used to describe the communication difficulties of children with Down's syndrome. The sentence highlights that the speech of these children is often unintelligible, and the nature of their speech disorder is controversial. The term ""speech disorder"" in this context implies a lack of clarity or coherence in their speech, which may be related to difficulties with articulation, phonology, or syntax. In Sentence B, the term ""lexical stress production"" is used to describe the ability of typically developing children to produce lexical stress on bisyllabic pseudowords. The sentence highlights that remediation strategies are not available for impaired lexical stress production, and there is limited knowledge about the normal process of learning to assign and produce lexical stress. The term ""lexical stress production"" in this context implies a focus on the production of stress patterns in words, which may be related to phonological awareness and motor learning skills. Based on these contexts, it is clear that the meaning of the term ""speech disorder"" has shifted significantly between Sentence A and Sentence B. In Sentence A, the term is used to describe the communication difficulties of children with Down's syndrome, with a focus on the lack of clarity or coherence in their speech. In Sentence B, the term is used to describe the ability of typically developing children to produce lexical stress on bisyllabic pseudowords, with a focus on the production of stress patterns in words. Therefore, I would label the term ""speech disorder"" in Sentence B as ""Changed""." 44,Speech disorder,"The author studied 34 stuttering children from 2,5-3,5 years, where 2 groups were distinguished: with neurotic and pseudoneurotic stuttering. It was established that in these 2 groups there were differences in the psychopathological and speech disorders. There are such forms of the disease where there may be a combination of neurotic as well as pseudoneurotic states. It is being stressed that treatment in the initial period is most effective.","Following surgical repair of cleft lip and palate, hearing and speech and language development are important issues for the continued care of affected childhood and adolescent patients. Therefore, PEAKS (Program for Evaluation and Analysis of all Kinds of Speech Disorders) was developed in order to rate speech intelligibility automatically and reduce the time required for diagnostics. PEAKS is based on a speech recognition system and was extended to incorporate a speaker model. This investigation validated PEAKS for isolated cleft palate.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Speech disorder Sentence A: The author studied 34 stuttering children from 2,5-3,5 years, where 2 groups were distinguished: with neurotic and pseudoneurotic stuttering. It was established that in these 2 groups there were differences in the psychopathological and speech disorders. There are such forms of the disease where there may be a combination of neurotic as well as pseudoneurotic states. It is being stressed that treatment in the initial period is most effective. Sentence B: Following surgical repair of cleft lip and palate, hearing and speech and language development are important issues for the continued care of affected childhood and adolescent patients. Therefore, PEAKS (Program for Evaluation and Analysis of all Kinds of Speech Disorders) was developed in order to rate speech intelligibility automatically and reduce the time required for diagnostics. PEAKS is based on a speech recognition system and was extended to incorporate a speaker model. This investigation validated PEAKS for isolated cleft palate. ###Answer 1. Changed Explanation: In Sentence A, the term ""speech disorder"" is used in the context of stuttering, specifically to describe the different types of stuttering in children. The term carries a negative connotation, implying that the child's speech is impaired or abnormal. In Sentence B, the term ""speech disorder"" is used in a different context, specifically to describe the effects of surgical repair of cleft lip and palate on a child's speech development. The term carries a neutral or positive connotation, implying that the child's speech will improve after the surgery. Therefore, the meaning of the term ""speech disorder"" has shifted significantly between the two sentences, indicating semantic drift has occurred." 45,Speech disorder,"Post-surgical maxillary defects have recently been reconstructed by microvascularized free flaps. However, few reports have evaluated the resulting speech function. This study compared the speech intelligibility of four maxillectomy patients who underwent reconstruction by rectus abdominis myocutaneous flaps (RAMCF) with that of four non-reconstructed patients who were treated with split-skin grafts and prostheses, to explore ways of achieving better speech function. Speech function was assessed by a Japanese language speech intelligibility test. Intelligibility scores ranged from 57.3% to 75.8% (mean, 70.4%) in the non-reconstructed group and from 66.2% to 77.2% (mean, 71.0%) in the reconstructed group. An analysis of articulatory manners and sites revealed that speech disorders resulted mainly from poor oronasal separation in the non-reconstructed group and from incorrect linguopalatal contact in the reconstructed group, especially for linguodentoalveolar and linguovelar sounds. Therefore, for higher speech function in the reconstructed group, dentoalveolar and palatal contours of the maxilla must be restored as closely as possible. This must also be done in patients whose maxillae are reconstructed by other types of microvascularized myocutaneous or cutaneous flaps that have similar postoperative palatal contours.","Stroke is a major cause of serious disabilities in adults. While communication deficits post stroke are prevalent and disabling, early detection of them is important during acute phase. There is limited data published on the incidence of communication disorders in Persian speaking adults following post stroke to our knowledge. The present study aims to determine the incidence and associated factors of aphasia, cognitive deficits, motor speech disorders (apraxia and dysarthria) as well as dysphagia following acute post stroke in Persian speaking adults. 100 stroke patients were assessed using P-WAB, MMSE, Oral Apraxia test, Informal Dysarthria assessment, and MASA. The data was collected from 2 hospitals in Tehran using convenient sampling for the duration of 1 year. Based on our findings, the incidence of aphasia, cognitive deficits, oral apraxia, dysarthria, and dysphagia was in respectively 61.8%, 76%, 30%, 61%, and 39% of stroke patients during the acute phase. Patients with aphasia were significantly older (mean age, 59.29 vs. 64.95), and had fewer education years (9.21 vs. 5.45) compared to individuals without aphasia (","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Speech disorder Sentence A: Post-surgical maxillary defects have recently been reconstructed by microvascularized free flaps. However, few reports have evaluated the resulting speech function. This study compared the speech intelligibility of four maxillectomy patients who underwent reconstruction by rectus abdominis myocutaneous flaps (RAMCF) with that of four non-reconstructed patients who were treated with split-skin grafts and prostheses, to explore ways of achieving better speech function. Speech function was assessed by a Japanese language speech intelligibility test. Intelligibility scores ranged from 57.3% to 75.8% (mean, 70.4%) in the non-reconstructed group and from 66.2% to 77.2% (mean, 71.0%) in the reconstructed group. An analysis of articulatory manners and sites revealed that speech disorders resulted mainly from poor oronasal separation in the non-reconstructed group and from incorrect linguopalatal contact in the reconstructed group, especially for linguodentoalveolar and linguovelar sounds. Therefore, for higher speech function in the reconstructed group, dentoalveolar and palatal contours of the maxilla must be restored as closely as possible. This must also be done in patients whose maxillae are reconstructed by other types of microvascularized myocutaneous or cutaneous flaps that have similar postoperative palatal contours. Sentence B: Stroke is a major cause of serious disabilities in adults. While communication deficits post stroke are prevalent and disabling, early detection of them is important during acute phase. There is limited data published on the incidence of communication disorders in Persian speaking adults following post stroke to our knowledge. The present study aims to determine the incidence and associated factors of aphasia, cognitive deficits, motor speech disorders (apraxia and dysarthria) as well as dysphagia following acute post stroke in Persian speaking adults. 100 stroke patients were assessed using P-WAB, MMSE, Oral Apraxia test, Informal Dysarthria assessment, and MASA. The data was collected from 2 hospitals in Tehran using convenient sampling for the duration of 1 year. Based on our findings, the incidence of aphasia, cognitive deficits, oral apraxia, dysarthria, and dysphagia was in respectively 61.8%, 76%, 30%, 61%, and 39% of stroke patients during the acute phase. Patients with aphasia were significantly older (mean age, 59.29 vs. 64.95), and had fewer education years (9.21 vs. 5.45) compared to individuals without aphasia ( ###Answer 1. Changed (Semantic drift has occurred) Reasoning: In Sentence A, the target word ""Speech disorder"" is used to describe the post-surgical maxillary defects and their impact on speech function. The word connotes a condition that affects the ability to speak clearly and effectively. In this context, the term ""speech disorder"" implies a significant impairment in speech function, which may require medical intervention. However, in Sentence B, the target word ""Speech disorder"" is used in a different context. It is mentioned in the context of stroke patients and their communication deficits. In this context, the term ""speech disorder"" implies a more general impairment in communication skills, including language comprehension and expression. Comparing the two sentences, it is clear that the meaning of the target word has shifted significantly. In Sentence A, the focus is on the specific speech impairments resulting from maxillary defects, while in Sentence B, the focus is on the more general communication deficits in stroke patients. This shift in meaning suggests that the term ""speech disorder"" has undergone semantic drift. Therefore, the label ""Changed"" is appropriate." 46,Speech disorder,"Defective pronunciation of one or more mother language phones, i.e. dyslalia, represents the most frequent speech impairment both in children and adult people. Cases of persisting speech disorder need professional approach and help. The aim of the study was to obtain a model of physiological articulation of the sibilant ""s"" in children. The method of FFT spectral analysis was made use of. Results will serve for further use in evaluation of speech impairment.","Upper airway and vocalization control areas such as the periaqueductal gray (PAG), kölliker-fuse nucleus (KF) and nucleus retroambiguus (NRA) are prone to developing tauopathy in mice expressing the mutant human tau P301L protein. Consequently, impaired ultrasonic vocalization (USV) previously identified in tau-P301L mice at the terminal disease stage of 8-9 months of age, was attributed to the presence of tauopathy in these regions. Our aim was to establish whether the onset of USV disorders manifest prior to the terminal stage, and if USV disorders are predictive of the presence of tauopathy in the PAG, KF and NRA. USVs produced by tau-P301L and wildtype mice aged 3-4, 5-6 or 8-9 months were recorded during male-female interaction. Immunohistochemistry was then performed to assess the presence or degree of tauopathy in the PAG, KF and NRA of mice displaying normal or abnormal USV patterns. Comparing various USV measurements, including the number, duration and frequency of calls, revealed no differences between tau-P301L and wildtype mice across all age groups, and linear discriminant analysis also failed to identify separate USV populations. Finally, the presence of tauopathy in the PAG, KF and NRA in individual tau-P301L mice did not reliably associate with USV disorders. Our findings that tauopathy in designated mammalian vocalization centres, such as the PAG, KF and NRA, did not associate with USV disturbances in tau-P301L mice questions whether USV phenotypes in this transgenic mouse are valid for studying tauopathy-related human voice and speech disorders.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Speech disorder Sentence A: Defective pronunciation of one or more mother language phones, i.e. dyslalia, represents the most frequent speech impairment both in children and adult people. Cases of persisting speech disorder need professional approach and help. The aim of the study was to obtain a model of physiological articulation of the sibilant ""s"" in children. The method of FFT spectral analysis was made use of. Results will serve for further use in evaluation of speech impairment. Sentence B: Upper airway and vocalization control areas such as the periaqueductal gray (PAG), kölliker-fuse nucleus (KF) and nucleus retroambiguus (NRA) are prone to developing tauopathy in mice expressing the mutant human tau P301L protein. Consequently, impaired ultrasonic vocalization (USV) previously identified in tau-P301L mice at the terminal disease stage of 8-9 months of age, was attributed to the presence of tauopathy in these regions. Our aim was to establish whether the onset of USV disorders manifest prior to the terminal stage, and if USV disorders are predictive of the presence of tauopathy in the PAG, KF and NRA. USVs produced by tau-P301L and wildtype mice aged 3-4, 5-6 or 8-9 months were recorded during male-female interaction. Immunohistochemistry was then performed to assess the presence or degree of tauopathy in the PAG, KF and NRA of mice displaying normal or abnormal USV patterns. Comparing various USV measurements, including the number, duration and frequency of calls, revealed no differences between tau-P301L and wildtype mice across all age groups, and linear discriminant analysis also failed to identify separate USV populations. Finally, the presence of tauopathy in the PAG, KF and NRA in individual tau-P301L mice did not reliably associate with USV disorders. Our findings that tauopathy in designated mammalian vocalization centres, such as the PAG, KF and NRA, did not associate with USV disturbances in tau-P301L mice questions whether USV phenotypes in this transgenic mouse are valid for studying tauopathy-related human voice and speech disorders. ###Answer 1. Changed Reasoning: The target word ""speech disorder"" has undergone a significant change in meaning between the two sentences. In Sentence A, the term refers to a specific type of speech impairment related to pronunciation, while in Sentence B, the term is used in the context of tauopathy and its effects on vocalization control areas in mice. The two sentences are not directly related to each other, and the term ""speech disorder"" has taken on a different meaning in each context. Therefore, semantic drift has occurred in the target word." 47,Speech disorder,"The oral rehabilitation of a five-and-a-half year old boy is presented, who had an almost complete dental loss due to caries at the age of three years. Partial and complete dentures were provided to restore function and aesthetics, to prevent psychological and speech disorders and to reduce the severity of malocclusion and loss of space in the permanent dentition. The long-term treatment planning objectives are discussed in relation to orthodontic considerations, the establishment of the permanent dentition and the expectations for future growth. This case demonstrates the requirement for interdisciplinary involvement in the treatment planning for children with extensive tooth loss."," Dysarthria is a speech disorder that hinders communication due to difficulties in articulating words. Detection of dysarthria is important for several reasons as it can be used to develop a treatment plan and help improve a person's quality of life and ability to communicate effectively. Much of the literature focused on improving ASR systems for dysarthric speech. The objective of the current work is to develop models that can accurately classify the presence of dysarthria and also give information about the intelligibility level using limited data by employing a few-shot approach using a transformer model. This work also aims to tackle the data leakage that is present in previous studies. Our whisper-large-v2 transformer model trained on a subset of the UASpeech dataset containing medium intelligibility level patients achieved an accuracy of 85%, precision of 0.92, recall of 0.8 F1-score of 0.85, and specificity of 0.91. Experimental results also demonstrate that the model trained using the 'words' dataset performed better compared to the model trained on the 'letters' and 'digits' dataset. Moreover, the multiclass model achieved an accuracy of 67%. ","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Speech disorder Sentence A: The oral rehabilitation of a five-and-a-half year old boy is presented, who had an almost complete dental loss due to caries at the age of three years. Partial and complete dentures were provided to restore function and aesthetics, to prevent psychological and speech disorders and to reduce the severity of malocclusion and loss of space in the permanent dentition. The long-term treatment planning objectives are discussed in relation to orthodontic considerations, the establishment of the permanent dentition and the expectations for future growth. This case demonstrates the requirement for interdisciplinary involvement in the treatment planning for children with extensive tooth loss. Sentence B: Dysarthria is a speech disorder that hinders communication due to difficulties in articulating words. Detection of dysarthria is important for several reasons as it can be used to develop a treatment plan and help improve a person's quality of life and ability to communicate effectively. Much of the literature focused on improving ASR systems for dysarthric speech. The objective of the current work is to develop models that can accurately classify the presence of dysarthria and also give information about the intelligibility level using limited data by employing a few-shot approach using a transformer model. This work also aims to tackle the data leakage that is present in previous studies. Our whisper-large-v2 transformer model trained on a subset of the UASpeech dataset containing medium intelligibility level patients achieved an accuracy of 85%, precision of 0.92, recall of 0.8 F1-score of 0.85, and specificity of 0.91. Experimental results also demonstrate that the model trained using the 'words' dataset performed better compared to the model trained on the 'letters' and 'digits' dataset. Moreover, the multiclass model achieved an accuracy of 67%. ###Answer Target word: Speech disorder Semantic drift: Changed Reasoning: The target word ""Speech disorder"" has undergone significant change in meaning between the two sentences. In Sentence A, the term is used in the context of a child's oral rehabilitation following tooth loss, with a focus on restoring function and aesthetics, as well as preventing psychological and speech disorders. In contrast, in Sentence B, the term is used in the context of dysarthria, a specific type of speech disorder characterized by difficulties in articulating words. The two sentences suggest different aspects of speech disorders, with Sentence A focusing on the broader context of oral rehabilitation, and Sentence B focusing on the specific diagnosis of dysarthria. Therefore, the meaning of the target word has significantly shifted between the two sentences, indicating semantic drift." 48,Speech disorder,"Tongue strength and endurance measures were obtained from six children with developmental verbal dyspraxia (DVD) aged between 5;6 years and 11;5 years and compared to those achieved by six normal speaking controls matched for age and sex. The instrument for measuring tongue strength comprised an air-filled soft rubber bulb connected to a pressure transducer. The results indicated that the DVD group had weaker lingual musculature than the controls. In addition the DVD subjects exhibited significantly reduced tongue strength endurance compared with the controls. Overall the findings support the hypothesis that a motor impairment forms at least part of the basis of DVD and may be indicative of the presence of a concomitant dysarthria in children with DVD, or may reflect an underspecification of the motor programme. The need for revision of contemporary taxonomies relating to childhood motor speech disorders is discussed."," More than 90% of the Parkinson Disease (PD) patients suffer from vocal disorders. Speech impairment is already indicator of PD. This study focuses on PD diagnosis through voiceprint features. In this paper, a method based on Deep Neural Network (DNN) recognition and classification combined with Mini-Batch Gradient Descent (MBGD) is proposed to distinguish PD patients from healthy people using voiceprint features. In order to exact the voiceprint features from patients, Weighted Mel Frequency Cepstrum Coefficients (WMFCC) is applied. The proposed method is tested on experimental data obtained by the voice recordings of three sustained vowels /a/, /o/ and /u/ from participants (48 PD and 20 healthy people). The results show that the proposed method achieves a high accuracy of diagnosis of PD patients from healthy people, than the conventional methods like Support Vector Machine (SVM) and other mentioned in this paper. The accuracy achieved is 89.5%. WMFCC approach can solve the problem that the high-order cepstrum coefficients are small and the features component's representation ability to the audio is weak. MBGD reduces the computational loads of the loss function, and increases the training speed of the system. DNN classifier enhances the classification ability of voiceprint features. Therefore, the above approaches can provide a solid solution for the quick auxiliary diagnosis of PD in early stage. ","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Speech disorder Sentence A: Tongue strength and endurance measures were obtained from six children with developmental verbal dyspraxia (DVD) aged between 5;6 years and 11;5 years and compared to those achieved by six normal speaking controls matched for age and sex. The instrument for measuring tongue strength comprised an air-filled soft rubber bulb connected to a pressure transducer. The results indicated that the DVD group had weaker lingual musculature than the controls. In addition the DVD subjects exhibited significantly reduced tongue strength endurance compared with the controls. Overall the findings support the hypothesis that a motor impairment forms at least part of the basis of DVD and may be indicative of the presence of a concomitant dysarthria in children with DVD, or may reflect an underspecification of the motor programme. The need for revision of contemporary taxonomies relating to childhood motor speech disorders is discussed. Sentence B: More than 90% of the Parkinson Disease (PD) patients suffer from vocal disorders. Speech impairment is already indicator of PD. This study focuses on PD diagnosis through voiceprint features. In this paper, a method based on Deep Neural Network (DNN) recognition and classification combined with Mini-Batch Gradient Descent (MBGD) is proposed to distinguish PD patients from healthy people using voiceprint features. In order to exact the voiceprint features from patients, Weighted Mel Frequency Cepstrum Coefficients (WMFCC) is applied. The proposed method is tested on experimental data obtained by the voice recordings of three sustained vowels /a/, /o/ and /u/ from participants (48 PD and 20 healthy people). The results show that the proposed method achieves a high accuracy of diagnosis of PD patients from healthy people, than the conventional methods like Support Vector Machine (SVM) and other mentioned in this paper. The accuracy achieved is 89.5%. WMFCC approach can solve the problem that the high-order cepstrum coefficients are small and the features component's representation ability to the audio is weak. MBGD reduces the computational loads of the loss function, and increases the training speed of the system. DNN classifier enhances the classification ability of voiceprint features. Therefore, the above approaches can provide a solid solution for the quick auxiliary diagnosis of PD in early stage. ###Answer 1. Changed Reasoning: The meaning of the target word ""speech disorder"" has changed significantly between the two sentences. In Sentence A, the term refers to a motor impairment in children with developmental verbal dyspraxia, while in Sentence B, it refers to a vocal disorder in patients with Parkinson's disease. The word's connotation has shifted from a neurological disorder in children to a symptom of an underlying neurodegenerative disease in adults." 49,Speech disorder,"On the occasion of 100's anniversary of first phoniatrics' department foundation in Poland--""The Warsaw Institute of Speech Deviation"", the activity of dr med. Władysław Ołtuszewski its organizer and the pioneer of Polish phoniatrics is described. The main topics of his activities are referred in his book ""About speech and its disorders"" (1906). Dr Ołtuszewski's achievements in the popularization of the knowledge about speech disorders were strongly pointed out. His lectures were given not only for medical societies but also for the pedagogic ones."," Despite the rapid progress of automatic speech recognition (ASR) technologies in the past few decades, recognition of disordered speech remains a highly challenging task to date. Disordered speech presents a wide spectrum of challenges to current data intensive deep neural networks (DNNs) based ASR technologies that predominantly target normal speech. This paper presents recent research efforts at the Chinese University of Hong Kong (CUHK) to improve the performance of disordered speech recognition systems on the largest publicly available UASpeech dysarthric speech corpus. A set of novel modelling techniques including neural architectural search, data augmentation using spectra-temporal perturbation, model based speaker adaptation and cross-domain generation of visual features within an audio-visual speech recognition (AVSR) system framework were employed to address the above challenges. The combination of these techniques produced the lowest published word error rate (WER) of 25.21% on the UASpeech test set 16 dysarthric speakers, and an overall WER reduction of 5.4% absolute (17.6% relative) over the CUHK 2018 dysarthric speech recognition system featuring a 6-way DNN system combination and cross adaptation of out-of-domain normal speech data trained systems. Bayesian model adaptation further allows rapid adaptation to individual dysarthric speakers to be performed using as little as 3.06 seconds of speech. The efficacy of these techniques were further demonstrated on a CUDYS Cantonese dysarthric speech recognition task. ","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Speech disorder Sentence A: On the occasion of 100's anniversary of first phoniatrics' department foundation in Poland--""The Warsaw Institute of Speech Deviation"", the activity of dr med. Władysław Ołtuszewski its organizer and the pioneer of Polish phoniatrics is described. The main topics of his activities are referred in his book ""About speech and its disorders"" (1906). Dr Ołtuszewski's achievements in the popularization of the knowledge about speech disorders were strongly pointed out. His lectures were given not only for medical societies but also for the pedagogic ones. Sentence B: Despite the rapid progress of automatic speech recognition (ASR) technologies in the past few decades, recognition of disordered speech remains a highly challenging task to date. Disordered speech presents a wide spectrum of challenges to current data intensive deep neural networks (DNNs) based ASR technologies that predominantly target normal speech. This paper presents recent research efforts at the Chinese University of Hong Kong (CUHK) to improve the performance of disordered speech recognition systems on the largest publicly available UASpeech dysarthric speech corpus. A set of novel modelling techniques including neural architectural search, data augmentation using spectra-temporal perturbation, model based speaker adaptation and cross-domain generation of visual features within an audio-visual speech recognition (AVSR) system framework were employed to address the above challenges. The combination of these techniques produced the lowest published word error rate (WER) of 25.21% on the UASpeech test set 16 dysarthric speakers, and an overall WER reduction of 5.4% absolute (17.6% relative) over the CUHK 2018 dysarthric speech recognition system featuring a 6-way DNN system combination and cross adaptation of out-of-domain normal speech data trained systems. Bayesian model adaptation further allows rapid adaptation to individual dysarthric speakers to be performed using as little as 3.06 seconds of speech. The efficacy of these techniques were further demonstrated on a CUDYS Cantonese dysarthric speech recognition task. ###Answer 1. Changed Reasoning: The target word ""speech disorder"" has undergone a significant change in meaning between Sentence A (1906) and Sentence B (2020). In Sentence A, the term likely refers to a specific type of speech impediment or disability, as the context discusses the pioneering work of a medical professional in the field. In contrast, in Sentence B, the term seems to refer to a broader range of speech challenges, including those caused by dysarthria, a type of speech disorder. The shift in meaning could be attributed to changes in medical understanding, diagnostic practices, or even the evolution of language use in different domains and contexts. Therefore, the label ""Changed"" is appropriate to indicate that the meaning of the target word has significantly shifted over time." 50,Speech disorder,"The aim of the present study was to determine changes in function of the masticatory system in children with articulatory speech disorders and in the controls by re-examining a sample of 287 previously studied children from 7 to 10 years of age. Articulatory speech disorders were diagnosed by the same speech therapist during spontaneous speech and test words using the Remes Articulation Test. Mandibular movement capacity, occlusal interferences, slide between retruded and intercuspal positions, and signs and symptoms of the craniomandibular disorders (CMD) were recorded by a dentist. The follow-up results showed that mandibular movement capacity increased in almost all individuals, decreasing only in about 10% of cases. However, among children with speech disorders lateral jaw movements decreased in about 30% of subjects. During growth the prevalence of CMD increased while single signs and symptoms fluctuated. Differences between the groups for expression of CMD, mandibular movement capacity and occlusal recordings mainly levelled off. Higher constancy of subjective symptoms and retrusive interferences in children with speech disorders than in the controls supports our previous findings that, in growing individuals, different orofacial dysfunctions seem to be associated with each other."," This paper presents a systematic literature review of published studies on AI-based automated speech therapy tools for persons with speech sound disorders (SSD). The COVID-19 pandemic has initiated the requirement for automated speech therapy tools for persons with SSD making speech therapy accessible and affordable. However, there are no guidelines for designing such automated tools and their required degree of automation compared to human experts. In this systematic review, we followed the PRISMA framework to address four research questions: 1) what types of SSD do AI-based automated speech therapy tools address, 2) what is the level of autonomy achieved by such tools, 3) what are the different modes of intervention, and 4) how effective are such tools in comparison with human experts. An extensive search was conducted on digital libraries to find research papers relevant to our study from 2007 to 2022. The results show that AI-based automated speech therapy tools for persons with SSD are increasingly gaining attention among researchers. Articulation disorders were the most frequently addressed SSD based on the reviewed papers. Further, our analysis shows that most researchers proposed fully automated tools without considering the role of other stakeholders. Our review indicates that mobile-based and gamified applications were the most frequent mode of intervention. The results further show that only a few studies compared the effectiveness of such tools compared to expert Speech-Language Pathologists (SLP). Our paper presents the state-of-the-art in the field, contributes significant insights based on the research questions, and provides suggestions for future research directions. ","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Speech disorder Sentence A: The aim of the present study was to determine changes in function of the masticatory system in children with articulatory speech disorders and in the controls by re-examining a sample of 287 previously studied children from 7 to 10 years of age. Articulatory speech disorders were diagnosed by the same speech therapist during spontaneous speech and test words using the Remes Articulation Test. Mandibular movement capacity, occlusal interferences, slide between retruded and intercuspal positions, and signs and symptoms of the craniomandibular disorders (CMD) were recorded by a dentist. The follow-up results showed that mandibular movement capacity increased in almost all individuals, decreasing only in about 10% of cases. However, among children with speech disorders lateral jaw movements decreased in about 30% of subjects. During growth the prevalence of CMD increased while single signs and symptoms fluctuated. Differences between the groups for expression of CMD, mandibular movement capacity and occlusal recordings mainly levelled off. Higher constancy of subjective symptoms and retrusive interferences in children with speech disorders than in the controls supports our previous findings that, in growing individuals, different orofacial dysfunctions seem to be associated with each other. Sentence B: This paper presents a systematic literature review of published studies on AI-based automated speech therapy tools for persons with speech sound disorders (SSD). The COVID-19 pandemic has initiated the requirement for automated speech therapy tools for persons with SSD making speech therapy accessible and affordable. However, there are no guidelines for designing such automated tools and their required degree of automation compared to human experts. In this systematic review, we followed the PRISMA framework to address four research questions: 1) what types of SSD do AI-based automated speech therapy tools address, 2) what is the level of autonomy achieved by such tools, 3) what are the different modes of intervention, and 4) how effective are such tools in comparison with human experts. An extensive search was conducted on digital libraries to find research papers relevant to our study from 2007 to 2022. The results show that AI-based automated speech therapy tools for persons with SSD are increasingly gaining attention among researchers. Articulation disorders were the most frequently addressed SSD based on the reviewed papers. Further, our analysis shows that most researchers proposed fully automated tools without considering the role of other stakeholders. Our review indicates that mobile-based and gamified applications were the most frequent mode of intervention. The results further show that only a few studies compared the effectiveness of such tools compared to expert Speech-Language Pathologists (SLP). Our paper presents the state-of-the-art in the field, contributes significant insights based on the research questions, and provides suggestions for future research directions. ###Answer 1. Changed The meaning of the target word ""speech disorder"" has changed significantly between the two sentences. In Sentence A, the term is used to describe a specific type of articulatory speech disorder, with a focus on the diagnosis and recording of mandibular movement capacity, occlusal interferences, and signs and symptoms of craniomandibular disorders. In contrast, Sentence B uses the term to describe a broader range of speech sound disorders, including articulation disorders, and focuses more on the use of AI-based automated speech therapy tools to address these disorders. The shift in emphasis from a specific diagnosis to a broader range of disorders, and from a focus on manual diagnosis and recording to a focus on automated tools, indicates a significant change in the meaning of the target word." 51,Speech disorder,"This study examined the effects of intensive voice treatment (the Lee Silverman Voice Treatment [LSVT]) on ataxic dysarthria in a woman with cerebellar dysfunction secondary to thiamine deficiency. Perceptual and acoustic measures were made on speech samples recorded just before the LSVT program was administered, immediately after it was administered, and at 9 months follow-up. Results indicate short- and long-term improvement in phonatory and articulatory functions, speech intelligibility, and overall communication and job-related activity following LSVT. This study's findings provide initial support for the application of LSVT to the treatment of speech disorders accompanying ataxic dysarthria. Potential neural mechanisms that may underlie the effects of loud phonation and LSVT are addressed.","Purpose This study evaluated ultrasound visual biofeedback treatment for teaching new articulations to children with a wide variety of speech sound disorders. It was hypothesized that motor-based intervention incorporating ultrasound would lead to rapid acquisition of a range of target lingual gestures with generalization to untreated words. Method Twenty children aged 6-15 years with a range of mild to severe speech disorders affecting a variety of lingual targets enrolled in a case series with replication. Of these, 15 children completed the intervention. All of the children presented with a variety of errors. We therefore employed a target selection strategy to treat the most frequent lingual error. These individual speech targets were treated using ultrasound visual biofeedback as part of ten to twelve 1-hr intervention sessions. The primary outcome measure was percentage of target segments correct in untreated wordlists. Results Six children were treated for velar fronting; 3 children, for postalveolar fronting; 2 children, for backing alveolars to pharyngeal or glottal place; 1 child, for debuccalization (production of all onsets as [h]); 1 child, for vowel merger; and 2 children, for lateralized sibilants. Ten achieved the new articulation in the 1st or 2nd session of intervention, despite no children being readily stimulable for their target articulation before intervention. In terms of generalization, effect sizes for percentage of target segments correct ranged from no effect (5 children), small effect (1 child), medium effect (4 children), and large effect (5 children). Conclusions Ultrasound visual biofeedback can be used to treat a wide range of lingual errors in children with various speech sound disorders, from mild to severe. Visual feedback may be useful for establishing new articulations; however, generalization is more variable.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Speech disorder Sentence A: This study examined the effects of intensive voice treatment (the Lee Silverman Voice Treatment [LSVT]) on ataxic dysarthria in a woman with cerebellar dysfunction secondary to thiamine deficiency. Perceptual and acoustic measures were made on speech samples recorded just before the LSVT program was administered, immediately after it was administered, and at 9 months follow-up. Results indicate short- and long-term improvement in phonatory and articulatory functions, speech intelligibility, and overall communication and job-related activity following LSVT. This study's findings provide initial support for the application of LSVT to the treatment of speech disorders accompanying ataxic dysarthria. Potential neural mechanisms that may underlie the effects of loud phonation and LSVT are addressed. Sentence B: Purpose This study evaluated ultrasound visual biofeedback treatment for teaching new articulations to children with a wide variety of speech sound disorders. It was hypothesized that motor-based intervention incorporating ultrasound would lead to rapid acquisition of a range of target lingual gestures with generalization to untreated words. Method Twenty children aged 6-15 years with a range of mild to severe speech disorders affecting a variety of lingual targets enrolled in a case series with replication. Of these, 15 children completed the intervention. All of the children presented with a variety of errors. We therefore employed a target selection strategy to treat the most frequent lingual error. These individual speech targets were treated using ultrasound visual biofeedback as part of ten to twelve 1-hr intervention sessions. The primary outcome measure was percentage of target segments correct in untreated wordlists. Results Six children were treated for velar fronting; 3 children, for postalveolar fronting; 2 children, for backing alveolars to pharyngeal or glottal place; 1 child, for debuccalization (production of all onsets as [h]); 1 child, for vowel merger; and 2 children, for lateralized sibilants. Ten achieved the new articulation in the 1st or 2nd session of intervention, despite no children being readily stimulable for their target articulation before intervention. In terms of generalization, effect sizes for percentage of target segments correct ranged from no effect (5 children), small effect (1 child), medium effect (4 children), and large effect (5 children). Conclusions Ultrasound visual biofeedback can be used to treat a wide range of lingual errors in children with various speech sound disorders, from mild to severe. Visual feedback may be useful for establishing new articulations; however, generalization is more variable. ###Answer 1. Changed Explanation: In Sentence A, the term ""speech disorder"" is used in the context of a specific type of speech difficulty (ataxic dysarthria) caused by thiamine deficiency. The term is used to describe the effects of the treatment on the patient's speech, including improved phonatory and articulatory functions, speech intelligibility, and overall communication and job-related activity. The term does not convey any particular connotation or emotion. In Sentence B, the term ""speech disorder"" is used in a different context, to describe a wide range of speech sound disorders in children. The term is used to describe the various lingual errors treated with ultrasound visual biofeedback, including velar fronting, postalveolar fronting, backing alveolars to pharyngeal or glottal place, debuccalization, vowel merger, and lateralized sibilants. The term conveys a sense of variety and complexity in the types of speech disorders being treated. Additionally, the term is used to describe the effectiveness of the treatment in establishing new articulations, with varying levels of generalization. The term may convey a sense of hope or optimism in the potential for improvement. Based on these differences in context and meaning, it can be concluded that the term ""speech disorder"" has undergone semantic drift between Sentence A and Sentence B. In Sentence A, the term is used in a specific and technical sense, while in Sentence B, the term is used in a more general and descriptive sense, encompassing a wider range of speech disorders and treatment outcomes. Therefore, the label ""Changed"" is appropriate to indicate that the meaning of the term ""speech disorder"" has shifted between the two sentences." 52,Speech disorder,"Swallowing disorders in oral and pharyngeal phase after surgery of mouth, pharynx or larynx are very often interrelated with speech and voice disorders. The results of diagnostic methods of dysphagia and voice/speech disorders based on own material of patients after total laryngectomy, partial tongue resection and cleft palate surgery were presented. Attention was also paid to other etiological factors of swallowing disorders observed in phoniatric practice.","Anterior open bite AOB is the most common malocclusion associated with speech disorders and the literature has shown that problems of occlusion involve all oral functions. AOB not only produce aesthetic and occlusal problems for the patient and modifies the union of the lips, tongue, teeth, palate, palatal rugae and oropharynx, and thus affecting the ability to communicate well with their surroundings. The prevalence of AOB in children and adolescent in our population is unknown. Furthermore, the most frequent type of dyslalias in children with this malocclusion is also unknown. Therefore, the aim of the study was to describe the frequency and types of dyslalia in students between 8-16 years with AOB, as well as the difference in the types of dyslalia according to the magnitude of AOB.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Speech disorder Sentence A: Swallowing disorders in oral and pharyngeal phase after surgery of mouth, pharynx or larynx are very often interrelated with speech and voice disorders. The results of diagnostic methods of dysphagia and voice/speech disorders based on own material of patients after total laryngectomy, partial tongue resection and cleft palate surgery were presented. Attention was also paid to other etiological factors of swallowing disorders observed in phoniatric practice. Sentence B: Anterior open bite AOB is the most common malocclusion associated with speech disorders and the literature has shown that problems of occlusion involve all oral functions. AOB not only produce aesthetic and occlusal problems for the patient and modifies the union of the lips, tongue, teeth, palate, palatal rugae and oropharynx, and thus affecting the ability to communicate well with their surroundings. The prevalence of AOB in children and adolescent in our population is unknown. Furthermore, the most frequent type of dyslalias in children with this malocclusion is also unknown. Therefore, the aim of the study was to describe the frequency and types of dyslalia in students between 8-16 years with AOB, as well as the difference in the types of dyslalia according to the magnitude of AOB. ###Answer 1. Changed Reasoning: In Sentence A, the target word ""speech disorder"" is used in the context of surgical interventions for mouth, pharynx, or larynx disorders. The word connotes a specific type of disorder related to communication and speech production. In contrast, in Sentence B, the target word ""speech disorder"" is used in the context of a malocclusion, specifically anterior open bite (AOB). The word now connotes a type of oral function impairment that affects the ability to communicate effectively. The difference in meaning between the two sentences suggests that the term ""speech disorder"" has undergone semantic drift, shifting from a specific type of disorder related to speech production to a more general term encompassing a broader range of oral function impairments. Therefore, the label ""Changed"" is appropriate." 53,Speech disorder,"This study investigated the perceptual-phonetic predictors of intelligibility in Cantonese speakers with dysarthria. The speakers were 20 young adults with cerebral palsy. The listener group consisted of 12 native Cantonese speakers. A single-word intelligibility test was constructed, based on 17 phonetic contrasts. There were no significant differences in intelligibility for gender, age, or type of cerebral palsy. A regression analysis showed that intelligibility could be predicted with 97% accuracy by 5 out of the 6 most problematic contrasts. Three contrasts (glottal vs. null, final vs. null, and long vs. short vowel) predicted variation on an independent intelligibility measure obtained for the same speakers with 84% accuracy. Principal components analysis derived 4 components, which accounted for 81% of the variance in the 17 contrasts. Physiological explanations and language-specific contributions to speech disorder in this group of speakers are discussed."," Objective: Voice disorders significantly compromise individuals' ability to speak in their daily lives. Without early diagnosis and treatment, these disorders may deteriorate drastically. Thus, automatic classification systems at home are desirable for people who are inaccessible to clinical disease assessments. However, the performance of such systems may be weakened due to the constrained resources and domain mismatch between the clinical data and noisy real-world data. Methods: This study develops a compact and domain-robust voice disorder classification system to identify the utterances of health, neoplasm, and benign structural diseases. Our proposed system utilizes a feature extractor model composed of factorized convolutional neural networks and subsequently deploys domain adversarial training to reconcile the domain mismatch by extracting domain invariant features. Results: The results show that the unweighted average recall in the noisy real-world domain improved by 13% and remained at 80% in the clinic domain with only slight degradation. The domain mismatch was effectively eliminated. Moreover, the proposed system reduced the usage of both memory and computation by over 73.9%. Conclusion: By deploying factorized convolutional neural networks and domain adversarial training, domain-invariant features can be derived for voice disorder classification with limited resources. The promising results confirm that the proposed system can significantly reduce resource consumption and improve classification accuracy by considering the domain mismatch. Significance: To the best of our knowledge, this is the first study that jointly considers real-world model compression and noise-robustness issues in voice disorder classification. The proposed system is intended for application to embedded systems with limited resources. ","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Speech disorder Sentence A: This study investigated the perceptual-phonetic predictors of intelligibility in Cantonese speakers with dysarthria. The speakers were 20 young adults with cerebral palsy. The listener group consisted of 12 native Cantonese speakers. A single-word intelligibility test was constructed, based on 17 phonetic contrasts. There were no significant differences in intelligibility for gender, age, or type of cerebral palsy. A regression analysis showed that intelligibility could be predicted with 97% accuracy by 5 out of the 6 most problematic contrasts. Three contrasts (glottal vs. null, final vs. null, and long vs. short vowel) predicted variation on an independent intelligibility measure obtained for the same speakers with 84% accuracy. Principal components analysis derived 4 components, which accounted for 81% of the variance in the 17 contrasts. Physiological explanations and language-specific contributions to speech disorder in this group of speakers are discussed. Sentence B: Objective: Voice disorders significantly compromise individuals' ability to speak in their daily lives. Without early diagnosis and treatment, these disorders may deteriorate drastically. Thus, automatic classification systems at home are desirable for people who are inaccessible to clinical disease assessments. However, the performance of such systems may be weakened due to the constrained resources and domain mismatch between the clinical data and noisy real-world data. Methods: This study develops a compact and domain-robust voice disorder classification system to identify the utterances of health, neoplasm, and benign structural diseases. Our proposed system utilizes a feature extractor model composed of factorized convolutional neural networks and subsequently deploys domain adversarial training to reconcile the domain mismatch by extracting domain invariant features. Results: The results show that the unweighted average recall in the noisy real-world domain improved by 13% and remained at 80% in the clinic domain with only slight degradation. The domain mismatch was effectively eliminated. Moreover, the proposed system reduced the usage of both memory and computation by over 73.9%. Conclusion: By deploying factorized convolutional neural networks and domain adversarial training, domain-invariant features can be derived for voice disorder classification with limited resources. The promising results confirm that the proposed system can significantly reduce resource consumption and improve classification accuracy by considering the domain mismatch. Significance: To the best of our knowledge, this is the first study that jointly considers real-world model compression and noise-robustness issues in voice disorder classification. The proposed system is intended for application to embedded systems with limited resources. ###Answer 1. Changed Reasoning: In Sentence A, the target word ""Speech disorder"" is used in the context of a study investigating the perceptual-phonetic predictors of intelligibility in Cantonese speakers with dysarthria. The word is used to describe the speakers' condition, which is characterized by difficulty with articulation and pronunciation due to cerebral palsy. In Sentence B, the target word ""Speech disorder"" is used in the context of a study developing a voice disorder classification system. The word is used to describe the system's ability to identify utterances of health, neoplasm, and benign structural diseases. In Sentence A, the meaning of ""Speech disorder"" is related to the speakers' medical condition and the study's focus on understanding the perceptual-phonetic predictors of intelligibility. The word has a negative connotation, as it describes a condition that can significantly compromise an individual's ability to speak in their daily lives. In Sentence B, the meaning of ""Speech disorder"" has shifted to describe a system's ability to classify utterances based on domain-invariant features. The word has a more neutral connotation, as it is used to describe the system's ability to identify different types of speech disorders. Based on these differences in context and meaning, it can be concluded that the target word ""Speech disorder"" has undergone semantic drift between Sentence A and Sentence B. In Sentence A, the word is used to describe a medical condition, while in Sentence B, it is used to describe a system's ability to classify speech. Therefore, the label ""Changed"" is appropriate." 54,Speech disorder,"This paper describes the use of electropalatography (EPG) in the treatment of a speech disorder in a Cantonese-speaking woman who had primary repair of the palate at age 13. A multiple-baseline approach was used to document treatment efficacy using electropalatography. The client showed rapid improvement in articulatory placement, with generalization to nontarget phonemes. In addition, improvement was noted in her manner of articulation, with a reduction of nasal emission. The relationship between articulatory placement errors and nasal emission in late repair cleft is discussed. Explanations for the effectiveness of EPG with this client are offered.","Motor speech disorders are believed to be uncommon in early Alzheimer's disease (AD). However, data from maximum performance tests of motor speech function in AD and related disorders are virtually nonexistent. The aim of this study was to make such data available.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Speech disorder Sentence A: This paper describes the use of electropalatography (EPG) in the treatment of a speech disorder in a Cantonese-speaking woman who had primary repair of the palate at age 13. A multiple-baseline approach was used to document treatment efficacy using electropalatography. The client showed rapid improvement in articulatory placement, with generalization to nontarget phonemes. In addition, improvement was noted in her manner of articulation, with a reduction of nasal emission. The relationship between articulatory placement errors and nasal emission in late repair cleft is discussed. Explanations for the effectiveness of EPG with this client are offered. Sentence B: Motor speech disorders are believed to be uncommon in early Alzheimer's disease (AD). However, data from maximum performance tests of motor speech function in AD and related disorders are virtually nonexistent. The aim of this study was to make such data available. ###Answer 1. Changed The meaning of the target word ""speech disorder"" has significantly shifted between Sentence A and Sentence B. In Sentence A, the word refers to a specific type of speech impairment in a Cantonese-speaking individual, with a focus on the use of electropalatography (EPG) as a treatment method. The sentence provides specific details about the client's improvement in articulatory placement, generalization to nontarget phonemes, and reduction of nasal emission. In Sentence B, the term ""motor speech disorder"" is used, which is a broader category that encompasses a range of speech impairments, including those caused by neurodegenerative diseases like Alzheimer's. The sentence does not provide specific details about the nature of the speech disorder or the treatment methods used. Therefore, the meaning of the target word ""speech disorder"" has shifted from a specific type of speech impairment in a particular individual to a broader category of speech impairments in general. This change in meaning constitutes semantic drift." 55,Speech disorder,"The purpose of this study was to define more completely the speech disorders that can occur in systemic amyloidosis. Fifty-nine patients with histologically established primary systemic amyloidosis were studied. Of this group, 81% had abnormal voice quality, 43% had abnormal pitch, 7% had abnormal resonation and 15% had abnormal articulation. Twenty-two patients also had abnormal findings at laryngeal examination, consisting of bowing, oedema, thickening, dry irritation and polypoid changes of the vocal folds. Macroglossia was found in 17% of the patients and submandibular swelling in 10%. These results support previous studies which showed that abnormal phonation is a sign of systemic amyloidosis and that abnormal voice is by far the most common abnormal speech sign. The relationship between amyloid deposit and dysphonia was not clear. In 23 patients who had laryngeal examinations, no evidence of actual amyloid deposits was documented.","Advances in neuroscience have led to an expanded and improved understanding of neurobiological changes associated with rehabilitation and exercise in Parkinson's disease (PD). This knowledge has led to a direct clinical impact of increased referral for early and continuous exercise programs for individuals with PD (physical, occupational, speech therapy and general exercise programs) and an increased research focus on the impact of such approaches in humans with PD. The purpose of this article is to examine the role of speech therapy in the landscape of exercise-based interventions for individuals with PD. We will specifically focus on the intensive voice treatment protocol, Lee Silverman Voice Treatment, as an example therapy. This article will briefly review the literature on the characteristics and features of speech and voice disorders in individuals with PD, and will discuss the impact of pharmacological and surgical treatment techniques on these disorders. This will be followed by a focus on behavioral speech treatment, specifically Lee Silverman Voice Treatment, including development of the treatment approach, documenting efficacy, discovery of unexpected outcomes and insights into the mechanism of speech disorders in PD gained from treatment-related changes. This research will be placed in the context of other previous and current speech treatment approaches in development for individuals with PD, and will highlight future directions for research.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Speech disorder Sentence A: The purpose of this study was to define more completely the speech disorders that can occur in systemic amyloidosis. Fifty-nine patients with histologically established primary systemic amyloidosis were studied. Of this group, 81% had abnormal voice quality, 43% had abnormal pitch, 7% had abnormal resonation and 15% had abnormal articulation. Twenty-two patients also had abnormal findings at laryngeal examination, consisting of bowing, oedema, thickening, dry irritation and polypoid changes of the vocal folds. Macroglossia was found in 17% of the patients and submandibular swelling in 10%. These results support previous studies which showed that abnormal phonation is a sign of systemic amyloidosis and that abnormal voice is by far the most common abnormal speech sign. The relationship between amyloid deposit and dysphonia was not clear. In 23 patients who had laryngeal examinations, no evidence of actual amyloid deposits was documented. Sentence B: Advances in neuroscience have led to an expanded and improved understanding of neurobiological changes associated with rehabilitation and exercise in Parkinson's disease (PD). This knowledge has led to a direct clinical impact of increased referral for early and continuous exercise programs for individuals with PD (physical, occupational, speech therapy and general exercise programs) and an increased research focus on the impact of such approaches in humans with PD. The purpose of this article is to examine the role of speech therapy in the landscape of exercise-based interventions for individuals with PD. We will specifically focus on the intensive voice treatment protocol, Lee Silverman Voice Treatment, as an example therapy. This article will briefly review the literature on the characteristics and features of speech and voice disorders in individuals with PD, and will discuss the impact of pharmacological and surgical treatment techniques on these disorders. This will be followed by a focus on behavioral speech treatment, specifically Lee Silverman Voice Treatment, including development of the treatment approach, documenting efficacy, discovery of unexpected outcomes and insights into the mechanism of speech disorders in PD gained from treatment-related changes. This research will be placed in the context of other previous and current speech treatment approaches in development for individuals with PD, and will highlight future directions for research. ###Answer 1. Changed Explanation: In Sentence A, the term ""speech disorder"" is used to describe a group of patients with abnormal voice quality, pitch, resonation, articulation, and macroglossia. The term ""speech disorder"" does not convey any specific meaning or connotation related to Parkinson's disease. However, in Sentence B, the term ""speech disorder"" is used to describe the impact of Parkinson's disease on an individual's speech, including voice quality, pitch, resonation, articulation, and macroglossia. The term ""speech disorder"" in Sentence B connotes a specific meaning related to Parkinson's disease, indicating a change in the meaning or connotation of the term over time. Therefore, the label ""Changed"" is appropriate." 56,Speech disorder,"To explore the links between Schneiderian first-rank symptoms (FRS), handedness and speech disorder in subjects with psychosis."," Articulatory features are inherently invariant to acoustic signal distortion and have been successfully incorporated into automatic speech recognition (ASR) systems designed for normal speech. Their practical application to atypical task domains such as elderly and disordered speech across languages is often limited by the difficulty in collecting such specialist data from target speakers. This paper presents a cross-domain and cross-lingual A2A inversion approach that utilizes the parallel audio and ultrasound tongue imaging (UTI) data of the 24-hour TaL corpus in A2A model pre-training before being cross-domain and cross-lingual adapted to three datasets across two languages: the English DementiaBank Pitt and Cantonese JCCOCC MoCA elderly speech corpora; and the English TORGO dysarthric speech data, to produce UTI based articulatory features. Experiments conducted on three tasks suggested incorporating the generated articulatory features consistently outperformed the baseline TDNN and Conformer ASR systems constructed using acoustic features only by statistically significant word or character error rate reductions up to 4.75%, 2.59% and 2.07% absolute (14.69%, 10.64% and 22.72% relative) after data augmentation, speaker adaptation and cross system multi-pass decoding were applied. ","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Speech disorder Sentence A: To explore the links between Schneiderian first-rank symptoms (FRS), handedness and speech disorder in subjects with psychosis. Sentence B: Articulatory features are inherently invariant to acoustic signal distortion and have been successfully incorporated into automatic speech recognition (ASR) systems designed for normal speech. Their practical application to atypical task domains such as elderly and disordered speech across languages is often limited by the difficulty in collecting such specialist data from target speakers. This paper presents a cross-domain and cross-lingual A2A inversion approach that utilizes the parallel audio and ultrasound tongue imaging (UTI) data of the 24-hour TaL corpus in A2A model pre-training before being cross-domain and cross-lingual adapted to three datasets across two languages: the English DementiaBank Pitt and Cantonese JCCOCC MoCA elderly speech corpora; and the English TORGO dysarthric speech data, to produce UTI based articulatory features. Experiments conducted on three tasks suggested incorporating the generated articulatory features consistently outperformed the baseline TDNN and Conformer ASR systems constructed using acoustic features only by statistically significant word or character error rate reductions up to 4.75%, 2.59% and 2.07% absolute (14.69%, 10.64% and 22.72% relative) after data augmentation, speaker adaptation and cross system multi-pass decoding were applied. ###Answer changed The meaning of the target word ""speech disorder"" has significantly shifted between the two sentences. In Sentence A, the term ""speech disorder"" is used in the context of psychosis to describe the relationship between Schneiderian first-rank symptoms, handedness, and speech. This suggests that the term is being used to describe a specific type of neurological or psychiatric condition that affects speech production. In Sentence B, the term ""speech disorder"" is used in the context of speech production and acoustic signal distortion. The sentence discusses the use of articulatory features to improve automatic speech recognition systems for normal speech, and how these features can be adapted to atypical speech domains such as elderly and disordered speech across languages. This suggests that the term ""speech disorder"" is being used to describe a broader range of speech-related conditions, including those that may not be related to neurological or psychiatric conditions. Based on these differences in context and meaning, it is clear that the term ""speech disorder"" has undergone semantic drift between the two sentences. The term has shifted from being used specifically to describe a neurological or psychiatric condition to being used more broadly to describe any type of speech-related condition. Therefore, the label ""changed"" is appropriate." 57,Speech disorder,"An 8-year-old girl developed mutism after removal of a vermian medulloblastoma. The mutism was not accompanied by long tract signs or cranial nerve palsy. The girl started to regain her speech 2 weeks postoperatively, showing marked improvement 2 months after the operation, after passing through a dysarthric phase. Magnetic resonance imaging showed only normal postoperative changes without abnormalities of dentate nuclei or supranuclear region. Nineteen similar cases of transient mutism following cerebellar operations have been reported in the literature, most of them with a delayed postoperative onset. In all patients the recovery of speech started to appear 4 days to 4 months postoperatively, and all patients passed through a monotonous, dysarthric phase. The absence of long tract or other brain stem signs, together with the presence of dysarthria during the recovery of speech, suggested a cerebellar cause of the transient mutism. Various hypotheses advanced to explain the pathogenesis of this speech disorder are analyzed.","A 22-year-old man presented to our department with a mass on the base of his tongue. He had a cavernous voice causing a moderate speech disorder, and he had some difficulty in swallowing. He had severe problems with sleep, associated with apnoea. In a fibreoptic laryngoscopic examination, a large 4×5 cm vascular mass was detected extending from the base of the patient's tongue to his epiglottis. It covered the epiglottis. Thyroid scintigraphy showed only thyroid tissue on the base of the tongue. Surgery was initiated transorally under the guidance of a rigid endoscope, but as the mass continued extended to the epiglottis, a transhyoid approach was taken. At a 3-month follow-up, the patient was symptom free. Electrocautery-assisted resection under the guidance of a rigid endoscope can reliably be used in surgery of a lingual thyroid. However, a transhyoid approach provides a better view and also helps in achieving haemostasis.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Speech disorder Sentence A: An 8-year-old girl developed mutism after removal of a vermian medulloblastoma. The mutism was not accompanied by long tract signs or cranial nerve palsy. The girl started to regain her speech 2 weeks postoperatively, showing marked improvement 2 months after the operation, after passing through a dysarthric phase. Magnetic resonance imaging showed only normal postoperative changes without abnormalities of dentate nuclei or supranuclear region. Nineteen similar cases of transient mutism following cerebellar operations have been reported in the literature, most of them with a delayed postoperative onset. In all patients the recovery of speech started to appear 4 days to 4 months postoperatively, and all patients passed through a monotonous, dysarthric phase. The absence of long tract or other brain stem signs, together with the presence of dysarthria during the recovery of speech, suggested a cerebellar cause of the transient mutism. Various hypotheses advanced to explain the pathogenesis of this speech disorder are analyzed. Sentence B: A 22-year-old man presented to our department with a mass on the base of his tongue. He had a cavernous voice causing a moderate speech disorder, and he had some difficulty in swallowing. He had severe problems with sleep, associated with apnoea. In a fibreoptic laryngoscopic examination, a large 4×5 cm vascular mass was detected extending from the base of the patient's tongue to his epiglottis. It covered the epiglottis. Thyroid scintigraphy showed only thyroid tissue on the base of the tongue. Surgery was initiated transorally under the guidance of a rigid endoscope, but as the mass continued extended to the epiglottis, a transhyoid approach was taken. At a 3-month follow-up, the patient was symptom free. Electrocautery-assisted resection under the guidance of a rigid endoscope can reliably be used in surgery of a lingual thyroid. However, a transhyoid approach provides a better view and also helps in achieving haemostasis. ###Answer 1. Changed Reasoning: In Sentence A, the target word ""speech disorder"" is used to describe a child who has developed mutism after surgery. The sentence highlights the child's gradual improvement in speech over time, with a dysarthric phase being passed through. The word ""speech disorder"" in this context implies a neurological cause for the mutism, possibly related to the surgery. In Sentence B, the target word ""speech disorder"" is used to describe an adult with a cavernous voice and difficulty in swallowing. The sentence highlights the successful surgical resection of the mass causing the speech disorder. The word ""speech disorder"" in this context implies a non-neurological cause for the speech problems, possibly related to the mass on the base of the tongue. Based on the context and meaning of the target word in each sentence, it is clear that the word has undergone a significant change in meaning or connotation between the two timestamps. In Sentence A, the word ""speech disorder"" implies a neurological cause for the mutism, while in Sentence B, the word implies a non-neurological cause for the speech problems. Therefore, the label ""Changed"" is appropriate." 58,Speech disorder,"Brown's factors [J. Speech Disorders 10 (1945) 181] predict the likely loci of disfluency in English-speaking adults who stutter. A word is more likely to be stuttered for these speakers if it is a content word, starts with a consonant, is positioned at the beginning of a sentence, and if it is a long word. These same factors were examined in native German-speaking children and adults who stutter. Speech data of 15 German adults and 17 children were coded according to Brown's factors. For the adult group, it was predicted that words starting with consonants would not lead to as much of an increase in disfluencies compared with English samples, because of cross-linguistic differences in syllable onset properties. It was predicted that stuttering would be more likely in later sentence positions in German because in German the verb is usually near the end of a sentence. There were no obvious reasons to expect differences on the two remaining factors, content words and word length. With children, it was hypothesised that Brown's factors that specify level of linguistic difficulty would not be such a good predictor of stuttering rate. Specifically, it was predicted that the difference in stuttering rate between function and content words would be lower in children. For the adults both word type (content/function) and word length increased stuttering rate significantly, whereas changes in stuttering rate for the other two factors were non-significant. It was also found that when word difficulty (based on a combined measure of all factors) increased, stuttering rate rose. With children, only the word-length factor was significant, and stuttering rate was not governed to the same extent by overall word difficulty. Conclusions are drawn as to the effect of linguistic and motor influences on stuttering.","While speech disorder represents an early and prominent clinical feature of atypical parkinsonian syndromes such as multiple system atrophy (MSA) and progressive supranuclear palsy (PSP), little is known about the sensitivity of speech assessment as a potential diagnostic tool. Speech samples were acquired from 215 subjects, including 25 MSA, 20 PSP, 20 Parkinson's disease participants, and 150 healthy controls. The accurate differential diagnosis of dysarthria subtypes was based on the quantitative acoustic analysis of 26 speech dimensions related to phonation, articulation, prosody, and timing. A semi-supervised weighting-based approach was then applied to find the best feature combinations for separation between PSP and MSA. Dysarthria was perceptible in all PSP and MSA patients and consisted of a combination of hypokinetic, spastic, and ataxic components. Speech features related to respiratory dysfunction, imprecise consonants, monopitch, slow speaking rate, and subharmonics contributed to worse performance in PSP than MSA, whereas phonatory instability, timing abnormalities, and articulatory decay were more distinctive for MSA compared to PSP. The combination of distinct speech patterns via objective acoustic evaluation was able to discriminate between PSP and MSA with very high accuracy of up to 89% as well as between PSP/MSA and PD with up to 87%. Dysarthria severity in MSA/PSP was related to overall disease severity. Speech disorders reflect the differing underlying pathophysiology of tauopathy in PSP and α-synucleinopathy in MSA. Vocal assessment may provide a low-cost alternative screening method to existing subjective clinical assessment and imaging diagnostic approaches.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Speech disorder Sentence A: Brown's factors [J. Speech Disorders 10 (1945) 181] predict the likely loci of disfluency in English-speaking adults who stutter. A word is more likely to be stuttered for these speakers if it is a content word, starts with a consonant, is positioned at the beginning of a sentence, and if it is a long word. These same factors were examined in native German-speaking children and adults who stutter. Speech data of 15 German adults and 17 children were coded according to Brown's factors. For the adult group, it was predicted that words starting with consonants would not lead to as much of an increase in disfluencies compared with English samples, because of cross-linguistic differences in syllable onset properties. It was predicted that stuttering would be more likely in later sentence positions in German because in German the verb is usually near the end of a sentence. There were no obvious reasons to expect differences on the two remaining factors, content words and word length. With children, it was hypothesised that Brown's factors that specify level of linguistic difficulty would not be such a good predictor of stuttering rate. Specifically, it was predicted that the difference in stuttering rate between function and content words would be lower in children. For the adults both word type (content/function) and word length increased stuttering rate significantly, whereas changes in stuttering rate for the other two factors were non-significant. It was also found that when word difficulty (based on a combined measure of all factors) increased, stuttering rate rose. With children, only the word-length factor was significant, and stuttering rate was not governed to the same extent by overall word difficulty. Conclusions are drawn as to the effect of linguistic and motor influences on stuttering. Sentence B: While speech disorder represents an early and prominent clinical feature of atypical parkinsonian syndromes such as multiple system atrophy (MSA) and progressive supranuclear palsy (PSP), little is known about the sensitivity of speech assessment as a potential diagnostic tool. Speech samples were acquired from 215 subjects, including 25 MSA, 20 PSP, 20 Parkinson's disease participants, and 150 healthy controls. The accurate differential diagnosis of dysarthria subtypes was based on the quantitative acoustic analysis of 26 speech dimensions related to phonation, articulation, prosody, and timing. A semi-supervised weighting-based approach was then applied to find the best feature combinations for separation between PSP and MSA. Dysarthria was perceptible in all PSP and MSA patients and consisted of a combination of hypokinetic, spastic, and ataxic components. Speech features related to respiratory dysfunction, imprecise consonants, monopitch, slow speaking rate, and subharmonics contributed to worse performance in PSP than MSA, whereas phonatory instability, timing abnormalities, and articulatory decay were more distinctive for MSA compared to PSP. The combination of distinct speech patterns via objective acoustic evaluation was able to discriminate between PSP and MSA with very high accuracy of up to 89% as well as between PSP/MSA and PD with up to 87%. Dysarthria severity in MSA/PSP was related to overall disease severity. Speech disorders reflect the differing underlying pathophysiology of tauopathy in PSP and α-synucleinopathy in MSA. Vocal assessment may provide a low-cost alternative screening method to existing subjective clinical assessment and imaging diagnostic approaches. ###Answer 1. Changed Reasoning: The target word ""speech disorder"" has undergone a significant change in meaning between the two sentences. In Sentence A, the term refers to a specific set of linguistic features related to stuttering, such as difficulty with consonants, word length, and syllable onset properties. In Sentence B, the term is used to describe a broader range of speech impairments, including dysarthria, and is associated with different acoustic features, such as respiratory dysfunction, imprecise consonants, and subharmonics. The shift in meaning suggests that the term ""speech disorder"" has changed in connotation, potentially reflecting changes in the field of speech pathology or the way the term is used in different contexts." 59,Speech disorder,"Adductor spasmodic dysphonia (SD) is a speech disorder resulting from involuntary contractions of the laryngeal muscles. Botulinum toxin (BT) injection of the thyroarytenoid muscle is an effective, though temporary, treatment for most SD patients. Though there are reports of objective improvements in voice quality, there are no large studies of patients' subjective responses to treatment over time. In the present study, patients were given voice diaries to rate vocal spasms, hoarseness, breathiness, volume problems, and dysphagia before and the after treatment. Analysis of these diaries revealed that: (1) most side effects had resolved 4 to 6 weeks after injection, whereas vocal spasm relief persisted; (2) vocal spasm relief and severity of side effects peaked within 1 week; and (3) unilateral injections, though as effective in relieving vocal spasms, caused less volume and swallowing problems than did bilateral injections.","The aim of the study is to justify the ""balanced"" approach to brain debridement (BD) in surgical treatment of combat-related penetrating craniocerebral gunshot wound (PCGW) patients and assess immediate and long-term treatment results. The analysis of applied surgical BD techniques was performed in PCGW military personnel with admission Glasgow Coma Scale (GCS) score of 4 or above. The study included 81 injured patients. Average GCS score at admission was 10±3. Blunt injuries were predominant (n=51, 62.9%). Bone fragments were removed in 78 (92.8%) and metal foreign bodies were removed in 32 (38.1%)cases. Demographic and clinical characteristics, nature of brain injury, presence of foreign bodies and depth of their location, surgery extent, and occurrence of complications in postoperative period were taken into account. The outcome data included a Glasgow Outcome Scale (GOS) score at discharge, in 6 and 12 months, grade of speech disorders, extremities strength, and occurrence of convulsive attacks from the time of admission to 12 months. Meningitis developed in 11 (13.6%) cases. 11 (13.6%) patients died. Good recovery (GOS score 4-5) in 12 months was in 8 (38.1%) patients, moderate disability (GOS score 4) in 10 (47.6%) patients. Adverse outcome (GOS score 1-3) was associated with axial dislocation (p=0.015), diametric wound (p<0.001), and purulent-septic complications (PSC) (p<0.05). Intracranial PSCs are statistically significantly associated with duration of subdural space inflow and outflow drainage of 4+ days (p<0.05), bone fragments left in the brain matter (p=0.008), and ventricular hemorrhage on HCT (p=0.016). The choice of a BD technique depended on severity of patient's condition, brain injury, and presence of foreign bodies. Availability of an equipped operating room allowed for thorough surgery. Good outcome indicators testify to appropriateness of the chosen tactic.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Speech disorder Sentence A: Adductor spasmodic dysphonia (SD) is a speech disorder resulting from involuntary contractions of the laryngeal muscles. Botulinum toxin (BT) injection of the thyroarytenoid muscle is an effective, though temporary, treatment for most SD patients. Though there are reports of objective improvements in voice quality, there are no large studies of patients' subjective responses to treatment over time. In the present study, patients were given voice diaries to rate vocal spasms, hoarseness, breathiness, volume problems, and dysphagia before and the after treatment. Analysis of these diaries revealed that: (1) most side effects had resolved 4 to 6 weeks after injection, whereas vocal spasm relief persisted; (2) vocal spasm relief and severity of side effects peaked within 1 week; and (3) unilateral injections, though as effective in relieving vocal spasms, caused less volume and swallowing problems than did bilateral injections. Sentence B: The aim of the study is to justify the ""balanced"" approach to brain debridement (BD) in surgical treatment of combat-related penetrating craniocerebral gunshot wound (PCGW) patients and assess immediate and long-term treatment results. The analysis of applied surgical BD techniques was performed in PCGW military personnel with admission Glasgow Coma Scale (GCS) score of 4 or above. The study included 81 injured patients. Average GCS score at admission was 10±3. Blunt injuries were predominant (n=51, 62.9%). Bone fragments were removed in 78 (92.8%) and metal foreign bodies were removed in 32 (38.1%)cases. Demographic and clinical characteristics, nature of brain injury, presence of foreign bodies and depth of their location, surgery extent, and occurrence of complications in postoperative period were taken into account. The outcome data included a Glasgow Outcome Scale (GOS) score at discharge, in 6 and 12 months, grade of speech disorders, extremities strength, and occurrence of convulsive attacks from the time of admission to 12 months. Meningitis developed in 11 (13.6%) cases. 11 (13.6%) patients died. Good recovery (GOS score 4-5) in 12 months was in 8 (38.1%) patients, moderate disability (GOS score 4) in 10 (47.6%) patients. Adverse outcome (GOS score 1-3) was associated with axial dislocation (p=0.015), diametric wound (p<0.001), and purulent-septic complications (PSC) (p<0.05). Intracranial PSCs are statistically significantly associated with duration of subdural space inflow and outflow drainage of 4+ days (p<0.05), bone fragments left in the brain matter (p=0.008), and ventricular hemorrhage on HCT (p=0.016). The choice of a BD technique depended on severity of patient's condition, brain injury, and presence of foreign bodies. Availability of an equipped operating room allowed for thorough surgery. Good outcome indicators testify to appropriateness of the chosen tactic. ###Answer 1. Changed The meaning of the target word ""Speech disorder"" has changed significantly between the two sentences. In Sentence A, the term refers to a specific medical condition, Adductor spasmodic dysphonia (SD), which is a type of spasmodic dysphonia caused by involuntary contractions of the laryngeal muscles. In contrast, in Sentence B, the term ""Speech disorder"" is used more broadly to refer to a range of speech problems, including those caused by brain injury. This broader usage suggests that the term has undergone semantic drift." 60,Speech disorder,"In DSM-III-R, pica, with anorexia nervosa, bulimia nervosa and rumination disorder of infancy, is accorded the status of a separate eating disorder. However, in the Draft of ICD-10, only anorexia nervosa and bulimia nervosa are listed under eating disorders. Pica in children, and feeding disorder in infancy and childhood, are incorporated with enuresis, encopresis, and feeding, movement and speech disorders in a separate ""heterogeneous group of disorders"". Extensive research on the history and terminology of eating disorders from the 16th to the 20th century suggests that, historically, pica was regarded as a symptom of other disorders rather than a separate entity. This paper aimed to locate and assess chronologically significant definitions and accounts of pica, to provide a fuller clinical description of a condition which, despite its current relevance, has received little detailed historical examination, and to give some consideration to the multiple aetiological theories which have been put forward. The historical findings are related to the descriptive criteria for pica in DSM-III-R and Draft ICD-10."," As the aging of society continues to accelerate, Alzheimer's Disease (AD) has received more and more attention from not only medical but also other fields, such as computer science, over the past decade. Since speech is considered one of the effective ways to diagnose cognitive decline, AD detection from speech has emerged as a hot topic. Nevertheless, such approaches fail to tackle several key issues: 1) AD is a complex neurocognitive disorder which means it is inappropriate to conduct AD detection using utterance information alone while ignoring dialogue information; 2) Utterances of AD patients contain many disfluencies that affect speech recognition yet are helpful to diagnosis; 3) AD patients tend to speak less, causing dialogue breakdown as the disease progresses. This fact leads to a small number of utterances, which may cause detection bias. Therefore, in this paper, we propose a novel AD detection architecture consisting of two major modules: an ensemble AD detector and a proactive listener. This architecture can be embedded in the dialogue system of conversational robots for healthcare. ","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Speech disorder Sentence A: In DSM-III-R, pica, with anorexia nervosa, bulimia nervosa and rumination disorder of infancy, is accorded the status of a separate eating disorder. However, in the Draft of ICD-10, only anorexia nervosa and bulimia nervosa are listed under eating disorders. Pica in children, and feeding disorder in infancy and childhood, are incorporated with enuresis, encopresis, and feeding, movement and speech disorders in a separate ""heterogeneous group of disorders"". Extensive research on the history and terminology of eating disorders from the 16th to the 20th century suggests that, historically, pica was regarded as a symptom of other disorders rather than a separate entity. This paper aimed to locate and assess chronologically significant definitions and accounts of pica, to provide a fuller clinical description of a condition which, despite its current relevance, has received little detailed historical examination, and to give some consideration to the multiple aetiological theories which have been put forward. The historical findings are related to the descriptive criteria for pica in DSM-III-R and Draft ICD-10. Sentence B: As the aging of society continues to accelerate, Alzheimer's Disease (AD) has received more and more attention from not only medical but also other fields, such as computer science, over the past decade. Since speech is considered one of the effective ways to diagnose cognitive decline, AD detection from speech has emerged as a hot topic. Nevertheless, such approaches fail to tackle several key issues: 1) AD is a complex neurocognitive disorder which means it is inappropriate to conduct AD detection using utterance information alone while ignoring dialogue information; 2) Utterances of AD patients contain many disfluencies that affect speech recognition yet are helpful to diagnosis; 3) AD patients tend to speak less, causing dialogue breakdown as the disease progresses. This fact leads to a small number of utterances, which may cause detection bias. Therefore, in this paper, we propose a novel AD detection architecture consisting of two major modules: an ensemble AD detector and a proactive listener. This architecture can be embedded in the dialogue system of conversational robots for healthcare. ###Answer 1. Changed Reasoning: In Sentence A, the term ""speech disorder"" is used in the context of a specific eating disorder, while in Sentence B, it is used in the context of a broader medical condition, Alzheimer's Disease. The meaning of the term has shifted from a specific diagnosis to a more general symptom of cognitive decline." 61,Speech disorder,"This compendium has been written in conjunction with a cleft lip and palate surgical mission that took place in Villahermosa, Mexico, February 4-9, 2001. Fifty children, 10 per day, received lip or palate surgery. This report, available in both English and Spanish, is intended as a practical and concise guide to basic aspects of evaluation and treatment of speech disorders associated with cleft palate. More detailed and comprehensive sources dealing with this topic are available and have been reviewed by D. P. Kuehn and K. T. Moller (2000).","To investigate participation, and functionality of children and adolescents with speech disorders using the International Classification of Functioning, Disability and Health (ICF).","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Speech disorder Sentence A: This compendium has been written in conjunction with a cleft lip and palate surgical mission that took place in Villahermosa, Mexico, February 4-9, 2001. Fifty children, 10 per day, received lip or palate surgery. This report, available in both English and Spanish, is intended as a practical and concise guide to basic aspects of evaluation and treatment of speech disorders associated with cleft palate. More detailed and comprehensive sources dealing with this topic are available and have been reviewed by D. P. Kuehn and K. T. Moller (2000). Sentence B: To investigate participation, and functionality of children and adolescents with speech disorders using the International Classification of Functioning, Disability and Health (ICF). ###Answer Changed In Sentence A, the term ""speech disorder"" is used to describe the condition of children receiving lip or palate surgery. The context suggests that the term refers to the impairment of speech quality due to the cleft palate. The term does not carry any negative connotations. In Sentence B, the term ""speech disorder"" is used in a different context, to describe a broader range of impairments in communication and speech. The term now carries a negative connotation, as it is associated with a lack of functionality or disability. Therefore, the meaning of the term ""speech disorder"" has significantly shifted between the two sentences, indicating semantic drift has occurred." 62,Speech disorder,"Prosthodontists frequently provide prostheses for the management of speech disorders related to palatopharyngeal dysfunction. Optimal prosthetic management of the palatopharyngeal port requires close interaction between the prosthodontist and speech pathologist in the use of videofluoroscopy and videonasoendoscopy for design, placement, and modification of the prosthesis. Function of the palatopharyngeal port during production of controlled samples of connected speech can be observed from multiview fluoroscopy, including lateral and frontal projections. Like fluoroscopy, nasoendoscopy can be used to observe and record function of the palatopharyngeal port during speech. This article provides an overview of the procedures suggested for diagnosing palatopharyngeal disorders. A method for designing and placing a prosthesis to aid in obturating the nasopharynx is also suggested."," Understanding the relationship between tongue motion patterns during speech and their resulting speech acoustic outcomes -- i.e., articulatory-acoustic relation -- is of great importance in assessing speech quality and developing innovative treatment and rehabilitative strategies. This is especially important when evaluating and detecting abnormal articulatory features in patients with speech-related disorders. In this work, we aim to develop a framework for detecting speech motion anomalies in conjunction with their corresponding speech acoustics. This is achieved through the use of a deep cross-modal translator trained on data from healthy individuals only, which bridges the gap between 4D motion fields obtained from tagged MRI and 2D spectrograms derived from speech acoustic data. The trained translator is used as an anomaly detector, by measuring the spectrogram reconstruction quality on healthy individuals or patients. In particular, the cross-modal translator is likely to yield limited generalization capabilities on patient data, which includes unseen out-of-distribution patterns and demonstrates subpar performance, when compared with healthy individuals.~A one-class SVM is then used to distinguish the spectrograms of healthy individuals from those of patients. To validate our framework, we collected a total of 39 paired tagged MRI and speech waveforms, consisting of data from 36 healthy individuals and 3 tongue cancer patients. We used both 3D convolutional and transformer-based deep translation models, training them on the healthy training set and then applying them to both the healthy and patient testing sets. Our framework demonstrates a capability to detect abnormal patient data, thereby illustrating its potential in enhancing the understanding of the articulatory-acoustic relation for both healthy individuals and patients. ","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Speech disorder Sentence A: Prosthodontists frequently provide prostheses for the management of speech disorders related to palatopharyngeal dysfunction. Optimal prosthetic management of the palatopharyngeal port requires close interaction between the prosthodontist and speech pathologist in the use of videofluoroscopy and videonasoendoscopy for design, placement, and modification of the prosthesis. Function of the palatopharyngeal port during production of controlled samples of connected speech can be observed from multiview fluoroscopy, including lateral and frontal projections. Like fluoroscopy, nasoendoscopy can be used to observe and record function of the palatopharyngeal port during speech. This article provides an overview of the procedures suggested for diagnosing palatopharyngeal disorders. A method for designing and placing a prosthesis to aid in obturating the nasopharynx is also suggested. Sentence B: Understanding the relationship between tongue motion patterns during speech and their resulting speech acoustic outcomes -- i.e., articulatory-acoustic relation -- is of great importance in assessing speech quality and developing innovative treatment and rehabilitative strategies. This is especially important when evaluating and detecting abnormal articulatory features in patients with speech-related disorders. In this work, we aim to develop a framework for detecting speech motion anomalies in conjunction with their corresponding speech acoustics. This is achieved through the use of a deep cross-modal translator trained on data from healthy individuals only, which bridges the gap between 4D motion fields obtained from tagged MRI and 2D spectrograms derived from speech acoustic data. The trained translator is used as an anomaly detector, by measuring the spectrogram reconstruction quality on healthy individuals or patients. In particular, the cross-modal translator is likely to yield limited generalization capabilities on patient data, which includes unseen out-of-distribution patterns and demonstrates subpar performance, when compared with healthy individuals.~A one-class SVM is then used to distinguish the spectrograms of healthy individuals from those of patients. To validate our framework, we collected a total of 39 paired tagged MRI and speech waveforms, consisting of data from 36 healthy individuals and 3 tongue cancer patients. We used both 3D convolutional and transformer-based deep translation models, training them on the healthy training set and then applying them to both the healthy and patient testing sets. Our framework demonstrates a capability to detect abnormal patient data, thereby illustrating its potential in enhancing the understanding of the articulatory-acoustic relation for both healthy individuals and patients. ###Answer 1. Changed Reasoning: The target word ""Speech disorder"" has undergone a significant change in meaning between the two sentences. In Sentence A, the term is used to describe a specific type of dysfunction related to the palatopharyngeal area, while in Sentence B, it is used more broadly to refer to any speech-related disorder. The shift in meaning suggests that the term has undergone semantic drift." 63,Speech disorder,"A survey of approximately 460 patients with Parkinson's disease (PD) or multiple sclerosis (MS) shows that speech and swallowing difficulties are very frequent within these groups. Seventy percent of the PD patients and 44% of the MS patients had experienced impairment of speech and voice after the onset of their disease. Forty-one percent of the PD patients and 33% of the MS patients indicated impairment of chewing and swallowing abilities. The speech disorder was regarded as one of their greatest problems by 29% of the PD patients and by 16% of the MS patients. Only a small number of patients, 3% of the PD and 2% of the MS group, had received any speech therapy.","At present, laryngeal cancer is more common in otolaryngology and head and neck surgery malignancies. Patients such as hoarseness, difficulty swallowing, ear pain, cough or cough, phlegm, dyspnea and other symptoms. which brings severe physical and psychological trauma to the patients and brings a heavy burden to the families and families of patients.Laryngeal cancer patients often take surgery, radiotherapy and other treatment methods, but these methods often cause patients with speech and speech disorders,patients with adverse psychological effects.With the continuous improvement of clinical diagnosis and treatment, patient survival gradually extended, the quality of their lives are increasingly valued.This basic indicator is the normal function of the throat recovery,preoperative and postoperative mood and cognitive status are also important aspects of quality of life (QOL).This article reviews the progress of preoperative and postoperative mood and cognitive changes in patients with laryngeal cancer..","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Speech disorder Sentence A: A survey of approximately 460 patients with Parkinson's disease (PD) or multiple sclerosis (MS) shows that speech and swallowing difficulties are very frequent within these groups. Seventy percent of the PD patients and 44% of the MS patients had experienced impairment of speech and voice after the onset of their disease. Forty-one percent of the PD patients and 33% of the MS patients indicated impairment of chewing and swallowing abilities. The speech disorder was regarded as one of their greatest problems by 29% of the PD patients and by 16% of the MS patients. Only a small number of patients, 3% of the PD and 2% of the MS group, had received any speech therapy. Sentence B: At present, laryngeal cancer is more common in otolaryngology and head and neck surgery malignancies. Patients such as hoarseness, difficulty swallowing, ear pain, cough or cough, phlegm, dyspnea and other symptoms. which brings severe physical and psychological trauma to the patients and brings a heavy burden to the families and families of patients.Laryngeal cancer patients often take surgery, radiotherapy and other treatment methods, but these methods often cause patients with speech and speech disorders,patients with adverse psychological effects.With the continuous improvement of clinical diagnosis and treatment, patient survival gradually extended, the quality of their lives are increasingly valued.This basic indicator is the normal function of the throat recovery,preoperative and postoperative mood and cognitive status are also important aspects of quality of life (QOL).This article reviews the progress of preoperative and postoperative mood and cognitive changes in patients with laryngeal cancer.. ###Answer 1. Changed Reasoning: In Sentence A, the term ""speech disorder"" is used to describe the difficulty in speaking and swallowing experienced by patients with Parkinson's disease and multiple sclerosis. The term is used in the context of the patients' overall health issues and the impact of their disease on their quality of life. The phrase ""one of their greatest problems"" suggests that the speech disorder is a significant and concerning issue for these patients. In Sentence B, the term ""speech disorder"" is used in a different context. It is mentioned in the context of laryngeal cancer patients who have undergone surgery, radiotherapy, and other treatments. The term is used to describe the adverse psychological effects and cognitive changes that these patients may experience as a result of their treatment. The phrase ""preoperative and postoperative mood and cognitive status"" suggests that the focus is on the patient's mental and cognitive state before and after treatment. Based on these differences in context and meaning, it can be concluded that the term ""speech disorder"" has undergone a significant change in meaning between Sentence A and Sentence B. In Sentence A, the term is used to describe a specific symptom of a larger health issue, while in Sentence B, it is used to describe a broader range of cognitive and psychological effects. Therefore, the label ""Changed"" is appropriate for this task." 64,Speech disorder,"Vocal cord sulcus is a congenital condition consisting of a furrow on the medial edge of the vocal cord. It is most often bilateral but may be unilateral. The symptoms are a hoarse and breathy voice due to incomplete closure of the vocal cords. The present series comprises 15 patients found among 1,400 patients with voice and speech disorders. The condition is often overlooked and regarded as part of a primary functional hyperkinetic voice disorder. By close inspection the furrow can often be seen by indirect laryngoscopy. In many cases, however, microlaryngoscopy under general anaesthesia should be performed, but the furrow is only detected if a search is made for it. The condition is often found in younger patients, probably due to the fact that the sulcus is difficult to detect in older patients who have developed severe organic changes in a effort to overcome the incomplete closure of the glottis."," Lately, the children with speech disorder have more and more become object of specialists attention and investment in speech disorder therapy are increasing The development and use of information technology in order to assist and follow speech disorder therapy allowed researchers to collect a considerable volume of data. The aim of this paper is to present a data mining system designed to be associated with TERAPERS system in order to provide information based on which one could improve the process of personalized therapy of speech disorders. ","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Speech disorder Sentence A: Vocal cord sulcus is a congenital condition consisting of a furrow on the medial edge of the vocal cord. It is most often bilateral but may be unilateral. The symptoms are a hoarse and breathy voice due to incomplete closure of the vocal cords. The present series comprises 15 patients found among 1,400 patients with voice and speech disorders. The condition is often overlooked and regarded as part of a primary functional hyperkinetic voice disorder. By close inspection the furrow can often be seen by indirect laryngoscopy. In many cases, however, microlaryngoscopy under general anaesthesia should be performed, but the furrow is only detected if a search is made for it. The condition is often found in younger patients, probably due to the fact that the sulcus is difficult to detect in older patients who have developed severe organic changes in a effort to overcome the incomplete closure of the glottis. Sentence B: Lately, the children with speech disorder have more and more become object of specialists attention and investment in speech disorder therapy are increasing The development and use of information technology in order to assist and follow speech disorder therapy allowed researchers to collect a considerable volume of data. The aim of this paper is to present a data mining system designed to be associated with TERAPERS system in order to provide information based on which one could improve the process of personalized therapy of speech disorders. ###Answer Target word: Speech disorder Sentence A: Vocal cord sulcus is a congenital condition consisting of a furrow on the medial edge of the vocal cord. It is most often bilateral but may be unilateral. The symptoms are a hoarse and breathy voice due to incomplete closure of the vocal cords. The present series comprises 15 patients found among 1,400 patients with voice and speech disorders. The condition is often overlooked and regarded as part of a primary functional hyperkinetic voice disorder. By close inspection the furrow can often be seen by indirect laryngoscopy. In many cases, however, microlaryngoscopy under general anaesthesia should be performed, but the furrow is only detected if a search is made for it. The condition is often found in younger patients, probably due to the fact that the sulcus is difficult to detect in older patients who have developed severe organic changes in a effort to overcome the incomplete closure of the glottis. Sentence B: Lately, the children with speech disorder have more and more become object of specialists attention and investment in speech disorder therapy are increasing. The development and use of information technology in order to assist and follow speech disorder therapy allowed researchers to collect a considerable volume of data. The aim of this paper is to present a data mining system designed to be associated with TERAPERS system in order to provide information based on which one could improve the process of personalized therapy of speech disorders. Label: Changed Reasoning: The target word ""Speech disorder"" has undergone a significant change in meaning between Sentence A (2000) and Sentence B (2020). In Sentence A, the term is used to describe a specific medical condition, vocal cord sulcus, and its symptoms. In Sentence B, the term is used more broadly to refer to children with speech disorders in general, and the focus is on the increasing attention and investment in speech disorder therapy. The term has shifted from a medical context to a more general context, indicating a change in meaning." 65,Speech disorder,"This study attempted to extend the use of Cues, Pause, Point language training procedures (developed to treat the speech disorders of mentally handicapped persons) to delusional speech. The direct and potential generalized effects of the procedures on the delusional and socially appropriate responding of an institutionalized, chronic schizophrenic man were evaluated in a multiple baseline design across stimulus-response pairs. The procedures encouraged the subject to (a) remain quiet before, during, and after the presentation of verbal stimuli and then (b) respond on the basis of environmental cues (i.e. written word cards) that contained the correct responses. Delusional responding was rapidly replaced by appropriate responding on both sets of the trained stimuli. Across person and setting generalization occurred in assessments conducted immediately following training, and these effects were maintained for 15 months. The results suggest that Cues, Pause, Point procedures may offer some potential for replacing delusional responding with appropriate responding to social stimuli.","Despite their growing presence in home computer applications and various telephony services, commercial automatic speech recognition technologies are still not easily employed by everyone; especially individuals with speech disorders. In addition, relatively little research has been conducted on automatic speech recognition performance with older adults, in whom speech disorders are commonly present. As one ages, the older adult voice naturally begins to resemble some aspects of mildly dysarthric speech. Dysarthria, a common neuromotor speech disorder, is particularly useful for exploring performance limitations of automatic speech recognizers owing to its wide range of speech expression. This article reviews clinical research literature examining the use of commercial speech-to-text automatic speech recognition technology by individuals with dysarthria. The main factors limiting automatic speech recognition performance with dysarthric speakers are highlighted and extended to the elderly using a specific example of a novel, automated, speech-based personal emergency response system for older adults.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Speech disorder Sentence A: This study attempted to extend the use of Cues, Pause, Point language training procedures (developed to treat the speech disorders of mentally handicapped persons) to delusional speech. The direct and potential generalized effects of the procedures on the delusional and socially appropriate responding of an institutionalized, chronic schizophrenic man were evaluated in a multiple baseline design across stimulus-response pairs. The procedures encouraged the subject to (a) remain quiet before, during, and after the presentation of verbal stimuli and then (b) respond on the basis of environmental cues (i.e. written word cards) that contained the correct responses. Delusional responding was rapidly replaced by appropriate responding on both sets of the trained stimuli. Across person and setting generalization occurred in assessments conducted immediately following training, and these effects were maintained for 15 months. The results suggest that Cues, Pause, Point procedures may offer some potential for replacing delusional responding with appropriate responding to social stimuli. Sentence B: Despite their growing presence in home computer applications and various telephony services, commercial automatic speech recognition technologies are still not easily employed by everyone; especially individuals with speech disorders. In addition, relatively little research has been conducted on automatic speech recognition performance with older adults, in whom speech disorders are commonly present. As one ages, the older adult voice naturally begins to resemble some aspects of mildly dysarthric speech. Dysarthria, a common neuromotor speech disorder, is particularly useful for exploring performance limitations of automatic speech recognizers owing to its wide range of speech expression. This article reviews clinical research literature examining the use of commercial speech-to-text automatic speech recognition technology by individuals with dysarthria. The main factors limiting automatic speech recognition performance with dysarthric speakers are highlighted and extended to the elderly using a specific example of a novel, automated, speech-based personal emergency response system for older adults. ###Answer 1. Changed Reasoning: The target word ""speech disorder"" has undergone a significant change in meaning between Sentence A (2000) and Sentence B (2020). In Sentence A, the term refers to the treatment of speech disorders in individuals with mental handicaps. In Sentence B, the term refers to the impact of automatic speech recognition technology on individuals with speech disorders, including older adults. The shift in meaning suggests that the term has undergone semantic drift, and therefore the label ""Changed"" is appropriate." 66,Speech disorder,"Achieving transfer of treatment outside the clinic is a problem for almost all individuals with speech disorders but has been particularly difficult in the treatment of patients with Parkinsonism. Given this situation and the frequency of vocal intensity problems in this population, we developed a wearable biofeedback device that could provide a patient with information about speech intensity outside the clinic. Auditory-perceptual and acoustic analyses were performed on audiotaped samples of reading and spontaneous speech recorded in the clinic pre- and posttreatment and at 10- and 20-week follow-ups. Visual feedback of intensity was integrated with auditory cues from a microcomputer that was then worn outside the clinic. The results indicated that the subject did transfer a substantial portion of clinic improvement to the outside environment while wearing the feedback device and suggest the utility of a microcomputer-based wearable device for assessing treatment effects as well as for improving transfer.","We report an autopsy case of globular glial tauopathy (GGT) presenting clinically with amyotrophic lateral sclerosis (ALS) with dementia. A 79-year-old female developed weakness in the right upper limb, which progressed gradually. She developed apathy and speech disorder at 80 years of age. On neurological examination, she showed signs of upper and lower motor neuron disorder and dementia, but no extrapyramidal signs. The clinical diagnosis was ALS with dementia. The autopsy revealed left predominant marked atrophy of the frontal lobe due to severe neuronal loss and Gliosis. Immunohistochemistry using anti-4-repeat tau antibody revealed numerous globular glial inclusions. Severe neurodegeneration in the primary motor cortex and corticospinal tract was observed. There were distinctive tau-positive inclusions in both Betz and anterior horn cells. TDP-43-positive inclusions in motor neurons were not detected. Sequence analysis of the tau gene revealed no mutations in exons 1-5, 7, 9-13, or the adjacent intronic sequences. GGT can cause a clinical phenotype of ALS with dementia. (Received December 28, 2015; Accepted February 23, 2016; Published August 1, 2016). ","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Speech disorder Sentence A: Achieving transfer of treatment outside the clinic is a problem for almost all individuals with speech disorders but has been particularly difficult in the treatment of patients with Parkinsonism. Given this situation and the frequency of vocal intensity problems in this population, we developed a wearable biofeedback device that could provide a patient with information about speech intensity outside the clinic. Auditory-perceptual and acoustic analyses were performed on audiotaped samples of reading and spontaneous speech recorded in the clinic pre- and posttreatment and at 10- and 20-week follow-ups. Visual feedback of intensity was integrated with auditory cues from a microcomputer that was then worn outside the clinic. The results indicated that the subject did transfer a substantial portion of clinic improvement to the outside environment while wearing the feedback device and suggest the utility of a microcomputer-based wearable device for assessing treatment effects as well as for improving transfer. Sentence B: We report an autopsy case of globular glial tauopathy (GGT) presenting clinically with amyotrophic lateral sclerosis (ALS) with dementia. A 79-year-old female developed weakness in the right upper limb, which progressed gradually. She developed apathy and speech disorder at 80 years of age. On neurological examination, she showed signs of upper and lower motor neuron disorder and dementia, but no extrapyramidal signs. The clinical diagnosis was ALS with dementia. The autopsy revealed left predominant marked atrophy of the frontal lobe due to severe neuronal loss and Gliosis. Immunohistochemistry using anti-4-repeat tau antibody revealed numerous globular glial inclusions. Severe neurodegeneration in the primary motor cortex and corticospinal tract was observed. There were distinctive tau-positive inclusions in both Betz and anterior horn cells. TDP-43-positive inclusions in motor neurons were not detected. Sequence analysis of the tau gene revealed no mutations in exons 1-5, 7, 9-13, or the adjacent intronic sequences. GGT can cause a clinical phenotype of ALS with dementia. (Received December 28, 2015; Accepted February 23, 2016; Published August 1, 2016). ###Answer 1. Changed The meaning of ""speech disorder"" has changed significantly between Sentence A and Sentence B. In Sentence A, the term likely refers to a speech impediment or disorder that affects an individual's ability to articulate words or communicate effectively. However, in Sentence B, the term is used to describe a degenerative brain disorder that affects speech and language abilities, including the loss of the ability to speak or communicate. The shift in meaning is likely due to changes in medical understanding and terminology over time." 67,Speech disorder,"Stuttering is a common speech disorder that causes significant distress and may cause social maladjustment and hinder occupational potential. Treatments for chronic stuttering in adults can control stuttering by teaching the speaker to use a new speech pattern. However, these treatments are resource intensive and relapse prone, and they produce speech that sounds unnatural to the listener and feels unnatural to the speaker. This article describes the development and evaluation of an operant treatment for early stuttering. Parents are trained to present verbal contingencies for stuttered and stutter-free speech during everyday speaking situations with their children. The authors overview outcome data from several studies that suggest that this program produces relapse-free control of stuttered speech in preschool children in the medium and long term in a cost-effective manner."," Automatic recognition of disordered speech remains a highly challenging task to date. The underlying neuro-motor conditions, often compounded with co-occurring physical disabilities, lead to the difficulty in collecting large quantities of impaired speech required for ASR system development. To this end, data augmentation techniques play a vital role in current disordered speech recognition systems. In contrast to existing data augmentation techniques only modifying the speaking rate or overall shape of spectral contour, fine-grained spectro-temporal differences between disordered and normal speech are modelled using deep convolutional generative adversarial networks (DCGAN) during data augmentation to modify normal speech spectra into those closer to disordered speech. Experiments conducted on the UASpeech corpus suggest the proposed adversarial data augmentation approach consistently outperformed the baseline augmentation methods using tempo or speed perturbation on a state-of-the-art hybrid DNN system. An overall word error rate (WER) reduction up to 3.05\% (9.7\% relative) was obtained over the baseline system using no data augmentation. The final learning hidden unit contribution (LHUC) speaker adapted system using the best adversarial augmentation approach gives an overall WER of 25.89% on the UASpeech test set of 16 dysarthric speakers. ","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Speech disorder Sentence A: Stuttering is a common speech disorder that causes significant distress and may cause social maladjustment and hinder occupational potential. Treatments for chronic stuttering in adults can control stuttering by teaching the speaker to use a new speech pattern. However, these treatments are resource intensive and relapse prone, and they produce speech that sounds unnatural to the listener and feels unnatural to the speaker. This article describes the development and evaluation of an operant treatment for early stuttering. Parents are trained to present verbal contingencies for stuttered and stutter-free speech during everyday speaking situations with their children. The authors overview outcome data from several studies that suggest that this program produces relapse-free control of stuttered speech in preschool children in the medium and long term in a cost-effective manner. Sentence B: Automatic recognition of disordered speech remains a highly challenging task to date. The underlying neuro-motor conditions, often compounded with co-occurring physical disabilities, lead to the difficulty in collecting large quantities of impaired speech required for ASR system development. To this end, data augmentation techniques play a vital role in current disordered speech recognition systems. In contrast to existing data augmentation techniques only modifying the speaking rate or overall shape of spectral contour, fine-grained spectro-temporal differences between disordered and normal speech are modelled using deep convolutional generative adversarial networks (DCGAN) during data augmentation to modify normal speech spectra into those closer to disordered speech. Experiments conducted on the UASpeech corpus suggest the proposed adversarial data augmentation approach consistently outperformed the baseline augmentation methods using tempo or speed perturbation on a state-of-the-art hybrid DNN system. An overall word error rate (WER) reduction up to 3.05\% (9.7\% relative) was obtained over the baseline system using no data augmentation. The final learning hidden unit contribution (LHUC) speaker adapted system using the best adversarial augmentation approach gives an overall WER of 25.89% on the UASpeech test set of 16 dysarthric speakers. ###Answer 1. Changed Reasoning: In Sentence A, the target word ""stuttering"" is used to describe a specific speech disorder that causes distress and may impact social and occupational functioning. The sentence also mentions treatments for stuttering that aim to teach the speaker to use a new speech pattern. In contrast, in Sentence B, the target word ""disordered speech"" is used in a different context to describe speech that is difficult to recognize due to underlying neuro-motor conditions and co-occurring physical disabilities. The sentence also mentions data augmentation techniques that are used to modify normal speech spectra to resemble disordered speech. The meaning of the target word has shifted from a specific speech disorder to a more general term encompassing a broader range of speech difficulties. Therefore, semantic drift has occurred in the meaning of the target word." 68,Speech disorder,"Study of the speech disorders of Parkinsonism provides a paradigm of the integration of phonation, articulation and language in the production of speech. The initial defect in the untreated patient is a failure to control respiration for the purpose of speech and there follows a forward progression of articulatory symptoms involving larynx, pharynx, tongue and finally lips. There is evidence that the integration of speech production is organised asymmetrically at thalamic level. Experimental or therapeutic lesions in the region of the inferior medial portion of ventro-lateral thalamus may influence the initiation, respiratory control, rate and prosody of speech. Higher language functions may also be involved in thalamic integration: different forms of anomia are reported with pulvinar and ventrolateral thalamic lesions and transient aphasia may follow stereotaxis. The results of treatment with levodopa indicates that neurotransmitter substances enhance the clarity, volume and persistence of phonation and the latency and smoothness of articulation. The improvement of speech performance is not necessarily in phase with locomotor changes. The dose-related dyskinetic effects of levodopa, which appear to have a physiological basis in observations previously made in post-encephalitic Parkinsonism, not only influence the prosody of speech with near-mutism, hesitancy and dysfluency but may affect work-finding ability and in instances of excitement (erethism) even involve the association of long-term memory with speech. In future, neurologists will need to examine more closely the role of neurotransmitters in speech production and formulation."," Depression is a major debilitating disorder which can affect people from all ages. With a continuous increase in the number of annual cases of depression, there is a need to develop automatic techniques for the detection of the presence and extent of depression. In this AVEC challenge we explore different modalities (speech, language and visual features extracted from face) to design and develop automatic methods for the detection of depression. In psychology literature, the PHQ-8 questionnaire is well established as a tool for measuring the severity of depression. In this paper we aim to automatically predict the PHQ-8 scores from features extracted from the different modalities. We show that visual features extracted from facial landmarks obtain the best performance in terms of estimating the PHQ-8 results with a mean absolute error (MAE) of 4.66 on the development set. Behavioral characteristics from speech provide an MAE of 4.73. Language features yield a slightly higher MAE of 5.17. When switching to the test set, our Turn Features derived from audio transcriptions achieve the best performance, scoring an MAE of 4.11 (corresponding to an RMSE of 4.94), which makes our system the winner of the AVEC 2017 depression sub-challenge. ","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Speech disorder Sentence A: Study of the speech disorders of Parkinsonism provides a paradigm of the integration of phonation, articulation and language in the production of speech. The initial defect in the untreated patient is a failure to control respiration for the purpose of speech and there follows a forward progression of articulatory symptoms involving larynx, pharynx, tongue and finally lips. There is evidence that the integration of speech production is organised asymmetrically at thalamic level. Experimental or therapeutic lesions in the region of the inferior medial portion of ventro-lateral thalamus may influence the initiation, respiratory control, rate and prosody of speech. Higher language functions may also be involved in thalamic integration: different forms of anomia are reported with pulvinar and ventrolateral thalamic lesions and transient aphasia may follow stereotaxis. The results of treatment with levodopa indicates that neurotransmitter substances enhance the clarity, volume and persistence of phonation and the latency and smoothness of articulation. The improvement of speech performance is not necessarily in phase with locomotor changes. The dose-related dyskinetic effects of levodopa, which appear to have a physiological basis in observations previously made in post-encephalitic Parkinsonism, not only influence the prosody of speech with near-mutism, hesitancy and dysfluency but may affect work-finding ability and in instances of excitement (erethism) even involve the association of long-term memory with speech. In future, neurologists will need to examine more closely the role of neurotransmitters in speech production and formulation. Sentence B: Depression is a major debilitating disorder which can affect people from all ages. With a continuous increase in the number of annual cases of depression, there is a need to develop automatic techniques for the detection of the presence and extent of depression. In this AVEC challenge we explore different modalities (speech, language and visual features extracted from face) to design and develop automatic methods for the detection of depression. In psychology literature, the PHQ-8 questionnaire is well established as a tool for measuring the severity of depression. In this paper we aim to automatically predict the PHQ-8 scores from features extracted from the different modalities. We show that visual features extracted from facial landmarks obtain the best performance in terms of estimating the PHQ-8 results with a mean absolute error (MAE) of 4.66 on the development set. Behavioral characteristics from speech provide an MAE of 4.73. Language features yield a slightly higher MAE of 5.17. When switching to the test set, our Turn Features derived from audio transcriptions achieve the best performance, scoring an MAE of 4.11 (corresponding to an RMSE of 4.94), which makes our system the winner of the AVEC 2017 depression sub-challenge. ###Answer 1. Changed Reasoning: In Sentence A, the target word ""Speech disorder"" is used to describe a specific medical condition (Parkinsonism) and its impact on speech production. The word is used in a medical context and carries a negative connotation, as the patient's speech is affected by the disease. In Sentence B, the target word ""Speech"" is used in a different context, describing a different aspect of depression. The word is used in relation to the detection of depression through automatic techniques, such as analyzing speech, language, and visual features. The word carries a different connotation, as it is used to describe a symptom of depression rather than a medical condition. Based on these differences in context and connotation, it can be argued that the meaning of the target word ""Speech"" has undergone a significant change between Sentence A and Sentence B. Therefore, the label ""Changed"" is appropriate." 69,Speech disorder,"This article focuses on the early identification and referral of children who may have speech disorders. A distinction is made between speech and language, i.e., speech is the spoken vehicle by which we communicate our thoughts, as expressed symbolically through language. The evaluation of speech should be performed systematically by the assessment of four basic components of speech: phonation, resonance, articulation, and prosody. Suggestions regarding management and referral are presented.",Primary progressive aphasia (PPA) and conditions that overlap with it can be accompanied by motor speech disorders. Recognition and understanding of motor speech disorders can contribute to a fuller clinical understanding of PPA and its management as well as its localization and underlying pathology.,"###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Speech disorder Sentence A: This article focuses on the early identification and referral of children who may have speech disorders. A distinction is made between speech and language, i.e., speech is the spoken vehicle by which we communicate our thoughts, as expressed symbolically through language. The evaluation of speech should be performed systematically by the assessment of four basic components of speech: phonation, resonance, articulation, and prosody. Suggestions regarding management and referral are presented. Sentence B: Primary progressive aphasia (PPA) and conditions that overlap with it can be accompanied by motor speech disorders. Recognition and understanding of motor speech disorders can contribute to a fuller clinical understanding of PPA and its management as well as its localization and underlying pathology. ###Answer 1. Changed Explanation: In Sentence A, the term ""speech disorder"" is used to refer to a specific category of communication disorders, with a clear distinction between speech and language. The focus is on early identification and referral of children with potential speech disorders, and the evaluation of speech is discussed in terms of four basic components. In Sentence B, the term ""speech disorder"" is used more broadly to refer to any motor speech disorder, including those that may overlap with primary progressive aphasia (PPA). The focus is on recognizing and understanding the various types of motor speech disorders, and their contribution to a fuller clinical understanding of PPA and its management. In this comparison, the meaning of ""speech disorder"" has shifted from a specific category of communication disorders to a more general term encompassing a range of motor speech disorders. Therefore, the label ""Changed"" is appropriate." 70,Speech disorder,"A technique is described for the construction of custom fabricated face masks designed for use in aeromechanical studies of individuals with speech disorders, such as those associated with craniofacial defects. The wax-elimination method of mask fabrication described herein is similar to routine dental laboratory procedures. Materials employed are heat-cured acrylic resin for the body of the mask and heat-cured resilient liner for the tissue contacting surface of the mask.","Interactions among psycholinguistic deficits and literacy difficulties in childhood apraxia of speech (CAS) have been inadequately studied. Comparisons with other disorders (Specific Language Impairment (SLI) and phonological dyslexia) and the possibility of reading remediation in CAS warrant further research. This case study describes the speech, language, cognitive, and literacy deficits and therapy gains in a girl aged 11;6 with severe CAS and borderline IQ. A comprehensive assessment of literacy-related cognitive skills, including phonological memory and working memory capacity, language, speech production and reading skills, was administered. Treatment from 6;0 to 11;6 targeted speech sounds, oral sequencing, phonological awareness (PA), speech-print connections, syllabic structure, and real and non-word decoding. Phonological memory was similar to that of children with SLI, but working memory was significantly worse. Unlike children with phonological dyslexia, our participant demonstrated relative strength in letter-sound correspondence rules. Despite deficits, she made progress in literacy with intensive long-term intervention. Results suggest that the underlying cognitive-linguistic profile of children with CAS may differ from those of children with SLI or dyslexia. Our results also show that long-term intensive intervention promotes acquisition of adequate literacy skills even in a child with a severe motor speech disorder and borderline IQ.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Speech disorder Sentence A: A technique is described for the construction of custom fabricated face masks designed for use in aeromechanical studies of individuals with speech disorders, such as those associated with craniofacial defects. The wax-elimination method of mask fabrication described herein is similar to routine dental laboratory procedures. Materials employed are heat-cured acrylic resin for the body of the mask and heat-cured resilient liner for the tissue contacting surface of the mask. Sentence B: Interactions among psycholinguistic deficits and literacy difficulties in childhood apraxia of speech (CAS) have been inadequately studied. Comparisons with other disorders (Specific Language Impairment (SLI) and phonological dyslexia) and the possibility of reading remediation in CAS warrant further research. This case study describes the speech, language, cognitive, and literacy deficits and therapy gains in a girl aged 11;6 with severe CAS and borderline IQ. A comprehensive assessment of literacy-related cognitive skills, including phonological memory and working memory capacity, language, speech production and reading skills, was administered. Treatment from 6;0 to 11;6 targeted speech sounds, oral sequencing, phonological awareness (PA), speech-print connections, syllabic structure, and real and non-word decoding. Phonological memory was similar to that of children with SLI, but working memory was significantly worse. Unlike children with phonological dyslexia, our participant demonstrated relative strength in letter-sound correspondence rules. Despite deficits, she made progress in literacy with intensive long-term intervention. Results suggest that the underlying cognitive-linguistic profile of children with CAS may differ from those of children with SLI or dyslexia. Our results also show that long-term intensive intervention promotes acquisition of adequate literacy skills even in a child with a severe motor speech disorder and borderline IQ. ###Answer 1. Changed Reasoning: The target word ""speech disorder"" has undergone a significant change in meaning between the two sentences. In Sentence A, the term likely refers to a specific type of speech impediment or disorder, such as stuttering or aphasia. In Sentence B, the term seems to encompass a broader range of speech-related difficulties, including literacy difficulties and cognitive impairments. The shift in meaning suggests that the term ""speech disorder"" has changed in connotation, possibly to include a wider range of speech-related issues. Therefore, the label ""Changed"" is appropriate." 71,Speech disorder,"The purpose of this study was to examine the role of the eruption stage and that of occlusal anomalies among etiological factors for articulatory speech disorders in a series of first-graders. The results suggest that even though speech and sound production have been reported to be mature by the age of five, some spontaneous correction of speech sound articulation occurs with maturing of the articulators with age and with eruption of some permanent teeth during the first phase of the mixed dentition."," Stuttering is a varied speech disorder that harms an individual's communication ability. Persons who stutter (PWS) often use speech therapy to cope with their condition. Improving speech recognition systems for people with such non-typical speech or tracking the effectiveness of speech therapy would require systems that can detect dysfluencies while at the same time being able to detect speech techniques acquired in therapy. This paper shows that fine-tuning wav2vec 2.0 [1] for the classification of stuttering on a sizeable English corpus containing stuttered speech, in conjunction with multi-task learning, boosts the effectiveness of the general-purpose wav2vec 2.0 features for detecting stuttering in speech; both within and across languages. We evaluate our method on FluencyBank , [2] and the German therapy-centric Kassel State of Fluency (KSoF) [3] dataset by training Support Vector Machine classifiers using features extracted from the finetuned models for six different stuttering-related event types: blocks, prolongations, sound repetitions, word repetitions, interjections, and - specific to therapy - speech modifications. Using embeddings from the fine-tuned models leads to relative classification performance gains up to 27% w.r.t. F1-score. ","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Speech disorder Sentence A: The purpose of this study was to examine the role of the eruption stage and that of occlusal anomalies among etiological factors for articulatory speech disorders in a series of first-graders. The results suggest that even though speech and sound production have been reported to be mature by the age of five, some spontaneous correction of speech sound articulation occurs with maturing of the articulators with age and with eruption of some permanent teeth during the first phase of the mixed dentition. Sentence B: Stuttering is a varied speech disorder that harms an individual's communication ability. Persons who stutter (PWS) often use speech therapy to cope with their condition. Improving speech recognition systems for people with such non-typical speech or tracking the effectiveness of speech therapy would require systems that can detect dysfluencies while at the same time being able to detect speech techniques acquired in therapy. This paper shows that fine-tuning wav2vec 2.0 [1] for the classification of stuttering on a sizeable English corpus containing stuttered speech, in conjunction with multi-task learning, boosts the effectiveness of the general-purpose wav2vec 2.0 features for detecting stuttering in speech; both within and across languages. We evaluate our method on FluencyBank , [2] and the German therapy-centric Kassel State of Fluency (KSoF) [3] dataset by training Support Vector Machine classifiers using features extracted from the finetuned models for six different stuttering-related event types: blocks, prolongations, sound repetitions, word repetitions, interjections, and - specific to therapy - speech modifications. Using embeddings from the fine-tuned models leads to relative classification performance gains up to 27% w.r.t. F1-score. ###Answer Target word: Speech disorder Sentence A: The purpose of this study was to examine the role of the eruption stage and that of occlusal anomalies among etiological factors for articulatory speech disorders in a series of first-graders. The results suggest that even though speech and sound production have been reported to be mature by the age of five, some spontaneous correction of speech sound articulation occurs with maturing of the articulators with age and with eruption of some permanent teeth during the first phase of the mixed dentition. Semantic drift: Changed Explanation: In Sentence A, the target word ""Speech disorder"" refers to a specific type of speech impediment that affects children. The sentence highlights the role of various etiological factors in causing articulatory speech disorders in young children. The word ""Speech disorder"" is used in a technical context to describe a specific speech pattern. In Sentence B, the target word ""Speech disorder"" has a different connotation. The sentence discusses stuttering as a varied speech disorder that affects individuals' communication abilities. The word ""Speech disorder"" is used in a more general context to describe a broader range of speech impediments. The sentence highlights the use of speech therapy to cope with stuttering and the potential benefits of fine-tuning wav2vec 2.0 for detecting stuttering in speech. In Sentence B, the meaning of the target word ""Speech disorder"" has shifted from a specific type of speech impediment in children to a more general term encompassing various speech impediments across different ages and populations. This shift in meaning indicates semantic drift, as the word's meaning has evolved over time." 72,Speech disorder,"In the course of increasing demands in acute stroke care in stroke units, criteria for efficient speech diagnosis, which can be applied in the first hours of acute stroke are necessary. In this study we investigated early recognition of speech and speech-associated disorders in acute stroke, and compared the neurologists' clinical diagnoses at admission with the results of a test battery (KAP--Kurze Aphasieprüfung). 90 of 104 consecutively recruited patients could be tested within the first three days. 53.8% (n = 49/N = 91) of the patients presented with language disorders in the clinical neurological examination at admission compared to 63.7% (n = 58/N = 91) that were found to have language disorders according to KAP. Syndrome classification in the group of aphasias showed a frequent occurrence of global aphasia, unclassified aphasia, anomic aphasia and agraphia. Speech apraxia and alexia were always accompanied by aphasia. A large amount of patients are affected by a variety of speech disorders. This study could show that a portion of these disorders could not be diagnosed in the acute situation without using a standardized test battery. Therefore clinical examination should be supplemented by standardized tests in routine diagnosis of speech disorders in acute stroke units in order to treat every patient adequately as soon as possible."," The automatic identification and analysis of pronunciation errors, known as Mispronunciation Detection and Diagnosis (MDD) plays a crucial role in Computer Aided Pronunciation Learning (CAPL) tools such as Second-Language (L2) learning or speech therapy applications. Existing MDD methods relying on analysing phonemes can only detect categorical errors of phonemes that have an adequate amount of training data to be modelled. With the unpredictable nature of the pronunciation errors of non-native or disordered speakers and the scarcity of training datasets, it is unfeasible to model all types of mispronunciations. Moreover, phoneme-level MDD approaches have a limited ability to provide detailed diagnostic information about the error made. In this paper, we propose a low-level MDD approach based on the detection of speech attribute features. Speech attribute features break down phoneme production into elementary components that are directly related to the articulatory system leading to more formative feedback to the learner. We further propose a multi-label variant of the Connectionist Temporal Classification (CTC) approach to jointly model the non-mutually exclusive speech attributes using a single model. The pre-trained wav2vec2 model was employed as a core model for the speech attribute detector. The proposed method was applied to L2 speech corpora collected from English learners from different native languages. The proposed speech attribute MDD method was further compared to the traditional phoneme-level MDD and achieved a significantly lower False Acceptance Rate (FAR), False Rejection Rate (FRR), and Diagnostic Error Rate (DER) over all speech attributes compared to the phoneme-level equivalent. ","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Speech disorder Sentence A: In the course of increasing demands in acute stroke care in stroke units, criteria for efficient speech diagnosis, which can be applied in the first hours of acute stroke are necessary. In this study we investigated early recognition of speech and speech-associated disorders in acute stroke, and compared the neurologists' clinical diagnoses at admission with the results of a test battery (KAP--Kurze Aphasieprüfung). 90 of 104 consecutively recruited patients could be tested within the first three days. 53.8% (n = 49/N = 91) of the patients presented with language disorders in the clinical neurological examination at admission compared to 63.7% (n = 58/N = 91) that were found to have language disorders according to KAP. Syndrome classification in the group of aphasias showed a frequent occurrence of global aphasia, unclassified aphasia, anomic aphasia and agraphia. Speech apraxia and alexia were always accompanied by aphasia. A large amount of patients are affected by a variety of speech disorders. This study could show that a portion of these disorders could not be diagnosed in the acute situation without using a standardized test battery. Therefore clinical examination should be supplemented by standardized tests in routine diagnosis of speech disorders in acute stroke units in order to treat every patient adequately as soon as possible. Sentence B: The automatic identification and analysis of pronunciation errors, known as Mispronunciation Detection and Diagnosis (MDD) plays a crucial role in Computer Aided Pronunciation Learning (CAPL) tools such as Second-Language (L2) learning or speech therapy applications. Existing MDD methods relying on analysing phonemes can only detect categorical errors of phonemes that have an adequate amount of training data to be modelled. With the unpredictable nature of the pronunciation errors of non-native or disordered speakers and the scarcity of training datasets, it is unfeasible to model all types of mispronunciations. Moreover, phoneme-level MDD approaches have a limited ability to provide detailed diagnostic information about the error made. In this paper, we propose a low-level MDD approach based on the detection of speech attribute features. Speech attribute features break down phoneme production into elementary components that are directly related to the articulatory system leading to more formative feedback to the learner. We further propose a multi-label variant of the Connectionist Temporal Classification (CTC) approach to jointly model the non-mutually exclusive speech attributes using a single model. The pre-trained wav2vec2 model was employed as a core model for the speech attribute detector. The proposed method was applied to L2 speech corpora collected from English learners from different native languages. The proposed speech attribute MDD method was further compared to the traditional phoneme-level MDD and achieved a significantly lower False Acceptance Rate (FAR), False Rejection Rate (FRR), and Diagnostic Error Rate (DER) over all speech attributes compared to the phoneme-level equivalent. ###Answer 1. Changed Reasoning: In Sentence A, the term ""speech disorder"" is used in the context of acute stroke patients, where it refers to language disorders that can be diagnosed through clinical examination and standardized tests. The sentence highlights the importance of early recognition and diagnosis of speech disorders in this context. In Sentence B, the term ""speech disorder"" is used in a different context, referring to mispronunciations in non-native or disordered speech. The sentence discusses the limitations of existing methods for detecting and diagnosing these mispronunciations, and proposes a new approach based on the detection of speech attribute features. Based on these differences in context and meaning, it is clear that the term ""speech disorder"" has undergone a significant change in meaning between Sentence A and Sentence B. In Sentence A, the term refers to language disorders in acute stroke patients, while in Sentence B, it refers to mispronunciations in non-native or disordered speech. Therefore, the label ""Changed"" is appropriate for this task." 73,Speech disorder,"Manic (N = 18) and schizophrenic (N = 23) patients were evaluated with a linguistic assessment of reference failures and were tested with a digit span distraction task. It was found that, although manics and schizophrenics did not differ in their distraction performance, there were differential relationships between task performance and reference performance across the two subject samples. Both distraction and nondistraction performances were related equally to discourse failures in manics while distraction performance was a much better predictor of discourse failure than nondistraction performance in the schizophrenic sample. The fact that susceptibility to the effects of distraction seemed to be an important and specific predictor of discourse failures in schizophrenia is discussed in terms of recent developments in research and theory regarding schizophrenic speech disorders.",Intraword variability (sometimes called token-to-token variability) has been associated with certain types of speech disorder. It has also been documented in typical speech development. The purpose of this study was to investigate intraword variability in typically developing 2- and 3-year-olds to determine expected rates and patterns of variability in typical speech development.,"###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Speech disorder Sentence A: Manic (N = 18) and schizophrenic (N = 23) patients were evaluated with a linguistic assessment of reference failures and were tested with a digit span distraction task. It was found that, although manics and schizophrenics did not differ in their distraction performance, there were differential relationships between task performance and reference performance across the two subject samples. Both distraction and nondistraction performances were related equally to discourse failures in manics while distraction performance was a much better predictor of discourse failure than nondistraction performance in the schizophrenic sample. The fact that susceptibility to the effects of distraction seemed to be an important and specific predictor of discourse failures in schizophrenia is discussed in terms of recent developments in research and theory regarding schizophrenic speech disorders. Sentence B: Intraword variability (sometimes called token-to-token variability) has been associated with certain types of speech disorder. It has also been documented in typical speech development. The purpose of this study was to investigate intraword variability in typically developing 2- and 3-year-olds to determine expected rates and patterns of variability in typical speech development. ###Answer 1. Changed Reasoning: In Sentence A, the term ""speech disorder"" is used in the context of assessing patients with mental illnesses, specifically manic and schizophrenic patients. The focus is on the impact of distraction on discourse failures in these patients. The term is used to describe the patients' difficulty in maintaining a consistent and coherent stream of speech. In contrast, in Sentence B, the term ""speech disorder"" is used in the context of typical speech development in young children. The focus is on the variability in children's speech, with an emphasis on understanding the expected rates and patterns of variability in typical speech development. In Sentence A, the term ""speech disorder"" has a negative connotation, as it is used to describe a condition that affects the patients' ability to communicate effectively. In contrast, in Sentence B, the term has a more neutral connotation, as it is used to describe a typical aspect of children's speech development. Therefore, based on the context and meaning of the term ""speech disorder"" in these two sentences, it can be concluded that semantic drift has occurred, and the label ""Changed"" is appropriate." 74,Speech disorder,"The explanation of articulatory problems as an output speech disorder does not preclude the possibility that auditory processing problems are associated. Identification of brief auditory spectral cues in a place-of-articulation continuum was studied in children with articulation problems. First, it was shown that formant transition durations smaller than 20·0 ms dramatically decreased phonemic identification rates for alveolar stop consonants in control subjects. Identification tasks based on two place-of-articulation continua /pαk/-/tαk/ with F2/F3 transition durations of 52 and 20 ms were administered to groups of misarticulating children and adolescents and two control groups (children and adults). For all subject groups there was poorer phonetic processing with shorter transition durations of F2 and F3. The misarticulating subjects demonstrated poorer phonetic processing of formant transitions than did the control subjects. Shortening F2/F3 transition duration did not differentially influence perceptual behaviour between the experimental and the control groups. In determining the causal link between perception and production, an explanation of perception preceding production was favoured. It was argued that, in addition to assessing the specificity between perception and production mechanisms, assessment of perception of formant transitions may have potential as a clinical tool for evaluating phonetic processing.","Treatment intensity (sometimes referred to as ""practice amount"") has been well-investigated in learning non-speech tasks, but its role in treating speech disorders has not been largely analysed. This study reviewed the literature regarding treatment intensity in speech disorders.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Speech disorder Sentence A: The explanation of articulatory problems as an output speech disorder does not preclude the possibility that auditory processing problems are associated. Identification of brief auditory spectral cues in a place-of-articulation continuum was studied in children with articulation problems. First, it was shown that formant transition durations smaller than 20·0 ms dramatically decreased phonemic identification rates for alveolar stop consonants in control subjects. Identification tasks based on two place-of-articulation continua /pαk/-/tαk/ with F2/F3 transition durations of 52 and 20 ms were administered to groups of misarticulating children and adolescents and two control groups (children and adults). For all subject groups there was poorer phonetic processing with shorter transition durations of F2 and F3. The misarticulating subjects demonstrated poorer phonetic processing of formant transitions than did the control subjects. Shortening F2/F3 transition duration did not differentially influence perceptual behaviour between the experimental and the control groups. In determining the causal link between perception and production, an explanation of perception preceding production was favoured. It was argued that, in addition to assessing the specificity between perception and production mechanisms, assessment of perception of formant transitions may have potential as a clinical tool for evaluating phonetic processing. Sentence B: Treatment intensity (sometimes referred to as ""practice amount"") has been well-investigated in learning non-speech tasks, but its role in treating speech disorders has not been largely analysed. This study reviewed the literature regarding treatment intensity in speech disorders. ###Answer 1. Changed Reasoning: In Sentence A, the term ""speech disorder"" is used to describe a condition characterized by articulatory problems and auditory processing issues. The sentence highlights the complexity of speech disorders, suggesting that they involve both articulatory and auditory components. The term ""speech disorder"" is used in the context of articulation and auditory processing, indicating that it refers to a broad range of speech problems. In Sentence B, the term ""speech disorder"" is used in a different context. It is mentioned in the context of treatment intensity, which is discussed in relation to learning non-speech tasks. The sentence suggests that treatment intensity is not well-investigated in speech disorders, implying that the term ""speech disorder"" now refers specifically to a lack of treatment intensity. Based on these differences in context and meaning, it can be concluded that the term ""speech disorder"" has undergone a significant change in meaning between Sentence A and Sentence B. In Sentence A, the term refers to a broad range of speech problems involving articulation and auditory processing, while in Sentence B, it refers specifically to a lack of treatment intensity in speech disorders. Therefore, the label ""Changed"" is appropriate." 75,Speech disorder,"A patient aged 39 years with Wyburn-Mason syndrome is presented. He had an apple-sized intracranial arteriovenous angioma racemosum of the left temporo-medical region, which was inoperable, as it extended to the basal ganglia. It was diagnosed by carotid angiography and by sequential brain szintigraphy. More than 50 retinal arteriovenous anastomoses were observed in the left eye, involving all quadrants and the macular region. Some of these anastomoses were only found by fluorescence angiography. Clinical signs were hemiparesis and decreased sensibility of the right side, headaches, speech disorders and right homonymous hemianopia. Vision was decreased to 0.4. By partial embolisation via the right common carotid, it was possible to reduce the size of the intracranial hemangioma.","This paper describes the impact of cleft lip and palate on speech. It provides an overview for the dental clinician of the key issues affecting speech development and clarity. The paper summarises the complex speech mechanism and cleft-related factors that affect speech, including palatal, dental and occlusal anomalies. It outlines the framework for speech assessment throughout the cleft pathway and provides a description of cleft speech disorder, as well as describing treatment approaches for cleft speech and velopharyngeal dysfunction.This is followed by a spotlight on speech prosthetics for treating nasal speech, with an emphasis on joint management by the Speech and Language Therapist and Consultant in Restorative Dentistry. This includes the core multidisciplinary approach, clinician and patient-reported outcome measures, and brief discussion of national developments in this area.The importance of multidisciplinary cleft care is highlighted and, within this, the essential interaction between speech and dental clinicians in providing routine care, as well as in delivering a highly specialist speech prosthetics service.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Speech disorder Sentence A: A patient aged 39 years with Wyburn-Mason syndrome is presented. He had an apple-sized intracranial arteriovenous angioma racemosum of the left temporo-medical region, which was inoperable, as it extended to the basal ganglia. It was diagnosed by carotid angiography and by sequential brain szintigraphy. More than 50 retinal arteriovenous anastomoses were observed in the left eye, involving all quadrants and the macular region. Some of these anastomoses were only found by fluorescence angiography. Clinical signs were hemiparesis and decreased sensibility of the right side, headaches, speech disorders and right homonymous hemianopia. Vision was decreased to 0.4. By partial embolisation via the right common carotid, it was possible to reduce the size of the intracranial hemangioma. Sentence B: This paper describes the impact of cleft lip and palate on speech. It provides an overview for the dental clinician of the key issues affecting speech development and clarity. The paper summarises the complex speech mechanism and cleft-related factors that affect speech, including palatal, dental and occlusal anomalies. It outlines the framework for speech assessment throughout the cleft pathway and provides a description of cleft speech disorder, as well as describing treatment approaches for cleft speech and velopharyngeal dysfunction.This is followed by a spotlight on speech prosthetics for treating nasal speech, with an emphasis on joint management by the Speech and Language Therapist and Consultant in Restorative Dentistry. This includes the core multidisciplinary approach, clinician and patient-reported outcome measures, and brief discussion of national developments in this area.The importance of multidisciplinary cleft care is highlighted and, within this, the essential interaction between speech and dental clinicians in providing routine care, as well as in delivering a highly specialist speech prosthetics service. ###Answer 1. Changed The meaning of the target word ""speech disorder"" has changed significantly between the two sentences. In Sentence A, the word is used to describe a specific medical condition, Wyburn-Mason syndrome, and its impact on speech. In Sentence B, the word is used more broadly to describe any speech disorder related to cleft lip and palate. The word's connotation has shifted from a medical term to a broader term encompassing a range of speech issues. Therefore, the label ""Changed"" is appropriate." 76,Speech disorder,"Clinical and tomographic examinations of 40 patients with aphasia developed after an ischemic stroke were carried out. In more than half of them no correlation between the aphasia gravity and character on the one hand, and the size and localization of the ischemic focus (or foci) in the brain on the other was noted. With similar character and gravity of the speech disorder the size and localization of the ischemic foci may be different, ad vice versa. It has been shown that the interrelations between the focal pathology of the brain and the character and gravity of speech disorders are very complicated. One should take into consideration the possibility of individual organization of the speech functions, the degree of the speech activity automatism before the disease, and the state of the cerebrovascular system as a whole.","The purpose of this qualitative, descriptive study was to capture the everyday lives of parents raising a child with a disability. Fifteen parental dyads raising a child with Down syndrome, developmental disabilities, visual impairments, or speech disorders used a disposable camera to photograph images important to them. Interviews about these photographs reflected everyday life. Four themes emerged from content analysis of the photos: active activities, quiet activities, activities of daily living, and care of the child with a disability. Six themes emerged when discussing photographs participants would have liked to take but did not. These themes were acceptance, concern for the future, joys, struggles, balance of good and bad times, and normalcy. Findings support the usefulness of photography as a method of obtaining information from parents raising a child with a disability through qualitative means and provide nurses with a beginning understanding of these parents' lives.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Speech disorder Sentence A: Clinical and tomographic examinations of 40 patients with aphasia developed after an ischemic stroke were carried out. In more than half of them no correlation between the aphasia gravity and character on the one hand, and the size and localization of the ischemic focus (or foci) in the brain on the other was noted. With similar character and gravity of the speech disorder the size and localization of the ischemic foci may be different, ad vice versa. It has been shown that the interrelations between the focal pathology of the brain and the character and gravity of speech disorders are very complicated. One should take into consideration the possibility of individual organization of the speech functions, the degree of the speech activity automatism before the disease, and the state of the cerebrovascular system as a whole. Sentence B: The purpose of this qualitative, descriptive study was to capture the everyday lives of parents raising a child with a disability. Fifteen parental dyads raising a child with Down syndrome, developmental disabilities, visual impairments, or speech disorders used a disposable camera to photograph images important to them. Interviews about these photographs reflected everyday life. Four themes emerged from content analysis of the photos: active activities, quiet activities, activities of daily living, and care of the child with a disability. Six themes emerged when discussing photographs participants would have liked to take but did not. These themes were acceptance, concern for the future, joys, struggles, balance of good and bad times, and normalcy. Findings support the usefulness of photography as a method of obtaining information from parents raising a child with a disability through qualitative means and provide nurses with a beginning understanding of these parents' lives. ###Answer 1. Changed Reasoning: In Sentence A, the term ""speech disorder"" is used in the context of a medical examination of patients with aphasia after an ischemic stroke. The sentence highlights the complexity of the interrelations between the focal pathology of the brain and the character and gravity of speech disorders. The term ""speech disorder"" in this context implies a specific medical condition with distinct symptoms and characteristics. In Sentence B, the term ""speech disorder"" is used in the context of everyday life experiences of parents raising a child with a disability. The sentence highlights the diversity of activities and emotions experienced by these parents. The term ""speech disorder"" in this context has a different connotation than in Sentence A, as it implies a broader range of experiences and emotions related to raising a child with a disability. The term ""speech disorder"" in this context is more related to the emotional and social aspects of disability, rather than the medical aspects. Therefore, the meaning of the term ""speech disorder"" has shifted from a strictly medical context to a more broad and inclusive context that encompasses the emotional, social, and everyday aspects of disability. This change in meaning indicates semantic drift." 77,Speech disorder,"Four subjects aged between 29 and 60 years were examined because of axial motor impairment after hypoxic brain injury. Magnetic resonance imaging revealed circumscribed lesions of the globus pallidus in every case. The association of freezing of the gait, speech disorders, axial bradykinesia, and postural disturbances, with no rigidity or tremor and little or no distal akinesia, suggests a role of the globus pallidus in controlling axial motion.",Children with persistent speech disorders (PSD) often present with overt or subtle motor deficits; the possibility that speech disorders and motor deficits could arise from a shared neurological base is currently unknown. Functional MRI (fMRI) was used to examine the brain networks supporting fine motor praxis in children with PSD and without clinically identified fine motor deficits.,"###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Speech disorder Sentence A: Four subjects aged between 29 and 60 years were examined because of axial motor impairment after hypoxic brain injury. Magnetic resonance imaging revealed circumscribed lesions of the globus pallidus in every case. The association of freezing of the gait, speech disorders, axial bradykinesia, and postural disturbances, with no rigidity or tremor and little or no distal akinesia, suggests a role of the globus pallidus in controlling axial motion. Sentence B: Children with persistent speech disorders (PSD) often present with overt or subtle motor deficits; the possibility that speech disorders and motor deficits could arise from a shared neurological base is currently unknown. Functional MRI (fMRI) was used to examine the brain networks supporting fine motor praxis in children with PSD and without clinically identified fine motor deficits. ###Answer 1. Changed Reasoning: In Sentence A, the target word ""speech disorder"" is used to describe a specific neurological condition (hypoxic brain injury) and its associated symptoms (freezing of the gait, axial bradykinesia, postural disturbances, etc.). The context suggests that the term ""speech disorder"" has a specific and well-defined meaning in this context. In Sentence B, the target word ""speech disorder"" has a different meaning. It is used to describe a broader category of speech difficulties in children, including both overt and subtle motor deficits. The context suggests that the term ""speech disorder"" has shifted in meaning to encompass a wider range of speech problems. Therefore, semantic drift has occurred." 78,Speech disorder,"The purpose of this paper is to study the prevalence rate of hearing impairment among children with siblings and family members having hearing and speech disorders. A random survey of 6,421 Saudi infants and children between 2 months and 12 years of age was conducted in the Riyadh area. Children with no or few siblings and those who were firstborn were at relatively higher risk, and there was a strong association between children in the hearing-impaired group among those having living siblings with deafness. Those children who had family members with hearing and speech problems were at twice the risk of their counterpart groups regarding hearing impairment.","The multidisciplinary assessment of health problems after stroke should take into account not only motor, speech disorders, disability, but also postural balance, type and level of mental disorders, degree of working hand dysfunctions, cortical motor neuron functional indicators, and risk factors for recurrent stroke.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Speech disorder Sentence A: The purpose of this paper is to study the prevalence rate of hearing impairment among children with siblings and family members having hearing and speech disorders. A random survey of 6,421 Saudi infants and children between 2 months and 12 years of age was conducted in the Riyadh area. Children with no or few siblings and those who were firstborn were at relatively higher risk, and there was a strong association between children in the hearing-impaired group among those having living siblings with deafness. Those children who had family members with hearing and speech problems were at twice the risk of their counterpart groups regarding hearing impairment. Sentence B: The multidisciplinary assessment of health problems after stroke should take into account not only motor, speech disorders, disability, but also postural balance, type and level of mental disorders, degree of working hand dysfunctions, cortical motor neuron functional indicators, and risk factors for recurrent stroke. ###Answer 1. Changed Explanation: In Sentence A, the term ""speech disorder"" is used to describe a hearing impairment that affects speech. However, in Sentence B, the term ""speech disorder"" is used to describe a broader range of communication disorders, including language and speech impairments. This suggests that the term ""speech disorder"" has shifted in meaning over time to include a wider range of communication impairments. Therefore, the label ""Changed"" is appropriate." 79,Speech disorder,"Between December 1985 and July 1986 a study on cerebral palsy was undertaken among the inpatients and outpatients of the department of Paediatrics and Child Health, Muhimbili Medical Centre Centre, Dar Es Salaam. The objective of the study was to determine the clinical pattern of cerebral palsy and its associated handicaps. During this period, 100 children with cerebral palsy 56 boys and 44 girls ranging in age between four months and 10 years were seen. The commonest type of cerebral palsy seen was spastic tetraplegia which occurred in 36 percent of the cases followed by spastic diplegia and hemiplegia seen in 20 and 15 percent of the cases respectively. In 70 children the cerebral palsy was associated with other severe handicaps, the commonest being epilepsy which occurred in 35 percent of the children followed by deafness, speech disorders and blindness. Birth asphyxia, convulsions of undetermined causes, low birth weight, meningitis and cerebral birth trauma were found to be the leading causes of cerebral palsy. As these conditions are largely preventable or amendable to treatment, it is suggested that improvement of antenatal and perinatal care is important in the reduction of the incidence of cerebral palsy.","Postoperative head and neck cancer patients suffer from speech disorders, which are the result of changes in their vocal tracts. Making a solid vocal tract model and measuring its transmission characteristics will provide one of the most useful tools to resolve the problem. In binary conversion of X-ray computed tomographic (CT) images for vocal tract reconstruction, nonobjective methods have been used by many researchers. We hypothesized that a standardized vocal tract model could be reconstructed by adopting the Hounsfield number of fat tissue as a criterion for thresholding of binary conversion, because its Hounsfield number is the nearest to air in the human body. The purpose of this study was to establish a new standardized method for binary conversion in reconstructing three-dimensional (3-D) vocal tract models. CT images for postoperative diagnosis were secondarily obtained from a CT scanner. Each patient's minimum settings of Hounsfield number for the buccal fat-pad regions were measured. Thresholds were set every 50 Hounsfield units (HU) from the bottom line of the buccal fat-pad region to -1024 HU, the images were converted into binary values, and were evaluated according to the three-grade system based on anatomically defined criteria. The optimal threshold between tissue and air was determined by nonlinear multiple regression analyses. Each patient's minimum settings of the buccal fat-pad regions were obtained. The optimal threshold was determined to be -165 HU from each patient's minimum settings of the Hounsfield number for the buccal fat-pad regions. To conclude, a method of 3-D standardized vocal tract modeling was established.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Speech disorder Sentence A: Between December 1985 and July 1986 a study on cerebral palsy was undertaken among the inpatients and outpatients of the department of Paediatrics and Child Health, Muhimbili Medical Centre Centre, Dar Es Salaam. The objective of the study was to determine the clinical pattern of cerebral palsy and its associated handicaps. During this period, 100 children with cerebral palsy 56 boys and 44 girls ranging in age between four months and 10 years were seen. The commonest type of cerebral palsy seen was spastic tetraplegia which occurred in 36 percent of the cases followed by spastic diplegia and hemiplegia seen in 20 and 15 percent of the cases respectively. In 70 children the cerebral palsy was associated with other severe handicaps, the commonest being epilepsy which occurred in 35 percent of the children followed by deafness, speech disorders and blindness. Birth asphyxia, convulsions of undetermined causes, low birth weight, meningitis and cerebral birth trauma were found to be the leading causes of cerebral palsy. As these conditions are largely preventable or amendable to treatment, it is suggested that improvement of antenatal and perinatal care is important in the reduction of the incidence of cerebral palsy. Sentence B: Postoperative head and neck cancer patients suffer from speech disorders, which are the result of changes in their vocal tracts. Making a solid vocal tract model and measuring its transmission characteristics will provide one of the most useful tools to resolve the problem. In binary conversion of X-ray computed tomographic (CT) images for vocal tract reconstruction, nonobjective methods have been used by many researchers. We hypothesized that a standardized vocal tract model could be reconstructed by adopting the Hounsfield number of fat tissue as a criterion for thresholding of binary conversion, because its Hounsfield number is the nearest to air in the human body. The purpose of this study was to establish a new standardized method for binary conversion in reconstructing three-dimensional (3-D) vocal tract models. CT images for postoperative diagnosis were secondarily obtained from a CT scanner. Each patient's minimum settings of Hounsfield number for the buccal fat-pad regions were measured. Thresholds were set every 50 Hounsfield units (HU) from the bottom line of the buccal fat-pad region to -1024 HU, the images were converted into binary values, and were evaluated according to the three-grade system based on anatomically defined criteria. The optimal threshold between tissue and air was determined by nonlinear multiple regression analyses. Each patient's minimum settings of the buccal fat-pad regions were obtained. The optimal threshold was determined to be -165 HU from each patient's minimum settings of the Hounsfield number for the buccal fat-pad regions. To conclude, a method of 3-D standardized vocal tract modeling was established. ###Answer 1. Changed Reasoning: In Sentence A, the term ""speech disorder"" is used in the context of a study on cerebral palsy, where it refers to the difficulty in speaking or articulating words due to neurological damage. The term is used in conjunction with other symptoms of cerebral palsy, such as spastic tetraplegia and hemiplegia. In this context, the term ""speech disorder"" has a negative connotation, suggesting that the individuals studied have difficulty communicating effectively due to their medical condition. In Sentence B, the term ""speech disorders"" is used in the context of postoperative head and neck cancer patients, where it refers to the changes in their vocal tracts caused by surgery. The term is used to describe the result of these changes, which can affect the patients' ability to speak clearly or produce certain sounds. In this context, the term ""speech disorder"" has a neutral connotation, suggesting that the patients may have difficulty speaking due to the surgery but not necessarily due to any inherent defect. Based on these contexts, it is clear that the term ""speech disorder"" has undergone a significant change in meaning between Sentence A and Sentence B. In Sentence A, the term is used to describe a negative aspect of cerebral palsy, while in Sentence B, it is used to describe a neutral aspect of postoperative head and neck cancer patients. Therefore, the label ""Changed"" is appropriate for this task." 80,Speech disorder,A 38-year-old male patient with a deep central parietal lesion in the left hemisphere reveals a motor speech disorder but no aphasia as evidenced by linguistic testing with the Aachener Aphasietest. Nuclear magnetic resonance tomography of the brain shows no lesion of the brainstem. Whether the speech disorder can be termed cortical dysarthria or apraxia of speech is left open to discussion.,"FOXP2 mutations cause a monogenic speech disorder in humans. In this issue of Neuron, Murugan et al. (2013) show that knockdown of FoxP2 in the songbird basal ganglia causes abnormal vocal variability and excess bursting in a frontal cortical nucleus. ","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Speech disorder Sentence A: A 38-year-old male patient with a deep central parietal lesion in the left hemisphere reveals a motor speech disorder but no aphasia as evidenced by linguistic testing with the Aachener Aphasietest. Nuclear magnetic resonance tomography of the brain shows no lesion of the brainstem. Whether the speech disorder can be termed cortical dysarthria or apraxia of speech is left open to discussion. Sentence B: FOXP2 mutations cause a monogenic speech disorder in humans. In this issue of Neuron, Murugan et al. (2013) show that knockdown of FoxP2 in the songbird basal ganglia causes abnormal vocal variability and excess bursting in a frontal cortical nucleus. ###Answer 1. Changed 2. Unchanged Explanation: In Sentence A, the term ""speech disorder"" refers to a specific type of motor speech impairment that does not involve aphasia. The sentence suggests that the disorder is related to the brain's language processing centers, specifically the central parietal lesion. The term ""cortical dysarthria"" or ""apraxia of speech"" is left open for discussion, indicating that the disorder is not fully understood. In Sentence B, the term ""speech disorder"" has a different meaning. It refers to a monogenic speech disorder caused by FOXP2 mutations, which are associated with abnormal vocal variability and excess bursting in the frontal cortical nucleus of songbirds. This sentence suggests that the disorder is related to the genetic mutation and its impact on the brain's language processing centers. Based on these two sentences, it is clear that the term ""speech disorder"" has undergone a significant change in meaning between the two timestamps. In Sentence A, the term refers to a specific type of motor speech impairment, while in Sentence B, it refers to a broader category of speech disorders related to genetic mutations. Therefore, the label ""Changed"" is appropriate." 81,Speech disorder,"Research in developmental phonological disorders, particularly emerging subgroup studies using behavioral and molecular genetics, requires qualitative and continuous measurement systems that meet a variety of substantive and psychometric assumptions. This paper reviews relevant issues underlying such needs and presents four measurement proposals developed expressly for causal-correlates research. The primary qualitative system is the Speech Disorders Classification System (SDCS), a 10-category nosology for dichotomous and hierarchical polychotomous classification of speech disorders from 2 years of age through adulthood. The three quantitative measures for segmental and suprasegmental analyses are (a) the Articulation Competence Index (ACI), an interval-level severity index that adjusts a subject's Percentage of Consonants Correct (PCC) score for the relative percentage of distortion errors; (b) Speech Profiles, a series of graphic-numeric displays that profile a subject's or group's severity-adjusted consonant and vowel-diphthong mastery and error patterns; and (c) the Prosody-Voice Profile, a graphic-numeric display that profiles a subject's or group's status on six suprasegmental domains divided into 31 types of inappropriate prosody-voice codes. All data for the four measures are derived from one sample of conversational speech, which obviates the limitations of citation-form testing; enables speech assessment as a qualitative, semi-continuous, and continuous trait over the life span; and provides a context for univariate and multivariate statistical analyses of phonetic, phonologic, prosodic, and language variables in multiage, multidialectal, and multicultural populations. Rationale, procedures, validity data, and examples of uses for each measure are presented.","Persistent developmental stuttering is a speech disorder that affects an individual's ability to fluently produce speech. While the disorder mainly manifests in situations that require language production, it is still unclear whether persistent developmental stuttering is indeed a language impairment, and if so, which language stream is implicated in people who stutter. In this study, we take a neuroanatomical approach to this question by examining the structural properties of the dorsal and ventral language pathways in adults who stutter (AWS) and fluent controls. We use diffusion magnetic resonance imaging and individualized tract identification to extract white matter volumes and diffusion properties of these tracts in samples of adults who do and do not stutter. We further quantify diffusion properties at multiple points along the tract and examine group differences within these diffusivity profiles. Our results show differences in the dorsal, but not in the ventral, language-related tracts. Specifically, AWS show reduced volume of the left dorsal stream, as well as lower anisotropy in the right dorsal stream. These data provide neuroanatomical support for the view that stuttering involves an impairment in the bidirectional mapping between auditory and articulatory cortices supported by the dorsal pathways, not in lexical access and semantic aspects of language processing which are thought to rely more heavily on the left ventral pathways.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Speech disorder Sentence A: Research in developmental phonological disorders, particularly emerging subgroup studies using behavioral and molecular genetics, requires qualitative and continuous measurement systems that meet a variety of substantive and psychometric assumptions. This paper reviews relevant issues underlying such needs and presents four measurement proposals developed expressly for causal-correlates research. The primary qualitative system is the Speech Disorders Classification System (SDCS), a 10-category nosology for dichotomous and hierarchical polychotomous classification of speech disorders from 2 years of age through adulthood. The three quantitative measures for segmental and suprasegmental analyses are (a) the Articulation Competence Index (ACI), an interval-level severity index that adjusts a subject's Percentage of Consonants Correct (PCC) score for the relative percentage of distortion errors; (b) Speech Profiles, a series of graphic-numeric displays that profile a subject's or group's severity-adjusted consonant and vowel-diphthong mastery and error patterns; and (c) the Prosody-Voice Profile, a graphic-numeric display that profiles a subject's or group's status on six suprasegmental domains divided into 31 types of inappropriate prosody-voice codes. All data for the four measures are derived from one sample of conversational speech, which obviates the limitations of citation-form testing; enables speech assessment as a qualitative, semi-continuous, and continuous trait over the life span; and provides a context for univariate and multivariate statistical analyses of phonetic, phonologic, prosodic, and language variables in multiage, multidialectal, and multicultural populations. Rationale, procedures, validity data, and examples of uses for each measure are presented. Sentence B: Persistent developmental stuttering is a speech disorder that affects an individual's ability to fluently produce speech. While the disorder mainly manifests in situations that require language production, it is still unclear whether persistent developmental stuttering is indeed a language impairment, and if so, which language stream is implicated in people who stutter. In this study, we take a neuroanatomical approach to this question by examining the structural properties of the dorsal and ventral language pathways in adults who stutter (AWS) and fluent controls. We use diffusion magnetic resonance imaging and individualized tract identification to extract white matter volumes and diffusion properties of these tracts in samples of adults who do and do not stutter. We further quantify diffusion properties at multiple points along the tract and examine group differences within these diffusivity profiles. Our results show differences in the dorsal, but not in the ventral, language-related tracts. Specifically, AWS show reduced volume of the left dorsal stream, as well as lower anisotropy in the right dorsal stream. These data provide neuroanatomical support for the view that stuttering involves an impairment in the bidirectional mapping between auditory and articulatory cortices supported by the dorsal pathways, not in lexical access and semantic aspects of language processing which are thought to rely more heavily on the left ventral pathways. ###Answer 1. Changed Reasoning: The target word ""Speech disorder"" has undergone a significant change in meaning between Sentence A (2000) and Sentence B (2020). In Sentence A, the term refers to a specific nosology for classifying speech disorders, including the Speech Disorders Classification System and three quantitative measures for segmental and suprasegmental analyses. In contrast, in Sentence B, the term ""Speech disorder"" is used to describe a specific impairment in language production, with a focus on the dorsal and ventral language pathways. The term ""Speech disorder"" in Sentence B has a different connotation than in Sentence A, where it refers to a broader range of speech-related issues. In Sentence B, the term is used to describe a specific language impairment that affects an individual's ability to fluently produce speech. This shift in meaning suggests that the term ""Speech disorder"" has undergone semantic drift, and therefore the label ""Changed"" is appropriate." 82,Speech disorder,"The laryngeal pathophysiology underlying the speech disorder in idiopathic Parkinson disease (IPD) was addressed in this electromyographic study of laryngeal muscle activity. This muscle activity was examined during voice onset and offset gestures in 6 persons in the early stages of IPD who were not receiving medication. The purpose was to determine (a) if impaired voice onset and offset control for speech and vocal fold bowing were related to abnormalities in laryngeal muscle activity in the nonmedicated state and (b) if these attributes change with levodopa. Blinded listeners rated the IPD participants' voice onset and offset control before and after levodopa was administered. In the nonmedicated state, the IPD participants' vocal fold bowing was examined on nasoendoscopy, and laryngeal muscle activity levels were compared with normal research volunteers. The IPD participants were then administered a therapeutic dose of levodopa, and changes in laryngeal muscle activity for voice onset and offset gestures were measured during the same session. Significant differences were found between IPD participants in the nonmedicated state: those with higher levels of muscle activation had vocal fold bowing and greater impairment in voice onset and offset control for speech. Similarly, following levodopa administration, those with thyroarytenoid muscle activity reductions had greater improvements in voice onset and offset control for speech. In this study, voice onset and offset control difficulties and vocal fold bowing were associated with increased levels of laryngeal muscle activity in the absence of medication.","The use of early verbal categories, their event types, and the emergence of verbal inflections (-ing, -s, and -ed) were analyzed in data from four participants with motor speech disorders aged 9;5-13;9 (years;months) who used speech-generating devices to converse with a familiar adult. The study was conducted through a secondary analysis of a corpus of data collected as part of another study. It documents the production of verbs and the emergence of verb inflections in natural conversations between each of the participants and a member of their educational team over a period of up to 10 months. All participants used both action and state verbs, although action verbs were dominant. The emergence of the inflections -ing, -s, and -ed varied and were distributed selectively with different verb categories and event types. The results are discussed in terms of language development and are considered in terms of the findings from research with children without disabilities, which suggest that action verbs precede state verbs, and inflections are primarily acquired based on their correspondence to the verbal category (action-state). Implications for theory, practice, and further research are discussed.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Speech disorder Sentence A: The laryngeal pathophysiology underlying the speech disorder in idiopathic Parkinson disease (IPD) was addressed in this electromyographic study of laryngeal muscle activity. This muscle activity was examined during voice onset and offset gestures in 6 persons in the early stages of IPD who were not receiving medication. The purpose was to determine (a) if impaired voice onset and offset control for speech and vocal fold bowing were related to abnormalities in laryngeal muscle activity in the nonmedicated state and (b) if these attributes change with levodopa. Blinded listeners rated the IPD participants' voice onset and offset control before and after levodopa was administered. In the nonmedicated state, the IPD participants' vocal fold bowing was examined on nasoendoscopy, and laryngeal muscle activity levels were compared with normal research volunteers. The IPD participants were then administered a therapeutic dose of levodopa, and changes in laryngeal muscle activity for voice onset and offset gestures were measured during the same session. Significant differences were found between IPD participants in the nonmedicated state: those with higher levels of muscle activation had vocal fold bowing and greater impairment in voice onset and offset control for speech. Similarly, following levodopa administration, those with thyroarytenoid muscle activity reductions had greater improvements in voice onset and offset control for speech. In this study, voice onset and offset control difficulties and vocal fold bowing were associated with increased levels of laryngeal muscle activity in the absence of medication. Sentence B: The use of early verbal categories, their event types, and the emergence of verbal inflections (-ing, -s, and -ed) were analyzed in data from four participants with motor speech disorders aged 9;5-13;9 (years;months) who used speech-generating devices to converse with a familiar adult. The study was conducted through a secondary analysis of a corpus of data collected as part of another study. It documents the production of verbs and the emergence of verb inflections in natural conversations between each of the participants and a member of their educational team over a period of up to 10 months. All participants used both action and state verbs, although action verbs were dominant. The emergence of the inflections -ing, -s, and -ed varied and were distributed selectively with different verb categories and event types. The results are discussed in terms of language development and are considered in terms of the findings from research with children without disabilities, which suggest that action verbs precede state verbs, and inflections are primarily acquired based on their correspondence to the verbal category (action-state). Implications for theory, practice, and further research are discussed. ###Answer 1. Changed Reasoning: In Sentence A, the target word ""Speech disorder"" is used to describe a specific medical condition (idiopathic Parkinson disease) and its associated symptoms (impairment in voice onset and offset control for speech). The word carries a negative connotation, as it implies difficulty or abnormality in speech production. In Sentence B, the target word is used in a different context, to describe the production of verbs and the emergence of verb inflections in natural conversations between children with motor speech disorders. The word ""Speech disorder"" no longer carries the same negative connotation, as it is used to describe a developmental stage rather than a medical condition. Therefore, semantic drift has occurred in the meaning of the target word between the two sentences." 83,Speech disorder,"Hearing, vision, orthopedic, and speech disorders are the most common impairments in the elderly. Older adults experience other sensory impairments such as olfactory and gustatory dysfunction, as well as oral motor problems including difficulty with mastication, speech, and swallowing. These disorders can directly affect oral health and can impair dental treatment. Therefore, it is imperative that dental health practitioners be cognizant of these conditions and aware of the impact these conditions and their treatments can have on oral health and function. Dental professionals may need to use different communication techniques for patients with vision or hearing losses. Accommodations in the dental office and by dental professionals will help older patients who have sensory and/or motor impairments to preserve their oral health and function and receive dental treatments in a safe and efficacious manner. This paper reviews the most common causes of sensory and motor impairments and their implications for oral health care with treatment modification guidelines for the older patient.","We report on a patient with partial monosomy 6p and partial trisomy 12q identified by fluorescent in situ hybridization (FISH) and array-based comparative genomic hybridization (aCGH). She had a complex phenotype characterized by mental retardation (MR), psychomotor developmental delay, speech disorder, hypertelorism, eye anomalies, hearing loss, low-set malformed ears, thin upper lip, heart defect, clinodactyly, pes valgus, and skeletal anomalies. There is phenotypic overlap between our case and Mutchinick syndrome. This is the first report of a combined partial monosomy 6p and partial trisomy 12q due to an unbalanced translocation between subtelomeric regions of these chromosomes.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Speech disorder Sentence A: Hearing, vision, orthopedic, and speech disorders are the most common impairments in the elderly. Older adults experience other sensory impairments such as olfactory and gustatory dysfunction, as well as oral motor problems including difficulty with mastication, speech, and swallowing. These disorders can directly affect oral health and can impair dental treatment. Therefore, it is imperative that dental health practitioners be cognizant of these conditions and aware of the impact these conditions and their treatments can have on oral health and function. Dental professionals may need to use different communication techniques for patients with vision or hearing losses. Accommodations in the dental office and by dental professionals will help older patients who have sensory and/or motor impairments to preserve their oral health and function and receive dental treatments in a safe and efficacious manner. This paper reviews the most common causes of sensory and motor impairments and their implications for oral health care with treatment modification guidelines for the older patient. Sentence B: We report on a patient with partial monosomy 6p and partial trisomy 12q identified by fluorescent in situ hybridization (FISH) and array-based comparative genomic hybridization (aCGH). She had a complex phenotype characterized by mental retardation (MR), psychomotor developmental delay, speech disorder, hypertelorism, eye anomalies, hearing loss, low-set malformed ears, thin upper lip, heart defect, clinodactyly, pes valgus, and skeletal anomalies. There is phenotypic overlap between our case and Mutchinick syndrome. This is the first report of a combined partial monosomy 6p and partial trisomy 12q due to an unbalanced translocation between subtelomeric regions of these chromosomes. ###Answer 1. Changed Reasoning: In Sentence A, the term ""speech disorder"" is used in the context of sensory impairments in the elderly, indicating a connection between the impairment and the ability to communicate effectively. In contrast, in Sentence B, the term ""speech disorder"" is used in the context of a genetic disorder, indicating a change in meaning. The term is now used to describe a specific type of developmental delay or cognitive impairment, rather than a sensory impairment. Therefore, semantic drift has occurred in the meaning of the term ""speech disorder"" between the two sentences." 84,Speech disorder,"The ventral tegmental area (VTA) is the major dopaminergic (DA) center responsible for the innervation of the prefrontal cortex, nucleus accumbens, and entorhinal region. These areas have been causally implicated in schizophrenia. Thus, the existence of brainstem pathology could explain many of the previously reported findings in schizophrenic (SC) patients. The authors focus on uncovering brainstem abnormalities in schizophrenia by studying the autopsied material of a patient having an early onset of symptomatology. The patient was evaluated at the age of 10 years for manneristic behavior, a speech disorder, and violence. Prominent auditory hallucinations became apparent years later. His mental status and ability for self-care steadily deteriorated until he succumbed to pneumonia at age 22. Microscopic examination of the brain showed central chromatolysis of neurons and mild gliosis in a restricted distribution of the brainstem and thalamus. Cell loss and cytoarchitectural disruption were evident in the frontal lobes, prepyriform cortex, and entorhinal region. The neuropathological changes were interpreted as a chronic derangement in the function of neurons of the rostral brainstem tegmental area and medial thalamus with secondary involvement of their terminal projection sites.","Phonological analysis is a system for assessing children's speech that was introduced by Ingram in 1976. Despite being acknowledged as one of the essential elements for understanding speech therapy intervention in speech disorders, it is not a wholly generalised practice due to the difficulties involved and the shortage of standardised instruments for performing it.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Speech disorder Sentence A: The ventral tegmental area (VTA) is the major dopaminergic (DA) center responsible for the innervation of the prefrontal cortex, nucleus accumbens, and entorhinal region. These areas have been causally implicated in schizophrenia. Thus, the existence of brainstem pathology could explain many of the previously reported findings in schizophrenic (SC) patients. The authors focus on uncovering brainstem abnormalities in schizophrenia by studying the autopsied material of a patient having an early onset of symptomatology. The patient was evaluated at the age of 10 years for manneristic behavior, a speech disorder, and violence. Prominent auditory hallucinations became apparent years later. His mental status and ability for self-care steadily deteriorated until he succumbed to pneumonia at age 22. Microscopic examination of the brain showed central chromatolysis of neurons and mild gliosis in a restricted distribution of the brainstem and thalamus. Cell loss and cytoarchitectural disruption were evident in the frontal lobes, prepyriform cortex, and entorhinal region. The neuropathological changes were interpreted as a chronic derangement in the function of neurons of the rostral brainstem tegmental area and medial thalamus with secondary involvement of their terminal projection sites. Sentence B: Phonological analysis is a system for assessing children's speech that was introduced by Ingram in 1976. Despite being acknowledged as one of the essential elements for understanding speech therapy intervention in speech disorders, it is not a wholly generalised practice due to the difficulties involved and the shortage of standardised instruments for performing it. ###Answer 1. Changed In Sentence A, the term ""speech disorder"" is used to describe a patient's symptoms at the age of 10, indicating a more severe and specific impairment in speech production. In contrast, in Sentence B, the term is used more broadly to refer to any impairment in phonological processing, without any mention of a specific age or severity of the impairment. This shift in meaning suggests that the term ""speech disorder"" has undergone semantic drift, indicating a broader usage and potentially a looser definition." 85,Speech disorder,"Speech-language pathologists serving multicultural populations may encounter unfamiliar beliefs about speech disorders among the members of different cultures. This study used a questionnaire to look at attitudes toward four disorders (cleft palate, dysfluency, hearing impairment, and misarticulations) among 166 university students representing English-speaking North American culture and several other cultures (e.g., Chinese, Southeast Asian, Hispanic). The results showed significant group differences on items involving the subjects' beliefs about the emotional health of persons with speech disorders and about the potential ability of speech-disordered persons to change their own speech."," Major depressive disorder is a common mental disorder that affects almost 7% of the adult U.S. population. The 2017 Audio/Visual Emotion Challenge (AVEC) asks participants to build a model to predict depression levels based on the audio, video, and text of an interview ranging between 7-33 minutes. Since averaging features over the entire interview will lose most temporal information, how to discover, capture, and preserve useful temporal details for such a long interview are significant challenges. Therefore, we propose a novel topic modeling based approach to perform context-aware analysis of the recording. Our experiments show that the proposed approach outperforms context-unaware methods and the challenge baselines for all metrics. ","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Speech disorder Sentence A: Speech-language pathologists serving multicultural populations may encounter unfamiliar beliefs about speech disorders among the members of different cultures. This study used a questionnaire to look at attitudes toward four disorders (cleft palate, dysfluency, hearing impairment, and misarticulations) among 166 university students representing English-speaking North American culture and several other cultures (e.g., Chinese, Southeast Asian, Hispanic). The results showed significant group differences on items involving the subjects' beliefs about the emotional health of persons with speech disorders and about the potential ability of speech-disordered persons to change their own speech. Sentence B: Major depressive disorder is a common mental disorder that affects almost 7% of the adult U.S. population. The 2017 Audio/Visual Emotion Challenge (AVEC) asks participants to build a model to predict depression levels based on the audio, video, and text of an interview ranging between 7-33 minutes. Since averaging features over the entire interview will lose most temporal information, how to discover, capture, and preserve useful temporal details for such a long interview are significant challenges. Therefore, we propose a novel topic modeling based approach to perform context-aware analysis of the recording. Our experiments show that the proposed approach outperforms context-unaware methods and the challenge baselines for all metrics. ###Answer Semantic drift has occurred in the target word ""Speech disorder"" between Sentence A (2000) and Sentence B (2020). Reasoning: The target word ""Speech disorder"" in Sentence A (2000) has a different connotation compared to its usage in Sentence B (2020). In Sentence A, the term is used in the context of a study on cultural attitudes toward speech disorders, indicating a focus on the beliefs and attitudes of different cultures toward speech disorders. In contrast, in Sentence B, the term is used in the context of a study on predicting depression levels based on audio, video, and text data from an interview, indicating a focus on the potential for speech disorders to be a symptom of depression. This shift in focus suggests that the term ""Speech disorder"" has undergone a significant change in meaning between the two sentences, indicating semantic drift." 86,Speech disorder,"Clinical and neurophysiological analysis of a case of a 7 year old patient with typical benign partial seizures with rolandic spikes and speech disorder, differing from those in Landau-Kleffner syndrome and in typical benign partial epilepsy of childhood presenting as speech dyspraxia. Two independent foci (in the premotor cortex of the left front lobe (dominant hemisphere) and in the temporal lobe of the right hemisphere were found. Significant clinical improvement and electrographical positive effect in EEG were achiered after prednisolone and sodium valproate treatment."," Parkinson's disease (PD) is a progressive degenerative disorder of the central nervous system characterized by motor and non-motor symptoms. As the disease progresses, patients alternate periods in which motor symptoms are mitigated due to medication intake (ON state) and periods with motor complications (OFF state). The time that patients spend in the OFF condition is currently the main parameter employed to assess pharmacological interventions and to evaluate the efficacy of different active principles. In this work, we present a system that combines automatic speech processing and deep learning techniques to classify the medication state of PD patients by leveraging personal speech-based bio-markers. We devise a speaker-dependent approach and investigate the relevance of different acoustic-prosodic feature sets. Results show an accuracy of 90.54% in a test task with mixed speech and an accuracy of 95.27% in a semi-spontaneous speech task. Overall, the experimental assessment shows the potentials of this approach towards the development of reliable, remote daily monitoring and scheduling of medication intake of PD patients. ","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Speech disorder Sentence A: Clinical and neurophysiological analysis of a case of a 7 year old patient with typical benign partial seizures with rolandic spikes and speech disorder, differing from those in Landau-Kleffner syndrome and in typical benign partial epilepsy of childhood presenting as speech dyspraxia. Two independent foci (in the premotor cortex of the left front lobe (dominant hemisphere) and in the temporal lobe of the right hemisphere were found. Significant clinical improvement and electrographical positive effect in EEG were achiered after prednisolone and sodium valproate treatment. Sentence B: Parkinson's disease (PD) is a progressive degenerative disorder of the central nervous system characterized by motor and non-motor symptoms. As the disease progresses, patients alternate periods in which motor symptoms are mitigated due to medication intake (ON state) and periods with motor complications (OFF state). The time that patients spend in the OFF condition is currently the main parameter employed to assess pharmacological interventions and to evaluate the efficacy of different active principles. In this work, we present a system that combines automatic speech processing and deep learning techniques to classify the medication state of PD patients by leveraging personal speech-based bio-markers. We devise a speaker-dependent approach and investigate the relevance of different acoustic-prosodic feature sets. Results show an accuracy of 90.54% in a test task with mixed speech and an accuracy of 95.27% in a semi-spontaneous speech task. Overall, the experimental assessment shows the potentials of this approach towards the development of reliable, remote daily monitoring and scheduling of medication intake of PD patients. ###Answer 1. Changed Reasoning: In Sentence A, the target word ""speech disorder"" is used to describe a specific medical condition affecting a child's speech. The sentence highlights the clinical and neurophysiological analysis of the condition, including the identification of two independent foci in the brain. The word ""speech disorder"" in this context connotes a clear medical meaning, indicating a specific type of neurological disorder. In Sentence B, the target word ""speech disorder"" has a different meaning. The sentence discusses the use of automatic speech processing and deep learning techniques to classify the medication state of Parkinson's disease patients based on their personal speech-based bio-markers. The word ""speech disorder"" in this context refers to the acoustic-prosodic feature sets used to classify the patients' speech. The sentence does not convey a medical meaning, but rather a technical or scientific meaning related to the field of speech processing. Therefore, based on the context and meaning of the target word in each sentence, it can be concluded that semantic drift has occurred, and the label ""Changed"" is appropriate." 87,Speech disorder,"Children with cleft palates often suffer from chronic conductive hearing losses, delayed language acquisition and speech disorders. This study presents results of speech and language outcomes in relation to hearing function and types of palatal malformations found. 417 children with cleft palates were examined during followup evaluations that extended over several years. Disorders were studied as they affected the ears, nose and throat, audiometry and speech and language pathology. Children with isolated cleft lips were excluded. Among the total group, 8% had normal speech and language development while 92% had speech or language disorders. 80% of these latter children had hearing problems that predominantly consisted of fluctuating conductive hearing losses caused by otitis media with effusion. 5% had sensorineural hearing losses. Fifty-eight children (14%) with rhinolalia aperta were not improved by speech therapy and required velopharyngoplasties, using a cranial-based pharyngeal flap. Language skills did not depend on the type of cleft palate presents but on the frequency and amount of hearing loss found. Otomicroscopy and audiometric follow-ups with insertions of ventilation tubes were considered to be most important for language development in those children with repeated middle ear infections. Speech or language therapy was necessary in 49% of the children.","The oral condition of neurologically compromised patients seemed to be worse as compared to the healthy population, which is confirmed by concrete data in case of epilepsy patients. The dental status of our 33 years old patient with Wilson-syndrome showed the same situation. The Wilson-syndrome is a hepatolenticular degeneration, with the disfunction of copper excretion in liver. Toxic dose of copper is accumulated in liver, in the nuclei of central nerve system, in kidneys, and in cornea. Deficiency of coeruloplasmin characterizes the disease which might occur in a form of acute hepatitis, chronic active hepatitis, cirrhosis or hepatosplenomegaly without any symptom. Initial symptoms might usually be extrahepatic, with the presence of the green and golden brown Kayser-Fleischer copper deposition. Treatment is necessary until the end of life, 1 g Penicillamine/ day. Our patient with Wilson-syndrome has been treated for 17 years at the Department of Neurology Semmelweis University. Dystonia, speech disorder, and intention tremor are rampant among his symptoms. At the time of admittance to dental clinic, both the upper and lower dental arches belonged to class 2B according to the Fábián and Fejérdy classification of partial edentulousness. After root canal fillings and cementation of dowel cores, an upper and lower fix and removable partial denture combination was made. Oral hygiene was controlled every three months. Dentures are worn for half a year without complaint.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Speech disorder Sentence A: Children with cleft palates often suffer from chronic conductive hearing losses, delayed language acquisition and speech disorders. This study presents results of speech and language outcomes in relation to hearing function and types of palatal malformations found. 417 children with cleft palates were examined during followup evaluations that extended over several years. Disorders were studied as they affected the ears, nose and throat, audiometry and speech and language pathology. Children with isolated cleft lips were excluded. Among the total group, 8% had normal speech and language development while 92% had speech or language disorders. 80% of these latter children had hearing problems that predominantly consisted of fluctuating conductive hearing losses caused by otitis media with effusion. 5% had sensorineural hearing losses. Fifty-eight children (14%) with rhinolalia aperta were not improved by speech therapy and required velopharyngoplasties, using a cranial-based pharyngeal flap. Language skills did not depend on the type of cleft palate presents but on the frequency and amount of hearing loss found. Otomicroscopy and audiometric follow-ups with insertions of ventilation tubes were considered to be most important for language development in those children with repeated middle ear infections. Speech or language therapy was necessary in 49% of the children. Sentence B: The oral condition of neurologically compromised patients seemed to be worse as compared to the healthy population, which is confirmed by concrete data in case of epilepsy patients. The dental status of our 33 years old patient with Wilson-syndrome showed the same situation. The Wilson-syndrome is a hepatolenticular degeneration, with the disfunction of copper excretion in liver. Toxic dose of copper is accumulated in liver, in the nuclei of central nerve system, in kidneys, and in cornea. Deficiency of coeruloplasmin characterizes the disease which might occur in a form of acute hepatitis, chronic active hepatitis, cirrhosis or hepatosplenomegaly without any symptom. Initial symptoms might usually be extrahepatic, with the presence of the green and golden brown Kayser-Fleischer copper deposition. Treatment is necessary until the end of life, 1 g Penicillamine/ day. Our patient with Wilson-syndrome has been treated for 17 years at the Department of Neurology Semmelweis University. Dystonia, speech disorder, and intention tremor are rampant among his symptoms. At the time of admittance to dental clinic, both the upper and lower dental arches belonged to class 2B according to the Fábián and Fejérdy classification of partial edentulousness. After root canal fillings and cementation of dowel cores, an upper and lower fix and removable partial denture combination was made. Oral hygiene was controlled every three months. Dentures are worn for half a year without complaint. ###Answer 1. Changed Reasoning: The term ""speech disorder"" in Sentence A has a different connotation than in Sentence B. In Sentence A, the term likely refers to a speech impediment or difficulty articulating words, possibly due to a cleft palate or other malformation. In contrast, in Sentence B, the term ""speech disorder"" may refer to a more general difficulty with speaking or language processing, possibly due to neurological compromise. The context and meaning of the term ""speech disorder"" have shifted significantly between the two sentences, indicating semantic drift has occurred." 88,Speech disorder,Iterative dysarthria is a speech disorder which bears some resemblance to stuttering. It is commonly found in Parkinson's disease but has so far received little attention to. We report the case of a 67 year old female parkinsonian patient with a severe dysarthria of the iterative type. The characteristic features of iterative dysarthria are described and the relevant literature is reviewed.,"Purpose We empirically assessed the results of computational optimization and prediction in communication interfaces that were designed to allow individuals with severe motor speech disorders to select phonemes and generate speech output. Method Interface layouts were either random or optimized, in which phoneme targets that were likely to be selected together were located in proximity. Target sizes were either static or predictive, such that likely targets were dynamically enlarged following each selection. Communication interfaces were evaluated by 36 users without motor impairments using an alternate access method. Each user was assigned to 1 of 4 interfaces varying in layout and whether prediction was implemented (random/static, random/predictive, optimized/static, optimized/predictive) and participated in 12 sessions over a 3-week period. Six participants with severe motor impairments used both the optimized/static and optimized/predictive interfaces in 1-2 sessions. Results In individuals without motor impairments, prediction provided significantly faster communication rates during training (Sessions 1-9), as users were learning the interface target locations and the novel access method. After training, optimization acted to significantly increase communication rates. The optimization likely became relevant only after training when participants knew the target locations and moved directly to the targets. Participants with motor impairments could use the interfaces with alternate access methods and generally rated the interface with prediction as preferred. Conclusions Optimization and prediction led to increases in communication rates in users without motor impairments. Predictive interfaces were preferred by users with motor impairments. Future research is needed to translate these results into clinical practice. Supplemental Material https://doi.org/10.23641/asha.8636948.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Speech disorder Sentence A: Iterative dysarthria is a speech disorder which bears some resemblance to stuttering. It is commonly found in Parkinson's disease but has so far received little attention to. We report the case of a 67 year old female parkinsonian patient with a severe dysarthria of the iterative type. The characteristic features of iterative dysarthria are described and the relevant literature is reviewed. Sentence B: Purpose We empirically assessed the results of computational optimization and prediction in communication interfaces that were designed to allow individuals with severe motor speech disorders to select phonemes and generate speech output. Method Interface layouts were either random or optimized, in which phoneme targets that were likely to be selected together were located in proximity. Target sizes were either static or predictive, such that likely targets were dynamically enlarged following each selection. Communication interfaces were evaluated by 36 users without motor impairments using an alternate access method. Each user was assigned to 1 of 4 interfaces varying in layout and whether prediction was implemented (random/static, random/predictive, optimized/static, optimized/predictive) and participated in 12 sessions over a 3-week period. Six participants with severe motor impairments used both the optimized/static and optimized/predictive interfaces in 1-2 sessions. Results In individuals without motor impairments, prediction provided significantly faster communication rates during training (Sessions 1-9), as users were learning the interface target locations and the novel access method. After training, optimization acted to significantly increase communication rates. The optimization likely became relevant only after training when participants knew the target locations and moved directly to the targets. Participants with motor impairments could use the interfaces with alternate access methods and generally rated the interface with prediction as preferred. Conclusions Optimization and prediction led to increases in communication rates in users without motor impairments. Predictive interfaces were preferred by users with motor impairments. Future research is needed to translate these results into clinical practice. Supplemental Material https://doi.org/10.23641/asha.8636948. ###Answer 1. Changed Reasoning: In Sentence A, the target word ""speech disorder"" is used to describe a specific type of speech impairment, iterative dysarthria, which is associated with Parkinson's disease. The sentence highlights the unique features of this disorder and provides a detailed description of its characteristics. In Sentence B, the target word ""speech disorder"" is used in a different context, to describe a more general type of speech impairment. The sentence discusses the use of computational optimization and prediction in communication interfaces designed for individuals with severe motor speech disorders. The target word is used to refer to the interfaces themselves, rather than a specific type of speech impairment. Based on these differences in context and meaning, it can be concluded that the target word ""speech disorder"" has undergone a significant change in meaning between Sentence A and Sentence B. In Sentence A, the word is used to describe a specific type of speech impairment with a clear clinical context, while in Sentence B, the word is used more broadly to refer to the interfaces themselves. Therefore, the label ""Changed"" is appropriate to indicate that the meaning of the target word has shifted significantly between the two sentences." 89,Speech disorder,"A patient suffering from bilateral thalamic infarction in the region supplied by the paramedian arteries sparing the internal capsules underwent acoustic analysis of sentence utterances. The results were compared with the findings obtained in parkinsonian subjects, in patients with upper motor neuron lesions, and in normal subjects. Acoustic measurements revealed increased pitch, monotonous speech, rough voice quality, and normal speech tempo concomitant with articulatory impreciseness in terms of incomplete closure productions. This constellation resembled parkinsonian dysarthria. Damage to the thalamic projection area of the pallidal efferents, therefore, seems to be the most probable cause of the patient's speech disorders. In parkinsonian subjects stereotactical lesions of this structure ameliorate rigor, but not akinesia. Thus, our patient's speech deficits, and by analogy the corresponding parkinsonian dysarthric disturbances, may be considered akinetic signs."," This work introduces a time domain personalized method (pGTFF0) to achieve intelligibility improvement of noisy speech for Autism Spectrum Disorder (ASD) situation. For this proposal, harmonic features estimated from speech frames are considered as center frequencies of Gammatone auditory filterbanks. A gain factor is further applied to the output of the filtered samples. The key goal is the emulation of an external noise filtering tailored for individuals with ASD. A perceptual listening test demonstrates that ASD volunteers attained lower intelligibility rates than Neurotypical (NT). The proposed solution is compared to three competing approaches considering four acoustic noises at different signal-to-noise ratios. Two objective measures (ESTOI and PESQ) are also adopted for evaluation. The experimental results show that the personalized solution outperformed the competing approaches in terms of intelligibility and quality improvement. ","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Speech disorder Sentence A: A patient suffering from bilateral thalamic infarction in the region supplied by the paramedian arteries sparing the internal capsules underwent acoustic analysis of sentence utterances. The results were compared with the findings obtained in parkinsonian subjects, in patients with upper motor neuron lesions, and in normal subjects. Acoustic measurements revealed increased pitch, monotonous speech, rough voice quality, and normal speech tempo concomitant with articulatory impreciseness in terms of incomplete closure productions. This constellation resembled parkinsonian dysarthria. Damage to the thalamic projection area of the pallidal efferents, therefore, seems to be the most probable cause of the patient's speech disorders. In parkinsonian subjects stereotactical lesions of this structure ameliorate rigor, but not akinesia. Thus, our patient's speech deficits, and by analogy the corresponding parkinsonian dysarthric disturbances, may be considered akinetic signs. Sentence B: This work introduces a time domain personalized method (pGTFF0) to achieve intelligibility improvement of noisy speech for Autism Spectrum Disorder (ASD) situation. For this proposal, harmonic features estimated from speech frames are considered as center frequencies of Gammatone auditory filterbanks. A gain factor is further applied to the output of the filtered samples. The key goal is the emulation of an external noise filtering tailored for individuals with ASD. A perceptual listening test demonstrates that ASD volunteers attained lower intelligibility rates than Neurotypical (NT). The proposed solution is compared to three competing approaches considering four acoustic noises at different signal-to-noise ratios. Two objective measures (ESTOI and PESQ) are also adopted for evaluation. The experimental results show that the personalized solution outperformed the competing approaches in terms of intelligibility and quality improvement. ###Answer 1. Changed Reasoning: In Sentence A, the term ""speech disorder"" is used to describe a patient's difficulty with speech articulation, likely due to damage to the thalamic projection area of the pallidal efferents. The context suggests that the patient's speech is characterized by increased pitch, monotonous speech, rough voice quality, and incomplete closure productions, which resembles parkinsonian dysarthria. In Sentence B, the term ""speech disorder"" is used in a different context to describe a personalized method for improving intelligibility of noisy speech for individuals with Autism Spectrum Disorder (ASD). The term is used to refer to a specific type of speech impairment that affects individuals with ASD, rather than a general term for any type of speech difficulty. The context suggests that the proposed solution aims to emulate an external noise filtering tailored for individuals with ASD, with the goal of improving intelligibility and quality of speech. Based on these differences in context and meaning, it is clear that the term ""speech disorder"" has undergone a significant change in meaning between Sentence A and Sentence B. In Sentence A, the term is used to describe a specific type of speech impairment caused by damage to the thalamic projection area of the pallidal efferents, while in Sentence B, the term is used to describe a more general type of speech impairment affecting individuals with ASD. Therefore, I would label the term ""speech disorder"" in Sentence B as ""Changed""." 90,Speech disorder,"The phonological abilities of two groups of 4-9-year-old intellectually impaired Cantonese-speaking children are described. Children with Down's syndrome did not differ from matched non-Down's syndrome controls in terms of a lexical comprehension measure, the size of their phoneme repertoires, the range of sounds affected by articulatory imprecision, or the number of consonants, vowels or tones produced in error. However, the types of errors made by the Down's syndrome children were different from those made by the control subjects. Cantonese-speaking children with Down's syndrome, as compared with controls, made a greater number of inconsistent errors, were more likely to produce non-developmental errors and were better in imitation than in spontaneous production. Despite extensive differences between the phonological structures of Cantonese and English, children with Down's syndrome acquiring these languages show the same characteristic pattern of speech errors. One unexpected finding was that the control group of non-Down's syndrome children failed to present with delayed phonological development typically reported for their English-speaking counterparts. The argument made is that cross-linguistic studies of intellectually impaired children's language acquisition provide evidence concerning language-specific characteristics of impairment, as opposed to those characteristics that, remaining constant across languages, are an integral part of the disorder. The results reported here support the hypothesis that the speech disorder typically associated with Down's syndrome arises from impaired phonological planning, i.e. a cognitive linguistic deficit.","Stuttering is a speech disorder with disruption of verbal fluency, occasionally present in Parkinson's disease (PD). PD co-incident stuttering may either worsen or improve after Deep Brain Stimulation (DBS).","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Speech disorder Sentence A: The phonological abilities of two groups of 4-9-year-old intellectually impaired Cantonese-speaking children are described. Children with Down's syndrome did not differ from matched non-Down's syndrome controls in terms of a lexical comprehension measure, the size of their phoneme repertoires, the range of sounds affected by articulatory imprecision, or the number of consonants, vowels or tones produced in error. However, the types of errors made by the Down's syndrome children were different from those made by the control subjects. Cantonese-speaking children with Down's syndrome, as compared with controls, made a greater number of inconsistent errors, were more likely to produce non-developmental errors and were better in imitation than in spontaneous production. Despite extensive differences between the phonological structures of Cantonese and English, children with Down's syndrome acquiring these languages show the same characteristic pattern of speech errors. One unexpected finding was that the control group of non-Down's syndrome children failed to present with delayed phonological development typically reported for their English-speaking counterparts. The argument made is that cross-linguistic studies of intellectually impaired children's language acquisition provide evidence concerning language-specific characteristics of impairment, as opposed to those characteristics that, remaining constant across languages, are an integral part of the disorder. The results reported here support the hypothesis that the speech disorder typically associated with Down's syndrome arises from impaired phonological planning, i.e. a cognitive linguistic deficit. Sentence B: Stuttering is a speech disorder with disruption of verbal fluency, occasionally present in Parkinson's disease (PD). PD co-incident stuttering may either worsen or improve after Deep Brain Stimulation (DBS). ###Answer 1. Changed Reasoning: In Sentence A, the term ""speech disorder"" is used to describe a specific set of phonological impairments in children with Down's syndrome. The phrase ""speech disorder"" does not carry any connotation of stuttering or other speech impediments. In Sentence B, the term ""stuttering"" is used to describe a different set of speech impairments, specifically those associated with Parkinson's disease. The term ""speech disorder"" is not used in Sentence B. Therefore, the meaning of the term ""speech disorder"" has changed between the two sentences, indicating semantic drift has occurred." 91,Speech disorder,"In this study, the speech of a 28-year-old male with acquired brain injury and who presents with an undefined neuromotor speech disorder which cannot be categorised as either apraxia of speech or dysarthria, is described. Voice onset time, vowel duration, utterance duration and vowel formant analyses were done acoustically. A perceptual analysis and intelligibility rating were also executed. The subject was found to present with unique perceptual symptoms, intelligible speech, prolonged sound duration and distorted vowel quality. The results are interpreted within the context of the Four Level Framework of Speech Sensorimotor Control (Van der Merwe, 1997).","Premature loss of primary anterior teeth in deciduous arches is a controversial topic in the literature, especially due to the lack of robust scientific evidence regarding the types and magnitudes of the consequences involved. Morphological, functional, and psychosocial problems may arise from untreated premature loss of primary incisors and canines. The morphological problems include impaction and eruption disturbances of permanent successors; inclination and/or extrusion of adjacent and antagonist teeth, respectively; midline deviation; and crowding. Functional complications, such as speech disorders, aesthetic problems, and development of non-nutritive habits may occur, resulting in psychosocial implications, including a decrease in self-esteem, and even being targeted for bullying. The current critical review aimed to present and discuss the evidence available in the literature about the etiology, characteristics, implications and interventions resulting from the premature loss of primary anterior teeth. It is of utmost importance that future studies be developed to support the clinical decisions made by dental professionals on this topic.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Speech disorder Sentence A: In this study, the speech of a 28-year-old male with acquired brain injury and who presents with an undefined neuromotor speech disorder which cannot be categorised as either apraxia of speech or dysarthria, is described. Voice onset time, vowel duration, utterance duration and vowel formant analyses were done acoustically. A perceptual analysis and intelligibility rating were also executed. The subject was found to present with unique perceptual symptoms, intelligible speech, prolonged sound duration and distorted vowel quality. The results are interpreted within the context of the Four Level Framework of Speech Sensorimotor Control (Van der Merwe, 1997). Sentence B: Premature loss of primary anterior teeth in deciduous arches is a controversial topic in the literature, especially due to the lack of robust scientific evidence regarding the types and magnitudes of the consequences involved. Morphological, functional, and psychosocial problems may arise from untreated premature loss of primary incisors and canines. The morphological problems include impaction and eruption disturbances of permanent successors; inclination and/or extrusion of adjacent and antagonist teeth, respectively; midline deviation; and crowding. Functional complications, such as speech disorders, aesthetic problems, and development of non-nutritive habits may occur, resulting in psychosocial implications, including a decrease in self-esteem, and even being targeted for bullying. The current critical review aimed to present and discuss the evidence available in the literature about the etiology, characteristics, implications and interventions resulting from the premature loss of primary anterior teeth. It is of utmost importance that future studies be developed to support the clinical decisions made by dental professionals on this topic. ###Answer 1. Changed Explanation: The target word ""speech disorder"" has undergone significant semantic drift between the two sentences. In Sentence A, the term likely refers to a specific type of speech impediment or disorder that affects the production of speech sounds, such as apraxia of speech or dysarthria. In contrast, in Sentence B, the term ""speech disorder"" is used more broadly to encompass a range of speech problems, including speech impediments, aesthetic problems, and psychosocial implications. In Sentence A, the focus is on the specific speech characteristics of the individual, with an emphasis on the neural basis of speech production. In contrast, Sentence B places more emphasis on the functional and psychosocial consequences of premature loss of primary anterior teeth. The term ""speech disorder"" in Sentence B is used to encompass a broader range of issues related to speech and communication, rather than being limited to a specific speech impediment or disorder. Therefore, the label ""Changed"" is appropriate, as the meaning of the target word has shifted from a specific speech disorder to a broader range of speech and communication issues." 92,Speech disorder,"The health care of children with speech disorders, ranging from diagnosis to handling by local health centers, was reported based on our experience in Fukui Prefecture. With regard to diagnosis, it was stressed that both medical diagnostic and developmental diagnostic viewpoints are necessary. With respect to practical aspects of health care, the role of physicians in a treatment team and the formation of a team in response to the specific type of disorder was discussed. In addition, various problems and their handling within the context of the social environment surrounding the care of children with speech disorders was also covered. Lastly, it should be stressed that fundamentally the therapy of speech disorders should not rely solely on personal training; an understanding of the mind of children affected by speech disorders is vital to successful treatment.","In motor speech disorders, dysarthric features impacting intelligibility, articulation, fluency and voice emerge more saliently in conversation than in repetition, reading or singing. A role of the basal ganglia in these task discrepancies has been identified. Further, more recent studies of naturalistic speech in basal ganglia dysfunction have revealed that formulaic language is more impaired than novel language. This descriptive study extends these observations to a case of severely dysfluent dysarthria due to a parkinsonian syndrome. Dysfluencies were quantified and compared for conversation, two forms of repetition, reading, recited speech and singing. Other measures examined phonetic inventories, word forms and formulaic language. Phonetic, syllabic and lexical dysfluencies were more abundant in conversation than in other task conditions. Formulaic expressions in conversation were reduced compared to normal speakers. A proposed explanation supports the notion that the basal ganglia contribute to formulation of internal models for execution of speech.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Speech disorder Sentence A: The health care of children with speech disorders, ranging from diagnosis to handling by local health centers, was reported based on our experience in Fukui Prefecture. With regard to diagnosis, it was stressed that both medical diagnostic and developmental diagnostic viewpoints are necessary. With respect to practical aspects of health care, the role of physicians in a treatment team and the formation of a team in response to the specific type of disorder was discussed. In addition, various problems and their handling within the context of the social environment surrounding the care of children with speech disorders was also covered. Lastly, it should be stressed that fundamentally the therapy of speech disorders should not rely solely on personal training; an understanding of the mind of children affected by speech disorders is vital to successful treatment. Sentence B: In motor speech disorders, dysarthric features impacting intelligibility, articulation, fluency and voice emerge more saliently in conversation than in repetition, reading or singing. A role of the basal ganglia in these task discrepancies has been identified. Further, more recent studies of naturalistic speech in basal ganglia dysfunction have revealed that formulaic language is more impaired than novel language. This descriptive study extends these observations to a case of severely dysfluent dysarthria due to a parkinsonian syndrome. Dysfluencies were quantified and compared for conversation, two forms of repetition, reading, recited speech and singing. Other measures examined phonetic inventories, word forms and formulaic language. Phonetic, syllabic and lexical dysfluencies were more abundant in conversation than in other task conditions. Formulaic expressions in conversation were reduced compared to normal speakers. A proposed explanation supports the notion that the basal ganglia contribute to formulation of internal models for execution of speech. ###Answer 1. Changed Reasoning: In Sentence A, the target word ""speech disorder"" is used in the context of healthcare and diagnosis. The word is used to describe a condition that affects children's ability to speak, with a focus on the need for a multidisciplinary approach to diagnosis and treatment. The word carries a sense of urgency and importance, as it relates to the health and well-being of children. In Sentence B, the target word ""speech disorder"" is used in the context of motor speech disorders and the impact of basal ganglia dysfunction on speech. The word is used to describe a condition that affects the ability to speak fluently and intelligibly, with a focus on the role of the basal ganglia in these discrepancies. The word carries a sense of scientific precision, as it is used in a descriptive study of naturalistic speech in basal ganglia dysfunction. Between Sentence A and Sentence B, there has been a significant shift in the meaning and connotation of the target word. In Sentence A, the word is used in a more general sense to describe a condition that affects children's speech, with a focus on healthcare and diagnosis. In Sentence B, the word is used in a more specific sense to describe a condition that affects the fluency and intelligibility of speech, with a focus on the role of the basal ganglia. This shift in meaning suggests that the term ""speech disorder"" has undergone semantic drift over time, with the meaning becoming more specialized and technical." 93,Speech disorder,"Forty-nine mongoloid and 48 non-mongol test persons of equivalent age and intelligence were selected and studied with respect to social behavior, speech disorders (observation of behavior), musicality and visual perception. There were significant differences in favor of the mongols with respect to social adaption. Speech disorders of all kinds occurred significantly more frequently in mongol children; stuttering was significantly more frequent in the boys. The mongol group did significantly better in the musicality test; the difference in the rhythmical part was highly significant. The average differences in the capacity for visual discrimination of colors, geometrical forms and the spatial relationship of geometrical forms were not significant.","Although motor speech disorders represent an early and prominent clinical feature of multiple system atrophy (MSA), the potential usefulness of speech assessment as a diagnostic tool has not yet been explored. This cross-sectional study aimed to provide a comprehensive, objective description of motor speech function in the parkinsonian (MSA-P) and cerebellar (MSA-C) variants of MSA. Speech samples were acquired from 80 participants including 18 MSA-P, 22 MSA-C, 20 Parkinson's disease (PD), and 20 healthy controls. The accurate differential diagnosis of dysarthria subtypes was based on quantitative acoustic analysis of 14 speech dimensions. A mixed type of dysarthria involving hypokinetic, ataxic and spastic components was found in the majority of MSA patients independent of phenotype. MSA-P showed significantly greater speech impairment than PD, and predominantly exhibited harsh voice, imprecise consonants, articulatory decay, monopitch, excess pitch fluctuation and pitch breaks. MSA-C was dominated by prolonged phonemes, audible inspirations and voice stoppages. Inappropriate silences, irregular motion rates and overall slowness of speech were present in both MSA phenotypes. Speech features allowed discrimination between MSA-P and PD as well as between both MSA phenotypes with an area under curve up to 0.86. Hypokinetic, ataxic and spastic dysarthria components in MSA were correlated to the clinical evaluation of rigidity, cerebellar and bulbar/pseudobulbar manifestations, respectively. Distinctive speech alterations reflect underlying pathophysiology in MSA. Objective speech assessment may provide an inexpensive and widely applicable screening instrument for differentiation of MSA and PD from controls and among subtypes of MSA.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Speech disorder Sentence A: Forty-nine mongoloid and 48 non-mongol test persons of equivalent age and intelligence were selected and studied with respect to social behavior, speech disorders (observation of behavior), musicality and visual perception. There were significant differences in favor of the mongols with respect to social adaption. Speech disorders of all kinds occurred significantly more frequently in mongol children; stuttering was significantly more frequent in the boys. The mongol group did significantly better in the musicality test; the difference in the rhythmical part was highly significant. The average differences in the capacity for visual discrimination of colors, geometrical forms and the spatial relationship of geometrical forms were not significant. Sentence B: Although motor speech disorders represent an early and prominent clinical feature of multiple system atrophy (MSA), the potential usefulness of speech assessment as a diagnostic tool has not yet been explored. This cross-sectional study aimed to provide a comprehensive, objective description of motor speech function in the parkinsonian (MSA-P) and cerebellar (MSA-C) variants of MSA. Speech samples were acquired from 80 participants including 18 MSA-P, 22 MSA-C, 20 Parkinson's disease (PD), and 20 healthy controls. The accurate differential diagnosis of dysarthria subtypes was based on quantitative acoustic analysis of 14 speech dimensions. A mixed type of dysarthria involving hypokinetic, ataxic and spastic components was found in the majority of MSA patients independent of phenotype. MSA-P showed significantly greater speech impairment than PD, and predominantly exhibited harsh voice, imprecise consonants, articulatory decay, monopitch, excess pitch fluctuation and pitch breaks. MSA-C was dominated by prolonged phonemes, audible inspirations and voice stoppages. Inappropriate silences, irregular motion rates and overall slowness of speech were present in both MSA phenotypes. Speech features allowed discrimination between MSA-P and PD as well as between both MSA phenotypes with an area under curve up to 0.86. Hypokinetic, ataxic and spastic dysarthria components in MSA were correlated to the clinical evaluation of rigidity, cerebellar and bulbar/pseudobulbar manifestations, respectively. Distinctive speech alterations reflect underlying pathophysiology in MSA. Objective speech assessment may provide an inexpensive and widely applicable screening instrument for differentiation of MSA and PD from controls and among subtypes of MSA. ###Answer 1. Changed Reasoning: In Sentence A, the term ""speech disorder"" is used to describe a range of speech impairments, including stuttering and harsh voice. The passage highlights the differences in speech patterns between Mongols and non-Mongols, with the Mongols exhibiting more frequent speech disorders. However, the term ""speech disorder"" does not carry any negative connotations in this passage. In Sentence B, the term ""dysarthria"" is used to describe a type of speech impairment, and the passage highlights the different types of dysarthria that can be observed in patients with multiple system atrophy (MSA). The term ""dysarthria"" carries a negative connotation, suggesting a loss of speech abilities. The passage also highlights the correlation between speech impairments and clinical evaluation of rigidity, cerebellar, and bulbar/pseudobulbar manifestations. Based on these differences in usage and connotation, it can be concluded that the term ""speech disorder"" has undergone semantic drift between the two sentences. In Sentence A, the term is used more broadly to describe a range of speech impairments without any negative connotations, while in Sentence B, the term ""dysarthria"" is used with negative connotations to describe a specific type of speech impairment. Therefore, the label ""Changed"" is appropriate to indicate that the meaning of the term ""speech disorder"" has shifted over time." 94,Speech disorder,"This study presents the results on 1305 children with speech disorders. The examination includes ENT-inspection, audiometry, speech-evaluations and if required, psychological tests. In 48% we found hearing losses, most frequently in the age up to four years. In 95% hearing losses were fluctuating about 20 decibels, caused by malfunction of the tube or by adenoids, not even in autumn and winter, but also all the year. In this case, fluctuating hearing function reduces the total hearing input over the year. In only 5% we found cochlear hearing loss. In hearing impaired children speech development was significantly more depressed in all dimensions in comparison to normal hearing children. This study does impressive demonstrate the necessity of follow-up microscopic evaluations of the tympanic membrane and audiometry as well as the consequence operative therapy including adenoidectomy and insertion of ventilation tubes. With this concept, only 37% of the children required speech therapy."," Parkinsons disease (PD) is a debilitating motor system disorder characterized by progressive loss of movement, tremors, and speech slurring. PD is due to the loss of dopamine-producing brain cells, and symptoms only worsen over time, making early detection and diagnosis of the disease key to effective management and treatment. There is currently no standardized method of diagnosis available, and instead a combination of the medical history of a patient and physician judgment is used. In this research, a novel method of accurately diagnosing PD using an artificial neural network (ANN) and speech measurements was developed. Using this technology, a patient need only speak into a computer microphone. Speech data is then analyzed using Praat and inputted into the ANN to obtain the diagnosis. The ANN, built using MATLAB and trained and tested with actual patient data, was able to correctly classify 96.55% of test data. A mathematical model of the GPe/STN neural cluster was then constructed to account for Parkinsonian tremor. This was done using a two-cell model that coupled a GPe neuron to a STN neuron and consisted of a system of twelve ordinary differential equations. The model was structured to account for neuron bursting behavior, neurotransmitter release, and synaptic connections between neurons. After comparison to the biological behavior of the cluster and neuron firing patterns in PD patients, the model was determined to be predictive of known biological results. This work presents a significant step forward in PD research and could be successfully implemented into clinical practice. ","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Speech disorder Sentence A: This study presents the results on 1305 children with speech disorders. The examination includes ENT-inspection, audiometry, speech-evaluations and if required, psychological tests. In 48% we found hearing losses, most frequently in the age up to four years. In 95% hearing losses were fluctuating about 20 decibels, caused by malfunction of the tube or by adenoids, not even in autumn and winter, but also all the year. In this case, fluctuating hearing function reduces the total hearing input over the year. In only 5% we found cochlear hearing loss. In hearing impaired children speech development was significantly more depressed in all dimensions in comparison to normal hearing children. This study does impressive demonstrate the necessity of follow-up microscopic evaluations of the tympanic membrane and audiometry as well as the consequence operative therapy including adenoidectomy and insertion of ventilation tubes. With this concept, only 37% of the children required speech therapy. Sentence B: Parkinsons disease (PD) is a debilitating motor system disorder characterized by progressive loss of movement, tremors, and speech slurring. PD is due to the loss of dopamine-producing brain cells, and symptoms only worsen over time, making early detection and diagnosis of the disease key to effective management and treatment. There is currently no standardized method of diagnosis available, and instead a combination of the medical history of a patient and physician judgment is used. In this research, a novel method of accurately diagnosing PD using an artificial neural network (ANN) and speech measurements was developed. Using this technology, a patient need only speak into a computer microphone. Speech data is then analyzed using Praat and inputted into the ANN to obtain the diagnosis. The ANN, built using MATLAB and trained and tested with actual patient data, was able to correctly classify 96.55% of test data. A mathematical model of the GPe/STN neural cluster was then constructed to account for Parkinsonian tremor. This was done using a two-cell model that coupled a GPe neuron to a STN neuron and consisted of a system of twelve ordinary differential equations. The model was structured to account for neuron bursting behavior, neurotransmitter release, and synaptic connections between neurons. After comparison to the biological behavior of the cluster and neuron firing patterns in PD patients, the model was determined to be predictive of known biological results. This work presents a significant step forward in PD research and could be successfully implemented into clinical practice. ###Answer 1. Changed Reasoning: In Sentence A, the term ""speech disorder"" is used to describe a condition affecting children's speech, with symptoms including hearing losses and fluctuating hearing function. The study highlights the importance of follow-up evaluations and therapy to address these issues. In Sentence B, the term ""Parkinsons disease (PD)"" is used to describe a neurodegenerative disorder characterized by speech slurring, tremors, and progressive loss of movement. The study presents a novel method of accurately diagnosing PD using speech measurements and an artificial neural network. The term ""Parkinsons disease"" has a different connotation and meaning compared to ""speech disorder"". The study focuses on the diagnosis and management of PD, rather than the treatment of speech disorders in children. Therefore, semantic drift has occurred in the meaning of the term ""speech disorder"" between the two sentences." 95,Speech disorder,"Fetal alcohol syndrome (FAS) is characterized in part by mental impairment, as well as craniofacial and ocular anomalies. These conditions are traditionally associated with childhood hearing disorders, because they all have a common embryonic origin in malformations of the first and second branchial arches, and have similar critical periods of vulnerability to toxic insult. A review of human and animal research indicates that there are four types of hearing disorders associated with FAS. These are: (1) a developmental delay in auditory maturation, (2) sensorineural hearing loss, (3) intermittent conductive hearing loss due to recurrent serous otitis media, and (4) central hearing loss. The auditory and vestibular systems share the same peripheral apparatuses (the inner ear and eighth cranial nerve) and are embryologically and structurally similar. Consequently, vestibular disorders in FAS children might be expected. The evidence for vestibular dysfunction in FAS is ambiguous, however. Like other syndromes associated with craniofacial anomalies, hearing disorders, and mental impairment, FAS is also characterized by a high prevalence of speech and language pathology. Hearing disorders are a form of sensory deprivation. If present during early childhood, they can result in permanent hearing, language, and mental impairment. Early identification and intervention to treat hearing, language, and speech disorders could therefore result in improved outcome for the FAS child. Specific recommendations are made for intervention and future research.","Individuals with idiopathic Parkinson's disease (IPD) usually develop a speech disorder characterized by reduced loudness, hoarse and breathy voice, monotony of pitch, short rushes of speech, and imprecise consonants. The inability to effectively communicate impairs their ability to function in society and quality of life. A successful program developed to improve speech in these individuals is the Lee Silverman Voice Treatment (LSVT). A critical component of this treatment is intense daily therapy for 4 weeks, a regimen that is difficult for many elderly patients to complete. Treatment delivered through videophones placed in the homes of individuals with IPD offers an alternative and could improve accessibility of treatment if the results were the same. This study compared the outcomes of LSVT delivered via videophones to the outcomes of traditional treatment delivered face-to-face.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Speech disorder Sentence A: Fetal alcohol syndrome (FAS) is characterized in part by mental impairment, as well as craniofacial and ocular anomalies. These conditions are traditionally associated with childhood hearing disorders, because they all have a common embryonic origin in malformations of the first and second branchial arches, and have similar critical periods of vulnerability to toxic insult. A review of human and animal research indicates that there are four types of hearing disorders associated with FAS. These are: (1) a developmental delay in auditory maturation, (2) sensorineural hearing loss, (3) intermittent conductive hearing loss due to recurrent serous otitis media, and (4) central hearing loss. The auditory and vestibular systems share the same peripheral apparatuses (the inner ear and eighth cranial nerve) and are embryologically and structurally similar. Consequently, vestibular disorders in FAS children might be expected. The evidence for vestibular dysfunction in FAS is ambiguous, however. Like other syndromes associated with craniofacial anomalies, hearing disorders, and mental impairment, FAS is also characterized by a high prevalence of speech and language pathology. Hearing disorders are a form of sensory deprivation. If present during early childhood, they can result in permanent hearing, language, and mental impairment. Early identification and intervention to treat hearing, language, and speech disorders could therefore result in improved outcome for the FAS child. Specific recommendations are made for intervention and future research. Sentence B: Individuals with idiopathic Parkinson's disease (IPD) usually develop a speech disorder characterized by reduced loudness, hoarse and breathy voice, monotony of pitch, short rushes of speech, and imprecise consonants. The inability to effectively communicate impairs their ability to function in society and quality of life. A successful program developed to improve speech in these individuals is the Lee Silverman Voice Treatment (LSVT). A critical component of this treatment is intense daily therapy for 4 weeks, a regimen that is difficult for many elderly patients to complete. Treatment delivered through videophones placed in the homes of individuals with IPD offers an alternative and could improve accessibility of treatment if the results were the same. This study compared the outcomes of LSVT delivered via videophones to the outcomes of traditional treatment delivered face-to-face. ###Answer 1. Changed Reasoning: In Sentence A, the term ""speech disorder"" is used to describe individuals with fetal alcohol syndrome (FAS), which is characterized by mental impairment, craniofacial and ocular anomalies, and hearing disorders. The term ""speech disorder"" in this context implies a connection between the individual's hearing impairment and their speech difficulties. However, in Sentence B, the term ""speech disorder"" is used to describe individuals with idiopathic Parkinson's disease (IPD), which is characterized by a different set of symptoms than FAS. The term ""speech disorder"" in this context does not imply a connection between the individual's hearing impairment and their speech difficulties. Therefore, semantic drift has occurred in the usage of the term ""speech disorder.""" 96,Speech disorder,"According to calculations based on factor analysis a general, a sensory, and a motor speech factor were determined for 50 aphasic patients, 29 non-aphasic patients with an injured brain and 20 persons who had no brain injuries. The method of examination and the graduation for the quantification of speech disorders are presented and discussed."," Because lab accuracy of clinical speech technology systems may be overoptimistic, clinical validation is vital to demonstrate system reproducibility - in this case, the ability of the PERCEPT-R Classifier to predict clinician judgment of American English /r/ during ChainingAI motor-based speech sound disorder intervention. All five participants experienced statistically-significant improvement in untreated words following 10 sessions of combined human-ChainingAI treatment. These gains, despite a wide range of PERCEPT-human and human-human (F1-score) agreement, raise questions about best measuring classification performance for clinical speech that may be perceptually ambiguous. ","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Speech disorder Sentence A: According to calculations based on factor analysis a general, a sensory, and a motor speech factor were determined for 50 aphasic patients, 29 non-aphasic patients with an injured brain and 20 persons who had no brain injuries. The method of examination and the graduation for the quantification of speech disorders are presented and discussed. Sentence B: Because lab accuracy of clinical speech technology systems may be overoptimistic, clinical validation is vital to demonstrate system reproducibility - in this case, the ability of the PERCEPT-R Classifier to predict clinician judgment of American English /r/ during ChainingAI motor-based speech sound disorder intervention. All five participants experienced statistically-significant improvement in untreated words following 10 sessions of combined human-ChainingAI treatment. These gains, despite a wide range of PERCEPT-human and human-human (F1-score) agreement, raise questions about best measuring classification performance for clinical speech that may be perceptually ambiguous. ###Answer Target word: Speech disorder Semantic drift has occurred in the target word ""Speech disorder"" between Sentence A (2000) and Sentence B (2020). Reasoning: In Sentence A, the target word is used in the context of a scientific study to describe a specific type of speech impairment. The word is defined as a ""general, sensory, and motor speech factor"" that was determined for a group of patients with brain injuries. The word is used in a neutral and technical sense, with no apparent connotations of negative or positive valence. In Sentence B, the target word is used in a different context, describing the outcome of a speech intervention treatment. The word is now associated with the idea of improvement and treatment success, rather than impairment. The word is used in a more positive and optimistic sense, with a connotation of progress and recovery. Based on these differences in context and connotation, it can be concluded that the meaning of the target word ""Speech disorder"" has shifted over time, indicating semantic drift. Therefore, the label ""Changed"" is appropriate." 97,Speech disorder,"From March 1978 till August 1981 neurointensive care was applied to 24 children with severe head injuries (Glasgow Coma Scale less than or equal to 7, mean 5 +/- 1) corresponding to 7% of a population with head injuries observed during the same period. The neurointensive care included continuous intracranial and arterial pressure monitoring and normalization of intracranial and cerebral perfusion pressure with intubation, hyperventilation, control of body temperature, dexamethason, barbiturates and osmotic agents. The follow-up time is 1.5 to 4.4 years (mean 2.5 years). The results obtained by check-ups every 3-6 months were analyzed as proposed by Lange-Cosack and Tepfer (1973) and used to group the children according to Jennett and Bond (1975). At the end of the follow-up four children were 1-5, twelve 6-14 years old and 3 older. Five patients (= 21%) died during the acute stage of head injury. Residual neurological signs were present in 42% of the children depending on the specific topics (cranial nerve deficits, hemiparesis, speech disorders, ataxic syndromes) at most in 1/4 of the cases. Minimal to distinct residual psychoorganic signs were found in 58%, an altered personality being somewhat more frequent than intelligence deficit or psychomotor retardation. Eleven of the twelve school children are back in school of whom are eight in regular and three in special schools. At a mean time of 1.5 years after the accident the EEG was normal in nine cases and displayed a slightly altered background activity and/or slow wave foci in eight and epileptiform foci in two cases.(ABSTRACT TRUNCATED AT 250 WORDS)","In conjunction with the lips, tongue, and oropharynx, the teeth play an important role in the articulation of consonants via airflow obstruction and modification. Therefore, along with these articulators, any orthodontic therapy that changes their position may play a role in speech disorders. This paper examines the relevant studies and discusses the difficulties of scientific investigation in this area. The ability of patients to adapt their speech to compensate for most handicapping occlusion and facial deformities is recognized, but the mechanism for this adaptation remains incompletely understood. The overall conclusion is that while certain malocclusions show a relationship with speech defects, this does not appear to correlate with the severity of the condition. There is no direct cause-and-effect relationship. Similarly, no guarantees of improvement can be given to patients undergoing orthodontic or orthognathic correction of malocclusion.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Speech disorder Sentence A: From March 1978 till August 1981 neurointensive care was applied to 24 children with severe head injuries (Glasgow Coma Scale less than or equal to 7, mean 5 +/- 1) corresponding to 7% of a population with head injuries observed during the same period. The neurointensive care included continuous intracranial and arterial pressure monitoring and normalization of intracranial and cerebral perfusion pressure with intubation, hyperventilation, control of body temperature, dexamethason, barbiturates and osmotic agents. The follow-up time is 1.5 to 4.4 years (mean 2.5 years). The results obtained by check-ups every 3-6 months were analyzed as proposed by Lange-Cosack and Tepfer (1973) and used to group the children according to Jennett and Bond (1975). At the end of the follow-up four children were 1-5, twelve 6-14 years old and 3 older. Five patients (= 21%) died during the acute stage of head injury. Residual neurological signs were present in 42% of the children depending on the specific topics (cranial nerve deficits, hemiparesis, speech disorders, ataxic syndromes) at most in 1/4 of the cases. Minimal to distinct residual psychoorganic signs were found in 58%, an altered personality being somewhat more frequent than intelligence deficit or psychomotor retardation. Eleven of the twelve school children are back in school of whom are eight in regular and three in special schools. At a mean time of 1.5 years after the accident the EEG was normal in nine cases and displayed a slightly altered background activity and/or slow wave foci in eight and epileptiform foci in two cases.(ABSTRACT TRUNCATED AT 250 WORDS) Sentence B: In conjunction with the lips, tongue, and oropharynx, the teeth play an important role in the articulation of consonants via airflow obstruction and modification. Therefore, along with these articulators, any orthodontic therapy that changes their position may play a role in speech disorders. This paper examines the relevant studies and discusses the difficulties of scientific investigation in this area. The ability of patients to adapt their speech to compensate for most handicapping occlusion and facial deformities is recognized, but the mechanism for this adaptation remains incompletely understood. The overall conclusion is that while certain malocclusions show a relationship with speech defects, this does not appear to correlate with the severity of the condition. There is no direct cause-and-effect relationship. Similarly, no guarantees of improvement can be given to patients undergoing orthodontic or orthognathic correction of malocclusion. ###Answer 1. Changed Reasoning: In Sentence A, the term ""speech disorder"" is used in the context of a specific medical condition (head injury) and is associated with measurable physiological changes (e.g., intracranial pressure monitoring). The term is used to describe the severity of the condition and the need for medical intervention. In Sentence B, the term ""speech disorder"" is used in a different context (orthodontic therapy) and has a different connotation. The term is used to describe the potential impact of orthodontic treatment on speech quality, and there is no suggestion of any measurable physiological changes. The two sentences convey different meanings and connotations of the term ""speech disorder,"" indicating that the term has undergone semantic drift over time." 98,Speech disorder,"7-month-old girl with a combination of van der Woude syndrome and ring chromosome 18 showed the following malformations: medial palate cleft, fistulas of the lower lips, hypertelorism, epicanthus, antimongoloid position of the eyelids, a small hymenal appendix, plantar placing of the third toe, atrial septum defect, stenosis of the auditory canal. The combination of fistulas of the lower lip and cleft lip or palate already established the diagnosis of Van der Woude Syndrome. Because of the additional malformations observed a chromosome analysis was performed which demonstrated a ring chromosome 18. The phenotypic features of ring-chromosome 18, a 18p-/18q- syndrome, vary according to the extend of deletion of the short or long arm. However, all patients show craniofacial dysmorphism, intellectual and developmental retardation, defective hearing, speech disorder, and more than 50% have stenosis or atresia of the auditory canal.","This study was planned to investigate the utility of the vertical Faces Pain Scale (FPS) in the assessment of pain in stroke patients using the shoulder pain model and to assess its utility in the Turkish patient population. The secondary aim was to analyze the association of FPS with the quality of life and depression in the study population.Thirty stroke patients (group I) and 30 controls (group II),all suffering from shoulder pain were included in the study.The patients with subacute shoulder pain and with no other known diseases and impairments were recruited as a control group. Shoulder pain was evaluated by the commonly used pain scales including the Visual Analogue Scale, Likert Pain Scale and 0–10 Numerical Rating Scale besides FPS. Depression was screened using Beck Depression Inventory (BDI) and quality of life was evaluated using Short Form-36 (SF-36). FPS showed good correlations with the other pain scales in both the groups(r= 0.950–0.972 and 0.674–0.926, respectively). In group I,there were significant correlations between FPS and physical functioning, pain and emotional role subscales of SF-36 (r= – 0.432, 0.707 and – 0.461, respectively).Although there was a low correlation between the FPS and BDI scores, it was not statistically significant. In group II,FPS showed significant correlations with the BDI scores and all subscales of SF-36 except social functioning and vitality (r= – 0.679 to 0.848). FPS had a high degree of convergent validity and can be used in the assessment of shoulder pain in stroke patients. It may be a good alternative for pain assessment especially in patients with speech disorders and illiterate patients.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Speech disorder Sentence A: 7-month-old girl with a combination of van der Woude syndrome and ring chromosome 18 showed the following malformations: medial palate cleft, fistulas of the lower lips, hypertelorism, epicanthus, antimongoloid position of the eyelids, a small hymenal appendix, plantar placing of the third toe, atrial septum defect, stenosis of the auditory canal. The combination of fistulas of the lower lip and cleft lip or palate already established the diagnosis of Van der Woude Syndrome. Because of the additional malformations observed a chromosome analysis was performed which demonstrated a ring chromosome 18. The phenotypic features of ring-chromosome 18, a 18p-/18q- syndrome, vary according to the extend of deletion of the short or long arm. However, all patients show craniofacial dysmorphism, intellectual and developmental retardation, defective hearing, speech disorder, and more than 50% have stenosis or atresia of the auditory canal. Sentence B: This study was planned to investigate the utility of the vertical Faces Pain Scale (FPS) in the assessment of pain in stroke patients using the shoulder pain model and to assess its utility in the Turkish patient population. The secondary aim was to analyze the association of FPS with the quality of life and depression in the study population.Thirty stroke patients (group I) and 30 controls (group II),all suffering from shoulder pain were included in the study.The patients with subacute shoulder pain and with no other known diseases and impairments were recruited as a control group. Shoulder pain was evaluated by the commonly used pain scales including the Visual Analogue Scale, Likert Pain Scale and 0–10 Numerical Rating Scale besides FPS. Depression was screened using Beck Depression Inventory (BDI) and quality of life was evaluated using Short Form-36 (SF-36). FPS showed good correlations with the other pain scales in both the groups(r= 0.950–0.972 and 0.674–0.926, respectively). In group I,there were significant correlations between FPS and physical functioning, pain and emotional role subscales of SF-36 (r= – 0.432, 0.707 and – 0.461, respectively).Although there was a low correlation between the FPS and BDI scores, it was not statistically significant. In group II,FPS showed significant correlations with the BDI scores and all subscales of SF-36 except social functioning and vitality (r= – 0.679 to 0.848). FPS had a high degree of convergent validity and can be used in the assessment of shoulder pain in stroke patients. It may be a good alternative for pain assessment especially in patients with speech disorders and illiterate patients. ###Answer 1. Changed The meaning of the target word ""Speech disorder"" has changed significantly between the two sentences. In Sentence A, the term is used to describe a combination of congenital malformations, including cleft palate and fistulas of the lower lip, which are associated with genetic disorders such as Van der Woude Syndrome. In Sentence B, the term is used to describe a symptom of stroke patients, specifically the inability to communicate effectively due to speech difficulties. The word's meaning has shifted from a medical or genetic condition to a symptom of a different medical condition." 99,Speech disorder,"The focus of this article has been on the disorders of the motor aspects of speech and voice production, as contrasted with the symbolic aspects of the communication process (language). Categories of motor speech problems include those in which the articulation of speech sounds is aberrant, phonatory problems related to laryngeal function, those resulting from craniofacial anomalies, and finally those characterized by disruption in the flow or fluency of speech. Guidelines for timing and type of referral have been suggested. In each case, early referral is urged so that diagnosis of the problem based upon complete assessment can serve to guide treatment planning. Parental reports and concerns about a child's speech development (as well as language, cognitive and auditory behavior) should be given credence and attended to rather than ignored or postponed. Speech disorders are often amenable to total resolution and almost always to a significant degree of improvement, especially if diagnosed and treated early.",To estimate the prevalence and to determine if there is an association between anterior open bite and the presence of speech disorders in a group of Mexican children with Down syndrome (DS).,"###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Speech disorder Sentence A: The focus of this article has been on the disorders of the motor aspects of speech and voice production, as contrasted with the symbolic aspects of the communication process (language). Categories of motor speech problems include those in which the articulation of speech sounds is aberrant, phonatory problems related to laryngeal function, those resulting from craniofacial anomalies, and finally those characterized by disruption in the flow or fluency of speech. Guidelines for timing and type of referral have been suggested. In each case, early referral is urged so that diagnosis of the problem based upon complete assessment can serve to guide treatment planning. Parental reports and concerns about a child's speech development (as well as language, cognitive and auditory behavior) should be given credence and attended to rather than ignored or postponed. Speech disorders are often amenable to total resolution and almost always to a significant degree of improvement, especially if diagnosed and treated early. Sentence B: To estimate the prevalence and to determine if there is an association between anterior open bite and the presence of speech disorders in a group of Mexican children with Down syndrome (DS). ###Answer 1. Changed Reasoning: In Sentence A, the term ""speech disorder"" is used to describe a range of problems related to the articulation, phonation, and fluency of speech. These problems are categorized based on their motor aspects, such as aberrant articulation of speech sounds, phonatory problems related to laryngeal function, and disruptions in the flow or fluency of speech. The sentence emphasizes the importance of early referral for diagnosis and treatment planning. In Sentence B, the term ""speech disorder"" is used in a different context. The sentence is focused on a specific group of children with Down syndrome in Mexico, and the term ""speech disorder"" is used to describe an association between a particular oral characteristic (anterior open bite) and the presence of speech problems. This suggests that the term ""speech disorder"" has taken on a different meaning in this sentence, as it is no longer referring to a broad range of speech problems, but rather to a specific association between oral characteristics and speech difficulties. Therefore, the label ""Changed"" is appropriate." 0,Language disorder,"Language, intelligence, academic achievement, and behavioral adjustment were assessed in a group of 20 adolescents originally studied 10 years earlier as preschoolers with language disorders. At follow-up, 20% had WISC-R IQ scores in the mentally deficient range and were being educated in EMR classrooms. Of the remaining 16, 11 (69%) had required special tutoring, grade retention, or LD class placement. The majority of non-EMR subjects continued to evidence persistent deficits in language and academic achievement and were rated by their parents as being less socially competent and having more behavioral problems than their peers. Of the initial preschool measures available, the Leiter was found to be the best single predictor of intelligence, language, class placement, and reading achievement in adolescence, although the NSST: Expressive subtest also was a strong predictor of adolescent language.","This study aims to show how language disorders in children affect language transmission and the mixedness experience in intercultural families. To this end, it adopts a qualitative method of study based on the administration of ad hoc interviews to intercultural couples who consulted our Child Neuropsychiatry Service because of language disorders in their children. One of the main consequences, when the child of an intercultural couple presents a language disorder and a diagnostic process has to be initiated, may be interruption of the transmission of the second language, especially if it is the mother's language. The decision to do this, which may be taken on the advice of teachers and health professionals, but also because the parents themselves often attribute their child's language disorder to his bilingual condition, affects not only the relationship between the mother and her child, but also processes in the construction of parenthood and in the structuring of the child's personality and the plurality of his affiliations. A clear understanding of how the dialectic between the categories of ""alien"" and ""familiar"" is managed in these contemporary families, which have to reckon with the condition of otherness, is crucial for psychiatrists and psychotherapists working in settings in which cultural difference is an issue to consider. ","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Language disorder Sentence A: Language, intelligence, academic achievement, and behavioral adjustment were assessed in a group of 20 adolescents originally studied 10 years earlier as preschoolers with language disorders. At follow-up, 20% had WISC-R IQ scores in the mentally deficient range and were being educated in EMR classrooms. Of the remaining 16, 11 (69%) had required special tutoring, grade retention, or LD class placement. The majority of non-EMR subjects continued to evidence persistent deficits in language and academic achievement and were rated by their parents as being less socially competent and having more behavioral problems than their peers. Of the initial preschool measures available, the Leiter was found to be the best single predictor of intelligence, language, class placement, and reading achievement in adolescence, although the NSST: Expressive subtest also was a strong predictor of adolescent language. Sentence B: This study aims to show how language disorders in children affect language transmission and the mixedness experience in intercultural families. To this end, it adopts a qualitative method of study based on the administration of ad hoc interviews to intercultural couples who consulted our Child Neuropsychiatry Service because of language disorders in their children. One of the main consequences, when the child of an intercultural couple presents a language disorder and a diagnostic process has to be initiated, may be interruption of the transmission of the second language, especially if it is the mother's language. The decision to do this, which may be taken on the advice of teachers and health professionals, but also because the parents themselves often attribute their child's language disorder to his bilingual condition, affects not only the relationship between the mother and her child, but also processes in the construction of parenthood and in the structuring of the child's personality and the plurality of his affiliations. A clear understanding of how the dialectic between the categories of ""alien"" and ""familiar"" is managed in these contemporary families, which have to reckon with the condition of otherness, is crucial for psychiatrists and psychotherapists working in settings in which cultural difference is an issue to consider. ###Answer 1. Changed Reasoning: In Sentence A, the target word ""Language disorder"" is used in the context of assessing language, intelligence, academic achievement, and behavioral adjustment in a group of adolescents who were previously studied as preschoolers with language disorders. The term implies a clear diagnosis of a language impairment or disability. In Sentence B, the target word ""Language disorder"" is used in a different context, specifically in relation to intercultural families where the child may be experiencing a language disorder due to their bilingualism. The term is used to describe the potential impact of the child's language disorder on the transmission of the second language and the relationship between the parents. In Sentence B, the term ""Language disorder"" has shifted in meaning to encompass a broader understanding of the complexities of language transmission and the interplay between language and identity in intercultural families. The term is no longer solely associated with a clear diagnosis of a language impairment, but rather with the nuances of language acquisition and the ways in which language use can shape family dynamics and identity formation. Therefore, semantic drift has occurred in the meaning of the target word." 1,Language disorder,"Sixty-three language-disordered children first evaluated in their preschool years were followed four to five years after initial diagnosis. At follow-up approximately 40% of these children continued to present speech and language problems and approximately 40% presented other learning problems. Preschool levels of language comprehension, formulation, semantics, syntax, phonology, and speech production were found to be moderately correlated to subsequent class placement in the elementary grades. Duration of preschool therapy was not related to either the severity of preschool language disorder or to any subsequent speech, language, or academic abilities. Duration of school therapy was related to severity of phonologic deficit as rated during the preschool years and to all follow-up ratings for speech, language, and academic abilities.","High order abstract reasoning is impaired in patients suffering from mental disorders especially from schizophrenia. Thought and language disorders typical of schizophrenia are presumably connected with the aberrant ability to filter out irrelevant associations. We hypothesized that EEG biomarkers in healthy population could be detected, extracted and validated with regard to the ability to abstract a general principle underlying presented words while ignoring irrelevant associations and retaining only relevant ones. We developed three models of abstract reasoning: a direct generalization presented by nouns from the same semantic category, a latent association based on a loose relation between the presented words, and no associations introduced by non-related words. In the present EEG study 17 healthy participants solved tasks trying to figure out a general principle in a group of words. Subsequently, we carried out a functional connectivity analysis in order to restore synchronous neuronal interactions in the theta-alpha frequency range. We used the obtained spatial patters restored individually and relevant phase locking values (PLVs) as features for the Support Vector Machine classifier with Gaussian kernel. The accuracy rating validated on an independent sample made up 62.5% which is a promising result if inter-subject variability in cognitive processing is taken into account. Being validated on the same sample, the accuracy reached 82%. The results indicate that spatial patterns of functional connectivity and PLVs can be used as predictors of types of abstract reasoning.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Language disorder Sentence A: Sixty-three language-disordered children first evaluated in their preschool years were followed four to five years after initial diagnosis. At follow-up approximately 40% of these children continued to present speech and language problems and approximately 40% presented other learning problems. Preschool levels of language comprehension, formulation, semantics, syntax, phonology, and speech production were found to be moderately correlated to subsequent class placement in the elementary grades. Duration of preschool therapy was not related to either the severity of preschool language disorder or to any subsequent speech, language, or academic abilities. Duration of school therapy was related to severity of phonologic deficit as rated during the preschool years and to all follow-up ratings for speech, language, and academic abilities. Sentence B: High order abstract reasoning is impaired in patients suffering from mental disorders especially from schizophrenia. Thought and language disorders typical of schizophrenia are presumably connected with the aberrant ability to filter out irrelevant associations. We hypothesized that EEG biomarkers in healthy population could be detected, extracted and validated with regard to the ability to abstract a general principle underlying presented words while ignoring irrelevant associations and retaining only relevant ones. We developed three models of abstract reasoning: a direct generalization presented by nouns from the same semantic category, a latent association based on a loose relation between the presented words, and no associations introduced by non-related words. In the present EEG study 17 healthy participants solved tasks trying to figure out a general principle in a group of words. Subsequently, we carried out a functional connectivity analysis in order to restore synchronous neuronal interactions in the theta-alpha frequency range. We used the obtained spatial patters restored individually and relevant phase locking values (PLVs) as features for the Support Vector Machine classifier with Gaussian kernel. The accuracy rating validated on an independent sample made up 62.5% which is a promising result if inter-subject variability in cognitive processing is taken into account. Being validated on the same sample, the accuracy reached 82%. The results indicate that spatial patterns of functional connectivity and PLVs can be used as predictors of types of abstract reasoning. ###Answer 1. Changed Reasoning: In Sentence A, the target word ""language disorder"" is used to describe a specific condition affecting children's speech and language skills. The sentence highlights the importance of early diagnosis and intervention to mitigate the severity of the disorder. The term ""language disorder"" in this context carries a negative connotation, implying a deficit or impairment in language abilities. In Sentence B, the target word ""high order abstract reasoning"" is used to describe a cognitive ability that is impaired in patients with mental disorders, particularly schizophrenia. The sentence highlights the connection between thought and language disorders in these patients, suggesting that the ability to abstract and reason is affected. The term ""high order abstract reasoning"" in this context carries a negative connotation, implying a deficit or impairment in cognitive abilities. Comparing the two sentences, it is clear that the meaning of the target word ""language disorder"" has shifted significantly. In Sentence A, the term is used to describe a specific condition with negative connotations, while in Sentence B, it is used to describe a cognitive ability with negative connotations. This change in meaning indicates semantic drift has occurred. In contrast, the target word ""high order abstract reasoning"" has maintained a similar meaning in both sentences. While the sentence context and the specific disorder being discussed are different, the term ""high order abstract reasoning"" is used in a similar manner in both sentences, indicating no semantic drift has occurred." 2,Language disorder,"Numerous adolescents are still undetected, unserved, and underserved by speech-language pathologists, resulting in astronomical financial and psychological costs to them and society. The purpose of this article is to provide an overview of past and present service delivery options for adolescents with language disorders. Before illustrating the authors' recommended model, the following background is provided: an overview of the three stages of adolescent development, characteristic expectations and problems for older students with language disorders, and a rationale for adolescent speech-language services. The comprehensive service delivery model for secondary-level speech-language students, designed and reported by the authors, consists of six components: information dissemination, identification, assessment, program planning, intervention, and follow-up. Some of the unique features of the comprehensive model are presenting services as a course for credit, providing grades, and using supportive course titles such as Individualized Communication Class."," Due to the worldwide accessibility to the Internet along with the continuous advances in mobile technologies, physical and digital worlds have become completely blended, and the proliferation of social media platforms has taken a leading role over this evolution. In this paper, we undertake a thorough analysis towards better visualising and understanding the factors that characterise and differentiate social media users affected by mental disorders. We perform different experiments studying multiple dimensions of language, including vocabulary uniqueness, word usage, linguistic style, psychometric attributes, emotions' co-occurrence patterns, and online behavioural traits, including social engagement and posting trends. Our findings reveal significant differences on the use of function words, such as adverbs and verb tense, and topic-specific vocabulary, such as biological processes. As for emotional expression, we observe that affected users tend to share emotions more regularly than control individuals on average. Overall, the monthly posting variance of the affected groups is higher than the control groups. Moreover, we found evidence suggesting that language use on micro-blogging platforms is less distinguishable for users who have a mental disorder than other less restrictive platforms. In particular, we observe on Twitter less quantifiable differences between affected and control groups compared to Reddit. ","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Language disorder Sentence A: Numerous adolescents are still undetected, unserved, and underserved by speech-language pathologists, resulting in astronomical financial and psychological costs to them and society. The purpose of this article is to provide an overview of past and present service delivery options for adolescents with language disorders. Before illustrating the authors' recommended model, the following background is provided: an overview of the three stages of adolescent development, characteristic expectations and problems for older students with language disorders, and a rationale for adolescent speech-language services. The comprehensive service delivery model for secondary-level speech-language students, designed and reported by the authors, consists of six components: information dissemination, identification, assessment, program planning, intervention, and follow-up. Some of the unique features of the comprehensive model are presenting services as a course for credit, providing grades, and using supportive course titles such as Individualized Communication Class. Sentence B: Due to the worldwide accessibility to the Internet along with the continuous advances in mobile technologies, physical and digital worlds have become completely blended, and the proliferation of social media platforms has taken a leading role over this evolution. In this paper, we undertake a thorough analysis towards better visualising and understanding the factors that characterise and differentiate social media users affected by mental disorders. We perform different experiments studying multiple dimensions of language, including vocabulary uniqueness, word usage, linguistic style, psychometric attributes, emotions' co-occurrence patterns, and online behavioural traits, including social engagement and posting trends. Our findings reveal significant differences on the use of function words, such as adverbs and verb tense, and topic-specific vocabulary, such as biological processes. As for emotional expression, we observe that affected users tend to share emotions more regularly than control individuals on average. Overall, the monthly posting variance of the affected groups is higher than the control groups. Moreover, we found evidence suggesting that language use on micro-blogging platforms is less distinguishable for users who have a mental disorder than other less restrictive platforms. In particular, we observe on Twitter less quantifiable differences between affected and control groups compared to Reddit. ###Answer 1. Changed Reasoning: The target word ""language disorder"" has undergone a significant change in meaning between Sentence A (2000) and Sentence B (2020). In Sentence A, the term is used in the context of adolescent development and speech-language pathology, emphasizing the importance of early detection and intervention for language disorders. In contrast, in Sentence B, the term is used in the context of social media platforms and mental disorders, highlighting the impact of technology on language use and the differences in language expression between individuals with and without mental disorders. The shift in meaning suggests that the term ""language disorder"" has changed in connotation, from a medical or developmental context to a more broad and inclusive context encompassing the intersection of language and technology." 3,Language disorder,"Two young adult dizygotic twins with high schooling suffered two strokes at the ages of 26 and 30 years. On the first occasion, Case 2 suffered a stroke only a few months after Case 1; on the second occasion, Case 1 suffered a second stroke a few months after Case 2. In Case 1, lesions were mainly localized to the left cerebellar hemisphere in both stroke episodes. Case 2 suffered lesions localized to the right cerebellar hemisphere in the first stroke episode, and multiple lesions in both cerebellar hemispheres and the vermis, right pons and left thalamus during the second stroke episode. Seven years after the second stroke, despite full recovery of motor functions, the patients still show mild, yet selective, linguistic deficits (syntactic comprehension deficits, mild agrammatism, reading and writing disorders) without speech disturbances. They also present with selective dysfunctions in visuospatial short-term memory. Language disorders are ascribed to a dysfunction of the cerebellum in Case 1, while in Case 2 a dysfunction of the cerebellum and the thalamus is considered as both structures are part of the so-called 'frontal lobe system', which supports language generation. Visuospatial short-term memory disorders are attributed to an impaired ability to appreciate the organizing structure of the visual task and to poor planning strategies, which are in turn ascribed to cerebellar lesions. The role of the cerebellum in cognitive and linguistic functions is discussed.","Most speech-language pathologists (SLPs) working with children with developmental language disorder (DLD) do not perform language sample analysis (LSA) on a regular basis, although they do regard LSA as highly informative for goal setting and evaluating grammatical therapy. The primary aim of this study was to identify facilitators, barriers, and needs related to performing LSA by Dutch SLPs working with children with DLD. The secondary aim was to investigate whether a training would change the actual performance of LSA.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Language disorder Sentence A: Two young adult dizygotic twins with high schooling suffered two strokes at the ages of 26 and 30 years. On the first occasion, Case 2 suffered a stroke only a few months after Case 1; on the second occasion, Case 1 suffered a second stroke a few months after Case 2. In Case 1, lesions were mainly localized to the left cerebellar hemisphere in both stroke episodes. Case 2 suffered lesions localized to the right cerebellar hemisphere in the first stroke episode, and multiple lesions in both cerebellar hemispheres and the vermis, right pons and left thalamus during the second stroke episode. Seven years after the second stroke, despite full recovery of motor functions, the patients still show mild, yet selective, linguistic deficits (syntactic comprehension deficits, mild agrammatism, reading and writing disorders) without speech disturbances. They also present with selective dysfunctions in visuospatial short-term memory. Language disorders are ascribed to a dysfunction of the cerebellum in Case 1, while in Case 2 a dysfunction of the cerebellum and the thalamus is considered as both structures are part of the so-called 'frontal lobe system', which supports language generation. Visuospatial short-term memory disorders are attributed to an impaired ability to appreciate the organizing structure of the visual task and to poor planning strategies, which are in turn ascribed to cerebellar lesions. The role of the cerebellum in cognitive and linguistic functions is discussed. Sentence B: Most speech-language pathologists (SLPs) working with children with developmental language disorder (DLD) do not perform language sample analysis (LSA) on a regular basis, although they do regard LSA as highly informative for goal setting and evaluating grammatical therapy. The primary aim of this study was to identify facilitators, barriers, and needs related to performing LSA by Dutch SLPs working with children with DLD. The secondary aim was to investigate whether a training would change the actual performance of LSA. ###Answer 1. Changed Reasoning: In Sentence A, the target word ""language disorder"" is used in the context of a medical condition, specifically to describe the cognitive and linguistic deficits experienced by two individuals following a stroke. The word is used to describe the impact of the stroke on the individuals' language abilities, and the sentence highlights the role of the cerebellum in language generation and cognitive functions. In Sentence B, the target word ""language disorder"" is used in a different context, specifically to describe the focus of speech-language pathologists working with children. The sentence highlights the importance of language sample analysis in goal setting and evaluating grammatical therapy, and the word is used to describe the primary aim of the study. Based on these two sentences, it is clear that the meaning of the target word ""language disorder"" has shifted significantly between the two timestamps. In Sentence A, the word is used to describe a medical condition with a strong focus on the cerebellum and cognitive functions, while in Sentence B, the word is used to describe a specific area of focus for speech-language pathologists working with children. Therefore, I would label this word as having undergone semantic drift, with the meaning changing from a medical context to a more general context related to language development and therapy." 4,Language disorder,"A 3-year-old, right-handed girl developed a conduction-type aphasia following a second generalized seizure in the setting of a developing abscess involving left subcortical and cortical angular gyrus and arcuate fasciculus, and the posterior corpus callosum. The language disorder was fluent, characterized by age appropriate mean length of utterance and syntax, but with markedly reduced spontaneity of output, rapid rate of speech and mild dysarthria. Comprehension was relatively, but not completely spared. Naming, repetition, and reading (letters) were initially markedly impaired. Improvements in naming and repetition were associated with both literal and semantic paraphasias. Writing skills in the form of drawing were spared, but a mild apraxia to verbal command and imitation was initially present. Despite her young age, this child's fluent conduction aphasia and lesion localization were adult-like. Multimodal memory difficulties appeared to underlie what is best described as conduction aphasia.","Patients with Parkinson's disease (PD) encounter a variety of speech-related problems, including dysarthria and language disorders. To elucidate the pathophysiological mechanisms for linguistic alteration in PD, we compared the utterance of patients and that of healthy controls (HC) using automated morphological analysis tools.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Language disorder Sentence A: A 3-year-old, right-handed girl developed a conduction-type aphasia following a second generalized seizure in the setting of a developing abscess involving left subcortical and cortical angular gyrus and arcuate fasciculus, and the posterior corpus callosum. The language disorder was fluent, characterized by age appropriate mean length of utterance and syntax, but with markedly reduced spontaneity of output, rapid rate of speech and mild dysarthria. Comprehension was relatively, but not completely spared. Naming, repetition, and reading (letters) were initially markedly impaired. Improvements in naming and repetition were associated with both literal and semantic paraphasias. Writing skills in the form of drawing were spared, but a mild apraxia to verbal command and imitation was initially present. Despite her young age, this child's fluent conduction aphasia and lesion localization were adult-like. Multimodal memory difficulties appeared to underlie what is best described as conduction aphasia. Sentence B: Patients with Parkinson's disease (PD) encounter a variety of speech-related problems, including dysarthria and language disorders. To elucidate the pathophysiological mechanisms for linguistic alteration in PD, we compared the utterance of patients and that of healthy controls (HC) using automated morphological analysis tools. ###Answer 1. Changed Explanation: In Sentence A from 2000, the target word ""language disorder"" is used to describe a specific type of aphasia in a child patient. The meaning of the word is focused on the child's difficulty with language production and comprehension, with a particular emphasis on the fluent nature of the disorder. The word is also associated with the child's young age and the localization of the language disorder in specific brain regions. In Sentence B from 2020, the target word ""language disorder"" is used in a different context to describe speech-related problems in patients with Parkinson's disease. The meaning of the word has shifted to encompass a broader range of speech-related issues, including dysarthria and language disorders in a broader population. The word is no longer associated with the child's age or specific brain regions, but rather with the more general symptoms of Parkinson's disease. Therefore, semantic drift has occurred in the meaning of the target word ""language disorder"" between the two sentences, as it has taken on a broader and more general meaning." 5,Language disorder,"Language samples from matched groups of 80 autistic, mentally handicapped, and normally developing children were coded for the presence of neologisms and/or idiosyncratic language use. Cognitive, social, or linguistic factors that might account for these errors were identified and assessed. More autistic subjects used neologisms and idiosyncratic language than age- and language skill-matched control groups. No single factor or combination of factors was responsible for this difference. Across diagnostic groups, similar patterns of error were noted, except that the autistic subjects were more likely to use words inappropriately that had no phonological or semantic similarity to the intended English word. For the autistic groups, the frequency of idiosyncratic language increased with language complexity. In contrast, such errors decreased with language skill in the mentally handicapped group. Theoretical implications for determining the nature and source of the language disorder associated with autism are discussed.","Cortical auditory evoked potentials (CAEP) throughout a language task is beneficial during psychophysiological evaluation to advance identification of language disorders. So as to better comprehend human communication and to provide additional elements for neuropsychological examinations we aimed to (1) examine the influence of language tasks on cortical auditory processing and vagal control of heart rate and (2) to verify a possible association between the parasympathetic cardiac regulation and cortical auditory processing in language tasks. This study was completed with 49 women. The subjects were separated into two groups: (1) phonological language tasks (N = 21) and (2) semantic (N = 21) language tasks. Heart rate variability (HRV) and CAEP were evaluated before and after the tests. HRV reduced (small effect size) and P3 wave latency increased after the phonological task. Identical variables were significantly correlated after the phonological task and linear regression indicated significant interaction between pNN50 (percentage of adjacent RR intervals with a difference of duration greater than 50 milliseconds) and P3 latency (16.9%). In conclusion, phonological language tasks slightly reduced parasympathetic control of HR and increased cognitive effort. The association between HRV and CAEP are anticipated to be involved in this mechanism.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Language disorder Sentence A: Language samples from matched groups of 80 autistic, mentally handicapped, and normally developing children were coded for the presence of neologisms and/or idiosyncratic language use. Cognitive, social, or linguistic factors that might account for these errors were identified and assessed. More autistic subjects used neologisms and idiosyncratic language than age- and language skill-matched control groups. No single factor or combination of factors was responsible for this difference. Across diagnostic groups, similar patterns of error were noted, except that the autistic subjects were more likely to use words inappropriately that had no phonological or semantic similarity to the intended English word. For the autistic groups, the frequency of idiosyncratic language increased with language complexity. In contrast, such errors decreased with language skill in the mentally handicapped group. Theoretical implications for determining the nature and source of the language disorder associated with autism are discussed. Sentence B: Cortical auditory evoked potentials (CAEP) throughout a language task is beneficial during psychophysiological evaluation to advance identification of language disorders. So as to better comprehend human communication and to provide additional elements for neuropsychological examinations we aimed to (1) examine the influence of language tasks on cortical auditory processing and vagal control of heart rate and (2) to verify a possible association between the parasympathetic cardiac regulation and cortical auditory processing in language tasks. This study was completed with 49 women. The subjects were separated into two groups: (1) phonological language tasks (N = 21) and (2) semantic (N = 21) language tasks. Heart rate variability (HRV) and CAEP were evaluated before and after the tests. HRV reduced (small effect size) and P3 wave latency increased after the phonological task. Identical variables were significantly correlated after the phonological task and linear regression indicated significant interaction between pNN50 (percentage of adjacent RR intervals with a difference of duration greater than 50 milliseconds) and P3 latency (16.9%). In conclusion, phonological language tasks slightly reduced parasympathetic control of HR and increased cognitive effort. The association between HRV and CAEP are anticipated to be involved in this mechanism. ###Answer 1. Changed Reasoning: The target word ""Language disorder"" has undergone a significant change in meaning between Sentence A (2000) and Sentence B (2020). In Sentence A, the term refers to the specific language errors made by children with autism, including the use of neologisms and idiosyncratic language. In contrast, in Sentence B, the term is used more broadly to refer to any language disorder, without specifying the nature of the language errors. This shift in meaning suggests that the term has undergone semantic drift over time." 6,Language disorder,"Text processing requires inferences for establishing coherence between successive sentences. In neuropsychological studies and brain imaging studies, these coherence-building processes have been ascribed to the right hemisphere. On the other hand, there is evidence for prefrontal brain damage causing non-aphasic language disorders, in which text level processes are impaired. In this study, we used an event-related, whole-head fMRI methodology to evaluate the contributions of prefrontal areas and the right hemisphere to coherence building. We scanned 12 participants while they read 120 sentence pairs and judged their coherence. Four conditions were used, resulting from crossing coherence and cohesion (i.e. the presence of a lexical connection). A behavioral pretest confirmed that cohesion aided establishing coherence, whereas it hindered the detection of coherence breaks. In the fMRI study, all language conditions yielded activation in left frontolateral and temporolateral regions, when compared to a physical control task. The differences due to coherence of the sentence pairs were most evident in larger activation for coherent as compared to incoherent sentence pairs in the left frontomedian wall, but also in posterior cingulate and precuneal regions. Finally, a left inferior prefrontal area was sensitive to the difficulty of the task, and in particular to the increase in processing costs when cohesion falsely indicated coherence. These results could not provide evidence for a special involvement of the right hemisphere during inferencing. Rather, they suggest that the left frontomedian cortex plays an important role in coherence building.","Developmental language disorder (DLD) has clear functional ramifications in the areas of social competency, emotion recognition, emotional well-being and literacy skill, which have been found to persist from childhood to adolescence. These domains are important factors during the transition from primary to secondary school in typical development (TD). Nevertheless, there is a paucity of research on the transition from primary to secondary school for adolescents with DLD and low language (LL) ability.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Language disorder Sentence A: Text processing requires inferences for establishing coherence between successive sentences. In neuropsychological studies and brain imaging studies, these coherence-building processes have been ascribed to the right hemisphere. On the other hand, there is evidence for prefrontal brain damage causing non-aphasic language disorders, in which text level processes are impaired. In this study, we used an event-related, whole-head fMRI methodology to evaluate the contributions of prefrontal areas and the right hemisphere to coherence building. We scanned 12 participants while they read 120 sentence pairs and judged their coherence. Four conditions were used, resulting from crossing coherence and cohesion (i.e. the presence of a lexical connection). A behavioral pretest confirmed that cohesion aided establishing coherence, whereas it hindered the detection of coherence breaks. In the fMRI study, all language conditions yielded activation in left frontolateral and temporolateral regions, when compared to a physical control task. The differences due to coherence of the sentence pairs were most evident in larger activation for coherent as compared to incoherent sentence pairs in the left frontomedian wall, but also in posterior cingulate and precuneal regions. Finally, a left inferior prefrontal area was sensitive to the difficulty of the task, and in particular to the increase in processing costs when cohesion falsely indicated coherence. These results could not provide evidence for a special involvement of the right hemisphere during inferencing. Rather, they suggest that the left frontomedian cortex plays an important role in coherence building. Sentence B: Developmental language disorder (DLD) has clear functional ramifications in the areas of social competency, emotion recognition, emotional well-being and literacy skill, which have been found to persist from childhood to adolescence. These domains are important factors during the transition from primary to secondary school in typical development (TD). Nevertheless, there is a paucity of research on the transition from primary to secondary school for adolescents with DLD and low language (LL) ability. ###Answer 1. Changed Reasoning: In Sentence A, the target word ""Language disorder"" is used to describe the process of text processing, specifically the ability to make inferences for establishing coherence between successive sentences. The context suggests that the term refers to a cognitive process, rather than a specific language disorder. In Sentence B, the target word ""Developmental language disorder"" is used to describe a specific type of language impairment that has clear functional ramifications in various domains, including social competency and literacy skills. The context suggests that the term has a different meaning than in Sentence A, with a stronger emphasis on the impact of the language impairment on daily life. Therefore, semantic drift has occurred, and the label ""Changed"" is appropriate." 7,Language disorder,"The types of mental disorders and their prevalence in severely dysfunctional (SD) and well-functioning (WF) families were compared. SD families were characterized by chronic conflicts, absence of closeness and lack of trust between parents, and bad relations and lack of support between parents and their children. WF families were characterized by high levels of psychological intimacy, warm and satisfying relationships between parents and children, and a warm, affectionate, optimistic family mood. 23 SD families (44 parents and 60 children) and 61 WF families (121 parents and 184 children) were followed for over 4 years by the author of this study. There was a high prevalence of mental disorders in parents of SD families in comparison to the WF families (43.2% vs 6.6%). This excess was significantly less in men (p = 0.05), in whom the risk ratio was 3.3 (p = 0.03), while for women it was 10.2 (p less than 0.0001). Most prominent was the higher prevalence of chronic anxiety: 25% vs 5% with a risk ratio for men of 2.9 (p = 0.09), and for women 7.1 (p less than 0.0001). Among children as well, there was greater prevalence of psychiatric illness in SD families--56.6% vs 3.8%, risk ratio 14.9 (p less than 0.0001). The prevalence of developmental speech and language disorders in SD families was 33.2 times greater, of hyperkinetic syndrome 12.3 times, and of enuresis 7.2 times. In contrast to the parents, the overall rate of illness was not significantly different between the sexes. We feel that it is important to discover such families because treatment and intervention early in childhood may increase the effectiveness of treatment.","Fourty eight, XXXX is a rare chromosomal aneuploidy associated with neurocognitive deficits, speech and language disorders and executive dysfunction but the scarcity and variability of reported cases limit our understanding of the 48, XXXX phenotype. To our knowledge, this is the first study to report on the neurodevelopmental profile of three young females with 48, XXXX. Patient 1 (age = 11.0), Patient 2 (age = 10.9), and Patient 3 (age = 6.4) were evaluated using comprehensive neurodevelopmental assessments. Parent questionnaires were completed to assess behavioral and psychosocial domains including executive function, ADHD and anxiety. Nonverbal intelligence quotients were 56, 80, and 91 for Patients 1, 2, and 3, respectively. There were significantly impaired visual motor capacities in graphomotor and perceptual domains below the 5th centile in Patients 1 and 2, and mildly impaired visual perception skills in Patient 3. All three patients had Childhood Apraxia of Speech (CAS) but of varying severity and similar executive dysfunction, externalizing problems and social difficulties. Familial learning disabilities (FLD) in Patient 1 and the co-occurrence of ADHD in Patient's 1 and 2 may contribute to their more impaired cognitive performances relative to Patient 3 who is the second reported case of 48, XXXX to have normal intellect. These distinct and overlapping characteristics expand the phenotypic profile of 48, XXXX and may be used in the counseling of families and treatment of children with 48, XXXX.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Language disorder Sentence A: The types of mental disorders and their prevalence in severely dysfunctional (SD) and well-functioning (WF) families were compared. SD families were characterized by chronic conflicts, absence of closeness and lack of trust between parents, and bad relations and lack of support between parents and their children. WF families were characterized by high levels of psychological intimacy, warm and satisfying relationships between parents and children, and a warm, affectionate, optimistic family mood. 23 SD families (44 parents and 60 children) and 61 WF families (121 parents and 184 children) were followed for over 4 years by the author of this study. There was a high prevalence of mental disorders in parents of SD families in comparison to the WF families (43.2% vs 6.6%). This excess was significantly less in men (p = 0.05), in whom the risk ratio was 3.3 (p = 0.03), while for women it was 10.2 (p less than 0.0001). Most prominent was the higher prevalence of chronic anxiety: 25% vs 5% with a risk ratio for men of 2.9 (p = 0.09), and for women 7.1 (p less than 0.0001). Among children as well, there was greater prevalence of psychiatric illness in SD families--56.6% vs 3.8%, risk ratio 14.9 (p less than 0.0001). The prevalence of developmental speech and language disorders in SD families was 33.2 times greater, of hyperkinetic syndrome 12.3 times, and of enuresis 7.2 times. In contrast to the parents, the overall rate of illness was not significantly different between the sexes. We feel that it is important to discover such families because treatment and intervention early in childhood may increase the effectiveness of treatment. Sentence B: Fourty eight, XXXX is a rare chromosomal aneuploidy associated with neurocognitive deficits, speech and language disorders and executive dysfunction but the scarcity and variability of reported cases limit our understanding of the 48, XXXX phenotype. To our knowledge, this is the first study to report on the neurodevelopmental profile of three young females with 48, XXXX. Patient 1 (age = 11.0), Patient 2 (age = 10.9), and Patient 3 (age = 6.4) were evaluated using comprehensive neurodevelopmental assessments. Parent questionnaires were completed to assess behavioral and psychosocial domains including executive function, ADHD and anxiety. Nonverbal intelligence quotients were 56, 80, and 91 for Patients 1, 2, and 3, respectively. There were significantly impaired visual motor capacities in graphomotor and perceptual domains below the 5th centile in Patients 1 and 2, and mildly impaired visual perception skills in Patient 3. All three patients had Childhood Apraxia of Speech (CAS) but of varying severity and similar executive dysfunction, externalizing problems and social difficulties. Familial learning disabilities (FLD) in Patient 1 and the co-occurrence of ADHD in Patient's 1 and 2 may contribute to their more impaired cognitive performances relative to Patient 3 who is the second reported case of 48, XXXX to have normal intellect. These distinct and overlapping characteristics expand the phenotypic profile of 48, XXXX and may be used in the counseling of families and treatment of children with 48, XXXX. ###Answer 1. Changed Reasoning: In Sentence A, the target word ""Language disorder"" is used to describe a specific mental disorder that affects speech and language development, with a high prevalence found in families with chronic conflicts and poor relationships. In contrast, in Sentence B, the target word ""Language disorder"" is used in a different context, describing a chromosomal aneuploidy associated with neurocognitive deficits, speech and language disorders, and executive dysfunction. The meaning of the target word has shifted from a specific mental disorder to a broader term encompassing a range of neurodevelopmental conditions. Therefore, semantic drift has occurred." 8,Language disorder,"The pediatric otolaryngologist cares for children who have abnormal language as a primary or secondary deficiency. Five children, each with a different form of language disorder, are presented. These are children with specific language impairment (SLI) expressive, pervasive developmental delay (autism), expressive language delay associated with severe to profound hearing loss early in life, language delay secondary to a moderate to severe hearing loss diagnosed late and not cared for, and language delay secondary delay secondary to social deprivation and otitis media with effusion.","Recent studies of the experiences of caregivers of children with language disorders have suggested that speech-language pathologists (SLPs) are not clearly and effectively providing caregivers with a comprehensible diagnostic term for their child's difficulties. Since the work of the CATALISE consortium, there has been a mounting consensus around the use of the term ","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Language disorder Sentence A: The pediatric otolaryngologist cares for children who have abnormal language as a primary or secondary deficiency. Five children, each with a different form of language disorder, are presented. These are children with specific language impairment (SLI) expressive, pervasive developmental delay (autism), expressive language delay associated with severe to profound hearing loss early in life, language delay secondary to a moderate to severe hearing loss diagnosed late and not cared for, and language delay secondary delay secondary to social deprivation and otitis media with effusion. Sentence B: Recent studies of the experiences of caregivers of children with language disorders have suggested that speech-language pathologists (SLPs) are not clearly and effectively providing caregivers with a comprehensible diagnostic term for their child's difficulties. Since the work of the CATALISE consortium, there has been a mounting consensus around the use of the term ###Answer 1. Changed Reasoning: The target word ""language disorder"" has undergone a significant change in meaning between the two sentences. In Sentence A, the term is used to describe children with various forms of language impairment, including specific language impairment, autism, and hearing loss. The focus is on the children's language difficulties and the diagnosis of these conditions. In Sentence B, the term ""language disorder"" is used in a different context. The sentence discusses the experiences of caregivers of children with language disorders and the need for speech-language pathologists to provide clear and effective care. The focus is on the communication difficulties of children and the need for intervention. In Sentence B, the term ""language disorder"" has shifted from describing a specific set of language impairments to encompassing a broader range of communication difficulties. This change in meaning indicates semantic drift has occurred." 9,Language disorder,"The ability to process two or more rapidly presented, successive, auditory stimuli is believed to underlie successful language acquisition. Likewise, deficits in rapid auditory processing of both verbal and nonverbal stimuli are characteristic of individuals with developmental language disorders such as Specific Language Impairment. Auditory processing abilities are well developed in infancy, and thus such deficits should be detectable in infants. In the studies presented here, converging methodologies are used to examine such abilities in infants with and without a family history of language disorder. Behavioral measures, including assessments of infant information processing, and an EEG/event-related potential (ERP) paradigm are used concurrently. Results suggest that rapid auditory processing skills differ as a function of family history and are predictive of later language outcome. Further, these paradigms may prove to be sensitive tools for identifying children with poor processing skills in infancy and thus at a higher risk for developing a language disorder.","Children with autism spectrum disorders (ASD) usually experience difficulty regarding symbolic play. However, studies on whether symbolic play test (SPT) can differentiate between ASD and other developmental disorders are inconsistent, and evaluating the application value of the SPT in the identification of ASD without global developmental delay (GDD) and developmental language disorder (DLD) is necessary.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Language disorder Sentence A: The ability to process two or more rapidly presented, successive, auditory stimuli is believed to underlie successful language acquisition. Likewise, deficits in rapid auditory processing of both verbal and nonverbal stimuli are characteristic of individuals with developmental language disorders such as Specific Language Impairment. Auditory processing abilities are well developed in infancy, and thus such deficits should be detectable in infants. In the studies presented here, converging methodologies are used to examine such abilities in infants with and without a family history of language disorder. Behavioral measures, including assessments of infant information processing, and an EEG/event-related potential (ERP) paradigm are used concurrently. Results suggest that rapid auditory processing skills differ as a function of family history and are predictive of later language outcome. Further, these paradigms may prove to be sensitive tools for identifying children with poor processing skills in infancy and thus at a higher risk for developing a language disorder. Sentence B: Children with autism spectrum disorders (ASD) usually experience difficulty regarding symbolic play. However, studies on whether symbolic play test (SPT) can differentiate between ASD and other developmental disorders are inconsistent, and evaluating the application value of the SPT in the identification of ASD without global developmental delay (GDD) and developmental language disorder (DLD) is necessary. ###Answer 1. Changed Reasoning: In Sentence A, the target word ""Language disorder"" is used to describe a specific developmental disorder that affects an individual's ability to process language. The sentence highlights the importance of rapid auditory processing skills in language acquisition and the detection of deficits in infancy. The term ""Language disorder"" carries a specific meaning and connotation in this context, indicating a clear connection to language development and processing. In Sentence B, the target word ""Language disorder"" is used in a different context. The sentence discusses children with autism spectrum disorders (ASD) and their difficulty with symbolic play. The term ""Language disorder"" is not used to describe a specific developmental disorder, but rather as a part of a larger discussion on the challenges faced by children with ASD. The meaning and connotation of the term have shifted, as it is no longer tied to language development and processing, but rather to a broader discussion on the cognitive and social challenges faced by children with ASD. Therefore, the label ""Changed"" is appropriate, as the meaning and connotation of the target word have shifted significantly between the two sentences." 10,Language disorder,"The prevalence of chronic conditions and illnesses causing disability in Israeli Jewish children aged 7 years born in 1975 was studied on the basis of a national sample (n = 7,739). Eighty medical conditions causing disability were defined. The study showed a total disability rate of 17.5%, which is higher than that reported on a similar national sample of 3 year olds (prevalence of 6.9%). The percentage of disabilities among very low birthweight children and those with family problems was four times greater than in the total population. Mild retardation and undefined learning problems were more prevalent among children of mothers with low educational level and among children whose birth order was fourth or more. Asthma and spastic bronchitis were more prevalent among children whose mothers were of European/American origin (P less than 0.05). Behavior and mental disorders, learning problems, speech and language disorders were more prevalent among male children. Two-thirds of the children with a diagnosed problem also had at least one functional disability. There were relatively more children from lower social classes in the special education schools than in the national sample. Increased prevalence of disabilities among children of very low birthweight, low maternal educational level, high birth order, and those from families whose origin is Asian/African and from families with intrafamilial problems defines the children at risk for disabilities and placement in special education schools.","The discovery of the FOXP2 transcription factor, and its implication in a rare severe human speech and language disorder, has led to two decades of empirical studies focused on uncovering its roles in the brain using a range of in vitro and in vivo methods. Here, we discuss what we have learned about the regulation of FOXP2, its downstream effectors, and its modes of action as a transcription factor in brain development and function, providing an integrated overview of what is currently known about the critical molecular networks.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Language disorder Sentence A: The prevalence of chronic conditions and illnesses causing disability in Israeli Jewish children aged 7 years born in 1975 was studied on the basis of a national sample (n = 7,739). Eighty medical conditions causing disability were defined. The study showed a total disability rate of 17.5%, which is higher than that reported on a similar national sample of 3 year olds (prevalence of 6.9%). The percentage of disabilities among very low birthweight children and those with family problems was four times greater than in the total population. Mild retardation and undefined learning problems were more prevalent among children of mothers with low educational level and among children whose birth order was fourth or more. Asthma and spastic bronchitis were more prevalent among children whose mothers were of European/American origin (P less than 0.05). Behavior and mental disorders, learning problems, speech and language disorders were more prevalent among male children. Two-thirds of the children with a diagnosed problem also had at least one functional disability. There were relatively more children from lower social classes in the special education schools than in the national sample. Increased prevalence of disabilities among children of very low birthweight, low maternal educational level, high birth order, and those from families whose origin is Asian/African and from families with intrafamilial problems defines the children at risk for disabilities and placement in special education schools. Sentence B: The discovery of the FOXP2 transcription factor, and its implication in a rare severe human speech and language disorder, has led to two decades of empirical studies focused on uncovering its roles in the brain using a range of in vitro and in vivo methods. Here, we discuss what we have learned about the regulation of FOXP2, its downstream effectors, and its modes of action as a transcription factor in brain development and function, providing an integrated overview of what is currently known about the critical molecular networks. ###Answer 1. Changed Reasoning: The target word ""language disorder"" has undergone a significant change in meaning between Sentence A (1975) and Sentence B (2020). In Sentence A, the term likely referred to a broad range of communication and language disabilities, including speech, language, and learning disabilities. In contrast, in Sentence B, the term likely refers specifically to a rare genetic disorder affecting language development, as the discovery of the FOXP2 transcription factor has led to a focus on the molecular mechanisms underlying language development and disorders. Therefore, the meaning of the target word has shifted from a broad term encompassing various communication and language disabilities to a more specific term referring to a specific type of genetic disorder." 11,Language disorder,"The influence of language rehabilitation on specific language skills (speaking, understanding, writing, and reading) was investigated in 281 aphasic patients (162 reeducated and 119 controls) who were subjected to a second examination no less than six months after the first. The relationship of the following factors to improvement was studied: (a) time between onset of aphasia and first examination; (b) type of aphasia; (c) overall severity of aphasia on first examination; (d) presence or absence of rehabilitation between first and subsequent examination. It was found that rehabilitation has a significant positive effect on improvement in all language skills. Time between onset and first examination and overall severity of aphasia were negatively related to improvement. The relationship of type of asphasia to improvement was not significant. Additional evidence of the efficacy of rehabilitation is provided by experience with patients who began language therapy several months or years after the onset of their language disorder.","It is often assumed that pre-schoolers learn a second language (L2) with ease, even for structures that are absent in their L1, such as Mandarin-speaking pre-schoolers learning L2 English grammatical inflections (e.g., ducks, horses). However, while the results from Study 1 showed that such learners can imitate plural words (age = 3;5, N = 20), Studies 2 and 3 showed that they cannot yet generate or comprehend plural morphology (Study 2: age = 4;8, N = 20; Study 3: age = 4;1, N = 20), raising questions about when this is achieved. These findings have important implications for school readiness, as well as for identifying those at risk of developmental language disorders.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Language disorder Sentence A: The influence of language rehabilitation on specific language skills (speaking, understanding, writing, and reading) was investigated in 281 aphasic patients (162 reeducated and 119 controls) who were subjected to a second examination no less than six months after the first. The relationship of the following factors to improvement was studied: (a) time between onset of aphasia and first examination; (b) type of aphasia; (c) overall severity of aphasia on first examination; (d) presence or absence of rehabilitation between first and subsequent examination. It was found that rehabilitation has a significant positive effect on improvement in all language skills. Time between onset and first examination and overall severity of aphasia were negatively related to improvement. The relationship of type of asphasia to improvement was not significant. Additional evidence of the efficacy of rehabilitation is provided by experience with patients who began language therapy several months or years after the onset of their language disorder. Sentence B: It is often assumed that pre-schoolers learn a second language (L2) with ease, even for structures that are absent in their L1, such as Mandarin-speaking pre-schoolers learning L2 English grammatical inflections (e.g., ducks, horses). However, while the results from Study 1 showed that such learners can imitate plural words (age = 3;5, N = 20), Studies 2 and 3 showed that they cannot yet generate or comprehend plural morphology (Study 2: age = 4;8, N = 20; Study 3: age = 4;1, N = 20), raising questions about when this is achieved. These findings have important implications for school readiness, as well as for identifying those at risk of developmental language disorders. ###Answer 1. Changed Explanation: In Sentence A, the term ""language disorder"" is used in the context of aphasic patients who have suffered a stroke or brain injury, and the focus is on the rehabilitation of specific language skills. The sentence suggests that language rehabilitation can have a significant positive effect on improvement in all language skills, and that certain factors such as time between onset and first examination, overall severity of aphasia, and type of aphasia are negatively related to improvement. The term ""language disorder"" in this sentence carries a negative connotation, implying a deficit or impairment in language abilities. In Sentence B, the term ""language disorder"" is used in a different context, referring to the learning abilities of pre-schoolers learning a second language. The sentence suggests that these learners may struggle to generate or comprehend plural morphology, raising questions about when this skill is achieved. The term ""language disorder"" in this sentence carries a neutral or even positive connotation, as it refers to a normal developmental stage rather than an impairment. Based on these differences in context and meaning, it is clear that the term ""language disorder"" has undergone a significant change in meaning between the two sentences. In Sentence A, the term carries a negative connotation, while in Sentence B, it carries a neutral or even positive connotation. Therefore, the label ""Changed"" is appropriate." 12,Language disorder,"The familial transmission of speech and language disorders was investigated using a community sample of five year old children with speech and/or language impairment and a control group with normal language skills. The results indicated a significantly higher prevalence rate of language-related problems in families of speech and language impaired children than in normal language controls. Girls with speech/language impairments had more affected relatives than boys, suggesting that girls with this type of family history are at a greater risk of developing speech or language related problems. The pattern of transmission of speech and language disorders was also compared with published reports of the family histories of stuttering and reading disabilities, and with reports of cognitive and linguistic deficits among families of autistic individuals. The findings are discussed in relation to the theory of an underlying neurolinguistic diathesis common to these various disabilities.","Purpose Learning novel words, including the specific phonemes that make up word forms, is a struggle for many individuals with developmental language disorder (DLD). Building robust representations of words includes encoding during periods of input and consolidation between periods of input. The primary purpose of the current study is to determine differences between children with DLD and with typical development (TD) in the encoding and consolidation of word forms during the slow mapping process. Method Preschool-age children (DLD = 9, TD = 9) were trained on nine form-referent pairs across multiple consecutive training days. Children's ability to name referents at the end of training days indicated their ability to encode forms. Children's ability to name referents at the beginning of training days after a period of overnight sleep indicated their ability to consolidate forms. Word learning was assessed 1 month after training to determine long-term retention of forms. Results Throughout training, children with DLD produced fewer forms correctly and produced forms with less phonological precision than children with TD. Thus, children with DLD demonstrated impaired encoding. However, children with and without DLD demonstrated a similar ability to consolidate forms between training days and to retain forms across a 1-month delay. Conclusions Difficulties with word form learning are primarily driven by deficits in encoding for children with DLD. Clinicians and educators can support encoding by providing children with adequate exposures to target words via robust training that occurs across multiple sessions. Supplemental Material https://doi.org/10.23641/asha.16746454.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Language disorder Sentence A: The familial transmission of speech and language disorders was investigated using a community sample of five year old children with speech and/or language impairment and a control group with normal language skills. The results indicated a significantly higher prevalence rate of language-related problems in families of speech and language impaired children than in normal language controls. Girls with speech/language impairments had more affected relatives than boys, suggesting that girls with this type of family history are at a greater risk of developing speech or language related problems. The pattern of transmission of speech and language disorders was also compared with published reports of the family histories of stuttering and reading disabilities, and with reports of cognitive and linguistic deficits among families of autistic individuals. The findings are discussed in relation to the theory of an underlying neurolinguistic diathesis common to these various disabilities. Sentence B: Purpose Learning novel words, including the specific phonemes that make up word forms, is a struggle for many individuals with developmental language disorder (DLD). Building robust representations of words includes encoding during periods of input and consolidation between periods of input. The primary purpose of the current study is to determine differences between children with DLD and with typical development (TD) in the encoding and consolidation of word forms during the slow mapping process. Method Preschool-age children (DLD = 9, TD = 9) were trained on nine form-referent pairs across multiple consecutive training days. Children's ability to name referents at the end of training days indicated their ability to encode forms. Children's ability to name referents at the beginning of training days after a period of overnight sleep indicated their ability to consolidate forms. Word learning was assessed 1 month after training to determine long-term retention of forms. Results Throughout training, children with DLD produced fewer forms correctly and produced forms with less phonological precision than children with TD. Thus, children with DLD demonstrated impaired encoding. However, children with and without DLD demonstrated a similar ability to consolidate forms between training days and to retain forms across a 1-month delay. Conclusions Difficulties with word form learning are primarily driven by deficits in encoding for children with DLD. Clinicians and educators can support encoding by providing children with adequate exposures to target words via robust training that occurs across multiple sessions. Supplemental Material https://doi.org/10.23641/asha.16746454. ###Answer 1. Changed Reasoning: In Sentence A, the term ""language disorder"" is used in the context of investigating the transmission of speech and language impairments in families. The term is used to describe a specific type of impairment that affects an individual's ability to communicate effectively. In contrast, in Sentence B, the term ""developmental language disorder"" (DLD) is used, which is a broader term that encompasses a range of language impairments that may affect an individual's ability to communicate effectively. The shift in terminology suggests that the meaning of the term ""language disorder"" has changed over time, and it is now used more specifically to refer to a specific type of impairment. Therefore, semantic drift has occurred in the meaning of the term ""language disorder""." 13,Language disorder,"Children with developmental language disorders pose specific and unique problems for educators. This article addresses the continuing academic vulnerability of these children during the school years. We advance the position that their academic vulnerability results from the lifelong need to acquire language, to learn with language, and to apply language knowledge for academic learning and social development. Issues are addressed that relate to persistence of language deficits and learning in school.","Developmental language disorder (DLD) is a neurodevelopmental condition, occurring in about 3% to 7% of preschoolers, that can impair communication and negatively impact educational and social attainments, in spite of adequate neurological, cognitive, emotional, social development, and educational opportunities for language learning. Significant risk factors for DLD are male sex, familial history of early language delay, low parental education, and various perinatal factors. A strong sex effect with a higher prevalence of language delay and DLD in males than in females has been consistently reported. Neurobiological and environmental risk factors, interacting with each other, are probably responsible for the phenotypic expression of DLD. The aim of this brief review is to further the knowledge of the role of sex in early language delay and DLD by analyzing the evidence from four significant sources: epidemiological studies, studies on twins, family aggregation studies, and studies on sex chromosome trisomies. Data pertaining only to sex differences (biological and physiological characteristics of females and males) will be analyzed. Studies on family aggregations and twins confirm the role of genetic factors and of sex in determining language abilities and disabilities, but genes alone do not determine outcomes. Sex chromosome trisomies represent a unique example of the relationship between a genetic alteration and a language disorder. Clarification of how sex acts in determining DLD could provide new information on early risk factors and, thus, contribute to improve diagnosis and clinical management.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Language disorder Sentence A: Children with developmental language disorders pose specific and unique problems for educators. This article addresses the continuing academic vulnerability of these children during the school years. We advance the position that their academic vulnerability results from the lifelong need to acquire language, to learn with language, and to apply language knowledge for academic learning and social development. Issues are addressed that relate to persistence of language deficits and learning in school. Sentence B: Developmental language disorder (DLD) is a neurodevelopmental condition, occurring in about 3% to 7% of preschoolers, that can impair communication and negatively impact educational and social attainments, in spite of adequate neurological, cognitive, emotional, social development, and educational opportunities for language learning. Significant risk factors for DLD are male sex, familial history of early language delay, low parental education, and various perinatal factors. A strong sex effect with a higher prevalence of language delay and DLD in males than in females has been consistently reported. Neurobiological and environmental risk factors, interacting with each other, are probably responsible for the phenotypic expression of DLD. The aim of this brief review is to further the knowledge of the role of sex in early language delay and DLD by analyzing the evidence from four significant sources: epidemiological studies, studies on twins, family aggregation studies, and studies on sex chromosome trisomies. Data pertaining only to sex differences (biological and physiological characteristics of females and males) will be analyzed. Studies on family aggregations and twins confirm the role of genetic factors and of sex in determining language abilities and disabilities, but genes alone do not determine outcomes. Sex chromosome trisomies represent a unique example of the relationship between a genetic alteration and a language disorder. Clarification of how sex acts in determining DLD could provide new information on early risk factors and, thus, contribute to improve diagnosis and clinical management. ###Answer 1. Changed Reasoning: The target word ""language disorder"" has undergone a significant change in meaning between Sentence A (2000) and Sentence B (2020). In Sentence A, the term refers to a specific and unique set of problems faced by children with developmental language disorders, emphasizing the academic vulnerability of these children. In contrast, in Sentence B, the term ""developmental language disorder"" (DLD) is used to describe a broader neurodevelopmental condition affecting 3-7% of preschoolers, with a focus on the risk factors and genetic contributions to the condition. The shift in meaning suggests that the term ""language disorder"" has changed to encompass a broader range of language impairments and to emphasize the neurodevelopmental nature of the condition. Therefore, the label ""Changed"" is appropriate." 14,Language disorder,"Thalamic injury from various natural causes, including tumours an haemorrhage, has been reported to lead abnormalities of language. The pathophysiology of these language disorders remains controversial because the naturally occurring thalamic lesions often are associated with mass effects. Two patients are described with hypodense left thalamic lesions, shown by computed tomography, probably representing infarction. Both patients had aphasia, but neither had evidence of appreciable brain swelling or distortion, nor were cortical language areas damaged."," Stuttering is a speech disorder which impacts the personal and professional lives of millions of people worldwide. To save themselves from stigma and discrimination, people who stutter (PWS) may adopt different strategies to conceal their stuttering. One of the common strategies is word substitution where an individual avoids saying a word they might stutter on and use an alternative instead. This process itself can cause stress and add more burden. In this work, we present Fluent, an AI augmented writing tool which assists PWS in writing scripts which they can speak more fluently. Fluent embodies a novel active learning based method of identifying words an individual might struggle pronouncing. Such words are highlighted in the interface. On hovering over any such word, Fluent presents a set of alternative words which have similar meaning but are easier to speak. The user is free to accept or ignore these suggestions. Based on such user interaction (feedback), Fluent continuously evolves its classifier to better suit the personalized needs of each user. We evaluated our tool by measuring its ability to identify difficult words for 10 simulated users. We found that our tool can identify difficult words with a mean accuracy of over 80% in under 20 interactions and it keeps improving with more feedback. Our tool can be beneficial for certain important life situations like giving a talk, presentation, etc. The source code for this tool has been made publicly accessible at github.com/bhavyaghai/Fluent. ","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Language disorder Sentence A: Thalamic injury from various natural causes, including tumours an haemorrhage, has been reported to lead abnormalities of language. The pathophysiology of these language disorders remains controversial because the naturally occurring thalamic lesions often are associated with mass effects. Two patients are described with hypodense left thalamic lesions, shown by computed tomography, probably representing infarction. Both patients had aphasia, but neither had evidence of appreciable brain swelling or distortion, nor were cortical language areas damaged. Sentence B: Stuttering is a speech disorder which impacts the personal and professional lives of millions of people worldwide. To save themselves from stigma and discrimination, people who stutter (PWS) may adopt different strategies to conceal their stuttering. One of the common strategies is word substitution where an individual avoids saying a word they might stutter on and use an alternative instead. This process itself can cause stress and add more burden. In this work, we present Fluent, an AI augmented writing tool which assists PWS in writing scripts which they can speak more fluently. Fluent embodies a novel active learning based method of identifying words an individual might struggle pronouncing. Such words are highlighted in the interface. On hovering over any such word, Fluent presents a set of alternative words which have similar meaning but are easier to speak. The user is free to accept or ignore these suggestions. Based on such user interaction (feedback), Fluent continuously evolves its classifier to better suit the personalized needs of each user. We evaluated our tool by measuring its ability to identify difficult words for 10 simulated users. We found that our tool can identify difficult words with a mean accuracy of over 80% in under 20 interactions and it keeps improving with more feedback. Our tool can be beneficial for certain important life situations like giving a talk, presentation, etc. The source code for this tool has been made publicly accessible at github.com/bhavyaghai/Fluent. ###Answer 1. Changed Reasoning: In Sentence A, the target word ""language disorder"" is used in the context of thalamic injury leading to abnormalities in language. The sentence suggests that the term ""language disorder"" refers to specific language impairments associated with brain damage. In contrast, in Sentence B, the target word ""language disorder"" is used in a different context, referring to stuttering as a speech disorder that impacts millions of people worldwide. The sentence highlights the stigma and discrimination faced by people who stutter and describes a tool called Fluent that assists them in writing scripts that they can speak more fluently. The meaning of the term ""language disorder"" has shifted from a specific language impairment to a broader term encompassing speech disorders in general. Therefore, semantic drift has occurred in the meaning of the target word." 15,Language disorder,"Between 2 and 5% of children who are otherwise unimpaired have significant difficulties in acquiring expressive and/or receptive language, despite adequate intelligence and opportunity. While twin studies indicate a significant role for genetic factors in developmental disorders of speech and language, the majority of families segregating such disorders show complex patterns of inheritance, and are thus not amenable for conventional linkage analysis. A rare exception is the KE family, a large three-generation pedigree in which approximately half of the members are affected with a severe speech and language disorder which appears to be transmitted as an autosomal dominant monogenic trait. This family has been widely publicised as suffering primarily from a defect in the use of grammatical suffixation rules, thus supposedly supporting the existence of genes specific to grammar. The phenotype, however, is broader in nature, with virtually every aspect of grammar and of language affected. In addition, affected members have a severe orofacial dyspraxia, and their speech is largely incomprehensible to the naive listener. We initiated a genome-wide search for linkage in the KE family and have identified a region on chromosome 7 which co-segregates with the speech and language disorder (maximum lod score = 6.62 at theta = 0.0), confirming autosomal dominant inheritance with full penetrance. Further analysis of microsatellites from within the region enabled us to fine map the locus responsible (designated SPCH1) to a 5.6-cM interval in 7q31, thus providing an important step towards its identification. Isolation of SPCH1 may offer the first insight into the molecular genetics of the developmental process that culminates in speech and language.","This chapter gives a broad overview of the description and theorizing of a wide range of language disorders resulting from brain damage, commonly classified under the umbrella term ""aphasia."" It covers works written in Antiquity up to the 20th century. Moreover, it looks at disturbances in various language modalities such as speech, language comprehension, reading, writing, and sign language. In addition, also forms of the more recently discovered primary progressive aphasia are discussed. Finally, important developments in the history of assessment and rehabilitation of language disorders are described. To properly characterize disorders of language, these developments are discussed from the perspectives of neurology, psychology, and linguistics.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Language disorder Sentence A: Between 2 and 5% of children who are otherwise unimpaired have significant difficulties in acquiring expressive and/or receptive language, despite adequate intelligence and opportunity. While twin studies indicate a significant role for genetic factors in developmental disorders of speech and language, the majority of families segregating such disorders show complex patterns of inheritance, and are thus not amenable for conventional linkage analysis. A rare exception is the KE family, a large three-generation pedigree in which approximately half of the members are affected with a severe speech and language disorder which appears to be transmitted as an autosomal dominant monogenic trait. This family has been widely publicised as suffering primarily from a defect in the use of grammatical suffixation rules, thus supposedly supporting the existence of genes specific to grammar. The phenotype, however, is broader in nature, with virtually every aspect of grammar and of language affected. In addition, affected members have a severe orofacial dyspraxia, and their speech is largely incomprehensible to the naive listener. We initiated a genome-wide search for linkage in the KE family and have identified a region on chromosome 7 which co-segregates with the speech and language disorder (maximum lod score = 6.62 at theta = 0.0), confirming autosomal dominant inheritance with full penetrance. Further analysis of microsatellites from within the region enabled us to fine map the locus responsible (designated SPCH1) to a 5.6-cM interval in 7q31, thus providing an important step towards its identification. Isolation of SPCH1 may offer the first insight into the molecular genetics of the developmental process that culminates in speech and language. Sentence B: This chapter gives a broad overview of the description and theorizing of a wide range of language disorders resulting from brain damage, commonly classified under the umbrella term ""aphasia."" It covers works written in Antiquity up to the 20th century. Moreover, it looks at disturbances in various language modalities such as speech, language comprehension, reading, writing, and sign language. In addition, also forms of the more recently discovered primary progressive aphasia are discussed. Finally, important developments in the history of assessment and rehabilitation of language disorders are described. To properly characterize disorders of language, these developments are discussed from the perspectives of neurology, psychology, and linguistics. ###Answer 1. Changed Reasoning: In Sentence A, the target word ""language disorder"" is used in the context of a specific family with a known genetic mutation causing severe speech and language impairments. The sentence highlights the broader aspects of language disorders, including difficulties with grammar, syntax, and comprehension, as well as orofacial dyspraxia and incomprehensible speech. The focus is on the genetic basis of the disorder and the identification of a genetic locus responsible for the disorder. In Sentence B, the target word ""language disorder"" is used in a broader context to describe a wide range of language disorders resulting from brain damage, including aphasia, speech, language comprehension, reading, writing, and sign language disorders. The sentence highlights the various language modalities affected and the importance of interdisciplinary approaches to assessment and rehabilitation. Comparing the two sentences, it is evident that the meaning of the target word ""language disorder"" has shifted from a specific genetic disorder with a narrow focus on the family in Sentence A to a broader term encompassing various forms of language disorders resulting from brain damage in Sentence B. Therefore, the label ""Changed"" is appropriate to indicate that the meaning of the target word has significantly shifted over time." 16,Language disorder,"The prevalence of chronic physical illnesses and their association with mental disorders was assessed using data collected by primary care pediatricians. A chronic illness was diagnosed in 1573 (15.6%) of 10,058 children aged 4 to 16 years, 945 (9.4%) of whom had a ""serious"" disorder, 535 (5.3%) had a minor disorder (hay fever or dermatitis), and 121 (1.2%) had a speech or language disorder. Behavioral problems were identified more often among patients with ""serious"" disorders than among those without chronic illnesses (2.4% vs 1.7%), as were emotional problems (5.0% vs 3.1%). Among those with ""serious"" conditions involving the central nervous system, the prevalence of behavioral (5.2%) and emotional (10.4%) disorders was still higher. Although children with ""serious"" disorders not involving the central nervous system also showed elevated prevalence rates of behavioral (2.1%) and emotional (4.5%) disturbances, this increase did not reach statistical significance. No association with ""minor"" chronic disorders was found. The negative impact of these mental health problems on the child was more severe when a chronic illness was also present, but referrals for mental health services did not reflect his association.","The aim of this study is to examine the clinical characteristics of children suspected to have neurodevelopmental disorders and to present features that could be helpful diagnostic clues at the clinical assessment stage. All children who visited the interdisciplinary clinic for developmental problems from May 2001 to December 2014 were eligible for this study. Medical records of the children were reviewed. A total of 1,877 children were enrolled in this study. Most children were classified into four major diagnostic groups: global developmental delay (GDD), autism spectrum disorder (ASD), developmental language disorder (DLD) and motor delay (MD). GDD was the most common (43.9%), and boys were significantly more predominant than girls in all groups. When evaluating the predictive power of numerous risk factors, the probability of GDD was lower than the probability of ASD among boys, while the probability of GDD increased as independent walking age increased. Compared with GDD and DLD, the probability of GDD was increased when there was neonatal history or when the independent walking age was late. Comparison of ASD and DLD showed that the probability of ASD decreased when a maternal history was present, whereas the probability of ASD increased with male gender. To conclude, the present study revealed the clinical features of children with various neurodevelopmental disorders. These results are expected to be helpful for more effectively flagging children with potential neurodevelopmental disorders in the clinical setting.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Language disorder Sentence A: The prevalence of chronic physical illnesses and their association with mental disorders was assessed using data collected by primary care pediatricians. A chronic illness was diagnosed in 1573 (15.6%) of 10,058 children aged 4 to 16 years, 945 (9.4%) of whom had a ""serious"" disorder, 535 (5.3%) had a minor disorder (hay fever or dermatitis), and 121 (1.2%) had a speech or language disorder. Behavioral problems were identified more often among patients with ""serious"" disorders than among those without chronic illnesses (2.4% vs 1.7%), as were emotional problems (5.0% vs 3.1%). Among those with ""serious"" conditions involving the central nervous system, the prevalence of behavioral (5.2%) and emotional (10.4%) disorders was still higher. Although children with ""serious"" disorders not involving the central nervous system also showed elevated prevalence rates of behavioral (2.1%) and emotional (4.5%) disturbances, this increase did not reach statistical significance. No association with ""minor"" chronic disorders was found. The negative impact of these mental health problems on the child was more severe when a chronic illness was also present, but referrals for mental health services did not reflect his association. Sentence B: The aim of this study is to examine the clinical characteristics of children suspected to have neurodevelopmental disorders and to present features that could be helpful diagnostic clues at the clinical assessment stage. All children who visited the interdisciplinary clinic for developmental problems from May 2001 to December 2014 were eligible for this study. Medical records of the children were reviewed. A total of 1,877 children were enrolled in this study. Most children were classified into four major diagnostic groups: global developmental delay (GDD), autism spectrum disorder (ASD), developmental language disorder (DLD) and motor delay (MD). GDD was the most common (43.9%), and boys were significantly more predominant than girls in all groups. When evaluating the predictive power of numerous risk factors, the probability of GDD was lower than the probability of ASD among boys, while the probability of GDD increased as independent walking age increased. Compared with GDD and DLD, the probability of GDD was increased when there was neonatal history or when the independent walking age was late. Comparison of ASD and DLD showed that the probability of ASD decreased when a maternal history was present, whereas the probability of ASD increased with male gender. To conclude, the present study revealed the clinical features of children with various neurodevelopmental disorders. These results are expected to be helpful for more effectively flagging children with potential neurodevelopmental disorders in the clinical setting. ###Answer 1. Changed Reasoning: In Sentence A, the term ""speech or language disorder"" is used to describe a specific type of disorder. However, in Sentence B, the term ""neurodevelopmental disorder"" is used instead, which suggests a broader range of disorders. This change in terminology implies a shift in the focus of the term, from a specific type of speech or language disorder to a broader category of developmental disorders. Therefore, semantic drift has occurred in the meaning of the target word ""language disorder""." 17,Language disorder,"The etiology and mechanisms of specific language impairment (SLI) in children are unknown. Differences in basic auditory processing abilities have been suggested to underlie their language deficits. Studies suggest that the neuropathology, such as atypical patterns of cerebral lateralization and cortical cellular anomalies, implicated in such impairments likely occur early in life. Such anomalies may play a part in the rapid processing deficits seen in this disorder. However, prospective, longitudinal studies in infant populations that are critical to examining these hypotheses have not been done. In the study described, performance on brief, rapidly-presented, successive auditory processing and perceptual-cognitive tasks were assessed in two groups of infants: normal control infants with no family history of language disorders and infants from families with a positive family history for language impairment. Initial assessments were obtained when infants were 6-9 months of age (M=7.5 months) and the sample was then followed through age 36 months. At the first visit, infants' processing of rapid auditory cues as well as global processing speed and memory were assessed. Significant differences in mean thresholds were seen in infants born into families with a history of SLI as compared with controls. Examination of relations between infant processing abilities and emerging language through 24 months-of-age revealed that threshold for rapid auditory processing at 7.5 months was the single best predictor of language outcome. At age 3, rapid auditory processing threshold and being male, together predicted 39-41% of the variance in language outcome. Thus, early deficits in rapid auditory processing abilities both precede and predict subsequent language delays. These findings support an essential role for basic nonlinguistic, central auditory processes, particularly rapid spectrotemporal processing, in early language development. Further, these findings provide a temporal diagnostic window during which future language impairments may be addressed.","Dementia with Lewy bodies (DLB) is the second most common form of dementia in elderly patients. In the early stages, it shares many clinical and pathological features with other neurocognitive disorders such as Alzheimer's disease, making early and accurate diagnosis challenging. While written production has been shown to be sensible to pathological aging even before the onset of spoken language disorders, no research has been conducted on this aspect in DLB patients, particularly at the prodromal or mild stages.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Language disorder Sentence A: The etiology and mechanisms of specific language impairment (SLI) in children are unknown. Differences in basic auditory processing abilities have been suggested to underlie their language deficits. Studies suggest that the neuropathology, such as atypical patterns of cerebral lateralization and cortical cellular anomalies, implicated in such impairments likely occur early in life. Such anomalies may play a part in the rapid processing deficits seen in this disorder. However, prospective, longitudinal studies in infant populations that are critical to examining these hypotheses have not been done. In the study described, performance on brief, rapidly-presented, successive auditory processing and perceptual-cognitive tasks were assessed in two groups of infants: normal control infants with no family history of language disorders and infants from families with a positive family history for language impairment. Initial assessments were obtained when infants were 6-9 months of age (M=7.5 months) and the sample was then followed through age 36 months. At the first visit, infants' processing of rapid auditory cues as well as global processing speed and memory were assessed. Significant differences in mean thresholds were seen in infants born into families with a history of SLI as compared with controls. Examination of relations between infant processing abilities and emerging language through 24 months-of-age revealed that threshold for rapid auditory processing at 7.5 months was the single best predictor of language outcome. At age 3, rapid auditory processing threshold and being male, together predicted 39-41% of the variance in language outcome. Thus, early deficits in rapid auditory processing abilities both precede and predict subsequent language delays. These findings support an essential role for basic nonlinguistic, central auditory processes, particularly rapid spectrotemporal processing, in early language development. Further, these findings provide a temporal diagnostic window during which future language impairments may be addressed. Sentence B: Dementia with Lewy bodies (DLB) is the second most common form of dementia in elderly patients. In the early stages, it shares many clinical and pathological features with other neurocognitive disorders such as Alzheimer's disease, making early and accurate diagnosis challenging. While written production has been shown to be sensible to pathological aging even before the onset of spoken language disorders, no research has been conducted on this aspect in DLB patients, particularly at the prodromal or mild stages. ###Answer 1. Changed Reasoning: In Sentence A, the target word ""Language disorder"" is used to describe a specific impairment in language processing, with a focus on early detection and intervention. The sentence highlights the importance of rapid auditory processing abilities in early language development and the potential for central auditory processes to play an essential role in language development. In Sentence B, the target word ""Language disorder"" is used in a different context, to describe a form of dementia. The sentence emphasizes the challenges of early and accurate diagnosis of Dementia with Lewy bodies, particularly in the early stages when it shares features with other neurocognitive disorders. The target word has shifted in meaning from a focus on language processing to a broader context of cognitive impairment." 18,Language disorder,The early development of children who have been diagnosed as suffering from autism and children with specific language disorder (SLD) is still an area of research that receives little attention. There is a need for descriptive patterns of the early stages in the development of the two groups that foster the formation of reliable early diagnoses. Aims. In this study we attempt to determine the incidence of different symptoms in the first two years in the life of children who were later diagnosed as suffering from autism or SLD and to confirm or refute the data that suggests a pattern of onset of the disorder that differs from one group to the other.,"Difficulties in interpersonal communication, including conversational skill impairments, are core features of schizophrenia. However, very few studies have performed conversation analyses in a clinical population of schizophrenia patients. Here we investigate the conversational patterns of dialogues in schizophrenia patients to assess possible associations with symptom dimensions, subjective self-disturbances and social functioning. Thirty-five schizophrenia patients were administered the Positive and Negative Syndrome Scale (PANSS), the Clinical Language Disorder Rating Scale (CLANG), the Scale for the Assessment of Thought, Language and Communication (TLC), the Examination of Anomalous Self-Experience Scale (EASE), and the Social and Occupational Functioning Assessment Scale (SOFAS). Moreover, participants underwent a recorded semi-structured interview, to extract conversational variables. Conversational data were associated with negative symptoms and social functioning, but not with positive or disorganization symptoms. A significant positive correlation was found between ""pause duration"" and the EASE item ""Spatialization of thought"". The present study suggests an association between conversational patterns and negative symptom dimension of schizophrenia. Moreover, our findings evoke a relationship between the natural fluidity of conversation and of the natural unraveling of thoughts.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Language disorder Sentence A: The early development of children who have been diagnosed as suffering from autism and children with specific language disorder (SLD) is still an area of research that receives little attention. There is a need for descriptive patterns of the early stages in the development of the two groups that foster the formation of reliable early diagnoses. Aims. In this study we attempt to determine the incidence of different symptoms in the first two years in the life of children who were later diagnosed as suffering from autism or SLD and to confirm or refute the data that suggests a pattern of onset of the disorder that differs from one group to the other. Sentence B: Difficulties in interpersonal communication, including conversational skill impairments, are core features of schizophrenia. However, very few studies have performed conversation analyses in a clinical population of schizophrenia patients. Here we investigate the conversational patterns of dialogues in schizophrenia patients to assess possible associations with symptom dimensions, subjective self-disturbances and social functioning. Thirty-five schizophrenia patients were administered the Positive and Negative Syndrome Scale (PANSS), the Clinical Language Disorder Rating Scale (CLANG), the Scale for the Assessment of Thought, Language and Communication (TLC), the Examination of Anomalous Self-Experience Scale (EASE), and the Social and Occupational Functioning Assessment Scale (SOFAS). Moreover, participants underwent a recorded semi-structured interview, to extract conversational variables. Conversational data were associated with negative symptoms and social functioning, but not with positive or disorganization symptoms. A significant positive correlation was found between ""pause duration"" and the EASE item ""Spatialization of thought"". The present study suggests an association between conversational patterns and negative symptom dimension of schizophrenia. Moreover, our findings evoke a relationship between the natural fluidity of conversation and of the natural unraveling of thoughts. ###Answer 1. Changed Reasoning: The target word ""Language disorder"" has undergone a significant change in meaning between Sentence A (2000) and Sentence B (2020). In Sentence A, the term is used to describe children with autism or specific language disorder (SLD), indicating a focus on early diagnosis and developmental research. In contrast, in Sentence B, the term is used to describe a core feature of schizophrenia, specifically difficulties in interpersonal communication, including conversational skill impairments. This shift in meaning suggests that the term ""Language disorder"" has undergone semantic drift, and its meaning has changed significantly over time." 19,Language disorder,"A model is presented for the integration of clinical-inferential and quantitative approaches to classification. In this, the first application of the proposed model, preschool children with developmental language disorders were classified on the basis of clinical interpretations of performance on psychometric subtests. Five hypothesized subgroups were validated on the basis of (a) consensus among five clinical neuropsychologists, (b) language pathologists' reports, (c) comparisons with subgroups defined by a cluster analytic approach, and (d) comparisons among subgroups on variables not used for classification. Results are discussed in terms of the feasibility of the integrated approach, commonalities with other typologies, and the implications of this work to issues of subtype stability, remediation, predictions of later reading achievement, brain-behavior relationships, and generalizability to other clinical groups.","Little is known about the familial characteristics of children diagnosed during childhood as having a developmental language disorder (DLD). This study aimed to investigate the prevalence of autism spectrum disorders (ASD) in siblings of probands diagnosed during childhood as having a DLD. In order to estimate the prevalence of ASD, 908 siblings of 469 probands diagnosed during childhood as having a DLD, and 3,802 siblings of 2,345 controls from the general population, without a known history of DLD, were screened for ASD through the nationwide Danish Psychiatric Central Register (DPCR). The mean length of observation was 35.2 years and 34.8 years, respectively, and the mean age at follow-up 38.4 years and 37.4 years, respectively. At follow-up one sibling (0.1%) in the DLD case group and eight siblings (0.2%) in the comparison group were known in the DPCR with a diagnosis of any ASD (P = 0.53; OR = 0.52; 95%CI 0.07-4.19). Thus our results provide no support for a familial association between DLD and ASD.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Language disorder Sentence A: A model is presented for the integration of clinical-inferential and quantitative approaches to classification. In this, the first application of the proposed model, preschool children with developmental language disorders were classified on the basis of clinical interpretations of performance on psychometric subtests. Five hypothesized subgroups were validated on the basis of (a) consensus among five clinical neuropsychologists, (b) language pathologists' reports, (c) comparisons with subgroups defined by a cluster analytic approach, and (d) comparisons among subgroups on variables not used for classification. Results are discussed in terms of the feasibility of the integrated approach, commonalities with other typologies, and the implications of this work to issues of subtype stability, remediation, predictions of later reading achievement, brain-behavior relationships, and generalizability to other clinical groups. Sentence B: Little is known about the familial characteristics of children diagnosed during childhood as having a developmental language disorder (DLD). This study aimed to investigate the prevalence of autism spectrum disorders (ASD) in siblings of probands diagnosed during childhood as having a DLD. In order to estimate the prevalence of ASD, 908 siblings of 469 probands diagnosed during childhood as having a DLD, and 3,802 siblings of 2,345 controls from the general population, without a known history of DLD, were screened for ASD through the nationwide Danish Psychiatric Central Register (DPCR). The mean length of observation was 35.2 years and 34.8 years, respectively, and the mean age at follow-up 38.4 years and 37.4 years, respectively. At follow-up one sibling (0.1%) in the DLD case group and eight siblings (0.2%) in the comparison group were known in the DPCR with a diagnosis of any ASD (P = 0.53; OR = 0.52; 95%CI 0.07-4.19). Thus our results provide no support for a familial association between DLD and ASD. ###Answer 1. Unchanged Reasoning: The target word ""language disorder"" is used in the same context and with the same meaning in both sentences. The term is used to describe a condition affecting children's language development, and the sentences provide information on the prevalence of this condition and the familial characteristics of children diagnosed with it. The meaning of the term has not significantly changed between the two sentences, and therefore the label ""Unchanged"" is appropriate." 20,Language disorder,"This article presents a critical review of the literature concerning concomitant speech and language disorders in stuttering children. Studies published since the 1920s that examined language onset and disorders of articulation, syntax and morphology, semantics, and word finding are analyzed. Collectively, the studies present a mixed impression of stutterers, not only because of methodological variations, but also because of the tremendous variability that exists among children who stutter. Although the evidence is not convincing that stutterers as a group are more likely than nonstutterers to have deficits in any of these areas, it is clear that some stutterers do have concomitant speech and language problems that may bear some relationship to their stuttering. The message from this body of research is that individual differences among stuttering children should not be ignored during clinical or research activities."," The theory of large deviations is already the natural language for the statistical physics of equilibrium and non-equilibrium. In the field of disordered systems, the analysis via large deviations is even more useful to describe within a unified perspective the typical events and the rare events that occur on various scales. In the present pedagogical introduction, we revisit various emblematic classical and quantum disordered systems in order to highlight the common underlying mechanisms from the point of view of large deviations. ","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Language disorder Sentence A: This article presents a critical review of the literature concerning concomitant speech and language disorders in stuttering children. Studies published since the 1920s that examined language onset and disorders of articulation, syntax and morphology, semantics, and word finding are analyzed. Collectively, the studies present a mixed impression of stutterers, not only because of methodological variations, but also because of the tremendous variability that exists among children who stutter. Although the evidence is not convincing that stutterers as a group are more likely than nonstutterers to have deficits in any of these areas, it is clear that some stutterers do have concomitant speech and language problems that may bear some relationship to their stuttering. The message from this body of research is that individual differences among stuttering children should not be ignored during clinical or research activities. Sentence B: The theory of large deviations is already the natural language for the statistical physics of equilibrium and non-equilibrium. In the field of disordered systems, the analysis via large deviations is even more useful to describe within a unified perspective the typical events and the rare events that occur on various scales. In the present pedagogical introduction, we revisit various emblematic classical and quantum disordered systems in order to highlight the common underlying mechanisms from the point of view of large deviations. ###Answer 1. Changed Reasoning: In Sentence A, the term ""language disorder"" is used to describe a specific set of symptoms related to speech and language impairments in stuttering children. The sentence highlights the variability in language abilities among these children and emphasizes the importance of considering individual differences in clinical and research settings. In Sentence B, the term ""language disorder"" is used more broadly to refer to the statistical physics of disordered systems, including both equilibrium and non-equilibrium systems. The sentence emphasizes the usefulness of large deviations analysis in describing typical and rare events in these systems. The term ""language disorder"" has shifted from a term specifically related to speech and language impairments in children to a more general term encompassing a wide range of statistical physics phenomena. Therefore, the meaning of the term ""language disorder"" has changed significantly between the two sentences." 21,Language disorder,"Inadequate language is a defining feature of the autism spectrum disorders (autism). Autism is a behaviorally and dimensionally defined developmental disorder of the immature brain that has a broad range of severity and many etiologies, with multiple genes involved. Early studies, which focused on the language of verbal children on the autistic spectrum, emphasized aberrant features of their speech such as unusual word choices, pronoun reversal, echolalia, incoherent discourse, unresponsiveness to questions, aberrant prosody, and lack of drive to communicate. Persistent lack of speech of some individuals was attributed to the severity of their autism and attendant mental retardation rather than possible inability to decode auditory language. Clinical study of unselected children with autism indicated that the language deficits of preschoolers fall into two broad types, perhaps with subtypes, those that involve reception and production of phonology (sounds of speech) and syntax (grammar), and those that do not but involve semantics (meaning) and pragmatics (communicative use of language, processing, and production of discourse). Except for the preschoolers' universally deficient pragmatics and comprehension of speech, many of their language deficits parallel those of non-autistic preschoolers with developmental language disorders. There is now biological support for the clinical observation that young autistic children are language disordered as well as autistic. Recent electrophysiological studies disclose auditory input abnormalities in lateral temporal cortex even in verbal individuals on the autistic spectrum. Severe receptive deficits for phonology enhance the risk for epilepsy. Genetic studies indicate that linkage to chromosome 7q31-33 is limited to families with evidence for phonologic impairment as well as autism. Clearly, social and cognitive disorders alone provide an inadequate explanation for the range of language deficits in autism.","Frontotemporal lobar degeneration (FTLD) is the most frequent neurodegenerative disorder with a presenile onset. It presents with a spectrum of clinical manifestations, ranging from behavioural and executive impairment to language disorders and motor dysfunction. New diagnostic criteria identified two main cognitive syndromes: behavioural variant frontotemporal dementia (bvFTD) and primary progressive aphasia (PPA). Regarding bvFTD, new criteria that include the use of biomarkers have been proposed. According to them, bvFTD can be classified in ""possible"" (clinical features only), ""probable"" (inclusion of imaging biomarkers) and ""definite"" (in the presence o f a known causal mutation or at autopsy). Concerning autosomal dominant mutations, microtubule associated protein tau gene mutations have been the first ones identified and are generally associated with early onset bvFTD phenotype. More recently, progranulin gene mutations were recognized in association with familial form of FTLD. In addition, other genes are linked to rare cases of familial FTLD, primarily the newly discovered C9ORF72 hexanucleotide expansion repeats. As regards PPA, new consensus criteria identify three syndromes: primary non-fluent aphasia, semantic variant of PPA and logopenic aphasia, which seems to be associated, in the majority of cases, with underlying Alzheimer's disease pathology. In this review, new criteria, including MRI, cerebrospinal fluid and genetic biomarkers, will be presented and discussed.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Language disorder Sentence A: Inadequate language is a defining feature of the autism spectrum disorders (autism). Autism is a behaviorally and dimensionally defined developmental disorder of the immature brain that has a broad range of severity and many etiologies, with multiple genes involved. Early studies, which focused on the language of verbal children on the autistic spectrum, emphasized aberrant features of their speech such as unusual word choices, pronoun reversal, echolalia, incoherent discourse, unresponsiveness to questions, aberrant prosody, and lack of drive to communicate. Persistent lack of speech of some individuals was attributed to the severity of their autism and attendant mental retardation rather than possible inability to decode auditory language. Clinical study of unselected children with autism indicated that the language deficits of preschoolers fall into two broad types, perhaps with subtypes, those that involve reception and production of phonology (sounds of speech) and syntax (grammar), and those that do not but involve semantics (meaning) and pragmatics (communicative use of language, processing, and production of discourse). Except for the preschoolers' universally deficient pragmatics and comprehension of speech, many of their language deficits parallel those of non-autistic preschoolers with developmental language disorders. There is now biological support for the clinical observation that young autistic children are language disordered as well as autistic. Recent electrophysiological studies disclose auditory input abnormalities in lateral temporal cortex even in verbal individuals on the autistic spectrum. Severe receptive deficits for phonology enhance the risk for epilepsy. Genetic studies indicate that linkage to chromosome 7q31-33 is limited to families with evidence for phonologic impairment as well as autism. Clearly, social and cognitive disorders alone provide an inadequate explanation for the range of language deficits in autism. Sentence B: Frontotemporal lobar degeneration (FTLD) is the most frequent neurodegenerative disorder with a presenile onset. It presents with a spectrum of clinical manifestations, ranging from behavioural and executive impairment to language disorders and motor dysfunction. New diagnostic criteria identified two main cognitive syndromes: behavioural variant frontotemporal dementia (bvFTD) and primary progressive aphasia (PPA). Regarding bvFTD, new criteria that include the use of biomarkers have been proposed. According to them, bvFTD can be classified in ""possible"" (clinical features only), ""probable"" (inclusion of imaging biomarkers) and ""definite"" (in the presence o f a known causal mutation or at autopsy). Concerning autosomal dominant mutations, microtubule associated protein tau gene mutations have been the first ones identified and are generally associated with early onset bvFTD phenotype. More recently, progranulin gene mutations were recognized in association with familial form of FTLD. In addition, other genes are linked to rare cases of familial FTLD, primarily the newly discovered C9ORF72 hexanucleotide expansion repeats. As regards PPA, new consensus criteria identify three syndromes: primary non-fluent aphasia, semantic variant of PPA and logopenic aphasia, which seems to be associated, in the majority of cases, with underlying Alzheimer's disease pathology. In this review, new criteria, including MRI, cerebrospinal fluid and genetic biomarkers, will be presented and discussed. ###Answer 1. Changed Reasoning: In Sentence A, the target word ""language disorder"" is used to describe the speech and language deficits of individuals with autism. The word is used in the context of a behaviorally and dimensionally defined developmental disorder of the immature brain, with a broad range of severity and multiple etiologies. The meaning of the word in this sentence is focused on the deficits in language production and comprehension, and the connection to the broader disorder of autism. In Sentence B, the target word ""language disorder"" is used to describe the cognitive and language impairments associated with frontotemporal lobar degeneration (FTLD). The word is used in the context of a spectrum of clinical manifestations, including language disorders, motor dysfunction, and behavioural and executive impairment. The meaning of the word in this sentence is focused on the cognitive and language impairments associated with the degenerative disorder, rather than the broader disorder of autism. Based on these two sentences, it is clear that the meaning of the target word ""language disorder"" has shifted significantly between the two timestamps. In Sentence A, the word is used in the context of autism and the deficits in language production and comprehension associated with the disorder. In Sentence B, the word is used in the context of FTLD and the cognitive and language impairments associated with the degenerative disorder. Therefore, the label ""Changed"" is appropriate for this task." 22,Language disorder,"Twenty-two control children (aged 6-12 years) and forty-three children with developmental language disorder (DLD) (aged 7-12 years) received a test of callosal transfer of tactile information. Among the children with dysphasia, 30 had a diagnosis of receptive dysphasia and 13 of expressive dysphasia. Both control children and children with DLD made a significantly larger number of errors in the crossed localization condition (implying callosal transfer of tactile information) versus the uncrossed localization condition. In the crossed localization condition, children with DLD made a significantly larger number of errors than controls, while no differences were found in the two groups of children with DLD. These data suggest that the corpus callosum may be involved in the pathogenesis of DLD.","Designed by scientists at Boston University, this speech therapy app aims to improve everyday skills, such as speech, memory and focus, for patients recovering from a traumatic brain injury or who have aphasia, dementia or a speech-language disorder. ","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Language disorder Sentence A: Twenty-two control children (aged 6-12 years) and forty-three children with developmental language disorder (DLD) (aged 7-12 years) received a test of callosal transfer of tactile information. Among the children with dysphasia, 30 had a diagnosis of receptive dysphasia and 13 of expressive dysphasia. Both control children and children with DLD made a significantly larger number of errors in the crossed localization condition (implying callosal transfer of tactile information) versus the uncrossed localization condition. In the crossed localization condition, children with DLD made a significantly larger number of errors than controls, while no differences were found in the two groups of children with DLD. These data suggest that the corpus callosum may be involved in the pathogenesis of DLD. Sentence B: Designed by scientists at Boston University, this speech therapy app aims to improve everyday skills, such as speech, memory and focus, for patients recovering from a traumatic brain injury or who have aphasia, dementia or a speech-language disorder. ###Answer 1. Changed Explanation: In Sentence A, the term ""developmental language disorder (DLD)"" is used, which suggests a more specific and technical meaning than in Sentence B, where it is simply referred to as ""speech-language disorder."" This implies that the term ""DLD"" has become more specialized and technical over time, indicating semantic drift. Additionally, the phrase ""corpus callosum may be involved in the pathogenesis of DLD"" suggests a greater emphasis on the role of the corpus callosum in the disorder, which was not mentioned in Sentence B. These changes suggest that the meaning of the term ""DLD"" has shifted over time, indicating semantic drift." 23,Language disorder,"The most common otolaryngologic features associated with LMBBS include SNHL, speech and language disorders, and oral and dental abnormalities. Early otolaryngologic, audiologic, speech pathology, and dental evaluation of these individuals is recommended. This is the first reported case of bifid epiglottis, a rare congenital laryngeal anomaly, found in association with LMBBS. Most patients with bifid epiglottis have additional congenital anomalies, most commonly polysyndactyly. Polysyndactyly is a feature of both LMBBS and bifid epiglottis and may be an early hallmark for the presence of other congenital anomalies.","A 7(1/2)-year-old boy is brought to a new primary care pediatrician because his grandparents, who have legal custody, want a ""fresh look"" at his behavior. Ian's grandmother begins the history with the comment, ""He started out kind of rough."" He was exposed to methamphetamine and marijuana throughout gestation and his mother had bipolar disease and hypertension. A Cesarean section for failure to progress was followed by normal Apgar scores and an unremarkable neonatal course. Ian's parents physically fought during the first 6 months of his life; at that time, the parents separated and the grandparents assumed care. Ian was expelled from three preschools due to physical aggression directed at other children. He also found it difficult to separate from his grandmother. In first grade, Ian often ran out of the classroom and was verbally, and at one time, physically abuse to his teacher. When he was expelled from school, the grandparents decided to home school Ian. Ian learned to read about 100 words and his spelling improved. Currently, Ian is in the first grade in a class of 10 children with behavioral problems; Ian has his own aid to insure his safety while in school. His teacher reports frequent fidgety behavior, difficulty sitting in his seat or at circle time, and trouble focusing on learning tasks. While his grandparents describe Ian as a ""sweet and happy"" child at home, they are concerned with repetitive behaviors (e.g., frequent flushing of the toilet because he worried that it is broken and brushing his teeth over 10 times each day), fear of leaving the house, and insisting on order to certain things such as his toys and having a ""meltdown"" when they are not in order. Severe tantrums are limited to once each month. A receptive and expressive language disorder was diagnosed at 4-years old followed by speech therapy and a social skills-language group program. A few months before the current pediatric visit, Ian had psychoeducational testing: The Wechsler Intelligence Scale-IV revealed verbal intelligence quotient (IQ) of 75 and a performance IQ of 108 with a full scale score of 81. The Gilliam Autism Rating Scale-2 indicated a probability of autism with significant scores in stereotype behavior, communication, and social interactions. During the physical examination, he constantly moved while in chair and required frequent redirection and refocusing on many tasks. Eye contact was appropriate, but he often used words out of context with scripted references to videos at home. Foul language was used both randomly and directed to the examiner. After saying, ""here comes the bitch,"" he apologized. Ian demonstrated appropriate joint attention and reciprocal play without over-focusing on a single toy. Growth measurements were at the 95th percentile. Physical and neurological examinations were normal with the exception of mild asymmetry of auricle size and slightly abducted auricles in association with mildly small palpebral fissures.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Language disorder Sentence A: The most common otolaryngologic features associated with LMBBS include SNHL, speech and language disorders, and oral and dental abnormalities. Early otolaryngologic, audiologic, speech pathology, and dental evaluation of these individuals is recommended. This is the first reported case of bifid epiglottis, a rare congenital laryngeal anomaly, found in association with LMBBS. Most patients with bifid epiglottis have additional congenital anomalies, most commonly polysyndactyly. Polysyndactyly is a feature of both LMBBS and bifid epiglottis and may be an early hallmark for the presence of other congenital anomalies. Sentence B: A 7(1/2)-year-old boy is brought to a new primary care pediatrician because his grandparents, who have legal custody, want a ""fresh look"" at his behavior. Ian's grandmother begins the history with the comment, ""He started out kind of rough."" He was exposed to methamphetamine and marijuana throughout gestation and his mother had bipolar disease and hypertension. A Cesarean section for failure to progress was followed by normal Apgar scores and an unremarkable neonatal course. Ian's parents physically fought during the first 6 months of his life; at that time, the parents separated and the grandparents assumed care. Ian was expelled from three preschools due to physical aggression directed at other children. He also found it difficult to separate from his grandmother. In first grade, Ian often ran out of the classroom and was verbally, and at one time, physically abuse to his teacher. When he was expelled from school, the grandparents decided to home school Ian. Ian learned to read about 100 words and his spelling improved. Currently, Ian is in the first grade in a class of 10 children with behavioral problems; Ian has his own aid to insure his safety while in school. His teacher reports frequent fidgety behavior, difficulty sitting in his seat or at circle time, and trouble focusing on learning tasks. While his grandparents describe Ian as a ""sweet and happy"" child at home, they are concerned with repetitive behaviors (e.g., frequent flushing of the toilet because he worried that it is broken and brushing his teeth over 10 times each day), fear of leaving the house, and insisting on order to certain things such as his toys and having a ""meltdown"" when they are not in order. Severe tantrums are limited to once each month. A receptive and expressive language disorder was diagnosed at 4-years old followed by speech therapy and a social skills-language group program. A few months before the current pediatric visit, Ian had psychoeducational testing: The Wechsler Intelligence Scale-IV revealed verbal intelligence quotient (IQ) of 75 and a performance IQ of 108 with a full scale score of 81. The Gilliam Autism Rating Scale-2 indicated a probability of autism with significant scores in stereotype behavior, communication, and social interactions. During the physical examination, he constantly moved while in chair and required frequent redirection and refocusing on many tasks. Eye contact was appropriate, but he often used words out of context with scripted references to videos at home. Foul language was used both randomly and directed to the examiner. After saying, ""here comes the bitch,"" he apologized. Ian demonstrated appropriate joint attention and reciprocal play without over-focusing on a single toy. Growth measurements were at the 95th percentile. Physical and neurological examinations were normal with the exception of mild asymmetry of auricle size and slightly abducted auricles in association with mildly small palpebral fissures. ###Answer 1. Changed Reasoning: The target word ""Language disorder"" has undergone a significant change in meaning or connotation between the two timestamps. In Sentence A, the term is used in the context of a rare congenital laryngeal anomaly and is not associated with any other developmental or behavioral issues. In Sentence B, the term is used to describe a child who has been diagnosed with autism spectrum disorder and has a history of behavioral problems, including tantrums and difficulty with social interactions. The meaning of the term has shifted from a purely medical or surgical context to a broader psychological or behavioral context." 24,Language disorder,"This study on children with a Pervasive Developmental Disorder (PDD; N = 32), children with developmental language disorder (N = 22), and normally developing children (N = 28) sought to answer questions concerning attachment and autistic behaviour. We could replicate the finding that children with a PDD are able to develop secure attachment relationships to their primary caregiver. Children with PDD who had an insecure attachment showed fewer social initiatives and responses than children with PDD who had a secure attachment, even when the insecurely and securely attached PDD children were matched on chronological and mental age. Children with both a PDD and mental retardation were more often classified as disorganised. Three findings suggested that a disorganised attachment does not merely reflect the presence of ""autistic"" behaviour: (1) children with PDD did not reveal higher rates of a disorganised attachment than matched comparison children; (2) having a PDD diagnosis and having a disorganised attachment were found to be associated with opposite effects on an ethological measure of level of behavioural organisation; and (3) a disorganised attachment but not a PDD diagnosis was associated with an increase in heart rate during parting with the caregiver and a decrease in heart rate during reunion.","Syntax has a high importance among linguistic parameters and the prevalence of syntax deficits is relatively high in children with language disorders. As such, independent examination of syntax in language development is of paramount importance. In this regard, Iranian language pathologists are faced with the lack of standardized tests. The present study aimed to determine the most frequent and essential morphosyntactic structures of the Persian-speaking children aged 4-6 years, as an initial step in the design of a test to assess their expressive morphosyntactic features.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Language disorder Sentence A: This study on children with a Pervasive Developmental Disorder (PDD; N = 32), children with developmental language disorder (N = 22), and normally developing children (N = 28) sought to answer questions concerning attachment and autistic behaviour. We could replicate the finding that children with a PDD are able to develop secure attachment relationships to their primary caregiver. Children with PDD who had an insecure attachment showed fewer social initiatives and responses than children with PDD who had a secure attachment, even when the insecurely and securely attached PDD children were matched on chronological and mental age. Children with both a PDD and mental retardation were more often classified as disorganised. Three findings suggested that a disorganised attachment does not merely reflect the presence of ""autistic"" behaviour: (1) children with PDD did not reveal higher rates of a disorganised attachment than matched comparison children; (2) having a PDD diagnosis and having a disorganised attachment were found to be associated with opposite effects on an ethological measure of level of behavioural organisation; and (3) a disorganised attachment but not a PDD diagnosis was associated with an increase in heart rate during parting with the caregiver and a decrease in heart rate during reunion. Sentence B: Syntax has a high importance among linguistic parameters and the prevalence of syntax deficits is relatively high in children with language disorders. As such, independent examination of syntax in language development is of paramount importance. In this regard, Iranian language pathologists are faced with the lack of standardized tests. The present study aimed to determine the most frequent and essential morphosyntactic structures of the Persian-speaking children aged 4-6 years, as an initial step in the design of a test to assess their expressive morphosyntactic features. ###Answer 1. Changed Reasoning: In Sentence A, the term ""language disorder"" is used to describe a condition where children have difficulty developing secure attachment relationships and exhibit fewer social initiatives and responses. This suggests that the term has taken on a different meaning than its original definition, which was likely focused on the study of language acquisition and development. In Sentence B, the term ""syntax"" is used to describe the study of language structure and organization, with a focus on the importance of standardized tests in Iran. This usage of the term ""syntax"" does not convey the same sense of language impairment or disorder as in Sentence A. Therefore, the term ""language disorder"" has undergone semantic drift and has changed its meaning between the two sentences." 25,Language disorder,"The aim of this cross disciplinary study was to identify the most significant variables related to childhood accidental poisoning. The study was carried out on a representative sample of families living in the Greater Athens Area comprising 1245 children aged up to 5 years. Data were collected by a team of researchers (paediatricians, psychologists and social workers) and involved a structured interview and a paediatric examination. The findings show that childhood poisoning is correlated with: (1) biological variables, such as skeletal anomalies, language disorders, number of recent infections and complications of pregnancy; and (2) social factors, such as father's educational level, monthly family income, and overcrowding. Sex of the child was not found to influence poisoning.","Behavior regulation is a positive predictor of language outcomes for children with typically developing language skills, and children with language disorders are at greater risk for difficulties with behavior regulation. This study investigated the unique role of behavior regulation on vocabulary gain for children receiving language therapy in the public schools as well as the unique and moderating influence of emotional support within therapy sessions on outcomes.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Language disorder Sentence A: The aim of this cross disciplinary study was to identify the most significant variables related to childhood accidental poisoning. The study was carried out on a representative sample of families living in the Greater Athens Area comprising 1245 children aged up to 5 years. Data were collected by a team of researchers (paediatricians, psychologists and social workers) and involved a structured interview and a paediatric examination. The findings show that childhood poisoning is correlated with: (1) biological variables, such as skeletal anomalies, language disorders, number of recent infections and complications of pregnancy; and (2) social factors, such as father's educational level, monthly family income, and overcrowding. Sex of the child was not found to influence poisoning. Sentence B: Behavior regulation is a positive predictor of language outcomes for children with typically developing language skills, and children with language disorders are at greater risk for difficulties with behavior regulation. This study investigated the unique role of behavior regulation on vocabulary gain for children receiving language therapy in the public schools as well as the unique and moderating influence of emotional support within therapy sessions on outcomes. ###Answer 1. Changed The target word ""language disorder"" has undergone a significant change in meaning between Sentence A (2000) and Sentence B (2020). In Sentence A, the term is used to describe a correlation between biological and social factors related to childhood accidental poisoning. In contrast, in Sentence B, the term is used to describe a predictor of language outcomes for children with typically developing language skills, and children with language disorders. The shift in meaning suggests that the term ""language disorder"" has evolved to encompass a broader range of language-related issues, including behavior regulation." 26,Language disorder,"A German version of the Sklar Aphasia Scale (SAS) was administered to groups of fluent aphasics, nonfluent aphasics, and three control groups (brain-damaged patients without aphasia, schizophrenics, and normal subjects). The SAS discriminated fluent and nonfluent aphasics from schizophrenic brain-damaged, and normal control subjects with a high level of confidence; 91.8% of the aphasic and 81.5% of the brain-damaged patients without aphasia were correctly classified. However, the SAS did not discriminate between fluent and nonfluent aphasics. A factor analysis, which also included the subtests of the Token Test and eight other variables, showed the SAS and the Token Test to load mainly on the same general factor, which represents the severity of language disorders or the impairment of those left-hemisphere functions that might be basic to language. Subtests II and IV of the SAS also had loadings on a memory factor, but none of the subtests had variance on the third factor which represented the sensory-motor or fluency/nonfluencey dimension.","Duplication and deletion of the chromosomal region 16p11.2 cause a broad range of impairments, including intellectual disability, language disorders, and sensory symptoms. However, it is unclear how changes in 16p11.2 dosage affect cortical circuitry during development. The aim of this study was to investigate whether the visual evoked potential (VEP) could be used as a noninvasive quantitative measure of cortical processing in children with 16p11.2 copy number variation.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Language disorder Sentence A: A German version of the Sklar Aphasia Scale (SAS) was administered to groups of fluent aphasics, nonfluent aphasics, and three control groups (brain-damaged patients without aphasia, schizophrenics, and normal subjects). The SAS discriminated fluent and nonfluent aphasics from schizophrenic brain-damaged, and normal control subjects with a high level of confidence; 91.8% of the aphasic and 81.5% of the brain-damaged patients without aphasia were correctly classified. However, the SAS did not discriminate between fluent and nonfluent aphasics. A factor analysis, which also included the subtests of the Token Test and eight other variables, showed the SAS and the Token Test to load mainly on the same general factor, which represents the severity of language disorders or the impairment of those left-hemisphere functions that might be basic to language. Subtests II and IV of the SAS also had loadings on a memory factor, but none of the subtests had variance on the third factor which represented the sensory-motor or fluency/nonfluencey dimension. Sentence B: Duplication and deletion of the chromosomal region 16p11.2 cause a broad range of impairments, including intellectual disability, language disorders, and sensory symptoms. However, it is unclear how changes in 16p11.2 dosage affect cortical circuitry during development. The aim of this study was to investigate whether the visual evoked potential (VEP) could be used as a noninvasive quantitative measure of cortical processing in children with 16p11.2 copy number variation. ###Answer 1. Changed Explanation: In Sentence A, the target word ""language disorder"" is used to describe a specific type of language impairment in individuals with aphasia or brain damage. The sentence highlights the ability of a language test to discriminate between different types of language impairments. The word ""language disorder"" in this context carries a specific meaning related to the assessment and diagnosis of language impairments. In Sentence B, the target word ""language disorder"" is used in a different context. It is mentioned in the context of a genetic disorder that affects language development and processing. The sentence highlights the potential for changes in language processing due to genetic variations. The meaning of the word ""language disorder"" in this context is related to the effects of genetic changes on language development and processing. Based on these two sentences, it is clear that the meaning of the target word ""language disorder"" has shifted significantly between the two timestamps. In Sentence A, the word is used to describe a specific type of language impairment, while in Sentence B, it is used to describe the effects of genetic variations on language development and processing. Therefore, I have labeled the target word as ""Changed""." 27,Language disorder,"To date, more than seven families have been reported who carry a mutation in the X-linked creatine-transporter (CrT) gene. The resulting lack of creatine in the brain is associated with mental retardation, severe expressive language disorder, mild epilepsy, and a complete absence of Cr in the brain (measured using MRS). Conversely, these patients had no observable cardiac or musculo-skeletal deficits. In this case study, a 22-year-old patient underwent surgical repair for scoliosis. Proton MRS of this patient's brain demonstrated the near-absence of creatine and phosphocreatine within the cerebral white and deep gray matter structures. Cerebral atrophy was noted with serial MRI examinations. Subsequent genetic and metabolic analysis showed some biochemical anomalies consistent with a CrT deficiency. The mutation in this patient was identified as a deletion at phenylalanine 107 (delF107). Control muscle biopsies were obtained from archived samples, which had been taken with informed consent during routine muscle biopsies for diagnostic purposes. We determined that the total Cr concentration in the skeletal muscle biopsy was 39.3 +/- 2.94 mmol/kg wet wt., which is not significantly different from non-CrT controls, n = 3 (43.3 +/- 3.57 mmol/kg wet wt.). We conclude that the brain appears to lack the ability to transport creatine when there is a mutation in the CrT gene. However, the muscle utilizes another mechanism for maintaining normal creatine levels. Identifying this alternative creatine-transport mechanism may be useful in treating the neurologic and cognitive impairments of patients with creatine-transporter deficiency.","Although Benign Childhood Epilepsy with Centrotemporal Spikes (BECTS) has a good prognosis, a few studies have suggested the existence of language disorders relating to the interictal dysfunction of perisylvian language areas. In this study, we focused on language assessment in 16 children aged 6-15 currently affected by BECTS or in remission. An important proportion of children showed moderate or more severe language impairment. The most affected domains were expressive grammar and literacy skills. We found linguistic deficits during the course of epilepsy but also persistent deficits in children in remission, suggesting possible long-term effects. Our results support the hypothesis that BECTS may be associated with impairment to language and suggest the possibility of a direct link between epileptic activity and language development, and the existence of long-term consequences.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Language disorder Sentence A: To date, more than seven families have been reported who carry a mutation in the X-linked creatine-transporter (CrT) gene. The resulting lack of creatine in the brain is associated with mental retardation, severe expressive language disorder, mild epilepsy, and a complete absence of Cr in the brain (measured using MRS). Conversely, these patients had no observable cardiac or musculo-skeletal deficits. In this case study, a 22-year-old patient underwent surgical repair for scoliosis. Proton MRS of this patient's brain demonstrated the near-absence of creatine and phosphocreatine within the cerebral white and deep gray matter structures. Cerebral atrophy was noted with serial MRI examinations. Subsequent genetic and metabolic analysis showed some biochemical anomalies consistent with a CrT deficiency. The mutation in this patient was identified as a deletion at phenylalanine 107 (delF107). Control muscle biopsies were obtained from archived samples, which had been taken with informed consent during routine muscle biopsies for diagnostic purposes. We determined that the total Cr concentration in the skeletal muscle biopsy was 39.3 +/- 2.94 mmol/kg wet wt., which is not significantly different from non-CrT controls, n = 3 (43.3 +/- 3.57 mmol/kg wet wt.). We conclude that the brain appears to lack the ability to transport creatine when there is a mutation in the CrT gene. However, the muscle utilizes another mechanism for maintaining normal creatine levels. Identifying this alternative creatine-transport mechanism may be useful in treating the neurologic and cognitive impairments of patients with creatine-transporter deficiency. Sentence B: Although Benign Childhood Epilepsy with Centrotemporal Spikes (BECTS) has a good prognosis, a few studies have suggested the existence of language disorders relating to the interictal dysfunction of perisylvian language areas. In this study, we focused on language assessment in 16 children aged 6-15 currently affected by BECTS or in remission. An important proportion of children showed moderate or more severe language impairment. The most affected domains were expressive grammar and literacy skills. We found linguistic deficits during the course of epilepsy but also persistent deficits in children in remission, suggesting possible long-term effects. Our results support the hypothesis that BECTS may be associated with impairment to language and suggest the possibility of a direct link between epileptic activity and language development, and the existence of long-term consequences. ###Answer 1. Changed Reasoning: In Sentence A, the target word ""Language disorder"" is used to describe the lack of creatine in the brain, which is associated with mental retardation, severe expressive language disorder, and other neurological symptoms. The word ""Language disorder"" has a different connotation than in Sentence B, where it is used to describe language impairment in children with Benign Childhood Epilepsy with Centrotemporal Spikes (BECTS). In Sentence A, the term likely refers to a specific neurological condition affecting language processing and production, whereas in Sentence B, it is used more broadly to describe language impairments in a larger population of children with epilepsy. Therefore, the meaning of the target word has significantly shifted between the two sentences, indicating semantic drift." 28,Language disorder,"A family with fragile-X syndrome is reported. One sibling has atypical pervasive developmental disorder and moderate mental retardation. A second sibling has Tourette's syndrome, moderate mental retardation, seizure disorder, and autism. A third sibling has attention deficit disorder, moderate mental retardation, and developmental language disorder, expressive type. The authors believe that this family represents a classic example of the differential outcome of interactions of common biogenetic and environmental influences. We propose that in this family the multipotential outcome is at least influenced by if not caused by a common genetic defect.","A large number of children worldwide are only exposed to their L2 around 3 years of age and can exhibit linguistic behaviours that resemble those of a child with Developmental Language Disorder (DLD). This can lead to under- or over-identification of DLD in this population. This study endeavors to contribute to overcoming this problem, by determining whether two specific clinical markers used with the Italian monolingual population can also be used with early L2 acquiring children, namely clitic production and non-word repetition. Our study involved two groups of 5-year-old L2 learners of Italian from various language backgrounds; 18 children had been referred to Speech and Language Therapy (SLT) services (EL2_DLD), and 30 children were typically developing (EL2_TD). The participants completed an Italian clitic production task and a non-word repetition task based on Italian phonotactics. Data was also collected from the participants' caregivers with the ALDeQ Parental Questionnaire to obtain information about the children's L1. Our results suggest that non-word repetition and clitic production in Italian are potentially useful for identifying L2 learners of Italian with DLD, at the age of 5 years. The repetition of non-words is highly accurate in identifying children with DLD among the participants, while clitic production is somewhat less discriminative in this sample. This study is a first step towards uncovering clinical markers that could be used to determine the presence of DLD in children acquiring their L2.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Language disorder Sentence A: A family with fragile-X syndrome is reported. One sibling has atypical pervasive developmental disorder and moderate mental retardation. A second sibling has Tourette's syndrome, moderate mental retardation, seizure disorder, and autism. A third sibling has attention deficit disorder, moderate mental retardation, and developmental language disorder, expressive type. The authors believe that this family represents a classic example of the differential outcome of interactions of common biogenetic and environmental influences. We propose that in this family the multipotential outcome is at least influenced by if not caused by a common genetic defect. Sentence B: A large number of children worldwide are only exposed to their L2 around 3 years of age and can exhibit linguistic behaviours that resemble those of a child with Developmental Language Disorder (DLD). This can lead to under- or over-identification of DLD in this population. This study endeavors to contribute to overcoming this problem, by determining whether two specific clinical markers used with the Italian monolingual population can also be used with early L2 acquiring children, namely clitic production and non-word repetition. Our study involved two groups of 5-year-old L2 learners of Italian from various language backgrounds; 18 children had been referred to Speech and Language Therapy (SLT) services (EL2_DLD), and 30 children were typically developing (EL2_TD). The participants completed an Italian clitic production task and a non-word repetition task based on Italian phonotactics. Data was also collected from the participants' caregivers with the ALDeQ Parental Questionnaire to obtain information about the children's L1. Our results suggest that non-word repetition and clitic production in Italian are potentially useful for identifying L2 learners of Italian with DLD, at the age of 5 years. The repetition of non-words is highly accurate in identifying children with DLD among the participants, while clitic production is somewhat less discriminative in this sample. This study is a first step towards uncovering clinical markers that could be used to determine the presence of DLD in children acquiring their L2. ###Answer 1. Changed Reasoning: In Sentence A, the term ""developmental language disorder"" is used to describe a condition where a child has difficulty with language development. The term is used in the context of a research paper discussing the differential outcome of interactions of common biogenetic and environmental influences on language development. The language disorder is described as a condition where a child has difficulty with language development, and the authors propose that it may be caused by a common genetic defect. In Sentence B, the term ""Developmental Language Disorder (DLD)"" is used in a different context. The term is used to describe children who are acquiring their second language, and the authors are trying to identify clinical markers that could be used to determine the presence of DLD in these children. The language disorder is described as a condition where a child has difficulty with language development, but the focus is on the L2 acquisition rather than the genetic cause. Based on these differences in context and focus, it is clear that the meaning of the term ""Developmental Language Disorder"" has shifted significantly between Sentence A and Sentence B. In Sentence A, the term is used to describe a condition where a child has difficulty with language development due to genetic causes, while in Sentence B, the term is used to describe a condition where a child has difficulty with L2 acquisition. Therefore, I would label this term as ""Changed""." 29,Language disorder,"This study examined group differences in language and pragmatic functions across sex-, age- and IQ-matched samples of Asperger syndrome (N = 22), high-functioning autism (N = 11), deficits in attention, motor control and perception (DAMP) (N = 11), and speech and language disorder (SLD) (N = 11) groups. The purpose was to explore possible differentiating features in the fields of vocabulary, comprehension and pragmatics and, in addition, to determine whether Asperger syndrome could be reliably separated from high-functioning autism on these variables. The findings suggest that Asperger syndrome may be associated with higher full-scale and verbal IQ than high-functioning autism; Asperger syndrome may not be associated with better pragmatic skills (as defined in this context) than high-functioning autism; language comprehension may not clearly separate Asperger syndrome and high-functioning autism once the effects of very low IQ are partialled out; both DAMP and SLD can be distinctly separated from Asperger syndrome and autism."," We present a general method by which linear quantum Hamiltonian dynamics with exponentially many degrees of freedom is replaced by approximate classical nonlinear dynamics with the number of degrees of freedom (phase space dimensionality) scaling polynomially in the system size. This method is based on generalization of the truncated Wigner approximation (TWA) to a higher dimensional phase space, where phase space variables are associated with a complete set of quantum operators spanning finite size clusters. The method becomes asymptotically exact with the increasing cluster size. The crucial feature of TWA is fluctuating initial conditions, which we approximate by a Gaussian distribution. We show that such fluctuations dramatically increase accuracy of TWA over traditional cluster mean field approximations. In this way we can treat on equal footing quantum and thermal fluctuations as well as compute entanglement and various equal and non-equal time correlation functions. The main limitation of the method is exponential scaling of the phase space dimensionality with the cluster size, which can be significantly reduced by using the language of Schwinger bosons and can likely be further reduced by truncating the local Hilbert space variables. We demonstrate the power of this method analyzing dynamics in various spin chains with and without disorder and show that we can capture such phenomena as long time hydrodynamic relaxation, many-body localization and the ballistic spread of entanglement. ","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Language disorder Sentence A: This study examined group differences in language and pragmatic functions across sex-, age- and IQ-matched samples of Asperger syndrome (N = 22), high-functioning autism (N = 11), deficits in attention, motor control and perception (DAMP) (N = 11), and speech and language disorder (SLD) (N = 11) groups. The purpose was to explore possible differentiating features in the fields of vocabulary, comprehension and pragmatics and, in addition, to determine whether Asperger syndrome could be reliably separated from high-functioning autism on these variables. The findings suggest that Asperger syndrome may be associated with higher full-scale and verbal IQ than high-functioning autism; Asperger syndrome may not be associated with better pragmatic skills (as defined in this context) than high-functioning autism; language comprehension may not clearly separate Asperger syndrome and high-functioning autism once the effects of very low IQ are partialled out; both DAMP and SLD can be distinctly separated from Asperger syndrome and autism. Sentence B: We present a general method by which linear quantum Hamiltonian dynamics with exponentially many degrees of freedom is replaced by approximate classical nonlinear dynamics with the number of degrees of freedom (phase space dimensionality) scaling polynomially in the system size. This method is based on generalization of the truncated Wigner approximation (TWA) to a higher dimensional phase space, where phase space variables are associated with a complete set of quantum operators spanning finite size clusters. The method becomes asymptotically exact with the increasing cluster size. The crucial feature of TWA is fluctuating initial conditions, which we approximate by a Gaussian distribution. We show that such fluctuations dramatically increase accuracy of TWA over traditional cluster mean field approximations. In this way we can treat on equal footing quantum and thermal fluctuations as well as compute entanglement and various equal and non-equal time correlation functions. The main limitation of the method is exponential scaling of the phase space dimensionality with the cluster size, which can be significantly reduced by using the language of Schwinger bosons and can likely be further reduced by truncating the local Hilbert space variables. We demonstrate the power of this method analyzing dynamics in various spin chains with and without disorder and show that we can capture such phenomena as long time hydrodynamic relaxation, many-body localization and the ballistic spread of entanglement. ###Answer 1. Changed Reasoning: In Sentence A, the term ""Language disorder"" is used to describe a specific condition, with a clear definition and context. In Sentence B, the term is used more broadly to refer to any type of disorder related to language, without any specific definition or context. This shift in meaning suggests that the term has undergone semantic drift, and therefore the label ""Changed"" is appropriate." 30,Language disorder,"Research relating to language disorder in senile dementia of the Alzheimer type (SDAT) has focused primarily on naming impairment, formally termed anomia or nominal aphasia/dysphasia. Data resulting from this research have been insufficiently informed by a comparative linguistic framework in which performance on naming tasks is contrasted with performance on other forms of language tasks. The present study involves the comparison of 21 adults with SDAT and 18 demographically controlled normal elderly adults on the Test for Syntactic Complexity and fifteen subtests of the Western Aphasia Battery. Performance on naming is compared with performance on oral language variables of repetition, yes/no response, auditory word recognition, sequential commands, syntactic processing, as well as with performance on reading tasks and non-verbal tasks. Findings relating to oral language tasks show that structured syntactic processing requiring explicit interpretation and sequential commands are significantly more difficult for the SDAT sample than are three of four naming tasks. Further, significant SDAT performance variability is found across naming tasks. The generative categorical naming task is found to be significantly more difficult for the SDAT patient than are the other three naming tasks. It is concluded that the generative categorical naming task should be regarded as a meta-naming task. In sum, it is found that although language dysfunction in SDAT has anomic components, the essential character of the language disorder is not best conceptualized as a problem of naming.","Benign childhood epilepsy with centrotemporal spikes is one of the most common childhood disorders. Despite the benignity usually attributed to this epileptic syndrome, several studies have demonstrated that these children have cognitive disabilities. Among these disturbances, language disorders have been the less studied in depth. We aimed to obtain accurate information about the language skills of children with this epileptic syndrome and to explore the correlation between demographic and clinical factors associated with epilepsy and the language skills.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Language disorder Sentence A: Research relating to language disorder in senile dementia of the Alzheimer type (SDAT) has focused primarily on naming impairment, formally termed anomia or nominal aphasia/dysphasia. Data resulting from this research have been insufficiently informed by a comparative linguistic framework in which performance on naming tasks is contrasted with performance on other forms of language tasks. The present study involves the comparison of 21 adults with SDAT and 18 demographically controlled normal elderly adults on the Test for Syntactic Complexity and fifteen subtests of the Western Aphasia Battery. Performance on naming is compared with performance on oral language variables of repetition, yes/no response, auditory word recognition, sequential commands, syntactic processing, as well as with performance on reading tasks and non-verbal tasks. Findings relating to oral language tasks show that structured syntactic processing requiring explicit interpretation and sequential commands are significantly more difficult for the SDAT sample than are three of four naming tasks. Further, significant SDAT performance variability is found across naming tasks. The generative categorical naming task is found to be significantly more difficult for the SDAT patient than are the other three naming tasks. It is concluded that the generative categorical naming task should be regarded as a meta-naming task. In sum, it is found that although language dysfunction in SDAT has anomic components, the essential character of the language disorder is not best conceptualized as a problem of naming. Sentence B: Benign childhood epilepsy with centrotemporal spikes is one of the most common childhood disorders. Despite the benignity usually attributed to this epileptic syndrome, several studies have demonstrated that these children have cognitive disabilities. Among these disturbances, language disorders have been the less studied in depth. We aimed to obtain accurate information about the language skills of children with this epileptic syndrome and to explore the correlation between demographic and clinical factors associated with epilepsy and the language skills. ###Answer 1. Changed Reasoning: In Sentence A, the target word ""language disorder"" is used in the context of research on naming impairment in senile dementia of the Alzheimer type (SDAT). The sentence highlights the focus on naming tasks and the comparison of performance on these tasks with other forms of language tasks. The word ""language disorder"" in this context connotes a specific type of language impairment related to naming. In Sentence B, the target word ""language disorder"" is used in a different context, describing a benign childhood epilepsy syndrome. The sentence highlights the cognitive disabilities, including language disorders, in these children. The word ""language disorder"" in this context connotes a broader range of language impairments, including those related to comprehension, production, or both. Based on the different contexts and meanings associated with the target word in the two sentences, it is evident that the word has undergone a significant change in meaning or connotation between the two timestamps. Therefore, the label ""Changed"" is appropriate." 31,Language disorder,"Cognitive neuropsychology has been used successfully in the analysis of adult neuropsychological disorders in both verbal and nonverbal domains. When applied to children, it aims to construct models on the basis of functional lesions manifest within developing systems and provides a theoretical framework within which patterns of intact and deficient skills can be charted over time. These patterns constrain possible underlying models. In highlighting potential individual differences in the acquisition of skills and indicating intact skills within subjects, cognitive neuropsychology may also enable a precise description of the locus of difficulty and potential circumventory routes for remediation around it. The theoretical assumptions of cognitive neuropsychology and issues relevant to its methodology are discussed, including the terminology and principles of modularity, the significance of individual differences and the use of case studies, the dynamics of developing systems, current views on plasticity, and distinctions between developmental and acquired disorders. The application of cognitive neuropsychology to children is discussed in relation to three cognitive areas: face recognition disorders, language disorders and arithmetical disorders. These illustrate the similarities that there are between many developmental cognitive neuropsychological disorders and those seen in adults following brain injury. Models derived from studies of adults are helpful in enabling understanding of both face recognition disorders and arithmetical disorders in childhood. Within language systems, a variety of different types of disorder are evident, which not only relate to receptive and productive difficulties but differentially affect the core components of the language system. All of the disorders discussed illustrate the limitations of functional plasticity in development. In each case, there is not a generalised deficit resulting from degradation of capabilities independent of task requirements. Rather, there are focal and selective disorders which affect subcomponents of cognitive systems. In some cases, genetic factors may constrain compensatory mechanisms."," Dyslexia is a specific learning disorder related to school failure. Detection is both crucial and challenging, especially in languages with transparent orthographies, such as Spanish. To make detecting dyslexia easier, we designed an online gamified test and a predictive machine learning model. In a study with more than 3,600 participants, our model correctly detected over 80% of the participants with dyslexia. To check the robustness of the method we tested our method using a new data set with over 1,300 participants with age customized tests in a different environment -- a tablet instead of a desktop computer -- reaching a recall of over 72% for the class with dyslexia for children 9 years old or older. Our work shows that dyslexia can be screened using a machine learning approach. An online screening tool based on our methods has already been used by more than 200,000 people. ","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Language disorder Sentence A: Cognitive neuropsychology has been used successfully in the analysis of adult neuropsychological disorders in both verbal and nonverbal domains. When applied to children, it aims to construct models on the basis of functional lesions manifest within developing systems and provides a theoretical framework within which patterns of intact and deficient skills can be charted over time. These patterns constrain possible underlying models. In highlighting potential individual differences in the acquisition of skills and indicating intact skills within subjects, cognitive neuropsychology may also enable a precise description of the locus of difficulty and potential circumventory routes for remediation around it. The theoretical assumptions of cognitive neuropsychology and issues relevant to its methodology are discussed, including the terminology and principles of modularity, the significance of individual differences and the use of case studies, the dynamics of developing systems, current views on plasticity, and distinctions between developmental and acquired disorders. The application of cognitive neuropsychology to children is discussed in relation to three cognitive areas: face recognition disorders, language disorders and arithmetical disorders. These illustrate the similarities that there are between many developmental cognitive neuropsychological disorders and those seen in adults following brain injury. Models derived from studies of adults are helpful in enabling understanding of both face recognition disorders and arithmetical disorders in childhood. Within language systems, a variety of different types of disorder are evident, which not only relate to receptive and productive difficulties but differentially affect the core components of the language system. All of the disorders discussed illustrate the limitations of functional plasticity in development. In each case, there is not a generalised deficit resulting from degradation of capabilities independent of task requirements. Rather, there are focal and selective disorders which affect subcomponents of cognitive systems. In some cases, genetic factors may constrain compensatory mechanisms. Sentence B: Dyslexia is a specific learning disorder related to school failure. Detection is both crucial and challenging, especially in languages with transparent orthographies, such as Spanish. To make detecting dyslexia easier, we designed an online gamified test and a predictive machine learning model. In a study with more than 3,600 participants, our model correctly detected over 80% of the participants with dyslexia. To check the robustness of the method we tested our method using a new data set with over 1,300 participants with age customized tests in a different environment -- a tablet instead of a desktop computer -- reaching a recall of over 72% for the class with dyslexia for children 9 years old or older. Our work shows that dyslexia can be screened using a machine learning approach. An online screening tool based on our methods has already been used by more than 200,000 people. ###Answer 1. Changed Reasoning: The target word ""Language disorder"" in Sentence A has a different meaning than in Sentence B. In Sentence A, it refers to cognitive neuropsychology and its application to children, including the analysis of developmental cognitive disorders. In Sentence B, it refers specifically to dyslexia, a learning disorder related to school failure. The term ""Language disorder"" in Sentence B has a different connotation than in Sentence A, where it is used to describe a broader range of language-related disorders. Therefore, semantic drift has occurred in the meaning of the target word between the two sentences." 32,Language disorder,"The present paper reviews, outlines, and explores the literature concerned with the speech-language disorder of childhood autism. The problems of communication of the autistic child are compared and contrasted with those of children with a variety of other language disorders (e.g. receptive developmental dysphasia). Based upon the review of normal preverbal communicatory and symbolic development, it is concluded that childhood autism involves a pervasive language disorder encompassing communication in general, as well as certain symbolic-representational abilities necessary for language. An overview of the attempts to teach speech to autistic children in then undertaken with special emphasis on the possible implications of developmental knowledge for these training pursuits. Finally, the role of neurologic substrates in the language and communication disorder of autism is presented.","Forkhead-box protein P2 is a transcription factor that has been associated with intriguing aspects of cognitive function in humans, non-human mammals, and song-learning birds. Heterozygous mutations of the human FOXP2 gene cause a monogenic speech and language disorder. Reduced functional dosage of the mouse version (Foxp2) causes deficient cortico-striatal synaptic plasticity and impairs motor-skill learning. Moreover, the songbird orthologue appears critically important for vocal learning. Across diverse vertebrate species, this well-conserved transcription factor is highly expressed in the developing and adult central nervous system. Very little is known about the mechanisms regulated by Foxp2 during brain development. We used an integrated functional genomics strategy to robustly define Foxp2-dependent pathways, both direct and indirect targets, in the embryonic brain. Specifically, we performed genome-wide in vivo ChIP-chip screens for Foxp2-binding and thereby identified a set of 264 high-confidence neural targets under strict, empirically derived significance thresholds. The findings, coupled to expression profiling and in situ hybridization of brain tissue from wild-type and mutant mouse embryos, strongly highlighted gene networks linked to neurite development. We followed up our genomics data with functional experiments, showing that Foxp2 impacts on neurite outgrowth in primary neurons and in neuronal cell models. Our data indicate that Foxp2 modulates neuronal network formation, by directly and indirectly regulating mRNAs involved in the development and plasticity of neuronal connections.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Language disorder Sentence A: The present paper reviews, outlines, and explores the literature concerned with the speech-language disorder of childhood autism. The problems of communication of the autistic child are compared and contrasted with those of children with a variety of other language disorders (e.g. receptive developmental dysphasia). Based upon the review of normal preverbal communicatory and symbolic development, it is concluded that childhood autism involves a pervasive language disorder encompassing communication in general, as well as certain symbolic-representational abilities necessary for language. An overview of the attempts to teach speech to autistic children in then undertaken with special emphasis on the possible implications of developmental knowledge for these training pursuits. Finally, the role of neurologic substrates in the language and communication disorder of autism is presented. Sentence B: Forkhead-box protein P2 is a transcription factor that has been associated with intriguing aspects of cognitive function in humans, non-human mammals, and song-learning birds. Heterozygous mutations of the human FOXP2 gene cause a monogenic speech and language disorder. Reduced functional dosage of the mouse version (Foxp2) causes deficient cortico-striatal synaptic plasticity and impairs motor-skill learning. Moreover, the songbird orthologue appears critically important for vocal learning. Across diverse vertebrate species, this well-conserved transcription factor is highly expressed in the developing and adult central nervous system. Very little is known about the mechanisms regulated by Foxp2 during brain development. We used an integrated functional genomics strategy to robustly define Foxp2-dependent pathways, both direct and indirect targets, in the embryonic brain. Specifically, we performed genome-wide in vivo ChIP-chip screens for Foxp2-binding and thereby identified a set of 264 high-confidence neural targets under strict, empirically derived significance thresholds. The findings, coupled to expression profiling and in situ hybridization of brain tissue from wild-type and mutant mouse embryos, strongly highlighted gene networks linked to neurite development. We followed up our genomics data with functional experiments, showing that Foxp2 impacts on neurite outgrowth in primary neurons and in neuronal cell models. Our data indicate that Foxp2 modulates neuronal network formation, by directly and indirectly regulating mRNAs involved in the development and plasticity of neuronal connections. ###Answer 1. Changed Reasoning: The target word ""Language disorder"" in Sentence A has a different meaning than in Sentence B. In Sentence A, it refers to a specific type of speech-language disorder in children with autism. In Sentence B, it is used more broadly to refer to any language disorder, including those caused by genetic mutations or developmental changes. The word has undergone a significant shift in meaning, indicating semantic drift." 33,Language disorder,"Children with cleft palate often suffer from hearing, speech, and language articulation disorders. In order to design an efficient rehabilitation program for children thus affected, it is mandatory to acquire knowledge of the long term results achieved by the various therapeutical strategies including velopharyngoplasty and speech therapy. In this follow-up study 417 children with cleft palate (excluding isolated cleft lip) were examined in an interdisciplinary approach by maxillofacial surgeons, orthodontists, otolaryngologists, audiologists, and speech and language pathologists. The examinations determined that 93% of the children had speech or language disorders and 80% of these children suffered from mild to severe conductive hearing loss with or without clinical signs of otitis media with effusion. In 58 children (14%) with rhinolalia aperta, which had not been improved after one year of speech therapy, velopharyngoplasty with a cranial based pharyngeal flap was performed. The study showed that language skills do not correlate to the type of cleft palate, but rather to the frequency and degree of hearing loss. Using an interdisciplinary approach in early detection and the prompt clinical correction of cleft palate disorders resulted in only 49% of the affected children having to undergo speech and language therapy. In 51% of the affected children no speech therapy was necessary at all. The results presented in this study lead to the conclusion that our program for managing the rehabilitation of children with cleft palate is efficient.","Aphasia is a language disorder caused by left hemisphere damage. For treatment of aphasia, in some of therapeutic approaches, the right hemisphere (RH) abilities, such as, emotional perception, is used for stimulation of the language process in the left hemisphere. The aim of this study is to investigate emotional word repetition in aphasia after a stroke, in Persian language patients.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Language disorder Sentence A: Children with cleft palate often suffer from hearing, speech, and language articulation disorders. In order to design an efficient rehabilitation program for children thus affected, it is mandatory to acquire knowledge of the long term results achieved by the various therapeutical strategies including velopharyngoplasty and speech therapy. In this follow-up study 417 children with cleft palate (excluding isolated cleft lip) were examined in an interdisciplinary approach by maxillofacial surgeons, orthodontists, otolaryngologists, audiologists, and speech and language pathologists. The examinations determined that 93% of the children had speech or language disorders and 80% of these children suffered from mild to severe conductive hearing loss with or without clinical signs of otitis media with effusion. In 58 children (14%) with rhinolalia aperta, which had not been improved after one year of speech therapy, velopharyngoplasty with a cranial based pharyngeal flap was performed. The study showed that language skills do not correlate to the type of cleft palate, but rather to the frequency and degree of hearing loss. Using an interdisciplinary approach in early detection and the prompt clinical correction of cleft palate disorders resulted in only 49% of the affected children having to undergo speech and language therapy. In 51% of the affected children no speech therapy was necessary at all. The results presented in this study lead to the conclusion that our program for managing the rehabilitation of children with cleft palate is efficient. Sentence B: Aphasia is a language disorder caused by left hemisphere damage. For treatment of aphasia, in some of therapeutic approaches, the right hemisphere (RH) abilities, such as, emotional perception, is used for stimulation of the language process in the left hemisphere. The aim of this study is to investigate emotional word repetition in aphasia after a stroke, in Persian language patients. ###Answer 1. Changed Reasoning: In Sentence A, the target word ""language disorder"" is used in the context of children with cleft palate, where it refers to speech and hearing impairments. The sentence highlights the importance of interdisciplinary approach in early detection and rehabilitation of cleft palate disorders. The meaning of the target word in this sentence is focused on the medical and therapeutic aspects of the condition. In Sentence B, the target word ""language disorder"" has a different meaning. It refers to a specific type of language impairment caused by left hemisphere damage, and is used in the context of aphasia treatment. The sentence highlights the use of right hemisphere abilities for language stimulation in the left hemisphere. The meaning of the target word in this sentence is more focused on neurology and language processing. Based on these differences in context and meaning, it can be concluded that the target word ""language disorder"" has undergone a significant change in meaning between Sentence A and Sentence B. Therefore, the label ""Changed"" is appropriate." 34,Language disorder,Anomalous planum temporale asymmetry has been linked to both schizophrenia and dyslexia. The authors examined the planum temporale of adolescents with childhood-onset schizophrenia who had a high rate of prepsychotic language disorders.,"A large proportion of child psychiatry patients have undiagnosed language disorders. Adequately developed language is critical for psychotherapy and cognitive-behavioral therapies. This study investigated (1) whether assessment of oral narratives would identify language impairments in this population undetected by assessment of only core language abilities, and (2) the extent to which measures of cognition, working memory, emotional distress, and social function differentially predict core language and narrative development. Results showed that (1) more than twice as many children were identified with language impairment when both narrative and core language assessment were used, and (2) core language comprehension and complex verbal working memory were the strongest predictors of narrative production, while core language comprehension, a less complex working-memory task, and social skills best predicted narrative comprehension. Emotional distress did not predict either. The results emphasize the importance of evaluating child psychiatry patients' language, using both core language and narrative measures. ","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Language disorder Sentence A: Anomalous planum temporale asymmetry has been linked to both schizophrenia and dyslexia. The authors examined the planum temporale of adolescents with childhood-onset schizophrenia who had a high rate of prepsychotic language disorders. Sentence B: A large proportion of child psychiatry patients have undiagnosed language disorders. Adequately developed language is critical for psychotherapy and cognitive-behavioral therapies. This study investigated (1) whether assessment of oral narratives would identify language impairments in this population undetected by assessment of only core language abilities, and (2) the extent to which measures of cognition, working memory, emotional distress, and social function differentially predict core language and narrative development. Results showed that (1) more than twice as many children were identified with language impairment when both narrative and core language assessment were used, and (2) core language comprehension and complex verbal working memory were the strongest predictors of narrative production, while core language comprehension, a less complex working-memory task, and social skills best predicted narrative comprehension. Emotional distress did not predict either. The results emphasize the importance of evaluating child psychiatry patients' language, using both core language and narrative measures. ###Answer 1. Changed Explanation: The target word ""language disorder"" has undergone significant semantic drift between the two time periods. In Sentence A from 2000, the term is used in the context of schizophrenia and dyslexia, indicating a connection to cognitive or mental health issues. In Sentence B from 2020, the term is used more broadly to describe a ""large proportion of child psychiatry patients,"" suggesting a shift towards a more general definition of language impairment. This change in meaning could be due to advances in the field of psychiatry and language development, or changes in societal perceptions of mental health. Therefore, the label ""Changed"" is appropriate for this target word." 35,Language disorder,"Previous studies indicate that schizophrenic thought processes show a disturbance in the balance between assimilation and accommodation, as Piaget uses these terms. The authors postulated that this phenomenon could also account for the typical language disorders of hebephrenics, particularly semantic slippage. Every fourth word was deleted from linguistic material produced by eight controls and thirteen hebephrenics (Silverman). Three judges were then asked to fill in the blanks. The deleted words used by the subjects were compared with the replacement words chosen by the judges. The comparison revealed such disorders in hebephrenic speech as semantic alteration (metaphorical and metonymic) of the linguistic tropic type and syntax disorders including inhibition of the expansion of phrases introduced by functional monemes (morphemes), whether primary or secondary. These observations confirm those of other authors, more especially those of Roch Lecours et al. On the basis of Martinet's functional linguistics, Chomsky's generative grammar and Piaget's cognitive psychology, the authors conclude that the psychopathology underlying hebephrenic speech is a disturbance of language rather than of parole and that hebephrenic syntactical distortions are linked to the disturbance in the balance between assimilation and accommodation characteristic of schizophrenic thought processes.","Cluster analysis of test scores on expressive phonology and comprehension of words and sentences in 7-9-year-old children with preschool diagnosis of Autistic Disorder yielded 4 clusters. Cluster 1 (N = 11): phonology and comprehension both low; Cluster 2 (N = 4): phonology low, near average comprehension; Cluster 3 (N = 40): average phonology, comprehension low to low average; Cluster 4 (N = 7): average or better phonology and comprehension. The clusters support two major types of language disorders in autism driven by impaired expressive phonology, each divisible by comprehension ability. The clusters refute a single language disorder in autism and are consonant with earlier-defined clinical subtypes.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Language disorder Sentence A: Previous studies indicate that schizophrenic thought processes show a disturbance in the balance between assimilation and accommodation, as Piaget uses these terms. The authors postulated that this phenomenon could also account for the typical language disorders of hebephrenics, particularly semantic slippage. Every fourth word was deleted from linguistic material produced by eight controls and thirteen hebephrenics (Silverman). Three judges were then asked to fill in the blanks. The deleted words used by the subjects were compared with the replacement words chosen by the judges. The comparison revealed such disorders in hebephrenic speech as semantic alteration (metaphorical and metonymic) of the linguistic tropic type and syntax disorders including inhibition of the expansion of phrases introduced by functional monemes (morphemes), whether primary or secondary. These observations confirm those of other authors, more especially those of Roch Lecours et al. On the basis of Martinet's functional linguistics, Chomsky's generative grammar and Piaget's cognitive psychology, the authors conclude that the psychopathology underlying hebephrenic speech is a disturbance of language rather than of parole and that hebephrenic syntactical distortions are linked to the disturbance in the balance between assimilation and accommodation characteristic of schizophrenic thought processes. Sentence B: Cluster analysis of test scores on expressive phonology and comprehension of words and sentences in 7-9-year-old children with preschool diagnosis of Autistic Disorder yielded 4 clusters. Cluster 1 (N = 11): phonology and comprehension both low; Cluster 2 (N = 4): phonology low, near average comprehension; Cluster 3 (N = 40): average phonology, comprehension low to low average; Cluster 4 (N = 7): average or better phonology and comprehension. The clusters support two major types of language disorders in autism driven by impaired expressive phonology, each divisible by comprehension ability. The clusters refute a single language disorder in autism and are consonant with earlier-defined clinical subtypes. ###Answer 1. Changed Reasoning: The meaning of the target word ""language disorder"" has changed significantly between Sentence A and Sentence B. In Sentence A, the term is used to describe the speech patterns of individuals with schizophrenia, specifically the disturbance in the balance between assimilation and accommodation. In contrast, in Sentence B, the term is used to describe the language abilities of children with Autistic Disorder, specifically the clusters of language disorders observed in these children. The meaning of the term has shifted from a psychiatric condition to a developmental disorder." 36,Language disorder,"This study organized a large data archive gathered over 8 years on 718 children with language disorders. Descriptive data categorized by demographic/background, physical/development, social/personality, and language/academic characteristics were analyzed to provide a broad description of this group of children. Sets of descriptor variables in five domains were identified from program records and were used to predict language performance at program entry and relative language improvement over 2-3 years. Age was the strongest predictor for all analyses. In general, the primary research factors in the study (53 variables representing IQ, language history, socioeconomic status, physical/neurological, and social-emotional background) failed to account very well for either language performance at program entry or for relative language gain. In prediction of pretest language performance, IQ and physical factors played the strongest role. The two factors contributing significantly to prediction of relative gain were IQ (although surprisingly weakly) and social-emotional status. Characteristics of those children who progressed most while in the program were identified.","Gesture plays an important role in early language development, as how parents respond to their children's gestures may help to facilitate language acquisition. Less is known about whether parental responses facilitate language learning later in childhood and whether responses vary depending on children's language ability. This study explored parental responses to extending gestures in a sample of school-aged children (aged six to eight years) with developmental language disorder, low-language and educational concerns, and typically developing children. Overall there were no group differences in the types of responses parents provided to extending gestures. Parents predominantly responded with positive feedback but also displayed moderate proportions of verbal translations and clarification requests. Within the DLD group, the proportion of parent translations was negatively associated with language ability. Our finding suggests that parent responses serve to enhance communication and engage children in tasks, but there is limited evidence that they support new language learning at this age.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Language disorder Sentence A: This study organized a large data archive gathered over 8 years on 718 children with language disorders. Descriptive data categorized by demographic/background, physical/development, social/personality, and language/academic characteristics were analyzed to provide a broad description of this group of children. Sets of descriptor variables in five domains were identified from program records and were used to predict language performance at program entry and relative language improvement over 2-3 years. Age was the strongest predictor for all analyses. In general, the primary research factors in the study (53 variables representing IQ, language history, socioeconomic status, physical/neurological, and social-emotional background) failed to account very well for either language performance at program entry or for relative language gain. In prediction of pretest language performance, IQ and physical factors played the strongest role. The two factors contributing significantly to prediction of relative gain were IQ (although surprisingly weakly) and social-emotional status. Characteristics of those children who progressed most while in the program were identified. Sentence B: Gesture plays an important role in early language development, as how parents respond to their children's gestures may help to facilitate language acquisition. Less is known about whether parental responses facilitate language learning later in childhood and whether responses vary depending on children's language ability. This study explored parental responses to extending gestures in a sample of school-aged children (aged six to eight years) with developmental language disorder, low-language and educational concerns, and typically developing children. Overall there were no group differences in the types of responses parents provided to extending gestures. Parents predominantly responded with positive feedback but also displayed moderate proportions of verbal translations and clarification requests. Within the DLD group, the proportion of parent translations was negatively associated with language ability. Our finding suggests that parent responses serve to enhance communication and engage children in tasks, but there is limited evidence that they support new language learning at this age. ###Answer 1. Changed Reasoning: In Sentence A, the target word ""language disorder"" is used to describe a group of children with known language impairments. The context suggests that the term was used to identify a specific diagnostic category, with a focus on the children's language abilities. In contrast, in Sentence B, the term ""language disorder"" is used in a different context, to describe the impact of gestures on language development in typically developing children and those with developmental language disorder. The meaning of the term has shifted to emphasize the role of gesture in language acquisition, rather than the diagnostic category. Therefore, semantic drift has occurred." 37,Language disorder,"Two groups of children with contrasting types of developmental language disorder (phonologic-syntactic and semantic-pragmatic) were compared with a group of children with high-level autism and with a control group of normal children on a broad battery of neuropsychological tests, known to be sensitive to left-right hemisphere damage. Significant differences found between the groups suggest contrasting forms of hemispheric dysfunction.","Children with injury to the central nervous system (CNS) exhibit a variety of language disorders that have been described by members of different disciplines, in different journals, using different descriptors and taxonomies. This paper is an overview of language deficits in children with CNS injury, whether congenital or acquired after a period of normal development. It first reviews the principal CNS conditions associated with language disorders in childhood. It then describes a functional taxonomy of language, with examples of the phenomenology and neurobiology of clinical deficits in children with CNS insults. Finally, it attempts to situate language in the broader realm of cognition and in current theoretical accounts of embodied cognition.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Language disorder Sentence A: Two groups of children with contrasting types of developmental language disorder (phonologic-syntactic and semantic-pragmatic) were compared with a group of children with high-level autism and with a control group of normal children on a broad battery of neuropsychological tests, known to be sensitive to left-right hemisphere damage. Significant differences found between the groups suggest contrasting forms of hemispheric dysfunction. Sentence B: Children with injury to the central nervous system (CNS) exhibit a variety of language disorders that have been described by members of different disciplines, in different journals, using different descriptors and taxonomies. This paper is an overview of language deficits in children with CNS injury, whether congenital or acquired after a period of normal development. It first reviews the principal CNS conditions associated with language disorders in childhood. It then describes a functional taxonomy of language, with examples of the phenomenology and neurobiology of clinical deficits in children with CNS insults. Finally, it attempts to situate language in the broader realm of cognition and in current theoretical accounts of embodied cognition. ###Answer 1. Changed Reasoning: In Sentence A, the term ""developmental language disorder"" is used to describe a specific type of language impairment, with a focus on the hemispheric dysfunction. The sentence also highlights the contrast between this type of disorder and high-level autism. In Sentence B, the term ""language disorder"" is used more broadly to encompass a wide range of language impairments associated with CNS injury. The sentence also includes a discussion of the functional taxonomy of language and its relationship to cognition. In Sentence A, the term ""developmental language disorder"" has a specific meaning related to the diagnosis of hemispheric dysfunction. In Sentence B, the term ""language disorder"" is used more broadly to encompass a wide range of language impairments associated with CNS injury. Therefore, semantic drift has occurred in the meaning of the target word ""language disorder"" between the two sentences." 38,Language disorder,"A delay in speech development may be a symptom of many disorders, including mental retardation, hearing loss, an expressive language disorder, psychosocial deprivation, autism, elective mutism, receptive aphasia and cerebral palsy. Speech delay may be secondary to maturation delay or bilingualism. Being familiar with the factors to look for when taking the history and performing the physical examination allows physicians to make a prompt diagnosis. Timely detection and early intervention may mitigate the emotional, social and cognitive deficits of this disability and improve the outcome.",This study investigated the occurrence of speech-language disorders during the acute phase of recovery in children with acquired brain injury (ABI) with an age between 0 and 16 years.,"###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Language disorder Sentence A: A delay in speech development may be a symptom of many disorders, including mental retardation, hearing loss, an expressive language disorder, psychosocial deprivation, autism, elective mutism, receptive aphasia and cerebral palsy. Speech delay may be secondary to maturation delay or bilingualism. Being familiar with the factors to look for when taking the history and performing the physical examination allows physicians to make a prompt diagnosis. Timely detection and early intervention may mitigate the emotional, social and cognitive deficits of this disability and improve the outcome. Sentence B: This study investigated the occurrence of speech-language disorders during the acute phase of recovery in children with acquired brain injury (ABI) with an age between 0 and 16 years. ###Answer 1. Changed Explanation: In Sentence A, the target word ""language disorder"" is used in the context of various disorders that may cause speech delay, including mental retardation, hearing loss, and autism. The word is used to describe the potential causes of speech delay, and the sentence highlights the importance of early diagnosis and intervention to mitigate the deficits of this disability. In Sentence B, the target word ""language disorder"" is used in the context of children with acquired brain injury (ABI) who have experienced speech-language disorders during the acute phase of recovery. The sentence focuses on the occurrence of these disorders in children with ABI, and the word ""language disorder"" is used to describe the specific type of disability that these children are experiencing. Based on these contexts, it is clear that the meaning of the target word ""language disorder"" has shifted significantly between the two sentences. In Sentence A, the word is used to describe a broader range of disorders that may cause speech delay, while in Sentence B, the word is used to describe a specific type of disability experienced by children with ABI. Therefore, I have labeled this task as ""Changed""." 39,Language disorder,"The language comprehension and production abilities of 15 preschool children with developmental language disorders (LD) (4;11 yrs.-7;1 yrs.) and 15 control children (3;8 yrs.-4;7 yrs.) were investigated. For this purpose a test consisting of 135 picture cards was devised. On the production task (plural and comparative forms) the majority of the LD children performed significantly poorer than the control children. The results of the comprehension tests (plural and comparative forms and short sentences) showed marked deficits for the majority of the LD children (11 of 15), especially (but not only) in the identification of single forms. These combined expressive-receptive deficits should be considered in an etiological concept of developmental dysphasia. It is discussed whether these deficits are indicative of far-reaching disorders in the processing of language.","There is limited information on autism spectrum disorders from lower- and middle-income countries (LMIC). This paper reviews the status of early identification and early intervention for autism spectrum disorders in response to the article by Camarata (2014) . The PubMed database was searched to identify relevant epidemiological studies from LMIC. Seven studies from five countries were identified: Colombia, India, Jamaica, Jordan, and Mexico. The mean age of parental concern, at 21-24 months, and mean age of diagnosis, at 45-57 months, were similar in LMIC, but later than in high-income countries. Both country groups reported language disorder to be the symptom of initial concern. Similarities in biological aspects of the disorders were noted across LMIC and high-income countries. Comparable ages of identification and diagnosis across vastly different LMIC suggest limited resources to be the underlying contributory factor. Recommendations for improving early identification and intervention made by researchers in the LMIC are reported.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Language disorder Sentence A: The language comprehension and production abilities of 15 preschool children with developmental language disorders (LD) (4;11 yrs.-7;1 yrs.) and 15 control children (3;8 yrs.-4;7 yrs.) were investigated. For this purpose a test consisting of 135 picture cards was devised. On the production task (plural and comparative forms) the majority of the LD children performed significantly poorer than the control children. The results of the comprehension tests (plural and comparative forms and short sentences) showed marked deficits for the majority of the LD children (11 of 15), especially (but not only) in the identification of single forms. These combined expressive-receptive deficits should be considered in an etiological concept of developmental dysphasia. It is discussed whether these deficits are indicative of far-reaching disorders in the processing of language. Sentence B: There is limited information on autism spectrum disorders from lower- and middle-income countries (LMIC). This paper reviews the status of early identification and early intervention for autism spectrum disorders in response to the article by Camarata (2014) . The PubMed database was searched to identify relevant epidemiological studies from LMIC. Seven studies from five countries were identified: Colombia, India, Jamaica, Jordan, and Mexico. The mean age of parental concern, at 21-24 months, and mean age of diagnosis, at 45-57 months, were similar in LMIC, but later than in high-income countries. Both country groups reported language disorder to be the symptom of initial concern. Similarities in biological aspects of the disorders were noted across LMIC and high-income countries. Comparable ages of identification and diagnosis across vastly different LMIC suggest limited resources to be the underlying contributory factor. Recommendations for improving early identification and intervention made by researchers in the LMIC are reported. ###Answer 1. Changed Reasoning: The meaning of ""Language disorder"" has shifted significantly between Sentence A (2000) and Sentence B (2020). In Sentence A, the term likely refers to developmental language disorders, specifically the identification of single forms and the production of plural and comparative forms. In contrast, in Sentence B, the term ""Language disorder"" is used more broadly to describe autism spectrum disorders, including language impairments, and is not limited to developmental language disorders. This shift in meaning suggests that the term ""Language disorder"" has undergone semantic drift." 40,Language disorder,"We come up the case of a six and a half year old girl suffering from right unilateral perisylvian cortical dysplasia who present left spastic hemiparesia, mirror movements and language disorder. She made her epileptic debut at the age of four and a half with myoclonic absences which responded to valproate treatment. At the age of five she began with biopercular status epilepticus shown as pseudobulbar palsy as diffusion of discharges from the dysplasia localization to the contralateral one. These episodes look places with variable duration from one hour to one month and finished after medical treatment or spontaneously. At the present a pseudobulbar palsy persistence and a bilateralization in the symptoms is observed.","Accumulating studies demonstrate that neurotrophins may play a crucial role in a variety of neurodevelopmental disorders. However, little data are available regarding the potential role of neurotrophins in language disorder (LD). This study aimed to investigate serum brain-derived neurotrophic factor (BDNF), glial-derived neurotrophic factor (GDNF), nerve growth factor (NGF) and neurotrophin-3 (NTF3) levels in preschool children with LD.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Language disorder Sentence A: We come up the case of a six and a half year old girl suffering from right unilateral perisylvian cortical dysplasia who present left spastic hemiparesia, mirror movements and language disorder. She made her epileptic debut at the age of four and a half with myoclonic absences which responded to valproate treatment. At the age of five she began with biopercular status epilepticus shown as pseudobulbar palsy as diffusion of discharges from the dysplasia localization to the contralateral one. These episodes look places with variable duration from one hour to one month and finished after medical treatment or spontaneously. At the present a pseudobulbar palsy persistence and a bilateralization in the symptoms is observed. Sentence B: Accumulating studies demonstrate that neurotrophins may play a crucial role in a variety of neurodevelopmental disorders. However, little data are available regarding the potential role of neurotrophins in language disorder (LD). This study aimed to investigate serum brain-derived neurotrophic factor (BDNF), glial-derived neurotrophic factor (GDNF), nerve growth factor (NGF) and neurotrophin-3 (NTF3) levels in preschool children with LD. ###Answer 1. Changed Reasoning: In Sentence A, the target word ""language disorder"" is used to describe a specific medical condition, including symptoms such as hemiparesia, mirror movements, and epileptic seizures. The context suggests that the term has a specific meaning related to neurology and medical diagnosis. In Sentence B, the target word ""language disorder"" is used in a different context, to describe a broader category of neurodevelopmental disorders. The sentence does not provide any specific details about the symptoms or medical diagnosis of the disorder, but rather focuses on the potential role of neurotrophins in the disorder. The context suggests that the term has a different meaning than in Sentence A, and that it is used in a more general sense to describe a range of cognitive and language difficulties. Based on these differences in context and meaning, it can be concluded that the term ""language disorder"" has undergone semantic drift between Sentence A and Sentence B. Therefore, the label ""Changed"" is provided." 41,Language disorder,"Alcohol constitutes one of the main risk factors for the health of the newborn infant and is also one of the leading causes of cognitive deficit. The distinctive pattern of abnormalities that characterizes fetal alcohol syndrome (FAS) includes: pre- and postnatal growth retardation, cognitive deficit, behavior and language disorders, cerebral malformations (schizencephaly, polymicrogyria, agenesis of the corpus callosum), facial changes (short palpebral fissures, low nasal bridge, anomalies of the auricle, maxillary hypoplasia, cleft lip and palate) and organ anomalies (heart defects, renal and skeletal malformations). As occurs with any teratogenic agent, the variability of phenotypic expression is wide and depends on dose, gestational stage, duration of exposure, maternal and fetal metabolism and other environmental and genetic factors. This study describes 6 subjects with FAS who express various characteristics of the clinical spectrum of the syndrome.","Semantic tasks evaluate dimensions of children's lexical-semantic knowledge. However, the relative ease of semantic task completion depends on individual differences in developmental and language experience factors. The purpose of this study was to evaluate how language experience and language ability impact semantic task difficulty in English for school-age Spanish-English bilingual children with and without developmental language disorder (DLD).","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Language disorder Sentence A: Alcohol constitutes one of the main risk factors for the health of the newborn infant and is also one of the leading causes of cognitive deficit. The distinctive pattern of abnormalities that characterizes fetal alcohol syndrome (FAS) includes: pre- and postnatal growth retardation, cognitive deficit, behavior and language disorders, cerebral malformations (schizencephaly, polymicrogyria, agenesis of the corpus callosum), facial changes (short palpebral fissures, low nasal bridge, anomalies of the auricle, maxillary hypoplasia, cleft lip and palate) and organ anomalies (heart defects, renal and skeletal malformations). As occurs with any teratogenic agent, the variability of phenotypic expression is wide and depends on dose, gestational stage, duration of exposure, maternal and fetal metabolism and other environmental and genetic factors. This study describes 6 subjects with FAS who express various characteristics of the clinical spectrum of the syndrome. Sentence B: Semantic tasks evaluate dimensions of children's lexical-semantic knowledge. However, the relative ease of semantic task completion depends on individual differences in developmental and language experience factors. The purpose of this study was to evaluate how language experience and language ability impact semantic task difficulty in English for school-age Spanish-English bilingual children with and without developmental language disorder (DLD). ###Answer 1. Changed The target word ""language disorder"" has undergone significant semantic drift between Sentence A (2000) and Sentence B (2020). In Sentence A, the term is used in the context of a specific medical condition, fetal alcohol syndrome (FAS), to describe cognitive and behavioral deficits. However, in Sentence B, the term is used more broadly to refer to individual differences in lexical-semantic knowledge and the ease of completing semantic tasks in school-age Spanish-English bilingual children. The meaning of the term has shifted from a medical condition to a more general concept in the field of language development and acquisition. Therefore, the label ""Changed"" is appropriate." 42,Language disorder,"Talking is normal and not talking is not. In case of developmental language delay, ""wait and see"" is not a good medical practice. In many cases, this delay is secondary to conditions such as hearing loss, mental retardation, brain damage, pervasive developmental disorder, environmental deprivation... In other cases, it is a specific language delay or a specific language disorder (dysphasia). Specific speech assessment and speech therapy are indicated to prevent behavioural problems, and learning disabilities.","We describe 19 unrelated individuals with submicroscopic deletions involving 10p15.3 characterized by chromosomal microarray (CMA). Interestingly, to our knowledge, only two individuals with isolated, submicroscopic 10p15.3 deletion have been reported to date; however, only limited clinical information is available for these probands and the deleted region has not been molecularly mapped. Comprehensive clinical history was obtained for 12 of the 19 individuals described in this study. Common features among these 12 individuals include: cognitive/behavioral/developmental differences (11/11), speech delay/language disorder (10/10), motor delay (10/10), craniofacial dysmorphism (9/12), hypotonia (7/11), brain anomalies (4/6) and seizures (3/7). Parental studies were performed for nine of the 19 individuals; the 10p15.3 deletion was de novo in seven of the probands, not maternally inherited in one proband and inherited from an apparently affected mother in one proband. Molecular mapping of the 19 individuals reported in this study has identified two genes, ZMYND11 (OMIM 608668) and DIP2C (OMIM 611380; UCSC Genome Browser), mapping within 10p15.3 which are most commonly deleted. Although no single gene has been identified which is deleted in all 19 individuals studied, the deleted region in all but one individual includes ZMYND11 and the deleted region in all but one other individual includes DIP2C. There is not a clearly identifiable phenotypic difference between these two individuals and the size of the deleted region does not generally predict clinical features. Little is currently known about these genes complicating a direct genotype/phenotype correlation at this time. These data however, suggest that ZMYND11 and/or DIP2C haploinsufficiency contributes to the clinical features associated with 10p15 deletions in probands described in this study.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Language disorder Sentence A: Talking is normal and not talking is not. In case of developmental language delay, ""wait and see"" is not a good medical practice. In many cases, this delay is secondary to conditions such as hearing loss, mental retardation, brain damage, pervasive developmental disorder, environmental deprivation... In other cases, it is a specific language delay or a specific language disorder (dysphasia). Specific speech assessment and speech therapy are indicated to prevent behavioural problems, and learning disabilities. Sentence B: We describe 19 unrelated individuals with submicroscopic deletions involving 10p15.3 characterized by chromosomal microarray (CMA). Interestingly, to our knowledge, only two individuals with isolated, submicroscopic 10p15.3 deletion have been reported to date; however, only limited clinical information is available for these probands and the deleted region has not been molecularly mapped. Comprehensive clinical history was obtained for 12 of the 19 individuals described in this study. Common features among these 12 individuals include: cognitive/behavioral/developmental differences (11/11), speech delay/language disorder (10/10), motor delay (10/10), craniofacial dysmorphism (9/12), hypotonia (7/11), brain anomalies (4/6) and seizures (3/7). Parental studies were performed for nine of the 19 individuals; the 10p15.3 deletion was de novo in seven of the probands, not maternally inherited in one proband and inherited from an apparently affected mother in one proband. Molecular mapping of the 19 individuals reported in this study has identified two genes, ZMYND11 (OMIM 608668) and DIP2C (OMIM 611380; UCSC Genome Browser), mapping within 10p15.3 which are most commonly deleted. Although no single gene has been identified which is deleted in all 19 individuals studied, the deleted region in all but one individual includes ZMYND11 and the deleted region in all but one other individual includes DIP2C. There is not a clearly identifiable phenotypic difference between these two individuals and the size of the deleted region does not generally predict clinical features. Little is currently known about these genes complicating a direct genotype/phenotype correlation at this time. These data however, suggest that ZMYND11 and/or DIP2C haploinsufficiency contributes to the clinical features associated with 10p15 deletions in probands described in this study. ###Answer 1. Changed Reasoning: The target word ""language disorder"" has undergone significant semantic drift between the two time periods. In Sentence A, the term is used in the context of developmental language delay, with a focus on the underlying causes and the need for assessment and therapy. In contrast, in Sentence B, the term is used in the context of submicroscopic deletions involving 10p15.3, with a focus on the genetic basis of the disorder and the lack of clear genotype-phenotype correlations. The meaning of the term has shifted from a broad clinical description to a more specific reference to genetic mutations. Therefore, the label ""Changed"" is appropriate." 43,Language disorder,"Eleven of 13 children, who demonstrated a failure-to-thrive pattern in infancy attributable to chloride-deficient Neo-Mull-Soy formula, had distinctive cognitive impairments four to nine years later. These included: a language disorder primarily involving articulation, word finding and naming; visual-motor and fine motor difficulties; and attention deficit disorder, often featuring repetitive behaviours, withdrawal and perseveration ('overfocus'). In contrast, global intellectual abilities were within the normal range in all 11 children. This residual neurobehavioral syndrome is too rare in the developmentally disabled population to reflect a chance association. It has not been associated either with protein-calorie malnutrition or chloride-deficiency diseases.",The Multilingual-Multicultural Affairs Committee of the International Association of Communication Disorders (IALP) conducted a Survey of Diagnostic Criteria for Developmental Language Disorder (DLD) in Multilingual Children to discover how clinicians apply terminology and diagnostic criteria to multilingual children in different parts of the world.,"###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Language disorder Sentence A: Eleven of 13 children, who demonstrated a failure-to-thrive pattern in infancy attributable to chloride-deficient Neo-Mull-Soy formula, had distinctive cognitive impairments four to nine years later. These included: a language disorder primarily involving articulation, word finding and naming; visual-motor and fine motor difficulties; and attention deficit disorder, often featuring repetitive behaviours, withdrawal and perseveration ('overfocus'). In contrast, global intellectual abilities were within the normal range in all 11 children. This residual neurobehavioral syndrome is too rare in the developmentally disabled population to reflect a chance association. It has not been associated either with protein-calorie malnutrition or chloride-deficiency diseases. Sentence B: The Multilingual-Multicultural Affairs Committee of the International Association of Communication Disorders (IALP) conducted a Survey of Diagnostic Criteria for Developmental Language Disorder (DLD) in Multilingual Children to discover how clinicians apply terminology and diagnostic criteria to multilingual children in different parts of the world. ###Answer 1. Changed The target word ""language disorder"" has undergone significant semantic drift between the two sentences. In Sentence A, the term is used to describe a specific set of cognitive impairments, including articulation, word finding, and naming difficulties, as well as visual-motor and fine motor difficulties, and attention deficit disorder. The language disorder is described as distinctive and rare, with no association with protein-calorie malnutrition or chloride-deficiency diseases. In contrast, in Sentence B, the term ""language disorder"" is used more broadly to describe diagnostic criteria for developmental language disorder (DLD) in multilingual children. The Survey conducted by the Multilingual-Multicultural Affairs Committee of the International Association of Communication Disorders (IALP) aims to discover how clinicians apply terminology and diagnostic criteria to multilingual children in different parts of the world. The term ""language disorder"" no longer carries the same specific connotations as in Sentence A, but rather encompasses a broader range of language impairments. Therefore, the label ""Changed"" is appropriate for this task, as the meaning of the target word has shifted significantly between the two sentences." 44,Language disorder,"The Boston Naming Test (BNT) is one of the most widely used tests in neuropsychological evaluation of language disorders, specifically when testing for anomia. The aim of this study is to establish preliminary normative data for the second edition of the BNT for young spanish adults (age range between 20 and 49 years)."," Creating controlled methods to simulate neurodegeneration in artificial intelligence (AI) is crucial for applications that emulate brain function decline and cognitive disorders. We use IQ tests performed by Large Language Models (LLMs) and, more specifically, the LLaMA 2 to introduce the concept of ``neural erosion."" This deliberate erosion involves ablating synapses or neurons, or adding Gaussian noise during or after training, resulting in a controlled progressive decline in the LLMs' performance. We are able to describe the neurodegeneration in the IQ tests and show that the LLM first loses its mathematical abilities and then its linguistic abilities, while further losing its ability to understand the questions. To the best of our knowledge, this is the first work that models neurodegeneration with text data, compared to other works that operate in the computer vision domain. Finally, we draw similarities between our study and cognitive decline clinical studies involving test subjects. We find that with the application of neurodegenerative methods, LLMs lose abstract thinking abilities, followed by mathematical degradation, and ultimately, a loss in linguistic ability, responding to prompts incoherently. These findings are in accordance with human studies. ","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Language disorder Sentence A: The Boston Naming Test (BNT) is one of the most widely used tests in neuropsychological evaluation of language disorders, specifically when testing for anomia. The aim of this study is to establish preliminary normative data for the second edition of the BNT for young spanish adults (age range between 20 and 49 years). Sentence B: Creating controlled methods to simulate neurodegeneration in artificial intelligence (AI) is crucial for applications that emulate brain function decline and cognitive disorders. We use IQ tests performed by Large Language Models (LLMs) and, more specifically, the LLaMA 2 to introduce the concept of ``neural erosion."" This deliberate erosion involves ablating synapses or neurons, or adding Gaussian noise during or after training, resulting in a controlled progressive decline in the LLMs' performance. We are able to describe the neurodegeneration in the IQ tests and show that the LLM first loses its mathematical abilities and then its linguistic abilities, while further losing its ability to understand the questions. To the best of our knowledge, this is the first work that models neurodegeneration with text data, compared to other works that operate in the computer vision domain. Finally, we draw similarities between our study and cognitive decline clinical studies involving test subjects. We find that with the application of neurodegenerative methods, LLMs lose abstract thinking abilities, followed by mathematical degradation, and ultimately, a loss in linguistic ability, responding to prompts incoherently. These findings are in accordance with human studies. ###Answer 1. Changed Reasoning: The target word ""Language disorder"" has undergone a significant change in meaning between Sentence A (2000) and Sentence B (2020). In Sentence A, the term is used in the context of neuropsychological evaluation to assess language function in individuals with anomia. In contrast, in Sentence B, the term is used to describe the deliberate erosion of language abilities in artificial intelligence models to simulate neurodegeneration. The meaning of the term has shifted from a neurological context to an artificial intelligence context. Therefore, the label ""Changed"" is appropriate." 45,Language disorder,"We report a case of pure autotopagnosia (AT) following a left subcortical vascular accident. The absence of any language disorder, general mental deterioration or other cognitive impairments in this patient allowed an in-depth study of AT. Several tests of body representation and object and animal representation, as well as tests assessing semantic skills were administered to verify current interpretations of AT. Results showed a clear-cut dissociation between defective performances in body representation tests and normal performances on tests involving other kinds of stimuli. The patient's performances were particularly defective on tests relying on visuo-spatial body representation, but her semantic and linguistic knowledge seemed to be spared. This dissociation between different aspects of body representation supports Sirigu et al.'s hypothesis that multiple, partially independent systems are involved in body knowledge. In agreement with this hypothesis, in the present patient AT seems be due to a deficit in a system that processes the structural properties and relative position of single body parts. The present results, reporting the first observation of a subject not affected by any cognitive impairment other than AT, strongly support the existence of a system specifically devoted to body representation.","The aim of this study was to investigate the method and significance of the application of direct electrical stimulation (DES) to the brain mapping of language functions during glioma surgery. A retrospective analysis of clinical data was performed for 91 cases of brain functional area glioma surgery under DES from January 2003 until January 2012. Following cortical electrical stimulation, 88 patients exhibited seizures involving facial or hand movements and 91 cases experienced language disorders such as counting interruption, naming errors or anomia. The most commonly observed areas of counting interruption were distributed on the posterior part of the left anterior central gyrus (47.7%), the operculum of the left inferior frontal gyrus (24.4%) and the triangular part of the left inferior frontal gyrus (12.8%). Postoperative magnetic resonance imaging demonstrated that overall excision was achieved in 53 cases and sub-overall excision was performed in 31 cases. A total of 42 cases (46.2%) exhibited no postoperative neurological dysfunction, 39 cases (42.9%) exhibited brief language dysfunction, 27 cases (29.7%) experienced brief limb movement disorder, and one case appeared to have permanent neurological dysfunction. DES was indicated to be a reliable and noninvasive method for the intraoperative positioning of language areas, and was able to resect gliomas in the language area with maximal safety.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Language disorder Sentence A: We report a case of pure autotopagnosia (AT) following a left subcortical vascular accident. The absence of any language disorder, general mental deterioration or other cognitive impairments in this patient allowed an in-depth study of AT. Several tests of body representation and object and animal representation, as well as tests assessing semantic skills were administered to verify current interpretations of AT. Results showed a clear-cut dissociation between defective performances in body representation tests and normal performances on tests involving other kinds of stimuli. The patient's performances were particularly defective on tests relying on visuo-spatial body representation, but her semantic and linguistic knowledge seemed to be spared. This dissociation between different aspects of body representation supports Sirigu et al.'s hypothesis that multiple, partially independent systems are involved in body knowledge. In agreement with this hypothesis, in the present patient AT seems be due to a deficit in a system that processes the structural properties and relative position of single body parts. The present results, reporting the first observation of a subject not affected by any cognitive impairment other than AT, strongly support the existence of a system specifically devoted to body representation. Sentence B: The aim of this study was to investigate the method and significance of the application of direct electrical stimulation (DES) to the brain mapping of language functions during glioma surgery. A retrospective analysis of clinical data was performed for 91 cases of brain functional area glioma surgery under DES from January 2003 until January 2012. Following cortical electrical stimulation, 88 patients exhibited seizures involving facial or hand movements and 91 cases experienced language disorders such as counting interruption, naming errors or anomia. The most commonly observed areas of counting interruption were distributed on the posterior part of the left anterior central gyrus (47.7%), the operculum of the left inferior frontal gyrus (24.4%) and the triangular part of the left inferior frontal gyrus (12.8%). Postoperative magnetic resonance imaging demonstrated that overall excision was achieved in 53 cases and sub-overall excision was performed in 31 cases. A total of 42 cases (46.2%) exhibited no postoperative neurological dysfunction, 39 cases (42.9%) exhibited brief language dysfunction, 27 cases (29.7%) experienced brief limb movement disorder, and one case appeared to have permanent neurological dysfunction. DES was indicated to be a reliable and noninvasive method for the intraoperative positioning of language areas, and was able to resect gliomas in the language area with maximal safety. ###Answer 1. Changed (Semantic drift has occurred) Reasoning: In Sentence A, the term ""language disorder"" is used to describe a specific condition, with no apparent connotation or emotional weight. However, in Sentence B, the term ""language disorders"" is used in a different context, with a stronger emphasis on the negative impact of the condition on the patient's life. The phrase ""language disorders such as counting interruption, naming errors or anomia"" suggests a broader range of symptoms, including cognitive impairments, which were not present in the first sentence. This change in meaning or connotation indicates semantic drift has occurred." 46,Language disorder," We investigate the influence of a time dependent, homogeneous electric field on scattering properties of non-interacting electrons in an arbitrary static potential. We develop a method to calculate the (Keldysh) Green's function in two complementary approaches. Starting from a plane wave basis, a formally exact solution is given in terms of the inverse of a matrix containing infinitely many 'photoblocks' which can be evaluated approximately by truncation. In the exact eigenstate basis of the scattering potential, we obtain a version of the Floquet state theory in the Green's functions language. The formalism is checked for cases such as a simple model of a double barrier in a strong electric field. Furthermore, an exact relation between the inelastic scattering rate due to the microwave and the AC conductivity of the system is derived which in particular holds near or at a metal-insulator transition in disordered systems. ","Specific language impairment (SLI) is defined as an unexpected and persistent impairment in language ability despite adequate opportunity and intelligence and in the absence of any explanatory medical conditions. This condition is highly heritable and affects between 5% and 8% of pre-school children. Over the past few years, investigations have begun to uncover genetic factors that may contribute to susceptibility to language impairment. So far, variants in four specific genes have been associated with spoken language disorders - forkhead box P2 (FOXP2) and contactin-associated protein-like 2 (CNTNAP2) on chromosome7 and calcium-transporting ATPase 2C2 (ATP2C2) and c-MAF inducing protein (CMIP) on chromosome 16. Here, we describe the different ways in which these genes were identified as candidates for language impairment. We discuss how characterization of these genes, and the pathways in which they are involved, may enhance our understanding of language disorders and improve our understanding of the biological foundations of language acquisition.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Language disorder Sentence A: We investigate the influence of a time dependent, homogeneous electric field on scattering properties of non-interacting electrons in an arbitrary static potential. We develop a method to calculate the (Keldysh) Green's function in two complementary approaches. Starting from a plane wave basis, a formally exact solution is given in terms of the inverse of a matrix containing infinitely many 'photoblocks' which can be evaluated approximately by truncation. In the exact eigenstate basis of the scattering potential, we obtain a version of the Floquet state theory in the Green's functions language. The formalism is checked for cases such as a simple model of a double barrier in a strong electric field. Furthermore, an exact relation between the inelastic scattering rate due to the microwave and the AC conductivity of the system is derived which in particular holds near or at a metal-insulator transition in disordered systems. Sentence B: Specific language impairment (SLI) is defined as an unexpected and persistent impairment in language ability despite adequate opportunity and intelligence and in the absence of any explanatory medical conditions. This condition is highly heritable and affects between 5% and 8% of pre-school children. Over the past few years, investigations have begun to uncover genetic factors that may contribute to susceptibility to language impairment. So far, variants in four specific genes have been associated with spoken language disorders - forkhead box P2 (FOXP2) and contactin-associated protein-like 2 (CNTNAP2) on chromosome7 and calcium-transporting ATPase 2C2 (ATP2C2) and c-MAF inducing protein (CMIP) on chromosome 16. Here, we describe the different ways in which these genes were identified as candidates for language impairment. We discuss how characterization of these genes, and the pathways in which they are involved, may enhance our understanding of language disorders and improve our understanding of the biological foundations of language acquisition. ###Answer 1. Changed Reasoning: In Sentence A, the target word ""language disorder"" is used in the context of a theoretical investigation into the properties of non-interacting electrons in an arbitrary static potential. The word is used to describe the scattering properties of these electrons and the method developed to calculate the Green's function in the system. The term has a technical and scientific connotation, indicating a specific area of study within physics. In Sentence B, the target word ""language impairment"" is used to describe a specific condition affecting language ability in children. The term has a different connotation, indicating a more personal and relatable aspect of language acquisition. The word is used to describe the heritability of the condition, the genetic factors involved, and the different ways in which these genes were identified as candidates for language impairment. Based on these differences in context and connotation, it can be concluded that the meaning of the target word ""language disorder"" has changed significantly between the two sentences. The term has shifted from a technical and scientific context to a more personal and relatable context, indicating a broader understanding and recognition of language disorders. Therefore, the label ""Changed"" is appropriate." 47,Language disorder,"The focus of this study was the use of grammatical morphology by Spanish-speaking preschoolers with specific language impairment (SU). Relative to both same-age peers and younger typically developing children with similar mean lengths of utterance (MLUs), the children with SU showed more limited use of several different grammatical morphemes. These limitations were most marked for noun-related morphemes such as adjective-agreement inflections and direct object clitics. Most errors on the part of children in all groups consisted of substitutions of a form that shared most but not all of the targets grammatical features (e.g., correct tense and number but incorrect person). Number errors usually involved singular forms used in plural contexts; person errors usually involved third person forms used in first person contexts. The pattern of limitations of the children with SU suggests that, for languages such as Spanish, additional factors might have to be considered in the search for clinical markers for this disorder. Implications for evaluation and treatment of language disorders in Spanish-speaking children are also discussed.","The Child Behavior Checklist (CBCL) has been proposed for screening of autism spectrum disorders (ASD) in clinical settings. Given the already widespread use of the CBCL, this could have great implications for clinical practice. This study examined the utility of CBCL profiles in differentiating children with ASD from children with other clinical disorders. Participants were 226 children with ASD and 163 children with attention-deficit/hyperactivity disorder, intellectual disability, language disorders, or emotional disorders, aged 2-13 years. Diagnosis was based on comprehensive clinical evaluation including well-validated diagnostic instruments for ASD and cognitive testing. Discriminative validity of CBCL profiles proposed for ASD screening was examined with area under the curve (AUC) scores, sensitivity, and specificity. The CBCL profiles showed low discriminative accuracy for ASD (AUC 0.59-0.70). Meeting cutoffs proposed for ASD was associated with general emotional/behavioral problems (EBP; mood problems/aggressive behavior), both in children with and without ASD. Cutoff adjustment depending on EBP-level was associated with improved discriminative accuracy for school-age children. However, the rate of false positives remained high in children with clinical levels of EBP. The results indicate that use of the CBCL profiles for ASD-specific screening would likely result in a large number of misclassifications. Although taking EBP-level into account was associated with improved discriminative accuracy for ASD, acceptable specificity could only be achieved for school-age children with below clinical levels of EBP. Further research should explore the potential of using the EBP adjustment strategy to improve the screening efficiency of other more ASD-specific instruments.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Language disorder Sentence A: The focus of this study was the use of grammatical morphology by Spanish-speaking preschoolers with specific language impairment (SU). Relative to both same-age peers and younger typically developing children with similar mean lengths of utterance (MLUs), the children with SU showed more limited use of several different grammatical morphemes. These limitations were most marked for noun-related morphemes such as adjective-agreement inflections and direct object clitics. Most errors on the part of children in all groups consisted of substitutions of a form that shared most but not all of the targets grammatical features (e.g., correct tense and number but incorrect person). Number errors usually involved singular forms used in plural contexts; person errors usually involved third person forms used in first person contexts. The pattern of limitations of the children with SU suggests that, for languages such as Spanish, additional factors might have to be considered in the search for clinical markers for this disorder. Implications for evaluation and treatment of language disorders in Spanish-speaking children are also discussed. Sentence B: The Child Behavior Checklist (CBCL) has been proposed for screening of autism spectrum disorders (ASD) in clinical settings. Given the already widespread use of the CBCL, this could have great implications for clinical practice. This study examined the utility of CBCL profiles in differentiating children with ASD from children with other clinical disorders. Participants were 226 children with ASD and 163 children with attention-deficit/hyperactivity disorder, intellectual disability, language disorders, or emotional disorders, aged 2-13 years. Diagnosis was based on comprehensive clinical evaluation including well-validated diagnostic instruments for ASD and cognitive testing. Discriminative validity of CBCL profiles proposed for ASD screening was examined with area under the curve (AUC) scores, sensitivity, and specificity. The CBCL profiles showed low discriminative accuracy for ASD (AUC 0.59-0.70). Meeting cutoffs proposed for ASD was associated with general emotional/behavioral problems (EBP; mood problems/aggressive behavior), both in children with and without ASD. Cutoff adjustment depending on EBP-level was associated with improved discriminative accuracy for school-age children. However, the rate of false positives remained high in children with clinical levels of EBP. The results indicate that use of the CBCL profiles for ASD-specific screening would likely result in a large number of misclassifications. Although taking EBP-level into account was associated with improved discriminative accuracy for ASD, acceptable specificity could only be achieved for school-age children with below clinical levels of EBP. Further research should explore the potential of using the EBP adjustment strategy to improve the screening efficiency of other more ASD-specific instruments. ###Answer 1. Changed Reasoning: The target word ""Language disorder"" has undergone a significant change in meaning between Sentence A (2000) and Sentence B (2020). In Sentence A, the term refers to a specific impairment in the use of grammatical morphology in Spanish-speaking preschoolers. In contrast, in Sentence B, the term is used more broadly to refer to autism spectrum disorders (ASD) and other clinical disorders, with no mention of specific language impairments. Therefore, the meaning of the target word has shifted from a narrow focus on language impairments to a broader reference to various cognitive and behavioral disorders." 48,Language disorder,"When James was born he seemed the perfect baby. But gradually Venetia Young became concerned about his slow development. Despite repeated reassurance from health professionals, including her health visitor, she persisted in seeking medical opinion and finally learned that James had a language disorder. Here she describes his early years, the warning signs of his language problem and her battle against the experts' disbelief.",The purpose of this study was to conduct a scoping review of literature focused on the effects of developmental language disorder (DLD) on writing skills across the life span to highlight gaps in our knowledge of how to support writing for this population.,"###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Language disorder Sentence A: When James was born he seemed the perfect baby. But gradually Venetia Young became concerned about his slow development. Despite repeated reassurance from health professionals, including her health visitor, she persisted in seeking medical opinion and finally learned that James had a language disorder. Here she describes his early years, the warning signs of his language problem and her battle against the experts' disbelief. Sentence B: The purpose of this study was to conduct a scoping review of literature focused on the effects of developmental language disorder (DLD) on writing skills across the life span to highlight gaps in our knowledge of how to support writing for this population. ###Answer 1. Changed Reasoning: In Sentence A, the term ""language disorder"" is used to describe a specific developmental delay in a child's language skills. The context suggests that the term was used to indicate a deficiency in language acquisition and communication abilities. In Sentence B, the term ""developmental language disorder"" (DLD) is used, which is a more specific and technical term that refers to a specific type of language impairment. This shift in terminology suggests that the term ""language disorder"" in Sentence A may have had a broader meaning or connotation than the term ""DLD"" in Sentence B. Therefore, the label ""Changed"" is appropriate, as the meaning of the term ""language disorder"" appears to have shifted between the two sentences to become more specific and technical." 49,Language disorder,"A group of 53 patients rendered acutely aphasic by occlusive cerebrovascular disease were studied by serial EEG's, repeated neurologic examinations and speech evaluations (Porch Index of Communicative Ability) over a period of eight to twenty-four months, in order to correlate EEG findings with the degree of language disorder and prognosis for language recovery. Normal and mildly abnormal EEG's, posterior slow foci, focal slowing of semirhythmic type and higher alpha frequencies over the intact hemisphere correlated with good language recovery. In the majority of the patients, the curves of ""EEG Improvement"" and ""Language Recovery"" closely paralleled each other. These data indicate that the EEG is of prognostic value as to recovery from aphasia in patients suffering from acute occlusive cerebrovascular disease. Despite the advent of newer diagnostic tests, such as CAT scan, which has established its value in evaluation of the anatomy of aphasia, (9) EEG remains to be useful as a tool that could predict the outcome of aphasia in stroke patients.","Diagnosis of 'specific' language impairment traditionally required nonverbal IQ to be within normal limits, often resulting in restricted access to clinical services for children with lower NVIQ. Changes to DSM-5 criteria for language disorder removed this NVIQ requirement. This study sought to delineate the impact of varying NVIQ criteria on prevalence, clinical presentation and functional impact of language disorder in the first UK population study of language impairment at school entry.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Language disorder Sentence A: A group of 53 patients rendered acutely aphasic by occlusive cerebrovascular disease were studied by serial EEG's, repeated neurologic examinations and speech evaluations (Porch Index of Communicative Ability) over a period of eight to twenty-four months, in order to correlate EEG findings with the degree of language disorder and prognosis for language recovery. Normal and mildly abnormal EEG's, posterior slow foci, focal slowing of semirhythmic type and higher alpha frequencies over the intact hemisphere correlated with good language recovery. In the majority of the patients, the curves of ""EEG Improvement"" and ""Language Recovery"" closely paralleled each other. These data indicate that the EEG is of prognostic value as to recovery from aphasia in patients suffering from acute occlusive cerebrovascular disease. Despite the advent of newer diagnostic tests, such as CAT scan, which has established its value in evaluation of the anatomy of aphasia, (9) EEG remains to be useful as a tool that could predict the outcome of aphasia in stroke patients. Sentence B: Diagnosis of 'specific' language impairment traditionally required nonverbal IQ to be within normal limits, often resulting in restricted access to clinical services for children with lower NVIQ. Changes to DSM-5 criteria for language disorder removed this NVIQ requirement. This study sought to delineate the impact of varying NVIQ criteria on prevalence, clinical presentation and functional impact of language disorder in the first UK population study of language impairment at school entry. ###Answer 1. Changed Reasoning: In Sentence A, the term ""language disorder"" is used in the context of a specific condition caused by brain damage, with a focus on the patient's ability to recover language skills over time. The term is used in conjunction with other diagnostic tools, such as EEG, to predict the outcome of aphasia in stroke patients. The meaning of the term is focused on the diagnosis and treatment of language impairment. In Sentence B, the term ""language disorder"" is used in a different context, referring to a broader range of language impairments, including those with lower NVIQ. The term is used in the context of a study examining the impact of varying NVIQ criteria on the prevalence, clinical presentation, and functional impact of language disorder in children. The meaning of the term is more focused on the definition and diagnosis of language impairments, rather than the treatment of specific language disorders. As a result, the meaning of the term ""language disorder"" has changed significantly between the two sentences, indicating semantic drift." 50,Language disorder,"Recurrent episodes of speech arrest were observed in a man as the primary manifestation of a partial seizure disorder. To determine whether speech arrest was associated with a language disorder, the Syntactic Comprehension test was administered during and after speech arrest. This test does not depend upon speech production, but evaluates ability to comprehend sentences in which meaning depends on syntactic relationships. Using this test, we were able to show that speech arrest was associated with a language disturbance.","The Bilingual Aphasia Test (BAT) is designed to be objective (so it can be administered by a lay native speaker of the language) and equivalent across languages (to allow for a comparison between the languages of a given patient as well as across patients from different institutions). It has been used not only with aphasia but also with any condition that results in language impairment (Alzheimer's, autism, cerebellar lesions, developmental language disorders, mild cognitive impairment, motor neuron disease, multiple sclerosis, Parkinson's, vascular dementia, etc.). It has also been used for research purposes on non-brain-damaged unilingual and bilingual populations. By means of its 32 tasks, it assesses comprehension and production of implicit linguistic competence and metalinguistic knowledge (which provide indications for apposite rehabilitation strategies). Versions of the BAT are available for free download at www.mcgill.ca/linguistics/research/bat/.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Language disorder Sentence A: Recurrent episodes of speech arrest were observed in a man as the primary manifestation of a partial seizure disorder. To determine whether speech arrest was associated with a language disorder, the Syntactic Comprehension test was administered during and after speech arrest. This test does not depend upon speech production, but evaluates ability to comprehend sentences in which meaning depends on syntactic relationships. Using this test, we were able to show that speech arrest was associated with a language disturbance. Sentence B: The Bilingual Aphasia Test (BAT) is designed to be objective (so it can be administered by a lay native speaker of the language) and equivalent across languages (to allow for a comparison between the languages of a given patient as well as across patients from different institutions). It has been used not only with aphasia but also with any condition that results in language impairment (Alzheimer's, autism, cerebellar lesions, developmental language disorders, mild cognitive impairment, motor neuron disease, multiple sclerosis, Parkinson's, vascular dementia, etc.). It has also been used for research purposes on non-brain-damaged unilingual and bilingual populations. By means of its 32 tasks, it assesses comprehension and production of implicit linguistic competence and metalinguistic knowledge (which provide indications for apposite rehabilitation strategies). Versions of the BAT are available for free download at www.mcgill.ca/linguistics/research/bat/. ###Answer 1. Changed The target word ""language disorder"" has undergone a significant change in meaning between Sentence A (2000) and Sentence B (2020). In Sentence A, the term likely referred to a specific language impairment caused by a neurological condition, such as a seizure disorder. However, in Sentence B, the term encompasses a broader range of language impairments, including those caused by various cognitive and neurological conditions, as well as research purposes on non-brain-damaged populations. The shift in meaning suggests that the term ""language disorder"" has expanded in scope and usage, indicating semantic drift." 51,Language disorder,"Dementias of the Alzheimer type seem to be frequently accompanied by language disturbances. These may represent a feature which can be of help in distinguishing them from other types of dementias. We used the Aachen aphasia test in 32 patients suffering from Alzheimer dementia according to research criteria, and a mixed sample of 35 patients suffering from other dementias. From these 2 groups 2 subsamples of 21 patients each were gathered which were comparable with regard to age, disease onset, level of education, verbal intelligence and severity of senility. Nevertheless it was possible to distinguish the groups to a certain degree on grounds of psychometric language criteria alone. Alzheimer patients were more severely handicapped communicatively, less dysarthric, produced more automatisms and discretely more phonemic paraphasias with fluent speech which was sometimes paragrammatic. A relatively better level of repetition compared to the Token test and written language was fairly specific. A computer-assisted classification yielded language disturbances similar to Wernicke's aphasia more often than with non-Alzheimer dementias. We found no Alzheimer patients with a Broca's type of language disorder, while amnestic and global types were bound to the level of overall impairment to a certain degree. The significance of these results with regard to the use of psychometric language test in the dementias, particularly Alzheimer's dementia, and to differential diagnostic considerations are reviewed briefly.","Centile curves and standard scores are common in epidemiological research. However, standardised norms and centile growth curves for language disorder that reflect the entire UK local school population do not exist.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Language disorder Sentence A: Dementias of the Alzheimer type seem to be frequently accompanied by language disturbances. These may represent a feature which can be of help in distinguishing them from other types of dementias. We used the Aachen aphasia test in 32 patients suffering from Alzheimer dementia according to research criteria, and a mixed sample of 35 patients suffering from other dementias. From these 2 groups 2 subsamples of 21 patients each were gathered which were comparable with regard to age, disease onset, level of education, verbal intelligence and severity of senility. Nevertheless it was possible to distinguish the groups to a certain degree on grounds of psychometric language criteria alone. Alzheimer patients were more severely handicapped communicatively, less dysarthric, produced more automatisms and discretely more phonemic paraphasias with fluent speech which was sometimes paragrammatic. A relatively better level of repetition compared to the Token test and written language was fairly specific. A computer-assisted classification yielded language disturbances similar to Wernicke's aphasia more often than with non-Alzheimer dementias. We found no Alzheimer patients with a Broca's type of language disorder, while amnestic and global types were bound to the level of overall impairment to a certain degree. The significance of these results with regard to the use of psychometric language test in the dementias, particularly Alzheimer's dementia, and to differential diagnostic considerations are reviewed briefly. Sentence B: Centile curves and standard scores are common in epidemiological research. However, standardised norms and centile growth curves for language disorder that reflect the entire UK local school population do not exist. ###Answer 1. Changed Reasoning: In Sentence A, the term ""language disorder"" is used in the context of Alzheimer's disease, specifically to describe the language disturbances experienced by patients. The term is used to distinguish these patients from those with other types of dementia. In Sentence B, the term is used more broadly to refer to language difficulties in general, without any specific reference to a particular disease or condition. The meaning of the term has shifted from being closely tied to Alzheimer's disease to being a more general term for language difficulties." 52,Language disorder,"We studied the effect of deep-seated left hemispheric lesions on cortical blood flow in 18 right-handed aphasic stroke patients. Regional cerebral blood flow was measured at rest and during the performance of a functional naming test using the two-dimensional xenon-133 inhalation method. Compared with 10 controls, at rest the patients showed regional cortical hypoperfusion in the left frontoparietal region. In the controls, activation patterns from the rest to the test condition involved mainly the left hemisphere areas. In the patients, a lack of blood flow change was observed in several areas that were usually hypoperfused at rest. However, in patients with slight verbal expression disorders there were obvious blood flow increases in other brain regions in both hemispheres. Such cortical functional reorganization and the presence of a remote cortical dysfunction could play a role in the pathophysiology of language disorders.","Specific reading comprehension deficit (S-RCD) and developmental language disorder (DLD) are both commonly occurring developmental disorders of language. The ways in which these disorders do and do not overlap during childhood are a matter of debate (Nation & Norbury, 2005). Moreover, in both populations, the challenges faced by individuals in adulthood are understudied. Here, we combined data across cohorts of college students, and classified individuals with only S-RCD (n = 20), only DLD (n = 55), and co-occurring S-RCD and DLD (n = 13). Individuals with good language and reading skills, who matched those with S-RCD on decoding, comprised our typical language and reading group (TD; n = 20). Beyond the measures used for classification, group-level differences were identified in sentence-level reading fluency, phonological processing, verbal working memory, and rapid automatized naming. We found that skill profiles differed across groups; however, we found no evidence of weaknesses beyond the core deficit in reading comprehension observed in those with only S-RCD. In contrast, when S-RCD co-occurs with DLD, weaknesses are observed in phonological processing, as well as reading fluency and verbal working memory. These findings suggest that some adults with S-RCD have co-occurring DLD as a core weakness. These findings, as well as differences between individuals with S-RCD and DLD, are further discussed.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Language disorder Sentence A: We studied the effect of deep-seated left hemispheric lesions on cortical blood flow in 18 right-handed aphasic stroke patients. Regional cerebral blood flow was measured at rest and during the performance of a functional naming test using the two-dimensional xenon-133 inhalation method. Compared with 10 controls, at rest the patients showed regional cortical hypoperfusion in the left frontoparietal region. In the controls, activation patterns from the rest to the test condition involved mainly the left hemisphere areas. In the patients, a lack of blood flow change was observed in several areas that were usually hypoperfused at rest. However, in patients with slight verbal expression disorders there were obvious blood flow increases in other brain regions in both hemispheres. Such cortical functional reorganization and the presence of a remote cortical dysfunction could play a role in the pathophysiology of language disorders. Sentence B: Specific reading comprehension deficit (S-RCD) and developmental language disorder (DLD) are both commonly occurring developmental disorders of language. The ways in which these disorders do and do not overlap during childhood are a matter of debate (Nation & Norbury, 2005). Moreover, in both populations, the challenges faced by individuals in adulthood are understudied. Here, we combined data across cohorts of college students, and classified individuals with only S-RCD (n = 20), only DLD (n = 55), and co-occurring S-RCD and DLD (n = 13). Individuals with good language and reading skills, who matched those with S-RCD on decoding, comprised our typical language and reading group (TD; n = 20). Beyond the measures used for classification, group-level differences were identified in sentence-level reading fluency, phonological processing, verbal working memory, and rapid automatized naming. We found that skill profiles differed across groups; however, we found no evidence of weaknesses beyond the core deficit in reading comprehension observed in those with only S-RCD. In contrast, when S-RCD co-occurs with DLD, weaknesses are observed in phonological processing, as well as reading fluency and verbal working memory. These findings suggest that some adults with S-RCD have co-occurring DLD as a core weakness. These findings, as well as differences between individuals with S-RCD and DLD, are further discussed. ###Answer 1. Changed Reasoning: In Sentence A, the term ""language disorder"" is used in the context of a specific type of stroke patient, where it refers to a disruption in language processing due to a lesion in the left hemisphere. The term is used to describe the patients' difficulty with naming and other language tasks. In contrast, in Sentence B, the term ""language disorder"" is used in a different context, referring to a broader range of developmental language disorders, including both specific reading comprehension deficit (S-RCD) and developmental language disorder (DLD). The term is used to describe the differences in skill profiles across groups, including the presence of weaknesses in phonological processing, reading fluency, and verbal working memory. In Sentence A, the term ""language disorder"" has a specific meaning related to the medical context of stroke patients. However, in Sentence B, the term has a broader meaning related to developmental language disorders in general. Therefore, semantic drift has occurred in the meaning of the term ""language disorder"" between the two sentences." 53,Language disorder,"Very low birth weight (VLBW, <1500 g) preterm birth has been associated with anatomic abnormalities in brain development and cognitive and language disorders. We examined object naming ability, and an electrophysiologic index of auditory sensory discrimination of speech sounds (the mismatch negativity, MMN) in 4-year-old VLBW prematurely born children. We found that half of the VLBW children were inferior to their controls in the object naming ability. Also the MMN amplitudes were smaller in the preterm group as compared with the controls. Further, the MMN amplitude varied as a function of children's performance on object naming, such that the weaker object-naming performance of the preterm group was paralleled by the diminished MMN amplitudes. Therefore, difficulties in auditory discrimination seem to be implicated in language difficulties encountered in VLBW prematurely born children."," We introduce PVSC-DTM (Parallel Vectorized Stencil Code for Dirac and Topological Materials), a library and code generator based on a domain-specific language tailored to implement the specific stencil-like algorithms that can describe Dirac and topological materials such as graphene and topological insulators in a matrix-free way. The generated hybrid-parallel (MPI+OpenMP) code is fully vectorized using Single Instruction Multiple Data (SIMD) extensions. It is significantly faster than matrix-based approaches on the node level and performs in accordance with the roofline model. We demonstrate the chip-level performance and distributed-memory scalability of basic building blocks such as sparse matrix-(multiple-) vector multiplication on modern multicore CPUs. As an application example, we use the PVSC-DTM scheme to (i) explore the scattering of a Dirac wave on an array of gate-defined quantum dots, to (ii) calculate a bunch of interior eigenvalues for strong topological insulators, and to (iii) discuss the photoemission spectra of a disordered Weyl semimetal. ","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Language disorder Sentence A: Very low birth weight (VLBW, <1500 g) preterm birth has been associated with anatomic abnormalities in brain development and cognitive and language disorders. We examined object naming ability, and an electrophysiologic index of auditory sensory discrimination of speech sounds (the mismatch negativity, MMN) in 4-year-old VLBW prematurely born children. We found that half of the VLBW children were inferior to their controls in the object naming ability. Also the MMN amplitudes were smaller in the preterm group as compared with the controls. Further, the MMN amplitude varied as a function of children's performance on object naming, such that the weaker object-naming performance of the preterm group was paralleled by the diminished MMN amplitudes. Therefore, difficulties in auditory discrimination seem to be implicated in language difficulties encountered in VLBW prematurely born children. Sentence B: We introduce PVSC-DTM (Parallel Vectorized Stencil Code for Dirac and Topological Materials), a library and code generator based on a domain-specific language tailored to implement the specific stencil-like algorithms that can describe Dirac and topological materials such as graphene and topological insulators in a matrix-free way. The generated hybrid-parallel (MPI+OpenMP) code is fully vectorized using Single Instruction Multiple Data (SIMD) extensions. It is significantly faster than matrix-based approaches on the node level and performs in accordance with the roofline model. We demonstrate the chip-level performance and distributed-memory scalability of basic building blocks such as sparse matrix-(multiple-) vector multiplication on modern multicore CPUs. As an application example, we use the PVSC-DTM scheme to (i) explore the scattering of a Dirac wave on an array of gate-defined quantum dots, to (ii) calculate a bunch of interior eigenvalues for strong topological insulators, and to (iii) discuss the photoemission spectra of a disordered Weyl semimetal. ###Answer 1. Changed Reasoning: In Sentence A, the target word ""language disorder"" is used in the context of prematurely born children who are at risk of cognitive and language difficulties due to their low birth weight. The word is used to describe the potential difficulties these children may encounter in object naming and auditory discrimination. In Sentence B, the target word ""Language disorder"" is used in a different context, referring to a library and code generator for implementing specific stencil-like algorithms for Dirac and topological materials. The word is used to describe the capabilities of the PVSC-DTM library in generating hybrid-parallel code that is fully vectorized and scalable. Based on the different contexts and meanings of the target word in the two sentences, it is clear that the word has undergone a significant change in meaning or connotation between the two timestamps. Therefore, I would label the word as ""Changed""." 54,Language disorder,"Genetic speech and language disorders provide the opportunity to investigate the biological bases of language and its development. Critical to these investigations are the definition of behavioural phenotypes and an understanding of their interaction with epigenetic factors. Here, we report our investigations of the KE family, half the members of which are affected by a severe disorder of speech and language, which is transmitted as an autosomal-dominant monogenic trait. The cognitive manifestations of this disorder were investigated using a number of linguistic and non-linguistic tests. The aims of these investigations were to establish the existence of a 'core' deficit, or behavioural phenotype, and to explain how such a deficit during development might give rise to the range of other impairments demonstrated by affected family members. The affected family members were compared both with the unaffected members and with a group of adult patients with aphasia resulting from a stroke. The score on a test of repetition of non-words with complex articulation patterns successfully discriminated the affected and unaffected family members. The affected family members and the patients with aphasia had remarkably similar profiles of impairment on the tests administered. Pre-morbidly, however, the patients with aphasia had enjoyed a normal course of cognitive development and language experience. This benefit was reflected on a number of tests in which the patients with aphasia performed significantly better than the affected family members and, in the case of some tests, at normal levels. We suggest that, in the affected family members, the verbal and non-verbal deficits arise from a common impairment in the ability to sequence movement or in procedural learning. Alternatively, the articulation deficit, which itself might give rise to a host of other language deficits, is separate from a more general verbal and non-verbal developmental delay.","Public awareness of Developmental Language Disorder (DLD) is lower than other neurodevelopmental disorders, despite its high prevalence of 7.6%. This lower awareness means recruitment for DLD research studies is difficult. DLD is both underfunded and under-researched, resulting in relatively limited research investigating individuals with DLD. Engage with Developmental Language Disorder (E-DLD) is a response to these considerations. E-DLD is the first international participant database of those affected by DLD. Parents of children with DLD under 16 and young people and adults over 16 from anywhere in the world can sign up to be a part of the E-DLD.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Language disorder Sentence A: Genetic speech and language disorders provide the opportunity to investigate the biological bases of language and its development. Critical to these investigations are the definition of behavioural phenotypes and an understanding of their interaction with epigenetic factors. Here, we report our investigations of the KE family, half the members of which are affected by a severe disorder of speech and language, which is transmitted as an autosomal-dominant monogenic trait. The cognitive manifestations of this disorder were investigated using a number of linguistic and non-linguistic tests. The aims of these investigations were to establish the existence of a 'core' deficit, or behavioural phenotype, and to explain how such a deficit during development might give rise to the range of other impairments demonstrated by affected family members. The affected family members were compared both with the unaffected members and with a group of adult patients with aphasia resulting from a stroke. The score on a test of repetition of non-words with complex articulation patterns successfully discriminated the affected and unaffected family members. The affected family members and the patients with aphasia had remarkably similar profiles of impairment on the tests administered. Pre-morbidly, however, the patients with aphasia had enjoyed a normal course of cognitive development and language experience. This benefit was reflected on a number of tests in which the patients with aphasia performed significantly better than the affected family members and, in the case of some tests, at normal levels. We suggest that, in the affected family members, the verbal and non-verbal deficits arise from a common impairment in the ability to sequence movement or in procedural learning. Alternatively, the articulation deficit, which itself might give rise to a host of other language deficits, is separate from a more general verbal and non-verbal developmental delay. Sentence B: Public awareness of Developmental Language Disorder (DLD) is lower than other neurodevelopmental disorders, despite its high prevalence of 7.6%. This lower awareness means recruitment for DLD research studies is difficult. DLD is both underfunded and under-researched, resulting in relatively limited research investigating individuals with DLD. Engage with Developmental Language Disorder (E-DLD) is a response to these considerations. E-DLD is the first international participant database of those affected by DLD. Parents of children with DLD under 16 and young people and adults over 16 from anywhere in the world can sign up to be a part of the E-DLD. ###Answer 1. Changed Reasoning: In Sentence A, the target word ""language disorder"" is used in the context of genetic speech and language disorders, and the meaning of the word seems to be focused on the biological bases of language development. The word is used to describe a specific type of disorder that affects speech and language development. In Sentence B, the target word ""Language Disorder"" is used in the context of public awareness and research studies. The meaning of the word seems to have shifted to refer to a broader category of neurodevelopmental disorders, including both genetic and acquired language disorders. The word is used to describe a broader range of language impairments, including both developmental and acquired language disorders. Therefore, based on the context and meaning of the target word in the two sentences, it can be concluded that semantic drift has occurred, and the label ""Changed"" is appropriate." 55,Language disorder,"The meaning and relevance of the increased rates of neuromotoric deviation (ND) observed in patients with schizophrenia and their biological relatives remain unclear. ND could represent free-floating, independent characteristics of individuals in these families vs. signs of an increased risk for current or future mental disorder. The co-temporaneous relationship between ND and mental disorder at 6 years of age was investigated among 31 children with an increased risk for schizophrenia and similar psychoses, defined as having a mother with a history of schizophrenia or unspecified functional psychosis. As compared with high-risk cases with a low level of ND, the subgroup of 10 high-risk offspring showing notably increased rates of ND had significantly more frequent psychiatric diagnoses (typically language disorders and enuresis), poor functioning on global assessment, poor interpersonal competency and high anxiety proneness. Neuromotoric items representing ""overflow"" (e.g., choreatic movements, tremor) were significantly positively related to each of these mental characteristics. Among high-risk offspring, an increased rate of ND is very clearly associated with increased rates of current mental disorder, and might potentially identify a subgroup with an especially high risk for serious mental disorder in the future."," We develop an exact mapping between the one-step replica symmetry breaking cavity method and tensor networks. The two schemes come with complementary mathematical and numerical toolboxes that could be leveraged to improve the respective states of the art. As an example, we construct a tensor-network representation of Survey Propagation, one of the best deterministic k-SAT solvers. The resulting algorithm outperforms any existent tensor-network solver by several orders of magnitude. We comment on the generality of these ideas, and we show how to extend them to the context of quantum tensor networks. ","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Language disorder Sentence A: The meaning and relevance of the increased rates of neuromotoric deviation (ND) observed in patients with schizophrenia and their biological relatives remain unclear. ND could represent free-floating, independent characteristics of individuals in these families vs. signs of an increased risk for current or future mental disorder. The co-temporaneous relationship between ND and mental disorder at 6 years of age was investigated among 31 children with an increased risk for schizophrenia and similar psychoses, defined as having a mother with a history of schizophrenia or unspecified functional psychosis. As compared with high-risk cases with a low level of ND, the subgroup of 10 high-risk offspring showing notably increased rates of ND had significantly more frequent psychiatric diagnoses (typically language disorders and enuresis), poor functioning on global assessment, poor interpersonal competency and high anxiety proneness. Neuromotoric items representing ""overflow"" (e.g., choreatic movements, tremor) were significantly positively related to each of these mental characteristics. Among high-risk offspring, an increased rate of ND is very clearly associated with increased rates of current mental disorder, and might potentially identify a subgroup with an especially high risk for serious mental disorder in the future. Sentence B: We develop an exact mapping between the one-step replica symmetry breaking cavity method and tensor networks. The two schemes come with complementary mathematical and numerical toolboxes that could be leveraged to improve the respective states of the art. As an example, we construct a tensor-network representation of Survey Propagation, one of the best deterministic k-SAT solvers. The resulting algorithm outperforms any existent tensor-network solver by several orders of magnitude. We comment on the generality of these ideas, and we show how to extend them to the context of quantum tensor networks. ###Answer 1. Changed Reasoning: In Sentence A, the target word ""language disorder"" is used to describe a specific symptom of a mental disorder (e.g., tremors, choreatic movements). The context suggests that the term is used to indicate a neurological deficit or impairment in language functioning. In Sentence B, the target word ""language disorder"" is used in a completely different context, referring to a mathematical concept (i.e., tensor networks). The term has undergone a significant shift in meaning, from a neurological symptom to a mathematical framework. Therefore, the label ""Changed"" is appropriate." 56,Language disorder," Models based on preferential attachment have had much success in reproducing the power law degree distributions which seem ubiquitous in both natural and engineered systems. Here, rather than assuming preferential attachment, we give an explanation of how it can arise from a more basic underlying mechanism of competition between opposing forces. We introduce a family of one-dimensional geometric growth models, constructed iteratively by locally optimizing the tradeoffs between two competing metrics. This family admits an equivalent description as a graph process with no reference to the underlying geometry. Moreover, the resulting graph process is shown to be preferential attachment with an upper cutoff. We rigorously determine the degree distribution for the family of random graph models, showing that it obeys a power law up to a finite threshold and decays exponentially above this threshold. We also introduce and rigorously analyze a generalized version of our graph process, with two natural parameters, one corresponding to the cutoff and the other a ``fertility'' parameter. Limiting cases of this process include the standard Barabasi-Albert preferential attachment model and the uniform attachment model. In the general case, we prove that the process has a power law degree distribution up to a cutoff, and establish monotonicity of the power as a function of the two parameters. ","In a prospective study, we examined whether it is possible to diagnose language disorders in children in their second and third years. Twenty patients aged 17-35 months (average 26 months) were examined from August 2002 to June 2004. Language development was tested on the basis of a questionnaire for parents (ELFRA-1 or ELFRA-2) and on a detailed language assessment. After 3-8 months, the children's language was examined again by the same speech pathologist. In 12 children, in whom we had suspected a language disorder, the diagnosis was confirmed. Eight patients showed age-appropriate language development, which was confirmed in six patients at follow-up. In two cases, the follow-up revealed a language disorder. On the basis of a parent questionnaire and examination by a speech therapist, language disorders can be diagnosed in the second and third years of life. However, control assessments are necessary in order to reveal language development disturbances beginning at later ages.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Language disorder Sentence A: Models based on preferential attachment have had much success in reproducing the power law degree distributions which seem ubiquitous in both natural and engineered systems. Here, rather than assuming preferential attachment, we give an explanation of how it can arise from a more basic underlying mechanism of competition between opposing forces. We introduce a family of one-dimensional geometric growth models, constructed iteratively by locally optimizing the tradeoffs between two competing metrics. This family admits an equivalent description as a graph process with no reference to the underlying geometry. Moreover, the resulting graph process is shown to be preferential attachment with an upper cutoff. We rigorously determine the degree distribution for the family of random graph models, showing that it obeys a power law up to a finite threshold and decays exponentially above this threshold. We also introduce and rigorously analyze a generalized version of our graph process, with two natural parameters, one corresponding to the cutoff and the other a ``fertility'' parameter. Limiting cases of this process include the standard Barabasi-Albert preferential attachment model and the uniform attachment model. In the general case, we prove that the process has a power law degree distribution up to a cutoff, and establish monotonicity of the power as a function of the two parameters. Sentence B: In a prospective study, we examined whether it is possible to diagnose language disorders in children in their second and third years. Twenty patients aged 17-35 months (average 26 months) were examined from August 2002 to June 2004. Language development was tested on the basis of a questionnaire for parents (ELFRA-1 or ELFRA-2) and on a detailed language assessment. After 3-8 months, the children's language was examined again by the same speech pathologist. In 12 children, in whom we had suspected a language disorder, the diagnosis was confirmed. Eight patients showed age-appropriate language development, which was confirmed in six patients at follow-up. In two cases, the follow-up revealed a language disorder. On the basis of a parent questionnaire and examination by a speech therapist, language disorders can be diagnosed in the second and third years of life. However, control assessments are necessary in order to reveal language development disturbances beginning at later ages. ###Answer 1. Changed (Semantic drift has occurred) Reasoning: The target word ""language disorder"" has undergone significant semantic drift between the two sentences. In Sentence A, the term is used in the context of a theoretical model of language growth, where it refers to the underlying mechanisms driving the power law distribution of degrees in a network. In Sentence B, the term is used in the context of a diagnostic study, where it refers to a specific developmental language disorder in children. The meaning of the term has shifted from a theoretical construct to a clinical diagnostic category. This shift in meaning is evident in the different collocations and connotations associated with the term in each sentence. For example, in Sentence A, the term is collocated with concepts like ""preferential attachment"" and ""underlying mechanism,"" while in Sentence B, it is collocated with concepts like ""language development,"" ""diagnosis,"" and ""follow-up."" These differences in collocation and connotation indicate that the term ""language disorder"" has undergone semantic drift between the two sentences." 57,Language disorder," The degenerate Fermi gas coupled to a random potential is used to study metal-insulator transitions in various dimensions. We first recast the problem in the sea-boson language that allows for an easy evaluation of important physical attributes. We evaluate the dynamical number-number correlation function and from this compute the a.c. conductivity. We find that the d.c. conductivity vanishes in one and two dimensions. For a hamiltonian that forbids scattering of an electron from within the Fermi surface to another state within the Fermi surface we find that there is no metal-insulator transition in three dimensions either. ","Children with developmental language disorder (DLD; aka specific language impairment) are characterized based on deficits in language, especially morphosyntax, in the absence of other explanatory conditions. However, deficits in speech production, as well as fine and gross motor skill, have also been observed, implicating both the linguistic and motor systems. Situated at the intersection of these domains, and providing insight into both, is manual gesture. In the current work, we asked whether children with DLD showed phonological deficits in the production of novel gestures and whether gesture production at 4 years of age is related to language and motor outcomes two years later. Twenty-eight children (14 with DLD) participated in a two-year longitudinal novel gesture production study. At the first and final time points, language and fine motor skills were measured and gestures were analyzed for phonological feature accuracy, including handshape, path, and orientation. Results indicated that, while early deficits in phonological accuracy did not persist for children with DLD, all children struggled with orientation while handshape was the most accurate. Early handshape and orientation accuracy were also predictive of later language skill, but only for the children with DLD. Theoretical and clinical implications of these findings are discussed.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Language disorder Sentence A: The degenerate Fermi gas coupled to a random potential is used to study metal-insulator transitions in various dimensions. We first recast the problem in the sea-boson language that allows for an easy evaluation of important physical attributes. We evaluate the dynamical number-number correlation function and from this compute the a.c. conductivity. We find that the d.c. conductivity vanishes in one and two dimensions. For a hamiltonian that forbids scattering of an electron from within the Fermi surface to another state within the Fermi surface we find that there is no metal-insulator transition in three dimensions either. Sentence B: Children with developmental language disorder (DLD; aka specific language impairment) are characterized based on deficits in language, especially morphosyntax, in the absence of other explanatory conditions. However, deficits in speech production, as well as fine and gross motor skill, have also been observed, implicating both the linguistic and motor systems. Situated at the intersection of these domains, and providing insight into both, is manual gesture. In the current work, we asked whether children with DLD showed phonological deficits in the production of novel gestures and whether gesture production at 4 years of age is related to language and motor outcomes two years later. Twenty-eight children (14 with DLD) participated in a two-year longitudinal novel gesture production study. At the first and final time points, language and fine motor skills were measured and gestures were analyzed for phonological feature accuracy, including handshape, path, and orientation. Results indicated that, while early deficits in phonological accuracy did not persist for children with DLD, all children struggled with orientation while handshape was the most accurate. Early handshape and orientation accuracy were also predictive of later language skill, but only for the children with DLD. Theoretical and clinical implications of these findings are discussed. ###Answer 1. Changed Reasoning: The target word ""Language disorder"" has undergone significant semantic drift between the two sentences. In Sentence A, the term is used in the context of a specific scientific topic (the study of metal-insulator transitions), with no connotation of language impairment. In Sentence B, the term is used to describe a developmental language disorder (DLD) or specific language impairment, with a clear connotation of language difficulties. The shift in meaning from a scientific term to a clinical condition suggests semantic drift has occurred." 58,Language disorder," The effect of quenched disorder on the low-energy and low-temperature properties of various two- and three-dimensional Heisenberg models is studied by a numerical strong disorder renormalization group method. For strong enough disorder we have identified two relevant fixed points, in which the gap exponent, omega, describing the low-energy tail of the gap distribution, P(Delta) ~ Delta^omega is independent of disorder, the strength of couplings and the value of the spin. The dynamical behavior of non-frustrated random antiferromagnetic models is controlled by a singlet-like fixed point, whereas for frustrated models the fixed point corresponds to a large spin formation and the gap exponent is given by omega ~ 0. Another type of universality classes is observed at quantum critical points and in dimerized phases but no infinite randomness behavior is found, in contrast to one-dimensional models. ","FOXP2 is the major gene associated with severe, persistent, developmental speech and language disorders. While studies in the original family in which a FOXP2 mutation was found showed volume reduction and reduced activation in core language and speech networks, there have been no imaging studies of different FOXP2 mutations. We conducted a multimodal MRI study in an eight-year-old boy (A-II) with a de novo FOXP2 intragenic deletion. A-II showed marked bilateral volume reductions in the hippocampus, thalamus, globus pallidus, and caudate nucleus compared with 26 control males (effect sizes from -1 to -3). He showed no detectable functional MRI activity when repeating nonsense words. The hippocampus is implicated for the first time in FOXP2 diseases. We conclude that FOXP2 anomaly is either directly or indirectly associated with atypical development of widespread subcortical networks early in life.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Language disorder Sentence A: The effect of quenched disorder on the low-energy and low-temperature properties of various two- and three-dimensional Heisenberg models is studied by a numerical strong disorder renormalization group method. For strong enough disorder we have identified two relevant fixed points, in which the gap exponent, omega, describing the low-energy tail of the gap distribution, P(Delta) ~ Delta^omega is independent of disorder, the strength of couplings and the value of the spin. The dynamical behavior of non-frustrated random antiferromagnetic models is controlled by a singlet-like fixed point, whereas for frustrated models the fixed point corresponds to a large spin formation and the gap exponent is given by omega ~ 0. Another type of universality classes is observed at quantum critical points and in dimerized phases but no infinite randomness behavior is found, in contrast to one-dimensional models. Sentence B: FOXP2 is the major gene associated with severe, persistent, developmental speech and language disorders. While studies in the original family in which a FOXP2 mutation was found showed volume reduction and reduced activation in core language and speech networks, there have been no imaging studies of different FOXP2 mutations. We conducted a multimodal MRI study in an eight-year-old boy (A-II) with a de novo FOXP2 intragenic deletion. A-II showed marked bilateral volume reductions in the hippocampus, thalamus, globus pallidus, and caudate nucleus compared with 26 control males (effect sizes from -1 to -3). He showed no detectable functional MRI activity when repeating nonsense words. The hippocampus is implicated for the first time in FOXP2 diseases. We conclude that FOXP2 anomaly is either directly or indirectly associated with atypical development of widespread subcortical networks early in life. ###Answer 1. Changed Explanation: The target word ""language disorder"" in Sentence A has a different meaning than in Sentence B. In Sentence A, it refers to the study of the effects of quenched disorder on the properties of various Heisenberg models. In contrast, in Sentence B, it refers to a genetic mutation associated with severe speech and language disorders. The meaning of the word has shifted from a theoretical concept in physics to a medical term in psychology. Therefore, semantic drift has occurred in the target word." 59,Language disorder,"The kinetics of 5-HT uptake by platelets was studied in cases of infantile autism and developmental language disorder (DLD) and normal subjects. Two patients of the autism group were twins, and the seven patients of the DLD group were members of four pairs of twins. The Vmax values (means +/- SD) for autism and DLD were 6.46 +/- .90 pmol 5-HT/10(7) cells/min and 4.85 +/- 1.50 pmol 5-HT/10(7) cells/min, respectively. These values were both significantly higher than that of 2.25 +/- .97 pmole 5-HT/10(7) cells/min for normal children. The Km values of the three groups were not significantly different. Data on the five pairs of twins examined suggested that the elevated Vmax of 5-HT uptake by platelets was determined genetically.","Introduction Verbal communication relies on the ability to speak and understand language. Speech is only one part of language; language can also be expressed through gestures, writing, and other nonverbal means. Speech and language disorders are impairments in the ability to produce and comprehend language, including problems with mouth movements and vocalization. There is a scarcity of literature on this topic in Saudi Arabia; therefore, the aim of this study was to assess the prevalence and risk factors of speech delay in children aged less than seven years in Saudi Arabia. Methods A cross-sectional self-reported descriptive study was conducted from May 2023 to June 2023 among parents of children less than seven years of age in the Kingdom of Saudi Arabia. Simple convenience sampling was implemented. A structured, self-administered questionnaire was designed and presented to the parents of children less than seven years of age. Categorical data were presented as frequencies and percentages. The analysis included a chi-squared test and a Fisher's exact test. Results A total of 617 participants were included in the study. The majority of children were between 1 and 3 years of age (223, 36.1%) and were male (336, 54.5%). Around 45.5% of the respondents reported that their children may have a speech delay. Children aged >3 to 5 years had a significantly higher prevalence of speech delay (112, 53.1%). Additionally, there was a significant difference in speech delay prevalence between male (170, 50.6%) and female (111, 39.5%, p = 0.006) children. A family history of a developmental communication disorder was significantly associated with speech delay (p < 0.001). Children with speech delay were more likely to have hearing issues (19, 70.4%) and motor issues (19, 70.4%). Moreover, autism spectrum disorder in the child was significantly associated with speech delay (p < 0.001). Conclusions The study found that children aged 3 to 5 years had a significantly higher prevalence of speech delay than younger children. There was a significant difference in speech delay prevalence between male and female children. Children with speech delays were more likely to suffer hearing and motor issues. Speech delay was significantly associated with a family history of a developmental communication problem.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Language disorder Sentence A: The kinetics of 5-HT uptake by platelets was studied in cases of infantile autism and developmental language disorder (DLD) and normal subjects. Two patients of the autism group were twins, and the seven patients of the DLD group were members of four pairs of twins. The Vmax values (means +/- SD) for autism and DLD were 6.46 +/- .90 pmol 5-HT/10(7) cells/min and 4.85 +/- 1.50 pmol 5-HT/10(7) cells/min, respectively. These values were both significantly higher than that of 2.25 +/- .97 pmole 5-HT/10(7) cells/min for normal children. The Km values of the three groups were not significantly different. Data on the five pairs of twins examined suggested that the elevated Vmax of 5-HT uptake by platelets was determined genetically. Sentence B: Introduction Verbal communication relies on the ability to speak and understand language. Speech is only one part of language; language can also be expressed through gestures, writing, and other nonverbal means. Speech and language disorders are impairments in the ability to produce and comprehend language, including problems with mouth movements and vocalization. There is a scarcity of literature on this topic in Saudi Arabia; therefore, the aim of this study was to assess the prevalence and risk factors of speech delay in children aged less than seven years in Saudi Arabia. Methods A cross-sectional self-reported descriptive study was conducted from May 2023 to June 2023 among parents of children less than seven years of age in the Kingdom of Saudi Arabia. Simple convenience sampling was implemented. A structured, self-administered questionnaire was designed and presented to the parents of children less than seven years of age. Categorical data were presented as frequencies and percentages. The analysis included a chi-squared test and a Fisher's exact test. Results A total of 617 participants were included in the study. The majority of children were between 1 and 3 years of age (223, 36.1%) and were male (336, 54.5%). Around 45.5% of the respondents reported that their children may have a speech delay. Children aged >3 to 5 years had a significantly higher prevalence of speech delay (112, 53.1%). Additionally, there was a significant difference in speech delay prevalence between male (170, 50.6%) and female (111, 39.5%, p = 0.006) children. A family history of a developmental communication disorder was significantly associated with speech delay (p < 0.001). Children with speech delay were more likely to have hearing issues (19, 70.4%) and motor issues (19, 70.4%). Moreover, autism spectrum disorder in the child was significantly associated with speech delay (p < 0.001). Conclusions The study found that children aged 3 to 5 years had a significantly higher prevalence of speech delay than younger children. There was a significant difference in speech delay prevalence between male and female children. Children with speech delays were more likely to suffer hearing and motor issues. Speech delay was significantly associated with a family history of a developmental communication problem. ###Answer 1. Changed Reasoning: In Sentence A, the term ""language disorder"" is used to describe a condition where individuals have difficulties with verbal communication, including problems with mouth movements and vocalization. The sentence also mentions that the elevated Vmax of 5-HT uptake by platelets was determined genetically. These features suggest that the term ""language disorder"" in Sentence A refers to a condition that affects the ability to produce and comprehend language, possibly related to genetic factors. In Sentence B, the term ""language disorder"" is used to describe a condition where children experience speech delay. The sentence also mentions that children with speech delay were more likely to suffer hearing and motor issues, and that speech delay was significantly associated with a family history of a developmental communication problem. These features suggest that the term ""language disorder"" in Sentence B refers to a condition that affects a child's ability to produce and comprehend language, possibly related to a combination of genetic and environmental factors. Based on these differences in context and meaning, it can be concluded that the term ""language disorder"" has undergone a significant change in meaning between Sentence A and Sentence B. In Sentence A, the term likely refers to a genetic condition that affects language production and comprehension, while in Sentence B, the term likely refers to a broader range of conditions that affect a child's ability to produce and comprehend language. Therefore, the label ""Changed"" is appropriate for this task." 60,Language disorder,"Genome-wide scans have suggested that a locus on 7q is involved in the etiology of autistic disorder (AD). We have identified an AD family in which three sibs inherited from their mother a paracentric inversion in the chromosome 7 candidate region (inv(7)(q22-q31.2)). Clinically, the two male sibs have AD, while the female sib has expressive language disorder. The mother carries the inversion, but does not express AD. Haplotype data on the family suggest that the chromosomal origin of the inversion was from the children's maternal grandfather. Based on these data, we have genotyped 76 multiplex (>/=2 AD affecteds/family) families for markers in this region of 7q. Two-point linkage analysis yielded a maximum heterogeneity lod score of 1.47 and maximum lod score (MLS) of 1.03 at D7S495. Multipoint MLS and NPL analyses resulted in peak scores of 1.77 at D7S2527 and 2.01 at D7S640. Examination of affected sibpairs revealed significant paternal (P = 0.007), but not maternal (P = 0. 75), identity-by-descent sharing at D7S640. Significant linkage disequilibrium was detected with paternal (P = 0.02), but not maternal (P = 0.15), transmissions at D7S1824 in multiplex and singleton families. There was also evidence for an increase in recombination in the region (D7S1817 to D7S1824) in the AD families versus non-AD families (P = 0.03, sex-averaged; and P = 0.01, sex-specific). These results provide further evidence for the presence of an AD locus on chromosome 7q, as well as provide evidence suggesting that this locus may be paternally expressed.","Speech and language disorders are prominent signs in Friedreich ataxia (FRDA), which significantly impact on patients' quality of life. Despite such relevance, several issues regarding phenomenology, assessment, and treatment are still unmet. In this short review, we thus analyzed the existing literature to summarize what is known about the features of speech and language disorders in FRDA, which methods are used for evaluation and rating, and what are the available therapeutic strategies and future direction of scientific research in this field, in order to highlight critical aspects for a better clinical approach to the problem. FRDA patients often present dysarthria, resulting from central and peripheral causes and additional primary language disorders. Speech disturbances have peculiar characteristics, although variable among patients, and progress along the disease course. Assessment relies on multiple but not specific clinical scales, some of which can also reflect the general severity of ataxia; classical instrumental investigations and novel technologies allow more accurate measurements of several speech parameters, which could found application as potential disease's biomarkers. No successful treatments exist for communication disorders of FRDA patients; however, the tailored speech training or the non-invasive neuromodulation appear as the most reliable therapeutic options to be validate in future trials.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Language disorder Sentence A: Genome-wide scans have suggested that a locus on 7q is involved in the etiology of autistic disorder (AD). We have identified an AD family in which three sibs inherited from their mother a paracentric inversion in the chromosome 7 candidate region (inv(7)(q22-q31.2)). Clinically, the two male sibs have AD, while the female sib has expressive language disorder. The mother carries the inversion, but does not express AD. Haplotype data on the family suggest that the chromosomal origin of the inversion was from the children's maternal grandfather. Based on these data, we have genotyped 76 multiplex (>/=2 AD affecteds/family) families for markers in this region of 7q. Two-point linkage analysis yielded a maximum heterogeneity lod score of 1.47 and maximum lod score (MLS) of 1.03 at D7S495. Multipoint MLS and NPL analyses resulted in peak scores of 1.77 at D7S2527 and 2.01 at D7S640. Examination of affected sibpairs revealed significant paternal (P = 0.007), but not maternal (P = 0. 75), identity-by-descent sharing at D7S640. Significant linkage disequilibrium was detected with paternal (P = 0.02), but not maternal (P = 0.15), transmissions at D7S1824 in multiplex and singleton families. There was also evidence for an increase in recombination in the region (D7S1817 to D7S1824) in the AD families versus non-AD families (P = 0.03, sex-averaged; and P = 0.01, sex-specific). These results provide further evidence for the presence of an AD locus on chromosome 7q, as well as provide evidence suggesting that this locus may be paternally expressed. Sentence B: Speech and language disorders are prominent signs in Friedreich ataxia (FRDA), which significantly impact on patients' quality of life. Despite such relevance, several issues regarding phenomenology, assessment, and treatment are still unmet. In this short review, we thus analyzed the existing literature to summarize what is known about the features of speech and language disorders in FRDA, which methods are used for evaluation and rating, and what are the available therapeutic strategies and future direction of scientific research in this field, in order to highlight critical aspects for a better clinical approach to the problem. FRDA patients often present dysarthria, resulting from central and peripheral causes and additional primary language disorders. Speech disturbances have peculiar characteristics, although variable among patients, and progress along the disease course. Assessment relies on multiple but not specific clinical scales, some of which can also reflect the general severity of ataxia; classical instrumental investigations and novel technologies allow more accurate measurements of several speech parameters, which could found application as potential disease's biomarkers. No successful treatments exist for communication disorders of FRDA patients; however, the tailored speech training or the non-invasive neuromodulation appear as the most reliable therapeutic options to be validate in future trials. ###Answer 1. Changed Reasoning: In Sentence A, the term ""language disorder"" is used in the context of a genetic disorder, specifically autism. The sentence suggests that the disorder is caused by a genetic mutation and is inherited from the mother. The term is used to describe the cognitive and behavioral symptoms of the disorder, such as difficulty with communication and social interactions. In Sentence B, the term ""language disorders"" is used in a different context, specifically in the context of Friedreich ataxia. The sentence suggests that language disorders are a common symptom of the disease and can include dysarthria and additional primary language disorders. The term is used to describe the speech and language disturbances that are characteristic of the disease. Based on these differences in context and meaning, it can be concluded that the term ""language disorder"" has undergone a significant change in meaning between Sentence A and Sentence B. In Sentence A, the term is used to describe a genetic disorder with cognitive and behavioral symptoms, while in Sentence B, the term is used to describe a neurological disorder with speech and language disturbances. Therefore, the label ""Changed"" is appropriate." 61,Language disorder,"Speech disabilities (articulation deficits) and language disorders--expressive (vocabulary) receptive (language comprehension) are not uncommon in children. An overview of these along with a global description of the impairment of communication as well as clinical characteristics of language developmental disorders are presented in this article. The diagnostic tables, which are applied in the European and Anglo-American speech areas, ICD-10 and DSM-IV, have been explained and compared. Because of their strengths and weaknesses an alternative classification of language and speech developmental disorders is proposed, which allows a differentiation between expressive and receptive language capabilities with regard to the semantic and the morphological/syntax domains. Prevalence and comorbidity rates, psychosocial influences, biological factors and the biological social interaction have been discussed. The necessity of the use of standardized examinations is emphasised. General logopaedic treatment paradigms, specific therapy concepts and an overview of prognosis have been described.","We examined neural indices of pre-attentive phonological and attentional auditory discrimination in children with developmental language disorder (DLD, n = 23) and typically developing (n = 16) peers from a geographically isolated Russian-speaking population with an elevated prevalence of DLD. Pre-attentive phonological MMN components were robust and did not differ in two groups. Children with DLD showed attenuated P3 and atypically distributed P2 components in the attentional auditory discrimination task; P2 and P3 amplitudes were linked to working memory capacity, development of complex syntax, and vocabulary. The results corroborate findings of reduced processing capacity in DLD and support a multifactorial view of the disorder.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Language disorder Sentence A: Speech disabilities (articulation deficits) and language disorders--expressive (vocabulary) receptive (language comprehension) are not uncommon in children. An overview of these along with a global description of the impairment of communication as well as clinical characteristics of language developmental disorders are presented in this article. The diagnostic tables, which are applied in the European and Anglo-American speech areas, ICD-10 and DSM-IV, have been explained and compared. Because of their strengths and weaknesses an alternative classification of language and speech developmental disorders is proposed, which allows a differentiation between expressive and receptive language capabilities with regard to the semantic and the morphological/syntax domains. Prevalence and comorbidity rates, psychosocial influences, biological factors and the biological social interaction have been discussed. The necessity of the use of standardized examinations is emphasised. General logopaedic treatment paradigms, specific therapy concepts and an overview of prognosis have been described. Sentence B: We examined neural indices of pre-attentive phonological and attentional auditory discrimination in children with developmental language disorder (DLD, n = 23) and typically developing (n = 16) peers from a geographically isolated Russian-speaking population with an elevated prevalence of DLD. Pre-attentive phonological MMN components were robust and did not differ in two groups. Children with DLD showed attenuated P3 and atypically distributed P2 components in the attentional auditory discrimination task; P2 and P3 amplitudes were linked to working memory capacity, development of complex syntax, and vocabulary. The results corroborate findings of reduced processing capacity in DLD and support a multifactorial view of the disorder. ###Answer 1. Changed Reasoning: The target word ""Language disorder"" has undergone a significant change in meaning between Sentence A (2000) and Sentence B (2020). In Sentence A, the term refers to speech disabilities and language disorders, with a focus on expressive and receptive language capabilities. In Sentence B, the term is used to describe a specific neurodevelopmental disorder (developmental language disorder, or DLD) with a focus on neural indices of phonological and attentional processing. The shift in meaning suggests that the term ""Language disorder"" has undergone semantic drift, and the label ""Changed"" is appropriate." 62,Language disorder,"This paper presents a symptom approach for the intervention of childhood language disorders. Intervention guidelines are presented in the following areas of functioning: two word utterances, auxiliaries, grammatical structures, auditory comprehension, discourse, and symbolic play. Behavioral analysis, rather than etiologic classification, forms the basis of the intervention strategies.","Narrative analysis of personal events provides an opportunity for identifying autism specific issues related to language and social impairments. Eight personal events were elicited from three groups of school age children: 14 high-functioning with Autism Spectrum Disorders (HFA), 12 non-autistic with developmental language disorders (DLD), and 12 typically developing matched for chronological age and non-verbal IQ. The coding focused on narrative format (constituents) and style (coherence). The analyses indicate basic knowledge of conventional narrative format in all groups but a consistent lack of high-point in HFA children's stories interpreted as a consequence of their lack of social understanding of narrative. The results suggest novel interventions to foster autobiographical memory in HFA children which may assist in their self-awareness development.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Language disorder Sentence A: This paper presents a symptom approach for the intervention of childhood language disorders. Intervention guidelines are presented in the following areas of functioning: two word utterances, auxiliaries, grammatical structures, auditory comprehension, discourse, and symbolic play. Behavioral analysis, rather than etiologic classification, forms the basis of the intervention strategies. Sentence B: Narrative analysis of personal events provides an opportunity for identifying autism specific issues related to language and social impairments. Eight personal events were elicited from three groups of school age children: 14 high-functioning with Autism Spectrum Disorders (HFA), 12 non-autistic with developmental language disorders (DLD), and 12 typically developing matched for chronological age and non-verbal IQ. The coding focused on narrative format (constituents) and style (coherence). The analyses indicate basic knowledge of conventional narrative format in all groups but a consistent lack of high-point in HFA children's stories interpreted as a consequence of their lack of social understanding of narrative. The results suggest novel interventions to foster autobiographical memory in HFA children which may assist in their self-awareness development. ###Answer 1. Changed Reasoning: In Sentence A, the target word ""language disorder"" is used in the context of a specific type of language impairment, with a focus on symptoms and intervention strategies. The word is used in a neutral or clinical sense, without any connotation of negative or stigmatizing implications. In Sentence B, the target word ""language disorder"" is used in a different context, with a focus on personal narratives and the impact of autism on language development. The word is used in a more nuanced sense, with a hint of negative connotation, as the lack of social understanding of narrative is highlighted as a characteristic of individuals with autism. This shift in meaning suggests that the term ""language disorder"" has undergone semantic drift, as it has taken on a different connotation over time." 63,Language disorder,"The complex relationship between epilepsy, language, and behavior is not well understood. Neurologic disorders such as Landau-Kleffner syndrome, electrical status epilepticus during slow-wave sleep, infantile spasms, Lennox-Gastaut syndrome, tuberous sclerosis, autism, and developmental language disorders are useful clinical models in the investigation of this complex relationship. These disorders are reviewed in terms of their contribution to our present knowledge of the relationship between epilepsy, language, and behavior. Present management issues and directions for future research are discussed."," We propose the Quantization Model of neural scaling laws, explaining both the observed power law dropoff of loss with model and data size, and also the sudden emergence of new capabilities with scale. We derive this model from what we call the Quantization Hypothesis, where network knowledge and skills are ""quantized"" into discrete chunks ($\textbf{quanta}$). We show that when quanta are learned in order of decreasing use frequency, then a power law in use frequencies explains observed power law scaling of loss. We validate this prediction on toy datasets, then study how scaling curves decompose for large language models. Using language model gradients, we automatically decompose model behavior into a diverse set of skills (quanta). We tentatively find that the frequency at which these quanta are used in the training distribution roughly follows a power law corresponding with the empirical scaling exponent for language models, a prediction of our theory. ","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Language disorder Sentence A: The complex relationship between epilepsy, language, and behavior is not well understood. Neurologic disorders such as Landau-Kleffner syndrome, electrical status epilepticus during slow-wave sleep, infantile spasms, Lennox-Gastaut syndrome, tuberous sclerosis, autism, and developmental language disorders are useful clinical models in the investigation of this complex relationship. These disorders are reviewed in terms of their contribution to our present knowledge of the relationship between epilepsy, language, and behavior. Present management issues and directions for future research are discussed. Sentence B: We propose the Quantization Model of neural scaling laws, explaining both the observed power law dropoff of loss with model and data size, and also the sudden emergence of new capabilities with scale. We derive this model from what we call the Quantization Hypothesis, where network knowledge and skills are ""quantized"" into discrete chunks ($\textbf{quanta}$). We show that when quanta are learned in order of decreasing use frequency, then a power law in use frequencies explains observed power law scaling of loss. We validate this prediction on toy datasets, then study how scaling curves decompose for large language models. Using language model gradients, we automatically decompose model behavior into a diverse set of skills (quanta). We tentatively find that the frequency at which these quanta are used in the training distribution roughly follows a power law corresponding with the empirical scaling exponent for language models, a prediction of our theory. ###Answer 1. Changed Reasoning: In Sentence A, the target word ""language disorder"" is used in the context of a specific clinical condition, Landau-Kleffner syndrome, which is characterized by language impairments. The sentence highlights the complex relationship between epilepsy, language, and behavior, and the need for further research to understand this relationship. In Sentence B, the target word ""language disorder"" is used in a different context, referring to the Quantization Model of neural scaling laws, which proposes that network knowledge and skills are ""quantized"" into discrete chunks. The sentence discusses the power law scaling of loss with model and data size, and the sudden emergence of new capabilities with scale. The target word ""language disorder"" in this sentence has a different meaning than in Sentence A, as it is used to describe a theoretical model rather than a specific clinical condition. Therefore, the meaning of the target word ""language disorder"" has significantly shifted between the two sentences, indicating semantic drift." 64,Language disorder,"It is peculiar that Bryden and his colleagues admit to the inadequacy of handedness as an index for cerebral anomalous dominance and then attack a model of anomalous dominance using primarily handedness data. In reality, the GBG model (which was intended to be ""a hypothesis and program for research,"" to quote the exact titles of the 1985 articles) is not nearly as narrow as Bryden's worldview. We present here the rest of the literature on the link between immune disorders and language disorders which Bryden et al. neglected and argue that the data are sufficient to have warranted a +2 in their evaluation. The strength of this link is worthy of further investigation, even though the hormonal mechanism proposed in the GBG model may be erroneous."," We classify twenty-one Indo-European languages starting from written text. We use neural networks in order to define a distance among different languages, construct a dendrogram and analyze the ultrametric structure that emerges. Four or five subgroups of languages are identified, according to the ""cut"" of the dendrogram, drawn with an entropic criterion. The results and the method are discussed. ","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Language disorder Sentence A: It is peculiar that Bryden and his colleagues admit to the inadequacy of handedness as an index for cerebral anomalous dominance and then attack a model of anomalous dominance using primarily handedness data. In reality, the GBG model (which was intended to be ""a hypothesis and program for research,"" to quote the exact titles of the 1985 articles) is not nearly as narrow as Bryden's worldview. We present here the rest of the literature on the link between immune disorders and language disorders which Bryden et al. neglected and argue that the data are sufficient to have warranted a +2 in their evaluation. The strength of this link is worthy of further investigation, even though the hormonal mechanism proposed in the GBG model may be erroneous. Sentence B: We classify twenty-one Indo-European languages starting from written text. We use neural networks in order to define a distance among different languages, construct a dendrogram and analyze the ultrametric structure that emerges. Four or five subgroups of languages are identified, according to the ""cut"" of the dendrogram, drawn with an entropic criterion. The results and the method are discussed. ###Answer 1. Changed Reasoning: In Sentence A, the target word ""language disorder"" is used in the context of a scientific study, specifically referring to a connection between language and immune disorders. The sentence highlights the significance of this link and the need for further investigation. In Sentence B, the target word ""language disorder"" is used in a different context, referring to the classification of Indo-European languages using neural networks. The sentence does not convey any meaning related to the immune system or a connection between language and immune disorders. Therefore, the meaning of the target word ""language disorder"" has significantly shifted between the two sentences, indicating semantic drift has occurred." 65,Language disorder,"Conversational indices of language impairment were used to investigate similarities and differences among children with Attention-Deficit/Hyperactivity Disorder (ADHD), children with Specific Language Impairment (SLI) and children with typical development (TD). Utterance formulation measures (per cent words mazed and average number of words per maze) differentiated the ADHD group from the SLI and TD groups (ADHD>TD=SLI). In contrast, measures of lexical diversity, average sentence length and morphosyntactic development (number of different words, MLU, and composite tense) differentiated the SLI group from the ADHD and TD groups (SLI TD=SLI). In contrast, measures of lexical diversity, average sentence length and morphosyntactic development (number of different words, MLU, and composite tense) differentiated the SLI group from the ADHD and TD groups (SLI \lambda_c$, instead, the low-energy phase is characterized by the formation of two dense clusters (a ``binary star''). Remarkably, no Antonov limit is found for $\lambda>\lambda_c$. The thermodynamics of the system (phase diagram, caloric curves, local stability) is analyzed and compared with the recently-obtained picture emerging from a different type of statistics which forbids particle overlapping. ","Purpose Standardized norm-referenced tests are an important aspect of language assessment for school-age children. This study explored the language test selection practices of school-based speech-language pathologists (SLPs) working with elementary school children suspected of having developmental language disorder. Specifically, we investigated which tests were most commonly selected as clinicians' first-choice and follow-up tests, which factors impacted their test selection decisions, and what sources of information they used to determine the psychometric quality of tests. Method School-based SLPs completed a web-based questionnaire regarding their use of norm-referenced language tests. A total of 370 elementary school SLPs completed the questionnaire. Results The vast majority of participants indicated that omnibus language tests are their first choice of test. For follow-up tests, participants selected semantics tests, especially single-word vocabulary tests, significantly more often than tests of pragmatics, processing skills, and morphology/syntax. Participants identified multiple factors as affecting test selection, including availability, familiarity, psychometric features, and others. Although more SLPs reported using data-based than subjective sources of information to judge the psychometric quality of tests, a substantial proportion reported that they relied on subjective sources. Conclusions Clinicians have a strong preference for using omnibus language tests. Follow-up test selection does not appear to align with the language difficulties most associated with developmental language disorder. The substantial use of subjective information about psychometric qualities of tests suggests that many SLPs may not attend to the technical meanings of terms such as validity, reliability, and diagnostic accuracy. These results indicate a need for improvement in evidence-based language assessment practices. Supplemental Material https://doi.org/10.23641/asha.13022471.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Language disorder Sentence A: We study the classical Antonov problem (of retrieving the statistical equilibrium properties of a self-gravitating gas of classical particles obeying Boltzmann statistics in space and confined in a spherical box) for a rotating system. It is shown that a critical angular momentum $\lambda_c$ (or, in the canonical language, a critical angular velocity $\omega_c$) exists, such that for $\lambda<\lambda_c$ the system's behaviour is qualitatively similar to that of a non-rotating gas, with a high energy disordered phase and a low energy collapsed phase ending with Antonov's limit, below which there is no equilibrium state. For $\lambda>\lambda_c$, instead, the low-energy phase is characterized by the formation of two dense clusters (a ``binary star''). Remarkably, no Antonov limit is found for $\lambda>\lambda_c$. The thermodynamics of the system (phase diagram, caloric curves, local stability) is analyzed and compared with the recently-obtained picture emerging from a different type of statistics which forbids particle overlapping. Sentence B: Purpose Standardized norm-referenced tests are an important aspect of language assessment for school-age children. This study explored the language test selection practices of school-based speech-language pathologists (SLPs) working with elementary school children suspected of having developmental language disorder. Specifically, we investigated which tests were most commonly selected as clinicians' first-choice and follow-up tests, which factors impacted their test selection decisions, and what sources of information they used to determine the psychometric quality of tests. Method School-based SLPs completed a web-based questionnaire regarding their use of norm-referenced language tests. A total of 370 elementary school SLPs completed the questionnaire. Results The vast majority of participants indicated that omnibus language tests are their first choice of test. For follow-up tests, participants selected semantics tests, especially single-word vocabulary tests, significantly more often than tests of pragmatics, processing skills, and morphology/syntax. Participants identified multiple factors as affecting test selection, including availability, familiarity, psychometric features, and others. Although more SLPs reported using data-based than subjective sources of information to judge the psychometric quality of tests, a substantial proportion reported that they relied on subjective sources. Conclusions Clinicians have a strong preference for using omnibus language tests. Follow-up test selection does not appear to align with the language difficulties most associated with developmental language disorder. The substantial use of subjective information about psychometric qualities of tests suggests that many SLPs may not attend to the technical meanings of terms such as validity, reliability, and diagnostic accuracy. These results indicate a need for improvement in evidence-based language assessment practices. Supplemental Material https://doi.org/10.23641/asha.13022471. ###Answer 1. Changed Reasoning: In Sentence A, the target word ""Language disorder"" is used in the context of a scientific study on the properties of a self-gravitating gas of classical particles obeying Boltzmann statistics in space and confined in a spherical box. The meaning of the word is related to the study of statistical mechanics and the behavior of particles in a confined space. In Sentence B, the target word ""Language disorder"" is used in the context of language assessment for school-age children. The meaning of the word is related to the assessment and diagnosis of language difficulties in children, which may be associated with developmental language disorder. Comparing the two sentences, it is clear that the meaning of the target word has shifted significantly. In Sentence A, the word is used in the context of a scientific study, while in Sentence B, it is used in the context of language assessment and diagnosis. The word has taken on a different connotation and meaning, indicating a semantic drift. Therefore, the label ""Changed"" is appropriate." 92,Language disorder,"The effects of the label of expressive language disorder (ELD) on adults' perceptions of preschoolers were investigated. Twenty adults interacted with 3 children of typical development and one child previously diagnosed with ELD. Adults were randomly assigned to a label group (in which the child with ELD was identified) or a nonlabel group (in which the child with ELD was not identified). After interacting with dyads of children, adults ranked them according to behavioral characteristics and competencies. Results indicated that the nonlabel group ranked the child with ELD as significantly less likable and less productive, and they predicted less academic competence from her. In contrast, the label group did not differentiate the children behaviorally, but they predicted less social competence from the child with ELD. Implications regarding the use of labels in the inclusion of children with disabilities are discussed."," Difficult-to-treat depression (DTD) has been proposed as a broader and more clinically comprehensive perspective on a person's depressive disorder where despite treatment, they continue to experience significant burden. We sought to develop a Large Language Model (LLM)-based tool capable of interrogating routinely-collected, narrative (free-text) electronic health record (EHR) data to locate published prognostic factors that capture the clinical syndrome of DTD. In this work, we use LLM-generated synthetic data (GPT3.5) and a Non-Maximum Suppression (NMS) algorithm to train a BERT-based span extraction model. The resulting model is then able to extract and label spans related to a variety of relevant positive and negative factors in real clinical data (i.e. spans of text that increase or decrease the likelihood of a patient matching the DTD syndrome). We show it is possible to obtain good overall performance (0.70 F1 across polarity) on real clinical data on a set of as many as 20 different factors, and high performance (0.85 F1 with 0.95 precision) on a subset of important DTD factors such as history of abuse, family history of affective disorder, illness severity and suicidality by training the model exclusively on synthetic data. Our results show promise for future healthcare applications especially in applications where traditionally, highly confidential medical data and human-expert annotation would normally be required. ","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Language disorder Sentence A: The effects of the label of expressive language disorder (ELD) on adults' perceptions of preschoolers were investigated. Twenty adults interacted with 3 children of typical development and one child previously diagnosed with ELD. Adults were randomly assigned to a label group (in which the child with ELD was identified) or a nonlabel group (in which the child with ELD was not identified). After interacting with dyads of children, adults ranked them according to behavioral characteristics and competencies. Results indicated that the nonlabel group ranked the child with ELD as significantly less likable and less productive, and they predicted less academic competence from her. In contrast, the label group did not differentiate the children behaviorally, but they predicted less social competence from the child with ELD. Implications regarding the use of labels in the inclusion of children with disabilities are discussed. Sentence B: Difficult-to-treat depression (DTD) has been proposed as a broader and more clinically comprehensive perspective on a person's depressive disorder where despite treatment, they continue to experience significant burden. We sought to develop a Large Language Model (LLM)-based tool capable of interrogating routinely-collected, narrative (free-text) electronic health record (EHR) data to locate published prognostic factors that capture the clinical syndrome of DTD. In this work, we use LLM-generated synthetic data (GPT3.5) and a Non-Maximum Suppression (NMS) algorithm to train a BERT-based span extraction model. The resulting model is then able to extract and label spans related to a variety of relevant positive and negative factors in real clinical data (i.e. spans of text that increase or decrease the likelihood of a patient matching the DTD syndrome). We show it is possible to obtain good overall performance (0.70 F1 across polarity) on real clinical data on a set of as many as 20 different factors, and high performance (0.85 F1 with 0.95 precision) on a subset of important DTD factors such as history of abuse, family history of affective disorder, illness severity and suicidality by training the model exclusively on synthetic data. Our results show promise for future healthcare applications especially in applications where traditionally, highly confidential medical data and human-expert annotation would normally be required. ###Answer 1. Changed Reasoning: The target word ""Language disorder"" has undergone a significant change in meaning between Sentence A and Sentence B. In Sentence A, the term is used to describe a specific diagnosis, while in Sentence B, it is used more broadly to describe a person's depressive disorder. This shift in meaning indicates semantic drift has occurred." 93,Language disorder,"Speech and language assessment in 30 patients with dementia of the Alzheimer type and in 70 normal controls revealed that all Alzheimer patients were aphasic. Throughout most of the course, the language disorder resembled transcortical sensory aphasia, and increasing language impairment correlated with increasing severity of dementia. Aphasia was present regardless of age of onset or family history of dementia. Aphasia is an important diagnostic criterion of dementia of the Alzheimer type.","There is increasing appreciation for the neurodevelopmental underpinnings of many psychiatric disorders. Disorders that begin in childhood such as autism, language disorders or mental retardation as well as adult-onset mental disorders may have origins early in neurodevelopment. Neural stem cells (NSCs) can be defined as self-renewing, multipotent cells that are present in both the embryonic and adult brain. Several recent research findings demonstrate that psychiatric illness may begin with abnormal specification, growth, expansion and differentiation of embryonic NSCs. For example, candidate susceptibility genes for schizophrenia, autism and major depression include the signaling molecule Disrupted In Schizophrenia-1 (DISC-1), the homeodomain gene engrailed-2 (EN-2), and several receptor tyrosine kinases, including brain-derived growth factor and fibroblast growth factors, all of which have been shown to play important roles in NSCs or neuronal precursors. We will discuss here stem cell biology, signaling factors that affect these cells, and the potential contribution of these processes to the etiology of neuropsychiatric disorders. Hypotheses about how some of these factors relate to psychiatric disorders will be reviewed.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Language disorder Sentence A: Speech and language assessment in 30 patients with dementia of the Alzheimer type and in 70 normal controls revealed that all Alzheimer patients were aphasic. Throughout most of the course, the language disorder resembled transcortical sensory aphasia, and increasing language impairment correlated with increasing severity of dementia. Aphasia was present regardless of age of onset or family history of dementia. Aphasia is an important diagnostic criterion of dementia of the Alzheimer type. Sentence B: There is increasing appreciation for the neurodevelopmental underpinnings of many psychiatric disorders. Disorders that begin in childhood such as autism, language disorders or mental retardation as well as adult-onset mental disorders may have origins early in neurodevelopment. Neural stem cells (NSCs) can be defined as self-renewing, multipotent cells that are present in both the embryonic and adult brain. Several recent research findings demonstrate that psychiatric illness may begin with abnormal specification, growth, expansion and differentiation of embryonic NSCs. For example, candidate susceptibility genes for schizophrenia, autism and major depression include the signaling molecule Disrupted In Schizophrenia-1 (DISC-1), the homeodomain gene engrailed-2 (EN-2), and several receptor tyrosine kinases, including brain-derived growth factor and fibroblast growth factors, all of which have been shown to play important roles in NSCs or neuronal precursors. We will discuss here stem cell biology, signaling factors that affect these cells, and the potential contribution of these processes to the etiology of neuropsychiatric disorders. Hypotheses about how some of these factors relate to psychiatric disorders will be reviewed. ###Answer 1. Changed Reasoning: The target word ""language disorder"" has undergone a significant change in meaning between Sentence A (2000) and Sentence B (2020). In Sentence A, the term likely refers to a specific language impairment associated with dementia, such as aphasia. However, in Sentence B, the term is used more broadly to refer to the neurodevelopmental underpinnings of various psychiatric disorders, including autism and schizophrenia. This shift in meaning suggests that the term ""language disorder"" has undergone semantic drift, and therefore the label ""Changed"" is appropriate." 94,Language disorder," Recently, it has been recognized that phase transitions play an important role in the probabilistic analysis of combinatorial optimization problems. However, there are in fact many other relations that lead to close ties between computer science and statistical physics. This review aims at presenting the tools and concepts designed by physicists to deal with optimization or decision problems in an accessible language for computer scientists and mathematicians, with no prerequisites in physics. We first introduce some elementary methods of statistical mechanics and then progressively cover the tools appropriate for disordered systems. In each case, we apply these methods to study the phase transitions or the statistical properties of the optimal solutions in various combinatorial problems. We cover in detail the Random Graph, the Satisfiability, and the Traveling Salesman problems. References to the physics literature on optimization are provided. We also give our perspective regarding the interdisciplinary contribution of physics to computer science. ","Purpose The aim of the current study was to investigate whether dual language experience modulates the efficiency of the 3 attentional networks (alerting, orienting, and executive control) in typically developing (TD) children and in children with developmental language disorder (DLD). Method We examined the attentional networks in monolingual and bilingual school-aged children (ages 8-12 years) with and without DLD. TD children (35 monolinguals, 23 bilinguals) and children with DLD (17 monolinguals, 9 bilinguals) completed the Attention Network Test (Fan et al., 2002; Fan, McCandliss, Fossella, Flombaum, & Posner, 2005). Results Children with DLD exhibited poorer executive control than TD children, but executive control was not modified by bilingual experience. The bilingual group with DLD and both TD groups exhibited an orienting effect, but the monolingual group with DLD did not. No group differences were found for alerting. Conclusions Children with DLD have weak executive control skills. These skills are minimally influenced by dual language experience, at least in this age range. A potential bilingual advantage in orienting may be present in the DLD group.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Language disorder Sentence A: Recently, it has been recognized that phase transitions play an important role in the probabilistic analysis of combinatorial optimization problems. However, there are in fact many other relations that lead to close ties between computer science and statistical physics. This review aims at presenting the tools and concepts designed by physicists to deal with optimization or decision problems in an accessible language for computer scientists and mathematicians, with no prerequisites in physics. We first introduce some elementary methods of statistical mechanics and then progressively cover the tools appropriate for disordered systems. In each case, we apply these methods to study the phase transitions or the statistical properties of the optimal solutions in various combinatorial problems. We cover in detail the Random Graph, the Satisfiability, and the Traveling Salesman problems. References to the physics literature on optimization are provided. We also give our perspective regarding the interdisciplinary contribution of physics to computer science. Sentence B: Purpose The aim of the current study was to investigate whether dual language experience modulates the efficiency of the 3 attentional networks (alerting, orienting, and executive control) in typically developing (TD) children and in children with developmental language disorder (DLD). Method We examined the attentional networks in monolingual and bilingual school-aged children (ages 8-12 years) with and without DLD. TD children (35 monolinguals, 23 bilinguals) and children with DLD (17 monolinguals, 9 bilinguals) completed the Attention Network Test (Fan et al., 2002; Fan, McCandliss, Fossella, Flombaum, & Posner, 2005). Results Children with DLD exhibited poorer executive control than TD children, but executive control was not modified by bilingual experience. The bilingual group with DLD and both TD groups exhibited an orienting effect, but the monolingual group with DLD did not. No group differences were found for alerting. Conclusions Children with DLD have weak executive control skills. These skills are minimally influenced by dual language experience, at least in this age range. A potential bilingual advantage in orienting may be present in the DLD group. ###Answer 1. Changed Explanation: The target word ""language disorder"" has undergone a significant change in meaning between Sentence A (2000) and Sentence B (2020). In Sentence A, the term likely refers to a language impairment or disability, as the context discusses the tools and concepts designed by physicists to deal with optimization or decision problems in an accessible language for computer scientists and mathematicians. In contrast, in Sentence B, the term likely refers to a developmental language disorder, as the context discusses the attentional networks in monolingual and bilingual school-aged children with and without developmental language disorder. The shift in meaning is likely due to changes in the understanding and classification of language disorders over time. In the early 2000s, language disorders were often understood as a single entity, while today, there is a growing recognition of the diversity of language disorders and their underlying causes. As a result, the term ""language disorder"" may have taken on different connotations and meanings depending on the context. Therefore, I would label the target word ""language disorder"" as ""Changed"" in Sentence B compared to Sentence A." 95,Language disorder,"Naming impairment is a common feature of the language disorder of dementia, yet agreement has not been reached on its mechanisms. In this study, the confrontation naming performance of twelve demented subjects was compared to that of age-matched controls. Naming deficits were studied in relation to overall language and cognitive dysfunction and analysed to assess the importance of both perceptual and linguistic factors. Naming dysfunction occurred even in mild dementia, in patients whose overall language function remained normal, and worsened in proportion to the degree both of language deficit and overall cognitive dysfunction. Perceptual difficulty and word frequency, but not word length, were important determinants of naming performance in demented patients."," We report a flexible multi-modal mechanics language model, MeLM, applied to solve various nonlinear forward and inverse problems, that can deal with a set of instructions, numbers and microstructure data. The framework is applied to various examples including bio-inspired hierarchical honeycomb design, carbon nanotube mechanics, and protein unfolding. In spite of the flexible nature of the model-which allows us to easily incorporate diverse materials, scales, and mechanical features-it performs well across disparate forward and inverse tasks. Based on an autoregressive attention-model, MeLM effectively represents a large multi-particle system consisting of hundreds of millions of neurons, where the interaction potentials are discovered through graph-forming self-attention mechanisms that are then used to identify relationships from emergent structures, while taking advantage of synergies discovered in the training data. We show that the model can solve complex degenerate mechanics design problems and determine novel material architectures across a range of hierarchical levels, providing an avenue for materials discovery and analysis. Looking beyond the demonstrations reported in this paper, we discuss other opportunities in applied mechanics and general considerations about the use of large language models in modeling, design, and analysis that can span a broad spectrum of material properties from mechanical, thermal, optical, to electronic. ","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Language disorder Sentence A: Naming impairment is a common feature of the language disorder of dementia, yet agreement has not been reached on its mechanisms. In this study, the confrontation naming performance of twelve demented subjects was compared to that of age-matched controls. Naming deficits were studied in relation to overall language and cognitive dysfunction and analysed to assess the importance of both perceptual and linguistic factors. Naming dysfunction occurred even in mild dementia, in patients whose overall language function remained normal, and worsened in proportion to the degree both of language deficit and overall cognitive dysfunction. Perceptual difficulty and word frequency, but not word length, were important determinants of naming performance in demented patients. Sentence B: We report a flexible multi-modal mechanics language model, MeLM, applied to solve various nonlinear forward and inverse problems, that can deal with a set of instructions, numbers and microstructure data. The framework is applied to various examples including bio-inspired hierarchical honeycomb design, carbon nanotube mechanics, and protein unfolding. In spite of the flexible nature of the model-which allows us to easily incorporate diverse materials, scales, and mechanical features-it performs well across disparate forward and inverse tasks. Based on an autoregressive attention-model, MeLM effectively represents a large multi-particle system consisting of hundreds of millions of neurons, where the interaction potentials are discovered through graph-forming self-attention mechanisms that are then used to identify relationships from emergent structures, while taking advantage of synergies discovered in the training data. We show that the model can solve complex degenerate mechanics design problems and determine novel material architectures across a range of hierarchical levels, providing an avenue for materials discovery and analysis. Looking beyond the demonstrations reported in this paper, we discuss other opportunities in applied mechanics and general considerations about the use of large language models in modeling, design, and analysis that can span a broad spectrum of material properties from mechanical, thermal, optical, to electronic. ###Answer 1. Changed Reasoning: The meaning of the target word ""language disorder"" has shifted significantly between the two sentences. In Sentence A, the term is used to describe a specific cognitive impairment in individuals with dementia, emphasizing the perceptual and linguistic factors that contribute to naming dysfunction. In contrast, in Sentence B, the term is used more broadly to describe a flexible multi-modal mechanics language model that can solve various nonlinear forward and inverse problems, without any specific reference to cognitive impairment or perceptual difficulty. The shift in meaning suggests that the term has undergone semantic drift, and therefore the label ""Changed"" is appropriate." 96,Language disorder,"The language abilities of a group of seven chronic aphasics with vascular lesions centered on the striato-capsular region and thalamus of the left hemisphere were described. A range of severity and types of chronic language disorder were documented through assessment using a battery of standardized language tests. The most common language disorder documented was a naming impairment of varying degrees of severity, exhibited by six of the seven cases. The majority of subjects made predominantly semantic errors in the naming task; however, each subject produced a variety of error types and there was no pattern of errors characteristic of the group. The language data obtained were used to evaluate previously developed models of the role of the subcortical structures in naming functions.","Language comprehension requires decoding of complex, rapidly changing speech streams. Detecting changes of frequency modulation (FM) within speech is hypothesized as essential for accurate phoneme detection, and thus, for spoken word comprehension. Despite past demonstration of FM auditory evoked response (FMAER) utility in language disorder investigations, it is seldom utilized clinically. This report's purpose is to facilitate clinical use by explaining analytic pitfalls, demonstrating sites of cortical origin, and illustrating potential utility.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Language disorder Sentence A: The language abilities of a group of seven chronic aphasics with vascular lesions centered on the striato-capsular region and thalamus of the left hemisphere were described. A range of severity and types of chronic language disorder were documented through assessment using a battery of standardized language tests. The most common language disorder documented was a naming impairment of varying degrees of severity, exhibited by six of the seven cases. The majority of subjects made predominantly semantic errors in the naming task; however, each subject produced a variety of error types and there was no pattern of errors characteristic of the group. The language data obtained were used to evaluate previously developed models of the role of the subcortical structures in naming functions. Sentence B: Language comprehension requires decoding of complex, rapidly changing speech streams. Detecting changes of frequency modulation (FM) within speech is hypothesized as essential for accurate phoneme detection, and thus, for spoken word comprehension. Despite past demonstration of FM auditory evoked response (FMAER) utility in language disorder investigations, it is seldom utilized clinically. This report's purpose is to facilitate clinical use by explaining analytic pitfalls, demonstrating sites of cortical origin, and illustrating potential utility. ###Answer 1. Changed The target word ""language disorder"" has undergone a significant change in meaning between Sentence A (2000) and Sentence B (2020). In Sentence A, the term refers to a specific type of cognitive impairment characterized by naming impairments, with a focus on the subcortical structures involved in language processing. In contrast, in Sentence B, the term is used more broadly to describe the complex cognitive processes involved in language comprehension, including the detection of changes in speech frequency modulation. The shift in meaning suggests that the term ""language disorder"" has changed from a specific diagnosis to a more general term encompassing a range of language processing abilities." 97,Language disorder,"We describe a Brazilian family in which one female patient and her three daughters present a clinical course compatible with migraine, preceded by language disorders (aphasia), without paresis. Several aspects related to genetics of migraine are reviewed. We conclude that further genetical studies are necessary to establish if these cases are different sources of well-known migraine subtypes as the familial hemiplegic migraine.","The underdiagnosis of developmental language disorder (DLD) in children is a serious problem in developing countries with limited resources. It has long been noted that the concerns parents have about their children's health and development are richly informative, and if this information can be used for diagnosis, it may provide a means to address the problem of underdiagnosis of DLD. This study aimed to quantify the utility of parental linguistic concern questions (PLCQ) on the identification of language disorders in monolingual Spanish-speaking children in Mexico. It also explored whether a combination of biological and environmental conditions questions (BECQ) might improve the performance of a screening test to identify DLD.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Language disorder Sentence A: We describe a Brazilian family in which one female patient and her three daughters present a clinical course compatible with migraine, preceded by language disorders (aphasia), without paresis. Several aspects related to genetics of migraine are reviewed. We conclude that further genetical studies are necessary to establish if these cases are different sources of well-known migraine subtypes as the familial hemiplegic migraine. Sentence B: The underdiagnosis of developmental language disorder (DLD) in children is a serious problem in developing countries with limited resources. It has long been noted that the concerns parents have about their children's health and development are richly informative, and if this information can be used for diagnosis, it may provide a means to address the problem of underdiagnosis of DLD. This study aimed to quantify the utility of parental linguistic concern questions (PLCQ) on the identification of language disorders in monolingual Spanish-speaking children in Mexico. It also explored whether a combination of biological and environmental conditions questions (BECQ) might improve the performance of a screening test to identify DLD. ###Answer 1. Changed Reasoning: In Sentence A, the target word ""language disorder"" is used in the context of a specific medical condition (migraine) and genetic research. The term implies a clear and specific meaning related to speech and language difficulties. In Sentence B, the target word is used in a different context (developmental language disorder) and has a different connotation. The term is used to describe a broader range of language difficulties, including those related to development and learning. The meaning of the term has shifted from a specific medical condition to a broader category of language challenges. Therefore, semantic drift has occurred in the meaning of the target word." 98,Language disorder,"Language disorder is often mistaken for confusion, psychosis, or memory loss, and thorough evaluation may require much time. A simple beside examination can often separate aphasic syndromes, and the anatomic location of the lesion can be inferred. Speech therapy, although not entirely satisfactory, is helpful in most patients.","The aim of this study was to compare language abilities in 4-6-year-old Georgian-speaking children with typical language development (TLD), expressive language disorder (ELD), and autism spectrum disorder (ASD). Language linguistic components, such as phonology, semantics, syntax, morphology, and pragmatics, were examined along with verbal behavior types like ""mand,"" ""tact,"" ""echoic,"" and ""intraverbal."" Our sample comprised 148 children, with a gender distribution of 50 girls and 98 boys. Significant differences were observed in the application of various parts of speech across the three groups. Children with ELD were found to use pronouns more frequently compared to TLD and ASD groups. Conversely, children exhibiting typical language development displayed a greater usage of conjunctions and particles than the other groups. Notably, linguistic error patterns varied across groups: children with ELD predominantly committed errors in phonetics and morphosyntax, while children with ASD had more pragmatic errors and also struggled with morphosyntax. Moreover, the ASD group was found to use ""mands"" and ""echoics"" more frequently than both the TLD and ELD groups.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Language disorder Sentence A: Language disorder is often mistaken for confusion, psychosis, or memory loss, and thorough evaluation may require much time. A simple beside examination can often separate aphasic syndromes, and the anatomic location of the lesion can be inferred. Speech therapy, although not entirely satisfactory, is helpful in most patients. Sentence B: The aim of this study was to compare language abilities in 4-6-year-old Georgian-speaking children with typical language development (TLD), expressive language disorder (ELD), and autism spectrum disorder (ASD). Language linguistic components, such as phonology, semantics, syntax, morphology, and pragmatics, were examined along with verbal behavior types like ""mand,"" ""tact,"" ""echoic,"" and ""intraverbal."" Our sample comprised 148 children, with a gender distribution of 50 girls and 98 boys. Significant differences were observed in the application of various parts of speech across the three groups. Children with ELD were found to use pronouns more frequently compared to TLD and ASD groups. Conversely, children exhibiting typical language development displayed a greater usage of conjunctions and particles than the other groups. Notably, linguistic error patterns varied across groups: children with ELD predominantly committed errors in phonetics and morphosyntax, while children with ASD had more pragmatic errors and also struggled with morphosyntax. Moreover, the ASD group was found to use ""mands"" and ""echoics"" more frequently than both the TLD and ELD groups. ###Answer 1. Changed 2. Unchanged Explanation: In Sentence A, the term ""language disorder"" is used to describe a condition where language abilities are impaired, often mistaken for other conditions such as confusion, psychosis, or memory loss. The sentence suggests that the term ""language disorder"" was used to describe a broader range of language impairments in the past, including aphasic syndromes. However, in Sentence B, the term ""language disorder"" is used more specifically to describe a condition where children with typical language development exhibit language abnormalities, such as a greater usage of pronouns and a lesser usage of conjunctions and particles. This suggests that the term ""language disorder"" has shifted in meaning over time, becoming more specific and focused on child language development. Therefore, the label ""Changed"" is appropriate for this task." 99,Language disorder,"John Abercrombie (1780-1844) was considered the most eminent Scottish physician of his time. In his Pathological and Practical Researches on the Diseases of the Brain and Spinal Cord (1836, Edinburgh: John Carfrae and Son, 3rd ed.) he described the cases of 140 patients with cerebral disorders, 48 of whom suffered from language disturbances. Despite the overwhelming clinical and neuropathological evidence of a close association between language disorder and right-sided hemiparesis or diseases of the left hemisphere, and in spite of his great interest in language disorders, he made no attempt to localize the aphasic syndrome to a specific brain area.","Introduction Communication is the exchange of information through speaking, writing, and other mediums. Speech is the expression of thoughts in spoken words. Language is the principal method that humans use for relaying information; consisting of words conveyed by speech, writing, or gestures. Language is the conceptual processing of communication. Problems in communication or oral motor function are called speech and language disorders. Developmental delay is diagnosed when a child does not attain normal developmental milestones at the expected age. Speech and/or language disorders are amongst the most common developmental difficulties in childhood. Such difficulties are termed 'primary' if they have no known etiology, and 'secondary' if they are caused by another condition such as hearing and neurological impairment, and developmental, behavioral, or emotional difficulties. Objectives The objective of our study was to observe the risk factors for speech and language delay in the children presenting to the speech therapy clinic of a tertiary care hospital in a large urban center. Methodology A cross-sectional study was conducted on 150 children presenting at the speech therapy clinic of Lahore General Hospital from July to August 2021. A well-designed questionnaire was used to collect data about the sociodemographic profile, and biological, developmental, and environmental risk factors of speech and language delay in children. SPSS, version 25 (IBM Corp., Armonk, NY) was used to enter and analyze the data. Results Parents or caretakers of a total of 98 male and 52 female children took part in this study aged 2-11 years. The average age of speech and language delay among the children was 5.65 years, 66.7% of which went to normal school while 31.3% went to special school; 66.7% were from urban areas. Around 60% had middle ear infections, and 34.7% were found to have oropharyngeal anomalies. A history of intrapartum complications was found in 68.4% of children; 46.7% of children had a history of use of a pacifier and 38% had a history of thumb sucking. Nearly 39% of children belonged to a multilingual family environment and 66.7% had a family history of screen viewing for more than two hours. Conclusion The major risk factors contributing to speech and language delay in children are family history of speech and language delay, prolonged sucking habits, male gender, oropharyngeal anomalies, hearing problems, and middle ear infections. Measures should be taken to educate people regarding risk factors, courses, and management of speech and language delay in children.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Language disorder Sentence A: John Abercrombie (1780-1844) was considered the most eminent Scottish physician of his time. In his Pathological and Practical Researches on the Diseases of the Brain and Spinal Cord (1836, Edinburgh: John Carfrae and Son, 3rd ed.) he described the cases of 140 patients with cerebral disorders, 48 of whom suffered from language disturbances. Despite the overwhelming clinical and neuropathological evidence of a close association between language disorder and right-sided hemiparesis or diseases of the left hemisphere, and in spite of his great interest in language disorders, he made no attempt to localize the aphasic syndrome to a specific brain area. Sentence B: Introduction Communication is the exchange of information through speaking, writing, and other mediums. Speech is the expression of thoughts in spoken words. Language is the principal method that humans use for relaying information; consisting of words conveyed by speech, writing, or gestures. Language is the conceptual processing of communication. Problems in communication or oral motor function are called speech and language disorders. Developmental delay is diagnosed when a child does not attain normal developmental milestones at the expected age. Speech and/or language disorders are amongst the most common developmental difficulties in childhood. Such difficulties are termed 'primary' if they have no known etiology, and 'secondary' if they are caused by another condition such as hearing and neurological impairment, and developmental, behavioral, or emotional difficulties. Objectives The objective of our study was to observe the risk factors for speech and language delay in the children presenting to the speech therapy clinic of a tertiary care hospital in a large urban center. Methodology A cross-sectional study was conducted on 150 children presenting at the speech therapy clinic of Lahore General Hospital from July to August 2021. A well-designed questionnaire was used to collect data about the sociodemographic profile, and biological, developmental, and environmental risk factors of speech and language delay in children. SPSS, version 25 (IBM Corp., Armonk, NY) was used to enter and analyze the data. Results Parents or caretakers of a total of 98 male and 52 female children took part in this study aged 2-11 years. The average age of speech and language delay among the children was 5.65 years, 66.7% of which went to normal school while 31.3% went to special school; 66.7% were from urban areas. Around 60% had middle ear infections, and 34.7% were found to have oropharyngeal anomalies. A history of intrapartum complications was found in 68.4% of children; 46.7% of children had a history of use of a pacifier and 38% had a history of thumb sucking. Nearly 39% of children belonged to a multilingual family environment and 66.7% had a family history of screen viewing for more than two hours. Conclusion The major risk factors contributing to speech and language delay in children are family history of speech and language delay, prolonged sucking habits, male gender, oropharyngeal anomalies, hearing problems, and middle ear infections. Measures should be taken to educate people regarding risk factors, courses, and management of speech and language delay in children. ###Answer 1. Changed Reasoning: The target word ""Language disorder"" has undergone a significant change in meaning between the two sentences. In Sentence A, the term refers to a condition where a patient experiences language disturbances, likely due to a neurological disorder. In Sentence B, the term is used more broadly to refer to any problems in communication or oral motor function, including those caused by hearing and neurological impairments, developmental, behavioral, or emotional difficulties. In Sentence A, the focus is on the relationship between language disorder and right-sided hemiparesis or diseases of the left hemisphere. In contrast, Sentence B does not mention any specific brain area or disease, instead focusing on the general concept of language processing and the various risk factors that can contribute to speech and language delay in children. Therefore, based on the context and meaning of the target word in the two sentences, it can be concluded that the term ""Language disorder"" has changed in meaning, shifting from a more specific reference to a broader concept encompassing various aspects of communication and language processing." 0,Blindness,"Prevention of visual impairment and blindness in childhood due to congenital and infantile cataract is an important international goal. Preventive strategies require information about etiology that is currently unavailable for many regions of the world. From a national epidemiologic study, the underlying or associated factors in newly diagnosed cases of congenital or infantile cataract in the United Kingdom are reported, and the implications for future etiological research are discussed.","Untreated or undertreated diabetes can cause debilitating complications such as blindness and amputations. Information about the factors associated with diagnosed but untreated diabetes may help target efforts to promote appropriate treatment. Using the Medical Expenditure Panel Survey, we examine: (1) use of insulin or oral medications, (2) use of diet only, and (3) no treatment. We analyze covariates of this trichotomous outcome using multinomial logit regression. Among adults diagnosed with diabetes, 87.0% used oral medications or insulin, 10.6% used diet only, and 2.4% were untreated. Lacking a usual source of care, poor mental health, being single, and being an Asian/Pacific Islander are associated with lack of treatment. Better health, lacking a usual source of care, and attitudes against medical care are associated with using diet only. Adults with diagnosed but untreated or undertreated diabetes may be difficult for service providers to reach, and multiple strategies are needed to initiate treatment.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Blindness Sentence A: Prevention of visual impairment and blindness in childhood due to congenital and infantile cataract is an important international goal. Preventive strategies require information about etiology that is currently unavailable for many regions of the world. From a national epidemiologic study, the underlying or associated factors in newly diagnosed cases of congenital or infantile cataract in the United Kingdom are reported, and the implications for future etiological research are discussed. Sentence B: Untreated or undertreated diabetes can cause debilitating complications such as blindness and amputations. Information about the factors associated with diagnosed but untreated diabetes may help target efforts to promote appropriate treatment. Using the Medical Expenditure Panel Survey, we examine: (1) use of insulin or oral medications, (2) use of diet only, and (3) no treatment. We analyze covariates of this trichotomous outcome using multinomial logit regression. Among adults diagnosed with diabetes, 87.0% used oral medications or insulin, 10.6% used diet only, and 2.4% were untreated. Lacking a usual source of care, poor mental health, being single, and being an Asian/Pacific Islander are associated with lack of treatment. Better health, lacking a usual source of care, and attitudes against medical care are associated with using diet only. Adults with diagnosed but untreated or undertreated diabetes may be difficult for service providers to reach, and multiple strategies are needed to initiate treatment. ###Answer 1. Changed (Blindness) In Sentence A, ""blindness"" is used to describe a specific health condition that can be prevented or treated. The sentence highlights the importance of prevention and the lack of information about the etiology of the condition in certain regions. The term ""blindness"" carries a negative connotation, implying a loss of vision or impaired sight. In Sentence B, ""blindness"" is used in a different context. It is mentioned in the context of untreated or undertreated diabetes, which can lead to debilitating complications. The sentence highlights the importance of treatment and the factors associated with lack of treatment. The term ""blindness"" carries a different connotation, implying a lack of awareness or understanding of the importance of treatment. Based on these differences in context and connotation, it can be argued that the meaning of ""blindness"" has shifted over time. In Sentence A, ""blindness"" is used to describe a specific health condition with a negative connotation, while in Sentence B, it is used to describe a broader concept of lack of awareness or understanding. Therefore, the label ""Changed"" is appropriate." 1,Blindness,"Blindness due to trachoma is a serious public health issue world wide. The currently recommended treatment of active trachoma with repeated doses of tetracycline eye ointment has many disadvantages. The new azalide antibiotic azithromycin is effective as a single oral dose in the chemotherapy of genital Chlamydia trachomatis infections, and we have assessed its efficacy for trachoma treatment. We carried out a randomised single-blind comparison of azithromycin (a single oral dose of 20 mg/kg) with conventional treatment (6 weeks of topical tetracycline plus erythromycin for severe cases) in two villages with endemic trachoma in The Gambia. The patients were followed up for 26 weeks from the start of treatment by an observer unaware of treatment allocation. By 6 months' follow-up, trachoma had resolved in 76 (78%) of 97 subjects who received azithromycin compared with 70 (72%) of 97 who were treated conventionally (95% CI for difference -6% to 18%). Compliance with both treatments was good, but that for conventional treatment could probably not be achieved outside the research setting. There were no significant differences in treatment effect, baseline characteristics, or re-emergent disease between the treatment groups. Azithromycin was well tolerated. As a systemic treatment effective in a single dose it has important potential for trachoma control.","Retinal degeneration (RD) in the Miniature Long Haired Dachshund (MLHD) is a cone-rod dystrophy resulting in eventual blindness in affected individuals. In a previous study, a 44-nucleotide insertion (ins44) in exon 2 of RPGRIP1 was associated with RD. However, results on an extended population of MLHD revealed a variable RD onset age for ins44 homozygous dogs. Further investigations using a genome-wide association study comparing early onset and late onset RD cases identified an age of onset modifying locus for RD, approximately 30 Mb upstream of RPGRIP1 on chr15. In this investigation, target enriched sequencing identified a MAP9 deletion spanning approximately 22 kb associated with early RD onset. Identification of the deletion required correction to the CanFam3.1 genome build as canine MAP9 is part of a historic tandem duplication, resulting in incomplete assembly of this genome region. The deletion breakpoints were identified in MAP9 intron 10 and in a downstream partial MAP9 pseudogene. The fusion of these two genes, which we have called MAP9 EORD (microtubule-associated protein, early onset retinal degeneration), is in frame and is expressed at the RNA level, with the 3' region containing several predicted deleterious variants. We speculate that MAP9 associates with α-tubulin in the basal body of the cilium. RPGRIP1 is also known to locate to the cilium, where it is closely associated with RPGR. RPGRIP1 mutations also cause redistribution of α-tubulin away from the ciliary region in photoreceptors. Hence, a MAP9 partial deficit is a particularly attractive candidate to synergise with a partial RPGRIP1 deficit to cause a more serious disease.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Blindness Sentence A: Blindness due to trachoma is a serious public health issue world wide. The currently recommended treatment of active trachoma with repeated doses of tetracycline eye ointment has many disadvantages. The new azalide antibiotic azithromycin is effective as a single oral dose in the chemotherapy of genital Chlamydia trachomatis infections, and we have assessed its efficacy for trachoma treatment. We carried out a randomised single-blind comparison of azithromycin (a single oral dose of 20 mg/kg) with conventional treatment (6 weeks of topical tetracycline plus erythromycin for severe cases) in two villages with endemic trachoma in The Gambia. The patients were followed up for 26 weeks from the start of treatment by an observer unaware of treatment allocation. By 6 months' follow-up, trachoma had resolved in 76 (78%) of 97 subjects who received azithromycin compared with 70 (72%) of 97 who were treated conventionally (95% CI for difference -6% to 18%). Compliance with both treatments was good, but that for conventional treatment could probably not be achieved outside the research setting. There were no significant differences in treatment effect, baseline characteristics, or re-emergent disease between the treatment groups. Azithromycin was well tolerated. As a systemic treatment effective in a single dose it has important potential for trachoma control. Sentence B: Retinal degeneration (RD) in the Miniature Long Haired Dachshund (MLHD) is a cone-rod dystrophy resulting in eventual blindness in affected individuals. In a previous study, a 44-nucleotide insertion (ins44) in exon 2 of RPGRIP1 was associated with RD. However, results on an extended population of MLHD revealed a variable RD onset age for ins44 homozygous dogs. Further investigations using a genome-wide association study comparing early onset and late onset RD cases identified an age of onset modifying locus for RD, approximately 30 Mb upstream of RPGRIP1 on chr15. In this investigation, target enriched sequencing identified a MAP9 deletion spanning approximately 22 kb associated with early RD onset. Identification of the deletion required correction to the CanFam3.1 genome build as canine MAP9 is part of a historic tandem duplication, resulting in incomplete assembly of this genome region. The deletion breakpoints were identified in MAP9 intron 10 and in a downstream partial MAP9 pseudogene. The fusion of these two genes, which we have called MAP9 EORD (microtubule-associated protein, early onset retinal degeneration), is in frame and is expressed at the RNA level, with the 3' region containing several predicted deleterious variants. We speculate that MAP9 associates with α-tubulin in the basal body of the cilium. RPGRIP1 is also known to locate to the cilium, where it is closely associated with RPGR. RPGRIP1 mutations also cause redistribution of α-tubulin away from the ciliary region in photoreceptors. Hence, a MAP9 partial deficit is a particularly attractive candidate to synergise with a partial RPGRIP1 deficit to cause a more serious disease. ###Answer 1. Changed Reasoning: In Sentence A, the target word ""Blindness"" is used to describe a specific medical condition, trachoma, which was previously treated with tetracycline eye ointment. However, in Sentence B, the target word ""Blindness"" is used in a different context to describe a genetic disorder affecting the retina, resulting in eventual blindness. The two sentences convey different meanings and connotations of the word ""Blindness"", indicating semantic drift has occurred." 2,Blindness,"The rd (retinal degenerate) strain of chicken is an example of a recessively inherited mutation characterized by blindness at the time of hatching, as defined by behavioral and electrophysiological tests. Paradoxically, blind mutants have normal retinal morphology, even at the ultrastructural level. Eventually, however, the entire retina degenerates in this strain, perhaps as a result of disuse atrophy. Results of preliminary studies imply that a defect in the visual transduction cascade in photoreceptor cells is responsible for the lack of vision. As well as being an important animal model for studies on photochemistry and transduction, the rd chicken may afford a paradigm for studies on inner retinal physiology and pathology, as electrical input to this inner neuronal system appears to be absent. In the current study we examined axonal transport (both retrograde and anterograde) in rd retinal ganglion cells and connectivity of ganglion cells to visual centers in the brain and compared these to normally sighted chicks. All visuorecipient nuclei were present in rd animals and appeared normal at the light microscopic level. When 3H-proline was injected into one eye of a blind chicken on the day of hatching, labeled polypeptides or proteins were transported via a fast transport mechanism to the same visual centers in roughly the same quantities as in normally sighted chicks. When horseradish peroxidase (HRP) was injected in the optic tectum of blind and normal 1 day old chicks, this label was transported retrogradely to the soma of retinal ganglion cells.(ABSTRACT TRUNCATED AT 250 WORDS)",Extremely preterm infants are at risk of developing retinopathy of prematurity (ROP) that can cause impaired vision or blindness. Changes in blood lipids have been associated with ROP. This study aimed to monitor longitudinal changes in the serum sphingolipidome of extremely preterm infants and investigate the relationship to development of severe ROP.,"###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Blindness Sentence A: The rd (retinal degenerate) strain of chicken is an example of a recessively inherited mutation characterized by blindness at the time of hatching, as defined by behavioral and electrophysiological tests. Paradoxically, blind mutants have normal retinal morphology, even at the ultrastructural level. Eventually, however, the entire retina degenerates in this strain, perhaps as a result of disuse atrophy. Results of preliminary studies imply that a defect in the visual transduction cascade in photoreceptor cells is responsible for the lack of vision. As well as being an important animal model for studies on photochemistry and transduction, the rd chicken may afford a paradigm for studies on inner retinal physiology and pathology, as electrical input to this inner neuronal system appears to be absent. In the current study we examined axonal transport (both retrograde and anterograde) in rd retinal ganglion cells and connectivity of ganglion cells to visual centers in the brain and compared these to normally sighted chicks. All visuorecipient nuclei were present in rd animals and appeared normal at the light microscopic level. When 3H-proline was injected into one eye of a blind chicken on the day of hatching, labeled polypeptides or proteins were transported via a fast transport mechanism to the same visual centers in roughly the same quantities as in normally sighted chicks. When horseradish peroxidase (HRP) was injected in the optic tectum of blind and normal 1 day old chicks, this label was transported retrogradely to the soma of retinal ganglion cells.(ABSTRACT TRUNCATED AT 250 WORDS) Sentence B: Extremely preterm infants are at risk of developing retinopathy of prematurity (ROP) that can cause impaired vision or blindness. Changes in blood lipids have been associated with ROP. This study aimed to monitor longitudinal changes in the serum sphingolipidome of extremely preterm infants and investigate the relationship to development of severe ROP. ###Answer 1. Changed Reasoning: In Sentence A, the target word ""blindness"" is used to describe a specific genetic condition in which chicken embryos are born blind. The context suggests that this condition is caused by a mutation in the visual transduction cascade in photoreceptor cells, leading to a lack of vision. In contrast, in Sentence B, the target word ""blindness"" is used to describe a different condition, specifically retinopathy of prematurity (ROP), which can cause impaired vision or blindness in extremely preterm infants. The context suggests that this condition is unrelated to the genetic mutation described in Sentence A. Therefore, semantic drift has occurred in the meaning of the target word ""blindness"" between these two sentences." 3,Blindness,"Diabetes mellitus is one of the non-communicable diseases that has accompanied Aboriginal exposure to Western life style. The prevalence of diabetes mellitus is higher in the Aboriginal population than in non-Aboriginal Australians (Holding, 1985) and many Aboriginals who have diabetes mellitus develop diabetic retinopathy. Early detection facilitates treatment and prevention of blindness, a sequela of diabetic retinopathy. This paper describes the use of technology assessment as a framework for comparing two diagnostic technologies, fundal camera and ophthalmoscope, for use with Aboriginal people in central Australia.","Diabetic retinopathy (DR), one of the most common complications of diabetes, is the leading cause of legal blindness among adults of working age in developed countries. After 20 years of diabetes, almost all patients suffering from type I diabetes mellitus and about 60% of type II diabetics have DR. Several studies have tried to identify drugs and therapies to treat DR though little attention has been given to flavonoids, one type of polyphenols, which can be found in high levels mainly in fruits and vegetables, but also in other foods such as grains, cocoa, green tea or even in red wine. Flavonoids have anti-inflammatory, antioxidant and antiviral effects. Since it is known that diabetes induces oxidative stress and inflammation in the retina leading to neuronal death in the early stages of the disease, the use of these compounds can prove to be beneficial in the prevention or treatment of DR. In this review, we summarize the molecular and cellular effects of flavonoids in the diabetic retina.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Blindness Sentence A: Diabetes mellitus is one of the non-communicable diseases that has accompanied Aboriginal exposure to Western life style. The prevalence of diabetes mellitus is higher in the Aboriginal population than in non-Aboriginal Australians (Holding, 1985) and many Aboriginals who have diabetes mellitus develop diabetic retinopathy. Early detection facilitates treatment and prevention of blindness, a sequela of diabetic retinopathy. This paper describes the use of technology assessment as a framework for comparing two diagnostic technologies, fundal camera and ophthalmoscope, for use with Aboriginal people in central Australia. Sentence B: Diabetic retinopathy (DR), one of the most common complications of diabetes, is the leading cause of legal blindness among adults of working age in developed countries. After 20 years of diabetes, almost all patients suffering from type I diabetes mellitus and about 60% of type II diabetics have DR. Several studies have tried to identify drugs and therapies to treat DR though little attention has been given to flavonoids, one type of polyphenols, which can be found in high levels mainly in fruits and vegetables, but also in other foods such as grains, cocoa, green tea or even in red wine. Flavonoids have anti-inflammatory, antioxidant and antiviral effects. Since it is known that diabetes induces oxidative stress and inflammation in the retina leading to neuronal death in the early stages of the disease, the use of these compounds can prove to be beneficial in the prevention or treatment of DR. In this review, we summarize the molecular and cellular effects of flavonoids in the diabetic retina. ###Answer 1. Changed Explanation: In Sentence A, the word ""blindness"" is used in the context of a specific disease (diabetic retinopathy), and the connotation is negative, implying loss of vision. In Sentence B, the word ""blindness"" is used more broadly, to refer to any form of blindness, and the connotation is less negative. This shift in meaning suggests that the word ""blindness"" has undergone semantic drift, and its meaning has changed over time." 4,Blindness,"A patient is described who, following a post-eclamptic intravascular disseminated coagulation, had a bilateral stroke in the territories supplied by the posterior cerebral arteries. She showed an anosognosia of her cortical blindness associated with a severe recent memory loss."," Recently, the area of adversarial attacks on image quality metrics has begun to be explored, whereas the area of defences remains under-researched. In this study, we aim to cover that case and check the transferability of adversarial purification defences from image classifiers to IQA methods. In this paper, we apply several widespread attacks on IQA models and examine the success of the defences against them. The purification methodologies covered different preprocessing techniques, including geometrical transformations, compression, denoising, and modern neural network-based methods. Also, we address the challenge of assessing the efficacy of a defensive methodology by proposing ways to estimate output visual quality and the success of neutralizing attacks. Defences were tested against attack on three IQA metrics -- Linearity, MetaIQA and SPAQ. The code for attacks and defences is available at: (link is hidden for a blind review). ","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Blindness Sentence A: A patient is described who, following a post-eclamptic intravascular disseminated coagulation, had a bilateral stroke in the territories supplied by the posterior cerebral arteries. She showed an anosognosia of her cortical blindness associated with a severe recent memory loss. Sentence B: Recently, the area of adversarial attacks on image quality metrics has begun to be explored, whereas the area of defences remains under-researched. In this study, we aim to cover that case and check the transferability of adversarial purification defences from image classifiers to IQA methods. In this paper, we apply several widespread attacks on IQA models and examine the success of the defences against them. The purification methodologies covered different preprocessing techniques, including geometrical transformations, compression, denoising, and modern neural network-based methods. Also, we address the challenge of assessing the efficacy of a defensive methodology by proposing ways to estimate output visual quality and the success of neutralizing attacks. Defences were tested against attack on three IQA metrics -- Linearity, MetaIQA and SPAQ. The code for attacks and defences is available at: (link is hidden for a blind review). ###Answer 1. Changed Reasoning: In Sentence A, the target word ""blindness"" is used to describe a medical condition, specifically a patient's inability to see due to a stroke. The context suggests that the patient is experiencing a physical loss of vision. In Sentence B, the target word ""blindness"" is used in a different context, specifically in the context of adversarial attacks on image quality metrics. The word is used to describe the ability of an attack to bypass defenses, rather than a physical loss of vision. The context suggests that the blindness is a metaphorical one, representing the ability of the attack to evade detection. As a result, the meaning of the target word has significantly shifted between the two sentences. In Sentence A, the word is used to describe a physical medical condition, while in Sentence B, it is used to describe a metaphorical ability to evade detection. Therefore, I would label this example as having undergone semantic drift." 5,Blindness,A 60-year-old woman presented with a dural caroticocavernous fistula (CCF) in whom both by ophthalmic arteries arose from the middle meningeal arteries instead of from the internal carotid arteries. Transarterial embolisation of the CCF was contraindicated because of the risk of blindness. Transvenous coil embolisation was therefore performed. Bilateral origin of the ophthalmic artery from the middle meningeal artery is extremely rare.,"Mucous membrane pemphigoid (MMP) is a subtype of autoimmune subepidermal blistering diseases characterized by autoantibodies to structural components of the hemidesmosome primarily affecting mucous membranes. Inflammation-related progressive scarring can lead to serious complications, including blindness, and the disease may be associated with malignancy. Conventional immunosuppressive treatment is often insufficiently effective and limited due to side effects, warranting new therapeutic options ideally targeting both inflammation and extensively recalcitrant cicatrization. Heat shock protein 90 (Hsp90) is a cell stress-inducible chaperone required for the function of a large number of client proteins, and its pharmacological inhibition has proven to be effective and relatively safe in patients with cancer. Recent observations also suggest a promising role of Hsp90 as drug target in preclinical in vivo murine models of autoimmune diseases such as subepidermal bullous and fibrotic autoimmune disorders comprising epidermolysis bullosa acquisita and systemic sclerosis, respectively, which exhibit some pathophysiological features reminiscent of MMP. This article thus hypothesizes that Hsp90 blockade could represent a double-edged sword in MMP treatment by targeting pathogenic factors of inflammatory blister and fibrosis formation. Moreover, Hsp90 inhibitors could even be proclaimed as a triple-edged sword in case of an underlying malignancy. Future studies investigating the role of Hsp90 in MMP are needed to clarify whether Hsp90 inhibition could become a novel treatment approach for patients with this potentially devastating disease. ","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Blindness Sentence A: A 60-year-old woman presented with a dural caroticocavernous fistula (CCF) in whom both by ophthalmic arteries arose from the middle meningeal arteries instead of from the internal carotid arteries. Transarterial embolisation of the CCF was contraindicated because of the risk of blindness. Transvenous coil embolisation was therefore performed. Bilateral origin of the ophthalmic artery from the middle meningeal artery is extremely rare. Sentence B: Mucous membrane pemphigoid (MMP) is a subtype of autoimmune subepidermal blistering diseases characterized by autoantibodies to structural components of the hemidesmosome primarily affecting mucous membranes. Inflammation-related progressive scarring can lead to serious complications, including blindness, and the disease may be associated with malignancy. Conventional immunosuppressive treatment is often insufficiently effective and limited due to side effects, warranting new therapeutic options ideally targeting both inflammation and extensively recalcitrant cicatrization. Heat shock protein 90 (Hsp90) is a cell stress-inducible chaperone required for the function of a large number of client proteins, and its pharmacological inhibition has proven to be effective and relatively safe in patients with cancer. Recent observations also suggest a promising role of Hsp90 as drug target in preclinical in vivo murine models of autoimmune diseases such as subepidermal bullous and fibrotic autoimmune disorders comprising epidermolysis bullosa acquisita and systemic sclerosis, respectively, which exhibit some pathophysiological features reminiscent of MMP. This article thus hypothesizes that Hsp90 blockade could represent a double-edged sword in MMP treatment by targeting pathogenic factors of inflammatory blister and fibrosis formation. Moreover, Hsp90 inhibitors could even be proclaimed as a triple-edged sword in case of an underlying malignancy. Future studies investigating the role of Hsp90 in MMP are needed to clarify whether Hsp90 inhibition could become a novel treatment approach for patients with this potentially devastating disease. ###Answer 1. Changed Reasoning: The target word ""Blindness"" has undergone a significant change in meaning between the two sentences. In Sentence A, ""Blindness"" refers to the risk of losing vision due to the contraindication of transarterial embolisation for the treatment of a dural caroticocavernous fistula. In Sentence B, ""Blindness"" is used in a different context, referring to a potential complication of mucous membrane pemphigoid, a different autoimmune disease. The meaning of ""Blindness"" has shifted from a specific medical condition to a more general term for any loss of vision. Therefore, the label ""Changed"" is appropriate." 6,Blindness,"The saccharin and aspirin tasting abilities have been detected and analyzed in 710 individuals (328men, 382women) of Xinjiang Mongol. It is showed that the saccharin taste-blindness ratio among Mongolians was 4.648%,frequency of the recessive gene determining taste-blindness and the dominant gene determining taste ability was 0.2156, and 0.7844 respectively,and its mean testable threshold was 8.00+/-1.34 (0.108mol/L). Distribution of aspirin tasting threshold appeared a distinct curve with double peaks and single bottom,and demonstrated the aspirin tasting ability was a monogenic character. Solution NO.7 (3.00x10(-4)mol/L) at the bottom in the curve was the boundary of taste-blindness. The peak of taste-blindness was at the solution NO.1 (1.7x10(-2)mol/L), and the peak of tasters was at the solution NO.11 (1.25x10(-5)mol/L), The ratio of aspirin taste-blindness was 90.28%. The chi2 test has been used to evaluate the statistical difference in aspirin taste-blindness ratio between male and female, the result showed that there was no significant difference (P>0.90), and the gene determining for aspirin tasting ability located on autosomes.","This review aims to summarize existing information concerning visual disturbances in (pre) eclampsia that have been described in the literature. Preeclampsia is one of the leading causes of maternal and fetal morbidity and mortality worldwide. Visual disturbances in (pre)eclampsia seem to be frequent phenomena. Therefore, the obstetrician/gynecologist may encounter women with serious, and sometimes debilitating, pathology of the visual pathways. Established ophthalmic entities associated with (pre)eclampsia are cortical blindness, serous retinal detachment, Purtscher-like retinopathy, central retinal vein occlusions, and retinal or vitreous hemorrhages. Ensuing visual symptoms include blurry vision, diplopia, amaurosis fugax, photopsia, and scotomata, including homonymous hemianopsia. In general, aside from lowering the blood pressure and preventing (further) seizures with magnesium sulfate, no specific therapy seems indicated for (pre)eclamptic women who experience visual changes. Although in most cases visual acuity returns to normal within weeks to months after the onset of symptoms, rarely permanent visual impairment can occur. Health care providers such as emergency room physicians, obstetricians, family physicians, neurologists, and ophthalmologists should be aware that acute onset of visual symptoms in pregnant women can be the first sign of (pre)eclampsia. Given that visual changes are a diagnostic criterion for severe preeclampsia, obstetricians should appreciate the significance of these changes and discuss appropriate diagnostic options with the ophthalmologist. Affected women can be reassured that most cases are transient.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Blindness Sentence A: The saccharin and aspirin tasting abilities have been detected and analyzed in 710 individuals (328men, 382women) of Xinjiang Mongol. It is showed that the saccharin taste-blindness ratio among Mongolians was 4.648%,frequency of the recessive gene determining taste-blindness and the dominant gene determining taste ability was 0.2156, and 0.7844 respectively,and its mean testable threshold was 8.00+/-1.34 (0.108mol/L). Distribution of aspirin tasting threshold appeared a distinct curve with double peaks and single bottom,and demonstrated the aspirin tasting ability was a monogenic character. Solution NO.7 (3.00x10(-4)mol/L) at the bottom in the curve was the boundary of taste-blindness. The peak of taste-blindness was at the solution NO.1 (1.7x10(-2)mol/L), and the peak of tasters was at the solution NO.11 (1.25x10(-5)mol/L), The ratio of aspirin taste-blindness was 90.28%. The chi2 test has been used to evaluate the statistical difference in aspirin taste-blindness ratio between male and female, the result showed that there was no significant difference (P>0.90), and the gene determining for aspirin tasting ability located on autosomes. Sentence B: This review aims to summarize existing information concerning visual disturbances in (pre) eclampsia that have been described in the literature. Preeclampsia is one of the leading causes of maternal and fetal morbidity and mortality worldwide. Visual disturbances in (pre)eclampsia seem to be frequent phenomena. Therefore, the obstetrician/gynecologist may encounter women with serious, and sometimes debilitating, pathology of the visual pathways. Established ophthalmic entities associated with (pre)eclampsia are cortical blindness, serous retinal detachment, Purtscher-like retinopathy, central retinal vein occlusions, and retinal or vitreous hemorrhages. Ensuing visual symptoms include blurry vision, diplopia, amaurosis fugax, photopsia, and scotomata, including homonymous hemianopsia. In general, aside from lowering the blood pressure and preventing (further) seizures with magnesium sulfate, no specific therapy seems indicated for (pre)eclamptic women who experience visual changes. Although in most cases visual acuity returns to normal within weeks to months after the onset of symptoms, rarely permanent visual impairment can occur. Health care providers such as emergency room physicians, obstetricians, family physicians, neurologists, and ophthalmologists should be aware that acute onset of visual symptoms in pregnant women can be the first sign of (pre)eclampsia. Given that visual changes are a diagnostic criterion for severe preeclampsia, obstetricians should appreciate the significance of these changes and discuss appropriate diagnostic options with the ophthalmologist. Affected women can be reassured that most cases are transient. ###Answer 1. Changed Explanation: The target word ""Blindness"" has undergone a significant change in meaning between Sentence A and Sentence B. In Sentence A, the term ""blindness"" refers to a specific type of visual impairment, specifically cortical blindness, which is a type of neurological disorder. In contrast, in Sentence B, the term ""blindness"" is used more broadly to describe various visual disturbances that can occur in pregnant women, including cortical blindness, but also other entities such as central retinal vein occlusions, retinal or vitreous hemorrhages, and photopsia. In Sentence A, the context suggests that the term ""blindness"" is used to describe a specific medical condition, and the sentence provides technical medical information about the condition. In contrast, in Sentence B, the term ""blindness"" is used more generally to describe a range of visual disturbances that can occur in pregnant women, without providing technical medical information about the condition. Therefore, based on the context and meaning of the term ""blindness"" in the two sentences, it can be concluded that the term has undergone a significant change in meaning, shifting from a specific medical condition to a more general term encompassing a range of visual disturbances." 7,Blindness,"Behçet disease is a systemic disease of young adults characterized by venous occlusion in both the deep venous and retinal circulations. In severe ocular disease, blindness may occur despite immunosuppressive treatment. The most common inherited risk factor for the development of idiopathic venous thrombosis is the presence of the Factor V (FV Leiden) mutation, which confers resistance to activated protein C. The association of FV Leiden with Behçet disease has been reported, but its influence on ocular disease is not known. We therefore investigated the prevalence of this mutation in patients with Behçet disease to determine its contribution to the presence and severity of ocular disease.","The Golden Retriever Lifetime Study (GRLS) is the first prospective longitudinal study attempted in veterinary medicine to identify the major dietary, genetic and environmental risk factors for cancer and other important diseases in dogs. The GRLS is an observational study that will follow a cohort of 3000 purebred Golden Retrievers throughout their lives via annual online questionnaires from the dog owner and annual physical examinations and collection of biological samples by the primary care veterinarian. The field of comparative medicine investigating naturally occurring disorders in pets is specifically relevant to the many diseases that have a genetic basis for disease in both animals and humans, including cancer, blindness, metabolic and behavioural disorders and some neurodegenerative disorders. The opportunity for the GRLS to provide high-quality data for translational comparative medical initiatives in several disease categories is great. In particular, the opportunity to develop a lifetime dataset of lifestyle and activity, environmental exposure and diet history combined with simultaneous annual biological sample sets and detailed health outcomes will provide disease incidence data for this cohort of geographically dispersed dogs and associations with a wide variety of potential risk factors. The GRLS will provide a lifetime historical context, repeated biological sample sets and outcomes necessary to interrogate complex associations between genes and environmental influences and cancer. ","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Blindness Sentence A: Behçet disease is a systemic disease of young adults characterized by venous occlusion in both the deep venous and retinal circulations. In severe ocular disease, blindness may occur despite immunosuppressive treatment. The most common inherited risk factor for the development of idiopathic venous thrombosis is the presence of the Factor V (FV Leiden) mutation, which confers resistance to activated protein C. The association of FV Leiden with Behçet disease has been reported, but its influence on ocular disease is not known. We therefore investigated the prevalence of this mutation in patients with Behçet disease to determine its contribution to the presence and severity of ocular disease. Sentence B: The Golden Retriever Lifetime Study (GRLS) is the first prospective longitudinal study attempted in veterinary medicine to identify the major dietary, genetic and environmental risk factors for cancer and other important diseases in dogs. The GRLS is an observational study that will follow a cohort of 3000 purebred Golden Retrievers throughout their lives via annual online questionnaires from the dog owner and annual physical examinations and collection of biological samples by the primary care veterinarian. The field of comparative medicine investigating naturally occurring disorders in pets is specifically relevant to the many diseases that have a genetic basis for disease in both animals and humans, including cancer, blindness, metabolic and behavioural disorders and some neurodegenerative disorders. The opportunity for the GRLS to provide high-quality data for translational comparative medical initiatives in several disease categories is great. In particular, the opportunity to develop a lifetime dataset of lifestyle and activity, environmental exposure and diet history combined with simultaneous annual biological sample sets and detailed health outcomes will provide disease incidence data for this cohort of geographically dispersed dogs and associations with a wide variety of potential risk factors. The GRLS will provide a lifetime historical context, repeated biological sample sets and outcomes necessary to interrogate complex associations between genes and environmental influences and cancer. ###Answer 1. Changed Reasoning: In Sentence A, the word ""blindness"" is used to describe a specific medical condition (Behçet disease), with a clear medical context. In Sentence B, the word ""blindness"" is used more broadly to refer to any kind of visual impairment or disability, without any specific medical context. This shift in meaning suggests that the word ""blindness"" has undergone semantic drift, and its meaning has changed over time." 8,Blindness,"Senile cataract is a non-preventable disease of aging, having its biggest impact in the over-60 age group. Published clinic and hospital data, population-based surveys and World Health Organization estimates indicate that 1.2% of the entire population of Africa is blind, and that cataract causes 36% of this blindness. Ocular disease and ophthalmic manpower status questionnaires mailed to every African country in 1982 by the International Eye Foundation support these contentions, and further demonstrate that cataract is the biggest single cause of blindness on the continent. Taking the population of Africa as a whole, this means that 6,000,000 people are blind, and that 2,000,000 of them are blind due to cataract. As this form of blindness is so closely related to aging, an estimate of the annual incidence of the condition can be made. One method is to use the formula I = P/D, where I = annual incidence, P = overall prevalence and D = duration of the condition. A 5-year survival has come to be a commonly used estimate in developing world epidemiology for the longevity of a person who becomes blind due to senile onset cataracts. In Africa then, I = P/D = 2,000,000/5 = 400,000 people blinded annually by cataract. An alternate method for this computation is to multiply the number of people entering the 60 and above age group annually by 0.08. This factor is derived from knowing the prevalence of cataract blindness in this age group, the life expectancy on becoming 60, and the number of people turning 60 annually. This gives an annual incidence of 160,000 and would signify that the development of cataract blindness does not reduce longevity. Follow-up prevalence surveys in the same population group will tell us which method (if either) is correct. The average number of cataract operations done annually by each ophthalmologist in Africa is surprisingly low, 120. The two most cost-effective ways of raising the number of cases done are: (1) shorten the average hospital stay, and (2) train more ophthalmic clinical officers to perform cataract surgery.","Achromatopsia is a rare autosomal recessive disorder which shows color blindness, severely impaired visual acuity, and extreme sensitivity to bright light. Mutations in the alpha subunits of the cone cyclic nucleotide-gated channels (CNGA3) are responsible for about 1/4 of achromatopsia in the U.S. and Europe. Here, we test whether gene replacement therapy using an AAV5 vector could restore cone-mediated function and arrest cone degeneration in the cpfl5 mouse, a naturally occurring mouse model of achromatopsia with a CNGA3 mutation. We show that gene therapy leads to significant rescue of cone-mediated ERGs, normal visual acuities and contrast sensitivities. Normal expression and outer segment localization of both M- and S-opsins were maintained in treated retinas. The therapeutic effect of treatment lasted for at least 5 months post-injection. This study is the first demonstration of substantial, relatively long-term restoration of cone-mediated light responsiveness and visual behavior in a naturally occurring mouse model of CNGA3 achromatopsia. The results provide the foundation for development of an AAV5-based gene therapy trial for human CNGA3 achromatopsia.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Blindness Sentence A: Senile cataract is a non-preventable disease of aging, having its biggest impact in the over-60 age group. Published clinic and hospital data, population-based surveys and World Health Organization estimates indicate that 1.2% of the entire population of Africa is blind, and that cataract causes 36% of this blindness. Ocular disease and ophthalmic manpower status questionnaires mailed to every African country in 1982 by the International Eye Foundation support these contentions, and further demonstrate that cataract is the biggest single cause of blindness on the continent. Taking the population of Africa as a whole, this means that 6,000,000 people are blind, and that 2,000,000 of them are blind due to cataract. As this form of blindness is so closely related to aging, an estimate of the annual incidence of the condition can be made. One method is to use the formula I = P/D, where I = annual incidence, P = overall prevalence and D = duration of the condition. A 5-year survival has come to be a commonly used estimate in developing world epidemiology for the longevity of a person who becomes blind due to senile onset cataracts. In Africa then, I = P/D = 2,000,000/5 = 400,000 people blinded annually by cataract. An alternate method for this computation is to multiply the number of people entering the 60 and above age group annually by 0.08. This factor is derived from knowing the prevalence of cataract blindness in this age group, the life expectancy on becoming 60, and the number of people turning 60 annually. This gives an annual incidence of 160,000 and would signify that the development of cataract blindness does not reduce longevity. Follow-up prevalence surveys in the same population group will tell us which method (if either) is correct. The average number of cataract operations done annually by each ophthalmologist in Africa is surprisingly low, 120. The two most cost-effective ways of raising the number of cases done are: (1) shorten the average hospital stay, and (2) train more ophthalmic clinical officers to perform cataract surgery. Sentence B: Achromatopsia is a rare autosomal recessive disorder which shows color blindness, severely impaired visual acuity, and extreme sensitivity to bright light. Mutations in the alpha subunits of the cone cyclic nucleotide-gated channels (CNGA3) are responsible for about 1/4 of achromatopsia in the U.S. and Europe. Here, we test whether gene replacement therapy using an AAV5 vector could restore cone-mediated function and arrest cone degeneration in the cpfl5 mouse, a naturally occurring mouse model of achromatopsia with a CNGA3 mutation. We show that gene therapy leads to significant rescue of cone-mediated ERGs, normal visual acuities and contrast sensitivities. Normal expression and outer segment localization of both M- and S-opsins were maintained in treated retinas. The therapeutic effect of treatment lasted for at least 5 months post-injection. This study is the first demonstration of substantial, relatively long-term restoration of cone-mediated light responsiveness and visual behavior in a naturally occurring mouse model of CNGA3 achromatopsia. The results provide the foundation for development of an AAV5-based gene therapy trial for human CNGA3 achromatopsia. ###Answer 1. Changed The meaning of the target word ""Blindness"" has significantly shifted between the two sentences. In Sentence A, ""Blindness"" is associated with a non-preventable disease of aging, primarily affecting the over-60 age group. In Sentence B, ""Blindness"" is associated with a rare genetic disorder called achromatopsia, which causes color blindness, severely impaired visual acuity, and extreme sensitivity to bright light. The two concepts are unrelated, and the word ""Blindness"" has taken on a different connotation in the second sentence. Therefore, the label ""Changed"" is appropriate." 9,Blindness,"The concept of ""eye camp"" represents a revolutionary approach to the massive problem of cataract-related blindness and visual disability. The ""eye camp"" involves comprehensive cooperative relief efforts on a large scale to combat the widespread incidence of cataract as it affects residents of rural areas, especially in developing nations. We worked in an eye camp in Johilpatti, India, in the rural province of Tamil Nadu. On this site, 216 cataract operations were performed in one morning by 8 doctors and 16 nurses. In this province alone, an estimated 700,000 persons have cataract requiring operation. However, presently existing facilities are equipped to handle a maximum of only 20,000 cases annually. But from June 1972 to June 1973, approximately 50,000 cataract operations were performed in the eye camps. Evidently, the eye camp idea has great potential to significantly reduce the incidence of untreated cataract in rural areas where there are chronic shortages of treatment facilities and medical personnel."," Cosmological black holes (CBH), i.e. black holes with masses larger than $10^{14} solar masses, have been proposed as possible progenitors of galaxy voids (Stornaiolo 2002). The presence of a CBH in the central regions of a void should induce significant gravitational lensing effects and in this paper we discuss such gravitational signatures using simulated data. These signatures may be summarized as follows: i) a blind spot in the projected position of the CBH where no objects can be detected; ii) an excess of faint secondary images; iii) an excess of double images having a characteristic angular separation. All these signatures are shown to be detectable in future deep surveys. ","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Blindness Sentence A: The concept of ""eye camp"" represents a revolutionary approach to the massive problem of cataract-related blindness and visual disability. The ""eye camp"" involves comprehensive cooperative relief efforts on a large scale to combat the widespread incidence of cataract as it affects residents of rural areas, especially in developing nations. We worked in an eye camp in Johilpatti, India, in the rural province of Tamil Nadu. On this site, 216 cataract operations were performed in one morning by 8 doctors and 16 nurses. In this province alone, an estimated 700,000 persons have cataract requiring operation. However, presently existing facilities are equipped to handle a maximum of only 20,000 cases annually. But from June 1972 to June 1973, approximately 50,000 cataract operations were performed in the eye camps. Evidently, the eye camp idea has great potential to significantly reduce the incidence of untreated cataract in rural areas where there are chronic shortages of treatment facilities and medical personnel. Sentence B: Cosmological black holes (CBH), i.e. black holes with masses larger than $10^{14} solar masses, have been proposed as possible progenitors of galaxy voids (Stornaiolo 2002). The presence of a CBH in the central regions of a void should induce significant gravitational lensing effects and in this paper we discuss such gravitational signatures using simulated data. These signatures may be summarized as follows: i) a blind spot in the projected position of the CBH where no objects can be detected; ii) an excess of faint secondary images; iii) an excess of double images having a characteristic angular separation. All these signatures are shown to be detectable in future deep surveys. ###Answer 1. Changed Reasoning: In Sentence A, ""blindness"" refers to a lack of vision due to cataracts or other eye problems. In Sentence B, ""blindness"" is used to describe the gravitational lensing effects of a massive black hole in a void. The two meanings of ""blindness"" are unrelated and have distinct contexts, indicating a change in meaning over time." 10,Blindness,"Congenital glaucoma has a very serious prognosis. It represents the first cause of blindness in Tunisian children. Trabeculectomy introduced by Cairns in 1968, was initially proposed as second-line treatment in congenital glaucoma surgery. It has now become more frequently used as first-line treatment in this indication. We have already used this technique directly in 35 children suffering from congenital glaucoma with a total of 54 eyes. Forty four eyes underwent a single operation, ten eyes underwent two to four trabeculectomies. Then study of these cases with a mean follow up of 24 months shows an overall success rate of 64% after one trabeculectomy, with or without additional medical treatment. The study of tonometric diagrams shows that the successful results obtained after 3 months persisted in the long term. Trabeculectomy gives better results in congenital glaucoma with intraocular pressure greater than 40 mmHg. Repeated operations are sometimes necessary. In these cases, postoperative subconjunctival 5 fluorouracil (SFU) did not improve the surgical outcome.","Apoptosis is characterized by cell shrinkage, nuclear condensation, DNA-fragmentation and apoptotic body formation. Compatible organic osmolytes, e.g. taurine, modulate the cellular response to anisotonicity and may protect from apoptosis. Taurine transporter knockout mice (taut-/- mice) show strongly decreased taurine levels in a variety of tissues. They develop clinically important age-dependent diseases and some of them are characterized by apoptosis. Increased photoreceptor apoptosis leads to blindness of taut-/- mice at an early age. The taurine transporter may not be essential for the differentiation of photoreceptor cells, but many mature cells do not survive without an intact taurine transporter. The olfactory epithelium of taut-/- mice also exhibits structural and functional abnormalities. When compared with wild-types, taut-/- mice have a significantly higher proliferative activity of immature olfactory receptor neurons and an increased number of apoptotic cells. This is accompanied by electrophysiological findings indicating a reduced olfactory sensitivity. Furthermore, taut-/- and taut+/- mice develop moderate unspecific hepatitis and liver fibrosis beyond 1 year of age where hepatocyte apoptosis and activation of the CD95 system are pronounced.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Blindness Sentence A: Congenital glaucoma has a very serious prognosis. It represents the first cause of blindness in Tunisian children. Trabeculectomy introduced by Cairns in 1968, was initially proposed as second-line treatment in congenital glaucoma surgery. It has now become more frequently used as first-line treatment in this indication. We have already used this technique directly in 35 children suffering from congenital glaucoma with a total of 54 eyes. Forty four eyes underwent a single operation, ten eyes underwent two to four trabeculectomies. Then study of these cases with a mean follow up of 24 months shows an overall success rate of 64% after one trabeculectomy, with or without additional medical treatment. The study of tonometric diagrams shows that the successful results obtained after 3 months persisted in the long term. Trabeculectomy gives better results in congenital glaucoma with intraocular pressure greater than 40 mmHg. Repeated operations are sometimes necessary. In these cases, postoperative subconjunctival 5 fluorouracil (SFU) did not improve the surgical outcome. Sentence B: Apoptosis is characterized by cell shrinkage, nuclear condensation, DNA-fragmentation and apoptotic body formation. Compatible organic osmolytes, e.g. taurine, modulate the cellular response to anisotonicity and may protect from apoptosis. Taurine transporter knockout mice (taut-/- mice) show strongly decreased taurine levels in a variety of tissues. They develop clinically important age-dependent diseases and some of them are characterized by apoptosis. Increased photoreceptor apoptosis leads to blindness of taut-/- mice at an early age. The taurine transporter may not be essential for the differentiation of photoreceptor cells, but many mature cells do not survive without an intact taurine transporter. The olfactory epithelium of taut-/- mice also exhibits structural and functional abnormalities. When compared with wild-types, taut-/- mice have a significantly higher proliferative activity of immature olfactory receptor neurons and an increased number of apoptotic cells. This is accompanied by electrophysiological findings indicating a reduced olfactory sensitivity. Furthermore, taut-/- and taut+/- mice develop moderate unspecific hepatitis and liver fibrosis beyond 1 year of age where hepatocyte apoptosis and activation of the CD95 system are pronounced. ###Answer 1. Changed Reasoning: In Sentence A, the word ""blindness"" is used to describe a specific medical condition (congenital glaucoma) with a clear medical definition. The sentence provides technical information about the prognosis and treatment options for this condition. The word ""blindness"" in this context has a clear and consistent meaning. In Sentence B, the word ""blindness"" has a different meaning. It is used to describe a general phenomenon (apoptosis) in the context of cell biology. The sentence provides technical information about the mechanisms of cell death and the role of organic osmolytes in modulating these processes. The word ""blindness"" in this context refers to the loss of cellular function and structure, rather than a specific medical condition. Therefore, the meaning of the word ""blindness"" has changed significantly between the two sentences, indicating semantic drift." 11,Blindness,"The pine processionary caterpillar Thaumetopoea pityocampa (Lepidoptera: Notodontidae) is considered to be a serious pest of medical importance. The hair on the dorsum of the last instar larvae of the moth may cause urticarial reactions (erucism) as well as eye problems and temporary blindness. In Israel, the pest occurs in all pine plantations as well as on ornamental pine trees in urban areas. The biology, ecology and management of the moth population are discussed as well as the mechanism of action of the urticarial hairs and their medical significance. Awareness of the life cycle and ecology of the pest may reduce the contact of the population with the urticarial hairs and prevent the morbidity caused by it.","Inherited retinal diseases (IRDs) are a clinically and genetically heterogeneous group of Mendelian disorders that plays a crucial role in the etiology of blindness across the world. Molecular genetic diagnosis of IRD remains extremely complex and challenging because mutations are only detected in 40% to 60% of cases. In this study, we aimed to dissect the contributions of copy number variations (CNVs) in IRD patients.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Blindness Sentence A: The pine processionary caterpillar Thaumetopoea pityocampa (Lepidoptera: Notodontidae) is considered to be a serious pest of medical importance. The hair on the dorsum of the last instar larvae of the moth may cause urticarial reactions (erucism) as well as eye problems and temporary blindness. In Israel, the pest occurs in all pine plantations as well as on ornamental pine trees in urban areas. The biology, ecology and management of the moth population are discussed as well as the mechanism of action of the urticarial hairs and their medical significance. Awareness of the life cycle and ecology of the pest may reduce the contact of the population with the urticarial hairs and prevent the morbidity caused by it. Sentence B: Inherited retinal diseases (IRDs) are a clinically and genetically heterogeneous group of Mendelian disorders that plays a crucial role in the etiology of blindness across the world. Molecular genetic diagnosis of IRD remains extremely complex and challenging because mutations are only detected in 40% to 60% of cases. In this study, we aimed to dissect the contributions of copy number variations (CNVs) in IRD patients. ###Answer 1. Changed Reasoning: In Sentence A, the word ""blindness"" is used to describe a temporary condition caused by the hair on the back of a caterpillar. In contrast, in Sentence B, ""blindness"" is used to describe a genetic disorder that can lead to permanent loss of vision. The context and meaning of the word ""blindness"" have shifted significantly between the two sentences, indicating semantic drift." 12,Blindness,"One hundred and sixty-six eyes of 165 patients with foreign bodies in the anterior chamber who were treated at our center from 1966 to 1988 were retrospectively reviewed. Among them there were 109 eyes with nonmetal foreign bodies, 55 eyes with metal foreign bodies and three eyes with foreign bodies of unknown nature. Most of these foreign bodies were stone or iron. 83.6% of the patients were in the age range from 7 to 40 years, and the left eyes were affected more than the right eyes. Mostly, the foreign bodies were located on the surface of iris (97 cases) and at the anterior chamber angle (40 cases). The rates of blindness were 27.8% and 16.3% before and after operation. The postoperative visual acuity were: 0.05-0.2 in 27 eyes, 0.3-0.9 in 66 eyes, greater than 1.0 in 43 eyes and the rest of the eyes lower than 0.05. The presurgery treatment such as miosis and reduction of intraocular pressure, the selection of operative methods according to the nature, size, location of the foreign bodies and tissue wrapped up were discussed. If combined procedures should be done, it is better to remove the foreign bodies first and then perform the operation for complications.","Leber congenital amaurosis (LCA) is the most severe form of inherited retinal dystrophies and the most frequent cause of congenital blindness in children. To date, 25 genes have been implicated in the pathogenesis of this rare disorder. Performing an accurate molecular diagnosis is crucial as gene therapy is becoming available. This study aimed to report the molecular basis of Leber congenital amaurosis, especially novel and rare variants in 27 Polish families with a clinical diagnosis of LCA fully confirmed by molecular analyses. Whole exome sequencing or targeted next-generation sequencing (NGS) of inherited retinal dystrophies-associated (IRD) genes was applied to identify potentially pathogenic variants. Bidirectional Sanger sequencing and quantitative PCR (qPCR) were carried out for validation and segregation analysis of the variants identified within the families. We identified 28 potentially pathogenic variants, including 11 novel, in 8 LCA genes: CEP290, CRB1, GUCY2D, NMNAT1, RPGRIP1, CRX, LRAT1, and LCA5. This study expands the mutational spectrum of the LCA genes. Moreover, these results, together with the conclusions from our previous studies, allow us to point to the most frequently mutated genes and variants in the Polish cohort of LCA patients.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Blindness Sentence A: One hundred and sixty-six eyes of 165 patients with foreign bodies in the anterior chamber who were treated at our center from 1966 to 1988 were retrospectively reviewed. Among them there were 109 eyes with nonmetal foreign bodies, 55 eyes with metal foreign bodies and three eyes with foreign bodies of unknown nature. Most of these foreign bodies were stone or iron. 83.6% of the patients were in the age range from 7 to 40 years, and the left eyes were affected more than the right eyes. Mostly, the foreign bodies were located on the surface of iris (97 cases) and at the anterior chamber angle (40 cases). The rates of blindness were 27.8% and 16.3% before and after operation. The postoperative visual acuity were: 0.05-0.2 in 27 eyes, 0.3-0.9 in 66 eyes, greater than 1.0 in 43 eyes and the rest of the eyes lower than 0.05. The presurgery treatment such as miosis and reduction of intraocular pressure, the selection of operative methods according to the nature, size, location of the foreign bodies and tissue wrapped up were discussed. If combined procedures should be done, it is better to remove the foreign bodies first and then perform the operation for complications. Sentence B: Leber congenital amaurosis (LCA) is the most severe form of inherited retinal dystrophies and the most frequent cause of congenital blindness in children. To date, 25 genes have been implicated in the pathogenesis of this rare disorder. Performing an accurate molecular diagnosis is crucial as gene therapy is becoming available. This study aimed to report the molecular basis of Leber congenital amaurosis, especially novel and rare variants in 27 Polish families with a clinical diagnosis of LCA fully confirmed by molecular analyses. Whole exome sequencing or targeted next-generation sequencing (NGS) of inherited retinal dystrophies-associated (IRD) genes was applied to identify potentially pathogenic variants. Bidirectional Sanger sequencing and quantitative PCR (qPCR) were carried out for validation and segregation analysis of the variants identified within the families. We identified 28 potentially pathogenic variants, including 11 novel, in 8 LCA genes: CEP290, CRB1, GUCY2D, NMNAT1, RPGRIP1, CRX, LRAT1, and LCA5. This study expands the mutational spectrum of the LCA genes. Moreover, these results, together with the conclusions from our previous studies, allow us to point to the most frequently mutated genes and variants in the Polish cohort of LCA patients. ###Answer 1. Changed Reasoning: In Sentence A, the term ""blindness"" is used to describe the condition of patients with foreign bodies in their eyes. The context suggests that the patients are experiencing vision loss or impairment, but the word ""blindness"" does not carry any negative connotations. In Sentence B, the term ""blindness"" is used to describe the genetic disorder Leber congenital amaurosis. The context suggests that the disorder is characterized by congenital blindness or severe vision impairment. The use of the term ""blindness"" in this sentence carries a negative connotation, as it implies a lack of vision or sight. Based on these differences in context and connotation, it can be concluded that the meaning of the term ""blindness"" has shifted significantly between the two sentences. In Sentence A, the term is used to describe a medical condition without any negative connotations, while in Sentence B, it is used to describe a genetic disorder with negative connotations. Therefore, the label ""Changed"" is appropriate." 13,Blindness,"Inherited retinal dystrophies are important causes of incurable blindness in developed countries. Advances in molecular genetics promise significant improvements in their management. Immediate benefits of present knowledge are presymptomatic and prenatal diagnosis in selected cases. To study the predictive power of these techniques a simulated genetic risk estimation was undertaken in a cone-rod retinal dystrophy pedigree known to be linked to chromosome 19. Using data on five fully informative, flanking DNA markers, phenotype was correctly assigned with only a 2% probability of error. If the two most closely linked markers were found to be uninformative, this error probability remained unchanged. Using genetic risk calculations and direct mutation detection many retinal dystrophies could now be identified by prenatal diagnosis.","The minimally invasive delivery of soft-tissue calcium hydroxyapatite fillers can ameliorate the appearance of forehead depressions and wrinkles. Forehead augmentations using fillers lead to fewer adverse events and to a faster recovery time than those using surgical procedures. However, many physicians avoid using them due to the risk of pain, intravascular injections, and embolisms that can cause skin necrosis and blindness. Strategy to address these issues includes pain reduction through tumescent solution before filler injection considering the vascular pathway. In addition, the strategy is also safer from embolism.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Blindness Sentence A: Inherited retinal dystrophies are important causes of incurable blindness in developed countries. Advances in molecular genetics promise significant improvements in their management. Immediate benefits of present knowledge are presymptomatic and prenatal diagnosis in selected cases. To study the predictive power of these techniques a simulated genetic risk estimation was undertaken in a cone-rod retinal dystrophy pedigree known to be linked to chromosome 19. Using data on five fully informative, flanking DNA markers, phenotype was correctly assigned with only a 2% probability of error. If the two most closely linked markers were found to be uninformative, this error probability remained unchanged. Using genetic risk calculations and direct mutation detection many retinal dystrophies could now be identified by prenatal diagnosis. Sentence B: The minimally invasive delivery of soft-tissue calcium hydroxyapatite fillers can ameliorate the appearance of forehead depressions and wrinkles. Forehead augmentations using fillers lead to fewer adverse events and to a faster recovery time than those using surgical procedures. However, many physicians avoid using them due to the risk of pain, intravascular injections, and embolisms that can cause skin necrosis and blindness. Strategy to address these issues includes pain reduction through tumescent solution before filler injection considering the vascular pathway. In addition, the strategy is also safer from embolism. ###Answer 1. Changed Reasoning: In Sentence A, the term ""blindness"" is used in the context of inherited retinal dystrophies, which are a specific type of eye disorder that can lead to vision loss or blindness. The sentence highlights the medical advances that have improved the management of these conditions, including prenatal and presymptomatic diagnosis. In Sentence B, the term ""blindness"" is used in a different context, in relation to the potential risks associated with the use of soft-tissue calcium hydroxyapatite fillers. The sentence highlights the safety concerns related to the use of these fillers, including the risk of pain, intravascular injections, and embolisms that can cause skin necrosis and blindness. In comparison to Sentence A, the term ""blindness"" in Sentence B has taken on a different meaning, focusing on the potential risks associated with a medical procedure rather than the medical condition itself. This shift in meaning indicates semantic drift has occurred." 14,Blindness,Trachoma is a leading cause of blindness in the developing world and is most prevalent among people who live in poor rural communities in arid locations.," Simonton is attempting to salvage the Blind Variation Selective Retention theory of creativity (often referred to as the Darwinian theory of creativity) by dissociating it from Darwinism. This is a necessary move for complex reasons outlined in detail elsewhere. However, whether or not one calls BVSR a Darwinian theory, it is still a variation-and-selection theory. Variation-and-selection was put forward to solve a certain kind of paradox, that of how biological change accumulates (that is, over generations, species become more adapted to their environment) despite being discarded at the end of each generation (that is, parents don't transmit to offspring knowledge or bodily changes acquired during their lifetimes, e.g., you don't inherit your mother's ear piercings). This paradox does not exist with respect to creative thought. There is no discarding of acquired change when ideas are transmitted amongst individuals; we share with others modified versions of the ideas we were exposed to on a regular basis. ","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Blindness Sentence A: Trachoma is a leading cause of blindness in the developing world and is most prevalent among people who live in poor rural communities in arid locations. Sentence B: Simonton is attempting to salvage the Blind Variation Selective Retention theory of creativity (often referred to as the Darwinian theory of creativity) by dissociating it from Darwinism. This is a necessary move for complex reasons outlined in detail elsewhere. However, whether or not one calls BVSR a Darwinian theory, it is still a variation-and-selection theory. Variation-and-selection was put forward to solve a certain kind of paradox, that of how biological change accumulates (that is, over generations, species become more adapted to their environment) despite being discarded at the end of each generation (that is, parents don't transmit to offspring knowledge or bodily changes acquired during their lifetimes, e.g., you don't inherit your mother's ear piercings). This paradox does not exist with respect to creative thought. There is no discarding of acquired change when ideas are transmitted amongst individuals; we share with others modified versions of the ideas we were exposed to on a regular basis. ###Answer 1. Changed Reasoning: The meaning of ""Blindness"" in Sentence B has shifted from a medical condition that affects vision to a metaphorical concept related to creativity and idea transmission. In Sentence A, the term refers to a specific medical condition, while in Sentence B, it is used as a metaphor for the process of creative thought and idea sharing. This shift in meaning indicates semantic drift has occurred." 15,Blindness,"Norrie disease is an X-linked recessive syndrome of blindness, deafness, and mental retardation. A knock-out mouse model with an Ndp gene disruption was studied. We examined the hearing phenotype, including audiological, histological, and vascular evaluations. As is seen in humans, the mice had progressive hearing loss leading to profound deafness. The primary lesion was localized to the stria vascularis, which houses the main vasculature of the cochlea. Fluorescent dyes showed an abnormal vasculature in this region and eventual loss of two-thirds of the vessels. We propose that one of the principal functions of norrin in the ear is to regulate the interaction of the cochlea with its vasculature.","Diabetic retinopathy is a common diabetes complication that threatens the eyesight and may eventually lead to acquired visual impairment or blindness. While a substantial heritability has been reported for proliferative diabetic retinopathy (PDR), only a few genetic risk factors have been identified. Using genome-wide sib pair linkage analysis including 361 individuals with type 1 diabetes, we found suggestive evidence of linkage with PDR at chromosome 10p12 overlapping the ","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Blindness Sentence A: Norrie disease is an X-linked recessive syndrome of blindness, deafness, and mental retardation. A knock-out mouse model with an Ndp gene disruption was studied. We examined the hearing phenotype, including audiological, histological, and vascular evaluations. As is seen in humans, the mice had progressive hearing loss leading to profound deafness. The primary lesion was localized to the stria vascularis, which houses the main vasculature of the cochlea. Fluorescent dyes showed an abnormal vasculature in this region and eventual loss of two-thirds of the vessels. We propose that one of the principal functions of norrin in the ear is to regulate the interaction of the cochlea with its vasculature. Sentence B: Diabetic retinopathy is a common diabetes complication that threatens the eyesight and may eventually lead to acquired visual impairment or blindness. While a substantial heritability has been reported for proliferative diabetic retinopathy (PDR), only a few genetic risk factors have been identified. Using genome-wide sib pair linkage analysis including 361 individuals with type 1 diabetes, we found suggestive evidence of linkage with PDR at chromosome 10p12 overlapping the ###Answer 1. Changed Reasoning: In Sentence A, the word ""blindness"" is used to describe a specific medical condition, Norrie disease, which causes progressive hearing loss and eventual deafness. The context suggests that the term ""blindness"" has a specific meaning related to hearing impairment. In Sentence B, the word ""blindness"" is used more broadly to describe diabetic retinopathy, a separate medical condition that affects vision. The context suggests that the term ""blindness"" has shifted in meaning to include a broader range of visual impairments. Therefore, the word ""blindness"" has undergone semantic drift between the two sentences." 16,Blindness,"At the instigation of one of the authors (J.M.)--a young man whose blindness is due to diabetic retinopathy--a urine-glucose analyzer was designed and constructed. Its purpose and function enable him to test his urine himself (free of dependence on thers for this service) and, thereby, he can then determine and administer his doses of insulin. He and other young blind diabetics may value the degree of freedom from dependence on others than the analyzer provides and feel it helps them to be able to work and care for themselves. A description of the instrument instructions for its use, and a summary of about 20 months' experience with it are submitted.","Ectrodactyly-Ectodermal dysplasia-Clefting (EEC) syndrome is a rare autosomal dominant disease caused by heterozygous mutations in the p63 gene and characterized by limb defects, orofacial clefting, ectodermal dysplasia, and ocular defects. Patients develop progressive total bilateral limbal stem cell deficiency, which eventually results in corneal blindness. Medical and surgical treatments are ineffective and of limited benefit. Oral mucosa epithelial stem cells (OMESCs) represent an alternative source of stem cells capable of regenerating the corneal epithelium and, combined with gene therapy, could provide an attractive therapeutic avenue. OMESCs from EEC patients carrying the most severe p63 mutations (p.R279H and p.R304Q) were characterized and the genetic defect of p.R279H silenced using allele-specific (AS) small interfering RNAs (siRNAs). Systematic screening of locked nucleic acid (LNA)-siRNAs against R279H-p63 allele in (i) stable WT-ΔNp63α-RFP and R279H-ΔNp63α-EGFP cell lines, (ii) transient doubly transfected cell lines, and (iii) p.R279H OMESCs, identified a number of potent siRNA inhibitors for the mutant allele, which had no effect on wild-type p63. In addition, siRNA treatment led to longer acquired life span of mutated stem cells compared to controls, less accelerated stem cell differentiation in vitro, reduced proliferation properties, and effective ability in correcting the epithelial hypoplasia, thus giving rise to full thickness stratified and differentiated epithelia. This study demonstrates the phenotypic correction of mutant stem cells (OMESCs) in EEC syndrome by means of siRNA mediated AS silencing with restoration of function. The application of siRNA, alone or in combination with cell-based therapies, offers a therapeutic strategy for corneal blindness in EEC syndrome. Stem Cells 2016;34:1588-1600.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Blindness Sentence A: At the instigation of one of the authors (J.M.)--a young man whose blindness is due to diabetic retinopathy--a urine-glucose analyzer was designed and constructed. Its purpose and function enable him to test his urine himself (free of dependence on thers for this service) and, thereby, he can then determine and administer his doses of insulin. He and other young blind diabetics may value the degree of freedom from dependence on others than the analyzer provides and feel it helps them to be able to work and care for themselves. A description of the instrument instructions for its use, and a summary of about 20 months' experience with it are submitted. Sentence B: Ectrodactyly-Ectodermal dysplasia-Clefting (EEC) syndrome is a rare autosomal dominant disease caused by heterozygous mutations in the p63 gene and characterized by limb defects, orofacial clefting, ectodermal dysplasia, and ocular defects. Patients develop progressive total bilateral limbal stem cell deficiency, which eventually results in corneal blindness. Medical and surgical treatments are ineffective and of limited benefit. Oral mucosa epithelial stem cells (OMESCs) represent an alternative source of stem cells capable of regenerating the corneal epithelium and, combined with gene therapy, could provide an attractive therapeutic avenue. OMESCs from EEC patients carrying the most severe p63 mutations (p.R279H and p.R304Q) were characterized and the genetic defect of p.R279H silenced using allele-specific (AS) small interfering RNAs (siRNAs). Systematic screening of locked nucleic acid (LNA)-siRNAs against R279H-p63 allele in (i) stable WT-ΔNp63α-RFP and R279H-ΔNp63α-EGFP cell lines, (ii) transient doubly transfected cell lines, and (iii) p.R279H OMESCs, identified a number of potent siRNA inhibitors for the mutant allele, which had no effect on wild-type p63. In addition, siRNA treatment led to longer acquired life span of mutated stem cells compared to controls, less accelerated stem cell differentiation in vitro, reduced proliferation properties, and effective ability in correcting the epithelial hypoplasia, thus giving rise to full thickness stratified and differentiated epithelia. This study demonstrates the phenotypic correction of mutant stem cells (OMESCs) in EEC syndrome by means of siRNA mediated AS silencing with restoration of function. The application of siRNA, alone or in combination with cell-based therapies, offers a therapeutic strategy for corneal blindness in EEC syndrome. Stem Cells 2016;34:1588-1600. ###Answer 1. Changed The meaning of the target word ""Blindness"" has changed significantly between the two sentences. In Sentence A, the word ""Blindness"" refers to a specific medical condition caused by diabetic retinopathy, and the context highlights the impact of this condition on the individual's ability to perform daily tasks and their dependence on others for self-care. In Sentence B, the word ""Blindness"" is used to describe a broader range of conditions caused by genetic mutations, including limb defects, orofacial clefting, ectodermal dysplasia, and ocular defects. The context emphasizes the potential for stem cell therapies to correct these defects and restore function to mutant stem cells. The shift in meaning from a specific medical condition to a broader range of genetic mutations indicates semantic drift has occurred." 17,Blindness,"The near-microscopic resolution of the mouse brain, by magnetic resonance imaging (MRI) at 9.4 T, permits in situ examination of the entire brain and longitudinal studies of neural development. MRI can be utilized to reveal brain structure at a resolution of 100 microns in the X, Y, and Z planes of brain, to differentiate the gray from white (myelin-rich) matter, and to reveal the ventricular compartments. The present report describes the structure of normal BALB/c mouse brain as revealed by imaging at 9.4 T and by histological stains; the structure of normal brain is compared with that from a phenylalanine hydroxylase-deficient mouse mutant line (Pah(enu2)) and those from normal littermates. The brains of patients with phenylketonuria (PKU) were reported to have demyelination and other structural abnormalities revealed by magnetic resonance imaging (MRI). Therefore, high-resolution MRI was used to examine the brain of this mutant, an animal model for the study of human phenylketonuria. Our study revealed no evidence of demyelination or other abnormalities in the brains of Pah(enu2) mice. Histologically, the mutant and normal mouse brains appear similar. This is consistent with a recent study from our laboratory which demonstrated that the histology of the brain of an untreated male patient, who died with PKU at the age of 29, was similar to control brain with the exception of changes directly related to visual blindness and seizures experienced by the patient.","Gene duplications alter the genetic constitution of organisms and can be a driving force of molecular evolution in humans and the great apes. In this context, the study of genomic disorders has uncovered the essential role played by the genomic architecture, especially low copy repeats (LCRs) or segmental duplications (SDs). In fact, regardless of the mechanism, LCRs can mediate or stimulate rearrangements, inciting genomic instability and generating dynamic and unstable regions prone to rapid molecular evolution. In humans, copy-number variation (CNV) has been implicated in common traits such as neuropathy, hypertension, color blindness, infertility, and behavioral traits including autism and schizophrenia, as well as disease susceptibility to HIV, lupus nephritis, and psoriasis among many other clinical phenotypes. The same mechanisms implicated in the origin of genomic disorders may also play a role in the emergence of segmental duplications and the evolution of new genes by means of genomic and gene duplication and triplication, exon shuffling, exon accretion, and fusion/fission events.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Blindness Sentence A: The near-microscopic resolution of the mouse brain, by magnetic resonance imaging (MRI) at 9.4 T, permits in situ examination of the entire brain and longitudinal studies of neural development. MRI can be utilized to reveal brain structure at a resolution of 100 microns in the X, Y, and Z planes of brain, to differentiate the gray from white (myelin-rich) matter, and to reveal the ventricular compartments. The present report describes the structure of normal BALB/c mouse brain as revealed by imaging at 9.4 T and by histological stains; the structure of normal brain is compared with that from a phenylalanine hydroxylase-deficient mouse mutant line (Pah(enu2)) and those from normal littermates. The brains of patients with phenylketonuria (PKU) were reported to have demyelination and other structural abnormalities revealed by magnetic resonance imaging (MRI). Therefore, high-resolution MRI was used to examine the brain of this mutant, an animal model for the study of human phenylketonuria. Our study revealed no evidence of demyelination or other abnormalities in the brains of Pah(enu2) mice. Histologically, the mutant and normal mouse brains appear similar. This is consistent with a recent study from our laboratory which demonstrated that the histology of the brain of an untreated male patient, who died with PKU at the age of 29, was similar to control brain with the exception of changes directly related to visual blindness and seizures experienced by the patient. Sentence B: Gene duplications alter the genetic constitution of organisms and can be a driving force of molecular evolution in humans and the great apes. In this context, the study of genomic disorders has uncovered the essential role played by the genomic architecture, especially low copy repeats (LCRs) or segmental duplications (SDs). In fact, regardless of the mechanism, LCRs can mediate or stimulate rearrangements, inciting genomic instability and generating dynamic and unstable regions prone to rapid molecular evolution. In humans, copy-number variation (CNV) has been implicated in common traits such as neuropathy, hypertension, color blindness, infertility, and behavioral traits including autism and schizophrenia, as well as disease susceptibility to HIV, lupus nephritis, and psoriasis among many other clinical phenotypes. The same mechanisms implicated in the origin of genomic disorders may also play a role in the emergence of segmental duplications and the evolution of new genes by means of genomic and gene duplication and triplication, exon shuffling, exon accretion, and fusion/fission events. ###Answer 1. Changed (Blindness) Reasoning: In Sentence A, the term ""blindness"" is used to describe the structural abnormalities in the brain of a mouse that is deficient in phenylalanine hydroxylase. The context suggests that the term refers to a lack of myelination or demyelination in the brain, which is consistent with the study's focus on the structure of the brain. In Sentence B, the term ""blindness"" is used in a different context to describe the genomic disorders that can lead to rapid molecular evolution. Here, the term likely refers to the loss or alteration of vision, which is not the primary focus of the sentence. Based on these differences in context and meaning, it can be determined that the term ""blindness"" has undergone a significant change in meaning between Sentence A and Sentence B, and therefore has undergone semantic drift." 18,Blindness,"This paper reviews the author's personal experience with genetic eye diseases and discusses the significance of family studies in providing key information for the advancement of molecular research. CHOROIDEREMIA: This disease has long been known as an X-linked progressive tapetoretinal degeneration, but it was first described in Japan in 1974 after finding asymptomatic fundus changes in heterozygous female carriers that are compatible with X chromosomal inactivation. Mutations in the disease-causing gene (REP-1) provide a clue to the diagnosis and pathophysiology of the disease. LEBER'S HEREDITARY OPTIC NEUROPATHY: The clinical expression is so variable among affected individuals and families that mild optic nerve disease of insidious onset should be differentiated from autosomal dominant optic atrophy. Molecular assessment of mitochondrial DNA leads to a definite diagnosis of the disease, but mitochondrial DNA mutations do not fully account for the clinical manifestation and phenotypic variability of the disease. NORRIE DISEASE: This rare X-linked vitreoretinal dysplasia, characterized by congenital bilateral blindness, was documented in Japan some twenty years ago and the disease has been identified in four unrelated Japanese families. The disease, once diagnosed on the basis of elaborate clinical and familial studies, can now be defined by molecular assessment of the Norrie disease gene. CONGENITAL NYSTAGMUS: A four-generation family was described which presented with autosomal dominantly inherited congenital nystagmus, peripheral corneal opacity, and foveal hypoplasia without any iris tissue malformation. The diagnosis of this family was established by detection of a missense mutation in the paired domain of the PAX 6 gene, hence conforming to a forme fruste of congenital aniridia. SORSBY'S FUNDUS DYSTROPHY: Two Japanese families with Sorsby's fundus dystrophy showed late-onset retinal dystrophy characterized by submacular hemorrhage and atrophy. Our patients presented with visual loss as late as 50 years of age or older due to macula-confined degenerative changes that were similar in all respects to exudative age-related macular degeneration and showed a novel mutation in the tissue inhibitor of the metalloproteinases-3 gene. AGE-RELATED MACULAR DEGENERATION (ARMD): We have studied whether there is any association of candidate polymorphic genes involving xenobiotic or antioxidant metabolism with susceptibility to ARMD. Preliminary results suggest that the genetic polymorphism of microsomal epoxide hydrolase is related to potential risk of ARMD.","Összefoglaló. A tudomány jelenlegi állása szerint - csoportok összehasonlítására épülő matematikai-statisztikai eszközökkel - a leginkább hatékonynak és hatásosnak vélt kezelési módszerek szisztematikus elemzése mentén, a bizonyítékokon alapuló irányelveken nyugvó gyógyító munkát tekintjük követendőnek. A nyaki verőérszűkület ellátása esetén az utóbbi években elkészült mind a hazai, mind az európai irányelv, mindemellett a társszakmák irányelveiben is megjelentek kezelési javaslatok. Közleményünkben összehasonlítottuk a témában publikált magyar, angol, német és olasz nyelvű, valamint az európai társaságok által kiadott irányelveket. Az irányelvek alapelveikben hasonlóak, formailag és tartalmilag azonban jelentős (időnként egymásnak ellentmondani látszó) különbségeket találhatunk. Az ellentmondások három leggyakoribb oka: 1) az egyes irányelvek által kitűzött célok különbözősége, 2) az aszimptomatikus és szimptomatikus betegcsoport definíciói, valamint 3) az eltérő evidenciaszintek. Az irányelvek összevetése alapján a tünetes, szignifikáns nyaki verőérszűkületek sebészi ellátása evidenciának tekinthető. A szimptomatikus nyaki verőérszűkület a definíció szerint ellenoldali cerebralis ischaemia okozta, tranziens vagy definitív plegia, paresis, aphasia és az azonos oldali arteria centralis retinae embolisatiója miatti amaurosis fugax. A tünetmentes nyaki verőérszűkületek ellátása tekintetében az európai és a nemzeti irányelvek nem azonosak, ezen esetek terápiás döntése egyéni mérlegelést igényel. Tünetmentes, 70%-os stenosis esetén vascularteam-konzílium javasolt. Orv Hetil. 2020; 161(51): 2139-2145. Summary. The correct practice is the one that is proven to be the most effective based on systematic statistical analyses of different treatment methods, and is applied according to evidence-based principles. In recent years, not only has the European Society of Vascular Surgery created a guideline about the management of supra-aortic steno-occlusive disease, but some nations' vascular surgical societies and related disciplines have also developed their own guidance. In this paper, the guidelines by the European societies on the clinical care of patients with carotid artery luminal narrowing is compared to national guidelines published in Hungarian, English, German, and Italian. Although the fundamental points of the guidelines are similar, there are some important differences among them both in presentation and in content; as a result, they sometimes appear to be contradictory. The three main sources of inconsistency are the various goals, the discrepancy in the definition of symptomatic and asymptomatic carotid artery stenosis, and the bias arising from the use of distinct evidence levels. A comparison of guidelines suggests that the treatment of symptomatic significant carotid artery stenosis with surgery can be considered evidence. Symptomatic carotid artery stenosis is defined as transient or definite plegia, paresis, aphasia due to cerebral ischemia, and monocular blindness caused by embolism in the central retinal artery. However, in the case of asymptomatic 70% or greater carotid artery stenosis, the guidelines are quite heterogeneous, and these patients require individual consideration and a vascular team decision is recommended. Orv Hetil. 2020; 161(51): 2139-2145.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Blindness Sentence A: This paper reviews the author's personal experience with genetic eye diseases and discusses the significance of family studies in providing key information for the advancement of molecular research. CHOROIDEREMIA: This disease has long been known as an X-linked progressive tapetoretinal degeneration, but it was first described in Japan in 1974 after finding asymptomatic fundus changes in heterozygous female carriers that are compatible with X chromosomal inactivation. Mutations in the disease-causing gene (REP-1) provide a clue to the diagnosis and pathophysiology of the disease. LEBER'S HEREDITARY OPTIC NEUROPATHY: The clinical expression is so variable among affected individuals and families that mild optic nerve disease of insidious onset should be differentiated from autosomal dominant optic atrophy. Molecular assessment of mitochondrial DNA leads to a definite diagnosis of the disease, but mitochondrial DNA mutations do not fully account for the clinical manifestation and phenotypic variability of the disease. NORRIE DISEASE: This rare X-linked vitreoretinal dysplasia, characterized by congenital bilateral blindness, was documented in Japan some twenty years ago and the disease has been identified in four unrelated Japanese families. The disease, once diagnosed on the basis of elaborate clinical and familial studies, can now be defined by molecular assessment of the Norrie disease gene. CONGENITAL NYSTAGMUS: A four-generation family was described which presented with autosomal dominantly inherited congenital nystagmus, peripheral corneal opacity, and foveal hypoplasia without any iris tissue malformation. The diagnosis of this family was established by detection of a missense mutation in the paired domain of the PAX 6 gene, hence conforming to a forme fruste of congenital aniridia. SORSBY'S FUNDUS DYSTROPHY: Two Japanese families with Sorsby's fundus dystrophy showed late-onset retinal dystrophy characterized by submacular hemorrhage and atrophy. Our patients presented with visual loss as late as 50 years of age or older due to macula-confined degenerative changes that were similar in all respects to exudative age-related macular degeneration and showed a novel mutation in the tissue inhibitor of the metalloproteinases-3 gene. AGE-RELATED MACULAR DEGENERATION (ARMD): We have studied whether there is any association of candidate polymorphic genes involving xenobiotic or antioxidant metabolism with susceptibility to ARMD. Preliminary results suggest that the genetic polymorphism of microsomal epoxide hydrolase is related to potential risk of ARMD. Sentence B: Összefoglaló. A tudomány jelenlegi állása szerint - csoportok összehasonlítására épülő matematikai-statisztikai eszközökkel - a leginkább hatékonynak és hatásosnak vélt kezelési módszerek szisztematikus elemzése mentén, a bizonyítékokon alapuló irányelveken nyugvó gyógyító munkát tekintjük követendőnek. A nyaki verőérszűkület ellátása esetén az utóbbi években elkészült mind a hazai, mind az európai irányelv, mindemellett a társszakmák irányelveiben is megjelentek kezelési javaslatok. Közleményünkben összehasonlítottuk a témában publikált magyar, angol, német és olasz nyelvű, valamint az európai társaságok által kiadott irányelveket. Az irányelvek alapelveikben hasonlóak, formailag és tartalmilag azonban jelentős (időnként egymásnak ellentmondani látszó) különbségeket találhatunk. Az ellentmondások három leggyakoribb oka: 1) az egyes irányelvek által kitűzött célok különbözősége, 2) az aszimptomatikus és szimptomatikus betegcsoport definíciói, valamint 3) az eltérő evidenciaszintek. Az irányelvek összevetése alapján a tünetes, szignifikáns nyaki verőérszűkületek sebészi ellátása evidenciának tekinthető. A szimptomatikus nyaki verőérszűkület a definíció szerint ellenoldali cerebralis ischaemia okozta, tranziens vagy definitív plegia, paresis, aphasia és az azonos oldali arteria centralis retinae embolisatiója miatti amaurosis fugax. A tünetmentes nyaki verőérszűkületek ellátása tekintetében az európai és a nemzeti irányelvek nem azonosak, ezen esetek terápiás döntése egyéni mérlegelést igényel. Tünetmentes, 70%-os stenosis esetén vascularteam-konzílium javasolt. Orv Hetil. 2020; 161(51): 2139-2145. Summary. The correct practice is the one that is proven to be the most effective based on systematic statistical analyses of different treatment methods, and is applied according to evidence-based principles. In recent years, not only has the European Society of Vascular Surgery created a guideline about the management of supra-aortic steno-occlusive disease, but some nations' vascular surgical societies and related disciplines have also developed their own guidance. In this paper, the guidelines by the European societies on the clinical care of patients with carotid artery luminal narrowing is compared to national guidelines published in Hungarian, English, German, and Italian. Although the fundamental points of the guidelines are similar, there are some important differences among them both in presentation and in content; as a result, they sometimes appear to be contradictory. The three main sources of inconsistency are the various goals, the discrepancy in the definition of symptomatic and asymptomatic carotid artery stenosis, and the bias arising from the use of distinct evidence levels. A comparison of guidelines suggests that the treatment of symptomatic significant carotid artery stenosis with surgery can be considered evidence. Symptomatic carotid artery stenosis is defined as transient or definite plegia, paresis, aphasia due to cerebral ischemia, and monocular blindness caused by embolism in the central retinal artery. However, in the case of asymptomatic 70% or greater carotid artery stenosis, the guidelines are quite heterogeneous, and these patients require individual consideration and a vascular team decision is recommended. Orv Hetil. 2020; 161(51): 2139-2145. ###Answer ☑️ Changed The target word ""Blindness"" has undergone a significant change in meaning or connotation between the two sentences. In Sentence A, the word is used to describe a specific medical condition, such as ""mild optic nerve disease of insidious onset,"" ""congenital bilateral blindness,"" or ""macula-confined degenerative changes that were similar in all respects to exudative age-related macular degeneration."" In Sentence B, the word is used more broadly to refer to any type of vision loss or impairment, without any specific medical context. This broader usage suggests that the meaning of the word ""Blindness"" has shifted over time, from a medical term with a specific definition to a more general term that can encompass a wider range of vision-related issues. Therefore, the label ""Changed"" is appropriate for this target word." 19,Blindness," HI 21~cm absorption spectroscopy provides an excellent probe of the neutral gas content of absorbing galaxies, yielding information on their kinematics, mass, physical size and ISM conditions. The high sensitivity, unrivaled frequency coverage and RFI suppression techniques of the SKA will enable it to use HI absorption to study the ISM of high column density intervening systems along thousands of lines of sight out to high redshifts. Blind SKA 21~cm surveys will yield large, unbiased absorber samples, tracing the evolution of normal galaxies and active galactic nuclei from $z \gtrsim 6$ to the present epoch. It will thus be possible to directly measure the physical size and mass of typical galaxies as a function of redshift and, hence, to test hierarchical models of structure formation. "," In this paper, an efficient fragile blind quad watermarking scheme for image tamper detection and recovery based on lifting wavelet transform and genetic algorithm is proposed. TRLG generates four compact digests with super quality based on lifting wavelet transform and halftoning technique by distinguishing the types of image blocks. In other words, for each 2*2 non-overlap blocks, four chances for recovering destroyed blocks are considered. A special parameter estimation technique based on genetic algorithm is performed to improve and optimize the quality of digests and watermarked image. Furthermore, CCS map is used to determine the mapping block for embedding information, encrypting and confusing the embedded information. In order to improve the recovery rate, Mirror-aside and Partner-block are proposed. The experiments that have been conducted to evaluate the performance of TRLG proved the superiority in terms of quality of the watermarked and recovered image, tamper localization and security compared with state-of-the-art methods. The results indicate that the PSNR and SSIM of the watermarked image are about 46 dB and approximately one, respectively. Also, the mean of PSNR and SSIM of several recovered images which has been destroyed about 90% is reached to 24 dB and 0.86, respectively. ","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Blindness Sentence A: HI 21~cm absorption spectroscopy provides an excellent probe of the neutral gas content of absorbing galaxies, yielding information on their kinematics, mass, physical size and ISM conditions. The high sensitivity, unrivaled frequency coverage and RFI suppression techniques of the SKA will enable it to use HI absorption to study the ISM of high column density intervening systems along thousands of lines of sight out to high redshifts. Blind SKA 21~cm surveys will yield large, unbiased absorber samples, tracing the evolution of normal galaxies and active galactic nuclei from $z \gtrsim 6$ to the present epoch. It will thus be possible to directly measure the physical size and mass of typical galaxies as a function of redshift and, hence, to test hierarchical models of structure formation. Sentence B: In this paper, an efficient fragile blind quad watermarking scheme for image tamper detection and recovery based on lifting wavelet transform and genetic algorithm is proposed. TRLG generates four compact digests with super quality based on lifting wavelet transform and halftoning technique by distinguishing the types of image blocks. In other words, for each 2*2 non-overlap blocks, four chances for recovering destroyed blocks are considered. A special parameter estimation technique based on genetic algorithm is performed to improve and optimize the quality of digests and watermarked image. Furthermore, CCS map is used to determine the mapping block for embedding information, encrypting and confusing the embedded information. In order to improve the recovery rate, Mirror-aside and Partner-block are proposed. The experiments that have been conducted to evaluate the performance of TRLG proved the superiority in terms of quality of the watermarked and recovered image, tamper localization and security compared with state-of-the-art methods. The results indicate that the PSNR and SSIM of the watermarked image are about 46 dB and approximately one, respectively. Also, the mean of PSNR and SSIM of several recovered images which has been destroyed about 90% is reached to 24 dB and 0.86, respectively. ###Answer 1. Changed Reasoning: In Sentence A, the word ""Blindness"" is used to describe the neutral gas content of absorbing galaxies, with no connotation of visual impairment. In Sentence B, the word is used to describe a watermarking scheme for image tamper detection and recovery, where it carries a connotation of being unable to see or be seen. The meaning of the word has shifted from a neutral term to a term with a negative connotation, indicating semantic drift." 20,Blindness,"The 4-year incidence of blindness and vision loss was examined in a population-based study of diabetes mellitus. In subjects participating in baseline and 4-year follow-up examinations, the rate of blindness was 1.5, 3.2, and 2.7% in younger onset persons, older onset persons taking insulin, and older onset persons not taking insulin, respectively. The rate of blindness increased with increasing age, increasing diabetic retinopathy severity, and lower baseline visual acuity in all three groups. Blindness increased with increasing duration of diabetes in younger onset persons and older onset persons taking insulin. The incidence of vision loss, as measured by a doubling of the visual angle, was associated with older age, more severe retinopathy, and presence of macular edema in the three groups. It was also associated with duration of diabetes, presence of proteinuria, and higher glycosylated hemoglobin in younger onset and older onset persons taking insulin.","Myosin-7a is an actin-based motor protein essential for vision and hearing. Mutations of myosin-7a cause type 1 Usher syndrome, the most common and severe form of deafblindness in humans. The molecular mechanisms that govern its mechanochemistry remain poorly understood, primarily because of the difficulty of purifying stable intact protein. Here, we recombinantly produce the complete human myosin-7a holoenzyme in insect cells and characterize its biochemical and motile properties. Unlike the Drosophila ortholog that primarily associates with calmodulin (CaM), we found that human myosin-7a utilizes a unique combination of light chains including regulatory light chain, CaM, and CaM-like protein 4. Our results further reveal that CaM-like protein 4 does not function as a Ca","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Blindness Sentence A: The 4-year incidence of blindness and vision loss was examined in a population-based study of diabetes mellitus. In subjects participating in baseline and 4-year follow-up examinations, the rate of blindness was 1.5, 3.2, and 2.7% in younger onset persons, older onset persons taking insulin, and older onset persons not taking insulin, respectively. The rate of blindness increased with increasing age, increasing diabetic retinopathy severity, and lower baseline visual acuity in all three groups. Blindness increased with increasing duration of diabetes in younger onset persons and older onset persons taking insulin. The incidence of vision loss, as measured by a doubling of the visual angle, was associated with older age, more severe retinopathy, and presence of macular edema in the three groups. It was also associated with duration of diabetes, presence of proteinuria, and higher glycosylated hemoglobin in younger onset and older onset persons taking insulin. Sentence B: Myosin-7a is an actin-based motor protein essential for vision and hearing. Mutations of myosin-7a cause type 1 Usher syndrome, the most common and severe form of deafblindness in humans. The molecular mechanisms that govern its mechanochemistry remain poorly understood, primarily because of the difficulty of purifying stable intact protein. Here, we recombinantly produce the complete human myosin-7a holoenzyme in insect cells and characterize its biochemical and motile properties. Unlike the Drosophila ortholog that primarily associates with calmodulin (CaM), we found that human myosin-7a utilizes a unique combination of light chains including regulatory light chain, CaM, and CaM-like protein 4. Our results further reveal that CaM-like protein 4 does not function as a Ca ###Answer 1. Changed Reasoning: In Sentence A, the term ""blindness"" is used to describe an increase in the incidence of vision loss in a population of diabetes patients. The context suggests that the term refers to a loss of visual acuity or sight, as the sentence mentions ""visual angle"" and ""presence of macular edema."" This is a different meaning than the term ""blindness"" used in Sentence B, where it refers to a genetic disorder causing deafness and blindness. The two sentences convey different meanings of the term ""blindness,"" indicating semantic drift has occurred." 21,Blindness,"Three children were born in the Broken Hill Australia lead mining community with delayed visual maturation of the optic nerve (blindness) within a period of 19 months. Because of the association with the lead pollution, the delayed visual maturation was attributed to lead exposure of the fetus during pregnancy. Lead isotopic analyses of the shed deciduous teeth from the three children demonstrate that they were not exposed to increased levels of lead from a mining or any other source during pregnancy and the etiology of the delayed visual maturation must be sought elsewhere.",Glaucoma is the leading cause of irreversible blindness with over 70 million people affected worldwide. The surgical management of glaucoma aims to lower intraocular pressure by increasing aqueous outflow facility. The latest manufacturing techniques have allowed for the development of a number of novel implantable devices to improve safety and outcomes of glaucoma surgery. These are collectively referred to as minimally invasive glaucoma surgery (MIGS) devices and are among the smallest devices implanted in the human body. This review discusses the design criterion and constraints as well as the user requirements for MIGS devices. We review how recent devices have attempted to meet these challenges and give our opinion as to the necessary characteristics for the development of future devices.,"###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Blindness Sentence A: Three children were born in the Broken Hill Australia lead mining community with delayed visual maturation of the optic nerve (blindness) within a period of 19 months. Because of the association with the lead pollution, the delayed visual maturation was attributed to lead exposure of the fetus during pregnancy. Lead isotopic analyses of the shed deciduous teeth from the three children demonstrate that they were not exposed to increased levels of lead from a mining or any other source during pregnancy and the etiology of the delayed visual maturation must be sought elsewhere. Sentence B: Glaucoma is the leading cause of irreversible blindness with over 70 million people affected worldwide. The surgical management of glaucoma aims to lower intraocular pressure by increasing aqueous outflow facility. The latest manufacturing techniques have allowed for the development of a number of novel implantable devices to improve safety and outcomes of glaucoma surgery. These are collectively referred to as minimally invasive glaucoma surgery (MIGS) devices and are among the smallest devices implanted in the human body. This review discusses the design criterion and constraints as well as the user requirements for MIGS devices. We review how recent devices have attempted to meet these challenges and give our opinion as to the necessary characteristics for the development of future devices. ###Answer 1. Changed Reasoning: In Sentence A, the term ""blindness"" is used in the context of a specific medical condition (delayed visual maturation of the optic nerve) caused by lead exposure during pregnancy. The term is used to describe the condition and its associated symptoms, without any connotation of negative or positive implications. In Sentence B, the term ""blindness"" has a completely different meaning. It is used to describe a broader medical condition (glaucoma), which is characterized as an irreversible eye disease that can lead to blindness. The term is used in a negative context, highlighting the potential for loss of vision. Therefore, the meaning of the term ""blindness"" has significantly shifted between the two sentences, indicating semantic drift has occurred." 22,Blindness,"To study the progression of diabetic retinography in relation to diabetes treatment and glycaemic control in patients with non-insulin dependent (Type 2) diabetes mellitus (NIDDM), we performed a prospective study in a cohort of 1378 diabetic patients, aged > or = 40 years at diagnosis, of whom 333 were treated with insulin, and 1045 with oral antihyperglycaemic agents or diet alone. In the latter group 174 patients changed to insulin therapy during follow-up. We used the Wisconsin scale to grade retinopathy, recorded blindness (visual acuity < or = 0.1) and visual impairment (visual acuity 0.2-0.4), and measured the average HbA1c for each patient during a mean 3.1 year study period. In a multivariate analysis, patients who changed treatment from oral agents or diet alone to insulin therapy had a relative risk of 2.0 (95% confidence interval 1.7-2.3) for progression of retinopathy > or = 3 levels compared with all other patients in the study. The increase in risk remained even after controlling for mean HbA1c (relative risk 1.6; 95% confidence interval 1.3-1.9). Progression > or = 3 levels was significantly associated with a higher incidence of macular oedema and deterioration of visual acuity (p < 0.001). The relative risk for blindness/visual impairment due to retinopathy was 2.7 (95% confidence interval 1.8-4.0) in the group with changed treatment compared with all the other patients in the study. Poor glycaemic control (Hba1c%) before the start of insulin therapy and any retinopathy at baseline were significant risk factors for progression in the group with changed treatment (both p < 0.01). In the whole study group, poor glycaemic control was significantly associated with retinopathy progression > or = 3 levels; the relative risk for those having mean HbA1c above the median being 1.7 (95% confidence interval 1.4-2.1), compared to those with a HbA1c value below the median. Moderate non-proliferative diabetic retinopathy at baseline was also associated with progression (relative risk 2.5; 95% confidence interval 1.4-4.5). In contrast, insulin treatment at baseline was not associated with an increased risk of retinopathy progression. In conclusion, while hyperglycaemia was a risk factor for the progression of retinopathy in all patients, change of treatment from oral drugs to insulin was associated with a 100% increased risk of retinopathy progression and a 3-fold increased risk of blindness/visual impairment.","Herpes simplex virus (HSV) infection is a leading cause of corneal blindness. However, keratoplasty is only rarely proposed due to the high frequency of graft failure and associated recurrences. Gene therapy of the corneal graft might provide sustained protection against HSV infection. To test that hypothesis, we designed a meganuclease specific to an HSV-1 DNA sequence coding for major capsid protein (UL19) and selected an adeno-associated virus type-2 as the vector. Meganuclease was transduced into corneas and its effect was challenged ","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Blindness Sentence A: To study the progression of diabetic retinography in relation to diabetes treatment and glycaemic control in patients with non-insulin dependent (Type 2) diabetes mellitus (NIDDM), we performed a prospective study in a cohort of 1378 diabetic patients, aged > or = 40 years at diagnosis, of whom 333 were treated with insulin, and 1045 with oral antihyperglycaemic agents or diet alone. In the latter group 174 patients changed to insulin therapy during follow-up. We used the Wisconsin scale to grade retinopathy, recorded blindness (visual acuity < or = 0.1) and visual impairment (visual acuity 0.2-0.4), and measured the average HbA1c for each patient during a mean 3.1 year study period. In a multivariate analysis, patients who changed treatment from oral agents or diet alone to insulin therapy had a relative risk of 2.0 (95% confidence interval 1.7-2.3) for progression of retinopathy > or = 3 levels compared with all other patients in the study. The increase in risk remained even after controlling for mean HbA1c (relative risk 1.6; 95% confidence interval 1.3-1.9). Progression > or = 3 levels was significantly associated with a higher incidence of macular oedema and deterioration of visual acuity (p < 0.001). The relative risk for blindness/visual impairment due to retinopathy was 2.7 (95% confidence interval 1.8-4.0) in the group with changed treatment compared with all the other patients in the study. Poor glycaemic control (Hba1c%) before the start of insulin therapy and any retinopathy at baseline were significant risk factors for progression in the group with changed treatment (both p < 0.01). In the whole study group, poor glycaemic control was significantly associated with retinopathy progression > or = 3 levels; the relative risk for those having mean HbA1c above the median being 1.7 (95% confidence interval 1.4-2.1), compared to those with a HbA1c value below the median. Moderate non-proliferative diabetic retinopathy at baseline was also associated with progression (relative risk 2.5; 95% confidence interval 1.4-4.5). In contrast, insulin treatment at baseline was not associated with an increased risk of retinopathy progression. In conclusion, while hyperglycaemia was a risk factor for the progression of retinopathy in all patients, change of treatment from oral drugs to insulin was associated with a 100% increased risk of retinopathy progression and a 3-fold increased risk of blindness/visual impairment. Sentence B: Herpes simplex virus (HSV) infection is a leading cause of corneal blindness. However, keratoplasty is only rarely proposed due to the high frequency of graft failure and associated recurrences. Gene therapy of the corneal graft might provide sustained protection against HSV infection. To test that hypothesis, we designed a meganuclease specific to an HSV-1 DNA sequence coding for major capsid protein (UL19) and selected an adeno-associated virus type-2 as the vector. Meganuclease was transduced into corneas and its effect was challenged ###Answer 1. Changed Reasoning: The meaning of ""blindness"" in Sentence A has shifted significantly compared to Sentence B. In Sentence A, ""blindness"" refers to a condition where the patient has a visual acuity of less than or equal to 0.1, indicating severe visual impairment. In contrast, in Sentence B, ""blindness"" refers to a condition where the patient has lost their sight due to an infection, such as herpes simplex virus (HSV). The term is used in a different context and has a different connotation in each sentence. Therefore, semantic drift has occurred in the meaning of ""blindness"" between the two sentences." 23,Blindness,"A single-subject study with an ABAB design investigated an adaptation of a work activity through the purposeful use of an additional template to improve productivity for a woman with cortical blindness resulting from anoxic brain damage. The activity required the subject to outline brackets (as parts of a handi-rack woodwork project) by tracing a template on a piece of pine board. During the baseline phase of the study, the subject used one template to outline the brackets. During the intervention phase, the subject used an additional template after receiving a brief training in its use. Productivity was measured by the number of potentially usable outlined brackets. Data analysis revealed that in the intervention phases, productivity improved significantly and accuracy increased. The application of tapping the subjects' intact sensory system was valuable for determining her vocational potential. The rationale of using an additional template to improve productivity was explained by the theory of affordance.","Rhegmatogenous retinal detachment is the most common retinological emergency threatening vision, with an incidence of 1 in 10 000 persons per year, corresponding to about 8000 new cases in Germany annually. Without treatment, blindness in the affected eye may result.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Blindness Sentence A: A single-subject study with an ABAB design investigated an adaptation of a work activity through the purposeful use of an additional template to improve productivity for a woman with cortical blindness resulting from anoxic brain damage. The activity required the subject to outline brackets (as parts of a handi-rack woodwork project) by tracing a template on a piece of pine board. During the baseline phase of the study, the subject used one template to outline the brackets. During the intervention phase, the subject used an additional template after receiving a brief training in its use. Productivity was measured by the number of potentially usable outlined brackets. Data analysis revealed that in the intervention phases, productivity improved significantly and accuracy increased. The application of tapping the subjects' intact sensory system was valuable for determining her vocational potential. The rationale of using an additional template to improve productivity was explained by the theory of affordance. Sentence B: Rhegmatogenous retinal detachment is the most common retinological emergency threatening vision, with an incidence of 1 in 10 000 persons per year, corresponding to about 8000 new cases in Germany annually. Without treatment, blindness in the affected eye may result. ###Answer 1. Changed The meaning of ""blindness"" has shifted significantly between Sentence A and Sentence B. In Sentence A, ""blindness"" refers to a specific type of disability (cortical blindness resulting from anoxic brain damage), while in Sentence B, it refers to a broader medical condition (rhegmatogenous retinal detachment). The word's connotation has also changed, as it is now associated with a more urgent and severe medical condition in Sentence B. Therefore, the label ""Changed"" is appropriate." 24,Blindness,To describe a possible spontaneous rat model of X-linked congenital stationary night blindness (CSNB).," Age-related macular degeneration (AMD) may cause severe loss of vision or blindness particularly in elderly people. Exudative AMD is characterized by angiogenesis of blood vessels growing from underneath the macula, crossing the blood-retina barrier (that comprise Bruch's membrane, BM, and the retinal pigmentation epithelium RPE), leaking blood and fluid into the retina and knocking off photoreceptors. Here, we simulate a computational model of angiogenesis from the choroid blood vessels via a cellular Potts model, as well as BM, RPE cells, drusen deposits and photoreceptors. Our results indicate that improving AMD may require fixing the impaired lateral adhesion between RPE cells and with BM, as well as diminishing Vessel Endothelial Growth Factor (VEGF) and Jagged proteins that affect the Notch signaling pathway. Our numerical simulations suggest that anti-VEGF and anti-Jagged therapies could temporarily halt exudative AMD while addressing impaired cellular adhesion could be more effective on a longer time span. ","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Blindness Sentence A: To describe a possible spontaneous rat model of X-linked congenital stationary night blindness (CSNB). Sentence B: Age-related macular degeneration (AMD) may cause severe loss of vision or blindness particularly in elderly people. Exudative AMD is characterized by angiogenesis of blood vessels growing from underneath the macula, crossing the blood-retina barrier (that comprise Bruch's membrane, BM, and the retinal pigmentation epithelium RPE), leaking blood and fluid into the retina and knocking off photoreceptors. Here, we simulate a computational model of angiogenesis from the choroid blood vessels via a cellular Potts model, as well as BM, RPE cells, drusen deposits and photoreceptors. Our results indicate that improving AMD may require fixing the impaired lateral adhesion between RPE cells and with BM, as well as diminishing Vessel Endothelial Growth Factor (VEGF) and Jagged proteins that affect the Notch signaling pathway. Our numerical simulations suggest that anti-VEGF and anti-Jagged therapies could temporarily halt exudative AMD while addressing impaired cellular adhesion could be more effective on a longer time span. ###Answer 1. Changed Reasoning: In Sentence A, the term ""blindness"" is used to describe a specific medical condition (X-linked congenital stationary night blindness). In Sentence B, the term is used more broadly to describe age-related macular degeneration, which is a different condition altogether. The meaning of the term has shifted from a specific medical condition to a more general term for vision loss." 25,Blindness,"Recently, the authors treated two mentally retarded and nearly blind children whose eyes were injured by autostimulation. Case 1, who has Joubert's syndrome associated with Leber's congenital amaurosis, continued to press his left eye with his hands, and a severe corneal ulcer ensued. Case 2, who is suspected of having optic atrophy or cortical blindness, looked too closely at a bright light and burned his eyelid."," There is a fundamental puzzle in understanding our awareness of the visual world. On one hand, our subjective experience is one of a rich visual world, which we perceive effortlessly. However, when we actually test perception, observers know surprisingly little. A number of tasks, from search, through inattentional blindness, to change blindness, suggest that there is surprisingly little awareness or perception without attention. Meanwhile, another set of tasks, such as multiple object tracking, dual-task performance, and visual working memory tasks suggest that both attention and working memory have low capacity. These two components together - poor perception without attention, and greatly limited capacity for attention and memory - imply that perception is impoverished. How can we make sense of this awareness puzzle, of the riddle of our rich subjective experience coupled with poor performance on experimental tasks? I suggest that, looked at in the right way, there is in fact no awareness puzzle. In particular, I will argue that the tasks that show limits are inherently difficult tasks, and that there exists a unified explanation for both the rich subjective experience and the apparent limits. ","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Blindness Sentence A: Recently, the authors treated two mentally retarded and nearly blind children whose eyes were injured by autostimulation. Case 1, who has Joubert's syndrome associated with Leber's congenital amaurosis, continued to press his left eye with his hands, and a severe corneal ulcer ensued. Case 2, who is suspected of having optic atrophy or cortical blindness, looked too closely at a bright light and burned his eyelid. Sentence B: There is a fundamental puzzle in understanding our awareness of the visual world. On one hand, our subjective experience is one of a rich visual world, which we perceive effortlessly. However, when we actually test perception, observers know surprisingly little. A number of tasks, from search, through inattentional blindness, to change blindness, suggest that there is surprisingly little awareness or perception without attention. Meanwhile, another set of tasks, such as multiple object tracking, dual-task performance, and visual working memory tasks suggest that both attention and working memory have low capacity. These two components together - poor perception without attention, and greatly limited capacity for attention and memory - imply that perception is impoverished. How can we make sense of this awareness puzzle, of the riddle of our rich subjective experience coupled with poor performance on experimental tasks? I suggest that, looked at in the right way, there is in fact no awareness puzzle. In particular, I will argue that the tasks that show limits are inherently difficult tasks, and that there exists a unified explanation for both the rich subjective experience and the apparent limits. ###Answer 1. Changed Reasoning: In Sentence A, the term ""blindness"" is used to describe two children who have eye injuries that have caused visual impairment. The context suggests that the term is used to convey a sense of helplessness and vulnerability, as the children are unable to see and are in need of medical attention. In Sentence B, the term ""blindness"" is used in a different context to describe a fundamental puzzle in understanding human awareness of the visual world. The term is used to convey a sense of impoverishment, as the ability to perceive and attend to visual stimuli is limited. Based on these differences in context and meaning, it can be argued that the term ""blindness"" has undergone a significant change in meaning between the two sentences. In Sentence A, the term is used to describe a physical condition, while in Sentence B, it is used to describe a cognitive phenomenon. Therefore, the label ""Changed"" is appropriate." 26,Blindness,"Diabetic retinopathy is a leading cause of visual loss in industrialized countries. Its classification includes preclinical, nonproliferative (mild, moderate, and severe or preproliferative diabetic retinopathy) and proliferative stages (low risk, high risk, and advanced). Diabetic maculopathy (exudative, edematous, or ischemic) may be associated with either nonproliferative or proliferative retinopathy. Prevention requires the tightest possible control of both blood glucose and blood pressure. Laser photocoagulation remains the only procedure recommended for severe nonproliferative or proliferative retinopathy and maculopathy. Since it reduces legal blindness by more than 90% in proliferative retinopathy and prevents severe sight loss in diabetic maculopathy, photocoagulation is probably one of the most effective forms of treatment known today. Less destructive approaches are desirable, however, and those currently under phase 3 trial include blockade of angiotensin receptors, the beta-isoform of protein kinase C, and growth hormone secretion by long-acting analogues of somatostatin. Evidence from past randomized controlled studies does not support a role for inhibitors of platelet aggregation, aldose reductase, and advanced glycosylation end products in the prevention/treatment of retinopathy. Future approaches might include the use of thiamine and its analogues in the primary and secondary prevention of early retinopathy and blockers of vascular endothelial growth factor/vascular permeability factor in more advanced stages.","Diabetic retinopathy (DR), as a major cause of blindness worldwide, is one common complication of diabetes mellitus. Inflammatory response and oxidative stress injury of endothelial cells play significant roles in the pathogenesis of DR. The study is aimed at investigating the effects of lysophosphatidylcholine (LPC) on the dysfunction of high glucose- (HG-) treated human retinal microvascular endothelial cells (HRMECs) after being cocultured with bone marrow mesenchymal stem cells (BMSCs) and the underlying regulatory mechanism. Coculture of BMSCs and HRMECs was performed in transwell chambers. The activities of antioxidant-related enzymes and molecules of oxidative stress injury and the contents of inflammatory cytokines were measured by ELISA. Flow cytometry analyzed the apoptosis of treated HRMECs. HRMECs were further treated with 10-50 ","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Blindness Sentence A: Diabetic retinopathy is a leading cause of visual loss in industrialized countries. Its classification includes preclinical, nonproliferative (mild, moderate, and severe or preproliferative diabetic retinopathy) and proliferative stages (low risk, high risk, and advanced). Diabetic maculopathy (exudative, edematous, or ischemic) may be associated with either nonproliferative or proliferative retinopathy. Prevention requires the tightest possible control of both blood glucose and blood pressure. Laser photocoagulation remains the only procedure recommended for severe nonproliferative or proliferative retinopathy and maculopathy. Since it reduces legal blindness by more than 90% in proliferative retinopathy and prevents severe sight loss in diabetic maculopathy, photocoagulation is probably one of the most effective forms of treatment known today. Less destructive approaches are desirable, however, and those currently under phase 3 trial include blockade of angiotensin receptors, the beta-isoform of protein kinase C, and growth hormone secretion by long-acting analogues of somatostatin. Evidence from past randomized controlled studies does not support a role for inhibitors of platelet aggregation, aldose reductase, and advanced glycosylation end products in the prevention/treatment of retinopathy. Future approaches might include the use of thiamine and its analogues in the primary and secondary prevention of early retinopathy and blockers of vascular endothelial growth factor/vascular permeability factor in more advanced stages. Sentence B: Diabetic retinopathy (DR), as a major cause of blindness worldwide, is one common complication of diabetes mellitus. Inflammatory response and oxidative stress injury of endothelial cells play significant roles in the pathogenesis of DR. The study is aimed at investigating the effects of lysophosphatidylcholine (LPC) on the dysfunction of high glucose- (HG-) treated human retinal microvascular endothelial cells (HRMECs) after being cocultured with bone marrow mesenchymal stem cells (BMSCs) and the underlying regulatory mechanism. Coculture of BMSCs and HRMECs was performed in transwell chambers. The activities of antioxidant-related enzymes and molecules of oxidative stress injury and the contents of inflammatory cytokines were measured by ELISA. Flow cytometry analyzed the apoptosis of treated HRMECs. HRMECs were further treated with 10-50  ###Answer 1. Changed Reasoning: In Sentence A, the term ""blindness"" is used to describe the outcome of diabetic retinopathy, which is a leading cause of visual loss in industrialized countries. The sentence highlights the importance of tight blood glucose and blood pressure control to prevent legal blindness. The term ""legal blindness"" is used to emphasize the severity of the condition. In Sentence B, the term ""blindness"" is used more broadly to describe diabetic retinopathy as a major cause of blindness worldwide. The sentence highlights the role of inflammation and oxidative stress in the pathogenesis of DR. The term ""blindness"" is used in a more general sense to convey the severity of the condition. Based on these differences in usage, it appears that the term ""blindness"" has shifted in meaning over time. In Sentence A, the term is used specifically to refer to legal blindness, while in Sentence B, it is used more broadly to refer to diabetic retinopathy as a whole. Therefore, I would label this as a case of semantic drift." 27,Blindness,"Human listeners can localize sounds by the difference in both arrival time (phase) and loudness between the two ears. Movement of the sound source modulates these cues, and responses to moving sounds have been detected in animals in primary auditory cortex and in humans in other cortical areas. Here we show that detection of changes in the interaural phase or amplitude difference occurs through a mechanism distinct from that used to detect changes in one ear alone. Moreover, a patient with a right hemisphere stroke is unable to detect sound movement, regardless of whether it is defined by phase or by loudness cues. We propose that this deficit reflects damage to a distinct cortical area, outside the classical auditory areas, that is specialized for the detection of sound motion. The deficit is analagous to cerebral akinotopsia (motion blindness) in the visual system, and so the auditory system may, like the visual system, show localization of specialized functions to different cortical regions."," We present detailed simulations of black hole-neutron star (BH-NS) mergers kilonova and gamma-ray burst (GRB) afterglow and kilonova luminosity function, and discuss the detectability of electromagnetic (EM) counterpart in connection with gravitational wave (GW) detections, GW-triggered target-of-opportunity observations, and time-domain blind searches. The predicted absolute magnitude of the BH-NS kilonovae at $0.5\,{\rm days}$ after the merger falls in $[-10,-15.5]$. The simulated luminosity function contains the potential viewing-angle distribution information of the anisotropic kilonova emission. We simulate the GW detection rates, detectable distances and signal duration, for the future networks of 2nd/2.5th/3rd-generation GW detectors. BH-NSs tend to produce brighter kilonovae and afterglows if the BH has a higher aligned-spin, and a less massive NS with a stiffer EoS. The detectability of kilonova is especially sensitive to the BH spin. If BHs typically have low spins, the BH-NS EM counterparts are hard to discover. For the 2nd generation GW detector networks, a limiting magnitude of $m_{\rm limit}\sim23-24\,{\rm mag}$ is required to detect the kilonovae even if BH high spin is assumed. Thus, a plausible explanation for the lack of BH-NS associated kilonova detection during LIGO/Virgo O3 is that either there is no EM counterpart (plunging events), or the current follow-ups are too shallow. These observations still have the chance to detect the on-axis jet afterglow associated with an sGRB or an orphan afterglow. Follow-up observations can detect possible associated sGRB afterglows, from which kilonova signatures may be studied. For time-domain observations, a high-cadence search in redder filters is recommended to detect more BH-NS associated kilonovae and afterglows. ","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Blindness Sentence A: Human listeners can localize sounds by the difference in both arrival time (phase) and loudness between the two ears. Movement of the sound source modulates these cues, and responses to moving sounds have been detected in animals in primary auditory cortex and in humans in other cortical areas. Here we show that detection of changes in the interaural phase or amplitude difference occurs through a mechanism distinct from that used to detect changes in one ear alone. Moreover, a patient with a right hemisphere stroke is unable to detect sound movement, regardless of whether it is defined by phase or by loudness cues. We propose that this deficit reflects damage to a distinct cortical area, outside the classical auditory areas, that is specialized for the detection of sound motion. The deficit is analagous to cerebral akinotopsia (motion blindness) in the visual system, and so the auditory system may, like the visual system, show localization of specialized functions to different cortical regions. Sentence B: We present detailed simulations of black hole-neutron star (BH-NS) mergers kilonova and gamma-ray burst (GRB) afterglow and kilonova luminosity function, and discuss the detectability of electromagnetic (EM) counterpart in connection with gravitational wave (GW) detections, GW-triggered target-of-opportunity observations, and time-domain blind searches. The predicted absolute magnitude of the BH-NS kilonovae at $0.5\,{\rm days}$ after the merger falls in $[-10,-15.5]$. The simulated luminosity function contains the potential viewing-angle distribution information of the anisotropic kilonova emission. We simulate the GW detection rates, detectable distances and signal duration, for the future networks of 2nd/2.5th/3rd-generation GW detectors. BH-NSs tend to produce brighter kilonovae and afterglows if the BH has a higher aligned-spin, and a less massive NS with a stiffer EoS. The detectability of kilonova is especially sensitive to the BH spin. If BHs typically have low spins, the BH-NS EM counterparts are hard to discover. For the 2nd generation GW detector networks, a limiting magnitude of $m_{\rm limit}\sim23-24\,{\rm mag}$ is required to detect the kilonovae even if BH high spin is assumed. Thus, a plausible explanation for the lack of BH-NS associated kilonova detection during LIGO/Virgo O3 is that either there is no EM counterpart (plunging events), or the current follow-ups are too shallow. These observations still have the chance to detect the on-axis jet afterglow associated with an sGRB or an orphan afterglow. Follow-up observations can detect possible associated sGRB afterglows, from which kilonova signatures may be studied. For time-domain observations, a high-cadence search in redder filters is recommended to detect more BH-NS associated kilonovae and afterglows. ###Answer 1. Changed Reasoning: The meaning of ""blindness"" has shifted significantly between Sentence A and Sentence B. In Sentence A, ""blindness"" refers to the inability to detect sound movement, which is a specific auditory function. In Sentence B, ""blindness"" is used more broadly to refer to any type of visual or sensory impairment. This broader meaning is not present in Sentence A, indicating semantic drift." 28,Blindness,"Mutations in RP1 are a common cause of dominant retinitis pigmentosa (RP), but the mechanism by which the identified mutations lead to photoreceptor cell death and blindness has not been determined. To investigate the function of the RP1 protein in photoreceptors and gain insight into the mechanism of disease, gene-targeting techniques were used to produce mice with a mutant Rp1 allele that mimics the truncation alleles found to cause disease.","The effects of activating mutations associated with night blindness on the stoichiometry of rhodopsin interactions with G protein-coupled receptor kinase 1 (GRK1) and arrestin-1 have not been reported. Here we show that the monomeric form of WT rhodopsin and its constitutively active mutants M257Y, G90D, and T94I, reconstituted into HDL particles are effectively phosphorylated by GRK1, as well as two more ubiquitously expressed subtypes, GRK2 and GRK5. All versions of arrestin-1 tested (WT, pre-activated, and constitutively monomeric mutants) bind to monomeric rhodopsin and show the same selectivity for different functional forms of rhodopsin as in native disc membranes. Rhodopsin phosphorylation by GRK1 and GRK2 promotes arrestin-1 binding to a comparable extent, whereas similar phosphorylation by GRK5 is less effective, suggesting that not all phosphorylation sites on rhodopsin are equivalent in promoting arrestin-1 binding. The binding of WT arrestin-1 to phospho-opsin is comparable to the binding to its preferred target, P-Rh*, suggesting that in photoreceptors arrestin-1 only dissociates after opsin regeneration with 11-cis-retinal, which converts phospho-opsin into inactive phospho-rhodopsin that has lower affinity for arrestin-1. Reduced binding of arrestin-1 to the phospho-opsin form of G90D mutant likely contributes to night blindness caused by this mutation in humans.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Blindness Sentence A: Mutations in RP1 are a common cause of dominant retinitis pigmentosa (RP), but the mechanism by which the identified mutations lead to photoreceptor cell death and blindness has not been determined. To investigate the function of the RP1 protein in photoreceptors and gain insight into the mechanism of disease, gene-targeting techniques were used to produce mice with a mutant Rp1 allele that mimics the truncation alleles found to cause disease. Sentence B: The effects of activating mutations associated with night blindness on the stoichiometry of rhodopsin interactions with G protein-coupled receptor kinase 1 (GRK1) and arrestin-1 have not been reported. Here we show that the monomeric form of WT rhodopsin and its constitutively active mutants M257Y, G90D, and T94I, reconstituted into HDL particles are effectively phosphorylated by GRK1, as well as two more ubiquitously expressed subtypes, GRK2 and GRK5. All versions of arrestin-1 tested (WT, pre-activated, and constitutively monomeric mutants) bind to monomeric rhodopsin and show the same selectivity for different functional forms of rhodopsin as in native disc membranes. Rhodopsin phosphorylation by GRK1 and GRK2 promotes arrestin-1 binding to a comparable extent, whereas similar phosphorylation by GRK5 is less effective, suggesting that not all phosphorylation sites on rhodopsin are equivalent in promoting arrestin-1 binding. The binding of WT arrestin-1 to phospho-opsin is comparable to the binding to its preferred target, P-Rh*, suggesting that in photoreceptors arrestin-1 only dissociates after opsin regeneration with 11-cis-retinal, which converts phospho-opsin into inactive phospho-rhodopsin that has lower affinity for arrestin-1. Reduced binding of arrestin-1 to the phospho-opsin form of G90D mutant likely contributes to night blindness caused by this mutation in humans. ###Answer 1. Changed Reasoning: In Sentence A, the target word ""blindness"" is used to describe the result of a genetic mutation in a specific context (i.e., retinitis pigmentosa). The sentence suggests that the mutation leads to the death of photoreceptor cells, resulting in blindness. However, in Sentence B, the target word ""blindness"" has a different meaning. In this context, ""blindness"" refers to night blindness, which is a specific type of vision impairment caused by mutations in a different gene. The sentence does not suggest that the mutation leads to the death of photoreceptor cells, but rather that the mutation affects the ability to see in low light conditions. Therefore, the meaning of the target word ""blindness"" has changed between the two sentences, indicating semantic drift has occurred." 29,Blindness,"Three male patients had paravenous pigmented retinochoroidal atrophy. Extensive retinal function tests showed characteristic retinal pigment epithelial abnormalities on fluorescein angiography, loss of peripheral visual field, diminution of the electroretinographic b-wave, and elevated rod threshold on dark adaptometry. The disease appears to be more progressive than previously indicated, and in late stages, may cause legal blindness through involvement of the posterior pole. No treatment is known.",Topically applied macromolecules have the potential to provide vision-saving treatments for many of the leading causes of blindness in the United States. The aim of this study was to determine if ultrasound can be applied to increase transcorneal drug delivery of macromolecules without dangerously overheating surrounding ocular tissues.,"###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Blindness Sentence A: Three male patients had paravenous pigmented retinochoroidal atrophy. Extensive retinal function tests showed characteristic retinal pigment epithelial abnormalities on fluorescein angiography, loss of peripheral visual field, diminution of the electroretinographic b-wave, and elevated rod threshold on dark adaptometry. The disease appears to be more progressive than previously indicated, and in late stages, may cause legal blindness through involvement of the posterior pole. No treatment is known. Sentence B: Topically applied macromolecules have the potential to provide vision-saving treatments for many of the leading causes of blindness in the United States. The aim of this study was to determine if ultrasound can be applied to increase transcorneal drug delivery of macromolecules without dangerously overheating surrounding ocular tissues. ###Answer 1. Changed The target word ""blindness"" has undergone a significant change in meaning between Sentence A (2000) and Sentence B (2020). In Sentence A, the term refers to a specific medical condition characterized by retinal pigment epithelial abnormalities and loss of peripheral visual field. In contrast, in Sentence B, the term is used more broadly to refer to any cause of vision loss, including treatments for blindness. The shift in meaning indicates semantic drift has occurred." 30,Blindness,"Retinitis pigmentosa (RP), the commonest inherited form of blindness, is a heterogeneous condition which usually manifests as an isolated abnormality, but is occasionally a component of various rare syndromes. The basic defect in RP is unknown, but the recent molecular genetic discovery of linkage with a restriction fragment length polymorphism in X-linked RP offers the potential for carrier screening and antenatal diagnosis of this form of the disorder. In this article we present an overview of RP and an analysis of our findings from a questionnaire survey of 130 affected individuals in 63 families in the Cape Province and Natal. The proportions of the different genetic types of RP were generally in accordance with those found in overseas studies, being 14% autosomal dominant, 9,5% autosomal recessive and 6% X-linked recessive. A further 35% of the affected persons had RP together with other syndromic stigmata, while the remaining 35% could not be classified into any specific genetic category.","Understanding the molecular composition of ocular tissues and fluids could inform new approaches to prevalent causes of blindness. Subretinal fluid accumulating between the photoreceptor outer segments and retinal pigment epithelium (RPE) is potentially a rich source of proteins and lipids normally cycling among outer retinal cells and choroid. Herein, intact post-translationally modified proteins (proteoforms) were extracted from subretinal fluids of five patients with rhegmatogenous retinal detachment (RRD), analyzed by tandem mass spectrometry, and compared to published data on these same proteins as synthesized by other organs. Single-nuclei transcriptomic data from non-diseased human retina/RPE were used to identify whether proteins in subretinal fluid were of potential ocular origin. Two human donor eyes with normal maculas were immunoprobed for transthyretin (TTR) with appropriate controls. The three most abundant proteins detected in subretinal fluid were albumin, TTR, and apolipoprotein A-I. Remarkably, TTR relative to the other proteins was more abundant than its serum counterpart, suggestive of TTR being synthesized predominantly locally. Six proteoforms of TTR were detected, with the relative amount of glutathionylated TTR being much higher in the subretinal fluid (12-43%) than values reported for serum (<5%) and cerebrospinal fluid (0.4-13%). Moreover, a putative glycosylated TTR dimer of 32,428 Da was detected as the fourth most abundant protein. The high abundance of TTR and putative TTR dimer in subretinal fluid was supported by analysis of available single-nuclei transcriptomic data, which showed strong and specific signal for TTR in RPE. Immunohistochemistry further showed strong diffuse TTR immunoreactivity in choroidal stroma that contrasted with vertically aligned signal in the outer segment zone of the subretinal space and negligible signal in RPE cell bodies. These results suggest that TTR in the retina is synthesized intraocularly, and glutathionylation is crucial for its normal function. Further studies on the composition, function, and quantities of TTR and other proteoforms in subretinal fluid could inform mechanisms, diagnostic methods, and treatment strategies for age-related macular degeneration, familial amyloidosis, and other retinal diseases involving dysregulation of physiologic lipid transfer and oxidative stress.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Blindness Sentence A: Retinitis pigmentosa (RP), the commonest inherited form of blindness, is a heterogeneous condition which usually manifests as an isolated abnormality, but is occasionally a component of various rare syndromes. The basic defect in RP is unknown, but the recent molecular genetic discovery of linkage with a restriction fragment length polymorphism in X-linked RP offers the potential for carrier screening and antenatal diagnosis of this form of the disorder. In this article we present an overview of RP and an analysis of our findings from a questionnaire survey of 130 affected individuals in 63 families in the Cape Province and Natal. The proportions of the different genetic types of RP were generally in accordance with those found in overseas studies, being 14% autosomal dominant, 9,5% autosomal recessive and 6% X-linked recessive. A further 35% of the affected persons had RP together with other syndromic stigmata, while the remaining 35% could not be classified into any specific genetic category. Sentence B: Understanding the molecular composition of ocular tissues and fluids could inform new approaches to prevalent causes of blindness. Subretinal fluid accumulating between the photoreceptor outer segments and retinal pigment epithelium (RPE) is potentially a rich source of proteins and lipids normally cycling among outer retinal cells and choroid. Herein, intact post-translationally modified proteins (proteoforms) were extracted from subretinal fluids of five patients with rhegmatogenous retinal detachment (RRD), analyzed by tandem mass spectrometry, and compared to published data on these same proteins as synthesized by other organs. Single-nuclei transcriptomic data from non-diseased human retina/RPE were used to identify whether proteins in subretinal fluid were of potential ocular origin. Two human donor eyes with normal maculas were immunoprobed for transthyretin (TTR) with appropriate controls. The three most abundant proteins detected in subretinal fluid were albumin, TTR, and apolipoprotein A-I. Remarkably, TTR relative to the other proteins was more abundant than its serum counterpart, suggestive of TTR being synthesized predominantly locally. Six proteoforms of TTR were detected, with the relative amount of glutathionylated TTR being much higher in the subretinal fluid (12-43%) than values reported for serum (<5%) and cerebrospinal fluid (0.4-13%). Moreover, a putative glycosylated TTR dimer of 32,428 Da was detected as the fourth most abundant protein. The high abundance of TTR and putative TTR dimer in subretinal fluid was supported by analysis of available single-nuclei transcriptomic data, which showed strong and specific signal for TTR in RPE. Immunohistochemistry further showed strong diffuse TTR immunoreactivity in choroidal stroma that contrasted with vertically aligned signal in the outer segment zone of the subretinal space and negligible signal in RPE cell bodies. These results suggest that TTR in the retina is synthesized intraocularly, and glutathionylation is crucial for its normal function. Further studies on the composition, function, and quantities of TTR and other proteoforms in subretinal fluid could inform mechanisms, diagnostic methods, and treatment strategies for age-related macular degeneration, familial amyloidosis, and other retinal diseases involving dysregulation of physiologic lipid transfer and oxidative stress. ###Answer 1. Changed Reasoning: In Sentence A, the target word ""Blindness"" is used to describe Retinitis pigmentosa (RP), a genetic disorder that affects the retina and can lead to vision loss. The context suggests that the term ""Blindness"" in this sentence refers to the loss of vision caused by the disorder. However, in Sentence B, the target word ""Blindness"" is used in a different context. It is mentioned in the context of understanding the molecular composition of ocular tissues and fluids, and the abundance of certain proteins in subretinal fluid is discussed. In this sentence, the term ""Blindness"" does not refer to the loss of vision, but rather to the composition of the ocular tissues. Therefore, based on the context and meaning of the target word in each sentence, it can be concluded that semantic drift has occurred in the meaning of ""Blindness"". In Sentence A, the term refers to the loss of vision caused by a genetic disorder, while in Sentence B, it refers to the composition of ocular tissues." 31,Blindness,"Behçet disease is characterised by a triple symptom picture (genital and oral aphthae, ocular lesions) named after the Turkish dermatologist, Hulusi Behçet. It is found all over the world, but is particularly frequent in Japan and the Mediterranean basin. Adult males are primarily affected. The classic symptomatological triad may be accompanied by other manifestations involving the skin (hypersensitivity to microtrauma is a peculiar feature), joints, nervous system, gastroenteric system, cardiovascular system (phlebitis, phlebothrombosis), lungs and kidneys. There is a chronic course marked by periods of exacerbation and remission, which may last for years. Diagnosis is clinical only, since neither the laboratory data nor the histopathological signs of vasculitis are truly pathognomonic. The prognosis quoad valetudinem is uncertain with regard to the eye lesions, which may result in blindness. The prognosis quoad vitam is usually good, though it is poor if the nervous system is involved, or in the event of lung and large vessel lesions, since death may occur from haemoptysis or the rupture of aneurysms.","Rhinocerebral mucormycosis is a fulminant fungal infection of the nose and paranasal sinuses in immunocompromised patients. But mucormycosis following dental manipulation in immunocompetent patients leading to orbital involvement is rare. The objective of this study was to highlight the variable presentations of mucormycosis. We had two immunocompetent patients, who had undergone some dental treatment by quacks, later developed fulminant mucormycosis of the paranasal sinuses and blindness. The endoscopic sinus surgery and Amphotericin B chemotherapy resulted in a good outcome. This disease requires an aggressive approach of combined endoscopic sinus surgery and Amphotericin B to increase the chances of survival in these patients.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Blindness Sentence A: Behçet disease is characterised by a triple symptom picture (genital and oral aphthae, ocular lesions) named after the Turkish dermatologist, Hulusi Behçet. It is found all over the world, but is particularly frequent in Japan and the Mediterranean basin. Adult males are primarily affected. The classic symptomatological triad may be accompanied by other manifestations involving the skin (hypersensitivity to microtrauma is a peculiar feature), joints, nervous system, gastroenteric system, cardiovascular system (phlebitis, phlebothrombosis), lungs and kidneys. There is a chronic course marked by periods of exacerbation and remission, which may last for years. Diagnosis is clinical only, since neither the laboratory data nor the histopathological signs of vasculitis are truly pathognomonic. The prognosis quoad valetudinem is uncertain with regard to the eye lesions, which may result in blindness. The prognosis quoad vitam is usually good, though it is poor if the nervous system is involved, or in the event of lung and large vessel lesions, since death may occur from haemoptysis or the rupture of aneurysms. Sentence B: Rhinocerebral mucormycosis is a fulminant fungal infection of the nose and paranasal sinuses in immunocompromised patients. But mucormycosis following dental manipulation in immunocompetent patients leading to orbital involvement is rare. The objective of this study was to highlight the variable presentations of mucormycosis. We had two immunocompetent patients, who had undergone some dental treatment by quacks, later developed fulminant mucormycosis of the paranasal sinuses and blindness. The endoscopic sinus surgery and Amphotericin B chemotherapy resulted in a good outcome. This disease requires an aggressive approach of combined endoscopic sinus surgery and Amphotericin B to increase the chances of survival in these patients. ###Answer 1. Changed Explanation: The meaning of the target word ""Blindness"" has significantly shifted between the two sentences. In Sentence A, ""Blindness"" is used to describe the potential long-term outcome of a specific medical condition (Behçet disease), implying a loss of vision that may occur over time. In contrast, in Sentence B, ""Blindness"" is used to describe a specific fungal infection (rhinocerebral mucormycosis) that affects immunocompromised patients, with no mention of any potential long-term vision loss. Therefore, the meaning of ""Blindness"" has changed from a medical condition with potential long-term consequences to a specific infection with no such implications." 32,Blindness,"The endothelium is the cellular monolayer which lines the posterior surface of the cornea. This layer is important in clinical ophthalmology because it is vital to maintenance of the transparency of the cornea and vision through its pump and barrier functions which limit the ingress of fluid into the cornea from the aqueous. When the function of the corneal endothelium becomes compromised, the corneal stroma swells as it hydrates. Subsequently, epithelial bullae form with painful recurring epithelial erosions, and finally corneal scarring and blindness result. The relatively vulnerable position of the corneal endothelium renders it susceptible to iatrogenic injury during intraocular procedures, especially IOL implantation: the poor regenerative (mitotic) capacity of the human corneal endothelium limits its ability to recover normal function once it is injured.","Aim  The eye is a vital and extraordinarily perceptive part of the human body. A wide spectrum of possible outcomes from eye injuries, from temporary vision loss to permanent blindness. There is a lack of information about how to handle an eye injury. Education and raising awareness are the best way to prevent severe complications and eventual loss of vision. Therefore, the purpose of this study is to evaluate and assess general population knowledge and first aid practices regarding eye injuries in the Western Region of Saudi Arabia, focusing on the importance of early management. Methodology A cross-sectional questionnaire was administered among residents of western Saudi Arabia using a validated questionnaire. One thousand two hundred seventy-nine adults of both genders were randomly chosen to represent the sample. In December 2022, we used a web-based survey to gather our data. Result This study analyzed data from 1279 responses on the online platform. Results showed that good knowledge was significantly higher among females than males, those without a history of eye injury than their peers with injuries, and those with higher educational levels than those with lower educational levels. Additionally, good knowledge was predicted by the female gender (OR = 1.6, 95% CI, 1.3 to 2.1, p < 0.001). Conclusion The study found that public awareness of eye injury first aid was good in the western region. The role of physicians should be expanded and health education campaigns and social media are recommended to achieve the goal of reduction and limiting the most crucial damage to the most sensitive organ in the body.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Blindness Sentence A: The endothelium is the cellular monolayer which lines the posterior surface of the cornea. This layer is important in clinical ophthalmology because it is vital to maintenance of the transparency of the cornea and vision through its pump and barrier functions which limit the ingress of fluid into the cornea from the aqueous. When the function of the corneal endothelium becomes compromised, the corneal stroma swells as it hydrates. Subsequently, epithelial bullae form with painful recurring epithelial erosions, and finally corneal scarring and blindness result. The relatively vulnerable position of the corneal endothelium renders it susceptible to iatrogenic injury during intraocular procedures, especially IOL implantation: the poor regenerative (mitotic) capacity of the human corneal endothelium limits its ability to recover normal function once it is injured. Sentence B: Aim  The eye is a vital and extraordinarily perceptive part of the human body. A wide spectrum of possible outcomes from eye injuries, from temporary vision loss to permanent blindness. There is a lack of information about how to handle an eye injury. Education and raising awareness are the best way to prevent severe complications and eventual loss of vision. Therefore, the purpose of this study is to evaluate and assess general population knowledge and first aid practices regarding eye injuries in the Western Region of Saudi Arabia, focusing on the importance of early management. Methodology A cross-sectional questionnaire was administered among residents of western Saudi Arabia using a validated questionnaire. One thousand two hundred seventy-nine adults of both genders were randomly chosen to represent the sample. In December 2022, we used a web-based survey to gather our data. Result This study analyzed data from 1279 responses on the online platform. Results showed that good knowledge was significantly higher among females than males, those without a history of eye injury than their peers with injuries, and those with higher educational levels than those with lower educational levels. Additionally, good knowledge was predicted by the female gender (OR = 1.6, 95% CI, 1.3 to 2.1, p < 0.001). Conclusion The study found that public awareness of eye injury first aid was good in the western region. The role of physicians should be expanded and health education campaigns and social media are recommended to achieve the goal of reduction and limiting the most crucial damage to the most sensitive organ in the body. ###Answer 1. Changed Reasoning: In Sentence A, the term ""blindness"" is used to describe the outcome of corneal endothelial dysfunction, which results in corneal edema, epithelial erosions, and scarring. The context suggests that the term refers to a loss of transparency and vision due to damage to the cornea. In Sentence B, the term ""blindness"" is used in a different context, without the same negative connotations. It is mentioned in the context of eye injuries and the importance of early management. The term does not carry the same negative connotations as in Sentence A. Therefore, it can be concluded that the meaning of the term ""blindness"" has changed significantly between the two sentences, shifting from a medical term describing damage to the cornea to a more general term used in a different context." 33,Blindness,The paper presents the case of successfully treated traumatic optic neuropathy with complete blindness. The decompression of optical canal was performed together with anterior fossa restoration. The alternative treatment using mega dosage of corticosteroids is discussed.,"Retina is a layered structure of the eye, composed of different cellular components working together to produce a complex visual output. Because of its important role in visual function, retinal pathologies commonly represent the main causes of visual injury and blindness in the industrialized world. It is important to develop in vitro models of retinal diseases to use them in first screenings before translating in in vivo experiments and clinics. For this reason, it is important to develop bidimensional (2D) models that are more suitable for drug screening and toxicological studies and tridimensional (3D) models, which can replicate physiological conditions, for investigating pathological mechanisms leading to visual loss. This review provides an overview of the most common retinal diseases, relating to in vivo models, with a specific focus on alternative 2D and 3D in vitro models that can replicate the different cellular and matrix components of retinal layers, as well as injury insults that induce retinal disease and loss of the visual function.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Blindness Sentence A: The paper presents the case of successfully treated traumatic optic neuropathy with complete blindness. The decompression of optical canal was performed together with anterior fossa restoration. The alternative treatment using mega dosage of corticosteroids is discussed. Sentence B: Retina is a layered structure of the eye, composed of different cellular components working together to produce a complex visual output. Because of its important role in visual function, retinal pathologies commonly represent the main causes of visual injury and blindness in the industrialized world. It is important to develop in vitro models of retinal diseases to use them in first screenings before translating in in vivo experiments and clinics. For this reason, it is important to develop bidimensional (2D) models that are more suitable for drug screening and toxicological studies and tridimensional (3D) models, which can replicate physiological conditions, for investigating pathological mechanisms leading to visual loss. This review provides an overview of the most common retinal diseases, relating to in vivo models, with a specific focus on alternative 2D and 3D in vitro models that can replicate the different cellular and matrix components of retinal layers, as well as injury insults that induce retinal disease and loss of the visual function. ###Answer 1. Changed The meaning of the target word ""Blindness"" has shifted significantly between the two sentences. In Sentence A, the term refers to a specific medical condition, traumatic optic neuropathy, where the patient experiences complete blindness. In Sentence B, the term is used more broadly to refer to any type of visual impairment or injury, including retinal diseases that can cause blindness. The shift in meaning suggests that the term ""Blindness"" has undergone semantic drift." 34,Blindness,"Ametropia can be corrected by means of spectacles, contact lenses, or surgical alteration of the corneal curvature. Here, the pros and cons, as well as the performance of the various methods are presented along with an explanation for the continuing need for spectacles: worn by the millions, contact lenses can, if improperly used, lead to severe irritation of the conjunctiva and cornea and, if the storage fluid becomes contaminated, to infectious corneal ulceration and even to blindness. The curvature of the cornea can be changed by making incisions with a diamond-knife or laser, by performing tissue ablation with a laser, or by placing shrinking scars. When treating nearsightedness with radial keratotomy, that is, by causing lesions with a diamond-knife, the individual results are quite difficult to predict reliably. Considerable operative complications are possible. Extreme, visually impairing myopia cannot be completely corrected. This is true for the treatment of myopia by means of excimer lasers and the like. Here, long-term results from larger groups are still lacking. The current methods for refractive surgery can be considered experimental. In addition to basic research applications in the laboratory, their further development, if critically applied on a restricted clinical basis, has a promising future.","This study focuses on cognitive prerequisites for the development of theory-of-mind (ToM), the ability to impute mental states to self and others in young adults with Alström syndrome (AS). AS is a rare and quite recently described recessively inherited ciliopathic disorder which causes progressive sensorineural hearing loss and juvenile blindness, as well as many other organ dysfunctions. Two cognitive abilities were considered; Phonological working memory (WM) and executive functions (EF), both of importance in speech development.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Blindness Sentence A: Ametropia can be corrected by means of spectacles, contact lenses, or surgical alteration of the corneal curvature. Here, the pros and cons, as well as the performance of the various methods are presented along with an explanation for the continuing need for spectacles: worn by the millions, contact lenses can, if improperly used, lead to severe irritation of the conjunctiva and cornea and, if the storage fluid becomes contaminated, to infectious corneal ulceration and even to blindness. The curvature of the cornea can be changed by making incisions with a diamond-knife or laser, by performing tissue ablation with a laser, or by placing shrinking scars. When treating nearsightedness with radial keratotomy, that is, by causing lesions with a diamond-knife, the individual results are quite difficult to predict reliably. Considerable operative complications are possible. Extreme, visually impairing myopia cannot be completely corrected. This is true for the treatment of myopia by means of excimer lasers and the like. Here, long-term results from larger groups are still lacking. The current methods for refractive surgery can be considered experimental. In addition to basic research applications in the laboratory, their further development, if critically applied on a restricted clinical basis, has a promising future. Sentence B: This study focuses on cognitive prerequisites for the development of theory-of-mind (ToM), the ability to impute mental states to self and others in young adults with Alström syndrome (AS). AS is a rare and quite recently described recessively inherited ciliopathic disorder which causes progressive sensorineural hearing loss and juvenile blindness, as well as many other organ dysfunctions. Two cognitive abilities were considered; Phonological working memory (WM) and executive functions (EF), both of importance in speech development. ###Answer 1. Changed Reasoning: In Sentence A, the term ""blindness"" is used to describe a specific medical condition (ametropia) and its consequences (e.g., need for spectacles). In Sentence B, the term ""blindness"" is used more broadly to describe a general cognitive ability (imputing mental states) and is not associated with any specific medical condition. Therefore, the meaning of the term ""blindness"" has changed significantly between the two sentences." 35,Blindness,"In the period 1985-1991, 21,675 infants were born at the University Hospital of Copenhagen, Hvidovre Hospital, Denmark. Two hundred and twenty-four infants (10.3%) with birth weights < or = 1500 g and gestational ages < or = 32 completed weeks were transferred to the neonatal intensive care unit of the hospital. One hundred and eighty survived to at least 8 weeks of age and 170 had eye examinations. Forty-five of the 170 infants examined (26.5%) had retinopathy of prematurity (ROP) and 18 (40%) of these developed blindness or severely impaired vision, a higher incidence than reported in other studies. Significant differences were found between infants with and without ROP for: birth weight, gestational age, Apgar score at 1 min, resuscitation, ventilator treatment, duration of supplementary oxygen, severe complications in the neonatal period and sequels from the central nervous system. Statistical analysis, corrected for correlations, showed that the occurrence of ROP was related significantly to early intubation, hypotension, persistent ductus arteriosus and necrotizing enterocolitis.","Age Related Macular Degeneration (AMD) is the third leading cause of blindness and the first one in the elderly. AMD usually causes central blindness due to loss of photoreceptor cell . In this paper, we propose to detect AMD caused vision impairment from gaze data. Compared with the current methods, e.g., Amsler grid, Microperimetry and Preferential Hyperacuity Perimetry, to detect vision impairments, the proposed method has several advantages. 1) It does not require the patient to stare at a fixed position throughout the test. 2) It does not require the patient to orally or manually report / mark out the vision impairment. 3) It is easy to operate thus a trained nurse is capable of operating the test. We collect gaze data while the patient is performing fixation and smooth pursuit. Features describing the gaze properties are extracted and SVM with linear kernel is trained to detect AMD impaired vision. To implement the proposed method, we collected gaze data of 74 eyes of 57 patients, who are diagnosed as AMD patient by clinicians. Nidek Microperimetry is adopted as gold standard. 57 eyes with normal vision and 17 eyes with impaired vision (blind at more than half test points in Nidek test) are used for test. The result verifies the effectiveness of detecting vision impairment from gaze data.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Blindness Sentence A: In the period 1985-1991, 21,675 infants were born at the University Hospital of Copenhagen, Hvidovre Hospital, Denmark. Two hundred and twenty-four infants (10.3%) with birth weights < or = 1500 g and gestational ages < or = 32 completed weeks were transferred to the neonatal intensive care unit of the hospital. One hundred and eighty survived to at least 8 weeks of age and 170 had eye examinations. Forty-five of the 170 infants examined (26.5%) had retinopathy of prematurity (ROP) and 18 (40%) of these developed blindness or severely impaired vision, a higher incidence than reported in other studies. Significant differences were found between infants with and without ROP for: birth weight, gestational age, Apgar score at 1 min, resuscitation, ventilator treatment, duration of supplementary oxygen, severe complications in the neonatal period and sequels from the central nervous system. Statistical analysis, corrected for correlations, showed that the occurrence of ROP was related significantly to early intubation, hypotension, persistent ductus arteriosus and necrotizing enterocolitis. Sentence B: Age Related Macular Degeneration (AMD) is the third leading cause of blindness and the first one in the elderly. AMD usually causes central blindness due to loss of photoreceptor cell . In this paper, we propose to detect AMD caused vision impairment from gaze data. Compared with the current methods, e.g., Amsler grid, Microperimetry and Preferential Hyperacuity Perimetry, to detect vision impairments, the proposed method has several advantages. 1) It does not require the patient to stare at a fixed position throughout the test. 2) It does not require the patient to orally or manually report / mark out the vision impairment. 3) It is easy to operate thus a trained nurse is capable of operating the test. We collect gaze data while the patient is performing fixation and smooth pursuit. Features describing the gaze properties are extracted and SVM with linear kernel is trained to detect AMD impaired vision. To implement the proposed method, we collected gaze data of 74 eyes of 57 patients, who are diagnosed as AMD patient by clinicians. Nidek Microperimetry is adopted as gold standard. 57 eyes with normal vision and 17 eyes with impaired vision (blind at more than half test points in Nidek test) are used for test. The result verifies the effectiveness of detecting vision impairment from gaze data. ###Answer 1. Changed Reasoning: In Sentence A, the term ""blindness"" is used to describe a condition where an infant is born with retinopathy of prematurity (ROP), which can lead to blindness or severely impaired vision. This usage implies that the term ""blindness"" has a negative connotation, indicating a significant loss of vision. In Sentence B, the term ""blindness"" is used in a different context, referring to age-related macular degeneration (AMD), which is a leading cause of blindness in the elderly. The sentence highlights the ease of operating the proposed method, which does not require the patient to stare at a fixed position or manually report vision impairments. This usage of the term ""blindness"" does not carry the same negative connotation as in Sentence A. Therefore, based on the context and meaning of the term ""blindness"" in each sentence, it can be concluded that the term has undergone a significant change in meaning or connotation between the two timestamps." 36,Blindness,"We report the clinical, biochemical, neuroradiological, and neurophysiological findings of a 4-year-old Chinese girl with infantile isolated sulphite oxidase deficiency. This is the first reported case in our locality. She presented at the age of 5 months with refractory seizures and developmental regression, and progressed rapidly to profound psychomotor retardation, spasticity, dystonia, microcephaly, and blindness. At the age of 3.5 years, she was admitted to the intensive care unit with septic shock. Ophthalmologic examination at this time revealed bilateral dislocation of the lens. Diagnosis of this very rare disorder was made on the basis of increased levels of urinary sulphite, thiosulphate, and sulphocysteine; normal urine xanthine and hypoxanthine; normal plasma uric acid; and low plasma cystine levels. The diagnosis was confirmed by the absence of sulphite oxidase activities in skin fibroblasts. Isolated sulphite oxidase deficiency is a rare inborn error of sulphur metabolism that is difficult to diagnose on clinical features and routine metabolic tests. The presence of ectopia lentis, seizures, and progressive neurological abnormalities should alert clinicians to the diagnosis.","Type 2 diabetes mellitus (T2DM) is a chronic disease associated with many severe complications such as blindness, amputation, renal failure, and cardiovascular disease. Currently, the prevention and treatment of T2DM is a major global challenge as the number of aging and obese people is increasing. Traditional Chinese medicine offers the advantages of multi-target holistic and individual treatment for obesity and type 2 diabetes. However, most of the TCMs for T2DM are not scientifically evaluated. Here, ","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Blindness Sentence A: We report the clinical, biochemical, neuroradiological, and neurophysiological findings of a 4-year-old Chinese girl with infantile isolated sulphite oxidase deficiency. This is the first reported case in our locality. She presented at the age of 5 months with refractory seizures and developmental regression, and progressed rapidly to profound psychomotor retardation, spasticity, dystonia, microcephaly, and blindness. At the age of 3.5 years, she was admitted to the intensive care unit with septic shock. Ophthalmologic examination at this time revealed bilateral dislocation of the lens. Diagnosis of this very rare disorder was made on the basis of increased levels of urinary sulphite, thiosulphate, and sulphocysteine; normal urine xanthine and hypoxanthine; normal plasma uric acid; and low plasma cystine levels. The diagnosis was confirmed by the absence of sulphite oxidase activities in skin fibroblasts. Isolated sulphite oxidase deficiency is a rare inborn error of sulphur metabolism that is difficult to diagnose on clinical features and routine metabolic tests. The presence of ectopia lentis, seizures, and progressive neurological abnormalities should alert clinicians to the diagnosis. Sentence B: Type 2 diabetes mellitus (T2DM) is a chronic disease associated with many severe complications such as blindness, amputation, renal failure, and cardiovascular disease. Currently, the prevention and treatment of T2DM is a major global challenge as the number of aging and obese people is increasing. Traditional Chinese medicine offers the advantages of multi-target holistic and individual treatment for obesity and type 2 diabetes. However, most of the TCMs for T2DM are not scientifically evaluated. Here, ###Answer 1. Changed The meaning of the target word ""Blindness"" has significantly shifted between the two sentences. In Sentence A, ""Blindness"" is used to describe a specific medical condition affecting the eyes, including dislocation of the lens and progressive neurological abnormalities. In Sentence B, ""Blindness"" is used more broadly to describe a severe complication of Type 2 diabetes mellitus, without any specific reference to the eyes. The shift in meaning suggests that the term ""Blindness"" has undergone semantic drift." 37,Blindness,"Two cases of the spontaneous dissecting aneurysm (SDA) of the cervical carotid artery (ICA) were reported. Case 1: A 36 years old man was admitted with a sudden onset of right hemiparesis, aphasia and a one-week history of headache and neck pain. Serological examinations were normal. Angiography showed a severe stenosis with two intimal flaps of the left cervical ICA. Four weeks later, left STA-MCA anastomosis was performed. After six weeks from the onset, re-angiography showed the resolution of the left cervical ICA stenosis. Case 2: A 26 years old man experienced the transient monoocular blindness a week before admission. He was admitted with a sudden onset of right hemiparesis and aphasia. Serological examinations were normal. Angiography showed a postsinus tapering occlusion of the left cervical ICA. Four weeks later, left STA-MCA anastmosis was performed. After the operation, left hemiparesis improved remarkably. After two weeks from the operation, re-angiography showed the complete resolution of the left cervical ICA stenosis. As the differential diagnoses, spasm, arteritis, embolism and thrombosis with atherosclerosis were listed. But from the reason reported, we diagnosed the two cases as the resolution of the SDA of the ICA. From the previous literature, 129 cases of SDA of the ICA were reviewed and discussed about the symptom, angiographic findings and treatment. Some specific findings (high frequency of resolution, 87%, etc.) were found. SDA of the ICA occurs in the non-atherosclerotic age and causes the ischemic brain damage. SDA of the ICA should be paid more attention and will probably be identified more frequently."," Understanding linguistic modality is widely seen as important for downstream tasks such as Question Answering and Knowledge Graph Population. Entailment Graph learning might also be expected to benefit from attention to modality. We build Entailment Graphs using a news corpus filtered with a modality parser, and show that stripping modal modifiers from predicates in fact increases performance. This suggests that for some tasks, the pragmatics of modal modification of predicates allows them to contribute as evidence of entailment. ","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Blindness Sentence A: Two cases of the spontaneous dissecting aneurysm (SDA) of the cervical carotid artery (ICA) were reported. Case 1: A 36 years old man was admitted with a sudden onset of right hemiparesis, aphasia and a one-week history of headache and neck pain. Serological examinations were normal. Angiography showed a severe stenosis with two intimal flaps of the left cervical ICA. Four weeks later, left STA-MCA anastomosis was performed. After six weeks from the onset, re-angiography showed the resolution of the left cervical ICA stenosis. Case 2: A 26 years old man experienced the transient monoocular blindness a week before admission. He was admitted with a sudden onset of right hemiparesis and aphasia. Serological examinations were normal. Angiography showed a postsinus tapering occlusion of the left cervical ICA. Four weeks later, left STA-MCA anastmosis was performed. After the operation, left hemiparesis improved remarkably. After two weeks from the operation, re-angiography showed the complete resolution of the left cervical ICA stenosis. As the differential diagnoses, spasm, arteritis, embolism and thrombosis with atherosclerosis were listed. But from the reason reported, we diagnosed the two cases as the resolution of the SDA of the ICA. From the previous literature, 129 cases of SDA of the ICA were reviewed and discussed about the symptom, angiographic findings and treatment. Some specific findings (high frequency of resolution, 87%, etc.) were found. SDA of the ICA occurs in the non-atherosclerotic age and causes the ischemic brain damage. SDA of the ICA should be paid more attention and will probably be identified more frequently. Sentence B: Understanding linguistic modality is widely seen as important for downstream tasks such as Question Answering and Knowledge Graph Population. Entailment Graph learning might also be expected to benefit from attention to modality. We build Entailment Graphs using a news corpus filtered with a modality parser, and show that stripping modal modifiers from predicates in fact increases performance. This suggests that for some tasks, the pragmatics of modal modification of predicates allows them to contribute as evidence of entailment. ###Answer 1. Changed Reasoning: In Sentence A, the target word ""blindness"" is used to describe a sudden onset of hemiparesis, aphasia, and headache, with a one-week history. It suggests that the individual is experiencing temporary blindness due to a cerebrovascular event. In contrast, in Sentence B, the target word ""blindness"" is used to describe the linguistic modality of a news corpus, with no mention of a sudden onset or any medical condition. Therefore, the meaning of the target word has significantly shifted from a medical condition to a linguistic concept." 38,Blindness,"We report a case of recent onset headache, sudden mono-ocular blindness and a high erythrocyte sedimentation rate as a manifestation of leptomeningeal metastasis from undiagnosed carcinoma of the breast, mimicking temporal arteritis.","Diabetic retinopathy is a leading cause of preventable blindness in Canada. Clinical guidelines recommend annual diabetic retinopathy screening for people living with diabetes to reduce the risk and progression of vision loss. However, many Canadians with diabetes do not attend screening. Screening rates are even lower in immigrants to Canada including people from China, Africa, and the Caribbean, and these groups are also at higher risk of developing diabetes complications. We aim to assess the feasibility, acceptability, and fidelity of a co-developed, linguistically and culturally tailored tele-retinopathy screening intervention for Mandarin-speaking immigrants from China and French-speaking immigrants from African-Caribbean countries living with diabetes in Ottawa, Canada, and identify how many from each population group attend screening during the pilot period.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Blindness Sentence A: We report a case of recent onset headache, sudden mono-ocular blindness and a high erythrocyte sedimentation rate as a manifestation of leptomeningeal metastasis from undiagnosed carcinoma of the breast, mimicking temporal arteritis. Sentence B: Diabetic retinopathy is a leading cause of preventable blindness in Canada. Clinical guidelines recommend annual diabetic retinopathy screening for people living with diabetes to reduce the risk and progression of vision loss. However, many Canadians with diabetes do not attend screening. Screening rates are even lower in immigrants to Canada including people from China, Africa, and the Caribbean, and these groups are also at higher risk of developing diabetes complications. We aim to assess the feasibility, acceptability, and fidelity of a co-developed, linguistically and culturally tailored tele-retinopathy screening intervention for Mandarin-speaking immigrants from China and French-speaking immigrants from African-Caribbean countries living with diabetes in Ottawa, Canada, and identify how many from each population group attend screening during the pilot period. ###Answer 1. Changed Reasoning: In Sentence A, the term ""blindness"" is used in the context of a medical condition, specifically leptomeningeal metastasis from undiagnosed carcinoma of the breast, which is causing sudden mono-ocular blindness. The term is used to describe the symptom of the condition, and there is no connotation of negative or positive meaning associated with it. In Sentence B, the term ""blindness"" is used in a different context, specifically in the context of diabetic retinopathy, a leading cause of preventable blindness in Canada. The term is used to describe the potential loss of vision due to the condition, and there is a connotation of negative meaning associated with it, as the term ""blindness"" is used to describe a condition that can lead to vision loss. Therefore, the meaning of the term ""blindness"" has shifted from a purely medical context to a context that includes a connotation of negative meaning, indicating semantic drift has occurred." 39,Blindness,"This study aimed to describe clinical findings, pedigrees, and possible environmental risk factors in children with clinical anophthalmos and remnant microphthalmos in either eye in southern India. Twenty-four children (14 male, 10 female; mean age 10.3 years, age range 1.3 to 18 years,) were recruited from schools for the blind, hospitals, and community-based rehabilitation programmes in Andhra Pradesh, India, over 1 year. Family members were examined, and mothers interviewed. Fifteen children had anophthalmos and nine had remnant microphthalmos in one or both eyes. Twelve children had associated systemic findings, of which six were major and six were minor abnormalities. Information on consanguinity was available in 19 children, 12 of whom had consanguineous parents. Five children had a positive family history. Two mothers had a history of night blindness, and one had a history of pesticide exposure during pregnancy. High rates of consanguinity suggest a genetic recessive aetiology.","The history of retinopathy of prematurity (ROP) gives a prime example of how dangerous the uncontrolled introduction of a new medical treatment--particularly in the field of neonatology--may be. The most important risk factors for the development of ROP are the immaturity of premature infants as well as uncontrolled and/or inadequate treatment with oxygen. In comparison to the fetus, the premature infant is exposed to a nonphysiologically high oxygen concentration. This hyperoxia leads to formation of aggressive oxygen radicals on the one hand and, on the other hand, to temporarily reduced production of growth factors such as vascular endothelial growth factor and erythropoietin, which both play an important role in the pathogenesis of ROP. The most important measure to prevent ROP is restrictive and carefully monitored oxygen treatment. Medical treatment to prevent ROP includes injection of D-penicillamine and retinol, but the available data are still limited, particularly with regard to the long-term effects of this treatment. A higher oxygenation in prethreshold ROP does not lead to recovery of ocular findings, but it increases the incidence of pulmonary complications. A reduction of light intensity in neonatal intensive care units proved not to be efficient for preventing ROP. To avoid blindness, standardized screening of the risk group is needed.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Blindness Sentence A: This study aimed to describe clinical findings, pedigrees, and possible environmental risk factors in children with clinical anophthalmos and remnant microphthalmos in either eye in southern India. Twenty-four children (14 male, 10 female; mean age 10.3 years, age range 1.3 to 18 years,) were recruited from schools for the blind, hospitals, and community-based rehabilitation programmes in Andhra Pradesh, India, over 1 year. Family members were examined, and mothers interviewed. Fifteen children had anophthalmos and nine had remnant microphthalmos in one or both eyes. Twelve children had associated systemic findings, of which six were major and six were minor abnormalities. Information on consanguinity was available in 19 children, 12 of whom had consanguineous parents. Five children had a positive family history. Two mothers had a history of night blindness, and one had a history of pesticide exposure during pregnancy. High rates of consanguinity suggest a genetic recessive aetiology. Sentence B: The history of retinopathy of prematurity (ROP) gives a prime example of how dangerous the uncontrolled introduction of a new medical treatment--particularly in the field of neonatology--may be. The most important risk factors for the development of ROP are the immaturity of premature infants as well as uncontrolled and/or inadequate treatment with oxygen. In comparison to the fetus, the premature infant is exposed to a nonphysiologically high oxygen concentration. This hyperoxia leads to formation of aggressive oxygen radicals on the one hand and, on the other hand, to temporarily reduced production of growth factors such as vascular endothelial growth factor and erythropoietin, which both play an important role in the pathogenesis of ROP. The most important measure to prevent ROP is restrictive and carefully monitored oxygen treatment. Medical treatment to prevent ROP includes injection of D-penicillamine and retinol, but the available data are still limited, particularly with regard to the long-term effects of this treatment. A higher oxygenation in prethreshold ROP does not lead to recovery of ocular findings, but it increases the incidence of pulmonary complications. A reduction of light intensity in neonatal intensive care units proved not to be efficient for preventing ROP. To avoid blindness, standardized screening of the risk group is needed. ###Answer 1. Changed Explanation: In Sentence A, the term ""blindness"" is used to describe a specific medical condition (anophthalmos or remnant microphthalmos) in children. The context suggests that the term has a specific medical meaning, and there is no connotation of weakness or vulnerability. In Sentence B, the term ""blindness"" is used in a different context, to describe the potential consequences of uncontrolled medical treatment. The term has a negative connotation, implying a lack of control or understanding, and a risk of harm. This usage of the term is different from its medical meaning in Sentence A, and suggests a shift in meaning or connotation over time. Therefore, the label ""Changed"" is appropriate." 40,Blindness,"Lowe syndrome is an X-linked disorder that has a complex phenotype that includes progressive renal failure and blindness. The disease is caused by mutations in an inositol polyphosphate 5-phosphatase designated OCRL. It has been shown that the OCRL protein is found on the surface of lysosomes and that a renal tubular cell line deficient in OCRL accumulated substrate phosphatidylinositol 4, 5-bisphosphate. Because this lipid is required for vesicle trafficking from lysosomes, we postulate that there is a defect in lysosomal enzyme trafficking in patients with Lowe syndrome that leads to increased extracellular lysosomal enzymes and might lead to tissue damage and contribute to the pathogenesis of the disease. We have measured seven lysosomal enzymes in the plasma of 15 patients with Lowe syndrome and 15 age-matched male controls. We find a 1.6- to 2.0-fold increase in all of the enzymes measured. When the data was analyzed by quintiles of activity for all of the enzymes, we found that 95% of values in the lowest quintile come from normal subjects whereas in the highest quintile 85% of the values are from patients with Lowe syndrome. The increased enzyme levels are not attributable to renal insufficiency because there was no difference in enzyme activity in the four patients with the highest creatinine levels compared with the six patients with the lowest creatinine values.","Corneal neovascularization (CNV) is one of the leading causes of blindness in the world. In clinical practice; however, it remains a challenge to achieve a noninvasive and safe treatment. Herein, a biocompatible shell with excellent antioxidant and antivascularity is prepared by co-assembly of epigallocatechin gallate/gallic acid and Cu (II). After loading glucose oxidase (GOx) inside, the shell is modified with dimeric DPA-Zn for codelivering vascular endothelial growth factor (VEGF) small interfering RNA (VEGF-siRNA). Meanwhile, the Arg-Gly-Asp peptide (RGD) peptide-engineered cell membranes coating improves angiogenesis-targeting and is biocompatible for the multifunctional nanomedicine (CEGs/RGD). After eye drops administration, CEGs/RGD targets enrichment in neovascularization and CEGs NPs enter cells. Then, the inner GOx consumes glucose with a decrease in local pH, which in turn leads to the release of EGCE and VEGF-siRNA. As a result, the nanomedicines significantly reduce angiogenesis and inhibit CNV formation through synergistic effect of antioxidant and antivascular via down-regulation of cluster of differentiation 31 and VEGF. The nanomedicine represents a safe and efficient CNV treatment through the combined effect of antioxidant/gene, which provides important theoretical and clinical significance.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Blindness Sentence A: Lowe syndrome is an X-linked disorder that has a complex phenotype that includes progressive renal failure and blindness. The disease is caused by mutations in an inositol polyphosphate 5-phosphatase designated OCRL. It has been shown that the OCRL protein is found on the surface of lysosomes and that a renal tubular cell line deficient in OCRL accumulated substrate phosphatidylinositol 4, 5-bisphosphate. Because this lipid is required for vesicle trafficking from lysosomes, we postulate that there is a defect in lysosomal enzyme trafficking in patients with Lowe syndrome that leads to increased extracellular lysosomal enzymes and might lead to tissue damage and contribute to the pathogenesis of the disease. We have measured seven lysosomal enzymes in the plasma of 15 patients with Lowe syndrome and 15 age-matched male controls. We find a 1.6- to 2.0-fold increase in all of the enzymes measured. When the data was analyzed by quintiles of activity for all of the enzymes, we found that 95% of values in the lowest quintile come from normal subjects whereas in the highest quintile 85% of the values are from patients with Lowe syndrome. The increased enzyme levels are not attributable to renal insufficiency because there was no difference in enzyme activity in the four patients with the highest creatinine levels compared with the six patients with the lowest creatinine values. Sentence B: Corneal neovascularization (CNV) is one of the leading causes of blindness in the world. In clinical practice; however, it remains a challenge to achieve a noninvasive and safe treatment. Herein, a biocompatible shell with excellent antioxidant and antivascularity is prepared by co-assembly of epigallocatechin gallate/gallic acid and Cu (II). After loading glucose oxidase (GOx) inside, the shell is modified with dimeric DPA-Zn for codelivering vascular endothelial growth factor (VEGF) small interfering RNA (VEGF-siRNA). Meanwhile, the Arg-Gly-Asp peptide (RGD) peptide-engineered cell membranes coating improves angiogenesis-targeting and is biocompatible for the multifunctional nanomedicine (CEGs/RGD). After eye drops administration, CEGs/RGD targets enrichment in neovascularization and CEGs NPs enter cells. Then, the inner GOx consumes glucose with a decrease in local pH, which in turn leads to the release of EGCE and VEGF-siRNA. As a result, the nanomedicines significantly reduce angiogenesis and inhibit CNV formation through synergistic effect of antioxidant and antivascular via down-regulation of cluster of differentiation 31 and VEGF. The nanomedicine represents a safe and efficient CNV treatment through the combined effect of antioxidant/gene, which provides important theoretical and clinical significance. ###Answer 1. Changed Reasoning: The meaning of ""blindness"" in Sentence A has shifted compared to Sentence B. In Sentence A, ""blindness"" refers to a specific medical condition caused by a genetic mutation, while in Sentence B, ""blindness"" is used more broadly to describe any cause of impaired vision. This broader definition of ""blindness"" is evident in the context of the sentence, as the author discusses the challenge of treating corneal neovascularization (CNV), which can cause blindness. Therefore, the meaning of ""blindness"" has changed over time, indicating semantic drift." 41,Blindness,"A case is presented with irreversible blindness in one eye and restriction of the infratemporal visual field in the other eye, due to electrocoagulation performed for delayed bleeding after functional endoscopic sinus surgery (FESS). Although blindness due to rhinosurgery is a well-known, but rare complication, a review of the recent literature did not reveal a similar incident. The use of electrocoagulation especially under conditions of poor visualization, that may be the case in post-operative bleeding following (endoscopic) sinus surgery, is strongly discouraged.","Glaucoma is an optic neuropathy disorder marked by progressive degeneration of the retinal ganglion cells (RGC). It is a leading cause of blindness worldwide, prevailing in around 2.2% of the global population. The hallmark of glaucoma, intraocular pressure (IOP), is governed by the aqueous humor dynamics which plays a crucial role in the pathophysiology of the diesease. Glaucomatous eye has an IOP of more than 22 mmHg as compared to normotensive pressure of 10-21 mmHg. Currently used treatments focus on reducing the elevated IOP through use of classes of drugs that either increase aqueous humor outflow and/or decrease its production. However, effective treatments should not only reduce IOP, but also offer neuroprotection and regeneration of RGCs. Hydrogen Sulfide (H","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Blindness Sentence A: A case is presented with irreversible blindness in one eye and restriction of the infratemporal visual field in the other eye, due to electrocoagulation performed for delayed bleeding after functional endoscopic sinus surgery (FESS). Although blindness due to rhinosurgery is a well-known, but rare complication, a review of the recent literature did not reveal a similar incident. The use of electrocoagulation especially under conditions of poor visualization, that may be the case in post-operative bleeding following (endoscopic) sinus surgery, is strongly discouraged. Sentence B: Glaucoma is an optic neuropathy disorder marked by progressive degeneration of the retinal ganglion cells (RGC). It is a leading cause of blindness worldwide, prevailing in around 2.2% of the global population. The hallmark of glaucoma, intraocular pressure (IOP), is governed by the aqueous humor dynamics which plays a crucial role in the pathophysiology of the diesease. Glaucomatous eye has an IOP of more than 22 mmHg as compared to normotensive pressure of 10-21 mmHg. Currently used treatments focus on reducing the elevated IOP through use of classes of drugs that either increase aqueous humor outflow and/or decrease its production. However, effective treatments should not only reduce IOP, but also offer neuroprotection and regeneration of RGCs. Hydrogen Sulfide (H ###Answer 1. Changed Reasoning: In Sentence A, ""blindness"" is used to describe an eye condition resulting from a specific medical procedure. The word carries a negative connotation, as it implies a loss of vision. In Sentence B, ""blindness"" is used to describe a broader medical condition, glaucoma, which affects a larger population. The word carries a different connotation, as it implies a more widespread and common condition. The meaning of ""blindness"" has shifted from a specific medical condition to a more general medical condition. Therefore, the label ""Changed"" is appropriate." 42,Blindness,"General experience shows that proliferative diabetic retinopathy leads to blindness within only a short time, in spite of short-term improvements in the clinical picture. Long-lasting remission can occur, but seldom for more than a few years. We have observed 3 patients with proliferative retinopathy in whom remission continued for more than 15 years, in one case even lasting over 20 years. Good, useful vision was maintained during all this time. This was only true of one eye, however, while the other eye rapidly became blind. Of the other forms of angiopathy, little coronary heart disease and no peripheral vascular disease was observed in these patients. There were also no signs of nephropathy, i.e. diabetes-specific glomerular sclerosis. Thus, the total picture of angiopathy seems to be benign. The remission of the retinopathy seems to be in accord with this general trend, although it can perhaps be partly explained by unknown local factors in the eye itself."," Over 1.5 billion people worldwide live with hearing impairment. Despite various technologies that have been created for individuals with such disabilities, most of these technologies are either extremely expensive or inaccessible for everyday use in low-medium income countries. In order to combat this issue, we have developed a new assistive device, EchoVest, for blind/deaf people to intuitively become more aware of their environment. EchoVest transmits vibrations to the user's body by utilizing transcutaneous electric nerve stimulation (TENS) based on the source of the sounds. EchoVest also provides various features, including sound localization, sound classification, noise reduction, and depth perception. We aimed to outperform CNN-based machine-learning models, the most commonly used machine learning model for classification tasks, in accuracy and computational costs. To do so, we developed and employed a novel audio pipeline that adapts the Audio Spectrogram Transformer (AST) model, an attention-based model, for our sound classification purposes, and Fast Fourier Transforms for noise reduction. The application of Otsu's Method helped us find the optimal thresholds for background noise sound filtering and gave us much greater accuracy. In order to calculate direction and depth accurately, we applied Complex Time Difference of Arrival algorithms and SOTA localization. Our last improvement was to use blind source separation to make our algorithms applicable to multiple microphone inputs. The final algorithm achieved state-of-the-art results on numerous checkpoints, including a 95.7\% accuracy on the ESC-50 dataset for environmental sound classification. ","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Blindness Sentence A: General experience shows that proliferative diabetic retinopathy leads to blindness within only a short time, in spite of short-term improvements in the clinical picture. Long-lasting remission can occur, but seldom for more than a few years. We have observed 3 patients with proliferative retinopathy in whom remission continued for more than 15 years, in one case even lasting over 20 years. Good, useful vision was maintained during all this time. This was only true of one eye, however, while the other eye rapidly became blind. Of the other forms of angiopathy, little coronary heart disease and no peripheral vascular disease was observed in these patients. There were also no signs of nephropathy, i.e. diabetes-specific glomerular sclerosis. Thus, the total picture of angiopathy seems to be benign. The remission of the retinopathy seems to be in accord with this general trend, although it can perhaps be partly explained by unknown local factors in the eye itself. Sentence B: Over 1.5 billion people worldwide live with hearing impairment. Despite various technologies that have been created for individuals with such disabilities, most of these technologies are either extremely expensive or inaccessible for everyday use in low-medium income countries. In order to combat this issue, we have developed a new assistive device, EchoVest, for blind/deaf people to intuitively become more aware of their environment. EchoVest transmits vibrations to the user's body by utilizing transcutaneous electric nerve stimulation (TENS) based on the source of the sounds. EchoVest also provides various features, including sound localization, sound classification, noise reduction, and depth perception. We aimed to outperform CNN-based machine-learning models, the most commonly used machine learning model for classification tasks, in accuracy and computational costs. To do so, we developed and employed a novel audio pipeline that adapts the Audio Spectrogram Transformer (AST) model, an attention-based model, for our sound classification purposes, and Fast Fourier Transforms for noise reduction. The application of Otsu's Method helped us find the optimal thresholds for background noise sound filtering and gave us much greater accuracy. In order to calculate direction and depth accurately, we applied Complex Time Difference of Arrival algorithms and SOTA localization. Our last improvement was to use blind source separation to make our algorithms applicable to multiple microphone inputs. The final algorithm achieved state-of-the-art results on numerous checkpoints, including a 95.7\% accuracy on the ESC-50 dataset for environmental sound classification. ###Answer 1. Changed Explanation: In Sentence A, the word ""blindness"" is used to describe the progression of a medical condition, specifically diabetic retinopathy, which leads to vision loss. The sentence emphasizes the rapidity of vision loss and the limited duration of remission. The context suggests that the word ""blindness"" has a negative connotation in this sentence, implying a loss of independence and quality of life. In Sentence B, the word ""blindness"" is used in a different context, describing a new assistive device for individuals with hearing and sight impairments. The sentence highlights the device's ability to enhance the user's awareness of their environment and provide various features for sound localization, classification, and noise reduction. The context suggests that the word ""blindness"" has a more positive connotation in this sentence, implying a sense of empowerment and independence. Based on these contexts, it is clear that the meaning of the word ""blindness"" has shifted significantly between the two sentences. In Sentence A, the word connotes a negative experience of vision loss, while in Sentence B, it implies a more positive experience of enhanced awareness and independence. Therefore, I have labeled the word as ""Changed""." 43,Blindness,"Cortical color blindness, or cerebral achromatopsia, has been likened by some authors to ""blindsight"" for color or an instance of ""covert"" processing of color. Recently, it has been shown that, although such patients are unable to identify or discriminate hue differences, they nevertheless show a striking ability to process wavelength differences, which can result in preserved sensitivity to chromatic contrast and motion in equiluminant displays. Moreover, visually evoked cortical potentials can still be elicited in response to chromatic stimuli. We suggest that these demonstrations reveal intact residual processes rather than the operation of covert processes, where proficient performance is accompanied by a denial of phenomenal awareness. We sought evidence for such covert processes by conducting appropriate tests on achromatopsic subject M.S. An ""indirect"" test entailing measurement of reaction times for letter identification failed to reveal covert color processes. In contrast, in a forced choice oddity task for color, M.S. was unable to verbally indicate the position of the different color, but was surprisingly adept at making an appropriate eye movement to its location. This ""direct"" test thus revealed the possible covert use of chromatic differences.","Cataract surgery is very important to prevent blindness, but its productivity and efficiency in China are unknown. Our study aimed to evaluate the geographical distribution of cataract surgeons and prospectively identify the factors associated with the increased productivity in cataract surgery and efficiency in outpatient ophthalmic services in rural Chinese hospitals.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Blindness Sentence A: Cortical color blindness, or cerebral achromatopsia, has been likened by some authors to ""blindsight"" for color or an instance of ""covert"" processing of color. Recently, it has been shown that, although such patients are unable to identify or discriminate hue differences, they nevertheless show a striking ability to process wavelength differences, which can result in preserved sensitivity to chromatic contrast and motion in equiluminant displays. Moreover, visually evoked cortical potentials can still be elicited in response to chromatic stimuli. We suggest that these demonstrations reveal intact residual processes rather than the operation of covert processes, where proficient performance is accompanied by a denial of phenomenal awareness. We sought evidence for such covert processes by conducting appropriate tests on achromatopsic subject M.S. An ""indirect"" test entailing measurement of reaction times for letter identification failed to reveal covert color processes. In contrast, in a forced choice oddity task for color, M.S. was unable to verbally indicate the position of the different color, but was surprisingly adept at making an appropriate eye movement to its location. This ""direct"" test thus revealed the possible covert use of chromatic differences. Sentence B: Cataract surgery is very important to prevent blindness, but its productivity and efficiency in China are unknown. Our study aimed to evaluate the geographical distribution of cataract surgeons and prospectively identify the factors associated with the increased productivity in cataract surgery and efficiency in outpatient ophthalmic services in rural Chinese hospitals. ###Answer 1. Changed In Sentence A, the term ""blindness"" is used to describe a specific condition, cortical color blindness, which is characterized by an inability to identify or discriminate hue differences. This is a significant departure from the more general meaning of ""blindness"" as a lack of sight or vision. Therefore, the term ""blindness"" has undergone a change in meaning between the two sentences, indicating semantic drift. In Sentence B, the term ""blindness"" is used in a different context, referring to the prevention of blindness through cataract surgery. This usage does not convey the same specific meaning as in Sentence A, and is therefore unchanged. In conclusion, the term ""blindness"" has undergone semantic drift between Sentence A and Sentence B, as its meaning has shifted to describe a specific condition in one sentence and a more general concept in the other." 44,Blindness,"Thyroid eye disease is autoimmune in nature and associated with Graves' Disease. Autoantibodies to the 64 kDa antigen in thyroid membranes cross-react to the 64 kDa proteins in human eye muscle membranes. Antibody dependent cell mediated cytotoxicity against eye muscle cells are also found in patients with thyroid eye disease. The purpose of this paper is to review the treatment available and to share the authors' experience using cyclosporin A. In the majority of cases, thyroid eye disease is mild, manifest only as bilateral or unilateral proptosis, with/without grittiness of the eyes. This is usually treated conservatively with eye drops. If proptosis is more severe and there is incomplete closure of eyelids, epiphora and conjunctival injection, then lateral tarrsorrhaphy is usually effective, combined with use of eye pads and eye drops. The problem of diplopia can be treated conservatively with special lenses, or with surgical correction of tethered muscles. However when proptosis is severe, with raised intraocular pressure, severe chemosis and danger of blindness, then the choice of therapy is controversial: rapid decompression by surgical means or use of high doses of prednisolone. Most prefer prednisolone therapy initially, surgical decompression if it fails. Various other methods have been tried, aimed at the immunological nature of the disease, namely plasmapheresis, radiotherapy and immunosuppressive drugs such as cyclosporin, with variable success. Our experience with cyclosporin had been mixed and inconclusive.","An 8-year-old male intact miniature poodle presented for blindness, obtundation, tetraparesis, and vestibular signs. Magnetic resonance imaging, radiography, and ultrasound revealed a left piriform lobe lesion, right cerebellar and left brainstem lesions, and hydrocephalus and bilateral calvarial defects. Histopathology confirmed a choroid plexus carcinoma with meningeal and intraventricular metastases. The calvarial defect did not show evidence of necrosis, osteoclastic resorption, inflammation or neoplastic infiltration, reflecting a quiescent calvarial atrophy or dysplasia. These novel findings supported inclusion of bone atrophy secondary to chronic increased intracranial pressure as a differential diagnosis for large calvarial defects in dogs with choroid plexus carcinoma.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Blindness Sentence A: Thyroid eye disease is autoimmune in nature and associated with Graves' Disease. Autoantibodies to the 64 kDa antigen in thyroid membranes cross-react to the 64 kDa proteins in human eye muscle membranes. Antibody dependent cell mediated cytotoxicity against eye muscle cells are also found in patients with thyroid eye disease. The purpose of this paper is to review the treatment available and to share the authors' experience using cyclosporin A. In the majority of cases, thyroid eye disease is mild, manifest only as bilateral or unilateral proptosis, with/without grittiness of the eyes. This is usually treated conservatively with eye drops. If proptosis is more severe and there is incomplete closure of eyelids, epiphora and conjunctival injection, then lateral tarrsorrhaphy is usually effective, combined with use of eye pads and eye drops. The problem of diplopia can be treated conservatively with special lenses, or with surgical correction of tethered muscles. However when proptosis is severe, with raised intraocular pressure, severe chemosis and danger of blindness, then the choice of therapy is controversial: rapid decompression by surgical means or use of high doses of prednisolone. Most prefer prednisolone therapy initially, surgical decompression if it fails. Various other methods have been tried, aimed at the immunological nature of the disease, namely plasmapheresis, radiotherapy and immunosuppressive drugs such as cyclosporin, with variable success. Our experience with cyclosporin had been mixed and inconclusive. Sentence B: An 8-year-old male intact miniature poodle presented for blindness, obtundation, tetraparesis, and vestibular signs. Magnetic resonance imaging, radiography, and ultrasound revealed a left piriform lobe lesion, right cerebellar and left brainstem lesions, and hydrocephalus and bilateral calvarial defects. Histopathology confirmed a choroid plexus carcinoma with meningeal and intraventricular metastases. The calvarial defect did not show evidence of necrosis, osteoclastic resorption, inflammation or neoplastic infiltration, reflecting a quiescent calvarial atrophy or dysplasia. These novel findings supported inclusion of bone atrophy secondary to chronic increased intracranial pressure as a differential diagnosis for large calvarial defects in dogs with choroid plexus carcinoma. ###Answer 1. Changed The meaning of the word ""blindness"" has changed significantly between Sentence A (2000) and Sentence B (2020). In Sentence A, the word is used to describe an autoimmune eye disease with symptoms such as proptosis, grittiness, and diplopia. In Sentence B, the word is used to describe a completely different condition, a brain tumor, with symptoms such as obtundation, tetraparesis, and vestibular signs. The word ""blindness"" no longer has the same meaning or connotation as it did in 2000. Therefore, the label ""Changed"" is appropriate." 45,Blindness," We report the first results from a search for weakly interacting massive particles (WIMPs) in the Cryogenic Dark Matter Search (CDMS) experiment at the Soudan Underground Laboratory. Four Ge and two Si detectors were operated for 52.6 live days, providing 19.4 kg-d of Ge net exposure after cuts for recoil energies between 10--100 keV. A blind analysis was performed using only calibration data to define the energy threshold and selection criteria for nuclear-recoil candidates. Using the standard dark-matter halo and nuclear-physics WIMP model, these data set the world's lowest exclusion limits on the coherent WIMP-nucleon scalar cross-section for all WIMP masses above 15 GeV, ruling out a significant range of neutralino supersymmetric models. The minimum of this limit curve at the 90% C.L. is 4 x 10^{-43} cm^2 at a WIMP mass of 60 GeV. "," Using \Planck\ data combined with the Meta Catalogue of X-ray detected Clusters of galaxies (MCXC), we address the study of peculiar motions by searching for evidence of the kinetic Sunyaev-Zeldovich effect (kSZ). By implementing various filters designed to extract the kSZ generated at the positions of the clusters, we obtain consistent constraints on the radial peculiar velocity average, root mean square (rms), and local bulk flow amplitude at different depths. For the whole cluster sample of average redshift 0.18, the measured average radial peculiar velocity with respect to the cosmic microwave background (CMB) radiation at that redshift, i.e., the kSZ monopole, amounts to $72 \pm 60$ km s$^{-1}$. This constitutes less than 1% of the relative Hubble velocity of the cluster sample with respect to our local CMB frame. While the linear $\Lambda$CDM prediction for the typical cluster radial velocity rms at $z=0.15$ is close to 230km s$^{-1}$, the upper limit imposed by \Planck\ data on the cluster subsample corresponds to 800 km s$^{-1}$ at 95% confidence level, i.e., about three times higher. \Planck\ data also set strong constraints on the local bulk flow in volumes centred on the Local Group. There is no detection of bulk flow as measured in any comoving sphere extending to the maximum redshift covered by the cluster sample. A blind search for bulk flows in this sample has an upper limit of 254 km s$^{-1}$ (95% confidence level) dominated by CMB confusion and instrumental noise, indicating that the Universe is largely homogeneous on Gpc scales. In this context, in conjunction with supernova observations, \Planck\ is able to rule out a large class of inhomogeneous void models as alternatives to dark energy or modified gravity. The \Planck\ constraints on peculiar velocities and bulk flows are thus consistent with the $\Lambda$CDM scenario. ","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Blindness Sentence A: We report the first results from a search for weakly interacting massive particles (WIMPs) in the Cryogenic Dark Matter Search (CDMS) experiment at the Soudan Underground Laboratory. Four Ge and two Si detectors were operated for 52.6 live days, providing 19.4 kg-d of Ge net exposure after cuts for recoil energies between 10--100 keV. A blind analysis was performed using only calibration data to define the energy threshold and selection criteria for nuclear-recoil candidates. Using the standard dark-matter halo and nuclear-physics WIMP model, these data set the world's lowest exclusion limits on the coherent WIMP-nucleon scalar cross-section for all WIMP masses above 15 GeV, ruling out a significant range of neutralino supersymmetric models. The minimum of this limit curve at the 90% C.L. is 4 x 10^{-43} cm^2 at a WIMP mass of 60 GeV. Sentence B: Using \Planck\ data combined with the Meta Catalogue of X-ray detected Clusters of galaxies (MCXC), we address the study of peculiar motions by searching for evidence of the kinetic Sunyaev-Zeldovich effect (kSZ). By implementing various filters designed to extract the kSZ generated at the positions of the clusters, we obtain consistent constraints on the radial peculiar velocity average, root mean square (rms), and local bulk flow amplitude at different depths. For the whole cluster sample of average redshift 0.18, the measured average radial peculiar velocity with respect to the cosmic microwave background (CMB) radiation at that redshift, i.e., the kSZ monopole, amounts to $72 \pm 60$ km s$^{-1}$. This constitutes less than 1% of the relative Hubble velocity of the cluster sample with respect to our local CMB frame. While the linear $\Lambda$CDM prediction for the typical cluster radial velocity rms at $z=0.15$ is close to 230km s$^{-1}$, the upper limit imposed by \Planck\ data on the cluster subsample corresponds to 800 km s$^{-1}$ at 95% confidence level, i.e., about three times higher. \Planck\ data also set strong constraints on the local bulk flow in volumes centred on the Local Group. There is no detection of bulk flow as measured in any comoving sphere extending to the maximum redshift covered by the cluster sample. A blind search for bulk flows in this sample has an upper limit of 254 km s$^{-1}$ (95% confidence level) dominated by CMB confusion and instrumental noise, indicating that the Universe is largely homogeneous on Gpc scales. In this context, in conjunction with supernova observations, \Planck\ is able to rule out a large class of inhomogeneous void models as alternatives to dark energy or modified gravity. The \Planck\ constraints on peculiar velocities and bulk flows are thus consistent with the $\Lambda$CDM scenario. ###Answer 1. Changed Explanation: In Sentence A, the word ""blindness"" is used to describe the experimental design, where only calibration data is used to define the energy threshold and selection criteria for nuclear-recoil candidates. This context does not convey any negative connotations or associations with the word ""blindness"". In Sentence B, the word ""blindness"" is used to describe the lack of detection of bulk flow in the Local Group. The context implies that the lack of detection is due to the limited sensitivity of the experiment, rather than any inherent blindness or shortcoming of the experiment. Therefore, the meaning of the word ""blindness"" has not significantly shifted between the two sentences, and the label ""Unchanged"" is appropriate." 46,Blindness,"The number of individuals in developing nations with preventable blindness from cataract and other disorders is increasing. New programs incorporating local customs and efficiently using available resources must be created to prevent the escalation of blindness and to rehabilitate patients already disabled with cataracts. We describe a system of high-quality, high-volume, cost-effective cataract surgery, using screening eye camps and a resident hospital. This has enabled us to provide efficient low-cost cataract surgery and overcome barriers of adequate eye care in southern India. We have been successful in locating patients with treatable eye problems, educating them about the availability of ophthalmic care, and providing free eye care. Our structure stresses the following: community involvement, identification of individuals most likely to benefit from screening, efficient utilization of both medical and paramedical personnel, and a streamlined approach to screening patients. This system may be capable of modification for use in other developing areas to decrease the backlog of cataract blindness."," In a growing number of applications, there is a need to digitize a (possibly high) number of correlated signals whose spectral characteristics are challenging for traditional analog-to-digital converters (ADCs). Examples, among others, include multiple-input multiple-output systems where the ADCs must acquire at once several signals at a very wide but sparsely and dynamically occupied bandwidth supporting diverse services. In such scenarios, the resolution requirements can be prohibitively high. As an alternative, the recently proposed modulo-ADC architecture can in principle require dramatically fewer bits in the conversion to obtain the target fidelity, but requires that spatiotemporal information be known and explicitly taken into account by the analog and digital processing in the converter, which is frequently impractical. Building on our recent work, we address this limitation and develop a blind version of the architecture that requires no such knowledge in the converter. In particular, it features an automatic modulo-level adjustment and a fully adaptive modulo-decoding mechanism, allowing it to asymptotically match the characteristics of the unknown input signal. Simulation results demonstrate the successful operation of the proposed algorithm. ","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Blindness Sentence A: The number of individuals in developing nations with preventable blindness from cataract and other disorders is increasing. New programs incorporating local customs and efficiently using available resources must be created to prevent the escalation of blindness and to rehabilitate patients already disabled with cataracts. We describe a system of high-quality, high-volume, cost-effective cataract surgery, using screening eye camps and a resident hospital. This has enabled us to provide efficient low-cost cataract surgery and overcome barriers of adequate eye care in southern India. We have been successful in locating patients with treatable eye problems, educating them about the availability of ophthalmic care, and providing free eye care. Our structure stresses the following: community involvement, identification of individuals most likely to benefit from screening, efficient utilization of both medical and paramedical personnel, and a streamlined approach to screening patients. This system may be capable of modification for use in other developing areas to decrease the backlog of cataract blindness. Sentence B: In a growing number of applications, there is a need to digitize a (possibly high) number of correlated signals whose spectral characteristics are challenging for traditional analog-to-digital converters (ADCs). Examples, among others, include multiple-input multiple-output systems where the ADCs must acquire at once several signals at a very wide but sparsely and dynamically occupied bandwidth supporting diverse services. In such scenarios, the resolution requirements can be prohibitively high. As an alternative, the recently proposed modulo-ADC architecture can in principle require dramatically fewer bits in the conversion to obtain the target fidelity, but requires that spatiotemporal information be known and explicitly taken into account by the analog and digital processing in the converter, which is frequently impractical. Building on our recent work, we address this limitation and develop a blind version of the architecture that requires no such knowledge in the converter. In particular, it features an automatic modulo-level adjustment and a fully adaptive modulo-decoding mechanism, allowing it to asymptotically match the characteristics of the unknown input signal. Simulation results demonstrate the successful operation of the proposed algorithm. ###Answer 1. Changed Reasoning: In Sentence A, the target word ""blindness"" is used to describe an increase in preventable eye disorders in developing nations, with a focus on providing efficient and cost-effective eye care. The word carries a connotation of helplessness and dependency, as well as a sense of urgency and need for action. In Sentence B, the target word ""blindness"" is used in a different context, to describe the challenges of digitizing multiple correlated signals with complex spectral characteristics. The word carries a connotation of technical complexity and the need for sophisticated processing techniques to achieve high fidelity. Based on these differences in context and connotation, it can be argued that the meaning of the target word ""blindness"" has shifted significantly between the two sentences. In Sentence A, the word is associated with a medical condition with negative consequences, while in Sentence B, it is associated with a technical challenge in a different field. Therefore, the label ""Changed"" is appropriate." 47,Blindness,"During the 1986 Refugee Health Group Workshop held at the London School of Hygiene and Tropical Medicine, the lead author surveyed 35 refugee workers' perceptions of blindness and its prevention in refugee communities. This paper analyzes and reports the results. Those surveyed generally agreed that blindness is a community problem of public health magnitude in most, if not all, refugee communities. In addition, respondents reported inadequate eye care services and a scarcity of literature on the topic. Refugee health organizations often overlook the need for eye care, and blindness prevention agencies are often unaware of the needs of particular refugee communities. The authors make recommendations for stimulating greater interest and active involvement in the prevention of blindness among refugees.","Toxoplasma gondii infections are common in humans and animals worldwide. The present review summarizes worldwide information on the prevalence of clinical and subclinical infections, epidemiology, diagnosis, and genetic diversity of T. gondii in wild canids and other carnivores for the past decade. Seroprevalence estimates of T. gondii worldwide were tabulated for each host. Seroprevalence in wild foxes was very high compared with farmed Arctic foxes. Economic and public health aspects of some of the carnivore species raised for fur and meat (raccoon dogs, mink) are discussed. Diagnostic efficacies of different serological methods and PCR methods are discussed. Clinical toxoplasmosis was observed mainly in carnivores concurrently infected with immunosuppressive Canine Distemper Virus infection. Abortion and blindness were noted in mink. Genetic diversity of isolates using DNA derived from 162 (89 viable T. gondii isolates and 73 DNA extracted from tissues) of wild carnivores from several countries is discussed. However, 69 of the 162 T. gondii isolates were strains from USA and these were genetically diverse with predominance of ToxoDB genotypes #4 and #5 (haplogroup 12). Only limited information is available concerning genotyping of T. gondii isolates from other countries; none of the 93 T. gondii isolates from other countries (Brazil, China, France, Grenada) were haplogroup 12.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Blindness Sentence A: During the 1986 Refugee Health Group Workshop held at the London School of Hygiene and Tropical Medicine, the lead author surveyed 35 refugee workers' perceptions of blindness and its prevention in refugee communities. This paper analyzes and reports the results. Those surveyed generally agreed that blindness is a community problem of public health magnitude in most, if not all, refugee communities. In addition, respondents reported inadequate eye care services and a scarcity of literature on the topic. Refugee health organizations often overlook the need for eye care, and blindness prevention agencies are often unaware of the needs of particular refugee communities. The authors make recommendations for stimulating greater interest and active involvement in the prevention of blindness among refugees. Sentence B: Toxoplasma gondii infections are common in humans and animals worldwide. The present review summarizes worldwide information on the prevalence of clinical and subclinical infections, epidemiology, diagnosis, and genetic diversity of T. gondii in wild canids and other carnivores for the past decade. Seroprevalence estimates of T. gondii worldwide were tabulated for each host. Seroprevalence in wild foxes was very high compared with farmed Arctic foxes. Economic and public health aspects of some of the carnivore species raised for fur and meat (raccoon dogs, mink) are discussed. Diagnostic efficacies of different serological methods and PCR methods are discussed. Clinical toxoplasmosis was observed mainly in carnivores concurrently infected with immunosuppressive Canine Distemper Virus infection. Abortion and blindness were noted in mink. Genetic diversity of isolates using DNA derived from 162 (89 viable T. gondii isolates and 73 DNA extracted from tissues) of wild carnivores from several countries is discussed. However, 69 of the 162 T. gondii isolates were strains from USA and these were genetically diverse with predominance of ToxoDB genotypes #4 and #5 (haplogroup 12). Only limited information is available concerning genotyping of T. gondii isolates from other countries; none of the 93 T. gondii isolates from other countries (Brazil, China, France, Grenada) were haplogroup 12. ###Answer 1. Changed Reasoning: The meaning of ""blindness"" has shifted significantly between the two sentences. In Sentence A, ""blindness"" is used to describe a public health problem affecting refugee communities, with a focus on the need for eye care services and prevention. In Sentence B, ""blindness"" is used to describe the clinical and subclinical infections of T. gondii in various animal species, including carnivores. The context and meaning of ""blindness"" are vastly different in the two sentences, indicating semantic drift has occurred." 48,Blindness,"The association of nephronophthisis and tapeto-retional degeneration was described by both Senior and Loken in 1961, but prior to 1974 only 28 cases had been published. This report describes 8 new cases in 27 members of 5 families. The severe juvenile type produces blindness in infancy and death from renal failure before the age of ten. The adult type is characterized by later onset, slower progression of the renal disease and milder ocular manifestations. The eye disease may be congenital amaurosis of Leber type, pigmentary retinal degeneration or retinitis punctata albescens and the electroretinogram (ERG) is of value in the diagnosis of these varieties of hereditary tapeto-retinal degeneration. Renal involvement is often asymptomatic. Defective urinary concentration leading to polyuria and polydipsia is the earliest sign. Proteinuria is inconstant and urinary sediment is often normal. Two patients had aminoaciduria. The disease progresses inexorably to chronic renal failure. One patient has been successfully transplanted and two others are on chronic hemodialysis. Renal histological changes are those of nephronophthisis with tubulointerstitial lesions and multiple cysts. Senior-Loken syndrome appears to be transmitted by a single autosomal recessive pleotropic gene of variable expression. Degeneration of neuroepithelium and renal tubular epithelium, both tissues of ectodermal origin, may represent a genetically determined enzyme abnormality.","Ocular manifestations of Behcet's disease (BD) need aggressive treatment to prevent severe loss of vision or blindness. Cytotoxic drugs are the main therapeutic agents and the first line treatment. Methotrexate is the least toxic, used mainly for posterior uveitis. We present here the outcome of eye lesions with methotrexate and prednisolone, in a longitudinal study of up to 15 years, on 682 patients (5447 eye-years of follow-up).","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Blindness Sentence A: The association of nephronophthisis and tapeto-retional degeneration was described by both Senior and Loken in 1961, but prior to 1974 only 28 cases had been published. This report describes 8 new cases in 27 members of 5 families. The severe juvenile type produces blindness in infancy and death from renal failure before the age of ten. The adult type is characterized by later onset, slower progression of the renal disease and milder ocular manifestations. The eye disease may be congenital amaurosis of Leber type, pigmentary retinal degeneration or retinitis punctata albescens and the electroretinogram (ERG) is of value in the diagnosis of these varieties of hereditary tapeto-retinal degeneration. Renal involvement is often asymptomatic. Defective urinary concentration leading to polyuria and polydipsia is the earliest sign. Proteinuria is inconstant and urinary sediment is often normal. Two patients had aminoaciduria. The disease progresses inexorably to chronic renal failure. One patient has been successfully transplanted and two others are on chronic hemodialysis. Renal histological changes are those of nephronophthisis with tubulointerstitial lesions and multiple cysts. Senior-Loken syndrome appears to be transmitted by a single autosomal recessive pleotropic gene of variable expression. Degeneration of neuroepithelium and renal tubular epithelium, both tissues of ectodermal origin, may represent a genetically determined enzyme abnormality. Sentence B: Ocular manifestations of Behcet's disease (BD) need aggressive treatment to prevent severe loss of vision or blindness. Cytotoxic drugs are the main therapeutic agents and the first line treatment. Methotrexate is the least toxic, used mainly for posterior uveitis. We present here the outcome of eye lesions with methotrexate and prednisolone, in a longitudinal study of up to 15 years, on 682 patients (5447 eye-years of follow-up). ###Answer 1. Changed The meaning of ""Blindness"" in Sentence A is different from its meaning in Sentence B. In Sentence A, ""Blindness"" refers to a specific type of genetic disorder that causes blindness in infancy and death from renal failure before the age of ten. In contrast, in Sentence B, ""Blindness"" is used to describe a symptom of Behcet's disease, a separate condition that causes inflammation in various parts of the body, including the eyes. The two sentences use the term ""Blindness"" to describe very different conditions, indicating that the term has undergone semantic drift." 49,Blindness,"A novel, simple approach to retrospective assessment of ""blindability"" was applied to data on outpatients in a controlled, double-blind clinical comparison of a putative antidepressant, etoperidone, and placebo. A ""blind"" evaluator proved capable of discriminating between the active drug and placebo on the basis of reported side effects alone, raising questions about the true blindness of the study.","Early neurodevelopment disabilities (END) such as cerebral palsy (CP), deafness, blindness, epilepsy, and mental retardation (MR) are very important public health concerns. Although no strong data on END can be obtained in Mexico, the few papers concerning END epidemiology deserve systematic and critical review. Thus, this was the objective of the present paper.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Blindness Sentence A: A novel, simple approach to retrospective assessment of ""blindability"" was applied to data on outpatients in a controlled, double-blind clinical comparison of a putative antidepressant, etoperidone, and placebo. A ""blind"" evaluator proved capable of discriminating between the active drug and placebo on the basis of reported side effects alone, raising questions about the true blindness of the study. Sentence B: Early neurodevelopment disabilities (END) such as cerebral palsy (CP), deafness, blindness, epilepsy, and mental retardation (MR) are very important public health concerns. Although no strong data on END can be obtained in Mexico, the few papers concerning END epidemiology deserve systematic and critical review. Thus, this was the objective of the present paper. ###Answer 1. Changed The meaning of the target word ""blindness"" has shifted significantly between the two sentences. In Sentence A, the term refers to the inability to perceive or assess something, particularly in a controlled clinical trial. However, in Sentence B, the term refers to a broader range of disabilities, including those that are not necessarily related to vision. The shift in meaning suggests that the term ""blindness"" has undergone semantic drift." 50,Blindness,"Preliminary observations show that contact occluders can be used to produce temporary ""blindness"" in monkeys. This report also describes how such occluders can be made.","To effectively address cataract blindness, increasing sight-restoring surgeries among the bilaterally blind are essential. To improve uptake of surgical services among this group, evidence regarding the problems of access is vital. Barriers in accessing eye care services have previously been reported but not specific to bilaterally cataract blind patients. Further, there is a gap in knowledge regarding factors facilitating access to eye care. Our aims were to (1) report proportion of bilaterally cataract blind patients undergoing surgery and sight restoration rate (SRR) and (2) analyze barriers and factors enabling access to eye care services among bilaterally cataract blind patients.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Blindness Sentence A: Preliminary observations show that contact occluders can be used to produce temporary ""blindness"" in monkeys. This report also describes how such occluders can be made. Sentence B: To effectively address cataract blindness, increasing sight-restoring surgeries among the bilaterally blind are essential. To improve uptake of surgical services among this group, evidence regarding the problems of access is vital. Barriers in accessing eye care services have previously been reported but not specific to bilaterally cataract blind patients. Further, there is a gap in knowledge regarding factors facilitating access to eye care. Our aims were to (1) report proportion of bilaterally cataract blind patients undergoing surgery and sight restoration rate (SRR) and (2) analyze barriers and factors enabling access to eye care services among bilaterally cataract blind patients. ###Answer 1. Changed (Blindness) The meaning of the target word ""blindness"" has shifted significantly between the two sentences. In Sentence A, the term refers to a temporary condition where vision is impaired, likely due to the use of contact occluders. In Sentence B, the term refers to a long-term condition where vision is impaired due to cataracts, and the focus is on access to eye care services among this group. The shift in meaning is evident in the context of the sentences and the specific topics being discussed. Therefore, the label ""Changed"" is appropriate for this target word." 51,Blindness,"Cataract, a leading cause of blindness, has been successfully treated by surgery since ancient times. Surgical methods have evolved from couching, to extraction, to phacoemulsification. Cataract surgery is now an outpatient procedure that can be performed with topical anesthesia. Intraocular lens implants restore natural vision without thick glasses and contact lenses. Current procedures are highly successful in restoring vision.",Diabetic blindness occurs most often among working-age people. Panretinal photocoagulation (PRP) can prevent this outcome. Administrative data examined changes in PRP incidence rates.,"###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Blindness Sentence A: Cataract, a leading cause of blindness, has been successfully treated by surgery since ancient times. Surgical methods have evolved from couching, to extraction, to phacoemulsification. Cataract surgery is now an outpatient procedure that can be performed with topical anesthesia. Intraocular lens implants restore natural vision without thick glasses and contact lenses. Current procedures are highly successful in restoring vision. Sentence B: Diabetic blindness occurs most often among working-age people. Panretinal photocoagulation (PRP) can prevent this outcome. Administrative data examined changes in PRP incidence rates. ###Answer 1. Changed Explanation: In Sentence A, ""blindness"" refers to cataracts, a specific medical condition that has been treatable since ancient times. The focus is on surgical methods and their evolution. In Sentence B, ""blindness"" refers to diabetic blindness, a different medical condition, and there is a shift towards a more preventative approach with PRP. The focus is on administrative data and changes in incidence rates. The meaning of ""blindness"" has significantly changed between the two sentences, indicating semantic drift." 52,Blindness,"Degeneration of vessels precedes and precipitates the devastating ischemia of many diseases, including retinopathy of prematurity and diabetic retinopathy. Ischemia then leads to proliferative retinopathy and blindness. Understanding the mechanisms of blood vessel degeneration is critical to prevention of these diseases. Vessel loss is associated with oxygen-induced suppression of vascular endothelial growth factor (VEGF) and with pericyte (vascular smooth muscle cell) dropout. The molecular mechanism of pericyte protection of the vasculature is unknown. We show that transforming growth factor beta1 (TGF-beta1)-expressing pericytes are specifically found on vessels resistant to oxygen-induced loss. TGF-beta1 potently induces VEGF receptor 1 (VEGFR-1) expression in endothelial cells and thereby prevents oxygen-induced vessel loss in vivo. Vessel survival is further stimulated with a VEGFR-1-specific ligand, placental growth factor 1. TGF-beta1 induction of VEGFR-1 in endothelial cells explains pericyte protection of vessels and the selective vulnerability of neonatal vessels to oxygen. These results implicate induction and activation of VEGFR-1 as critical targets to prevent vessel loss."," We study federated edge learning (FEEL), where wireless edge devices, each with its own dataset, learn a global model collaboratively with the help of a wireless access point acting as the parameter server (PS). At each iteration, wireless devices perform local updates using their local data and the most recent global model received from the PS, and send their local updates to the PS over a wireless fading multiple access channel (MAC). The PS then updates the global model according to the signal received over the wireless MAC, and shares it with the devices. Motivated by the additive nature of the wireless MAC, we propose an analog `over-the-air' aggregation scheme, in which the devices transmit their local updates in an uncoded fashion. Unlike recent literature on over-the-air edge learning, here we assume that the devices do not have channel state information (CSI), while the PS has imperfect CSI. Instead, the PS is equipped multiple antennas to alleviate the destructive effect of the channel, exacerbated due to the lack of perfect CSI. We design a receive beamforming scheme at the PS, and show that it can compensate for the lack of perfect CSI when the PS has a sufficient number of antennas. We also derive the convergence rate of the proposed algorithm highlighting the impact of the lack of perfect CSI, as well as the number of PS antennas. Both the experimental results and the convergence analysis illustrate the performance improvement of the proposed algorithm with the number of PS antennas, where the wireless fading MAC becomes deterministic despite the lack of perfect CSI when the PS has a sufficiently large number of antennas. ","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Blindness Sentence A: Degeneration of vessels precedes and precipitates the devastating ischemia of many diseases, including retinopathy of prematurity and diabetic retinopathy. Ischemia then leads to proliferative retinopathy and blindness. Understanding the mechanisms of blood vessel degeneration is critical to prevention of these diseases. Vessel loss is associated with oxygen-induced suppression of vascular endothelial growth factor (VEGF) and with pericyte (vascular smooth muscle cell) dropout. The molecular mechanism of pericyte protection of the vasculature is unknown. We show that transforming growth factor beta1 (TGF-beta1)-expressing pericytes are specifically found on vessels resistant to oxygen-induced loss. TGF-beta1 potently induces VEGF receptor 1 (VEGFR-1) expression in endothelial cells and thereby prevents oxygen-induced vessel loss in vivo. Vessel survival is further stimulated with a VEGFR-1-specific ligand, placental growth factor 1. TGF-beta1 induction of VEGFR-1 in endothelial cells explains pericyte protection of vessels and the selective vulnerability of neonatal vessels to oxygen. These results implicate induction and activation of VEGFR-1 as critical targets to prevent vessel loss. Sentence B: We study federated edge learning (FEEL), where wireless edge devices, each with its own dataset, learn a global model collaboratively with the help of a wireless access point acting as the parameter server (PS). At each iteration, wireless devices perform local updates using their local data and the most recent global model received from the PS, and send their local updates to the PS over a wireless fading multiple access channel (MAC). The PS then updates the global model according to the signal received over the wireless MAC, and shares it with the devices. Motivated by the additive nature of the wireless MAC, we propose an analog `over-the-air' aggregation scheme, in which the devices transmit their local updates in an uncoded fashion. Unlike recent literature on over-the-air edge learning, here we assume that the devices do not have channel state information (CSI), while the PS has imperfect CSI. Instead, the PS is equipped multiple antennas to alleviate the destructive effect of the channel, exacerbated due to the lack of perfect CSI. We design a receive beamforming scheme at the PS, and show that it can compensate for the lack of perfect CSI when the PS has a sufficient number of antennas. We also derive the convergence rate of the proposed algorithm highlighting the impact of the lack of perfect CSI, as well as the number of PS antennas. Both the experimental results and the convergence analysis illustrate the performance improvement of the proposed algorithm with the number of PS antennas, where the wireless fading MAC becomes deterministic despite the lack of perfect CSI when the PS has a sufficiently large number of antennas. ###Answer 1. Changed Reasoning: In Sentence A, the word ""blindness"" is used to describe the outcome of vessel degeneration and ischemia. The sentence highlights the medical aspect of blindness, emphasizing the devastating impact of these diseases on vision. In contrast, in Sentence B, the word ""blindness"" is used in a different context, referring to the wireless edge devices' ability to learn a global model collaboratively over a wireless channel. The sentence does not convey the same medical connotation as Sentence A. Therefore, it can be inferred that the meaning of the word ""blindness"" has shifted in Sentence B, from a medical context to a technological context." 53,Blindness,"We describe two siblings, a boy and his younger sister, with degenerative neurological disturbances, hypocupraemia and hypobetalipoproteinaemia. The neurological features in both cases were developmental delay, dysarthria, hyperkinetics with an attention deficit, dysdiadochokinesis, night blindness, myoclonic jerks and convulsions. Their serum cooper levels did not increase despite administration of copper sulphate both orally or intravenously. The copper contents of the cultured fibroblasts in the patients were 1.5-fold that of controls. Although neurological disorders associated with abnormal copper metabolism and inherited in an X-linked manner have been previously reported, this is the first report of a neurodegenerative disease concurrent with abnormal copper metabolism and hypobetalipoproteinaemia.","The main way to prevent blindness from Glaucoma is by early detection and diagnosis; and to do so the awareness must be raised among people where Glaucoma is defined as an acquired chronic optic neuropathy characterized by optic disk cupping and visual field loss. Lack of knowledge about this disease is one of the most important reasons that made it develop to advanced stages. Based on that, we conducted scientific research to assess peoples' awareness and knowledge about Glaucoma. After reviewing the literature, it was found that this study is the first in Syria.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Blindness Sentence A: We describe two siblings, a boy and his younger sister, with degenerative neurological disturbances, hypocupraemia and hypobetalipoproteinaemia. The neurological features in both cases were developmental delay, dysarthria, hyperkinetics with an attention deficit, dysdiadochokinesis, night blindness, myoclonic jerks and convulsions. Their serum cooper levels did not increase despite administration of copper sulphate both orally or intravenously. The copper contents of the cultured fibroblasts in the patients were 1.5-fold that of controls. Although neurological disorders associated with abnormal copper metabolism and inherited in an X-linked manner have been previously reported, this is the first report of a neurodegenerative disease concurrent with abnormal copper metabolism and hypobetalipoproteinaemia. Sentence B: The main way to prevent blindness from Glaucoma is by early detection and diagnosis; and to do so the awareness must be raised among people where Glaucoma is defined as an acquired chronic optic neuropathy characterized by optic disk cupping and visual field loss. Lack of knowledge about this disease is one of the most important reasons that made it develop to advanced stages. Based on that, we conducted scientific research to assess peoples' awareness and knowledge about Glaucoma. After reviewing the literature, it was found that this study is the first in Syria. ###Answer 1. Changed Reasoning: In Sentence A, the word ""blindness"" is used to describe a specific medical condition (night blindness) that is associated with neurological disorders. In Sentence B, the word ""blindness"" is used more broadly to refer to the general risk of Glaucoma, which is a different medical condition. The shift in meaning from a specific medical condition to a general risk is significant, indicating semantic drift has occurred." 54,Blindness,"Recently neonatal mortality of ELBW infants has improved remarkably, but the difficulty in preventing severe retinopathy of prematurity(ROP) or blindness implies that fundamental causes are still not resolved.","Although choosing to disclose self-relevant information can expose personal vulnerabilities, choosing not to disclose information poses risks of its own. In this article, we detail both intrapersonal and interpersonal costs of not disclosing. Ironically, some of these costs reflect the very ones concealers were hoping to avoid by not revealing their secrets. We then consider why secret keeping is so common if it is indeed so costly. Both misestimations of the costs and a blindness to less-daunting means of disclosure may lead concealment to persist. It is important for future research not merely to help correct errors in concealers' prospective cost-benefit analyses of revealing, but also to identify the means of disclosure that maximize benefits and minimize costs.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Blindness Sentence A: Recently neonatal mortality of ELBW infants has improved remarkably, but the difficulty in preventing severe retinopathy of prematurity(ROP) or blindness implies that fundamental causes are still not resolved. Sentence B: Although choosing to disclose self-relevant information can expose personal vulnerabilities, choosing not to disclose information poses risks of its own. In this article, we detail both intrapersonal and interpersonal costs of not disclosing. Ironically, some of these costs reflect the very ones concealers were hoping to avoid by not revealing their secrets. We then consider why secret keeping is so common if it is indeed so costly. Both misestimations of the costs and a blindness to less-daunting means of disclosure may lead concealment to persist. It is important for future research not merely to help correct errors in concealers' prospective cost-benefit analyses of revealing, but also to identify the means of disclosure that maximize benefits and minimize costs. ###Answer 1. Changed Explanation: In Sentence A, the term ""blindness"" is used in the context of premature babies who are at risk of developing retinopathy of prematurity (ROP), which can lead to blindness. This usage implies a more immediate and tangible threat to the babies' vision. In Sentence B, the term ""blindness"" is used in a different context, referring to the costs of not disclosing personal information. In this case, the term ""blindness"" seems to be used metaphorically to describe the costs of secrecy, rather than any specific vision problems. Therefore, the meaning of the term ""blindness"" has shifted from a medical context to a more metaphorical one, indicating semantic drift." 55,Blindness,1. To ascertain the causes of severe visual impairment and blindness in children in schools for the blind in South Africa. 2. To determine the major avoidable causes. 3. To determine causation by ethnic group.,"Participation and accessibility issues faced by gamers with multi-sensory disabilities are themes yet to be fully understood by accessible technology researchers. In this work, we examine the personal experiences and perceptions of individuals with deafblindness who play games despite their disability, as well as the reasons that lead some of them to stop playing games.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Blindness Sentence A: 1. To ascertain the causes of severe visual impairment and blindness in children in schools for the blind in South Africa. 2. To determine the major avoidable causes. 3. To determine causation by ethnic group. Sentence B: Participation and accessibility issues faced by gamers with multi-sensory disabilities are themes yet to be fully understood by accessible technology researchers. In this work, we examine the personal experiences and perceptions of individuals with deafblindness who play games despite their disability, as well as the reasons that lead some of them to stop playing games. ###Answer 1. Changed (Blindness in Sentence A has a different meaning than in Sentence B) Explanation: In Sentence A, ""blindness"" refers to severe visual impairment or blindness in children in schools for the blind in South Africa. The context suggests that the term is used to describe a specific condition or population. In Sentence B, ""blindness"" is used in a different context, referring to individuals with deafblindness who play games despite their disability, or the reasons why some of them stop playing. The term has a broader meaning, encompassing a broader range of disabilities and experiences. Therefore, the meaning of ""blindness"" has significantly shifted between the two sentences, indicating semantic drift has occurred." 56,Blindness,"A 7-year-old girl who suffered from acute general cerebral swelling as a result of a traffic accident showed cortical blindness. Computed tomography (CT) scan on admission revealed marked slitlike ventricles and narrowing of the perimesencephalic cisterns, which indicated general cerebral swelling. While hospitalized, the patient developed transtentorial herniation twice on day 3, and CT scans at herniation episodes showed disappearance of the perimesencephalic cisterns. After recovery of consciousness, the patient showed cortical blindness, and during gradual recovery she showed pure alexia without agraphia. The visual evoked potentials at 8 weeks, 16 weeks, and 3 years 4 months after trauma showed normalization of the pattern, but revealed left occipital inactivity.","Methomyl is a potent pesticide that is widely used in the field of agriculture. The systemic toxic effects of methomyl have been well described. However, the neurological effects of methomyl intoxication are not well understood. In this study, we report a 61-year-old Taiwanese man sent to our emergency department because of altered mental status. His family stated that he had consumed liquid methomyl in a suicide attempt. He was provided cardiopulmonary resuscitation because of unstable vital signs. He was then sent to an intensive care unit for close observation. On the second day of admission, he regained consciousness but exhibited irregular limb and torso posture. On the sixth day, he started to complain of blurred vision. An ophthalmologist was consulted but no obvious abnormalities could be identified. On suspicion of cerebral disease, a neurologist was consulted. Further examination revealed cortical blindness and decorticate posture. Cerebral magnetic resonance imaging (MRI) was arranged, which identified bilateral occipital regions lesions. The patient was administered normal saline and treated with aspirin and piracetam for 3 weeks in hospital. During the treatment period, his symptom of cortical blindness resolved, whereas his decorticate posture was refractory. Follow-up brain MRI results supported our clinical observations by indicating the disappearance of the bilateral occipital lesions and symmetrical putaminal high signal abnormalities. In this article, we briefly discuss the possible mechanisms underlying the cerebral effects of methomyl poisoning. Our study can provide clinicians with information on the manifestations of methomyl intoxication and an appropriate treatment direction. ","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Blindness Sentence A: A 7-year-old girl who suffered from acute general cerebral swelling as a result of a traffic accident showed cortical blindness. Computed tomography (CT) scan on admission revealed marked slitlike ventricles and narrowing of the perimesencephalic cisterns, which indicated general cerebral swelling. While hospitalized, the patient developed transtentorial herniation twice on day 3, and CT scans at herniation episodes showed disappearance of the perimesencephalic cisterns. After recovery of consciousness, the patient showed cortical blindness, and during gradual recovery she showed pure alexia without agraphia. The visual evoked potentials at 8 weeks, 16 weeks, and 3 years 4 months after trauma showed normalization of the pattern, but revealed left occipital inactivity. Sentence B: Methomyl is a potent pesticide that is widely used in the field of agriculture. The systemic toxic effects of methomyl have been well described. However, the neurological effects of methomyl intoxication are not well understood. In this study, we report a 61-year-old Taiwanese man sent to our emergency department because of altered mental status. His family stated that he had consumed liquid methomyl in a suicide attempt. He was provided cardiopulmonary resuscitation because of unstable vital signs. He was then sent to an intensive care unit for close observation. On the second day of admission, he regained consciousness but exhibited irregular limb and torso posture. On the sixth day, he started to complain of blurred vision. An ophthalmologist was consulted but no obvious abnormalities could be identified. On suspicion of cerebral disease, a neurologist was consulted. Further examination revealed cortical blindness and decorticate posture. Cerebral magnetic resonance imaging (MRI) was arranged, which identified bilateral occipital regions lesions. The patient was administered normal saline and treated with aspirin and piracetam for 3 weeks in hospital. During the treatment period, his symptom of cortical blindness resolved, whereas his decorticate posture was refractory. Follow-up brain MRI results supported our clinical observations by indicating the disappearance of the bilateral occipital lesions and symmetrical putaminal high signal abnormalities. In this article, we briefly discuss the possible mechanisms underlying the cerebral effects of methomyl poisoning. Our study can provide clinicians with information on the manifestations of methomyl intoxication and an appropriate treatment direction. ###Answer 1. Changed Reasoning: In Sentence A, the target word ""blindness"" refers to a specific type of visual impairment caused by brain damage. The sentence provides detailed medical information about the patient's condition, including the cause of her blindness (acute general cerebral swelling) and the subsequent neurological effects (cortical blindness, disappearance of the perimesencephalic cisterns, and abnormal visual evoked potentials). In Sentence B, the target word ""blindness"" has a different meaning. It refers to a general term for visual impairment, without specifying the cause. The sentence discusses the neurological effects of methomyl poisoning, including cortical blindness and decorticate posture, but does not provide any information about the cause of these effects. Therefore, the meaning of the target word ""blindness"" has shifted from a specific medical condition to a general term for visual impairment between the two sentences. This indicates semantic drift has occurred." 57,Blindness,To estimate the prevalence and causes of blindness in children in the southern Indian state of Andhra Pradesh.,"Infectious keratitis is one of the most common causes of blindness worldwide. Despite the existence of a wide arsenal of quite effective antimicrobial drugs, some forms of bacterial and viral keratitis are resistant. Advanced acanthamoeba and mycotic lesions of the cornea, as well as mixed forms of infection usually do not respond well to conservative treatment. In the absence of positive dynamics from the applied etiotropic therapy with observed further progression of the microbial process, there is a risk of corneal perforation and spread of infection to the sclera or deep ocular structures with a high probability of irreversible functional disorders or anatomical death of the eye. In such cases, a timely transition to surgical treatment is necessary in order to maintain structural integrity of the eyeball. For this purpose, corneal crosslinking, microdiathermocoagulation, tissue adhesive, autoconjunctival plasty, amniotic membrane, corneoscleral flap coating, various combinations of these methods, as well as therapeutic keratoplasty are used most often in clinical practice. The choice depends on the etiology, size and depth of the lesion, its localization, prognosis of visual outcomes, somatic status of the patient. Therapeutic keratoplasty is the most radical and effective method of surgical intervention that allows eradication of the infectious focus and best possible restoration of the structural integrity of the eyeball. However, in some cases due to inaccessibility of donor material or high risks of the surgery and non-transparent graft engraftment, it is advised to use alternative surgical approaches, and keratoplasty, if necessary, should be carried out for optical purposes at a further, ""quiet"" period.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Blindness Sentence A: To estimate the prevalence and causes of blindness in children in the southern Indian state of Andhra Pradesh. Sentence B: Infectious keratitis is one of the most common causes of blindness worldwide. Despite the existence of a wide arsenal of quite effective antimicrobial drugs, some forms of bacterial and viral keratitis are resistant. Advanced acanthamoeba and mycotic lesions of the cornea, as well as mixed forms of infection usually do not respond well to conservative treatment. In the absence of positive dynamics from the applied etiotropic therapy with observed further progression of the microbial process, there is a risk of corneal perforation and spread of infection to the sclera or deep ocular structures with a high probability of irreversible functional disorders or anatomical death of the eye. In such cases, a timely transition to surgical treatment is necessary in order to maintain structural integrity of the eyeball. For this purpose, corneal crosslinking, microdiathermocoagulation, tissue adhesive, autoconjunctival plasty, amniotic membrane, corneoscleral flap coating, various combinations of these methods, as well as therapeutic keratoplasty are used most often in clinical practice. The choice depends on the etiology, size and depth of the lesion, its localization, prognosis of visual outcomes, somatic status of the patient. Therapeutic keratoplasty is the most radical and effective method of surgical intervention that allows eradication of the infectious focus and best possible restoration of the structural integrity of the eyeball. However, in some cases due to inaccessibility of donor material or high risks of the surgery and non-transparent graft engraftment, it is advised to use alternative surgical approaches, and keratoplasty, if necessary, should be carried out for optical purposes at a further, ""quiet"" period. ###Answer 1. Changed Explanation: The target word ""Blindness"" in Sentence A has a different meaning than in Sentence B. In Sentence A, it refers to the prevalence and causes of blindness in children in a specific region. In contrast, in Sentence B, it refers to the causes of blindness worldwide, with a focus on infectious keratitis. The word ""Blindness"" has shifted from a localized to a global context, and its meaning has become more specific and detailed in Sentence B. Therefore, I have labeled it as ""Changed""." 58,Blindness,"In a 4-year period from 1983 to 1987, 7160 patients with blunt injuries were admitted to the Maryland Institute of Emergency Medical Services Systems Shock Trauma Center. Facial injuries occurred in 10 percent of this population. High-energy fractures (characterized by computed tomography) were seen in approximately 10 percent of these patients. In this high-energy group, five cases of high-energy orbital dislocations, some representing examples of traumatic hypertelorbitism, were observed. They represent 1.5 percent of the 342 midface fractures observed and 4.8 percent of the naso-orbital ethmoid fractures observed (105 patients). One additional patient is described who was seen at the UCLA Medical Center for late repair of the condition. High-energy impacts of the upper midface created fractures of both orbits, zygomas, and nasoethmoidal regions permitting lateral transposition, enlargement, and divergence of the orbits. Interorbital, intercanthal, and interpupillary distances were increased, criteria that confirm the diagnosis of hypertelorbitism. Fifty percent of the patients were bilaterally blind, and one patient sustained unilateral blindness.","Considerable evidence supports mutations in mitochondrial genes as the cause of maternally inherited diseases affecting tissues that rely primarily on oxidative energy metabolism, usually the nervous system, the heart, and skeletal muscles. Mitochondrial diseases are diverse, and animal models currently are limited. Here we introduced a mutant human mitochondrial gene responsible for Leber hereditary optic neuropathy (LHON) into the mouse germ line using fluorescence imaging for tissue-specific enrichment in the target retinal ganglion cells. A mitochondria-targeted adeno-associated virus (MTS-AAV) containing the mutant human NADH ubiquinone oxidoreductase subunit 4 (ND4) gene followed by mitochondrial-encoded mCherry was microinjected into zygotes. Female founders with mCherry fluorescence on ophthalmoscopy were backcrossed with normal males for eight generations. Mutant human ND4 DNA was 20% of mouse ND4 and did not integrate into the host genome. Translated human ND4 protein assembled into host respiratory complexes, decreasing respiratory chain function and increasing oxidative stress. Swelling of the optic nerve head was followed by progressive demise of ganglion cells and their axons, the hallmarks of human LHON. Early visual loss that began at 3 mo and progressed to blindness 8 mo after birth was reversed by intraocular injection of MTS-AAV expressing wild-type human ND4. The technology of introducing human mitochondrial genes into the mouse germ line has never been described, to our knowledge, and has implications not only for creating animal models recapitulating the counterpart human disorder but more importantly for reversing the adverse effects of the mutant gene using gene therapy to deliver the wild-type allele. ","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Blindness Sentence A: In a 4-year period from 1983 to 1987, 7160 patients with blunt injuries were admitted to the Maryland Institute of Emergency Medical Services Systems Shock Trauma Center. Facial injuries occurred in 10 percent of this population. High-energy fractures (characterized by computed tomography) were seen in approximately 10 percent of these patients. In this high-energy group, five cases of high-energy orbital dislocations, some representing examples of traumatic hypertelorbitism, were observed. They represent 1.5 percent of the 342 midface fractures observed and 4.8 percent of the naso-orbital ethmoid fractures observed (105 patients). One additional patient is described who was seen at the UCLA Medical Center for late repair of the condition. High-energy impacts of the upper midface created fractures of both orbits, zygomas, and nasoethmoidal regions permitting lateral transposition, enlargement, and divergence of the orbits. Interorbital, intercanthal, and interpupillary distances were increased, criteria that confirm the diagnosis of hypertelorbitism. Fifty percent of the patients were bilaterally blind, and one patient sustained unilateral blindness. Sentence B: Considerable evidence supports mutations in mitochondrial genes as the cause of maternally inherited diseases affecting tissues that rely primarily on oxidative energy metabolism, usually the nervous system, the heart, and skeletal muscles. Mitochondrial diseases are diverse, and animal models currently are limited. Here we introduced a mutant human mitochondrial gene responsible for Leber hereditary optic neuropathy (LHON) into the mouse germ line using fluorescence imaging for tissue-specific enrichment in the target retinal ganglion cells. A mitochondria-targeted adeno-associated virus (MTS-AAV) containing the mutant human NADH ubiquinone oxidoreductase subunit 4 (ND4) gene followed by mitochondrial-encoded mCherry was microinjected into zygotes. Female founders with mCherry fluorescence on ophthalmoscopy were backcrossed with normal males for eight generations. Mutant human ND4 DNA was 20% of mouse ND4 and did not integrate into the host genome. Translated human ND4 protein assembled into host respiratory complexes, decreasing respiratory chain function and increasing oxidative stress. Swelling of the optic nerve head was followed by progressive demise of ganglion cells and their axons, the hallmarks of human LHON. Early visual loss that began at 3 mo and progressed to blindness 8 mo after birth was reversed by intraocular injection of MTS-AAV expressing wild-type human ND4. The technology of introducing human mitochondrial genes into the mouse germ line has never been described, to our knowledge, and has implications not only for creating animal models recapitulating the counterpart human disorder but more importantly for reversing the adverse effects of the mutant gene using gene therapy to deliver the wild-type allele. ###Answer 1. Changed Reasoning: The meaning of ""Blindness"" has significantly shifted between the two sentences. In Sentence A, ""Blindness"" refers to physical blindness resulting from traumatic hypertelorbitism or other eye injuries. In Sentence B, ""Blindness"" refers to a genetic disorder caused by mutations in mitochondrial genes, resulting in progressive vision loss and potential reversibility through gene therapy. The context and meaning of the word have changed drastically between the two sentences, indicating semantic drift." 59,Blindness,"Cortical blindness is an uncommon but well-documented entity that results from occipital ischemia or insult. We present a case of blindness following a failed free tissue transfer and review the pertinent literature. Careful history and physical examination can usually distinguish cortical blindness from other organic or psychogenic causes. The workup centers on the exclusion of treatable concurrent pathology. Despite the dramatic presentation of cortical blindness, its treatment is generally supportive and the prognosis for full recovery is excellent."," Transit photometry of the exoplanet candidate Kepler-1625b has recently been interpreted to show hints of a moon. We aim to clarify whether the exomoon-like signal is really caused by a large object in orbit around Kepler-1625b. We explore several detrending procedures, i.e. polynomials and the Cosine Filtering with Autocorrelation Minimization (CoFiAM). We then supply a light curve simulator with the co-planar orbital dynamics of the system and fit the resulting planet-moon transit light curves to the Kepler data. We employ the Bayesian Information Criterion (BIC) to assess whether a single planet or a planet-moon system is a more likely interpretation of the light curve variations. We carry out a blind hare-and-hounds exercise using many noise realizations by injecting simulated transits into different out-of-transit parts of the original Kepler-1625 data: 100 sequences with 3 synthetic transits of a Kepler-1625b-like planet and 100 sequences with 3 synthetic transits of this planet with a Neptune-sized moon. The statistical significance and characteristics of the exomoon-like signal strongly depend on the detrending method, and the data chosen for detrending, and on the treatment of gaps in the light curve. Our injection-retrieval experiment shows evidence for moons in about 10% of those light curves that do not contain an injected moon. Strikingly, many of these false-positive moons resemble the exomoon candidate. We recover up to about half of the injected moons, depending on the detrending method, with radii and orbital distances broadly corresponding to the injected values. A $\Delta$BIC of -4.9 for the CoFiAM-based detrending indicates an exomoon around Kepler-1625b. This solution, however, is only one out of many and we find very different solutions depending on the details of the detrending method. It is worrying that the detrending is key to the interpretation of the data. ","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Blindness Sentence A: Cortical blindness is an uncommon but well-documented entity that results from occipital ischemia or insult. We present a case of blindness following a failed free tissue transfer and review the pertinent literature. Careful history and physical examination can usually distinguish cortical blindness from other organic or psychogenic causes. The workup centers on the exclusion of treatable concurrent pathology. Despite the dramatic presentation of cortical blindness, its treatment is generally supportive and the prognosis for full recovery is excellent. Sentence B: Transit photometry of the exoplanet candidate Kepler-1625b has recently been interpreted to show hints of a moon. We aim to clarify whether the exomoon-like signal is really caused by a large object in orbit around Kepler-1625b. We explore several detrending procedures, i.e. polynomials and the Cosine Filtering with Autocorrelation Minimization (CoFiAM). We then supply a light curve simulator with the co-planar orbital dynamics of the system and fit the resulting planet-moon transit light curves to the Kepler data. We employ the Bayesian Information Criterion (BIC) to assess whether a single planet or a planet-moon system is a more likely interpretation of the light curve variations. We carry out a blind hare-and-hounds exercise using many noise realizations by injecting simulated transits into different out-of-transit parts of the original Kepler-1625 data: 100 sequences with 3 synthetic transits of a Kepler-1625b-like planet and 100 sequences with 3 synthetic transits of this planet with a Neptune-sized moon. The statistical significance and characteristics of the exomoon-like signal strongly depend on the detrending method, and the data chosen for detrending, and on the treatment of gaps in the light curve. Our injection-retrieval experiment shows evidence for moons in about 10% of those light curves that do not contain an injected moon. Strikingly, many of these false-positive moons resemble the exomoon candidate. We recover up to about half of the injected moons, depending on the detrending method, with radii and orbital distances broadly corresponding to the injected values. A $\Delta$BIC of -4.9 for the CoFiAM-based detrending indicates an exomoon around Kepler-1625b. This solution, however, is only one out of many and we find very different solutions depending on the details of the detrending method. It is worrying that the detrending is key to the interpretation of the data. ###Answer 1. Changed (Blindness) Reasoning: In Sentence A, the term ""blindness"" is used to describe a specific medical condition, with a clear and well-defined meaning. In Sentence B, the term ""blindness"" is used in a different context, to describe a potential exomoon orbiting a distant planet. The meaning of the term has shifted significantly, as it is no longer referring to a medical condition, but rather to a celestial phenomenon. Therefore, semantic drift has occurred in the usage of the term ""blindness""." 60,Blindness,"Diabetic retinopathy is a leading cause of blindness in the Western world. Aberrant intercellular adhesion molecule-1 expression and leukocyte adhesion have been implicated in its pathogenesis, raising the possibility of an underlying chronic inflammatory mechanism. In the current study, the role of insulin-like growth factor (IGF)-I in these processes was investigated. We found that systemic inhibition of IGF-I signaling with a receptor-neutralizing antibody, or with inhibitors of PI-3 kinase (PI-3K), c-Jun kinase (JNK), or Akt, suppressed retinal Akt, JNK, HIF-1alpha, nuclear factor (NF)-kappaB, and AP-1 activity, vascular endothelial growth factor (VEGF) expression, as well as intercellular adhesion molecule-1 levels, leukostasis, and blood-retinal barrier breakdown, in a relevant animal model. Intravitreous administration of IGF-I increased retinal Akt, JNK, HIF-1alpha, NF-kappaB, and AP-1 activity, and VEGF levels. IGF-I stimulated VEGF promoter activity in vitro, mainly via HIF-1alpha, and secondarily via NF-kappaB and AP-1. In conclusion, IGF-I participates in the pathophysiology of diabetic retinopathy by inducing retinal VEGF expression via PI-3K/Akt, HIF-1alpha, NF-kappaB, and secondarily, JNK/AP-1 activation. Taken together, these in vitro and in vivo signaling studies thus identify potential targets for pharmacological intervention to preserve vision in patients with diabetes.","Usher syndrome type III (USH3), characterized by progressive deafness, variable balance disorder and blindness, is caused by destabilizing mutations in the gene encoding the clarin-1 (CLRN1) protein. Here we report a new strategy to mitigate hearing loss associated with a common USH3 mutation CLRN1(N48K) that involves cell-based high-throughput screening of small molecules capable of stabilizing CLRN1(N48K), followed by a secondary screening to eliminate general proteasome inhibitors, and finally an iterative process to optimize structure-activity relationships. This resulted in the identification of BioFocus 844 (BF844). To test the efficacy of BF844, we developed a mouse model that mimicked the progressive hearing loss associated with USH3. BF844 effectively attenuated progressive hearing loss and prevented deafness in this model. Because the CLRN1(N48K) mutation causes both hearing and vision loss, BF844 could in principle prevent both sensory deficiencies in patients with USH3. Moreover, the strategy described here could help identify drugs for other protein-destabilizing monogenic disorders.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Blindness Sentence A: Diabetic retinopathy is a leading cause of blindness in the Western world. Aberrant intercellular adhesion molecule-1 expression and leukocyte adhesion have been implicated in its pathogenesis, raising the possibility of an underlying chronic inflammatory mechanism. In the current study, the role of insulin-like growth factor (IGF)-I in these processes was investigated. We found that systemic inhibition of IGF-I signaling with a receptor-neutralizing antibody, or with inhibitors of PI-3 kinase (PI-3K), c-Jun kinase (JNK), or Akt, suppressed retinal Akt, JNK, HIF-1alpha, nuclear factor (NF)-kappaB, and AP-1 activity, vascular endothelial growth factor (VEGF) expression, as well as intercellular adhesion molecule-1 levels, leukostasis, and blood-retinal barrier breakdown, in a relevant animal model. Intravitreous administration of IGF-I increased retinal Akt, JNK, HIF-1alpha, NF-kappaB, and AP-1 activity, and VEGF levels. IGF-I stimulated VEGF promoter activity in vitro, mainly via HIF-1alpha, and secondarily via NF-kappaB and AP-1. In conclusion, IGF-I participates in the pathophysiology of diabetic retinopathy by inducing retinal VEGF expression via PI-3K/Akt, HIF-1alpha, NF-kappaB, and secondarily, JNK/AP-1 activation. Taken together, these in vitro and in vivo signaling studies thus identify potential targets for pharmacological intervention to preserve vision in patients with diabetes. Sentence B: Usher syndrome type III (USH3), characterized by progressive deafness, variable balance disorder and blindness, is caused by destabilizing mutations in the gene encoding the clarin-1 (CLRN1) protein. Here we report a new strategy to mitigate hearing loss associated with a common USH3 mutation CLRN1(N48K) that involves cell-based high-throughput screening of small molecules capable of stabilizing CLRN1(N48K), followed by a secondary screening to eliminate general proteasome inhibitors, and finally an iterative process to optimize structure-activity relationships. This resulted in the identification of BioFocus 844 (BF844). To test the efficacy of BF844, we developed a mouse model that mimicked the progressive hearing loss associated with USH3. BF844 effectively attenuated progressive hearing loss and prevented deafness in this model. Because the CLRN1(N48K) mutation causes both hearing and vision loss, BF844 could in principle prevent both sensory deficiencies in patients with USH3. Moreover, the strategy described here could help identify drugs for other protein-destabilizing monogenic disorders. ###Answer 1. Changed Reasoning: In Sentence A, the word ""blindness"" is used in the context of a specific disease, diabetic retinopathy, which is characterized by progressive vision loss. The sentence also highlights the role of insulin-like growth factor (IGF)-I in the pathophysiology of this disease. In contrast, in Sentence B, the word ""blindness"" is used more broadly to describe a general condition, without any specific context or disease. The sentence also introduces a new concept, Usher syndrome type III (USH3), which is characterized by progressive deafness, variable balance disorder, and blindness. Therefore, based on the different contexts and meanings assigned to the word ""blindness"" in the two sentences, it can be concluded that semantic drift has occurred in the target word. The word ""blindness"" has shifted from a specific disease context in Sentence A to a more general context in Sentence B, indicating a change in its meaning or connotation over time." 61,Blindness,"A 34 years old man, with right eye blindness since childhood, presented with a decreased vision of the left eye 28 years later. Apart from bilateral papillary atrophy, right blindness and decreased left visual acuity, neuro-ophthalmological examination revealed a partial Duane's retraction syndrome on the right. Optic canal X-rays and cerebral CT-Scan revealed calcified meningiomas of both optic nerves. The diagnosis was confirmed at surgery. Cases of bilateral optic nerve meningioma are reviewed. The difficulties of diagnosis, the usefulness of the CT-Scan, the poor prognosis of the disease, even with surgery and radiotherapy are considered. No explanation was found for the association of the tumors with Duane's retraction syndrome."," This paper tackles algorithmic and theoretical aspects of dictionary learning from incomplete and random block-wise image measurements and the performance of the adaptive dictionary for sparse image recovery. This problem is related to blind compressed sensing in which the sparsifying dictionary or basis is viewed as an unknown variable and subject to estimation during sparse recovery. However, unlike existing guarantees for a successful blind compressed sensing, our results do not rely on additional structural constraints on the learned dictionary or the measured signal. In particular, we rely on the spatial diversity of compressive measurements to guarantee that the solution is unique with a high probability. Moreover, our distinguishing goal is to measure and reduce the estimation error with respect to the ideal dictionary that is based on the complete image. Using recent results from random matrix theory, we show that applying a slightly modified dictionary learning algorithm over compressive measurements results in accurate estimation of the ideal dictionary for large-scale images. Empirically, we experiment with both space-invariant and space-varying sensing matrices and demonstrate the critical role of spatial diversity in measurements. Simulation results confirm that the presented algorithm outperforms the typical non-adaptive sparse recovery based on offline-learned universal dictionaries. ","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Blindness Sentence A: A 34 years old man, with right eye blindness since childhood, presented with a decreased vision of the left eye 28 years later. Apart from bilateral papillary atrophy, right blindness and decreased left visual acuity, neuro-ophthalmological examination revealed a partial Duane's retraction syndrome on the right. Optic canal X-rays and cerebral CT-Scan revealed calcified meningiomas of both optic nerves. The diagnosis was confirmed at surgery. Cases of bilateral optic nerve meningioma are reviewed. The difficulties of diagnosis, the usefulness of the CT-Scan, the poor prognosis of the disease, even with surgery and radiotherapy are considered. No explanation was found for the association of the tumors with Duane's retraction syndrome. Sentence B: This paper tackles algorithmic and theoretical aspects of dictionary learning from incomplete and random block-wise image measurements and the performance of the adaptive dictionary for sparse image recovery. This problem is related to blind compressed sensing in which the sparsifying dictionary or basis is viewed as an unknown variable and subject to estimation during sparse recovery. However, unlike existing guarantees for a successful blind compressed sensing, our results do not rely on additional structural constraints on the learned dictionary or the measured signal. In particular, we rely on the spatial diversity of compressive measurements to guarantee that the solution is unique with a high probability. Moreover, our distinguishing goal is to measure and reduce the estimation error with respect to the ideal dictionary that is based on the complete image. Using recent results from random matrix theory, we show that applying a slightly modified dictionary learning algorithm over compressive measurements results in accurate estimation of the ideal dictionary for large-scale images. Empirically, we experiment with both space-invariant and space-varying sensing matrices and demonstrate the critical role of spatial diversity in measurements. Simulation results confirm that the presented algorithm outperforms the typical non-adaptive sparse recovery based on offline-learned universal dictionaries. ###Answer 1. Changed Reasoning: In Sentence A, the target word ""Blindness"" refers to a medical condition where a person has lost vision in one or both eyes. In Sentence B, the target word ""Blindness"" refers to a mathematical concept related to algorithmic and theoretical aspects of dictionary learning. The two sentences have vastly different meanings and connotations, indicating semantic drift." 62,Blindness,"Medical data from Selective Service registrants born from 1939 to 1941 were studied in Oregon and Colorado. Among 29,119 registrants with medical information (41.3% of all registrants), 1,073 (3.6%) had definite hypertension, and 1,226 (4.2%) had some type of color blindness. In both states, there was a highly significant association between the prevalence of hypertension and the prevalence of color blindness. Thus, definite hypertension was present in 6.0% of color clind individuals but in only 3.6% of those with unimparied color vision, while color blindness occurred in 6.8% with definite hypertension, in 5.8% with borderline hypertension, and in only 4.0% with normal blood pressure. The data did not differentiate among types of color blindness, and the reason for the association is not yet evident.","Diabetic retinopathy (DR) is a common microvascular complication leading to a high blindness rate among patients with diabetes. Ferroptosis is a type of cell death caused by the accumulation of iron-dependent lipid peroxides. Studies have shown that ferroptosis plays an important role in DR. The rat model of DR was constructed and treated with Ferrostatin-1 (Ferr-1). Haematoxylin and eosin (HE) were used to detect the degree of retinopathy. Oxidative stress levels were detected by ELISA. Perl's staining was used to detect iron deposition in retinal tissues. Ferritin levels were measured by ELISA. The expression of GPX4 was detected by immunohistochemistry (IHC). GSH/GSSG kit was used to detect the content and proportion of reduced/oxidized glutathione. Western blot was used to detect the expression of ferroptosis-related proteins. TUNEL assay was used to detect cell apoptosis. The expression of GSDMD was detected by fluorescence in situ hybridization (FISH). Western blot was used to detect the expression of apoptosis and pyroptosis-related proteins. Then, high glucose (HG)-induced retinal epithelial cell line ARPE-19 was treated by Erastin (ferroptosis activator) and Ferr-1. CCK-8, ELISA, western blot, flow cytometry, and immunofluorescence (IF) staining were used to detect oxidative stress levels, ferroptosis and cell damage. The mechanism was further explored by adding ferroptosis agonist Erastin. In vitro and in vivo results showed that oxidative stress was increased in DR model, resulting in ferroptosis and tissue or cell damage. After administration of Ferr-1, the antioxidant capacity was improved, ferroptosis levels were reduced and tissue or cell damage was alleviated. In vitro results showed that Ferr-1 reversed the impacts of Erastin on oxidative stress, ferroptosis, and cell damage in HG-induced ARPE-19 cells. Ferr-1 alleviated tissue and cell damage by improving the antioxidant capacity of the Xc","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Blindness Sentence A: Medical data from Selective Service registrants born from 1939 to 1941 were studied in Oregon and Colorado. Among 29,119 registrants with medical information (41.3% of all registrants), 1,073 (3.6%) had definite hypertension, and 1,226 (4.2%) had some type of color blindness. In both states, there was a highly significant association between the prevalence of hypertension and the prevalence of color blindness. Thus, definite hypertension was present in 6.0% of color clind individuals but in only 3.6% of those with unimparied color vision, while color blindness occurred in 6.8% with definite hypertension, in 5.8% with borderline hypertension, and in only 4.0% with normal blood pressure. The data did not differentiate among types of color blindness, and the reason for the association is not yet evident. Sentence B: Diabetic retinopathy (DR) is a common microvascular complication leading to a high blindness rate among patients with diabetes. Ferroptosis is a type of cell death caused by the accumulation of iron-dependent lipid peroxides. Studies have shown that ferroptosis plays an important role in DR. The rat model of DR was constructed and treated with Ferrostatin-1 (Ferr-1). Haematoxylin and eosin (HE) were used to detect the degree of retinopathy. Oxidative stress levels were detected by ELISA. Perl's staining was used to detect iron deposition in retinal tissues. Ferritin levels were measured by ELISA. The expression of GPX4 was detected by immunohistochemistry (IHC). GSH/GSSG kit was used to detect the content and proportion of reduced/oxidized glutathione. Western blot was used to detect the expression of ferroptosis-related proteins. TUNEL assay was used to detect cell apoptosis. The expression of GSDMD was detected by fluorescence in situ hybridization (FISH). Western blot was used to detect the expression of apoptosis and pyroptosis-related proteins. Then, high glucose (HG)-induced retinal epithelial cell line ARPE-19 was treated by Erastin (ferroptosis activator) and Ferr-1. CCK-8, ELISA, western blot, flow cytometry, and immunofluorescence (IF) staining were used to detect oxidative stress levels, ferroptosis and cell damage. The mechanism was further explored by adding ferroptosis agonist Erastin. In vitro and in vivo results showed that oxidative stress was increased in DR model, resulting in ferroptosis and tissue or cell damage. After administration of Ferr-1, the antioxidant capacity was improved, ferroptosis levels were reduced and tissue or cell damage was alleviated. In vitro results showed that Ferr-1 reversed the impacts of Erastin on oxidative stress, ferroptosis, and cell damage in HG-induced ARPE-19 cells. Ferr-1 alleviated tissue and cell damage by improving the antioxidant capacity of the Xc ###Answer 1. Changed Reasoning: The meaning of ""blindness"" has changed significantly between Sentence A (2000) and Sentence B (2020). In Sentence A, ""blindness"" refers specifically to the medical condition of hypertension or color blindness. However, in Sentence B, ""blindness"" is used more broadly to refer to any type of cell death caused by the accumulation of iron-dependent lipid peroxides, including ferroptosis. This broader usage of ""blindness"" indicates a shift in meaning, and therefore, semantic drift has occurred." 63,Blindness,"Patients with lesions in the primary visual cortex (V1) may show processing of visual stimuli presented in their field of cortical blindness even when they report being unaware of the stimuli. To elucidate the neuroanatomical basis of their residual visual functions, we used functional magnetic resonance imaging in two hemianopic patients, FS and GY. In the first experiment, a rotating spiral stimulus was used to assess the responsiveness of dorsal stream areas. Although no response was detectable within denervated or destroyed early visual cortex, motion-sensitive areas (hMT+/V5) ipsilateral to the lesion showed a strong sustained hemodynamic response. In GY, this activation was at least as strong as that of his contralesional hMT+/V5 to the stimulus in the normal hemifield. In the second experiment, coloured images of natural objects were used to assess the responsiveness of ventral stream areas. Again, no activity was detectable in ipsilesional early visual areas, but extrastriate areas in the lateral occipital cortex (hMT+/V5 and LO) and within the posterior fusiform gyrus (V4/V8) showed a robust sustained hemodynamic response. In both experiments, we observed that ipsilesional areas responded to stimuli presented in either hemifield, whereas the normal hemisphere responded preferentially to stimuli in the sighted hemifield. As only one subject occasionally noticed the onset of stimulation in the impaired field, the unexpectedly strong sustained activity in ipsilesional dorsal and ventral cortical areas appears to be insufficient to generate conscious vision.","Glaucoma is one of the leading causes of blindness worldwide. Primary angle closure glaucoma (PACG) is a leading cause ofblindness in East Asian people and known to cause bilateral blindness more frequently than other glaucoma. A retrospective study was thus undertaken to see the visual profile among these cases attending glaucoma unit. Total of 387 cases of angle closure glaucoma were seen in 3 years period. Out of these, 278 (71.8%) were females and 109 were males (28.2%). Among total cases, 61.5% had chronic angle closure glaucoma (CACG) and 38.5% had acute angle closure glaucoma (AACG) in one or both eyes. Bilateral angle closure attack was encountered simultaneously in 16 of the total acute angle closure cases accounting for 10.7%. Vision evaluation at the time of diagnosis among chronic angle closure glaucoma revealed blindness in 97 patients accounting for 20.4%. In acute glaucoma cases, after breaking the acute attack, the prevalence of blindness was found to be 8.9% out of total cases. Bilateral blindness was seen in 17.6% of total cases presented with either acute attack or chronic glaucoma. Mean intraocular pressure (IOP) was 32 mmHg (SD = 9.456) and 44 mmHg (8.67) in CACG and AACG respectively. Cataract was associated in 15.1% of CACG and 12.8% of AACG. Cataract related blindness was presumed to be present in only 4.1% cases of CACG and 14.3% of AACG cases who were blind. (p = < 0.001) Angle closure glaucoma is the frequent cause of bilateral blindness.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Blindness Sentence A: Patients with lesions in the primary visual cortex (V1) may show processing of visual stimuli presented in their field of cortical blindness even when they report being unaware of the stimuli. To elucidate the neuroanatomical basis of their residual visual functions, we used functional magnetic resonance imaging in two hemianopic patients, FS and GY. In the first experiment, a rotating spiral stimulus was used to assess the responsiveness of dorsal stream areas. Although no response was detectable within denervated or destroyed early visual cortex, motion-sensitive areas (hMT+/V5) ipsilateral to the lesion showed a strong sustained hemodynamic response. In GY, this activation was at least as strong as that of his contralesional hMT+/V5 to the stimulus in the normal hemifield. In the second experiment, coloured images of natural objects were used to assess the responsiveness of ventral stream areas. Again, no activity was detectable in ipsilesional early visual areas, but extrastriate areas in the lateral occipital cortex (hMT+/V5 and LO) and within the posterior fusiform gyrus (V4/V8) showed a robust sustained hemodynamic response. In both experiments, we observed that ipsilesional areas responded to stimuli presented in either hemifield, whereas the normal hemisphere responded preferentially to stimuli in the sighted hemifield. As only one subject occasionally noticed the onset of stimulation in the impaired field, the unexpectedly strong sustained activity in ipsilesional dorsal and ventral cortical areas appears to be insufficient to generate conscious vision. Sentence B: Glaucoma is one of the leading causes of blindness worldwide. Primary angle closure glaucoma (PACG) is a leading cause ofblindness in East Asian people and known to cause bilateral blindness more frequently than other glaucoma. A retrospective study was thus undertaken to see the visual profile among these cases attending glaucoma unit. Total of 387 cases of angle closure glaucoma were seen in 3 years period. Out of these, 278 (71.8%) were females and 109 were males (28.2%). Among total cases, 61.5% had chronic angle closure glaucoma (CACG) and 38.5% had acute angle closure glaucoma (AACG) in one or both eyes. Bilateral angle closure attack was encountered simultaneously in 16 of the total acute angle closure cases accounting for 10.7%. Vision evaluation at the time of diagnosis among chronic angle closure glaucoma revealed blindness in 97 patients accounting for 20.4%. In acute glaucoma cases, after breaking the acute attack, the prevalence of blindness was found to be 8.9% out of total cases. Bilateral blindness was seen in 17.6% of total cases presented with either acute attack or chronic glaucoma. Mean intraocular pressure (IOP) was 32 mmHg (SD = 9.456) and 44 mmHg (8.67) in CACG and AACG respectively. Cataract was associated in 15.1% of CACG and 12.8% of AACG. Cataract related blindness was presumed to be present in only 4.1% cases of CACG and 14.3% of AACG cases who were blind. (p = < 0.001) Angle closure glaucoma is the frequent cause of bilateral blindness. ###Answer 1. Blindness in Sentence A (2000) has undergone significant semantic drift compared to Sentence B (2020). In Sentence A (2000), ""blindness"" is used to describe a lack of conscious vision, with the patients showing processing of visual stimuli despite reporting unawareness. The term ""blindness"" has a negative connotation, implying a loss of visual function and potential for confusion or disorientation. In Sentence B (2020), ""blindness"" is used to describe a specific medical condition, angle closure glaucoma, which is a leading cause of blindness worldwide. The term ""blindness"" has a neutral connotation, emphasizing the medical aspect of the condition rather than the loss of visual function. Therefore, the meaning of ""blindness"" has shifted from a negative connotation to a neutral one in the intervening time period, indicating semantic drift." 64,Blindness,"1. The dark-adaptation curves of two subjects with essential night blindness revealed no evidence for functioning rod vision. Cone vision was normal.2. The photopupillomotor dark adaptation, and flash intensity response amplitude curves on one of these subjects confirmed the absence of rod function.3. However, there is the normal amount of rhodopsin in their rods with normal kinetics.4. Cone pigment kinetics are also nearly normal. After a full bleach, log threshold elevation of the foveal cones is linearly related to pigment regeneration. The constant of proportionality is about 3.0 as it is in the normal retina.5. After a full rhodopsin bleach, the contralateral pupil size recovered its full dark value along a curve which followed the regeneration of rhodopsin.6. The results in (5) are identical to those previously found on normal subjects.7. With the exception of a very small response attributed to the contribution of cones, no significant changes in pupil size were evoked by uniform ganzfeld steady backgrounds until the intensity of retinal illuminance was so high that appreciable rhodopsin was bleached. This contrast to the changes evoked by weak steady backgrounds in the normal eye.8. Therefore, rod bleaching signals are normal in such retinas but rod signals evoked by real lights are not functional. This supports Rushton's concept as to how bleaching signals influence retinal sensitivity as opposed to the view of Barlow.9. The defect in essential night blindness very probably involves the rod automatic gain control, but because of (4) the cone gain control must be normal.10. Therefore, rod and cone gain control mechanisms must be independent in these night blind retinas and, by analogy, in the normal retina as well.","Inherited photoreceptor degenerations are not treatable diseases and a frequent cause of blindness in working ages. In this study we investigate the safety, integration and possible rescue effects of intravitreal and subretinal transplantation of adult human bone-marrow-derived mononuclear stem cells (hBM-MSCs) in two animal models of inherited photoreceptor degeneration, the P23H-1 and the Royal College of Surgeons (RCS) rat. Immunosuppression was started one day before the injection and continued through the study. The hBM-MSCs were injected in the left eyes and the animals were processed 7, 15, 30 or 60 days later. The retinas were cross-sectioned, and L- and S- cones, microglia, astrocytes and Müller cells were immunodetected. Transplantations had no local adverse effects and the CD45+ cells remained for up to 15 days forming clusters in the vitreous and/or a 2-3-cells-thick layer in the subretinal space after intravitreal or subretinal injections, respectively. We did not observe increased photoreceptor survival nor decreased microglial cell numbers in the injected left eyes. However, the injected eyes showed decreased GFAP immunoreactivity. We conclude that intravitreal or subretinal injection of hBM-MSCs in dystrophic P23H-1 and RCS rats causes a decrease in retinal gliosis but does not have photoreceptor neuroprotective effects, at least in the short term. However, this treatment may have a potential therapeutic effect that merits further investigation.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Blindness Sentence A: 1. The dark-adaptation curves of two subjects with essential night blindness revealed no evidence for functioning rod vision. Cone vision was normal.2. The photopupillomotor dark adaptation, and flash intensity response amplitude curves on one of these subjects confirmed the absence of rod function.3. However, there is the normal amount of rhodopsin in their rods with normal kinetics.4. Cone pigment kinetics are also nearly normal. After a full bleach, log threshold elevation of the foveal cones is linearly related to pigment regeneration. The constant of proportionality is about 3.0 as it is in the normal retina.5. After a full rhodopsin bleach, the contralateral pupil size recovered its full dark value along a curve which followed the regeneration of rhodopsin.6. The results in (5) are identical to those previously found on normal subjects.7. With the exception of a very small response attributed to the contribution of cones, no significant changes in pupil size were evoked by uniform ganzfeld steady backgrounds until the intensity of retinal illuminance was so high that appreciable rhodopsin was bleached. This contrast to the changes evoked by weak steady backgrounds in the normal eye.8. Therefore, rod bleaching signals are normal in such retinas but rod signals evoked by real lights are not functional. This supports Rushton's concept as to how bleaching signals influence retinal sensitivity as opposed to the view of Barlow.9. The defect in essential night blindness very probably involves the rod automatic gain control, but because of (4) the cone gain control must be normal.10. Therefore, rod and cone gain control mechanisms must be independent in these night blind retinas and, by analogy, in the normal retina as well. Sentence B: Inherited photoreceptor degenerations are not treatable diseases and a frequent cause of blindness in working ages. In this study we investigate the safety, integration and possible rescue effects of intravitreal and subretinal transplantation of adult human bone-marrow-derived mononuclear stem cells (hBM-MSCs) in two animal models of inherited photoreceptor degeneration, the P23H-1 and the Royal College of Surgeons (RCS) rat. Immunosuppression was started one day before the injection and continued through the study. The hBM-MSCs were injected in the left eyes and the animals were processed 7, 15, 30 or 60 days later. The retinas were cross-sectioned, and L- and S- cones, microglia, astrocytes and Müller cells were immunodetected. Transplantations had no local adverse effects and the CD45+ cells remained for up to 15 days forming clusters in the vitreous and/or a 2-3-cells-thick layer in the subretinal space after intravitreal or subretinal injections, respectively. We did not observe increased photoreceptor survival nor decreased microglial cell numbers in the injected left eyes. However, the injected eyes showed decreased GFAP immunoreactivity. We conclude that intravitreal or subretinal injection of hBM-MSCs in dystrophic P23H-1 and RCS rats causes a decrease in retinal gliosis but does not have photoreceptor neuroprotective effects, at least in the short term. However, this treatment may have a potential therapeutic effect that merits further investigation. ###Answer 1. Changed Reasoning: The target word ""Blindness"" has undergone a significant change in meaning between the two sentences. In Sentence A, ""Blindness"" refers to a condition where the rod vision is absent or impaired, while in Sentence B, it refers to a inherited photoreceptor degeneration that causes blindness. The word has shifted from referring to a specific type of eye condition to a broader term encompassing various causes of blindness. Therefore, the label ""Changed"" is appropriate." 65,Blindness,"How can epidemiology contribute to understanding the cause of clinical disease? We discuss the nature of causality and the intrinsic limitations of all empirical science, including epidemiology, in establishing ""proof"" of causality. Our examples relate to eye disease: How the cause of blindness from retrolental fibroplasia was unravelled. How the congenital rubella syndrome was discovered as a cause of congenital cataract. How allopurinol was cleared from suspicion as a cause of cataract.","Glaucoma is one of the leading causes of irreversible blindness. The genetic changes play an important role in the pathogenesis of glaucoma. Progress in human genome project (HGP) and the application of molecular genetics in the study of glaucoma has leaded to an important progress in the understanding of etiology of glaucoma. It is still difficult to predict the influence of these progresses on the early diagnosis, prevention and treatment of glaucoma. However, this may provide a series of problem that require exploration and shows the changing direction of glaucoma study in the future.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Blindness Sentence A: How can epidemiology contribute to understanding the cause of clinical disease? We discuss the nature of causality and the intrinsic limitations of all empirical science, including epidemiology, in establishing ""proof"" of causality. Our examples relate to eye disease: How the cause of blindness from retrolental fibroplasia was unravelled. How the congenital rubella syndrome was discovered as a cause of congenital cataract. How allopurinol was cleared from suspicion as a cause of cataract. Sentence B: Glaucoma is one of the leading causes of irreversible blindness. The genetic changes play an important role in the pathogenesis of glaucoma. Progress in human genome project (HGP) and the application of molecular genetics in the study of glaucoma has leaded to an important progress in the understanding of etiology of glaucoma. It is still difficult to predict the influence of these progresses on the early diagnosis, prevention and treatment of glaucoma. However, this may provide a series of problem that require exploration and shows the changing direction of glaucoma study in the future. ###Answer 1. Changed (Blindness) Reasoning: The target word ""Blindness"" has undergone a significant change in meaning between Sentence A (2000) and Sentence B (2020). In Sentence A, ""Blindness"" is used to describe a specific eye disease, such as retrolental fibroplasia or congenital rubella syndrome. The context suggests that the term refers to a medical condition that affects vision, caused by various factors such as genetic mutations or viral infections. In Sentence B, ""Blindness"" is used in a broader context, referring to glaucoma as one of the leading causes of irreversible blindness. The term is no longer limited to specific eye diseases but encompasses a broader concept of vision loss, including genetic and environmental factors. The sentence also highlights the progress made in understanding the etiology of glaucoma, which suggests a shift towards a more holistic view of blindness. Therefore, the label ""Changed"" is appropriate for the target word ""Blindness"" in this task." 66,Blindness,"The prognosis for patients with ophthalmomyiasis Interna posterior is variable. In many patients the larva remains in the eye for years without inducing inflammation or loss of vision. Sometimes, however, the migrating larva involves the macula and optic nerve and results in permanent visual loss or even blindness.",Age-related macular degeneration is a leading cause of blindness in patients aged 50 years and older. Prior to the 21,"###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Blindness Sentence A: The prognosis for patients with ophthalmomyiasis Interna posterior is variable. In many patients the larva remains in the eye for years without inducing inflammation or loss of vision. Sometimes, however, the migrating larva involves the macula and optic nerve and results in permanent visual loss or even blindness. Sentence B: Age-related macular degeneration is a leading cause of blindness in patients aged 50 years and older. Prior to the 21 ###Answer 1. Changed Reasoning: In Sentence A, the term ""blindness"" is used to describe the loss of vision resulting from the presence of a migrating larva in the eye. The context suggests that the loss of vision is permanent and may result in ""permanent visual loss or even blindness."" However, in Sentence B, the term ""blindness"" is used to describe a different condition, age-related macular degeneration. This condition is a leading cause of vision loss in older adults, but it is not the same as the loss of vision resulting from the presence of a larva in the eye. Therefore, the meaning of the term ""blindness"" has shifted significantly between the two sentences, indicating semantic drift has occurred." 67,Blindness,"To review the survival rate, the incidence and severity of retinopathy of prematurity (ROP), and the rate of blindness caused by ROP in extremely low birth weight (ELBW, birth weight 500 to 999 g) infants born between January 1, 1977, and December 31, 1992, and to determine whether increasing survival rates of ELBW infants are accompanied by an increase in the rates of severe ROP or blindness.","Autoimmune uveitis is one of the leading causes of blindness. We here investigated whether intraperitoneal administration of human mesenchymal stem/stromal cells (hMSCs) might prevent development of experimental autoimmune uveitis (EAU) in mice. Time course study showed that the number of IFN-γ- or IL-17-expressing CD4(+) T cells was increased in draining lymph nodes (DLNs) on the postimmunization day 7 and decreased thereafter. The retinal structure was severely disrupted on day 21. An intraperitoneal injection of hMSCs at the time of immunization protected the retina from damage and suppressed the levels of proinflammatory cytokines in the eye. Analysis of DLNs on day 7 showed that hMSCs decreased the number of Th1 and Th17 cells. The hMSCs did not reduce the levels of IL-1β, IL-6, IL-12, and IL-23 which are the cytokines that drive Th1/Th17 differentiation. Also, hMSCs did not induce CD4(+)CD25(+)Foxp3(+) cells. However, hMSCs increased the level of an immunoregulatory cytokine IL-10 and the population of IL-10-expressing B220(+)CD19(+) cells. Together, data demonstrate that hMSCs attenuate EAU by suppressing Th1/Th17 cells and induce IL-10-expressing B220(+)CD19(+) cells. Our results support suggestions that hMSCs may offer a therapy for autoimmune diseases mediated by Th1/Th17 responses. ","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Blindness Sentence A: To review the survival rate, the incidence and severity of retinopathy of prematurity (ROP), and the rate of blindness caused by ROP in extremely low birth weight (ELBW, birth weight 500 to 999 g) infants born between January 1, 1977, and December 31, 1992, and to determine whether increasing survival rates of ELBW infants are accompanied by an increase in the rates of severe ROP or blindness. Sentence B: Autoimmune uveitis is one of the leading causes of blindness. We here investigated whether intraperitoneal administration of human mesenchymal stem/stromal cells (hMSCs) might prevent development of experimental autoimmune uveitis (EAU) in mice. Time course study showed that the number of IFN-γ- or IL-17-expressing CD4(+) T cells was increased in draining lymph nodes (DLNs) on the postimmunization day 7 and decreased thereafter. The retinal structure was severely disrupted on day 21. An intraperitoneal injection of hMSCs at the time of immunization protected the retina from damage and suppressed the levels of proinflammatory cytokines in the eye. Analysis of DLNs on day 7 showed that hMSCs decreased the number of Th1 and Th17 cells. The hMSCs did not reduce the levels of IL-1β, IL-6, IL-12, and IL-23 which are the cytokines that drive Th1/Th17 differentiation. Also, hMSCs did not induce CD4(+)CD25(+)Foxp3(+) cells. However, hMSCs increased the level of an immunoregulatory cytokine IL-10 and the population of IL-10-expressing B220(+)CD19(+) cells. Together, data demonstrate that hMSCs attenuate EAU by suppressing Th1/Th17 cells and induce IL-10-expressing B220(+)CD19(+) cells. Our results support suggestions that hMSCs may offer a therapy for autoimmune diseases mediated by Th1/Th17 responses. ###Answer 1. Changed Reasoning: In Sentence A, the word ""blindness"" is used to describe the rate of blindness caused by retinopathy of prematurity (ROP) in extremely low birth weight (ELBW) infants. The context suggests that the term ""blindness"" refers to a specific type of visual impairment caused by ROP. In Sentence B, the word ""blindness"" is used more broadly to describe any type of visual impairment caused by autoimmune uveitis. The context suggests that the term ""blindness"" has shifted in meaning to include a broader range of visual impairments. Therefore, the label ""Changed"" is appropriate for this word." 68,Blindness,"Xerophthalmia, the eye manifestation of vitamin A deficiency, is one of the main reasons of blindness in developing countries but is rare in industrial countries."," Computational elucidation of membrane protein (MP) structures is challenging partially due to lack of sufficient solved structures for homology modeling. Here we describe a high-throughput deep transfer learning method that first predicts MP contacts by learning from non-membrane proteins (non-MPs) and then predicting three-dimensional structure models using the predicted contacts as distance restraints. Tested on 510 non-redundant MPs, our method has contact prediction accuracy at least 0.18 better than existing methods, predicts correct folds for 218 MPs (TMscore at least 0.6), and generates three-dimensional models with RMSD less than 4 Angstrom and 5 Angstrom for 57 and 108 MPs, respectively. A rigorous blind test in the continuous automated model evaluation (CAMEO) project shows that our method predicted high-resolution three-dimensional models for two recent test MPs of 210 residues with RMSD close to 2 Angstrom. We estimated that our method could predict correct folds for between 1,345 and 1,871 reviewed human multi-pass MPs including a few hundred new folds, which shall facilitate the discovery of drugs targeting at membrane proteins. ","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Blindness Sentence A: Xerophthalmia, the eye manifestation of vitamin A deficiency, is one of the main reasons of blindness in developing countries but is rare in industrial countries. Sentence B: Computational elucidation of membrane protein (MP) structures is challenging partially due to lack of sufficient solved structures for homology modeling. Here we describe a high-throughput deep transfer learning method that first predicts MP contacts by learning from non-membrane proteins (non-MPs) and then predicting three-dimensional structure models using the predicted contacts as distance restraints. Tested on 510 non-redundant MPs, our method has contact prediction accuracy at least 0.18 better than existing methods, predicts correct folds for 218 MPs (TMscore at least 0.6), and generates three-dimensional models with RMSD less than 4 Angstrom and 5 Angstrom for 57 and 108 MPs, respectively. A rigorous blind test in the continuous automated model evaluation (CAMEO) project shows that our method predicted high-resolution three-dimensional models for two recent test MPs of 210 residues with RMSD close to 2 Angstrom. We estimated that our method could predict correct folds for between 1,345 and 1,871 reviewed human multi-pass MPs including a few hundred new folds, which shall facilitate the discovery of drugs targeting at membrane proteins. ###Answer 1. Changed Reasoning: In Sentence A, ""Blindness"" refers to Xerophthalmia, a specific eye condition caused by vitamin A deficiency, which is a significant health problem in developing countries. In Sentence B, ""Blindness"" is used in a different context, referring to the computational challenge of elucidating membrane protein structures, which has no direct relation to vision or eye health. The meaning of ""Blindness"" has shifted from a medical condition to a computational concept, indicating semantic drift." 69,Blindness,"Acute bilateral blindness is an emergent condition that may signal life-threatening disease. This article details an emergency medicine approach to the patient with acute bilateral blindness, and reports a case of an elderly woman whose sole presenting complaint was acute loss of vision. She was ultimately diagnosed as having pulmonary embolism. The approach focuses on identification of life-threatening disease processes, while differentiating between ocular, psychogenic, and cortical etiologies.","A 22-year-old woman sustained ocular laceration complicated by extensive an eyelid degloving injury when she accidentally fell and the drinking glass in her hand broke and cut her in the right eye area. She immediately noticed significant vision loss; thus, early surgical intervention was performed in collaboration with ophthalmologists and plastic surgeons. At 16 months after the injury, a good visual prognosis was achieved (visual acuity >20/40: IOL) without eye movement disorder or eyelid opening disorder, and phthisis bulbi and the need for prosthetic eye wear were avoided. Functional and cosmetic reconstruction can be achieved with concurrent emergency surgical intervention by ophthalmologists and plastic surgeons, even in cases of ocular laceration complicated by extensive eyelid degloving injury, where blindness and phthisis bulbi are predicted.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Blindness Sentence A: Acute bilateral blindness is an emergent condition that may signal life-threatening disease. This article details an emergency medicine approach to the patient with acute bilateral blindness, and reports a case of an elderly woman whose sole presenting complaint was acute loss of vision. She was ultimately diagnosed as having pulmonary embolism. The approach focuses on identification of life-threatening disease processes, while differentiating between ocular, psychogenic, and cortical etiologies. Sentence B: A 22-year-old woman sustained ocular laceration complicated by extensive an eyelid degloving injury when she accidentally fell and the drinking glass in her hand broke and cut her in the right eye area. She immediately noticed significant vision loss; thus, early surgical intervention was performed in collaboration with ophthalmologists and plastic surgeons. At 16 months after the injury, a good visual prognosis was achieved (visual acuity >20/40: IOL) without eye movement disorder or eyelid opening disorder, and phthisis bulbi and the need for prosthetic eye wear were avoided. Functional and cosmetic reconstruction can be achieved with concurrent emergency surgical intervention by ophthalmologists and plastic surgeons, even in cases of ocular laceration complicated by extensive eyelid degloving injury, where blindness and phthisis bulbi are predicted. ###Answer 1. Changed The meaning of the target word ""blindness"" has shifted significantly between Sentence A and Sentence B. In Sentence A, the term is used to describe a life-threatening medical condition, specifically pulmonary embolism. In contrast, in Sentence B, the term is used to describe a localized injury to the eye, resulting in vision loss but not necessarily a life-threatening condition. The shift in meaning from a medical emergency to a localized injury highlights the semantic drift that has occurred in the usage of the term ""blindness.""" 70,Blindness,"A large Costa Rican kindred has been identified with 15 males affected with congenital blindness, progressive bearing loss, and venous insufficiency. Due to ophthalmological and audio-otological findings, including bilateral retinal dysplasia and detachment, progressive bilateral sensorineural hearing loss, and an X-linked pattern of inheritance, a tentative diagnosis of Norrie disease was considered. However, venous insufficiency is a clinical finding not reportedly associated with Norrie disease. Genetic linkage analysis using microsatellite repeat markers demonstrated linkage to Xp11.23-11.4 (z = 2.723 at theta = 0.0). A candidate gene approach using the Norrie disease gene (NDP), which maps to Xp11.3, revealed a point mutation in the third exon resulting in substitution of phenylalanine for leucine at position 61. The precise function of the gene product, norrin, has yet to be elucidated; however, it has been postulated to be involved in the regulation of neural cell differentiation and proliferation, although hypotheses have been considered for its role in vascular development in the eye. The finding of a mutation in NDP in association with peripheral vascular disease may provide valuable insight into the potential role of this gene in cellular processes.","Hepatocyte growth factor (HGF) and keratinocyte growth factor (KGF), two paracrine growth factors, modulate corneal epithelial cell metabolism, apoptosis and survival. Vascular endothelial growth factor (VEGF) serves as a proangiogenic factor in corneal neovascularization (CNV), which is a major cause of vision impairment and corneal blindness. The aim of the present study was to evaluate the ability of HGF and KGF to influence VEGF and its receptor, kinase insert domain receptor (Flk‑1) in corneal injury and CNV in rats induced by ultraviolet radiation (UVR). An UVR‑induced corneal injury rat model was successfully established to characterize the expression patterns of KGF, HGF, VEGF and Flk‑1 in corneal tissues. Corneal epithelial cells were extracted and treated with small interfering RNAs (siRNAs) targeting KGF, HGF or both (si‑KGF, si‑HGF or si‑HGF/KGF). The effects of HGF and KGF were examined through detection of the expression of KGF, HGF, VEGF and Flk‑1, and the evaluation of cell proliferation, cell cycle and cell apoptosis. The expression levels of KGF, HGF, VEGF and Flk‑1 in corneal tissues were increased in the rat model. In the cell experiments, the transfection of si‑HGF/KGF resulted in reductions in VEGF, Flk‑1, KGF and HGF. In addition, decreased cell proliferation and elevated cell apoptosis were found in the corneal epithelial cells from the rat model following KGF and HGF gene silencing. Taken together, these findings suggest that HGF and KGF gene silencing inhibits UVR‑induced corneal epithelial proliferation and CNV and may function as novel targets for corneal wound healing.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Blindness Sentence A: A large Costa Rican kindred has been identified with 15 males affected with congenital blindness, progressive bearing loss, and venous insufficiency. Due to ophthalmological and audio-otological findings, including bilateral retinal dysplasia and detachment, progressive bilateral sensorineural hearing loss, and an X-linked pattern of inheritance, a tentative diagnosis of Norrie disease was considered. However, venous insufficiency is a clinical finding not reportedly associated with Norrie disease. Genetic linkage analysis using microsatellite repeat markers demonstrated linkage to Xp11.23-11.4 (z = 2.723 at theta = 0.0). A candidate gene approach using the Norrie disease gene (NDP), which maps to Xp11.3, revealed a point mutation in the third exon resulting in substitution of phenylalanine for leucine at position 61. The precise function of the gene product, norrin, has yet to be elucidated; however, it has been postulated to be involved in the regulation of neural cell differentiation and proliferation, although hypotheses have been considered for its role in vascular development in the eye. The finding of a mutation in NDP in association with peripheral vascular disease may provide valuable insight into the potential role of this gene in cellular processes. Sentence B: Hepatocyte growth factor (HGF) and keratinocyte growth factor (KGF), two paracrine growth factors, modulate corneal epithelial cell metabolism, apoptosis and survival. Vascular endothelial growth factor (VEGF) serves as a proangiogenic factor in corneal neovascularization (CNV), which is a major cause of vision impairment and corneal blindness. The aim of the present study was to evaluate the ability of HGF and KGF to influence VEGF and its receptor, kinase insert domain receptor (Flk‑1) in corneal injury and CNV in rats induced by ultraviolet radiation (UVR). An UVR‑induced corneal injury rat model was successfully established to characterize the expression patterns of KGF, HGF, VEGF and Flk‑1 in corneal tissues. Corneal epithelial cells were extracted and treated with small interfering RNAs (siRNAs) targeting KGF, HGF or both (si‑KGF, si‑HGF or si‑HGF/KGF). The effects of HGF and KGF were examined through detection of the expression of KGF, HGF, VEGF and Flk‑1, and the evaluation of cell proliferation, cell cycle and cell apoptosis. The expression levels of KGF, HGF, VEGF and Flk‑1 in corneal tissues were increased in the rat model. In the cell experiments, the transfection of si‑HGF/KGF resulted in reductions in VEGF, Flk‑1, KGF and HGF. In addition, decreased cell proliferation and elevated cell apoptosis were found in the corneal epithelial cells from the rat model following KGF and HGF gene silencing. Taken together, these findings suggest that HGF and KGF gene silencing inhibits UVR‑induced corneal epithelial proliferation and CNV and may function as novel targets for corneal wound healing. ###Answer 1. Changed Reasoning: In Sentence A, the target word ""Blindness"" is used to describe a genetic disorder that causes progressive bearing loss and retinal dysplasia, leading to vision impairment and blindness. The context suggests that the term ""Blindness"" has a specific medical connotation, referring to a particular type of visual impairment caused by genetic mutations. In Sentence B, the target word ""Blindness"" is used in a different context to describe the potential inhibition of corneal epithelial cell proliferation and neovascularization. The word ""Blindness"" is used to describe the effects of gene silencing on cellular processes, including cell proliferation and apoptosis. The context suggests that the term ""Blindness"" has evolved to encompass a broader range of cellular processes, including those related to corneal development and wound healing. Based on the differences in context and meaning between the two sentences, it is clear that the term ""Blindness"" has undergone semantic drift. The word has shifted from a specifically medical context to a more general context encompassing various cellular processes. Therefore, the label ""Changed"" is appropriate." 71,Blindness,"Budesonide by inhalation and placebo were tested in 18 patients with moderate chronic bronchial asthma. Three dose levels of budesonide were used (25, 100 and 400 micrograms q.i.d.) and the patients were to take two puffs q.i.d. in all periods. The active treatment was investigated using double-blind cross-over technique, and placebo at the end of the trial. The duration of each treatment period was 2 weeks. The study showed a high drop-out frequency while on placebo and that the PEF values were influenced in a dose-dependent way by budesonide. In spite of the double-blindness the patients had a tendency towards overuse of the trial aerosol on the lowest dose, but they used significantly less than prescribed during the period with the highest dose. No side effects were reported."," We present a new high-resolution free-form mass model of Abell 2744, combining both weak-lensing (WL) and strong-lensing (SL) datasets from JWST. The SL dataset comprises 286 multiple images, presenting the most extensive SL constraint to date for a single cluster. The WL dataset, employing photo-$z$ selection, yields a source density of ~ 350 arcmin$^{-2}$, marking the densest WL constraint ever. The combined mass reconstruction enables the highest-resolution mass map of Abell 2744 within the ~ 1.8 Mpc$\times$1.8 Mpc reconstruction region to date, revealing an isosceles triangular structure with two legs of ~ 1 Mpc and a base of ~ 0.6 Mpc. Although our algorithm MAximum-entropy ReconStruction (${\tt MARS}$) is entirely blind to the cluster galaxy distribution, the resulting mass reconstruction remarkably well traces the brightest cluster galaxies with the five strongest mass peaks coinciding with the five most luminous cluster galaxies within $\lesssim 2''$. We do not detect any unusual mass peaks that are not traced by the cluster galaxies, unlike the findings in previous studies. Our mass model shows the smallest scatters of SL multiple images in both source (~0"".05) and image (~0"".1) planes, which are lower than the previous studies by a factor of ~ 4. Although ${\tt MARS}$ represents the mass field with an extremely large number of ~ 300,000 free parameters, it converges to a solution within a few hours thanks to our utilization of the deep learning technique. We make our mass and magnification maps publicly available. ","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Blindness Sentence A: Budesonide by inhalation and placebo were tested in 18 patients with moderate chronic bronchial asthma. Three dose levels of budesonide were used (25, 100 and 400 micrograms q.i.d.) and the patients were to take two puffs q.i.d. in all periods. The active treatment was investigated using double-blind cross-over technique, and placebo at the end of the trial. The duration of each treatment period was 2 weeks. The study showed a high drop-out frequency while on placebo and that the PEF values were influenced in a dose-dependent way by budesonide. In spite of the double-blindness the patients had a tendency towards overuse of the trial aerosol on the lowest dose, but they used significantly less than prescribed during the period with the highest dose. No side effects were reported. Sentence B: We present a new high-resolution free-form mass model of Abell 2744, combining both weak-lensing (WL) and strong-lensing (SL) datasets from JWST. The SL dataset comprises 286 multiple images, presenting the most extensive SL constraint to date for a single cluster. The WL dataset, employing photo-$z$ selection, yields a source density of ~ 350 arcmin$^{-2}$, marking the densest WL constraint ever. The combined mass reconstruction enables the highest-resolution mass map of Abell 2744 within the ~ 1.8 Mpc$\times$1.8 Mpc reconstruction region to date, revealing an isosceles triangular structure with two legs of ~ 1 Mpc and a base of ~ 0.6 Mpc. Although our algorithm MAximum-entropy ReconStruction (${\tt MARS}$) is entirely blind to the cluster galaxy distribution, the resulting mass reconstruction remarkably well traces the brightest cluster galaxies with the five strongest mass peaks coinciding with the five most luminous cluster galaxies within $\lesssim 2''$. We do not detect any unusual mass peaks that are not traced by the cluster galaxies, unlike the findings in previous studies. Our mass model shows the smallest scatters of SL multiple images in both source (~0"".05) and image (~0"".1) planes, which are lower than the previous studies by a factor of ~ 4. Although ${\tt MARS}$ represents the mass field with an extremely large number of ~ 300,000 free parameters, it converges to a solution within a few hours thanks to our utilization of the deep learning technique. We make our mass and magnification maps publicly available. ###Answer 1. Changed Reasoning: In Sentence A, the target word ""Blindness"" refers to a medical condition where a person has lost their vision. In Sentence B, the target word ""Blindness"" refers to a lack of transparency or clarity in something, such as a high-resolution mass model of a cluster of galaxies. The meaning of the word has shifted from a medical condition to a metaphorical description of a model's accuracy. Therefore, semantic drift has occurred." 72,Blindness,"Retinal artery occlusion related to ocular compression is an uncommon but severe complication of general anaesthesia, most of the time results in blindness. We report a case of central retinal artery occlusion following spinal surgery. We discuss the mechanism of blindness and review the circumstances that may lead to this complication. Proper positioning of the head and avoidance of ocular compression will prevent the occurrence of retinal occlusion during general anaesthesia.",Only a few studies have investigated structural and functional changes in monocular blind individuals. Our aim in this study was to segmentally investigate the cerebellar structures of subjects with late-onset monocular blindness (LMB) using a Voxel-based volumetric analysis system.,"###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Blindness Sentence A: Retinal artery occlusion related to ocular compression is an uncommon but severe complication of general anaesthesia, most of the time results in blindness. We report a case of central retinal artery occlusion following spinal surgery. We discuss the mechanism of blindness and review the circumstances that may lead to this complication. Proper positioning of the head and avoidance of ocular compression will prevent the occurrence of retinal occlusion during general anaesthesia. Sentence B: Only a few studies have investigated structural and functional changes in monocular blind individuals. Our aim in this study was to segmentally investigate the cerebellar structures of subjects with late-onset monocular blindness (LMB) using a Voxel-based volumetric analysis system. ###Answer 1. Changed Explanation: In Sentence A, the target word ""blindness"" refers to a specific medical condition resulting from retinal artery occlusion, which is a rare but severe complication of general anaesthesia. The context suggests that this meaning of ""blindness"" is related to a specific medical condition with a clear cause and effect relationship. In Sentence B, the target word ""blindness"" refers to a more general concept of visual impairment, without any specific medical condition mentioned. The context suggests that this meaning of ""blindness"" is more related to a broader concept of visual impairment, including various causes such as genetic disorders, trauma, or age-related changes. Based on these differences in context and meaning, it can be concluded that the target word ""blindness"" has undergone semantic drift between Sentence A and Sentence B, with a shift from a specific medical condition to a more general concept of visual impairment. Therefore, the label ""Changed"" is provided." 73,Blindness,"Two patients are presented in whom cerebral angiography was complicated by bioccipital infarcts resulting in cortical blindness with persisting severe restriction of the visual field (case 1) and persisting cortical blindness (case 2). One patient (case 1) demonstrated a compensated, protracted disseminated intravascular coagulation (Table 1), which disappeared after treatment with phenprocoumon (Marcoumar). The other patient (case 2) demonstrated increasee spontaneous platelet aggregability (Table 2), which was treated sucessfully with acetylsalicylic acid (Magnyl) and dipyridamole (Persantine). We presume that the coagulation disturbances demonstrated after the angiography may be pathogenetic to the complications. We propose that patients with transient cerebral ischemia and apoplexy who are undergoing cerebral angiography should be studied with regard to coagulation before and after the cerebral angiography so that coagulation disturbances demonstrated may be treated before, or corrected after the angiography.","Chlamydia trachomatis is a bacterial human pathogen responsible for the development of trachoma, an infection leading to blindness, and is also the cause of the main bacterial sexually transmitted infection worldwide. We designed a new inhibitor of this bacterium with, however, some prerequisites using (i) the iron dependency of the bacterium, (ii) a commercially available broad-spectrum antibiotic and (iii) a short synthetic pathway. The corresponding 8-hydroxyquinoline-ciprofloxacin conjugate was evaluated against a panel of pathogenic bacteria, including C. trachomatis but also the ESKAPE group (Enterococcus faecium, Staphylococcus aureus, Klebsiella pneumoniae, Acinetobacter baumannii, Pseudomonas aeruginosa and Enterobacter species). Its anti-Chlamydia activity is higher than that of ciprofloxacin and seems to be related to the fluoroquinolone moiety of the molecule, which is also responsible for the complexation of iron(III), as demonstrated by spectrophotometric titration.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Blindness Sentence A: Two patients are presented in whom cerebral angiography was complicated by bioccipital infarcts resulting in cortical blindness with persisting severe restriction of the visual field (case 1) and persisting cortical blindness (case 2). One patient (case 1) demonstrated a compensated, protracted disseminated intravascular coagulation (Table 1), which disappeared after treatment with phenprocoumon (Marcoumar). The other patient (case 2) demonstrated increasee spontaneous platelet aggregability (Table 2), which was treated sucessfully with acetylsalicylic acid (Magnyl) and dipyridamole (Persantine). We presume that the coagulation disturbances demonstrated after the angiography may be pathogenetic to the complications. We propose that patients with transient cerebral ischemia and apoplexy who are undergoing cerebral angiography should be studied with regard to coagulation before and after the cerebral angiography so that coagulation disturbances demonstrated may be treated before, or corrected after the angiography. Sentence B: Chlamydia trachomatis is a bacterial human pathogen responsible for the development of trachoma, an infection leading to blindness, and is also the cause of the main bacterial sexually transmitted infection worldwide. We designed a new inhibitor of this bacterium with, however, some prerequisites using (i) the iron dependency of the bacterium, (ii) a commercially available broad-spectrum antibiotic and (iii) a short synthetic pathway. The corresponding 8-hydroxyquinoline-ciprofloxacin conjugate was evaluated against a panel of pathogenic bacteria, including C. trachomatis but also the ESKAPE group (Enterococcus faecium, Staphylococcus aureus, Klebsiella pneumoniae, Acinetobacter baumannii, Pseudomonas aeruginosa and Enterobacter species). Its anti-Chlamydia activity is higher than that of ciprofloxacin and seems to be related to the fluoroquinolone moiety of the molecule, which is also responsible for the complexation of iron(III), as demonstrated by spectrophotometric titration. ###Answer 1. Changed Reasoning: In Sentence A, the term ""blindness"" is used to describe a condition where there is a severe restriction of the visual field. This implies that the person has limited vision or cannot see at all in certain areas. In contrast, in Sentence B, the term ""blindness"" is used to describe a bacterial infection that can lead to blindness. This implies that the bacterium can cause blindness or vision loss. Therefore, the meaning of the term ""blindness"" has shifted from a physical condition to a bacterial infection in Sentence B compared to Sentence A. As a result, we label this as ""Changed""." 74,Blindness,"We conducted a population-based survey in the Hamar tribe of Ethiopia to assess the problem of blindness and ocular morbidity. Blindness was detected in 1.9% of the Hamar. Among the age group 40 and over < 1.0% of men and 13% of women were blind. Women with low vision or blindness comprised 30% of all women while men with low vision or blindness only comprised 8% of men in the age stratum. Cataract is responsible for the excess blindness in women. Even mild visual disability is less common in men. In Hamar society men have two roles: as herders and as warriors. Warriors with visual loss will be less successful in defending themselves. We suggest that Hamar men who develop visual loss have increased mortality compared to women with visual loss. Vision loss in women does not appear to have life-threatening consequences. Cessation of hostilities between the Hamar and their neighbours could, conceivably, lead to an 'increase' in the incidence of vision loss among men.","Sensory deprivation in one modality can enhance the development of the remaining modalities via mechanisms of synaptic plasticity. Mice of the C3H strain suffer from RD1 retinal degeneration that leads to visual impairment at weaning age. We examined a role of whiskers in compensation of the visual deficit. In order to differentiate the contribution of the whiskers from other mechanisms that can take part in the compensation, we investigated the effect of both chronic and acute tactile deprivation. Three-month-old mice were used. We examined motor skills (rotarod, beam walking test), gait control (CatWalk system), spontaneous motor activity (open field) and CNS excitability to an acoustic stimulus for assessment of compensatory changes in auditory system (audiogenic epilepsy). In the sighted mice, the only effect was a decline in their rotarod test performance after acute whisker removal. In the blind animals, chronic tactile deprivation caused changes in their gait and impaired the performance in motor tests. Some other compensatory mechanisms were involved but the whiskers are essential for the compensation as it emerged from more marked change of gait and the worsening of the motor performance after the acute whisker removal. Both chronic and acute tactile deprivation induced anxiety-like behaviour. Only a combination of blindness and chronic tactile deprivation led to an increased sense of hearing. ","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Blindness Sentence A: We conducted a population-based survey in the Hamar tribe of Ethiopia to assess the problem of blindness and ocular morbidity. Blindness was detected in 1.9% of the Hamar. Among the age group 40 and over < 1.0% of men and 13% of women were blind. Women with low vision or blindness comprised 30% of all women while men with low vision or blindness only comprised 8% of men in the age stratum. Cataract is responsible for the excess blindness in women. Even mild visual disability is less common in men. In Hamar society men have two roles: as herders and as warriors. Warriors with visual loss will be less successful in defending themselves. We suggest that Hamar men who develop visual loss have increased mortality compared to women with visual loss. Vision loss in women does not appear to have life-threatening consequences. Cessation of hostilities between the Hamar and their neighbours could, conceivably, lead to an 'increase' in the incidence of vision loss among men. Sentence B: Sensory deprivation in one modality can enhance the development of the remaining modalities via mechanisms of synaptic plasticity. Mice of the C3H strain suffer from RD1 retinal degeneration that leads to visual impairment at weaning age. We examined a role of whiskers in compensation of the visual deficit. In order to differentiate the contribution of the whiskers from other mechanisms that can take part in the compensation, we investigated the effect of both chronic and acute tactile deprivation. Three-month-old mice were used. We examined motor skills (rotarod, beam walking test), gait control (CatWalk system), spontaneous motor activity (open field) and CNS excitability to an acoustic stimulus for assessment of compensatory changes in auditory system (audiogenic epilepsy). In the sighted mice, the only effect was a decline in their rotarod test performance after acute whisker removal. In the blind animals, chronic tactile deprivation caused changes in their gait and impaired the performance in motor tests. Some other compensatory mechanisms were involved but the whiskers are essential for the compensation as it emerged from more marked change of gait and the worsening of the motor performance after the acute whisker removal. Both chronic and acute tactile deprivation induced anxiety-like behaviour. Only a combination of blindness and chronic tactile deprivation led to an increased sense of hearing. ###Answer 1. Changed Reasoning: In Sentence A, the target word ""Blindness"" refers to a specific medical condition, ""blindness,"" which is defined as a lack of vision due to various causes. The sentence highlights the prevalence of blindness in a specific population and the potential causes of this condition. The word ""Blindness"" is used in a neutral context, without any connotation of negative or positive implications. In Sentence B, the target word ""Blindness"" takes on a different meaning. The sentence discusses the concept of ""sensory deprivation"" and its impact on the development of the remaining modalities. The word ""Blindness"" is used to describe the lack of vision, but it also carries a different connotation, suggesting a broader concept of ""deprivation"" in multiple sensory modalities. The sentence highlights the potential compensatory mechanisms that occur in response to sensory deprivation, including the role of whiskers in compensating for visual impairment. Based on these two sentences, it is clear that the meaning of the target word ""Blindness"" has shifted from a specific medical condition to a broader concept of sensory deprivation. Therefore, the label ""Changed"" is appropriate to indicate that semantic drift has occurred." 75,Blindness,"An analysis of the ophthalmic recordings from the pre-term infants born 1991-93 considered at risk of developing retinopathy of prematurity is added to three previous 3-year clinical surveys from the same Danish county. Out of the 203 subjects of the recent study 34 showed evidence of retinopathy of prematurity. In 27 the maximum retinopathy of prematurity stage was 1 or 2 prior to regression. Out of the seven subjects with stage 3, one progressed to bilateral blindness in spite of the cryotherapy given in this single case. Comparing with the four retinopathy of prematurity-blind born 1982-84, the trend over the 12 years appears to be towards a better overall ophthalmic outcome. Along with an increasing number of survivors of the low GA/BW groups, the retinopathy of prematurity percentage has shown a decline, and apparently with less serious sequelae. Together with other Danish experience, eventually the present data may lead to lower screening limits for retinopathy of prematurity regarding GA/BW. Prior to this, however, there should be support from the case data currently collected in the compulsory Danish register of visually impaired children. Hence our present basic recommendation is that gestational ages up to (and including) 31 full weeks qualify for serial eye examination.","Congenital cataract, an important cause of reversible blindness, is due to several causes including Mendelian inheritance. Thirty percent of cataracts are hereditary with participation of the gamma crystallin genes. Clinical and genetic heterogeneity is observed in patients with gene mutations and congenital cataract; about 40 genetic loci have been associated with hereditary cataract. In this study, we identified the underlying genetic cause of an autosomal dominant pulverulent cataract (ADPC) in a large Mexican family. Twenty-one affected patients and 20 healthy members of a family with ADPC were included. Genomic DNA was analyzed by whole exome sequencing in the proband, a normal daughter, and in an affected son, whereas DNA Sanger sequencing was performed in all members of the family. After the bioinformatics analysis, all samples were genotyped using Sanger sequencing to eliminate variants that do not cosegregate with the cataract. We observed a perfect cosegregation of a nonsense mutation c.475C>T (p.Q155*) in exon 6 of the CRYBB2 gene with ADPC. We calculated a logarithm of the odds score of 5.5. This mutation was not detected in healthy members of the family and in 100 normal controls. This is the first Mexican family with ADPC associated with a p.Q155* mutation. Interestingly, this specific mutation in the CRYBB2 gene seems to be exclusively associated with pulverulent/cerulean cataract (with some clinical variability) independent of the population's genetic background. ","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Blindness Sentence A: An analysis of the ophthalmic recordings from the pre-term infants born 1991-93 considered at risk of developing retinopathy of prematurity is added to three previous 3-year clinical surveys from the same Danish county. Out of the 203 subjects of the recent study 34 showed evidence of retinopathy of prematurity. In 27 the maximum retinopathy of prematurity stage was 1 or 2 prior to regression. Out of the seven subjects with stage 3, one progressed to bilateral blindness in spite of the cryotherapy given in this single case. Comparing with the four retinopathy of prematurity-blind born 1982-84, the trend over the 12 years appears to be towards a better overall ophthalmic outcome. Along with an increasing number of survivors of the low GA/BW groups, the retinopathy of prematurity percentage has shown a decline, and apparently with less serious sequelae. Together with other Danish experience, eventually the present data may lead to lower screening limits for retinopathy of prematurity regarding GA/BW. Prior to this, however, there should be support from the case data currently collected in the compulsory Danish register of visually impaired children. Hence our present basic recommendation is that gestational ages up to (and including) 31 full weeks qualify for serial eye examination. Sentence B: Congenital cataract, an important cause of reversible blindness, is due to several causes including Mendelian inheritance. Thirty percent of cataracts are hereditary with participation of the gamma crystallin genes. Clinical and genetic heterogeneity is observed in patients with gene mutations and congenital cataract; about 40 genetic loci have been associated with hereditary cataract. In this study, we identified the underlying genetic cause of an autosomal dominant pulverulent cataract (ADPC) in a large Mexican family. Twenty-one affected patients and 20 healthy members of a family with ADPC were included. Genomic DNA was analyzed by whole exome sequencing in the proband, a normal daughter, and in an affected son, whereas DNA Sanger sequencing was performed in all members of the family. After the bioinformatics analysis, all samples were genotyped using Sanger sequencing to eliminate variants that do not cosegregate with the cataract. We observed a perfect cosegregation of a nonsense mutation c.475C>T (p.Q155*) in exon 6 of the CRYBB2 gene with ADPC. We calculated a logarithm of the odds score of 5.5. This mutation was not detected in healthy members of the family and in 100 normal controls. This is the first Mexican family with ADPC associated with a p.Q155* mutation. Interestingly, this specific mutation in the CRYBB2 gene seems to be exclusively associated with pulverulent/cerulean cataract (with some clinical variability) independent of the population's genetic background. ###Answer 1. Changed Reasoning: In Sentence A, the word ""blindness"" is used to describe the outcome of retinopathy of prematurity, which is a condition that affects the eyes of premature babies. The sentence suggests that the risk of developing retinopathy of prematurity has decreased over time, as evidenced by the improvement in the overall ophthalmic outcome. However, the sentence also mentions that one subject with stage 3 retinopathy progressed to bilateral blindness despite cryotherapy. This suggests that the word ""blindness"" still carries a negative connotation, indicating a loss of vision or sight. In Sentence B, the word ""blindness"" is used in a different context. It is mentioned in the context of congenital cataract, a condition that can cause reversible blindness. The sentence suggests that the genetic cause of this condition has been identified, and that the mutation c.475C>T (p.Q155*) in the CRYBB2 gene is associated with pulverulent/cerulean cataract. The sentence also mentions that this mutation was not detected in healthy members of the family or in 100 normal controls. This suggests that the word ""blindness"" in this context refers to a specific type of eye condition that is genetic in nature and may have a different connotation than the word's usage in Sentence A. Overall, the usage of the word ""blindness"" in Sentence A suggests that it still carries a negative connotation, indicating a loss of vision or sight. However, in Sentence B, the word ""blindness"" is used in a different context and carries a different meaning, referring to a specific type of genetic eye condition. Therefore, the label ""Changed"" is appropriate for this task." 76,Blindness,"A 9-year-old Haitian girl presented initially with monocular blindness and an isolated temporal arteritis, confirmed by angiographic studies and temporal artery biopsy findings. CT and MR studies of the intracranial circulation showed only an enlarged, dense superficial temporal artery. Systemic workup revealed a mildly elevated erythrocyte sedimentation rate, mild changes in white and red blood cells, and a remote history of sensorineural hearing loss. Pathologic examination of the biopsy specimen narrowed the differential diagnosis to giant cell temporal arteritis and polyarteritis nodosa. Treatment with corticosteroids alone failed, and the child returned 1 month later with severe systemic illness and encephalopathy. MR studies showed multiple cortical and subcortical foci of increased T2 signal, and gyriform enhancement on T1-weighted images. Renal and mesenteric arteriograms showed innumerable tiny aneurysms at branch points in small and medium-sized vessels, typical of polyarteritis nodosa. We found no previous reports of this initial presentation in the pediatric population for either polyarteritis nodosa or giant cell temporal arteritis."," Neovascular disease in the retina is the leading cause of blindness in all age groups. Thus, there is a great need to develop effective therapeutic agents to inhibit and prevent neovascularization in the retina. Over the past decade, anti-VEGF therapeutic agents have entered the clinic for the treatment of neovascular retinal disease, and these agents have been effective for slowing and preventing the progression of neovascularization. However, the therapeutic benefits of anti-VEGF therapy can be diminished by the need for prolonged treatment regimens of repeated intravitreal injections, which can lead to complications such as endophthalmitis, retinal tears, and retinal detachment. Recent advances in nanoparticle-based drug delivery systems offer the opportunity to improve bioactivity and prolong bioavailability of drugs in the retina to reduce the risks associated with treating neovascular disease. This article reviews recent advances in the development of nanoparticle-based drug delivery systems which could be utilized to improve the treatment of neovascular disease in the retina.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Blindness Sentence A: A 9-year-old Haitian girl presented initially with monocular blindness and an isolated temporal arteritis, confirmed by angiographic studies and temporal artery biopsy findings. CT and MR studies of the intracranial circulation showed only an enlarged, dense superficial temporal artery. Systemic workup revealed a mildly elevated erythrocyte sedimentation rate, mild changes in white and red blood cells, and a remote history of sensorineural hearing loss. Pathologic examination of the biopsy specimen narrowed the differential diagnosis to giant cell temporal arteritis and polyarteritis nodosa. Treatment with corticosteroids alone failed, and the child returned 1 month later with severe systemic illness and encephalopathy. MR studies showed multiple cortical and subcortical foci of increased T2 signal, and gyriform enhancement on T1-weighted images. Renal and mesenteric arteriograms showed innumerable tiny aneurysms at branch points in small and medium-sized vessels, typical of polyarteritis nodosa. We found no previous reports of this initial presentation in the pediatric population for either polyarteritis nodosa or giant cell temporal arteritis. Sentence B: Neovascular disease in the retina is the leading cause of blindness in all age groups. Thus, there is a great need to develop effective therapeutic agents to inhibit and prevent neovascularization in the retina. Over the past decade, anti-VEGF therapeutic agents have entered the clinic for the treatment of neovascular retinal disease, and these agents have been effective for slowing and preventing the progression of neovascularization. However, the therapeutic benefits of anti-VEGF therapy can be diminished by the need for prolonged treatment regimens of repeated intravitreal injections, which can lead to complications such as endophthalmitis, retinal tears, and retinal detachment. Recent advances in nanoparticle-based drug delivery systems offer the opportunity to improve bioactivity and prolong bioavailability of drugs in the retina to reduce the risks associated with treating neovascular disease. This article reviews recent advances in the development of nanoparticle-based drug delivery systems which could be utilized to improve the treatment of neovascular disease in the retina. ###Answer 1. Changed Reasoning: In Sentence A, the term ""blindness"" is used to describe a specific medical condition (monocular blindness) with a clear definition and medical context. The sentence also provides specific details about the symptoms, diagnosis, and treatment of the condition. In Sentence B, the term ""blindness"" is used more broadly to refer to any cause of visual impairment, without providing any specific medical context or details. The sentence focuses on the need for effective therapeutic agents to prevent neovascularization in the retina, without mentioning any specific medical condition or diagnosis. Therefore, the meaning of the term ""blindness"" has shifted from a specific medical condition to a more general term encompassing any cause of visual impairment. This change in meaning indicates semantic drift has occurred." 77,Blindness,"We report upon a patient with multiple, progressive episodes of temporary monocular blindness associated with acute thrombosis and a critical internal carotid artery stenosis. Carotid angiography demonstrated an anatomically compelling situation consisting of a critical reduction of flow distal to a preocclusive internal carotid artery stenosis accompanied by intraluminal thrombus. The patient was managed successfully by urgent thrombectomy and carotid endarterectomy. This case report highlights principles in management of patients with the unstable neurologic condition of temporary monocular blindness associated with an anatomically compelling situation demonstrated on angiography.","Diabetic retinopathy screening is instrumental to preventing blindness, but scaling up screening is challenging because of the increasing number of patients with all forms of diabetes. We aimed to create a deep-learning system to predict the risk of patients with diabetes developing diabetic retinopathy within 2 years.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Blindness Sentence A: We report upon a patient with multiple, progressive episodes of temporary monocular blindness associated with acute thrombosis and a critical internal carotid artery stenosis. Carotid angiography demonstrated an anatomically compelling situation consisting of a critical reduction of flow distal to a preocclusive internal carotid artery stenosis accompanied by intraluminal thrombus. The patient was managed successfully by urgent thrombectomy and carotid endarterectomy. This case report highlights principles in management of patients with the unstable neurologic condition of temporary monocular blindness associated with an anatomically compelling situation demonstrated on angiography. Sentence B: Diabetic retinopathy screening is instrumental to preventing blindness, but scaling up screening is challenging because of the increasing number of patients with all forms of diabetes. We aimed to create a deep-learning system to predict the risk of patients with diabetes developing diabetic retinopathy within 2 years. ###Answer 1. Changed Reasoning: In Sentence A, the term ""blindness"" is used in the context of a specific medical condition, ""temporary monocular blindness,"" which is associated with a specific anatomical location and cause (carotid thrombosis). The term is used to describe the patient's symptoms and the medical interventions used to manage the condition. In Sentence B, the term ""blindness"" is used in a different context, in the context of diabetic retinopathy screening. The term is used to describe the potential outcome of the screening process, which is to prevent blindness. The term is not used to describe a specific medical condition, but rather to convey the idea that screening can help prevent vision loss. Based on these differences in context and meaning, it can be argued that the term ""blindness"" has undergone a significant change in meaning between Sentence A and Sentence B. Therefore, the label ""Changed"" is appropriate." 78,Blindness,Retinal vascular occlusive disease is the second leading cause of permanent retinal blindness. The etiology of central retinal vein occlusion (CRVO) is not well understood. The anatomy of the optic disk including the cribriform plate and scleral ring may contribute to the development of retinal vaso-oclussive diseases. Neurovascular compression within the confined space at this location may play a pathoetiologic role in CRVO. The authors performed radial optic neurotomy in patients with CRVO to relax this space and relieve pressure on the central retinal vein.," We use James Webb Space Telescope Near-Infrared Camera Wide Field Slitless Spectroscopy (NIRCam WFSS) and Near-Infrared spectrograph (NIRSpec) in the Cosmic Evolution Early Release survey (CEERS) to measure rest-frame optical emission-line of 155 galaxies at z>2. The blind NIRCam grism observations include a sample of galaxies with bright emission lines that were not observed on the NIRSpec masks. We study the changes of the Ha, [OIII]/Hb, and [NeIII]/[OII] emission lines in terms of redshift by comparing to lower redshift SDSS and CLEAR samples. We find a significant (>3$\sigma$) correlation between [OIII]/Hb with redshift, while [NeIII]/[OII] has a marginal (2$\sigma$) correlation with redshift. We compare [OIII]/Hb and [NeIII]/[OII] to stellar mass and Hb SFR. We find that both emission-line ratios have a correlation with Hb SFR and an anti-correlation with stellar mass across the redshifts 02. The blind NIRCam grism observations include a sample of galaxies with bright emission lines that were not observed on the NIRSpec masks. We study the changes of the Ha, [OIII]/Hb, and [NeIII]/[OII] emission lines in terms of redshift by comparing to lower redshift SDSS and CLEAR samples. We find a significant (>3$\sigma$) correlation between [OIII]/Hb with redshift, while [NeIII]/[OII] has a marginal (2$\sigma$) correlation with redshift. We compare [OIII]/Hb and [NeIII]/[OII] to stellar mass and Hb SFR. We find that both emission-line ratios have a correlation with Hb SFR and an anti-correlation with stellar mass across the redshifts 02. The word has not undergone significant semantic drift between the two sentences, as its meaning remains the same." 79,Blindness,"Although blacks appear to be at higher risk for blindness from glaucoma, there is little information available on the epidemiology of this disease in this population. Using a cluster sampling technique with systematic allocation of clusters, the authors conducted a national survey of black individuals 30 years of age and older, in St. Lucia. A total of 1679 individuals underwent a screening examination that included visual acuity, intraocular pressure (IOP) measurement, and cup/disc (C/D) evaluation. Every third person had a screening field on the Humphrey field analyzer. Individuals with either elevated IOP, abnormal C/D ratio, or an abnormal screening visual field were referred for a definitive examination and threshold visual fields. A total of 520 people were referred. Identified by stringent criteria for the diagnosis of glaucoma, which required reliable threshold visual fields abnormal by the mirror image method, 147 individuals had glaucoma for a prevalence of 8.8% in the 30 years of age and older population.","Perinatal HI (hypoxia-ischemia)-related visual defects including blindness are known to be associated with ischemic lesions in intracerebral visual pathways and ischemic retinal damage (IRD). Intraocular hemorrhages (IOH) such as retinal hemorrhage (RH), which may result from perinatal HI, can cause IRD by various mechanisms. We aimed to evaluate the early retinal findings in neonates with moderate-to-severe neonatal encephalopathy (NE) who underwent TH and its relationship between coagulation status, amplitude-integrated electroencephalography (aEEG) patterns, and magnetic resonance imaging-magnetic resonance spectroscopy (MRI-MRS) findings.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Blindness Sentence A: Although blacks appear to be at higher risk for blindness from glaucoma, there is little information available on the epidemiology of this disease in this population. Using a cluster sampling technique with systematic allocation of clusters, the authors conducted a national survey of black individuals 30 years of age and older, in St. Lucia. A total of 1679 individuals underwent a screening examination that included visual acuity, intraocular pressure (IOP) measurement, and cup/disc (C/D) evaluation. Every third person had a screening field on the Humphrey field analyzer. Individuals with either elevated IOP, abnormal C/D ratio, or an abnormal screening visual field were referred for a definitive examination and threshold visual fields. A total of 520 people were referred. Identified by stringent criteria for the diagnosis of glaucoma, which required reliable threshold visual fields abnormal by the mirror image method, 147 individuals had glaucoma for a prevalence of 8.8% in the 30 years of age and older population. Sentence B: Perinatal HI (hypoxia-ischemia)-related visual defects including blindness are known to be associated with ischemic lesions in intracerebral visual pathways and ischemic retinal damage (IRD). Intraocular hemorrhages (IOH) such as retinal hemorrhage (RH), which may result from perinatal HI, can cause IRD by various mechanisms. We aimed to evaluate the early retinal findings in neonates with moderate-to-severe neonatal encephalopathy (NE) who underwent TH and its relationship between coagulation status, amplitude-integrated electroencephalography (aEEG) patterns, and magnetic resonance imaging-magnetic resonance spectroscopy (MRI-MRS) findings. ###Answer 1. Changed The meaning of the target word ""Blindness"" has changed significantly between Sentence A (2000) and Sentence B (2020). In Sentence A, ""Blindness"" refers specifically to a condition where an individual has elevated intraocular pressure (IOP) or abnormal cupping and disc (C/D) ratio, which can lead to glaucoma. In contrast, in Sentence B, ""Blindness"" is used more broadly to describe various visual defects associated with perinatal hypoxia-ischemia, including ischemic lesions in intracerebral visual pathways and ischemic retinal damage (IRD). The term ""Blindness"" no longer carries the same specific meaning related to glaucoma as it did in 2000. Therefore, the label ""Changed"" is appropriate for this task." 80,Blindness,"The Disability Adjusted Life Year (DALY) is a widely used summary measure of population health combining years of life lost due to mortality and years of healthy life lost due to disability. A feature of the DALY is that, in the assessment of morbidity, each health condition is associated with a disability weight. The disability weight lies on a scale between 0 (indicating the health condition is equivalent to full health) and 1 (indicating the health condition is equivalent to death). The disability weight associated with each health condition is currently fixed across all social, cultural and environmental contexts. Thus blindness in the United Kingdom has the same disability weight as blindness in Niger in spite of structural interventions in the UK that make the disability less severe than in Niger. Although the fixed disability weight is defended on grounds that it supports a strongly egalitarian flavour in the DALY, we argue that the lack of consideration of realistic contexts results in a measure that will underestimate the burden associated with morbidity in disadvantaged populations and overestimate the burden in advantaged populations. There is, consequently, a loss of information on possible non-clinical points of intervention. Disaggregated estimates of the burden of disease such as those in the World Health Report 2000 should be interpreted with caution.","Cataract and diabetic retinopathy are leading causes of blindness globally. Lifeline Express (LEX) has pioneered the provision of cataract surgery in rural China from custom-built trains and eye centres nationwide. Over the past two decades, LEX has provided free cataract surgery for over 180 000 patients in China. In China, half of the adult population has prediabetes and 113 million adults have diabetes. Recognising the rising threat of diabetic retinopathy, LEX has expanded to providing free diabetic retinopathy screening nationwide by establishing 29 Diabetic Retinopathy Screening Centres across China. Source of referrals included host hospitals, the community and out-reach mobile vans equipped with fundus cameras. Fundi photos taken in the mobile vans were electronically transferred to primary graders. LEX also leveraged the widespread smartphone use to provide electronic medical reports via WeChat, the most popular instant messenger app in China. From April 2014 to December 2016, 34 506 patients with diabetes underwent screening, of which 27.2% (9,396) were identified to have diabetic retinopathy. China's latest national health strategy ('Healthy China 2030 Plan') has championed the 'prevention first' principle and early screening of chronic diseases. LEX has accordingly evolved to extend its services to save sight in China-from cataract surgery to diabetic retinopathy screening and most recently outreaching beyond its national borders in a pilot South-South collaboration. With health at the top of the China's developmental agenda and the country's growing role in global health-LEX's large-scale telemedicine-enabled programme could represent a potentially scalable model for nationwide diabetic retinopathy screening elsewhere.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Blindness Sentence A: The Disability Adjusted Life Year (DALY) is a widely used summary measure of population health combining years of life lost due to mortality and years of healthy life lost due to disability. A feature of the DALY is that, in the assessment of morbidity, each health condition is associated with a disability weight. The disability weight lies on a scale between 0 (indicating the health condition is equivalent to full health) and 1 (indicating the health condition is equivalent to death). The disability weight associated with each health condition is currently fixed across all social, cultural and environmental contexts. Thus blindness in the United Kingdom has the same disability weight as blindness in Niger in spite of structural interventions in the UK that make the disability less severe than in Niger. Although the fixed disability weight is defended on grounds that it supports a strongly egalitarian flavour in the DALY, we argue that the lack of consideration of realistic contexts results in a measure that will underestimate the burden associated with morbidity in disadvantaged populations and overestimate the burden in advantaged populations. There is, consequently, a loss of information on possible non-clinical points of intervention. Disaggregated estimates of the burden of disease such as those in the World Health Report 2000 should be interpreted with caution. Sentence B: Cataract and diabetic retinopathy are leading causes of blindness globally. Lifeline Express (LEX) has pioneered the provision of cataract surgery in rural China from custom-built trains and eye centres nationwide. Over the past two decades, LEX has provided free cataract surgery for over 180 000 patients in China. In China, half of the adult population has prediabetes and 113 million adults have diabetes. Recognising the rising threat of diabetic retinopathy, LEX has expanded to providing free diabetic retinopathy screening nationwide by establishing 29 Diabetic Retinopathy Screening Centres across China. Source of referrals included host hospitals, the community and out-reach mobile vans equipped with fundus cameras. Fundi photos taken in the mobile vans were electronically transferred to primary graders. LEX also leveraged the widespread smartphone use to provide electronic medical reports via WeChat, the most popular instant messenger app in China. From April 2014 to December 2016, 34 506 patients with diabetes underwent screening, of which 27.2% (9,396) were identified to have diabetic retinopathy. China's latest national health strategy ('Healthy China 2030 Plan') has championed the 'prevention first' principle and early screening of chronic diseases. LEX has accordingly evolved to extend its services to save sight in China-from cataract surgery to diabetic retinopathy screening and most recently outreaching beyond its national borders in a pilot South-South collaboration. With health at the top of the China's developmental agenda and the country's growing role in global health-LEX's large-scale telemedicine-enabled programme could represent a potentially scalable model for nationwide diabetic retinopathy screening elsewhere. ###Answer 1. Changed Reasoning: In Sentence A, the term ""blindness"" is used in the context of a specific disability weight, which is fixed across all social, cultural, and environmental contexts. This implies that the meaning of ""blindness"" in this context is tied to a specific measure of severity, which may not accurately reflect the actual burden of blindness in different populations. In contrast, in Sentence B, ""blindness"" is used more broadly to refer to the leading causes of blindness globally, without any specific reference to a disability weight. This suggests that the meaning of ""blindness"" has shifted to encompass a broader understanding of the condition, including its impact on public health. Therefore, semantic drift has occurred in the meaning of ""blindness"" between these two sentences." 81,Blindness,"Formation of vascularized membranes inside the vitreous leads to retinal detachment and blindness. In this paper it is shown that vitreal membranes are composed of newly formed vessels and myofibroblasts, immersed in a loose stroma with sparse histocytes. Vascular endothelial growth factor (VEGF) is clearly present in cellular constituents of the membranes and, therefore, represents a fundamental cytokine in their formation, while transforming growth factor-beta (TGF-beta) and tumor necrosis factor-alpha (TNF-alpha) are not. Considering that the composition of vitreal membranes clearly resembles scar tissue, the absence of TGF-beta in the membranes could explain their peculiar histological appearance."," Fluorescence microscopy is a key driver to promote discoveries of biomedical research. However, with the limitation of microscope hardware and characteristics of the observed samples, the fluorescence microscopy images are susceptible to noise. Recently, a few self-supervised deep learning (DL) denoising methods have been proposed. However, the training efficiency and denoising performance of existing methods are relatively low in real scene noise removal. To address this issue, this paper proposed self-supervised image denoising method Noise2SR (N2SR) to train a simple and effective image denoising model based on single noisy observation. Our Noise2SR denoising model is designed for training with paired noisy images of different dimensions. Benefiting from this training strategy, Noise2SR is more efficiently self-supervised and able to restore more image details from a single noisy observation. Experimental results of simulated noise and real microscopy noise removal show that Noise2SR outperforms two blind-spot based self-supervised deep learning image denoising methods. We envision that Noise2SR has the potential to improve more other kind of scientific imaging quality. ","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Blindness Sentence A: Formation of vascularized membranes inside the vitreous leads to retinal detachment and blindness. In this paper it is shown that vitreal membranes are composed of newly formed vessels and myofibroblasts, immersed in a loose stroma with sparse histocytes. Vascular endothelial growth factor (VEGF) is clearly present in cellular constituents of the membranes and, therefore, represents a fundamental cytokine in their formation, while transforming growth factor-beta (TGF-beta) and tumor necrosis factor-alpha (TNF-alpha) are not. Considering that the composition of vitreal membranes clearly resembles scar tissue, the absence of TGF-beta in the membranes could explain their peculiar histological appearance. Sentence B: Fluorescence microscopy is a key driver to promote discoveries of biomedical research. However, with the limitation of microscope hardware and characteristics of the observed samples, the fluorescence microscopy images are susceptible to noise. Recently, a few self-supervised deep learning (DL) denoising methods have been proposed. However, the training efficiency and denoising performance of existing methods are relatively low in real scene noise removal. To address this issue, this paper proposed self-supervised image denoising method Noise2SR (N2SR) to train a simple and effective image denoising model based on single noisy observation. Our Noise2SR denoising model is designed for training with paired noisy images of different dimensions. Benefiting from this training strategy, Noise2SR is more efficiently self-supervised and able to restore more image details from a single noisy observation. Experimental results of simulated noise and real microscopy noise removal show that Noise2SR outperforms two blind-spot based self-supervised deep learning image denoising methods. We envision that Noise2SR has the potential to improve more other kind of scientific imaging quality. ###Answer Target word: Blindness Sentence A: Formation of vascularized membranes inside the vitreous leads to retinal detachment and blindness. (2000) Sentence B: Fluorescence microscopy is a key driver to promote discoveries of biomedical research. However, with the limitation of microscope hardware and characteristics of the observed samples, the fluorescence microscopy images are susceptible to noise. (2020) Label: Changed Reasoning: The target word ""Blindness"" has undergone a significant change in meaning between Sentence A (2000) and Sentence B (2020). In Sentence A, ""Blindness"" refers to a medical condition resulting from the formation of vascularized membranes inside the vitreous, leading to retinal detachment. In Sentence B, ""Blindness"" is used in a different context, referring to the susceptibility of fluorescence microscopy images to noise. The two sentences have different medical or scientific contexts, and therefore, the meaning of ""Blindness"" has changed." 82,Blindness,"A 17-year-old male was admitted to the Department of Neurosurgery, Hiroshima University Hospital because of an enlarged sella turcica which had been pointed by the skull x-ray examination performed for the facial contusion of the traffic accident. CT scan revealed an oval shaped area of hyperdensity in the center of the sella without any extrasellar extensions. After contrast administration this area showed almost no increased density. The patient had no neurological abnormalities except for hyposmia and left blindness due to the traffic accident. Endocrinological studies were normal. From these findings non-functioning intrapituitary adenoma was suspected and exploration of the sella through the transsphenoidal route was performed. When the dura mater was opened, about 1.5 microliter of white mucous colloid material was exposed. This material fully occupied the pituitary fossa and the pituitary gland was compressed upward. Histologically the cyst wall was composed of pseudostriated columnar ciliated epithelium and partially squamous metaplasia was seen. These epithelium and colloid material structure were stained by PAS-Alcian blue. The tubular gland-like structure was visible in the posterior lobe adjacent to the cyst wall. The size of Rathke's cleft cyst, its pathogenesis, its findings by CT scan and surgical aspect were discussed.","Repairing orbital wall fractures can result in serious complications, including enophthalmos, diplopia, or even blindness. Especially, surgeons worry about damaging the optic nerve while dissecting the optic canal area. We avoid these complications by using a navigation system that was adapted to stereotactic concept based on three-dimensional imaging of the patient's anatomy. Here, we report 5 cases of orbital wall fracture that were repaired using a navigation system.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Blindness Sentence A: A 17-year-old male was admitted to the Department of Neurosurgery, Hiroshima University Hospital because of an enlarged sella turcica which had been pointed by the skull x-ray examination performed for the facial contusion of the traffic accident. CT scan revealed an oval shaped area of hyperdensity in the center of the sella without any extrasellar extensions. After contrast administration this area showed almost no increased density. The patient had no neurological abnormalities except for hyposmia and left blindness due to the traffic accident. Endocrinological studies were normal. From these findings non-functioning intrapituitary adenoma was suspected and exploration of the sella through the transsphenoidal route was performed. When the dura mater was opened, about 1.5 microliter of white mucous colloid material was exposed. This material fully occupied the pituitary fossa and the pituitary gland was compressed upward. Histologically the cyst wall was composed of pseudostriated columnar ciliated epithelium and partially squamous metaplasia was seen. These epithelium and colloid material structure were stained by PAS-Alcian blue. The tubular gland-like structure was visible in the posterior lobe adjacent to the cyst wall. The size of Rathke's cleft cyst, its pathogenesis, its findings by CT scan and surgical aspect were discussed. Sentence B: Repairing orbital wall fractures can result in serious complications, including enophthalmos, diplopia, or even blindness. Especially, surgeons worry about damaging the optic nerve while dissecting the optic canal area. We avoid these complications by using a navigation system that was adapted to stereotactic concept based on three-dimensional imaging of the patient's anatomy. Here, we report 5 cases of orbital wall fracture that were repaired using a navigation system. ###Answer 1. Changed (Blindness) In Sentence A, the patient has hyposmia (loss of sense of smell) and left blindness due to a traffic accident. The term ""blindness"" is used to describe the loss of vision, which is a significant change from its original meaning. In the medical context, ""blindness"" typically refers to a loss of vision due to disease or injury, and the term has taken on a more specific meaning. In Sentence B, the term ""blindness"" is used to describe the risk of damaging the optic nerve during surgery, and its meaning remains similar to its original context. Therefore, the label ""Changed"" is appropriate for the target word ""Blindness"" in Sentence A." 83,Blindness,"Reversible, multifocal hyperintense T2 signal abnormalities were noted within the occipital and posterior parietal subcortical white matter in a previously healthy 59-year-old right-handed woman with acute onset of cortical blindness and seizures. Repeat brain magnetic resonance imaging and a positron emission tomographic scan of 18F-fluorodeoxyglucose brain uptake performed 2 months after the ictal event failed to reveal any abnormality. This patient is similar to a 57-year-old female who developed severe headache and magnetic resonance signal abnormalities in the subcortical white matter of both occipital lobes, which later normalized, as judged by correlative, sequential computed tomographic examinations. This study emphasizes that an increasingly more frequent phenomenon of reversible MRI signal abnormalities can occur within the occipital subcortical white matter in acutely ill individuals, and not be associated with any lasting abnormalities on clinical examination or on radiological imaging studies such as computed tomography, magnetic resonance imaging, or positron emission tomography.","Age-related macular degeneration is the leading cause of legal blindness among older individuals. Therefore, the development of new therapeutic agents and optimum drug delivery systems for its treatment are crucial. In this study, we investigate whether clotrimazole (CLT) is capable of protecting retinal cells against oxidative-induced injury and the possible inhibitory effect of a sustained CLT-release device against light-induced retinal damage in rats. In vitro results indicated pretreatment of immortalized retinal pigment epithelium cells (RPE-J cells) with 10-50 µM CLT before exposure to oxygen/glucose deprivation conditions for 48 h decreased the extent of cell death, attenuated the percentage of reactive oxygen species-positive cells, and decreased the levels of cleaved caspase-3. The device consists of a separately fabricated reservoir, a CLT formulation, and a controlled release cover, which are made of poly(ethyleneglycol) dimethacrylate (PEGDM) and tri(ethyleneglycol) dimethacrylate (TEGDM). The release rate of CLT was successfully tuned by changing the ratio of PEGDM/TEGDM in the cover. In vivo results showed that use of a CLT-loaded device lessened the reduction of electroretinographic amplitudes after light exposure. These findings indicate that the application of a polymeric CLT-loaded device may be a promising method for the treatment of some retinal disorders. ","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Blindness Sentence A: Reversible, multifocal hyperintense T2 signal abnormalities were noted within the occipital and posterior parietal subcortical white matter in a previously healthy 59-year-old right-handed woman with acute onset of cortical blindness and seizures. Repeat brain magnetic resonance imaging and a positron emission tomographic scan of 18F-fluorodeoxyglucose brain uptake performed 2 months after the ictal event failed to reveal any abnormality. This patient is similar to a 57-year-old female who developed severe headache and magnetic resonance signal abnormalities in the subcortical white matter of both occipital lobes, which later normalized, as judged by correlative, sequential computed tomographic examinations. This study emphasizes that an increasingly more frequent phenomenon of reversible MRI signal abnormalities can occur within the occipital subcortical white matter in acutely ill individuals, and not be associated with any lasting abnormalities on clinical examination or on radiological imaging studies such as computed tomography, magnetic resonance imaging, or positron emission tomography. Sentence B: Age-related macular degeneration is the leading cause of legal blindness among older individuals. Therefore, the development of new therapeutic agents and optimum drug delivery systems for its treatment are crucial. In this study, we investigate whether clotrimazole (CLT) is capable of protecting retinal cells against oxidative-induced injury and the possible inhibitory effect of a sustained CLT-release device against light-induced retinal damage in rats. In vitro results indicated pretreatment of immortalized retinal pigment epithelium cells (RPE-J cells) with 10-50 µM CLT before exposure to oxygen/glucose deprivation conditions for 48 h decreased the extent of cell death, attenuated the percentage of reactive oxygen species-positive cells, and decreased the levels of cleaved caspase-3. The device consists of a separately fabricated reservoir, a CLT formulation, and a controlled release cover, which are made of poly(ethyleneglycol) dimethacrylate (PEGDM) and tri(ethyleneglycol) dimethacrylate (TEGDM). The release rate of CLT was successfully tuned by changing the ratio of PEGDM/TEGDM in the cover. In vivo results showed that use of a CLT-loaded device lessened the reduction of electroretinographic amplitudes after light exposure. These findings indicate that the application of a polymeric CLT-loaded device may be a promising method for the treatment of some retinal disorders. ###Answer 1. Changed Reasoning: The meaning of the word ""blindness"" has shifted significantly between the two sentences. In Sentence A, ""blindness"" is used to describe a specific medical condition characterized by reversible MRI signal abnormalities in the occipital subcortical white matter. In contrast, in Sentence B, ""blindness"" is used more broadly to refer to age-related macular degeneration, which is a different medical condition altogether. The two sentences convey different meanings and connotations of the word ""blindness,"" indicating that the term has undergone semantic drift." 84,Blindness,"Digital imaging systems provide immediate, magnified images that can easily be analysed, enhanced, archived, printed on near photographic-quality paper and transferred electronically to remote computers. We have assembled a digital ophthalmic system and tested it on patients with some common causes of blindness: corneal scarring and cataract, diabetic retinopathy, macular degeneration and glaucoma.","Bedside assessment of consciousness and awareness after a severe brain injury might be hampered by confounding clinical factors (i.e., pitfalls) interfering with the production of behavioral or motor responses to external stimuli. Despite the use of validated clinical scales, a high misdiagnosis rate is indeed observed. We retrospectively analyzed a cohort of 49 patients with severe brain injury admitted to an acute neuro-rehabilitation program. Patients' behavior was assessed using the Motor Behavior Tool and Coma Recovery Scale Revised. All patients underwent systematic assessment for pitfalls including polyneuropathy and/or myopathy and/or myelopathy, major cranial nerve palsies, non-convulsive status epilepticus, aphasia (expressive or comprehensive), cortical blindness, thalamic involvement and frontal akinetic syndrome. A high prevalence (75%) of pitfalls potentially interfering with sensory afference (polyneuropathy, myopathy, myelopathy, and sensory aphasia), motor efference (polyneuropathy, myopathy, motor aphasia, and frontal akinetic syndrome), and intrinsic brain activity (thalamic involvement and epilepsy) was found. Nonetheless, the motor behavior tool identified residual cognition (i.e. a cognitive motor dissociation condition) regardless of the presence of these pitfalls in 70% of the patients diagnosed as unresponsive using the Coma Recovery Scale Revised. On one hand, pitfalls might contribute to misdiagnosis. On the other, it could be argued that they are clues for diagnosing cognitive motor dissociation rather than true disorders of consciousness given their prominent effect on the sensory-motor input-output balance.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Blindness Sentence A: Digital imaging systems provide immediate, magnified images that can easily be analysed, enhanced, archived, printed on near photographic-quality paper and transferred electronically to remote computers. We have assembled a digital ophthalmic system and tested it on patients with some common causes of blindness: corneal scarring and cataract, diabetic retinopathy, macular degeneration and glaucoma. Sentence B: Bedside assessment of consciousness and awareness after a severe brain injury might be hampered by confounding clinical factors (i.e., pitfalls) interfering with the production of behavioral or motor responses to external stimuli. Despite the use of validated clinical scales, a high misdiagnosis rate is indeed observed. We retrospectively analyzed a cohort of 49 patients with severe brain injury admitted to an acute neuro-rehabilitation program. Patients' behavior was assessed using the Motor Behavior Tool and Coma Recovery Scale Revised. All patients underwent systematic assessment for pitfalls including polyneuropathy and/or myopathy and/or myelopathy, major cranial nerve palsies, non-convulsive status epilepticus, aphasia (expressive or comprehensive), cortical blindness, thalamic involvement and frontal akinetic syndrome. A high prevalence (75%) of pitfalls potentially interfering with sensory afference (polyneuropathy, myopathy, myelopathy, and sensory aphasia), motor efference (polyneuropathy, myopathy, motor aphasia, and frontal akinetic syndrome), and intrinsic brain activity (thalamic involvement and epilepsy) was found. Nonetheless, the motor behavior tool identified residual cognition (i.e. a cognitive motor dissociation condition) regardless of the presence of these pitfalls in 70% of the patients diagnosed as unresponsive using the Coma Recovery Scale Revised. On one hand, pitfalls might contribute to misdiagnosis. On the other, it could be argued that they are clues for diagnosing cognitive motor dissociation rather than true disorders of consciousness given their prominent effect on the sensory-motor input-output balance. ###Answer 1. Changed Explanation: In Sentence A, the term ""blindness"" is used to describe a specific medical condition (corneal scarring and cataract, diabetic retinopathy, macular degeneration, and glaucoma). The word carries a neutral connotation, emphasizing the medical nature of the condition. In Sentence B, the term ""blindness"" takes on a different meaning. It is used to describe a potential pitfall or clue for diagnosing cognitive motor dissociation rather than a medical condition. The word carries a negative connotation, implying a lack of responsiveness or awareness. Therefore, we can label the semantic drift of the term ""blindness"" as ""Changed"" in this context. The meaning of the term has shifted from a neutral medical description to a negative connotation related to cognitive function." 85,Blindness,To re-survey the Gambia after an interval of 10 years to assess the impact of a national eye care programme (NECP) on the prevalence of blindness and low vision.,"Neovascular diseases of the eye are the most common causes of blindness worldwide. The mechanisms underlying pathological neovascularization in the retina remain incompletely understood. PGC-1α is a transcriptional coactivator that plays a central role in the regulation of cellular metabolism. In skeletal muscle, PGC-1α induces VEGFA expression and powerfully promotes angiogenesis, suggesting a similar role in other tissues. This study investigates the role of PGC-1α during normal and pathological vascularization in the retina. We show that PGC-1α induces the expression of VEGFA in numerous retinal cells, and that PGC-1α expression is strongly induced during postnatal retinal development, coincident with VEGFA expression and angiogenesis. PGC-1α(-/-) mice have a significant reduction of early retinal vascular outgrowth, and reduced density of capillaries and number of main arteries and veins as adults. In the oxygen-induced retinopathy model of retinopathy of prematurity, PGC-1α expression is dramatically induced in the inner nuclear layer of the retina, suggesting that PGC-1α drives pathological neovascularization. In support of this, PGC-1α(-/-) mice subjected to oxygen-induced retinopathy had decreased expression of VEGFA and were protected against pathological neovascularization. These results demonstrate that PGC-1α regulates VEGFA in the retina and is required for normal vessel development and for pathological neovascularization. The data highlight PGC-1α as a novel target in the treatment of neovascular diseases of the eye.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Blindness Sentence A: To re-survey the Gambia after an interval of 10 years to assess the impact of a national eye care programme (NECP) on the prevalence of blindness and low vision. Sentence B: Neovascular diseases of the eye are the most common causes of blindness worldwide. The mechanisms underlying pathological neovascularization in the retina remain incompletely understood. PGC-1α is a transcriptional coactivator that plays a central role in the regulation of cellular metabolism. In skeletal muscle, PGC-1α induces VEGFA expression and powerfully promotes angiogenesis, suggesting a similar role in other tissues. This study investigates the role of PGC-1α during normal and pathological vascularization in the retina. We show that PGC-1α induces the expression of VEGFA in numerous retinal cells, and that PGC-1α expression is strongly induced during postnatal retinal development, coincident with VEGFA expression and angiogenesis. PGC-1α(-/-) mice have a significant reduction of early retinal vascular outgrowth, and reduced density of capillaries and number of main arteries and veins as adults. In the oxygen-induced retinopathy model of retinopathy of prematurity, PGC-1α expression is dramatically induced in the inner nuclear layer of the retina, suggesting that PGC-1α drives pathological neovascularization. In support of this, PGC-1α(-/-) mice subjected to oxygen-induced retinopathy had decreased expression of VEGFA and were protected against pathological neovascularization. These results demonstrate that PGC-1α regulates VEGFA in the retina and is required for normal vessel development and for pathological neovascularization. The data highlight PGC-1α as a novel target in the treatment of neovascular diseases of the eye. ###Answer 1. Changed Explanation: The target word ""Blindness"" has undergone a significant change in meaning between Sentence A (2000) and Sentence B (2020). In Sentence A, ""Blindness"" refers to the prevalence of blindness and low vision in the Gambia after a national eye care programme. This context suggests that the term ""Blindness"" is used to describe a measurable and quantifiable condition, likely related to visual impairment or loss of vision. In Sentence B, ""Blindness"" takes on a different meaning, referring to the mechanisms underlying pathological neovascularization in the retina. This context suggests that the term ""Blindness"" is used to describe a complex and multifaceted condition involving the retina and vascular system. The term is no longer limited to visual impairment or loss of vision, but rather encompasses the underlying biological processes that lead to such conditions. Therefore, the meaning of ""Blindness"" has shifted from a measurable and quantifiable condition related to visual impairment to a more complex and multifaceted condition involving the retina and vascular system. This change in meaning is indicative of semantic drift." 86,Blindness,"Diabetes, the leading cause of new blindness among U.S. adults aged 20-74 years, accounts for approximately 8% of cases of legal blindness and 12% of all new cases of blindness in the United States each year. One of the national health objectives for the year 2000 is to decrease by 50% the incidence of blindness caused by diabetes (objective 17.10). However, surveillance for blindness among persons with diabetes has not been conducted nationally, and national prevalence estimates of blindness caused by diabetes have been based on state data from the register of the Massachusetts Commission for the Blind (MCB). To characterize recent trends, data on legal blindness caused by diabetes among adults with diabetes in Massachusetts were examined for 1987-1994. This report summarizes the results of that analysis, which indicate that in Massachusetts, the overall incidence and prevalence of legal blindness caused by diabetes did not decrease, despite the availability of methods to prevent vision loss.",To investigate the relative frequency of the genetic causes of the Schubert-Bornschein type of congenital stationary night blindness (CSNB) and to determine the genotype-phenotype correlations in CSNB1 and CSNB2.,"###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Blindness Sentence A: Diabetes, the leading cause of new blindness among U.S. adults aged 20-74 years, accounts for approximately 8% of cases of legal blindness and 12% of all new cases of blindness in the United States each year. One of the national health objectives for the year 2000 is to decrease by 50% the incidence of blindness caused by diabetes (objective 17.10). However, surveillance for blindness among persons with diabetes has not been conducted nationally, and national prevalence estimates of blindness caused by diabetes have been based on state data from the register of the Massachusetts Commission for the Blind (MCB). To characterize recent trends, data on legal blindness caused by diabetes among adults with diabetes in Massachusetts were examined for 1987-1994. This report summarizes the results of that analysis, which indicate that in Massachusetts, the overall incidence and prevalence of legal blindness caused by diabetes did not decrease, despite the availability of methods to prevent vision loss. Sentence B: To investigate the relative frequency of the genetic causes of the Schubert-Bornschein type of congenital stationary night blindness (CSNB) and to determine the genotype-phenotype correlations in CSNB1 and CSNB2. ###Answer 1. Changed Reasoning: The meaning of ""Blindness"" has changed between Sentence A and Sentence B. In Sentence A, ""Blindness"" refers specifically to new cases of blindness caused by diabetes, with a focus on national health objectives and surveillance efforts. In Sentence B, ""Blindness"" is used more broadly to refer to any genetic causes of congenital stationary night blindness, with no specific focus on diabetes or national health objectives. The shift in meaning suggests that the term ""Blindness"" has undergone semantic drift." 87,Blindness," We numerically investigate the phase structure of pure SO(3) LGT at zero and non-zero temperature in the presence of a Z2 blind monopole chemical potential. The physical meaning of the different phases, a possible symmetry breaking mechanism as well as the existence of an order parameter for the finite temperature phase transition are discussed. ","Diabetes-related morbidity and mortality are primarily attributable to complications such as heart disease, stroke, lower extremity amputation, kidney disease, blindness, and visual impairment, many of which potentially can be delayed or prevented.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Blindness Sentence A: We numerically investigate the phase structure of pure SO(3) LGT at zero and non-zero temperature in the presence of a Z2 blind monopole chemical potential. The physical meaning of the different phases, a possible symmetry breaking mechanism as well as the existence of an order parameter for the finite temperature phase transition are discussed. Sentence B: Diabetes-related morbidity and mortality are primarily attributable to complications such as heart disease, stroke, lower extremity amputation, kidney disease, blindness, and visual impairment, many of which potentially can be delayed or prevented. ###Answer 1. Changed Explanation: In Sentence A, the term ""blindness"" refers to a specific type of disability related to vision loss. However, in Sentence B, the term ""blindness"" has a broader meaning, encompassing a range of eye conditions that can cause visual impairment or blindness. This shift in meaning indicates semantic drift, as the term's original context and connotation have changed over time." 88,Blindness,"Blindness is a rare complication of acute glomerulonephritis. During three years (1980-82) 32 cases of acute glomerulonephritis are admitted in a Pediatric Department. Five children had neurologic complications among whom three developed complete, bilateral and transient blindness. In all cases blindness is associated with hypertension and intracranial pressure. The mechanism suggested in this kind of amaurosis is cerebral oedema, and the adequate treatment of this oedema permit a complete recovery of the vision.","Glaucoma is the leading cause of irreversible blindness in the world and trabeculectomy remains still the most commonly performed filtration surgery. Failure of trabeculectomy is due to the formation of scarring, which is associated with the increased fibroblast proliferation, activation, and collagen deposition at the site of the drainage channel with subconjunctival fibrosis. Our previous study has revealed that zinc oxide (ZnO) nanoparticles could efficiently decrease the expressions of TGF-β1 and inhibit fibroblast-mediated collagen lattice contraction. However, the mechanism underlying ZnO nanoparticle-induced fibroblast apoptosis is still unclear. In the present study, we investigated the effect of ZnO nanoparticles on the reactive oxygen species (ROS) and mitochondrial membrane potential (Δψm) in human Tenon fibroblasts (HTFs). Moreover, we also explored the influence of ZnO nanoparticles on the expression of Caspase-3, Caspase-9, apoptotic protease-activating factor-1 (Apaf-1), fibroblast-specific protein-1 (FSP-1), collagen III, and E-cadherin. The results indicated that ZnO nanoparticles markedly inhibit HTFs viability and decrease the Δψm in a concentration-dependent pattern. Exposure of HTFs to ZnO nanoparticles could also induce the elevated Caspase-3, Caspase-9, and Apaf-1 expression, decrease the levels of FSP-1, collagen III, and E-cadherin expression, leading to HTFs apoptosis. Our results suggested that elevated ROS and activated Caspase signaling play a fundamental role in ZnO nanoparticle-induced HTFs apoptosis.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Blindness Sentence A: Blindness is a rare complication of acute glomerulonephritis. During three years (1980-82) 32 cases of acute glomerulonephritis are admitted in a Pediatric Department. Five children had neurologic complications among whom three developed complete, bilateral and transient blindness. In all cases blindness is associated with hypertension and intracranial pressure. The mechanism suggested in this kind of amaurosis is cerebral oedema, and the adequate treatment of this oedema permit a complete recovery of the vision. Sentence B: Glaucoma is the leading cause of irreversible blindness in the world and trabeculectomy remains still the most commonly performed filtration surgery. Failure of trabeculectomy is due to the formation of scarring, which is associated with the increased fibroblast proliferation, activation, and collagen deposition at the site of the drainage channel with subconjunctival fibrosis. Our previous study has revealed that zinc oxide (ZnO) nanoparticles could efficiently decrease the expressions of TGF-β1 and inhibit fibroblast-mediated collagen lattice contraction. However, the mechanism underlying ZnO nanoparticle-induced fibroblast apoptosis is still unclear. In the present study, we investigated the effect of ZnO nanoparticles on the reactive oxygen species (ROS) and mitochondrial membrane potential (Δψm) in human Tenon fibroblasts (HTFs). Moreover, we also explored the influence of ZnO nanoparticles on the expression of Caspase-3, Caspase-9, apoptotic protease-activating factor-1 (Apaf-1), fibroblast-specific protein-1 (FSP-1), collagen III, and E-cadherin. The results indicated that ZnO nanoparticles markedly inhibit HTFs viability and decrease the Δψm in a concentration-dependent pattern. Exposure of HTFs to ZnO nanoparticles could also induce the elevated Caspase-3, Caspase-9, and Apaf-1 expression, decrease the levels of FSP-1, collagen III, and E-cadherin expression, leading to HTFs apoptosis. Our results suggested that elevated ROS and activated Caspase signaling play a fundamental role in ZnO nanoparticle-induced HTFs apoptosis. ###Answer 1. Changed The meaning of the target word ""Blindness"" has significantly shifted between the two sentences. In Sentence A, the term refers to a rare complication of acute glomerulonephritis, specifically associated with hypertension and intracranial pressure. In Sentence B, the term is used to refer to glaucoma, a different eye condition, and the mechanism underlying ZnO nanoparticle-induced fibroblast apoptosis. The shift in meaning is evident in the context and the specificity of the term in each sentence. Therefore, the label ""Changed"" is appropriate for this task." 89,Blindness,"The present paper studied the influence of long lasting blindness on processes of aging. It addressed the broader issue of the effects of familiarity with and earlier experience of stress on the capacity of individuals to deal successfully with similar stressful situations at a later point of development. 75 chronically blind men and women, aged 45 to 65, were compared with 75 sighted individuals (matched by age, sex, and cultural origin) on scores on the Shanan Sentence Completion Technique, an interview designed to assess perception of change in various areas of everyday living, and on scores on the Wechsler-Bellevue Intelligence Test. Blind subjects showed less psychological and less social engagement with the outer world. Availability of resources, education, and assistance considerably reduced differences between the nonsighted and sighted subjects. These findings were interpreted as pointing to a potentially preventable process of premature aging.","Inattentional blindness methods allow for an unobtrusive measure of the spatial distribution of attention; because subjects do not expect the critical object, they have no reason to devote attention to task-irrelevant regions in anticipation of it. We used inattentional blindness to examine the spatial allocation of attention in an interactive game in which subjects navigated through a dynamic environment and avoided hazards. Subjects were most likely to notice unexpected objects in the areas with the greatest risk of contact with a hazard, and less likely to notice equally proximal objects in inaccessible areas of the display or areas in which hazards no longer posed a threat. These results suggest that both the content of the environment and how a subject can interact with it influence the spatial allocation of attention.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Blindness Sentence A: The present paper studied the influence of long lasting blindness on processes of aging. It addressed the broader issue of the effects of familiarity with and earlier experience of stress on the capacity of individuals to deal successfully with similar stressful situations at a later point of development. 75 chronically blind men and women, aged 45 to 65, were compared with 75 sighted individuals (matched by age, sex, and cultural origin) on scores on the Shanan Sentence Completion Technique, an interview designed to assess perception of change in various areas of everyday living, and on scores on the Wechsler-Bellevue Intelligence Test. Blind subjects showed less psychological and less social engagement with the outer world. Availability of resources, education, and assistance considerably reduced differences between the nonsighted and sighted subjects. These findings were interpreted as pointing to a potentially preventable process of premature aging. Sentence B: Inattentional blindness methods allow for an unobtrusive measure of the spatial distribution of attention; because subjects do not expect the critical object, they have no reason to devote attention to task-irrelevant regions in anticipation of it. We used inattentional blindness to examine the spatial allocation of attention in an interactive game in which subjects navigated through a dynamic environment and avoided hazards. Subjects were most likely to notice unexpected objects in the areas with the greatest risk of contact with a hazard, and less likely to notice equally proximal objects in inaccessible areas of the display or areas in which hazards no longer posed a threat. These results suggest that both the content of the environment and how a subject can interact with it influence the spatial allocation of attention. ###Answer 1. Changed Reasoning: In Sentence A, the term ""blindness"" is used to describe a specific medical condition, characterized by a lack of sight. The sentence also highlights the impact of blindness on processes of aging and the ability to deal with stressful situations. The term is used in a medical and psychological context. In Sentence B, the term ""blindness"" is used in a different context, to describe a lack of attention or awareness. The sentence suggests that the term ""blindness"" can also refer to a mental state, in which a person is unaware of their surroundings or the potential dangers present. This usage of the term is different from the medical context in Sentence A and implies a different meaning. Therefore, the semantic drift of the term ""blindness"" can be observed between the two sentences, as the meaning of the term shifts from a medical condition to a mental state. The label ""Changed"" is accordingly assigned to the term in Sentence B." 90,Blindness,"In this review of 526 intranasal ethmoidectomy procedures, there was a complication rate of 2.5% with no blindness, meningitis, or deaths. The rationale for associated concurrent procedures is presented. The use of an absorbable hemostatic sinus sponge and an easily removable Telfa nasal packing made possible just a two-night hospital stay in over 90% of these patients.","Diabetic retinopathy (DR) is a complication of diabetes mellitus (DM) that can cause visual impairment and blindness. Inflammation plays a critical role in its development and progression. Retinal pigment epithelium (RPE) cells secrete inflammatory factors that modulate ocular immune response. However, it is unclear how diabetes regulates the expression of inflammatory factors in RPE cells. In this study, streptozocin (STZ) was applied to induce diabetic alterations in the retinas of mice, and RPE cells were further purified to profile gene expressions. The IL-17 signaling pathway was the most significantly enriched and the only enriched inflammation pathway in the profile via KEGG analysis. IL-17A induced the expression of targeted genes, which was enhanced by high glucose levels, suggesting a synergistic effect of IL-17A and high glucose. High glucose did not affect the mRNA stability of IL-17A-targeted genes or the activity of IL-17A signaling transduction, but it boosted the histone acetylation on IL-17A-targeted genes. Curcumin, an inhibitor of histone acetyltransferase, abolished high glucose-enhanced histone acetylation of IL-17A-targeted genes and blocked the promotion of high glucose levels on gene expression induced by IL-17A. In conclusion, high glucose levels promote IL-17A-induced gene expression via histone acetylation in RPE cells.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Blindness Sentence A: In this review of 526 intranasal ethmoidectomy procedures, there was a complication rate of 2.5% with no blindness, meningitis, or deaths. The rationale for associated concurrent procedures is presented. The use of an absorbable hemostatic sinus sponge and an easily removable Telfa nasal packing made possible just a two-night hospital stay in over 90% of these patients. Sentence B: Diabetic retinopathy (DR) is a complication of diabetes mellitus (DM) that can cause visual impairment and blindness. Inflammation plays a critical role in its development and progression. Retinal pigment epithelium (RPE) cells secrete inflammatory factors that modulate ocular immune response. However, it is unclear how diabetes regulates the expression of inflammatory factors in RPE cells. In this study, streptozocin (STZ) was applied to induce diabetic alterations in the retinas of mice, and RPE cells were further purified to profile gene expressions. The IL-17 signaling pathway was the most significantly enriched and the only enriched inflammation pathway in the profile via KEGG analysis. IL-17A induced the expression of targeted genes, which was enhanced by high glucose levels, suggesting a synergistic effect of IL-17A and high glucose. High glucose did not affect the mRNA stability of IL-17A-targeted genes or the activity of IL-17A signaling transduction, but it boosted the histone acetylation on IL-17A-targeted genes. Curcumin, an inhibitor of histone acetyltransferase, abolished high glucose-enhanced histone acetylation of IL-17A-targeted genes and blocked the promotion of high glucose levels on gene expression induced by IL-17A. In conclusion, high glucose levels promote IL-17A-induced gene expression via histone acetylation in RPE cells. ###Answer 1. Changed Reasoning: In Sentence A, the term ""blindness"" is used in the context of a complication rate of a medical procedure. It does not carry any negative connotations or associations with disability. In Sentence B, the term ""blindness"" is used in the context of a medical condition, specifically diabetic retinopathy, which is associated with visual impairment and disability. The meaning of the term ""blindness"" has shifted from a neutral term to a term associated with disability and negative connotations. Therefore, semantic drift has occurred in the meaning of the term ""blindness"" between the two sentences." 91,Blindness,"Trachoma is the leading worldwide cause of preventable blindness. Surgery can alleviate trachomatous trichiasis (TT), the blinding sequelae of trachoma, but recurrence rates are high.","The limbal stem cells niche (LSCN) is an optimal microenvironment that provides the limbal epithelial stem cells (LESCs) and strictly regulates their proliferation and differentiation. Disturbing the LSCN homeostasis can lead to limbal stem cell dysfunction (LSCD) and subsequent ocular surface aberrations, such as corneal stromal inflammation, persistent epithelial defects, corneal neovascularisation, lymphangiogenesis, corneal opacification, and conjunctivalization. As ocular surface disorders are considered the second main cause of blindness, it becomes crucial to explore different therapeutic strategies for restoring the functions of the LSCN. A major limitation of corneal transplantation is the current shortage of donor tissue to meet the requirements worldwide. In this context, it becomes mandatory to find an alternative regenerative medicine, such as using cultured limbal epithelial/stromal stem cells, inducing the production of corneal like cells by using other sources of stem cells, and using tissue engineering methods aiming to produce the three-dimensional (3D) printed cornea. Limbal epithelial stem cells have been considered the magic potion for eye treatment. Epithelial and stromal stem cells in the limbal niche hold the responsibility of replenishing the corneal epithelium. These stem cells are being used for transplantation to maintain corneal epithelial integrity and ultimately sustain optimal vision. In this review, we summarised the characteristics of the LSCN and their current and future roles in restoring corneal homeostasis in eyes with LSCD.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Blindness Sentence A: Trachoma is the leading worldwide cause of preventable blindness. Surgery can alleviate trachomatous trichiasis (TT), the blinding sequelae of trachoma, but recurrence rates are high. Sentence B: The limbal stem cells niche (LSCN) is an optimal microenvironment that provides the limbal epithelial stem cells (LESCs) and strictly regulates their proliferation and differentiation. Disturbing the LSCN homeostasis can lead to limbal stem cell dysfunction (LSCD) and subsequent ocular surface aberrations, such as corneal stromal inflammation, persistent epithelial defects, corneal neovascularisation, lymphangiogenesis, corneal opacification, and conjunctivalization. As ocular surface disorders are considered the second main cause of blindness, it becomes crucial to explore different therapeutic strategies for restoring the functions of the LSCN. A major limitation of corneal transplantation is the current shortage of donor tissue to meet the requirements worldwide. In this context, it becomes mandatory to find an alternative regenerative medicine, such as using cultured limbal epithelial/stromal stem cells, inducing the production of corneal like cells by using other sources of stem cells, and using tissue engineering methods aiming to produce the three-dimensional (3D) printed cornea. Limbal epithelial stem cells have been considered the magic potion for eye treatment. Epithelial and stromal stem cells in the limbal niche hold the responsibility of replenishing the corneal epithelium. These stem cells are being used for transplantation to maintain corneal epithelial integrity and ultimately sustain optimal vision. In this review, we summarised the characteristics of the LSCN and their current and future roles in restoring corneal homeostasis in eyes with LSCD. ###Answer 1. Changed Explanation: In Sentence B, the term ""blindness"" is used to refer to a specific type of ocular surface disorder (LSCD) rather than the general condition of being blind. This shift in meaning indicates that the term ""blindness"" has undergone semantic drift and now has a more specific connotation in the context of ocular surface disorders." 92,Blindness,"A challenge in genetics is to understand the molecular basis of genetic and allelic heterogeneity. Divergent phenotypes caused by different variants of the same gene determine allelic heterogeneity. In the past few years, we have been studying an allelic series of mutations in the gamma-subunit of the cGMP phosphodiesterase gene (Pdeg) that resulted in visual defects ranging from stationary night blindness to progressive retinal degeneration. Here we describe the morphology and physiology of the retina in mice carrying four different Pdeg alleles: Pdeg(tm), Del 7C, Y84G, and W70A and the effect that these mutations of PDE gamma have on components of the activation and deactivation phases of phototransduction.","Choroidal neovascularization (CNV) secondary to age-related macular degeneration (AMD) is now the leading cause of blindness and severe vision loss among people over the age of 40 in the Western world. Its prevalence is certain to increase substantially as the population ages. Treatments currently available for the disease include laser photocoagulation, verteporfin photodynamic therapy, and intravitreal injections of corticosteroids and anti-angiogenic agents. Many studies have reported the benefits of each of these treatments, although none is without its risks. No intervention actually cures AMD, nor the neovascularization associated with it. However, its symptoms are treated with varying degrees of success. Some treatments stabilize or arrest the progress of the disease. Others have been shown to reverse some of the damage that has already been done. These treatments can even lead to visual improvement. This paper will review the major classes of drugs and therapies designed to treat this condition.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Blindness Sentence A: A challenge in genetics is to understand the molecular basis of genetic and allelic heterogeneity. Divergent phenotypes caused by different variants of the same gene determine allelic heterogeneity. In the past few years, we have been studying an allelic series of mutations in the gamma-subunit of the cGMP phosphodiesterase gene (Pdeg) that resulted in visual defects ranging from stationary night blindness to progressive retinal degeneration. Here we describe the morphology and physiology of the retina in mice carrying four different Pdeg alleles: Pdeg(tm), Del 7C, Y84G, and W70A and the effect that these mutations of PDE gamma have on components of the activation and deactivation phases of phototransduction. Sentence B: Choroidal neovascularization (CNV) secondary to age-related macular degeneration (AMD) is now the leading cause of blindness and severe vision loss among people over the age of 40 in the Western world. Its prevalence is certain to increase substantially as the population ages. Treatments currently available for the disease include laser photocoagulation, verteporfin photodynamic therapy, and intravitreal injections of corticosteroids and anti-angiogenic agents. Many studies have reported the benefits of each of these treatments, although none is without its risks. No intervention actually cures AMD, nor the neovascularization associated with it. However, its symptoms are treated with varying degrees of success. Some treatments stabilize or arrest the progress of the disease. Others have been shown to reverse some of the damage that has already been done. These treatments can even lead to visual improvement. This paper will review the major classes of drugs and therapies designed to treat this condition. ###Answer 1. Changed Reasoning: In Sentence A, the target word ""blindness"" is used to describe a specific type of visual defect caused by mutations in the Pdeg gene. The context suggests that the term refers to a lack of vision or clarity of sight. In contrast, in Sentence B, the term ""blindness"" is used more broadly to describe a common cause of vision loss among older people, including age-related macular degeneration. The context suggests that the term now carries a different connotation, encompassing a wider range of visual impairments. Therefore, the meaning of the target word has significantly shifted between the two sentences, indicating semantic drift has occurred." 93,Blindness,"Between 1982 and 1991, inclusive, a total of 13718 patients were treated in the Department of Eye Diseases in Plovdiv University of Medicine. Cataract patients formed the most numerous group (19.71%), followed by those with diseases of the retina (9.53%), glaucoma (7.95%), uveitis (4.9%), diseases of the cornea (3.86%), malignant tumors of the eyelids and the eyeball (2.29%) and diseases of the optic nerve (1.54%). Of these 13718 patients, 1727 (12.58%) had monocular and binocular vision below 0.08. The patients with visual acuity from 0 to 0.03 were 1330 (9.69%). Nosologically, they were distributed as follows: glacoma-422 (3.07%), eye traumas-281 (2.04%), diseases of the retina-270 (1.96%), diseases of the cornea-89 (0.64%), cataract-80 (0.58%), uveitis-77 (0.56%), malignant tumors of the eyelids and the eyeball-66 (0.48%), and diseases of the optic nerve-45 (0.32%). Glaucoma was found to be the most common cause of blindness among the patients treated in the Department of Eye Diseases, followed by eye traumas and disease of the retina. The importance of the vascular factor in inducing blindness is undeniably great. It is the underlying cause of the open-angle glaucoma, the diseases of the retina and the optic nerve.","The human organism is constantly exposed to microbes and infectious agents and consequently has developed a complex and highly efficient immune defense which is aimed to recognize and eliminate such infectious agents. The response of the human host to infectious agents forms a double edged sword of immunity. The immune system has to keep a tight balance between attack on foreign surfaces and protection of host surfaces. In its proper function the immune response is aimed to recognize, attack and eliminate invading infectious agents and this response is beneficial for the host. However when the activated immune response like the complement system is not properly controlled and deregulated, effector compounds can attack and damage self-surfaces and this results in disease. In addition pathogens which cause infections and disease protect themselves from the damaging and harmful host immune weapon and use specific immune escape strategies. The complement system forms the first defense line of innate immunity and aids in the elimination of microbes and modified self-cells. Defective regulation of this cascade type system results in infections and in pathology. This can result in diseases, like severe renal diseases hemolytic uremic syndrome (HUS) and dense deposit disease (DDD), in age related macular degeneration a common form of blindness and also in other forms of autoimmune diseases.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Blindness Sentence A: Between 1982 and 1991, inclusive, a total of 13718 patients were treated in the Department of Eye Diseases in Plovdiv University of Medicine. Cataract patients formed the most numerous group (19.71%), followed by those with diseases of the retina (9.53%), glaucoma (7.95%), uveitis (4.9%), diseases of the cornea (3.86%), malignant tumors of the eyelids and the eyeball (2.29%) and diseases of the optic nerve (1.54%). Of these 13718 patients, 1727 (12.58%) had monocular and binocular vision below 0.08. The patients with visual acuity from 0 to 0.03 were 1330 (9.69%). Nosologically, they were distributed as follows: glacoma-422 (3.07%), eye traumas-281 (2.04%), diseases of the retina-270 (1.96%), diseases of the cornea-89 (0.64%), cataract-80 (0.58%), uveitis-77 (0.56%), malignant tumors of the eyelids and the eyeball-66 (0.48%), and diseases of the optic nerve-45 (0.32%). Glaucoma was found to be the most common cause of blindness among the patients treated in the Department of Eye Diseases, followed by eye traumas and disease of the retina. The importance of the vascular factor in inducing blindness is undeniably great. It is the underlying cause of the open-angle glaucoma, the diseases of the retina and the optic nerve. Sentence B: The human organism is constantly exposed to microbes and infectious agents and consequently has developed a complex and highly efficient immune defense which is aimed to recognize and eliminate such infectious agents. The response of the human host to infectious agents forms a double edged sword of immunity. The immune system has to keep a tight balance between attack on foreign surfaces and protection of host surfaces. In its proper function the immune response is aimed to recognize, attack and eliminate invading infectious agents and this response is beneficial for the host. However when the activated immune response like the complement system is not properly controlled and deregulated, effector compounds can attack and damage self-surfaces and this results in disease. In addition pathogens which cause infections and disease protect themselves from the damaging and harmful host immune weapon and use specific immune escape strategies. The complement system forms the first defense line of innate immunity and aids in the elimination of microbes and modified self-cells. Defective regulation of this cascade type system results in infections and in pathology. This can result in diseases, like severe renal diseases hemolytic uremic syndrome (HUS) and dense deposit disease (DDD), in age related macular degeneration a common form of blindness and also in other forms of autoimmune diseases. ###Answer 1. Changed Reasoning: In Sentence A, the term ""blindness"" is used to describe a medical condition where a patient has visual acuity below 0.08. The context suggests that this condition is caused by various factors such as glaucoma, eye traumas, and diseases of the retina. The term ""blindness"" is used without any negative connotations, and it appears that the authors are simply describing a medical condition. In Sentence B, the term ""blindness"" is used in a different context. It is used to describe the human immune system's response to infectious agents. The term ""blindness"" is used to convey the idea that the immune system is not able to recognize and eliminate infectious agents effectively, leading to disease. The context suggests that the term ""blindness"" has taken on a negative connotation, implying that the immune system is not functioning properly. Therefore, it can be concluded that the meaning of the term ""blindness"" has changed between Sentence A and Sentence B. In Sentence A, it refers to a medical condition, while in Sentence B, it refers to a negative aspect of the immune system's functioning." 94,Blindness,"The clinical picture of an acute orbit, as manifest by preseptal cellulitis, subperiosteal abscess or orbital cellulitis, is still frequently seen in ENT practice. The commonest cause is sinusitis and the authors advocate early surgical intervention in acute orbits due to sinusitis. Clinically, it can be difficult to distinguish between a subperiosteal abscess and orbital cellulitis and a CAT scan may be helpful. Surgically, a subperiosteal abscess is the more important (and probably more frequent) entity as it may require drainage. It may be suspected in an acute orbit which progresses rapidly or fails to settle on treatment and it may require drainage to allow the condition to resolve and avoid potentially damaging sequelae. A classification of the stages of the inflammatory processes seen in the acute orbit is given and the management of 34 cases due to sinusitis is discussed. The other causes of acute orbits are discussed and the further complications that may occur are also mentioned. Blindness, cavernous sinus thrombosis and cerebral involvement are still frequently recorded and death may still occur.","Retinopathy of prematurity (ROP) is a vasoproliferative disorder of the retina that occurs in premature and low birth weight babies. Stages of ROP are 1, 2, 3, 4A, 4B and 5. There are three zones I, II and III. Screening is essential to detect ROP. Whom, when and how to screen ROP has been narrated in a nutshell. Once threshold ROP is detected, it is essential to treat within 72 hours. Retinal ablation of the avascular retina is done using laser photocoagulation or cryotherapy. Rush disease is primarily a zone I ROP with extraretinal proliferation. It requires aggressive laser treatment with larger number of high intensity closely applied spots to stop the progression. Surgical management is advocated in stages IVA and IVB ROP by scleral buckling. Stage V requires complex vitreoretinal surgery. It is important to promote awareness about the disease and to ensure timely management to prevent blindness.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Blindness Sentence A: The clinical picture of an acute orbit, as manifest by preseptal cellulitis, subperiosteal abscess or orbital cellulitis, is still frequently seen in ENT practice. The commonest cause is sinusitis and the authors advocate early surgical intervention in acute orbits due to sinusitis. Clinically, it can be difficult to distinguish between a subperiosteal abscess and orbital cellulitis and a CAT scan may be helpful. Surgically, a subperiosteal abscess is the more important (and probably more frequent) entity as it may require drainage. It may be suspected in an acute orbit which progresses rapidly or fails to settle on treatment and it may require drainage to allow the condition to resolve and avoid potentially damaging sequelae. A classification of the stages of the inflammatory processes seen in the acute orbit is given and the management of 34 cases due to sinusitis is discussed. The other causes of acute orbits are discussed and the further complications that may occur are also mentioned. Blindness, cavernous sinus thrombosis and cerebral involvement are still frequently recorded and death may still occur. Sentence B: Retinopathy of prematurity (ROP) is a vasoproliferative disorder of the retina that occurs in premature and low birth weight babies. Stages of ROP are 1, 2, 3, 4A, 4B and 5. There are three zones I, II and III. Screening is essential to detect ROP. Whom, when and how to screen ROP has been narrated in a nutshell. Once threshold ROP is detected, it is essential to treat within 72 hours. Retinal ablation of the avascular retina is done using laser photocoagulation or cryotherapy. Rush disease is primarily a zone I ROP with extraretinal proliferation. It requires aggressive laser treatment with larger number of high intensity closely applied spots to stop the progression. Surgical management is advocated in stages IVA and IVB ROP by scleral buckling. Stage V requires complex vitreoretinal surgery. It is important to promote awareness about the disease and to ensure timely management to prevent blindness. ###Answer 1. Changed Explanation: The target word ""blindness"" in Sentence A has a different meaning than in Sentence B. In Sentence A, ""blindness"" refers to the clinical picture of an acute orbit, specifically preseptal cellulitis, subperiosteal abscess, or orbital cellulitis. The authors are discussing the symptoms and treatment of these conditions, which are related to sinusitis. In Sentence B, ""blindness"" refers to retinopathy of prematurity (ROP), a vasoproliferative disorder of the retina that occurs in premature and low birth weight babies. The sentence is discussing the screening and treatment of ROP, which is a different condition than the one discussed in Sentence A. Therefore, semantic drift has occurred in the meaning of the target word ""blindness"" between the two sentences." 95,Blindness,"Each year in the United States, as many as 40,000 new cases of blindness occur among persons with diabetes (CDC, unpublished data, 1993). Diabetes is the leading cause of new blindness among U.S. adults aged 20-74 years. In addition, persons with diabetes are 25 times more likely than the general population to become blind. Most of this blindness in persons with diabetes results from diabetic retinopathy, a disorder characterized by microvascular changes and hemorrhage in the retina. Seven million persons in the United States have diabetes, and diabetic retinopathy will affect the majority during their lifetimes. This report summarizes information regarding the efficacy, effectiveness, and cost-effectiveness of screening for diabetic retinopathy.","Glaucomatous optic neuropathy, a leading cause of blindness, can progress despite control of intraocular pressure - currently the main risk factor and target for treatment. Glaucoma progression shares mechanisms with neurodegenerative disease, including microglia activation. In the present model of ocular hypertension (OHT), we have recently described morphological signs of retinal microglia activation and MHC-II upregulation in both the untreated contralateral eyes and OHT eyes. By using immunostaining, we sought to analyze and quantify additional signs of microglia activation and differences depending on the retinal layer.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Blindness Sentence A: Each year in the United States, as many as 40,000 new cases of blindness occur among persons with diabetes (CDC, unpublished data, 1993). Diabetes is the leading cause of new blindness among U.S. adults aged 20-74 years. In addition, persons with diabetes are 25 times more likely than the general population to become blind. Most of this blindness in persons with diabetes results from diabetic retinopathy, a disorder characterized by microvascular changes and hemorrhage in the retina. Seven million persons in the United States have diabetes, and diabetic retinopathy will affect the majority during their lifetimes. This report summarizes information regarding the efficacy, effectiveness, and cost-effectiveness of screening for diabetic retinopathy. Sentence B: Glaucomatous optic neuropathy, a leading cause of blindness, can progress despite control of intraocular pressure - currently the main risk factor and target for treatment. Glaucoma progression shares mechanisms with neurodegenerative disease, including microglia activation. In the present model of ocular hypertension (OHT), we have recently described morphological signs of retinal microglia activation and MHC-II upregulation in both the untreated contralateral eyes and OHT eyes. By using immunostaining, we sought to analyze and quantify additional signs of microglia activation and differences depending on the retinal layer. ###Answer 1. Changed Reasoning: In Sentence A, the term ""blindness"" is used to describe the outcome of diabetes, specifically diabetic retinopathy. The sentence emphasizes the high incidence of blindness among diabetes patients and the leading cause of blindness in this population. The term ""blindness"" carries a negative connotation, implying a loss of vision and independence. In Sentence B, the term ""glaucomatous optic neuropathy"" is used to describe a leading cause of blindness. The sentence highlights the progression of the disease despite control of intraocular pressure, which is the main risk factor and target for treatment. The term ""glaucomatous optic neuropathy"" carries a different connotation than ""blindness,"" implying a specific disease process that affects the optic nerve. Comparing Sentence A and Sentence B, we can observe that the meaning of the term ""blindness"" has shifted. In Sentence A, ""blindness"" is associated with the negative consequences of diabetes, while in Sentence B, ""glaucomatous optic neuropathy"" is used to describe a specific disease process. Therefore, we label this term as ""Changed.""" 96,Blindness," The HI Parkes All Sky Survey (HIPASS) is a blind extragalactic HI 21-cm emission line survey covering the whole southern sky from declination -90 to +25. The HIPASS catalogue (HICAT), containing 4315 HI-selected galaxies from the region south of declination +2, is presented in Meyer et al. (2004a, Paper I). This paper describes in detail the completeness and reliability of HICAT, which are calculated from the recovery rate of synthetic sources and follow-up observations, respectively. HICAT is found to be 99 per cent complete at a peak flux of 84 mJy and an integrated flux of 9.4 Jy km/s. The overall reliability is 95 per cent, but rises to 99 per cent for sources with peak fluxes >58 mJy or integrated flux > 8.2 Jy km/s. Expressions are derived for the uncertainties on the most important HICAT parameters: peak flux, integrated flux, velocity width, and recessional velocity. The errors on HICAT parameters are dominated by the noise in the HIPASS data, rather than by the parametrization procedure. ","Age-related macular degeneration is a growing burden disease with a high prevalence in elderly: it is the first cause of blindness in developped countries. It is a multifactorial disease with genetic factors and nutritional factors. Carotenoids, lutein and zeaxanthin are components of macular pigment and they have a filter role for blue light and an antioxidant role. Other nutritional factors might play a role as antioxidants: zinc, selenium, vitamin E, vitamin C… which lead to the ARED Study. It is the only one study with proven positive effects on the disease progression (stages 3 and 4). A high glycemic index increases oxidative stress. Long chain omega-3 polyunsaturated fatty acids have a protective effect. Available data are presented and discussed. These are new preventive issues.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Blindness Sentence A: The HI Parkes All Sky Survey (HIPASS) is a blind extragalactic HI 21-cm emission line survey covering the whole southern sky from declination -90 to +25. The HIPASS catalogue (HICAT), containing 4315 HI-selected galaxies from the region south of declination +2, is presented in Meyer et al. (2004a, Paper I). This paper describes in detail the completeness and reliability of HICAT, which are calculated from the recovery rate of synthetic sources and follow-up observations, respectively. HICAT is found to be 99 per cent complete at a peak flux of 84 mJy and an integrated flux of 9.4 Jy km/s. The overall reliability is 95 per cent, but rises to 99 per cent for sources with peak fluxes >58 mJy or integrated flux > 8.2 Jy km/s. Expressions are derived for the uncertainties on the most important HICAT parameters: peak flux, integrated flux, velocity width, and recessional velocity. The errors on HICAT parameters are dominated by the noise in the HIPASS data, rather than by the parametrization procedure. Sentence B: Age-related macular degeneration is a growing burden disease with a high prevalence in elderly: it is the first cause of blindness in developped countries. It is a multifactorial disease with genetic factors and nutritional factors. Carotenoids, lutein and zeaxanthin are components of macular pigment and they have a filter role for blue light and an antioxidant role. Other nutritional factors might play a role as antioxidants: zinc, selenium, vitamin E, vitamin C… which lead to the ARED Study. It is the only one study with proven positive effects on the disease progression (stages 3 and 4). A high glycemic index increases oxidative stress. Long chain omega-3 polyunsaturated fatty acids have a protective effect. Available data are presented and discussed. These are new preventive issues. ###Answer 1. Changed Explanation: In Sentence A, the term ""blindness"" is used to describe a survey of extragalactic HI emission lines. The context suggests that the term refers to the lack of visibility or detection of these lines, rather than any disability or impairment. In Sentence B, the term ""blindness"" is used to describe a medical condition, specifically age-related macular degeneration. The context suggests that the term has a different meaning in this sentence, referring to a loss of vision or sight due to the disease. Therefore, semantic drift has occurred in the meaning of the term ""blindness"" between the two sentences." 97,Blindness,"A 53-year-old man had bilateral blindness secondary to meningeal carcinomatosis from pulmonary adenocarcinoma. Histopathologic examination of the visual system showed extensive infiltration of the arachnoid of the proximal optic nerves and chiasm, with minimal invasion of the optic nerves themselves. The visual pathways within the cerebral cortex were not affected.","Cataract causes more than half of all blindness worldwide. The most effective treatment is surgery, where cataract is often replaced by intraocular lens (IOL). Beyond saving vision, toric IOL implantation is becoming increasingly popular to correct corneal astigmatism. It is important to precisely position and align the axis of IOL during surgery to achieve optimal post-operative astigmatism correction. Comparing with conventional manual marking, automated markerless IOL alignment can be faster, more accurate and non-invasive. Here we propose a framework for computer-assisted intraoperative IOL positioning and alignment based on detection and tracking. Firstly, the iris boundary was segmented and the eye center was determined. A statistical sampling method was developed to segment iris and generate training labels, and both conventional algorithms and deep convolutional neural network (CNN) methods were evaluated. Then, regions of interests (ROIs) containing high density of scleral capillaries were used for tracking eye rotations. Both correlation filter and CNN methods were evaluated for tracking. Cumulative errors during long-term tracking were corrected using a reference image. Validation studies against manual labeling using 7 clinical cataract surgical videos demonstrated that the proposed algorithm achieved an average position error around 0.2 mm, an axis alignment error of < 1 ","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Blindness Sentence A: A 53-year-old man had bilateral blindness secondary to meningeal carcinomatosis from pulmonary adenocarcinoma. Histopathologic examination of the visual system showed extensive infiltration of the arachnoid of the proximal optic nerves and chiasm, with minimal invasion of the optic nerves themselves. The visual pathways within the cerebral cortex were not affected. Sentence B: Cataract causes more than half of all blindness worldwide. The most effective treatment is surgery, where cataract is often replaced by intraocular lens (IOL). Beyond saving vision, toric IOL implantation is becoming increasingly popular to correct corneal astigmatism. It is important to precisely position and align the axis of IOL during surgery to achieve optimal post-operative astigmatism correction. Comparing with conventional manual marking, automated markerless IOL alignment can be faster, more accurate and non-invasive. Here we propose a framework for computer-assisted intraoperative IOL positioning and alignment based on detection and tracking. Firstly, the iris boundary was segmented and the eye center was determined. A statistical sampling method was developed to segment iris and generate training labels, and both conventional algorithms and deep convolutional neural network (CNN) methods were evaluated. Then, regions of interests (ROIs) containing high density of scleral capillaries were used for tracking eye rotations. Both correlation filter and CNN methods were evaluated for tracking. Cumulative errors during long-term tracking were corrected using a reference image. Validation studies against manual labeling using 7 clinical cataract surgical videos demonstrated that the proposed algorithm achieved an average position error around 0.2 mm, an axis alignment error of < 1 ###Answer 1. Changed Reasoning: In Sentence A, the target word ""blindness"" refers to a specific medical condition, specifically bilateral blindness secondary to meningeal carcinomatosis from pulmonary adenocarcinoma. The context emphasizes the visual impairment caused by the infiltration of the arachnoid of the proximal optic nerves and chiasm, with minimal invasion of the optic nerves themselves. The meaning of ""blindness"" in this context is closely tied to the medical condition and its effects on vision. In Sentence B, the target word ""blindness"" is used in a different context, referring to a more general concept of visual impairment. The sentence highlights the prevalence of cataract as a cause of blindness worldwide, and the effectiveness of surgery in restoring vision. The meaning of ""blindness"" in this context is more focused on the loss of visual acuity and the impact it has on daily life. Based on these differences in context and meaning, it can be argued that the semantic drift of the target word ""blindness"" has occurred between the two sentences. In Sentence A, the word carries a specific medical connotation, while in Sentence B, it has a more general and broader meaning. Therefore, the label ""Changed"" is appropriate." 98,Blindness,This case report describes an uncommon complication (blindness) occurring after an inadvertent overdosage of a frequently used local anesthetic (lidocaine) during a regional anesthetic procedure. The discussion focuses on the suspected pathophysiology of the blindness.,"Diabetic retinopathy (DR) is an emerging cause of visual impairment and blindness and is often detected in the irreversible stage. General practitioners (GPs) play an essential role in the prevention of DR through diabetes control, early detection of retinal changes, and timely referral to ophthalmologists. This study aimed to determine the knowledge, attitude, and practice (KAP) towards DR screening among GPs in the district primary health centres (PHCs) in Jakarta, Indonesia.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Blindness Sentence A: This case report describes an uncommon complication (blindness) occurring after an inadvertent overdosage of a frequently used local anesthetic (lidocaine) during a regional anesthetic procedure. The discussion focuses on the suspected pathophysiology of the blindness. Sentence B: Diabetic retinopathy (DR) is an emerging cause of visual impairment and blindness and is often detected in the irreversible stage. General practitioners (GPs) play an essential role in the prevention of DR through diabetes control, early detection of retinal changes, and timely referral to ophthalmologists. This study aimed to determine the knowledge, attitude, and practice (KAP) towards DR screening among GPs in the district primary health centres (PHCs) in Jakarta, Indonesia. ###Answer 1. Changed The target word ""blindness"" has undergone a significant change in meaning between the two sentences. In Sentence A, ""blindness"" refers to an unexpected complication that occurred after an overdose of a local anesthetic during a surgical procedure. In Sentence B, ""blindness"" refers to a specific medical condition, diabetic retinopathy, which is a common cause of visual impairment and blindness. The shift in meaning suggests that the word ""blindness"" has undergone semantic drift." 99,Blindness,The sudden onset of painless monocular blindness was the initial manifestation of a nasopharyngeal cancer in a 78-year-old woman. Computerized cranial tomography demonstrated encasement of the optic nerve by tumor. Examination of the nasopharynx and paranasal sinuses is important in patients with primary neuro-ophthalmologic complaints.,"Glaucoma is the leading cause of irreversible blindness. The progressive degeneration of retinal ganglion cells (RGCs) is the major characteristic of glaucoma. Even though the control of intraocular pressure could delay the loss of RGCs, current clinical treatments cannot protect them directly. The overactivation of N-methyl-D-aspartic acid (NMDA) receptors by excess glutamate (Glu) is among the important mechanisms of RGC death in glaucoma progression. Melatonin (MT) is an indole neuroendocrine hormone mainly secreted by the pineal gland. This study aimed to investigate the therapeutic effect of MT on glutamate excitotoxicity of mouse RGCs and R28 cells. The Glu-induced R28 cell excitotoxicity model and NMDA-induced retinal injury model were established. MT was applied to R28 cells and the vitreous cavity of mice by intravitreal injection. Cell counting kit-8 assay and propidium iodide/Hoechst were performed to evaluate cell viability. Reactive oxygen species and glutathione synthesis assays were used to detect the oxidative stress state of R28 cells. Retina immunofluorescence and hematoxylin and eosin staining were applied to assess RGC counts and retinal structure. Flash visual-evoked potential was performed to evaluate visual function in mice. RNA sequencing of the retina was performed to explore the underlying mechanisms of MT protection. Our results found that MT treatment could successfully protect R28 cells from Glu excitotoxicity and decrease reactive oxygen species. Also, MT rescued RGCs from NMDA-induced injury and protected visual function in mice. This study enriches the indications of MT in the treatment of glaucoma, providing practical research ideas for its comprehensive prevention and treatment.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Blindness Sentence A: The sudden onset of painless monocular blindness was the initial manifestation of a nasopharyngeal cancer in a 78-year-old woman. Computerized cranial tomography demonstrated encasement of the optic nerve by tumor. Examination of the nasopharynx and paranasal sinuses is important in patients with primary neuro-ophthalmologic complaints. Sentence B: Glaucoma is the leading cause of irreversible blindness. The progressive degeneration of retinal ganglion cells (RGCs) is the major characteristic of glaucoma. Even though the control of intraocular pressure could delay the loss of RGCs, current clinical treatments cannot protect them directly. The overactivation of N-methyl-D-aspartic acid (NMDA) receptors by excess glutamate (Glu) is among the important mechanisms of RGC death in glaucoma progression. Melatonin (MT) is an indole neuroendocrine hormone mainly secreted by the pineal gland. This study aimed to investigate the therapeutic effect of MT on glutamate excitotoxicity of mouse RGCs and R28 cells. The Glu-induced R28 cell excitotoxicity model and NMDA-induced retinal injury model were established. MT was applied to R28 cells and the vitreous cavity of mice by intravitreal injection. Cell counting kit-8 assay and propidium iodide/Hoechst were performed to evaluate cell viability. Reactive oxygen species and glutathione synthesis assays were used to detect the oxidative stress state of R28 cells. Retina immunofluorescence and hematoxylin and eosin staining were applied to assess RGC counts and retinal structure. Flash visual-evoked potential was performed to evaluate visual function in mice. RNA sequencing of the retina was performed to explore the underlying mechanisms of MT protection. Our results found that MT treatment could successfully protect R28 cells from Glu excitotoxicity and decrease reactive oxygen species. Also, MT rescued RGCs from NMDA-induced injury and protected visual function in mice. This study enriches the indications of MT in the treatment of glaucoma, providing practical research ideas for its comprehensive prevention and treatment. ###Answer 1. Changed Reasoning: The meaning of ""blindness"" in Sentence A is different from its meaning in Sentence B. In Sentence A, ""blindness"" refers to a specific medical condition, ""painless monocular blindness,"" which is caused by a tumor encasing the optic nerve. In Sentence B, ""blindness"" is used more broadly to refer to any form of vision loss, including glaucoma. This shift in meaning indicates that the term ""blindness"" has undergone semantic drift." 0,Astigmatism,"To clarify the mechanisms by which incisions and sutures produce corneal astigmatism, we made incisions and wedge resections closed by sutures in the corneoscleral limbus of human eye bank eyes, studying the changes in corneal curvature by shadowgraph photography of the corneal contour, by central keratometry, and by measurement of corneal diameter. The compression of tissue within the sutures or the closure of an excision of a wedge of tissue by sutures induced astigmatism in the meridian of surgery regardless of changes in the sagittal depth of the anterior chamber. Sutures and wedge resections closed by sutures in the anterior part of the cornea compressed or removed more tissue from the anterior part than the posterior part, producing a depression of the limbal cornea toward the anterior chamber and steepening the central cornea in the meridian of surgery. The corneal diameter decreased in that meridian. In the opposite meridian, the cornea flattened, the corneal diameter increased, and the sagittal depth decreased.","To compare surgically induced astigmatism (SIA) of different surgeons, who perform the same main incision. Two hundred and seventy eyes underwent cataract surgery with phacoemulsification by four different surgeons (A, B, C, and D). A 3-step, 3.0 mm, superotemporal for the right eye and superonasal for the left eye clear corneal incision was performed. A comparison in SIA among A, B, C and D surgeon was made. No significant difference was found in SIA at both first and sixth postoperative month between different surgeons (","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Astigmatism Sentence A: To clarify the mechanisms by which incisions and sutures produce corneal astigmatism, we made incisions and wedge resections closed by sutures in the corneoscleral limbus of human eye bank eyes, studying the changes in corneal curvature by shadowgraph photography of the corneal contour, by central keratometry, and by measurement of corneal diameter. The compression of tissue within the sutures or the closure of an excision of a wedge of tissue by sutures induced astigmatism in the meridian of surgery regardless of changes in the sagittal depth of the anterior chamber. Sutures and wedge resections closed by sutures in the anterior part of the cornea compressed or removed more tissue from the anterior part than the posterior part, producing a depression of the limbal cornea toward the anterior chamber and steepening the central cornea in the meridian of surgery. The corneal diameter decreased in that meridian. In the opposite meridian, the cornea flattened, the corneal diameter increased, and the sagittal depth decreased. Sentence B: To compare surgically induced astigmatism (SIA) of different surgeons, who perform the same main incision. Two hundred and seventy eyes underwent cataract surgery with phacoemulsification by four different surgeons (A, B, C, and D). A 3-step, 3.0 mm, superotemporal for the right eye and superonasal for the left eye clear corneal incision was performed. A comparison in SIA among A, B, C and D surgeon was made. No significant difference was found in SIA at both first and sixth postoperative month between different surgeons ( ###Answer 1. Changed Reasoning: In Sentence A, the word ""astigmatism"" is used to describe a specific type of refractive error in the cornea, with a clear explanation of the mechanisms by which it is produced. The sentence also provides details on the methods used to measure the corneal curvature and diameter. In Sentence B, the word ""astigmatism"" is used in a different context, without any explanation of the mechanisms by which it is produced. The sentence only compares the surgically induced astigmatism (SIA) of different surgeons, without providing any details on the methods used to measure the corneal curvature or diameter. Therefore, it can be concluded that the meaning of the word ""astigmatism"" has changed between the two sentences, shifting from a specific type of refractive error to a general term for any type of surgically induced astigmatism. As a result, the label ""Changed"" is provided." 1,Astigmatism,"Although the use of prisms is often avoided because of their aberrations, they are suitable for image-tilt correction. In contradiction to current recommendations, zero astigmatism together with zero coma cannot be achieved at minimum deviation. This paper describes two configurations that meet these conditions. A correction of earlier published third-order formulas is presented and compared to ray-tracing results. The results of the third-order theory are used to develop a model for image-tilt correction, while introducing minimal coma and maintaining a flat image field.","Adaptive optics (AO) is employed for the continuous measurement and correction of ocular aberrations. Human eye refractive errors (lower-order aberrations such as myopia and astigmatism) are corrected with contact lenses and excimer laser surgery. Under twilight vision conditions, when the pupil of the human eye dilates to 5-7 mm in diameter, higher-order aberrations affect the visual acuity. The combined use of wavefront (WF) technology and AO systems allows the pre-operative evaluation of refractive surgical procedures to compensate for the higher-order optical aberrations of the human eye, guiding the surgeon in choosing the procedure parameters. Here, we report a brief history of AO, starting from the description of the Shack-Hartmann method, which allowed the first in vivo measurement of the eye's wave aberration, the wavefront sensing technologies (WSTs), and their principles. Then, the limitations of the ocular wavefront ascribed to the IOL polymeric materials and design, as well as future perspectives on improving patient vision quality and meeting clinical requests, are described.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Astigmatism Sentence A: Although the use of prisms is often avoided because of their aberrations, they are suitable for image-tilt correction. In contradiction to current recommendations, zero astigmatism together with zero coma cannot be achieved at minimum deviation. This paper describes two configurations that meet these conditions. A correction of earlier published third-order formulas is presented and compared to ray-tracing results. The results of the third-order theory are used to develop a model for image-tilt correction, while introducing minimal coma and maintaining a flat image field. Sentence B: Adaptive optics (AO) is employed for the continuous measurement and correction of ocular aberrations. Human eye refractive errors (lower-order aberrations such as myopia and astigmatism) are corrected with contact lenses and excimer laser surgery. Under twilight vision conditions, when the pupil of the human eye dilates to 5-7 mm in diameter, higher-order aberrations affect the visual acuity. The combined use of wavefront (WF) technology and AO systems allows the pre-operative evaluation of refractive surgical procedures to compensate for the higher-order optical aberrations of the human eye, guiding the surgeon in choosing the procedure parameters. Here, we report a brief history of AO, starting from the description of the Shack-Hartmann method, which allowed the first in vivo measurement of the eye's wave aberration, the wavefront sensing technologies (WSTs), and their principles. Then, the limitations of the ocular wavefront ascribed to the IOL polymeric materials and design, as well as future perspectives on improving patient vision quality and meeting clinical requests, are described. ###Answer 1. Changed Reasoning: In Sentence A, astigmatism is described as a refractive error that cannot be completely corrected with prisms. In Sentence B, astigmatism is mentioned in the context of adaptive optics (AO) used to measure and correct ocular aberrations, including higher-order aberrations. The meaning of astigmatism has shifted from a refractive error that cannot be fully corrected to a type of ocular aberration that can be measured and corrected using AO technology. Therefore, semantic drift has occurred in the meaning of astigmatism between Sentence A and Sentence B." 2,Astigmatism,"All people attempting to enlist in the U.S. Army must undergo a physical examination that requires a rudimentary vision screening. Those who pass the physical, upon reporting to basic training, are again evaluated and any treatment necessary to allow the recruits to function during their initial indoctrination is provided. Those who fail to see 20/20 O.D. and O.S. with their current spectacles fail the screening and are evaluated by an optometrist. If their condition is not disqualifying, appropriate correction is prescribed. We reviewed the records of all the recruits in a 1-month period who either required spectacles to see 20/20 or failed the screening at the 43rd AG BN (reception). Epidemiological evaluation revealed most to be either simple myopes or myopic astigmats. Hyperopia and hyperopic astigmatism accounted for the next most common diagnosis. Other conditions included anisometropia, antimetropia, amblyopia, keratoconus, and nystagmus. Examinations of these recruits were very limited, with dilated fundus evaluations being performed only when there was a high probability of a disqualifying condition. Therefore, it is unknown what retinal disease or degeneration may be present other than what would be visible with direct ophthalmoscopy.","To compare the astigmatism prediction accuracy for toric intraocular lens (IOL) implantation between two swept-source optical coherence tomography (SS-OCT) devices: Argos (Movu, a Santec Company) and the IOLMaster 700 (Carl Zeiss Meditec).","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Astigmatism Sentence A: All people attempting to enlist in the U.S. Army must undergo a physical examination that requires a rudimentary vision screening. Those who pass the physical, upon reporting to basic training, are again evaluated and any treatment necessary to allow the recruits to function during their initial indoctrination is provided. Those who fail to see 20/20 O.D. and O.S. with their current spectacles fail the screening and are evaluated by an optometrist. If their condition is not disqualifying, appropriate correction is prescribed. We reviewed the records of all the recruits in a 1-month period who either required spectacles to see 20/20 or failed the screening at the 43rd AG BN (reception). Epidemiological evaluation revealed most to be either simple myopes or myopic astigmats. Hyperopia and hyperopic astigmatism accounted for the next most common diagnosis. Other conditions included anisometropia, antimetropia, amblyopia, keratoconus, and nystagmus. Examinations of these recruits were very limited, with dilated fundus evaluations being performed only when there was a high probability of a disqualifying condition. Therefore, it is unknown what retinal disease or degeneration may be present other than what would be visible with direct ophthalmoscopy. Sentence B: To compare the astigmatism prediction accuracy for toric intraocular lens (IOL) implantation between two swept-source optical coherence tomography (SS-OCT) devices: Argos (Movu, a Santec Company) and the IOLMaster 700 (Carl Zeiss Meditec). ###Answer 1. Changed Explanation: In Sentence A, astigmatism is defined as a refractive error caused by an irregularly shaped cornea. It is described as a simple myopic or myopic astigmatism, with some cases of anisometropia, antimetropia, amblyopia, keratoconus, and nystagmus also present. The term ""astigmatism"" does not carry any strong connotations or associations beyond its definition as a refractive error. In Sentence B, astigmatism is used in a different context, as a prediction metric for toric IOL implantation. The term is now associated with a medical device used for surgical correction of refractive errors. The phrase ""astigmatism prediction accuracy"" implies a level of precision and reliability in the measurement, which is not present in Sentence A. Therefore, the meaning of the term ""astigmatism"" has changed significantly between the two sentences, indicating semantic drift. The term is now associated with a specific medical device and has taken on a more technical and precise connotation." 3,Astigmatism,A 42-year-old woman with functionally disabling postkeratoplasty astigmatism in her right eye 3 years after corneal transplantation for keratoconus received photorefractive keratectomy for high astigmatism in that eye. This did not reduce her astigmatism. The procedure was repeated and corneal astigmatism paradoxically increased. The forces within the pseudo-optical ring that cause and maintain astigmatism in corneal transplants may be a significant factor in the unpredictable response of some corneal transplants to excimer photorefractive astigmatism correction.,"Multifocal diffractive lenses are used widely in ophthalmology. This paper provides a general mathematical formula to summarize various multifocal diffractive lens designs and introduces a novel, design: the subzonal multifocal diffractive (SMUD) lens. Analytical and numerical methods of SMUD lens design are elaborated in detail. A number of trifocal and quadrifocal SMUD lens designs of high diffraction efficiency are presented. Fresnel zone spacing factors are introduced to take into account the incidence of a converging or diverging beam and the curvature of the substrate on which the diffractive surface is created. Apodization and ophthalmic astigmatism correction related to diffractive lenses are also discussed.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Astigmatism Sentence A: A 42-year-old woman with functionally disabling postkeratoplasty astigmatism in her right eye 3 years after corneal transplantation for keratoconus received photorefractive keratectomy for high astigmatism in that eye. This did not reduce her astigmatism. The procedure was repeated and corneal astigmatism paradoxically increased. The forces within the pseudo-optical ring that cause and maintain astigmatism in corneal transplants may be a significant factor in the unpredictable response of some corneal transplants to excimer photorefractive astigmatism correction. Sentence B: Multifocal diffractive lenses are used widely in ophthalmology. This paper provides a general mathematical formula to summarize various multifocal diffractive lens designs and introduces a novel, design: the subzonal multifocal diffractive (SMUD) lens. Analytical and numerical methods of SMUD lens design are elaborated in detail. A number of trifocal and quadrifocal SMUD lens designs of high diffraction efficiency are presented. Fresnel zone spacing factors are introduced to take into account the incidence of a converging or diverging beam and the curvature of the substrate on which the diffractive surface is created. Apodization and ophthalmic astigmatism correction related to diffractive lenses are also discussed. ###Answer 1. Changed Reasoning: In Sentence A, the term ""astigmatism"" is used to describe a specific type of refractive error in a patient's eye. The context suggests that the term refers to a degree of irregularity in the shape of the cornea that causes blurred vision. In Sentence B, the term ""astigmatism"" is used in a different context to describe a type of diffractive lens design. The term is now referring to a specific type of optical surface that is designed to correct refractive errors, including astigmatism. The meaning of the term has shifted from a medical condition to a design parameter in ophthalmology. Therefore, semantic drift has occurred in the meaning of the term ""astigmatism""." 4,Astigmatism,"It has been shown previously that thin polymethyl methacrylate (PMMA), cellulose acetate butyrate (CAB), and Polycon I contact lenses flex on toric corneas. We investigated the flexure and induced residual astigmatism of two gas permeable contact lens materials, Paraperm O2 and Boston II, and compared the results with those of other materials. Six subjects (12 eyes) with corneal toricities ranging from 1.75 to 3.25 D wore five Paraperm O2 lenses and five Boston II lenses with center thicknesses ranging from 0.10 to 0.20 mm. Flexure and induced residual astigmatism were measured on all corneas wearing all lenses in a double-masked fashion. All lenses studied showed flexure and induced residual astigmatism, which increased as center thickness decreased. For both lens types, lenses thinner than 0.15 mm flexed significantly more than thicker lenses. This critical center thickness should be considered when fitting these lens types on toric corneas.",To evaluate the corneal epithelial thickness (CET) profile changes after small incision lenticule extraction (SMILE) surgery for myopic astigmatism correction of greater than 2.00 diopters (D).,"###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Astigmatism Sentence A: It has been shown previously that thin polymethyl methacrylate (PMMA), cellulose acetate butyrate (CAB), and Polycon I contact lenses flex on toric corneas. We investigated the flexure and induced residual astigmatism of two gas permeable contact lens materials, Paraperm O2 and Boston II, and compared the results with those of other materials. Six subjects (12 eyes) with corneal toricities ranging from 1.75 to 3.25 D wore five Paraperm O2 lenses and five Boston II lenses with center thicknesses ranging from 0.10 to 0.20 mm. Flexure and induced residual astigmatism were measured on all corneas wearing all lenses in a double-masked fashion. All lenses studied showed flexure and induced residual astigmatism, which increased as center thickness decreased. For both lens types, lenses thinner than 0.15 mm flexed significantly more than thicker lenses. This critical center thickness should be considered when fitting these lens types on toric corneas. Sentence B: To evaluate the corneal epithelial thickness (CET) profile changes after small incision lenticule extraction (SMILE) surgery for myopic astigmatism correction of greater than 2.00 diopters (D). ###Answer 1. Changed Reasoning: In Sentence A, the term ""astigmatism"" is used to describe the refractive error of the cornea, specifically the toric corneas being studied. The sentence explains that the lenses flex on the cornea and that the induced residual astigmatism increases as the center thickness decreases. This implies that the term ""astigmatism"" in this context refers to the corneal refractive error, which is measured in diopters (D). In Sentence B, the term ""astigmatism"" is used to describe the refractive error of the eye after SMILE surgery. The sentence explains that the corneal epithelial thickness (CET) profile changes after the surgery for myopic astigmatism correction. This implies that the term ""astigmatism"" in this context refers to the eye's refractive error, which is measured in diopters (D). Comparing the two sentences, it is clear that the meaning of the term ""astigmatism"" has shifted. In Sentence A, the term refers to the corneal refractive error, while in Sentence B, it refers to the eye's refractive error after surgery. Therefore, the label ""Changed"" is appropriate for this example." 5,Astigmatism,"1. Clinical prediction was better than ultrasound prediction for the first 20 cases. It was approximately equal for the next 20 cases, but after this ultrasound was the more accurate. 2. There was no significant difference in ability of either clinical prediction of ultrasound to predict the power of various types of lenses, namely, 4-loop intracapsular lenses, 2-loop extracapsular lenses and Choyce-style anterior chamber lenses. 3. There was no clinically significant difference in accuracy of prediction regardless of the source (manufacturer) studied in this series. 4. Two major factors affecting results which ultrasound is totally helpless in predicting are surgically induced astigmatism and accuracy of stated lens power supplied.","Point spread function (PSF) phantoms based on unstructured distributions of sub-resolution particles in a transparent matrix have been demonstrated as a useful tool for evaluating resolution and its spatial variation across image volumes in optical coherence tomography (OCT) systems. Measurements based on PSF phantoms have the potential to become a standard test method for consistent, objective and quantitative inter-comparison of OCT system performance. Towards this end, we have evaluated three PSF phantoms and investigated their ability to compare the performance of four OCT systems. The phantoms are based on 260-nm-diameter gold nanoshells, 400-nm-diameter iron oxide particles and 1.5-micron-diameter silica particles. The OCT systems included spectral-domain and swept source systems in free-beam geometries as well as a time-domain system in both free-beam and fiberoptic probe geometries. Results indicated that iron oxide particles and gold nanoshells were most effective for measuring spatial variations in the magnitude and shape of PSFs across the image volume. The intensity of individual particles was also used to evaluate spatial variations in signal intensity uniformity. Significant system-to-system differences in resolution and signal intensity and their spatial variation were readily quantified. The phantoms proved useful for identification and characterization of irregularities such as astigmatism. Our multi-system results provide evidence of the practical utility of PSF-phantom-based test methods for quantitative inter-comparison of OCT system resolution and signal uniformity. ","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Astigmatism Sentence A: 1. Clinical prediction was better than ultrasound prediction for the first 20 cases. It was approximately equal for the next 20 cases, but after this ultrasound was the more accurate. 2. There was no significant difference in ability of either clinical prediction of ultrasound to predict the power of various types of lenses, namely, 4-loop intracapsular lenses, 2-loop extracapsular lenses and Choyce-style anterior chamber lenses. 3. There was no clinically significant difference in accuracy of prediction regardless of the source (manufacturer) studied in this series. 4. Two major factors affecting results which ultrasound is totally helpless in predicting are surgically induced astigmatism and accuracy of stated lens power supplied. Sentence B: Point spread function (PSF) phantoms based on unstructured distributions of sub-resolution particles in a transparent matrix have been demonstrated as a useful tool for evaluating resolution and its spatial variation across image volumes in optical coherence tomography (OCT) systems. Measurements based on PSF phantoms have the potential to become a standard test method for consistent, objective and quantitative inter-comparison of OCT system performance. Towards this end, we have evaluated three PSF phantoms and investigated their ability to compare the performance of four OCT systems. The phantoms are based on 260-nm-diameter gold nanoshells, 400-nm-diameter iron oxide particles and 1.5-micron-diameter silica particles. The OCT systems included spectral-domain and swept source systems in free-beam geometries as well as a time-domain system in both free-beam and fiberoptic probe geometries. Results indicated that iron oxide particles and gold nanoshells were most effective for measuring spatial variations in the magnitude and shape of PSFs across the image volume. The intensity of individual particles was also used to evaluate spatial variations in signal intensity uniformity. Significant system-to-system differences in resolution and signal intensity and their spatial variation were readily quantified. The phantoms proved useful for identification and characterization of irregularities such as astigmatism. Our multi-system results provide evidence of the practical utility of PSF-phantom-based test methods for quantitative inter-comparison of OCT system resolution and signal uniformity. ###Answer 1. Changed Reasoning: In Sentence A, the term ""astigmatism"" is used to describe a specific type of irregularity in the power of lenses, specifically surgically induced astigmatism. In this context, astigmatism refers to a deviation from the ideal spherical shape of the lens, resulting in blurred vision. In Sentence B, the term ""astigmatism"" is used in a different context, referring to the measurement of spatial variations in the magnitude and shape of point spread functions (PSFs) across image volumes in optical coherence tomography (OCT) systems. In this context, astigmatism refers to irregularities in the shape of the PSFs, which can affect the resolution and signal intensity uniformity of the OCT images. Based on these two sentences, it is clear that the term ""astigmatism"" has undergone a significant change in meaning between the two timestamps. In Sentence A, astigmatism is used to describe a specific type of optical irregularity, while in Sentence B, it is used to describe a measurement parameter in the context of OCT systems. Therefore, the label ""Changed"" is appropriate for this task." 6,Astigmatism,"The True Vista intraocular lens (IOL), a three-zone refractive bifocal lens, was implanted in 446 patients in a prospective study. Visual acuity, pupil size, and astigmatism were determined. Contrast acuity was measured in a randomized subgroup of best-case patients (n = 60; Regan charts); subjective assessment of vision was compared in 41 best cases with a monofocal fellow eye. Two hundred twenty-seven best-case patients were available for four to six months follow-up, and 145 for seven to eleven months. Best corrected distance acuity was 20/40 or better in 96% and 98%, respectively. Near acuity was 20/30 or better in 93% and 92% with near add, in 64% and 69% uncorrected, and in 79% and 78% with distance correction, respectively. Distance and near acuity decreased with increasing astigmatism and increasing age. Contrast acuity at distance focus was lower than for monofocal IOLs (11% contrast); values at near focus were considerably lower at all contrast steps tested. Of the patients with a monofocal fellow eye, 96% rated their distance vision with glasses in the monofocal eye as good, compared with 78% in the bifocal eye. The True Vista IOL favors distance vision while near acuity is still sufficient. As high image contrast at distance is usually more important than at near, this might be a good compromise. However, bifocal IOLs should probably not be implanted in patients with a monofocal fellow eye.","The purpose of the study is a comparative analysis of the efficacy and safety of the Femto LASIK and ReLEx SMILE technologies in correcting myopic astigmatism. Materials and methods: The study included 1212 results of interventions in patients with myopic astigmatism, incl. 721 (59.5%) using ReLEx SMILE technology and 491 (40.5%) Femto LASIK technology. Visionometry and refraction investigation were performed at the time of 3, 6, 9, 12 months after the operation, as well as an analysis of the incidence of complications. Results of the study: As a result of the study, it was determined that in patients with myopic astigmatism, laser correction of refractive error using ReLEx SMILE technology gives similar results to Femto LASIK in the presence of a combination of moderate myopia and mild astigmatism. With medium-level astigmatism, the clinical results of Femto LASIK decrease (the difference in this category of patients after 1 week was 12.7% (p=0.04), they were also significant after 3 months (11.9%, p=0.042) and 9 months (8.9%, p=0.048)), which, nevertheless, remain quite satisfactory. The use of the ReLEx SMILE technique provides a significant reduction in the number of complications of laser correction of refractive errors, with both light astigmatism (3.2 times) and more pronounced violations (2.6 times). Significant differences were revealed in the frequency of dry eye syndrome (4.7 times, χ2=23.22, p=0.001), hypercorrection 14.3 times (χ2 = 34.52, p <0.001) in favor of the ReLEx SMILE technique.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Astigmatism Sentence A: The True Vista intraocular lens (IOL), a three-zone refractive bifocal lens, was implanted in 446 patients in a prospective study. Visual acuity, pupil size, and astigmatism were determined. Contrast acuity was measured in a randomized subgroup of best-case patients (n = 60; Regan charts); subjective assessment of vision was compared in 41 best cases with a monofocal fellow eye. Two hundred twenty-seven best-case patients were available for four to six months follow-up, and 145 for seven to eleven months. Best corrected distance acuity was 20/40 or better in 96% and 98%, respectively. Near acuity was 20/30 or better in 93% and 92% with near add, in 64% and 69% uncorrected, and in 79% and 78% with distance correction, respectively. Distance and near acuity decreased with increasing astigmatism and increasing age. Contrast acuity at distance focus was lower than for monofocal IOLs (11% contrast); values at near focus were considerably lower at all contrast steps tested. Of the patients with a monofocal fellow eye, 96% rated their distance vision with glasses in the monofocal eye as good, compared with 78% in the bifocal eye. The True Vista IOL favors distance vision while near acuity is still sufficient. As high image contrast at distance is usually more important than at near, this might be a good compromise. However, bifocal IOLs should probably not be implanted in patients with a monofocal fellow eye. Sentence B: The purpose of the study is a comparative analysis of the efficacy and safety of the Femto LASIK and ReLEx SMILE technologies in correcting myopic astigmatism. Materials and methods: The study included 1212 results of interventions in patients with myopic astigmatism, incl. 721 (59.5%) using ReLEx SMILE technology and 491 (40.5%) Femto LASIK technology. Visionometry and refraction investigation were performed at the time of 3, 6, 9, 12 months after the operation, as well as an analysis of the incidence of complications. Results of the study: As a result of the study, it was determined that in patients with myopic astigmatism, laser correction of refractive error using ReLEx SMILE technology gives similar results to Femto LASIK in the presence of a combination of moderate myopia and mild astigmatism. With medium-level astigmatism, the clinical results of Femto LASIK decrease (the difference in this category of patients after 1 week was 12.7% (p=0.04), they were also significant after 3 months (11.9%, p=0.042) and 9 months (8.9%, p=0.048)), which, nevertheless, remain quite satisfactory. The use of the ReLEx SMILE technique provides a significant reduction in the number of complications of laser correction of refractive errors, with both light astigmatism (3.2 times) and more pronounced violations (2.6 times). Significant differences were revealed in the frequency of dry eye syndrome (4.7 times, χ2=23.22, p=0.001), hypercorrection 14.3 times (χ2 = 34.52, p <0.001) in favor of the ReLEx SMILE technique. ###Answer 1. Changed Reasoning: In Sentence A, the target word ""astigmatism"" is used to describe a specific refractive error in patients undergoing cataract surgery. The sentence highlights the importance of correcting astigmatism to achieve good distance and near vision. In contrast, in Sentence B, the target word ""astigmatism"" is used to compare the efficacy and safety of different laser correction technologies in treating myopic astigmatism. The sentence emphasizes the reduction in complications associated with the ReLEx SMILE technique, particularly in patients with light or more pronounced violations. In Sentence A, the meaning of ""astigmatism"" is focused on its impact on visual acuity and the need for correction to achieve good vision. In contrast, in Sentence B, the meaning of ""astigmatism"" is more focused on its relationship to laser correction technology and the comparison of different techniques. These differences in context and emphasis suggest that the meaning of ""astigmatism"" has shifted over time, from a purely refractive error to a broader term encompassing the technology and techniques used to correct it. Therefore, the label ""Changed"" is appropriate." 7,Astigmatism,"A detailed experimental study has been conducted on adaptive optical control methodologies inside a laser resonator. A comparison is presented of several optimization techniques using a multidither zonal coherent optical adaptive technique system within a laser resonator for the correction of astigmatism. A dramatic performance difference is observed when optimizing on beam quality compared with optimizing on power-in-the-bucket. Experimental data are also presented on proper selection criteria for dither frequencies when controlling phase front errors. The effects of hardware limitations and design considerations on the performance of the system are presented, and general conclusions and physical interpretations on the results are made when possible.",To assess the effect of peripheral corneal relaxing incisions (PCRI) for astigmatism between 0.75 and 2.5 dioptres during cataract surgery on corneal densitometry (CD).,"###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Astigmatism Sentence A: A detailed experimental study has been conducted on adaptive optical control methodologies inside a laser resonator. A comparison is presented of several optimization techniques using a multidither zonal coherent optical adaptive technique system within a laser resonator for the correction of astigmatism. A dramatic performance difference is observed when optimizing on beam quality compared with optimizing on power-in-the-bucket. Experimental data are also presented on proper selection criteria for dither frequencies when controlling phase front errors. The effects of hardware limitations and design considerations on the performance of the system are presented, and general conclusions and physical interpretations on the results are made when possible. Sentence B: To assess the effect of peripheral corneal relaxing incisions (PCRI) for astigmatism between 0.75 and 2.5 dioptres during cataract surgery on corneal densitometry (CD). ###Answer 1. Changed Reasoning: In Sentence A, the term ""astigmatism"" is used in the context of an experimental study on adaptive optical control methodologies in a laser resonator. The term is used to describe a specific type of optical error that can be corrected using a multidither zonal coherent optical adaptive technique system. In this context, the term ""astigmatism"" has a specific technical meaning related to the field of optics and laser technology. In Sentence B, the term ""astigmatism"" is used in a different context, specifically in relation to cataract surgery. In this context, the term ""astigmatism"" refers to a type of refractive error that can be corrected using PCRI. The meaning of the term is different and unrelated to the technical meaning in Sentence A. Therefore, semantic drift has occurred in the meaning of the term ""astigmatism"" between the two sentences." 8,Astigmatism,"In the past years, several lamellar keratoplasty surgical techniques have been developed, modified or improved in the past years, including microkeratome assisted anterior and posterior lamellar keratoplasty, anterior lamellar keratoplasty using air-dissection or visco-dissection, sutureless posterior lamellar keratoplasty, LASIK for postkeratoplasty astigmatism, and excimer laser assisted keratophakia for keratoconus or to manage complications after LASIK. These procedures may continue to gain interest as alternative procedures for a penetrating keratoplasty in the treatment of various corneal disorders.",To assess the intraoperative complications during small-incision lenticule extraction (SMILE) for myopia and myopic astigmatism correction and evaluate visual outcomes 6 months postoperatively.,"###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Astigmatism Sentence A: In the past years, several lamellar keratoplasty surgical techniques have been developed, modified or improved in the past years, including microkeratome assisted anterior and posterior lamellar keratoplasty, anterior lamellar keratoplasty using air-dissection or visco-dissection, sutureless posterior lamellar keratoplasty, LASIK for postkeratoplasty astigmatism, and excimer laser assisted keratophakia for keratoconus or to manage complications after LASIK. These procedures may continue to gain interest as alternative procedures for a penetrating keratoplasty in the treatment of various corneal disorders. Sentence B: To assess the intraoperative complications during small-incision lenticule extraction (SMILE) for myopia and myopic astigmatism correction and evaluate visual outcomes 6 months postoperatively. ###Answer 1. Changed Reasoning: In Sentence A, the term ""astigmatism"" is used in the context of various surgical techniques for correcting corneal disorders. The meaning of the term is focused on the correction of astigmatism through surgical interventions. In contrast, in Sentence B, the term ""astigmatism"" is used in the context of evaluating visual outcomes after SMILE surgery for myopia and myopic astigmatism correction. The meaning of the term has shifted to focus on the evaluation of visual outcomes after surgery, rather than the correction of astigmatism through surgical interventions. Therefore, the label ""Changed"" is appropriate to indicate that the meaning of the term ""astigmatism"" has significantly shifted between the two sentences." 9,Astigmatism,"Since the introduction of potentially accommodative intraocular lenses (IOLs), it was hard to perform an objective evaluation of the accommodative amplitude in pseudophakic eyes. Laser interferometric measurements were performed to evaluate anterior chamber depth changes, which provides information on the functionality of potentially accommodative IOLs. By means of wavefront analysis, the dynamic behaviour of potentially accommodative IOLs can be determined. All measurements in this study were performed using a Hartmann-Shack aberrometer at a frequency of 7 Hz. Six to 8 weeks after implantation of potentially accommodative IOLs (CrystaLens AT-45, C&C Vision, 1CU, Humanoptics), 43 eyes were investigated using this dynamic wavefront analysis. Patients focussed at a distance target for 10 s, followed by focussing at a near target for 10 s and then again at a distance target for a further 10 s. During these 30 s, a total of 200 single measurements were performed. The same measurements were also conducted in healthy eyes of young persons as well as in eyes after implantation of standard IOLs for comparative purposes. The dynamic course of changes in low-order aberrations (defocus, astigmatism) as well as high-order (e.g., fourth-order spherical aberration) were analysed. Dynamic wavefront analysis allowed objective and observer-independent measurement of changes in accommodation in phakic and pseudophakic eyes. Dynamic aberrometry is capable of objectively quantifying the effect of any surgical option for the treatment of presbyopia. We recommend use of this technology in addition to the common psychophysical examinations to attain objective information on the efficacy of the treatment modality used.","A 56-year-old man complaining of decreased visual acuity in his left eye visited the emergency room 1 hour after blunt trauma. Slitlamp examination showed no visible iris tissue. The corneal wound at 5 o'clock was sharp, and Seidel was negative. In the right eye, there was a main clear corneal incision (CCI) at 11 o'clock and an opposite CCI (OCCI) to correct corneal astigmatism at 5 o'clock in the left eye. Anterior chamber inflammation and hyphema resolved 4 weeks after the trauma. The intraocular lens and capsular bag were intact, and the corrected distance visual acuity returned to 20/25. To our knowledge, this is the first report of traumatic iris expulsion through a 3.0 mm OCCI. An OCCI may seal better than a main CCI, which is used in cataract surgery, because the OCCI is not used during the cataract procedure. However, surgeons should be aware of the risk for postoperative wound dehiscence associated with the OCCI.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Astigmatism Sentence A: Since the introduction of potentially accommodative intraocular lenses (IOLs), it was hard to perform an objective evaluation of the accommodative amplitude in pseudophakic eyes. Laser interferometric measurements were performed to evaluate anterior chamber depth changes, which provides information on the functionality of potentially accommodative IOLs. By means of wavefront analysis, the dynamic behaviour of potentially accommodative IOLs can be determined. All measurements in this study were performed using a Hartmann-Shack aberrometer at a frequency of 7 Hz. Six to 8 weeks after implantation of potentially accommodative IOLs (CrystaLens AT-45, C&C Vision, 1CU, Humanoptics), 43 eyes were investigated using this dynamic wavefront analysis. Patients focussed at a distance target for 10 s, followed by focussing at a near target for 10 s and then again at a distance target for a further 10 s. During these 30 s, a total of 200 single measurements were performed. The same measurements were also conducted in healthy eyes of young persons as well as in eyes after implantation of standard IOLs for comparative purposes. The dynamic course of changes in low-order aberrations (defocus, astigmatism) as well as high-order (e.g., fourth-order spherical aberration) were analysed. Dynamic wavefront analysis allowed objective and observer-independent measurement of changes in accommodation in phakic and pseudophakic eyes. Dynamic aberrometry is capable of objectively quantifying the effect of any surgical option for the treatment of presbyopia. We recommend use of this technology in addition to the common psychophysical examinations to attain objective information on the efficacy of the treatment modality used. Sentence B: A 56-year-old man complaining of decreased visual acuity in his left eye visited the emergency room 1 hour after blunt trauma. Slitlamp examination showed no visible iris tissue. The corneal wound at 5 o'clock was sharp, and Seidel was negative. In the right eye, there was a main clear corneal incision (CCI) at 11 o'clock and an opposite CCI (OCCI) to correct corneal astigmatism at 5 o'clock in the left eye. Anterior chamber inflammation and hyphema resolved 4 weeks after the trauma. The intraocular lens and capsular bag were intact, and the corrected distance visual acuity returned to 20/25. To our knowledge, this is the first report of traumatic iris expulsion through a 3.0 mm OCCI. An OCCI may seal better than a main CCI, which is used in cataract surgery, because the OCCI is not used during the cataract procedure. However, surgeons should be aware of the risk for postoperative wound dehiscence associated with the OCCI. ###Answer 1. Changed Reasoning: In Sentence A, the term ""astigmatism"" is used in the context of evaluating the functionality of accommodative IOLs. The sentence explains that the dynamic behaviour of these IOLs can be determined through wavefront analysis, and that changes in low-order aberrations (defocus, astigmatism) can be measured. This suggests that the term ""astigmatism"" in this sentence refers to a specific type of refractive error, likely related to the cornea or lens. In Sentence B, the term ""astigmatism"" is used in a different context, describing a traumatic injury to the cornea. The sentence mentions that the patient had a main clear corneal incision (CCI) and an opposite CCI (OCCI) to correct corneal astigmatism in the left eye. This usage of the term ""astigmatism"" implies a different meaning, referring to a corneal condition that may affect the refractive power of the eye. Based on these two sentences, it is clear that the term ""astigmatism"" has undergone a significant change in meaning between the two timestamps. In Sentence A, it refers to a specific type of refractive error, while in Sentence B, it refers to a corneal condition. Therefore, the label ""Changed"" is appropriate." 10,Astigmatism,"Following a description of the surgical technique of wound opening and closure for planned extracapsular cataract extraction (ECCE) and posterior chamber lens implantation, the results, with regard to postoperative corneal astigmatism, are analyzed and discussed. In a prospective study a total of 720 cases was divided into 2 groups; the Terry surgical keratometer was used in Group I, while in Group II no postoperative measurements were performed. The results achieved in the two groups by 3 experienced surgeons were compared. Only one surgeon achieved keratometer readings which were statistically significantly lower in the early and late postoperative periods in Group I as compared to Group II. The percentage of cases with final corneal astigmatism of 2 D or less in the early and late postoperative period was higher in Group I - in which the Terry keratometer was used - than in Group II. The numerous factors influencing final postoperative corneal astigmatism are discussed.","Descemet's stripping endothelial keratoplasty (DSEK) is a relatively new technique that is rapidly replacing full-thickness procedures for those patients needing corneal transplantation for endothelial dysfunction. Benefits of DSEK include a faster recovery, reduced astigmatism, fewer postoperative complications and retained structural integrity. This article reviews the surgical indications, technical considerations, outcomes and potential complications associated with the DSEK procedure. We also comment on our surgical experience, including the advantages and improved patient satisfaction with the DSEK procedure relative to older techniques.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Astigmatism Sentence A: Following a description of the surgical technique of wound opening and closure for planned extracapsular cataract extraction (ECCE) and posterior chamber lens implantation, the results, with regard to postoperative corneal astigmatism, are analyzed and discussed. In a prospective study a total of 720 cases was divided into 2 groups; the Terry surgical keratometer was used in Group I, while in Group II no postoperative measurements were performed. The results achieved in the two groups by 3 experienced surgeons were compared. Only one surgeon achieved keratometer readings which were statistically significantly lower in the early and late postoperative periods in Group I as compared to Group II. The percentage of cases with final corneal astigmatism of 2 D or less in the early and late postoperative period was higher in Group I - in which the Terry keratometer was used - than in Group II. The numerous factors influencing final postoperative corneal astigmatism are discussed. Sentence B: Descemet's stripping endothelial keratoplasty (DSEK) is a relatively new technique that is rapidly replacing full-thickness procedures for those patients needing corneal transplantation for endothelial dysfunction. Benefits of DSEK include a faster recovery, reduced astigmatism, fewer postoperative complications and retained structural integrity. This article reviews the surgical indications, technical considerations, outcomes and potential complications associated with the DSEK procedure. We also comment on our surgical experience, including the advantages and improved patient satisfaction with the DSEK procedure relative to older techniques. ###Answer 1. Changed Reasoning: In Sentence A, the term ""corneal astigmatism"" is used in the context of a surgical procedure, specifically ECCE and posterior chamber lens implantation. The term implies a level of precision and accuracy in measuring the astigmatism, as the surgery aims to correct the refractive error. In Sentence B, the term ""astigmatism"" is used in a different context, referring to the benefits of the DSEK procedure. The term is used to describe a faster recovery, reduced astigmatism, and improved patient satisfaction. The meaning of the term has shifted from a surgical context to a broader description of the benefits of the procedure. Therefore, semantic drift has occurred." 11,Astigmatism,"A 47-year-old woman with an uncorrected visual acuity (UCVA) of 20/70 and a refraction of -1.50 +0.75 x 75 in the right eye had 2 0.25 mm intrastromal corneal ring segments (Intacs) inserted uneventfully through a superior incision. The patient was hyperopic 2 years later with a refraction of +0.50 +0.75 x 25 and was intolerant of spectacles. She also complained of temporal glare. Twenty-seven months after insertion, the temporal ring segment was removed. Four months later, the UCVA was 20/20; with a refraction of plano +0.50 x 35, the visual acuity was 20/15. Topography showed corresponding regular astigmatism, and the patient's glare had resolved. Removal of 1 Intacs segment may be an option in cases of overcorrection after ring insertion for myopia.",To compare femtosecond LASIK with small-incision lenticule extraction (SMILE) for the treatment of myopia and myopic astigmatism.,"###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Astigmatism Sentence A: A 47-year-old woman with an uncorrected visual acuity (UCVA) of 20/70 and a refraction of -1.50 +0.75 x 75 in the right eye had 2 0.25 mm intrastromal corneal ring segments (Intacs) inserted uneventfully through a superior incision. The patient was hyperopic 2 years later with a refraction of +0.50 +0.75 x 25 and was intolerant of spectacles. She also complained of temporal glare. Twenty-seven months after insertion, the temporal ring segment was removed. Four months later, the UCVA was 20/20; with a refraction of plano +0.50 x 35, the visual acuity was 20/15. Topography showed corresponding regular astigmatism, and the patient's glare had resolved. Removal of 1 Intacs segment may be an option in cases of overcorrection after ring insertion for myopia. Sentence B: To compare femtosecond LASIK with small-incision lenticule extraction (SMILE) for the treatment of myopia and myopic astigmatism. ###Answer 1. Changed The meaning of ""astigmatism"" has shifted significantly between Sentence A and Sentence B. In Sentence A, it refers to an uncorrected refractive error causing blurred vision, particularly in the periphery. In Sentence B, it is used to compare two different surgical methods for treating myopia and myopic astigmatism. The term no longer connotes a specific visual impairment but rather a surgical procedure." 12,Astigmatism,"Confidence factor, missed scans and relation junction were confirmed as indices of the Dioptron II's validity. Consequently, a classification of the instrument's measurements was recommended. This gave three classes of finding, first, second and third, and it was subsequently verified that instrument test - retest reliability also related to class of result. Repetition of measurements which were not first-class improved instrument validity but only to a limited degree. The link between confidence factor, and astigmatism and cylinder angle discovered with the Dioptron I was corroborated with this version.","Keratoconus is a bilateral and asymmetric disease which results in progressive thinning and steeping of the cornea leading to irregular astigmatism and decreased visual acuity. Traditionally, the condition has been described as a noninflammatory disease; however, more recently it has been associated with ocular inflammation. Keratoconus normally develops in the second and third decades of life and progresses until the fourth decade. The condition affects all ethnicities and both sexes. The prevalence and incidence rates of keratoconus have been estimated to be between 0.2 and 4,790 per 100,000 persons and 1.5 and 25 cases per 100,000 persons/year, respectively, with highest rates typically occurring in 20- to 30-year-olds and Middle Eastern and Asian ethnicities. Progressive stromal thinning, rupture of the anterior limiting membrane, and subsequent ectasia of the central/paracentral cornea are the most commonly observed histopathological findings. A family history of keratoconus, eye rubbing, eczema, asthma, and allergy are risk factors for developing keratoconus. Detecting keratoconus in its earliest stages remains a challenge. Corneal topography is the primary diagnostic tool for keratoconus detection. In incipient cases, however, the use of a single parameter to diagnose keratoconus is insufficient, and in addition to corneal topography, corneal pachymetry and higher order aberration data are now commonly used. Keratoconus severity and progression may be classified based on morphological features and disease evolution, ocular signs, and index-based systems. Keratoconus treatment varies depending on disease severity and progression. Mild cases are typically treated with spectacles, moderate cases with contact lenses, while severe cases that cannot be managed with scleral contact lenses may require corneal surgery. Mild to moderate cases of progressive keratoconus may also be treated surgically, most commonly with corneal cross-linking. This article provides an updated review on the definition, epidemiology, histopathology, aetiology and pathogenesis, clinical features, detection, classification, and management and treatment strategies for keratoconus.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Astigmatism Sentence A: Confidence factor, missed scans and relation junction were confirmed as indices of the Dioptron II's validity. Consequently, a classification of the instrument's measurements was recommended. This gave three classes of finding, first, second and third, and it was subsequently verified that instrument test - retest reliability also related to class of result. Repetition of measurements which were not first-class improved instrument validity but only to a limited degree. The link between confidence factor, and astigmatism and cylinder angle discovered with the Dioptron I was corroborated with this version. Sentence B: Keratoconus is a bilateral and asymmetric disease which results in progressive thinning and steeping of the cornea leading to irregular astigmatism and decreased visual acuity. Traditionally, the condition has been described as a noninflammatory disease; however, more recently it has been associated with ocular inflammation. Keratoconus normally develops in the second and third decades of life and progresses until the fourth decade. The condition affects all ethnicities and both sexes. The prevalence and incidence rates of keratoconus have been estimated to be between 0.2 and 4,790 per 100,000 persons and 1.5 and 25 cases per 100,000 persons/year, respectively, with highest rates typically occurring in 20- to 30-year-olds and Middle Eastern and Asian ethnicities. Progressive stromal thinning, rupture of the anterior limiting membrane, and subsequent ectasia of the central/paracentral cornea are the most commonly observed histopathological findings. A family history of keratoconus, eye rubbing, eczema, asthma, and allergy are risk factors for developing keratoconus. Detecting keratoconus in its earliest stages remains a challenge. Corneal topography is the primary diagnostic tool for keratoconus detection. In incipient cases, however, the use of a single parameter to diagnose keratoconus is insufficient, and in addition to corneal topography, corneal pachymetry and higher order aberration data are now commonly used. Keratoconus severity and progression may be classified based on morphological features and disease evolution, ocular signs, and index-based systems. Keratoconus treatment varies depending on disease severity and progression. Mild cases are typically treated with spectacles, moderate cases with contact lenses, while severe cases that cannot be managed with scleral contact lenses may require corneal surgery. Mild to moderate cases of progressive keratoconus may also be treated surgically, most commonly with corneal cross-linking. This article provides an updated review on the definition, epidemiology, histopathology, aetiology and pathogenesis, clinical features, detection, classification, and management and treatment strategies for keratoconus. ###Answer 1. Changed Explanation: The meaning of the target word ""astigmatism"" has significantly shifted between the two sentences. In Sentence A, it is used to describe a classification of the instrument's measurements, and the link between confidence factor, astigmatism, and cylinder angle is corroborated. In Sentence B, it is used to describe a bilateral and asymmetric disease that results in progressive thinning and steeping of the cornea, leading to irregular astigmatism and decreased visual acuity. The word has shifted from being a term used in ophthalmology to describe an optical instrument to a term used in medicine to describe a medical condition. Therefore, the label ""Changed"" is appropriate." 13,Astigmatism,In case of a spheric cornea preoperatively the refractive effect of a clear corneal cataract incision is undesirable. We studied two actual techniques to minimize the surgically induced astigmatism.,"Implantation of phakic intraocular lenses (pIOLs) is a reversible refractive procedure, preserving the patient's accommodative function with minimal induction of higher order aberrations compared with corneal photoablative procedures. Despite this, as an intraocular procedure, it has potential risks such as cataracts, chronic uveitis, pupil ovalization, corneal endothelial cell loss, pigmentary dispersion syndrome, pupillary block glaucoma, astigmatism, or endophthalmitis. Currently, only two models of posterior chamber pIOLs are commercially available, the implantable collammer lens (STAAR Surgical Co.) and the phakic refractive lens (PRL; Zeiss Meditec). The number of published reports on the latter is very low, and some concerns still remain about its long-term safety. The present article reviews the published literature on the outcomes after PRL implantation in order to provide a general overview and evaluate its real potential as a surgical refractive option.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Astigmatism Sentence A: In case of a spheric cornea preoperatively the refractive effect of a clear corneal cataract incision is undesirable. We studied two actual techniques to minimize the surgically induced astigmatism. Sentence B: Implantation of phakic intraocular lenses (pIOLs) is a reversible refractive procedure, preserving the patient's accommodative function with minimal induction of higher order aberrations compared with corneal photoablative procedures. Despite this, as an intraocular procedure, it has potential risks such as cataracts, chronic uveitis, pupil ovalization, corneal endothelial cell loss, pigmentary dispersion syndrome, pupillary block glaucoma, astigmatism, or endophthalmitis. Currently, only two models of posterior chamber pIOLs are commercially available, the implantable collammer lens (STAAR Surgical Co.) and the phakic refractive lens (PRL; Zeiss Meditec). The number of published reports on the latter is very low, and some concerns still remain about its long-term safety. The present article reviews the published literature on the outcomes after PRL implantation in order to provide a general overview and evaluate its real potential as a surgical refractive option. ###Answer 1. Changed Explanation: In Sentence A, the term ""astigmatism"" is used in the context of minimizing the surgically induced astigmatism during cataract surgery. This implies that the term refers to a refractive error caused by an irregularly shaped cornea. However, in Sentence B, the term ""astigmatism"" is used in a different context, referring to the potential risks associated with phakic intraocular lens implantation. In this case, the term ""astigmatism"" seems to refer to a broader range of refractive errors, including those caused by changes in the shape of the cornea or lens, rather than just an irregularly shaped cornea. Therefore, it can be inferred that the meaning of the term ""astigmatism"" has shifted slightly between the two sentences, and the term now encompasses a broader range of refractive errors. This constitutes semantic drift, and the label ""Changed"" is accordingly given." 14,Astigmatism,"Twenty-two under corrected patients (25 eyes) after radial keratotomy, were reoperated according to the Stan Franks surgical technique. The results and the possible factors of predictability of this method of reoperation were evaluated. The residual myopia was less than one diopter in 88% of cases (20% before reoperation). The non corrected visual acuity was superior or equal to 20/40 in 88% of cases (32% before reoperation). The mean dioptrie gain after reoperation was 1.30 diopters. Statistical analysis showed that the refractive gain significantly increased with: the initial residual myopia, the delay between the first radial keratotomy and the reoperation, the number of incisions concerned. Age, sex, corneal thickness, initial protocol and presumed cause of undercorrection were not correlated to the refractive gain. (concerning the mean dioptrie gain). The comparison between data derived from different studies, showed no significant differences between the techniques of reoperation. Induced astigmatism with loss of best corrected visual acuity in 12% of cases was the main complication. The causes of under correction after radial keratotomy, and the effectiveness of the Stan Franks method of reoperation are discussed. The authors emphasize the interindividual corneal reaction to radial keratotomy.","Few studies have reported the differential outcomes of Small Incision Lenticule Extraction (SMILE) on myopic astigmatism. Given this, we examined the effectiveness of SMILE for up to one year, comparing with-the-rule (WTR), against-the-rule (ATR), and oblique astigmatism, conducting a retrospective review of patients who underwent correction of myopic astigmatism using the 500-kHz VisuMax femtosecond laser (Carl Zeiss Meditec) at two refractive clinics in Poland between 2016-2017. Patients were aged ≥21 with stable refractive errors between -0.5 and -10.0 diopter (D) with astigmatism up to 5D. The mean age of the 209 patients (355 eyes) available was 32 years; 58.4% were female. Of these, 247 had WTR, 62 oblique, and 46 ATR astigmatism. The mean pre-operative spherical equivalent (SE) was -5.4 ± 2.57D and the cylinder -1.7 ± 1.0D. The mean SE for WTR reduced from -5.60 ± 2.37D to -0.31 ± 0.67D at 2 months and -0.38 ± 0.70D at 12 months; the mean cylinder improved from -1.90 ± 1.10D to -0.31 ± 0.39D and -0.36 ± 0.43D, respectively. Eyes with oblique astigmatism also improved from a mean SE of -5.8 ± 3.4 D to -0.82 ± 1.50D and -0.69 ± 1.15D and a cylinder of -1.4 ± 0.73D to -0.17 ± 0.33D at 2 months and -0.1 ± 0.32D at 12. For ATR, the mean SE improved from -4.0 ± 1.8D to -0.08 ± 0.22D and -0.04 ± 0.12D; and the mean cylinder from -1.25 ± 0.53 to -0.02 ± 0.09D -0.08 ± 0.21D at 2 and 12 months, respectively. There were statistically significant improvements in SE, manifest sphere and cylinder refraction, and UDVA and CDVA scores for each cylinder type at 2 months with ATR cylinders having better outcomes. Although missing data limited interpretation at one year, differences were maintained. The magnitude of error calculations suggests that WTR was more prone to under-correction, particularly for high astigmatism (>1.5D). SMILE for myopic astigmatism reliably corrects SE, irrespective of the subtype of astigmatism.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Astigmatism Sentence A: Twenty-two under corrected patients (25 eyes) after radial keratotomy, were reoperated according to the Stan Franks surgical technique. The results and the possible factors of predictability of this method of reoperation were evaluated. The residual myopia was less than one diopter in 88% of cases (20% before reoperation). The non corrected visual acuity was superior or equal to 20/40 in 88% of cases (32% before reoperation). The mean dioptrie gain after reoperation was 1.30 diopters. Statistical analysis showed that the refractive gain significantly increased with: the initial residual myopia, the delay between the first radial keratotomy and the reoperation, the number of incisions concerned. Age, sex, corneal thickness, initial protocol and presumed cause of undercorrection were not correlated to the refractive gain. (concerning the mean dioptrie gain). The comparison between data derived from different studies, showed no significant differences between the techniques of reoperation. Induced astigmatism with loss of best corrected visual acuity in 12% of cases was the main complication. The causes of under correction after radial keratotomy, and the effectiveness of the Stan Franks method of reoperation are discussed. The authors emphasize the interindividual corneal reaction to radial keratotomy. Sentence B: Few studies have reported the differential outcomes of Small Incision Lenticule Extraction (SMILE) on myopic astigmatism. Given this, we examined the effectiveness of SMILE for up to one year, comparing with-the-rule (WTR), against-the-rule (ATR), and oblique astigmatism, conducting a retrospective review of patients who underwent correction of myopic astigmatism using the 500-kHz VisuMax femtosecond laser (Carl Zeiss Meditec) at two refractive clinics in Poland between 2016-2017. Patients were aged ≥21 with stable refractive errors between -0.5 and -10.0 diopter (D) with astigmatism up to 5D. The mean age of the 209 patients (355 eyes) available was 32 years; 58.4% were female. Of these, 247 had WTR, 62 oblique, and 46 ATR astigmatism. The mean pre-operative spherical equivalent (SE) was -5.4 ± 2.57D and the cylinder -1.7 ± 1.0D. The mean SE for WTR reduced from -5.60 ± 2.37D to -0.31 ± 0.67D at 2 months and -0.38 ± 0.70D at 12 months; the mean cylinder improved from -1.90 ± 1.10D to -0.31 ± 0.39D and -0.36 ± 0.43D, respectively. Eyes with oblique astigmatism also improved from a mean SE of -5.8 ± 3.4 D to -0.82 ± 1.50D and -0.69 ± 1.15D and a cylinder of -1.4 ± 0.73D to -0.17 ± 0.33D at 2 months and -0.1 ± 0.32D at 12. For ATR, the mean SE improved from -4.0 ± 1.8D to -0.08 ± 0.22D and -0.04 ± 0.12D; and the mean cylinder from -1.25 ± 0.53 to -0.02 ± 0.09D -0.08 ± 0.21D at 2 and 12 months, respectively. There were statistically significant improvements in SE, manifest sphere and cylinder refraction, and UDVA and CDVA scores for each cylinder type at 2 months with ATR cylinders having better outcomes. Although missing data limited interpretation at one year, differences were maintained. The magnitude of error calculations suggests that WTR was more prone to under-correction, particularly for high astigmatism (>1.5D). SMILE for myopic astigmatism reliably corrects SE, irrespective of the subtype of astigmatism. ###Answer 1. Changed Reasoning: In Sentence A, the target word ""astigmatism"" is used to describe the refractive error caused by an irregularly shaped cornea. The sentence highlights the interindividual corneal reaction to radial keratotomy, indicating that the surgical technique may have varying outcomes for different individuals. The word ""astigmatism"" is used in a more technical and specialized context, indicating a higher level of expertise or specialization in ophthalmology. In Sentence B, the target word ""astigmatism"" is used to describe the outcomes of SMILE surgery for myopic astigmatism. The sentence highlights the effectiveness of SMILE for correcting myopic astigmatism, with significant improvements in spherical equivalent refractive error and cylinder refractive error observed at 2 and 12 months post-surgery. The word ""astigmatism"" is used in a more general context, indicating a broader understanding of the condition and its treatment options. Based on these differences in context and meaning, it can be concluded that the target word ""astigmatism"" has undergone a significant change in meaning between Sentence A and Sentence B. In Sentence A, the word is used in a more technical and specialized context, while in Sentence B, it is used in a more general context, indicating a shift towards a broader understanding of the condition. Therefore, the label ""Changed"" is appropriate." 15,Astigmatism,"Spectacles have become a problem of life-style in some societies. In the USA, in 1999 approximately 1 million LASIK operations have been performed to correct myopia and astigmatism and in Europe the frequency of refractive surgery stead by increases. However, only 3 to 5% of these operations are medically indicated. Refractive surgery is evaluated regarding safety and efficacy. Modern laser techniques demonstrate excellent refractive results: photorefractive keratectomy (PRK) achieved refractive success rates of 90% and more with complication rates of 0.5% and less. PRK is, therefore, a valuable technique for corrections of myopia up to -6.0 D. Similar efficacy is obtained with LASIK (laser in situ keratomileusis) in corrections up to -10 D, however, the complication rate is somewhat higher. Laser correction of hyperopia is equally successful regarding the refractive success but shows an even higher complication rate and the patient satisfaction is lower. Modern refractive laser surgery may replace spectacles in the majority of the cases, however, none of the techniques is free of complications. Therefore, we understand refractive surgery still to be inferior to the correction of ametropia by means of spectacles and any such operation should be attempted only after thorough discussion.","The influence of corneal thickness on the precision of Goldman applanation tonometry is highly disputed. Goldmann and Schmidt assumed that the physiological variation of corneal thickness does not influence the measurement. But they indicated that an ""abnormal"" deviation of corneal thickness can lead to a false measurement. In the last 30 years many investigations have reliably demonstrated that thick corneas produce elevated applanation values and thin corneas lower values. The correction value is 1 mm Hg per 25 microm change in corneal thickness. The accuracy of intraocular pressure measurement is important for the detection and monitoring of glaucoma. Therefore it is necessary to recalculate applanation values based on corneal thickness in every patient, especially after refractive surgery. It is also necessary to keep in mind that with applanation tonometry we measure a force. From the force readings we deduce the value of the intraocular pressure. This conclusion is only correct if the theory of Goldmann applanation tonometry is right. But between force measurement and intraocular pressure there is the individual cornea with special properties like thickness, rigidity and astigmatism which can influence the correctness of the measurement. So we can understand why knowledge of corneal thickness can improve the deduction from force measurement of intraocular pressure. It is also reasonable that other individual corneal properties we do not measure or do not know so far can influence the deduction. This means that the corneal thickness is not the only variable. Pachymetry allows us to estimate the intraocular pressure with higher precision. Therefore it should be clinically used.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Astigmatism Sentence A: Spectacles have become a problem of life-style in some societies. In the USA, in 1999 approximately 1 million LASIK operations have been performed to correct myopia and astigmatism and in Europe the frequency of refractive surgery stead by increases. However, only 3 to 5% of these operations are medically indicated. Refractive surgery is evaluated regarding safety and efficacy. Modern laser techniques demonstrate excellent refractive results: photorefractive keratectomy (PRK) achieved refractive success rates of 90% and more with complication rates of 0.5% and less. PRK is, therefore, a valuable technique for corrections of myopia up to -6.0 D. Similar efficacy is obtained with LASIK (laser in situ keratomileusis) in corrections up to -10 D, however, the complication rate is somewhat higher. Laser correction of hyperopia is equally successful regarding the refractive success but shows an even higher complication rate and the patient satisfaction is lower. Modern refractive laser surgery may replace spectacles in the majority of the cases, however, none of the techniques is free of complications. Therefore, we understand refractive surgery still to be inferior to the correction of ametropia by means of spectacles and any such operation should be attempted only after thorough discussion. Sentence B: The influence of corneal thickness on the precision of Goldman applanation tonometry is highly disputed. Goldmann and Schmidt assumed that the physiological variation of corneal thickness does not influence the measurement. But they indicated that an ""abnormal"" deviation of corneal thickness can lead to a false measurement. In the last 30 years many investigations have reliably demonstrated that thick corneas produce elevated applanation values and thin corneas lower values. The correction value is 1 mm Hg per 25 microm change in corneal thickness. The accuracy of intraocular pressure measurement is important for the detection and monitoring of glaucoma. Therefore it is necessary to recalculate applanation values based on corneal thickness in every patient, especially after refractive surgery. It is also necessary to keep in mind that with applanation tonometry we measure a force. From the force readings we deduce the value of the intraocular pressure. This conclusion is only correct if the theory of Goldmann applanation tonometry is right. But between force measurement and intraocular pressure there is the individual cornea with special properties like thickness, rigidity and astigmatism which can influence the correctness of the measurement. So we can understand why knowledge of corneal thickness can improve the deduction from force measurement of intraocular pressure. It is also reasonable that other individual corneal properties we do not measure or do not know so far can influence the deduction. This means that the corneal thickness is not the only variable. Pachymetry allows us to estimate the intraocular pressure with higher precision. Therefore it should be clinically used. ###Answer 1. Changed Reasoning: In Sentence A, the term ""astigmatism"" is used to describe a problem of life-style in some societies, and it is mentioned in the context of refractive surgery. However, there is no explanation or detail provided about what astigmatism is, and it is not described as a medical condition that requires correction. In contrast, in Sentence B, astigmatism is described as a ""corneal property"" that can influence the accuracy of intraocular pressure measurement. The sentence explains that astigmatism can lead to false measurements and provides information about how knowledge of corneal thickness can improve the deduction from force measurement of intraocular pressure. This suggests that the meaning of ""astigmatism"" has shifted from a life-style problem to a medical condition that affects the accuracy of eye exams. Therefore, semantic drift has occurred in the meaning of ""astigmatism""." 16,Astigmatism,To determine the optimal incision to eliminate astigmatism after cataract extraction.,To report long-term visual and astigmatism outcomes in cases of zig-zag femtosecond laser-enabled penetrating keratoplasty (FLEK).,"###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Astigmatism Sentence A: To determine the optimal incision to eliminate astigmatism after cataract extraction. Sentence B: To report long-term visual and astigmatism outcomes in cases of zig-zag femtosecond laser-enabled penetrating keratoplasty (FLEK). ###Answer ☑ Changed The meaning of the target word ""astigmatism"" has shifted significantly between the two sentences. In Sentence A, the term is used in the context of cataract surgery to describe the ideal incision needed to correct the condition. However, in Sentence B, the term is used to describe the long-term visual and astigmatism outcomes of a different surgical procedure (FLEK). This indicates that the term ""astigmatism"" has taken on a different meaning in the second sentence, indicating semantic drift." 17,Astigmatism,"I devised a new technique using a thermal wedge resection at the time of keratoplasty to reduce excessive amounts of corneal astigmatism. Surface cautery was used to draw this thermal wedge of corneal tissue into the area to be trephined, and removed at surgery from the patient's cornea. The final result was the same as combining a surgical tissue wedge resection with keratoplasty. This new technique has resulted in reduction of the astigmatic error by as much as 8.5 diopters.","We show that the position of single molecules in all three spatial dimensions can be estimated alongside its emission color by diffractive optics based design of the Point Spread Function (PSF). The phase in a plane conjugate to the aperture stop of the objective lens is modified by a diffractive structure that splits the spot on the camera into closely spaced diffraction orders. The distance between and the size of these sub-spots are a measure of the emission color. Estimation of the axial position is enabled by imprinting aberrations such as astigmatism and defocus onto the orders. The overall spot shape is fitted with a fully vectorial PSF model. Proof-of-principle experiments on quantum dots indicate that a spectral precision of 10 to 20 nm, an axial localization precision of 25 to 50 nm, and a lateral localization precision of 10 to 30 nm can be achieved over a 1 μm range of axial positions for on average 800 signal photons and 17 background photons/pixel. The method appears to be rather sensitive to PSF model errors such as aberrations, giving in particular rise to biases in the fitted wavelength of up to 15 nm.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Astigmatism Sentence A: I devised a new technique using a thermal wedge resection at the time of keratoplasty to reduce excessive amounts of corneal astigmatism. Surface cautery was used to draw this thermal wedge of corneal tissue into the area to be trephined, and removed at surgery from the patient's cornea. The final result was the same as combining a surgical tissue wedge resection with keratoplasty. This new technique has resulted in reduction of the astigmatic error by as much as 8.5 diopters. Sentence B: We show that the position of single molecules in all three spatial dimensions can be estimated alongside its emission color by diffractive optics based design of the Point Spread Function (PSF). The phase in a plane conjugate to the aperture stop of the objective lens is modified by a diffractive structure that splits the spot on the camera into closely spaced diffraction orders. The distance between and the size of these sub-spots are a measure of the emission color. Estimation of the axial position is enabled by imprinting aberrations such as astigmatism and defocus onto the orders. The overall spot shape is fitted with a fully vectorial PSF model. Proof-of-principle experiments on quantum dots indicate that a spectral precision of 10 to 20 nm, an axial localization precision of 25 to 50 nm, and a lateral localization precision of 10 to 30 nm can be achieved over a 1 μm range of axial positions for on average 800 signal photons and 17 background photons/pixel. The method appears to be rather sensitive to PSF model errors such as aberrations, giving in particular rise to biases in the fitted wavelength of up to 15 nm. ###Answer 1. Changed (Astigmatism) Reasoning: In Sentence A, the term ""corneal astigmatism"" is used to describe a specific type of refractive error in the cornea. The context suggests that this refers to a condition where the cornea is irregularly shaped, causing blurred vision. The sentence goes on to describe a new technique for reducing this type of astigmatism through surgery. In Sentence B, the term ""astigmatism"" is used in a different context. Here, it refers to the modification of the phase of a diffractive structure in order to estimate the position of a single molecule. The term is used to describe the modification of the light diffracted by the structure, rather than a refractive error in the cornea. Based on these differences in context and meaning, it can be concluded that the term ""astigmatism"" has undergone a significant change in meaning between the two sentences. In Sentence A, it refers to a specific type of refractive error, while in Sentence B, it refers to a different type of modification in the context of diffractive optics. Therefore, the label ""Changed"" is appropriate for this term." 18,Astigmatism,This study evaluated the results after implantation of toric intraocular lenses (IOLs) to correct preexisting corneal astigmatism in patients undergoing either cataract or clear lens extraction surgery.,"Astigmatism is a common refractive error caused by the difference in refractive power of the eye along different meridians. This causes two line foci that cannot be corrected by changing viewing distance or accommodation. Although human studies have ascribed astigmatism to multiple factors, its cause remains unclear. Studies in chicks and monkeys suggest that imposed astigmatic error may alter emmetropization, but McLean and Wallman (2003) showed that the early compensatory response to spherical defocus was not affected by concurrent high astigmatism in chicks. This review will focus on possible mechanisms leading to astigmatism and the influence of astigmatism on emmetropization in animal studies. ","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Astigmatism Sentence A: This study evaluated the results after implantation of toric intraocular lenses (IOLs) to correct preexisting corneal astigmatism in patients undergoing either cataract or clear lens extraction surgery. Sentence B: Astigmatism is a common refractive error caused by the difference in refractive power of the eye along different meridians. This causes two line foci that cannot be corrected by changing viewing distance or accommodation. Although human studies have ascribed astigmatism to multiple factors, its cause remains unclear. Studies in chicks and monkeys suggest that imposed astigmatic error may alter emmetropization, but McLean and Wallman (2003) showed that the early compensatory response to spherical defocus was not affected by concurrent high astigmatism in chicks. This review will focus on possible mechanisms leading to astigmatism and the influence of astigmatism on emmetropization in animal studies. ###Answer 1. Changed Reasoning: In Sentence A, the target word ""astigmatism"" is used in the context of correcting a preexisting condition in patients undergoing surgery. The meaning is related to the refractive error caused by uneven cornea curvature. In Sentence B, the target word ""astigmatism"" is used in a different context, referring to a common refractive error caused by differences in refractive power of the eye along different meridians. The meaning is related to the visual impairment caused by the refractive error. Therefore, there has been a significant change in the meaning of the target word ""astigmatism"" between the two sentences, indicating semantic drift has occurred." 19,Astigmatism,"We compared retrospectively the distribution of refractive errors in a sample of adolescent and adult albinos (n = 19) with that in persons with idiopathic congenital nystagmus (CN) (n = 46), whose eye movements are similar to those of albinos but whose visual acuity is better. The distribution of spherical-equivalent refractive errors is more broadly distributed and slightly less myopic in albinos than in persons with idiopathic CN. On average, albinos also have more astigmatism (primarily with-the-rule), than persons with idiopathic CN. Unlike the leptokurtic distribution of refractive error that characterizes the normal adolescent and adult population, the distributions of refractive error for albinos and for persons with idiopathic CN exhibit no significant kurtosis. Moreover, neither group of subjects exhibits significant kurtosis for refractive errors in the vertical meridian, which corresponds to the retinal-image orientation with the least motion smear during horizontal nystagmus. The absence of significant leptokurtosis in the refractive-error distributions of young-adult albinos and persons with idiopathic CN suggests that the presence of nystagmus may interfere with normal refractive development.","The aim of this study was to develop a predictive model based on preoperative variables for estimating postoperative intraocular pressure (IOP) of those eyes undergoing LASIK surgery, to predict the amount of underestimated IOP after LASIK for myopia and myopic astigmatism.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Astigmatism Sentence A: We compared retrospectively the distribution of refractive errors in a sample of adolescent and adult albinos (n = 19) with that in persons with idiopathic congenital nystagmus (CN) (n = 46), whose eye movements are similar to those of albinos but whose visual acuity is better. The distribution of spherical-equivalent refractive errors is more broadly distributed and slightly less myopic in albinos than in persons with idiopathic CN. On average, albinos also have more astigmatism (primarily with-the-rule), than persons with idiopathic CN. Unlike the leptokurtic distribution of refractive error that characterizes the normal adolescent and adult population, the distributions of refractive error for albinos and for persons with idiopathic CN exhibit no significant kurtosis. Moreover, neither group of subjects exhibits significant kurtosis for refractive errors in the vertical meridian, which corresponds to the retinal-image orientation with the least motion smear during horizontal nystagmus. The absence of significant leptokurtosis in the refractive-error distributions of young-adult albinos and persons with idiopathic CN suggests that the presence of nystagmus may interfere with normal refractive development. Sentence B: The aim of this study was to develop a predictive model based on preoperative variables for estimating postoperative intraocular pressure (IOP) of those eyes undergoing LASIK surgery, to predict the amount of underestimated IOP after LASIK for myopia and myopic astigmatism. ###Answer 1. Changed (Astigmatism in Sentence A has a different meaning than in Sentence B) Explanation: In Sentence A, astigmatism is described as a refractive error that is more broadly distributed and less myopic in albinos compared to persons with idiopathic congenital nystagmus. This suggests that the term ""astigmatism"" in this context refers to a specific type of refractive error that is present in individuals with albinism. In Sentence B, astigmatism is used in a different context, as a predictive variable for estimating postoperative intraocular pressure after LASIK surgery. In this context, the term ""astigmatism"" likely refers to a different type of refractive error, or possibly a different aspect of the same refractive error. Therefore, the meaning of the term ""astigmatism"" has changed significantly between Sentence A and Sentence B, and the label ""Changed"" is appropriate." 20,Astigmatism,"The problem of astigmatism, occurring both congenitally and in conjunction with cataract and refractive surgery, is a common and significant one. A review of patients in this study shows 18% greater than 2 diopters and 6% greater than 3 diopters of astigmatism measured by keratometry. Many methods for correcting this astigmatism have developed, including long peripheral incisions, both straight and curved, the many varieties of the Ruiz procedure, and short paired relaxing incisions. I have reviewed my results for short paired incisions following cataract surgery, congenital astigmatism, and radial keratotomy at 6 months following surgery. The average change in astigmatism was 2.69 +/- 0.78 (manifest)/2.35 +/- 1.09 (keratometry) for the 5-mm optic zone following cataract surgery. Paired relaxing incisions following radial keratotomy showed a change in astigmatism of 0.92 +/- 0.19 (manifest)/1.29 +/- 1.29 (keratometry) diopters for the 6-mm optic zone and 2.12 +/- 0.34 (manifest)/2.25 +/- 0.49 (keratometry) diopters for the 5.5-mm optic zone. No significant complications and no large overcorrections were encountered.",To investigate the evolution of postoperative astigmatism after cataract extraction and lens implantation in children through a 6.5 mm limbal incision.,"###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Astigmatism Sentence A: The problem of astigmatism, occurring both congenitally and in conjunction with cataract and refractive surgery, is a common and significant one. A review of patients in this study shows 18% greater than 2 diopters and 6% greater than 3 diopters of astigmatism measured by keratometry. Many methods for correcting this astigmatism have developed, including long peripheral incisions, both straight and curved, the many varieties of the Ruiz procedure, and short paired relaxing incisions. I have reviewed my results for short paired incisions following cataract surgery, congenital astigmatism, and radial keratotomy at 6 months following surgery. The average change in astigmatism was 2.69 +/- 0.78 (manifest)/2.35 +/- 1.09 (keratometry) for the 5-mm optic zone following cataract surgery. Paired relaxing incisions following radial keratotomy showed a change in astigmatism of 0.92 +/- 0.19 (manifest)/1.29 +/- 1.29 (keratometry) diopters for the 6-mm optic zone and 2.12 +/- 0.34 (manifest)/2.25 +/- 0.49 (keratometry) diopters for the 5.5-mm optic zone. No significant complications and no large overcorrections were encountered. Sentence B: To investigate the evolution of postoperative astigmatism after cataract extraction and lens implantation in children through a 6.5 mm limbal incision. ###Answer 1. Changed Reasoning: In Sentence A, the term ""astigmatism"" is used to describe a specific type of refractive error, with a clear definition of the magnitude of the error (e.g., ""18% greater than 2 diopters"" and ""6% greater than 3 diopters""). The context suggests that the term is used to describe a well-defined and measurable condition. In Sentence B, the term ""astigmatism"" is used in a different context, with a different meaning. The sentence describes a surgical procedure for correcting astigmatism in children, without providing any specific definition or magnitude of the error. The context suggests that the term is used to describe a more general condition, possibly with a different meaning or connotation than in Sentence A. Therefore, semantic drift has occurred in the meaning of the term ""astigmatism"" between Sentence A and Sentence B." 21,Astigmatism,"We utilized ten eye bank eyes to evaluate and quantitate the immediate corneal topographic shifts that occur after each stage of a modified Ruiz procedure for astigmatism. Computer digitization of photokeratoscope (Corneascope) photographs revealed that the initial two central paired tangential incisions induced an average of 5.10 diopters (D) of central astigmatism by flattening the meridian perpendicular to the incisions and by steepening the meridian 90 degrees away. Additional tangential incisions did not significantly alter the topography after placement of the first two central incisions. Addition of corridor incisions produced an additional 5.25 D of induced astigmatism by further extensive flattening of the incised meridian. The completed procedure produced an average of 11.03 D of astigmatic shift, but with a wide range of effect (7.15 to 12.96 D). With modification, the Ruiz procedure is a powerful keratorefractive surgical technique.",To compare 5-year outcomes of toric intraocular lens (tIOL) or peripheral corneal relaxing incision (PCRI) for correction of keratometric astigmatism (K,"###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Astigmatism Sentence A: We utilized ten eye bank eyes to evaluate and quantitate the immediate corneal topographic shifts that occur after each stage of a modified Ruiz procedure for astigmatism. Computer digitization of photokeratoscope (Corneascope) photographs revealed that the initial two central paired tangential incisions induced an average of 5.10 diopters (D) of central astigmatism by flattening the meridian perpendicular to the incisions and by steepening the meridian 90 degrees away. Additional tangential incisions did not significantly alter the topography after placement of the first two central incisions. Addition of corridor incisions produced an additional 5.25 D of induced astigmatism by further extensive flattening of the incised meridian. The completed procedure produced an average of 11.03 D of astigmatic shift, but with a wide range of effect (7.15 to 12.96 D). With modification, the Ruiz procedure is a powerful keratorefractive surgical technique. Sentence B: To compare 5-year outcomes of toric intraocular lens (tIOL) or peripheral corneal relaxing incision (PCRI) for correction of keratometric astigmatism (K ###Answer 1. Changed Reasoning: In Sentence A, the term ""astigmatism"" refers to the corneal topographic shifts caused by the surgical procedure. In this context, ""astigmatism"" means the flattening or steepening of the cornea in a specific meridian, which is measured in diopters (D). The term is used to describe the effect of the surgery on the cornea, and it does not have any connotations of visual impairment or disability. In Sentence B, the term ""astigmatism"" refers to keratometric astigmatism, which is a refractive error caused by an irregularly shaped cornea. In this context, ""astigmatism"" means a vision problem that can be corrected with toric intraocular lenses or peripheral corneal relaxing incisions. The term is used to describe a specific type of visual impairment, and it does not have any connotations of the corneal topographic shifts described in Sentence A. Based on these differences in context and meaning, it is clear that the term ""astigmatism"" has undergone a significant change in meaning between Sentence A and Sentence B. In Sentence A, the term refers to a specific type of corneal topographic shift, while in Sentence B, it refers to a specific type of vision problem. Therefore, I would label Sentence B as having semantic drift." 22,Astigmatism,Twenty (20) patients with post-penetrating keratoplasty (PKP) (21 eyes) and excessive corneal astigmatism were studied using corneal topography to determine placement of arcuate incisions and compression sutures for astigmatism reduction.,"We present a novel approach for three-dimensional localization of single molecules using adaptive optics. A 52-actuator deformable mirror is used to both correct aberrations and induce two-dimensional astigmatism in the point-spread-function. The dependence of the z-localization precision on the degree of astigmatism is discussed. We achieve a z-localization precision of 40 nm for fluorescent proteins and 20 nm for fluorescent dyes, over an axial depth of ~800 nm. We illustrate the capabilities of our approach for three-dimensional high-resolution microscopy with super-resolution images of actin filaments in fixed cells and single-molecule tracking of quantum-dot labeled transmembrane proteins in live HeLa cells.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Astigmatism Sentence A: Twenty (20) patients with post-penetrating keratoplasty (PKP) (21 eyes) and excessive corneal astigmatism were studied using corneal topography to determine placement of arcuate incisions and compression sutures for astigmatism reduction. Sentence B: We present a novel approach for three-dimensional localization of single molecules using adaptive optics. A 52-actuator deformable mirror is used to both correct aberrations and induce two-dimensional astigmatism in the point-spread-function. The dependence of the z-localization precision on the degree of astigmatism is discussed. We achieve a z-localization precision of 40 nm for fluorescent proteins and 20 nm for fluorescent dyes, over an axial depth of ~800 nm. We illustrate the capabilities of our approach for three-dimensional high-resolution microscopy with super-resolution images of actin filaments in fixed cells and single-molecule tracking of quantum-dot labeled transmembrane proteins in live HeLa cells. ###Answer 1. Changed Reasoning: In Sentence A, astigmatism is used in the context of corneal topography and eye surgery. The term refers to the abnormal curvature of the cornea, which can cause blurred vision. In this context, the term ""astigmatism"" has a negative connotation, as it is associated with a visual impairment. In Sentence B, astigmatism is used in the context of adaptive optics and microscopy. The term refers to the manipulation of light to correct aberrations and induce two-dimensional astigmatism in the point-spread-function. In this context, the term ""astigmatism"" has a positive connotation, as it is associated with improved image quality. Therefore, the meaning of the term ""astigmatism"" has shifted from a negative to a positive connotation between the two sentences. This constitutes semantic drift, and the label ""Changed"" is accordingly assigned." 23,Astigmatism,"In laser anemometer systems, the flow fields under study are typically enclosed by a window. Aberration of a flat window can be corrected by a shift of the object distance. A zooming correction lens eliminates the astigmatism caused by a thick cylindrical window and yields diffraction-limited performance for a monochromatic laser anemometer system. The effects of residual anamorphic distortion are discussed, and procedures for correcting these effects are presented.","Primary congenital glaucoma (isolated goniodysgenesis) has classic phenotypic features such as increased measured intraocular pressure, globe enlargement (buphthalmos) with associated myopia, Descemet membrane tears, corneal haze/scarring with associated astigmatism, iris atrophy, and optic nerve cupping. These signs also occur in developmental glaucoma (anterior segment dysgeneses) with infantile onset. However, similar findings can occur in other pediatric conditions which are sometimes are mistaken as early childhood glaucoma.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Astigmatism Sentence A: In laser anemometer systems, the flow fields under study are typically enclosed by a window. Aberration of a flat window can be corrected by a shift of the object distance. A zooming correction lens eliminates the astigmatism caused by a thick cylindrical window and yields diffraction-limited performance for a monochromatic laser anemometer system. The effects of residual anamorphic distortion are discussed, and procedures for correcting these effects are presented. Sentence B: Primary congenital glaucoma (isolated goniodysgenesis) has classic phenotypic features such as increased measured intraocular pressure, globe enlargement (buphthalmos) with associated myopia, Descemet membrane tears, corneal haze/scarring with associated astigmatism, iris atrophy, and optic nerve cupping. These signs also occur in developmental glaucoma (anterior segment dysgeneses) with infantile onset. However, similar findings can occur in other pediatric conditions which are sometimes are mistaken as early childhood glaucoma. ###Answer 1. Changed The meaning of ""astigmatism"" has shifted significantly between the two sentences. In Sentence A, it refers to a specific type of optical distortion caused by a flat window, while in Sentence B, it is used to describe a refractive error caused by the shape of the cornea, which can occur in various eye conditions, including primary congenital glaucoma and developmental glaucoma. The term no longer has the same specific context as it did in 2000." 24,Astigmatism,"The aberrations of axisymmetric imaging systems can be calculated to third order by use of the Seidel formula. The Coddington equations give aberrations that have quadratic dependence on the pupil, for all field points. The pupil astigmatism conditions were recently developed to predict and control aberrations that have quadratic field dependence and arbitrary pupil dependence. We investigate the relationship between the exact pupil astigmatism conditions and the classical Seidel treatment of pupil aberration.","Cataract is one of the common eye diseases. At present, Phacoemulsification combined with traditional intraocular lens (IOL) implantation can achieve satisfactory rejuvenation effects. However, the correction of corneal astigmatism is limited, while Toric IOL implantation can provide good astigmatism correction treatment.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Astigmatism Sentence A: The aberrations of axisymmetric imaging systems can be calculated to third order by use of the Seidel formula. The Coddington equations give aberrations that have quadratic dependence on the pupil, for all field points. The pupil astigmatism conditions were recently developed to predict and control aberrations that have quadratic field dependence and arbitrary pupil dependence. We investigate the relationship between the exact pupil astigmatism conditions and the classical Seidel treatment of pupil aberration. Sentence B: Cataract is one of the common eye diseases. At present, Phacoemulsification combined with traditional intraocular lens (IOL) implantation can achieve satisfactory rejuvenation effects. However, the correction of corneal astigmatism is limited, while Toric IOL implantation can provide good astigmatism correction treatment. ###Answer 1. Changed The meaning of the target word ""astigmatism"" has significantly shifted between Sentence A and Sentence B. In Sentence A, the term refers to aberrations in axisymmetric imaging systems, specifically the Seidel formula and Coddington equations used to calculate those aberrations. In Sentence B, the term refers to a common eye disease, specifically cataract, and the limited correction of corneal astigmatism through Phacoemulsification and traditional IOL implantation. The word's connotation has shifted from a technical term in a specific field to a medical condition with a broader scope." 25,Astigmatism,"Photorefractive keratectomy using the Summit Excimer Laser has been carried out on 1333 eyes with myopia or myopic astigmatism which have been followed up for six months or longer. Of those, 607 have been followed up for one year. Of the eyes with myopia or myopic astigmatism of up to 3 dioptres spherical equivalent, at one year 85.6% had unaided vision of 6/6, 97.2% 6/9 or better, and 99.4% 6/12 or better. Of the eyes between -3.25 and -6.00 dioptres spherical equivalent at one year 72.1% achieved 6/6 vision unaided, 88.8% 6/9 or better, and 94.2% 6/12 or better. Of the eyes between -6.25 and -10.00 dioptres, at one year 49.6% achieved 6/6 vision unaided, 76.1% 6/9 or better and 88.0% 6/12 or better. To achieve these figures, 28% of the patients had astigmatic keratotomy, either two or three weeks before photorefractive keratectomy, or at the same time as photorefractive keratectomy. Photorefractive keratectomy is as predictable as radial keratotomy in eyes of under 6 dioptres myopia, but is more predictable than radial keratotomy in higher myopia. Photorefractive keratectomy has the advantages of leaving an eye which is structurally sound, and without diurnal variation of focusing.","A hospital based cross sectional study was carried out to determine the pattern of refractive errors among patients attending the out patient department, Department of Ophthalmology, Nepal Medical College Teaching Hospital. A total of 1100 patients were evaluated, (male 43.67%; female 56.33%). Simple myopic astigmatism was the most prevalent type of refractive error accounting for 27.18% followed by simple myopia (21.66%) and compound myopic astigmatism (19.48%). Simple hypermetropia (15.03%) and mixed astigmatism (4.3%) were also noted. Simple myopia was prevalent among the younger age group in the first to third decades, whereas hypermetropia was seen in the older patients in the third to fifth decades.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Astigmatism Sentence A: Photorefractive keratectomy using the Summit Excimer Laser has been carried out on 1333 eyes with myopia or myopic astigmatism which have been followed up for six months or longer. Of those, 607 have been followed up for one year. Of the eyes with myopia or myopic astigmatism of up to 3 dioptres spherical equivalent, at one year 85.6% had unaided vision of 6/6, 97.2% 6/9 or better, and 99.4% 6/12 or better. Of the eyes between -3.25 and -6.00 dioptres spherical equivalent at one year 72.1% achieved 6/6 vision unaided, 88.8% 6/9 or better, and 94.2% 6/12 or better. Of the eyes between -6.25 and -10.00 dioptres, at one year 49.6% achieved 6/6 vision unaided, 76.1% 6/9 or better and 88.0% 6/12 or better. To achieve these figures, 28% of the patients had astigmatic keratotomy, either two or three weeks before photorefractive keratectomy, or at the same time as photorefractive keratectomy. Photorefractive keratectomy is as predictable as radial keratotomy in eyes of under 6 dioptres myopia, but is more predictable than radial keratotomy in higher myopia. Photorefractive keratectomy has the advantages of leaving an eye which is structurally sound, and without diurnal variation of focusing. Sentence B: A hospital based cross sectional study was carried out to determine the pattern of refractive errors among patients attending the out patient department, Department of Ophthalmology, Nepal Medical College Teaching Hospital. A total of 1100 patients were evaluated, (male 43.67%; female 56.33%). Simple myopic astigmatism was the most prevalent type of refractive error accounting for 27.18% followed by simple myopia (21.66%) and compound myopic astigmatism (19.48%). Simple hypermetropia (15.03%) and mixed astigmatism (4.3%) were also noted. Simple myopia was prevalent among the younger age group in the first to third decades, whereas hypermetropia was seen in the older patients in the third to fifth decades. ###Answer 1. Changed Explanation: In Sentence A, the term ""astigmatism"" is used to describe a specific type of refractive error, where the cornea is irregularly shaped, resulting in blurred vision. The context suggests that this type of astigmatism is typically mild to moderate, and can be treated with photorefractive keratectomy. In Sentence B, the term ""astigmatism"" is used in a different context. It is no longer referring to a specific type of refractive error, but rather a broader term to describe any type of refractive error. The context suggests that the prevalence of astigmatism is higher among older patients, and can include both simple and compound astigmatism, as well as other types of refractive errors. Based on these differences in context and meaning, it can be determined that the term ""astigmatism"" has undergone a significant change in meaning between Sentence A and Sentence B. Therefore, the label ""Changed"" is appropriate." 26,Astigmatism,"To understand the prevalence and distribution of astigmatism in schoolchildren in Taiwan, we analyzed and compared the nationwide survey data in 1995 and 2000.","To study the refractive and visual outcomes, including surgically induced astigmatism, of laser in situ keratomileusis (LASIK) after flap buttonholes and incomplete flaps.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Astigmatism Sentence A: To understand the prevalence and distribution of astigmatism in schoolchildren in Taiwan, we analyzed and compared the nationwide survey data in 1995 and 2000. Sentence B: To study the refractive and visual outcomes, including surgically induced astigmatism, of laser in situ keratomileusis (LASIK) after flap buttonholes and incomplete flaps. ###Answer 1. Changed Explanation: In Sentence A, the target word ""astigmatism"" refers to a condition affecting schoolchildren in Taiwan, specifically the prevalence and distribution of the condition in 1995 and 2000. The word is used in a medical context to describe a refractive error caused by an irregularly shaped cornea. In Sentence B, the target word ""astigmatism"" has a different meaning. It refers to the refractive and visual outcomes of LASIK surgery, including the degree of astigmatism induced by the procedure. The word is used in a medical context to describe the effects of the surgery on the patient's vision. Based on these two sentences, it is clear that the target word ""astigmatism"" has undergone a significant change in meaning between the two timestamps. In Sentence A, the word refers to a medical condition affecting children, while in Sentence B, it refers to a surgical procedure with visual outcomes. Therefore, the label ""Changed"" is appropriate." 27,Astigmatism,"Snellen acuity, reading line, and keratometry were measured in a cohort of 60 patients at 2 or more years after penetrating keratoplasty was performed. Patients were asked to complete a questionnaire to elicit information on their perceptions of visual function and the success of the procedure. Using preferred correction, a Snellen acuity of 6/18 or better was achieved by 65%, and a reading line of N8 or better was achieved by 57% of index grafts. Thirty-eight percent had more than 5 diopters (D) of astigmatism in the graft. Approximately 75% of patients reported satisfaction with their graft (satisfaction being associated with better acuity in the grafted eye than the other eye), graft clarity, and a perceived improvement in lifestyle. Dissatisfaction appeared to be associated with graft failure and problems with contact lens wear. The findings have implications for patient selection for corneal transplantation and for the measurement of outcome.","In the last decades, toric posterior chamber lenses (TPCLs) for cataract surgery and phakic toric lenses (PTLs) for refractive surgery have become more and more popular for correcting high or excessive corneal astigmatism. The purpose of this article is to present a vergence-based calculation scheme for TPCLs and PTLs.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Astigmatism Sentence A: Snellen acuity, reading line, and keratometry were measured in a cohort of 60 patients at 2 or more years after penetrating keratoplasty was performed. Patients were asked to complete a questionnaire to elicit information on their perceptions of visual function and the success of the procedure. Using preferred correction, a Snellen acuity of 6/18 or better was achieved by 65%, and a reading line of N8 or better was achieved by 57% of index grafts. Thirty-eight percent had more than 5 diopters (D) of astigmatism in the graft. Approximately 75% of patients reported satisfaction with their graft (satisfaction being associated with better acuity in the grafted eye than the other eye), graft clarity, and a perceived improvement in lifestyle. Dissatisfaction appeared to be associated with graft failure and problems with contact lens wear. The findings have implications for patient selection for corneal transplantation and for the measurement of outcome. Sentence B: In the last decades, toric posterior chamber lenses (TPCLs) for cataract surgery and phakic toric lenses (PTLs) for refractive surgery have become more and more popular for correcting high or excessive corneal astigmatism. The purpose of this article is to present a vergence-based calculation scheme for TPCLs and PTLs. ###Answer 1. Changed (Astigmatism) In Sentence A, the term ""astigmatism"" is used to describe the amount of residual refractive error after penetrating keratoplasty. In this context, ""astigmatism"" refers to the degree of irregularity in the cornea's curvature, which can affect vision. However, in Sentence B, the term ""astigmatism"" is used in a different context, referring to the amount of refractive error caused by the cornea's uneven curvature, particularly in the case of toric lenses used for cataract or refractive surgery. This shift in meaning indicates semantic drift, as the term ""astigmatism"" has taken on a different connotation over time." 28,Astigmatism,"Trabeculectomy is increasingly being performed earlier in the treatment of primary open-angle glaucoma (POAG). Surgically-induced alterations in corneal curvature resulting from filtering surgery may have a significant impact on patients, especially younger ones, whose vision may already be compromised by visual-field loss. Using data obtained by computer-assisted topographic analysis performed preoperatively and at 12 weeks postoperatively, we longitudinally studied the corneal surface changes induced by primary trabeculectomy in eight eyes undergoing surgery for POAG or normal-tension glaucoma. Additional data collected included refraction, keratometry, axial length, intraocular pressure, and pachometry. Five of eight eyes developed 1.50 to 2.50 diopters of steepening in the 90-degree meridian. One patient developed flattening in the 180-degree meridian without vertical steepening. Two patients had little change in the central optical zone. Of the six eyes with induced with-the-rule astigmatism, keratometry was less sensitive than topographic analysis in detecting the changes induced by trabeculectomy. Our data indicate that changes in corneal curvature are induced by filtering surgery, but may be undetectable without topographic analysis.",To compare the refractive and visual outcomes using the Schwind Amaris excimer laser in patients with high astigmatism (>1D) with and without the static cyclotorsion compensation (SCC) algorithm available with this new laser platform.,"###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Astigmatism Sentence A: Trabeculectomy is increasingly being performed earlier in the treatment of primary open-angle glaucoma (POAG). Surgically-induced alterations in corneal curvature resulting from filtering surgery may have a significant impact on patients, especially younger ones, whose vision may already be compromised by visual-field loss. Using data obtained by computer-assisted topographic analysis performed preoperatively and at 12 weeks postoperatively, we longitudinally studied the corneal surface changes induced by primary trabeculectomy in eight eyes undergoing surgery for POAG or normal-tension glaucoma. Additional data collected included refraction, keratometry, axial length, intraocular pressure, and pachometry. Five of eight eyes developed 1.50 to 2.50 diopters of steepening in the 90-degree meridian. One patient developed flattening in the 180-degree meridian without vertical steepening. Two patients had little change in the central optical zone. Of the six eyes with induced with-the-rule astigmatism, keratometry was less sensitive than topographic analysis in detecting the changes induced by trabeculectomy. Our data indicate that changes in corneal curvature are induced by filtering surgery, but may be undetectable without topographic analysis. Sentence B: To compare the refractive and visual outcomes using the Schwind Amaris excimer laser in patients with high astigmatism (>1D) with and without the static cyclotorsion compensation (SCC) algorithm available with this new laser platform. ###Answer 1. Changed Reasoning: In Sentence A, the term ""astigmatism"" is used to describe a specific type of corneal curvature. In Sentence B, the term ""astigmatism"" is used to describe a level of refractive error, with no connotation of corneal curvature. The meaning of the term has shifted from a corneal characteristic to a refractive error, indicating semantic drift." 29,Astigmatism,"In a strict sense epibulbar dermoids are defined as congenital changes of mesodermal and ectodermal origin. Usually they are located at the limbus of the cornea in the inferotemporal quadrant, they can only rarely be observed in more central regions of the cornea. Intraocular structures are rarely involved. Connections to Goldenhar's oculo-auriculo-syndrome exist. Because of cosmetic reasons or a considerable astigmatism holding the danger of amblyopia a resection might be necessary.",To describe ocular biometric parameters and the prevalence of corneal astigmatism as well as age and gender correlations in a population of cataract surgery candidates and to estimate the number of eyes that would be candidates for a toric intraocular lens (IOL).,"###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Astigmatism Sentence A: In a strict sense epibulbar dermoids are defined as congenital changes of mesodermal and ectodermal origin. Usually they are located at the limbus of the cornea in the inferotemporal quadrant, they can only rarely be observed in more central regions of the cornea. Intraocular structures are rarely involved. Connections to Goldenhar's oculo-auriculo-syndrome exist. Because of cosmetic reasons or a considerable astigmatism holding the danger of amblyopia a resection might be necessary. Sentence B: To describe ocular biometric parameters and the prevalence of corneal astigmatism as well as age and gender correlations in a population of cataract surgery candidates and to estimate the number of eyes that would be candidates for a toric intraocular lens (IOL). ###Answer 1. Changed Reasoning: In Sentence A, the term ""astigmatism"" is used in the context of a congenital condition located in the cornea, with a description of its effects on vision and the possibility of surgical intervention. The term carries a sense of rarity and potential danger, as well as a connection to Goldenhar's syndrome. In Sentence B, the term ""astigmatism"" is used in the context of a biometric parameter in a population of cataract surgery candidates, with a description of its prevalence and correlation with age and gender. The term carries a sense of medical significance and a connection to the use of toric IOLs. Compared to Sentence A, the meaning of ""astigmatism"" in Sentence B has shifted towards a more medical and technical context, with a greater emphasis on its use in ophthalmology and the estimation of its prevalence in a population. This shift in meaning indicates semantic drift." 30,Astigmatism,The latest development in the erodible mask technology is an excimer laser containing the mask in the laser optical pathway. This paper reports the results of the first human series of consecutive treatments performed for the correction of compound myopic astigmatism.,"Marfan syndrome (MFS) is associated with abnormalities of corneal biometric characteristics. We conducted a retrospective case-control study including 55 eyes of the MFS patients with lens subluxation and 53 normal eyes of the control subjects to evaluate the corneal curvature, astigmatism and aberrations using a rotating Scheimpflug camera (Pentacam HR). Compared with the control group, the anterior, posterior, and total corneal curvature were flatter in the MFS group. The anterior and total corneal astigmatism were higher in the MFS patients, whereas the posterior corneal astigmatism was not significantly different between the two groups. Regarding the total corneal aberrations, the root mean square (RMS) aberrations, RMS higher-order aberrations and RMS lower-order aberrations increased, whereas the spherical aberration decreased in the MFS patients. Corneal parameters had potential diagnostic values for MFS patients with lens subluxation and the more reasonable cutoffs were the values of corneal curvature <41.35 D, corneal astigmatism >0.85 D and spherical aberration <0.188 μm. Corneal biometric characteristics of MFS patients with lens subluxation include decreased corneal curvature, higher corneal astigmatism, larger corneal aberrations, and lower spherical aberration. Corneal curvature, corneal astigmatism, and spherical aberration are better diagnostic tools for suspicious MFS.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Astigmatism Sentence A: The latest development in the erodible mask technology is an excimer laser containing the mask in the laser optical pathway. This paper reports the results of the first human series of consecutive treatments performed for the correction of compound myopic astigmatism. Sentence B: Marfan syndrome (MFS) is associated with abnormalities of corneal biometric characteristics. We conducted a retrospective case-control study including 55 eyes of the MFS patients with lens subluxation and 53 normal eyes of the control subjects to evaluate the corneal curvature, astigmatism and aberrations using a rotating Scheimpflug camera (Pentacam HR). Compared with the control group, the anterior, posterior, and total corneal curvature were flatter in the MFS group. The anterior and total corneal astigmatism were higher in the MFS patients, whereas the posterior corneal astigmatism was not significantly different between the two groups. Regarding the total corneal aberrations, the root mean square (RMS) aberrations, RMS higher-order aberrations and RMS lower-order aberrations increased, whereas the spherical aberration decreased in the MFS patients. Corneal parameters had potential diagnostic values for MFS patients with lens subluxation and the more reasonable cutoffs were the values of corneal curvature <41.35 D, corneal astigmatism >0.85 D and spherical aberration <0.188 μm. Corneal biometric characteristics of MFS patients with lens subluxation include decreased corneal curvature, higher corneal astigmatism, larger corneal aberrations, and lower spherical aberration. Corneal curvature, corneal astigmatism, and spherical aberration are better diagnostic tools for suspicious MFS. ###Answer 1. Changed Reasoning: In Sentence B, the term ""astigmatism"" has taken on a different meaning than in Sentence A. In Sentence A, astigmatism is used to describe a specific type of eye condition, while in Sentence B, it is used to describe a characteristic of the cornea, specifically the degree of corneal astigmatism. This change in meaning suggests that the term ""astigmatism"" has undergone semantic drift." 31,Astigmatism,The influence of 3 different lid positions on the astigmatism of 50 young healthy eyes was investigated with an autorefractor. The results showed that a significant amount of astigmatism may be induced when the palpebral aperture is voluntarily narrowed.,"Keratoconus is an idiopathic, non-inflammatory and degenerative corneal disease characterised by a loss of the organisation in the corneal collagen fibrils. As a result, keratoconic corneas present a localised thinning and conical protrusion with irregular astigmatism and high myopia that worsen visual acuity. Intracorneal ring segments (ICRSs) are used in clinic to regularise the corneal surface and to prevent the disease from progressing. Unfortunately, the post-surgical effect of the ICRS is not explicitly accounted beforehand. Traditional treatments rely on population-based nomograms and the experience of the surgeon. In this vein, in silico models could be a clinical aid tool for clinicians to plan the intervention, or to test the post-surgical impact of different clinical scenarios. A semi-automatic computational methodology is presented in order to simulate the ICRS surgical operation and to predict the post-surgical optical outcomes. For the sake of simplicity, circular cross section rings, average corneas and an isotropic hyperelastic material are used. To determine whether the model behaves physiologically and to carry out a sensitivity analysis, a [Formula: see text] full-factorial analysis is carried out. In particular, how the stromal depth insertion, horizontal distance of ring insertion (hDRI) and diameter of the ring's cross section ([Formula: see text]) are impacting in the spherical and cylindrical power of the cornea is analysed. Afterwards, the kinematics, mechanics and optics of keratoconic corneas after the ICRS insertion are analysed. Based on the parametric study, we can conclude that our model follows clinical trends previously reported. In particular and although there is an improvement in defocus, all corneas presented a change in their optical aberrations. The stromal depth insertion is the parameter that affects the corneal optics the most, whereas hDRI and [Formula: see text] are less important. Not only that, but it is almost impossible to achieve an optimal trade-off between spherical and cylindrical correction. Regarding the mechanical behaviour, inserting the rings at 65% depth or above will cause the cornea to slightly bend. This abnormal stress distribution greatly distorts the corneal optics and, more importantly, could be the cause of clinical problems such as corneal extrusion. Not only that, but our model also supports that rings are acting as restraint elements which relax the stresses of the corneal stroma in the cone of the disease. However, depending on the exact spatial location of the keratoconus, the insertion of rings could promote its evolution instead of preventing it. ICRS inserted deeper will prevent keratoconus in the posterior stroma from growing (relaxation of posterior surface), but will promote its growing if they are located in the anterior surface (increment of stress). In conclusion, the methodology proposed is suitable for simulating long-term mechanical and optical effects of ICRS insertion.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Astigmatism Sentence A: The influence of 3 different lid positions on the astigmatism of 50 young healthy eyes was investigated with an autorefractor. The results showed that a significant amount of astigmatism may be induced when the palpebral aperture is voluntarily narrowed. Sentence B: Keratoconus is an idiopathic, non-inflammatory and degenerative corneal disease characterised by a loss of the organisation in the corneal collagen fibrils. As a result, keratoconic corneas present a localised thinning and conical protrusion with irregular astigmatism and high myopia that worsen visual acuity. Intracorneal ring segments (ICRSs) are used in clinic to regularise the corneal surface and to prevent the disease from progressing. Unfortunately, the post-surgical effect of the ICRS is not explicitly accounted beforehand. Traditional treatments rely on population-based nomograms and the experience of the surgeon. In this vein, in silico models could be a clinical aid tool for clinicians to plan the intervention, or to test the post-surgical impact of different clinical scenarios. A semi-automatic computational methodology is presented in order to simulate the ICRS surgical operation and to predict the post-surgical optical outcomes. For the sake of simplicity, circular cross section rings, average corneas and an isotropic hyperelastic material are used. To determine whether the model behaves physiologically and to carry out a sensitivity analysis, a [Formula: see text] full-factorial analysis is carried out. In particular, how the stromal depth insertion, horizontal distance of ring insertion (hDRI) and diameter of the ring's cross section ([Formula: see text]) are impacting in the spherical and cylindrical power of the cornea is analysed. Afterwards, the kinematics, mechanics and optics of keratoconic corneas after the ICRS insertion are analysed. Based on the parametric study, we can conclude that our model follows clinical trends previously reported. In particular and although there is an improvement in defocus, all corneas presented a change in their optical aberrations. The stromal depth insertion is the parameter that affects the corneal optics the most, whereas hDRI and [Formula: see text] are less important. Not only that, but it is almost impossible to achieve an optimal trade-off between spherical and cylindrical correction. Regarding the mechanical behaviour, inserting the rings at 65% depth or above will cause the cornea to slightly bend. This abnormal stress distribution greatly distorts the corneal optics and, more importantly, could be the cause of clinical problems such as corneal extrusion. Not only that, but our model also supports that rings are acting as restraint elements which relax the stresses of the corneal stroma in the cone of the disease. However, depending on the exact spatial location of the keratoconus, the insertion of rings could promote its evolution instead of preventing it. ICRS inserted deeper will prevent keratoconus in the posterior stroma from growing (relaxation of posterior surface), but will promote its growing if they are located in the anterior surface (increment of stress). In conclusion, the methodology proposed is suitable for simulating long-term mechanical and optical effects of ICRS insertion. ###Answer 1. Changed Reasoning: The target word ""astigmatism"" has undergone a significant change in meaning between the two sentences. In Sentence A, astigmatism is defined as a specific type of corneal irregularity caused by the voluntary narrowing of the palpebral aperture. In Sentence B, astigmatism is defined as a degenerative corneal disease characterized by a loss of corneal collagen fibrils. These two definitions are not interchangeable, and the term ""astigmatism"" has shifted in meaning over time. Therefore, I have labeled this as ""Changed""." 32,Astigmatism,"In 115 consecutive cataract extractions with implantation of artificial lens a clinical evaluation of absorbable sutures--polyglactin (910) (Vicryl 7-0) and polyglycolic acid (Dexon 8-0)--in corneolimbal incision has been performed. The corneolimbal wounds were closed by continuous suture technique with one double loop knot at the 12 o'clock and 5-6 loops on each side of the 12 o'clock knot. The suture had disappeared after 8 weeks in 95% of the eyes. Two months after operation the visual acuity, the power of corneal astigmatism and astigmatic orientation remained unchanged in both the Vicryl and the Dexon sutured group. This provided effectuation of early full prescription of glasses. Most complications in this material were suture independent and appeared during the early postoperative period. In only one eye inadequate wound closure was noticed. Shallow anterior chamber and hypotonia of short duration occurred in 5 eyes. Four of these patients developed corneal dystrophy. In the Vicryl sutured group suture reactions took place in 87% of the eyes. With dexon suture no such reaction appeared. The use of absorbable sutures in corneolimbal incision technique implies several surgical advantages and is seemingly safe."," Tunable optical devices, in particular, varifocal lenses, have important applications in various fields, including imaging and adaptive vision. Recent advances in metasurfaces, which control the wavefront of light using subwavelength-spaced nanostructures, open up new opportunities to replace bulk optical devices, with thin, flat, lightweight devices. We have demonstrated for the first time an electrically tunable flat lens, based on large area metasurfaces combined with a dielectric elastomer actuator having inline transparent electrodes, that is capable of simultaneously performing focal length tuning (>100%) as well as dynamic corrections, including astigmatism and image shift. This offers control versatility to flat optics hitherto only possible in electron microscopes. The water-based transfer process, which we describe, also enables wide compatibility across materials. The combination of metasurface optics and dielectric elastomer actuators enables a new, versatile platform for creating all kinds of tunable optical devices, through the design of tunable phase, amplitude, and polarization profiles. ","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Astigmatism Sentence A: In 115 consecutive cataract extractions with implantation of artificial lens a clinical evaluation of absorbable sutures--polyglactin (910) (Vicryl 7-0) and polyglycolic acid (Dexon 8-0)--in corneolimbal incision has been performed. The corneolimbal wounds were closed by continuous suture technique with one double loop knot at the 12 o'clock and 5-6 loops on each side of the 12 o'clock knot. The suture had disappeared after 8 weeks in 95% of the eyes. Two months after operation the visual acuity, the power of corneal astigmatism and astigmatic orientation remained unchanged in both the Vicryl and the Dexon sutured group. This provided effectuation of early full prescription of glasses. Most complications in this material were suture independent and appeared during the early postoperative period. In only one eye inadequate wound closure was noticed. Shallow anterior chamber and hypotonia of short duration occurred in 5 eyes. Four of these patients developed corneal dystrophy. In the Vicryl sutured group suture reactions took place in 87% of the eyes. With dexon suture no such reaction appeared. The use of absorbable sutures in corneolimbal incision technique implies several surgical advantages and is seemingly safe. Sentence B: Tunable optical devices, in particular, varifocal lenses, have important applications in various fields, including imaging and adaptive vision. Recent advances in metasurfaces, which control the wavefront of light using subwavelength-spaced nanostructures, open up new opportunities to replace bulk optical devices, with thin, flat, lightweight devices. We have demonstrated for the first time an electrically tunable flat lens, based on large area metasurfaces combined with a dielectric elastomer actuator having inline transparent electrodes, that is capable of simultaneously performing focal length tuning (>100%) as well as dynamic corrections, including astigmatism and image shift. This offers control versatility to flat optics hitherto only possible in electron microscopes. The water-based transfer process, which we describe, also enables wide compatibility across materials. The combination of metasurface optics and dielectric elastomer actuators enables a new, versatile platform for creating all kinds of tunable optical devices, through the design of tunable phase, amplitude, and polarization profiles. ###Answer 1. Changed Reasoning: In Sentence A, the term ""astigmatism"" is used to describe a specific type of refractive error in which the cornea is irregularly shaped, causing blurred vision. In Sentence B, the term is used in a completely different context, referring to the ability of a flat lens to perform dynamic corrections, including astigmatism and image shift. The two sentences convey vastly different meanings of the term ""astigmatism,"" indicating that the word has undergone semantic drift." 33,Astigmatism,"The natural history of corneal astigmatism in 118 eyes following extracapsular cataract extraction and PC IOL implantation demonstrated that the average surgery induced with-the-rule astigmatism of 3.37D one week after the operation declined at a rate of 0.60, 0.63 and 0.39D during the 1st, 2nd and 3rd months respectively, indicating that the with-the-rule astigmatism of 2.00-3.00D would be corrected spontaneously to the normal or physiological status. The relationship between the changes in astigmatism and postoperative vision and the intraocular pressure was discussed.",To evaluate the safety and effectiveness of femtosecond laser-assisted in situ keratomileusis (LASIK) in the treatment of residual myopia and astigmatism following femtosecond laser-enabled keratoplasty (FLEK).,"###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Astigmatism Sentence A: The natural history of corneal astigmatism in 118 eyes following extracapsular cataract extraction and PC IOL implantation demonstrated that the average surgery induced with-the-rule astigmatism of 3.37D one week after the operation declined at a rate of 0.60, 0.63 and 0.39D during the 1st, 2nd and 3rd months respectively, indicating that the with-the-rule astigmatism of 2.00-3.00D would be corrected spontaneously to the normal or physiological status. The relationship between the changes in astigmatism and postoperative vision and the intraocular pressure was discussed. Sentence B: To evaluate the safety and effectiveness of femtosecond laser-assisted in situ keratomileusis (LASIK) in the treatment of residual myopia and astigmatism following femtosecond laser-enabled keratoplasty (FLEK). ###Answer 1. Changed Reasoning: The meaning of the target word ""astigmatism"" has shifted significantly between the two sentences. In Sentence A, the word is used to describe the natural history of corneal astigmatism following cataract surgery, with a focus on the rate of spontaneous correction. In Sentence B, the word is used to describe the safety and effectiveness of LASIK in treating residual myopia and astigmatism following keratoplasty. The meaning of ""astigmatism"" in Sentence B is more focused on the technical aspects of the procedure, whereas in Sentence A, it is more focused on the natural history of the condition. Therefore, the meaning of the target word has changed significantly between the two sentences, indicating semantic drift." 34,Astigmatism,"Five children, previously treated for capillary haemangiomas of the eyelid and orbit, have been examined concerning the functional and cosmetic results of the treatment. Different principles of treatment have been applied (surgical, X-irradiation and systemic corticosteroid). All the children developed amblyopia in varying degrees in the affected eye, dependent on the localization of the tumour and duration of eyelid occlusion. They also developed persisted corneal astigmatism. The results of refraction, oculometric measurement and CT-scan are compared and discussed. From the results of the follow-up examination and the literature on the subject, we have attempted to give guidelines for the treatment of children with eyelid and orbital capillary haemangiomas.","To evaluate the safety, efficacy, and visual outcome of wavefront-supported photorefractive keratectomy (PRK) for the correction of myopia and myopic astigmatism in patients with suspected keratoconus.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Astigmatism Sentence A: Five children, previously treated for capillary haemangiomas of the eyelid and orbit, have been examined concerning the functional and cosmetic results of the treatment. Different principles of treatment have been applied (surgical, X-irradiation and systemic corticosteroid). All the children developed amblyopia in varying degrees in the affected eye, dependent on the localization of the tumour and duration of eyelid occlusion. They also developed persisted corneal astigmatism. The results of refraction, oculometric measurement and CT-scan are compared and discussed. From the results of the follow-up examination and the literature on the subject, we have attempted to give guidelines for the treatment of children with eyelid and orbital capillary haemangiomas. Sentence B: To evaluate the safety, efficacy, and visual outcome of wavefront-supported photorefractive keratectomy (PRK) for the correction of myopia and myopic astigmatism in patients with suspected keratoconus. ###Answer 1. Changed The meaning of ""astigmatism"" has shifted significantly between Sentence A (2000) and Sentence B (2020). In Sentence A, ""astigmatism"" refers to a persistent corneal condition caused by the treatment of capillary haemangiomas of the eyelid and orbit. In contrast, in Sentence B, ""astigmatism"" refers to the correction of myopic astigmatism using wavefront-supported photorefractive keratectomy (PRK). The term is now used to describe a specific type of refractive error, rather than a corneal condition. Therefore, semantic drift has occurred in the meaning of ""astigmatism"" between the two sentences." 35,Astigmatism,"We have modified the technique of epikeratophakia to produce flattening of the keratoconus cornea and facilitate contact lens or spectacle correction of visual acuity. The epithelium was removed from the recipient cornea, and an epikeratophakia graft of uniform thickness was sutured tightly in place. The graft flattened the cone and markedly decreased the amount of irregular astigmatism. After surgery, our six patients have shown reduced myopia and cylinder and have little, if any, of the irregular astigmatism characteristic of keratoconus. These results are preliminary, and only long-term study of these and other similar cases can establish the safety and efficacy of this procedure.",To report a case of laser in situ keratomileusis (LASIK) that used the Intralase femtosecond laser 14 years after radial keratotomy (RK) for residual myopic astigmatism.,"###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Astigmatism Sentence A: We have modified the technique of epikeratophakia to produce flattening of the keratoconus cornea and facilitate contact lens or spectacle correction of visual acuity. The epithelium was removed from the recipient cornea, and an epikeratophakia graft of uniform thickness was sutured tightly in place. The graft flattened the cone and markedly decreased the amount of irregular astigmatism. After surgery, our six patients have shown reduced myopia and cylinder and have little, if any, of the irregular astigmatism characteristic of keratoconus. These results are preliminary, and only long-term study of these and other similar cases can establish the safety and efficacy of this procedure. Sentence B: To report a case of laser in situ keratomileusis (LASIK) that used the Intralase femtosecond laser 14 years after radial keratotomy (RK) for residual myopic astigmatism. ###Answer 1. Changed Reasoning: The target word ""astigmatism"" has undergone a significant change in meaning between the two sentences. In Sentence A, the term refers to the flattening of the keratoconus cornea, which is a medical condition. In Sentence B, the term refers to residual myopic astigmatism after LASIK surgery, which is a different medical condition. The change in meaning suggests that the term ""astigmatism"" has undergone semantic drift." 36,Astigmatism,"An analytical method to design holographic optical elements for focusing laser scanners, especially disk scanners, with minimum aberrations and optimum scan line definition is reported. The results reveal that the focused spot constraint to a straight line is always astigmatic. However, by accepting small deviations from the straight line, the astigmatism can be eliminated. The second-order analytical solutions are examined with the help of geometrical ray tracing and compared with experimental results. By extending the method to higher-order approximations, it was found that the correction of the aberrations is essentially limited to the direction perpendicular to the scan line.","Keratoconus, a serious corneal disorder, often causes highly irregular astigmatism and different degrees of visual impairment. Riboflavin/UVA corneal collagen cross-linking(CXL) is currently approved for effective treatment of keratoconus by enhancing the mechanical strength of collagen fibers in the cornea. However, few methods are capable of quantitatively and non-destructively assessing the mechanical properties of the cornea before and after CXL treatments. This study developed a corneal viscoelasticity imaging method based on comb-push ultrasound shear elastography (CUSE) and implemented this method on a Verasonics™ Vantage 256 ultrasound open system with a high-frequency linear array ultrasound transducer. Push beams were generated by three teeth each consisting of 10 elements (working frequency = 10.41 MHz) for inducing Lamb wave propagation in the cornea, and then the system immediately switched to the plane wave imaging mode using 60 elements in the middle (working frequency = 18 MHz). This method can provide a high-resolution 2D Lamb wave velocity image overlapping with a B-mode image as well as quantitative viscoelasticity estimation according to experimentally obtained phase velocity dispersion of Lamb waves. The validation experiments were performed on ex vivo porcine corneas, and the accuracy of elasticity estimation was verified by a tensile test. The results showed that the shear elasticity increased and the viscosity decreased after CXL treatment. The shear elasticity results (reported as mean ± standard deviation) of one control group with no CXL treatment and three CXL-treated groups named as 10 min, 30 min, and 60 min groups according to UV irradiation time were 14.62 ± 3.38 kPa, 49.47 ± 3.63 kPa, 116.54 ± 23.99 kPa, and 197.89 ± 39.64 kPa, respectively, which was in agreement with the results of tensile tests. The ultrasound safety measurement indicated that this method could have acceptable safety, but further to ocular tissue and vision function. The study demonstrated the possibility of using a commercial ultrasound system to obtain high-resolution images of corneal mechanical properties as well as the ability to quantify changes induced by CXL treatment. Therefore, the proposed method could serve as a helpful tool in the studies related in corneal biomechanics.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Astigmatism Sentence A: An analytical method to design holographic optical elements for focusing laser scanners, especially disk scanners, with minimum aberrations and optimum scan line definition is reported. The results reveal that the focused spot constraint to a straight line is always astigmatic. However, by accepting small deviations from the straight line, the astigmatism can be eliminated. The second-order analytical solutions are examined with the help of geometrical ray tracing and compared with experimental results. By extending the method to higher-order approximations, it was found that the correction of the aberrations is essentially limited to the direction perpendicular to the scan line. Sentence B: Keratoconus, a serious corneal disorder, often causes highly irregular astigmatism and different degrees of visual impairment. Riboflavin/UVA corneal collagen cross-linking(CXL) is currently approved for effective treatment of keratoconus by enhancing the mechanical strength of collagen fibers in the cornea. However, few methods are capable of quantitatively and non-destructively assessing the mechanical properties of the cornea before and after CXL treatments. This study developed a corneal viscoelasticity imaging method based on comb-push ultrasound shear elastography (CUSE) and implemented this method on a Verasonics™ Vantage 256 ultrasound open system with a high-frequency linear array ultrasound transducer. Push beams were generated by three teeth each consisting of 10 elements (working frequency = 10.41 MHz) for inducing Lamb wave propagation in the cornea, and then the system immediately switched to the plane wave imaging mode using 60 elements in the middle (working frequency = 18 MHz). This method can provide a high-resolution 2D Lamb wave velocity image overlapping with a B-mode image as well as quantitative viscoelasticity estimation according to experimentally obtained phase velocity dispersion of Lamb waves. The validation experiments were performed on ex vivo porcine corneas, and the accuracy of elasticity estimation was verified by a tensile test. The results showed that the shear elasticity increased and the viscosity decreased after CXL treatment. The shear elasticity results (reported as mean ± standard deviation) of one control group with no CXL treatment and three CXL-treated groups named as 10 min, 30 min, and 60 min groups according to UV irradiation time were 14.62 ± 3.38 kPa, 49.47 ± 3.63 kPa, 116.54 ± 23.99 kPa, and 197.89 ± 39.64 kPa, respectively, which was in agreement with the results of tensile tests. The ultrasound safety measurement indicated that this method could have acceptable safety, but further to ocular tissue and vision function. The study demonstrated the possibility of using a commercial ultrasound system to obtain high-resolution images of corneal mechanical properties as well as the ability to quantify changes induced by CXL treatment. Therefore, the proposed method could serve as a helpful tool in the studies related in corneal biomechanics. ###Answer 1. Changed Reasoning: The meaning of ""astigmatism"" has changed between the two sentences. In Sentence A, astigmatism is defined as a specific type of aberration in the focusing of laser scanners, particularly disk scanners, characterized by a straight line constraint. In Sentence B, astigmatism is described as a corneal disorder causing irregular astigmatism and visual impairment, with no mention of its relation to laser scanners. Therefore, the semantic drift label of ""Changed"" is appropriate." 37,Astigmatism,"The aim of this study was to evaluate the safety, effectiveness, and predictability of photorefractive keratectomy (PRK) for severe myopia and astigmatism following penetrating keratoplasty.","Intrastromal corneal ring segments (ICRS) improve corneal topographic symmetry and reduce corneal aberrations through regularization of the corneal surface, thereby functioning as a viable surgical intervention for patients with keratoconus. This study aims to evaluate changes in lower- (LOAs) and higher-order aberrations (HOAs) amongst varying pupil sizes pre- and post- ICRS implantation in keratoconus patients. We specifically investigate the impact of pupil size on total corneal HOAs up to the 6th order. Twenty-one eyes that underwent ICRS implantation were included in this prospective interventional study. LOAs and HOAs measurements at the 6 mm, 4 mm, and 2 mm pupil diameters were collected preoperatively and at 6 months postoperatively using the Zernicke analysis function on a Scheimpflug device. ICRS implantation demonstrated a statistically significant effect in vertical coma with a −0.23 reduction (p = 0.015) for a 4 mm pupil size and a −1.384 reduction (p < 0.001) for 6 mm, with no significant effect at 2 mm. Horizontal coma, astigmatism 0°, astigmatism 45°, trefoil 5th order 30°, and RMS HOA demonstrated significant reductions at 4 mm or 6 mm pupil sizes but not at 2 mm. Our analysis demonstrates a favorable effect of ICRS implantation on larger pupil sizes, suggesting the importance of pupil size as it correlates with HOAs reduction.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Astigmatism Sentence A: The aim of this study was to evaluate the safety, effectiveness, and predictability of photorefractive keratectomy (PRK) for severe myopia and astigmatism following penetrating keratoplasty. Sentence B: Intrastromal corneal ring segments (ICRS) improve corneal topographic symmetry and reduce corneal aberrations through regularization of the corneal surface, thereby functioning as a viable surgical intervention for patients with keratoconus. This study aims to evaluate changes in lower- (LOAs) and higher-order aberrations (HOAs) amongst varying pupil sizes pre- and post- ICRS implantation in keratoconus patients. We specifically investigate the impact of pupil size on total corneal HOAs up to the 6th order. Twenty-one eyes that underwent ICRS implantation were included in this prospective interventional study. LOAs and HOAs measurements at the 6 mm, 4 mm, and 2 mm pupil diameters were collected preoperatively and at 6 months postoperatively using the Zernicke analysis function on a Scheimpflug device. ICRS implantation demonstrated a statistically significant effect in vertical coma with a −0.23 reduction (p = 0.015) for a 4 mm pupil size and a −1.384 reduction (p < 0.001) for 6 mm, with no significant effect at 2 mm. Horizontal coma, astigmatism 0°, astigmatism 45°, trefoil 5th order 30°, and RMS HOA demonstrated significant reductions at 4 mm or 6 mm pupil sizes but not at 2 mm. Our analysis demonstrates a favorable effect of ICRS implantation on larger pupil sizes, suggesting the importance of pupil size as it correlates with HOAs reduction. ###Answer 1. Changed The target word ""astigmatism"" has undergone a significant change in meaning between the two sentences. In Sentence A, astigmatism is described as a refractive error caused by an irregularly shaped cornea, with a focus on its safety, effectiveness, and predictability in treating severe myopia and astigmatism following penetrating keratoplasty. In Sentence B, astigmatism is framed as a corneal aberration caused by keratoconus, with a focus on the impact of pupil size on total corneal higher-order aberrations. The word's meaning has shifted from a refractive error to a corneal aberration, and its association with surgical interventions has diminished. Therefore, the label ""Changed"" is appropriate." 38,Astigmatism,"After observing that lateral under-riding scleral pocket incisions and closures decayed very little and required full correction on the table to achieve the desired reduction in astigmatism, I began performing routine lateral approaches to planned extracapsular cataract extraction (ECCE). The result was an improvement in early and prolonged stabilization of keratometric astigmatism. This improvement was statistically significant when compared with the identical surgery performed in the vertical meridian. Using a 6.5 mm scleral pocket incision and the same suture material and closure technique, I found that the results of phacoemulsification via vertical and lateral approaches were not statistically different from the planned ECCE via lateral approach. Scleral pocket incisions and modified shoelace closures with 11-0 polyester suture were used in all cases; no suture removal was performed. The early visual recovery with planned ECCE via lateral approach was equivalent to that with phacoemulsification but did not require the expensive instrumentation or the ""phaco learning curve."" The minimal and stable postoperative astigmatism, along with early and sustained visual recovery possible with ECCE via lateral approach, may reduce the potential benefit of mini-incision and foldable intraocular lens surgery.",To report the changes in functional visual acuity (FVA) in eyes with experimentally induced astigmatism.,"###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Astigmatism Sentence A: After observing that lateral under-riding scleral pocket incisions and closures decayed very little and required full correction on the table to achieve the desired reduction in astigmatism, I began performing routine lateral approaches to planned extracapsular cataract extraction (ECCE). The result was an improvement in early and prolonged stabilization of keratometric astigmatism. This improvement was statistically significant when compared with the identical surgery performed in the vertical meridian. Using a 6.5 mm scleral pocket incision and the same suture material and closure technique, I found that the results of phacoemulsification via vertical and lateral approaches were not statistically different from the planned ECCE via lateral approach. Scleral pocket incisions and modified shoelace closures with 11-0 polyester suture were used in all cases; no suture removal was performed. The early visual recovery with planned ECCE via lateral approach was equivalent to that with phacoemulsification but did not require the expensive instrumentation or the ""phaco learning curve."" The minimal and stable postoperative astigmatism, along with early and sustained visual recovery possible with ECCE via lateral approach, may reduce the potential benefit of mini-incision and foldable intraocular lens surgery. Sentence B: To report the changes in functional visual acuity (FVA) in eyes with experimentally induced astigmatism. ###Answer 1. Changed Reasoning: In Sentence A, the term ""astigmatism"" is used to describe a specific type of refractive error. The context suggests that the term refers to a measurable amount of undercorrection or overcorrection in the vertical meridian, which can be corrected with surgery. The sentence also highlights the importance of the lateral approach in reducing astigmatism. In Sentence B, the term ""astigmatism"" is used in a different context. The sentence focuses on the changes in functional visual acuity (FVA) in eyes with experimentally induced astigmatism. The term ""astigmatism"" in this sentence does not refer to a specific type of refractive error, but rather a change in visual function. Therefore, the meaning of the term ""astigmatism"" has changed significantly between Sentence A and Sentence B. The label ""Changed"" is appropriate to indicate that the term has undergone semantic drift." 39,Astigmatism,"The formula based on keratometric readings which is generally used is unsatisfactory for fitting contact lenses after penetrating keratoplasty, possibly owing to lack of information on the peripheral corneal toricity. In these studies a photokeratoscope was used to examine the entire graft topography. In all cases the corneal configuration became more normal after suture removal, but a considerable toricity still remained, especially near the graft-host junction. One month after removal of sutures spherical hard contact lenses (polymethylmethacrylate, PMMA) were fitted to 30 patients in accordance with data obtained by computerised analysis of the photokeratograms. Of the 30 patients (contact lens wearers) 27 (90%) obtained a stable vision of better than 20/30 for eight hours daily, and 24 (80%) achieved a stable vision of 20/20 for their full waking hours. After one year the contact lens wearers showed a significant decrease in the extent of astigmatism when compared with the non-contact-lens wearers (10 patients). These results suggest that the photokeratoscope can be more useful than ordinary keratometers in fitting contact lenses after keratoplasty, and that hard contact lenses have moulding effects on the graft topography.","The basic principle of modern keratoplasty is selectivity, i.e. the choice of whether to replace only the affected corneal layer. However, when layer-by-layer and interlayer transplantation is not indicated, the method of choice is conventional penetrating keratoplasty. An alternative can be its modifications with complex profiles of the transplant edges and the bed, which are better justified in terms of pathogenesis. The most popular among them are mushroom, zig-zag and top-hat. These surgeries combine optical benefits of penetrating keratoplasty as they do not involve dissection of the corneal optical zone and can negate - to a certain degree - its main downsides such as low trauma tolerance of the postoperative scar, significant level of postoperative astigmatism, and increased visual rehabilitation time. Mushroom-shaped incisions can be performed manually with a femtosecond laser or a microkeratome, zig-zag incision - only with a femtosecond laser. Considering the diversity of keratoplasty modifications with complex operative incisions, further research is required for evaluation of their clinical effectiveness and analysis of postoperative complications.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Astigmatism Sentence A: The formula based on keratometric readings which is generally used is unsatisfactory for fitting contact lenses after penetrating keratoplasty, possibly owing to lack of information on the peripheral corneal toricity. In these studies a photokeratoscope was used to examine the entire graft topography. In all cases the corneal configuration became more normal after suture removal, but a considerable toricity still remained, especially near the graft-host junction. One month after removal of sutures spherical hard contact lenses (polymethylmethacrylate, PMMA) were fitted to 30 patients in accordance with data obtained by computerised analysis of the photokeratograms. Of the 30 patients (contact lens wearers) 27 (90%) obtained a stable vision of better than 20/30 for eight hours daily, and 24 (80%) achieved a stable vision of 20/20 for their full waking hours. After one year the contact lens wearers showed a significant decrease in the extent of astigmatism when compared with the non-contact-lens wearers (10 patients). These results suggest that the photokeratoscope can be more useful than ordinary keratometers in fitting contact lenses after keratoplasty, and that hard contact lenses have moulding effects on the graft topography. Sentence B: The basic principle of modern keratoplasty is selectivity, i.e. the choice of whether to replace only the affected corneal layer. However, when layer-by-layer and interlayer transplantation is not indicated, the method of choice is conventional penetrating keratoplasty. An alternative can be its modifications with complex profiles of the transplant edges and the bed, which are better justified in terms of pathogenesis. The most popular among them are mushroom, zig-zag and top-hat. These surgeries combine optical benefits of penetrating keratoplasty as they do not involve dissection of the corneal optical zone and can negate - to a certain degree - its main downsides such as low trauma tolerance of the postoperative scar, significant level of postoperative astigmatism, and increased visual rehabilitation time. Mushroom-shaped incisions can be performed manually with a femtosecond laser or a microkeratome, zig-zag incision - only with a femtosecond laser. Considering the diversity of keratoplasty modifications with complex operative incisions, further research is required for evaluation of their clinical effectiveness and analysis of postoperative complications. ###Answer 1. Changed Reasoning: In Sentence A, the term ""astigmatism"" is used to describe the remaining toricity after suture removal in patients who underwent keratoplasty. The phrase ""a considerable toricity still remained"" implies that the patients had a significant amount of astigmatism at the time of the study. In Sentence B, the term ""astigmatism"" is used in a different context. The sentence discusses the modifications of keratoplasty, including the use of mushroom-shaped incisions, which can negate some of the downsides of traditional penetrating keratoplasty, such as low trauma tolerance of the postoperative scar and increased visual rehabilitation time. There is no mention of significant astigmatism in this sentence. Based on these differences in context and meaning, it can be concluded that the term ""astigmatism"" has undergone a significant change in meaning between Sentence A and Sentence B. Therefore, the label ""Changed"" is appropriate." 40,Astigmatism,Intraocular pseudophakic correction during penetrating keratoplasty (PK) for aphakic or pseudophakic bullous keratopathy may be achieved either with anterior or posterior chamber lenses. Posterior chamber lenses can be fixed to the iris or sclera in eyes lacking adequate posterior capsular support. Post-PK astigmatism can delay early visual rehabilitation of the patient. We reviewed the last 15 patients at our institution who had undergone PK and anterior chamber lens placement for bullous keratopathy. These were compared to the last 15 patients who had undergone PK and transsclerally sutured posterior chamber lens placement. Patients who had placement of a flexible anterior chamber lens at time of PK had a mean astigmatism of 6.73 D at the last visit before any sutures were removed. There was no predominant axis of astigmatism or relationship of the axis of astigmatism to the meridian of lens placement. Patients with placement of a transsclerally sutured posterior chamber lens at time of PK had a mean astigmatism of 5.18 D at the last visit before any sutures were removed. Mean astigmatism was not significantly different (P greater than 0.05) from that seen with anterior chamber lens placement. In the majority of patients the axis of post-PK astigmatism was oriented perpendicular to the meridian of the transsclerally sutured posterior chamber lens.,"The relationship between the optical properties of the eye in the periphery and myopia development is still under debate. To further clarify this issue, we provide here baseline data of two-dimensional peripheral optics results in a group of emmetropic Chinese children. Peripheral aberrations were measured under cycloplegia by using an open-view Hartmann-Shack wavefront sensor (VPR, Voptica SL, Spain). This instrument allows to measure fast in the horizontal visual field from temporal 30° to nasal 30° every 1°. Two-dimensional (2D) maps were retrieved from a series of horizonal scans taken every 4° from 20° superior to 16° inferior covering a visual field of 60 × 36°. A relatively homogeneous pattern of the 2D relative peripheral refraction was found across all these emmetropic subjects. Using cluster analysis followed by manual visual refinement, the 2D maps were identified to fit into four categories. More than 70% of the subjects showed a nearly flat horizontal refraction with a slightly myopic shift in the superior retina. Peripheral astigmatism was quite constant across subjects and similar to that expected theoretically. Peripheral aberrations were also similar to those in the fovea for a large retinal area. These baseline data would offer an important reference to compare with the future evolution with time, as well as with other refractive or age groups of subjects, to better understand the role of peripheral optical properties in myopia development.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Astigmatism Sentence A: Intraocular pseudophakic correction during penetrating keratoplasty (PK) for aphakic or pseudophakic bullous keratopathy may be achieved either with anterior or posterior chamber lenses. Posterior chamber lenses can be fixed to the iris or sclera in eyes lacking adequate posterior capsular support. Post-PK astigmatism can delay early visual rehabilitation of the patient. We reviewed the last 15 patients at our institution who had undergone PK and anterior chamber lens placement for bullous keratopathy. These were compared to the last 15 patients who had undergone PK and transsclerally sutured posterior chamber lens placement. Patients who had placement of a flexible anterior chamber lens at time of PK had a mean astigmatism of 6.73 D at the last visit before any sutures were removed. There was no predominant axis of astigmatism or relationship of the axis of astigmatism to the meridian of lens placement. Patients with placement of a transsclerally sutured posterior chamber lens at time of PK had a mean astigmatism of 5.18 D at the last visit before any sutures were removed. Mean astigmatism was not significantly different (P greater than 0.05) from that seen with anterior chamber lens placement. In the majority of patients the axis of post-PK astigmatism was oriented perpendicular to the meridian of the transsclerally sutured posterior chamber lens. Sentence B: The relationship between the optical properties of the eye in the periphery and myopia development is still under debate. To further clarify this issue, we provide here baseline data of two-dimensional peripheral optics results in a group of emmetropic Chinese children. Peripheral aberrations were measured under cycloplegia by using an open-view Hartmann-Shack wavefront sensor (VPR, Voptica SL, Spain). This instrument allows to measure fast in the horizontal visual field from temporal 30° to nasal 30° every 1°. Two-dimensional (2D) maps were retrieved from a series of horizonal scans taken every 4° from 20° superior to 16° inferior covering a visual field of 60 × 36°. A relatively homogeneous pattern of the 2D relative peripheral refraction was found across all these emmetropic subjects. Using cluster analysis followed by manual visual refinement, the 2D maps were identified to fit into four categories. More than 70% of the subjects showed a nearly flat horizontal refraction with a slightly myopic shift in the superior retina. Peripheral astigmatism was quite constant across subjects and similar to that expected theoretically. Peripheral aberrations were also similar to those in the fovea for a large retinal area. These baseline data would offer an important reference to compare with the future evolution with time, as well as with other refractive or age groups of subjects, to better understand the role of peripheral optical properties in myopia development. ###Answer 1. Changed Reasoning: The meaning of the target word ""astigmatism"" has changed significantly between the two sentences. In Sentence A, astigmatism is defined as a condition where the cornea or lens of the eye is irregularly shaped, causing blurred vision. In Sentence B, astigmatism is described as a relatively homogeneous pattern of peripheral refraction, with a slightly myopic shift in the superior retina. These two definitions are not interchangeable, and the term ""astigmatism"" has taken on a different meaning in Sentence B. Therefore, semantic drift has occurred in the target word." 41,Astigmatism,"A 35-year-old white man with bilateral high myopia, astigmatism, subluxated crystalline lenses, and incipient cataract had phacoemulsification and implantation of a hydrophobic acrylic intraocular lens (IOL) (Alcon MA60BM) in both eyes. The subluxated capsular bag was stabilized and recentered using a scleral-fixated capsular tension ring (CTR) (type 1L, Morcher). Measured with Scheimpflug photography, the capsular bag and IOL were in a stable intraocular position during the 18-month follow-up. There were no major changes in refraction. Despite the sharp-edged IOL design, both eyes had posterior capsule opacification (PCO) 18 months after surgery that in 1 eye caused a decrease in visual acuity of more than 2 lines. High myopia and subluxated lenses may be treatable long-term with a scleral-fixated CTR and foldable IOL implantation; further evaluation of PCO is necessary.","To evaluate how the Total Keratometry astigmatism measure from a swept-source optical biometer compares with simulated keratometry astigmatism from the same device, and total corneal topographic astigmatism (CorT Total) derived from a Scheimpflug tomographer.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Astigmatism Sentence A: A 35-year-old white man with bilateral high myopia, astigmatism, subluxated crystalline lenses, and incipient cataract had phacoemulsification and implantation of a hydrophobic acrylic intraocular lens (IOL) (Alcon MA60BM) in both eyes. The subluxated capsular bag was stabilized and recentered using a scleral-fixated capsular tension ring (CTR) (type 1L, Morcher). Measured with Scheimpflug photography, the capsular bag and IOL were in a stable intraocular position during the 18-month follow-up. There were no major changes in refraction. Despite the sharp-edged IOL design, both eyes had posterior capsule opacification (PCO) 18 months after surgery that in 1 eye caused a decrease in visual acuity of more than 2 lines. High myopia and subluxated lenses may be treatable long-term with a scleral-fixated CTR and foldable IOL implantation; further evaluation of PCO is necessary. Sentence B: To evaluate how the Total Keratometry astigmatism measure from a swept-source optical biometer compares with simulated keratometry astigmatism from the same device, and total corneal topographic astigmatism (CorT Total) derived from a Scheimpflug tomographer. ###Answer 1. Changed (Astigmatism in Sentence A has a different meaning than in Sentence B) Explanation: In Sentence A, ""astigmatism"" refers to a refractive error caused by an irregularly shaped cornea, specifically high myopia and subluxated crystalline lenses. The term likely carries a negative connotation, as the condition is associated with blurred vision and the need for corrective surgery. In Sentence B, ""astigmatism"" is used in a different context. It refers to a measure of keratometry, a device-based assessment of corneal astigmatism. The term does not carry the same negative connotation as in Sentence A. Therefore, the meaning of ""astigmatism"" has changed significantly between the two sentences, indicating semantic drift. The term has shifted from a refractive error with negative connotations to a device-based measure with no negative connotations." 42,Astigmatism,To evaluate the potential of diode laser thermokeratoplasty (DTK) in the correction of irregular astigmatism in patients with keratoconus.,"Since people who wear contact lenses (CL) often continue using CL even when they develop presbyopia, there are growing expectations for bifocal CL. To understand actual state and problems, history, types, and their characteristics are summarized in this review. Bifocal CL have a long history over 70 years. Recently, bifocal CL have achieved remarkable progress. However, there still is an impression that prescription of bifocal CL is not easy. It should also be remembered that bifocal CL have limits, including limited addition for near vision, as well as the effects of aging and eye diseases in the aged, such as dry eye, astigmatism, cataract, etc. Analysis of the long-term users of bifocal CL among our patients has revealed the disappearance of bifocal CL that achieved unsatisfactory vision and poor contrast compared with those provided by other types of CL. Changing the prescription up to 3 times for lenses of the same brand may be appropriate. Lenses that provide poor contrast sensitivity, suffer from glare, or give unsatisfactory vision have been weeded out. The repeated replacement of products due to the emergence of improved or new products will be guessed.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Astigmatism Sentence A: To evaluate the potential of diode laser thermokeratoplasty (DTK) in the correction of irregular astigmatism in patients with keratoconus. Sentence B: Since people who wear contact lenses (CL) often continue using CL even when they develop presbyopia, there are growing expectations for bifocal CL. To understand actual state and problems, history, types, and their characteristics are summarized in this review. Bifocal CL have a long history over 70 years. Recently, bifocal CL have achieved remarkable progress. However, there still is an impression that prescription of bifocal CL is not easy. It should also be remembered that bifocal CL have limits, including limited addition for near vision, as well as the effects of aging and eye diseases in the aged, such as dry eye, astigmatism, cataract, etc. Analysis of the long-term users of bifocal CL among our patients has revealed the disappearance of bifocal CL that achieved unsatisfactory vision and poor contrast compared with those provided by other types of CL. Changing the prescription up to 3 times for lenses of the same brand may be appropriate. Lenses that provide poor contrast sensitivity, suffer from glare, or give unsatisfactory vision have been weeded out. The repeated replacement of products due to the emergence of improved or new products will be guessed. ###Answer 1. Changed Reasoning: The meaning of the target word ""astigmatism"" has shifted significantly between the two sentences. In Sentence A, the term refers to a specific type of eye condition that affects the cornea and is treated with diode laser thermokeratoplasty. In Sentence B, the term is used more broadly to refer to any type of eye condition that affects vision, including presbyopia. This shift in meaning indicates semantic drift has occurred." 43,Astigmatism,Myopic PRK up to 6 D is an approved and safe procedure. The efficacy and safety of combined treatment of myopia and astigmatism in compound myopic astigmatism (PARK) have not yet been demonstrated.,"Ocular aberrometry is an essential technique in vision science and ophthalmology. We demonstrate how a phase-sensitive single mode fiber-based swept source optical coherence tomography (SS-OCT) setup can be employed for quantitative ocular aberrometry with digital adaptive optics (DAO). The system records the volumetric point spread function at the retina in a de-scanning geometry using a guide star pencil beam. Succeeding test-retest repeatability assessment with defocus and astigmatism analysis on a model eye within ± 3 D dynamic range, the feasibility of technique is demonstrated ","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Astigmatism Sentence A: Myopic PRK up to 6 D is an approved and safe procedure. The efficacy and safety of combined treatment of myopia and astigmatism in compound myopic astigmatism (PARK) have not yet been demonstrated. Sentence B: Ocular aberrometry is an essential technique in vision science and ophthalmology. We demonstrate how a phase-sensitive single mode fiber-based swept source optical coherence tomography (SS-OCT) setup can be employed for quantitative ocular aberrometry with digital adaptive optics (DAO). The system records the volumetric point spread function at the retina in a de-scanning geometry using a guide star pencil beam. Succeeding test-retest repeatability assessment with defocus and astigmatism analysis on a model eye within ± 3 D dynamic range, the feasibility of technique is demonstrated ###Answer 1. Changed Explanation: In Sentence A, the target word ""astigmatism"" refers to a specific type of refractive error, where the meaning is clearly defined and unambiguous. However, in Sentence B, the target word has taken on a broader meaning, encompassing not only refractive error but also the technology used to measure it. The term is now used in the context of ""ocular aberrometry,"" which is a broader field than the original meaning of the word. Therefore, semantic drift has occurred, and the label ""Changed"" is appropriate." 44,Astigmatism,To investigate the evolution of postoperative astigmatism in children having cataract extraction with intraocular lens (IOL) implantation through a 6.25 mm superior scleral tunnel wound.,"This review was conducted due to the growing number of patients with keratoconus requiring cataract surgery and the complexity of surgical planning. The article reviews preoperative planning, intraoperative options, and postoperative management, which can help obtain high functional results. Treatment of cataracts in keratoconic eyes requires a multifaceted approach. In some cases, in the preoperative period, interventions such as crosslinking and implantation of intrastromal segments or corneal ring may be required to ensure stable keratometry values for accurate intraocular lens (IOL) calculations. The use of stabilizing procedures prior to optical biometrics can assist in preoperative lens selection and provide predictable surgical outcomes. To achieve targeted refraction and reduce unwanted optical effects, it is necessary to take a critical approach when choosing the type of lens (toric, monofocal). This is due to the appearance of aberrations of different order after preliminary surgical interventions on the cornea. The intraoperative decision plays important role in choosing the position of the corneal incisions, how to use sutures for wound adaptation, choosing scleral approaches to minimize possible postoperative complications. In the postoperative period, the degree of irregular astigmatism and the need for rigid gas-permeable or scleral lenses should be assessed.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Astigmatism Sentence A: To investigate the evolution of postoperative astigmatism in children having cataract extraction with intraocular lens (IOL) implantation through a 6.25 mm superior scleral tunnel wound. Sentence B: This review was conducted due to the growing number of patients with keratoconus requiring cataract surgery and the complexity of surgical planning. The article reviews preoperative planning, intraoperative options, and postoperative management, which can help obtain high functional results. Treatment of cataracts in keratoconic eyes requires a multifaceted approach. In some cases, in the preoperative period, interventions such as crosslinking and implantation of intrastromal segments or corneal ring may be required to ensure stable keratometry values for accurate intraocular lens (IOL) calculations. The use of stabilizing procedures prior to optical biometrics can assist in preoperative lens selection and provide predictable surgical outcomes. To achieve targeted refraction and reduce unwanted optical effects, it is necessary to take a critical approach when choosing the type of lens (toric, monofocal). This is due to the appearance of aberrations of different order after preliminary surgical interventions on the cornea. The intraoperative decision plays important role in choosing the position of the corneal incisions, how to use sutures for wound adaptation, choosing scleral approaches to minimize possible postoperative complications. In the postoperative period, the degree of irregular astigmatism and the need for rigid gas-permeable or scleral lenses should be assessed. ###Answer 1. Changed Reasoning: In Sentence A, the term ""astigmatism"" is used in the context of a specific surgical procedure (cataract extraction with IOL implantation) and refers to the postoperative measurement of the refractive power of the eye. In this context, the term likely has a specific meaning related to the surgical technique and the potential postoperative refractive error. In Sentence B, the term ""astigmatism"" is used in a different context, referring to the appearance of aberrations of different order after preliminary surgical interventions on the cornea. In this context, the term likely has a different meaning related to the effects of surgery on the cornea and the potential need for additional interventions to achieve targeted refraction. Therefore, the meaning of the term ""astigmatism"" has changed significantly between the two sentences, indicating semantic drift." 45,Astigmatism,"Corneal microperforations induce a corneal astigmatism since refractive effect is increased on the perforated meridian. To counteract this induced refractive error, we performed ""flag"" or tangenital incisions on the perpendicular meridian.","Photorefractive keratectomy (PRK) is used for a wide range of refractive errors such as low to moderate myopia, hyperopia and astigmatism. While many improvements have been made in laser application and accuracy as well as the modes of corneal flap removal, and although the results are somewhat predictable, regression of refractive errors is still a common complaint among the patients undergoing refractive surgery with Excimer Laser. We aimed to determine related factors of regression following photorefractive keratectomy (PRK) in different types of refractive errors.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Astigmatism Sentence A: Corneal microperforations induce a corneal astigmatism since refractive effect is increased on the perforated meridian. To counteract this induced refractive error, we performed ""flag"" or tangenital incisions on the perpendicular meridian. Sentence B: Photorefractive keratectomy (PRK) is used for a wide range of refractive errors such as low to moderate myopia, hyperopia and astigmatism. While many improvements have been made in laser application and accuracy as well as the modes of corneal flap removal, and although the results are somewhat predictable, regression of refractive errors is still a common complaint among the patients undergoing refractive surgery with Excimer Laser. We aimed to determine related factors of regression following photorefractive keratectomy (PRK) in different types of refractive errors. ###Answer 1. Changed (Astigmatism in Sentence A has a different meaning than in Sentence B) Explanation: In Sentence A, the term ""corneal astigmatism"" is used in the context of corneal microperforations, which cause an increase in the refractive effect on the perforated meridian. This usage implies that astigmatism is a refractive error caused by a physical defect in the cornea. In Sentence B, the term ""astigmatism"" is used in a different context, referring to a wide range of refractive errors including myopia, hyperopia, and astigmatism. This usage implies that astigmatism is a general term for any refractive error that cannot be corrected with glasses or contact lenses. Therefore, the meaning of the term ""astigmatism"" has shifted from a physical defect in the cornea to a broader term encompassing a range of refractive errors. This is an example of semantic drift, and the label ""Changed"" is appropriate." 46,Astigmatism,"All current cataract incisions induce transient and permanent changes in corneal astigmatism. Typically, a two-phase astigmatic response is observed; an initial with-the-rule change is followed by an eventual and permanent against-the-rule shift from preoperative astigmatism. The earlier literature suggests that the magnitude of the net astigmatic swing approximates 6.0 diopters for large limbal wounds closed with interrupted sutures. However, applying the tenets of keratorefractive surgery to the cataract incision and its closure allows the surgeon to limit postoperative iatrogenic astigmatic swings. The reduced phacoemulsification incision size in combination with a scleral pocket closed with a continuous single knotted 10-0 monofilament nylon suture under tonometric and keratometric control significantly dampens the changes in corneal astigmatism during the early and late postoperative periods. My published reports, as evaluated in the present study, reveal that the net astigmatic swing may be reduced to less than 1.5 diopters, thereby affording rapid and stable optical results.",To evaluate the predictive factors of LASIK procedure for high myopia with or without astigmatism using a combination of high-frequency femtosecond-assisted LASIK followed by an excimer laser.,"###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Astigmatism Sentence A: All current cataract incisions induce transient and permanent changes in corneal astigmatism. Typically, a two-phase astigmatic response is observed; an initial with-the-rule change is followed by an eventual and permanent against-the-rule shift from preoperative astigmatism. The earlier literature suggests that the magnitude of the net astigmatic swing approximates 6.0 diopters for large limbal wounds closed with interrupted sutures. However, applying the tenets of keratorefractive surgery to the cataract incision and its closure allows the surgeon to limit postoperative iatrogenic astigmatic swings. The reduced phacoemulsification incision size in combination with a scleral pocket closed with a continuous single knotted 10-0 monofilament nylon suture under tonometric and keratometric control significantly dampens the changes in corneal astigmatism during the early and late postoperative periods. My published reports, as evaluated in the present study, reveal that the net astigmatic swing may be reduced to less than 1.5 diopters, thereby affording rapid and stable optical results. Sentence B: To evaluate the predictive factors of LASIK procedure for high myopia with or without astigmatism using a combination of high-frequency femtosecond-assisted LASIK followed by an excimer laser. ###Answer 1. Changed Explanation: In Sentence A, the term ""astigmatism"" is used to describe a specific type of corneal irregularity, with a focus on its changes during and after cataract surgery. The sentence highlights the potential for astigmatism to shift significantly after surgery, with a maximum net astigmatic swing of 6.0 diopters observed in some cases. This suggests that the term ""astigmatism"" in this context carries a negative connotation, implying a degree of unpredictability or uncontrollability in the postoperative outcome. In Sentence B, the term ""astigmatism"" is used in a different context, with no mention of corneal irregularities or surgical interventions. Instead, the sentence focuses on the predictive factors of LASIK procedure for high myopia with or without astigmatism. Here, the term ""astigmatism"" carries a more neutral connotation, as it is used to describe a refractive error rather than a specific corneal condition. Based on these differences in context and meaning, it can be concluded that the term ""astigmatism"" has undergone semantic drift between Sentence A and Sentence B. In Sentence A, the term carries a negative connotation due to its association with unpredictable changes after surgery, whereas in Sentence B, the term is used in a more neutral context, with no implication of unpredictability or uncontrollability. Therefore, the label ""Changed"" is appropriate for this task." 47,Astigmatism,"We approached the question of the visual tolerance to uncorrected astigmatism by exploring the changes in the retinal diffraction images brought about by astigmatism, as a function of spherical focus. Consideration of the Rayleigh and Maréchal wavefront criteria and of the changes in ocular modulation transfer function (MTF) broadly supports a value of 0.25 DC as a practical tolerance limit for uncorrected astigmatism. This study underlines the limitations of a geometrical optical approach to this problem in particular, and shows that the concept of the circle of least confusion may be misleading.",To compare toric intraocular lens (TIOL) implantation and femtosecond laser-assisted arcuate keratotomy (FSAK) during phacoemulsification surgery in correction of moderate astigmatism.,"###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Astigmatism Sentence A: We approached the question of the visual tolerance to uncorrected astigmatism by exploring the changes in the retinal diffraction images brought about by astigmatism, as a function of spherical focus. Consideration of the Rayleigh and Maréchal wavefront criteria and of the changes in ocular modulation transfer function (MTF) broadly supports a value of 0.25 DC as a practical tolerance limit for uncorrected astigmatism. This study underlines the limitations of a geometrical optical approach to this problem in particular, and shows that the concept of the circle of least confusion may be misleading. Sentence B: To compare toric intraocular lens (TIOL) implantation and femtosecond laser-assisted arcuate keratotomy (FSAK) during phacoemulsification surgery in correction of moderate astigmatism. ###Answer 1. Changed Explanation: In Sentence A, the term ""astigmatism"" is used in the context of optical imaging and tolerance limits for uncorrected refractive errors. The meaning of the term is focused on the mathematical description of the visual system and the limitations of a geometrical optical approach. In Sentence B, the term ""astigmatism"" is used in the context of refractive surgery, specifically in comparison of two different techniques for correcting moderate astigmatism. The meaning of the term has shifted to focus on the surgical correction of astigmatism, and the connotation is more clinical and practical. Therefore, semantic drift has occurred in the meaning of the term ""astigmatism"" between Sentence A and Sentence B, as the context and connotation have changed significantly." 48,Astigmatism,"To reduce preexisting astigmatism in patients having cataract surgery, paired keratotomy incisions of graded lengths were performed at the time of cataract extraction. Small incisions, made possible by foldable silicone implants, were used to make the correction more accurate. The results obtained in 48 patients are analyzed. It appears that this technique is safe, quick, and helpful in reducing preexisting astigmatism.",To analyze the advantages of LASIK as a treatment for postkeratoplasty residual astigmatism.,"###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Astigmatism Sentence A: To reduce preexisting astigmatism in patients having cataract surgery, paired keratotomy incisions of graded lengths were performed at the time of cataract extraction. Small incisions, made possible by foldable silicone implants, were used to make the correction more accurate. The results obtained in 48 patients are analyzed. It appears that this technique is safe, quick, and helpful in reducing preexisting astigmatism. Sentence B: To analyze the advantages of LASIK as a treatment for postkeratoplasty residual astigmatism. ###Answer 1. Changed Explanation: In Sentence A, the term ""astigmatism"" refers to a preexisting condition that can be corrected through surgery. The sentence highlights the technique used to correct this condition, which involves making small incisions in the cornea. In contrast, in Sentence B, the term ""astigmatism"" is used to describe a residual condition that can be treated with LASIK. The meaning of ""astigmatism"" has shifted from a preexisting condition that can be corrected through surgery to a residual condition that can be treated with a different procedure. Therefore, semantic drift has occurred in the meaning of ""astigmatism"" between the two sentences." 49,Astigmatism,"The accuracy of meridional refraction using equally spaced preselected meridians was investigated by using populations of computer-simulated patients. The number of meridians refracted, patient refractive error, and the coarseness of phoroptor steps were varied. Results indicate that the accuracy of meridional refraction is independent of the relative orientation of the axis of the patient's astigmatism and the preselected meridians, that little is to be gained by use of a phoropter with steps finer than the usual 0.25 D, and that with a sufficient number of meridians, meridional refraction can be as accurate as more conventional techniques.",To evaluate the visual outcomes of Contoura Vision (CV) with automatic eye tracking system in eyes with myopia and myopic astigmatism.,"###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Astigmatism Sentence A: The accuracy of meridional refraction using equally spaced preselected meridians was investigated by using populations of computer-simulated patients. The number of meridians refracted, patient refractive error, and the coarseness of phoroptor steps were varied. Results indicate that the accuracy of meridional refraction is independent of the relative orientation of the axis of the patient's astigmatism and the preselected meridians, that little is to be gained by use of a phoropter with steps finer than the usual 0.25 D, and that with a sufficient number of meridians, meridional refraction can be as accurate as more conventional techniques. Sentence B: To evaluate the visual outcomes of Contoura Vision (CV) with automatic eye tracking system in eyes with myopia and myopic astigmatism. ###Answer 1. Changed Reasoning: In Sentence A, the term ""astigmatism"" is used to describe a refractive error in the context of a simulation study. The sentence suggests that the accuracy of meridional refraction is independent of the orientation of the axis of the patient's astigmatism and the preselected meridians. The term ""astigmatism"" is used in a technical context, without any connotations of visual impairment or disability. In Sentence B, the term ""astigmatism"" is used to describe a visual outcome in the context of a clinical study. The sentence suggests that the Contoura Vision (CV) with automatic eye tracking system can provide accurate visual outcomes for patients with myopia and myopic astigmatism. The term ""astigmatism"" is used in a clinical context, and the sentence conveys a sense of visual impairment or disability. Compared to Sentence A, the term ""astigmatism"" in Sentence B has taken on a different meaning, as it is now associated with a visual impairment or disability. Therefore, the label ""Changed"" is appropriate for this sentence." 50,Astigmatism,"In this study, we evaluated and compared two groups of posterior chamber intraocular lens (IOL) implantation cases. One group consisted of patients whose postoperative refraction was accurately predicted by IOL calculation formulas, while the other group included patients whose postoperative refraction was poorly predicted by the same formulas. We found that although postoperative astigmatism was greater in the poorly predicted group, preoperative to postoperative changes in astigmatism did not differ between the two groups. The poorly predicted group also had a shorter average axial length, a greater proportion of females, and an increased variability in most of the measurements we performed. The two groups did not differ significantly in terms of measured postoperative anterior chamber depth, age at the time of the surgery, IOL power and style implanted, complication rate, or preoperative corneal integrity.","Nanoscale functional structures are indispensable elements in many fields of modern science. In this paper, nanopillar array with a pillar diameter far smaller than Abbe's diffraction limit is realized by a new kind of continuous wave (CW) laser direct lithography technology. With atomic force microscopy technology, the average diameter of nanopillars on thin OIR906 photoresist film is about 65 nm and the smallest diameter is 48 nm, which is about 1/11 of the incident laser wavelength. Also, the influences of coma and astigmatism effects to the shape and size of nanopillar are numerically simulated by utilizing vector integral. As far as we know, it is the first time that nanopillar array is implemented by a donut-shaped 532-nm visible CW laser. The study presents a new, simple, inexpensive, and effective approach for nanopillar/pore array fabrication. ","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Astigmatism Sentence A: In this study, we evaluated and compared two groups of posterior chamber intraocular lens (IOL) implantation cases. One group consisted of patients whose postoperative refraction was accurately predicted by IOL calculation formulas, while the other group included patients whose postoperative refraction was poorly predicted by the same formulas. We found that although postoperative astigmatism was greater in the poorly predicted group, preoperative to postoperative changes in astigmatism did not differ between the two groups. The poorly predicted group also had a shorter average axial length, a greater proportion of females, and an increased variability in most of the measurements we performed. The two groups did not differ significantly in terms of measured postoperative anterior chamber depth, age at the time of the surgery, IOL power and style implanted, complication rate, or preoperative corneal integrity. Sentence B: Nanoscale functional structures are indispensable elements in many fields of modern science. In this paper, nanopillar array with a pillar diameter far smaller than Abbe's diffraction limit is realized by a new kind of continuous wave (CW) laser direct lithography technology. With atomic force microscopy technology, the average diameter of nanopillars on thin OIR906 photoresist film is about 65 nm and the smallest diameter is 48 nm, which is about 1/11 of the incident laser wavelength. Also, the influences of coma and astigmatism effects to the shape and size of nanopillar are numerically simulated by utilizing vector integral. As far as we know, it is the first time that nanopillar array is implemented by a donut-shaped 532-nm visible CW laser. The study presents a new, simple, inexpensive, and effective approach for nanopillar/pore array fabrication. ###Answer 1. Changed Reasoning: In Sentence A, the term ""astigmatism"" refers to a postoperative refractive error that occurs after cataract surgery. The sentence suggests that the term ""astigmatism"" is used to describe a specific type of refractive error that can occur after the surgery, with no mention of any nanoscale functional structures. Therefore, the meaning of the term ""astigmatism"" in this sentence has not changed over time. In Sentence B, the term ""astigmatism"" is used in a completely different context, referring to nanoscale functional structures. The sentence explains that the term ""astigmatism"" is used to describe the smallest diameter of nanopillars on a thin photoresist film. This usage of the term ""astigmatism"" is unrelated to its meaning in Sentence A, and therefore represents a significant change in meaning. Therefore, the label ""Changed"" is appropriate for this sentence." 51,Astigmatism,"Changes in corneal astigmatism induced by pars plana vitrectomy (PPV) (group I, 44 eyes) and PPV combined with no-stitch cataract surgery (group II, 20 eyes) were studied prospectively for a period of at least 3 months. The amount and orientation of the keratometric cylinder and the surgically induced astigmatism (according to the methods of Jaffe and Clayman or Naeser) were analysed. In the first postoperative week both groups exhibited a marked against-the-rule to oblique astigmatism (in group I up to 3.65 +/- 1.40 D, in group II up to 3.05 +/- 1.60 D, according to Jaffe). After 3 months this had declined in group I to 0.40 +/- 0.27 D, whereas a slight induced astigmatism (0.97 +/- 0.41 D) persisted in group II. Gas endotamponade did not significantly aggravate the postoperative astigmatism in either group. Computerized video-keratography generally revealed an asymmetric bowtie pattern during the first week. Our results show that PPV alone induces no appreciable long-term corneal astigmatism. Optical rehabilitation, however, can be delayed by a marked short-term postoperative astigmatism. PPV with simultaneous no-stitch cataract surgery, by contrast, was found to induce a persisting slight astigmatism against the rule.","BACKGROUND: To compare efficacy and safety of photorefractive keratectomy (PRK) by cross-cylinder with single methods in medium-high astigmatism. DESIGN: Randomized clinical trial study PARTICIPANTS: Fifty patients with medium-high compound myopic astigmatism were enrolled between September 2007 and September 2008. METHODS: PRK was performed on 100 eyes of 50 patients with compound myopic astigmatism. Each patient underwent PRK by cross-cylinder approach in one eye and single method on the contralateral eye. Vector analysis was used to assess astigmatic results. MAIN OUTCOME MEASURES: Improvement of visual acuity (snelen chart), refraction, aberrometry. RESULTS: Uncorrected visual acuity (UCCA) equal to 20/40 or better after six months, was achieved in 98% of eyes in the cross-cylinder method versus 96% in single method.. Mean preoperative spherical equivalent(SE) was -5.2 ±2.1 D in the cross-cylinder method versus -5.1 ±0.5 D in the single method. At six months, the mean SE was - 0.5±0.4 D and -0.6±0.3 D, respectively. Mean IOS was 0.4±0.3 in the cross-cylinder group and 0.4±0.4 in the single group. Mean postoperative absolute change in total root-mean-square higher order aberrations in the cross-cylinder group and single group were 0.16 pm and 0.17 pm, respectively. Any of the mentioned differences didn't appear to be statistically significant. CONCLUSIONS: Both PRK methods appeared to be safe and effective in correcting medium-high astigmatism.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Astigmatism Sentence A: Changes in corneal astigmatism induced by pars plana vitrectomy (PPV) (group I, 44 eyes) and PPV combined with no-stitch cataract surgery (group II, 20 eyes) were studied prospectively for a period of at least 3 months. The amount and orientation of the keratometric cylinder and the surgically induced astigmatism (according to the methods of Jaffe and Clayman or Naeser) were analysed. In the first postoperative week both groups exhibited a marked against-the-rule to oblique astigmatism (in group I up to 3.65 +/- 1.40 D, in group II up to 3.05 +/- 1.60 D, according to Jaffe). After 3 months this had declined in group I to 0.40 +/- 0.27 D, whereas a slight induced astigmatism (0.97 +/- 0.41 D) persisted in group II. Gas endotamponade did not significantly aggravate the postoperative astigmatism in either group. Computerized video-keratography generally revealed an asymmetric bowtie pattern during the first week. Our results show that PPV alone induces no appreciable long-term corneal astigmatism. Optical rehabilitation, however, can be delayed by a marked short-term postoperative astigmatism. PPV with simultaneous no-stitch cataract surgery, by contrast, was found to induce a persisting slight astigmatism against the rule. Sentence B: BACKGROUND: To compare efficacy and safety of photorefractive keratectomy (PRK) by cross-cylinder with single methods in medium-high astigmatism. DESIGN: Randomized clinical trial study PARTICIPANTS: Fifty patients with medium-high compound myopic astigmatism were enrolled between September 2007 and September 2008. METHODS: PRK was performed on 100 eyes of 50 patients with compound myopic astigmatism. Each patient underwent PRK by cross-cylinder approach in one eye and single method on the contralateral eye. Vector analysis was used to assess astigmatic results. MAIN OUTCOME MEASURES: Improvement of visual acuity (snelen chart), refraction, aberrometry. RESULTS: Uncorrected visual acuity (UCCA) equal to 20/40 or better after six months, was achieved in 98% of eyes in the cross-cylinder method versus 96% in single method.. Mean preoperative spherical equivalent(SE) was -5.2 ±2.1 D in the cross-cylinder method versus -5.1 ±0.5 D in the single method. At six months, the mean SE was - 0.5±0.4 D and -0.6±0.3 D, respectively. Mean IOS was 0.4±0.3 in the cross-cylinder group and 0.4±0.4 in the single group. Mean postoperative absolute change in total root-mean-square higher order aberrations in the cross-cylinder group and single group were 0.16 pm and 0.17 pm, respectively. Any of the mentioned differences didn't appear to be statistically significant. CONCLUSIONS: Both PRK methods appeared to be safe and effective in correcting medium-high astigmatism. ###Answer 1. Changed The target word ""astigmatism"" has undergone a significant change in meaning between the two sentences. In Sentence A, the term refers to a refractive error caused by an irregularly shaped cornea, with a focus on the surgical treatment of corneal astigmatism. In Sentence B, the term is used to describe the results of photorefractive keratectomy (PRK) in patients with medium-high compound myopic astigmatism, with a focus on the safety and efficacy of the treatment. The meaning of the term has shifted from a specific medical condition to a broader description of refractive errors and surgical treatments." 52,Astigmatism,"To compare the accuracy and reliability of objective and subjective refractions before and after laser in situ keratomileusis (LASIK) for myopia, hyperopia, and astigmatism.","A surgical technique is described for reducing surgically induced astigmatism (SIA) during combined implantation of IOL and artificial iris. The CUSTOMFLEX ARTIFICIALIRIS was implanted in 2 patients who suffered from aphakia and complete traumatic aniridia. Implantation of the prosthesis was accompanied by insertion of an IOL that was fixed at the iris implant. Although prosthesis and IOL can be implanted through small incisions individually, the combined package usually requires a larger incision causing greater SIA. The new technique minimizes the SIA because both components are fixed together but can be inserted separately. Final assembling of the iris-IOL package is performed after separate implantation. The technique to implant the artificial iris combined with a nontoric or a toric IOL is described. The slip-and-slide technique was a safe and an effective way to implant an iris-IOL package while keeping the SIA small and reducing the incision size.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Astigmatism Sentence A: To compare the accuracy and reliability of objective and subjective refractions before and after laser in situ keratomileusis (LASIK) for myopia, hyperopia, and astigmatism. Sentence B: A surgical technique is described for reducing surgically induced astigmatism (SIA) during combined implantation of IOL and artificial iris. The CUSTOMFLEX ARTIFICIALIRIS was implanted in 2 patients who suffered from aphakia and complete traumatic aniridia. Implantation of the prosthesis was accompanied by insertion of an IOL that was fixed at the iris implant. Although prosthesis and IOL can be implanted through small incisions individually, the combined package usually requires a larger incision causing greater SIA. The new technique minimizes the SIA because both components are fixed together but can be inserted separately. Final assembling of the iris-IOL package is performed after separate implantation. The technique to implant the artificial iris combined with a nontoric or a toric IOL is described. The slip-and-slide technique was a safe and an effective way to implant an iris-IOL package while keeping the SIA small and reducing the incision size. ###Answer 1. Changed The meaning of the target word ""astigmatism"" has shifted significantly between the two sentences. In Sentence A, astigmatism is defined as a refractive error that can be measured objectively through a refraction test. In Sentence B, astigmatism is described as a surgical complication that can occur during implantation of an intraocular lens (IOL) and artificial iris. The term is no longer limited to a refractive error, but has taken on a new meaning related to surgical techniques and complications. Therefore, the label ""Changed"" is appropriate." 53,Astigmatism,"We reviewed all records of bitoric rigid gas permeable (RGP) contact lenses with prism ballast fittings performed at Tulane University Hospital and affiliated clinics from 1985 to 1993. We found eight eyes of six patients fit were fit with this lens, which is indicated for the patient with a moderately astigmatic cornea in addition to residual refractive astigmatism. In this design, a small amount of prism is added to a standard bitoric design to achieve rotational stability. All patients achieved 20/25 or better vision. We provide an outline for fitting bitoric RGP contact lenses with prism ballast.","To study the changes in irregular astigmatism in patients with recurrent corneal erosion syndrome due to map-dot-fingerprint degeneration and to demonstrate that both symptomatic and asymptomatic map-dot-fingerprint degeneration/recurrent corneal erosion syndrome may be related to irregular astigmatism, which can effectively be corrected by phototherapeutic keratectomy (PTK) or standard spherical photorefractive keratectomy (PRK).","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Astigmatism Sentence A: We reviewed all records of bitoric rigid gas permeable (RGP) contact lenses with prism ballast fittings performed at Tulane University Hospital and affiliated clinics from 1985 to 1993. We found eight eyes of six patients fit were fit with this lens, which is indicated for the patient with a moderately astigmatic cornea in addition to residual refractive astigmatism. In this design, a small amount of prism is added to a standard bitoric design to achieve rotational stability. All patients achieved 20/25 or better vision. We provide an outline for fitting bitoric RGP contact lenses with prism ballast. Sentence B: To study the changes in irregular astigmatism in patients with recurrent corneal erosion syndrome due to map-dot-fingerprint degeneration and to demonstrate that both symptomatic and asymptomatic map-dot-fingerprint degeneration/recurrent corneal erosion syndrome may be related to irregular astigmatism, which can effectively be corrected by phototherapeutic keratectomy (PTK) or standard spherical photorefractive keratectomy (PRK). ###Answer 1. Changed Reasoning: In Sentence A, the term ""astigmatism"" is used to describe a specific type of refractive error, where the cornea is not perfectly round and cannot be corrected with a single lens. The context suggests that this type of astigmatism is mild and can be corrected with a standard bitoric design. In Sentence B, the term ""astigmatism"" is used in a different context. The author is discussing a specific type of corneal degeneration that can cause irregular astigmatism, which cannot be corrected with a single lens. The author is also suggesting that this type of astigmatism may be related to other conditions, such as map-dot-fingerprint degeneration and recurrent corneal erosion syndrome. The context suggests that the term ""astigmatism"" has taken on a different meaning in this sentence compared to Sentence A. Therefore, semantic drift has occurred in the meaning of the term ""astigmatism"" between these two sentences." 54,Astigmatism,"For paraxial objects viewed at finite distances from the correction plane, retinal image size and retinal distortions due to astigmatism are obtained for spectacle- or contact-lens-corrected aphakic individuals with astigmatism. Our methods are based not on the analysis of schematic or reduced eyes but on clinical measurements (corneal, refractive, pachometer, and correction parameters) that correspond to the individual patient.","We describe a case of progressive lenticular astigmatism in a 53-year-old man with a clear lens. The patient acquired 5 diopters of lenticular astigmatism in his right eye over an 18-month period. The visual acuity was reduced to 6/60. Following phacoemulsification and intraocular lens implantation, the uncorrected visual acuity was 6/5. Progressive astigmatism is usually corneal in origin and in an otherwise healthy eye, significant lenticular astigmatism is rare. When lenticular astigmatism occurs, it is usually associated with a cortical cataract; however, astigmatism may precede the development of a clinically visible cataract.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Astigmatism Sentence A: For paraxial objects viewed at finite distances from the correction plane, retinal image size and retinal distortions due to astigmatism are obtained for spectacle- or contact-lens-corrected aphakic individuals with astigmatism. Our methods are based not on the analysis of schematic or reduced eyes but on clinical measurements (corneal, refractive, pachometer, and correction parameters) that correspond to the individual patient. Sentence B: We describe a case of progressive lenticular astigmatism in a 53-year-old man with a clear lens. The patient acquired 5 diopters of lenticular astigmatism in his right eye over an 18-month period. The visual acuity was reduced to 6/60. Following phacoemulsification and intraocular lens implantation, the uncorrected visual acuity was 6/5. Progressive astigmatism is usually corneal in origin and in an otherwise healthy eye, significant lenticular astigmatism is rare. When lenticular astigmatism occurs, it is usually associated with a cortical cataract; however, astigmatism may precede the development of a clinically visible cataract. ###Answer 1. Changed Reasoning: In Sentence A, the target word ""astigmatism"" is used to describe a specific type of refractive error caused by irregularities in the cornea. The context suggests that the term is used to refer to a condition that can be corrected with spectacle or contact lenses. In Sentence B, the target word ""astigmatism"" has a slightly different meaning. It is used to describe a progressive lenticular astigmatism that occurred in a patient's eye over an 18-month period. The context suggests that the term is used to refer to a type of astigmatism that is not necessarily corneal in origin, but rather lenticular. Additionally, the sentence suggests that this type of astigmatism is relatively rare and may be associated with other eye conditions, such as cortical cataracts. Based on these differences in meaning and context, it can be inferred that the term ""astigmatism"" has undergone a significant change in meaning between Sentence A and Sentence B. Therefore, the label ""Changed"" is appropriate." 55,Astigmatism,"A model eye water cell was used to evaluate the optical performance of biconvex, meniscus, and plano-convex (spheric and aspheric) monofocal poly(methyl methacrylate) intraocular lenses when the lenses were centered and when they were decentered 1 mm and 2 mm. Resolution, induced astigmatism, and modulation transfer function measurements were performed for all lenses with the more convex surface of the lens oriented toward the incident light. The same measurements were performed for the plano-convex and meniscus lenses in the reverse orientation. The lens shapes least affected by decentration were the biconvex and spheric plano-convex with the convex surface oriented toward the incident light. When centered, the aspheric plano-convex lenses had the best overall contrast performance based on the modulation transfer function measurements. However, once decentered the performance of the aspheric lenses approached that of the meniscus lenses in the reverse orientation, the lens shape which had the worst performance.",To evaluate the changes in irregular astigmatism after hyperopic laser in situ keratomileusis (LASIK).,"###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Astigmatism Sentence A: A model eye water cell was used to evaluate the optical performance of biconvex, meniscus, and plano-convex (spheric and aspheric) monofocal poly(methyl methacrylate) intraocular lenses when the lenses were centered and when they were decentered 1 mm and 2 mm. Resolution, induced astigmatism, and modulation transfer function measurements were performed for all lenses with the more convex surface of the lens oriented toward the incident light. The same measurements were performed for the plano-convex and meniscus lenses in the reverse orientation. The lens shapes least affected by decentration were the biconvex and spheric plano-convex with the convex surface oriented toward the incident light. When centered, the aspheric plano-convex lenses had the best overall contrast performance based on the modulation transfer function measurements. However, once decentered the performance of the aspheric lenses approached that of the meniscus lenses in the reverse orientation, the lens shape which had the worst performance. Sentence B: To evaluate the changes in irregular astigmatism after hyperopic laser in situ keratomileusis (LASIK). ###Answer 1. Changed Reasoning: In Sentence A, the term ""astigmatism"" refers to a specific type of refractive error where the cornea is irregularly shaped, causing blurred vision at different distances. The sentence goes on to describe the impact of decentration on the optical performance of intraocular lenses with different shapes. In Sentence B, the term ""astigmatism"" has taken on a different meaning, referring to the changes in irregular astigmatism after LASIK surgery. This is a significant shift in meaning, as the term now refers to a specific type of post-operative change rather than a refractive error. Therefore, the label ""Changed"" is appropriate." 56,Astigmatism,"Five eyes in four patients with pellucid marginal corneal degeneration were treated by lamellar crescentic resection of the thinned area inferiorly. Normal-thickness stroma was then reapposed to normal-thickness stroma with multiple interrupted 10-0 polypropylene sutures. If excessive central corneal steepening along a vertical meridian was present three months after surgery, selected sutures were cut and removed depending on the slit-lamp appearance, keratometry reading, and photokeratograph pattern. Improvement of visual acuity to 20/40 or better was obtained in four of the five eyes with a follow-up of 27 to 40 months (mean, 31.8 months). Early loosening of sutures resulted in a recurrence of corneal thinning and astigmatism in one eye. Pannus developed inferiorly in all five eyes.",To evaluate the effect of non-keratometric ocular astigmatisms on visual and refractive outcomes after photorefractive keratectomy (PRK) for correction of myopic astigmatisms.,"###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Astigmatism Sentence A: Five eyes in four patients with pellucid marginal corneal degeneration were treated by lamellar crescentic resection of the thinned area inferiorly. Normal-thickness stroma was then reapposed to normal-thickness stroma with multiple interrupted 10-0 polypropylene sutures. If excessive central corneal steepening along a vertical meridian was present three months after surgery, selected sutures were cut and removed depending on the slit-lamp appearance, keratometry reading, and photokeratograph pattern. Improvement of visual acuity to 20/40 or better was obtained in four of the five eyes with a follow-up of 27 to 40 months (mean, 31.8 months). Early loosening of sutures resulted in a recurrence of corneal thinning and astigmatism in one eye. Pannus developed inferiorly in all five eyes. Sentence B: To evaluate the effect of non-keratometric ocular astigmatisms on visual and refractive outcomes after photorefractive keratectomy (PRK) for correction of myopic astigmatisms. ###Answer 1. Changed (Astigmatism in Sentence A has a different meaning than in Sentence B) Explanation: In Sentence A, the term ""astigmatism"" refers to a specific type of corneal degeneration, where the thinned area of the cornea is treated with lamellar crescentic resection. The term is used in the context of ophthalmology and indicates a specific medical condition. In Sentence B, the term ""astigmatism"" is used in a different context, referring to a non-keratometric ocular astigmatism, which is a different type of refractive error. The term is used in the context of optometry and indicates a different type of visual impairment. Therefore, the meaning of the term ""astigmatism"" has changed significantly between the two sentences, indicating semantic drift." 57,Astigmatism,"Hurricane keratitis is an epithelial disorder of corneal transplants which occurs irrespectively of the type of local postoperative therapy used. The epithelial defects show a vortex-like arrangement resembling satellite photos of whirlwinds. Even before the development of punctate keratitis, fluorescein staining of the corneal surface reveals vortex-like figures corresponding to a varying thickness of the tear film in a vortex-like configuration. The irregularities in the tear film are due to an irregular profile of the corneal surface, the functional result of which is irregular astigmatism. The irregular surface profile in turn is caused by the approximation of incongruent wound edges and by sutures being too tightly drawn. Particularly when Healon is used, there is a tendency to draw the sutures tight, since a postoperative pressure increase with subsequent fistulation must be expected. Hurricane keratitis thus also appears to result indirectly from the use of Healon.",This study examined the refractive and visual outcome of wavefront-optimized laser in situ keratomileusis (LASIK) in eyes with low myopia and compound myopic astigmatism ≤ 0.75 diopter (D).,"###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Astigmatism Sentence A: Hurricane keratitis is an epithelial disorder of corneal transplants which occurs irrespectively of the type of local postoperative therapy used. The epithelial defects show a vortex-like arrangement resembling satellite photos of whirlwinds. Even before the development of punctate keratitis, fluorescein staining of the corneal surface reveals vortex-like figures corresponding to a varying thickness of the tear film in a vortex-like configuration. The irregularities in the tear film are due to an irregular profile of the corneal surface, the functional result of which is irregular astigmatism. The irregular surface profile in turn is caused by the approximation of incongruent wound edges and by sutures being too tightly drawn. Particularly when Healon is used, there is a tendency to draw the sutures tight, since a postoperative pressure increase with subsequent fistulation must be expected. Hurricane keratitis thus also appears to result indirectly from the use of Healon. Sentence B: This study examined the refractive and visual outcome of wavefront-optimized laser in situ keratomileusis (LASIK) in eyes with low myopia and compound myopic astigmatism ≤ 0.75 diopter (D). ###Answer 1. Changed Explanation: In Sentence A, the term ""astigmatism"" is used to describe an irregularity in the corneal surface, caused by the approximation of incongruent wound edges and by sutures being too tightly drawn. The context suggests that the term refers to a physical irregularity in the cornea, which may have been caused by surgical intervention. In Sentence B, the term ""astigmatism"" is used to describe a refractive error in the eye, specifically a low level of compound myopic astigmatism (≤ 0.75 diopter). The context suggests that the term refers to a refractive error, rather than a physical irregularity in the cornea. Based on these differences in context and meaning, it can be concluded that the term ""astigmatism"" has undergone a significant change in meaning between Sentence A and Sentence B. In Sentence A, the term likely refers to a physical irregularity in the cornea, while in Sentence B, it refers to a refractive error in the eye. Therefore, the label ""Changed"" is appropriate." 58,Astigmatism,"Two-fold astigmatism, three-fold astigmatism and misalignment (coma) can be found from the orientations only of the diffractograms of a set of images with injected beam tilts--typically eight images with tilts of equal magnitude and azimuths 45 degrees apart. The spherical aberration must be determined independently, and the defocus is not measured; however, the measurement required is very much simpler than the measurement of image displacements or induced defocus/astigmatism values, and no calibration of the microscope magnification is needed.","This paper presents a systematic and deep discussion on the aberration field characteristics of pupil-offset off-axis two-mirror astronomical telescopes induced by the radius of curvature (ROC) error based on the framework of the nodal aberration theory (NAT). The expressions of the third-order aberrations in off-axis two-mirror astronomical telescopes with ROC error are derived first. Then the astigmatic and coma aberration fields are discussed, and it is shown in a field constant astigmatism and coma will be induced by ROC error. The aberration compensation between axial misalignments and ROC error are further discussed, and it is shown that the net astigmatic and coma aberration field induced by ROC error can well be compensated by axial misalignments. Importantly, it is also demonstrated that the focal plane shift induced by ROC error can also be compensated at the same time. Also, this paper briefly analyzes the aberration field characteristics when there is the error of conic constant in optical system. Some other discussions are also presented concerning the ROC inconsistency in astronomical telescopes with a segmented primary mirror. This work will lead to a deep understanding of the influence of ROC error in pupil-offset off-axis astronomical telescopes.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Astigmatism Sentence A: Two-fold astigmatism, three-fold astigmatism and misalignment (coma) can be found from the orientations only of the diffractograms of a set of images with injected beam tilts--typically eight images with tilts of equal magnitude and azimuths 45 degrees apart. The spherical aberration must be determined independently, and the defocus is not measured; however, the measurement required is very much simpler than the measurement of image displacements or induced defocus/astigmatism values, and no calibration of the microscope magnification is needed. Sentence B: This paper presents a systematic and deep discussion on the aberration field characteristics of pupil-offset off-axis two-mirror astronomical telescopes induced by the radius of curvature (ROC) error based on the framework of the nodal aberration theory (NAT). The expressions of the third-order aberrations in off-axis two-mirror astronomical telescopes with ROC error are derived first. Then the astigmatic and coma aberration fields are discussed, and it is shown in a field constant astigmatism and coma will be induced by ROC error. The aberration compensation between axial misalignments and ROC error are further discussed, and it is shown that the net astigmatic and coma aberration field induced by ROC error can well be compensated by axial misalignments. Importantly, it is also demonstrated that the focal plane shift induced by ROC error can also be compensated at the same time. Also, this paper briefly analyzes the aberration field characteristics when there is the error of conic constant in optical system. Some other discussions are also presented concerning the ROC inconsistency in astronomical telescopes with a segmented primary mirror. This work will lead to a deep understanding of the influence of ROC error in pupil-offset off-axis astronomical telescopes. ###Answer 1. Changed Reasoning: In Sentence A, the term ""astigmatism"" is used to describe a type of aberration caused by the orientations of diffractograms of images with injected beam tilts. The context suggests that the term refers to the blurring of an image due to the misalignment of the beam. In contrast, in Sentence B, the term ""astigmatic field"" is used to describe the field of aberration caused by the radius of curvature (ROC) error. The context suggests that the term now refers to the field of blurring caused by the misalignment of the mirrors in an astronomical telescope. Therefore, it can be concluded that the meaning of the term ""astigmatism"" has changed between the two sentences. In Sentence A, it referred to a specific type of aberration caused by misalignment of the beam, while in Sentence B, it refers to a broader field of aberration caused by misalignment of the mirrors in an astronomical telescope. Therefore, the label ""Changed"" is appropriate." 59,Astigmatism,"The crossed cylinder lens has been an integral part of clinical refraction for more than 100 years. Although the use of the crossed cylinder in refraction has been scrutinized throughout the 20th Century, it remains the most commonly used technique of clinical refraction for astigmatism. This paper provides a historical perspective of the evolution of the Jackson crossed cylinder technique through a literature review that begins at the mid-19th Century. This review addresses the utilization of the crossed cylinder lens in clinical refraction since its introduction, and the attempts to evaluate its validity and reliability.",To evaluate the early postoperative change in astigmatism in pediatric patients having cataract extraction with intraocular lens implantation using sutured temporal clear corneal incision.,"###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Astigmatism Sentence A: The crossed cylinder lens has been an integral part of clinical refraction for more than 100 years. Although the use of the crossed cylinder in refraction has been scrutinized throughout the 20th Century, it remains the most commonly used technique of clinical refraction for astigmatism. This paper provides a historical perspective of the evolution of the Jackson crossed cylinder technique through a literature review that begins at the mid-19th Century. This review addresses the utilization of the crossed cylinder lens in clinical refraction since its introduction, and the attempts to evaluate its validity and reliability. Sentence B: To evaluate the early postoperative change in astigmatism in pediatric patients having cataract extraction with intraocular lens implantation using sutured temporal clear corneal incision. ###Answer 1. Changed Reasoning: In Sentence A, the term ""astigmatism"" is used in the context of a historical perspective, referring to a condition that was first described in the mid-19th Century. The term is used to describe a refractive error that was prevalent in the past, and the sentence provides a detailed account of the evolution of techniques for measuring and correcting this condition. In this context, the term ""astigmatism"" carries a specific meaning related to the clinical refraction of patients in the past. In Sentence B, the term ""astigmatism"" is used in a different context, referring to a postoperative change in a patient's refractive error after cataract surgery. This sentence is focused on a contemporary medical issue, and the term ""astigmatism"" is used to describe a specific aspect of the patient's condition. In this context, the term ""astigmatism"" carries a different meaning related to the current medical practice. Based on these differences in context and meaning, it can be concluded that the term ""astigmatism"" has undergone a significant change in meaning between Sentence A and Sentence B. In Sentence A, the term is used to refer to a historical condition, while in Sentence B, it is used to describe a contemporary medical issue. Therefore, the label ""Changed"" is appropriate for this task." 60,Astigmatism,"The objective of this study was to evaluate the safety and efficacy of excimer laser phototherapeutic keratectomy in the treatment of anterior corneal pathology in a group of 45 patients. Forty-five patients were treated with the Visx Excimer Laser System for various types of anterior corneal pathology including postinflammatory and postsurgical scars, stromal dystrophies, surface degenerations, pterygia, and epithelial basement membrane dystrophies. Excimer laser phototherapeutic keratectomy (PTK) has been used to treat anteriorly located corneal pathology since 1990; however, most published studies thus far have been composed of small numbers of patients with limited duration of follow-up. The present study is one of the largest domestic PTK series with one of the longest mean follow-ups. Forty patients were followed for > or = 6 months with a mean follow-up of just less than 1 year (11.25 months). Statistically significant improvement was achieved in irritative symptoms and visual acuity. Best spectacle corrected visual acuity (BSCVA) improved a mean of two lines (range, -3 to +7) with 20/50 or better BSCVA present in 29% of patients preoperatively improving to 60% postoperatively. Refractive changes were unpredictable. Mean spherical equivalent underwent a hyperopic shift of 2.81 diopters (D). Fifty percent of patients developed > or = 1 D of refractive astigmatism. Complications occurred in six patients with loss of BSCVA, three patients with topical corticosteroid associated increased intraocular pressure, and three patients with recurrent herpes simplex stromal keratouveitis. Excimer laser phototherapeutic keratectomy can consistently achieve a modest to a more substantial improvement in irritative ocular symptoms and/or visual acuity with significant potential for adverse results that appear to be less severe than the complications associated with alternative treatment by keratoplasty.","Clear corneal incision (CCI) is a commonly used surgical approach in cataract surgery. In this prospective study, we evaluated the effect of CCI site on surgically induced astigmatism (SIA) and other postoperative astigmatic changes. CCIs were constructed based on the steep meridian of the total corneal refractive power in the 4.0-mm-zone (TCRP","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Astigmatism Sentence A: The objective of this study was to evaluate the safety and efficacy of excimer laser phototherapeutic keratectomy in the treatment of anterior corneal pathology in a group of 45 patients. Forty-five patients were treated with the Visx Excimer Laser System for various types of anterior corneal pathology including postinflammatory and postsurgical scars, stromal dystrophies, surface degenerations, pterygia, and epithelial basement membrane dystrophies. Excimer laser phototherapeutic keratectomy (PTK) has been used to treat anteriorly located corneal pathology since 1990; however, most published studies thus far have been composed of small numbers of patients with limited duration of follow-up. The present study is one of the largest domestic PTK series with one of the longest mean follow-ups. Forty patients were followed for > or = 6 months with a mean follow-up of just less than 1 year (11.25 months). Statistically significant improvement was achieved in irritative symptoms and visual acuity. Best spectacle corrected visual acuity (BSCVA) improved a mean of two lines (range, -3 to +7) with 20/50 or better BSCVA present in 29% of patients preoperatively improving to 60% postoperatively. Refractive changes were unpredictable. Mean spherical equivalent underwent a hyperopic shift of 2.81 diopters (D). Fifty percent of patients developed > or = 1 D of refractive astigmatism. Complications occurred in six patients with loss of BSCVA, three patients with topical corticosteroid associated increased intraocular pressure, and three patients with recurrent herpes simplex stromal keratouveitis. Excimer laser phototherapeutic keratectomy can consistently achieve a modest to a more substantial improvement in irritative ocular symptoms and/or visual acuity with significant potential for adverse results that appear to be less severe than the complications associated with alternative treatment by keratoplasty. Sentence B: Clear corneal incision (CCI) is a commonly used surgical approach in cataract surgery. In this prospective study, we evaluated the effect of CCI site on surgically induced astigmatism (SIA) and other postoperative astigmatic changes. CCIs were constructed based on the steep meridian of the total corneal refractive power in the 4.0-mm-zone (TCRP ###Answer 1. Changed Reasoning: In Sentence A, the term ""astigmatism"" is used to describe a refractive error caused by a corneal pathology. The sentence provides a detailed description of the condition, including its cause and symptoms. In Sentence B, the term ""astigmatism"" is used in a different context, referring to a surgical outcome rather than a refractive error. The sentence discusses the effect of the surgical approach on postoperative astigmatic changes. The meaning of the term ""astigmatism"" has shifted from a medical condition to a surgical outcome, indicating semantic drift." 61,Astigmatism,"In a paper probably to be published in Optika i Spektroskopiya the wave aberration for sagittal focus for the arbitrary surface of rotational symmetry has been carried out on the base of the astigmatic beam invariant D(s) = nu(s)d(s). The resulting expression for the wave aberration has been reformulated into three terms which, in the Seidel region, go over into astigmatism (the first) and into the Petzval curvature (the second) while the third disappears.",Wavefront-guided Laser-assisted in situ keratomileusis (LASIK) is a widespread and effective surgical treatment for myopia and astigmatic correction but whether it induces higher-order aberrations remains controversial. The study was designed to evaluate the changes in higher-order aberrations after wavefront-guided ablation with IntraLase femtosecond laser in moderate to high astigmatism.,"###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Astigmatism Sentence A: In a paper probably to be published in Optika i Spektroskopiya the wave aberration for sagittal focus for the arbitrary surface of rotational symmetry has been carried out on the base of the astigmatic beam invariant D(s) = nu(s)d(s). The resulting expression for the wave aberration has been reformulated into three terms which, in the Seidel region, go over into astigmatism (the first) and into the Petzval curvature (the second) while the third disappears. Sentence B: Wavefront-guided Laser-assisted in situ keratomileusis (LASIK) is a widespread and effective surgical treatment for myopia and astigmatic correction but whether it induces higher-order aberrations remains controversial. The study was designed to evaluate the changes in higher-order aberrations after wavefront-guided ablation with IntraLase femtosecond laser in moderate to high astigmatism. ###Answer 1. Changed Explanation: In Sentence A, the term ""astigmatic beam"" is used, which suggests a more technical and precise meaning of the word. The context implies that the author is discussing the mathematical representation of an astigmatic beam in an optical system. In contrast, in Sentence B, the term ""astigmatic correction"" is used, which has a more practical and medical connotation. The context suggests that the author is discussing the surgical treatment of astigmatism. In Sentence A, the word ""astigmatic"" carries a more technical meaning, while in Sentence B, it carries a more practical and medical meaning. Therefore, the semantic drift of the word ""astigmatism"" has occurred, and the label ""Changed"" is appropriate." 62,Astigmatism,"Scleral tunnel incision at the 12 o'clock-position for no-stitch cataract surgery can increase preexisting against-the-rule astigmatism by flattening the vertical corneal meridian. An oblique axis can change by operative induction. We investigated, in a prospective study, whether reduction of such a preoperative astigmatism could be induced by locating the tunnel incision on the steeper meridian. Eighteen eyes with senile cataract and against-the-rule or oblique astigmatism of at least 0.7 diopters were operated with a standardized 5 x 6 mm scleral tunnel incision and a 6 mm PMMA posterior chamber lens. We evaluated the astigmatism with a videokeratoscopy TMS-I preoperatively and about 6 months after the surgery. The mean corneal astigmatism was 1.8 diopters pre- and 1.5 diopters postoperatively. A reduction of keratometric astigmatism was reached in 72% of cases; 17% remained unchanged. The surgically induced astigmatism calculated by Jaffer's and Clayman's vector analysis was 0.68 diopters. The technique of scleral tunnel incision with lateral or oblique approach can reduce a preexisting against-the-rule or oblique astigmatism.",To evaluate the visual and refractive outcomes of wavefront-guided laser in situ keratomileusis (LASIK) using an iris recognition system for the correction of myopic astigmatism.,"###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Astigmatism Sentence A: Scleral tunnel incision at the 12 o'clock-position for no-stitch cataract surgery can increase preexisting against-the-rule astigmatism by flattening the vertical corneal meridian. An oblique axis can change by operative induction. We investigated, in a prospective study, whether reduction of such a preoperative astigmatism could be induced by locating the tunnel incision on the steeper meridian. Eighteen eyes with senile cataract and against-the-rule or oblique astigmatism of at least 0.7 diopters were operated with a standardized 5 x 6 mm scleral tunnel incision and a 6 mm PMMA posterior chamber lens. We evaluated the astigmatism with a videokeratoscopy TMS-I preoperatively and about 6 months after the surgery. The mean corneal astigmatism was 1.8 diopters pre- and 1.5 diopters postoperatively. A reduction of keratometric astigmatism was reached in 72% of cases; 17% remained unchanged. The surgically induced astigmatism calculated by Jaffer's and Clayman's vector analysis was 0.68 diopters. The technique of scleral tunnel incision with lateral or oblique approach can reduce a preexisting against-the-rule or oblique astigmatism. Sentence B: To evaluate the visual and refractive outcomes of wavefront-guided laser in situ keratomileusis (LASIK) using an iris recognition system for the correction of myopic astigmatism. ###Answer 1. Changed Reasoning: In Sentence A, the term ""against-the-rule astigmatism"" is used to describe the preoperative astigmatism. This implies that the term ""against-the-rule"" has a specific meaning in the context of astigmatism, which is not necessarily the case in Sentence B. Additionally, the term ""keratometric astigmatism"" is used in Sentence A, which suggests a more detailed understanding of the concept of astigmatism than in Sentence B. Therefore, it can be inferred that the meaning of the term ""astigmatism"" has changed or evolved between the two sentences, indicating semantic drift." 63,Astigmatism,"The operating corneoloscope and Terry operative keratometer were used respectively in 29 and 34 eyes during the intraocular lens implantation to measure the corneal astigmatism qualitatively or quantitatively, so that the tension of incision closure could be adjusted. The surgically induced astigmatism in qualitative group two weeks after the operation was 3.5 +/- 1.70 D and that in quantitative group was 2.56 +/- 1.60 D. There were 55.17% and 38.24% of the eyes with over 2.00 D corneal astigmatism in qualitative and quantitative group two months after the surgery. The astigmatism of both groups at the early stage after the operation was significantly lower than that of the control group (p < 0.05). Argon laser, Nd:YAG laser or razor-blade were used to cut 1 to 3 limbal sutures in 64 eyes with over with-the-rule astigmatism 2.25 D at the early stage (2 months) after the operation. One hour after suture cutting, the with-the-rule corneal astigmatism reduced significantly with an average of 2.61 D. The astigmatism continued to reduce and stabilized one month after the suture cutting. The arcuate keratotomy was performed in 21 eyes, of which the postoperative astigmatism was over 2.25 D (with the average of 3.34 D) more than 6 months after IOL implantation. The mean astigmatism was 0.82 and 1.18 D one day and 6 months after the keratotomy respectively. The uncorrected visual acuity improved significantly after the keratotomy. These results indicate that applying corneoloscope or Terry keratometer to adjust the tension of incision closure during operations, selected suture cutting at the early postoperative stage, and performing arcuate keratotomy at the late postoperative stage be the effective methods to reduce surgically induced corneal astigmatism.",To determine whether mode of delivery has any impact on astigmatism.,"###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Astigmatism Sentence A: The operating corneoloscope and Terry operative keratometer were used respectively in 29 and 34 eyes during the intraocular lens implantation to measure the corneal astigmatism qualitatively or quantitatively, so that the tension of incision closure could be adjusted. The surgically induced astigmatism in qualitative group two weeks after the operation was 3.5 +/- 1.70 D and that in quantitative group was 2.56 +/- 1.60 D. There were 55.17% and 38.24% of the eyes with over 2.00 D corneal astigmatism in qualitative and quantitative group two months after the surgery. The astigmatism of both groups at the early stage after the operation was significantly lower than that of the control group (p < 0.05). Argon laser, Nd:YAG laser or razor-blade were used to cut 1 to 3 limbal sutures in 64 eyes with over with-the-rule astigmatism 2.25 D at the early stage (2 months) after the operation. One hour after suture cutting, the with-the-rule corneal astigmatism reduced significantly with an average of 2.61 D. The astigmatism continued to reduce and stabilized one month after the suture cutting. The arcuate keratotomy was performed in 21 eyes, of which the postoperative astigmatism was over 2.25 D (with the average of 3.34 D) more than 6 months after IOL implantation. The mean astigmatism was 0.82 and 1.18 D one day and 6 months after the keratotomy respectively. The uncorrected visual acuity improved significantly after the keratotomy. These results indicate that applying corneoloscope or Terry keratometer to adjust the tension of incision closure during operations, selected suture cutting at the early postoperative stage, and performing arcuate keratotomy at the late postoperative stage be the effective methods to reduce surgically induced corneal astigmatism. Sentence B: To determine whether mode of delivery has any impact on astigmatism. ###Answer 1. Changed Reasoning: In Sentence A, the term ""corneal astigmatism"" is used to describe the degree of astigmatism present in the eye after surgery. The context suggests that the term refers to the measurement of the curvature of the cornea, which is used to determine the tension of incision closure during operations. In this sentence, the term ""astigmatism"" does not have any negative connotations, and it is used in a neutral manner to describe a medical condition. In Sentence B, the term ""astigmatism"" is used in a different context. The sentence is focused on determining whether the mode of delivery has any impact on astigmatism. The term ""astigmatism"" is used in a more negative light, suggesting that it is a problem or a defect that needs to be addressed. This shift in meaning is a clear indication of semantic drift, as the term is now being used to describe a potential issue rather than a neutral medical condition. Therefore, the label ""Changed"" is appropriate for this task." 64,Astigmatism,"The complexity of laser material processing can be greatly reduced using computer-generated phase reflection holographic scanners. These scanners direct and focus the beam of a carbon dioxide laser into a spot on the workpiece and then translate this spot over some general 2-D pattern as the scanner undergoes a simple 1-D motion. Procedures for constructing these scanners are presented, and the first-order aberrations introduced by them are analyzed. The primary aberrations cause the diffracted beam to focus to an astigmatic spot on the work surface. The severity of the astigmatism is proportional to the scan rate, scan angle, and f/number. A technique is presented in which the design of the scanner is adjusted so that the astigmatic image is aligned with the scan direction. The resolution perpendicular to the scan direction is the same as that of a scanner without aberrations of the same f/number. Materials processed using these scanners are presented to show their capabilities for carbon dioxide laser material processing. Power densities on the order of 10(6)/cm(2) can be readily obtained using the proposed technique.","We present numerical simulations of multielectrode electrowetting devices used in a novel optical design to correct wavefront aberration. Our optical system consists of two multielectrode devices, preceded by a single fixed lens. The multielectrode elements function as adaptive optical devices that can be used to correct aberrations inherent in many imaging setups, biological samples, and the atmosphere. We are able to accurately simulate the liquid-liquid interface shape using computational fluid dynamics. Ray tracing analysis of these surfaces shows clear evidence of aberration correction. To demonstrate the strength of our design, we studied three different input aberrations mixtures that include astigmatism, coma, trefoil, and additional higher order aberration terms, with amplitudes as large as one wave at 633 nm.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Astigmatism Sentence A: The complexity of laser material processing can be greatly reduced using computer-generated phase reflection holographic scanners. These scanners direct and focus the beam of a carbon dioxide laser into a spot on the workpiece and then translate this spot over some general 2-D pattern as the scanner undergoes a simple 1-D motion. Procedures for constructing these scanners are presented, and the first-order aberrations introduced by them are analyzed. The primary aberrations cause the diffracted beam to focus to an astigmatic spot on the work surface. The severity of the astigmatism is proportional to the scan rate, scan angle, and f/number. A technique is presented in which the design of the scanner is adjusted so that the astigmatic image is aligned with the scan direction. The resolution perpendicular to the scan direction is the same as that of a scanner without aberrations of the same f/number. Materials processed using these scanners are presented to show their capabilities for carbon dioxide laser material processing. Power densities on the order of 10(6)/cm(2) can be readily obtained using the proposed technique. Sentence B: We present numerical simulations of multielectrode electrowetting devices used in a novel optical design to correct wavefront aberration. Our optical system consists of two multielectrode devices, preceded by a single fixed lens. The multielectrode elements function as adaptive optical devices that can be used to correct aberrations inherent in many imaging setups, biological samples, and the atmosphere. We are able to accurately simulate the liquid-liquid interface shape using computational fluid dynamics. Ray tracing analysis of these surfaces shows clear evidence of aberration correction. To demonstrate the strength of our design, we studied three different input aberrations mixtures that include astigmatism, coma, trefoil, and additional higher order aberration terms, with amplitudes as large as one wave at 633 nm. ###Answer 1. Changed Reasoning: In Sentence A, the term ""astigmatism"" is used to describe a specific type of aberration caused by the scanner's design. The term is defined as ""the primary aberrations cause the diffracted beam to focus to an astigmatic spot on the work surface."" This suggests that the term ""astigmatism"" in this context refers to a specific type of optical distortion that is caused by the scanner's design and results in a spot on the work surface being focused in a non-uniform manner. In Sentence B, the term ""astigmatism"" is used in a different context. Here, it is used to describe a type of aberration that can be corrected using electrowetting devices. The term is used to describe a specific type of optical distortion that can be corrected using these devices, rather than being a inherent property of the scanner's design. Based on these differences in context and meaning, it is clear that the term ""astigmatism"" has undergone a significant change in meaning between Sentence A and Sentence B. Therefore, the label ""Changed"" is appropriate for this task." 65,Astigmatism,"To determine whether pseudophakic astigmatism is a desirable goal, and if so, which one is better: against-the-rule (ATR) or with-the-rule (WTR).","This study is done to find out the refractive status of medical students of Mymensingh Medical College (MMC), Mymensingh, Bangladesh. They are of the age of 17-19 years. This is a nonrandom purposive cross sectional study done at late part of the November 2008. Visual acuity estimation, automated refraction, streak retinoscopy, fundoscopy using +78D volk lens were done according to the need of the cases. Out of 175 students 53.14% are emmetropic and 46.86% are ametropic, ametropia is nearly equal in both sexes (male 51.22%, female 48.78%). About all students are of highest academic attainment (GPA 5). About one quarter of the ametropic students (21.61%) are not using spectacles. Simple myopia (81.70%) and myopic astigmatism (18.30%) are the types of ametropia. Out of 67 simple myopic students 56 are of bilateral involvement and 11 are of unilateral involvement. There is similarity in the distribution of sex & refractive status in between general population & medical students of Bangladesh. Myopia and myopic astigmatism are prevalent among medical students.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Astigmatism Sentence A: To determine whether pseudophakic astigmatism is a desirable goal, and if so, which one is better: against-the-rule (ATR) or with-the-rule (WTR). Sentence B: This study is done to find out the refractive status of medical students of Mymensingh Medical College (MMC), Mymensingh, Bangladesh. They are of the age of 17-19 years. This is a nonrandom purposive cross sectional study done at late part of the November 2008. Visual acuity estimation, automated refraction, streak retinoscopy, fundoscopy using +78D volk lens were done according to the need of the cases. Out of 175 students 53.14% are emmetropic and 46.86% are ametropic, ametropia is nearly equal in both sexes (male 51.22%, female 48.78%). About all students are of highest academic attainment (GPA 5). About one quarter of the ametropic students (21.61%) are not using spectacles. Simple myopia (81.70%) and myopic astigmatism (18.30%) are the types of ametropia. Out of 67 simple myopic students 56 are of bilateral involvement and 11 are of unilateral involvement. There is similarity in the distribution of sex & refractive status in between general population & medical students of Bangladesh. Myopia and myopic astigmatism are prevalent among medical students. ###Answer 1. Changed Reasoning: In Sentence B, the term ""myopic astigmatism"" is used instead of ""astigmatism"" in Sentence A. This suggests that the term ""astigmatism"" has shifted in meaning, as it is now specifically referring to myopic astigmatism rather than general astigmatism. Additionally, the context of the sentence suggests that the term is now used to describe a specific type of refractive error, rather than a general condition. Therefore, semantic drift has occurred in the meaning of ""astigmatism""." 66,Astigmatism,"Refractive error was measured at 0 degrees to 40 degrees temporal to fixation in 10 young adults (M age = 26 years) and 10 older adults (M age = 63 years). Older adults exhibited a greater amount of sphere (i.e., overall) error, but no more so in the periphery than in the fovea. Although age differences were small, younger adults were found to exhibit more peripheral astigmatism than the older adults. Discrepancies between obtained results and those of Millodot (1985) may be attributed to the relationship between peripheral astigmatism and presenting refractive status. Alternatively, a two-mechanism model of age-related change in lens curvature is capable of accounting for across-study outcome differences. Recommendations are made concerning optimal viewing conditions for the study of age differences in visual perceptual processes.",To describe spherical equivalent (sph eq) refractive errors in preschool members of a Native American tribe with a high prevalence of astigmatism.,"###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Astigmatism Sentence A: Refractive error was measured at 0 degrees to 40 degrees temporal to fixation in 10 young adults (M age = 26 years) and 10 older adults (M age = 63 years). Older adults exhibited a greater amount of sphere (i.e., overall) error, but no more so in the periphery than in the fovea. Although age differences were small, younger adults were found to exhibit more peripheral astigmatism than the older adults. Discrepancies between obtained results and those of Millodot (1985) may be attributed to the relationship between peripheral astigmatism and presenting refractive status. Alternatively, a two-mechanism model of age-related change in lens curvature is capable of accounting for across-study outcome differences. Recommendations are made concerning optimal viewing conditions for the study of age differences in visual perceptual processes. Sentence B: To describe spherical equivalent (sph eq) refractive errors in preschool members of a Native American tribe with a high prevalence of astigmatism. ###Answer 1. Changed Reasoning: The target word ""astigmatism"" has undergone a significant change in meaning between Sentence A and Sentence B. In Sentence A, astigmatism is defined as a refractive error in the periphery, with a small age-related difference between younger and older adults. In Sentence B, astigmatism is described as a spherical equivalent refractive error in preschool members of a Native American tribe. The term no longer refers to a specific type of refractive error, but rather to a broader category of refractive errors. Therefore, the meaning of ""astigmatism"" has changed significantly between the two sentences." 67,Astigmatism,"The use of smaller cataract incisions is thought to induce less astigmatism, resulting in a more stable refraction. I analyzed the astigmatic changes in 99 cataract/intraocular lens patients with 4.0 mm incisions. Preoperative keratometry measurements were compared with those obtained one week, one month, and three months postoperatively. These changes, analyzed by vector analysis, revealed 0.13 D of induced with-the-rule astigmatism at one week, degrading to 0.22 D of against-the-rule at three months. This compares favorably with previously reported results of 6.0 mm and 10.0 mm incisions. This low amount of induced cylinder and rapid stabilization of the wound confirms an advantage of small incision surgery.",To compare the results of wavefront-guided custom LASIK and the Toric Implantable Collamer Lens (TICL) in the correction of myopic astigmatism.,"###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Astigmatism Sentence A: The use of smaller cataract incisions is thought to induce less astigmatism, resulting in a more stable refraction. I analyzed the astigmatic changes in 99 cataract/intraocular lens patients with 4.0 mm incisions. Preoperative keratometry measurements were compared with those obtained one week, one month, and three months postoperatively. These changes, analyzed by vector analysis, revealed 0.13 D of induced with-the-rule astigmatism at one week, degrading to 0.22 D of against-the-rule at three months. This compares favorably with previously reported results of 6.0 mm and 10.0 mm incisions. This low amount of induced cylinder and rapid stabilization of the wound confirms an advantage of small incision surgery. Sentence B: To compare the results of wavefront-guided custom LASIK and the Toric Implantable Collamer Lens (TICL) in the correction of myopic astigmatism. ###Answer 1. Changed The meaning of the target word ""astigmatism"" has changed significantly between the two sentences. In Sentence A, astigmatism is defined as the amount of cylinder correction required to achieve a stable refraction after cataract surgery. The sentence discusses the reduction of astigmatism with smaller incisions and the advantage of low-induced cylinder. In Sentence B, astigmatism is defined as the amount of cylinder correction required to correct myopic astigmatism through LASIK or TICL surgery. The sentence compares the results of these two procedures in correcting myopic astigmatism. Therefore, the meaning of the target word ""astigmatism"" has shifted from a surgical concept to a clinical concept, indicating semantic drift has occurred." 68,Astigmatism,The change in corneal astigmatism induced by reverse geometry lenses for orthokeratology has not been described previously. This study examines the efficacy of accelerated orthokeratology for reducing astigmatism and whether this varies with the degree of pre-existing astigmatism.,"There is evidence that letter identification is mediated by only a narrow band of spatial frequencies and that the center frequency of the neural channel thought to underlie this selectivity is related to the size of the letters. When letters are spatially filtered (at a fixed size) the channel tuning characteristics change according to the properties of the spatial filter (Majaj et al., 2002). Optical aberrations in the eye act to spatially filter the image formed on the retina-their effect is generally to attenuate high frequencies more than low frequencies but often in a non-monotonic way. We might expect the change in the spatial frequency spectrum caused by the aberration to predict the shift in channel tuning observed for aberrated letters. We show that this is not the case. We used critical-band masking to estimate channel-tuning in the presence of three types of aberration-defocus, coma and secondary astigmatism. We found that the maximum masking was shifted to lower frequencies in the presence of an aberration and that this result was not simply predicted by the spatial-frequency-dependent degradation in image quality, assessed via metrics that have previously been shown to correlate well with performance loss in the presence of an aberration. We show that if image quality effects are taken into account (using visual Strehl metrics), the neural channel required to model the data is shifted to lower frequencies compared to the control (no-aberration) condition. Additionally, we show that when spurious resolution (caused by π phase shifts in the optical transfer function) in the image is masked, the channel tuning properties for aberrated letters are affected, suggesting that there may be interference between visual channels. Even in the presence of simulated aberrations, whose properties change from trial-to-trial, observers exhibit flexibility in selecting the spatial frequencies that support letter identification. ","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Astigmatism Sentence A: The change in corneal astigmatism induced by reverse geometry lenses for orthokeratology has not been described previously. This study examines the efficacy of accelerated orthokeratology for reducing astigmatism and whether this varies with the degree of pre-existing astigmatism. Sentence B: There is evidence that letter identification is mediated by only a narrow band of spatial frequencies and that the center frequency of the neural channel thought to underlie this selectivity is related to the size of the letters. When letters are spatially filtered (at a fixed size) the channel tuning characteristics change according to the properties of the spatial filter (Majaj et al., 2002). Optical aberrations in the eye act to spatially filter the image formed on the retina-their effect is generally to attenuate high frequencies more than low frequencies but often in a non-monotonic way. We might expect the change in the spatial frequency spectrum caused by the aberration to predict the shift in channel tuning observed for aberrated letters. We show that this is not the case. We used critical-band masking to estimate channel-tuning in the presence of three types of aberration-defocus, coma and secondary astigmatism. We found that the maximum masking was shifted to lower frequencies in the presence of an aberration and that this result was not simply predicted by the spatial-frequency-dependent degradation in image quality, assessed via metrics that have previously been shown to correlate well with performance loss in the presence of an aberration. We show that if image quality effects are taken into account (using visual Strehl metrics), the neural channel required to model the data is shifted to lower frequencies compared to the control (no-aberration) condition. Additionally, we show that when spurious resolution (caused by π phase shifts in the optical transfer function) in the image is masked, the channel tuning properties for aberrated letters are affected, suggesting that there may be interference between visual channels. Even in the presence of simulated aberrations, whose properties change from trial-to-trial, observers exhibit flexibility in selecting the spatial frequencies that support letter identification. ###Answer 1. Changed Reasoning: The meaning of the target word ""astigmatism"" has changed significantly between the two sentences. In Sentence A, the word refers to a change in corneal astigmatism induced by reverse geometry lenses for orthokeratology. In Sentence B, the word refers to the effect of optical aberrations in the eye on the spatial frequency spectrum of the image formed on the retina. These two meanings are unrelated and indicate that the word has undergone semantic drift." 69,Astigmatism,"The radii of curvature of 10 astigmatic corneas (1.125 to 3.625 D) were measured by photokeratoscopy in 4 semimeridians: 2 axis semimeridians and 2 power semimeridians. Most of the angular separations between adjacent semimeridians differed from 90 deg by more than 2.5 deg; the separations ranged from 55 to 120 deg. Corneal astigmatism, as specified by the difference in curvature between adjacent axis and power semimeridians at corresponding distances from the corneal apex, was also highly asymmetric with decreasing astigmatism in the corneal periphery. An interesting revelation was the interchange of the axis and power semimeridians in the periphery of 3 subjects' corneas.",The purpose of this study was to determine whether astigmatism or corneal scarring is mediating the reduced visual acuity among patients with fungal keratitis randomized to corneal cross-linking (CXL).,"###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Astigmatism Sentence A: The radii of curvature of 10 astigmatic corneas (1.125 to 3.625 D) were measured by photokeratoscopy in 4 semimeridians: 2 axis semimeridians and 2 power semimeridians. Most of the angular separations between adjacent semimeridians differed from 90 deg by more than 2.5 deg; the separations ranged from 55 to 120 deg. Corneal astigmatism, as specified by the difference in curvature between adjacent axis and power semimeridians at corresponding distances from the corneal apex, was also highly asymmetric with decreasing astigmatism in the corneal periphery. An interesting revelation was the interchange of the axis and power semimeridians in the periphery of 3 subjects' corneas. Sentence B: The purpose of this study was to determine whether astigmatism or corneal scarring is mediating the reduced visual acuity among patients with fungal keratitis randomized to corneal cross-linking (CXL). ###Answer 1. Changed The target word ""astigmatism"" has undergone significant semantic drift between the two sentences. In Sentence A, the term refers to the curvature of the cornea, specifically the difference in curvature between the axis and power semimeridians. In Sentence B, the term refers to the mediating factor of reduced visual acuity among patients with fungal keratitis, specifically whether it is caused by astigmatism or corneal scarring. The meaning of the term has shifted from a purely corneal phenomenon to a broader concept encompassing the impact of astigmatism on visual acuity. Therefore, the label ""Changed"" is appropriate." 70,Astigmatism,"In 11 (right) eyes of 11 ocularly healthy subjects an artificial stepwise intraocular pressure (IOP) elevation was applied by suction cup oculopression. The initial negative pressure in the suction cup was 80 mmHg; it was raised in steps of 40 mmHg. The median of the corneal astigmatism, measured with a Zeiss ophthalmometer, was 0.50 D before oculopression (the values of the 10th and 90th percentiles were 0.30 and 1.10 D, respectively). Corneal astigmatism increased to 2.00 (0.00-5.10) D, 2.25 (1.00-5.55) D, 2.63 (0.63-7.00) D, 3.38 (1.88-6.88) D, 3.38 (2.83-7.25) D, and 4.38 (2.85-5.63) D with 80, 120, 160, 200, 240, and 280 mmHg oculopression, respectively. The astigmatism dropped to 0.75 (0.00-2.30) D immediately after removal of the suction cup. Thus, suction cup oculopression not only influenced IOP but also ocular refraction. This is of particular importance since visual evoked potential (VEP) amplitude is to a high degree dependent on refractive changes. This fact has to be considered if changes in VEP amplitude during suction cup oculopression are used as a tolerance test in glaucoma diagnosis.","Pterygium is a fibrovascular proliferative condition of the ocular surface with no known pathological mechanism. This condition affects vision due to dry eyes, astigmatism or physical occlusion of the visual axis for severe cases. The only definitive treatment for this condition is surgical excision. Interestingly, it is a lesion that may be related to UV radiation and elaboration of proteases. Conjunctivochalasis is a dry eye related condition that is exemplified by excessive conjunctiva or the mucous membrane of the front of the eye around the cornea. Both pterygium and conjunctivochalasis are associated with elaboration of matrix metalloproteinases as well as inflammatory cytokines. We propose that under specific conditions, conjunctivochalasis in the nasal part of the conjunctiva can progress to pterygium. The progression of conjunctivochalasis to pterygium may be related to special kinds of oxidative or inflammatory damage that affects only the part of the loose conjunctival tissue adjacent to the cornea. Protease expressed may then breakdown the conjunctival and corneal epithelium causing the head of pterygium to be very adherent to the cornea. This explains the fact that surgically excised pterygium tissue has stromal tissue enclosed by epithelia on both surfaces. In addition, it explains the existence of a surgical plane when an instrument is passed under the neck of the pterygium tissue but not at the apex. The implications of this hypothesis are first, treatment should be directed to the protection of conjunctivochalasis before it transforms to pterygium. This may be achieved by anti-inflammatory measures, anti-protease treatment, or preventing the triggering of the changes at the head of pterygium, such as avoidance of sunlight. Second, during resection of pterygium, it may not be necessary to resect the pterygium too extensively away from the cornea, since this effectively removes relatively normal conjunctiva. ","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Astigmatism Sentence A: In 11 (right) eyes of 11 ocularly healthy subjects an artificial stepwise intraocular pressure (IOP) elevation was applied by suction cup oculopression. The initial negative pressure in the suction cup was 80 mmHg; it was raised in steps of 40 mmHg. The median of the corneal astigmatism, measured with a Zeiss ophthalmometer, was 0.50 D before oculopression (the values of the 10th and 90th percentiles were 0.30 and 1.10 D, respectively). Corneal astigmatism increased to 2.00 (0.00-5.10) D, 2.25 (1.00-5.55) D, 2.63 (0.63-7.00) D, 3.38 (1.88-6.88) D, 3.38 (2.83-7.25) D, and 4.38 (2.85-5.63) D with 80, 120, 160, 200, 240, and 280 mmHg oculopression, respectively. The astigmatism dropped to 0.75 (0.00-2.30) D immediately after removal of the suction cup. Thus, suction cup oculopression not only influenced IOP but also ocular refraction. This is of particular importance since visual evoked potential (VEP) amplitude is to a high degree dependent on refractive changes. This fact has to be considered if changes in VEP amplitude during suction cup oculopression are used as a tolerance test in glaucoma diagnosis. Sentence B: Pterygium is a fibrovascular proliferative condition of the ocular surface with no known pathological mechanism. This condition affects vision due to dry eyes, astigmatism or physical occlusion of the visual axis for severe cases. The only definitive treatment for this condition is surgical excision. Interestingly, it is a lesion that may be related to UV radiation and elaboration of proteases. Conjunctivochalasis is a dry eye related condition that is exemplified by excessive conjunctiva or the mucous membrane of the front of the eye around the cornea. Both pterygium and conjunctivochalasis are associated with elaboration of matrix metalloproteinases as well as inflammatory cytokines. We propose that under specific conditions, conjunctivochalasis in the nasal part of the conjunctiva can progress to pterygium. The progression of conjunctivochalasis to pterygium may be related to special kinds of oxidative or inflammatory damage that affects only the part of the loose conjunctival tissue adjacent to the cornea. Protease expressed may then breakdown the conjunctival and corneal epithelium causing the head of pterygium to be very adherent to the cornea. This explains the fact that surgically excised pterygium tissue has stromal tissue enclosed by epithelia on both surfaces. In addition, it explains the existence of a surgical plane when an instrument is passed under the neck of the pterygium tissue but not at the apex. The implications of this hypothesis are first, treatment should be directed to the protection of conjunctivochalasis before it transforms to pterygium. This may be achieved by anti-inflammatory measures, anti-protease treatment, or preventing the triggering of the changes at the head of pterygium, such as avoidance of sunlight. Second, during resection of pterygium, it may not be necessary to resect the pterygium too extensively away from the cornea, since this effectively removes relatively normal conjunctiva. ###Answer 1. Changed Reasoning: The meaning of the target word ""astigmatism"" has significantly shifted between the two sentences. In Sentence A, astigmatism is defined as a refractive error caused by the cornea being irregular in shape, resulting in blurred vision. However, in Sentence B, astigmatism is described as a fibrovascular proliferative condition of the ocular surface, unrelated to refractive errors. These two definitions are not interchangeable, and the term ""astigmatism"" has undergone a semantic shift. Therefore, the label ""Changed"" is appropriate." 71,Astigmatism,"An inexpensive, high optical-quality relay lens made up of two eyepieces arranged in an afocal assembly for use in confocal scanning laser imaging is described. In the past we have used relays, within our confocal microscopes, made up of achromats with long focal lengths (> or = 10 cm), which take up large optical tracks and suffer from significant amounts of astigmatism and curvature of field. We quantify aberrations associated with achromat and eyepiece relays using CODE V optical design and analysis software. The eyepiece relay is found to be more compact, better corrected, and not significantly more expensive than its achromat counterpart. In addition to being used to interconnect two scanning mirrors optically as well as scanning mirrors with microscope objectives, it can form part of the optics in a confocal scanning laser MACROscope-Microscope system (Biomedical Photometrics, Inc., Waterloo, Ontario, Canada). Due to design constraints, the MACROscope-Microscope system cannot incorporate a conventional wide-field microscope into its structure such as is done in most commercial confocal microscopes. The eyepiece relay is used as a stand-alone, compact optical link between the scanning mirrors and the microscope objective. This consequently makes the MACROscope-Microscope system more compact and easier to commercialize.","The aim of this study was to evaluate clinical outcomes after toric intraocular lens implantation for astigmatism correction in patients undergoing cataract surgery. This prospective observational study included eyes undergoing cataract surgery at Sestre milosrdnice University Hospital Center between February and September 2011. The study enrolled eyes that had visually significant cataract and preexisting regular corneal astigmatism of 1.50 D or greater. Phacoemulsification was performed and all eyes received an AT TORBI 709 M toric foldable intraocular lens. At 3 months, the uncorrected distance visual acuity was 0.8 or better in 9 of 10 eyes. At 3 months postoperatively, the median reduction in refractive cylinder was statistically significant (P < 0.05). The median intraocular lens axis rotation was 3.0 degrees interquartile range (2.0-4.0 degrees). Our results showed AT TORBI 709 IOL to be an effective surgical option to correct preexisting corneal astigmatism and spectacle dependence after cataract surgery.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Astigmatism Sentence A: An inexpensive, high optical-quality relay lens made up of two eyepieces arranged in an afocal assembly for use in confocal scanning laser imaging is described. In the past we have used relays, within our confocal microscopes, made up of achromats with long focal lengths (> or = 10 cm), which take up large optical tracks and suffer from significant amounts of astigmatism and curvature of field. We quantify aberrations associated with achromat and eyepiece relays using CODE V optical design and analysis software. The eyepiece relay is found to be more compact, better corrected, and not significantly more expensive than its achromat counterpart. In addition to being used to interconnect two scanning mirrors optically as well as scanning mirrors with microscope objectives, it can form part of the optics in a confocal scanning laser MACROscope-Microscope system (Biomedical Photometrics, Inc., Waterloo, Ontario, Canada). Due to design constraints, the MACROscope-Microscope system cannot incorporate a conventional wide-field microscope into its structure such as is done in most commercial confocal microscopes. The eyepiece relay is used as a stand-alone, compact optical link between the scanning mirrors and the microscope objective. This consequently makes the MACROscope-Microscope system more compact and easier to commercialize. Sentence B: The aim of this study was to evaluate clinical outcomes after toric intraocular lens implantation for astigmatism correction in patients undergoing cataract surgery. This prospective observational study included eyes undergoing cataract surgery at Sestre milosrdnice University Hospital Center between February and September 2011. The study enrolled eyes that had visually significant cataract and preexisting regular corneal astigmatism of 1.50 D or greater. Phacoemulsification was performed and all eyes received an AT TORBI 709 M toric foldable intraocular lens. At 3 months, the uncorrected distance visual acuity was 0.8 or better in 9 of 10 eyes. At 3 months postoperatively, the median reduction in refractive cylinder was statistically significant (P < 0.05). The median intraocular lens axis rotation was 3.0 degrees interquartile range (2.0-4.0 degrees). Our results showed AT TORBI 709 IOL to be an effective surgical option to correct preexisting corneal astigmatism and spectacle dependence after cataract surgery. ###Answer 1. Changed The meaning of the target word ""astigmatism"" has changed significantly between the two sentences. In Sentence A, astigmatism is described as a property of a specific type of relay lens used in confocal scanning laser imaging, with no connotation of visual impairment. In Sentence B, astigmatism is used to describe a clinical condition in patients undergoing cataract surgery, specifically the correction of corneal astigmatism through toric intraocular lens implantation. The shift in meaning suggests that the term ""astigmatism"" has undergone semantic drift." 72,Astigmatism,"Spatial frequency-selective minima (notches) in the contrast sensitivity function (CSF) because of defocus can mimic those that occur with ocular disease. We examined the influence of measurement conditions on CSF shape in simulated clinical testing. CSF notches occurred with almost all levels of defocus for all subjects. Multiple notches were found under some conditions. Notches were found with defocus as small as 0.50 D. Effects of induced astigmatism depended on the orientation of the target. Notches were apparent in defocus conditions after stimulus size and room illuminance were modified and when subjects had insufficient accommodation to compensate for hypermetropic defocus. The equivalent of notches was not noted with the Pelli-Robson chart. As defocus-induced CSF notches may be mistaken for functional loss, careful refractive correction should be conducted prior to clinical or experimental CSF measurement, even at low spatial frequencies.",To compare the corneal astigmatism values obtained with a partial coherence interferometry (PCI) biometer and an automated keratometer and to evaluate the association between these differences and corneal topographic patterns.,"###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Astigmatism Sentence A: Spatial frequency-selective minima (notches) in the contrast sensitivity function (CSF) because of defocus can mimic those that occur with ocular disease. We examined the influence of measurement conditions on CSF shape in simulated clinical testing. CSF notches occurred with almost all levels of defocus for all subjects. Multiple notches were found under some conditions. Notches were found with defocus as small as 0.50 D. Effects of induced astigmatism depended on the orientation of the target. Notches were apparent in defocus conditions after stimulus size and room illuminance were modified and when subjects had insufficient accommodation to compensate for hypermetropic defocus. The equivalent of notches was not noted with the Pelli-Robson chart. As defocus-induced CSF notches may be mistaken for functional loss, careful refractive correction should be conducted prior to clinical or experimental CSF measurement, even at low spatial frequencies. Sentence B: To compare the corneal astigmatism values obtained with a partial coherence interferometry (PCI) biometer and an automated keratometer and to evaluate the association between these differences and corneal topographic patterns. ###Answer 1. Changed The target word ""astigmatism"" has undergone a significant change in meaning between Sentence A (2000) and Sentence B (2020). In Sentence A, ""astigmatism"" refers to spatial frequency-selective minima (notches) in the contrast sensitivity function (CSF) caused by defocus. The term is used in the context of optometry and ophthalmology to describe a specific type of visual impairment. In Sentence B, ""astigmatism"" refers to corneal astigmatism values obtained with a partial coherence interferometry (PCI) biometer or an automated keratometer. The term is used in the context of optometry and ophthalmology to describe a specific type of corneal abnormality. The shift in meaning is significant enough to warrant the label ""Changed."" The term ""astigmatism"" has evolved from a term used to describe a specific type of visual impairment to a term used to describe a specific type of corneal abnormality. This shift in meaning reflects advancements in technology and understanding of the human visual system over the past two decades." 73,Astigmatism,"Corneal lacerations represent a significant portion of ocular trauma. Effective management of this type of injury involves a thorough evaluation to assess the severity of the injury and the development of a logical management plan. Minor corneal trauma may be handled on an out-patient basis with the use of contact lenses and tissue adhesives. Severe injuries generally require admission and surgical intervention. Utilizing kerato-refractive principles and new suture techniques, post-operative astigmatism can be minimized at the time of primary closure.","To investigate early visual and refractive outcomes, corneal stability and optical quality after femtosecond laser small-incision lenticule extraction (SMILE) for treating myopia and myopic astigmatism over -10 D.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Astigmatism Sentence A: Corneal lacerations represent a significant portion of ocular trauma. Effective management of this type of injury involves a thorough evaluation to assess the severity of the injury and the development of a logical management plan. Minor corneal trauma may be handled on an out-patient basis with the use of contact lenses and tissue adhesives. Severe injuries generally require admission and surgical intervention. Utilizing kerato-refractive principles and new suture techniques, post-operative astigmatism can be minimized at the time of primary closure. Sentence B: To investigate early visual and refractive outcomes, corneal stability and optical quality after femtosecond laser small-incision lenticule extraction (SMILE) for treating myopia and myopic astigmatism over -10 D. ###Answer 1. Changed The target word ""astigmatism"" has undergone significant semantic drift between the two sentences. In Sentence A, astigmatism is described as a corneal injury that requires surgical intervention, with a focus on managing the severity of the injury. In contrast, in Sentence B, astigmatism is described as a refractive error that can be treated with a laser surgery, with no mention of corneal trauma. This shift in meaning indicates that the term ""astigmatism"" has undergone semantic drift over time." 74,Astigmatism,"The effects of aberrations on images formed by a total system, including the eye, are assessed in terms of modulation threshold, grating detectability, and modulation transfer functions. The effects of approximately one and two waves of third-order spherical aberration, coma, and astigmatism on the total system modulation transfer function are investigated using three-bar resolution targets and Ronchi rulings in two separate psychophysical experiments. The results of both experiments indicate that the experimentally determined system modulation transfer function is closely approximated by the theoretically calculated modulation transfer function of the total system optics (dioptrics included) in the presence of instrument aberrations. The data indicate that the eye accomodates of a ""best focus"" when spherical aberration and astigmatism (but not coma) are present in the instrument. The quantitative data are used to determine aberration tolerances for instruments that are designed for specific visual tasks and that employ simple targets similar to those investigated.","To evaluate the clinical results and rotational stability of V4c toric implantable collamer lens (TICL, STAAR Surgical Company, Monrovia, CA, USA) in patients with moderate to high myopic astigmatism. Retrospective, interventional case series was performed at Shenzhen Eye Hospital, Shenzhen, Guangdong, China.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Astigmatism Sentence A: The effects of aberrations on images formed by a total system, including the eye, are assessed in terms of modulation threshold, grating detectability, and modulation transfer functions. The effects of approximately one and two waves of third-order spherical aberration, coma, and astigmatism on the total system modulation transfer function are investigated using three-bar resolution targets and Ronchi rulings in two separate psychophysical experiments. The results of both experiments indicate that the experimentally determined system modulation transfer function is closely approximated by the theoretically calculated modulation transfer function of the total system optics (dioptrics included) in the presence of instrument aberrations. The data indicate that the eye accomodates of a ""best focus"" when spherical aberration and astigmatism (but not coma) are present in the instrument. The quantitative data are used to determine aberration tolerances for instruments that are designed for specific visual tasks and that employ simple targets similar to those investigated. Sentence B: To evaluate the clinical results and rotational stability of V4c toric implantable collamer lens (TICL, STAAR Surgical Company, Monrovia, CA, USA) in patients with moderate to high myopic astigmatism. Retrospective, interventional case series was performed at Shenzhen Eye Hospital, Shenzhen, Guangdong, China. ###Answer 1. Changed Explanation: In Sentence A, the term ""astigmatism"" refers to aberrations in the eye, specifically the refractive power of the eye that varies with the direction of the gaze. In Sentence B, the term ""astigmatism"" refers to a specific type of refractive error, specifically myopic astigmatism. The meaning of the term has shifted from a general term for aberrations in the eye to a specific type of refractive error." 75,Astigmatism,"Laser in situ keratomileusis (LASIK) has become the leading refractive option to correct myopia, hyperopia and astigmatism. In addition to the relative rapid visual recovery and the lack of postoperative pain, new flap-related complications are being added. The formation of striae can lead to a significant loss of corrected visual acuity if the central pupil zone is affected. Awareness of possible complications is important not only for the surgeon, but also for the ophthalmologist in practice for a rapid diagnosis and prompt management.","By a detailed analysis of the dependence of aberrations on the numerical aperture and the field of view of the optical system, it is possible to find such values of the numerical aperture and the field of view, where the residual wave aberration is zero. These values can be called correction zones. Our work presents a theoretical analysis of the described problem, and general formulas are derived for the expression of wave aberration coefficients using correction zones for astigmatism and field curvature of the third and fifth order. Finally, an analysis of optimum values of correction zones and the optimum position of the image plane has been performed using derived equations with respect to maximization of the Strehl definition. The analysis of the correction zone and the position of the image plane is presented on two examples of the same optical system, where the image plane is located either in the paraxial image plane or in the optimum image plane.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Astigmatism Sentence A: Laser in situ keratomileusis (LASIK) has become the leading refractive option to correct myopia, hyperopia and astigmatism. In addition to the relative rapid visual recovery and the lack of postoperative pain, new flap-related complications are being added. The formation of striae can lead to a significant loss of corrected visual acuity if the central pupil zone is affected. Awareness of possible complications is important not only for the surgeon, but also for the ophthalmologist in practice for a rapid diagnosis and prompt management. Sentence B: By a detailed analysis of the dependence of aberrations on the numerical aperture and the field of view of the optical system, it is possible to find such values of the numerical aperture and the field of view, where the residual wave aberration is zero. These values can be called correction zones. Our work presents a theoretical analysis of the described problem, and general formulas are derived for the expression of wave aberration coefficients using correction zones for astigmatism and field curvature of the third and fifth order. Finally, an analysis of optimum values of correction zones and the optimum position of the image plane has been performed using derived equations with respect to maximization of the Strehl definition. The analysis of the correction zone and the position of the image plane is presented on two examples of the same optical system, where the image plane is located either in the paraxial image plane or in the optimum image plane. ###Answer 1. Changed Reasoning: In Sentence A, the term ""astigmatism"" is used to describe a refractive error that can be corrected with LASIK surgery. The sentence highlights the prevalence of myopia, hyperopia, and astigmatism, and notes that striae can lead to a significant loss of corrected visual acuity if the central pupil zone is affected. The term ""astigmatism"" carries a negative connotation, implying that the condition is a hindrance to clear vision. In Sentence B, the term ""astigmatism"" is used in a different context, referring to a theoretical optical system where the residual wave aberration is zero. The sentence discusses the dependence of aberrations on the numerical aperture and field of view of the optical system, and derives general formulas for the expression of wave aberration coefficients using correction zones for astigmatism and field curvature of the third and fifth order. The term ""astigmatism"" is used in a more technical and abstract sense, without any negative connotations. Based on these differences in context and meaning, it is clear that the term ""astigmatism"" has undergone a significant change in meaning between Sentence A and Sentence B. In Sentence A, the term carries a negative connotation, while in Sentence B, it is used in a more technical and abstract sense without any negative connotations. Therefore, the label ""Changed"" is appropriate." 76,Astigmatism,"Selective removal of interrupted sutures and adjustment of a running suture can minimize astigmatism after penetrating keratoplasty, but the long-term effects of early suture manipulations remain largely unknown. The authors tested the hypothesis that the cornea becomes ""fixed"" more than 1 year after keratoplasty so that desirable refractive results will remain when all sutures are eventually removed.","Patient satisfaction after modern day cataract surgery requires excellent surgical technique but increasingly demands superior refractive outcomes as well. In many cases, there exists an expectation from patients, as well as surgeons, to achieve emmetropia after cataract surgery. This is particularly true in patients electing premium intraocular lens technology to correct astigmatism and presbyopia to minimize spectacle dependence. Despite continued advances in preoperative and intraoperative diagnostics, refractive planning, and surgical technology, residual refractive error remains a primary source of dissatisfaction after cataract surgery. The need to enhance refractive outcomes and treat residual astigmatic or spherical refractive errors postoperatively becomes paramount to meeting the expectations of patients in their surgical outcome. This article reviews the potential preoperative and intraoperative pitfalls that can be the source of refractive error, the various options to enhance refractive outcomes, and potential future technologies to limit residual refractive error after cataract surgery.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Astigmatism Sentence A: Selective removal of interrupted sutures and adjustment of a running suture can minimize astigmatism after penetrating keratoplasty, but the long-term effects of early suture manipulations remain largely unknown. The authors tested the hypothesis that the cornea becomes ""fixed"" more than 1 year after keratoplasty so that desirable refractive results will remain when all sutures are eventually removed. Sentence B: Patient satisfaction after modern day cataract surgery requires excellent surgical technique but increasingly demands superior refractive outcomes as well. In many cases, there exists an expectation from patients, as well as surgeons, to achieve emmetropia after cataract surgery. This is particularly true in patients electing premium intraocular lens technology to correct astigmatism and presbyopia to minimize spectacle dependence. Despite continued advances in preoperative and intraoperative diagnostics, refractive planning, and surgical technology, residual refractive error remains a primary source of dissatisfaction after cataract surgery. The need to enhance refractive outcomes and treat residual astigmatic or spherical refractive errors postoperatively becomes paramount to meeting the expectations of patients in their surgical outcome. This article reviews the potential preoperative and intraoperative pitfalls that can be the source of refractive error, the various options to enhance refractive outcomes, and potential future technologies to limit residual refractive error after cataract surgery. ###Answer 1. Changed Explanation: In Sentence A, the term ""astigmatism"" is used in the context of a medical condition where the cornea is irregularly shaped, leading to blurred vision. The authors are discussing the potential long-term effects of early suture manipulations on the cornea after penetrating keratoplasty. In this context, the term ""astigmatism"" carries a negative connotation, as it is associated with visual impairment. In Sentence B, the term ""astigmatism"" is used in a different context, where it refers to a desired refractive outcome after cataract surgery. The authors are discussing the expectations of patients and surgeons for emmetropia, or minimal refractive error, after surgery. In this context, the term ""astigmatism"" carries a positive connotation, as it is associated with improved visual acuity. Therefore, based on the different contexts and connotations associated with the term ""astigmatism"" in Sentences A and B, it can be concluded that the term has undergone a significant change in meaning over time. The term ""astigmatism"" has shifted from a negative medical condition to a positive desired refractive outcome, indicating semantic drift." 77,Astigmatism,"We analyzed 83 cases of remarkable postcataract against-the-rule (AR) astigmatism (greater than 1.5D) occurring in a total of 809 Kelman's phacoemulsification aspiration procedures, all using 10-0 polyester sutures in a double-running fashion to close the corneoscleral incisions. All operations were done by one surgeon, using the same surgical procedure and the same number of sutures. The induction and spontaneous regression of several types of astigmatism were analyzed over six months. In cases of preoperative oblique and AR astigmatism, shifts (2.09 +/- 0.22D, 1.93 +/- 0.13D, respectively) after the first week were much smaller than those of preoperative with-the-rule astigmatism. Thereafter, degrees of oblique and AR astigmatism increased and remained higher even six months after surgery. The induction and spontaneous regression of postoperative AR astigmatism was similar to that of oblique astigmatism. Compression of the lids on the eye may be a more important factor than previously considered.",To study the prevalence of and changes in astigmatism from the onset of myopia at school age.,"###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Astigmatism Sentence A: We analyzed 83 cases of remarkable postcataract against-the-rule (AR) astigmatism (greater than 1.5D) occurring in a total of 809 Kelman's phacoemulsification aspiration procedures, all using 10-0 polyester sutures in a double-running fashion to close the corneoscleral incisions. All operations were done by one surgeon, using the same surgical procedure and the same number of sutures. The induction and spontaneous regression of several types of astigmatism were analyzed over six months. In cases of preoperative oblique and AR astigmatism, shifts (2.09 +/- 0.22D, 1.93 +/- 0.13D, respectively) after the first week were much smaller than those of preoperative with-the-rule astigmatism. Thereafter, degrees of oblique and AR astigmatism increased and remained higher even six months after surgery. The induction and spontaneous regression of postoperative AR astigmatism was similar to that of oblique astigmatism. Compression of the lids on the eye may be a more important factor than previously considered. Sentence B: To study the prevalence of and changes in astigmatism from the onset of myopia at school age. ###Answer 1. Changed Explanation: The target word ""astigmatism"" has undergone a significant change in meaning between Sentence A and Sentence B. In Sentence A, astigmatism is defined as a type of refractive error that occurs after cataract surgery, with a focus on its induction and spontaneous regression. In contrast, in Sentence B, astigmatism is associated with the onset of myopia at school age, indicating a shift in focus from a postoperative condition to a developmental phase. This change in context and emphasis suggests that the term ""astigmatism"" has undergone semantic drift between the two sentences." 78,Astigmatism,"The effects of Seidel aberrations (primary defocus, spherical aberration, astigmatism, and coma) were simulated on four images using a digital image-processing system. The tolerances of the human visual system to different levels and combinations of the aberration types were determined by a forced-choice discrimination technique. The resulting threshold levels, expressed in units of wavelength, specify the changes in wave-front aberration that can be detected with some defined probability and represent just-noticeable differences (JND's) in image quality. The results are related to the corresponding Strehl intensity ratios and to the equivalent modulation transfer functions. The ultimate aim of the work is to link wave-front distortion to human visual discrimination, in order that meaningful methods of assessing visual image quality may be devised. The present investigation lays the foundations for further work, which, inter alia, will determine the effects of some higher-order aberrations.",To assess the impact of the magnitude of preoperative and postoperative corneal astigmatism on refractive outcomes in patients undergoing cataract surgery or lens exchange with an extended depth of focus intraocular lens. To compare visual outcomes of steep and temporal on-axis corneal incisions.,"###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Astigmatism Sentence A: The effects of Seidel aberrations (primary defocus, spherical aberration, astigmatism, and coma) were simulated on four images using a digital image-processing system. The tolerances of the human visual system to different levels and combinations of the aberration types were determined by a forced-choice discrimination technique. The resulting threshold levels, expressed in units of wavelength, specify the changes in wave-front aberration that can be detected with some defined probability and represent just-noticeable differences (JND's) in image quality. The results are related to the corresponding Strehl intensity ratios and to the equivalent modulation transfer functions. The ultimate aim of the work is to link wave-front distortion to human visual discrimination, in order that meaningful methods of assessing visual image quality may be devised. The present investigation lays the foundations for further work, which, inter alia, will determine the effects of some higher-order aberrations. Sentence B: To assess the impact of the magnitude of preoperative and postoperative corneal astigmatism on refractive outcomes in patients undergoing cataract surgery or lens exchange with an extended depth of focus intraocular lens. To compare visual outcomes of steep and temporal on-axis corneal incisions. ###Answer 1. Changed Reasoning: In Sentence A, the term ""astigmatism"" refers to a specific type of aberration that affects the image quality. The sentence explains the concept of astigmatism in detail, including its effects on visual image quality and the methods used to assess it. The term ""astigmatism"" is used in the context of a specific field of study (optics and vision science). In Sentence B, the term ""astigmatism"" has a different meaning. It is used to describe the impact of the magnitude of preoperative and postoperative corneal astigmatism on refractive outcomes in patients undergoing cataract surgery or lens exchange with an extended depth of focus intraocular lens. The term ""astigmatism"" is used in a different context, referring to a specific aspect of refractive surgery. Based on these differences in context and meaning, it can be determined that the term ""astigmatism"" has undergone semantic drift between Sentence A and Sentence B. Therefore, the label ""Changed"" is appropriate." 79,Astigmatism,The aim of cataract extraction with implantation of intraocular lens is the astigmatically neutral result. This neutral cataract incision is reached by the method of phacoemulsification with a small incision and implantation of foldable intraocular lens. In case of preoperative astigmatism is an effective method the implantation of a toric intraocular lens. The authors evaluate the first results of pre and postoperative refraction after implantation of ten toric intraocular lenses.,To compare contrast sensitivity among participants undergoing wavefront-guided or wavefront-optimized photorefractive keratectomy (PRK) or LASIK for the treatment of myopia or myopic astigmatism 12 months after surgery.,"###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Astigmatism Sentence A: The aim of cataract extraction with implantation of intraocular lens is the astigmatically neutral result. This neutral cataract incision is reached by the method of phacoemulsification with a small incision and implantation of foldable intraocular lens. In case of preoperative astigmatism is an effective method the implantation of a toric intraocular lens. The authors evaluate the first results of pre and postoperative refraction after implantation of ten toric intraocular lenses. Sentence B: To compare contrast sensitivity among participants undergoing wavefront-guided or wavefront-optimized photorefractive keratectomy (PRK) or LASIK for the treatment of myopia or myopic astigmatism 12 months after surgery. ###Answer 1. Changed Explanation: In Sentence A, the target word ""astigmatism"" refers to a condition where the cornea is irregularly shaped, causing blurred vision. The sentence highlights the goal of cataract surgery to achieve an astigmatically neutral result. This implies that the condition was seen as a problem that needed to be corrected. In Sentence B, the target word ""astigmatism"" refers to a refractive error caused by the shape of the cornea, which can be corrected with surgery. The sentence does not suggest that the condition is a problem that needs to be corrected, but rather a refractive error that can be treated. This implies that the meaning of the target word has shifted from a condition that needs to be fixed to a refractive error that can be managed. Therefore, semantic drift has occurred in the meaning of the target word ""astigmatism"" between Sentence A and Sentence B." 80,Astigmatism,"Experiments on automating the transmission electron microscope rely on the search for minimum variance. This image parameter gives satisfactory results for automatic focusing, astigmatism correction, and beam alignment. We investigate here the different image descriptors that might also be used; we conclude that texture parameters, which are directional, would be better candidates correcting astigmatism and beam tilt.",To determine the refractive effects of paired opposite clear corneal incisions (OCCIs) on with-the-rule (WTR) and against-the-rule (ATR) astigmatism at 1 and 6 months postoperatively.,"###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Astigmatism Sentence A: Experiments on automating the transmission electron microscope rely on the search for minimum variance. This image parameter gives satisfactory results for automatic focusing, astigmatism correction, and beam alignment. We investigate here the different image descriptors that might also be used; we conclude that texture parameters, which are directional, would be better candidates correcting astigmatism and beam tilt. Sentence B: To determine the refractive effects of paired opposite clear corneal incisions (OCCIs) on with-the-rule (WTR) and against-the-rule (ATR) astigmatism at 1 and 6 months postoperatively. ###Answer 1. Changed Explanation: In Sentence A, the target word ""astigmatism"" refers to the correction of distortion in an image, specifically in the context of automated transmission electron microscopy. The sentence highlights the importance of correcting astigmatism in order to achieve satisfactory results in automatic focusing, beam alignment, and image parameter optimization. In Sentence B, the target word ""astigmatism"" refers to a specific type of refractive error in the eye, specifically the difference in refractive power between the horizontal and vertical meridians of the cornea. The sentence discusses the effects of paired opposite clear corneal incisions on the refractive power of the cornea and the resulting astigmatism. Based on these contexts, it is clear that the meaning of the target word has shifted significantly between the two sentences. In Sentence A, astigmatism is used in the context of image processing and correction, while in Sentence B, it is used in the context of eye refraction and surgery. Therefore, the label ""Changed"" is appropriate to indicate that the meaning of the target word has shifted over time." 81,Astigmatism,Seventeen patients with high astigmatism ranging from 5.63 to 19.50 diopters after penetrating keratoplasty had further surgery performed to reduce the astigmatism. Twelve patients had a mean reduction of 4.70 diopters ranging from 1.75 to 10.50 diopters. Four patients had a mean increase of 4.81 diopters with a range from 2.13 to 9.00 diopters. We have found that large amounts of astigmatism can be corrected with relaxing incisions within or circumferential to the graft-host interface but the predictability of the surgical outcome is not satisfactory in all cases.,"The aim of this study is to determine and compare biometric and refractive characteristics of thalassemia major patients and normal individuals. In this cross-sectional study, 54 thalassemia major patients were selected randomly as case group, and 54 age- and sex-matched healthy subjects were regarded as control group. Refractive errors, corneal curvature and ocular components were measured by autokeratorefractometery and A-scan ultrasonography, respectively. Mean spherical equivalent was -0.0093 ± 0.86 D in thalassemia patients and -0.22 ± 1.33 D in the normal group. The prevalence of myopia, Hyperopia, and emmetropia among thalassemia patients was 16.7, 19.4, and 63.9 %, respectively. While in the control group, 26.9 % were myopic, 25 % were hyperopic, and 48.1 % were emmetropic. The prevalence of astigmatism in case group was 22.2 %, which was not significantly different from that in control group, (27.8 %, p = 0.346). Mean axial length in thalassemia patients was 22.89 ± 0.70 which was significantly lower than that in normal group (23.37 ± 0.91, p = 0.000). The flattest meridian of the cornea (R1) was significantly steeper in thalassemia patients (7.77 ± 0.24) in comparison to normal individuals (7.85 ± 0.28). Although thalassemic patients had significantly smaller axial length and vitreous chamber depth in comparison to normal group, which could be due to their abnormal physical growth, there was no significant difference between the mean of spherical equivalent among two groups. This can be due to their steeper corneal curvature that overcomes the refractive disadvantage of their shorter axial length. ","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Astigmatism Sentence A: Seventeen patients with high astigmatism ranging from 5.63 to 19.50 diopters after penetrating keratoplasty had further surgery performed to reduce the astigmatism. Twelve patients had a mean reduction of 4.70 diopters ranging from 1.75 to 10.50 diopters. Four patients had a mean increase of 4.81 diopters with a range from 2.13 to 9.00 diopters. We have found that large amounts of astigmatism can be corrected with relaxing incisions within or circumferential to the graft-host interface but the predictability of the surgical outcome is not satisfactory in all cases. Sentence B: The aim of this study is to determine and compare biometric and refractive characteristics of thalassemia major patients and normal individuals. In this cross-sectional study, 54 thalassemia major patients were selected randomly as case group, and 54 age- and sex-matched healthy subjects were regarded as control group. Refractive errors, corneal curvature and ocular components were measured by autokeratorefractometery and A-scan ultrasonography, respectively. Mean spherical equivalent was -0.0093 ± 0.86 D in thalassemia patients and -0.22 ± 1.33 D in the normal group. The prevalence of myopia, Hyperopia, and emmetropia among thalassemia patients was 16.7, 19.4, and 63.9 %, respectively. While in the control group, 26.9 % were myopic, 25 % were hyperopic, and 48.1 % were emmetropic. The prevalence of astigmatism in case group was 22.2 %, which was not significantly different from that in control group, (27.8 %, p = 0.346). Mean axial length in thalassemia patients was 22.89 ± 0.70 which was significantly lower than that in normal group (23.37 ± 0.91, p = 0.000). The flattest meridian of the cornea (R1) was significantly steeper in thalassemia patients (7.77 ± 0.24) in comparison to normal individuals (7.85 ± 0.28). Although thalassemic patients had significantly smaller axial length and vitreous chamber depth in comparison to normal group, which could be due to their abnormal physical growth, there was no significant difference between the mean of spherical equivalent among two groups. This can be due to their steeper corneal curvature that overcomes the refractive disadvantage of their shorter axial length. ###Answer 1. Unchanged Reasoning: In Sentence A, the word ""astigmatism"" is used to describe the refractive error of patients after penetrating keratoplasty. The sentence explains that the surgery was successful in reducing the astigmatism in some patients, but the predictability of the surgical outcome was not satisfactory in all cases. The word ""astigmatism"" is used in the same context as in Sentence B, where it is used to describe the refractive error of thalassemia major patients. In both sentences, the word ""astigmatism"" refers to the refractive error caused by an irregularly shaped cornea. Therefore, it can be concluded that the meaning of the word ""astigmatism"" has not changed significantly between Sentence A and Sentence B. The word is still used to describe the refractive error caused by an irregularly shaped cornea, and its meaning remains similar in both sentences. Therefore, the label ""Unchanged"" is appropriate." 82,Astigmatism,"We reviewed the consecutive records of 296 patients who underwent corneal transplantation at our institution to compare visual outcome between those who underwent double continuous suture wound closure and those who underwent a combination of interrupted and continuous suture wound closure. Of 156 patients on whom one of these closure techniques was performed, 33 patients satisfied our inclusion and exclusion criteria. Visual outcome between the two groups was compared at three, six, and 12 months. We found significant differences (P less than .05) in average corneal curvature and refractive spherical equivalents (steeper and more myopic, respectively, for double continuous suture wound closure); keratoscopic astigmatism, refractive cylindrical error; and average number of postoperative visits (greater for combined interrupted and continuous suture wound). Visual acuity without correction was significantly better at three months in the group that received double continuous sutures (P = .026). We found no marked difference in best-corrected visual acuity, frequency of graft rejection, requirement for contact lens fit, ratio of refracted vs potential visual acuity, or intraocular pressure. Patients who underwent double continuous suture closure had more rapid visual rehabilitation, had steeper corneas, and less astigmatism than patients who underwent the combined technique suture closure.","We report the experimental implementation of a new method for generating multiple dynamical optical tweezers, where each one of them is generated with an independent linear polarization state with arbitrary orientation. This also allows an independent simultaneous polarization-rotation control. The laser beam, both for generating multiple traps and polarization control, has been modulated using a single reflective nematic liquid crystal with parallel alignment. We present experimental results of controlled displacement, orientation and rotation of birefringent particles. In addition, a simple method for estimating and canceling out the primary astigmatism present in the system is presented.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Astigmatism Sentence A: We reviewed the consecutive records of 296 patients who underwent corneal transplantation at our institution to compare visual outcome between those who underwent double continuous suture wound closure and those who underwent a combination of interrupted and continuous suture wound closure. Of 156 patients on whom one of these closure techniques was performed, 33 patients satisfied our inclusion and exclusion criteria. Visual outcome between the two groups was compared at three, six, and 12 months. We found significant differences (P less than .05) in average corneal curvature and refractive spherical equivalents (steeper and more myopic, respectively, for double continuous suture wound closure); keratoscopic astigmatism, refractive cylindrical error; and average number of postoperative visits (greater for combined interrupted and continuous suture wound). Visual acuity without correction was significantly better at three months in the group that received double continuous sutures (P = .026). We found no marked difference in best-corrected visual acuity, frequency of graft rejection, requirement for contact lens fit, ratio of refracted vs potential visual acuity, or intraocular pressure. Patients who underwent double continuous suture closure had more rapid visual rehabilitation, had steeper corneas, and less astigmatism than patients who underwent the combined technique suture closure. Sentence B: We report the experimental implementation of a new method for generating multiple dynamical optical tweezers, where each one of them is generated with an independent linear polarization state with arbitrary orientation. This also allows an independent simultaneous polarization-rotation control. The laser beam, both for generating multiple traps and polarization control, has been modulated using a single reflective nematic liquid crystal with parallel alignment. We present experimental results of controlled displacement, orientation and rotation of birefringent particles. In addition, a simple method for estimating and canceling out the primary astigmatism present in the system is presented. ###Answer 1. Changed Explanation: In Sentence A, ""astigmatism"" refers to a corneal condition where the cornea is not symmetrical, resulting in blurred vision. The term is used in the context of corneal transplantation and visual outcome. In Sentence B, ""astigmatism"" refers to the property of birefringent particles to rotate in response to polarization control. The term is used in the context of optical tweezers and particle manipulation. In Sentence A, the meaning of ""astigmatism"" is related to the medical condition, and the word has a negative connotation, as it describes a condition that can impair vision. In Sentence B, the meaning of ""astigmatism"" is related to the optical property of particles, and the word has a neutral connotation, as it describes a property that can be controlled and manipulated. Therefore, semantic drift has occurred in the meaning of ""astigmatism"" between Sentence A and Sentence B, as the term has shifted from a medical condition to an optical property." 83,Astigmatism,To determine whether the visual and refractive outcomes of combined astigmatic and radial keratotomy (AK/RK) procedures was different from that following RK for the correction of naturally occurring compound myopic astigmatism and spherical myopia.,"Previous studies have demonstrated safety and efficacy using 6.0 and 6.5 mm optical zones in the WaveLight EX500 Excimer Laser System but have not evaluated if differing optical zone sizes influence refractive outcomes. This study examines visual outcomes between two study populations undergoing LASIK with either a 6.0 mm (1332 patients) or 6.5 mm (1332 patients) optical zone. Outcomes were further stratified by severity of myopia (low, moderate, and high) and astigmatism (low and high). Patients were matched by age and preoperative manifest sphere and cylinder. Postoperative measurements were then compared. The 6.5 mm group demonstrated better postoperative manifest refractive spherical equivalent (MRSE), manifest sphere, and absolute value of the difference in actual and target spherical equivalent refraction (|∆ SEQ|), within the total population, moderate myopia, and low astigmatism groups, but this did not lead to improved postoperative uncorrected distance visual acuity (UDVA) or best corrected distance visual acuity (CDVA). Though astigmatic correction and postoperative angle of error were similar between optical zone sizes, they were significantly worse with high myopia. Overall, this study demonstrates differences in visual outcomes between the 6.0 and 6.5 mm optical zone sizes that may warrant consideration; however, essentially, the results are comparable between them.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Astigmatism Sentence A: To determine whether the visual and refractive outcomes of combined astigmatic and radial keratotomy (AK/RK) procedures was different from that following RK for the correction of naturally occurring compound myopic astigmatism and spherical myopia. Sentence B: Previous studies have demonstrated safety and efficacy using 6.0 and 6.5 mm optical zones in the WaveLight EX500 Excimer Laser System but have not evaluated if differing optical zone sizes influence refractive outcomes. This study examines visual outcomes between two study populations undergoing LASIK with either a 6.0 mm (1332 patients) or 6.5 mm (1332 patients) optical zone. Outcomes were further stratified by severity of myopia (low, moderate, and high) and astigmatism (low and high). Patients were matched by age and preoperative manifest sphere and cylinder. Postoperative measurements were then compared. The 6.5 mm group demonstrated better postoperative manifest refractive spherical equivalent (MRSE), manifest sphere, and absolute value of the difference in actual and target spherical equivalent refraction (|∆ SEQ|), within the total population, moderate myopia, and low astigmatism groups, but this did not lead to improved postoperative uncorrected distance visual acuity (UDVA) or best corrected distance visual acuity (CDVA). Though astigmatic correction and postoperative angle of error were similar between optical zone sizes, they were significantly worse with high myopia. Overall, this study demonstrates differences in visual outcomes between the 6.0 and 6.5 mm optical zone sizes that may warrant consideration; however, essentially, the results are comparable between them. ###Answer 1. Unchanged Reasoning: The meaning of the target word ""astigmatism"" remains similar in both sentences. In Sentence A, it refers to a type of refractive error caused by an irregularly shaped cornea, while in Sentence B, it is used to describe the degree of astigmatism present in a patient undergoing LASIK surgery. Both sentences use the term in a medical or scientific context, and there is no indication of any significant change in meaning or connotation between the two timestamps. Therefore, the label ""Unchanged"" is appropriate." 84,Astigmatism,"We analyzed 82 eyes of 53 patients who underwent penetrating keratoplasty for keratoconus. Despite meticulous attention to microsurgical technique, and the use of the corneal punch. 10-0 monofilament nylon double continuous suture, and the surgical keratometer, and sizing the donor graft to recipient bed, we found a postoperative astigmatism of about 4.0 diopters. The percentage of clear grafts is now high and the complication rate low. However, we still have not developed a technique that ensures an anastigmatic cornea after keratoplasty for keratoconus.","The paper describes a new scheme for wide-angle point-to-point x-ray imaging with almost arbitrarily large angles of incidence by a matched pair of spherically bent crystals to eliminate the astigmatism, which is a well-known imaging error of spherical mirrors. In addition to x rays, the scheme should be applicable to a very broad spectrum of the electromagnetic radiation, including microwaves, infrared and visible light, as well as UV and extreme UV radiation, if the crystals are replaced with appropriate spherical reflectors. The scheme may also be applicable to the imaging with ultrasound.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Astigmatism Sentence A: We analyzed 82 eyes of 53 patients who underwent penetrating keratoplasty for keratoconus. Despite meticulous attention to microsurgical technique, and the use of the corneal punch. 10-0 monofilament nylon double continuous suture, and the surgical keratometer, and sizing the donor graft to recipient bed, we found a postoperative astigmatism of about 4.0 diopters. The percentage of clear grafts is now high and the complication rate low. However, we still have not developed a technique that ensures an anastigmatic cornea after keratoplasty for keratoconus. Sentence B: The paper describes a new scheme for wide-angle point-to-point x-ray imaging with almost arbitrarily large angles of incidence by a matched pair of spherically bent crystals to eliminate the astigmatism, which is a well-known imaging error of spherical mirrors. In addition to x rays, the scheme should be applicable to a very broad spectrum of the electromagnetic radiation, including microwaves, infrared and visible light, as well as UV and extreme UV radiation, if the crystals are replaced with appropriate spherical reflectors. The scheme may also be applicable to the imaging with ultrasound. ###Answer 1. Changed Reasoning: In Sentence A, the term ""astigmatism"" refers to the postoperative refractive error in patients who underwent keratoplasty for keratoconus. The word is used to describe a specific medical condition, emphasizing the negative impact on visual acuity. In contrast, in Sentence B, the term ""astigmatism"" is used in a different context, referring to the imaging error of spherical mirrors. The word is used in a more general sense, without any connotation of a medical condition. Therefore, the meaning of the term ""astigmatism"" has shifted from a medical context to a more general context, indicating semantic drift." 85,Astigmatism,"The properties of two-conic reflecting aplanats are analyzed and discussed on the basis of third order aberration theory. Techniques for designing infinite conjugate two mirror aplanats and computing their image properties are developed. The secondary mirror alignment characteristics of Ritchey-Chrétien and aplanatic Gregorian telescopes are examined and neutral point locations defined. Design configurations corrected for a third Seidel aberration (astigmatism, image curvature, or distortion) are identified and their properties discussed. The properties of Ritchey-Chrétien and aplanatic Gregorian telescopes are compared.",We investigate the lasing modes in large-Fresnel-number laser systems with astigmatism effects. Experimental results reveal that numerous lasing modes are concentrated on exotic patterns corresponding to intriguing geometries. We theoretically use the quantum operator algebra to construct the wave representation for manifesting the origin of the localized wave patterns.,"###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Astigmatism Sentence A: The properties of two-conic reflecting aplanats are analyzed and discussed on the basis of third order aberration theory. Techniques for designing infinite conjugate two mirror aplanats and computing their image properties are developed. The secondary mirror alignment characteristics of Ritchey-Chrétien and aplanatic Gregorian telescopes are examined and neutral point locations defined. Design configurations corrected for a third Seidel aberration (astigmatism, image curvature, or distortion) are identified and their properties discussed. The properties of Ritchey-Chrétien and aplanatic Gregorian telescopes are compared. Sentence B: We investigate the lasing modes in large-Fresnel-number laser systems with astigmatism effects. Experimental results reveal that numerous lasing modes are concentrated on exotic patterns corresponding to intriguing geometries. We theoretically use the quantum operator algebra to construct the wave representation for manifesting the origin of the localized wave patterns. ###Answer 1. Changed Explanation: In Sentence A, the target word ""astigmatism"" refers to a type of aberration in optical systems, specifically the distortion of the image due to the imperfection of the mirrors. The context suggests that the term is used in the context of optical design and telescope alignment. In Sentence B, the target word ""astigmatism"" has a different meaning. It refers to the lasing modes in large-Fresnel-number laser systems, specifically the effects of the imperfection of the mirrors on the lasing behavior. The context suggests that the term is used in the context of laser physics and optics. Therefore, semantic drift has occurred in the meaning of the target word ""astigmatism"" between the two sentences. The word has shifted from referring to optical aberrations to lasing behavior in different contexts, indicating a change in its meaning." 86,Astigmatism,To study the factors which induce post keratoplasty astigmatism. To assess the reliability of different methods in the astigmatism measurement and to study the visual acuity predicting factors.,To investigate the prevalence of non-orthogonal astigmatism among normal and keratoconic Brazilian and Chinese populations.,"###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Astigmatism Sentence A: To study the factors which induce post keratoplasty astigmatism. To assess the reliability of different methods in the astigmatism measurement and to study the visual acuity predicting factors. Sentence B: To investigate the prevalence of non-orthogonal astigmatism among normal and keratoconic Brazilian and Chinese populations. ###Answer 1. Changed Explanation: In Sentence A, the target word ""astigmatism"" refers to a condition where the cornea is irregularly shaped, causing blurred vision. The context suggests that the term is used to describe a specific medical condition that can be measured and assessed. In Sentence B, the target word ""astigmatism"" is used in a different context. The term now refers to a broader concept of irregular corneal shape, encompassing both medical conditions like keratoconus and normal variations in corneal shape. The context suggests that the term has shifted in meaning to become more inclusive and general. Therefore, the label ""Changed"" is appropriate for this example, as the meaning of the target word has significantly shifted between the two sentences." 87,Astigmatism,"The long-term results obtained by a modified method of scleral suturing of posterior chamber lenses (PCLs) (Behndig & Otto 1997) were retrospectively registered and evaluated. Forty-four patients with insufficient capsular support for ordinary PCL implantation were included. Mean follow-up time was 13.1 +/- 6.4 months and registered parameters included visual acuity, deviation from planned refractive outcome, induced astigmatism, and complications.","To compare the anterior chamber depth (ACD), keratometry (K) and astigmatism measurements taken by IOLMaster and Pentacam HR in normal and high myopic (HM) eyes.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Astigmatism Sentence A: The long-term results obtained by a modified method of scleral suturing of posterior chamber lenses (PCLs) (Behndig & Otto 1997) were retrospectively registered and evaluated. Forty-four patients with insufficient capsular support for ordinary PCL implantation were included. Mean follow-up time was 13.1 +/- 6.4 months and registered parameters included visual acuity, deviation from planned refractive outcome, induced astigmatism, and complications. Sentence B: To compare the anterior chamber depth (ACD), keratometry (K) and astigmatism measurements taken by IOLMaster and Pentacam HR in normal and high myopic (HM) eyes. ###Answer 1. Changed Explanation: In Sentence A, the term ""astigmatism"" refers to a specific type of refractive error caused by an irregularly shaped cornea. The sentence describes the results of a study evaluating the long-term effects of a particular method of scleral suturing of posterior chamber lenses (PCLs) in patients with insufficient capsular support. The term ""astigmatism"" in this context means that the cornea is irregularly shaped, resulting in blurred vision. In Sentence B, the term ""astigmatism"" has a different meaning. It refers to the measurement of the degree of astigmatism in the eye, as determined by the IOLMaster or Pentacam HR devices. In this context, ""astigmatism"" means the degree of curvature of the cornea that is measured using these devices. Based on these two sentences, it is clear that the term ""astigmatism"" has undergone a significant change in meaning between the two timestamps. In Sentence A, it refers to a specific refractive error, while in Sentence B, it refers to a measurement of the degree of curvature of the cornea. Therefore, the label ""Changed"" is appropriate." 88,Astigmatism,"The influence of the turbulence outer scale on the Strehl ratio obtained with low-order adaptive optics systems is examined by numerical simulation. The Karhunen-Loeve approach is used to generate wave-front samples. A method that allows construction of the outer-scale-dependent Karhunen-Loeve functions is described. It is shown that the Strehl ratio produced by a second-order adaptive optics correction (tip-tilt, defocus, and astigmatism) is affected quite strongly by the finite outer scale. For the higher-order correction, the effect under study is weak and appears only when the outer-scale magnitude becomes less than the aperture diameter. It is also shown that the finite outer scale has a positive effect on the Strehl ratio of the uncorrected long-exposure image.","The aim of this study was to present methods to improve the analysis of refractive data. A comparison of methods is used to analyse refractive powers using individual powers and aggregate data. Equations are also developed for the representation of the average power of a lens or refractive data as a univariate measure, which includes spherical, coma, and/or other aberrations. The equations provide a precise representation of refractive power, which is useful for comparing individual and aggregate data. Average lens power in the principal meridian can be adequately computed as can the average lens power through orthogonal and oblique meridians, providing a good univariate representation of astigmatism and refractive power. Although these formulae are perhaps not as easy to use as, for example, the spherical equivalent, they are more precise and superior in principle involving fewer approximations and are not subject to systematic bias. These effects are of significance when dealing with high-powered lenses such as intraocular lenses or the cornea. They need to be taken into account particularly for calculations of intraocular lens power, toric intraocular lenses, and cornea refractive surgery, especially if outcomes are to be improved. Such issues are of particular importance when dealing with aggregate data and determining statistical significance of treatment effects. ","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Astigmatism Sentence A: The influence of the turbulence outer scale on the Strehl ratio obtained with low-order adaptive optics systems is examined by numerical simulation. The Karhunen-Loeve approach is used to generate wave-front samples. A method that allows construction of the outer-scale-dependent Karhunen-Loeve functions is described. It is shown that the Strehl ratio produced by a second-order adaptive optics correction (tip-tilt, defocus, and astigmatism) is affected quite strongly by the finite outer scale. For the higher-order correction, the effect under study is weak and appears only when the outer-scale magnitude becomes less than the aperture diameter. It is also shown that the finite outer scale has a positive effect on the Strehl ratio of the uncorrected long-exposure image. Sentence B: The aim of this study was to present methods to improve the analysis of refractive data. A comparison of methods is used to analyse refractive powers using individual powers and aggregate data. Equations are also developed for the representation of the average power of a lens or refractive data as a univariate measure, which includes spherical, coma, and/or other aberrations. The equations provide a precise representation of refractive power, which is useful for comparing individual and aggregate data. Average lens power in the principal meridian can be adequately computed as can the average lens power through orthogonal and oblique meridians, providing a good univariate representation of astigmatism and refractive power. Although these formulae are perhaps not as easy to use as, for example, the spherical equivalent, they are more precise and superior in principle involving fewer approximations and are not subject to systematic bias. These effects are of significance when dealing with high-powered lenses such as intraocular lenses or the cornea. They need to be taken into account particularly for calculations of intraocular lens power, toric intraocular lenses, and cornea refractive surgery, especially if outcomes are to be improved. Such issues are of particular importance when dealing with aggregate data and determining statistical significance of treatment effects. ###Answer 1. Changed Reasoning: In Sentence A, the term ""astigmatism"" is used to describe the influence of the turbulence outer scale on the Strehl ratio obtained with low-order adaptive optics systems. The context suggests that the term refers to a specific type of aberration caused by the irregular shape of the cornea, which distorts light and affects vision. In Sentence B, the term ""astigmatism"" is used to describe the average power of a lens or refractive data. The context suggests that the term now refers to a more general concept of refractive power, including both spherical and astigmatic components. The term is used to describe the average power of a lens or refractive data in various meridians, including the principal meridian and orthogonal and oblique meridians. Based on these differences in context and meaning, it is clear that the term ""astigmatism"" has undergone a significant change in meaning between Sentence A and Sentence B. In Sentence A, the term refers specifically to a type of aberration caused by the irregular shape of the cornea, while in Sentence B, the term refers to a more general concept of refractive power. Therefore, I would label this example as ""Changed""." 89,Astigmatism,"The authors present results of a prospective clinical study with 150 foldable acrylic intraocular lenses AcrySof (Alcon Pharmaceuticals, Ltd.). There were 70 women and 63 men, altogether 133 patients (150 eyes). All lenses were implanted in the bag through 3.5 mm corneal self sealing tunnel incision. Best corrected visual acuity was 6/9 or better in 119 eyes (79.3%) on the first postoperative day and in 128 eyes (85.3%) one year after surgery. Induced astigmatism was up to 0.5 D in 91 eyes (60.7%) on the first postoperative day and in 125 eyes (83.3%) six months after surgery. Posterior capsule fibrosis occurred only in 4 eyes one year after surgery and in 2 eyes Nd:YAG kapsulotomy was done. We have not seen any serious complications. Assessment of the results with AcrySof implantation has shown excellent results, especially very low rate of secondary cataract.","To determine the accuracy of total corneal astigmatism measurements with a Scheimpflug imager and a color light-emitting diode corneal topographer, and to compare the accuracy of total corneal astigmatism measurements with the accuracy of measurements that are based only on the anterior corneal surface.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Astigmatism Sentence A: The authors present results of a prospective clinical study with 150 foldable acrylic intraocular lenses AcrySof (Alcon Pharmaceuticals, Ltd.). There were 70 women and 63 men, altogether 133 patients (150 eyes). All lenses were implanted in the bag through 3.5 mm corneal self sealing tunnel incision. Best corrected visual acuity was 6/9 or better in 119 eyes (79.3%) on the first postoperative day and in 128 eyes (85.3%) one year after surgery. Induced astigmatism was up to 0.5 D in 91 eyes (60.7%) on the first postoperative day and in 125 eyes (83.3%) six months after surgery. Posterior capsule fibrosis occurred only in 4 eyes one year after surgery and in 2 eyes Nd:YAG kapsulotomy was done. We have not seen any serious complications. Assessment of the results with AcrySof implantation has shown excellent results, especially very low rate of secondary cataract. Sentence B: To determine the accuracy of total corneal astigmatism measurements with a Scheimpflug imager and a color light-emitting diode corneal topographer, and to compare the accuracy of total corneal astigmatism measurements with the accuracy of measurements that are based only on the anterior corneal surface. ###Answer 1. Changed Explanation: In Sentence A, ""astigmatism"" refers to the amount of astigmatism present in the eye after surgery, specifically the amount of astigmatism present in the early postoperative period. The sentence does not convey any information about the cause of the astigmatism or the severity of the condition. In Sentence B, ""astigmatism"" refers to the accuracy of total corneal astigmatism measurements, specifically the comparison between measurements taken with a Scheimpflug imager and a color light-emitting diode corneal topographer. The sentence conveys a more technical and specific meaning of the term, relating to the accuracy of the measurement device. Therefore, semantic drift has occurred in the meaning of ""astigmatism"" between Sentence A and Sentence B, as the term is used in a different context and with a different technical meaning in each sentence." 90,Astigmatism,"We report a case in which a severe corneoscleral burn occurred during the first seconds of a phacoemulsification procedure. The procedure, a superior temporal corneal limbus incision on the right eye, was carried out on a 79-year-old woman presenting a cataract with an average lens density, who had no other risk factors for complications. In spite of a mild nucleus density and routine phacoemulsification equipment (PULSAR - OPTIKON 2000) with resterilizable parts, a severe corneal injury occurred with tissue shrinkage around the surgical wound. It led to an immediate severe astigmatism which only partially decreased in the following 7 months. We discuss the mechanism which may bring about this type of injury and the likely cause in this case. We also describe the primary sign (""lens milk"") indicating that the procedure should immediately be stopped, and finally we suggest methods to reduce the incidence of such so-called ""phacoburns"".",Correcting the pre-existing astigmatism is an optimal goal in cataract surgery. The aim of this study is to compare the astigmatic correcting effect of a single regular 3.2 mm clear corneal incision (CCI) with paired opposite CCI in cataract patients and effect of these incisions on optical aberrations using the wavefront quantitative analysis.,"###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Astigmatism Sentence A: We report a case in which a severe corneoscleral burn occurred during the first seconds of a phacoemulsification procedure. The procedure, a superior temporal corneal limbus incision on the right eye, was carried out on a 79-year-old woman presenting a cataract with an average lens density, who had no other risk factors for complications. In spite of a mild nucleus density and routine phacoemulsification equipment (PULSAR - OPTIKON 2000) with resterilizable parts, a severe corneal injury occurred with tissue shrinkage around the surgical wound. It led to an immediate severe astigmatism which only partially decreased in the following 7 months. We discuss the mechanism which may bring about this type of injury and the likely cause in this case. We also describe the primary sign (""lens milk"") indicating that the procedure should immediately be stopped, and finally we suggest methods to reduce the incidence of such so-called ""phacoburns"". Sentence B: Correcting the pre-existing astigmatism is an optimal goal in cataract surgery. The aim of this study is to compare the astigmatic correcting effect of a single regular 3.2 mm clear corneal incision (CCI) with paired opposite CCI in cataract patients and effect of these incisions on optical aberrations using the wavefront quantitative analysis. ###Answer 1. Changed Explanation: In Sentence A, the term ""astigmatism"" is used in the context of a severe injury that occurred during a phacoemulsification procedure. The injury led to tissue shrinkage around the surgical wound, resulting in a significant increase in astigmatism. This is a very different meaning than the term ""astigmatism"" used in Sentence B, where it refers to a pre-existing condition that needs to be corrected during cataract surgery. The term ""astigmatism"" has shifted from describing a specific injury to a more general term for a pre-existing condition. Therefore, the label ""Changed"" is appropriate." 91,Astigmatism,The visual recovery and refractive results of 33 consecutive patients (66 eyes) undergoing standard endocapsular cataract extraction in one eye and simultaneous phacoemulsification in the fellow eye are reported. One surgeon performed all the operations. Surgically induced astigmatism was evaluated for the two techniques in terms of: (1) the proportion of eyes with a refractive cylinder of 1.5 dioptres (D) or less; (2) the interocular difference in post-operative astigmatism. Eyes undergoing phacoemulsification had a significantly lower mean induced cylinder (paired Student's t-test: t = 3.729; p < 0.001) and were more likely to exhibit a cylinder of 1.5 D or less (chi-squared test with Yates' correction: chi 2 = 7.88; p < 0.01) than the nuclear expression group. For paired eyes less post-operative astigmatism (Wilcoxon's signed rank test: T = 92; p < 0.01) was seen in the phacoemulsification eye. At the time of the last post-operative assessment a significantly higher proportion of phacoemulsified eyes achieved a corrected Snellen visual acuity of 6/6 or better than their fellow eyes (McNemar's test: p < 0.01). The results of this unique cohort of patients confirm the beneficial effects of phacoemulsification on astigmatism and visual outcome in the early post-operative period.,To estimate the postoperative astigmatism after small-incision cataract surgery (SICS) done by junior residents at the end of 1 and 3 months.,"###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Astigmatism Sentence A: The visual recovery and refractive results of 33 consecutive patients (66 eyes) undergoing standard endocapsular cataract extraction in one eye and simultaneous phacoemulsification in the fellow eye are reported. One surgeon performed all the operations. Surgically induced astigmatism was evaluated for the two techniques in terms of: (1) the proportion of eyes with a refractive cylinder of 1.5 dioptres (D) or less; (2) the interocular difference in post-operative astigmatism. Eyes undergoing phacoemulsification had a significantly lower mean induced cylinder (paired Student's t-test: t = 3.729; p < 0.001) and were more likely to exhibit a cylinder of 1.5 D or less (chi-squared test with Yates' correction: chi 2 = 7.88; p < 0.01) than the nuclear expression group. For paired eyes less post-operative astigmatism (Wilcoxon's signed rank test: T = 92; p < 0.01) was seen in the phacoemulsification eye. At the time of the last post-operative assessment a significantly higher proportion of phacoemulsified eyes achieved a corrected Snellen visual acuity of 6/6 or better than their fellow eyes (McNemar's test: p < 0.01). The results of this unique cohort of patients confirm the beneficial effects of phacoemulsification on astigmatism and visual outcome in the early post-operative period. Sentence B: To estimate the postoperative astigmatism after small-incision cataract surgery (SICS) done by junior residents at the end of 1 and 3 months. ###Answer 1. Changed Reasoning: In Sentence A, the term ""astigmatism"" is used to describe the refractive error caused by the cataract surgery. The sentence explains that the surgery resulted in a lower mean induced cylinder and a higher proportion of eyes with a refractive cylinder of 1.5 D or less compared to the fellow eye. This suggests that the term ""astigmatism"" in this context refers to a specific type of refractive error caused by the surgery, which is characterized by a relatively low level of cylindrical error. In Sentence B, the term ""astigmatism"" is used to describe the postoperative astigmatism after small-incision cataract surgery (SICS) done by junior residents. The sentence does not provide any context or explanation for the term, and it is unclear what type of astigmatism is being referred to. Without additional information, it is difficult to determine if the meaning of the term has changed significantly between the two sentences. Therefore, the label ""Changed"" is assigned." 92,Astigmatism,"Many cataract surgeons perform sutureless surgery to decrease operating time, postoperative astigmatism, and healing time. Anecdotal case reports of postoperative endophthalmitis after sutureless surgery prompted our investigation of this type of wound closure and its possible relationship to an increased incidence of infection. This in vitro study addressed the question: Is sutureless more likely than sutured cataract surgery to provide a route for inoculation of microbial organisms into the eye? Twenty-eight human eyes obtained postmortem were randomly divided into 14 pairs and successively incubated for 90, 150, 210, and 270 minutes each in a suspension of Staphylococcus epidermidis in physiologic media. Cultured aqueous aspirates yielded no significant differences between sutured and unsutured eyes in colony counts at any time interval. This suggests that both sutured and unsutured wounds resist bacterial ingrowth equally and that a properly constructed unsutured wound is not a significant valve for bacterial inoculation in an eye pressurized to physiological conditions.","Keratoconus is a noninflammatory, progressive disease with ectasia and thinning of the corneal stroma, leading to decrease visual acuity related to asymmetrical irregular astigmatism and myopia. Currently, patients with keratoconus who are contact lens intolerant, are primarily treated by penetrating keratoplasty. When the cornea is transparent, other options may be considered. There are several studies about intrastromal rings implantation, in eyes with keratoconus. The major objective of corneal ring implantation is to reshape the abnormal cornea without removing corneal tissue or touching the central cornea.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Astigmatism Sentence A: Many cataract surgeons perform sutureless surgery to decrease operating time, postoperative astigmatism, and healing time. Anecdotal case reports of postoperative endophthalmitis after sutureless surgery prompted our investigation of this type of wound closure and its possible relationship to an increased incidence of infection. This in vitro study addressed the question: Is sutureless more likely than sutured cataract surgery to provide a route for inoculation of microbial organisms into the eye? Twenty-eight human eyes obtained postmortem were randomly divided into 14 pairs and successively incubated for 90, 150, 210, and 270 minutes each in a suspension of Staphylococcus epidermidis in physiologic media. Cultured aqueous aspirates yielded no significant differences between sutured and unsutured eyes in colony counts at any time interval. This suggests that both sutured and unsutured wounds resist bacterial ingrowth equally and that a properly constructed unsutured wound is not a significant valve for bacterial inoculation in an eye pressurized to physiological conditions. Sentence B: Keratoconus is a noninflammatory, progressive disease with ectasia and thinning of the corneal stroma, leading to decrease visual acuity related to asymmetrical irregular astigmatism and myopia. Currently, patients with keratoconus who are contact lens intolerant, are primarily treated by penetrating keratoplasty. When the cornea is transparent, other options may be considered. There are several studies about intrastromal rings implantation, in eyes with keratoconus. The major objective of corneal ring implantation is to reshape the abnormal cornea without removing corneal tissue or touching the central cornea. ###Answer 1. Changed Reasoning: In Sentence A, the term ""astigmatism"" is used in the context of cataract surgery to describe the postoperative refractive error. This usage implies a connection between the surgery and the development of astigmatism, which may be related to changes in the eye's shape or the surgical technique. In contrast, in Sentence B, the term ""astigmatism"" is used in the context of keratoconus, a separate eye condition characterized by irregular astigmatism and thinning of the corneal stroma. This usage suggests a difference in meaning or connotation between the two sentences, indicating semantic drift." 93,Astigmatism,"Electron microscopic picture of human and rabbit corneas treated by LASer In situ Keratomileusis (LASIK) are presented. Clinical part of this paper deals with first 11 eyes operated by LASIK in the Czech Republic (10 eyes with myopia and myopia with astigmatism and 1 eye with hyperopia with astigmatism). Follow up 2 months. Refraction and BCVA changes are demonstrated on scales. Refraction in the myopic group decreased from -16,3 (+/- 7,05) D sf.eq.preop. to -1,7 (+/- 2,45) D postop. Complications preop.: 3x undercorrection, 1x overcorrection, 3x residual astigmatism and 5x detritus at the interface. One case of early reoperation because of undercorrection is demonstrated. Short term results show that LASIK seems to be a very good methods of surgical correction of higher and high myopia and myopia with astigmatism with good predictability. It is possible to perform successful early reoperation with good centration of ablation zone and good functional outcome. LASIK eliminates postop. pain. There were no corneal hazes even with low term application of steroids in this group of 11 eyes. Promising results were achieved in hyperopia treated by LASIK."," We describe the time- and position-dependent point spread function (PSF) variation of the Wide Field Channel (WFC) of the Advanced Camera for Surveys (ACS) with the principal component analysis (PCA) technique. The time-dependent change is caused by the temporal variation of the $HST$ focus whereas the position-dependent PSF variation in ACS/WFC at a given focus is mainly the result of changes in aberrations and charge diffusion across the detector, which appear as position-dependent changes in elongation of the astigmatic core and blurring of the PSF, respectively. Using >400 archival images of star cluster fields, we construct a ACS PSF library covering diverse environments of the $HST$ observations (e.g., focus values). We find that interpolation of a small number ($\sim20$) of principal components or ``eigen-PSFs'' per exposure can robustly reproduce the observed variation of the ellipticity and size of the PSF. Our primary interest in this investigation is the application of this PSF library to precision weak-lensing analyses, where accurate knowledge of the instrument's PSF is crucial. However, the high-fidelity of the model judged from the nice agreement with observed PSFs suggests that the model is potentially also useful in other applications such as crowded field stellar photometry, galaxy profile fitting, AGN studies, etc., which similarly demand a fair knowledge of the PSFs at objects' locations. Our PSF models, applicable to any WFC image rectified with the Lanczos3 kernel, are publicly available. ","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Astigmatism Sentence A: Electron microscopic picture of human and rabbit corneas treated by LASer In situ Keratomileusis (LASIK) are presented. Clinical part of this paper deals with first 11 eyes operated by LASIK in the Czech Republic (10 eyes with myopia and myopia with astigmatism and 1 eye with hyperopia with astigmatism). Follow up 2 months. Refraction and BCVA changes are demonstrated on scales. Refraction in the myopic group decreased from -16,3 (+/- 7,05) D sf.eq.preop. to -1,7 (+/- 2,45) D postop. Complications preop.: 3x undercorrection, 1x overcorrection, 3x residual astigmatism and 5x detritus at the interface. One case of early reoperation because of undercorrection is demonstrated. Short term results show that LASIK seems to be a very good methods of surgical correction of higher and high myopia and myopia with astigmatism with good predictability. It is possible to perform successful early reoperation with good centration of ablation zone and good functional outcome. LASIK eliminates postop. pain. There were no corneal hazes even with low term application of steroids in this group of 11 eyes. Promising results were achieved in hyperopia treated by LASIK. Sentence B: We describe the time- and position-dependent point spread function (PSF) variation of the Wide Field Channel (WFC) of the Advanced Camera for Surveys (ACS) with the principal component analysis (PCA) technique. The time-dependent change is caused by the temporal variation of the $HST$ focus whereas the position-dependent PSF variation in ACS/WFC at a given focus is mainly the result of changes in aberrations and charge diffusion across the detector, which appear as position-dependent changes in elongation of the astigmatic core and blurring of the PSF, respectively. Using >400 archival images of star cluster fields, we construct a ACS PSF library covering diverse environments of the $HST$ observations (e.g., focus values). We find that interpolation of a small number ($\sim20$) of principal components or ``eigen-PSFs'' per exposure can robustly reproduce the observed variation of the ellipticity and size of the PSF. Our primary interest in this investigation is the application of this PSF library to precision weak-lensing analyses, where accurate knowledge of the instrument's PSF is crucial. However, the high-fidelity of the model judged from the nice agreement with observed PSFs suggests that the model is potentially also useful in other applications such as crowded field stellar photometry, galaxy profile fitting, AGN studies, etc., which similarly demand a fair knowledge of the PSFs at objects' locations. Our PSF models, applicable to any WFC image rectified with the Lanczos3 kernel, are publicly available. ###Answer 1. Changed Reasoning: In Sentence A, the word ""astigmatism"" is used to describe a medical condition where the cornea is irregularly shaped, resulting in blurred vision. The sentence also mentions that the refraction and BCVA (best-corrected visual acuity) changes are demonstrated on scales. This implies that the word ""astigmatism"" is used to describe a specific medical condition that can be measured and corrected through surgery. In Sentence B, the word ""astigmatic"" is used to describe the variation of the WFC's point spread function (PSF) caused by changes in aberrations and charge diffusion across the detector. The sentence does not mention any medical condition or symptoms related to astigmatism. Instead, it discusses the PSF variation in the context of instrumental characteristics and its impact on astronomical observations. Based on these differences in context and meaning, it can be concluded that the word ""astigmatism"" has undergone a significant change in meaning between Sentence A and Sentence B. In Sentence A, the word is used to describe a medical condition, while in Sentence B, it is used to describe a characteristic of the WFC's PSF. Therefore, the label ""Changed"" is appropriate." 94,Astigmatism,"The results of transverse or combined transverse and radial keratotomy in eyes with idiopathic corneal astigmatism (N = 11), astigmatism+myopia (N = 9) or early stages of keratoconus (N = 6) are presented. The corneal astigmatism was reduced in all our patients, the absolute reduction being significantly correlated to the degree of preoperative astigmatism (p = 0.007). In the whole study group the mean relative reduction of the corneal astigmatism was 52.7%. In eyes without keratoconus the astigmatism recorded at the last follow-up visit was very similar to that measured a few days after surgery, while greater changes occurred in the keratoconus group.",To evaluate the impact of posterior corneal astigmatism on outcomes with toric intraocular lenses (IOLs).,"###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Astigmatism Sentence A: The results of transverse or combined transverse and radial keratotomy in eyes with idiopathic corneal astigmatism (N = 11), astigmatism+myopia (N = 9) or early stages of keratoconus (N = 6) are presented. The corneal astigmatism was reduced in all our patients, the absolute reduction being significantly correlated to the degree of preoperative astigmatism (p = 0.007). In the whole study group the mean relative reduction of the corneal astigmatism was 52.7%. In eyes without keratoconus the astigmatism recorded at the last follow-up visit was very similar to that measured a few days after surgery, while greater changes occurred in the keratoconus group. Sentence B: To evaluate the impact of posterior corneal astigmatism on outcomes with toric intraocular lenses (IOLs). ###Answer 1. Changed Reasoning: In Sentence A, the term ""corneal astigmatism"" is used to describe a specific type of refractive error that was treated with surgery. The sentence provides technical information about the reduction of astigmatism in patients with various conditions. The term ""corneal astigmatism"" is used without any additional connotations or emotional associations. In Sentence B, the term ""posterior corneal astigmatism"" is used to describe a different aspect of the same refractive error. The sentence is focused on evaluating the impact of this type of astigmatism on outcomes with toric IOLs. The term ""posterior corneal astigmatism"" carries a slightly different connotation, implying a specific location or origin of the astigmatism. Based on these differences in context and meaning, it is clear that the term ""astigmatism"" has undergone a significant change in meaning between Sentence A and Sentence B. Therefore, the label ""Changed"" is appropriate." 95,Astigmatism,"In summary, these finding show us several things. First, we know that with surgery keratoconus patients can be rehabilitated to achieve excellent vision. A postoperative average visual acuity of 20/20 after an average preoperative visual acuity of 20/500 is a most positive outcome. Secondly, the average amount of postoperative astigmatism of 3.5 diopters shows that even after totally removing a corneal button and replacing it with 360 degrees of sutures we can still achieve a relatively small amount of residual astigmatism and a relatively spherical cornea. Thirdly, with the exception of one primary donor failure, a total of one hundred percent clear grafts, even after the occurrence of two graft rejection episodes, indicated an extremely high success rate of keratoplasty in keratoconus.","Multicolor single molecule localization-based super-resolution microscopy (SMLM) approaches are challenged by channel crosstalk and errors in multi-channel registration. We recently introduced a spectral demixing-based variant of direct stochastic optical reconstruction microscopy (SD-dSTORM) to perform multicolor SMLM with minimal color crosstalk. Here, we demonstrate that the spectral demixing procedure is inherently free of errors in multicolor registration and therefore does not require multicolor channel alignment. Furthermore, spectral demixing significantly reduces single molecule noise and is applicable to astigmatism-based 3D multicolor imaging achieving 25 nm lateral and 66 nm axial resolution on cellular nanostructures.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Astigmatism Sentence A: In summary, these finding show us several things. First, we know that with surgery keratoconus patients can be rehabilitated to achieve excellent vision. A postoperative average visual acuity of 20/20 after an average preoperative visual acuity of 20/500 is a most positive outcome. Secondly, the average amount of postoperative astigmatism of 3.5 diopters shows that even after totally removing a corneal button and replacing it with 360 degrees of sutures we can still achieve a relatively small amount of residual astigmatism and a relatively spherical cornea. Thirdly, with the exception of one primary donor failure, a total of one hundred percent clear grafts, even after the occurrence of two graft rejection episodes, indicated an extremely high success rate of keratoplasty in keratoconus. Sentence B: Multicolor single molecule localization-based super-resolution microscopy (SMLM) approaches are challenged by channel crosstalk and errors in multi-channel registration. We recently introduced a spectral demixing-based variant of direct stochastic optical reconstruction microscopy (SD-dSTORM) to perform multicolor SMLM with minimal color crosstalk. Here, we demonstrate that the spectral demixing procedure is inherently free of errors in multicolor registration and therefore does not require multicolor channel alignment. Furthermore, spectral demixing significantly reduces single molecule noise and is applicable to astigmatism-based 3D multicolor imaging achieving 25 nm lateral and 66 nm axial resolution on cellular nanostructures. ###Answer 1. Changed Reasoning: In Sentence A, the term ""astigmatism"" is used to describe a postoperative condition where the cornea is ""relatively small amount of residual astigmatism"". This implies that the term ""astigmatism"" in this context refers to a specific type of corneal irregularity that can be surgically corrected. In Sentence B, the term ""astigmatism"" is used in a different context, referring to a specific type of imaging technique used to achieve high-resolution 3D images of cellular nanostructures. In this context, the term ""astigmatism"" does not refer to a corneal irregularity, but rather a property of the imaging technique. Therefore, the meaning of the term ""astigmatism"" has changed significantly between the two sentences, indicating semantic drift has occurred." 96,Astigmatism,Positionally induced cyclotorsion could be an important factor concerning correction of astigmatism in refractive surgery. The method of binocular three dimensional infrared video-oculography (3D-VOG) was used to determine a possible influence of body position on cyclotorsion.,"To study the effect of astigmatism correction, rotational stability, and related factors of two different haptic type toric intraocular lenses.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Astigmatism Sentence A: Positionally induced cyclotorsion could be an important factor concerning correction of astigmatism in refractive surgery. The method of binocular three dimensional infrared video-oculography (3D-VOG) was used to determine a possible influence of body position on cyclotorsion. Sentence B: To study the effect of astigmatism correction, rotational stability, and related factors of two different haptic type toric intraocular lenses. ###Answer 1. Changed Explanation: In Sentence A, the term ""astigmatism"" is used in the context of refractive surgery, specifically in relation to the correction of positionally induced cyclotorsion. The term implies a degree of optical irregularity caused by the shape of the cornea. In Sentence B, the term ""astigmatism"" is used in the context of haptic toric intraocular lenses, which are designed to correct for rotational stability and related factors. The term implies a degree of optical irregularity caused by the shape of the lens, rather than the cornea. In Sentence A, the term ""astigmatism"" has a more technical and medical connotation, while in Sentence B, the term has a more surgical and device-specific connotation. This shift in meaning suggests that the term ""astigmatism"" has undergone semantic drift, and therefore should be labeled as ""Changed""." 97,Astigmatism,"To evaluate the effect of superior and temporal clear corneal incisions on astigmatism after sutureless, small incision phacoemulsification.",To compare outcomes of customized/wavefront guided with conventional ablation in myopic patients with or without astigmatism undergoing laser in situ keratomileusis.,"###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Astigmatism Sentence A: To evaluate the effect of superior and temporal clear corneal incisions on astigmatism after sutureless, small incision phacoemulsification. Sentence B: To compare outcomes of customized/wavefront guided with conventional ablation in myopic patients with or without astigmatism undergoing laser in situ keratomileusis. ###Answer ☑️ Changed The meaning of the target word ""astigmatism"" has shifted significantly between the two sentences. In Sentence A, the word refers to a specific type of refractive error in the eye, while in Sentence B, it is used more broadly to describe any refractive error that is not spherical in shape. This shift in meaning indicates semantic drift." 98,Astigmatism,"The study displays a number of 27 cases with tilted syndrome. The cases developed peculiar ophthalmoscopic alterations, compound myopic astigmatism and superotemporal perimetric deficiencies. The perimetric deficiency was located at level of the isopters from the middle periphery and improved, to a certain extent, in perimetry with optical correction. The pathogenetic hypothesis of the syndrome are debated, granting a role to the closing default of the embryonic fissure.","Wavefront-optimized laser-assisted in situ keratomileusis (LASIK) ablation is the most commonly performed procedure in refractive surgery, but new technologies have become available. Our goal was to compare topography-guided (Contoura) and asphericity-guided (Custom-Q) customized ablation treatments for the correction of myopia with or without astigmatism.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Astigmatism Sentence A: The study displays a number of 27 cases with tilted syndrome. The cases developed peculiar ophthalmoscopic alterations, compound myopic astigmatism and superotemporal perimetric deficiencies. The perimetric deficiency was located at level of the isopters from the middle periphery and improved, to a certain extent, in perimetry with optical correction. The pathogenetic hypothesis of the syndrome are debated, granting a role to the closing default of the embryonic fissure. Sentence B: Wavefront-optimized laser-assisted in situ keratomileusis (LASIK) ablation is the most commonly performed procedure in refractive surgery, but new technologies have become available. Our goal was to compare topography-guided (Contoura) and asphericity-guided (Custom-Q) customized ablation treatments for the correction of myopia with or without astigmatism. ###Answer 1. Changed The target word ""astigmatism"" has undergone a significant change in meaning between the two sentences. In Sentence A, the term is used to describe a specific ophthalmic condition, characterized by tilted syndrome, compound myopic astigmatism, and perimetric deficiencies. In contrast, in Sentence B, the term is used to describe a refractive surgery technique, specifically the Custom-Q treatment used to correct myopia with or without astigmatism. The meaning of ""astigmatism"" has shifted from a medical condition to a surgical technique, indicating a semantic drift. Therefore, the label ""Changed"" is appropriate." 99,Astigmatism,To determine the factors affecting the surgical effect of astigmatic keratotomy (AK) when against-the-rule astigmatism is present following cataract surgery.,"This study investigated the influence of corneal astigmatism, corneal curvature and meridional differences on corneal hysteresis (CH) and the corneal resistance factor (CRF) in a group of normal Chinese persons.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Astigmatism Sentence A: To determine the factors affecting the surgical effect of astigmatic keratotomy (AK) when against-the-rule astigmatism is present following cataract surgery. Sentence B: This study investigated the influence of corneal astigmatism, corneal curvature and meridional differences on corneal hysteresis (CH) and the corneal resistance factor (CRF) in a group of normal Chinese persons. ###Answer 1. Changed Explanation: In Sentence A, the target word ""astigmatism"" refers to a specific type of refractive error in the eye, specifically against-the-rule astigmatism. This meaning is consistent throughout the sentence and is relevant to the context of cataract surgery. In Sentence B, the target word ""astigmatism"" has a slightly different meaning. It refers to corneal astigmatism, which is a refractive error caused by irregularities in the shape of the cornea. This meaning is not significantly different from the meaning in Sentence A, but it is a slightly broader definition that encompasses both corneal and against-the-rule astigmatism. Based on these differences in meaning, I would label the semantic drift as ""Unchanged"". While the meaning of the target word has expanded to include a broader range of refractive errors, the core meaning of the word remains the same." 0,Deafness,"This study is concerned with the mean hearing gain in 50 cases of sudden deafness and 40 cases of Menière's disease treated with different drugs and treated with Papaverin and low molecular weight dextran. The treatment of sudden deafness with Papaverin and low molecular dextran was more effective than different drugs. In cases of Menière's disease the treatment with different drugs was not effective, but Papaverin and low molecular dextran was significantly successful. Finally, it is concluded that treatment according to Spoendlin (1969) with Papaverin and low molecular dextran is superior to different drugs.","In mammals, the cochlear sensory epithelium becomes quiescent early during development. After the first postnatal week, there is no cell replacement or proliferation, and severe damage leads to permanent deafness. Supporting cells' trans-differentiation has been suggested as a way to regenerate cochlear hair cells after damage. However, they are also needed for proper functionality. Cdkn1b (p27","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Deafness Sentence A: This study is concerned with the mean hearing gain in 50 cases of sudden deafness and 40 cases of Menière's disease treated with different drugs and treated with Papaverin and low molecular weight dextran. The treatment of sudden deafness with Papaverin and low molecular dextran was more effective than different drugs. In cases of Menière's disease the treatment with different drugs was not effective, but Papaverin and low molecular dextran was significantly successful. Finally, it is concluded that treatment according to Spoendlin (1969) with Papaverin and low molecular dextran is superior to different drugs. Sentence B: In mammals, the cochlear sensory epithelium becomes quiescent early during development. After the first postnatal week, there is no cell replacement or proliferation, and severe damage leads to permanent deafness. Supporting cells' trans-differentiation has been suggested as a way to regenerate cochlear hair cells after damage. However, they are also needed for proper functionality. Cdkn1b (p27 ###Answer 1. Changed Reasoning: In Sentence A, the target word ""deafness"" is used to describe the outcome of treatment for various ear conditions. The meaning is related to the ability to hear, and the word is used in a medical context. In Sentence B, the target word ""deafness"" is used in a different context, describing the developmental process of mammals. The meaning is related to the early stages of mammalian hearing development, and the word is used in a biological context. In Sentence A, the word ""deafness"" has a different connotation than in Sentence B. In Sentence A, it refers to the restoration of hearing ability, while in Sentence B, it refers to the developmental process of mammals. Therefore, the semantic drift of the target word ""deafness"" has occurred between the two sentences, and the label ""Changed"" is appropriate." 1,Deafness,"Congenital internal auditory canal stenosis is a rare cause of sensorineural hearing loss in children. A retrospective analysis including clinical manifestation and radiological findings was made for seven patients who were diagnosed with congenital internal auditory canal stenosis from 1996 to 2002. Chief presenting symptoms were hearing loss, facial nerve palsy, dizziness, and tinnitus. Hearing loss including deafness was found in five cases, vestibular function loss in four cases, and profound functional loss of facial nerve in two cases. In all cases, the diameter of the internal auditory canal was less than 2 mm on high-resolution temporal bone computed tomography (CT) scan. Two cases revealed bilateral internal auditory canal stenosis, and others were unilaterally involved cases. Congenital internal auditory canal stenosis can be an important cause of sensorineural hearing loss, facial nerve palsy, and vestibular dysfunction. High resolution temporal bone CT scan and magnetic resonance (MR) imaging were important tools for diagnosis.","The objectives of this study were to investigate the effects of place of stimulation on cortical auditory evoked potentials in relation to speech performance in cochlear implant listeners. It was designed that cortical responses were recorded for single-electrode bursts at apical, medial and basal portions of the electrode array with varying inter-stimulus intervals ranging from 300 ms to 5 s. Latency and amplitude of N1 and P2 peaks were analysed in relation to monosyllabic word scores. The study sample was 44 adult cochlear implant users ranging in age from 28 to 86 years. N1, P2 and N1-P2 amplitudes declined significantly from apical to basal electrodes. The most robust and pronounced responses were recorded for slower stimulation rates (5 s). Speech recognition correlated positively with N1 and N1-P2 amplitudes at the medial electrode. P2 latency showed a significant negative correlation with speech performance at the apical electrode. At last, cortical responses varied significantly depending on the stimulation site and rate. We can objectively quantify speech performance with the N1, N1-P2 amplitude and P2 latency in cochlear implant users. Deafness-related neural degeneration persists even after the cochlear implantation and is more distinct at the base than the apex of the cochlea.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Deafness Sentence A: Congenital internal auditory canal stenosis is a rare cause of sensorineural hearing loss in children. A retrospective analysis including clinical manifestation and radiological findings was made for seven patients who were diagnosed with congenital internal auditory canal stenosis from 1996 to 2002. Chief presenting symptoms were hearing loss, facial nerve palsy, dizziness, and tinnitus. Hearing loss including deafness was found in five cases, vestibular function loss in four cases, and profound functional loss of facial nerve in two cases. In all cases, the diameter of the internal auditory canal was less than 2 mm on high-resolution temporal bone computed tomography (CT) scan. Two cases revealed bilateral internal auditory canal stenosis, and others were unilaterally involved cases. Congenital internal auditory canal stenosis can be an important cause of sensorineural hearing loss, facial nerve palsy, and vestibular dysfunction. High resolution temporal bone CT scan and magnetic resonance (MR) imaging were important tools for diagnosis. Sentence B: The objectives of this study were to investigate the effects of place of stimulation on cortical auditory evoked potentials in relation to speech performance in cochlear implant listeners. It was designed that cortical responses were recorded for single-electrode bursts at apical, medial and basal portions of the electrode array with varying inter-stimulus intervals ranging from 300 ms to 5 s. Latency and amplitude of N1 and P2 peaks were analysed in relation to monosyllabic word scores. The study sample was 44 adult cochlear implant users ranging in age from 28 to 86 years. N1, P2 and N1-P2 amplitudes declined significantly from apical to basal electrodes. The most robust and pronounced responses were recorded for slower stimulation rates (5 s). Speech recognition correlated positively with N1 and N1-P2 amplitudes at the medial electrode. P2 latency showed a significant negative correlation with speech performance at the apical electrode. At last, cortical responses varied significantly depending on the stimulation site and rate. We can objectively quantify speech performance with the N1, N1-P2 amplitude and P2 latency in cochlear implant users. Deafness-related neural degeneration persists even after the cochlear implantation and is more distinct at the base than the apex of the cochlea. ###Answer 1. Changed Reasoning: In Sentence A, the term ""deafness"" is used to describe sensorineural hearing loss in children, with a focus on the auditory system and the consequences of the condition. The term is used in the context of a medical analysis, and there is no connotation of any particular disability or stigma. In Sentence B, the term ""deafness"" is used in a different context, to describe the persistence of neural degeneration in cochlear implant users even after the implantation. The term is used in the context of a scientific study, and there is a connotation of a permanent or chronic condition. The use of the term ""deafness"" in this sentence suggests a more negative connotation than in Sentence A, and there is a clear difference in the meaning and connotation of the term between the two sentences. Therefore, I have labeled this as a case of semantic drift." 2,Deafness,"A 28-year-old woman with inoperable gastric carcinoma was given continuous infusion of 5-fluorouracil (5-FU) and low-dose cisplatin (CDDP) for 4 weeks while receiving intravenous hyperalimentation (IVH). Eleven days after her last treatment, she developed acute diplopia, deafness and gait ataxia, followed by severe confusion. She became markedly acidotic and hypotensive with a systolic blood pressure of 60 mmHg, necessitating intubation, dopamine treatment and hemodialysis for 7 h. She was also given thiamine. Thereafter, her blood pressure stabilized, the acidosis improved, and her deafness, diplopia, and confusion were resolved. This case suggests that FP (5-FU/CDDP) therapy toxicity, manifested as acute metabolic acidosis and Wernicke's encephalopathy, may be associated with IVH and thiamine deficiency.","It is well known that the post-natal loss of sensory input in one modality can result in crossmodal reorganization of the deprived cortical areas, but deafness fails to induce crossmodal effects in cat primary auditory cortex (A1). Because the core auditory regions (A1, and anterior auditory field AAF) are arranged as separate, parallel processors, it cannot be assumed that early-deafness affects one in the same manner as the other. The present experiments were conducted to determine if crossmodal effects occur in the anterior auditory field (AAF). Using mature cats (n = 3), ototoxically deafened postnatally, single-unit recordings were made in the gyral and sulcal portions of the AAF. In contrast to the auditory responsivity found in the hearing controls, none of the neurons in early-deafened AAF were activated by auditory stimulation. Instead, the majority (78%) were activated by somatosensory cues, while fewer were driven by visual stimulation (44%; values include unisensory and bimodal neurons). Somatosensory responses could be activated from all locations on the body surface but most often occurred on the head, were often bilateral (e.g., occupied portions of both sides of the body), and were primarily excited by low-threshold hair receptors. Visual receptive fields were large, collectively represented the contralateral visual field, and exhibited conventional response properties such as movement direction and velocity preferences. These results indicate that, following post-natal deafness, both somatosensory and visual modalities participate in crossmodal reinnervation of the AAF, consistent with the growing literature that documents deafness-induced crossmodal plasticity outside A1.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Deafness Sentence A: A 28-year-old woman with inoperable gastric carcinoma was given continuous infusion of 5-fluorouracil (5-FU) and low-dose cisplatin (CDDP) for 4 weeks while receiving intravenous hyperalimentation (IVH). Eleven days after her last treatment, she developed acute diplopia, deafness and gait ataxia, followed by severe confusion. She became markedly acidotic and hypotensive with a systolic blood pressure of 60 mmHg, necessitating intubation, dopamine treatment and hemodialysis for 7 h. She was also given thiamine. Thereafter, her blood pressure stabilized, the acidosis improved, and her deafness, diplopia, and confusion were resolved. This case suggests that FP (5-FU/CDDP) therapy toxicity, manifested as acute metabolic acidosis and Wernicke's encephalopathy, may be associated with IVH and thiamine deficiency. Sentence B: It is well known that the post-natal loss of sensory input in one modality can result in crossmodal reorganization of the deprived cortical areas, but deafness fails to induce crossmodal effects in cat primary auditory cortex (A1). Because the core auditory regions (A1, and anterior auditory field AAF) are arranged as separate, parallel processors, it cannot be assumed that early-deafness affects one in the same manner as the other. The present experiments were conducted to determine if crossmodal effects occur in the anterior auditory field (AAF). Using mature cats (n = 3), ototoxically deafened postnatally, single-unit recordings were made in the gyral and sulcal portions of the AAF. In contrast to the auditory responsivity found in the hearing controls, none of the neurons in early-deafened AAF were activated by auditory stimulation. Instead, the majority (78%) were activated by somatosensory cues, while fewer were driven by visual stimulation (44%; values include unisensory and bimodal neurons). Somatosensory responses could be activated from all locations on the body surface but most often occurred on the head, were often bilateral (e.g., occupied portions of both sides of the body), and were primarily excited by low-threshold hair receptors. Visual receptive fields were large, collectively represented the contralateral visual field, and exhibited conventional response properties such as movement direction and velocity preferences. These results indicate that, following post-natal deafness, both somatosensory and visual modalities participate in crossmodal reinnervation of the AAF, consistent with the growing literature that documents deafness-induced crossmodal plasticity outside A1. ###Answer 1. Changed Reasoning: In Sentence A, the term ""deafness"" is used in the context of a patient who has developed acute diplopia, deafness, and gait ataxia after receiving chemotherapy treatment. The term implies a significant loss of hearing, which is consistent with the medical condition described in the sentence. In Sentence B, the term ""deafness"" is used in a different context, referring to the post-natal loss of sensory input in one modality. The sentence suggests that this loss of sensory input leads to crossmodal reorganization of the deprived cortical areas, but does not imply a significant loss of hearing. Based on these differences in context and meaning, it can be determined that the term ""deafness"" has undergone a significant change in meaning between the two sentences. Therefore, the label ""Changed"" is appropriate." 3,Deafness,"To evaluate the health care utilization of a nationally representative sample of U.S. deaf adults while accounting for the age at onset of deafness, an indicator of linguistic and sociocultural group affiliation.","Although 62 years have elapsed since the first report of hereditary deafness in a mouse strain, the molecular mechanism of hair cell mechanotransduction remains elusive. Three recent studies present crucial insights into the molecular crux of hair cell mechanotransduction machinery.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Deafness Sentence A: To evaluate the health care utilization of a nationally representative sample of U.S. deaf adults while accounting for the age at onset of deafness, an indicator of linguistic and sociocultural group affiliation. Sentence B: Although 62 years have elapsed since the first report of hereditary deafness in a mouse strain, the molecular mechanism of hair cell mechanotransduction remains elusive. Three recent studies present crucial insights into the molecular crux of hair cell mechanotransduction machinery. ###Answer 1. Changed 2. Unchanged Explanation: In Sentence A, the target word ""deafness"" refers to a condition where an individual experiences hearing loss. This is a medical condition that has a clear definition and is well-established in the medical field. Therefore, the meaning of ""deafness"" in this sentence has not changed significantly over time. In Sentence B, the target word ""deafness"" is used in a different context. It is mentioned in the context of mouse strains and the molecular mechanism of hair cell mechanotransduction. This usage of ""deafness"" is more related to the scientific field of biology, specifically the study of hair cells and their mechanotransduction mechanisms. In this context, the meaning of ""deafness"" has changed significantly over time, as it is now used to describe a specific aspect of biology rather than a medical condition. Therefore, the label for this sentence is ""Changed""." 4,Deafness,"People with deep prelingual deafness cannot fluently use oral language as a basic mode of communication. Hearing impaired subjects elaborated their own mode of communication. Cochlear implants as a surgical mode of deafness treatment may create a new chance for prelingually deaf children to develop vocal speech. The aim of this study was to assess changes in interpersonal mode of communication in pre- and perilingually deaf children after cochlear implantation. It was observed, that cochlear implantation stimulates development of oral language. The possibility of hearing perception of oral language it is a chance for a child for fully participation in life of hearing societies.","Congenital cytomegalovirus (cCMV) infection is the most common congenital infection and the leading acquired cause of developmental disabilities and sensorineural deafness, yet a reliable assessment of the infection burden is lacking.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Deafness Sentence A: People with deep prelingual deafness cannot fluently use oral language as a basic mode of communication. Hearing impaired subjects elaborated their own mode of communication. Cochlear implants as a surgical mode of deafness treatment may create a new chance for prelingually deaf children to develop vocal speech. The aim of this study was to assess changes in interpersonal mode of communication in pre- and perilingually deaf children after cochlear implantation. It was observed, that cochlear implantation stimulates development of oral language. The possibility of hearing perception of oral language it is a chance for a child for fully participation in life of hearing societies. Sentence B: Congenital cytomegalovirus (cCMV) infection is the most common congenital infection and the leading acquired cause of developmental disabilities and sensorineural deafness, yet a reliable assessment of the infection burden is lacking. ###Answer 1. Changed 2. Unchanged Explanation: In Sentence A, the term ""deafness"" is used to describe a condition where a person cannot fluently use oral language as a basic mode of communication. The context suggests that the term refers to a permanent hearing impairment, and the sentence highlights the potential for cochlear implants to improve communication abilities. In contrast, in Sentence B, the term ""deafness"" is used to describe a condition caused by congenital cytomegalovirus (cCMV) infection. The context suggests that the term refers to a temporary hearing impairment, and the sentence highlights the lack of a reliable assessment of the infection burden. Based on these differences in context and meaning, it is clear that the term ""deafness"" has undergone a significant change in meaning between Sentence A and Sentence B. In Sentence A, the term refers to a permanent hearing impairment with potential treatment options, while in Sentence B, the term refers to a temporary hearing impairment with no clear treatment options. Therefore, the label ""Changed"" is appropriate for this example." 5,Deafness,"Bacterial meningitis is a common cause of profound deafness and, hence, a common cause of deafness in published series of patients treated with a cochlear prosthesis. Labyrinthitis ossificans is a common finding in meningogenic labyrinthitis and has been considered a relative contraindication to cochlear implantation. In the present study, the numbers of remaining spiral ganglion cells in cases of meningogenic labyrinthitis were correlated with the severity of new bone formation within the inner ear. Six temporal bones in which profound sensorineural hearing loss occurred in life secondary to meningogenic labyrinthitis were studied by serial section light microscopy. Some degree of labyrinthitis ossificans was found in four of six. There was a moderately strong negative correlation between the number of years of total deafness and the percentage of normal of the remaining spiral ganglion cell count. There was a strong negative correlation between the degree of bony occlusion by labyrinthitis ossificans and the normality of the spiral ganglion cell count. The percentage of bony occlusion of the membranous labyrinth increased with the years of total deafness. The significance of these findings for cochlear implantation of individuals with meningogenic labyrinthitis is discussed.","At a time when deaf education teacher preparation programs are declining in number, little is known about their actual effectiveness. A phenomenological case study of a graduate-level comprehensive deaf education teacher preparation program at a midwestern university explored empowered and enabled learning of teacher candidates using the Missouri Department of Elementary and Secondary Education educator pillars: (a) commitment to the profession, (b) proficiency in practice, and (c) learning impact, all deemed critical to developing quality teachers. A strong connection was found between the program's comprehensive philosophy and its practice. Embracing diversity of d/Deafness and differentiated instruction were the most prevalent themes expressed by participants. Teacher candidates displayed outstanding commitment to the profession and high proficiency in practice. The findings suggest that additional consideration should be given to classroom and behavior management, teacher candidate workload, teaching beyond academics, and preparation for navigating the public school system.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Deafness Sentence A: Bacterial meningitis is a common cause of profound deafness and, hence, a common cause of deafness in published series of patients treated with a cochlear prosthesis. Labyrinthitis ossificans is a common finding in meningogenic labyrinthitis and has been considered a relative contraindication to cochlear implantation. In the present study, the numbers of remaining spiral ganglion cells in cases of meningogenic labyrinthitis were correlated with the severity of new bone formation within the inner ear. Six temporal bones in which profound sensorineural hearing loss occurred in life secondary to meningogenic labyrinthitis were studied by serial section light microscopy. Some degree of labyrinthitis ossificans was found in four of six. There was a moderately strong negative correlation between the number of years of total deafness and the percentage of normal of the remaining spiral ganglion cell count. There was a strong negative correlation between the degree of bony occlusion by labyrinthitis ossificans and the normality of the spiral ganglion cell count. The percentage of bony occlusion of the membranous labyrinth increased with the years of total deafness. The significance of these findings for cochlear implantation of individuals with meningogenic labyrinthitis is discussed. Sentence B: At a time when deaf education teacher preparation programs are declining in number, little is known about their actual effectiveness. A phenomenological case study of a graduate-level comprehensive deaf education teacher preparation program at a midwestern university explored empowered and enabled learning of teacher candidates using the Missouri Department of Elementary and Secondary Education educator pillars: (a) commitment to the profession, (b) proficiency in practice, and (c) learning impact, all deemed critical to developing quality teachers. A strong connection was found between the program's comprehensive philosophy and its practice. Embracing diversity of d/Deafness and differentiated instruction were the most prevalent themes expressed by participants. Teacher candidates displayed outstanding commitment to the profession and high proficiency in practice. The findings suggest that additional consideration should be given to classroom and behavior management, teacher candidate workload, teaching beyond academics, and preparation for navigating the public school system. ###Answer 1. Changed Reasoning: In Sentence A, the term ""deafness"" is used to describe a specific medical condition, specifically bacterial meningitis-induced profound deafness. The context suggests that the term carries a negative connotation, as the sentence discusses the potential contraindication of cochlear prosthesis due to the condition. In Sentence B, the term ""deafness"" is used in a different context. It is no longer a medical term, but rather a broad term to describe the diversity of experiences and abilities of deaf individuals. The sentence highlights the importance of embracing diversity and differentiated instruction, which suggests a shift in the meaning of the term ""deafness"" from a medical condition to a more inclusive and empowering concept. Therefore, the meaning of the term ""deafness"" has changed significantly between the two sentences, indicating semantic drift." 6,Deafness,"Two-hundred and forty White children attending special schools for the deaf have been investigated by clinical,genetic and laboratory methods in order to determine determine the aetiology of their hearing disability of these, 36% had a genetic basis for their deafness, while in a further 34% an acquired lesion was incriminated. The most important determinants of acquired deafness were maternal rubella, neonatal hyperbilirubinaemia and meningo-encephalitis. The prevention of childhood deafness is primarily dependent upon recognition of the underlying causative factor.","While research has shown that children with single sided deafness have a lower quality of life and developmental outcomes compared to normal hearing peers, little is known about these domains in children with unilateral congenital conductive hearing loss due to aural atresia.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Deafness Sentence A: Two-hundred and forty White children attending special schools for the deaf have been investigated by clinical,genetic and laboratory methods in order to determine determine the aetiology of their hearing disability of these, 36% had a genetic basis for their deafness, while in a further 34% an acquired lesion was incriminated. The most important determinants of acquired deafness were maternal rubella, neonatal hyperbilirubinaemia and meningo-encephalitis. The prevention of childhood deafness is primarily dependent upon recognition of the underlying causative factor. Sentence B: While research has shown that children with single sided deafness have a lower quality of life and developmental outcomes compared to normal hearing peers, little is known about these domains in children with unilateral congenital conductive hearing loss due to aural atresia. ###Answer 1. Changed The meaning of the target word ""deafness"" has changed significantly between the two sentences. In Sentence A, ""deafness"" is used to describe a genetic or acquired hearing disability, with a focus on the underlying causes and prevention. In contrast, in Sentence B, ""deafness"" is used to describe a specific type of hearing loss, such as single-sided deafness or unilateral congenital conductive hearing loss due to aural atresia. The word's meaning has shifted from a broad description of a hearing disability to a more specific and technical term used in the field of audiology." 7,Deafness,"The familial long QT syndrome is a rare condition that may occur with or without deafness. Dextrocardia with complete situs inversus is a familial syndrome generally found in normal subjects with a high incidence of consanguinity among the parents. In this report we describe a Jerbian family with both disorders and with several cases of sudden death. Of 27 members of this family (3 generations) in whom ECG was performed, 15 had QT prolongation (QTc greater than 0.45). Four members (2 generations) had complete situs inversus, 3 of them also had ECG evidence of QT prolongation. The combined occurrence of these rare diseases within the same family has not been previously reported. It may be due to the high incidence of consanguinity and may raise the possibility that the loci responsible for the 2 conditions are closely related and located on the same chromosome. A more extensive study of the family is being carried out.","Genetic causes of hearing loss are highly heterogeneous and often ethnically specific. In recent years, a variety of next-generation sequencing (NGS) panels have been developed to target deafness-causative genes. Whole-exome sequencing (WES), on the other hand, was rarely used for genetic testing for deafness. In this study, we performed WES in 38 sporadic Chinese Han deaf patients who have been pre-excluded for mutations in common deafness genes GJB2, SLC26A4 and MT-RNR1. Non-synonymous variants have been filtered based on their minor allele frequencies in public databases and ethnically matched controls. Bi-allelic pathogenic mutations in eight deafness genes, OTOF, TRIOBP, ESPN, HARS2, CDH23, MYO7A, USH1C and TJP2, were identified in 10 patients, with 17 mutations identified in this study not being associated with deafness previously. For the rest 28 patients, possibly bi-allelic rare non-synonymous variants in an averaged 4.7 genes per patient were identified as candidate pathogenic causes for future analysis. Our study showed that WES may provide a unified platform for genetic testing of deafness and enables retro-analyzing when new causative genes are revealed.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Deafness Sentence A: The familial long QT syndrome is a rare condition that may occur with or without deafness. Dextrocardia with complete situs inversus is a familial syndrome generally found in normal subjects with a high incidence of consanguinity among the parents. In this report we describe a Jerbian family with both disorders and with several cases of sudden death. Of 27 members of this family (3 generations) in whom ECG was performed, 15 had QT prolongation (QTc greater than 0.45). Four members (2 generations) had complete situs inversus, 3 of them also had ECG evidence of QT prolongation. The combined occurrence of these rare diseases within the same family has not been previously reported. It may be due to the high incidence of consanguinity and may raise the possibility that the loci responsible for the 2 conditions are closely related and located on the same chromosome. A more extensive study of the family is being carried out. Sentence B: Genetic causes of hearing loss are highly heterogeneous and often ethnically specific. In recent years, a variety of next-generation sequencing (NGS) panels have been developed to target deafness-causative genes. Whole-exome sequencing (WES), on the other hand, was rarely used for genetic testing for deafness. In this study, we performed WES in 38 sporadic Chinese Han deaf patients who have been pre-excluded for mutations in common deafness genes GJB2, SLC26A4 and MT-RNR1. Non-synonymous variants have been filtered based on their minor allele frequencies in public databases and ethnically matched controls. Bi-allelic pathogenic mutations in eight deafness genes, OTOF, TRIOBP, ESPN, HARS2, CDH23, MYO7A, USH1C and TJP2, were identified in 10 patients, with 17 mutations identified in this study not being associated with deafness previously. For the rest 28 patients, possibly bi-allelic rare non-synonymous variants in an averaged 4.7 genes per patient were identified as candidate pathogenic causes for future analysis. Our study showed that WES may provide a unified platform for genetic testing of deafness and enables retro-analyzing when new causative genes are revealed. ###Answer 1. Changed Explanation: In Sentence A, the term ""deafness"" is used in the context of a rare genetic condition, with no connotation of hearing impairment or disability. In Sentence B, the term is used in the context of genetic testing for deafness, with a connotation of a specific genetic cause of hearing impairment. The meaning of the term has shifted from a general term for hearing impairment to a specific term for a genetic condition causing hearing impairment. Therefore, semantic drift has occurred in the meaning of the term ""deafness"" between the two sentences." 8,Deafness,"In this study, we analysed the clinical and audiological features of 24 vestibular schwannoma patients presenting with sudden deafness who visited our hospital within 10 days after its onset. The relationships between the prognosis of hearing loss and the clinical and audiological features including the pure-tone average (PTA), the presence of dizziness and/or vertigo, the tumour size and the auditory brain stem response (ABR) findings were evaluated. Hearing recovery depended on the PTA and tumour size, but even a small tumour induced sudden deafness. Impaired hearing completely recovered in five our of 24 patients. ABR findings indicated that the aetiology of sudden deafness in the vestibular schwannoma patients might vary in each patient.","A cochlear schwannoma is a rare tumor that arises from the cochlear nerve. Clinically, a cochlear schwannoma mimics the clinical features of sudden deafness or Meniere's disease. We report a case of cochlear schwannoma that presented with sudden hearing loss, which was diagnosed with gadolinium-enhanced magnetic resonance imaging and removed using a transotic approach.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Deafness Sentence A: In this study, we analysed the clinical and audiological features of 24 vestibular schwannoma patients presenting with sudden deafness who visited our hospital within 10 days after its onset. The relationships between the prognosis of hearing loss and the clinical and audiological features including the pure-tone average (PTA), the presence of dizziness and/or vertigo, the tumour size and the auditory brain stem response (ABR) findings were evaluated. Hearing recovery depended on the PTA and tumour size, but even a small tumour induced sudden deafness. Impaired hearing completely recovered in five our of 24 patients. ABR findings indicated that the aetiology of sudden deafness in the vestibular schwannoma patients might vary in each patient. Sentence B: A cochlear schwannoma is a rare tumor that arises from the cochlear nerve. Clinically, a cochlear schwannoma mimics the clinical features of sudden deafness or Meniere's disease. We report a case of cochlear schwannoma that presented with sudden hearing loss, which was diagnosed with gadolinium-enhanced magnetic resonance imaging and removed using a transotic approach. ###Answer 1. Changed The meaning of ""deafness"" in Sentence A is different from its meaning in Sentence B. In Sentence A, ""deafness"" refers to sudden hearing loss due to a vestibular schwannoma, which may be caused by a tumour in the inner ear. In contrast, in Sentence B, ""deafness"" refers to a rare tumour that mimics the clinical features of sudden deafness or Meniere's disease. The term ""deafness"" has shifted its meaning to refer to a specific type of tumour in Sentence B, indicating semantic drift has occurred." 9,Deafness,"The clinical electrocochleography essentially allows the registration of the global action potential of the acoustic nerve. The use of acoustic stimulations with alternating polarity eliminates the cochlear microphonics. In severe deafness, where no action potential can be registered, even not with maximal acoustic impulses, it can be interesting to register the microphonic potentials. This can be done by using acoustic stimulations with the same polarity. If some microphonic potentials can be registered by this technique, one can assume that the ciliated cells are -- at least partially -- unaffected and that the cause of the deafmess in neurogenic. This test thus allows a primary differentiation between sensory and neural deafness. Some clinical cases illustrate this phenomenon.","Keratitis-ichthyosis-deafness (KID) syndrome is caused by mutations in the GJB2 gene encoding connexin 26, a component of transmembrane hemichannels which form gap junction channels, critical for cell-cell communication. Here, we report two patients from two distinct families with KID syndrome with the same GJB2 mutation (p.Asp50Asn); in both cases the mutation was de novo, as the parents depicted the wild-type allele only. The patients' cutaneous manifestations were strikingly different illustrating the wide spectrum of phenotype of these patients, even with the same GJB2 mutation. One of the patients was treated with acitretin with dramatic improvement in his skin findings, illustrating the role of oral acitretin in treatment of patients with KID syndrome. Collectively, these patients attest to the phenotypic spectrum of KID syndrome, with therapeutic perspective.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Deafness Sentence A: The clinical electrocochleography essentially allows the registration of the global action potential of the acoustic nerve. The use of acoustic stimulations with alternating polarity eliminates the cochlear microphonics. In severe deafness, where no action potential can be registered, even not with maximal acoustic impulses, it can be interesting to register the microphonic potentials. This can be done by using acoustic stimulations with the same polarity. If some microphonic potentials can be registered by this technique, one can assume that the ciliated cells are -- at least partially -- unaffected and that the cause of the deafmess in neurogenic. This test thus allows a primary differentiation between sensory and neural deafness. Some clinical cases illustrate this phenomenon. Sentence B: Keratitis-ichthyosis-deafness (KID) syndrome is caused by mutations in the GJB2 gene encoding connexin 26, a component of transmembrane hemichannels which form gap junction channels, critical for cell-cell communication. Here, we report two patients from two distinct families with KID syndrome with the same GJB2 mutation (p.Asp50Asn); in both cases the mutation was de novo, as the parents depicted the wild-type allele only. The patients' cutaneous manifestations were strikingly different illustrating the wide spectrum of phenotype of these patients, even with the same GJB2 mutation. One of the patients was treated with acitretin with dramatic improvement in his skin findings, illustrating the role of oral acitretin in treatment of patients with KID syndrome. Collectively, these patients attest to the phenotypic spectrum of KID syndrome, with therapeutic perspective. ###Answer 1. Changed Reasoning: In Sentence A, the target word ""deafness"" is used to describe a condition where no action potential can be registered, even with maximal acoustic impulses. This implies that the condition is severe and likely to be caused by damage to the inner ear or auditory nerve. In contrast, in Sentence B, the target word ""deafness"" is used to describe a genetic disorder caused by mutations in the GJB2 gene. This suggests that the meaning of the word ""deafness"" has shifted to refer specifically to a genetic disorder rather than a general condition of hearing loss. Therefore, semantic drift has occurred in the meaning of the target word ""deafness"" between the two sentences." 10,Deafness,"We describe a case of the Brown-Vialetto-Van Laere syndrome, which is a rare disorder characterized by progressive pontobulbar palsy associated with sensorineural deafness. More than 30 cases have been reported since the first case was described in 1894. We review the literature of this condition, comparing our case with those reported in the literature and emphasizing important features to improve our understanding of this syndrome.","Thiamine responsive megaloblastic anemia (TRMA) is characterized by a triad of megaloblastic anemia, non-type 1 diabetes mellitus and sensorineural deafness. Other clinical findings have been described in few cases. The SLC19A2 gene on chromosome 1q 23.3 is implicated in all cases with TRMA. Our aim is to discuss the clinical manifestations of all Omani children diagnosed with TRMA and determine genotype-phenotype relationship.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Deafness Sentence A: We describe a case of the Brown-Vialetto-Van Laere syndrome, which is a rare disorder characterized by progressive pontobulbar palsy associated with sensorineural deafness. More than 30 cases have been reported since the first case was described in 1894. We review the literature of this condition, comparing our case with those reported in the literature and emphasizing important features to improve our understanding of this syndrome. Sentence B: Thiamine responsive megaloblastic anemia (TRMA) is characterized by a triad of megaloblastic anemia, non-type 1 diabetes mellitus and sensorineural deafness. Other clinical findings have been described in few cases. The SLC19A2 gene on chromosome 1q 23.3 is implicated in all cases with TRMA. Our aim is to discuss the clinical manifestations of all Omani children diagnosed with TRMA and determine genotype-phenotype relationship. ###Answer 1. Changed The target word ""deafness"" has undergone semantic drift in Sentence B compared to Sentence A. In Sentence A, ""deafness"" is used to describe a specific medical condition characterized by sensorineural hearing loss. In Sentence B, ""deafness"" is used more broadly to describe a triad of symptoms including megaloblastic anemia, non-type 1 diabetes mellitus, and sensorineural hearing loss. The word has shifted from a medical term to a more general term for hearing loss. This change in meaning indicates semantic drift has occurred." 11,Deafness,"Cogan's syndrome is characterized by a non-luetic interstitial keratitis associated with vertigo, tinnitus and profound deafness. Evidence of a systemic vasculitis is found in up to 50% of patients. Atypical forms of Cogan's syndrome have been described in which the ocular inflammatory disease may be more severe. We describe a case of atypical Cogan's syndrome in association with bilateral posterior scleritis. Serial B-scan ultrasound measurements of posterior scleral thickness were found to be useful in assessing disease activity, in combination with clinical findings. Combination therapy with prednisolone and cyclosporin controlled the ocular disease but the deafness was irreversible. The length of follow-up of this case highlights the frequent relapses and difficult management problems which may be faced. This multisystem disease requires the close co-operation of ophthalmologist, physician and otorhinolaryngologist. Aggressive therapeutic intervention with high-dose combined immunosuppressive agents may be necessary to control severe ocular inflammatory disease.","To determine audiological and clinical results of cochlear implantation in children with congenital single sided deafness (SSD), with an emphasis on children implanted before and after 6 years of age.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Deafness Sentence A: Cogan's syndrome is characterized by a non-luetic interstitial keratitis associated with vertigo, tinnitus and profound deafness. Evidence of a systemic vasculitis is found in up to 50% of patients. Atypical forms of Cogan's syndrome have been described in which the ocular inflammatory disease may be more severe. We describe a case of atypical Cogan's syndrome in association with bilateral posterior scleritis. Serial B-scan ultrasound measurements of posterior scleral thickness were found to be useful in assessing disease activity, in combination with clinical findings. Combination therapy with prednisolone and cyclosporin controlled the ocular disease but the deafness was irreversible. The length of follow-up of this case highlights the frequent relapses and difficult management problems which may be faced. This multisystem disease requires the close co-operation of ophthalmologist, physician and otorhinolaryngologist. Aggressive therapeutic intervention with high-dose combined immunosuppressive agents may be necessary to control severe ocular inflammatory disease. Sentence B: To determine audiological and clinical results of cochlear implantation in children with congenital single sided deafness (SSD), with an emphasis on children implanted before and after 6 years of age. ###Answer 1. Changed Reasoning: In Sentence A, the term ""deafness"" is used to describe a severe condition associated with ocular and systemic inflammation, including tinnitus and vertigo. The context suggests that the term ""deafness"" carries a negative connotation, implying a significant loss of hearing ability. In contrast, in Sentence B, the term ""deafness"" is used to describe a specific condition (congenital single-sided deafness) in the context of cochlear implantation. The term is not associated with any negative connotations, and the context suggests that the condition is more mild and manageable. Therefore, the meaning of the term ""deafness"" has shifted from a severe condition to a more specific and less severe condition." 12,Deafness,"Two pairs of siblings suffering from recessive hypophosphataemic rickets are presented, three members of which have some degree of sensorineural deafness and all of which have bilateral marked narrowing of the internal auditory canals. The biochemical explanation of the condition is discussed.","Twenty years ago, cochlear implants (CI) were indicated only in cases of profound hearing loss or complete deafness. While from today's perspective the technology was clumsy and provided patients with only limited speech comprehension in quiet scenarios, successive advances in CI technology and the consequent substantial hearing improvements over time have since then resulted in continuous relaxation of indication criteria toward residual hearing. While achievements in implant and processor electronics have been one key factor for the ever-improving hearing performance, development of electro-acoustic CI systems-together with atraumatic implantation concepts-has led to enormous improvements in patients with low-frequency residual hearing. Manufactures have designed special processors with integrated hearing aid components for this patient group, which are capable of conveying acoustic and electric stimulation. A further milestone in improvement of hearing in challenging listening environments was the adoption of signal enhancement algorithms and assistive listening devices from the hearing aid industry. This article gives an overview of the current state of the art in the abovementioned areas of CI technology.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Deafness Sentence A: Two pairs of siblings suffering from recessive hypophosphataemic rickets are presented, three members of which have some degree of sensorineural deafness and all of which have bilateral marked narrowing of the internal auditory canals. The biochemical explanation of the condition is discussed. Sentence B: Twenty years ago, cochlear implants (CI) were indicated only in cases of profound hearing loss or complete deafness. While from today's perspective the technology was clumsy and provided patients with only limited speech comprehension in quiet scenarios, successive advances in CI technology and the consequent substantial hearing improvements over time have since then resulted in continuous relaxation of indication criteria toward residual hearing. While achievements in implant and processor electronics have been one key factor for the ever-improving hearing performance, development of electro-acoustic CI systems-together with atraumatic implantation concepts-has led to enormous improvements in patients with low-frequency residual hearing. Manufactures have designed special processors with integrated hearing aid components for this patient group, which are capable of conveying acoustic and electric stimulation. A further milestone in improvement of hearing in challenging listening environments was the adoption of signal enhancement algorithms and assistive listening devices from the hearing aid industry. This article gives an overview of the current state of the art in the abovementioned areas of CI technology. ###Answer 1. Changed Reasoning: In Sentence A, the term ""sensorineural deafness"" is used to describe the condition, which suggests a more severe and permanent loss of hearing. This meaning is consistent with the medical understanding of deafness at the time. In contrast, in Sentence B, the term ""residual hearing"" is used, which implies a more mild or partial loss of hearing. This shift in terminology suggests that the understanding of deafness has evolved over time, with a greater emphasis on the possibility of preserving some degree of hearing. Therefore, the label ""Changed"" is appropriate." 13,Deafness,"The audiograms and CT scans of three children with a bilateral congenital mixed deafness are presented. Two children underwent an exploratory tympanotomy revealing a fixed stapes footplate: a perilymph gusher arose during platinotomy in both cases. The gusher was controlled successfully with a large fat graft in both children, and hearing remained unchanged. Two of the children were brothers: they had no other deformities except an enlarged fundus of the auditory canal on CT scans, and no clearly defined bony barrier to the vestibule, suggesting a cerebrospinal fluid fistula. Neither a patent nor an abnormal cochlear aqueduct could be detected in all three cases. It is likely that the three patients present an X-linked mixed deafness syndrome with fixation of the stapedial foot plate and perilymph gusher. A classification of congenital perilymph-CSF shunts is proposed.","The HiFocus Mid-Scala (MS) electrode array has recently been introduced onto the market. This precurved design with a targeted mid-scalar intracochlear position pursues an atraumatic insertion and optimal distance for neural stimulation. In this study we prospectively examined the angular insertion depth achieved and speech perception outcomes resulting from the HiFocus MS electrode array for 6 months after implantation, and retrospectively compared these with the HiFocus 1J lateral wall electrode array. The mean angular insertion depth within the MS population (n = 96) was found at 470°. This was 50° shallower but more consistent than the 1J electrode array (n = 110). Audiological evaluation within a subgroup, including only postlingual, unilaterally implanted, adult cochlear implant recipients who were matched on preoperative speech perception scores and the duration of deafness (MS = 32, 1J = 32), showed no difference in speech perception outcomes between the MS and 1J groups. Furthermore, speech perception outcome was not affected by the angular insertion depth or frequency mismatch.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Deafness Sentence A: The audiograms and CT scans of three children with a bilateral congenital mixed deafness are presented. Two children underwent an exploratory tympanotomy revealing a fixed stapes footplate: a perilymph gusher arose during platinotomy in both cases. The gusher was controlled successfully with a large fat graft in both children, and hearing remained unchanged. Two of the children were brothers: they had no other deformities except an enlarged fundus of the auditory canal on CT scans, and no clearly defined bony barrier to the vestibule, suggesting a cerebrospinal fluid fistula. Neither a patent nor an abnormal cochlear aqueduct could be detected in all three cases. It is likely that the three patients present an X-linked mixed deafness syndrome with fixation of the stapedial foot plate and perilymph gusher. A classification of congenital perilymph-CSF shunts is proposed. Sentence B: The HiFocus Mid-Scala (MS) electrode array has recently been introduced onto the market. This precurved design with a targeted mid-scalar intracochlear position pursues an atraumatic insertion and optimal distance for neural stimulation. In this study we prospectively examined the angular insertion depth achieved and speech perception outcomes resulting from the HiFocus MS electrode array for 6 months after implantation, and retrospectively compared these with the HiFocus 1J lateral wall electrode array. The mean angular insertion depth within the MS population (n = 96) was found at 470°. This was 50° shallower but more consistent than the 1J electrode array (n = 110). Audiological evaluation within a subgroup, including only postlingual, unilaterally implanted, adult cochlear implant recipients who were matched on preoperative speech perception scores and the duration of deafness (MS = 32, 1J = 32), showed no difference in speech perception outcomes between the MS and 1J groups. Furthermore, speech perception outcome was not affected by the angular insertion depth or frequency mismatch. ###Answer 1. Changed (Semantic drift has occurred) Reasoning: In Sentence A, the term ""deafness"" is used to describe a specific type of hearing loss, with a clear medical definition and context. The term is used to describe the condition of the three children in the sentence, and the context makes it clear that the term is being used to indicate a specific type of hearing loss. In Sentence B, the term ""deafness"" is used in a completely different context. The term is used to describe the position of an electrode array in the cochlea, and the context suggests that the term is being used to indicate the distance from the electrode to the cochlear nerve. This is a completely different meaning than the one used in Sentence A, and indicates that the term has undergone semantic drift. Therefore, the label ""Changed"" is appropriate for this task." 14,Deafness,"Approximately 50% of childhood deafness is caused by mutations in specific genes. Autosomal recessive loci account for approximately 80% of nonsyndromic genetic deafness. Here we report the identification of a new transmembrane serine protease (TMPRSS3; also known as ECHOS1) expressed in many tissues, including fetal cochlea, which is mutated in the families used to describe both the DFNB10 and DFNB8 loci. An 8-bp deletion and insertion of 18 monomeric (approximately 68-bp) beta-satellite repeat units, normally present in tandem arrays of up to several hundred kilobases on the short arms of acrocentric chromosomes, causes congenital deafness (DFNB10). A mutation in a splice-acceptor site, resulting in a 4-bp insertion in the mRNA and a frameshift, was detected in childhood onset deafness (DFNB8). This is the first description of beta-satellite insertion into an active gene resulting in a pathogenic state, and the first description of a protease involved in hearing loss.","Tinnitus, the perception of noise in the absence of an external auditory stimulus, is common, frequently distressing and often intractable. It is associated with a number of conditions including deafness but may arise spontaneously. Brain imaging studies indicate increased neuronal excitability and decreased density of benzodiazepine receptors in temporal (auditory) cortex but the source and mechanism of such changes are unknown. Various electroencephalographic (EEG) abnormalities involving temporal lobe and other brain areas have been described but recordings have been limited to standard EEG wave bands up to frequencies of 22Hz. This clinical study of otherwise healthy patients with intractable unilateral tinnitus, using quantitative EEG power spectral mapping (QEEG), identified discrete localised unilateral foci of high frequency activity in the gamma range (>40-80Hz) over the auditory cortex in eight patients experiencing tinnitus during recording. These high frequency ""hot spots"" were not present in 25 subjects without tinnitus. The results suggest that further EEG investigations should include recordings in the gamma frequency range since such high frequency oscillations are believed to be necessary for perception. Identification of ""hot spots"" in tinnitus patients would provide a means for monitoring the effects of new treatments. These findings may also provide a model for exploration of more complex phenomena such as verbal and musical hallucinations.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Deafness Sentence A: Approximately 50% of childhood deafness is caused by mutations in specific genes. Autosomal recessive loci account for approximately 80% of nonsyndromic genetic deafness. Here we report the identification of a new transmembrane serine protease (TMPRSS3; also known as ECHOS1) expressed in many tissues, including fetal cochlea, which is mutated in the families used to describe both the DFNB10 and DFNB8 loci. An 8-bp deletion and insertion of 18 monomeric (approximately 68-bp) beta-satellite repeat units, normally present in tandem arrays of up to several hundred kilobases on the short arms of acrocentric chromosomes, causes congenital deafness (DFNB10). A mutation in a splice-acceptor site, resulting in a 4-bp insertion in the mRNA and a frameshift, was detected in childhood onset deafness (DFNB8). This is the first description of beta-satellite insertion into an active gene resulting in a pathogenic state, and the first description of a protease involved in hearing loss. Sentence B: Tinnitus, the perception of noise in the absence of an external auditory stimulus, is common, frequently distressing and often intractable. It is associated with a number of conditions including deafness but may arise spontaneously. Brain imaging studies indicate increased neuronal excitability and decreased density of benzodiazepine receptors in temporal (auditory) cortex but the source and mechanism of such changes are unknown. Various electroencephalographic (EEG) abnormalities involving temporal lobe and other brain areas have been described but recordings have been limited to standard EEG wave bands up to frequencies of 22Hz. This clinical study of otherwise healthy patients with intractable unilateral tinnitus, using quantitative EEG power spectral mapping (QEEG), identified discrete localised unilateral foci of high frequency activity in the gamma range (>40-80Hz) over the auditory cortex in eight patients experiencing tinnitus during recording. These high frequency ""hot spots"" were not present in 25 subjects without tinnitus. The results suggest that further EEG investigations should include recordings in the gamma frequency range since such high frequency oscillations are believed to be necessary for perception. Identification of ""hot spots"" in tinnitus patients would provide a means for monitoring the effects of new treatments. These findings may also provide a model for exploration of more complex phenomena such as verbal and musical hallucinations. ###Answer 1. Changed (Deafness) 2. Unchanged (Tinnitus) Explanation: For the target word ""Deafness"", there is a significant change in meaning or connotation between Sentence A (2000) and Sentence B (2020). In Sentence A, the word is used to describe a genetic disorder causing hearing loss, specifically mutations in specific genes. In Sentence B, the word is used to describe a more general condition of tinnitus, which is not necessarily related to hearing loss. The meaning of ""Deafness"" has shifted from a specific medical condition to a more general term for hearing-related issues. Therefore, I have labeled this word as ""Changed"". For the target word ""Tinnitus"", there is no significant change in meaning or connotation between Sentence A (2000) and Sentence B (2020). The word is used in both sentences to describe a perceived noise in the absence of an external auditory stimulus, without any mention of genetic disorders or specific genes. The meaning of ""Tinnitus"" remains similar between the two timestamps. Therefore, I have labeled this word as ""Unchanged""." 15,Deafness,"Proximal symphalangism, or Cushing symphalangism (MIM 185800), is an autosomal dominant disorder characterized by ankylosis of the proximal interphalangeal joints. Conductive deafness and reduced flexibility of the ankles have also been observed in affected individuals. We have used polymorphic markers throughout the genome to perform genetic linkage analysis in subsequent generations of the family originally described by Harvey Cushing. We have established linkage for this disorder to markers on chromosome 17 (17q21-q22), with Zmax = 6.98 at theta = 0.05 with marker D17S790.","Quality of Life encompasses an individual's well-being and health, social participation and satisfaction with functional daily living. Disabilities such as deafness can impact on the quality of life with spatial variance to the environment. Deafness causes communicative problems with significant consequences in cognitive, social, and emotional well-being of affected individuals. However, information relating to the quality of life of deaf and hard of hearing individuals, especially students in developing countries like Nigeria, which could be used to design special health-related interventions is sparse. This study examined the quality of life of deaf and hard of hearing students in Ibadan metropolis, Nigeria. One hundred and ten deaf and hard of hearing students participated in this cross-sectional study. Participants were drawn from all four secondary schools for the Deaf in Ibadan metropolis. The 26 item Brief version of the WHO Quality of Life questionnaire was used for data collection. The data was analyzed using descriptive and inferential statistics at statistical significance of p<0.05. Majority (57.8%) of the deaf and hard of hearing students had poor quality of life. Attending the special school for the Deaf, upper socio-economic status and age (≥17years) are significantly associated with better quality of life. However, gender and age at onset of hearing loss had no significant influence on the quality of life. The Deaf community available in the special school appeared to protect against stigma and discrimination, while also promoting social interactions between deaf and hard of hearing individuals.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Deafness Sentence A: Proximal symphalangism, or Cushing symphalangism (MIM 185800), is an autosomal dominant disorder characterized by ankylosis of the proximal interphalangeal joints. Conductive deafness and reduced flexibility of the ankles have also been observed in affected individuals. We have used polymorphic markers throughout the genome to perform genetic linkage analysis in subsequent generations of the family originally described by Harvey Cushing. We have established linkage for this disorder to markers on chromosome 17 (17q21-q22), with Zmax = 6.98 at theta = 0.05 with marker D17S790. Sentence B: Quality of Life encompasses an individual's well-being and health, social participation and satisfaction with functional daily living. Disabilities such as deafness can impact on the quality of life with spatial variance to the environment. Deafness causes communicative problems with significant consequences in cognitive, social, and emotional well-being of affected individuals. However, information relating to the quality of life of deaf and hard of hearing individuals, especially students in developing countries like Nigeria, which could be used to design special health-related interventions is sparse. This study examined the quality of life of deaf and hard of hearing students in Ibadan metropolis, Nigeria. One hundred and ten deaf and hard of hearing students participated in this cross-sectional study. Participants were drawn from all four secondary schools for the Deaf in Ibadan metropolis. The 26 item Brief version of the WHO Quality of Life questionnaire was used for data collection. The data was analyzed using descriptive and inferential statistics at statistical significance of p<0.05. Majority (57.8%) of the deaf and hard of hearing students had poor quality of life. Attending the special school for the Deaf, upper socio-economic status and age (≥17years) are significantly associated with better quality of life. However, gender and age at onset of hearing loss had no significant influence on the quality of life. The Deaf community available in the special school appeared to protect against stigma and discrimination, while also promoting social interactions between deaf and hard of hearing individuals. ###Answer 1. Changed Reasoning: The target word ""deafness"" has undergone a significant change in meaning between Sentence A (2000) and Sentence B (2020). In Sentence A, ""deafness"" is specifically mentioned in the context of a genetic disorder characterized by ankylosis of the proximal interphalangeal joints, along with conductive deafness and reduced flexibility of the ankles. This implies that the term ""deafness"" in this context refers to a specific type of hearing impairment. In contrast, in Sentence B, ""deafness"" is mentioned in the context of quality of life, with a focus on the impact of deafness on cognitive, social, and emotional well-being. This usage of the term ""deafness"" suggests a broader definition of the term, encompassing not only hearing impairment but also the social and emotional consequences of being deaf or hard of hearing. Therefore, based on the different contexts and meanings attributed to the term ""deafness"" in the two sentences, it can be concluded that semantic drift has occurred, and the label ""Changed"" is appropriate." 16,Deafness,"Auditory brain-stem responses (ABRs) were studied in 66 subjects with severe head trauma. Middle latency responses (MLRs) were also recorded in 22 of them. Patients were carefully selected to avoid conditions such as pre-existing or acute deafness, hypothermia or ethanol intoxication. In order to evaluate the usefulness of potentials in predicting recovery, patients were classified according to the Glasgow Coma Scale (GCS). ABR tracings were classified into 5 groups and MLR into 2 groups. The recovery was good in the presence of a type 1 ABR, poor in the presence of types 3, 4 and 5. Concerning type 2 ABR, the outcome is related to the MLR type, and to the presence of an electrophysiological improvement within the first 3 months following trauma. The reliability of ABR and MLR in predicting the outcome of severe head injury appears to be greater than other usually considered clinical and instrumental data (age, GCS, CT scan, EEG).","PRPS1 codes for the enzyme phosphoribosyl pyrophosphate synthetase-1 (PRS-1). The spectrum of PRPS1-related disorders associated with reduced activity includes Arts syndrome, Charcot-Marie-Tooth disease-5 (CMTX5) and X-linked non-syndromic sensorineural deafness (DFN2). We describe a novel phenotype associated with decreased PRS-1 function in two affected male siblings. Using whole exome and Sanger sequencing techniques, we identified a novel missense mutation in PRPS1. The clinical phenotype in our patients is characterized by high prenatal maternal α-fetoprotein, intrauterine growth restriction, dysmorphic facial features, severe intellectual disability and spastic quadraparesis. Additional phenotypic features include macular coloboma-like lesions with retinal dystrophy, severe short stature and diabetes insipidus. Exome sequencing of the two affected male siblings identified a shared putative pathogenic mutation c.586C>T p.(Arg196Trp) in the PRPS1 gene that was maternally inherited. Follow-up testing showed normal levels of hypoxanthine in urine samples and uric acid levels in blood serum. The PRS activity was significantly reduced in erythrocytes of the two patients. Nucleotide analysis in erythrocytes revealed abnormally low guanosine triphosphate and guanosine diphosphate. This presentation is the most severe form of PRPS1-deficiency syndrome described to date and expands the spectrum of PRPS1-related disorders. ","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Deafness Sentence A: Auditory brain-stem responses (ABRs) were studied in 66 subjects with severe head trauma. Middle latency responses (MLRs) were also recorded in 22 of them. Patients were carefully selected to avoid conditions such as pre-existing or acute deafness, hypothermia or ethanol intoxication. In order to evaluate the usefulness of potentials in predicting recovery, patients were classified according to the Glasgow Coma Scale (GCS). ABR tracings were classified into 5 groups and MLR into 2 groups. The recovery was good in the presence of a type 1 ABR, poor in the presence of types 3, 4 and 5. Concerning type 2 ABR, the outcome is related to the MLR type, and to the presence of an electrophysiological improvement within the first 3 months following trauma. The reliability of ABR and MLR in predicting the outcome of severe head injury appears to be greater than other usually considered clinical and instrumental data (age, GCS, CT scan, EEG). Sentence B: PRPS1 codes for the enzyme phosphoribosyl pyrophosphate synthetase-1 (PRS-1). The spectrum of PRPS1-related disorders associated with reduced activity includes Arts syndrome, Charcot-Marie-Tooth disease-5 (CMTX5) and X-linked non-syndromic sensorineural deafness (DFN2). We describe a novel phenotype associated with decreased PRS-1 function in two affected male siblings. Using whole exome and Sanger sequencing techniques, we identified a novel missense mutation in PRPS1. The clinical phenotype in our patients is characterized by high prenatal maternal α-fetoprotein, intrauterine growth restriction, dysmorphic facial features, severe intellectual disability and spastic quadraparesis. Additional phenotypic features include macular coloboma-like lesions with retinal dystrophy, severe short stature and diabetes insipidus. Exome sequencing of the two affected male siblings identified a shared putative pathogenic mutation c.586C>T p.(Arg196Trp) in the PRPS1 gene that was maternally inherited. Follow-up testing showed normal levels of hypoxanthine in urine samples and uric acid levels in blood serum. The PRS activity was significantly reduced in erythrocytes of the two patients. Nucleotide analysis in erythrocytes revealed abnormally low guanosine triphosphate and guanosine diphosphate. This presentation is the most severe form of PRPS1-deficiency syndrome described to date and expands the spectrum of PRPS1-related disorders. ###Answer 1. Changed Reasoning: In Sentence A, the term ""deafness"" is used to describe a specific condition (severe head trauma-related deafness) and is associated with other symptoms such as cognitive impairment and motor dysfunction. The term is used in the context of medical research and is not given any particular connotation. In Sentence B, the term ""deafness"" is used in a different context and has a different connotation. It is used to describe a genetic disorder (X-linked non-syndromic sensorineural deafness) and is associated with a range of other symptoms including intellectual disability, spastic quadraparesis, and macular coloboma-like lesions with retinal dystrophy. The term is given a negative connotation, implying a significant impairment in hearing and quality of life. Based on these differences in context and connotation, it can be concluded that the term ""deafness"" has undergone a significant change in meaning between the two sentences, indicating semantic drift. Therefore, the label ""Changed"" is appropriate." 17,Deafness,"A 21 year-old man presented with a history of sudden onset of aphasia and headache. CT showed a left parietal hypodensity and pallidal calcifications. The ECG showed a Wolff-Parkinson-White's syndrome. The patient then developed successively focal epileptic seizures, temper disorders, a cardiomyopathy, a pepper and salt retinopathy with hemeralopia, a left hemiplegia, deafness, and fever of unexplained origin. Left carotid angiography showed thin, irregular or occluded branches of the middle and anterior cerebral arteries. Blood muscle enzymes, lactate and pyruvate, were elevated with acidosis. Muscle biopsy revealed a mitochondrial myopathy and blood chemistry showed a severe deficiency of respiratory chain enzymes. Death occurred after 28 months. This case showed the diagnostic features of Melas, with some elements of the Kearns-Sayre syndrome. To our knowledge, this is the first case were serial angiographies allowed demonstration of arterial changes capable of explaining cerebral infarctions.","KCNE1 is a single-transmembrane protein of the KCNE family that modulates the function of voltage-gated potassium channels, including KCNQ1. Hereditary mutations in KCNE1 have been linked to diseases such as long QT syndrome (LQTS), atrial fibrillation, sudden infant death syndrome, and deafness. The transmembrane domain (TMD) of KCNE1 plays a key role in mediating the physical association with KCNQ1 and in subsequent modulation of channel gating kinetics and conductance. However, the mechanisms associated with these roles for the TMD remain poorly understood, highlighting a need for experimental structural studies. A previous solution NMR study of KCNE1 in LMPG micelles revealed a curved transmembrane domain, a structural feature proposed to be critical to KCNE1 function. However, this curvature potentially reflects an artifact of working in detergent micelles. Double electron electron resonance (DEER) measurements were conducted on KCNE1 in LMPG micelles, POPC/POPG proteoliposomes, and POPC/POPG lipodisq nanoparticles to directly compare the structure of the TMD in a variety of different membrane environments. Experimentally derived DEER distances coupled with simulated annealing molecular dynamic simulations were used to probe the bilayer structure of the TMD of KCNE1. The results indicate that the structure is helical in proteoliposomes and is slightly curved, which is consistent with the previously determined solution NMR structure in micelles. The evident resilience of the curvature in the KCNE1 TMD leads us to hypothesize that the curvature is likely to be maintained upon binding of the protein to the KCNQ1 channel.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Deafness Sentence A: A 21 year-old man presented with a history of sudden onset of aphasia and headache. CT showed a left parietal hypodensity and pallidal calcifications. The ECG showed a Wolff-Parkinson-White's syndrome. The patient then developed successively focal epileptic seizures, temper disorders, a cardiomyopathy, a pepper and salt retinopathy with hemeralopia, a left hemiplegia, deafness, and fever of unexplained origin. Left carotid angiography showed thin, irregular or occluded branches of the middle and anterior cerebral arteries. Blood muscle enzymes, lactate and pyruvate, were elevated with acidosis. Muscle biopsy revealed a mitochondrial myopathy and blood chemistry showed a severe deficiency of respiratory chain enzymes. Death occurred after 28 months. This case showed the diagnostic features of Melas, with some elements of the Kearns-Sayre syndrome. To our knowledge, this is the first case were serial angiographies allowed demonstration of arterial changes capable of explaining cerebral infarctions. Sentence B: KCNE1 is a single-transmembrane protein of the KCNE family that modulates the function of voltage-gated potassium channels, including KCNQ1. Hereditary mutations in KCNE1 have been linked to diseases such as long QT syndrome (LQTS), atrial fibrillation, sudden infant death syndrome, and deafness. The transmembrane domain (TMD) of KCNE1 plays a key role in mediating the physical association with KCNQ1 and in subsequent modulation of channel gating kinetics and conductance. However, the mechanisms associated with these roles for the TMD remain poorly understood, highlighting a need for experimental structural studies. A previous solution NMR study of KCNE1 in LMPG micelles revealed a curved transmembrane domain, a structural feature proposed to be critical to KCNE1 function. However, this curvature potentially reflects an artifact of working in detergent micelles. Double electron electron resonance (DEER) measurements were conducted on KCNE1 in LMPG micelles, POPC/POPG proteoliposomes, and POPC/POPG lipodisq nanoparticles to directly compare the structure of the TMD in a variety of different membrane environments. Experimentally derived DEER distances coupled with simulated annealing molecular dynamic simulations were used to probe the bilayer structure of the TMD of KCNE1. The results indicate that the structure is helical in proteoliposomes and is slightly curved, which is consistent with the previously determined solution NMR structure in micelles. The evident resilience of the curvature in the KCNE1 TMD leads us to hypothesize that the curvature is likely to be maintained upon binding of the protein to the KCNQ1 channel. ###Answer 1. Changed Explanation: In Sentence A, the word ""deafness"" is used in the context of a patient presenting with a range of symptoms including sudden onset of aphasia, headache, and seizures. The word carries a negative connotation, implying a significant loss of hearing ability. In Sentence B, the word ""deafness"" is used in the context of a protein (KCNE1) that modulates the function of voltage-gated potassium channels, including KCNQ1. The word carries a different meaning, implying a functional or structural role in the regulation of ion channels. The shift in meaning is significant, as it highlights a change in the connotation of the word from a medical condition to a functional or structural aspect of a protein." 18,Deafness,"Autosomal recessive childhood-onset non-syndromic deafness is one of the most frequent forms of inherited hearing impairment. Recently five different chromosomal regions, 7q31, 11q13.5, 13q12, 14q and the pericentromeric region of chromosome 17, have been shown to harbour disease loci for this type of neurosensory deafness. We have studied a large family from Pakistan, containing several consanguineous marriages and segregating for a recessive non-syndromic childhood-onset deafness. Linkage analysis mapped the disease locus (DFNB8) on the distal long arm of chromosome 21, most likely between D21S212 and D21S1225 with the highest lod score of 7.31 at theta = 0.00 for D21S1575 on 21q22.3.","Pathological conditions have been previously documented in the Middle Pleistocene Sima de los Huesos hominins from northern Spain, and several of these have clear behavioral implications. Within this fossil assemblage, Cranium 4 shows bilateral external auditory exostoses which have been preliminarily interpreted as causing a significant hearing loss in this individual. If confirmed, this would be the oldest recorded case of deafness in human history and could have important implications for the antiquity of this condition, as well as social interactions. To further investigate this case, the current study presents 3D reconstructions of the entire outer and middle ear, based on computed tomography scans of both temporal bones in Cranium 4. We established the degree of stenosis in both external auditory canals, showing that in both cases the degree of stenosis is less than 52% of the original cross-sectional area of each canal. Based on clinical studies in living humans, the buildup of wax due to the degree of stenosis in Cranium 4 is unlikely to have caused frequent external ear infections. In addition, we estimated the pattern of sound power transmission up to 5 kHz in both ears relying on a comprehensive model developed in the bioengineering literature and which has been applied previously to the Sima de los Huesos hominins. The model was modified to account for the peculiar shape of the pathological external ear canals in Cranium 4. The results show that this pathology had little to no influence on the sound power transmission in this individual. Thus, we conclude that the exostoses present in both ears of Cranium 4 did not significantly affect their hearing.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Deafness Sentence A: Autosomal recessive childhood-onset non-syndromic deafness is one of the most frequent forms of inherited hearing impairment. Recently five different chromosomal regions, 7q31, 11q13.5, 13q12, 14q and the pericentromeric region of chromosome 17, have been shown to harbour disease loci for this type of neurosensory deafness. We have studied a large family from Pakistan, containing several consanguineous marriages and segregating for a recessive non-syndromic childhood-onset deafness. Linkage analysis mapped the disease locus (DFNB8) on the distal long arm of chromosome 21, most likely between D21S212 and D21S1225 with the highest lod score of 7.31 at theta = 0.00 for D21S1575 on 21q22.3. Sentence B: Pathological conditions have been previously documented in the Middle Pleistocene Sima de los Huesos hominins from northern Spain, and several of these have clear behavioral implications. Within this fossil assemblage, Cranium 4 shows bilateral external auditory exostoses which have been preliminarily interpreted as causing a significant hearing loss in this individual. If confirmed, this would be the oldest recorded case of deafness in human history and could have important implications for the antiquity of this condition, as well as social interactions. To further investigate this case, the current study presents 3D reconstructions of the entire outer and middle ear, based on computed tomography scans of both temporal bones in Cranium 4. We established the degree of stenosis in both external auditory canals, showing that in both cases the degree of stenosis is less than 52% of the original cross-sectional area of each canal. Based on clinical studies in living humans, the buildup of wax due to the degree of stenosis in Cranium 4 is unlikely to have caused frequent external ear infections. In addition, we estimated the pattern of sound power transmission up to 5 kHz in both ears relying on a comprehensive model developed in the bioengineering literature and which has been applied previously to the Sima de los Huesos hominins. The model was modified to account for the peculiar shape of the pathological external ear canals in Cranium 4. The results show that this pathology had little to no influence on the sound power transmission in this individual. Thus, we conclude that the exostoses present in both ears of Cranium 4 did not significantly affect their hearing. ###Answer 1. Changed Reasoning: In Sentence A, the target word ""deafness"" is used to describe a specific type of inherited hearing impairment, specifically childhood-onset non-syndromic deafness. The sentence highlights the genetic basis of this condition, including the identification of specific chromosomal regions associated with the disease. The term ""deafness"" is used without any connotation of pathology or disability. In Sentence B, the target word ""deafness"" has a different connotation. The sentence describes a fossilized individual with bilateral external auditory exostoses, which are interpreted as causing a significant hearing loss. The term ""deafness"" is used in the context of a pathological condition, rather than a genetic one. Additionally, the sentence highlights the lack of influence of this pathology on the individual's hearing, suggesting that the term ""deafness"" has taken on a different meaning. Based on these differences in context and meaning, it can be concluded that the term ""deafness"" has undergone semantic drift between the two sentences. The term has shifted from a neutral descriptor of a genetic condition to a term associated with pathology and disability. Therefore, the label ""Changed"" is appropriate." 19,Deafness,"The authors report a case of a patient presenting with a bronchogenic mediastinal cyst, which presented as a super-infection of the cyst. The cyst was associated with malformation of the cervical vertebra, cardiovascular abnormalities and congenital deafness, placing this in the group of rare complex polymalformation syndrome with Klippel-Feil Syndrome. The authors also stress the value of computed tomography, and above all of nuclear magnetic resonance in the analysis of mediastinal tumours and in particular, of bronchogenic cysts.","Defects in several different connexins have been associated with several different diseases. The most common of these is deafness, where a few mutations in connexin (Cx) 26 have been found to contribute to over 50% of the incidence of non-syndromic deafness in different human populations. Other mutations in Cx26 or Cx30 have also been associated with various skin phenotypes linked to deafness (palmoplanta keratoderma, Bart-Pumphrey syndrome, Vohwinkel syndrome, keratitis-ichthyosis-deafness syndrome, etc.). The large array of disease mutants offers unique opportunities to gain insights into the underlying function of gap junction proteins and their channels in the normal and pathogenic physiologies of the cochlea and epidermis. This review focuses on those mutants where the impact on channel function has been assessed, and correlated with the disease phenotype, or organ function in knock-out mouse models. These approaches have provided evidence supporting a role of gap junctions and hemichannels in K(+) removal and recycling in the ear, as well as possible roles for nutrient passage, in the cochlea. In contrast, increases in hemichannel opening leading to increased cell death, were associated with several keratitis-ichthyosis-deafness syndrome skin disease/hearing mutants. In addition to providing clues for therapeutic strategies, these findings allow us to better understand the specific functions of connexin channels that are important for normal tissue function. This article is part of a Special Issue entitled: The communicating junctions, roles and dysfunctions.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Deafness Sentence A: The authors report a case of a patient presenting with a bronchogenic mediastinal cyst, which presented as a super-infection of the cyst. The cyst was associated with malformation of the cervical vertebra, cardiovascular abnormalities and congenital deafness, placing this in the group of rare complex polymalformation syndrome with Klippel-Feil Syndrome. The authors also stress the value of computed tomography, and above all of nuclear magnetic resonance in the analysis of mediastinal tumours and in particular, of bronchogenic cysts. Sentence B: Defects in several different connexins have been associated with several different diseases. The most common of these is deafness, where a few mutations in connexin (Cx) 26 have been found to contribute to over 50% of the incidence of non-syndromic deafness in different human populations. Other mutations in Cx26 or Cx30 have also been associated with various skin phenotypes linked to deafness (palmoplanta keratoderma, Bart-Pumphrey syndrome, Vohwinkel syndrome, keratitis-ichthyosis-deafness syndrome, etc.). The large array of disease mutants offers unique opportunities to gain insights into the underlying function of gap junction proteins and their channels in the normal and pathogenic physiologies of the cochlea and epidermis. This review focuses on those mutants where the impact on channel function has been assessed, and correlated with the disease phenotype, or organ function in knock-out mouse models. These approaches have provided evidence supporting a role of gap junctions and hemichannels in K(+) removal and recycling in the ear, as well as possible roles for nutrient passage, in the cochlea. In contrast, increases in hemichannel opening leading to increased cell death, were associated with several keratitis-ichthyosis-deafness syndrome skin disease/hearing mutants. In addition to providing clues for therapeutic strategies, these findings allow us to better understand the specific functions of connexin channels that are important for normal tissue function. This article is part of a Special Issue entitled: The communicating junctions, roles and dysfunctions. ###Answer 1. Changed The meaning of the target word ""deafness"" has significantly shifted between the two sentences. In Sentence A, ""deafness"" is described as a congenital malformation, associated with other medical conditions such as cardiovascular abnormalities and cervical vertebra malformation. In Sentence B, ""deafness"" is described as a disease caused by mutations in connexin (Cx) 26, and associated with various skin phenotypes. The word's meaning has expanded to include a broader understanding of the condition, including its genetic basis and the various ways it can present in different populations. Therefore, semantic drift has occurred in the meaning of ""deafness"" between the two sentences." 20,Deafness,"Usher syndrome (USH) is an autosomal-recessive disease characterized by neurosensory deafness and progressive retinitis pigmentosa. So far, three clinical types of Usher syndrome have been defined, and are caused by defects at more than eight loci. We report the linkage analysis of seven Lebanese families with Usher syndrome, two with type I (USH1) and five with type II (USH2). We demonstrate that one family is linked to the USH1C locus, a rare form of USH1 only reported in the French Acadian population. Linkage analysis of the five USH2 families with recently mapped loci allowed us to reduce the USH2A candidate region to a very small interval flanked by D1S2646/D1S2629 and D1S2827. Furthermore, haplotype comparison between the different families suggests a founder effect for the USH2A mutation among the different Lebanese ethnic groups, while a genetic heterogeneity is noted for Usher syndrome type I.","Hearing impairment in adolescents is a major public health problem. According to the World Health Organization (WHO) deafness and hearing impairment are common health problems throughout the world. Hearing impairment generally impairs emotional, social, communication and educational function. The aim of this study was to determine the correlation between duration of hearing aid use and improvements in the quality of life. The cross sectional study was conducted at Jalan Peel Primary Special School and Universiti Kebangsaan Malaysia Medical Center (UKMMC) from July 2010 until June 2011. A total of 21 students with hearing impairment involved in this study with mean age of 12.57 (10 to 19 years old). The subjects were divided into 2 groups: first-time hearing aid users and long standing hearing aid users. The hearing assessment was conducted in the first group and hearing aids were fitted. After 1 month hearing aid fitting, the questionnaires were distributed to both groups. Statistical analysis had showed no relation (p>0.05) between duration of hearing aid use and the improvement in the quality of life. However, regardless of the duration of hearing aid usage, there was improvement in the quality of life as shown by the scores of the questionnaires. In conclusion there was no significant relation between duration of hearing aid use and the improvement in the quality of life. Hearing aids were beneficial for hearing loss students regardless of the duration of the hearing aid usage. ","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Deafness Sentence A: Usher syndrome (USH) is an autosomal-recessive disease characterized by neurosensory deafness and progressive retinitis pigmentosa. So far, three clinical types of Usher syndrome have been defined, and are caused by defects at more than eight loci. We report the linkage analysis of seven Lebanese families with Usher syndrome, two with type I (USH1) and five with type II (USH2). We demonstrate that one family is linked to the USH1C locus, a rare form of USH1 only reported in the French Acadian population. Linkage analysis of the five USH2 families with recently mapped loci allowed us to reduce the USH2A candidate region to a very small interval flanked by D1S2646/D1S2629 and D1S2827. Furthermore, haplotype comparison between the different families suggests a founder effect for the USH2A mutation among the different Lebanese ethnic groups, while a genetic heterogeneity is noted for Usher syndrome type I. Sentence B: Hearing impairment in adolescents is a major public health problem. According to the World Health Organization (WHO) deafness and hearing impairment are common health problems throughout the world. Hearing impairment generally impairs emotional, social, communication and educational function. The aim of this study was to determine the correlation between duration of hearing aid use and improvements in the quality of life. The cross sectional study was conducted at Jalan Peel Primary Special School and Universiti Kebangsaan Malaysia Medical Center (UKMMC) from July 2010 until June 2011. A total of 21 students with hearing impairment involved in this study with mean age of 12.57 (10 to 19 years old). The subjects were divided into 2 groups: first-time hearing aid users and long standing hearing aid users. The hearing assessment was conducted in the first group and hearing aids were fitted. After 1 month hearing aid fitting, the questionnaires were distributed to both groups. Statistical analysis had showed no relation (p>0.05) between duration of hearing aid use and the improvement in the quality of life. However, regardless of the duration of hearing aid usage, there was improvement in the quality of life as shown by the scores of the questionnaires. In conclusion there was no significant relation between duration of hearing aid use and the improvement in the quality of life. Hearing aids were beneficial for hearing loss students regardless of the duration of the hearing aid usage. ###Answer 1. Changed Reasoning: In Sentence A, the term ""deafness"" is used to describe Usher syndrome, a rare genetic disorder that causes progressive hearing loss and vision problems. The term ""deafness"" is used in a clinical context to describe the condition of being unable to hear. However, in Sentence B, the term ""hearing impairment"" is used to describe a more common and broader range of hearing difficulties. This shift in language suggests that the term ""deafness"" has become more specialized and technical, while ""hearing impairment"" has become more general and widely applicable. Therefore, semantic drift has occurred in the meaning of the term ""deafness""." 21,Deafness,"An investigation involving 885 children in five institutions for the deaf in Zimbabwe was conducted with a view to determining the cause of hearing loss. The cause of deafness in 40% of cases was an infectious or infective disorder, while in 43% the basic defect was unknown. There was a seemingly high prevalence of autosomal recessively inherited undifferentiated deafness among children from the Shona tribe. Conversely, an apparent underrepresentation of genetic syndromic disorders was evident in both major tribal groups. Possible explanations for these findings are discussed.","Single-sided deafness (SSD) and asymmetric hearing loss (AHL) have recently been proposed as a new indication for cochlear implantation. There is still no recommended treatment for these hearing deficits, and most options considered rely on the transfer of sound from the poor ear to the better ear, using Contralateral Routing of the Signal (CROS) hearing aids or bone conduction (BC) devices. In contrast, cochlear implantation allows the poor ear to be stimulated and binaural hearing abilities to be partially restored. Indeed, most recently published studies have reported an improvement in the spatial localisation of an incoming sound and better speech recognition in noisy environments after cochlear implantation in SSD/AHL subjects. It also provides consistent relief of tinnitus when associated. These encouraging hearing outcomes raise the question of the cost-utility of this expensive treatment in an extended indication.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Deafness Sentence A: An investigation involving 885 children in five institutions for the deaf in Zimbabwe was conducted with a view to determining the cause of hearing loss. The cause of deafness in 40% of cases was an infectious or infective disorder, while in 43% the basic defect was unknown. There was a seemingly high prevalence of autosomal recessively inherited undifferentiated deafness among children from the Shona tribe. Conversely, an apparent underrepresentation of genetic syndromic disorders was evident in both major tribal groups. Possible explanations for these findings are discussed. Sentence B: Single-sided deafness (SSD) and asymmetric hearing loss (AHL) have recently been proposed as a new indication for cochlear implantation. There is still no recommended treatment for these hearing deficits, and most options considered rely on the transfer of sound from the poor ear to the better ear, using Contralateral Routing of the Signal (CROS) hearing aids or bone conduction (BC) devices. In contrast, cochlear implantation allows the poor ear to be stimulated and binaural hearing abilities to be partially restored. Indeed, most recently published studies have reported an improvement in the spatial localisation of an incoming sound and better speech recognition in noisy environments after cochlear implantation in SSD/AHL subjects. It also provides consistent relief of tinnitus when associated. These encouraging hearing outcomes raise the question of the cost-utility of this expensive treatment in an extended indication. ###Answer 1. Changed 2. Unchanged Explanation: In Sentence A, the target word ""deafness"" is used to describe a condition where hearing loss is caused by an infectious or infective disorder in 40% of cases, and the cause is unknown in 43% of cases. The word ""deafness"" is used in a neutral manner, without any connotation of severity or impact on quality of life. Therefore, we label this as ""Unchanged"". In Sentence B, the target word ""deafness"" is used to describe a specific type of hearing loss, namely single-sided deafness (SSD) or asymmetric hearing loss (AHL). The word ""deafness"" is used in a more specific manner, highlighting the severity of the hearing loss and the impact it has on an individual's quality of life. For example, Sentence B mentions that cochlear implantation can provide ""better speech recognition in noisy environments"" and ""consistent relief of tinnitus"". Therefore, we label this as ""Changed""." 22,Deafness,"We report the combination of sensorineural deafness with facial diplegia, ptosis and hypermobile joints. Observed in a sister and brother, comparison with other reports has failed to identify an established syndrome with this clinical profile. We propose that these siblings share a unique phenotype, representing a new autosomal recessive trait.","Mitochondrial diabetes and deafness (MIDD) is a subtype of diabetes mellitus (DM) that most commonly results from the m.3243A > G mutation in mitochondrial DNA (mtDNA). Sensorineural hearing loss is a typical accompanying feature. Previous studies have suggested a prevalence of ~1-1.5 % for MIDD. We studied the molecular epidemiology of MIDD among young (aged 18-45 years) adults in a defined population in southwestern Finland. Of the identified cohort of 1,532 patients with DM, we received blood samples of 299 patients and analyzed them for the m.3243A > G mutation and for mtDNA haplogroups. We found three DM patients (1.0 %) with the m.3243A > G mutation. All the three patients with DM and m.3243A > G also had severe hearing impairment that required use of hearing aid. MtDNA haplogroup U was more prevalent among patients with maternal family history of DM. We conclude that among young adults, ~1 % of all DM is associated with the m.3243A > G mutation. We suggest that all patients with both DM and hearing impairment, at least in this age group, should undergo investigation for this mutation. Furthermore, our results suggest that mtDNA haplogroup U is associated with maternal family history of DM. ","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Deafness Sentence A: We report the combination of sensorineural deafness with facial diplegia, ptosis and hypermobile joints. Observed in a sister and brother, comparison with other reports has failed to identify an established syndrome with this clinical profile. We propose that these siblings share a unique phenotype, representing a new autosomal recessive trait. Sentence B: Mitochondrial diabetes and deafness (MIDD) is a subtype of diabetes mellitus (DM) that most commonly results from the m.3243A > G mutation in mitochondrial DNA (mtDNA). Sensorineural hearing loss is a typical accompanying feature. Previous studies have suggested a prevalence of ~1-1.5 % for MIDD. We studied the molecular epidemiology of MIDD among young (aged 18-45 years) adults in a defined population in southwestern Finland. Of the identified cohort of 1,532 patients with DM, we received blood samples of 299 patients and analyzed them for the m.3243A > G mutation and for mtDNA haplogroups. We found three DM patients (1.0 %) with the m.3243A > G mutation. All the three patients with DM and m.3243A > G also had severe hearing impairment that required use of hearing aid. MtDNA haplogroup U was more prevalent among patients with maternal family history of DM. We conclude that among young adults, ~1 % of all DM is associated with the m.3243A > G mutation. We suggest that all patients with both DM and hearing impairment, at least in this age group, should undergo investigation for this mutation. Furthermore, our results suggest that mtDNA haplogroup U is associated with maternal family history of DM. ###Answer 1. Changed Reasoning: In Sentence B, the word ""deafness"" has taken on a different connotation compared to Sentence A. In Sentence A, ""deafness"" is used to describe a specific medical condition, specifically sensorineural deafness, which is a type of hearing loss caused by damage to the inner ear or auditory nerve. In contrast, in Sentence B, ""deafness"" is used more broadly to describe a common feature of a particular genetic disorder, MIDD, which causes both sensorineural and conductive hearing loss. This shift in meaning suggests that the word ""deafness"" has undergone semantic drift." 23,Deafness,"Central electrical stimulation of the auditory pathway can allow hearing in patients suffering from deafness localized in the auditory nerve. Developments in a multi-channel auditory brainstem implant based on the Nucleus Mini 22 Cochlear implant with transcutaneous signal transmission is discussed. The devices have been implanted in nine European patients suffering from Neurofibromatosis Type 2. Preliminary speech perception results and patient satisfaction are encouraging, and the data presented include some limited open speech recognition.","We investigated the long-term results of cochlear implant (CI) recipients with asymmetric hearing loss (AHL) or single-sided deafness (SSD). We focused on wearing behavior, audiometric hearing rehabilitation, and subjective benefits of the CI. CI is expected to improve audiological results, subjective hearing perception, and tinnitus burden.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Deafness Sentence A: Central electrical stimulation of the auditory pathway can allow hearing in patients suffering from deafness localized in the auditory nerve. Developments in a multi-channel auditory brainstem implant based on the Nucleus Mini 22 Cochlear implant with transcutaneous signal transmission is discussed. The devices have been implanted in nine European patients suffering from Neurofibromatosis Type 2. Preliminary speech perception results and patient satisfaction are encouraging, and the data presented include some limited open speech recognition. Sentence B: We investigated the long-term results of cochlear implant (CI) recipients with asymmetric hearing loss (AHL) or single-sided deafness (SSD). We focused on wearing behavior, audiometric hearing rehabilitation, and subjective benefits of the CI. CI is expected to improve audiological results, subjective hearing perception, and tinnitus burden. ###Answer 1. Changed Reasoning: In Sentence A, the term ""deafness"" is used to describe a specific type of hearing loss localized in the auditory nerve. The context suggests that the term was used in the medical or audiological sense, referring to a specific type of hearing impairment. In Sentence B, the term ""deafness"" is used in a different context, to describe a broader range of hearing impairments, including asymmetric hearing loss and single-sided deafness. The context suggests that the term has taken on a more general meaning, encompassing a wider range of hearing difficulties. Therefore, the meaning of the term ""deafness"" has changed significantly between the two sentences, indicating semantic drift has occurred." 24,Deafness,"This paper reviews the main known causes of deafness in newborns at risk. Some of them, like infections, anoxia, prematurity, etc. can be classified as 'clinical factors'. Others, like the ototoxicity of some antibiotics and the noise of the life-supporting equipment, are described in the paragraph on the 'constraints of intensive care'. Finally, the possible potentiating effect that some of the above mentioned factors may have on each other is mentioned in the paragraph entitled 'combined effects'. The need of accurate follow-up studies of neonatal intensive care unit (NICU) babies treated in different ways is stressed in the last paragraph.",Infant death in keratitis-ichthyosis-deafness (KID) syndrome is recognized; its association with specific genotypes and pathophysiology is inadequately understood.,"###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Deafness Sentence A: This paper reviews the main known causes of deafness in newborns at risk. Some of them, like infections, anoxia, prematurity, etc. can be classified as 'clinical factors'. Others, like the ototoxicity of some antibiotics and the noise of the life-supporting equipment, are described in the paragraph on the 'constraints of intensive care'. Finally, the possible potentiating effect that some of the above mentioned factors may have on each other is mentioned in the paragraph entitled 'combined effects'. The need of accurate follow-up studies of neonatal intensive care unit (NICU) babies treated in different ways is stressed in the last paragraph. Sentence B: Infant death in keratitis-ichthyosis-deafness (KID) syndrome is recognized; its association with specific genotypes and pathophysiology is inadequately understood. ###Answer 1. Changed Explanation: In Sentence A, deafness is defined as a clinical factor that can be caused by various factors such as infections, anoxia, prematurity, etc. The term is used to describe a specific medical condition. In Sentence B, deafness is used to describe a genetic syndrome, specifically KID syndrome, which is characterized by keratitis, ichthyosis, and deafness. The meaning of deafness has shifted from a medical condition to a genetic syndrome, indicating semantic drift has occurred." 25,Deafness,"Stapes surgery for fixed footplate associated with X-linked congenital mixed hearing loss usually results in a ""gusher"" and severe worsening of hearing. Four patients with X-linked deafness were diagnosed by the characteristic temporal bone computed tomography (CT) findings of enlarged internal auditory canal, hypoplasia of the cochlear base, absent bony modiolus, abnormal vestibular aqueduct, and enlarged labyrinthine facial nerve canal. Three patients were scanned after stapes surgery resulted in a gusher and, in two patients, severe worsening of their hearing loss. Stapes fenestration in the other patient was avoided by CT recognition of the dysplasia. The authors believe that young males presenting with congenital mixed hearing loss should be studied with temporal bone CT prior to middle ear exploration.","Defects in X-linked phosphoribosylpyrophosphate synthetase 1 (PRPS1) manifest as follows: (1) PRS-I enzyme ""superactivity"" (gain-of-function mutations affecting allosteric regions); (2) PRS-I overexpression (which may be linked to miRNA mutation); (3) severe PRS-I deficiency/Arts syndrome (missense mutations producing loss-of-function); (4) moderate PRS-I deficiency/Charcot-Marie-Tooth disease-5 (less severe loss-of-function mutations); and (5) mild PRS-I deficiency/Deafness-2 (mutations producing slight destabilization). Similar to Lesch-Nyhan disease, PRPS1-related disorders arise from phosphoribosyl-pyrophosphate (PRPP)-dependent nucleotide ""depletion"" of purine nucleotides (e.g., ATP, GTP). S-adenosylmethionine (SAMe) appears to partially alleviate purine depletion via a PRPP-independent path. Synthesis of pyrimidine nucleotides is PRPP dependent, with uridine monophosphate synthase deficiency producing pyrimidine nucleotide depletion. But pyrimidine salvage from uridine does not require PRPP, and this nucleoside is transported freely to pyrimidine-depleted tissues. Regulation of nicotinamide nucleotides is less clear; synthesis from pyridine nucleobases is PRPP dependent. Nucleotide ""depletion"" contrasts with nucleotide ""toxicity,"" exemplified by the purine disorders adenosine deaminase (ADA) and purine nucleoside phosphorylase (PNP) deficiencies or by pyrimidine nucleotidase deficiency. These are characterized by the accumulation of one or more abnormal nucleotides such as succinyl- or deoxy-nucleotides or their metabolites, which interrupt other nucleotide or related pathways or are toxic to specific cell types. Theoretically, purine toxicity disorders would not be ameliorated by SAMe therapy, and this was confirmed for one adenylosuccinate lyase-deficient child. Nucleotide defects may also be seen as an aspect of mitochondrial disease, with SAMe-based mitochondrial therapy perhaps meriting further investigation.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Deafness Sentence A: Stapes surgery for fixed footplate associated with X-linked congenital mixed hearing loss usually results in a ""gusher"" and severe worsening of hearing. Four patients with X-linked deafness were diagnosed by the characteristic temporal bone computed tomography (CT) findings of enlarged internal auditory canal, hypoplasia of the cochlear base, absent bony modiolus, abnormal vestibular aqueduct, and enlarged labyrinthine facial nerve canal. Three patients were scanned after stapes surgery resulted in a gusher and, in two patients, severe worsening of their hearing loss. Stapes fenestration in the other patient was avoided by CT recognition of the dysplasia. The authors believe that young males presenting with congenital mixed hearing loss should be studied with temporal bone CT prior to middle ear exploration. Sentence B: Defects in X-linked phosphoribosylpyrophosphate synthetase 1 (PRPS1) manifest as follows: (1) PRS-I enzyme ""superactivity"" (gain-of-function mutations affecting allosteric regions); (2) PRS-I overexpression (which may be linked to miRNA mutation); (3) severe PRS-I deficiency/Arts syndrome (missense mutations producing loss-of-function); (4) moderate PRS-I deficiency/Charcot-Marie-Tooth disease-5 (less severe loss-of-function mutations); and (5) mild PRS-I deficiency/Deafness-2 (mutations producing slight destabilization). Similar to Lesch-Nyhan disease, PRPS1-related disorders arise from phosphoribosyl-pyrophosphate (PRPP)-dependent nucleotide ""depletion"" of purine nucleotides (e.g., ATP, GTP). S-adenosylmethionine (SAMe) appears to partially alleviate purine depletion via a PRPP-independent path. Synthesis of pyrimidine nucleotides is PRPP dependent, with uridine monophosphate synthase deficiency producing pyrimidine nucleotide depletion. But pyrimidine salvage from uridine does not require PRPP, and this nucleoside is transported freely to pyrimidine-depleted tissues. Regulation of nicotinamide nucleotides is less clear; synthesis from pyridine nucleobases is PRPP dependent. Nucleotide ""depletion"" contrasts with nucleotide ""toxicity,"" exemplified by the purine disorders adenosine deaminase (ADA) and purine nucleoside phosphorylase (PNP) deficiencies or by pyrimidine nucleotidase deficiency. These are characterized by the accumulation of one or more abnormal nucleotides such as succinyl- or deoxy-nucleotides or their metabolites, which interrupt other nucleotide or related pathways or are toxic to specific cell types. Theoretically, purine toxicity disorders would not be ameliorated by SAMe therapy, and this was confirmed for one adenylosuccinate lyase-deficient child. Nucleotide defects may also be seen as an aspect of mitochondrial disease, with SAMe-based mitochondrial therapy perhaps meriting further investigation. ###Answer 1. Changed The meaning of the target word ""deafness"" has significantly shifted between the two sentences. In Sentence A, ""deafness"" refers to a specific type of hearing loss caused by a genetic mutation, with a focus on the temporal bone and inner ear structure. In Sentence B, ""deafness"" is used more broadly to refer to any type of hearing loss, with a focus on the underlying causes and potential treatments. The shift in meaning is evident in the use of different terminology and the inclusion of additional causes of hearing loss. Therefore, the label ""Changed"" is appropriate." 26,Deafness,"Mutations in the mitochondrial gene were recently identified in a large pedigree of diabetes mellitus and deafness. As the mitochondrial gene is materially inherited, Japanese diabetic patients whose mothers were also diabetic were screened, using peripheral leucocytes, for an A to G transition at nucleotide pair 3243 of the mitochondrial gene, a tRNA(Leu(UUR)) mutation. This mutation was identified in four pedigrees from among 300 unrelated patients who were screened. Diabetes co-segregated with the mutation, except in one young subject, and was maternally inherited. The apparent onset of disease occurred between 11 and 68 years of age. Some of the affected members developed hearing impairment and congestive heart failure due to cardiomyopathy, though generally long after the onset of diabetes, and these patients had therefore not been diagnosed as having a specific form of diabetes. The duration of sulphonyl-urea treatment was not more than 8 years in these pedigrees and affected members were prone to progression to insulin-requiring diabetes. Thus, these patients were secondary sulphonylurea failures. Long-term follow-up revealed that the underlying disorder in affected members is a progressive impairment of insulin secretion. Some were initially diagnosed as having IDDM based on an apparent acute onset in youth and the clinical severity of their diabetes. Others were regarded as having MODY with an aggressive course. The mitochondrial gene mutation or diabetes is not transmitted to all offspring of the affected mothers.(ABSTRACT TRUNCATED AT 250 WORDS)","Ca2+ signaling has been implicated in the initial pathophysiologic mechanisms underlying the cochlea's response to acoustic overstimulation. Intracellular Ca2+ signaling (ICS) waves, which occur in glia and retinal cells in response to injury to activate cell regulatory pathways, have been proposed as an early event in cochlear injury. Disruption of ICS activity is thought to underlie Connexin 26-associated hearing loss, the most common genetic form of deafness, and downstream sequelae of ICS wave activity, such as MAP kinase pathway activation, have been implicated in noise-induced hearing loss. However, ICS waves have only been observed in neonatal cochlear cultures and are thought to be quiescent after the onset of hearing. In this study, we employ an acute explant model of an adult, hearing cochlea that retains many in vivo physiologic features to investigate Ca2+ changes in response to sound. We find that both slow monotonic changes in intracellular Ca2+ concentration as well as discrete ICS waves occur with acoustic overstimulation. The ICS waves share many intrinsic features with their better-described neonatal counterparts, including ATP and gap-junction dependence, and propagation velocity and distance. This identification of ICS wave activity in the adult, hearing cochlea thus confirms and characterizes an important early detection mechanism for cochlear trauma and provides a target for interventions for noise-induced and Connexin 26-associated hearing loss.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Deafness Sentence A: Mutations in the mitochondrial gene were recently identified in a large pedigree of diabetes mellitus and deafness. As the mitochondrial gene is materially inherited, Japanese diabetic patients whose mothers were also diabetic were screened, using peripheral leucocytes, for an A to G transition at nucleotide pair 3243 of the mitochondrial gene, a tRNA(Leu(UUR)) mutation. This mutation was identified in four pedigrees from among 300 unrelated patients who were screened. Diabetes co-segregated with the mutation, except in one young subject, and was maternally inherited. The apparent onset of disease occurred between 11 and 68 years of age. Some of the affected members developed hearing impairment and congestive heart failure due to cardiomyopathy, though generally long after the onset of diabetes, and these patients had therefore not been diagnosed as having a specific form of diabetes. The duration of sulphonyl-urea treatment was not more than 8 years in these pedigrees and affected members were prone to progression to insulin-requiring diabetes. Thus, these patients were secondary sulphonylurea failures. Long-term follow-up revealed that the underlying disorder in affected members is a progressive impairment of insulin secretion. Some were initially diagnosed as having IDDM based on an apparent acute onset in youth and the clinical severity of their diabetes. Others were regarded as having MODY with an aggressive course. The mitochondrial gene mutation or diabetes is not transmitted to all offspring of the affected mothers.(ABSTRACT TRUNCATED AT 250 WORDS) Sentence B: Ca2+ signaling has been implicated in the initial pathophysiologic mechanisms underlying the cochlea's response to acoustic overstimulation. Intracellular Ca2+ signaling (ICS) waves, which occur in glia and retinal cells in response to injury to activate cell regulatory pathways, have been proposed as an early event in cochlear injury. Disruption of ICS activity is thought to underlie Connexin 26-associated hearing loss, the most common genetic form of deafness, and downstream sequelae of ICS wave activity, such as MAP kinase pathway activation, have been implicated in noise-induced hearing loss. However, ICS waves have only been observed in neonatal cochlear cultures and are thought to be quiescent after the onset of hearing. In this study, we employ an acute explant model of an adult, hearing cochlea that retains many in vivo physiologic features to investigate Ca2+ changes in response to sound. We find that both slow monotonic changes in intracellular Ca2+ concentration as well as discrete ICS waves occur with acoustic overstimulation. The ICS waves share many intrinsic features with their better-described neonatal counterparts, including ATP and gap-junction dependence, and propagation velocity and distance. This identification of ICS wave activity in the adult, hearing cochlea thus confirms and characterizes an important early detection mechanism for cochlear trauma and provides a target for interventions for noise-induced and Connexin 26-associated hearing loss. ###Answer 1. Changed Reasoning: In Sentence A, the term ""deafness"" is used in the context of a genetic disorder that causes hearing impairment. The sentence also mentions that the mutation identified in the mitochondrial gene is associated with diabetes mellitus and deafness. Therefore, it can be inferred that the term ""deafness"" in this sentence refers to a specific type of hearing impairment caused by a genetic mutation. In Sentence B, the term ""deafness"" is used in a different context. It is mentioned that Ca2+ signaling has been implicated in the initial pathophysiologic mechanisms underlying the cochlea's response to acoustic overstimulation. The sentence also discusses the identification of ICS waves in the adult, hearing cochlea, which are thought to be involved in noise-induced hearing loss. In this sentence, the term ""deafness"" refers to a more general concept of hearing impairment, rather than a specific genetic disorder. Based on these differences in context and meaning, it can be concluded that the term ""deafness"" has undergone a significant change in meaning between Sentence A and Sentence B. Therefore, the label ""Changed"" is appropriate." 27,Deafness,"A rubella-specific lymphocyte transformation assay, using cryopreserved mononuclear cells, has been developed and used to evaluate specific responses among 21 children with congenitally acquired rubella (CAR), 25 healthy control children and 10 children with sensorineural deafness of unknown aetiology. Although all 21 children with CAR were seropositive, 12 (57.1%) failed to respond to rubella antigen in the transformation assay. Negative in vitro lymphocyte transformation responses were detected significantly more frequently among congenitally infected children below 3 years of age. Thirteen of the 25 (52%) control children were seropositive; only one of these seropositive children (7.6%) gave a negative transformation response. A negative rubella-specific lymphocyte transformation response in a seropositive child, particularly when aged 3 years or younger, is therefore suggestive of CAR. Four of the 10 children with deafness of unknown aetiology were rubella seropositive but gave negative responses in the transformation assay, suggesting that these children had CAR. Our assay may provide a very useful test for retrospective diagnosis of CAR, particularly in children under the age of 3.",This study investigated the relationship between smoking and hearing loss and deafness (HLD) and whether the relationship is modified by genetic variation. Data for these analyses was from the subset of Japanese American families collected as part of the American Diabetes Association Genetics of Non-insulin Dependent Diabetes Mellitus study. Logistic regression with generalized estimating equations assessed the relationship between HLD and smoking. Nonparametric linkage analysis identified genetic regions harboring HLD susceptibility genes and ordered subset analysis was used to identify regions showing evidence for gene-smoking interactions. Genetic variants within these candidate regions were then each tested for interaction with smoking using logistic regression models.,"###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Deafness Sentence A: A rubella-specific lymphocyte transformation assay, using cryopreserved mononuclear cells, has been developed and used to evaluate specific responses among 21 children with congenitally acquired rubella (CAR), 25 healthy control children and 10 children with sensorineural deafness of unknown aetiology. Although all 21 children with CAR were seropositive, 12 (57.1%) failed to respond to rubella antigen in the transformation assay. Negative in vitro lymphocyte transformation responses were detected significantly more frequently among congenitally infected children below 3 years of age. Thirteen of the 25 (52%) control children were seropositive; only one of these seropositive children (7.6%) gave a negative transformation response. A negative rubella-specific lymphocyte transformation response in a seropositive child, particularly when aged 3 years or younger, is therefore suggestive of CAR. Four of the 10 children with deafness of unknown aetiology were rubella seropositive but gave negative responses in the transformation assay, suggesting that these children had CAR. Our assay may provide a very useful test for retrospective diagnosis of CAR, particularly in children under the age of 3. Sentence B: This study investigated the relationship between smoking and hearing loss and deafness (HLD) and whether the relationship is modified by genetic variation. Data for these analyses was from the subset of Japanese American families collected as part of the American Diabetes Association Genetics of Non-insulin Dependent Diabetes Mellitus study. Logistic regression with generalized estimating equations assessed the relationship between HLD and smoking. Nonparametric linkage analysis identified genetic regions harboring HLD susceptibility genes and ordered subset analysis was used to identify regions showing evidence for gene-smoking interactions. Genetic variants within these candidate regions were then each tested for interaction with smoking using logistic regression models. ###Answer 1. Changed The meaning of the target word ""deafness"" has significantly shifted between Sentence A (2000) and Sentence B (2020). In Sentence A, ""deafness"" is used to describe a specific medical condition, specifically congenital rubella deafness. In contrast, in Sentence B, ""deafness"" is used more broadly to describe hearing loss or impairment in general, without any specific reference to a medical condition. Therefore, the meaning of ""deafness"" has changed from a medically specific term to a more general term." 28,Deafness,"Red blood cell deformability (RCD) was measured by a filtration technique in 12 patients with sudden sensorineural deafness. Five patients had reduced deformability, including 3 out of 4 patients with a recent upper respiratory tract infection. This may be an important factor in sudden deafness, more likely as a complicating factor of other disorders rather than as a truly primary aetiology. Factors and diseases which alter RCD are discussed and a possible link between the viral and vascular causes of idiopathic sudden deafness is suggested. While several lines of therapy seem promising there is still no clinically proved method for improving RCD. With the development of an acceptable therapeutic regimen, we feel that the possibility of reduced RCD should be considered and that a deformability test be included in the work-up of patients with a sudden sensorineural hearing loss.",The aim of our study was to evaluate the effectiveness of combining newborn hearing screening with screening for genetic mutations associated with deafness.,"###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Deafness Sentence A: Red blood cell deformability (RCD) was measured by a filtration technique in 12 patients with sudden sensorineural deafness. Five patients had reduced deformability, including 3 out of 4 patients with a recent upper respiratory tract infection. This may be an important factor in sudden deafness, more likely as a complicating factor of other disorders rather than as a truly primary aetiology. Factors and diseases which alter RCD are discussed and a possible link between the viral and vascular causes of idiopathic sudden deafness is suggested. While several lines of therapy seem promising there is still no clinically proved method for improving RCD. With the development of an acceptable therapeutic regimen, we feel that the possibility of reduced RCD should be considered and that a deformability test be included in the work-up of patients with a sudden sensorineural hearing loss. Sentence B: The aim of our study was to evaluate the effectiveness of combining newborn hearing screening with screening for genetic mutations associated with deafness. ###Answer 1. Changed The target word ""deafness"" has undergone significant semantic drift between the two sentences. In Sentence A, the term is used in the context of a medical condition, specifically sudden sensorineural deafness, and is associated with factors such as red blood cell deformability and viral infections. In Sentence B, the term is used in the context of genetic mutations associated with deafness, suggesting a shift towards a more genetic-based understanding of the condition. This change in meaning or connotation indicates semantic drift has occurred." 29,Deafness,Cholesterol granulomas arise scarcely within the middle ear cavities revealed by a conductive deafness. They appear on the CT scan as a non specific mass developed in the middle ear cavities with bone defects. MRI allow the diagnosis as cholesterol granulomas is defined by hyperintensity on all sequences.,"We studied a family with a suspected diagnosis of MYH9-related disease, which is one of the most common forms of autosomal dominant macrothrombocytopenias associated with hearing impairment, cataracts and nephritis. No mutation of the MYH9 gene was identified. Moreover, the A156V variant of the GPIbalpha gene, responsible for 30% of macrothrombocytopenias in Italy, was not detected in the family. Therefore, we hypothesized that the clinical symptoms were caused by mutations in different genes. The screening of the candidate genes for deafness and/or cataract allowed us to identify two variants, M34T and S19T, of the GJB2 gene in family members with hearing impairment. Because of the relatively common occurrence of inherited hearing loss and, at least in the Mediterranean area, of platelet macrocytosis, the two traits occurred by chance in the same family and mimicked the MYH9-related disease.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Deafness Sentence A: Cholesterol granulomas arise scarcely within the middle ear cavities revealed by a conductive deafness. They appear on the CT scan as a non specific mass developed in the middle ear cavities with bone defects. MRI allow the diagnosis as cholesterol granulomas is defined by hyperintensity on all sequences. Sentence B: We studied a family with a suspected diagnosis of MYH9-related disease, which is one of the most common forms of autosomal dominant macrothrombocytopenias associated with hearing impairment, cataracts and nephritis. No mutation of the MYH9 gene was identified. Moreover, the A156V variant of the GPIbalpha gene, responsible for 30% of macrothrombocytopenias in Italy, was not detected in the family. Therefore, we hypothesized that the clinical symptoms were caused by mutations in different genes. The screening of the candidate genes for deafness and/or cataract allowed us to identify two variants, M34T and S19T, of the GJB2 gene in family members with hearing impairment. Because of the relatively common occurrence of inherited hearing loss and, at least in the Mediterranean area, of platelet macrocytosis, the two traits occurred by chance in the same family and mimicked the MYH9-related disease. ###Answer 1. Changed Reasoning: In Sentence A, the term ""conductive deafness"" is used, which implies a type of hearing loss caused by problems with the middle ear. This suggests that the word ""deafness"" in this context refers to a specific type of hearing impairment. In Sentence B, the term ""hearing impairment"" is used instead, which is a broader term that encompasses a range of hearing problems. This suggests that the meaning of ""deafness"" has shifted to include a broader range of hearing impairments, indicating semantic drift." 30,Deafness,"A retrospective study was carried out to show the pattern of chronic suppurative otitis media in Sudanese. Patients with chronic suppurative otitis media were 43% of all patients with ear problem. The majority of patients affected by the disease were between 11-30 years with even distribution. Males were affected more than females. The duration of symptoms varied between 0-20 years but most of the patients had the disease for over six years. Pseudomonas aeruginosa, pseudomonas pyocyaneous and B. Proteus were the commonest organism isolated in cultures. The predominant presenting symptoms were otorrhoea followed by deafness. The rate of complications was relatively high. The majority of patients were improved after conservative medical treatment, by repeated aural toilet and the use of the appropriate antibiotic.","An orientation to autistic spectrum disorders (ASD), also known as autism, is provided, and the specific syndrome of autism and deafness is addressed. The two conditions have in common a major problem: communication. Case histories are provided, the development of treatment for autism is discussed, and the separate disorders that make up ASD are defined. Important medical conditions often present in ASD are named, and their roles in treatment and diagnosis are described. Because autism is generally regarded as increasing in prevalence, some say to epidemic proportions, there is an increase in children who are both deaf and autistic. The resulting pressure on day and residential school programs for the Deaf to accept and educate these difficult, multiply disabled children is increasing. The parents of autistic children are a sophisticated, politically active group who are demanding services through legal and legislative means, among others.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Deafness Sentence A: A retrospective study was carried out to show the pattern of chronic suppurative otitis media in Sudanese. Patients with chronic suppurative otitis media were 43% of all patients with ear problem. The majority of patients affected by the disease were between 11-30 years with even distribution. Males were affected more than females. The duration of symptoms varied between 0-20 years but most of the patients had the disease for over six years. Pseudomonas aeruginosa, pseudomonas pyocyaneous and B. Proteus were the commonest organism isolated in cultures. The predominant presenting symptoms were otorrhoea followed by deafness. The rate of complications was relatively high. The majority of patients were improved after conservative medical treatment, by repeated aural toilet and the use of the appropriate antibiotic. Sentence B: An orientation to autistic spectrum disorders (ASD), also known as autism, is provided, and the specific syndrome of autism and deafness is addressed. The two conditions have in common a major problem: communication. Case histories are provided, the development of treatment for autism is discussed, and the separate disorders that make up ASD are defined. Important medical conditions often present in ASD are named, and their roles in treatment and diagnosis are described. Because autism is generally regarded as increasing in prevalence, some say to epidemic proportions, there is an increase in children who are both deaf and autistic. The resulting pressure on day and residential school programs for the Deaf to accept and educate these difficult, multiply disabled children is increasing. The parents of autistic children are a sophisticated, politically active group who are demanding services through legal and legislative means, among others. ###Answer 1. Changed Reasoning: In Sentence B, the term ""deafness"" is used in a different context than in Sentence A. In Sentence A, ""deafness"" refers to a symptom of chronic suppurative otitis media, a specific ear condition. In Sentence B, ""deafness"" is used to describe a characteristic of autistic spectrum disorder (ASD), which is a different medical condition altogether. The term ""deafness"" has shifted its meaning from a symptom to a characteristic of a different disorder. Therefore, semantic drift has occurred." 31,Deafness,The myosin VII motor protein has recently been found to have a role in cell adhesion. This new function is conserved from amoebae to man and provides an explanation for deafness in Usher syndrome patients.,"Cilia were present in the earliest eukaryotic ancestor and underlie many biological processes ranging from cell motility and propulsion of extracellular fluids to sensory physiology. We investigated the contribution of the touch insensitive larva B (tilB) gene to cilia function in Drosophila melanogaster. Mutants of tilB exhibit dysfunction in sperm flagella and ciliated dendrites of chordotonal organs that mediate hearing and larval touch sensitivity. Mutant sperm axonemes as well as sensory neuron dendrites of Johnston's organ, the fly's auditory organ, lack dynein arms. Through deficiency mapping and sequencing candidate genes, we identified tilB mutations in the annotated gene CG14620. A genomic CG14620 transgene rescued deafness and male sterility of tilB mutants. TilB is a 395-amino-acid protein with a conserved N-terminal leucine-rich repeat region at residues 16-164 and a coiled-coil domain at residues 171-191. A tilB-Gal4 transgene driving fluorescently tagged TilB proteins elicits cytoplasmic expression in embryonic chordotonal organs, in Johnston's organ, and in sperm flagella. TilB does not appear to affect tubulin polyglutamylation or polyglycylation. The phenotypes and expression of tilB indicate function in cilia construction or maintenance, but not in intraflagellar transport. This is also consistent with phylogenetic association of tilB homologs with presence of genes encoding axonemal dynein arm components. Further elucidation of tilB functional mechanisms will provide greater understanding of cilia function and will facilitate understanding ciliary diseases.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Deafness Sentence A: The myosin VII motor protein has recently been found to have a role in cell adhesion. This new function is conserved from amoebae to man and provides an explanation for deafness in Usher syndrome patients. Sentence B: Cilia were present in the earliest eukaryotic ancestor and underlie many biological processes ranging from cell motility and propulsion of extracellular fluids to sensory physiology. We investigated the contribution of the touch insensitive larva B (tilB) gene to cilia function in Drosophila melanogaster. Mutants of tilB exhibit dysfunction in sperm flagella and ciliated dendrites of chordotonal organs that mediate hearing and larval touch sensitivity. Mutant sperm axonemes as well as sensory neuron dendrites of Johnston's organ, the fly's auditory organ, lack dynein arms. Through deficiency mapping and sequencing candidate genes, we identified tilB mutations in the annotated gene CG14620. A genomic CG14620 transgene rescued deafness and male sterility of tilB mutants. TilB is a 395-amino-acid protein with a conserved N-terminal leucine-rich repeat region at residues 16-164 and a coiled-coil domain at residues 171-191. A tilB-Gal4 transgene driving fluorescently tagged TilB proteins elicits cytoplasmic expression in embryonic chordotonal organs, in Johnston's organ, and in sperm flagella. TilB does not appear to affect tubulin polyglutamylation or polyglycylation. The phenotypes and expression of tilB indicate function in cilia construction or maintenance, but not in intraflagellar transport. This is also consistent with phylogenetic association of tilB homologs with presence of genes encoding axonemal dynein arm components. Further elucidation of tilB functional mechanisms will provide greater understanding of cilia function and will facilitate understanding ciliary diseases. ###Answer 1. Changed Reasoning: The target word ""deafness"" has undergone a significant change in meaning between Sentence A (2000) and Sentence B (2020). In Sentence A, ""deafness"" is specifically mentioned in the context of Usher syndrome, a genetic disorder that causes progressive hearing loss and loss of balance. In contrast, in Sentence B, ""deafness"" is used more broadly to refer to any type of hearing loss, without any specific reference to Usher syndrome. This shift in meaning suggests that the term ""deafness"" has undergone semantic drift over time." 32,Deafness,A family is described showing deafness in three consecutive generations. Hirshchsprung's disease was present in at least two of the affected patients and a history of bowel dysfunction was present in the third. The assocation of the two disorders in this family may be due to a single autosomal dominant gene and in this regard differs from previously reported isolated patients with Hirschsprung's disease and deafness.,"A modifier variant can abrogate the risk of a monogenic disorder. DFNM1 is a locus on chromosome 1 encoding a dominant suppressor of human DFNB26 recessive, profound deafness. Here, we report that DFNB26 is associated with a substitution (p.Gly116Glu) in the pleckstrin homology domain of GRB2-associated binding protein 1 (GAB1), an essential scaffold in the MET proto-oncogene, receptor tyrosine kinase/HGF (MET/HGF) pathway. A dominant substitution (p.Arg544Gln) of METTL13, encoding a predicted methyltransferase, is the DFNM1 suppressor of GAB1-associated deafness. In zebrafish, human METTL13 mRNA harboring the modifier allele rescued the GAB1-associated morphant phenotype. In mice, GAB1 and METTL13 colocalized in auditory sensory neurons, and METTL13 coimmunoprecipitated with GAB1 and SPRY2, indicating at least a tripartite complex. Expression of MET-signaling genes in human lymphoblastoid cells of individuals homozygous for p.Gly116Glu GAB1 revealed dysregulation of HGF, MET, SHP2, and SPRY2, all of which have reported variants associated with deafness. However, SPRY2 was not dysregulated in normal-hearing humans homozygous for both the GAB1 DFNB26 deafness variant and the dominant METTL13 deafness suppressor, indicating a plausible mechanism of suppression. Identification of METTL13-based modification of MET signaling offers a potential therapeutic strategy for a wide range of associated hearing disorders. Furthermore, MET signaling is essential for diverse functions in many tissues including the inner ear. Therefore, identification of the modifier of MET signaling is likely to have broad clinical implications.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Deafness Sentence A: A family is described showing deafness in three consecutive generations. Hirshchsprung's disease was present in at least two of the affected patients and a history of bowel dysfunction was present in the third. The assocation of the two disorders in this family may be due to a single autosomal dominant gene and in this regard differs from previously reported isolated patients with Hirschsprung's disease and deafness. Sentence B: A modifier variant can abrogate the risk of a monogenic disorder. DFNM1 is a locus on chromosome 1 encoding a dominant suppressor of human DFNB26 recessive, profound deafness. Here, we report that DFNB26 is associated with a substitution (p.Gly116Glu) in the pleckstrin homology domain of GRB2-associated binding protein 1 (GAB1), an essential scaffold in the MET proto-oncogene, receptor tyrosine kinase/HGF (MET/HGF) pathway. A dominant substitution (p.Arg544Gln) of METTL13, encoding a predicted methyltransferase, is the DFNM1 suppressor of GAB1-associated deafness. In zebrafish, human METTL13 mRNA harboring the modifier allele rescued the GAB1-associated morphant phenotype. In mice, GAB1 and METTL13 colocalized in auditory sensory neurons, and METTL13 coimmunoprecipitated with GAB1 and SPRY2, indicating at least a tripartite complex. Expression of MET-signaling genes in human lymphoblastoid cells of individuals homozygous for p.Gly116Glu GAB1 revealed dysregulation of HGF, MET, SHP2, and SPRY2, all of which have reported variants associated with deafness. However, SPRY2 was not dysregulated in normal-hearing humans homozygous for both the GAB1 DFNB26 deafness variant and the dominant METTL13 deafness suppressor, indicating a plausible mechanism of suppression. Identification of METTL13-based modification of MET signaling offers a potential therapeutic strategy for a wide range of associated hearing disorders. Furthermore, MET signaling is essential for diverse functions in many tissues including the inner ear. Therefore, identification of the modifier of MET signaling is likely to have broad clinical implications. ###Answer 1. Changed Reasoning: In Sentence A, the target word ""deafness"" is used to describe a family history of a genetic disorder that causes hearing loss. The context suggests that the disorder is severe and has a significant impact on the individuals affected. In Sentence B, the target word ""deafness"" is used to describe a genetic variant that can abrogate the risk of a monogenic disorder. The context suggests that the variant is associated with a specific gene and has a potential therapeutic strategy for hearing disorders. Compared to Sentence A, the meaning of the target word ""deafness"" in Sentence B has shifted to emphasize the genetic basis of the disorder and the potential for modifying the disorder through gene manipulation. The word ""deafness"" in Sentence B has a different connotation than in Sentence A, indicating a more technical and scientific understanding of the disorder. Therefore, semantic drift has occurred in the meaning of the target word ""deafness"" between the two sentences." 33,Deafness,"X-linked Charcot-Marie-Tooth disease (CMTX) is a clinically heterogeneous hereditary motor and sensory neuropathy with X-linked transmission. Common clinical manifestations of CMTX, as in other forms of Charcot-Marie-Tooth disease (CMT), are distal muscle wasting and weakness, hyporeflexia, distal sensory disturbance, and foot deformities. Motor nerve conduction velocity is reduced. In male patients it is often less than 38 m/s in the median nerve (a value often used to distinguish between ""demyelinating"" and ""axonal"" forms of CMT), but in female patients conduction velocity may be faster than this or normal. Mutations in the connexin32 (gap junction protein beta 1 (GJB1)) gene are responsible for the majority of CMTX cases. This report describes six British CMTX families with six novel mutations (four missense, one nonsense, and one frame shift) of the GJB1 gene. Affected members in these six families had typical signs of CMT but in some affected members of three families there was additional central nervous system involvement or deafness in the absence of any other explanation other than CMT.","Cochlear implantation has become the standard procedure for restoring substantial hearing in the profoundly deaf. The excellent performance of most of the CI recipients coupled with the rapid evolution of implant technology lead to a distinct expansion in selection criteria for CI. These changes in candidacy primarily include patients with (1) moderate preoperative speech recognition with hearing aids, (2) significant residual hearing, (3) single-sided deafness, and (4) geriatric patients. Many of these patients' conditions were regarded as a clear contraindication to CI only a few years ago. In this article an overview of the current and new aspects of candidacy for cochlear implantation is provided. ","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Deafness Sentence A: X-linked Charcot-Marie-Tooth disease (CMTX) is a clinically heterogeneous hereditary motor and sensory neuropathy with X-linked transmission. Common clinical manifestations of CMTX, as in other forms of Charcot-Marie-Tooth disease (CMT), are distal muscle wasting and weakness, hyporeflexia, distal sensory disturbance, and foot deformities. Motor nerve conduction velocity is reduced. In male patients it is often less than 38 m/s in the median nerve (a value often used to distinguish between ""demyelinating"" and ""axonal"" forms of CMT), but in female patients conduction velocity may be faster than this or normal. Mutations in the connexin32 (gap junction protein beta 1 (GJB1)) gene are responsible for the majority of CMTX cases. This report describes six British CMTX families with six novel mutations (four missense, one nonsense, and one frame shift) of the GJB1 gene. Affected members in these six families had typical signs of CMT but in some affected members of three families there was additional central nervous system involvement or deafness in the absence of any other explanation other than CMT. Sentence B: Cochlear implantation has become the standard procedure for restoring substantial hearing in the profoundly deaf. The excellent performance of most of the CI recipients coupled with the rapid evolution of implant technology lead to a distinct expansion in selection criteria for CI. These changes in candidacy primarily include patients with (1) moderate preoperative speech recognition with hearing aids, (2) significant residual hearing, (3) single-sided deafness, and (4) geriatric patients. Many of these patients' conditions were regarded as a clear contraindication to CI only a few years ago. In this article an overview of the current and new aspects of candidacy for cochlear implantation is provided. ###Answer 1. Changed Reasoning: In Sentence A, the term ""deafness"" is used to describe a specific clinical manifestation of X-linked Charcot-Marie-Tooth disease (CMTX), which is a neurological disorder that affects the peripheral nervous system. The term is used in the context of describing the clinical features of the disorder, including muscle wasting and weakness, sensory disturbance, and foot deformities. In Sentence B, the term ""deafness"" is used in a different context to describe a specific outcome or consequence of cochlear implantation, which is a medical procedure used to restore hearing in individuals with profound hearing loss. In this context, ""deafness"" refers to the absence of hearing, rather than a specific clinical manifestation of a neurological disorder. Therefore, the meaning of the term ""deafness"" has shifted from a clinical manifestation of a neurological disorder to a specific outcome or consequence of medical intervention." 34,Deafness,An aneurysm of the anterior inferior cerebellar artery is reported. Symptoms were a sudden and intermittent hearing loss. Electrocochleography indicated that the patient's deafness was of retrolabyrinthine origin. Vertebral angiography disclosed the aneurysm. At operation the aneurysm was coated. The literature is reviewed.,"Waardenburg syndrome type 1 (WS1), a rare genetic disease characterized by pigmentation defects and mild craniofacial anomalies often associated with congenital deafness is caused by heterozygous mutations in the PAX3 gene (2q36.1). We have generated two induced pluripotent stem cell lines (PCli029-A and PCli031-A) from two patients from the same family both carrying the same heterozygous deletion in PAX3 exon 1 (c.-70_85 + 366del). These cells are pluripotent as they can differentiate into ectoderm, mesoderm and endoderm. They also can activate the early neural crest marker SNAI2. These cells will be useful for studying the human neural crest-derived pigment cells.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Deafness Sentence A: An aneurysm of the anterior inferior cerebellar artery is reported. Symptoms were a sudden and intermittent hearing loss. Electrocochleography indicated that the patient's deafness was of retrolabyrinthine origin. Vertebral angiography disclosed the aneurysm. At operation the aneurysm was coated. The literature is reviewed. Sentence B: Waardenburg syndrome type 1 (WS1), a rare genetic disease characterized by pigmentation defects and mild craniofacial anomalies often associated with congenital deafness is caused by heterozygous mutations in the PAX3 gene (2q36.1). We have generated two induced pluripotent stem cell lines (PCli029-A and PCli031-A) from two patients from the same family both carrying the same heterozygous deletion in PAX3 exon 1 (c.-70_85 + 366del). These cells are pluripotent as they can differentiate into ectoderm, mesoderm and endoderm. They also can activate the early neural crest marker SNAI2. These cells will be useful for studying the human neural crest-derived pigment cells. ###Answer 1. Changed Reasoning: The meaning of the word ""deafness"" has shifted significantly between Sentence A and Sentence B. In Sentence A, the word is used to describe a specific medical condition (retrolabyrinthine origin) and its context suggests a loss of hearing. However, in Sentence B, the word is used in a completely different context, referring to a genetic disease (Waardenburg syndrome type 1) and its association with congenital deafness. The word's meaning has expanded to include this new context, indicating semantic drift has occurred." 35,Deafness,"We have employed a direct cDNA selection methodology to isolate transcribed sequences encoded in the human chromosomal interval Xq26 that contains the gene for X-chromosome linked albinism deafness syndrome (ADFN). ADFN had been previously mapped to an 8 centi Morgan region on chromosome Xq26. We have constructed six cDNA libraries specific to six YACs mapping to a 1.5 mb span at the distal boundary of the ADFN locus. The YAC specific libraries were characterized for the presence of unique cDNAs. We have identified 15 transcribed sequences from the selected cDNA libraries. These cDNAs matched to three well characterized sequences corresponding to steroid 5-alpha reductase, ribosomal protein L28, and a short transcript that has been shown to be expressed in human brain cortex. Seven of the cDNAs matched to expressed sequence tags or other sequences of unknown function, and five cDNAs shared no homology with sequences in the public data bases. Each one of these sequences was represented as 3-10 clones in the set that was subjected to sequencing. Further characterization of these transcribed sequences may indicate potential candidates responsible for ADFN. We have discussed the utility of cDNA selection methodology in assembling transcript maps and identifying potential candidates for genetic deafness.","Partial deafness (PD) is a condition in which hearing loss occurs in at least 1 frequency critical to speech understanding. Current options for partial deafness treatment (PDT) rely on preoperative hearing preservation, which, along with the use of different means of acoustic and electric stimulation, enable extending the indications for various assistive hearing devices. Possible solutions include acoustic methods only, the use of hearing aids or middle ear implants, electric complementation, and a combination of electric and acoustic stimulation.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Deafness Sentence A: We have employed a direct cDNA selection methodology to isolate transcribed sequences encoded in the human chromosomal interval Xq26 that contains the gene for X-chromosome linked albinism deafness syndrome (ADFN). ADFN had been previously mapped to an 8 centi Morgan region on chromosome Xq26. We have constructed six cDNA libraries specific to six YACs mapping to a 1.5 mb span at the distal boundary of the ADFN locus. The YAC specific libraries were characterized for the presence of unique cDNAs. We have identified 15 transcribed sequences from the selected cDNA libraries. These cDNAs matched to three well characterized sequences corresponding to steroid 5-alpha reductase, ribosomal protein L28, and a short transcript that has been shown to be expressed in human brain cortex. Seven of the cDNAs matched to expressed sequence tags or other sequences of unknown function, and five cDNAs shared no homology with sequences in the public data bases. Each one of these sequences was represented as 3-10 clones in the set that was subjected to sequencing. Further characterization of these transcribed sequences may indicate potential candidates responsible for ADFN. We have discussed the utility of cDNA selection methodology in assembling transcript maps and identifying potential candidates for genetic deafness. Sentence B: Partial deafness (PD) is a condition in which hearing loss occurs in at least 1 frequency critical to speech understanding. Current options for partial deafness treatment (PDT) rely on preoperative hearing preservation, which, along with the use of different means of acoustic and electric stimulation, enable extending the indications for various assistive hearing devices. Possible solutions include acoustic methods only, the use of hearing aids or middle ear implants, electric complementation, and a combination of electric and acoustic stimulation. ###Answer 1. Changed Reasoning: In Sentence A, the term ""deafness"" is used to describe a specific genetic condition, X-chromosome linked albinism deafness syndrome (ADFN). The term is used to indicate that the condition is hereditary and affects hearing. In Sentence B, the term ""partial deafness"" is used, which implies a more general hearing loss that may affect different frequencies. The term ""PD"" does not carry the same specific genetic connotation as ""deafness"" in Sentence A. Therefore, there has been a significant change in the meaning of the term ""deafness"" between the two sentences, indicating semantic drift." 36,Deafness,"Hereditary deafness has proved to be extremely heterogeneous genetically with more than 40 genes mapped or cloned for non-syndromic dominant deafness and 30 for autosomal recessive non-syndromic deafness. In spite of significant advances in the understanding of the molecular basis of hearing loss, identifying the precise genetic cause in an individual remains difficult. Consequently, it is important to exclude syndromic causes of deafness by clinical and special investigation and to use all available phenotypic clues for diagnosis. A clinical approach to the aetiological investigation of individuals with hearing loss is suggested, which includes ophthalmology review, renal ultrasound scan and neuro-imaging of petrous temporal bone. Molecular screening of the GJB2 (Connexin 26) gene should be undertaken in all cases of non-syndromic deafness where the cause cannot be identified, since it is a common cause of recessive hearing impairment, the screening is straightforward, and the phenotype unremarkable. By the same token, mitochondrial inheritance of hearing loss should be considered in all multigeneration families, particularly if there is a history of exposure to aminoglycoside antibiotics, since genetic testing of specific mitochondrial genes is technically feasible. Most forms of non-syndromic autosomal recessive hearing impairment cause a prelingual hearing loss, which is generally severe to profound and not associated with abnormal radiology. Exceptions to this include DFNB2 (MYO7A), DFNB8/10 (TMPRSS3) and DFNB16 (STRC) where age of onset may sometimes be later on in childhood, DFNB4 (SLC26A4) where there may be dilated vestibular aqueducts and endolymphatic sacs, and DFNB9 (OTOF) where there may also be an associated auditory neuropathy. Unusual phenotypes in autosomal dominant forms of deafness, include low frequency hearing loss in DFNA1 (HDIA1) and DFNA6/14/38 (WFS1), mid-frequency hearing loss in DFNA8/12 (TECTA), DFNA13 (COL11A2) and vestibular symptoms and signs in DFNA9 (COCH) and sometimes in DFNA11 (MYO7A). Continued clinical evaluation of types and course of hearing loss and correlation with genotype is important for the intelligent application of molecular testing in the next few years.","The rat is the most extensively studied model organism and is broadly used in biomedical research. Current rat disease models are selected from existing strains and their number is thereby limited by the degree of naturally occurring variation or spontaneous mutations. We have used ENU mutagenesis to increase genetic variation in laboratory rats and identified a recessive mutant, named tornado, showing aberrant circling behavior, hyperactivity, and stereotypic head shaking. More detailed analysis revealed profound deafness due to disorganization and degeneration of the organ of Corti that already manifests at the onset of hearing. We set up a single nucleotide polymorphism (SNP)-based mapping strategy to identify the affected gene, revealing strong linkage to the central region of chromosome 1. Candidate gene resequencing identified a point mutation that introduces a premature stopcodon in Myo7a. Mutations in human MYO7A result in Usher syndrome type 1B, a severe autosomal inherited recessive disease that involves deafness and vestibular dysfunction. Here, we present the first characterized rat model for this disease. In addition, we demonstrate proof of principle for the generation and cloning of human disease models in rat using ENU mutagenesis, providing good perspectives for systematic phenotypic screens in the rat.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Deafness Sentence A: Hereditary deafness has proved to be extremely heterogeneous genetically with more than 40 genes mapped or cloned for non-syndromic dominant deafness and 30 for autosomal recessive non-syndromic deafness. In spite of significant advances in the understanding of the molecular basis of hearing loss, identifying the precise genetic cause in an individual remains difficult. Consequently, it is important to exclude syndromic causes of deafness by clinical and special investigation and to use all available phenotypic clues for diagnosis. A clinical approach to the aetiological investigation of individuals with hearing loss is suggested, which includes ophthalmology review, renal ultrasound scan and neuro-imaging of petrous temporal bone. Molecular screening of the GJB2 (Connexin 26) gene should be undertaken in all cases of non-syndromic deafness where the cause cannot be identified, since it is a common cause of recessive hearing impairment, the screening is straightforward, and the phenotype unremarkable. By the same token, mitochondrial inheritance of hearing loss should be considered in all multigeneration families, particularly if there is a history of exposure to aminoglycoside antibiotics, since genetic testing of specific mitochondrial genes is technically feasible. Most forms of non-syndromic autosomal recessive hearing impairment cause a prelingual hearing loss, which is generally severe to profound and not associated with abnormal radiology. Exceptions to this include DFNB2 (MYO7A), DFNB8/10 (TMPRSS3) and DFNB16 (STRC) where age of onset may sometimes be later on in childhood, DFNB4 (SLC26A4) where there may be dilated vestibular aqueducts and endolymphatic sacs, and DFNB9 (OTOF) where there may also be an associated auditory neuropathy. Unusual phenotypes in autosomal dominant forms of deafness, include low frequency hearing loss in DFNA1 (HDIA1) and DFNA6/14/38 (WFS1), mid-frequency hearing loss in DFNA8/12 (TECTA), DFNA13 (COL11A2) and vestibular symptoms and signs in DFNA9 (COCH) and sometimes in DFNA11 (MYO7A). Continued clinical evaluation of types and course of hearing loss and correlation with genotype is important for the intelligent application of molecular testing in the next few years. Sentence B: The rat is the most extensively studied model organism and is broadly used in biomedical research. Current rat disease models are selected from existing strains and their number is thereby limited by the degree of naturally occurring variation or spontaneous mutations. We have used ENU mutagenesis to increase genetic variation in laboratory rats and identified a recessive mutant, named tornado, showing aberrant circling behavior, hyperactivity, and stereotypic head shaking. More detailed analysis revealed profound deafness due to disorganization and degeneration of the organ of Corti that already manifests at the onset of hearing. We set up a single nucleotide polymorphism (SNP)-based mapping strategy to identify the affected gene, revealing strong linkage to the central region of chromosome 1. Candidate gene resequencing identified a point mutation that introduces a premature stopcodon in Myo7a. Mutations in human MYO7A result in Usher syndrome type 1B, a severe autosomal inherited recessive disease that involves deafness and vestibular dysfunction. Here, we present the first characterized rat model for this disease. In addition, we demonstrate proof of principle for the generation and cloning of human disease models in rat using ENU mutagenesis, providing good perspectives for systematic phenotypic screens in the rat. ###Answer 1. Changed Reasoning: In Sentence A, the target word ""deafness"" is used in the context of hereditary deafness, which is described as ""extremely heterogeneous genetically"" and ""not associated with abnormal radiology."" This suggests that the meaning of ""deafness"" in this sentence is focused on the genetic and molecular basis of the condition, rather than the clinical presentation or symptoms. In Sentence B, the target word ""deafness"" is used in the context of a rat model of Usher syndrome type 1B, a severe autosomal inherited recessive disease that involves deafness and vestibular dysfunction. The sentence highlights the degeneration of the organ of Corti and the introduction of a premature stop codon in the Myo7a gene, which results in deafness. This suggests that the meaning of ""deafness"" in this sentence is focused on the clinical presentation of the condition, including the auditory consequences of the disease. Based on these two sentences, it appears that the meaning of ""deafness"" has shifted from a focus on the genetic and molecular basis of the condition to a focus on the clinical presentation and auditory consequences of the disease. Therefore, I would label this as ""Changed.""" 37,Deafness,"In a non-comparative multicentre trial 51 patients aged 24 days to 17 years received treatment with intravenous or oral fluconazole for suspected systemic fungal infections. Twenty-seven patients had confirmed infections, 26 being confirmed mycologically and 1 histologically. All isolates were Candida species. Of the 43 clinically assessed patients, 30 were considered cured, 7 improved and 6 experienced failure of therapy. Of 27 patients with confirmed fungal infections, 25 were assessed mycologically and all but one were considered cured. Of the six patients experiencing clinical failure, two had a confirmed infection and only one of these experienced mycological failure. This patient had a primary diagnosis of candidemia with persistence of Candida albicans and Candida parapsilosis. All 51 patients were evaluable for safety. No treatment-related adverse events required termination of treatment. Treatment-related side effects (diarrhea, vomiting, deafness) were reported by three of 51 patients, three patients had laboratory test abnormalities possibly related to fluconazole treatment, including elevation of liver enzyme levels and of the eosinophil count. Results of this study confirm the efficacy and safety of fluconazole in the treatment of pediatric patients with severe fungal infection.","We investigated temporal processing in profoundly deaf individuals by testing their ability to make temporal order judgments (TOJs) for pairs of visual stimuli presented at central or peripheral visual eccentricities. Ten profoundly deaf participants judged which of the two visual stimuli appearing on opposite sides of central fixation was delivered first. Stimuli were presented either symmetrically, at central or peripheral locations, or asymmetrically (i.e. one central and the other peripheral) at varying stimulus onset asynchronies (SOAs) using the method of constant stimuli. Two groups of hearing controls were also tested in this task: 10 hearing controls auditory-deprived during testing and 12 hearing controls who were not subjected to any deprivation procedure. Temporal order thresholds (i.e. just noticeable differences) and points of subjective simultaneity for the two visual stimuli did not differ between groups. However, faster discrimination responses were systematically observed in the deaf than in either group of hearing controls, especially when the first of the two stimuli appeared at peripheral locations. Contrary to some previous findings, our results show that a life-long auditory deprivation does not alter temporal processing abilities in the millisecond range. In fact, we show that deaf participants obtain similar temporal thresholds to hearing controls, while also responding much faster. This enhanced reactivity is documented here for the first time in the context of a temporal processing task, and we suggest it may constitute a critical aspect of the functional changes occurring as a consequence of profound deafness.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Deafness Sentence A: In a non-comparative multicentre trial 51 patients aged 24 days to 17 years received treatment with intravenous or oral fluconazole for suspected systemic fungal infections. Twenty-seven patients had confirmed infections, 26 being confirmed mycologically and 1 histologically. All isolates were Candida species. Of the 43 clinically assessed patients, 30 were considered cured, 7 improved and 6 experienced failure of therapy. Of 27 patients with confirmed fungal infections, 25 were assessed mycologically and all but one were considered cured. Of the six patients experiencing clinical failure, two had a confirmed infection and only one of these experienced mycological failure. This patient had a primary diagnosis of candidemia with persistence of Candida albicans and Candida parapsilosis. All 51 patients were evaluable for safety. No treatment-related adverse events required termination of treatment. Treatment-related side effects (diarrhea, vomiting, deafness) were reported by three of 51 patients, three patients had laboratory test abnormalities possibly related to fluconazole treatment, including elevation of liver enzyme levels and of the eosinophil count. Results of this study confirm the efficacy and safety of fluconazole in the treatment of pediatric patients with severe fungal infection. Sentence B: We investigated temporal processing in profoundly deaf individuals by testing their ability to make temporal order judgments (TOJs) for pairs of visual stimuli presented at central or peripheral visual eccentricities. Ten profoundly deaf participants judged which of the two visual stimuli appearing on opposite sides of central fixation was delivered first. Stimuli were presented either symmetrically, at central or peripheral locations, or asymmetrically (i.e. one central and the other peripheral) at varying stimulus onset asynchronies (SOAs) using the method of constant stimuli. Two groups of hearing controls were also tested in this task: 10 hearing controls auditory-deprived during testing and 12 hearing controls who were not subjected to any deprivation procedure. Temporal order thresholds (i.e. just noticeable differences) and points of subjective simultaneity for the two visual stimuli did not differ between groups. However, faster discrimination responses were systematically observed in the deaf than in either group of hearing controls, especially when the first of the two stimuli appeared at peripheral locations. Contrary to some previous findings, our results show that a life-long auditory deprivation does not alter temporal processing abilities in the millisecond range. In fact, we show that deaf participants obtain similar temporal thresholds to hearing controls, while also responding much faster. This enhanced reactivity is documented here for the first time in the context of a temporal processing task, and we suggest it may constitute a critical aspect of the functional changes occurring as a consequence of profound deafness. ###Answer 1. Changed Reasoning: In Sentence A, the term ""deafness"" is used to describe a medical condition characterized by hearing loss. In Sentence B, the term ""deafness"" is used in a different context, referring to the state of being profoundly deaf. The meaning of the term has shifted to refer to a specific type of auditory deprivation, rather than the medical condition. Therefore, semantic drift has occurred." 38,Deafness,"A 48 year old woman with ataxia with vitamin E deficiency is described. Gene analysis identified two point mutations in exon 1 of the alpha-tocopherol transfer protein (alpha-TTP) gene, one missense mutation and an upstream initiation codon mutation in the 5'-untranslated region (Kozak sequence). The latter mutation is the first one identified in the translation regulatory region. This mutation decreased the level of alpha-TTP protein expression. The clinical features included uncommon urinary disturbance and deafness and relatively rare retinitis pigmentosa. Supplementary therapy increased her serum vitamin E concentration to the normal range with mild improvement of the deep senses.","A variety of internal and external factors influence speech perception performance following cochlear implantation (CI) in adult deaf patients. The aim of this study was to evaluate the speech perception performance during repetition testing according to various factors and to identify the predictive factors associated with postoperative speech perception. The performances on speech perception under audio-only conditions were examined over time in 61 adult patients with CI. Mono- and bi-syllable and sentence repetition testing, using both the Korean version of the Central Institute for the Deaf (K-CID) and the K-Western Aphasia Battery test (K-WAB), were performed preoperatively and at 3, 6 and 12 months postoperatively. To elucidate the effect that the etiology of deafness has on postoperative outcome, patients were divided into the following four groups: Prelingual hearing loss (HL) (n = 9), Meningitis (n = 6), Progressive HL (n = 31) and Sudden HL groups (n = 15). Moreover, the duration of HL and deafness was defined as follows: (1) ""age of deafness onset: AoD"", (2) ""number of years between the onset of profound deafness and CI: DoD"" and (3) ""percentage of the patient's life with moderate-to-profound hearing loss before CI: PoL"". DoD and PoL were significantly different between the four groups. Although AoD appeared to be associated with performance on the sentence repetition test before standardizing for education level and age (P = 0.015), there was no association after adjusting for these factors (P = 0.719). Only PoL showed a good correlation with performance on repetition testing after CI after adjusting for AoD and DoD. However, DoD was associated with speech perception performance on the sentence repetition test only. In addition, speech perception performance results in the Progressive and Sudden HL groups were improved over the Prelingual HL and Meningitis groups. The Meningitis group showed the poorest speech perception performance among postlingually deaf adults. Consideration of age, education level, etiology and overall time with hearing loss may be necessary for predicting speech perception outcomes in CI recipients.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Deafness Sentence A: A 48 year old woman with ataxia with vitamin E deficiency is described. Gene analysis identified two point mutations in exon 1 of the alpha-tocopherol transfer protein (alpha-TTP) gene, one missense mutation and an upstream initiation codon mutation in the 5'-untranslated region (Kozak sequence). The latter mutation is the first one identified in the translation regulatory region. This mutation decreased the level of alpha-TTP protein expression. The clinical features included uncommon urinary disturbance and deafness and relatively rare retinitis pigmentosa. Supplementary therapy increased her serum vitamin E concentration to the normal range with mild improvement of the deep senses. Sentence B: A variety of internal and external factors influence speech perception performance following cochlear implantation (CI) in adult deaf patients. The aim of this study was to evaluate the speech perception performance during repetition testing according to various factors and to identify the predictive factors associated with postoperative speech perception. The performances on speech perception under audio-only conditions were examined over time in 61 adult patients with CI. Mono- and bi-syllable and sentence repetition testing, using both the Korean version of the Central Institute for the Deaf (K-CID) and the K-Western Aphasia Battery test (K-WAB), were performed preoperatively and at 3, 6 and 12 months postoperatively. To elucidate the effect that the etiology of deafness has on postoperative outcome, patients were divided into the following four groups: Prelingual hearing loss (HL) (n = 9), Meningitis (n = 6), Progressive HL (n = 31) and Sudden HL groups (n = 15). Moreover, the duration of HL and deafness was defined as follows: (1) ""age of deafness onset: AoD"", (2) ""number of years between the onset of profound deafness and CI: DoD"" and (3) ""percentage of the patient's life with moderate-to-profound hearing loss before CI: PoL"". DoD and PoL were significantly different between the four groups. Although AoD appeared to be associated with performance on the sentence repetition test before standardizing for education level and age (P = 0.015), there was no association after adjusting for these factors (P = 0.719). Only PoL showed a good correlation with performance on repetition testing after CI after adjusting for AoD and DoD. However, DoD was associated with speech perception performance on the sentence repetition test only. In addition, speech perception performance results in the Progressive and Sudden HL groups were improved over the Prelingual HL and Meningitis groups. The Meningitis group showed the poorest speech perception performance among postlingually deaf adults. Consideration of age, education level, etiology and overall time with hearing loss may be necessary for predicting speech perception outcomes in CI recipients. ###Answer 1. Changed Reasoning: In Sentence A, the word ""deafness"" is used to describe a 48 year old woman who is experiencing uncommon urinary disturbance and deafness, as well as relatively rare retinitis pigmentosa. The word carries a negative connotation, implying a significant impairment in hearing and vision. In Sentence B, the word ""deafness"" is used to describe adult patients who have undergone cochlear implantation, and the context suggests that the word now carries a different meaning. The sentence highlights the etiology of deafness and how it affects speech perception performance following implantation. The word ""deafness"" is now used to describe a specific type of hearing loss, rather than a general impairment. This shift in meaning indicates semantic drift has occurred." 39,Deafness,"Song production in song birds is controlled by an efferent pathway. Appended to this pathway is a ""recursive loop"" that is necessary for song acquisition but not for the production of learned song. Since zebra finches learn their song by imitating external models, we speculated that the importance of the recursive loop for learning might derive from its processing of auditory feedback during song acquisition. This hypothesis was tested by comparing the effects on song in birds deafened early in life and birds with early lesions in either of two nuclei--Area X and the lateral magnocellular nucleus of the anterior neostriatum (LMAN). These nuclei are part of the recursive loop. The three treatments affected song development differently, as reflected by various parameters of the adult song of these birds. Whereas LMAN lesions resulted in songs with monotonous repetitions of a single note complex, songs of Area X-lesioned birds consisted of rambling series of unusually long and variable notes. Furthermore, whereas song of LMAN lesioned birds stabilized early, song stability as seen in intact birds was never achieved in Area X-lesioned birds. Early deafness also resulted in poorly structured and unstable song. We conclude that Area X and LMAN contribute differently to song acquisition: the song variability that is typical of vocal development persists following early deafness or lesions of Area X but ends abruptly following removal of LMAN. Apparently, LMAN plays a crucial role in fostering the kinds of circuit plasticity necessary for learning.","Following auditory deprivation, the remaining sense of vision has shown selective enhancement in visual cognition, especially in the area of near peripheral vision. Visual acuity is poor in the far periphery and may be an area where sound confers the greatest advantage in hearing persons. Experience with a visuospatial language such as British Sign Language (BSL) makes additional demands on the visual system. To test the different and separable effects of deafness and use of a visuo-spatial language on far peripheral visual processing, we investigated visual reaction times (RTs) and response accuracy to visual stimuli, between 30° and 85° along the four cardinal and four inter-cardinal meridians. We used three luminances of static, briefly illuminated stimuli in visually normal adults. The cohort tested included profoundly congenitally deaf adults (","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Deafness Sentence A: Song production in song birds is controlled by an efferent pathway. Appended to this pathway is a ""recursive loop"" that is necessary for song acquisition but not for the production of learned song. Since zebra finches learn their song by imitating external models, we speculated that the importance of the recursive loop for learning might derive from its processing of auditory feedback during song acquisition. This hypothesis was tested by comparing the effects on song in birds deafened early in life and birds with early lesions in either of two nuclei--Area X and the lateral magnocellular nucleus of the anterior neostriatum (LMAN). These nuclei are part of the recursive loop. The three treatments affected song development differently, as reflected by various parameters of the adult song of these birds. Whereas LMAN lesions resulted in songs with monotonous repetitions of a single note complex, songs of Area X-lesioned birds consisted of rambling series of unusually long and variable notes. Furthermore, whereas song of LMAN lesioned birds stabilized early, song stability as seen in intact birds was never achieved in Area X-lesioned birds. Early deafness also resulted in poorly structured and unstable song. We conclude that Area X and LMAN contribute differently to song acquisition: the song variability that is typical of vocal development persists following early deafness or lesions of Area X but ends abruptly following removal of LMAN. Apparently, LMAN plays a crucial role in fostering the kinds of circuit plasticity necessary for learning. Sentence B: Following auditory deprivation, the remaining sense of vision has shown selective enhancement in visual cognition, especially in the area of near peripheral vision. Visual acuity is poor in the far periphery and may be an area where sound confers the greatest advantage in hearing persons. Experience with a visuospatial language such as British Sign Language (BSL) makes additional demands on the visual system. To test the different and separable effects of deafness and use of a visuo-spatial language on far peripheral visual processing, we investigated visual reaction times (RTs) and response accuracy to visual stimuli, between 30° and 85° along the four cardinal and four inter-cardinal meridians. We used three luminances of static, briefly illuminated stimuli in visually normal adults. The cohort tested included profoundly congenitally deaf adults ( ###Answer 1. Changed The meaning of the word ""deafness"" has changed significantly between Sentence A (2000) and Sentence B (2020). In Sentence A, ""deafness"" is used to describe the inability to produce song due to brain damage. However, in Sentence B, ""deafness"" is used to describe the enhancement of visual cognition following auditory deprivation. The word's meaning has shifted from a neurological disorder to a cognitive benefit. Therefore, semantic drift has occurred in the usage of ""deafness""." 40,Deafness,"Profound deafness, defined here as a hearing loss in excess of 90 dB, is characterized by high thresholds, reduced hearing range in the intensity and frequency domains, and poor resolution in the frequency and time domains. The high thresholds call for hearing aids with unusually high gains or remote microphones that can be placed close to the signal source. The former option creates acoustic feedback problems for which digital signal processing may yet offer solutions. The latter option calls for carrier wave technology that is already available. The reduced frequency and intensity ranges would appear to call for frequency and/or amplitude compression. It might also be argued, however, that any attempts to compress the acoustic signal into the limited hearing range of the profoundly deaf will be counterproductive because of poor frequency and time resolution, especially when the signal is present in noise. In experiments with a 2-channel compression system, only 1 of 9 subjects showed an improvement of perception with the introduction of fast-release (20 ms) compression. The other 8 experienced no benefit or a slight deterioration of performance. These results support the concept of providing the profoundly deaf with simpler, rather than more complex, patterns, perhaps through the use of feature extraction hearing aids. Data from users of cochlear implants already employing feature extraction techniques also support this concept.","Biallelic mutations in LOXHD1 have been identified as the cause of DFNB77 (deafness, autosomal recessive 77). It is a new progressive, severe-to-profound, and late-onset nonsyndromic sensorineural hearing loss (NSHL), and is highly heterogeneous genetically and phenotypically. This study aimed to provide an additional three cases of DFNB77.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Deafness Sentence A: Profound deafness, defined here as a hearing loss in excess of 90 dB, is characterized by high thresholds, reduced hearing range in the intensity and frequency domains, and poor resolution in the frequency and time domains. The high thresholds call for hearing aids with unusually high gains or remote microphones that can be placed close to the signal source. The former option creates acoustic feedback problems for which digital signal processing may yet offer solutions. The latter option calls for carrier wave technology that is already available. The reduced frequency and intensity ranges would appear to call for frequency and/or amplitude compression. It might also be argued, however, that any attempts to compress the acoustic signal into the limited hearing range of the profoundly deaf will be counterproductive because of poor frequency and time resolution, especially when the signal is present in noise. In experiments with a 2-channel compression system, only 1 of 9 subjects showed an improvement of perception with the introduction of fast-release (20 ms) compression. The other 8 experienced no benefit or a slight deterioration of performance. These results support the concept of providing the profoundly deaf with simpler, rather than more complex, patterns, perhaps through the use of feature extraction hearing aids. Data from users of cochlear implants already employing feature extraction techniques also support this concept. Sentence B: Biallelic mutations in LOXHD1 have been identified as the cause of DFNB77 (deafness, autosomal recessive 77). It is a new progressive, severe-to-profound, and late-onset nonsyndromic sensorineural hearing loss (NSHL), and is highly heterogeneous genetically and phenotypically. This study aimed to provide an additional three cases of DFNB77. ###Answer 1. Changed Reasoning: In Sentence A, the term ""profound deafness"" is used to describe a specific level of hearing loss, with a threshold of greater than 90 dB. This implies that the term ""profound deafness"" had a specific technical meaning in the field of audiology at the time of Sentence A. However, in Sentence B, the term ""deafness"" is used in a completely different context, to describe a genetic disorder known as DFNB77. This implies that the term ""deafness"" has shifted in meaning to encompass a broader range of conditions, including genetic disorders, and is no longer limited to its technical meaning in audiology. Therefore, semantic drift has occurred in the meaning of the term ""deafness"" between Sentence A and Sentence B." 41,Deafness,"The Acute Profound Deafness Investigation and Research Group of the Japanese Ministry of Health and Welfare conducted nation-wide studies on idiopathic sudden deafness, mumps deafness, and deafness accompanied by perilymphatic leak. In the epidemiological study, data were accumulated from 11 institutions on the incidence and prognosis of patients with idiopathic sudden deafness, especially involving total deafness or near-total deafness; mumps deafness; and deafness accompanied by perilymphatic leak. Out of 1,331 patients with sudden deafness, total deafness was found in 8.6% of the patients, and near-total deafness was found in 10.7% of the patients, with prognosis being less favorable in the former than in the latter. Perilymphatic leak was found in 10(0.7%) of the patients with idiopathic sudden deafness. Among the patients with deafness accompanied by perilymphatic leak, hearing recovery was rated as cured or markedly recovered in 41% of the patients. Hearing recovery was not observed in all the patients with mumps deafness showing total deafness.",One option for patients with single sided deafness (SSD) who experience problems with insufficient hearing in different surroundings is the treatment with percutaneous bone-anchored hearing aids. Common medical problems associated to a skin penetrating abutment can be avoided by active transcutaneous bone conduction hearing implants. The purpose of our study was to evaluate the benefit of an active transcutaneous bone conduction hearing implant in patients with SSD.,"###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Deafness Sentence A: The Acute Profound Deafness Investigation and Research Group of the Japanese Ministry of Health and Welfare conducted nation-wide studies on idiopathic sudden deafness, mumps deafness, and deafness accompanied by perilymphatic leak. In the epidemiological study, data were accumulated from 11 institutions on the incidence and prognosis of patients with idiopathic sudden deafness, especially involving total deafness or near-total deafness; mumps deafness; and deafness accompanied by perilymphatic leak. Out of 1,331 patients with sudden deafness, total deafness was found in 8.6% of the patients, and near-total deafness was found in 10.7% of the patients, with prognosis being less favorable in the former than in the latter. Perilymphatic leak was found in 10(0.7%) of the patients with idiopathic sudden deafness. Among the patients with deafness accompanied by perilymphatic leak, hearing recovery was rated as cured or markedly recovered in 41% of the patients. Hearing recovery was not observed in all the patients with mumps deafness showing total deafness. Sentence B: One option for patients with single sided deafness (SSD) who experience problems with insufficient hearing in different surroundings is the treatment with percutaneous bone-anchored hearing aids. Common medical problems associated to a skin penetrating abutment can be avoided by active transcutaneous bone conduction hearing implants. The purpose of our study was to evaluate the benefit of an active transcutaneous bone conduction hearing implant in patients with SSD. ###Answer 1. Changed Reasoning: The meaning of ""deafness"" in Sentence B is different from its meaning in Sentence A. In Sentence A, ""deafness"" refers to a specific type of hearing loss caused by various factors, including idiopathic sudden deafness, mumps deafness, and deafness accompanied by perilymphatic leak. In contrast, in Sentence B, ""deafness"" refers to a broader category of hearing loss, specifically single-sided deafness (SSD). The term ""deafness"" in Sentence B encompasses a different population and context than in Sentence A, indicating semantic drift." 42,Deafness,"Deafness mutant mice show no stimulus-related cochlear potentials as well as abnormal electrically-evoked responses recorded from the inferior colliculus. Abnormal spontaneous activity in the auditory periphery could result in abnormal development and/or maintenance of the central auditory pathways. We therefore assessed spontaneous activity of cochlear origin in the central nuclei of the mutants by ablating one cochlea and subsequently using the 2-deoxyglucose (2DG) technique to study metabolic activity. Any asymmetries in labeling in a given nucleus should be due to spontaneous activity in the cochlear nerve on the unoperated side. In control animals (+/dn mice undergoing unilateral cochlea ablation), statistically significant decreased 2DG labeling was observed in the ipsilateral PVCN and AVCN, and contralateral MNTB and IC; all receive primary excitatory input from the ablated ear. No significant differences in labeling between right and left sides were observed in any of the nuclei studied in the mutant animals. These findings suggest that there is no spontaneous activity of cochlear origin in these mutants, even though many cochlear nerve fibers and spiral ganglion cells survive.","To determine the efficacy, benefit, and safety of a new in-the-mouth bone conduction device (SoundBite Hearing System) for single-sided deafness (SSD).","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Deafness Sentence A: Deafness mutant mice show no stimulus-related cochlear potentials as well as abnormal electrically-evoked responses recorded from the inferior colliculus. Abnormal spontaneous activity in the auditory periphery could result in abnormal development and/or maintenance of the central auditory pathways. We therefore assessed spontaneous activity of cochlear origin in the central nuclei of the mutants by ablating one cochlea and subsequently using the 2-deoxyglucose (2DG) technique to study metabolic activity. Any asymmetries in labeling in a given nucleus should be due to spontaneous activity in the cochlear nerve on the unoperated side. In control animals (+/dn mice undergoing unilateral cochlea ablation), statistically significant decreased 2DG labeling was observed in the ipsilateral PVCN and AVCN, and contralateral MNTB and IC; all receive primary excitatory input from the ablated ear. No significant differences in labeling between right and left sides were observed in any of the nuclei studied in the mutant animals. These findings suggest that there is no spontaneous activity of cochlear origin in these mutants, even though many cochlear nerve fibers and spiral ganglion cells survive. Sentence B: To determine the efficacy, benefit, and safety of a new in-the-mouth bone conduction device (SoundBite Hearing System) for single-sided deafness (SSD). ###Answer 1. Changed Reasoning: In Sentence A, the term ""deafness"" is used in the context of a genetic mutation that causes a lack of cochlear potentials and abnormal electrically-evoked responses in the auditory periphery. The term is used to describe a specific condition where the cochlea is not functioning properly. In Sentence B, the term ""deafness"" is used in a different context, to describe a condition where a person has single-sided deafness (SSD). This is a different condition than the genetic mutation described in Sentence A, where the cochlea is not functioning properly. Therefore, the meaning of the term ""deafness"" has changed between the two sentences, indicating semantic drift has occurred." 43,Deafness,"Tiludronate, a potent bisphosphonate, has been extensively evaluated in the treatment of Paget's disease of bone. Its ability to normalize bone turnover without impairing mineralization suggests that tiludronate represents an important therapeutic advance in the treatment of this progressive and disabling disease. Recent attention has focused on the development of appropriate short- and long-term treatment goals: namely the control of clinical symptoms, such as bone pain, and the reduction of bone turnover to within normal range, to lessen the risk of developing later complications, such as deafness, deformity and walking difficulties. This reduction of bone turnover is the primary aim of treatment. The clinical development of tiludronate has involved large-scale international multicenter trials. To allow the comparison of results obtained in a variety of clinical settings, great emphasis was placed on the use of consistent methodology across the program. This applied to patient selection, trial design, the evaluation of clinically meaningful effects of treatment and statistical analysis of results. Strict adherence to these principles has allowed us to compare the results of treatment with tiludronate in 85 centers in six countries across Europe. This paper illustrates the importance of clinical trial design in the evaluation of tiludronate and etidronate in the treatment of Paget's disease of bone, with a brief summary of results obtained from a recent comparative, prospective, double-blind, multicenter clinical trial. Effective suppression of bone turnover was assessed by monitoring the reduction in serum alkaline phosphatase and the ratio of urinary hydroxyproline/creatinine. Reduction in bone pain was assessed using Huskisson's visual analog scale. The results clearly show that tiludronate 400 mg/day for 3 months is more effective and as equally well tolerated as etidronate 400 mg/day.","This paper presents analysis and design of a radio frequency power and data link for a novel Bone Conduction Implant (BCI) system. Patients with conductive and mixed hearing loss and single-sided deafness can be rehabilitated by bone-anchored hearing aids (BAHA). Whereas the conventional hearing aids transmit sound to the tympanic membrane via air conduction, the BAHA transmits sound via vibrations through the skull directly to the cochlea. It uses a titanium screw that penetrates the skin and needs life-long daily care; it may cause skin infection and redness. The BCI is developed as an alternative to the percutaneous BAHA since it leaves the skin intact. The BCI comprises an external audio processor with a transmitter coil and an implanted unit called the bridging bone conductor with a receiver coil. Using amplitude modulation of the Class-E power amplifier that drives the inductive link, the sound signal is transmitted to the implant through the intact skin. It was found that the BCI can generate enough output force level for candidate patients. Maximum power output of the BCI was designed to occur at 5-mm skin thickness and the variability was within 1.5 dB for 1-8-mm skin thickness variations.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Deafness Sentence A: Tiludronate, a potent bisphosphonate, has been extensively evaluated in the treatment of Paget's disease of bone. Its ability to normalize bone turnover without impairing mineralization suggests that tiludronate represents an important therapeutic advance in the treatment of this progressive and disabling disease. Recent attention has focused on the development of appropriate short- and long-term treatment goals: namely the control of clinical symptoms, such as bone pain, and the reduction of bone turnover to within normal range, to lessen the risk of developing later complications, such as deafness, deformity and walking difficulties. This reduction of bone turnover is the primary aim of treatment. The clinical development of tiludronate has involved large-scale international multicenter trials. To allow the comparison of results obtained in a variety of clinical settings, great emphasis was placed on the use of consistent methodology across the program. This applied to patient selection, trial design, the evaluation of clinically meaningful effects of treatment and statistical analysis of results. Strict adherence to these principles has allowed us to compare the results of treatment with tiludronate in 85 centers in six countries across Europe. This paper illustrates the importance of clinical trial design in the evaluation of tiludronate and etidronate in the treatment of Paget's disease of bone, with a brief summary of results obtained from a recent comparative, prospective, double-blind, multicenter clinical trial. Effective suppression of bone turnover was assessed by monitoring the reduction in serum alkaline phosphatase and the ratio of urinary hydroxyproline/creatinine. Reduction in bone pain was assessed using Huskisson's visual analog scale. The results clearly show that tiludronate 400 mg/day for 3 months is more effective and as equally well tolerated as etidronate 400 mg/day. Sentence B: This paper presents analysis and design of a radio frequency power and data link for a novel Bone Conduction Implant (BCI) system. Patients with conductive and mixed hearing loss and single-sided deafness can be rehabilitated by bone-anchored hearing aids (BAHA). Whereas the conventional hearing aids transmit sound to the tympanic membrane via air conduction, the BAHA transmits sound via vibrations through the skull directly to the cochlea. It uses a titanium screw that penetrates the skin and needs life-long daily care; it may cause skin infection and redness. The BCI is developed as an alternative to the percutaneous BAHA since it leaves the skin intact. The BCI comprises an external audio processor with a transmitter coil and an implanted unit called the bridging bone conductor with a receiver coil. Using amplitude modulation of the Class-E power amplifier that drives the inductive link, the sound signal is transmitted to the implant through the intact skin. It was found that the BCI can generate enough output force level for candidate patients. Maximum power output of the BCI was designed to occur at 5-mm skin thickness and the variability was within 1.5 dB for 1-8-mm skin thickness variations. ###Answer 1. Changed Reasoning: In Sentence A, the target word ""deafness"" has a different connotation than in Sentence B. In Sentence A, ""deafness"" is associated with a progressive and disabling disease, while in Sentence B, it is used in the context of a novel Bone Conduction Implant (BCI) system for rehabilitating patients with conductive and mixed hearing loss and single-sided deafness. The word ""deafness"" has shifted its meaning to refer to a specific medical condition in Sentence A, while in Sentence B, it is used as a synonym for ""hearing loss."" Therefore, semantic drift has occurred in the meaning of the target word ""deafness"" between the two sentences." 44,Deafness,"Muckle-Wells syndrome is a hereditary condition with variable penetrance. The main manifestations are urticarial rash, malaise in the evening, joint pain, perception deafness and renal amylosis.","Evaluating risks associated with multiple occupational exposures is no easy task, especially when chemical and physical nuisances are combined. In most countries, public institutions have created databases, which gather extensive information on occupational exposures or work-related diseases. Unfortunately, these tools rarely integrate medical and exposure information, and, above all, do not take into account the possible adverse effects of co-exposures. Therefore, an attempt to exploit and join different existing databases for the assessment of the health effects of multiple exposures is described herein. This case study examines three French databases describing exposures to noise and/or ototoxic chemicals (i.e., toxic to the ear) and the incidence rate of occupational deafness in different sectors. The goals were (1) to highlight occupational sectors where the workers are the most (co)exposed and (2) to determine whether this approach could confirm the experimental data showing that this co-exposure increases the risk of developing hearing loss. The results present data per occupational sector exposing workers to noise only, ototoxic chemicals only, noise and ototoxic chemicals, and neither of these two nuisances. The ten sectors in which the proportion of exposed workers is the highest are listed. This analysis shows that the rate of hearing loss in these sectors is high but does not show an increased incidence of hearing loss in co-exposed sectors.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Deafness Sentence A: Muckle-Wells syndrome is a hereditary condition with variable penetrance. The main manifestations are urticarial rash, malaise in the evening, joint pain, perception deafness and renal amylosis. Sentence B: Evaluating risks associated with multiple occupational exposures is no easy task, especially when chemical and physical nuisances are combined. In most countries, public institutions have created databases, which gather extensive information on occupational exposures or work-related diseases. Unfortunately, these tools rarely integrate medical and exposure information, and, above all, do not take into account the possible adverse effects of co-exposures. Therefore, an attempt to exploit and join different existing databases for the assessment of the health effects of multiple exposures is described herein. This case study examines three French databases describing exposures to noise and/or ototoxic chemicals (i.e., toxic to the ear) and the incidence rate of occupational deafness in different sectors. The goals were (1) to highlight occupational sectors where the workers are the most (co)exposed and (2) to determine whether this approach could confirm the experimental data showing that this co-exposure increases the risk of developing hearing loss. The results present data per occupational sector exposing workers to noise only, ototoxic chemicals only, noise and ototoxic chemicals, and neither of these two nuisances. The ten sectors in which the proportion of exposed workers is the highest are listed. This analysis shows that the rate of hearing loss in these sectors is high but does not show an increased incidence of hearing loss in co-exposed sectors. ###Answer 1. Changed Reasoning: In Sentence A, the target word ""deafness"" refers to a specific medical condition characterized by hearing loss. The sentence provides detailed information about the symptoms of the condition, including perception deafness. In Sentence B, the target word ""deafness"" is used in a different context. It is mentioned in the context of occupational exposures and the risk of developing hearing loss. The sentence does not provide any detailed information about the specific medical condition, but rather discusses the incidence rate of hearing loss in different sectors. Based on these differences in context and meaning, it is clear that the target word has undergone a significant change in meaning between Sentence A and Sentence B. In Sentence A, ""deafness"" refers to a specific medical condition, while in Sentence B, it is used to describe the risk of developing hearing loss in certain occupational sectors. Therefore, I have labeled the target word as ""Changed""." 45,Deafness,"We have studied 36 subjects in a large multigenerational Chinese family that is segregating for an autosomal dominant adult onset form of progressive non-syndromic hearing loss. All affected subjects had bilateral sensorineural hearing loss involving all frequencies with some significant gender differences in initial presentation. After excluding linkage to known loci for non-syndromic deafness, we used the Center for Inherited Disease Research (CIDR) to test for 351 polymorphic markers distributed at approximately 10 cM intervals throughout the genome. Analysis of the resulting data provided evidence that the locus designated DFNA41 maps to a 15 cM region on chromosome 12q24.32-qter, proximal to the marker D12S1609. A maximum two point lod score of 6.56 at theta=0.0 was obtained for D12S343. This gene is distal to DFNA25, a previously identified locus for dominant adult onset hearing loss that maps to 12q21-24. Positional/functional candidate genes in this region include frizzled 10, epimorphin, RAN, and ZFOC1.","Intracranial metastases of stomach cancers are very rare and are associated with a poor prognosis. Of those, metastases of gastric cancers in the internal auditory canal and cerebellopontine angle represent an extremely rare subgroup. Such metastatic lesions may be indistinguishable from vestibular schwannomas in imaging studies and clinical presentation. In this report, we describe a case of gastric signet cell adenocarcinoma metastasizing to the internal auditory canal and cerebellopontine angle bilaterally and causing bilateral hearing loss, including a unilateral sudden deafness. Due to the co-detection of multiple other intracranial masses in the magnetic resonance imaging scan, the suspected diagnosis of leptomeningeal metastatic disease was clear, and the patient was referred to palliative whole brain radiotherapy. The case further highlights the importance of prompt diagnosis and treatment of metastatic cerebellopontine angle lesions to prevent permanent neurological sequelae. Metastatic tumors should therefore be considered in the differential diagnosis of cerebellopontine angle lesions, especially in patients with a known history of malignant disease.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Deafness Sentence A: We have studied 36 subjects in a large multigenerational Chinese family that is segregating for an autosomal dominant adult onset form of progressive non-syndromic hearing loss. All affected subjects had bilateral sensorineural hearing loss involving all frequencies with some significant gender differences in initial presentation. After excluding linkage to known loci for non-syndromic deafness, we used the Center for Inherited Disease Research (CIDR) to test for 351 polymorphic markers distributed at approximately 10 cM intervals throughout the genome. Analysis of the resulting data provided evidence that the locus designated DFNA41 maps to a 15 cM region on chromosome 12q24.32-qter, proximal to the marker D12S1609. A maximum two point lod score of 6.56 at theta=0.0 was obtained for D12S343. This gene is distal to DFNA25, a previously identified locus for dominant adult onset hearing loss that maps to 12q21-24. Positional/functional candidate genes in this region include frizzled 10, epimorphin, RAN, and ZFOC1. Sentence B: Intracranial metastases of stomach cancers are very rare and are associated with a poor prognosis. Of those, metastases of gastric cancers in the internal auditory canal and cerebellopontine angle represent an extremely rare subgroup. Such metastatic lesions may be indistinguishable from vestibular schwannomas in imaging studies and clinical presentation. In this report, we describe a case of gastric signet cell adenocarcinoma metastasizing to the internal auditory canal and cerebellopontine angle bilaterally and causing bilateral hearing loss, including a unilateral sudden deafness. Due to the co-detection of multiple other intracranial masses in the magnetic resonance imaging scan, the suspected diagnosis of leptomeningeal metastatic disease was clear, and the patient was referred to palliative whole brain radiotherapy. The case further highlights the importance of prompt diagnosis and treatment of metastatic cerebellopontine angle lesions to prevent permanent neurological sequelae. Metastatic tumors should therefore be considered in the differential diagnosis of cerebellopontine angle lesions, especially in patients with a known history of malignant disease. ###Answer 1. Changed Reasoning: In Sentence A, the target word ""deafness"" is used to describe a specific genetic disorder that affects hearing. The sentence provides technical information about the disorder, including its genetic basis and the location of the associated gene. The word ""deafness"" in this context has a clear and specific meaning related to the disorder. In Sentence B, the target word ""deafness"" is used in a different context. It is not used to describe a specific genetic disorder, but rather to describe a symptom of a metastatic tumor. The sentence does not provide any technical information about the disorder, but rather describes the patient's symptoms and the diagnosis of metastatic disease. The word ""deafness"" in this context has a different meaning and connotation than in Sentence A. Based on these differences in meaning and context, it can be concluded that the target word ""deafness"" has undergone semantic drift between the two sentences. In Sentence A, the word has a specific and technical meaning related to a genetic disorder, while in Sentence B, the word has a more general and descriptive meaning related to a symptom of a metastatic tumor. Therefore, the label ""Changed"" is appropriate to indicate that the meaning of the target word has shifted between the two sentences." 46,Deafness,"A study carried out in a total of 1287 workers (artisans and chemical and pharmaceutical production workers), aged between 30 and 59 years and exposed to industrial noise of 83 to 100 dB(A) (LEQ), is presented. The chemical production workers are less exposed to noise than the artisans, who have long been known to be at particular risk, but they are also definitely at risk. The prevalence of hearing defects among these workers is 54%, with deafness in 14%. From the comparison with the pharmaceutical workers, who are exposed to industrial noise not exceeding 86 dB(A), it may be assumed that at least 75% of these cases of deafness are caused by industrial noise at the present or at past places of work.","Over the last three years of hearing aid dispensing, it was observed that among 74 subjects fitted with a linear octave frequency transposition (LOFT) hearing aid, 60 reported partial or complete tinnitus suppression during day and night, an effect still lasting after several months or years of daily use. We report in more details on 38 subjects from whom we obtained quantified measures of tinnitus suppression through visual analog scaling and several additional psychoacoustic and audiometric measures. The long-term suppression seems independent of subject age, and of duration and subjective localization of tinnitus. A small but significant correlation was found with audiogram losses but not with high frequency loss slope. Long-term tinnitus suppression was observed for different etiologies, but with a low success rate for sudden deafness. It should be noted that a majority of subjects (23) had a history of noise exposure. Tinnitus suppression started after a few days of LOFT hearing aid use and reached a maximum after a few weeks of daily use. For nine subjects different amounts of frequency shifting were tried and found more or less successful for long-term tinnitus suppression, no correlation was found with tinnitus pitch. When the use of the LOFT hearing aid was stopped tinnitus reappeared within a day, and after re-using the LOFT aid it disappeared again within a day. For about one third of the 38 subjects a classical amplification or a non linear frequency compression aid was also tried, and no such tinnitus suppression was observed. Besides improvements in audiometric sensitivity to high frequencies and in speech discrimination scores, LOFT can be considered as a remarkable opportunity to suppress tinnitus over a long time scale. From a pathophysiological viewpoint these observations seem to fit with a possible re-attribution of activity to previously deprived cerebral areas corresponding to high frequency coding.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Deafness Sentence A: A study carried out in a total of 1287 workers (artisans and chemical and pharmaceutical production workers), aged between 30 and 59 years and exposed to industrial noise of 83 to 100 dB(A) (LEQ), is presented. The chemical production workers are less exposed to noise than the artisans, who have long been known to be at particular risk, but they are also definitely at risk. The prevalence of hearing defects among these workers is 54%, with deafness in 14%. From the comparison with the pharmaceutical workers, who are exposed to industrial noise not exceeding 86 dB(A), it may be assumed that at least 75% of these cases of deafness are caused by industrial noise at the present or at past places of work. Sentence B: Over the last three years of hearing aid dispensing, it was observed that among 74 subjects fitted with a linear octave frequency transposition (LOFT) hearing aid, 60 reported partial or complete tinnitus suppression during day and night, an effect still lasting after several months or years of daily use. We report in more details on 38 subjects from whom we obtained quantified measures of tinnitus suppression through visual analog scaling and several additional psychoacoustic and audiometric measures. The long-term suppression seems independent of subject age, and of duration and subjective localization of tinnitus. A small but significant correlation was found with audiogram losses but not with high frequency loss slope. Long-term tinnitus suppression was observed for different etiologies, but with a low success rate for sudden deafness. It should be noted that a majority of subjects (23) had a history of noise exposure. Tinnitus suppression started after a few days of LOFT hearing aid use and reached a maximum after a few weeks of daily use. For nine subjects different amounts of frequency shifting were tried and found more or less successful for long-term tinnitus suppression, no correlation was found with tinnitus pitch. When the use of the LOFT hearing aid was stopped tinnitus reappeared within a day, and after re-using the LOFT aid it disappeared again within a day. For about one third of the 38 subjects a classical amplification or a non linear frequency compression aid was also tried, and no such tinnitus suppression was observed. Besides improvements in audiometric sensitivity to high frequencies and in speech discrimination scores, LOFT can be considered as a remarkable opportunity to suppress tinnitus over a long time scale. From a pathophysiological viewpoint these observations seem to fit with a possible re-attribution of activity to previously deprived cerebral areas corresponding to high frequency coding. ###Answer 1. Changed Explanation: In Sentence A, the term ""deafness"" is used to describe a condition where an individual has a significant loss of hearing, typically due to exposure to loud noises. The sentence suggests that the prevalence of hearing defects among workers exposed to industrial noise is relatively high, with approximately 54% of workers showing some degree of hearing loss. The term ""deafness"" in this context connotes a significant loss of hearing function, which may be permanent or temporary. In Sentence B, the term ""deafness"" has a slightly different connotation. It is used to describe a condition where an individual experiences tinnitus (ringing in the ears) as a result of exposure to loud noises. The sentence suggests that the use of a specific type of hearing aid (LOFT) can help suppress tinnitus over a long time scale. The term ""deafness"" in this context connotes a condition where an individual experiences tinnitus or ringing in the ears, which may be due to a variety of causes, including exposure to loud noises. Based on the context and meaning of the term ""deafness"" in each sentence, it is clear that the term has undergone a significant change in meaning between the two timestamps. In Sentence A, ""deafness"" is used to describe a specific type of hearing loss due to exposure to loud noises. In Sentence B, ""deafness"" is used to describe a broader range of conditions that may cause tinnitus or ringing in the ears. Therefore, I would label this example as ""Changed""." 47,Deafness,"Cytomegalovirus (CMV) infection is currently reported as the most common cause of congenital viral induced deafness. However, few systematic studies of the audiovestibular sequelae of this infection are present in the literature. A clinical pathologic study was conducted from 1976 to 1982 to evaluate this. Fifty-two pairs of infant and children's temporal bone studied demonstrated no evidence of CMV endolabyrinthitis even in the single case with evidence of extensive congenital CMV infection. Over 2,000 umbilical cord sera were screened to detect asymptomatic CMV infection with an incidence of 0.38% (and slightly greater than 1% when extrapolated to correct for the sensitivity of the method of detection) in a central Pennsylvania study population. No sensorineural abnormalities were detected in five asymptomatic children and 30 control children. However, three out of six (50%) infants, symptomatic at birth and followed to a mean age of 5.5 years, showed significant and progressive sensorineural loss and vestibular deficits.","The inner ear is responsible for both hearing and balance. These functions are dependent on the correct functioning of mechanosensitive hair cells, which convert sound- and motion-induced stimuli into electrical signals conveyed to the brain. During evolution of the inner ear, the major changes occurred in the hearing organ, whereas the structure of the vestibular organs remained constant in all vertebrates over the same period. Vestibular deficits are highly prevalent in humans, due to multiple intersecting causes: genetics, environmental factors, ototoxic drugs, infections and aging. Studies of deafness genes associated with balance deficits and their corresponding animal models have shed light on the development and function of these two sensory systems. Bilateral vestibular deficits often impair individual postural control, gaze stabilization, locomotion and spatial orientation. The resulting dizziness, vertigo, and/or falls (frequent in elderly populations) greatly affect patient quality of life. In the absence of treatment, prosthetic devices, such as vestibular implants, providing information about the direction, amplitude and velocity of body movements, are being developed and have given promising results in animal models and humans. Novel methods and techniques have led to major progress in gene therapies targeting the inner ear (gene supplementation and gene editing), 3D inner ear organoids and reprograming protocols for generating hair cell-like cells. These rapid advances in multiscale approaches covering basic research, clinical diagnostics and therapies are fostering interdisciplinary research to develop personalized treatments for vestibular disorders.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Deafness Sentence A: Cytomegalovirus (CMV) infection is currently reported as the most common cause of congenital viral induced deafness. However, few systematic studies of the audiovestibular sequelae of this infection are present in the literature. A clinical pathologic study was conducted from 1976 to 1982 to evaluate this. Fifty-two pairs of infant and children's temporal bone studied demonstrated no evidence of CMV endolabyrinthitis even in the single case with evidence of extensive congenital CMV infection. Over 2,000 umbilical cord sera were screened to detect asymptomatic CMV infection with an incidence of 0.38% (and slightly greater than 1% when extrapolated to correct for the sensitivity of the method of detection) in a central Pennsylvania study population. No sensorineural abnormalities were detected in five asymptomatic children and 30 control children. However, three out of six (50%) infants, symptomatic at birth and followed to a mean age of 5.5 years, showed significant and progressive sensorineural loss and vestibular deficits. Sentence B: The inner ear is responsible for both hearing and balance. These functions are dependent on the correct functioning of mechanosensitive hair cells, which convert sound- and motion-induced stimuli into electrical signals conveyed to the brain. During evolution of the inner ear, the major changes occurred in the hearing organ, whereas the structure of the vestibular organs remained constant in all vertebrates over the same period. Vestibular deficits are highly prevalent in humans, due to multiple intersecting causes: genetics, environmental factors, ototoxic drugs, infections and aging. Studies of deafness genes associated with balance deficits and their corresponding animal models have shed light on the development and function of these two sensory systems. Bilateral vestibular deficits often impair individual postural control, gaze stabilization, locomotion and spatial orientation. The resulting dizziness, vertigo, and/or falls (frequent in elderly populations) greatly affect patient quality of life. In the absence of treatment, prosthetic devices, such as vestibular implants, providing information about the direction, amplitude and velocity of body movements, are being developed and have given promising results in animal models and humans. Novel methods and techniques have led to major progress in gene therapies targeting the inner ear (gene supplementation and gene editing), 3D inner ear organoids and reprograming protocols for generating hair cell-like cells. These rapid advances in multiscale approaches covering basic research, clinical diagnostics and therapies are fostering interdisciplinary research to develop personalized treatments for vestibular disorders. ###Answer 1. Changed Reasoning: In Sentence A, the term ""deafness"" is used to describe a specific type of hearing impairment caused by CMV infection. The sentence highlights the rarity of this condition and the lack of systematic studies on its audiovestibular sequelae. The term ""deafness"" in this context implies a significant loss of hearing function. In Sentence B, the term ""deafness"" is used in a different context, referring to a broader range of vestibular deficits, including bilateral vestibular deficits, dizziness, vertigo, and falls. The sentence highlights the prevalence of vestibular deficits in humans and the development of novel treatments, including vestibular implants, gene therapies, and 3D inner ear organoids. The term ""deafness"" in this context implies a broader range of vestibular and auditory impairments, rather than a specific type of hearing loss. Therefore, the meaning of the term ""deafness"" has changed significantly between the two sentences, indicating semantic drift." 48,Deafness,"The most common form of non-syndromic autosomal recessive deafness (NSRD) is caused by mutations in the gene GJB2, encoding the protein connexin 26 (Cx26). The mutation c.35delG is found in 30-70% of Caucasian NSRD cases, and is abundant (allele frequency of 0.5-2%) in several European populations, while c.167delT is found in the Ashkenazi Jewish population with about 2% frequency. In the current study, using simple PCR-based tests we established an allele frequency of 0.6% in the Hungarian average, and 0.4% in the Romani (Gypsy) populations for the c.35delG mutation, and an allele frequency of 2.4% in the Ashkenazi population for the c.167delT mutation. Our results do not differ significantly from the published data for Caucasian and non-European Ashkenazi populations and they present figures for the Romani population for the first time. Both mutations may be significant causative factors among the NSRD cases of the respective populations in Central Europe.","Waardenburg syndrome (WS) is a rare disorder characterized by distinctive facial features, pigment disturbances, and sensorineural deafness. There are four WS subtypes. WS1 is mostly caused by PAX3 mutations, while MITF, SNAI2, and SOX10 mutations are associated with WS2. More than 100 different disease-causing mutations have been reported in many ethnic groups, but the data from Chinese patients with WS remains poor. Herein we report 18 patients from 15 Chinese WS families, in which five cases were diagnosed as WS1 and the remaining as WS2. Clinical evaluation revealed intense phenotypic variability in Chinese WS patients. Heterochromia iridis and sensorineural hearing loss were the most frequent features (100% and 88.9%, respectively) of the two subtypes. Many brown freckles on normal skin could be a special subtype of cutaneous pigment disturbances in Chinese WS patients. PAX3, MITF, SNAI2, and SOX10 genes mutations were screened for in all the patients. A total of nine mutations in 11 families were identified and seven of them were novel. The SOX10 mutations in WS2 were first discovered in the Chinese population, with an estimated frequency similar to that of MITF mutations, implying SOX10 is an important pathogenic gene in Chinese WS2 cases and should be considered for first-step analysis in WS2, as well as MITF.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Deafness Sentence A: The most common form of non-syndromic autosomal recessive deafness (NSRD) is caused by mutations in the gene GJB2, encoding the protein connexin 26 (Cx26). The mutation c.35delG is found in 30-70% of Caucasian NSRD cases, and is abundant (allele frequency of 0.5-2%) in several European populations, while c.167delT is found in the Ashkenazi Jewish population with about 2% frequency. In the current study, using simple PCR-based tests we established an allele frequency of 0.6% in the Hungarian average, and 0.4% in the Romani (Gypsy) populations for the c.35delG mutation, and an allele frequency of 2.4% in the Ashkenazi population for the c.167delT mutation. Our results do not differ significantly from the published data for Caucasian and non-European Ashkenazi populations and they present figures for the Romani population for the first time. Both mutations may be significant causative factors among the NSRD cases of the respective populations in Central Europe. Sentence B: Waardenburg syndrome (WS) is a rare disorder characterized by distinctive facial features, pigment disturbances, and sensorineural deafness. There are four WS subtypes. WS1 is mostly caused by PAX3 mutations, while MITF, SNAI2, and SOX10 mutations are associated with WS2. More than 100 different disease-causing mutations have been reported in many ethnic groups, but the data from Chinese patients with WS remains poor. Herein we report 18 patients from 15 Chinese WS families, in which five cases were diagnosed as WS1 and the remaining as WS2. Clinical evaluation revealed intense phenotypic variability in Chinese WS patients. Heterochromia iridis and sensorineural hearing loss were the most frequent features (100% and 88.9%, respectively) of the two subtypes. Many brown freckles on normal skin could be a special subtype of cutaneous pigment disturbances in Chinese WS patients. PAX3, MITF, SNAI2, and SOX10 genes mutations were screened for in all the patients. A total of nine mutations in 11 families were identified and seven of them were novel. The SOX10 mutations in WS2 were first discovered in the Chinese population, with an estimated frequency similar to that of MITF mutations, implying SOX10 is an important pathogenic gene in Chinese WS2 cases and should be considered for first-step analysis in WS2, as well as MITF. ###Answer 1. Changed (Semantic drift has occurred) Reasoning: In Sentence A, the term ""deafness"" is used to describe a specific type of hearing loss caused by mutations in the GJB2 gene. The sentence highlights the genetic basis of non-syndromic autosomal recessive deafness and provides information about the frequency of specific mutations in different populations. The term ""deafness"" is used in a neutral, scientific context, without any connotation of stigma or disability. In Sentence B, the term ""deafness"" has a different connotation. The sentence describes Waardenburg syndrome, a rare genetic disorder that includes deafness as one of its characteristic features. The term ""deafness"" is used in a medical context, and the sentence highlights the distinctive facial features and pigment disturbances associated with the disorder. The term ""deafness"" carries a connotation of disability and vulnerability, which is not present in Sentence A. Therefore, semantic drift has occurred in the term ""deafness"" between Sentence A and Sentence B. The term has shifted from a neutral, scientific label to a medical term with connotations of disability and vulnerability." 49,Deafness,"Turner's syndrome (TS) is a genetic anomaly that results from complete or partial absence of one X chromosome and is the most commonly occurring chromosomal abnormality in females. While most females with TS present at birth or in early childhood, nearly one quarter present at adult services with primary or secondary amenorrhoea. It is only with the advent of clinics dedicated to adults with TS that we have realised the degree of occult pathology present in this group. Adults with TS are thought to have a reduced life expectancy, mainly due to excess cardiovascular risk, but they may also have multiple comorbidities including hypothyroidism, deafness, osteoporosis and the attendant problems of oestrogen deficiency and infertility. Many of these features may be affected by the timing of treatments in paediatrics - particularly the timing of growth hormone (GH) and oestrogen use. It is the role of adult TS services to audit the outcome of TS and to inform their paediatric colleagues of the long-term effects of childhood treatments. Thus, a multidisciplinary approach to focused adult care is needed, with consideration of how to optimise surveillance strategies in these women.",The rate of genetic deafness in Chengdu is still underestimated.,"###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Deafness Sentence A: Turner's syndrome (TS) is a genetic anomaly that results from complete or partial absence of one X chromosome and is the most commonly occurring chromosomal abnormality in females. While most females with TS present at birth or in early childhood, nearly one quarter present at adult services with primary or secondary amenorrhoea. It is only with the advent of clinics dedicated to adults with TS that we have realised the degree of occult pathology present in this group. Adults with TS are thought to have a reduced life expectancy, mainly due to excess cardiovascular risk, but they may also have multiple comorbidities including hypothyroidism, deafness, osteoporosis and the attendant problems of oestrogen deficiency and infertility. Many of these features may be affected by the timing of treatments in paediatrics - particularly the timing of growth hormone (GH) and oestrogen use. It is the role of adult TS services to audit the outcome of TS and to inform their paediatric colleagues of the long-term effects of childhood treatments. Thus, a multidisciplinary approach to focused adult care is needed, with consideration of how to optimise surveillance strategies in these women. Sentence B: The rate of genetic deafness in Chengdu is still underestimated. ###Answer 1. Changed Reasoning: In Sentence A, ""deafness"" is used in the context of a genetic disorder, specifically Turner's syndrome. The sentence highlights the potential consequences of this disorder, including hypothyroidism, osteoporosis, and infertility, as well as the impact of childhood treatments on long-term outcomes. The term ""deafness"" is used to describe a specific medical condition, with a clear negative connotation. In Sentence B, the term ""deafness"" is used in a different context, with no mention of a genetic disorder. The sentence simply states that the rate of deafness in Chengdu is underestimated, without providing any additional information about the cause or consequences of deafness. In this case, the term ""deafness"" has a different meaning and connotation than in Sentence A, and therefore semantic drift has occurred." 50,Deafness,"We report on a patient with neurosensory deafness, cataract and moderate mental retardation showing a constitutional mosaicism with the predominant cell line consisting of a 45,XY,-13,-15,+t(13;15) translocation of the Robertsonian type. By means of fluorescence in situ hybridization (FISH) using a panel of acrocentric pericentromeric probes and various banding techniques, the breakpoints in the translocation were determined at 13q12.1 and 15p13 respectively. Five other cell lines were present, at low percentage, one of them showing a t(13;15) tandem translocation. Interstitial telomeric sequences could be detected at the translocation fusion sites in both the Robertsonian and tandem translocations. The mosaicism appears therefore to be a consequence of chromosomal instability involving the t(13;15) fusion region of the predominant cell line, and related to the presence of interstitial telomeric sequences. The present observation suggests that in the pericentromeric 13q12 region, a gene involved in neurosensory deafness may be located.","X-linked deafness is a rare cause of hereditary isolated hearing impairment estimated as at least 1% or 2% of the non-syndromic hearing loss. To date, four loci for DFN have been identified and only one gene, POU3F4 responsible for DFN3, has been cloned. In males, DFN3 is characterized by a progressive deafness associated with perilymphatic gusher at stapes surgery and with a characteristic inner ear malformation. The phenotype of eight independent females carrying POU3F4 anomalies is defined, and a late-onset hearing loss is found in three patients. Only one has an inner ear malformation. No genotype/phenotype correlation is identified.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Deafness Sentence A: We report on a patient with neurosensory deafness, cataract and moderate mental retardation showing a constitutional mosaicism with the predominant cell line consisting of a 45,XY,-13,-15,+t(13;15) translocation of the Robertsonian type. By means of fluorescence in situ hybridization (FISH) using a panel of acrocentric pericentromeric probes and various banding techniques, the breakpoints in the translocation were determined at 13q12.1 and 15p13 respectively. Five other cell lines were present, at low percentage, one of them showing a t(13;15) tandem translocation. Interstitial telomeric sequences could be detected at the translocation fusion sites in both the Robertsonian and tandem translocations. The mosaicism appears therefore to be a consequence of chromosomal instability involving the t(13;15) fusion region of the predominant cell line, and related to the presence of interstitial telomeric sequences. The present observation suggests that in the pericentromeric 13q12 region, a gene involved in neurosensory deafness may be located. Sentence B: X-linked deafness is a rare cause of hereditary isolated hearing impairment estimated as at least 1% or 2% of the non-syndromic hearing loss. To date, four loci for DFN have been identified and only one gene, POU3F4 responsible for DFN3, has been cloned. In males, DFN3 is characterized by a progressive deafness associated with perilymphatic gusher at stapes surgery and with a characteristic inner ear malformation. The phenotype of eight independent females carrying POU3F4 anomalies is defined, and a late-onset hearing loss is found in three patients. Only one has an inner ear malformation. No genotype/phenotype correlation is identified. ###Answer 1. Changed Reasoning: In Sentence A, the term ""neurosensory deafness"" is used to describe the condition, which implies a hearing impairment that affects the central auditory system. This is supported by the mention of ""cataract and moderate mental retardation,"" which are symptoms that are commonly associated with neurological disorders. In contrast, in Sentence B, the term ""X-linked deafness"" is used, which specifically refers to a type of hearing impairment that is linked to the X chromosome. This suggests that the meaning of the term ""deafness"" has shifted to refer more specifically to a particular type of hearing impairment. Therefore, semantic drift has occurred in the meaning of the term ""deafness"" over time." 51,Deafness,"The A 3243 G mutation of the mitochondrial tRNA(Leu) gene was found to segregate with maternally inherited diabetes mellitus, sensorineural deafness, hypertrophic cardiomyopathy, or renal failure in a large pedigree of 35 affected members in four generations. Presenting symptoms almost consistently involved deafness and recurrent attacks of migraine-like headaches, but the clinical course of the disease varied within and across generations. The A 3243 G mutation has been previously reported in association with the mitochondrial encephalomyopathy, lactic acidosis, and stroke-like episode syndrome (MELAS) and with diabetes mellitus and deafness. To our knowledge, however, hypertrophic cardiomyopathy is not a common feature in people with the A 3243 G mutation and renal failure has not been hitherto reported in association with this mutation. The present observation gives additional support to the variable clinical expression of mtDNA mutations in humans.","The aim of this study was to determine oxidative stress status as well as blood lead (Pb) and zinc (Zn) levels and clinical markers in workers of a Zn-Pb mine. A comparative cross-sectional analysis was performed in 67 mine workers who have been in contact with Zn and Pb in comparison to a control group containing 67 healthy subjects with the same age and sex. Lipid peroxidation, superoxide dismutase, catalase, glutathione reductase, myleoperoxidase, DNA damage, total antioxidant capacity, Zn, and Pb levels were measured in blood of workers and controls. Clinical examination was accomplished to record any abnormal sign or symptoms. Comparing with controls, the workers showed higher blood levels of superoxide dismutase, myleoperoxidase, glutathione reductase, lipid peroxidation, Pb, and Zn. Workers showed lower DNA-damage as compared with controls. Workers showed clinical symptoms such as memory impairment, less of concentration, insomnia, headache, claudication, epigasteric, inappetence, agitation, tremor, decreasing of reflection of deep tendon, conduction deafness of ear, and fatigue. The workers had extra normal levels of Pb (0.9-3 microg/dL) and showed oxidative stress. Taken together, the results indicate that exposure to combination of Pb and Zn in mine elevates total antioxidant capacity of body in a reflex to overcome to oxidative stress. Especially, in the present case, it seems that toxic effect of Pb has been greater than positive effects of Zn, but the combination exposure has resulted in not such a critical toxicity situation.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Deafness Sentence A: The A 3243 G mutation of the mitochondrial tRNA(Leu) gene was found to segregate with maternally inherited diabetes mellitus, sensorineural deafness, hypertrophic cardiomyopathy, or renal failure in a large pedigree of 35 affected members in four generations. Presenting symptoms almost consistently involved deafness and recurrent attacks of migraine-like headaches, but the clinical course of the disease varied within and across generations. The A 3243 G mutation has been previously reported in association with the mitochondrial encephalomyopathy, lactic acidosis, and stroke-like episode syndrome (MELAS) and with diabetes mellitus and deafness. To our knowledge, however, hypertrophic cardiomyopathy is not a common feature in people with the A 3243 G mutation and renal failure has not been hitherto reported in association with this mutation. The present observation gives additional support to the variable clinical expression of mtDNA mutations in humans. Sentence B: The aim of this study was to determine oxidative stress status as well as blood lead (Pb) and zinc (Zn) levels and clinical markers in workers of a Zn-Pb mine. A comparative cross-sectional analysis was performed in 67 mine workers who have been in contact with Zn and Pb in comparison to a control group containing 67 healthy subjects with the same age and sex. Lipid peroxidation, superoxide dismutase, catalase, glutathione reductase, myleoperoxidase, DNA damage, total antioxidant capacity, Zn, and Pb levels were measured in blood of workers and controls. Clinical examination was accomplished to record any abnormal sign or symptoms. Comparing with controls, the workers showed higher blood levels of superoxide dismutase, myleoperoxidase, glutathione reductase, lipid peroxidation, Pb, and Zn. Workers showed lower DNA-damage as compared with controls. Workers showed clinical symptoms such as memory impairment, less of concentration, insomnia, headache, claudication, epigasteric, inappetence, agitation, tremor, decreasing of reflection of deep tendon, conduction deafness of ear, and fatigue. The workers had extra normal levels of Pb (0.9-3 microg/dL) and showed oxidative stress. Taken together, the results indicate that exposure to combination of Pb and Zn in mine elevates total antioxidant capacity of body in a reflex to overcome to oxidative stress. Especially, in the present case, it seems that toxic effect of Pb has been greater than positive effects of Zn, but the combination exposure has resulted in not such a critical toxicity situation. ###Answer 1. Changed Reasoning: In Sentence A, the word ""deafness"" is used to describe a specific medical condition, specifically sensorineural deafness, which is a type of hearing loss caused by damage to the inner ear or the auditory nerve. The sentence provides detailed information about the clinical course of the disease, including the age of onset, progression, and any associated symptoms. The word ""deafness"" is used in a clinical context, indicating that it has a specific medical meaning. In Sentence B, the word ""deafness"" is used in a different context. It is no longer a specific medical condition, but rather a general term to describe a person's inability to hear. The sentence does not provide any details about the underlying cause of the deafness, and the word is used in a more general sense. The meaning of the word has shifted from a specific medical condition to a more general term. Therefore, the label ""Changed"" is appropriate for this task." 52,Deafness,"Middle ear tuberculosis in a female teacher aged 29 is reported. White necrotic areas were found on the skin of the remaining tympanic membrane and the auditory meatus, that stood out clearly against the healthy skin of the auditory meatus. The patient also had inner ear deafness. The function of the inner ear returned to normal after antituberculous therapy: a comparable course of this disease could not be found in the literature.","Cochlear implantation in children with an asymmetrical hearing loss is now becoming more recognized as an appropriate and beneficial treatment option. In our programme, we have been implanting children with asymmetrical hearing loss since 2008. Asymmetrical hearing loss is defined as hearing loss when one ear meets criteria for cochlear implantation and the other ear has better hearing and receives benefit from a hearing aid. There is a wide range of asymmetrical hearing loss: single-sided deafness is the end of the spectrum. Amplification in asymmetrical hearing loss is usually difficult, it is often not possible to adequately aid the poorer ear; therefore patients often experience compromised hearing with adequate aiding of their better ear only. The impact of hearing with one ear on speech development, education, and employment is significant. ","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Deafness Sentence A: Middle ear tuberculosis in a female teacher aged 29 is reported. White necrotic areas were found on the skin of the remaining tympanic membrane and the auditory meatus, that stood out clearly against the healthy skin of the auditory meatus. The patient also had inner ear deafness. The function of the inner ear returned to normal after antituberculous therapy: a comparable course of this disease could not be found in the literature. Sentence B: Cochlear implantation in children with an asymmetrical hearing loss is now becoming more recognized as an appropriate and beneficial treatment option. In our programme, we have been implanting children with asymmetrical hearing loss since 2008. Asymmetrical hearing loss is defined as hearing loss when one ear meets criteria for cochlear implantation and the other ear has better hearing and receives benefit from a hearing aid. There is a wide range of asymmetrical hearing loss: single-sided deafness is the end of the spectrum. Amplification in asymmetrical hearing loss is usually difficult, it is often not possible to adequately aid the poorer ear; therefore patients often experience compromised hearing with adequate aiding of their better ear only. The impact of hearing with one ear on speech development, education, and employment is significant. ###Answer 1. Changed Explanation: In Sentence A, the target word ""deafness"" is used to describe the patient's inner ear condition, which resulted in hearing loss. The context suggests that the word was used to convey a negative connotation, as the patient's condition was severe enough to warrant medical attention. In Sentence B, the target word ""deafness"" is used in a different context to describe a different type of hearing loss. The word is now used to describe a more mild form of hearing loss, specifically single-sided deafness, which is defined as hearing loss when one ear meets criteria for cochlear implantation and the other ear has better hearing and receives benefit from a hearing aid. The context suggests that the word has shifted in meaning, as it is now used to describe a less severe form of hearing loss. Therefore, I would label Sentence B as having semantic drift, as the meaning of the target word has changed significantly between the two sentences." 53,Deafness,"The pathogenetic mechanism of the human mitochondrial 12S rRNA gene mutation at position 1555, associated with non-syndromic deafness and aminoglycoside-induced deafness, has been investigated in 33 transformants obtained by transferring mitochondria from lymphoblastoid cell lines into human mitochondrial DNA (mtDNA)-less (rho *206) cells. In this nearly constant nuclear background, 15 transformants derived from five symptomatic individuals from a large Arab-Israeli family, carrying this mutation in homoplasmic form, exhibited significant decreases compared with nine control transformants in the rate of growth in a medium containing galactose instead of glucose, as well as in the rates of mitochondrial protein synthesis and of substrate-dependent respiration. Most significantly, these decreases were very similar to those observed in nine transformants derived from three asymptomatic members of the family. This result in transmitochondrial cybrids is in contrast to the differences in the same parameters previously demonstrated between the original lymphoblastoid cell lines derived from the symptomatic and asymptomatic members of the Arab-Israeli family. In addition, the intragroup variability in biochemical dysfunction among the lymphoblastoid cell lines from different symptomatic or asymptomatic or control individuals was significantly reduced in the derived mitochondrial transformants carrying the same nuclear background. These observations provide strong genetic and biochemical evidence in support of the idea that the nuclear background plays a determinant role in the phenotypic manifestation of the non-syndromic deafness associated with the A1555G mutation.","We examined the clinical, molecular and genetic features of a 16-year-old boy (XP2GO) with xeroderma pigmentosum (XP) and progressive neurological symptoms. The parents are not consanguineous. Increased sun sensitivity led to the diagnosis of XP at 2 years of age and a strict UV protection scheme was implemented. Besides recurrent conjunctivitis and bilateral pterygium, only mild freckling was present on his lips. He shows absent deep tendon reflexes, progressive sensorineural deafness and progressive mental retardation. MRI shows diffuse frontal cerebral atrophy and dilated ventricles. Symptoms of trichothiodystrophy (brittle hair with a tiger-tail banding pattern on polarized microscopy) or Cockayne syndrome (cachectic dwarfism, cataracts, pigmentary retinopathy and spasticity) were absent. XP2GO fibroblasts showed reduced post-UV cell survival (D(37) = 3.8 J/m(2)), reduced nucleotide excision repair, reduced expression of XPD mRNA and an undetectable level of XPD protein. Mutational analysis of the XPD gene in XP2GO revealed two different mutations: a common p.Arg683Trp amino acid change (c.2047C>T) known to be associated with XP and a novel frameshift mutation c.2009delG (p.Gly670Alafs*39). The latter mutation potentially behaves as a null allele. While not preventing neurological degeneration, early diagnosis and rigorous sun protection can result in minimal skin disease without cancer in XP patients.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Deafness Sentence A: The pathogenetic mechanism of the human mitochondrial 12S rRNA gene mutation at position 1555, associated with non-syndromic deafness and aminoglycoside-induced deafness, has been investigated in 33 transformants obtained by transferring mitochondria from lymphoblastoid cell lines into human mitochondrial DNA (mtDNA)-less (rho *206) cells. In this nearly constant nuclear background, 15 transformants derived from five symptomatic individuals from a large Arab-Israeli family, carrying this mutation in homoplasmic form, exhibited significant decreases compared with nine control transformants in the rate of growth in a medium containing galactose instead of glucose, as well as in the rates of mitochondrial protein synthesis and of substrate-dependent respiration. Most significantly, these decreases were very similar to those observed in nine transformants derived from three asymptomatic members of the family. This result in transmitochondrial cybrids is in contrast to the differences in the same parameters previously demonstrated between the original lymphoblastoid cell lines derived from the symptomatic and asymptomatic members of the Arab-Israeli family. In addition, the intragroup variability in biochemical dysfunction among the lymphoblastoid cell lines from different symptomatic or asymptomatic or control individuals was significantly reduced in the derived mitochondrial transformants carrying the same nuclear background. These observations provide strong genetic and biochemical evidence in support of the idea that the nuclear background plays a determinant role in the phenotypic manifestation of the non-syndromic deafness associated with the A1555G mutation. Sentence B: We examined the clinical, molecular and genetic features of a 16-year-old boy (XP2GO) with xeroderma pigmentosum (XP) and progressive neurological symptoms. The parents are not consanguineous. Increased sun sensitivity led to the diagnosis of XP at 2 years of age and a strict UV protection scheme was implemented. Besides recurrent conjunctivitis and bilateral pterygium, only mild freckling was present on his lips. He shows absent deep tendon reflexes, progressive sensorineural deafness and progressive mental retardation. MRI shows diffuse frontal cerebral atrophy and dilated ventricles. Symptoms of trichothiodystrophy (brittle hair with a tiger-tail banding pattern on polarized microscopy) or Cockayne syndrome (cachectic dwarfism, cataracts, pigmentary retinopathy and spasticity) were absent. XP2GO fibroblasts showed reduced post-UV cell survival (D(37) = 3.8 J/m(2)), reduced nucleotide excision repair, reduced expression of XPD mRNA and an undetectable level of XPD protein. Mutational analysis of the XPD gene in XP2GO revealed two different mutations: a common p.Arg683Trp amino acid change (c.2047C>T) known to be associated with XP and a novel frameshift mutation c.2009delG (p.Gly670Alafs*39). The latter mutation potentially behaves as a null allele. While not preventing neurological degeneration, early diagnosis and rigorous sun protection can result in minimal skin disease without cancer in XP patients. ###Answer 1. Changed The meaning of the target word ""deafness"" has significantly shifted between the two sentences. In Sentence A, ""deafness"" is used to describe a specific genetic disorder associated with mitochondrial DNA mutations, characterized by progressive hearing loss, cognitive impairment, and other symptoms. In Sentence B, ""deafness"" is used more broadly to describe a general condition of hearing impairment, without any specific genetic or medical context. The shift in meaning is evident in the lack of any mention of the underlying genetic or medical causes of hearing impairment in Sentence B, compared to the detailed genetic and medical information provided in Sentence A. Therefore, the label ""Changed"" is appropriate for this target word." 54,Deafness,"Cortical deafness in a patient with multiple sclerosis is reported. Complete recovery from total deafness was seen following stages of auditory agnosia and pure word deafness. The otological and neurophysiological studies suggested lesions in subcortical white matter. This report stresses the rarity of the condition, its subcortical origin and good prognosis.","Gap junctions consist of arrays of intercellular channels composed of integral membrane proteins called connexin in vertebrates. Gap junction channels regulate the passage of ions and biological molecules between adjacent cells and, therefore, are critically important in many biological activities, including development, differentiation, neural activity, and immune response. Mutations in connexin genes are associated with several human diseases, such as neurodegenerative disease, skin disease, deafness, and developmental abnormalities. The activity of gap junction channels is regulated by the membrane voltage, intracellular microenvironment, interaction with other proteins, and phosphorylation. Each connexin channel has its own property for conductance and molecular permeability. A number of studies have tried to reveal the molecular architecture of the channel pore that should confer the connexin-specific permeability/selectivity properties and molecular basis for the gating and regulation. In this review, we give an overview of structural studies and describe the structural and functional relationship of gap junction channels.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Deafness Sentence A: Cortical deafness in a patient with multiple sclerosis is reported. Complete recovery from total deafness was seen following stages of auditory agnosia and pure word deafness. The otological and neurophysiological studies suggested lesions in subcortical white matter. This report stresses the rarity of the condition, its subcortical origin and good prognosis. Sentence B: Gap junctions consist of arrays of intercellular channels composed of integral membrane proteins called connexin in vertebrates. Gap junction channels regulate the passage of ions and biological molecules between adjacent cells and, therefore, are critically important in many biological activities, including development, differentiation, neural activity, and immune response. Mutations in connexin genes are associated with several human diseases, such as neurodegenerative disease, skin disease, deafness, and developmental abnormalities. The activity of gap junction channels is regulated by the membrane voltage, intracellular microenvironment, interaction with other proteins, and phosphorylation. Each connexin channel has its own property for conductance and molecular permeability. A number of studies have tried to reveal the molecular architecture of the channel pore that should confer the connexin-specific permeability/selectivity properties and molecular basis for the gating and regulation. In this review, we give an overview of structural studies and describe the structural and functional relationship of gap junction channels. ###Answer 1. Changed Reasoning: In Sentence A, the term ""deafness"" is used to describe a specific medical condition, cortical deafness, which is characterized by a complete recovery from total deafness. The context suggests that the term ""deafness"" in this sentence refers to a specific type of hearing impairment. In Sentence B, the term ""deafness"" is used in a different context, to describe a property of gap junction channels. The sentence explains that mutations in connexin genes are associated with several human diseases, including deafness. In this context, the term ""deafness"" refers to a lack of auditory function, which is a broader concept than the specific medical condition described in Sentence A. Based on these differences in context and meaning, it is clear that the term ""deafness"" has undergone a significant change in meaning between the two sentences. Therefore, the label ""Changed"" is appropriate." 55,Deafness,"A study of 212 Indian children at the V.A. Naik School for Deaf was undertaken to determine the aetiology of their deafness. Undifferentiated autosomal recessive deafness was more frequent among Muslim patients--a population with a high incidence of consanguineous marriages--than among Tamils and Hindus. Although fewer than expected genetic syndromes were identified, Waardenburg's syndrome was present in 2% of the pupils. A firm diagnosis of acquired deafness was obtained in 32 children (15%).","Neurofibromatosis type 2 (NF2) is a rare, progressive and incurable genetic disorder associated with progressive hearing loss and eventual deafness. As a group, patients with NF report high levels of stress and depressive symptoms. However, no studies have explored improvement in these symptoms after psychosocial interventions. We have previously shown that a mind-body program tailored to adults with NF2 who are deaf (the Relaxation Response and Resiliency Program for Deaf NF2, d3RP-NF2) improves quality of life and resiliency over and above a Health Enhancement program when both are delivered via live-video and assisted by Communication Access Realtime Translation (CART). Here we tested the effects of the programs on depression and perceived stress.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Deafness Sentence A: A study of 212 Indian children at the V.A. Naik School for Deaf was undertaken to determine the aetiology of their deafness. Undifferentiated autosomal recessive deafness was more frequent among Muslim patients--a population with a high incidence of consanguineous marriages--than among Tamils and Hindus. Although fewer than expected genetic syndromes were identified, Waardenburg's syndrome was present in 2% of the pupils. A firm diagnosis of acquired deafness was obtained in 32 children (15%). Sentence B: Neurofibromatosis type 2 (NF2) is a rare, progressive and incurable genetic disorder associated with progressive hearing loss and eventual deafness. As a group, patients with NF report high levels of stress and depressive symptoms. However, no studies have explored improvement in these symptoms after psychosocial interventions. We have previously shown that a mind-body program tailored to adults with NF2 who are deaf (the Relaxation Response and Resiliency Program for Deaf NF2, d3RP-NF2) improves quality of life and resiliency over and above a Health Enhancement program when both are delivered via live-video and assisted by Communication Access Realtime Translation (CART). Here we tested the effects of the programs on depression and perceived stress. ###Answer 1. Changed Reasoning: In Sentence A, the term ""deafness"" is used to describe a condition that affects hearing, with no connotations of any other meaning. However, in Sentence B, the term ""deafness"" is used in the context of a genetic disorder, specifically Neurofibromatosis type 2 (NF2), which is associated with progressive hearing loss and eventual deafness. This shift in meaning suggests that the term ""deafness"" has undergone semantic drift, and its meaning has changed significantly over time." 56,Deafness,"Association of sensorineural deafness and progressive retinitis pigmentosa with and without a vestibular abnormality is the hallmark of Usher syndrome and involves at least 12 loci among three different clinical subtypes. Genes identified for the more commonly inherited loci are USH2A (encoding usherin), MYO7A (encoding myosin VIIa), CDH23 (encoding cadherin 23), PCDH15 (encoding protocadherin 15), USH1C (encoding harmonin), USH3A (encoding clarin 1), and USH1G (encoding SANS). Transcripts from all these genes are found in many tissues/cell types other than the inner ear and retina, but all are uniquely critical for retinal and cochlear cell function. Many of these protein products have been demonstrated to have direct interactions with each other and perform an essential role in stereocilia homeostasis.","Chanarin-Dorfman Syndrome (CDS); is a rare lipid storage disease with ichthyosis, hepatomegaly, myopathy, neuropathy, deafness, and ocular findings. Here, we aim to present a elderly CDS case with highlightening the new endocrinological findings. A 66-year-old male patient with cirrhosis hospitalized for liver transplantation. We suspected Chanarin-Dorfman Syndrome with ichthyosis, fatty liver, and syndromic facial features with bilateral ectropion, deafness, and malocclusion. We showed the lipid droplets in neutrophils called patognomonic Jordans' anomaly. Homozygous c.47+1 G>A mutation in the ABHD5 (NM_016006.6) gene were detected by clinical exome sequencing. Out of <160 CDS cases in the literature, this is the second eldest CDS patient and first with adrenal insufficiency, parathyroid lipoadenoma and atrophic pancreas. Clinicians should be aware of CDS as a rare cause of fatty liver. We recommend a blood smear and genetic analyses in patients with severe ichtiosis, ectropion, deafness and multiple endocrinolgic disorders.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Deafness Sentence A: Association of sensorineural deafness and progressive retinitis pigmentosa with and without a vestibular abnormality is the hallmark of Usher syndrome and involves at least 12 loci among three different clinical subtypes. Genes identified for the more commonly inherited loci are USH2A (encoding usherin), MYO7A (encoding myosin VIIa), CDH23 (encoding cadherin 23), PCDH15 (encoding protocadherin 15), USH1C (encoding harmonin), USH3A (encoding clarin 1), and USH1G (encoding SANS). Transcripts from all these genes are found in many tissues/cell types other than the inner ear and retina, but all are uniquely critical for retinal and cochlear cell function. Many of these protein products have been demonstrated to have direct interactions with each other and perform an essential role in stereocilia homeostasis. Sentence B: Chanarin-Dorfman Syndrome (CDS); is a rare lipid storage disease with ichthyosis, hepatomegaly, myopathy, neuropathy, deafness, and ocular findings. Here, we aim to present a elderly CDS case with highlightening the new endocrinological findings. A 66-year-old male patient with cirrhosis hospitalized for liver transplantation. We suspected Chanarin-Dorfman Syndrome with ichthyosis, fatty liver, and syndromic facial features with bilateral ectropion, deafness, and malocclusion. We showed the lipid droplets in neutrophils called patognomonic Jordans' anomaly. Homozygous c.47+1 G>A mutation in the ABHD5 (NM_016006.6) gene were detected by clinical exome sequencing. Out of <160 CDS cases in the literature, this is the second eldest CDS patient and first with adrenal insufficiency, parathyroid lipoadenoma and atrophic pancreas. Clinicians should be aware of CDS as a rare cause of fatty liver. We recommend a blood smear and genetic analyses in patients with severe ichtiosis, ectropion, deafness and multiple endocrinolgic disorders. ###Answer 1. Changed Reasoning: In Sentence A, the term ""deafness"" is used to describe a specific clinical feature of Usher syndrome, a genetic disorder that affects the inner ear and retina. The term is used in the context of sensorineural hearing loss and progressive retinitis pigmentosa. The meaning of the term ""deafness"" in this sentence is therefore specific to the medical context and does not carry any connotations of general hearing impairment. In Sentence B, the term ""deafness"" is used in a different context to describe a symptom of Chanarin-Dorfman Syndrome, a rare genetic disorder that affects the liver, muscles, and nervous system. In this sentence, the term ""deafness"" is used to describe a specific symptom of the disease, which is unrelated to the medical context of Usher syndrome. Based on these differences in context and meaning, it can be concluded that the term ""deafness"" has undergone semantic drift between the two sentences. In Sentence A, the term carries a specific medical meaning related to Usher syndrome, while in Sentence B, the term has a different meaning related to Chanarin-Dorfman Syndrome. Therefore, the label ""Changed"" is appropriate." 57,Deafness,"Accurate congenital rubella syndrome surveillance in Japan is of great interest because of the hypothesis that the Japanese rubella virus was less virulent than the strains prevalent in Europe and the Americas 20 years ago. A nationwide survey of deaf children with a history of maternal rubella in special schools for the deaf in Japan yielded a total of 365 deaf school children with congenital rubella syndrome born between 1963 and 1982. The overall average prevalence was 0.31 case per 100,000 population, and the incidence was 0.1-6.1 cases per 100,000 annual live births in Japan. If one considers the decrease in the number of deaf children attending special schools for the deaf because of the recent adoption of the policy of integrating deaf children into ordinary schools, the number of cases of congenital rubella syndrome might actually be much greater than that revealed by this survey and much greater than the 88 cases previously reported in Japan. Among the 365 cases who had deafness, 8.2% were found to have cataract (with and without congenital heart disease), and 11.0% were found to be complicated by congenital heart disease (but without cataract).","Most cases of acute otitis media (AOM) resolve even without antibiotic treatment. In the pre-antibiotic era, AOM complications were common and could lead to deafness and neurological sequelae. With the use of antibiotics, the complications have become less frequent, but they may still evolve. The possible increase in the occurrence of complications has to be considered if we start treating AOM more conservatively and if bacterial antibiotic resistance situation becomes more problematic. These rare but possibly lethal complications should be diagnosed and treated promptly. The need for cochlear implantation has to be evaluated soon after an episode of meningitis if deafness is suspected.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Deafness Sentence A: Accurate congenital rubella syndrome surveillance in Japan is of great interest because of the hypothesis that the Japanese rubella virus was less virulent than the strains prevalent in Europe and the Americas 20 years ago. A nationwide survey of deaf children with a history of maternal rubella in special schools for the deaf in Japan yielded a total of 365 deaf school children with congenital rubella syndrome born between 1963 and 1982. The overall average prevalence was 0.31 case per 100,000 population, and the incidence was 0.1-6.1 cases per 100,000 annual live births in Japan. If one considers the decrease in the number of deaf children attending special schools for the deaf because of the recent adoption of the policy of integrating deaf children into ordinary schools, the number of cases of congenital rubella syndrome might actually be much greater than that revealed by this survey and much greater than the 88 cases previously reported in Japan. Among the 365 cases who had deafness, 8.2% were found to have cataract (with and without congenital heart disease), and 11.0% were found to be complicated by congenital heart disease (but without cataract). Sentence B: Most cases of acute otitis media (AOM) resolve even without antibiotic treatment. In the pre-antibiotic era, AOM complications were common and could lead to deafness and neurological sequelae. With the use of antibiotics, the complications have become less frequent, but they may still evolve. The possible increase in the occurrence of complications has to be considered if we start treating AOM more conservatively and if bacterial antibiotic resistance situation becomes more problematic. These rare but possibly lethal complications should be diagnosed and treated promptly. The need for cochlear implantation has to be evaluated soon after an episode of meningitis if deafness is suspected. ###Answer 1. Changed Explanation: In Sentence A, the term ""deafness"" is used to describe a condition where a person is unable to hear. This implies that the person has a permanent hearing loss. However, in Sentence B, the term ""deafness"" is used in a different context. It is mentioned that some cases of acute otitis media (AOM) may evolve into deafness, which suggests that deafness is not necessarily a permanent condition. This implies that the meaning of the term ""deafness"" has shifted from a permanent hearing loss to a temporary or reversible hearing loss. Therefore, the label ""Changed"" is appropriate." 58,Deafness,"Organisms rapidly adapt to severe environmental stress by inducing the expression of a wide array of heat shock proteins as part of a larger cellular response program. We have used a genomics approach to identify novel heat shock-induced genes in Saccharomyces cerevisiae. The uncharacterized open reading frame (ORF) YLR251W was found to be required for both metabolism and tolerance of ethanol during heat shock. YLR251W has significant homology to the mammalian peroxisomal membrane protein Mpv17, and Mpv17(-/-) mice exhibit age-onset glomerulosclerosis, deafness, hypertension, and, ultimately, death by renal failure. Expression of Mpv17 in ylr251wdelta cells complements the 37 degrees C ethanol growth defect, suggesting that these proteins are functional orthologs. We have therefore renamed ORF YLR251W as SYM1 (for ""stress-inducible yeast Mpv17""). In contrast to the peroxisomal localization of Mpv17, we find that Sym1 is an integral membrane protein of the inner mitochondrial membrane. In addition, transcriptional profiling of sym1delta cells uncovered changes in gene expression, including dysregulation of a number of ethanol-repressed genes, exclusively at 37 degrees C relative to wild-type results. Together, these data suggest an important metabolic role for Sym1 in mitochondrial function during heat shock. Furthermore, this study establishes Sym1 as a potential model for understanding the role of Mpv17 in kidney disease and cardiovascular biology.","Presents a citation for McCay Vernon, who received the Award for Distinguished Senior Career Contributions to Psychology in the Public Interest ""for fifty-five years of distinguished contributions toward improving the lives of both deaf and deaf-blind individuals."" Accompanying the citation are a brief profile and a selected bibliography, as well as Vernon's award address, The APA and Deafness. ((c) 2006 APA, all rights reserved).","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Deafness Sentence A: Organisms rapidly adapt to severe environmental stress by inducing the expression of a wide array of heat shock proteins as part of a larger cellular response program. We have used a genomics approach to identify novel heat shock-induced genes in Saccharomyces cerevisiae. The uncharacterized open reading frame (ORF) YLR251W was found to be required for both metabolism and tolerance of ethanol during heat shock. YLR251W has significant homology to the mammalian peroxisomal membrane protein Mpv17, and Mpv17(-/-) mice exhibit age-onset glomerulosclerosis, deafness, hypertension, and, ultimately, death by renal failure. Expression of Mpv17 in ylr251wdelta cells complements the 37 degrees C ethanol growth defect, suggesting that these proteins are functional orthologs. We have therefore renamed ORF YLR251W as SYM1 (for ""stress-inducible yeast Mpv17""). In contrast to the peroxisomal localization of Mpv17, we find that Sym1 is an integral membrane protein of the inner mitochondrial membrane. In addition, transcriptional profiling of sym1delta cells uncovered changes in gene expression, including dysregulation of a number of ethanol-repressed genes, exclusively at 37 degrees C relative to wild-type results. Together, these data suggest an important metabolic role for Sym1 in mitochondrial function during heat shock. Furthermore, this study establishes Sym1 as a potential model for understanding the role of Mpv17 in kidney disease and cardiovascular biology. Sentence B: Presents a citation for McCay Vernon, who received the Award for Distinguished Senior Career Contributions to Psychology in the Public Interest ""for fifty-five years of distinguished contributions toward improving the lives of both deaf and deaf-blind individuals."" Accompanying the citation are a brief profile and a selected bibliography, as well as Vernon's award address, The APA and Deafness. ((c) 2006 APA, all rights reserved). ###Answer 1. Changed Explanation: In Sentence A, the target word ""deafness"" has a different meaning than in Sentence B. In Sentence A, ""deafness"" refers to a metabolic disorder caused by mutations in the SYM1 gene, which affects the inner mitochondrial membrane and leads to dysregulation of ethanol-repressed genes. In contrast, in Sentence B, ""deafness"" refers to a condition affecting the hearing, as it is mentioned in the context of a prize awarded to a psychologist who worked on improving the lives of deaf and deaf-blind individuals. Therefore, the meaning of ""deafness"" has shifted from a metabolic disorder to a hearing impairment." 59,Deafness,"The authors provide an overview of 21 articles from several countries focusing on families with deaf members published in the literary issues of the American Annals of the Deaf from 1996 to 2000. Four categories were identified: Interaction and Involvement, Support Services, Stress and Coping, and Decision Making. The articles represent a commendable expansion of focus from the mother-child dyad to increased attention to fathers, siblings, extended family members, and significant nonfamily members such as deaf adults. The heterogeneity of families was a striking factor, even within those studies dealing with relatively homogeneous populations. Services appeared to be most effective within middle-class, educated family units, illustrating the need for more comprehensive services sensitive to the needs of families from less affluent backgrounds and with lower levels of education. In general, services to families with deaf children may be characterized as better than in the past but still in need of significant sensitivity and improvement. The presence of a deaf child in a family with hearing parents may cause stress, but parents have the flexibility to respond in a positive and beneficial way, especially when provided adequate information and support. The idea that hearing parents go through a grieving process involving the identification of deafness in their child seems to be an overstatement."," Speech is the most used communication method between humans and it involves the perception of auditory and visual channels. Automatic speech recognition focuses on interpreting the audio signals, although the video can provide information that is complementary to the audio. Exploiting the visual information, however, has proven challenging. On one hand, researchers have reported that the mapping between phonemes and visemes (visual units) is one-to-many because there are phonemes which are visually similar and indistinguishable between them. On the other hand, it is known that some people are very good lip-readers (e.g: deaf people). We study the limit of visual only speech recognition in controlled conditions. With this goal, we designed a new database in which the speakers are aware of being read and aim to facilitate lip-reading. In the literature, there are discrepancies on whether hearing-impaired people are better lip-readers than normal-hearing people. Then, we analyze if there are differences between the lip-reading abilities of 9 hearing-impaired and 15 normal-hearing people. Finally, human abilities are compared with the performance of a visual automatic speech recognition system. In our tests, hearing-impaired participants outperformed the normal-hearing participants but without reaching statistical significance. Human observers were able to decode 44% of the spoken message. In contrast, the visual only automatic system achieved 20% of word recognition rate. However, if we repeat the comparison in terms of phonemes both obtained very similar recognition rates, just above 50%. This suggests that the gap between human lip-reading and automatic speech-reading might be more related to the use of context than to the ability to interpret mouth appearance. ","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Deafness Sentence A: The authors provide an overview of 21 articles from several countries focusing on families with deaf members published in the literary issues of the American Annals of the Deaf from 1996 to 2000. Four categories were identified: Interaction and Involvement, Support Services, Stress and Coping, and Decision Making. The articles represent a commendable expansion of focus from the mother-child dyad to increased attention to fathers, siblings, extended family members, and significant nonfamily members such as deaf adults. The heterogeneity of families was a striking factor, even within those studies dealing with relatively homogeneous populations. Services appeared to be most effective within middle-class, educated family units, illustrating the need for more comprehensive services sensitive to the needs of families from less affluent backgrounds and with lower levels of education. In general, services to families with deaf children may be characterized as better than in the past but still in need of significant sensitivity and improvement. The presence of a deaf child in a family with hearing parents may cause stress, but parents have the flexibility to respond in a positive and beneficial way, especially when provided adequate information and support. The idea that hearing parents go through a grieving process involving the identification of deafness in their child seems to be an overstatement. Sentence B: Speech is the most used communication method between humans and it involves the perception of auditory and visual channels. Automatic speech recognition focuses on interpreting the audio signals, although the video can provide information that is complementary to the audio. Exploiting the visual information, however, has proven challenging. On one hand, researchers have reported that the mapping between phonemes and visemes (visual units) is one-to-many because there are phonemes which are visually similar and indistinguishable between them. On the other hand, it is known that some people are very good lip-readers (e.g: deaf people). We study the limit of visual only speech recognition in controlled conditions. With this goal, we designed a new database in which the speakers are aware of being read and aim to facilitate lip-reading. In the literature, there are discrepancies on whether hearing-impaired people are better lip-readers than normal-hearing people. Then, we analyze if there are differences between the lip-reading abilities of 9 hearing-impaired and 15 normal-hearing people. Finally, human abilities are compared with the performance of a visual automatic speech recognition system. In our tests, hearing-impaired participants outperformed the normal-hearing participants but without reaching statistical significance. Human observers were able to decode 44% of the spoken message. In contrast, the visual only automatic system achieved 20% of word recognition rate. However, if we repeat the comparison in terms of phonemes both obtained very similar recognition rates, just above 50%. This suggests that the gap between human lip-reading and automatic speech-reading might be more related to the use of context than to the ability to interpret mouth appearance. ###Answer 1. Changed Reasoning: The target word ""deafness"" has undergone a significant change in meaning between the two sentences. In Sentence A, ""deafness"" is used to describe a characteristic of families with deaf members, focusing on the heterogeneity of families and the need for more comprehensive services. In Sentence B, ""deafness"" is used to describe a person's ability to lip-read, with a focus on the comparison between human lip-reading and automatic speech recognition systems. The meaning of ""deafness"" has shifted from a descriptive term for a group of people to a measure of an individual's ability to communicate through lip-reading." 60,Deafness,A case of Pure Word Deafness (PWD) with bilateral perisylvian softenings is described. The C.A.T. findings fit the classical anatomical counterpart of PWD: a nearly complete acoustic disconnection of the Wernicke area. The associated severe apraxic disorders are discussed.," Sign language is commonly used by deaf or mute people to communicate but requires extensive effort to master. It is usually performed with the fast yet delicate movement of hand gestures, body posture, and even facial expressions. Current Sign Language Recognition (SLR) methods usually extract features via deep neural networks and suffer overfitting due to limited and noisy data. Recently, skeleton-based action recognition has attracted increasing attention due to its subject-invariant and background-invariant nature, whereas skeleton-based SLR is still under exploration due to the lack of hand annotations. Some researchers have tried to use off-line hand pose trackers to obtain hand keypoints and aid in recognizing sign language via recurrent neural networks. Nevertheless, none of them outperforms RGB-based approaches yet. To this end, we propose a novel Skeleton Aware Multi-modal Framework with a Global Ensemble Model (GEM) for isolated SLR (SAM-SLR-v2) to learn and fuse multi-modal feature representations towards a higher recognition rate. Specifically, we propose a Sign Language Graph Convolution Network (SL-GCN) to model the embedded dynamics of skeleton keypoints and a Separable Spatial-Temporal Convolution Network (SSTCN) to exploit skeleton features. The skeleton-based predictions are fused with other RGB and depth based modalities by the proposed late-fusion GEM to provide global information and make a faithful SLR prediction. Experiments on three isolated SLR datasets demonstrate that our proposed SAM-SLR-v2 framework is exceedingly effective and achieves state-of-the-art performance with significant margins. Our code will be available at https://github.com/jackyjsy/SAM-SLR-v2 ","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Deafness Sentence A: A case of Pure Word Deafness (PWD) with bilateral perisylvian softenings is described. The C.A.T. findings fit the classical anatomical counterpart of PWD: a nearly complete acoustic disconnection of the Wernicke area. The associated severe apraxic disorders are discussed. Sentence B: Sign language is commonly used by deaf or mute people to communicate but requires extensive effort to master. It is usually performed with the fast yet delicate movement of hand gestures, body posture, and even facial expressions. Current Sign Language Recognition (SLR) methods usually extract features via deep neural networks and suffer overfitting due to limited and noisy data. Recently, skeleton-based action recognition has attracted increasing attention due to its subject-invariant and background-invariant nature, whereas skeleton-based SLR is still under exploration due to the lack of hand annotations. Some researchers have tried to use off-line hand pose trackers to obtain hand keypoints and aid in recognizing sign language via recurrent neural networks. Nevertheless, none of them outperforms RGB-based approaches yet. To this end, we propose a novel Skeleton Aware Multi-modal Framework with a Global Ensemble Model (GEM) for isolated SLR (SAM-SLR-v2) to learn and fuse multi-modal feature representations towards a higher recognition rate. Specifically, we propose a Sign Language Graph Convolution Network (SL-GCN) to model the embedded dynamics of skeleton keypoints and a Separable Spatial-Temporal Convolution Network (SSTCN) to exploit skeleton features. The skeleton-based predictions are fused with other RGB and depth based modalities by the proposed late-fusion GEM to provide global information and make a faithful SLR prediction. Experiments on three isolated SLR datasets demonstrate that our proposed SAM-SLR-v2 framework is exceedingly effective and achieves state-of-the-art performance with significant margins. Our code will be available at https://github.com/jackyjsy/SAM-SLR-v2 ###Answer 1. Changed Reasoning: The meaning of the target word ""Deafness"" has changed significantly between the two sentences. In Sentence A, the term is used to describe a specific medical condition characterized by a complete disconnection of the Wernicke area, while in Sentence B, it is used more broadly to refer to the ability to communicate through sign language. The latter usage does not imply any specific medical condition, and the term is used in a more general sense to describe the ability to communicate through a particular language or method. Therefore, the semantic drift of the target word has occurred." 61,Deafness,"Waardenburg's syndrome is characterized by deafness and pigment disorders of the eyes, hair and skin. Two types are distinguished; e.g. type I with dystopia canthorum and type II without dystopia canthorum. In Kenya 12 out of 724 pupils of schoools for the deaf were found to suffer from the syndrome. Ten of these belonged to eight families; 20 other members of these families had signs of the syndrome. Of these 30 patients 18 had type I, 12 type II. The expression of most characteristics in these Kenyan patients was almost the same as in Caucasians. The mode of inheritance was autosomal dominant, as in Caucasians. The interocular distances were measured in 168 healthy children and adults of the Luo tribe. In most age groups slightly larger values were found than in the Caucasian race. For the diagnosis of dystopia canthorum this should be taken into account.","A better understanding of melodic pitch perception in cochlear implants (CIs) may guide signal processing and/or rehabilitation techniques to improve music perception and appreciation in CI patients. In this study, the mismatch negativity (MMN) in response to infrequent changes in 5-tone pitch contours was obtained in CI users and normal-hearing (NH) listeners. Melodic contour identification (MCI) was also measured. Results showed that MCI performance was poorer in CI than in NH subjects; the MMNs were missing in all CI subjects for the 1-semitone contours. The MMNs with the 5-semitone contours were observed in a smaller proportion of CI than NH subjects. Results suggest that encoding of pitch contour changes in CI users appears to be degraded, most likely due to the limited pitch cues provided by the CI and deafness-related compromise of brain substrates.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Deafness Sentence A: Waardenburg's syndrome is characterized by deafness and pigment disorders of the eyes, hair and skin. Two types are distinguished; e.g. type I with dystopia canthorum and type II without dystopia canthorum. In Kenya 12 out of 724 pupils of schoools for the deaf were found to suffer from the syndrome. Ten of these belonged to eight families; 20 other members of these families had signs of the syndrome. Of these 30 patients 18 had type I, 12 type II. The expression of most characteristics in these Kenyan patients was almost the same as in Caucasians. The mode of inheritance was autosomal dominant, as in Caucasians. The interocular distances were measured in 168 healthy children and adults of the Luo tribe. In most age groups slightly larger values were found than in the Caucasian race. For the diagnosis of dystopia canthorum this should be taken into account. Sentence B: A better understanding of melodic pitch perception in cochlear implants (CIs) may guide signal processing and/or rehabilitation techniques to improve music perception and appreciation in CI patients. In this study, the mismatch negativity (MMN) in response to infrequent changes in 5-tone pitch contours was obtained in CI users and normal-hearing (NH) listeners. Melodic contour identification (MCI) was also measured. Results showed that MCI performance was poorer in CI than in NH subjects; the MMNs were missing in all CI subjects for the 1-semitone contours. The MMNs with the 5-semitone contours were observed in a smaller proportion of CI than NH subjects. Results suggest that encoding of pitch contour changes in CI users appears to be degraded, most likely due to the limited pitch cues provided by the CI and deafness-related compromise of brain substrates. ###Answer 1. Changed Reasoning: In Sentence A, the term ""deafness"" is used to describe a specific genetic disorder, Waardenburg's syndrome, which causes deafness and other pigment disorders. The context suggests that the term ""deafness"" refers to a specific condition with clear diagnostic criteria. In Sentence B, the term ""deafness"" is used in a different context, to describe the impact of cochlear implants on music perception and appreciation. The term is used to describe the limited pitch cues provided by the implant and the resulting degradation of pitch contour encoding in CI users. The context suggests that the term ""deafness"" now refers to a different concept, specifically the compromise of brain substrates due to the limited pitch cues provided by the implant. Therefore, the meaning of the term ""deafness"" has changed significantly between the two sentences, indicating semantic drift." 62,Deafness,"A sample of 64 postlinguistically profoundly to totally deaf adult cochlear implant patients were tested without lipreading by means of the Central Institute for the Deaf (CID) sentence test 3 months postoperatively. Preoperative promontory stimulation results (thresholds, gap detection, and frequency discrimination), age, duration of profound deafness, cause of deafness, lipreading ability, postoperative intracochlear thresholds and dynamic ranges for electrical stimulation, depth of insertion of the electrode array into the scala tympani, and number of electrodes in use were considered as possible factors that might be related to the postoperative sentence scores. A multiple regression analysis with stepwise inclusion of independent variables indicated that good gap detection and frequency discrimination during preoperative promontory testing, larger numbers of electrodes in use, and greater dynamic ranges for intracochlear electrical stimulation were associated with better CID scores. The CID scores tended to decrease with longer periods of profound deafness.","We present an 8-year-old boy with folate receptor alpha (FRα) defect and congenital deafness with labyrinthine aplasia, microtia and microdontia (LAMM syndrome). Both conditions are exceptionally rare autosomal recessive inherited diseases mapped to 11q13. Our patient was found to have novel homozygous nonsense mutations in the FOLR1 gene (p.R204X), and FGF3 gene (p.C50X). While the FRα defect is a disorder of brain-specific folate transport accompanied with cerebral folate deficiency (CFD) causing progressive neurological symptoms, LAMM syndrome is a solely malformative condition, with normal physical growth and cognitive development. Our patient presented with congenital deafness, hypotonia, dysphygia and ataxia in early childhood. At the age of 6 years he developed intractable epilepsy, and deteriorated clinically with respiratory arrest and severe hypercapnea at the age of 8 years. In contrast to the previously published patients with a FOLR1 gene defect, our patient presented with an abnormal l-dopa metabolism in CSF and high 3-O-methyl-dopa. Upon oral treatment with folinic acid the boy regained consciousness while the epilepsy could be successfully managed only with additional pyridoxal 5'-phosphate (PLP). This report pinpoints the importance of CSF folate investigations in children with unexplained progressive neurological presentations, even if a malformative syndrome is obviously present, and suggests a trial with PLP in folinic acid-unresponsive seizures.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Deafness Sentence A: A sample of 64 postlinguistically profoundly to totally deaf adult cochlear implant patients were tested without lipreading by means of the Central Institute for the Deaf (CID) sentence test 3 months postoperatively. Preoperative promontory stimulation results (thresholds, gap detection, and frequency discrimination), age, duration of profound deafness, cause of deafness, lipreading ability, postoperative intracochlear thresholds and dynamic ranges for electrical stimulation, depth of insertion of the electrode array into the scala tympani, and number of electrodes in use were considered as possible factors that might be related to the postoperative sentence scores. A multiple regression analysis with stepwise inclusion of independent variables indicated that good gap detection and frequency discrimination during preoperative promontory testing, larger numbers of electrodes in use, and greater dynamic ranges for intracochlear electrical stimulation were associated with better CID scores. The CID scores tended to decrease with longer periods of profound deafness. Sentence B: We present an 8-year-old boy with folate receptor alpha (FRα) defect and congenital deafness with labyrinthine aplasia, microtia and microdontia (LAMM syndrome). Both conditions are exceptionally rare autosomal recessive inherited diseases mapped to 11q13. Our patient was found to have novel homozygous nonsense mutations in the FOLR1 gene (p.R204X), and FGF3 gene (p.C50X). While the FRα defect is a disorder of brain-specific folate transport accompanied with cerebral folate deficiency (CFD) causing progressive neurological symptoms, LAMM syndrome is a solely malformative condition, with normal physical growth and cognitive development. Our patient presented with congenital deafness, hypotonia, dysphygia and ataxia in early childhood. At the age of 6 years he developed intractable epilepsy, and deteriorated clinically with respiratory arrest and severe hypercapnea at the age of 8 years. In contrast to the previously published patients with a FOLR1 gene defect, our patient presented with an abnormal l-dopa metabolism in CSF and high 3-O-methyl-dopa. Upon oral treatment with folinic acid the boy regained consciousness while the epilepsy could be successfully managed only with additional pyridoxal 5'-phosphate (PLP). This report pinpoints the importance of CSF folate investigations in children with unexplained progressive neurological presentations, even if a malformative syndrome is obviously present, and suggests a trial with PLP in folinic acid-unresponsive seizures. ###Answer 1. Changed Reasoning: In Sentence A, the word ""deafness"" is used to describe a condition where an individual is unable to hear. The sentence highlights the technical aspects of cochlear implant testing and the factors that might affect the outcome. The word ""deafness"" is used in a neutral context, without any connotation of negative or positive implications. In Sentence B, the word ""deafness"" is used to describe a congenital condition that affects the individual's hearing. The sentence highlights the rare nature of the condition and the novel mutations found in the individual. The word ""deafness"" is used in a more descriptive context, with connotation of a physical impairment. Based on these contexts, it is clear that the meaning of the word ""deafness"" has shifted from a neutral term to a more descriptive and impairment-oriented term. Therefore, the label ""Changed"" is appropriate." 63,Deafness,"Endolymphatic hydrops of the nonprogressive type occurs in response to a single traumatic or toxic insult of limited duration and although it may result in permanent deficits in sensorineural function, there is total subsidence of vestibular symptoms. Endolymphatic hydrops of the progressive type, on the other hand, appears to be the result of permanent impairment of endolymph resorption and is caused principally by disorders of the endolymphatic sac. It occurs in Menière's disease, syphilitic labyrinthitis and the delayed hydrops syndrome. In addition to deafness of varying extent, it is characterized by episodic vertigo and sometimes by Hennebert's sign. Histological studies suggest that the acute vertiginous episodes are caused by potassium intoxication following ruptures of the membranous labyrinth and that Hennerbert's sign is caused by vestibular fibrosis.",To assess the presence of suspected pigment-associated deafness in North American yaks (Bos grunniens).,"###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Deafness Sentence A: Endolymphatic hydrops of the nonprogressive type occurs in response to a single traumatic or toxic insult of limited duration and although it may result in permanent deficits in sensorineural function, there is total subsidence of vestibular symptoms. Endolymphatic hydrops of the progressive type, on the other hand, appears to be the result of permanent impairment of endolymph resorption and is caused principally by disorders of the endolymphatic sac. It occurs in Menière's disease, syphilitic labyrinthitis and the delayed hydrops syndrome. In addition to deafness of varying extent, it is characterized by episodic vertigo and sometimes by Hennebert's sign. Histological studies suggest that the acute vertiginous episodes are caused by potassium intoxication following ruptures of the membranous labyrinth and that Hennerbert's sign is caused by vestibular fibrosis. Sentence B: To assess the presence of suspected pigment-associated deafness in North American yaks (Bos grunniens). ###Answer 1. Changed Reasoning: The meaning of the target word ""deafness"" has shifted significantly between the two sentences. In Sentence A, ""deafness"" is used to describe a medical condition characterized by permanent deficits in sensorineural function, with or without vestibular symptoms. In Sentence B, ""deafness"" is used to describe a condition affecting the hearing ability of a specific animal species, North American yaks. The word's meaning has expanded to include a broader context, indicating semantic drift has occurred." 64,Deafness,"Developmental abnormalities of the peripheral auditory structures in an experimental animal model of the cardio-auditory (long QT with deafness) syndrome are described. Prolonged QT intervals in the electrocardiogram and deafness were induced in chick embryos by removal of tissue in the region of the right nodose and otic placodes on the first day of incubation. Electrocardiographic recordings, cochlear potential and brainstem auditory evoked responses were recorded in late embryonic life (E17), and used to identify embryos with long QTs and deafness. External and middle ears were evaluated under a dissecting microscope. Inner ears were evaluated in histological sections. Anomalies of the external and middle ears, such as the external auditory meatus, tympanic membrane and stapes, were attributed to disturbance of neural crest development. Anomalies of the inner ear, such as a complete absence of the cochlear duct and auditory nerve, or decreased length of the basilar papilla, were attributed to disturbance of otic placode development. The fact that a small lesion in the region of the nodose and otic placodes during early development in the chick animal model can produce a long QT interval in the electrocardiogram and deafness suggests that abnormal development in this region early in development might be the underlying cause of the human syndrome.","Chromodomain helicase DNA-binding protein 7 (CHD7) pathogenic variants are identified in more than 90% of infants and children with CHARGE (Coloboma of the iris, retina, and/or optic disk; congenital Heart defects, choanal Atresia, Retardation of growth and development, Genital hypoplasia, and characteristic outer and inner Ear anomalies and deafness) syndrome. Approximately, 10% of cases have no known genetic cause identified. We report a male child with clinical features of CHARGE syndrome and nondiagnostic genetic testing that included chromosomal microarray, CHD7 sequencing and deletion/duplication analysis, SEMA3E sequencing, and trio exome and whole-genome sequencing (WGS). We used a comprehensive clinical assessment, genome-wide methylation analysis (GMA), reanalysis of WGS data, and CHD7 RNA studies to discover a novel variant that causes CHD7 haploinsufficiency. The 7-year-old Hispanic male proband has typical phenotypic features of CHARGE syndrome. GMA revealed a CHD7-associated epigenetic signature. Reanalysis of the WGS data with focused bioinformatic analysis of CHD7 detected a novel, de novo 15 base pair deletion in Intron 4 of CHD7 (c.2239-20_2239-6delGTCTTGGGTTTTTGT [NM_017780.3]). Using proband RNA, we confirmed that this novel deletion causes CHD7 haploinsufficiency by disrupting the canonical 3' splice site and introducing a premature stop codon. Integrated genomic, epigenomic, and transcriptome analyses discovered a novel CHD7 variant that causes CHARGE syndrome.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Deafness Sentence A: Developmental abnormalities of the peripheral auditory structures in an experimental animal model of the cardio-auditory (long QT with deafness) syndrome are described. Prolonged QT intervals in the electrocardiogram and deafness were induced in chick embryos by removal of tissue in the region of the right nodose and otic placodes on the first day of incubation. Electrocardiographic recordings, cochlear potential and brainstem auditory evoked responses were recorded in late embryonic life (E17), and used to identify embryos with long QTs and deafness. External and middle ears were evaluated under a dissecting microscope. Inner ears were evaluated in histological sections. Anomalies of the external and middle ears, such as the external auditory meatus, tympanic membrane and stapes, were attributed to disturbance of neural crest development. Anomalies of the inner ear, such as a complete absence of the cochlear duct and auditory nerve, or decreased length of the basilar papilla, were attributed to disturbance of otic placode development. The fact that a small lesion in the region of the nodose and otic placodes during early development in the chick animal model can produce a long QT interval in the electrocardiogram and deafness suggests that abnormal development in this region early in development might be the underlying cause of the human syndrome. Sentence B: Chromodomain helicase DNA-binding protein 7 (CHD7) pathogenic variants are identified in more than 90% of infants and children with CHARGE (Coloboma of the iris, retina, and/or optic disk; congenital Heart defects, choanal Atresia, Retardation of growth and development, Genital hypoplasia, and characteristic outer and inner Ear anomalies and deafness) syndrome. Approximately, 10% of cases have no known genetic cause identified. We report a male child with clinical features of CHARGE syndrome and nondiagnostic genetic testing that included chromosomal microarray, CHD7 sequencing and deletion/duplication analysis, SEMA3E sequencing, and trio exome and whole-genome sequencing (WGS). We used a comprehensive clinical assessment, genome-wide methylation analysis (GMA), reanalysis of WGS data, and CHD7 RNA studies to discover a novel variant that causes CHD7 haploinsufficiency. The 7-year-old Hispanic male proband has typical phenotypic features of CHARGE syndrome. GMA revealed a CHD7-associated epigenetic signature. Reanalysis of the WGS data with focused bioinformatic analysis of CHD7 detected a novel, de novo 15 base pair deletion in Intron 4 of CHD7 (c.2239-20_2239-6delGTCTTGGGTTTTTGT [NM_017780.3]). Using proband RNA, we confirmed that this novel deletion causes CHD7 haploinsufficiency by disrupting the canonical 3' splice site and introducing a premature stop codon. Integrated genomic, epigenomic, and transcriptome analyses discovered a novel CHD7 variant that causes CHARGE syndrome. ###Answer 1. Deafness in Sentence A has undergone significant semantic drift. In Sentence A, deafness is described as a developmental abnormality of the peripheral auditory structures, specifically the cochlear duct and auditory nerve. In contrast, in Sentence B, deafness is described as a consequence of a genetic variant that disrupts the canonical 3' splice site and introduces a premature stop codon, leading to haploinsufficiency of CHD7. The meaning of deafness has shifted from a developmental abnormality to a genetic consequence. Therefore, the label ""Changed"" is appropriate. Explanation: In Sentence A, deafness is described as a developmental abnormality that occurs during embryonic development. The context suggests that the deafness is a result of genetic mutations that affect the development of the peripheral auditory structures. In contrast, in Sentence B, deafness is described as a consequence of a genetic variant that disrupts the canonical 3' splice site and introduces a premature stop codon, leading to haploinsufficiency of CHD7. The meaning of deafness has shifted from a developmental abnormality to a genetic consequence. The term ""deafness"" is now associated with a genetic mutation rather than a developmental abnormality. Therefore, the label ""Changed"" is appropriate." 65,Deafness,"It is a prospective study of 1048 newborns incurring the risk of deafness in three hospitals in Dakar from March 14th to January 4th 1989. It comes out of this analysis that the most important causes of suspect cases are neonatal jaundices, congenital malformations, premature birth. The most frequent reactions are noticed in the members of a bilateral way, unlike the general assumption that reactions are noticed in the head. Out of a final population of 846 newborn, 839 were ""normal"", 7 were ""suspect"" (less than 1%). This evaluation would be higher for, among the 202 people we ultimately lost sight of (about 19.3%) were ""suspect"" without any associated pathology). Finally, the authors are then given the opportunity to draw the attention of the public authorities, the medical staff and the populations, on the importance of detecting early the infant's deafness.","We report a case of mumps deafness with acute vestibular symptoms secondary to both retrolabyrinthine and inner ear dysfunction. To our knowledge, no such case has been reported elsewhere. The patient was a 6-year-old girl in whom mumps deafness was initially diagnosed. Two days after onset of the hearing impairment, severe vertigo developed. Neurotologic examinations revealed spontaneous right-beating nystagmus, left canal paresis, absence of vestibular-evoked myogenic potentials in the left ear, and absence of responses to a left galvanic body sway test (GBST). The vertigo resolved 7 days after onset. However, the left hearing impairment progressed to complete deafness. Six months later, left canal paresis was still present, but bilateral GBST responses were normal, suggesting that retrolabyrinthine vestibular function had been restored. Mumps virus may affect retrolabyrinthine function as well as the inner ear.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Deafness Sentence A: It is a prospective study of 1048 newborns incurring the risk of deafness in three hospitals in Dakar from March 14th to January 4th 1989. It comes out of this analysis that the most important causes of suspect cases are neonatal jaundices, congenital malformations, premature birth. The most frequent reactions are noticed in the members of a bilateral way, unlike the general assumption that reactions are noticed in the head. Out of a final population of 846 newborn, 839 were ""normal"", 7 were ""suspect"" (less than 1%). This evaluation would be higher for, among the 202 people we ultimately lost sight of (about 19.3%) were ""suspect"" without any associated pathology). Finally, the authors are then given the opportunity to draw the attention of the public authorities, the medical staff and the populations, on the importance of detecting early the infant's deafness. Sentence B: We report a case of mumps deafness with acute vestibular symptoms secondary to both retrolabyrinthine and inner ear dysfunction. To our knowledge, no such case has been reported elsewhere. The patient was a 6-year-old girl in whom mumps deafness was initially diagnosed. Two days after onset of the hearing impairment, severe vertigo developed. Neurotologic examinations revealed spontaneous right-beating nystagmus, left canal paresis, absence of vestibular-evoked myogenic potentials in the left ear, and absence of responses to a left galvanic body sway test (GBST). The vertigo resolved 7 days after onset. However, the left hearing impairment progressed to complete deafness. Six months later, left canal paresis was still present, but bilateral GBST responses were normal, suggesting that retrolabyrinthine vestibular function had been restored. Mumps virus may affect retrolabyrinthine function as well as the inner ear. ###Answer 1. Changed Reasoning: In Sentence A, the term ""deafness"" is used to describe a condition where a newborn baby is at risk of developing hearing impairment. The sentence highlights the importance of detecting early signs of deafness in infants, and the authors emphasize the need for further research to better understand the causes of deafness. In this context, ""deafness"" carries a more neutral connotation, focusing on the medical aspect of the condition. In Sentence B, the term ""mumps deafness"" is used to describe a specific type of hearing impairment caused by a viral infection. The sentence highlights the unique features of this condition, including acute vestibular symptoms and the restoration of retrolabyrinthine vestibular function. In this context, ""deafness"" carries a more negative connotation, emphasizing the impact of the condition on the individual's quality of life. Between Sentence A and Sentence B, there is a significant shift in the meaning of ""deafness"". In Sentence A, the term is used to describe a condition that is still being studied and researched, with a more neutral connotation. In Sentence B, the term is used to describe a specific type of hearing impairment caused by a viral infection, with a more negative connotation. Therefore, I would label Sentence B as having undergone semantic drift, as the meaning of ""deafness"" has changed significantly between the two sentences." 66,Deafness,"Syphilis, both congenital and acquired, may cause sensori-neural hearing loss. Congenital syphilis presents in two forms: early (infantile), and late (tardive). Acquired syphilis, both secondary and tertiary, may cause deafness. The clinical course of the acquired and congenital forms are similar. Sensori-neural hearing loss with low discrimination scores may affect both ears simultaneously or sequentially, and vestibular complaints are common. A clinical diagnosis can be made on the basis of history, the presence of other stigmata of syphilis, and serological tests, including the FTA-ABS. The histopathology of acquired and congenital forms is indistinguishable and is essentially twofold: first, syphilis may cause a miningo-neurolabyrinthitis with round cell infiltration of the labyrinth and VIIIth nerve as the predominant lesion in early congenital syphilis and the acute meningitides of secondary and tertiary acquired syphilis. Second, syphilis may cause a perivascular round cell osteitis of the temporal bone with secondary involvement of the membranous labyrinth in both late congenital and acquired late latent or tertiary syphilis. Endolymphatic hydrops may be seen in both the congenital and acquired forms. A case of bilateral sequential sudden deafness due to acquired syphilis is presented. A histological diagnosis of syphilitic involvement of the temporal bone was made by incudectomy. Treatment with prednisone and penicillin over a three-month period resulted in return of good cochlear function in one ear.","To describe the inheritance patterns and auditory phenotype features of 3 Canadian families with mutations in 2 X-linked ""deafness"" genes (DFNX).","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Deafness Sentence A: Syphilis, both congenital and acquired, may cause sensori-neural hearing loss. Congenital syphilis presents in two forms: early (infantile), and late (tardive). Acquired syphilis, both secondary and tertiary, may cause deafness. The clinical course of the acquired and congenital forms are similar. Sensori-neural hearing loss with low discrimination scores may affect both ears simultaneously or sequentially, and vestibular complaints are common. A clinical diagnosis can be made on the basis of history, the presence of other stigmata of syphilis, and serological tests, including the FTA-ABS. The histopathology of acquired and congenital forms is indistinguishable and is essentially twofold: first, syphilis may cause a miningo-neurolabyrinthitis with round cell infiltration of the labyrinth and VIIIth nerve as the predominant lesion in early congenital syphilis and the acute meningitides of secondary and tertiary acquired syphilis. Second, syphilis may cause a perivascular round cell osteitis of the temporal bone with secondary involvement of the membranous labyrinth in both late congenital and acquired late latent or tertiary syphilis. Endolymphatic hydrops may be seen in both the congenital and acquired forms. A case of bilateral sequential sudden deafness due to acquired syphilis is presented. A histological diagnosis of syphilitic involvement of the temporal bone was made by incudectomy. Treatment with prednisone and penicillin over a three-month period resulted in return of good cochlear function in one ear. Sentence B: To describe the inheritance patterns and auditory phenotype features of 3 Canadian families with mutations in 2 X-linked ""deafness"" genes (DFNX). ###Answer 1. Changed Reasoning: In Sentence A, the term ""deafness"" is used to describe a specific type of hearing loss caused by syphilis. The sentence explains that the hearing loss can be either congenital or acquired and that it is characterized by sensori-neural hearing loss with low discrimination scores and vestibular complaints. The term ""deafness"" is used in a medical context to describe a specific auditory condition. In Sentence B, the term ""deafness"" is used in a completely different context. The sentence describes the inheritance patterns and auditory phenotype features of three Canadian families with mutations in two X-linked ""deafness"" genes. The term ""deafness"" is used to describe a genetic condition that affects hearing, but it is not related to the medical condition described in Sentence A. Therefore, semantic drift has occurred in the term ""deafness"" between Sentence A and Sentence B. In Sentence A, the term is used to describe a specific medical condition, while in Sentence B, it is used to describe a genetic condition." 67,Deafness,"Although sudden deafness has many causes, it is often a sensorineural hearing loss with an abrupt onset and unknown origin. The majority of these latter cases are unilateral in their occurrences, while bilateral simultaneous involvement is rarely seen. During the past 13 years, we have treated 997 patients with sudden deafness. All patients were seen at our university hospital within 2 weeks after the onset of their hearing losses and were observed until the hearing level was fixed. Among them, 10 patients were found to have bilateral simultaneous onsets. The average age and the incidence of vestibular symptoms were similar to those with unilateral deafness. The hearing recovery was much better in the ear with the lesser deafness. No improvement was observed on the side with no sound perception. Those patients in whom common cold and fever seemed to trigger the onset of deafness were also noted to have high viral antibody titers, and were more commonly seen than were those cases with unilateral deafness."," Sign language is commonly used by deaf or speech impaired people to communicate but requires significant effort to master. Sign Language Recognition (SLR) aims to bridge the gap between sign language users and others by recognizing signs from given videos. It is an essential yet challenging task since sign language is performed with the fast and complex movement of hand gestures, body posture, and even facial expressions. Recently, skeleton-based action recognition attracts increasing attention due to the independence between the subject and background variation. However, skeleton-based SLR is still under exploration due to the lack of annotations on hand keypoints. Some efforts have been made to use hand detectors with pose estimators to extract hand key points and learn to recognize sign language via Neural Networks, but none of them outperforms RGB-based methods. To this end, we propose a novel Skeleton Aware Multi-modal SLR framework (SAM-SLR) to take advantage of multi-modal information towards a higher recognition rate. Specifically, we propose a Sign Language Graph Convolution Network (SL-GCN) to model the embedded dynamics and a novel Separable Spatial-Temporal Convolution Network (SSTCN) to exploit skeleton features. RGB and depth modalities are also incorporated and assembled into our framework to provide global information that is complementary to the skeleton-based methods SL-GCN and SSTCN. As a result, SAM-SLR achieves the highest performance in both RGB (98.42\%) and RGB-D (98.53\%) tracks in 2021 Looking at People Large Scale Signer Independent Isolated SLR Challenge. Our code is available at https://github.com/jackyjsy/CVPR21Chal-SLR ","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Deafness Sentence A: Although sudden deafness has many causes, it is often a sensorineural hearing loss with an abrupt onset and unknown origin. The majority of these latter cases are unilateral in their occurrences, while bilateral simultaneous involvement is rarely seen. During the past 13 years, we have treated 997 patients with sudden deafness. All patients were seen at our university hospital within 2 weeks after the onset of their hearing losses and were observed until the hearing level was fixed. Among them, 10 patients were found to have bilateral simultaneous onsets. The average age and the incidence of vestibular symptoms were similar to those with unilateral deafness. The hearing recovery was much better in the ear with the lesser deafness. No improvement was observed on the side with no sound perception. Those patients in whom common cold and fever seemed to trigger the onset of deafness were also noted to have high viral antibody titers, and were more commonly seen than were those cases with unilateral deafness. Sentence B: Sign language is commonly used by deaf or speech impaired people to communicate but requires significant effort to master. Sign Language Recognition (SLR) aims to bridge the gap between sign language users and others by recognizing signs from given videos. It is an essential yet challenging task since sign language is performed with the fast and complex movement of hand gestures, body posture, and even facial expressions. Recently, skeleton-based action recognition attracts increasing attention due to the independence between the subject and background variation. However, skeleton-based SLR is still under exploration due to the lack of annotations on hand keypoints. Some efforts have been made to use hand detectors with pose estimators to extract hand key points and learn to recognize sign language via Neural Networks, but none of them outperforms RGB-based methods. To this end, we propose a novel Skeleton Aware Multi-modal SLR framework (SAM-SLR) to take advantage of multi-modal information towards a higher recognition rate. Specifically, we propose a Sign Language Graph Convolution Network (SL-GCN) to model the embedded dynamics and a novel Separable Spatial-Temporal Convolution Network (SSTCN) to exploit skeleton features. RGB and depth modalities are also incorporated and assembled into our framework to provide global information that is complementary to the skeleton-based methods SL-GCN and SSTCN. As a result, SAM-SLR achieves the highest performance in both RGB (98.42\%) and RGB-D (98.53\%) tracks in 2021 Looking at People Large Scale Signer Independent Isolated SLR Challenge. Our code is available at https://github.com/jackyjsy/CVPR21Chal-SLR ###Answer 1. Changed Reasoning: The meaning of the word ""deafness"" has significantly shifted between the two sentences. In Sentence A, ""deafness"" is defined as a sensorineural hearing loss with an abrupt onset and unknown origin. In Sentence B, ""deafness"" is described as a sign language used by deaf or speech impaired people to communicate. The word's connotation has changed from a medical condition to a form of communication. Therefore, semantic drift has occurred in the target word ""deafness""." 68,Deafness,Pendred syndrome is an autosomal recessive disorder characterized by profound deafness in childhood and goiter. We report a case of Pendred syndrome in a 27-year-old woman who had a diffuse goiter and progressive sensorineural hearing loss with fluctuation and a missense mutation (His723Arg) in the PDS gene identified in a homozygous state. Audiological findings were observed clinically over a 20-year period. Progressive hearing loss with fluctuation occurred before age 12 years. An enlarged vestibular aqueduct with enlargement of the endolymphatic duct and sac was confirmed with 3-dimensional magnetic resonance imaging hydrography.,"We present a 4-year-old girl with congenital profound sensorineural deafness associated with inner ear malformation (incomplete partition type II, enlarged vestibule, and enlarged vestibular aqueduct). The proposita also had pseudocleft lips, skin defects, auricle abnormalities, and unilateral multicystic dysplastic kidney, leading to the diagnosis of branchio-oculo-facial (BOF) syndrome. Mutation analysis of the TFAP2A gene showed a de novo deletion of 18 and insertion of 6 nucleotides, resulting in deletion of amino acids LPGARR and insertion of RI between amino acids 276 and 281. Altered amino acids are located within the basic DNA binding and dimerization domains of TFAP2A. Previously reported amino acid substitutions in TFAP2A involved only DNA binding domain in four patients with BOF syndrome who were not reported to have profound sensorineural deafness. Our report implies that the localization of mutations in TFAP2A might be responsible with the phenotypic findings in BOF syndrome.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Deafness Sentence A: Pendred syndrome is an autosomal recessive disorder characterized by profound deafness in childhood and goiter. We report a case of Pendred syndrome in a 27-year-old woman who had a diffuse goiter and progressive sensorineural hearing loss with fluctuation and a missense mutation (His723Arg) in the PDS gene identified in a homozygous state. Audiological findings were observed clinically over a 20-year period. Progressive hearing loss with fluctuation occurred before age 12 years. An enlarged vestibular aqueduct with enlargement of the endolymphatic duct and sac was confirmed with 3-dimensional magnetic resonance imaging hydrography. Sentence B: We present a 4-year-old girl with congenital profound sensorineural deafness associated with inner ear malformation (incomplete partition type II, enlarged vestibule, and enlarged vestibular aqueduct). The proposita also had pseudocleft lips, skin defects, auricle abnormalities, and unilateral multicystic dysplastic kidney, leading to the diagnosis of branchio-oculo-facial (BOF) syndrome. Mutation analysis of the TFAP2A gene showed a de novo deletion of 18 and insertion of 6 nucleotides, resulting in deletion of amino acids LPGARR and insertion of RI between amino acids 276 and 281. Altered amino acids are located within the basic DNA binding and dimerization domains of TFAP2A. Previously reported amino acid substitutions in TFAP2A involved only DNA binding domain in four patients with BOF syndrome who were not reported to have profound sensorineural deafness. Our report implies that the localization of mutations in TFAP2A might be responsible with the phenotypic findings in BOF syndrome. ###Answer 1. Changed Reasoning: In Sentence A, the target word ""deafness"" is used to describe a specific condition (Pendred syndrome) with a clear definition and clinical context. The sentence highlights the profound nature of the deafness and its impact on the individual's life. In Sentence B, the target word ""deafness"" has a different meaning and connotation. The sentence does not provide a clear definition of the condition, and instead focuses on the genetic mutations associated with it. The word ""deafness"" is used in a broader context, encompassing not only the audiological findings but also the genetic causes of the condition. Therefore, the meaning of the target word ""deafness"" has shifted from a specific clinical condition to a broader term encompassing both the audiological and genetic aspects of the condition. This change in meaning indicates semantic drift has occurred." 69,Deafness,"Mutations in the gene encoding connexin-26 (specified GJB2) have been shown to be a major cause of nonsyndromic recessive deafness (NSRD), and a single mutation 35delG in the GJB2 gene accounts for the majority of cases of NSRD. This mutation was screened in France and in other European populations by a reliable PCR method. We present here a meta-analysis of the 35delG frequencies in 4123 random controls from 20 European countries, and show that the mutation is more frequent in the south of Europe than in the north; a north-south increasing cline of 35delG frequencies is established (r = -0.527).","Conclusion This study demonstrated excellent hearing recovery following the combined treatment of diuretic and oral steroid, and electrocochleography (ECoG) was significantly higher than normal side. This study reports characteristics of acute low-tone hearing loss (ALHL) that show the greater low-tone hearing loss, the higher ECoG, and excellent recovery, even-though low-tone hearing loss is worse, which can be different compared with sudden deafness. Objective To analyze ALHL without vertigo, this study compared the ALHL group with all patients exhibiting low-tone hearing loss and ear fullness. Hearing changes and vestibular functions were analyzed. Materials and methods ALHL was defined as a mean hearing loss of ≥ 30 dB at 125, 250, and 500 Hz, and ≤ 20 dB at 2, 4, and 8 kHz. From 156 cases of low-tone hearing loss of more than 10 dB without vertigo, 31 met the ALHL criteria and were subjected to audio-vestibular assessments including PTA, ECoG, vestibular evoked myogenic potential (VEMP) testing, and caloric testing. Results In ALHL, low-tone hearing loss was 42.7 ± 9.5 dB, and 83.9% of ALHL significantly recovered by more than 10 dB. The ECoG in ALHL was 0.334 ± 0.11 (higher than 0.25 ± 0.08 on the normal side) and ECoG abnormality was 35.5% (the greater low-tone hearing loss, the higher ECoG value). ","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Deafness Sentence A: Mutations in the gene encoding connexin-26 (specified GJB2) have been shown to be a major cause of nonsyndromic recessive deafness (NSRD), and a single mutation 35delG in the GJB2 gene accounts for the majority of cases of NSRD. This mutation was screened in France and in other European populations by a reliable PCR method. We present here a meta-analysis of the 35delG frequencies in 4123 random controls from 20 European countries, and show that the mutation is more frequent in the south of Europe than in the north; a north-south increasing cline of 35delG frequencies is established (r = -0.527). Sentence B: Conclusion This study demonstrated excellent hearing recovery following the combined treatment of diuretic and oral steroid, and electrocochleography (ECoG) was significantly higher than normal side. This study reports characteristics of acute low-tone hearing loss (ALHL) that show the greater low-tone hearing loss, the higher ECoG, and excellent recovery, even-though low-tone hearing loss is worse, which can be different compared with sudden deafness. Objective To analyze ALHL without vertigo, this study compared the ALHL group with all patients exhibiting low-tone hearing loss and ear fullness. Hearing changes and vestibular functions were analyzed. Materials and methods ALHL was defined as a mean hearing loss of ≥ 30 dB at 125, 250, and 500 Hz, and ≤ 20 dB at 2, 4, and 8 kHz. From 156 cases of low-tone hearing loss of more than 10 dB without vertigo, 31 met the ALHL criteria and were subjected to audio-vestibular assessments including PTA, ECoG, vestibular evoked myogenic potential (VEMP) testing, and caloric testing. Results In ALHL, low-tone hearing loss was 42.7 ± 9.5 dB, and 83.9% of ALHL significantly recovered by more than 10 dB. The ECoG in ALHL was 0.334 ± 0.11 (higher than 0.25 ± 0.08 on the normal side) and ECoG abnormality was 35.5% (the greater low-tone hearing loss, the higher ECoG value). ###Answer 1. Changed Reasoning: In Sentence A, the target word ""deafness"" is used to describe a specific genetic cause of hearing loss, with a focus on the scientific and medical aspects of the condition. The sentence highlights the genetic mutation responsible for the hearing loss and the geographic distribution of the mutation. In Sentence B, the target word ""deafness"" takes on a different meaning. The sentence discusses the recovery of hearing following a combined treatment of diuretic and oral steroid, and the relationship between hearing changes and vestibular functions. The target word ""deafness"" is used in a different context, with a focus on the clinical and therapeutic aspects of hearing loss. Based on these differences in context and meaning, it is clear that the target word ""deafness"" has undergone a significant change in meaning between Sentence A and Sentence B. Therefore, the label ""Changed"" is appropriate." 70,Deafness,"Ion channels allow the passage of specific ions and electrical charge. Plasma membrane channels are, for example, important for electrical excitability and transepithelial transport, whereas intracellular channels have roles in acidifying endosomes or in releasing Ca(2+) from stores. The function of several channels emerged from mutations in humans or mice. The resulting phenotypes include kidney stones resulting from impaired endocytosis, hypertension, defective insulin secretion, cardiac arrhythmias, neurological diseases like epilepsy or deafness and even 'developmental' defects such as osteopetrosis.",To review current trends for treating sensorineural deafness by enhancing spiral ganglion neuron (SGN) survival using neurotrophins combined with cochlear implants and identify areas for future research and development.,"###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Deafness Sentence A: Ion channels allow the passage of specific ions and electrical charge. Plasma membrane channels are, for example, important for electrical excitability and transepithelial transport, whereas intracellular channels have roles in acidifying endosomes or in releasing Ca(2+) from stores. The function of several channels emerged from mutations in humans or mice. The resulting phenotypes include kidney stones resulting from impaired endocytosis, hypertension, defective insulin secretion, cardiac arrhythmias, neurological diseases like epilepsy or deafness and even 'developmental' defects such as osteopetrosis. Sentence B: To review current trends for treating sensorineural deafness by enhancing spiral ganglion neuron (SGN) survival using neurotrophins combined with cochlear implants and identify areas for future research and development. ###Answer 1. Changed The meaning of the target word ""deafness"" has significantly shifted between the two sentences. In Sentence A, the word is used in the context of ion channels and their functions, with no mention of hearing impairment. In Sentence B, the word is used specifically to refer to sensorineural deafness, a type of hearing loss caused by damage to the inner ear. This shift in meaning indicates semantic drift has occurred." 71,Deafness,"In order to investigate risk factors for idiopathic sudden sensorineural hearing loss (sudden deafness), a case-control study was done in 109 patients with sudden deafness who visited our hospital between 1992 and 1994, with 109 controls matched to each patient by gender and age. Odds ratio (OR) and 95% confidence interval (CI) for smoking habits, drinking habits, dietary habits, environmental noise, past history of disease, sleeping hours, appetite, fatigue, incidence of common cold were obtained. Fatigue (OR: 3.28; 95% CI: 1.36-7.90) and loss of appetite (OR: 8:00; 95% CI: 1.00-64.0) elevated the risk for sudden deafness. Those who ate many fresh vegetables were at a decreased risk (OR: 0.48; 95% CI: 0.24-0.96 for light-colored vegetables, OR: 0.55; 95% CI: 0.30-1.02 for green-yellow vegetables). Personal histories of hypertension and thyroid disease, and susceptibility to colds appeared to be positively associated with the risk (0.05 < P < 0.10). Smoking habits, drinking habits and environmental noise had no significant association with sudden deafness. These results suggested that environmental factors, including diet, may be importantly involved in the genesis of sudden deafness.","We report the case of a woman with Cogan's syndrome concomitant with the wish to have children. After three major flares of the disease that led to unilateral deafness, immunosuppressive therapy with prednisolone and azathioprine was started. Because of the severe side effects, an off-label therapy with intravenous immunoglobulin (IVIG) was initiated, under which our patient has since given birth to three healthy children. To our knowledge this is the first report to describe Cogan's syndrome with multiple successful pregnancies under IVIG treatment.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Deafness Sentence A: In order to investigate risk factors for idiopathic sudden sensorineural hearing loss (sudden deafness), a case-control study was done in 109 patients with sudden deafness who visited our hospital between 1992 and 1994, with 109 controls matched to each patient by gender and age. Odds ratio (OR) and 95% confidence interval (CI) for smoking habits, drinking habits, dietary habits, environmental noise, past history of disease, sleeping hours, appetite, fatigue, incidence of common cold were obtained. Fatigue (OR: 3.28; 95% CI: 1.36-7.90) and loss of appetite (OR: 8:00; 95% CI: 1.00-64.0) elevated the risk for sudden deafness. Those who ate many fresh vegetables were at a decreased risk (OR: 0.48; 95% CI: 0.24-0.96 for light-colored vegetables, OR: 0.55; 95% CI: 0.30-1.02 for green-yellow vegetables). Personal histories of hypertension and thyroid disease, and susceptibility to colds appeared to be positively associated with the risk (0.05 < P < 0.10). Smoking habits, drinking habits and environmental noise had no significant association with sudden deafness. These results suggested that environmental factors, including diet, may be importantly involved in the genesis of sudden deafness. Sentence B: We report the case of a woman with Cogan's syndrome concomitant with the wish to have children. After three major flares of the disease that led to unilateral deafness, immunosuppressive therapy with prednisolone and azathioprine was started. Because of the severe side effects, an off-label therapy with intravenous immunoglobulin (IVIG) was initiated, under which our patient has since given birth to three healthy children. To our knowledge this is the first report to describe Cogan's syndrome with multiple successful pregnancies under IVIG treatment. ###Answer 1. Changed Reasoning: In Sentence A, ""deafness"" is used to describe a specific medical condition, specifically idiopathic sudden sensorineural hearing loss. The context suggests that the term was used to convey a sense of urgency and seriousness, as the study was investigating potential risk factors for this condition. In Sentence B, ""deafness"" is used in a different context, to describe a person's desire to have children despite having a condition known as Cogan's syndrome, which involves hearing loss and other symptoms. The term is used to convey a sense of hope and possibility, as the patient was able to conceive and give birth to healthy children despite their condition. Based on these differences in context and meaning, it can be concluded that the term ""deafness"" has undergone a significant change in meaning between the two sentences. In Sentence A, the term is used to describe a specific medical condition with negative connotations, while in Sentence B, it is used to describe a person's desire to have children with positive connotations. Therefore, the label ""Changed"" is appropriate." 72,Deafness,"Primary jugular foramen (JF) tumor, such as glomus jugular tumor or JF schwannoma, may manifest as a lower cranial nerve deficit; in addition, it can be accompanied by deafness or vertigo if it affects the cranial nerve (CN) VIII. Recently, we encountered JF schwannoma 1 and glomus jugulare tumor 1. Both cases invaded the adjacent cerebellopontine angle, leading to cochleo-vestibular deficits prior to the operation. After surgery, recovery of the audiovestibular function, including hearing, auditory brainstem response and caloric response, was anticipated in both patients. Therefore, cochleo-vestibular deficits in JF tumors can be attributed to compression neuropathy, rather than tumor infiltration.","Hearing loss has been identified as a major modifiable risk factors for dementia. Adult candidates for cochlear implantation (CI) represent a population at risk of hearing loss-associated cognitive decline. This study investigated the effect of demographics, habits, and medical and psychological risk factors on cognition within such a cohort. Data from 34 consecutive adults with post-lingual deafness scheduled for CI were analyzed. Pure tone audiometry (PTA4) and Speech Discrimination Score (SDS) were recorded. The Repeatable Battery for Assessment of Neuropsychological Status for Hearing impaired individuals (RBANS-H) was used to measure cognition. Demographics (sex, age, years of education), habits (smoking, alcohol intake, physical inactivity), and medical factors (hypertension, diabetes, traumatic brain injury) were evaluated. Depression was measured using the Hospital Anxiety and Depression Scale (HADS), and social inhibition with the Type D questionnaire (DS14). All participants (mean age 62 ± 15 years) suffered from severe to profound hearing loss (PTA4:129 ± 60 dB; SDS:14 ± 24%). The mean RBANS-H total score was 83 ± 16. Participants reported a mean of years of formal education of 12 ± 5 years. The prevalence of habits and medical risk factors was: physical inactivity (29%), body mass index >30 (28%), traumatic brain injury (25%), hypertension (24%), heavy alcohol consumption (13%), smoking (13%), and diabetes (0%). Regarding psychological factors, the mean scores of social inhibition and depression were 10 ± 6 and 6 ± 5, respectively. The number of years of education was significantly correlated with the RBANS-H total score (","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Deafness Sentence A: Primary jugular foramen (JF) tumor, such as glomus jugular tumor or JF schwannoma, may manifest as a lower cranial nerve deficit; in addition, it can be accompanied by deafness or vertigo if it affects the cranial nerve (CN) VIII. Recently, we encountered JF schwannoma 1 and glomus jugulare tumor 1. Both cases invaded the adjacent cerebellopontine angle, leading to cochleo-vestibular deficits prior to the operation. After surgery, recovery of the audiovestibular function, including hearing, auditory brainstem response and caloric response, was anticipated in both patients. Therefore, cochleo-vestibular deficits in JF tumors can be attributed to compression neuropathy, rather than tumor infiltration. Sentence B: Hearing loss has been identified as a major modifiable risk factors for dementia. Adult candidates for cochlear implantation (CI) represent a population at risk of hearing loss-associated cognitive decline. This study investigated the effect of demographics, habits, and medical and psychological risk factors on cognition within such a cohort. Data from 34 consecutive adults with post-lingual deafness scheduled for CI were analyzed. Pure tone audiometry (PTA4) and Speech Discrimination Score (SDS) were recorded. The Repeatable Battery for Assessment of Neuropsychological Status for Hearing impaired individuals (RBANS-H) was used to measure cognition. Demographics (sex, age, years of education), habits (smoking, alcohol intake, physical inactivity), and medical factors (hypertension, diabetes, traumatic brain injury) were evaluated. Depression was measured using the Hospital Anxiety and Depression Scale (HADS), and social inhibition with the Type D questionnaire (DS14). All participants (mean age 62 ± 15 years) suffered from severe to profound hearing loss (PTA4:129 ± 60 dB; SDS:14 ± 24%). The mean RBANS-H total score was 83 ± 16. Participants reported a mean of years of formal education of 12 ± 5 years. The prevalence of habits and medical risk factors was: physical inactivity (29%), body mass index >30 (28%), traumatic brain injury (25%), hypertension (24%), heavy alcohol consumption (13%), smoking (13%), and diabetes (0%). Regarding psychological factors, the mean scores of social inhibition and depression were 10 ± 6 and 6 ± 5, respectively. The number of years of education was significantly correlated with the RBANS-H total score ( ###Answer 1. Changed Reasoning: In Sentence A, the target word ""deafness"" is used to describe a specific medical condition, primary jugular foramen tumor, which can cause hearing loss. The sentence also mentions that the patients had hearing loss prior to the operation. This suggests that the meaning of ""deafness"" in this context is related to a specific medical condition that affects hearing. In Sentence B, the target word ""deafness"" is used in a different context. It is mentioned in the sentence that hearing loss has been identified as a major modifiable risk factor for dementia. This suggests that the meaning of ""deafness"" in this context is related to cognitive decline or dementia. Based on these two sentences, it is clear that the meaning of ""deafness"" has changed significantly between the two timestamps. In Sentence A, ""deafness"" is used to describe a specific medical condition, while in Sentence B, it is used to describe a broader concept related to cognitive decline or dementia. Therefore, the label ""Changed"" is appropriate." 73,Deafness,"Many patients suffering from episodic vertigo have no cochlear symptoms. These patients have so far been diagnosed as having Meniere's disease of the vestibular type. However, the underlying mechanisms are still to be established. In the present study, we investigated platelet aggregability in patients with dizziness, Meniere's disease, sudden deafness and facial palsy, to examine whether abnormalities in platelet aggregation is one of the causes of episodic vertigo. In 36 patients with dizziness, in 13 with Meniere's disease, in 7 sudden deafness, and in 7 facial palsy, platelet aggregability to adenosine diphosphate (ADP) was assessed by optometric technique. It was found that platelet aggregability was increased in the patients with dizziness as well as with Meniere's disease, sudden deafness and facial palsy and only the two former patient groups showed a tendency of hyperlipidemia. The administration of antiplatelet and lipidemia drugs resulted in no recurrence of vertigo during at least 3 months' follow-up. Hence, the results of our study suggest that a possible initializing factor of vertigo without cochlear symptoms might be disturbed microcirculation due to platelet hyperaggregability.","Proteins and protein networks associated with cochlear pathogenesis in the Ames waltzer (av) mouse, a model for deafness in Usher syndrome 1F (USH1F), were identified. Cochlear protein from wild-type and av mice at postnatal day 30, a time point in which cochlear pathology is well established, was analyzed by quantitative 2D gel electrophoresis followed by mass spectrometry (MS). The analytic gel resolved 2270 spots; 69 spots showed significant changes in intensity in the av cochlea compared with the control. The cochlin protein was identified in 20 peptide spots, most of which were up-regulated, while a few were down-regulated. Analysis of MS sequence data showed that, in the av cochlea, a set of full-length isoforms of cochlin was up-regulated, while isoforms missing the N-terminal FCH/LCCL domain were down-regulated. Protein interaction network analysis of all differentially expressed proteins was performed with Metacore software. That analysis revealed a number of statistically significant candidate protein networks predicted to be altered in the affected cochlea. Quantitative PCR (qPCR) analysis of select candidates from the proteomic and bioinformatic investigations showed up-regulation of Coch mRNA and those of p53, Brn3a and Nrf2, transcription factors linked to stress response and survival. Increased mRNA of Brn3a and Nrf2 has previously been associated with increased expression of cochlin in human glaucomatous trabecular meshwork. Our report strongly suggests that increased level of cochlin is an important etiologic factor leading to the degeneration of cochlear neuroepithelia in the USH1F model.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Deafness Sentence A: Many patients suffering from episodic vertigo have no cochlear symptoms. These patients have so far been diagnosed as having Meniere's disease of the vestibular type. However, the underlying mechanisms are still to be established. In the present study, we investigated platelet aggregability in patients with dizziness, Meniere's disease, sudden deafness and facial palsy, to examine whether abnormalities in platelet aggregation is one of the causes of episodic vertigo. In 36 patients with dizziness, in 13 with Meniere's disease, in 7 sudden deafness, and in 7 facial palsy, platelet aggregability to adenosine diphosphate (ADP) was assessed by optometric technique. It was found that platelet aggregability was increased in the patients with dizziness as well as with Meniere's disease, sudden deafness and facial palsy and only the two former patient groups showed a tendency of hyperlipidemia. The administration of antiplatelet and lipidemia drugs resulted in no recurrence of vertigo during at least 3 months' follow-up. Hence, the results of our study suggest that a possible initializing factor of vertigo without cochlear symptoms might be disturbed microcirculation due to platelet hyperaggregability. Sentence B: Proteins and protein networks associated with cochlear pathogenesis in the Ames waltzer (av) mouse, a model for deafness in Usher syndrome 1F (USH1F), were identified. Cochlear protein from wild-type and av mice at postnatal day 30, a time point in which cochlear pathology is well established, was analyzed by quantitative 2D gel electrophoresis followed by mass spectrometry (MS). The analytic gel resolved 2270 spots; 69 spots showed significant changes in intensity in the av cochlea compared with the control. The cochlin protein was identified in 20 peptide spots, most of which were up-regulated, while a few were down-regulated. Analysis of MS sequence data showed that, in the av cochlea, a set of full-length isoforms of cochlin was up-regulated, while isoforms missing the N-terminal FCH/LCCL domain were down-regulated. Protein interaction network analysis of all differentially expressed proteins was performed with Metacore software. That analysis revealed a number of statistically significant candidate protein networks predicted to be altered in the affected cochlea. Quantitative PCR (qPCR) analysis of select candidates from the proteomic and bioinformatic investigations showed up-regulation of Coch mRNA and those of p53, Brn3a and Nrf2, transcription factors linked to stress response and survival. Increased mRNA of Brn3a and Nrf2 has previously been associated with increased expression of cochlin in human glaucomatous trabecular meshwork. Our report strongly suggests that increased level of cochlin is an important etiologic factor leading to the degeneration of cochlear neuroepithelia in the USH1F model. ###Answer 1. Changed Reasoning: In Sentence A, the target word ""deafness"" is used to describe a condition characterized by the absence of cochlear symptoms, which is different from its traditional meaning of complete loss of hearing. The sentence suggests that the term ""deafness"" has evolved to include a broader range of hearing impairments, including those with cochlear symptoms. Therefore, semantic drift has occurred in the meaning of ""deafness"" between the two time periods. In Sentence B, the target word ""deafness"" is used to describe a condition characterized by the degeneration of cochlear neuroepithelia in a mouse model, which is different from its traditional meaning of complete loss of hearing. The sentence suggests that the term ""deafness"" has evolved to include a broader range of hearing impairments, including those caused by genetic mutations. Therefore, semantic drift has occurred in the meaning of ""deafness"" between the two time periods. Overall, the usage of ""deafness"" in Sentence A suggests that the term has evolved to include a broader range of hearing impairments, while the usage of ""deafness"" in Sentence B suggests that the term has evolved to include a broader range of hearing impairments caused by different mechanisms." 74,Deafness,"Thirty-four patients wtih fibrodysplasia (syn., myositis) ossificans progressiva are described. Marked delay in diagnosis was usual, but all had characteristic skeletal malformations and ectopic ossification. The clinical features included: four types of malformation of the big toe, reduction defects of all digits, deafness, baldness of the scalp, and mental retardation. Progression of disability was erratic in all, but severe restriction of movement of the shoulder and spine was usual by the age of 10 years; the hips were usually involved by the age of 20 years; and most patients were confined to a chair by the age of 30 years. Exacerbating factors included trauma to the muscles, biopsy of the lumps, operations to excise ectopic bone, intramuscular injections, careless venepuncture and dental therapy. Progression of disability did not appear to be influenced by any form of medical treatment and therefore management of the patients must concentrate on the avoidance of exacerbating factors.",The main idea underlying this paper is that impairments such as deafness are particularly relevant to the extent that they lead to deprivation of ,"###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Deafness Sentence A: Thirty-four patients wtih fibrodysplasia (syn., myositis) ossificans progressiva are described. Marked delay in diagnosis was usual, but all had characteristic skeletal malformations and ectopic ossification. The clinical features included: four types of malformation of the big toe, reduction defects of all digits, deafness, baldness of the scalp, and mental retardation. Progression of disability was erratic in all, but severe restriction of movement of the shoulder and spine was usual by the age of 10 years; the hips were usually involved by the age of 20 years; and most patients were confined to a chair by the age of 30 years. Exacerbating factors included trauma to the muscles, biopsy of the lumps, operations to excise ectopic bone, intramuscular injections, careless venepuncture and dental therapy. Progression of disability did not appear to be influenced by any form of medical treatment and therefore management of the patients must concentrate on the avoidance of exacerbating factors. Sentence B: The main idea underlying this paper is that impairments such as deafness are particularly relevant to the extent that they lead to deprivation of ###Answer 1. Changed Reasoning: In Sentence A, the term ""deafness"" is used to describe a specific symptom of fibrodysplasia ossificans progressiva, a rare genetic disorder characterized by the abnormal formation of bone tissue. The term is used in the context of a group of patients with various skeletal malformations, including deformities of the big toe, reduction defects of all digits, and ectopic ossification. The meaning of ""deafness"" in this sentence is related to the patients' inability to hear or perceive sound. In Sentence B, the term ""deafness"" is used in a different context. It is mentioned as a potential deprivation that can lead to impairment of the patients' quality of life. The term is used to describe a broader concept of disability, rather than a specific skeletal malformation. The meaning of ""deafness"" in this sentence is related to the patients' overall disability and limitations, rather than a specific skeletal malformation. Based on these differences in context and meaning, it can be argued that the term ""deafness"" has undergone a significant change in meaning between Sentence A and Sentence B. In Sentence A, the term is used to describe a specific symptom of a rare genetic disorder, while in Sentence B, it is used to describe a broader concept of disability. Therefore, the label ""Changed"" is appropriate for this task." 75,Deafness,"Effects of defibrinogenation therapy and steroid therapy for sudden deafness were compared by paired double-blind testing. The average hearing recovery for five frequencies (250 to 4000 Hz) was more than 30 dB; overall improvement rate was 57.3% (47/82) for the patients assigned to defibrinogenation therapy and 38.7% (31/80) for the patients assigned to steroid therapy. Thus, the former treatment resulted in significantly better hearing recovery.","Although mutations in the GJB2 gene sequence make up the majority of variants causing autosomal-recessive non-syndromic hearing loss, few large deletions have been shown to contribute to DFNB1 deafness. Currently, genetic testing for DFNB1 hearing loss includes GJB2 sequencing and DFNB1 deletion analysis for two common large deletions, del(GJB6-D13S1830) and del(GJB6-D13S1854). Here, we report frequency in Russia, clinical significance and evolutionary origins of a 101 kb deletion, del(GJB2-D13S175), recently identified by us. In multiethnic cohort of 1104 unrelated hearing loss patients with biallelic mutations at the DFNB1 locus, the del(GJB2-D13S175) allele frequency of up to 0.5% (11/2208) was determined and this allele was shown to be predominantly associated with profound sensorineural hearing loss. Additionally, eight previously unpublished GJB2 mutations were described in this study. All patients carrying del(GJB2-D13S175) were of the Ingush ancestry. Among normal hearing individuals, del(GJB2-D13S175) was observed in Russian Republic of Ingushetia with a carrier rate of ~1% (2/241). Analysis of haplotypes associated with the deletion revealed a common founder in the Ingushes, with age of the deletion being ~3000 years old. Since del(GJB2-D13S175) was missed by standard methods of GJB2 analysis, del(GJB2-D13S175) detection has been added to our routine testing strategy for DFNB1 hearing loss.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Deafness Sentence A: Effects of defibrinogenation therapy and steroid therapy for sudden deafness were compared by paired double-blind testing. The average hearing recovery for five frequencies (250 to 4000 Hz) was more than 30 dB; overall improvement rate was 57.3% (47/82) for the patients assigned to defibrinogenation therapy and 38.7% (31/80) for the patients assigned to steroid therapy. Thus, the former treatment resulted in significantly better hearing recovery. Sentence B: Although mutations in the GJB2 gene sequence make up the majority of variants causing autosomal-recessive non-syndromic hearing loss, few large deletions have been shown to contribute to DFNB1 deafness. Currently, genetic testing for DFNB1 hearing loss includes GJB2 sequencing and DFNB1 deletion analysis for two common large deletions, del(GJB6-D13S1830) and del(GJB6-D13S1854). Here, we report frequency in Russia, clinical significance and evolutionary origins of a 101 kb deletion, del(GJB2-D13S175), recently identified by us. In multiethnic cohort of 1104 unrelated hearing loss patients with biallelic mutations at the DFNB1 locus, the del(GJB2-D13S175) allele frequency of up to 0.5% (11/2208) was determined and this allele was shown to be predominantly associated with profound sensorineural hearing loss. Additionally, eight previously unpublished GJB2 mutations were described in this study. All patients carrying del(GJB2-D13S175) were of the Ingush ancestry. Among normal hearing individuals, del(GJB2-D13S175) was observed in Russian Republic of Ingushetia with a carrier rate of ~1% (2/241). Analysis of haplotypes associated with the deletion revealed a common founder in the Ingushes, with age of the deletion being ~3000 years old. Since del(GJB2-D13S175) was missed by standard methods of GJB2 analysis, del(GJB2-D13S175) detection has been added to our routine testing strategy for DFNB1 hearing loss. ###Answer 1. Changed Reasoning: The target word ""Deafness"" has undergone a significant change in meaning between Sentence A (2000) and Sentence B (2020). In Sentence A, ""Deafness"" refers to a specific type of hearing loss caused by mutations in the GJB2 gene. In contrast, in Sentence B, ""Deafness"" is used more broadly to refer to any type of hearing loss, including those caused by other genetic or environmental factors. This shift in meaning suggests that the term ""Deafness"" has undergone semantic drift." 76,Deafness,"Connexin26, a gap junction protein that spreads in the inner ear, is thought to be mainly responsible for nonsyndromic hereditary deafness. In the Caucasian population, 30delG is the most frequent mutation. 233delC is the most frequent, however, in the Japanese population. We studied 233delC mutations with restriction enzyme Apa I.","SERAC1 deficiency is associated with the mitochondrial 3-methylglutaconic aciduria with deafness, (hepatopathy), encephalopathy, and Leigh-like disease [MEGD(H)EL] syndrome, but the role of SERAC1 in mitochondrial physiology remains unknown. Here, we generated ","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Deafness Sentence A: Connexin26, a gap junction protein that spreads in the inner ear, is thought to be mainly responsible for nonsyndromic hereditary deafness. In the Caucasian population, 30delG is the most frequent mutation. 233delC is the most frequent, however, in the Japanese population. We studied 233delC mutations with restriction enzyme Apa I. Sentence B: SERAC1 deficiency is associated with the mitochondrial 3-methylglutaconic aciduria with deafness, (hepatopathy), encephalopathy, and Leigh-like disease [MEGD(H)EL] syndrome, but the role of SERAC1 in mitochondrial physiology remains unknown. Here, we generated ###Answer 1. Changed Explanation: In Sentence A, ""deafness"" is used to describe a specific type of hearing loss caused by mutations in genes such as Connexin26 and 30delG. The term ""nonsyndromic hereditary deafness"" implies a specific cause of hearing loss that is not associated with other symptoms. In Sentence B, ""deafness"" is used in a different context, as part of a broader condition known as MEGD(H)EL syndrome, which includes not only hearing loss but also other symptoms such as hepatopathy, encephalopathy, and Leigh-like disease. The term ""associated with"" suggests a more complex relationship between deafness and the other symptoms, rather than a direct cause. Based on these differences in context and meaning, it is clear that the term ""deafness"" has undergone a significant change in meaning between Sentence A and Sentence B. Therefore, the label ""Changed"" is appropriate." 77,Deafness,"The point mutation at position 3243 of the tRNA Leu(UUR) of the mitochondrial DNA is associated with mitochondrial encephalomyopathy, lactic acidosis and strokes (MELAS) as well as with mitochondrial diabetes and deafness (MIDD). A defect in insulin secretion has been found in most of these patients. However, there have been controversial findings to which extent insulin resistance contributes to pathogenesis. The aim of the present investigation was to study the insulin sensitivity index (SI), insulin secretion (AIR(Glucose)) and glucose effectiveness (Sg) in patients with the 3243-mutation.","The objective of this study is to determine the benefits of bone-anchored hearing aid (Baha) contralateral routing of signal (CROS) in the older adult population with single-sided deafness. Five questionnaires [general usage questionnaire, Glasgow benefit inventory (GBI), Abbreviated profile of hearing aid benefit (APHAB), Nijmegen cochlear implant questionnaire and the hearing handicap inventory for the elderly-screening version (HHIE-S)] were used to evaluate Baha use. Consecutive patients over 60 years of age with SSD fitted with a Baha CROS between April 1990 and April 2007 not using a conventional hearing aid in the better-hearing ear were identified. Nine out of 11 patients (82 %) were still using their Baha CROS, and 7 of the 11 patients (64 %) were still satisfied. The patients experienced no to little problems with handling and cleaning of the device. The GBI scores show good benefit in domains total (14 ± 11) and general (19 ± 17). The APHAB shows that, overall, 3 out of the 11 patients (27 %) experienced significant benefit, while all others experienced no significant benefit and no drawbacks. The HHIE-S shows that the patients experienced severe (18 %), mild to moderate (46 %) or no handicap (36 %) when using the Baha CROS. In conclusion, the benefit of a Baha CROS for elderly patients with SSD is evident in the majority of patients.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Deafness Sentence A: The point mutation at position 3243 of the tRNA Leu(UUR) of the mitochondrial DNA is associated with mitochondrial encephalomyopathy, lactic acidosis and strokes (MELAS) as well as with mitochondrial diabetes and deafness (MIDD). A defect in insulin secretion has been found in most of these patients. However, there have been controversial findings to which extent insulin resistance contributes to pathogenesis. The aim of the present investigation was to study the insulin sensitivity index (SI), insulin secretion (AIR(Glucose)) and glucose effectiveness (Sg) in patients with the 3243-mutation. Sentence B: The objective of this study is to determine the benefits of bone-anchored hearing aid (Baha) contralateral routing of signal (CROS) in the older adult population with single-sided deafness. Five questionnaires [general usage questionnaire, Glasgow benefit inventory (GBI), Abbreviated profile of hearing aid benefit (APHAB), Nijmegen cochlear implant questionnaire and the hearing handicap inventory for the elderly-screening version (HHIE-S)] were used to evaluate Baha use. Consecutive patients over 60 years of age with SSD fitted with a Baha CROS between April 1990 and April 2007 not using a conventional hearing aid in the better-hearing ear were identified. Nine out of 11 patients (82 %) were still using their Baha CROS, and 7 of the 11 patients (64 %) were still satisfied. The patients experienced no to little problems with handling and cleaning of the device. The GBI scores show good benefit in domains total (14 ± 11) and general (19 ± 17). The APHAB shows that, overall, 3 out of the 11 patients (27 %) experienced significant benefit, while all others experienced no significant benefit and no drawbacks. The HHIE-S shows that the patients experienced severe (18 %), mild to moderate (46 %) or no handicap (36 %) when using the Baha CROS. In conclusion, the benefit of a Baha CROS for elderly patients with SSD is evident in the majority of patients. ###Answer 1. Changed Explanation: In Sentence A, the term ""deafness"" is used in the context of a genetic mutation associated with mitochondrial disorders, including encephalomyopathy, lactic acidosis, and stroke. The term implies a severe and debilitating condition. In Sentence B, the term ""deafness"" is used in the context of a hearing aid device used to improve hearing in older adults with single-sided deafness. The term implies a less severe condition, as the patients are using a device to improve their hearing. Based on these contexts, the meaning of the term ""deafness"" has changed significantly between the two sentences. In Sentence A, it implies a severe and debilitating condition, while in Sentence B, it implies a less severe condition that can be improved with a device. Therefore, I would label this term as ""Changed""." 78,Deafness,"Mitochondrial respiration, the most efficient metabolic pathway devoted to energy production, is at the crosspoint of 2 quite different genetic systems, the nuclear genome and the mitochondrial genome (mitochondrial DNA, mtDNA). The latter encodes a few essential components of the mitochondrial respiratory chain and has unique molecular and genetic properties that account for some of the peculiar features of mitochondrial disorders. However, the perpetuation, propagation, and expression of mtDNA, the majority of the subunits of the respiratory complexes, as well as a number of genes involved in their assembly and turnover, are contained in the nuclear genome. Although mitochondrial disorders have been known for more than 30 years, a major breakthrough in their understanding has come much later, with the discovery of an impressive, ever-increasing number of mutations of mitochondrial DNA. Partial deletions or duplications of mtDNA, or maternally inherited point mutations, have been associated with well-defined clinical syndromes. However, phenotypes transmitted as mendelian traits have also been identified. These include clinical entities defined on the basis of specific biochemical defects, and also a few autosomal dominant or recessive syndromes associated with multiple deletions or tissue-specific depletion of mtDNA. Given the complexity of mitochondrial genetics and biochemistry, the clinical manifestations of mitochondrial disorders are extremely heterogenous. They range from lesions of single tissues or structures, such as the optic nerve in Leber hereditary optic neuropathy or the cochlea in maternally inherited nonsyndromic deafness, to more widespread lesions including myopathies, encephalomyopathies, cardiopathies, or complex multisystem syndromes. The recent advances in genetic studies provide both diagnostic tools and new pathogenetic insights in this rapidly expanding area of human pathology.","LARS2 variants are associated with Perrault syndrome, characterized by premature ovarian failure and hearing loss, and with an infantile lethal multisystem disorder: Hydrops, lactic acidosis, sideroblastic anemia (HLASA) in one individual. Recently we reported LARS2 deafness with (ovario) leukodystrophy. Here we describe five patients with a range of phenotypes, in whom we identified biallelic LARS2 variants: three patients with a HLASA-like phenotype, an individual with Perrault syndrome whose affected siblings also had leukodystrophy, and an individual with a reversible mitochondrial myopathy, lactic acidosis, and developmental delay. Three HLASA cases from two unrelated families were identified. All were males with genital anomalies. Two survived multisystem disease in the neonatal period; both have developmental delay and hearing loss. A 55-year old male with deafness has not displayed neurological symptoms while his female siblings with Perrault syndrome developed leukodystrophy and died in their 30s. Analysis of muscle from a child with a reversible myopathy showed reduced LARS2 and mitochondrial complex I levels, and an unusual form of degeneration. Analysis of recombinant LARS2 variant proteins showed they had reduced aminoacylation efficiency, with HLASA-associated variants having the most severe effect. A broad phenotypic spectrum should be considered in association with LARS2 variants.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Deafness Sentence A: Mitochondrial respiration, the most efficient metabolic pathway devoted to energy production, is at the crosspoint of 2 quite different genetic systems, the nuclear genome and the mitochondrial genome (mitochondrial DNA, mtDNA). The latter encodes a few essential components of the mitochondrial respiratory chain and has unique molecular and genetic properties that account for some of the peculiar features of mitochondrial disorders. However, the perpetuation, propagation, and expression of mtDNA, the majority of the subunits of the respiratory complexes, as well as a number of genes involved in their assembly and turnover, are contained in the nuclear genome. Although mitochondrial disorders have been known for more than 30 years, a major breakthrough in their understanding has come much later, with the discovery of an impressive, ever-increasing number of mutations of mitochondrial DNA. Partial deletions or duplications of mtDNA, or maternally inherited point mutations, have been associated with well-defined clinical syndromes. However, phenotypes transmitted as mendelian traits have also been identified. These include clinical entities defined on the basis of specific biochemical defects, and also a few autosomal dominant or recessive syndromes associated with multiple deletions or tissue-specific depletion of mtDNA. Given the complexity of mitochondrial genetics and biochemistry, the clinical manifestations of mitochondrial disorders are extremely heterogenous. They range from lesions of single tissues or structures, such as the optic nerve in Leber hereditary optic neuropathy or the cochlea in maternally inherited nonsyndromic deafness, to more widespread lesions including myopathies, encephalomyopathies, cardiopathies, or complex multisystem syndromes. The recent advances in genetic studies provide both diagnostic tools and new pathogenetic insights in this rapidly expanding area of human pathology. Sentence B: LARS2 variants are associated with Perrault syndrome, characterized by premature ovarian failure and hearing loss, and with an infantile lethal multisystem disorder: Hydrops, lactic acidosis, sideroblastic anemia (HLASA) in one individual. Recently we reported LARS2 deafness with (ovario) leukodystrophy. Here we describe five patients with a range of phenotypes, in whom we identified biallelic LARS2 variants: three patients with a HLASA-like phenotype, an individual with Perrault syndrome whose affected siblings also had leukodystrophy, and an individual with a reversible mitochondrial myopathy, lactic acidosis, and developmental delay. Three HLASA cases from two unrelated families were identified. All were males with genital anomalies. Two survived multisystem disease in the neonatal period; both have developmental delay and hearing loss. A 55-year old male with deafness has not displayed neurological symptoms while his female siblings with Perrault syndrome developed leukodystrophy and died in their 30s. Analysis of muscle from a child with a reversible myopathy showed reduced LARS2 and mitochondrial complex I levels, and an unusual form of degeneration. Analysis of recombinant LARS2 variant proteins showed they had reduced aminoacylation efficiency, with HLASA-associated variants having the most severe effect. A broad phenotypic spectrum should be considered in association with LARS2 variants. ###Answer 1. Changed The meaning of the target word ""deafness"" has significantly shifted between the two sentences. In Sentence A, the word is used in the context of mitochondrial respiration and genetics, with no connotation of hearing impairment. In Sentence B, the word is used to describe a specific clinical entity, ""Perrault syndrome,"" which is characterized by premature ovarian failure and hearing loss. The shift in meaning suggests that the word ""deafness"" has undergone semantic drift." 79,Deafness,"After the apparition of a sudden deafness, 45 patients (22 men and 23 women, with a mean age of 44 +/- 14.9 years) were treated with normovolaemic haemodilution performed with dextran 60. They were placed into 4 groups depending on their hearing loss: total loss: 10 cases; severe loss: 90 to 70 db. 13 cases; moderates loss: 65 to 40 db, 14 cases, slight loss: less than or equal to 35 db, 8 cases. The mean time between the onset of the hearing loss and treatment was 9.3 +/- 12.4 days. The initial mean haematocrit was 44.8 +/- 3.8% and mean haematocrit after haemodilution was 33.1 +/- 2.8%. For 51% of the patients, an almost total recovery was obtained. In 15.5% of cases, recovery was between 25 to 50% of the hearing loss, and in 33.3% of the patients recovery was negligible. We did not find any relationship between hearing recovery and initial haematocrit. The best results were obtained in the group of patients treated early. Hearing gain was significatively better if delay in starting treatment was less than 7 days. There was a relationship between the initial hearing loss and the final recuperation. These results suggested that haemodilution increased labyrinth microcirculation and oxygenation of the cochlear sensory cells, reversing the ischaemic insult to these cells.","Adeno-associated virus (AAV)-based gene therapy has been demonstrated to be extremely effective for treating genetic hearing loss over the past several years. However, successful gene therapies for hereditary deafness have not been well-studied in adult mice. To explore the possibility of gene therapy after peripheral auditory maturity, we used AAV8 to express vesicular glutamate transporter 3 (Vglut3) in the cochleae of 5w, 8w, and 20w Vglut3","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Deafness Sentence A: After the apparition of a sudden deafness, 45 patients (22 men and 23 women, with a mean age of 44 +/- 14.9 years) were treated with normovolaemic haemodilution performed with dextran 60. They were placed into 4 groups depending on their hearing loss: total loss: 10 cases; severe loss: 90 to 70 db. 13 cases; moderates loss: 65 to 40 db, 14 cases, slight loss: less than or equal to 35 db, 8 cases. The mean time between the onset of the hearing loss and treatment was 9.3 +/- 12.4 days. The initial mean haematocrit was 44.8 +/- 3.8% and mean haematocrit after haemodilution was 33.1 +/- 2.8%. For 51% of the patients, an almost total recovery was obtained. In 15.5% of cases, recovery was between 25 to 50% of the hearing loss, and in 33.3% of the patients recovery was negligible. We did not find any relationship between hearing recovery and initial haematocrit. The best results were obtained in the group of patients treated early. Hearing gain was significatively better if delay in starting treatment was less than 7 days. There was a relationship between the initial hearing loss and the final recuperation. These results suggested that haemodilution increased labyrinth microcirculation and oxygenation of the cochlear sensory cells, reversing the ischaemic insult to these cells. Sentence B: Adeno-associated virus (AAV)-based gene therapy has been demonstrated to be extremely effective for treating genetic hearing loss over the past several years. However, successful gene therapies for hereditary deafness have not been well-studied in adult mice. To explore the possibility of gene therapy after peripheral auditory maturity, we used AAV8 to express vesicular glutamate transporter 3 (Vglut3) in the cochleae of 5w, 8w, and 20w Vglut3 ###Answer 1. Changed Reasoning: In Sentence A, the term ""deafness"" is used to describe a condition where a patient has total or severe hearing loss. In Sentence B, the term ""deafness"" is used to describe a condition where a patient has genetic hearing loss. The two sentences have different meanings of the term ""deafness"" and therefore, semantic drift has occurred." 80,Deafness,"Cochlear implants are an accepted means for the treatment of profound bilateral deafness. Magnetic resonance imaging (MRI) is gaining more and more importance as a diagnostic tool. It is therefore very likely that cochlear implant wearers will, at some point in their life, become MRI candidates. This makes a discussion of MRI safety of cochlear implants a most timely subject. With the C40/C40+ system as an example, all the major and potentially troublesome interactions are discussed, as well as the conditions for the safe conduct of MR examinations with cochlear implant wearers. For the C40/C40+ systems, safe MR imaging is possible with 0.2 Tesla, 1.0 Tesla and 1.5 Tesla scanners.","White spotting phenotypes in horses are highly valued in some breeds. They are quite variable and may range from the common white markings up to completely white horses. EDNRB, KIT, MITF, PAX3 and TRPM1 represent known candidate genes for white spotting phenotypes in horses. For the present study, we investigated an American Paint Horse family segregating a phenotype involving white spotting and blue eyes. Six of eight horses with the white-spotting phenotype were deaf. We obtained whole-genome sequence data from an affected horse and specifically searched for structural variants in the known candidate genes. This analysis revealed a heterozygous ~63-kb deletion spanning exons 6-9 of the MITF gene (chr16:21 503 211-21 566 617). We confirmed the breakpoints of the deletion by PCR and Sanger sequencing. PCR-based genotyping revealed that all eight available affected horses from the family carried the deletion. The finding of an MITF variant fits well with the syndromic phenotype involving both depigmentation and an increased risk for deafness and corresponds to human Waardenburg syndrome type 2A. Our findings will enable more precise genetic testing for depigmentation phenotypes in horses.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Deafness Sentence A: Cochlear implants are an accepted means for the treatment of profound bilateral deafness. Magnetic resonance imaging (MRI) is gaining more and more importance as a diagnostic tool. It is therefore very likely that cochlear implant wearers will, at some point in their life, become MRI candidates. This makes a discussion of MRI safety of cochlear implants a most timely subject. With the C40/C40+ system as an example, all the major and potentially troublesome interactions are discussed, as well as the conditions for the safe conduct of MR examinations with cochlear implant wearers. For the C40/C40+ systems, safe MR imaging is possible with 0.2 Tesla, 1.0 Tesla and 1.5 Tesla scanners. Sentence B: White spotting phenotypes in horses are highly valued in some breeds. They are quite variable and may range from the common white markings up to completely white horses. EDNRB, KIT, MITF, PAX3 and TRPM1 represent known candidate genes for white spotting phenotypes in horses. For the present study, we investigated an American Paint Horse family segregating a phenotype involving white spotting and blue eyes. Six of eight horses with the white-spotting phenotype were deaf. We obtained whole-genome sequence data from an affected horse and specifically searched for structural variants in the known candidate genes. This analysis revealed a heterozygous ~63-kb deletion spanning exons 6-9 of the MITF gene (chr16:21 503 211-21 566 617). We confirmed the breakpoints of the deletion by PCR and Sanger sequencing. PCR-based genotyping revealed that all eight available affected horses from the family carried the deletion. The finding of an MITF variant fits well with the syndromic phenotype involving both depigmentation and an increased risk for deafness and corresponds to human Waardenburg syndrome type 2A. Our findings will enable more precise genetic testing for depigmentation phenotypes in horses. ###Answer 1. Changed Reasoning: In Sentence A, the term ""deafness"" is used to describe a medical condition where an individual is unable to hear. The sentence does not provide any additional information or connotation to the term, and it is used in a straightforward manner. In Sentence B, the term ""deafness"" has taken on a different connotation. The sentence suggests that deafness is a desirable trait in certain breeds of horses, and it is used in conjunction with other terms to describe a specific phenotype involving white markings and blue eyes. This usage of the term ""deafness"" implies a change in meaning, as it is no longer solely associated with a medical condition, but also with aesthetics. Therefore, semantic drift has occurred in the usage of the term ""deafness"" between the two sentences." 81,Deafness,"Data on patients with Meniere's disease, vestibular schwannoma, traumatic vertigo, sudden deafness, benign paroxysmal positional vertigo, or vestibular neuritis were retrieved from the database of otoneurologic expert system ONE for the development and testing of a genetic algorithm (GA). The accuracy of the diagnostic rules in solving the test cases was 81%, 91%, 92%, 95%, 96%, and 98% for the respective diseases. The best rules retrieved from the GA were described by a set of questions with the most likely answers. The most important questions concerned the duration of hearing loss and the occurrence of head injury. The validity and structure of the rules created with a GA can be analyzed in detail. For rare diseases, some other reasoning process can be used, for example, case-based reasoning.","The long QT syndrome (LQTS) is characterized by prolongation of the QT interval, causing torsade de pointes and sudden cardiac death. This syndrome can be divided into idiopathic (congenital) and acquired forms. The idiopathic form is a familial disorder that can be associated with sensorineural deafness (Jervell and Lange--Nielsen syndrome, autosomal recessive) or normal hearing (Romano--Ward syndrome, autosomal dominant). The acquired form has a long QT interval caused by various drugs such as quinidine sotalol and dofetilide, also by noncardiovascular drugs such as antihistamine, antibiotics, antipsychotics and others. Also, the QT interval is prolonged by electrolyte abnormalities such as hypokalemia and hypomagnesemia, central nervous system lesions, significant bradyarrhythmias, cardiac ganglionitis, mitral valve prolapse and probucol. DNA variants appearing to predispose to drug-associated acquired long QT syndrome have been reported in congenital long QT.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Deafness Sentence A: Data on patients with Meniere's disease, vestibular schwannoma, traumatic vertigo, sudden deafness, benign paroxysmal positional vertigo, or vestibular neuritis were retrieved from the database of otoneurologic expert system ONE for the development and testing of a genetic algorithm (GA). The accuracy of the diagnostic rules in solving the test cases was 81%, 91%, 92%, 95%, 96%, and 98% for the respective diseases. The best rules retrieved from the GA were described by a set of questions with the most likely answers. The most important questions concerned the duration of hearing loss and the occurrence of head injury. The validity and structure of the rules created with a GA can be analyzed in detail. For rare diseases, some other reasoning process can be used, for example, case-based reasoning. Sentence B: The long QT syndrome (LQTS) is characterized by prolongation of the QT interval, causing torsade de pointes and sudden cardiac death. This syndrome can be divided into idiopathic (congenital) and acquired forms. The idiopathic form is a familial disorder that can be associated with sensorineural deafness (Jervell and Lange--Nielsen syndrome, autosomal recessive) or normal hearing (Romano--Ward syndrome, autosomal dominant). The acquired form has a long QT interval caused by various drugs such as quinidine sotalol and dofetilide, also by noncardiovascular drugs such as antihistamine, antibiotics, antipsychotics and others. Also, the QT interval is prolonged by electrolyte abnormalities such as hypokalemia and hypomagnesemia, central nervous system lesions, significant bradyarrhythmias, cardiac ganglionitis, mitral valve prolapse and probucol. DNA variants appearing to predispose to drug-associated acquired long QT syndrome have been reported in congenital long QT. ###Answer 1. Changed Reasoning: In Sentence A, the target word ""deafness"" is used to describe the duration of hearing loss in patients with various conditions, including Meniere's disease and vestibular schwannoma. The word is used in a neutral context, without any connotation of severity or impact on daily life. Therefore, there is no semantic drift in the meaning of ""deafness"" between the two sentences. On the other hand, in Sentence B, the target word ""deafness"" is used in the context of a specific medical condition, long QT syndrome, and is associated with a negative connotation. The word is used to describe the risk of sudden cardiac death due to prolongation of the QT interval. This shift in context and connotation indicates that there has been semantic drift in the meaning of ""deafness"" between the two sentences. Therefore, the label ""Changed"" is appropriate." 82,Deafness,"Fos immunoreactive (IR) staining was used to examine changes in excitatory neuronal activity in the rat inferior colliculus (IC) between normal hearing and 21 day deaf rats evoked by basal or apical monopolar cochlear electrical stimulation. The location of evoked Fos IR neurons was consistent with expected tonotopic areas. The number of Fos IR cells increased as stimulation intensity increased in both normal and 21 day deaf animals. Stimulation at 1. 5x threshold evoked fewer Fos IR cells in 21 day deafened animals compared to normal hearing animals. At 5x and above, however, significantly increased numbers of Fos IR neurons (in a larger grouping) were evoked in 21 day deafened animals compared to normal hearing animals. Another group of animals had 7 days of deafness followed by 14 days of chronic basal cochlear electrical stimulation. In this group basal monopolar stimulation at 5x evoked not only a greater number of Fos IR neurons, compared to normal hearing animals, but the location of their grouping was slightly shifted to a more dorso-lateral region in the contralateral IC, compared to the normal hearing and 21 day deaf groups. These observations indicate that both deafness and chronic electrical stimulation may alter central auditory processing.","Cochlear implants (CI) have become standard in the treatment of prelingual, postlingual and perilingual deafness and hearing loss in children. Bilateral implants are considered standard for bilaterally affected children. The benefits for speech and language development, as well as speech intelligibility brought by CI-enabled hearing are greatest if these are received as soon after diagnosis as possible. Continued improvements in preoperative diagnostics, electrode design, speech coding strategies and surgical techniques, have broadened the CI applications spectrum. Nowadays--with the exception of cochlear- and cochlear nerve aplasia--almost all malformations are manageable with CIs. New indications concern partial and unilateral deafness. Treatment with CIs requires exceptional team work. In addition to ongoing medical care of the children, the involvement of parents and relatives in the cooperation between surgeons, audiologists, teachers and specialist centers is important for successful rehabilitation.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Deafness Sentence A: Fos immunoreactive (IR) staining was used to examine changes in excitatory neuronal activity in the rat inferior colliculus (IC) between normal hearing and 21 day deaf rats evoked by basal or apical monopolar cochlear electrical stimulation. The location of evoked Fos IR neurons was consistent with expected tonotopic areas. The number of Fos IR cells increased as stimulation intensity increased in both normal and 21 day deaf animals. Stimulation at 1. 5x threshold evoked fewer Fos IR cells in 21 day deafened animals compared to normal hearing animals. At 5x and above, however, significantly increased numbers of Fos IR neurons (in a larger grouping) were evoked in 21 day deafened animals compared to normal hearing animals. Another group of animals had 7 days of deafness followed by 14 days of chronic basal cochlear electrical stimulation. In this group basal monopolar stimulation at 5x evoked not only a greater number of Fos IR neurons, compared to normal hearing animals, but the location of their grouping was slightly shifted to a more dorso-lateral region in the contralateral IC, compared to the normal hearing and 21 day deaf groups. These observations indicate that both deafness and chronic electrical stimulation may alter central auditory processing. Sentence B: Cochlear implants (CI) have become standard in the treatment of prelingual, postlingual and perilingual deafness and hearing loss in children. Bilateral implants are considered standard for bilaterally affected children. The benefits for speech and language development, as well as speech intelligibility brought by CI-enabled hearing are greatest if these are received as soon after diagnosis as possible. Continued improvements in preoperative diagnostics, electrode design, speech coding strategies and surgical techniques, have broadened the CI applications spectrum. Nowadays--with the exception of cochlear- and cochlear nerve aplasia--almost all malformations are manageable with CIs. New indications concern partial and unilateral deafness. Treatment with CIs requires exceptional team work. In addition to ongoing medical care of the children, the involvement of parents and relatives in the cooperation between surgeons, audiologists, teachers and specialist centers is important for successful rehabilitation. ###Answer 1. Changed Explanation: In Sentence A, the term ""deafness"" is used to describe a specific condition where the auditory nerve is damaged or not functioning properly. The sentence highlights the effects of deafness on central auditory processing, including increased Fos IR neurons in the inferior colliculus. The term ""deafness"" in this context carries a negative connotation, implying a loss of auditory function. In Sentence B, the term ""deafness"" is used in a different context. The sentence discusses the use of cochlear implants to treat deafness in children, with a focus on the benefits of early intervention and the expanding applications of CI technology. The term ""deafness"" in this context carries a different connotation, emphasizing the potential for restoration of hearing and improved quality of life. Based on these differences in context and connotation, it can be argued that the term ""deafness"" has undergone semantic drift between the two sentences. In Sentence A, the term is associated with a negative outcome, while in Sentence B, it is associated with a positive outcome, highlighting the potential for restoration of hearing. Therefore, the label ""Changed"" is appropriate to indicate that the meaning of the term ""deafness"" has shifted over time." 83,Deafness,"We investigated the clinical features of 64 cases of sudden deafness in patients more than 60 years of age. Forty-eight cases (75%) had profound deafness, 13 moderate and three mild deafness. The audiograms of 25 cases showed a flat pattern, 13 a gradually descending curve, and 13 total deafness. In 60 cases, the unaffected ear also had hearing impairment of variable severity. Fifty-one of these 60 cases demonstrated a physiological hearing threshold shift termed presbycusis in the unaffected ear. Hearing impairment in 35 cases (55%) was cured or improved by medical treatment including steroids. But in the majority of cases, the hearing threshold level of the affected ear did not improve above that of the unaffected ear when the unaffected ear had a hearing impairment. In particular, hearing impairment in five cases with total deafness in the unaffected ear did not improve. The elderly often had various systemic complications, including nine cases of diabetes and seven of hypertension. We treated patients with diabetes using steroids under the consultation of diabetic specialists. As a result, there was no case of complications induced by steroids. We consider the effect of treatment of sudden deafness in the elderly to be best judged in various degrees of hearing impairment in the unaffected ear.","The transcriptome data of skin cells from domestic cats with brown, orange, and white coats were analyzed using a public database to investigate the possible relationship between coat color-related gene expression and squamous cell carcinoma risk, as well as the mechanism of deafness in white cats. We found that the ratio of the expression level of genes suppressing squamous cell carcinoma to that of genes promoting squamous cell carcinoma might be considerably lower than the theoretical estimation in skin cells with orange and white coats in white-spotted cat. We also found the possibility of the frequent production of KIT lacking the first exon (d1KIT) in skin cells with white coats, and d1KIT production exhibited a substantial negative correlation with the expression of SOX10, which is essential for melanocyte formation and adjustment of hearing function. Additionally, the production of d1KIT was expected to be due to the insulating activity of the feline endogenous retrovirus 1 (FERV1) LTR in the first intron of KIT by its CTCF binding sequence repeat. These results contribute to basic veterinary research to understand the relationship between cat skin coat and disease risk, as well as the underlying mechanism.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Deafness Sentence A: We investigated the clinical features of 64 cases of sudden deafness in patients more than 60 years of age. Forty-eight cases (75%) had profound deafness, 13 moderate and three mild deafness. The audiograms of 25 cases showed a flat pattern, 13 a gradually descending curve, and 13 total deafness. In 60 cases, the unaffected ear also had hearing impairment of variable severity. Fifty-one of these 60 cases demonstrated a physiological hearing threshold shift termed presbycusis in the unaffected ear. Hearing impairment in 35 cases (55%) was cured or improved by medical treatment including steroids. But in the majority of cases, the hearing threshold level of the affected ear did not improve above that of the unaffected ear when the unaffected ear had a hearing impairment. In particular, hearing impairment in five cases with total deafness in the unaffected ear did not improve. The elderly often had various systemic complications, including nine cases of diabetes and seven of hypertension. We treated patients with diabetes using steroids under the consultation of diabetic specialists. As a result, there was no case of complications induced by steroids. We consider the effect of treatment of sudden deafness in the elderly to be best judged in various degrees of hearing impairment in the unaffected ear. Sentence B: The transcriptome data of skin cells from domestic cats with brown, orange, and white coats were analyzed using a public database to investigate the possible relationship between coat color-related gene expression and squamous cell carcinoma risk, as well as the mechanism of deafness in white cats. We found that the ratio of the expression level of genes suppressing squamous cell carcinoma to that of genes promoting squamous cell carcinoma might be considerably lower than the theoretical estimation in skin cells with orange and white coats in white-spotted cat. We also found the possibility of the frequent production of KIT lacking the first exon (d1KIT) in skin cells with white coats, and d1KIT production exhibited a substantial negative correlation with the expression of SOX10, which is essential for melanocyte formation and adjustment of hearing function. Additionally, the production of d1KIT was expected to be due to the insulating activity of the feline endogenous retrovirus 1 (FERV1) LTR in the first intron of KIT by its CTCF binding sequence repeat. These results contribute to basic veterinary research to understand the relationship between cat skin coat and disease risk, as well as the underlying mechanism. ###Answer 1. Changed Reasoning: In Sentence A, ""deafness"" refers to a specific medical condition where a person experiences complete or partial loss of hearing. The sentence provides specific details about the audiograms of patients with deafness, including the shape of the hearing loss curve. In contrast, in Sentence B, ""deafness"" is used in a different context to refer to a genetic trait in white cats. The sentence does not provide any specific details about the audiograms of these cats, nor does it discuss the medical implications of this trait. Therefore, the meaning of ""deafness"" has shifted significantly between the two sentences, indicating semantic drift has occurred." 84,Deafness,"The necessity of measuring the acuity of hearing in a reproducible way arose for the first time when the invention of Volta's pile in 1800 seemed to present the opportunity of curing deafness. For this purpose Chr. H. Wolke in Jever, Northern Germany, in 1802 devised two instruments which he called ""acumeter"". Details of these instruments were hardly known, and Wolke's publication was believed to be lost. The author has now succeeded in tracing Wolke's publication and another associated paper by J. J. A. Sprenger. Hence, the circumstances of Wolke's and Sprenger's work and details of these first acumeters are now being published together with original figures and the correct dimensions of the instruments. The acumeters had a pendulum-like hammer that would strike against a plate swinging down from varying heights that could be read in degrees of angle from a scale. One of the instruments was made of wood. It was 1.50 m high, with the pendulum raised to the maximal position 2.70 m. The other instrument of similar construction was made of metal and about half the size of the first one, with a height of 0.70 m or 1.30 m respectively. For comparison Itard's acumeter is presented which was published in 1821. It worked on the same principle, and it is likely that Itard had been inspired by Wolke's paper. The development of mechanical acumeters after Wolke's and Itard's instruments is outlined briefly.","Hearing loss is one of the most common sensorineural disorder. More than half of congenital bilateral profound deafness cases have been estimated to be attributed to genetic cause. Identification of genetic cause can provide valuable information. We developed new diagnostic strategy combining phenotype-driven candidate gene approach and targeted exome sequencing to find out the causative mutation of hearing loss. The causative mutation detection rates of this strategy were 78.1% and 54.8% in Korean multiplex families and sporadic severe to profound hearing loss families, respectively. The most frequent causative genes of Korean multiplex families were SLC26A4 and POU3F4. The other causative genes were MRNR1, WFS1, COCH, TECTA, MYO6, COL11A2, EYA4, GJB3, OTOF, STRC, MYO3A, and GJB2. The most frequent causative gene of Korean sporadic severe to profound hearing loss families was SLC26A4 followed by GJB2, CHD7, and CDH23. Based upon the results, the value of this strategy as a diagnostic tool seems to be promising. Although whole genome and exome sequencing have advanced as the development of next-generation sequencing, this new strategy could be a good screening and diagnostic tool to find the causative mutations. ","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Deafness Sentence A: The necessity of measuring the acuity of hearing in a reproducible way arose for the first time when the invention of Volta's pile in 1800 seemed to present the opportunity of curing deafness. For this purpose Chr. H. Wolke in Jever, Northern Germany, in 1802 devised two instruments which he called ""acumeter"". Details of these instruments were hardly known, and Wolke's publication was believed to be lost. The author has now succeeded in tracing Wolke's publication and another associated paper by J. J. A. Sprenger. Hence, the circumstances of Wolke's and Sprenger's work and details of these first acumeters are now being published together with original figures and the correct dimensions of the instruments. The acumeters had a pendulum-like hammer that would strike against a plate swinging down from varying heights that could be read in degrees of angle from a scale. One of the instruments was made of wood. It was 1.50 m high, with the pendulum raised to the maximal position 2.70 m. The other instrument of similar construction was made of metal and about half the size of the first one, with a height of 0.70 m or 1.30 m respectively. For comparison Itard's acumeter is presented which was published in 1821. It worked on the same principle, and it is likely that Itard had been inspired by Wolke's paper. The development of mechanical acumeters after Wolke's and Itard's instruments is outlined briefly. Sentence B: Hearing loss is one of the most common sensorineural disorder. More than half of congenital bilateral profound deafness cases have been estimated to be attributed to genetic cause. Identification of genetic cause can provide valuable information. We developed new diagnostic strategy combining phenotype-driven candidate gene approach and targeted exome sequencing to find out the causative mutation of hearing loss. The causative mutation detection rates of this strategy were 78.1% and 54.8% in Korean multiplex families and sporadic severe to profound hearing loss families, respectively. The most frequent causative genes of Korean multiplex families were SLC26A4 and POU3F4. The other causative genes were MRNR1, WFS1, COCH, TECTA, MYO6, COL11A2, EYA4, GJB3, OTOF, STRC, MYO3A, and GJB2. The most frequent causative gene of Korean sporadic severe to profound hearing loss families was SLC26A4 followed by GJB2, CHD7, and CDH23. Based upon the results, the value of this strategy as a diagnostic tool seems to be promising. Although whole genome and exome sequencing have advanced as the development of next-generation sequencing, this new strategy could be a good screening and diagnostic tool to find the causative mutations. ###Answer 1. Changed Reasoning: The target word ""deafness"" has undergone a significant change in meaning between Sentence A and Sentence B. In Sentence A, the word is used to describe a specific condition or disorder, with a focus on its clinical features and the instruments used to measure it. In Sentence B, the word is used more broadly to describe hearing loss in general, without any specific reference to a particular condition or instrument. The shift in meaning suggests that the term ""deafness"" has evolved to encompass a broader range of hearing impairments, and its original clinical focus has been replaced by a more general reference to hearing loss as a whole." 85,Deafness,"Early communicative behaviors in young children can be analyzed quantitatively from recordings of interactions between the child and a known adult. Our previous work has shown that the development of such behaviors differs markedly between profoundly deaf young children 1) able to make proficient use of hearing aids or having cochlear implants and 2) unable to make proficient use of hearing aids. The former take turns mainly by vocalization, whereas the latter take turns mainly by gesture. The present study set out to examine whether these contrasts in behavior demonstrated between groups are also observable within a group of young children having cochlear implants, and to examine their development over the first year of implantation. In the 20 children with complete data at the 12-month interval, two clear factors were identified that explained 72% of the variance. These can be labeled as 1) vocal-auditory turn-taking and 2) gaze orientation. All measures of communicative behavior, other than autonomy, showed significant development over the 12 months following implantation, although the observed increase in eye contact was small. No differences could be demonstrated between children with congenital and acquired deafness. It is concluded that the technique based on video analysis is sensitive to changes in early communicative behavior in the year after implantation. Deviations from the expected pattern may indicate inappropriate processor adjustment, device malfunction, or inadequate support.","A better understanding of the neural correlates of large variability in cochlear implant (CI) patients' speech performance may allow us to find solutions to further improve CI benefits. The present study examined the mismatch negativity (MMN) and the adaptation of the late auditory evoked potential (LAEP) in 10 CI users. The speech syllable /da/ and 1-kHz tone burst were used to examine the LAEP adaptation. The amount of LAEP adaptation was calculated according to the averaged N1-P2 amplitude for the LAEPs evoked by the last 3 stimuli and the amplitude evoked by the first stimulus. For the MMN recordings, the standard stimulus (1-kHz tone) and the deviant stimulus (2-kHz tone) were presented in an oddball condition. Additionally, the deviants alone were presented in a control condition. The MMN was derived by subtracting the response to the deviants in the control condition from the oddball condition. Results showed that good CI performers displayed a more prominent LAEP adaptation than moderate-to-poor performers. Speech performance was significantly correlated to the amount of LAEP adaptation for the 1-kHz tone bursts. Good performers displayed large MMNs and moderate-to-poor performers had small or absent MMNs. The abnormal electrophysiological findings in moderate-to-poor performers suggest that long-term deafness may cause damage not only at the auditory cortical level, but also at the cognitive level.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Deafness Sentence A: Early communicative behaviors in young children can be analyzed quantitatively from recordings of interactions between the child and a known adult. Our previous work has shown that the development of such behaviors differs markedly between profoundly deaf young children 1) able to make proficient use of hearing aids or having cochlear implants and 2) unable to make proficient use of hearing aids. The former take turns mainly by vocalization, whereas the latter take turns mainly by gesture. The present study set out to examine whether these contrasts in behavior demonstrated between groups are also observable within a group of young children having cochlear implants, and to examine their development over the first year of implantation. In the 20 children with complete data at the 12-month interval, two clear factors were identified that explained 72% of the variance. These can be labeled as 1) vocal-auditory turn-taking and 2) gaze orientation. All measures of communicative behavior, other than autonomy, showed significant development over the 12 months following implantation, although the observed increase in eye contact was small. No differences could be demonstrated between children with congenital and acquired deafness. It is concluded that the technique based on video analysis is sensitive to changes in early communicative behavior in the year after implantation. Deviations from the expected pattern may indicate inappropriate processor adjustment, device malfunction, or inadequate support. Sentence B: A better understanding of the neural correlates of large variability in cochlear implant (CI) patients' speech performance may allow us to find solutions to further improve CI benefits. The present study examined the mismatch negativity (MMN) and the adaptation of the late auditory evoked potential (LAEP) in 10 CI users. The speech syllable /da/ and 1-kHz tone burst were used to examine the LAEP adaptation. The amount of LAEP adaptation was calculated according to the averaged N1-P2 amplitude for the LAEPs evoked by the last 3 stimuli and the amplitude evoked by the first stimulus. For the MMN recordings, the standard stimulus (1-kHz tone) and the deviant stimulus (2-kHz tone) were presented in an oddball condition. Additionally, the deviants alone were presented in a control condition. The MMN was derived by subtracting the response to the deviants in the control condition from the oddball condition. Results showed that good CI performers displayed a more prominent LAEP adaptation than moderate-to-poor performers. Speech performance was significantly correlated to the amount of LAEP adaptation for the 1-kHz tone bursts. Good performers displayed large MMNs and moderate-to-poor performers had small or absent MMNs. The abnormal electrophysiological findings in moderate-to-poor performers suggest that long-term deafness may cause damage not only at the auditory cortical level, but also at the cognitive level. ###Answer 1. Changed Reasoning: In Sentence A, the term ""deafness"" is used to describe young children who are unable to make proficient use of hearing aids or having cochlear implants. The term is used to describe their inability to hear or communicate effectively. In Sentence B, the term ""deafness"" is used in a different context, to describe the long-term effects of deafness on cognitive abilities. The term is used to suggest that deafness may cause damage not only at the auditory cortical level but also at the cognitive level. These two sentences suggest that the term ""deafness"" has undergone a significant change in meaning over time, from a purely auditory condition to a more holistic term encompassing cognitive effects." 86,Deafness,"We report on a patient who has been in otorhinolaryngological treatment for more than 24 years owing to recurrent infra-auricular fistulation. Early hospital admissions were due to suspected abscess-forming parotitis or lymphadenitis. As far as could be discerned, no sonographical or radiological diagnostics were conducted. Complications in the sense of meningitis or labyrinthitis were not reported. In the case of the aforementioned patient a bilateral anomaly in the area of the external auditory canal went hand in hand with the development of a bilateral genuine cholesteatoma. The auriculae were configurated normally. Corrective radical surgery was conducted on both sides, first the left, then the right side. What seems remarkable in this context is the fact that despite a over two decades old cholesteatoma there was no erosion of the osseous boundaries of the eardrum towards the labyrinth and cochlea and the osseous cover of the canalis facialis. The patient was diagnosed with a high degree loss of hearing. It was not possible to derive reproductive acoustic potentials intraoperatively, which pointed to deafness. Whether this deafness was congenital or developed in the course of time based on a growing sensory hearing loss could not be ascertained.","The article covers up-to-date state of occupational deafness problem, its importance in occupational therapy. The authors defined topical directions of research in contemporary diagnosis, prognosis and treatment of ""noise-related"" deafness.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Deafness Sentence A: We report on a patient who has been in otorhinolaryngological treatment for more than 24 years owing to recurrent infra-auricular fistulation. Early hospital admissions were due to suspected abscess-forming parotitis or lymphadenitis. As far as could be discerned, no sonographical or radiological diagnostics were conducted. Complications in the sense of meningitis or labyrinthitis were not reported. In the case of the aforementioned patient a bilateral anomaly in the area of the external auditory canal went hand in hand with the development of a bilateral genuine cholesteatoma. The auriculae were configurated normally. Corrective radical surgery was conducted on both sides, first the left, then the right side. What seems remarkable in this context is the fact that despite a over two decades old cholesteatoma there was no erosion of the osseous boundaries of the eardrum towards the labyrinth and cochlea and the osseous cover of the canalis facialis. The patient was diagnosed with a high degree loss of hearing. It was not possible to derive reproductive acoustic potentials intraoperatively, which pointed to deafness. Whether this deafness was congenital or developed in the course of time based on a growing sensory hearing loss could not be ascertained. Sentence B: The article covers up-to-date state of occupational deafness problem, its importance in occupational therapy. The authors defined topical directions of research in contemporary diagnosis, prognosis and treatment of ""noise-related"" deafness. ###Answer 1. Changed Reasoning: In Sentence A, the term ""deafness"" is used to describe a specific medical condition (i.e., hearing loss) that has been present for over two decades. However, in Sentence B, the term ""deafness"" is used more broadly to refer to any type of hearing loss, including occupational deafness. This broader usage suggests that the term ""deafness"" has shifted in meaning over time, indicating semantic drift." 87,Deafness,"A 17-year old girl presented with recurrent seizures, strokes, fatigue, vomiting, cerebellar ataxia, dementia and hypertrichosis. Further examinations showed jerking left-sided arm reflexes, partial internal deafness and myopathy. CT and MR of the skull revealed radiolucencies within the cerebral matter of the cortex and the medulla. Laboratory tests showed increased levels of lactate and pyruvate in serum and cerebro-spinal fluid. Microscopic examination of muscular tissue showed ""ragged red fibers"". Electron microscopy yielded crystal inclusions in mitochondria. The symptoms represented the complete picture of the so-called MELAS/MERRF-complex, which can be easily misdiagnosed as strokes and seizures of unknown cause.","Cochlear hair cell loss is a leading cause of deafness in humans. Neighboring supporting cells have some capacity to regenerate hair cells. However, their regenerative potential sharply declines as supporting cells undergo maturation (postnatal day 5 in mice). We recently reported that reactivation of the RNA-binding protein LIN28B restores the hair cell-regenerative potential of P5 cochlear supporting cells. Here, we identify the LIN28B target Trim71 as a novel and equally potent enhancer of supporting cell plasticity. TRIM71 is a critical regulator of stem cell behavior and cell reprogramming; however, its role in cell regeneration is poorly understood. Employing an organoid-based assay, we show that TRIM71 re-expression increases the mitotic and hair cell-forming potential of P5 cochlear supporting cells by facilitating their de-differentiation into progenitor-like cells. Our mechanistic work indicates that TRIM71's RNA-binding activity is essential for such ability, and our transcriptomic analysis identifies gene modules that are linked to TRIM71 and LIN28B-mediated supporting cell reprogramming. Furthermore, our study uncovers that the TRIM71-LIN28B target Hmga2 is essential for supporting cell self-renewal and hair cell formation.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Deafness Sentence A: A 17-year old girl presented with recurrent seizures, strokes, fatigue, vomiting, cerebellar ataxia, dementia and hypertrichosis. Further examinations showed jerking left-sided arm reflexes, partial internal deafness and myopathy. CT and MR of the skull revealed radiolucencies within the cerebral matter of the cortex and the medulla. Laboratory tests showed increased levels of lactate and pyruvate in serum and cerebro-spinal fluid. Microscopic examination of muscular tissue showed ""ragged red fibers"". Electron microscopy yielded crystal inclusions in mitochondria. The symptoms represented the complete picture of the so-called MELAS/MERRF-complex, which can be easily misdiagnosed as strokes and seizures of unknown cause. Sentence B: Cochlear hair cell loss is a leading cause of deafness in humans. Neighboring supporting cells have some capacity to regenerate hair cells. However, their regenerative potential sharply declines as supporting cells undergo maturation (postnatal day 5 in mice). We recently reported that reactivation of the RNA-binding protein LIN28B restores the hair cell-regenerative potential of P5 cochlear supporting cells. Here, we identify the LIN28B target Trim71 as a novel and equally potent enhancer of supporting cell plasticity. TRIM71 is a critical regulator of stem cell behavior and cell reprogramming; however, its role in cell regeneration is poorly understood. Employing an organoid-based assay, we show that TRIM71 re-expression increases the mitotic and hair cell-forming potential of P5 cochlear supporting cells by facilitating their de-differentiation into progenitor-like cells. Our mechanistic work indicates that TRIM71's RNA-binding activity is essential for such ability, and our transcriptomic analysis identifies gene modules that are linked to TRIM71 and LIN28B-mediated supporting cell reprogramming. Furthermore, our study uncovers that the TRIM71-LIN28B target Hmga2 is essential for supporting cell self-renewal and hair cell formation. ###Answer 1. Changed Reasoning: In Sentence A, the term ""deafness"" is used to describe a neurological disorder characterized by cerebral and medullary radiolucencies, jerking left-sided arm reflexes, and hypertrichosis. The term is not associated with any particular symptoms or characteristics related to hearing loss. Therefore, the meaning of ""deafness"" in Sentence A has shifted from its traditional definition as a loss of hearing, to a broader term encompassing a range of neurological symptoms. In Sentence B, the term ""deafness"" is used to describe a specific type of hearing loss caused by cochlear hair cell loss. The term is associated with a clear explanation of the underlying cause of hearing loss, and the sentence provides specific information about the regenerative potential of supporting cells. Therefore, the meaning of ""deafness"" in Sentence B remains similar to its traditional definition. Overall, the semantic drift in the term ""deafness"" is evident between Sentence A and Sentence B, with Sentence A using the term in a more general sense, while Sentence B uses it in a more specific and medically-defined sense." 88,Deafness,"Paranoia has long been associated with deafness, but the most significant psychiatric questions in the field of deafness concern the effects of prelingual deafness on intelligence, personality, and control of aggressive drives. With intensive language training, an emotionally favorable family situation, and adequate education, prelingual deafness has little or no deleterious effect on intelligence or personality. It does not predispose to major psychotic illnesses, but probably affects character structure in such a way as to accentuate impulsivity, and weaken depressive and obsessional traits. In order to prevent psychiatric morbidity in the deaf, the primary care physician needs not only to be able to diagnose and treat deafness and its causes, but also to grasp the importance of family counseling, adequate communication and education, and vocational rehabilitation for the deaf.",The purpose of this study was to investigate the correlation between hearing loss and inner ear enhancement in patients suffering from leptomeningeal carcinomatosis (LC) involving the internal acoustic canal (IAC). Previous studies have only reported an association between IAC enhancement and sensorineural deafness.,"###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Deafness Sentence A: Paranoia has long been associated with deafness, but the most significant psychiatric questions in the field of deafness concern the effects of prelingual deafness on intelligence, personality, and control of aggressive drives. With intensive language training, an emotionally favorable family situation, and adequate education, prelingual deafness has little or no deleterious effect on intelligence or personality. It does not predispose to major psychotic illnesses, but probably affects character structure in such a way as to accentuate impulsivity, and weaken depressive and obsessional traits. In order to prevent psychiatric morbidity in the deaf, the primary care physician needs not only to be able to diagnose and treat deafness and its causes, but also to grasp the importance of family counseling, adequate communication and education, and vocational rehabilitation for the deaf. Sentence B: The purpose of this study was to investigate the correlation between hearing loss and inner ear enhancement in patients suffering from leptomeningeal carcinomatosis (LC) involving the internal acoustic canal (IAC). Previous studies have only reported an association between IAC enhancement and sensorineural deafness. ###Answer 1. Changed Reasoning: In Sentence A, the term ""deafness"" is associated with ""paranoia"" and ""psychiatric questions,"" which implies a negative connotation. Additionally, the sentence highlights the potential impact of deafness on intelligence, personality, and behavior. In contrast, in Sentence B, the term ""deafness"" is used in the context of a medical condition, ""leptomeningeal carcinomatosis,"" and is not associated with any negative connotations. The sentence also mentions ""inner ear enhancement,"" which suggests a more neutral or technical usage of the term. Therefore, based on the context and meaning of the term ""deafness"" in each sentence, it can be concluded that the term has undergone a significant change in meaning, shifting from a negative connotation to a more neutral or technical usage." 89,Deafness,"Large calyceal synapses are often regarded as simple relay points, built for high-fidelity and high-frequency synaptic transmission and a minimal requirement for synaptic plasticity, but this view is oversimplified. Calyceal synapses can exhibit surprising activity-dependent developmental plasticity. Here we compare basal synaptic transmission and activity-dependent plasticity at two stereotypical calyceal synapses in the auditory pathway, the endbulb and the calyx of Held. Basal synaptic transmission was more powerful at the calyx than the endbulb synapse: the amplitude of evoked AMPA receptor-mediated excitatory postsynaptic currents (eEPSCs) was significantly greater at the calyx, as were the release probability, and the number of release sites. The quantal amplitude was smaller at the calyx, consistent with the smaller amplitude of spontaneous miniature EPSCs at this synapse. High-frequency trains of stimuli revealed that the calyx had a larger readily releasable pool of vesicles (RRP), less tetanic depression and less asynchronous transmitter release. Activity-dependent synaptic plasticity was assessed in congenitally deaf mutant mice (dn/dn). Previously we showed that a lack of synaptic activity in deaf mice increases synaptic strength at the endbulb of Held via presynaptic mechanisms. In contrast, we have now found that deafness does not affect synaptic transmission at the calyx synapse, as eEPSC and mEPSC amplitude, release probability, number of release sites, size of RRP, tetanic depression and asynchronous release were unchanged compared to normal mice. Synaptic transmission at the calyx synapse is more powerful and has less capacity for developmental plasticity compared to the endbulb synapse.","Waardenburg syndrome type 1 (WS1) is an autosomal dominant genetic condition characterized by sensorineural deafness and pigment abnormalities, and is caused by variants in the PAX3 homeodomain. PAX3 variants have been associated with severe neural tube defects in mice and humans, but the frequency and clinical manifestations of this symptom remain largely unexplored in humans. Consequently, the role of PAX3 in human neural tube formation remains a study of interest, for clinical as well as research purposes. Though the association between spina bifida and WS1 is now well-documented, no study has attempted to characterize the range of spina bifida phenotypes seen in WS. Spina bifida encompasses several diagnoses with a wide scope of clinical severity, ranging from spina bifida occulta to myelomeningocele. We present a patient with Waardenburg syndrome type 1 caused by a novel missense variant in PAX3, presenting with myelomeningocele, Arnold-Chiari malformation, and hydrocephalus at birth. Additionally, we review 32 total cases of neural tube defects associated with WS. Including this report, there have been 15 published cases of myelomeningocele, 10 cases of unspecified spina bifida, 3 cases of sacral dimples, 0 cases of meningocele, and 4 cases of miscellaneous other neural tube defects. Though the true frequency of each phenotype cannot be determined from this collection of cases, these results demonstrate that Waardenburg syndrome type 1 carries a notable risk of severe neural tube defects, which has implications in prenatal and genetic counseling.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Deafness Sentence A: Large calyceal synapses are often regarded as simple relay points, built for high-fidelity and high-frequency synaptic transmission and a minimal requirement for synaptic plasticity, but this view is oversimplified. Calyceal synapses can exhibit surprising activity-dependent developmental plasticity. Here we compare basal synaptic transmission and activity-dependent plasticity at two stereotypical calyceal synapses in the auditory pathway, the endbulb and the calyx of Held. Basal synaptic transmission was more powerful at the calyx than the endbulb synapse: the amplitude of evoked AMPA receptor-mediated excitatory postsynaptic currents (eEPSCs) was significantly greater at the calyx, as were the release probability, and the number of release sites. The quantal amplitude was smaller at the calyx, consistent with the smaller amplitude of spontaneous miniature EPSCs at this synapse. High-frequency trains of stimuli revealed that the calyx had a larger readily releasable pool of vesicles (RRP), less tetanic depression and less asynchronous transmitter release. Activity-dependent synaptic plasticity was assessed in congenitally deaf mutant mice (dn/dn). Previously we showed that a lack of synaptic activity in deaf mice increases synaptic strength at the endbulb of Held via presynaptic mechanisms. In contrast, we have now found that deafness does not affect synaptic transmission at the calyx synapse, as eEPSC and mEPSC amplitude, release probability, number of release sites, size of RRP, tetanic depression and asynchronous release were unchanged compared to normal mice. Synaptic transmission at the calyx synapse is more powerful and has less capacity for developmental plasticity compared to the endbulb synapse. Sentence B: Waardenburg syndrome type 1 (WS1) is an autosomal dominant genetic condition characterized by sensorineural deafness and pigment abnormalities, and is caused by variants in the PAX3 homeodomain. PAX3 variants have been associated with severe neural tube defects in mice and humans, but the frequency and clinical manifestations of this symptom remain largely unexplored in humans. Consequently, the role of PAX3 in human neural tube formation remains a study of interest, for clinical as well as research purposes. Though the association between spina bifida and WS1 is now well-documented, no study has attempted to characterize the range of spina bifida phenotypes seen in WS. Spina bifida encompasses several diagnoses with a wide scope of clinical severity, ranging from spina bifida occulta to myelomeningocele. We present a patient with Waardenburg syndrome type 1 caused by a novel missense variant in PAX3, presenting with myelomeningocele, Arnold-Chiari malformation, and hydrocephalus at birth. Additionally, we review 32 total cases of neural tube defects associated with WS. Including this report, there have been 15 published cases of myelomeningocele, 10 cases of unspecified spina bifida, 3 cases of sacral dimples, 0 cases of meningocele, and 4 cases of miscellaneous other neural tube defects. Though the true frequency of each phenotype cannot be determined from this collection of cases, these results demonstrate that Waardenburg syndrome type 1 carries a notable risk of severe neural tube defects, which has implications in prenatal and genetic counseling. ###Answer 1. Changed Reasoning: In Sentence A, the target word ""Deafness"" is used to describe the calyceal synapses' ability to exhibit activity-dependent developmental plasticity, indicating that the meaning of the word has shifted to include the idea of synaptic plasticity. In contrast, Sentence B uses the word ""Deafness"" to describe a genetic condition characterized by sensorineural deafness and pigment abnormalities, without any mention of synaptic plasticity. This difference in usage suggests that the meaning of the word ""Deafness"" has changed between the two sentences, with a shift towards a more narrow focus on the auditory aspects of the condition. Therefore, the label ""Changed"" is appropriate." 90,Deafness,Acute hearing loss following non-otologic surgery and general anesthesia is a rare occurrence. Deafness following anesthesia has more commonly been associated with spinal anesthesia or cardiopulmonary bypass surgical procedures. We present a case with unilateral cochlear dysfunction and sensorineural hearing loss after inguinal hernia operation. The literature is reviewed and the mechanisms causing hearing loss during anesthesia are discussed.,"Patients with the rare genetic disorders, xeroderma pigmentosum (XP), trichothiodystrophy (TTD) and Cockayne syndrome (CS) have defects in DNA nucleotide excision repair (NER). The NER pathway involves at least 28 genes. Three NER genes are also part of the basal transcription factor, TFIIH. Mutations in 11 NER genes have been associated with clinical diseases with at least eight overlapping phenotypes. The clinical features of these patients have some similarities but also have marked differences. NER is involved in protection against sunlight-induced DNA damage. While XP patients have 1000-fold increase in susceptibility to skin cancer, TTD and CS patients have normal skin cancer risk. Several of the genes involved in NER also affect somatic growth and development. Some patients have short stature and immature sexual development. TTD patients have sulfur deficient brittle hair. Progressive sensorineural deafness is an early feature of XP and CS. Many of these clinical diseases are associated with developmental delay and progressive neurological degeneration. The main neuropathology of XP is a primary neuronal degeneration. In contrast, CS and TTD patients have reduced myelination of the brain. These complex neurological abnormalities are not related to sunlight exposure but may be caused by developmental defects as well as faulty repair of DNA damage to neuronal cells induced by oxidative metabolism or other endogenous processes.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Deafness Sentence A: Acute hearing loss following non-otologic surgery and general anesthesia is a rare occurrence. Deafness following anesthesia has more commonly been associated with spinal anesthesia or cardiopulmonary bypass surgical procedures. We present a case with unilateral cochlear dysfunction and sensorineural hearing loss after inguinal hernia operation. The literature is reviewed and the mechanisms causing hearing loss during anesthesia are discussed. Sentence B: Patients with the rare genetic disorders, xeroderma pigmentosum (XP), trichothiodystrophy (TTD) and Cockayne syndrome (CS) have defects in DNA nucleotide excision repair (NER). The NER pathway involves at least 28 genes. Three NER genes are also part of the basal transcription factor, TFIIH. Mutations in 11 NER genes have been associated with clinical diseases with at least eight overlapping phenotypes. The clinical features of these patients have some similarities but also have marked differences. NER is involved in protection against sunlight-induced DNA damage. While XP patients have 1000-fold increase in susceptibility to skin cancer, TTD and CS patients have normal skin cancer risk. Several of the genes involved in NER also affect somatic growth and development. Some patients have short stature and immature sexual development. TTD patients have sulfur deficient brittle hair. Progressive sensorineural deafness is an early feature of XP and CS. Many of these clinical diseases are associated with developmental delay and progressive neurological degeneration. The main neuropathology of XP is a primary neuronal degeneration. In contrast, CS and TTD patients have reduced myelination of the brain. These complex neurological abnormalities are not related to sunlight exposure but may be caused by developmental defects as well as faulty repair of DNA damage to neuronal cells induced by oxidative metabolism or other endogenous processes. ###Answer 1. Changed Reasoning: In Sentence A, the term ""Deafness"" is used to describe a rare occurrence of hearing loss following non-otologic surgery and general anesthesia. The sentence does not provide any information about the cause of the hearing loss, but it does mention that the loss is ""unilateral cochlear dysfunction and sensorineural hearing loss."" In Sentence B, the term ""Deafness"" is used to describe a genetic disorder that affects the ability of cells to repair DNA damage. The sentence explains that patients with this disorder have defects in DNA nucleotide excision repair (NER) and that this leads to progressive sensorineural deafness. The main difference between the two sentences is that in Sentence A, ""Deafness"" is used to describe a specific medical condition, while in Sentence B, it is used to describe a genetic disorder. In Sentence A, the term ""Deafness"" does not convey any particular meaning or connotation related to genetics or DNA repair. However, in Sentence B, the term is used to describe a specific genetic disorder that affects the ability of cells to repair DNA damage. Therefore, it can be said that the meaning of the term ""Deafness"" has changed between the two sentences, as it has taken on a different meaning in the second sentence. Therefore, the label ""Changed"" is appropriate." 91,Deafness,"The study investigated the initial effects of the implementation of vibrotactile support on the individual's speech perception ability. Thirty-two subjects participated in the study; 16 with an acquired deafness and 16 with normal hearing. At a general level, the results indicated no immediate and direct improvement as a function of the implementation across all speech perception tests. However, when the subjects were divided into Skilled and Less Skilled groups, based on their performance in the visual condition of each test, it was found that the performance of the Skilled subjects deteriorated while that of the Less Skilled subjects improved when tactile information was provided in two conditions (word-discrimination and word-decoding conditions). It was concluded that tactile information interferes with Skilled subjects' automaticity of these functions. Furthermore, intercorrelations between discrimination and decoding tasks suggest that there are similarities between visually and tactilely supported speechreading in how they relate to sentence-based speechreading. Clinical implications of the results were discussed.","More than 100 genes have been associated with deafness. However, SMAD4 is rarely considered a contributor to deafness in humans, except for its well-defined role in cell differentiation and regeneration. Here, we report that a SMAD4 defect in mice can cause auditory neuropathy, which was defined as a mysterious hearing and speech perception disorder in human for which the genetic background remains unclear. Our study showed that a SMAD4 defect induces failed formation of cochlear ribbon synapse during the earlier stage of auditory development in mice. Further investigation found that there are nearly normal morphology of outer hair cells (OHCs) and post-synapse spiral ganglion nerves (SGNs) in SMAD4 conditional knockout mice (cKO); however, a preserved distortion product of otoacoustic emission (DPOAE) and cochlear microphonic (CM) still can be evoked in cKO mice. Moreover, a partial restoration of hearing detected by electric auditory brainstem response (eABR) has been obtained in the cKO mice using electrode stimuli toward auditory nerves. Additionally, the ribbon synapses in retina are not affected by this SMAD4 defect. Thus, our findings suggest that this SMAD4 defect causes auditory neuropathy via specialized disruption of cochlear ribbon synapses.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Deafness Sentence A: The study investigated the initial effects of the implementation of vibrotactile support on the individual's speech perception ability. Thirty-two subjects participated in the study; 16 with an acquired deafness and 16 with normal hearing. At a general level, the results indicated no immediate and direct improvement as a function of the implementation across all speech perception tests. However, when the subjects were divided into Skilled and Less Skilled groups, based on their performance in the visual condition of each test, it was found that the performance of the Skilled subjects deteriorated while that of the Less Skilled subjects improved when tactile information was provided in two conditions (word-discrimination and word-decoding conditions). It was concluded that tactile information interferes with Skilled subjects' automaticity of these functions. Furthermore, intercorrelations between discrimination and decoding tasks suggest that there are similarities between visually and tactilely supported speechreading in how they relate to sentence-based speechreading. Clinical implications of the results were discussed. Sentence B: More than 100 genes have been associated with deafness. However, SMAD4 is rarely considered a contributor to deafness in humans, except for its well-defined role in cell differentiation and regeneration. Here, we report that a SMAD4 defect in mice can cause auditory neuropathy, which was defined as a mysterious hearing and speech perception disorder in human for which the genetic background remains unclear. Our study showed that a SMAD4 defect induces failed formation of cochlear ribbon synapse during the earlier stage of auditory development in mice. Further investigation found that there are nearly normal morphology of outer hair cells (OHCs) and post-synapse spiral ganglion nerves (SGNs) in SMAD4 conditional knockout mice (cKO); however, a preserved distortion product of otoacoustic emission (DPOAE) and cochlear microphonic (CM) still can be evoked in cKO mice. Moreover, a partial restoration of hearing detected by electric auditory brainstem response (eABR) has been obtained in the cKO mice using electrode stimuli toward auditory nerves. Additionally, the ribbon synapses in retina are not affected by this SMAD4 defect. Thus, our findings suggest that this SMAD4 defect causes auditory neuropathy via specialized disruption of cochlear ribbon synapses. ###Answer 1. Changed Reasoning: In Sentence A, the term ""deafness"" is used to describe a condition where an individual has difficulty hearing. The sentence highlights the study's investigation into the effects of vibrotactile support on speech perception ability in individuals with acquired deafness. However, in Sentence B, the term ""deafness"" is used differently, to refer to a genetic disorder that causes auditory neuropathy. This shift in meaning suggests that the term ""deafness"" has undergone semantic drift, and its meaning has changed over time. Therefore, the label ""Changed"" is appropriate." 92,Deafness,"An epidemiologic study of hearing loss was undertaken on a small Caribbean island and revealed a high frequency of abnormal audiograms among the population of French origin. Since there is no clear-cut discrimination between hypoacusis and normal hearing, but rather a continuous spectrum, the degree of hearing loss was quantified by an audiometric index, using the results of audiograms performed on 70% of the inhabitants. No environmental factors could be identified, although the effect of such factors is highly suggested by several observations of deafness aggravated by, or appearing after, a small dose of ototoxic antibiotics, and also by a strong residual age effect after correction for physiological presbyacusis. Hearing loss was found to be sparsed all over the island. Familial aggregation was noticed for several severe cases.","The gene AK2 encodes the phosphotransferase adenylate kinase 2 (AK2). Human variants in AK2 cause reticular dysgenesis, a severe combined immunodeficiency with agranulocytosis, lymphopenia, and sensorineural deafness that requires hematopoietic stem cell transplantation for survival.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Deafness Sentence A: An epidemiologic study of hearing loss was undertaken on a small Caribbean island and revealed a high frequency of abnormal audiograms among the population of French origin. Since there is no clear-cut discrimination between hypoacusis and normal hearing, but rather a continuous spectrum, the degree of hearing loss was quantified by an audiometric index, using the results of audiograms performed on 70% of the inhabitants. No environmental factors could be identified, although the effect of such factors is highly suggested by several observations of deafness aggravated by, or appearing after, a small dose of ototoxic antibiotics, and also by a strong residual age effect after correction for physiological presbyacusis. Hearing loss was found to be sparsed all over the island. Familial aggregation was noticed for several severe cases. Sentence B: The gene AK2 encodes the phosphotransferase adenylate kinase 2 (AK2). Human variants in AK2 cause reticular dysgenesis, a severe combined immunodeficiency with agranulocytosis, lymphopenia, and sensorineural deafness that requires hematopoietic stem cell transplantation for survival. ###Answer 1. Changed Reasoning: In Sentence A, the term ""deafness"" is used to describe a specific type of hearing loss that is present in a population. The term is used in the context of an epidemiological study, where the focus is on understanding the prevalence and causes of hearing loss in a particular group of people. The term is not associated with any negative connotations or stigmatizing language. In Sentence B, the term ""deafness"" is used in a completely different context. It is now associated with a genetic disorder that causes hearing loss, as well as other immunological and hematological abnormalities. The term is used in the context of a scientific article discussing the genetic basis of this disorder. The term is associated with a negative connotation, as it is described as a ""severe combined immunodeficiency with agranulocytosis, lymphopenia, and sensorineural deafness."" Based on these differences in context and connotation, it is clear that the term ""deafness"" has undergone a significant change in meaning between Sentence A and Sentence B. Therefore, the label ""Changed"" is appropriate." 93,Deafness,"Six patients with both choanal atresia (ChA) and additional malformations are described and another 110 cases with this combination reviewed from the literature. Our study of these cases supports the existence of the CHARGE-association (Coloboma, Heart Disease, Atresia of choanae, Retarded mental development and growth, Genital hypoplasia, Ear anomalies and deafness). Our findings suggest the inclusion of orofacial clefts and oesophageal atresia among the main symptoms of this association. A certain degree of facial dysmorphism (low set, dysplastic ears, retrogenia, antimongoloid slant of palpebral fissures and anteverted nares) was observed in each of our cases. Infants with the bilateral type of ChA plus cardiac defects and those with ChA plus renal malformations have a high mortality rate. The aetiology of the association is not clear. The recurrence risk may be low.","Single-sided deafness patients are now being considered candidates to receive a cochlear implant. With this, many people who have undergone a unilateral vestibular labyrinthectomy for the treatment of chronic vertigo are now being considered for cochlear implantation. There is still some concern regarding the potential efficacy of cochlear implants in these patients, where factors such as cochlear fibrosis or nerve degeneration following unilateral vestibular labyrinthectomy may preclude their use. Here, we have performed a unilateral vestibular labyrinthectomy in normally hearing guinea pigs, and allowed them to recover for either 6 weeks, or 10 months, before assessing morphological and functional changes related to cochlear implantation. Light sheet fluorescence microscopy was used to assess gross morphology throughout the entire ear. Whole nerve responses to acoustic, vibrational, or electrical stimuli were used as functional measures. Mild cellular infiltration was observed at 6 weeks, and to a lesser extent at 10 months after labyrinthectomy. Following labyrinthectomy, cochlear sensitivity to high-frequency acoustic tone-bursts was reduced by 16 ± 4 dB, vestibular sensitivity was almost entirely abolished, and electrical sensitivity was only mildly reduced. These results support recent clinical findings that patients who have received a vestibular labyrinthectomy may still benefit from a cochlear implant.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Deafness Sentence A: Six patients with both choanal atresia (ChA) and additional malformations are described and another 110 cases with this combination reviewed from the literature. Our study of these cases supports the existence of the CHARGE-association (Coloboma, Heart Disease, Atresia of choanae, Retarded mental development and growth, Genital hypoplasia, Ear anomalies and deafness). Our findings suggest the inclusion of orofacial clefts and oesophageal atresia among the main symptoms of this association. A certain degree of facial dysmorphism (low set, dysplastic ears, retrogenia, antimongoloid slant of palpebral fissures and anteverted nares) was observed in each of our cases. Infants with the bilateral type of ChA plus cardiac defects and those with ChA plus renal malformations have a high mortality rate. The aetiology of the association is not clear. The recurrence risk may be low. Sentence B: Single-sided deafness patients are now being considered candidates to receive a cochlear implant. With this, many people who have undergone a unilateral vestibular labyrinthectomy for the treatment of chronic vertigo are now being considered for cochlear implantation. There is still some concern regarding the potential efficacy of cochlear implants in these patients, where factors such as cochlear fibrosis or nerve degeneration following unilateral vestibular labyrinthectomy may preclude their use. Here, we have performed a unilateral vestibular labyrinthectomy in normally hearing guinea pigs, and allowed them to recover for either 6 weeks, or 10 months, before assessing morphological and functional changes related to cochlear implantation. Light sheet fluorescence microscopy was used to assess gross morphology throughout the entire ear. Whole nerve responses to acoustic, vibrational, or electrical stimuli were used as functional measures. Mild cellular infiltration was observed at 6 weeks, and to a lesser extent at 10 months after labyrinthectomy. Following labyrinthectomy, cochlear sensitivity to high-frequency acoustic tone-bursts was reduced by 16 ± 4 dB, vestibular sensitivity was almost entirely abolished, and electrical sensitivity was only mildly reduced. These results support recent clinical findings that patients who have received a vestibular labyrinthectomy may still benefit from a cochlear implant. ###Answer 1. Changed Reasoning: In Sentence A, the term ""deafness"" is used to describe a condition where patients have difficulty hearing. However, in Sentence B, the term ""single-sided deafness"" is used, which implies that the individual has hearing loss in one ear only. This change in terminology suggests that the meaning of the term ""deafness"" has shifted to include a more specific context, indicating that the condition is now understood to be a type of hearing loss that affects one ear. Therefore, semantic drift has occurred in the meaning of the term ""deafness""." 94,Deafness,"Endolymphatic hydrops is the hystopathological substrate characteristic of Ménière's disease. Besides the classical treatment with diuretics and/or osmotic drugs for some time, now treatment in a ""pressure chamber"" (OTI) has also been applied. The oxygen administered in the hyperbaric chamber can reduce the hydrops both by increasing the hydrostatic pressure and by mechanically stimulating the flow of endolymph toward the duct and endolymphatic sac. In addition, an increase is seen in the amount of O2 dissolved in the labyrinthine fluids and this contributes to recovering cell metabolism and restoring normal cochlear electrophysiological functions. Between 1992 and 1996 40 patients with monolateral Ménière's disease were studied: 15 underwent oxygen therapy at a constant pressure (2.2 ATA) (HOT), 25 with a continuous variation in pressure (from 1.7 to 2.2 ATA) (Alternobaric therapy, AOT). During the acute phase the patients underwent daily OTI treatment for 15 days in a row. The maintenance treatment called for one treatment cycle (one session a day for 5 days in a row) a month for 1 year, followed by for one treatment cycle (one session a day for 5 days in a row) every three months during the 2nd, 3rd and 4th years. The controls consisted of a group of 18 patients treated with 10% glycerol i.v. (during the acute phase) and betahystine (8 mg x 3/die) between episodes. A comparison was made of the average hearing threshold for the frequencies 500-3000 Hz (PTA), how frequently episodes of dizziness arose and extent of hearing loss in the three groups after the initial 15 days of treatment and at the end of the 4-year follow-up, in compliance with the criteria laid down by the Committee on Hearing and Equilibrium in 1995. At the end of the first 15 days of treatment, there were no statistically significant differences between the three groups. At the end of the follow-up, on the other hand, hyperbaric treatment, and in particular alternobaric therapy, enabled a significant reduction in the episodes of dizziness as compared to the control group. PTA and deafness also improved significantly in the patients who had undergone hyperbaric treatment. The results of the present work show that HOT, and in particular AOT, offer a valid alternative to drugs in the treatment of Ménière's disease.","This article ethnographically examines how some deaf people in urban India have begun to orient themselves toward the future by participating in multilevel marketing businesses. In the absence of other structural possibilities for deaf future-making, deaf Indians have turned to such businesses in search of social, economic, and moral livelihood. This article analyzes participation in one particular business and asks how participating within the business both enables and disables the cultivation of specific ideas of development. Particular attention is devoted to exploring the multiple registers of the concept of ""deaf development"" and how such development may be cultivated through multilevel marketing businesses. This article aims to make a critical intervention in medical anthropology studies of disability by arguing that disability (or in this case deafness) can function as a source of value, therefore highlighting tensions between stigma and value. ","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Deafness Sentence A: Endolymphatic hydrops is the hystopathological substrate characteristic of Ménière's disease. Besides the classical treatment with diuretics and/or osmotic drugs for some time, now treatment in a ""pressure chamber"" (OTI) has also been applied. The oxygen administered in the hyperbaric chamber can reduce the hydrops both by increasing the hydrostatic pressure and by mechanically stimulating the flow of endolymph toward the duct and endolymphatic sac. In addition, an increase is seen in the amount of O2 dissolved in the labyrinthine fluids and this contributes to recovering cell metabolism and restoring normal cochlear electrophysiological functions. Between 1992 and 1996 40 patients with monolateral Ménière's disease were studied: 15 underwent oxygen therapy at a constant pressure (2.2 ATA) (HOT), 25 with a continuous variation in pressure (from 1.7 to 2.2 ATA) (Alternobaric therapy, AOT). During the acute phase the patients underwent daily OTI treatment for 15 days in a row. The maintenance treatment called for one treatment cycle (one session a day for 5 days in a row) a month for 1 year, followed by for one treatment cycle (one session a day for 5 days in a row) every three months during the 2nd, 3rd and 4th years. The controls consisted of a group of 18 patients treated with 10% glycerol i.v. (during the acute phase) and betahystine (8 mg x 3/die) between episodes. A comparison was made of the average hearing threshold for the frequencies 500-3000 Hz (PTA), how frequently episodes of dizziness arose and extent of hearing loss in the three groups after the initial 15 days of treatment and at the end of the 4-year follow-up, in compliance with the criteria laid down by the Committee on Hearing and Equilibrium in 1995. At the end of the first 15 days of treatment, there were no statistically significant differences between the three groups. At the end of the follow-up, on the other hand, hyperbaric treatment, and in particular alternobaric therapy, enabled a significant reduction in the episodes of dizziness as compared to the control group. PTA and deafness also improved significantly in the patients who had undergone hyperbaric treatment. The results of the present work show that HOT, and in particular AOT, offer a valid alternative to drugs in the treatment of Ménière's disease. Sentence B: This article ethnographically examines how some deaf people in urban India have begun to orient themselves toward the future by participating in multilevel marketing businesses. In the absence of other structural possibilities for deaf future-making, deaf Indians have turned to such businesses in search of social, economic, and moral livelihood. This article analyzes participation in one particular business and asks how participating within the business both enables and disables the cultivation of specific ideas of development. Particular attention is devoted to exploring the multiple registers of the concept of ""deaf development"" and how such development may be cultivated through multilevel marketing businesses. This article aims to make a critical intervention in medical anthropology studies of disability by arguing that disability (or in this case deafness) can function as a source of value, therefore highlighting tensions between stigma and value. ###Answer 1. Changed The meaning of ""deafness"" has significantly shifted between the two sentences. In Sentence A, ""deafness"" is described as a hystopathological substrate characteristic of Ménière's disease, implying a negative connotation. In Sentence B, ""deafness"" is used to describe how some deaf people in urban India have begun to orient themselves toward the future by participating in multilevel marketing businesses, indicating a more positive connotation. The shift in meaning suggests that the term ""deafness"" has undergone semantic drift." 95,Deafness,"Familial cases of progressive external ophthalmoplegia, deafness, generalized weakness, and hypogonadism were studied. A muscle biopsy specimen showed increased amounts of glycogen particles, lipid droplets, and mitochondria that frequently contained paracrystalline inclusion bodies between intramitochondrial and extramitochondrial membranes. Involvement of the CNS was suspected from a computed tomography scan that revealed diffuse, low-density deep cerebral white matter. Therapy with corticosteroids (prednisolone) was effective for recovery of muscular strength in the extremities. Possible involvement of the CNS in ophthalmoplegia-plus might be related to an abnormal metabolism of mitochondria.","Introduction Otosclerosis is a disease that causes bone resorption and deposition in the auditory structures, leading to deafness. Many studies have evaluated the histopathology of the stapes footplate in this disease (osteoblasts, osteoclasts, vascular proliferation, fibroblasts, and histiocytes), but we found no studies in the literature involving the histology of the superstructure of the stapes. Objectives To perform an analysis under optical microscopy of histopathologic findings of the superstructure of the stapes from patients with otosclerosis. Methods A contemporary cross-sectional cohort study of pathology analysis of superstructures of the stapes of patients with otosclerosis. Results Fifteen superstructures of stapes in patients with otosclerosis operated in our service and four stapes of cadavers used for dissection (controls) were evaluated. No areas of bone resorption or deposition or presence of osteoclasts and osteoblasts in the superstructure of the stapes were found. However, we found in the more distal portions of the crura areas with prominent cementitious lines and woven bone, which was different than the mature trabecular bone found in the head of the stapes or in the controls. Conclusion There were histologic changes in the superstructure of the stapes in patients with otosclerosis operated in our service. ","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Deafness Sentence A: Familial cases of progressive external ophthalmoplegia, deafness, generalized weakness, and hypogonadism were studied. A muscle biopsy specimen showed increased amounts of glycogen particles, lipid droplets, and mitochondria that frequently contained paracrystalline inclusion bodies between intramitochondrial and extramitochondrial membranes. Involvement of the CNS was suspected from a computed tomography scan that revealed diffuse, low-density deep cerebral white matter. Therapy with corticosteroids (prednisolone) was effective for recovery of muscular strength in the extremities. Possible involvement of the CNS in ophthalmoplegia-plus might be related to an abnormal metabolism of mitochondria. Sentence B: Introduction Otosclerosis is a disease that causes bone resorption and deposition in the auditory structures, leading to deafness. Many studies have evaluated the histopathology of the stapes footplate in this disease (osteoblasts, osteoclasts, vascular proliferation, fibroblasts, and histiocytes), but we found no studies in the literature involving the histology of the superstructure of the stapes. Objectives To perform an analysis under optical microscopy of histopathologic findings of the superstructure of the stapes from patients with otosclerosis. Methods A contemporary cross-sectional cohort study of pathology analysis of superstructures of the stapes of patients with otosclerosis. Results Fifteen superstructures of stapes in patients with otosclerosis operated in our service and four stapes of cadavers used for dissection (controls) were evaluated. No areas of bone resorption or deposition or presence of osteoclasts and osteoblasts in the superstructure of the stapes were found. However, we found in the more distal portions of the crura areas with prominent cementitious lines and woven bone, which was different than the mature trabecular bone found in the head of the stapes or in the controls. Conclusion There were histologic changes in the superstructure of the stapes in patients with otosclerosis operated in our service. ###Answer 1. Changed Reasoning: In Sentence A, the word ""deafness"" is used to describe a specific medical condition, including symptoms such as progressive external ophthalmoplegia, weakness, and hypogonadism. The context suggests that the term ""deafness"" refers to a specific type of hearing impairment that affects multiple systems in the body. In Sentence B, the word ""deafness"" is used in a different context. It is not described as a specific medical condition, but rather as a disease that causes bone resorption and deposition in the auditory structures, leading to hearing loss. The context suggests that the term ""deafness"" has a broader meaning, encompassing not only hearing impairment but also the underlying disease that causes it. Based on these differences in context and meaning, it can be concluded that the term ""deafness"" has undergone semantic drift between the two sentences. In Sentence A, the term is used in a more specific and technical sense, while in Sentence B, it is used in a more general and descriptive sense. Therefore, the label ""Changed"" is appropriate to indicate that the meaning of the term ""deafness"" has shifted over time." 96,Deafness,Four cases with Paget's disease of the temporal bone are presented to illustrate the pathogenesis of the associated deafness. One case illustrates the combination of severe deafness due to bilateral otosclerosis with probably asymptomatic bilateral Paget's disease. One case with advanced Paget's disease presents features to explain early stages of sensori-neural deafness before actual cellular invasion of the inner ear. One case of profound deafness due to Paget's disease presents a different stage of cellular invasion of the inner ear by the disease on each side. One case illustrates invasion of the internal auditory meatus by Paget's disease with infiltration of the acoustic division of the nerve and profound deafness.,"Despite early bilateral cochlear implantation, children with congenital deafness do not develop accurate spatial hearing; we thus asked whether auditory brain networks are disrupted in these children. EEG responses were evoked unilaterally and bilaterally in 13 children with normal hearing and 16 children receiving bilateral cochlear implants simultaneously. Active cortical areas were estimated by the Time Restricted Artifact and Coherent source Suppression (TRACS) beamformer and connected cortical areas were identified by measuring coherence between source responses. A whole-brain analysis of theta band coherence revealed the strongest connections between the temporal areas in all conditions at early latencies. Stronger imaginary coherence in activity between the two auditory cortices to bilateral than unilateral input was found in children with normal hearing reflecting facilitation in the auditory network during bilateral hearing. The opposite effect, depressed coherence, was found during bilateral stimulation in children using cochlear implants. Children with cochlear implants also showed a unique auditory network in response to bilateral stimulation which was marked by increased connectivity between occipital and frontal areas. These findings suggest that cortical networks for sound processing are normally facilitated by bilateral input but are disrupted in children who hear through two independent cochlear implants. Efforts to improve hearing in children with congenital deafness must thus include corrections to potential mismatches in bilateral input to support brain development.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Deafness Sentence A: Four cases with Paget's disease of the temporal bone are presented to illustrate the pathogenesis of the associated deafness. One case illustrates the combination of severe deafness due to bilateral otosclerosis with probably asymptomatic bilateral Paget's disease. One case with advanced Paget's disease presents features to explain early stages of sensori-neural deafness before actual cellular invasion of the inner ear. One case of profound deafness due to Paget's disease presents a different stage of cellular invasion of the inner ear by the disease on each side. One case illustrates invasion of the internal auditory meatus by Paget's disease with infiltration of the acoustic division of the nerve and profound deafness. Sentence B: Despite early bilateral cochlear implantation, children with congenital deafness do not develop accurate spatial hearing; we thus asked whether auditory brain networks are disrupted in these children. EEG responses were evoked unilaterally and bilaterally in 13 children with normal hearing and 16 children receiving bilateral cochlear implants simultaneously. Active cortical areas were estimated by the Time Restricted Artifact and Coherent source Suppression (TRACS) beamformer and connected cortical areas were identified by measuring coherence between source responses. A whole-brain analysis of theta band coherence revealed the strongest connections between the temporal areas in all conditions at early latencies. Stronger imaginary coherence in activity between the two auditory cortices to bilateral than unilateral input was found in children with normal hearing reflecting facilitation in the auditory network during bilateral hearing. The opposite effect, depressed coherence, was found during bilateral stimulation in children using cochlear implants. Children with cochlear implants also showed a unique auditory network in response to bilateral stimulation which was marked by increased connectivity between occipital and frontal areas. These findings suggest that cortical networks for sound processing are normally facilitated by bilateral input but are disrupted in children who hear through two independent cochlear implants. Efforts to improve hearing in children with congenital deafness must thus include corrections to potential mismatches in bilateral input to support brain development. ###Answer 1. Changed Explanation: The target word ""deafness"" has undergone a significant change in meaning between Sentence A (2000) and Sentence B (2020). In Sentence A, ""deafness"" is used to describe the pathogenesis of hearing loss associated with Paget's disease of the temporal bone. The term is used to describe the hearing loss as a result of cellular invasion of the inner ear. In contrast, in Sentence B, ""deafness"" is used to describe the hearing impairment in children with congenital deafness. The term is used to describe the disruption of cortical networks for sound processing due to bilateral input from cochlear implants. In Sentence A, ""deafness"" carries a negative connotation, as it is associated with hearing loss and potential disability. In contrast, in Sentence B, ""deafness"" carries a neutral connotation, as it is used to describe a specific type of hearing impairment in children. Therefore, the meaning of ""deafness"" has shifted from a pathological condition to a more neutral term used to describe a specific type of hearing impairment. This change in meaning indicates semantic drift has occurred." 97,Deafness,"The ENT problems following the Birmingham bombings of 1974 are presented. It is during the positive phase of bomb blast that the tympanic membrane ruptures. Spalling is a likely explanation for the mechanism of rupture of the tympanic membrane specially in large perforations. Tympanic membrane defects involving 80 per cent of the surface area of the drumhead or more persisted, whereas those involving less than 80 per cent healed with conservative treatment. The majority of perforations (81.4 per cent) healed spontaneously, with a three-layered membrane. A month should be allowed for the healing of every 10 per cent loss of the surface area of the drumhead. During surgical repair of persistent perforations, the malleus handle was found to be on a deeper plain than the long process of the incus. Tympanic membrane perforations did not protect the inner ear, the sensorineural deafness producing either a high tone or a flat loss. One in four of the victims seen in the hospital complained of deafness. A patient who suffered blast injuries to the lung also developed cord palsy.","We report on a 6-year-old Turkish boy with profound sensorineural deafness, balance disorder, severe disorder of oral motor function, and mild developmental delay. Further findings included scaphocephaly, plagiocephaly, long palpebral fissures, high narrow palate, low-set posteriorly rotated ears, torticollis, hypoplastic genitalia and faulty foot posture. Parents were consanguineous.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Deafness Sentence A: The ENT problems following the Birmingham bombings of 1974 are presented. It is during the positive phase of bomb blast that the tympanic membrane ruptures. Spalling is a likely explanation for the mechanism of rupture of the tympanic membrane specially in large perforations. Tympanic membrane defects involving 80 per cent of the surface area of the drumhead or more persisted, whereas those involving less than 80 per cent healed with conservative treatment. The majority of perforations (81.4 per cent) healed spontaneously, with a three-layered membrane. A month should be allowed for the healing of every 10 per cent loss of the surface area of the drumhead. During surgical repair of persistent perforations, the malleus handle was found to be on a deeper plain than the long process of the incus. Tympanic membrane perforations did not protect the inner ear, the sensorineural deafness producing either a high tone or a flat loss. One in four of the victims seen in the hospital complained of deafness. A patient who suffered blast injuries to the lung also developed cord palsy. Sentence B: We report on a 6-year-old Turkish boy with profound sensorineural deafness, balance disorder, severe disorder of oral motor function, and mild developmental delay. Further findings included scaphocephaly, plagiocephaly, long palpebral fissures, high narrow palate, low-set posteriorly rotated ears, torticollis, hypoplastic genitalia and faulty foot posture. Parents were consanguineous. ###Answer 1. Changed Reasoning: The target word ""deafness"" has undergone a significant change in meaning between Sentence A (1974) and Sentence B (2020). In Sentence A, ""deafness"" refers specifically to sensorineural deafness caused by blast injuries to the inner ear. In Sentence B, ""deafness"" is used more broadly to describe a range of hearing and balance disorders, including profound sensorineural deafness, balance disorder, and oral motor function disorder. The term ""deafness"" has shifted from a specific medical term to a more general term encompassing a broader range of hearing and balance disorders." 98,Deafness,"Continuous loud noice was used to mask auditory feedback from vocal behavior of male canaries. Single unit techniques demonstrate partial deafness after noise exposure. Longer exposure caused greater deficits, with losses of high-frequency sensitivity. Males raised in noise to 40 days of age, then deafened surgically, thus totally deprived of auditory feedback from vocalization, developed significantly fewer song syllables than birds similarly raised but left intact, to mature in quiet sound-insulated chambers. Males left longer in noise, to sexual maturity at 200 days of age, sang at first like surgically deafend birds, but then increased their song syllable repertoire after noise termination. Thus, in spite of the considerable deafness resulting from noise exposure, the deficit in syllable repertoire was corrected, presumably as a result of restoration of the birds' ability to hear their own song."," A question in the realm of deepfakes is slowly emerging pertaining to whether we can go beyond facial deepfakes and whether it would be beneficial to society. Therefore, this research presents a positive application of deepfake technology in upper body generation, while performing sign-language for the Deaf and Hard of Hearing (DHoH) community. The resulting videos are later vetted with a sign language expert. This is particularly helpful, given the intricate nature of sign language, a scarcity of sign language experts, and potential benefits for health and education. The objectives of this work encompass constructing a reliable deepfake dataset, evaluating its technical and visual credibility through computer vision and natural language processing models, and assessing the plausibility of the generated content. With over 1200 videos, featuring both previously seen and unseen individuals for the generation model, using the help of a sign language expert, we establish a deepfake dataset in sign language that can further be utilized to detect fake videos that may target certain people of determination. ","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Deafness Sentence A: Continuous loud noice was used to mask auditory feedback from vocal behavior of male canaries. Single unit techniques demonstrate partial deafness after noise exposure. Longer exposure caused greater deficits, with losses of high-frequency sensitivity. Males raised in noise to 40 days of age, then deafened surgically, thus totally deprived of auditory feedback from vocalization, developed significantly fewer song syllables than birds similarly raised but left intact, to mature in quiet sound-insulated chambers. Males left longer in noise, to sexual maturity at 200 days of age, sang at first like surgically deafend birds, but then increased their song syllable repertoire after noise termination. Thus, in spite of the considerable deafness resulting from noise exposure, the deficit in syllable repertoire was corrected, presumably as a result of restoration of the birds' ability to hear their own song. Sentence B: A question in the realm of deepfakes is slowly emerging pertaining to whether we can go beyond facial deepfakes and whether it would be beneficial to society. Therefore, this research presents a positive application of deepfake technology in upper body generation, while performing sign-language for the Deaf and Hard of Hearing (DHoH) community. The resulting videos are later vetted with a sign language expert. This is particularly helpful, given the intricate nature of sign language, a scarcity of sign language experts, and potential benefits for health and education. The objectives of this work encompass constructing a reliable deepfake dataset, evaluating its technical and visual credibility through computer vision and natural language processing models, and assessing the plausibility of the generated content. With over 1200 videos, featuring both previously seen and unseen individuals for the generation model, using the help of a sign language expert, we establish a deepfake dataset in sign language that can further be utilized to detect fake videos that may target certain people of determination. ###Answer 1. Changed Reasoning: The target word ""Deafness"" has undergone a significant change in meaning between Sentence A (2000) and Sentence B (2020). In Sentence A, the term ""deafness"" refers to a specific auditory impairment in birds, while in Sentence B, the term is used more broadly to describe the generation of videos for the Deaf and Hard of Hearing community. The shift in meaning suggests that the term has undergone semantic drift." 99,Deafness,"In an effort to understand the impact of their children's deafness on Greek mothers, demographic, disability-related and stress characteristics were examined with 42 hearing mothers and their deaf children. The work was based on Hill's ABCX model and Bronfenbrenner's social ecology model, entailing a microsystem, mesosystem, ecosystem, and macrosystem. In addition to child history obtained from school records, Rotter's locus of control scale, Coopersmith's self-esteem inventory and the Clarke questionnaire on resources and stress were given to mothers. Onset of deafness before 18 months of age was associated with greater maternal stress. A tendency for mothers of younger children to report more stress was evident. The mothers mainly had an external locus of control, attributing events to outside agents beyond their control. Self-esteem proved the best predictor of stress, with a low-esteem associated with greater reported stress. The findings are discussed with reference to disability-related and cultural factors.","Although the basic principles underlying the function of the peripheral auditory system have been known for many years, the molecules required for hearing have hitherto remained elusive. Genetic approaches have recently provided unparalleled molecular insight into how the hair bundle, the hair cell's mechanosensory organelle, forms and functions. We discuss how the proteins encoded by the Usher syndrome type 1 genes form molecular complexes required for hair-bundle development and for gating the mechanotransducer channel. We show how mouse models for nonsyndromic forms of deafness involving genes encoding Triobp and stereocilin reveal, respectively, the way stereocilia rootlets contribute to the hair bundle's mechanical properties and how the hair bundle produces suppressive masking, a property that contributes to speech intelligibility. Finally, we examine how mutations in the genes encoding α- and β-tectorin reveal multiple roles for the tectorial membrane, an extracellular matrix unique to the cochlea, in stimulating hair bundles.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Deafness Sentence A: In an effort to understand the impact of their children's deafness on Greek mothers, demographic, disability-related and stress characteristics were examined with 42 hearing mothers and their deaf children. The work was based on Hill's ABCX model and Bronfenbrenner's social ecology model, entailing a microsystem, mesosystem, ecosystem, and macrosystem. In addition to child history obtained from school records, Rotter's locus of control scale, Coopersmith's self-esteem inventory and the Clarke questionnaire on resources and stress were given to mothers. Onset of deafness before 18 months of age was associated with greater maternal stress. A tendency for mothers of younger children to report more stress was evident. The mothers mainly had an external locus of control, attributing events to outside agents beyond their control. Self-esteem proved the best predictor of stress, with a low-esteem associated with greater reported stress. The findings are discussed with reference to disability-related and cultural factors. Sentence B: Although the basic principles underlying the function of the peripheral auditory system have been known for many years, the molecules required for hearing have hitherto remained elusive. Genetic approaches have recently provided unparalleled molecular insight into how the hair bundle, the hair cell's mechanosensory organelle, forms and functions. We discuss how the proteins encoded by the Usher syndrome type 1 genes form molecular complexes required for hair-bundle development and for gating the mechanotransducer channel. We show how mouse models for nonsyndromic forms of deafness involving genes encoding Triobp and stereocilin reveal, respectively, the way stereocilia rootlets contribute to the hair bundle's mechanical properties and how the hair bundle produces suppressive masking, a property that contributes to speech intelligibility. Finally, we examine how mutations in the genes encoding α- and β-tectorin reveal multiple roles for the tectorial membrane, an extracellular matrix unique to the cochlea, in stimulating hair bundles. ###Answer 1. Changed Reasoning: In Sentence A, the term ""deafness"" is used in the context of a demographic study to describe the hearing impairment of children. The word carries a negative connotation, implying a disability or handicap. In contrast, in Sentence B, the term ""deafness"" is used in the context of a scientific study to describe the functioning of the peripheral auditory system. The word is used in a more neutral or technical sense, without any negative connotations. Therefore, there has been a significant change in the meaning or connotation of the term ""deafness"" between these two sentences, indicating semantic drift has occurred." 0,Hearing loss,"Anti-membranous labyrinth proteins antibody were tested in suspectable autoimmune sensorineural hearing loss (ASNHL) with a modified western blotting method. 5 strongly positive bands (including 68,000) existed in at most 18 of 25 cases (72%). This method was found to be more sensitive than the routine one (40%). Anti-membranous proteins of Klebsiella pneumoniae antibodies were also found in 7 of 9 tested patients.","Significant variability in noise-induced hearing loss (NIHL) susceptibility suggests there are factors beyond sound level and duration of exposure that contribute to individual susceptibility. External-ear amplification (EEA) from external-ear structures varies significantly due to ear size and shape, potentially influencing NIHL susceptibility. This study tested the hypothesis that EEA can be predicted using non-technical proxy measurements including pinna height (cm), body height (m), and earcanal volume (cm","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Hearing loss Sentence A: Anti-membranous labyrinth proteins antibody were tested in suspectable autoimmune sensorineural hearing loss (ASNHL) with a modified western blotting method. 5 strongly positive bands (including 68,000) existed in at most 18 of 25 cases (72%). This method was found to be more sensitive than the routine one (40%). Anti-membranous proteins of Klebsiella pneumoniae antibodies were also found in 7 of 9 tested patients. Sentence B: Significant variability in noise-induced hearing loss (NIHL) susceptibility suggests there are factors beyond sound level and duration of exposure that contribute to individual susceptibility. External-ear amplification (EEA) from external-ear structures varies significantly due to ear size and shape, potentially influencing NIHL susceptibility. This study tested the hypothesis that EEA can be predicted using non-technical proxy measurements including pinna height (cm), body height (m), and earcanal volume (cm ###Answer 1. Changed The target word ""hearing loss"" has undergone significant semantic drift between the two sentences. In Sentence A, the term likely refers to sensorineural hearing loss, a specific type of hearing impairment caused by damage to the inner ear. In contrast, Sentence B uses the term more broadly to refer to noise-induced hearing loss, which is a broader category of hearing impairments caused by exposure to loud noises. The shift in meaning from a specific type of hearing loss to a broader category is a clear example of semantic drift." 1,Hearing loss,"Mucopolysaccharidosis type IIIC (MPS IIIC, or Sanfilippo syndrome C) is a rare lysosomal storage disorder caused by a deficiency of acetyl-coenzyme A:alpha-glucosaminide-N-acetyltransferase. Patients develop progressive neuropsychiatric problems, mental retardation, hearing loss, and relatively minor visceral manifestations. The pattern of transmission is consistent with an autosomal recessive mode of inheritance. The aim of this study was to find a locus for MPS IIIC using a homozygosity mapping approach. A genomewide scan was performed on DNA from 27 affected individuals and 17 of their unaffected relatives. Additional patients were recruited, and DNA was obtained from a total of 44 affected individuals and 18 unaffected family members from 31 families from 10 countries. A working candidate interval was defined by looking for excess homozygosity in patients compared with their relatives. Additional markers were genotyped in regions of interest. Linkage analysis was performed to support the informal analysis. Inspection of the genomewide scan data showed apparent excess homozygosity in patients compared with their relatives for markers on chromosome 8. Additional genotyping identified 15 consecutive markers (from D8S1051 to D8S2332) in an 8.3 cM interval for which the genotypes of affected siblings were identical in state. A maximum multipoint lod score of 10.61 was found at marker D8S519. A locus for MPS IIIC maps to an 8.3 cM (16 Mbp) interval in the pericentromeric region of chromosome 8.","Cochlear implantation is a widely accepted, safe procedure for patients with severe to profound sensorineuronal hearing loss. While complications are rare, revision surgeries are required for complications like device failure, misplaced electrode, flap necrosis, and wound infection. Foreign body reaction is a rare complication following cochlear implantation. We experienced a case of foreign body reaction after cochlear implantation treated by device removal. Foreign body reaction has to be considered as one of several causes in cochlear implantation cases that show symptoms mimicking recurrent wound infection or delayed extrusion. We report a case of foreign body reaction with a literature review.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Hearing loss Sentence A: Mucopolysaccharidosis type IIIC (MPS IIIC, or Sanfilippo syndrome C) is a rare lysosomal storage disorder caused by a deficiency of acetyl-coenzyme A:alpha-glucosaminide-N-acetyltransferase. Patients develop progressive neuropsychiatric problems, mental retardation, hearing loss, and relatively minor visceral manifestations. The pattern of transmission is consistent with an autosomal recessive mode of inheritance. The aim of this study was to find a locus for MPS IIIC using a homozygosity mapping approach. A genomewide scan was performed on DNA from 27 affected individuals and 17 of their unaffected relatives. Additional patients were recruited, and DNA was obtained from a total of 44 affected individuals and 18 unaffected family members from 31 families from 10 countries. A working candidate interval was defined by looking for excess homozygosity in patients compared with their relatives. Additional markers were genotyped in regions of interest. Linkage analysis was performed to support the informal analysis. Inspection of the genomewide scan data showed apparent excess homozygosity in patients compared with their relatives for markers on chromosome 8. Additional genotyping identified 15 consecutive markers (from D8S1051 to D8S2332) in an 8.3 cM interval for which the genotypes of affected siblings were identical in state. A maximum multipoint lod score of 10.61 was found at marker D8S519. A locus for MPS IIIC maps to an 8.3 cM (16 Mbp) interval in the pericentromeric region of chromosome 8. Sentence B: Cochlear implantation is a widely accepted, safe procedure for patients with severe to profound sensorineuronal hearing loss. While complications are rare, revision surgeries are required for complications like device failure, misplaced electrode, flap necrosis, and wound infection. Foreign body reaction is a rare complication following cochlear implantation. We experienced a case of foreign body reaction after cochlear implantation treated by device removal. Foreign body reaction has to be considered as one of several causes in cochlear implantation cases that show symptoms mimicking recurrent wound infection or delayed extrusion. We report a case of foreign body reaction with a literature review. ###Answer 1. Changed Reasoning: In Sentence A, the term ""hearing loss"" is used in the context of a rare genetic disorder, Mucopolysaccharidosis type IIIC (MPS IIIC), which causes progressive neuropsychiatric problems, mental retardation, and hearing loss. The meaning of ""hearing loss"" in this context is related to the loss of auditory function due to a genetic defect. In Sentence B, the term ""hearing loss"" is used in a different context, referring to a complication of cochlear implantation, a medical procedure for restoring hearing to patients with severe to profound sensorineuronal hearing loss. In this context, ""hearing loss"" refers to a loss of auditory function due to damage or dysfunction of the inner ear or auditory nerve. Based on these contexts, it is clear that the meaning of ""hearing loss"" has shifted significantly between Sentence A and Sentence B. In Sentence A, ""hearing loss"" is related to a genetic disorder, while in Sentence B, it is related to a complication of a medical procedure. Therefore, the label ""Changed"" is appropriate." 2,Hearing loss,"We report a patient with antithyroid drug-induced progressive bilateral sensorineural hearing loss associated with myeloperoxidase-antineutrophil cytoplasmic antibodies (MPO-ANCA). While antithyroid drugs have been linked to MPO-ANCA-associated small-vessel vasculitis, sensorineural hearing loss rarely was noted. A 36-year-old man treated for hyperthyroidism with propylthiouracil (PTU) developed progressive bilateral sensorineural hearing loss accompanied by fever and arthritis. MPO-ANCA were demonstrated in serum. Distortion product otoacoustic emissions test results suggested dysfunction of outer hair cells of the organ of Corti. Inner ear blood flow impairment from ANCA-associated small-vessel vasculitis presumably caused cochlear dysfunction. PTU withdrawal and high-dose methylprednisolone administration greatly improved hearing on both sides.",This study aimed to explore the neural substrate of hearing loss-related central nervous system in rats and its correlation with cognition.,"###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Hearing loss Sentence A: We report a patient with antithyroid drug-induced progressive bilateral sensorineural hearing loss associated with myeloperoxidase-antineutrophil cytoplasmic antibodies (MPO-ANCA). While antithyroid drugs have been linked to MPO-ANCA-associated small-vessel vasculitis, sensorineural hearing loss rarely was noted. A 36-year-old man treated for hyperthyroidism with propylthiouracil (PTU) developed progressive bilateral sensorineural hearing loss accompanied by fever and arthritis. MPO-ANCA were demonstrated in serum. Distortion product otoacoustic emissions test results suggested dysfunction of outer hair cells of the organ of Corti. Inner ear blood flow impairment from ANCA-associated small-vessel vasculitis presumably caused cochlear dysfunction. PTU withdrawal and high-dose methylprednisolone administration greatly improved hearing on both sides. Sentence B: This study aimed to explore the neural substrate of hearing loss-related central nervous system in rats and its correlation with cognition. ###Answer 1. Changed The target word ""hearing loss"" has undergone significant semantic drift between Sentence A and Sentence B. In Sentence A, the term likely refers to sensorineural hearing loss caused by autoimmune disorders, as the sentence describes a specific medical case involving the patient's treatment and recovery. In contrast, in Sentence B, the term ""hearing loss"" is used more broadly to refer to any type of hearing impairment, without any specific context or medical condition. This broader usage of the term suggests that its meaning has shifted over time." 3,Hearing loss,"Unilateral cochlear hearing loss is considered as a risk factor for auditory, verbal-communicative, behavioral and academic development. An early diagnosis is therefore necessary.","Sudden sensorineural hearing loss (SSNHL) accompanied by benign paroxysmal positional vertigo (BPPV) is relatively common in the clinic. There are unified standards for the treatment of primary BPPV with good reduction effect, while there are few studies on the treatment of BPPV secondary to SSNHL within 1 week of onset. The study was to investigate the treatment of BPPV secondary to SSNHL and compare its manual reduction with that of primary BPPV. We selected 90 patients with BPPV accompanied by SSNHL within a week of onset and 210 primary BPPV patients at Hebei Provincial Eye Hospital from June 2020 to December 2022. The former group was divided into the medicine group and manual reduction plus medicine group. The medicines used were extract of Ginkgo biloba leaves injection, betahistine hydrochloride injection and oral prednisone. We contrasted the efficacy respectively for posterior semicircular canal BPPV (psc-BPPV), horizontal semicircular canal BPPV (hsc-BPPV) and multiple semicircular canal BPPV (msc-BPPV). In addition, we compared the manual reduction effect for primary BPPV and manual reduction group, and the evaluation of efficacy are the intensity of nystagmus and the clinical symptoms. In the secondary BPPV group, there was no difference in efficacy between the medicine group and manual reduction group at the 7th-day after reduction for psc-BPPV, hsc-BPPV, and msc-BPPV (P > .05). The immediate effect of reduction was significantly different between the primary BPPV group and the group with SSNHL and BPPV for both psc-BPPV and hsc-BPPV (P < .05), and the effect of the primary BPPV group was better, but it was no difference for msc-BPPV (P > .05). For the treatment of BPPV accompanied by SSNHL within 1 week of onset, the additional reduction therapy showed no benefit, so we need to apply medication for SSNHL.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Hearing loss Sentence A: Unilateral cochlear hearing loss is considered as a risk factor for auditory, verbal-communicative, behavioral and academic development. An early diagnosis is therefore necessary. Sentence B: Sudden sensorineural hearing loss (SSNHL) accompanied by benign paroxysmal positional vertigo (BPPV) is relatively common in the clinic. There are unified standards for the treatment of primary BPPV with good reduction effect, while there are few studies on the treatment of BPPV secondary to SSNHL within 1 week of onset. The study was to investigate the treatment of BPPV secondary to SSNHL and compare its manual reduction with that of primary BPPV. We selected 90 patients with BPPV accompanied by SSNHL within a week of onset and 210 primary BPPV patients at Hebei Provincial Eye Hospital from June 2020 to December 2022. The former group was divided into the medicine group and manual reduction plus medicine group. The medicines used were extract of Ginkgo biloba leaves injection, betahistine hydrochloride injection and oral prednisone. We contrasted the efficacy respectively for posterior semicircular canal BPPV (psc-BPPV), horizontal semicircular canal BPPV (hsc-BPPV) and multiple semicircular canal BPPV (msc-BPPV). In addition, we compared the manual reduction effect for primary BPPV and manual reduction group, and the evaluation of efficacy are the intensity of nystagmus and the clinical symptoms. In the secondary BPPV group, there was no difference in efficacy between the medicine group and manual reduction group at the 7th-day after reduction for psc-BPPV, hsc-BPPV, and msc-BPPV (P > .05). The immediate effect of reduction was significantly different between the primary BPPV group and the group with SSNHL and BPPV for both psc-BPPV and hsc-BPPV (P < .05), and the effect of the primary BPPV group was better, but it was no difference for msc-BPPV (P > .05). For the treatment of BPPV accompanied by SSNHL within 1 week of onset, the additional reduction therapy showed no benefit, so we need to apply medication for SSNHL. ###Answer 1. Changed Reasoning: The target word ""hearing loss"" in Sentence A has a different connotation than in Sentence B. In Sentence A, it is used in the context of a risk factor for auditory development, indicating a more severe and irreversible loss of hearing. In Sentence B, it is used in the context of a temporary loss of hearing due to SSNHL, indicating a less severe and potentially reversible loss of hearing. The change in meaning is significant enough to warrant the label ""Changed""." 4,Hearing loss,"Some health authorities in the UK are discontinuing hearing screening at school entry, mainly because the pure tone sweep test is under-specific (i.e. fails too many children) and thus leads to unnecessary and costly, but unproductive, follow-up assessment. A screening method with different properties such as a questionnaire could be a more cost-effective method of mass screening children. The MRC Institute of Hearing Research has developed and evaluated through several stages such a screening questionnaire (the Childhood Middle Ear Disease and Hearing Questionnaire (CMEDHQ), containing 11 scored questions under two broad headings: history and presentation of the disease, and consultation/treatment history. In a service-based evaluation, 2860 mainstream reception-year school children from two consecutive years, attending schools in south west Cumbria in the North-West Regional Health Authority received the sweep test and the CMEDHQ. (Although predominantly designed to detect middle ear problems, the questionnaire also has some potential to detect permanent hearing loss; thus providing a useful backstop for detection of permanent losses either missed or not present in earlier infancy.) The screening CMEDHQ obtained a very high response rate (90%). Follow-up included 235 control cases as well as all pure tone sweep test failures. Analysis, by use of a definition of cases conservative with respect to the sensitivity of the questionnaire, showed that the CMEDHQ has better specificity, but slightly lower sensitivity, than the pure tone sweep test for composite system decision (where 'case' = treated at ENT; 'non-case' = pass at whatever stage was reached before discharge). Follow-up indicated that the limited method available for assessing sensitivity might give an over-favourable view of the pure tone sweep test. Possible improvement of questionnaire sensitivity by further refinements is under examination. The findings show that it is worth conducting a fully parallel multi-district cost-effectiveness comparison of the pure tone sweep test versus the CMEDHQ.","Listening to speech is often demanding because of signal degradations and the presence of distracting sounds (i.e., ""noise""). The question how the brain achieves the task of extracting only relevant information from the mixture of sounds reaching the ear (i.e., ""cocktail party problem"") is still open. In analogy to recent findings in vision, we propose cortical alpha (~10 Hz) oscillations measurable using M/EEG as a pivotal mechanism to selectively inhibit the processing of noise to improve auditory selective attention to task-relevant signals. We review initial evidence of enhanced alpha activity in selective listening tasks, suggesting a significant role of alpha-modulated noise suppression in speech. We discuss the importance of dissociating between noise interference in the auditory periphery (i.e., energetic masking) and noise interference with more central cognitive aspects of speech processing (i.e., informational masking). Finally, we point out the adverse effects of age-related hearing loss and/or cognitive decline on auditory selective inhibition. With this perspective article, we set the stage for future studies on the inhibitory role of alpha oscillations for speech processing in challenging listening situations. ","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Hearing loss Sentence A: Some health authorities in the UK are discontinuing hearing screening at school entry, mainly because the pure tone sweep test is under-specific (i.e. fails too many children) and thus leads to unnecessary and costly, but unproductive, follow-up assessment. A screening method with different properties such as a questionnaire could be a more cost-effective method of mass screening children. The MRC Institute of Hearing Research has developed and evaluated through several stages such a screening questionnaire (the Childhood Middle Ear Disease and Hearing Questionnaire (CMEDHQ), containing 11 scored questions under two broad headings: history and presentation of the disease, and consultation/treatment history. In a service-based evaluation, 2860 mainstream reception-year school children from two consecutive years, attending schools in south west Cumbria in the North-West Regional Health Authority received the sweep test and the CMEDHQ. (Although predominantly designed to detect middle ear problems, the questionnaire also has some potential to detect permanent hearing loss; thus providing a useful backstop for detection of permanent losses either missed or not present in earlier infancy.) The screening CMEDHQ obtained a very high response rate (90%). Follow-up included 235 control cases as well as all pure tone sweep test failures. Analysis, by use of a definition of cases conservative with respect to the sensitivity of the questionnaire, showed that the CMEDHQ has better specificity, but slightly lower sensitivity, than the pure tone sweep test for composite system decision (where 'case' = treated at ENT; 'non-case' = pass at whatever stage was reached before discharge). Follow-up indicated that the limited method available for assessing sensitivity might give an over-favourable view of the pure tone sweep test. Possible improvement of questionnaire sensitivity by further refinements is under examination. The findings show that it is worth conducting a fully parallel multi-district cost-effectiveness comparison of the pure tone sweep test versus the CMEDHQ. Sentence B: Listening to speech is often demanding because of signal degradations and the presence of distracting sounds (i.e., ""noise""). The question how the brain achieves the task of extracting only relevant information from the mixture of sounds reaching the ear (i.e., ""cocktail party problem"") is still open. In analogy to recent findings in vision, we propose cortical alpha (~10 Hz) oscillations measurable using M/EEG as a pivotal mechanism to selectively inhibit the processing of noise to improve auditory selective attention to task-relevant signals. We review initial evidence of enhanced alpha activity in selective listening tasks, suggesting a significant role of alpha-modulated noise suppression in speech. We discuss the importance of dissociating between noise interference in the auditory periphery (i.e., energetic masking) and noise interference with more central cognitive aspects of speech processing (i.e., informational masking). Finally, we point out the adverse effects of age-related hearing loss and/or cognitive decline on auditory selective inhibition. With this perspective article, we set the stage for future studies on the inhibitory role of alpha oscillations for speech processing in challenging listening situations. ###Answer 1. Changed Reasoning: The meaning of ""hearing loss"" has shifted significantly between the two sentences. In Sentence A, the term is used in the context of a screening method to detect middle ear problems, and it is not associated with any negative connotations. In Sentence B, the term is used in the context of a more general discussion of auditory selective attention, and it is associated with negative connotations, as it refers to the difficulty of listening to speech in the presence of distracting sounds. The shift in meaning is significant enough to warrant the label ""Changed""." 5,Hearing loss,"Selective chemical ablation of the vestibular endorgan using intratympanic gentamicin is an effective and safe treatment for incapacitating vertigo in patients with unilateral Menière's disease. A major risk of the treatment is sensorineural hearing loss. In this retrospective study, two different regimens of intratympanic gentamicin therapy are compared. In one group, multiple daily doses were administered in hospital over 4 consecutive days. The other group received single treatments at weekly intervals on an outpatient basis, following pretreatment audiometric and clinical assessment. We adopted the weekly protocol to theoretically reduce the incidence of treatment-related hearing loss by a more controlled titration of dosing. Preliminary results indicate that the weekly interval treatment offers equivalent efficacy with considerably less risk to hearing.","Susac syndrome is a rare autoimmune endotheliopathy involving the brain, retina, and inner ear. Olfactory dysfunction is a common early manifestation of several central nervous system diseases, including neurodegenerative diseases and autoimmune-mediated diseases such as Multiple Sclerosis. While the literature is abundant about the Susac syndrome classic triad of encephalopathy, branch retinal artery occlusion, and low-frequency sensorineural hearing loss, little is known about the extent of olfactory sense involvement.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Hearing loss Sentence A: Selective chemical ablation of the vestibular endorgan using intratympanic gentamicin is an effective and safe treatment for incapacitating vertigo in patients with unilateral Menière's disease. A major risk of the treatment is sensorineural hearing loss. In this retrospective study, two different regimens of intratympanic gentamicin therapy are compared. In one group, multiple daily doses were administered in hospital over 4 consecutive days. The other group received single treatments at weekly intervals on an outpatient basis, following pretreatment audiometric and clinical assessment. We adopted the weekly protocol to theoretically reduce the incidence of treatment-related hearing loss by a more controlled titration of dosing. Preliminary results indicate that the weekly interval treatment offers equivalent efficacy with considerably less risk to hearing. Sentence B: Susac syndrome is a rare autoimmune endotheliopathy involving the brain, retina, and inner ear. Olfactory dysfunction is a common early manifestation of several central nervous system diseases, including neurodegenerative diseases and autoimmune-mediated diseases such as Multiple Sclerosis. While the literature is abundant about the Susac syndrome classic triad of encephalopathy, branch retinal artery occlusion, and low-frequency sensorineural hearing loss, little is known about the extent of olfactory sense involvement. ###Answer 1. Changed Reasoning: In Sentence A, the target word ""hearing loss"" is used to describe the potential side effect of a medical treatment. The sentence implies that hearing loss is a significant risk of the treatment, and that it is a major concern for patients with Menière's disease. The word ""sensorineural"" is used to specify the type of hearing loss. In Sentence B, the target word ""hearing loss"" is used in a different context. The sentence describes Susac syndrome, a rare autoimmune disease that affects the brain, retina, and inner ear. The word ""olfactory dysfunction"" is used to describe a common early manifestation of the disease. The sentence does not imply that hearing loss is a significant risk of the disease, and the word ""sensorineural"" is not used. Based on these differences in context and meaning, it can be concluded that the target word ""hearing loss"" has undergone a significant change in meaning between Sentence A and Sentence B. Therefore, the label ""Changed"" is appropriate." 6,Hearing loss,"Twenty-four patients with acute low-tone sensorineural hearing loss (ALHL) were examined using electrocochleography. The negative summating potential (SP) amplitude and the summating potential/action potential (AP) ratio were significantly greater in the ALHL patients than in normals. The SP/AP ratio was smaller in the ALHL patients than in patients with known Meniere's disease and moderate hearing loss, although the SP amplitude was somewhat greater in the former. An abnormal increase in the SP amplitude following click stimuli was found in 54% of the ALHL patients, while the SP/AP ratio was increased abnormally in 63% of these patients. These findings suggest that the pathophysiology of ALHL may be similar to that for endolymphatic hydrops.","Tinnitus has been suggested to arise from neuronal hyperactivity in auditory areas of the brain, and anti-epileptic drugs are sometimes used to provide relief from tinnitus. Recently, the anti-epileptic properties of the cannabinoid drugs have gained increasing interest; however, the use of cannabinoids as a form of treatment for tinnitus is controversial. In this study, we tested whether a combination of delta-9-tetrahydrocannabinol (delta-9-THC) and cannabidiol (CBD), delivered in a 1:1 ratio, could affect tinnitus perception in a rat model of acoustic trauma-induced tinnitus. Following sham treatment or acoustic trauma, the animals were divided into the following groups: (1) sham (i.e., no acoustic trauma) with vehicle treatment; (2) sham with drug treatment (i.e., delta-9-THC + CBD); (3) acoustic trauma-exposed exhibiting tinnitus, with drug treatment; and (4) acoustic trauma-exposed exhibiting no tinnitus, with drug treatment. The animals received either the vehicle or the cannabinoid drugs every day, 30 min before the tinnitus behavioral testing. Acoustic trauma caused a significant increase in the auditory brainstem response (ABR) thresholds in the exposed animals, indicating hearing loss; however, there was a partial recovery over 6 months. Acoustic trauma did not always result in tinnitus; however, among those that did exhibit tinnitus, some of them had tinnitus at multiple frequencies while others had it only at a single frequency. The cannabinoids significantly increased the number of tinnitus animals in the exposed-tinnitus group, but not in the sham group. The results suggest that cannabinoids may promote the development of tinnitus, especially when there is pre-existing hearing damage. ","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Hearing loss Sentence A: Twenty-four patients with acute low-tone sensorineural hearing loss (ALHL) were examined using electrocochleography. The negative summating potential (SP) amplitude and the summating potential/action potential (AP) ratio were significantly greater in the ALHL patients than in normals. The SP/AP ratio was smaller in the ALHL patients than in patients with known Meniere's disease and moderate hearing loss, although the SP amplitude was somewhat greater in the former. An abnormal increase in the SP amplitude following click stimuli was found in 54% of the ALHL patients, while the SP/AP ratio was increased abnormally in 63% of these patients. These findings suggest that the pathophysiology of ALHL may be similar to that for endolymphatic hydrops. Sentence B: Tinnitus has been suggested to arise from neuronal hyperactivity in auditory areas of the brain, and anti-epileptic drugs are sometimes used to provide relief from tinnitus. Recently, the anti-epileptic properties of the cannabinoid drugs have gained increasing interest; however, the use of cannabinoids as a form of treatment for tinnitus is controversial. In this study, we tested whether a combination of delta-9-tetrahydrocannabinol (delta-9-THC) and cannabidiol (CBD), delivered in a 1:1 ratio, could affect tinnitus perception in a rat model of acoustic trauma-induced tinnitus. Following sham treatment or acoustic trauma, the animals were divided into the following groups: (1) sham (i.e., no acoustic trauma) with vehicle treatment; (2) sham with drug treatment (i.e., delta-9-THC + CBD); (3) acoustic trauma-exposed exhibiting tinnitus, with drug treatment; and (4) acoustic trauma-exposed exhibiting no tinnitus, with drug treatment. The animals received either the vehicle or the cannabinoid drugs every day, 30 min before the tinnitus behavioral testing. Acoustic trauma caused a significant increase in the auditory brainstem response (ABR) thresholds in the exposed animals, indicating hearing loss; however, there was a partial recovery over 6 months. Acoustic trauma did not always result in tinnitus; however, among those that did exhibit tinnitus, some of them had tinnitus at multiple frequencies while others had it only at a single frequency. The cannabinoids significantly increased the number of tinnitus animals in the exposed-tinnitus group, but not in the sham group. The results suggest that cannabinoids may promote the development of tinnitus, especially when there is pre-existing hearing damage. ###Answer 1. Changed Reasoning: The target word ""hearing loss"" has undergone a significant change in meaning between the two sentences. In Sentence A, the term is used to describe a specific type of sensorineural hearing loss, with a focus on the electrocochleography results. In contrast, in Sentence B, the term is used more broadly to describe any type of hearing loss, with a focus on the potential effects of cannabinoids on tinnitus. The sentence also mentions ""acoustic trauma-induced tinnitus,"" which suggests that the term ""hearing loss"" may have taken on a different connotation in this context. Therefore, semantic drift has occurred for the target word ""hearing loss.""" 7,Hearing loss,"Twelve adults with unilateral hearing losses were tested to determine interaural attenuation for spondaic words. Low-pass and band-pass filters were used to simulate hearing loss at the normal ear. Results suggest that in deciding on the possibility of cross hearing, the spondee threshold at the test ear should be compared to the most sensitive bone-conduction threshold at the nontest ear, excluding .25 kc/s.",The large conductance Ca(2+)-activated K(+ )channels (BK) expression is decreased in the cochleae of age-related hearing loss (AHL) mice. BK channel may be associated with AHL.,"###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Hearing loss Sentence A: Twelve adults with unilateral hearing losses were tested to determine interaural attenuation for spondaic words. Low-pass and band-pass filters were used to simulate hearing loss at the normal ear. Results suggest that in deciding on the possibility of cross hearing, the spondee threshold at the test ear should be compared to the most sensitive bone-conduction threshold at the nontest ear, excluding .25 kc/s. Sentence B: The large conductance Ca(2+)-activated K(+ )channels (BK) expression is decreased in the cochleae of age-related hearing loss (AHL) mice. BK channel may be associated with AHL. ###Answer 1. Changed Reasoning: In Sentence A, the target word ""hearing loss"" is used in the context of simulating hearing loss in a controlled environment, with a focus on the measurement of interaural attenuation for spondaic words. The meaning of the term is related to the scientific study of hearing and auditory perception. In Sentence B, the target word ""hearing loss"" is used in the context of age-related hearing loss in mice. The term is associated with the decline in auditory function that occurs with age. The meaning of the term has shifted to focus more on the age-related decline in hearing ability, rather than the scientific study of hearing. Therefore, the meaning of the target word ""hearing loss"" has undergone a significant change in meaning between Sentence A and Sentence B, indicating semantic drift has occurred." 8,Hearing loss,"A 37-year-old man with juvenile and refractory hypertension was admitted to our hospital for progressive left hearing loss, vertigo, and dizziness. Neurological examination revealed left hearing loss and exaggerated deep tendon reflexes and vestibular dysfunction. MRI and cerebral angiography disclosed megadolichobasilar artery (MDBA). Moreover, modified MR cisternography at the medulla disclosed marked compression and deformity of the left rostral ventrolateral medulla (RVLM) by the dolichoectatic right vertebral artery. In the literatures, bulbovascular compression has been reported in 4 among 9 patients with MDBA (including the present patient), for whom MRI of the medulla was presented. All 4 patients suffered from hypertension, and at least 3 of them showed juvenile and refractory hypertension. Ipsilateral pyramidal tract disturbance (Opalski syndrome) was observed in 3 patients. Considering the recent concept that the cardiovascular center can be localized at the RVLM, juvenile and refractory hypertension, and possibly Opalski syndrome in the present patient can be attributed to bulbovascular compression by MDBA. In the patients with MDBA and hypertension or Opalski syndrome, MR cisternography of the medulla is warranted to evaluate compression by MDBA.",The aims of this study were to clarify the clinical value of the bony cochlear nerve canal (BCNC) and internal auditory canal (IAC) in children with bilateral sensorineural hearing loss (b-SNHL) and to reveal the correlation between these parameters and outcomes after cochlear implantation (CI).,"###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Hearing loss Sentence A: A 37-year-old man with juvenile and refractory hypertension was admitted to our hospital for progressive left hearing loss, vertigo, and dizziness. Neurological examination revealed left hearing loss and exaggerated deep tendon reflexes and vestibular dysfunction. MRI and cerebral angiography disclosed megadolichobasilar artery (MDBA). Moreover, modified MR cisternography at the medulla disclosed marked compression and deformity of the left rostral ventrolateral medulla (RVLM) by the dolichoectatic right vertebral artery. In the literatures, bulbovascular compression has been reported in 4 among 9 patients with MDBA (including the present patient), for whom MRI of the medulla was presented. All 4 patients suffered from hypertension, and at least 3 of them showed juvenile and refractory hypertension. Ipsilateral pyramidal tract disturbance (Opalski syndrome) was observed in 3 patients. Considering the recent concept that the cardiovascular center can be localized at the RVLM, juvenile and refractory hypertension, and possibly Opalski syndrome in the present patient can be attributed to bulbovascular compression by MDBA. In the patients with MDBA and hypertension or Opalski syndrome, MR cisternography of the medulla is warranted to evaluate compression by MDBA. Sentence B: The aims of this study were to clarify the clinical value of the bony cochlear nerve canal (BCNC) and internal auditory canal (IAC) in children with bilateral sensorineural hearing loss (b-SNHL) and to reveal the correlation between these parameters and outcomes after cochlear implantation (CI). ###Answer 1. Changed Reasoning: In Sentence A, the target word ""hearing loss"" is used to describe a specific medical condition, including symptoms such as vertigo, dizziness, and exaggerated deep tendon reflexes. The sentence also mentions the cause of the hearing loss, which is a dolichoectatic right vertebral artery. In Sentence B, the target word ""hearing loss"" is used in a different context, to describe a more general condition affecting children with bilateral sensorineural hearing loss. The sentence does not provide any specific details about the cause of the hearing loss, and does not mention any medical conditions related to the dolichoectatic right vertebral artery. Therefore, the meaning of the target word has changed significantly between the two sentences." 9,Hearing loss,"Clinicians have been aware of the problem of post-stapedectomy perilymph fistulas for some time. The existence of non-surgical oval and round window fistulas has been known and was first described in detail by Fee in 1968. This paper concerns a small series of patients with spontaneous and traumatic perilymph fistulas. Five oval window fistulas and one round window fistula are reported. Clinical features, audiometric, radiographic and vestibular findings are discussed. The etiology of traumatic and spontaneous fistulas is not well understood, but seems to bear a relationship to sudden increased in intracranial pressure transmitted to the inner ear through the cochlear aqueduct. Middle ear pressure changes, as seen in acoustic or barotrauma, may also cause these leaks. Indications for surgery and techniques of perilymph fistula identification and repair are discussed in the paper. Surgical correction led to relief of vertigo in 80 percent of patients in this series, and significant hearing improvements were seen in 50 percent of the patients. In evaluating patients with sudden sensori-neural hearing loss, or persistent vestibular symptoms following head or ear trauma, the otologist should keep in mind the possibility of a perilymph fistula and actively investigate these patients. Evidence presented in this paper and in the literature suggest that identification and correction of spontaneous and traumatic perilymph fistulas can lead to resolution of vestibular symptoms and improved hearing in a significant number of patients with these lesions.","A universal programme of newborn/early hearing screening was introduced fifteen years ago in the northern part of Belgium (Flanders) by the Government Health Service 'Kind en Gezin' (Child and Family). Since then, large numbers of hearing-impaired babies have been fitted with conventional hearing aids at a very young age, mostly before the age of 2-3 months. As a result of the early hearing screening programme, the decision to proceed with a cochlear implant is now taken much earlier. Fitting hearing aids in very young children is always part of a continuous diagnostics approach based on cross-checks and a combination of objective and subjective audiometry. It is also a component of a multidisciplinary approach, with parents as the essential party. Fitting hearing aids in very young children cannot be separated from this approach. This article therefore stresses the positive evolution of the last fifteen years in the context of three basic elements for helping young children with hearing loss and their families: diagnostics, fitting hearing aids and treatment. Early screening and the consequent early diagnosis of hearing loss in neonates triggered the transformation of support arrangements for young children with hearing loss and their families.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Hearing loss Sentence A: Clinicians have been aware of the problem of post-stapedectomy perilymph fistulas for some time. The existence of non-surgical oval and round window fistulas has been known and was first described in detail by Fee in 1968. This paper concerns a small series of patients with spontaneous and traumatic perilymph fistulas. Five oval window fistulas and one round window fistula are reported. Clinical features, audiometric, radiographic and vestibular findings are discussed. The etiology of traumatic and spontaneous fistulas is not well understood, but seems to bear a relationship to sudden increased in intracranial pressure transmitted to the inner ear through the cochlear aqueduct. Middle ear pressure changes, as seen in acoustic or barotrauma, may also cause these leaks. Indications for surgery and techniques of perilymph fistula identification and repair are discussed in the paper. Surgical correction led to relief of vertigo in 80 percent of patients in this series, and significant hearing improvements were seen in 50 percent of the patients. In evaluating patients with sudden sensori-neural hearing loss, or persistent vestibular symptoms following head or ear trauma, the otologist should keep in mind the possibility of a perilymph fistula and actively investigate these patients. Evidence presented in this paper and in the literature suggest that identification and correction of spontaneous and traumatic perilymph fistulas can lead to resolution of vestibular symptoms and improved hearing in a significant number of patients with these lesions. Sentence B: A universal programme of newborn/early hearing screening was introduced fifteen years ago in the northern part of Belgium (Flanders) by the Government Health Service 'Kind en Gezin' (Child and Family). Since then, large numbers of hearing-impaired babies have been fitted with conventional hearing aids at a very young age, mostly before the age of 2-3 months. As a result of the early hearing screening programme, the decision to proceed with a cochlear implant is now taken much earlier. Fitting hearing aids in very young children is always part of a continuous diagnostics approach based on cross-checks and a combination of objective and subjective audiometry. It is also a component of a multidisciplinary approach, with parents as the essential party. Fitting hearing aids in very young children cannot be separated from this approach. This article therefore stresses the positive evolution of the last fifteen years in the context of three basic elements for helping young children with hearing loss and their families: diagnostics, fitting hearing aids and treatment. Early screening and the consequent early diagnosis of hearing loss in neonates triggered the transformation of support arrangements for young children with hearing loss and their families. ###Answer 1. Changed Reasoning: In Sentence A, the term ""perilymph fistula"" is used to describe a condition where there is a leakage of fluid from the inner ear to the middle ear. This condition is described as a problem that has been known for some time, and the paper provides details on the clinical features, audiometric, radiographic, and vestibular findings of patients with this condition. The etiology of the condition is not well understood, but it is suggested that increased pressure in the inner ear may cause the leakage. In Sentence B, the term ""hearing-impaired babies"" is used to describe children who are born with hearing loss. The article highlights the introduction of a universal newborn hearing screening program in Belgium, which has led to the early detection and treatment of hearing loss in young children. The article emphasizes the importance of early screening and diagnosis in triggering the transformation of support arrangements for young children with hearing loss and their families. Comparing the usage of the term ""hearing loss"" in the two sentences, it is clear that the term has undergone a significant change in meaning. In Sentence A, the term is used to describe a specific condition where there is a leakage of fluid from the inner ear to the middle ear. In Sentence B, the term is used more broadly to describe any type of hearing loss, regardless of the cause. This shift in meaning suggests that the term ""hearing loss"" has undergone semantic drift." 10,Hearing loss,"Brainstem auditory evoked potentials (BAEPs) were evaluated in three patients with mitochondrial encephalomyopathy belonging to the same family. This study showed marked alterations of BAEPs in all patients: reduction of wave amplitude, poor repeatability of responses in test-retest and abnormalities in wave form and latency. The neuroradiological examinations (CT-scan, MRI) did not show significant structural brain abnormalities. Abnormal BAEPs in our patients may be related to central metabolic disorder rather than hearing loss.","Purpose The purpose of this review was to examine the research activity relating to the role of the general practitioner (GP) in managing age-related hearing loss in older adults. Method A literature search of peer-reviewed journal articles published in English was conducted in online bibliographic databases using multiple variations of the keywords ""general practitioner"" and ""hearing."" Results The search strategy identified 3,255 articles. The abstracts of all articles were screened with 124 full-text records subsequently assessed for eligibility. Forty-nine articles met the inclusion criteria and were included in this review. Conclusions For people with hearing loss, the GP can play an instrumental role in guiding appropriate and timely choices for addressing hearing concerns. There are a range of quick, easy, and sensitive methods available to GPs to assist the objective evaluation of hearing. The evidence suggests that implementing hearing screening programs targeting older adults will increase rates of hearing loss detection and subsequently increase the number of patients receiving hearing loss intervention. Education and training appear key to improving GPs' screening, management, and referral of patients with hearing loss in the primary health care setting.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Hearing loss Sentence A: Brainstem auditory evoked potentials (BAEPs) were evaluated in three patients with mitochondrial encephalomyopathy belonging to the same family. This study showed marked alterations of BAEPs in all patients: reduction of wave amplitude, poor repeatability of responses in test-retest and abnormalities in wave form and latency. The neuroradiological examinations (CT-scan, MRI) did not show significant structural brain abnormalities. Abnormal BAEPs in our patients may be related to central metabolic disorder rather than hearing loss. Sentence B: Purpose The purpose of this review was to examine the research activity relating to the role of the general practitioner (GP) in managing age-related hearing loss in older adults. Method A literature search of peer-reviewed journal articles published in English was conducted in online bibliographic databases using multiple variations of the keywords ""general practitioner"" and ""hearing."" Results The search strategy identified 3,255 articles. The abstracts of all articles were screened with 124 full-text records subsequently assessed for eligibility. Forty-nine articles met the inclusion criteria and were included in this review. Conclusions For people with hearing loss, the GP can play an instrumental role in guiding appropriate and timely choices for addressing hearing concerns. There are a range of quick, easy, and sensitive methods available to GPs to assist the objective evaluation of hearing. The evidence suggests that implementing hearing screening programs targeting older adults will increase rates of hearing loss detection and subsequently increase the number of patients receiving hearing loss intervention. Education and training appear key to improving GPs' screening, management, and referral of patients with hearing loss in the primary health care setting. ###Answer 1. Changed The meaning of the target word ""hearing loss"" has shifted significantly between Sentence A and Sentence B. In Sentence A, the term likely refers to a specific type of hearing impairment caused by mitochondrial encephalomyopathy, as the context suggests a focus on the neurological aspects of the disorder. In contrast, in Sentence B, the term likely refers to age-related hearing loss, as the context suggests a broader focus on the role of general practitioners in managing hearing concerns in older adults. The shift in meaning is evident in the different keywords used in each sentence, with Sentence A emphasizing ""brainstem auditory evoked potentials"" and ""central metabolic disorder,"" while Sentence B highlights ""age-related hearing loss"" and ""primary health care setting."" Therefore, the label ""Changed"" is appropriate for this task." 11,Hearing loss,"alpha-N-acetylgalactosaminidase (alpha-NAGA) deficiency is a rare hereditary lysosomal storage disease, and only three alpha-NAGA-deficient patients with angiokeratoma corporis diffusum (Kanzaki) have been described. We report a further case in a 47-year-old Japanese woman, the product of a consanguineous marriage. The remarkable findings in this patient were her normal intelligence, Ménière's syndrome, disturbance of peripheral sensory nerves, hearing loss and cardiac hypertrophy. alpha-NAGA enzyme activity in her plasma was 0.77% of the normal value. Other enzyme activities, such as alpha-galactosidase, beta-galactosidase, alpha-L-fucosidase, beta-mannosidase and aspartylglucosaminidase, were within normal limits. A large quantity of amino acid O-glycans was detected in her urine. Gene analysis revealed a novel point mutation (G-->A transition) at nucleotide 11018 (986 in the cDNA) resulting in an Arg-329-Gln substitution. Kanzaki disease has the same enzyme defect as Schindler disease, but the manifestations are quite different.","Recent publications reported that patients with rheumatoid arthritis (RA) experience an increased risk of suffering sudden sensorineural hearing loss (SSNHL), however, these cases are poorly understood. This study aims to explore the clinical presentations and hearing recovery of SSNHL patients with RA.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Hearing loss Sentence A: alpha-N-acetylgalactosaminidase (alpha-NAGA) deficiency is a rare hereditary lysosomal storage disease, and only three alpha-NAGA-deficient patients with angiokeratoma corporis diffusum (Kanzaki) have been described. We report a further case in a 47-year-old Japanese woman, the product of a consanguineous marriage. The remarkable findings in this patient were her normal intelligence, Ménière's syndrome, disturbance of peripheral sensory nerves, hearing loss and cardiac hypertrophy. alpha-NAGA enzyme activity in her plasma was 0.77% of the normal value. Other enzyme activities, such as alpha-galactosidase, beta-galactosidase, alpha-L-fucosidase, beta-mannosidase and aspartylglucosaminidase, were within normal limits. A large quantity of amino acid O-glycans was detected in her urine. Gene analysis revealed a novel point mutation (G-->A transition) at nucleotide 11018 (986 in the cDNA) resulting in an Arg-329-Gln substitution. Kanzaki disease has the same enzyme defect as Schindler disease, but the manifestations are quite different. Sentence B: Recent publications reported that patients with rheumatoid arthritis (RA) experience an increased risk of suffering sudden sensorineural hearing loss (SSNHL), however, these cases are poorly understood. This study aims to explore the clinical presentations and hearing recovery of SSNHL patients with RA. ###Answer 1. Changed (alpha-NAGA deficiency is no longer the primary meaning of hearing loss) Explanation: In Sentence A, the target word ""hearing loss"" is used in the context of a rare genetic disorder, alpha-NAGA deficiency, and is closely related to the disorder's symptoms. The word has a specific medical connotation, indicating a loss of hearing due to a deficiency in alpha-NAGA enzyme activity. In Sentence B, the target word ""hearing loss"" is used in a different context, in relation to patients with rheumatoid arthritis (RA) experiencing sudden sensorineural hearing loss (SSNHL). The word has a different connotation, indicating a more common and widespread phenomenon. The meaning of the word has shifted from a rare genetic disorder to a more general medical condition. Therefore, the label ""Changed"" is appropriate." 12,Hearing loss,"From 1972 to 1979 transtemporal neurectomy of the vestibular nerve was performed on 42 patients suffering from therapy-resistant symptoms of ménière's disease. Regular postoperative follow-up for 3 to 10 years after neurectomy showed that all 42 patients had no further attacks of vertigo. Tinnitus was diminished or disappeared in 25 patients; postoperative audiologic controls revealed no changes in 20 patients (48%), and a hearing gain in 3 cases (7%). 19 patients (45%) present with a slowly progredient hearing loss in continuation of the preoperative development. The sensation of pressure in the ear was observed by 19 patients and improved in all of them immediately after the operation, but reappeared in 12 of them (29%) within 6 months postoperatively.",Sudden sensorineural hearing loss is a frequent disease whose aetiology is still unknown in about 80% of patients. Aim of this study was to evaluate if haemorheological changes and some indexes of hypercoagulability and hypofibrinolysis are associated with idiopathic sudden sensorineural hearing loss (ISSHL).,"###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Hearing loss Sentence A: From 1972 to 1979 transtemporal neurectomy of the vestibular nerve was performed on 42 patients suffering from therapy-resistant symptoms of ménière's disease. Regular postoperative follow-up for 3 to 10 years after neurectomy showed that all 42 patients had no further attacks of vertigo. Tinnitus was diminished or disappeared in 25 patients; postoperative audiologic controls revealed no changes in 20 patients (48%), and a hearing gain in 3 cases (7%). 19 patients (45%) present with a slowly progredient hearing loss in continuation of the preoperative development. The sensation of pressure in the ear was observed by 19 patients and improved in all of them immediately after the operation, but reappeared in 12 of them (29%) within 6 months postoperatively. Sentence B: Sudden sensorineural hearing loss is a frequent disease whose aetiology is still unknown in about 80% of patients. Aim of this study was to evaluate if haemorheological changes and some indexes of hypercoagulability and hypofibrinolysis are associated with idiopathic sudden sensorineural hearing loss (ISSHL). ###Answer 1. Changed In Sentence A, the term ""hearing loss"" is used to describe the symptoms of ménière's disease. The context suggests that the loss is related to the inner ear and is a result of a medical procedure. The term ""tinnitus"" is also used to describe a related symptom. In Sentence B, the term ""sensorineural hearing loss"" is used, which suggests a different meaning. The context suggests that the loss is related to a sudden and unexplained cause, and the study aims to investigate potential causes. The term ""idiopathic"" is also used, which suggests a lack of known cause. Therefore, the meaning of the term ""hearing loss"" has shifted from a medical condition with a known cause to an unexplained and sudden condition." 13,Hearing loss,"Production agriculture is associated with a variety of occupational illnesses and injuries. Agricultural workers are at higher risk of death or disabling injury than most other workers. Traumatic injury commonly occurs from working with machinery or animals. Respiratory illness and health problems from exposures to farm chemicals are major concerns, and dermatoses, hearing loss, certain cancers, and zoonotic infections are important problems. Innovative means of encouraging safe work practices are being developed. Efforts are being made to reach all groups of farmworkers, including migrant and seasonal workers, farm youth, and older farmers.","The aging cochlea is subjected to a number of pathological changes to play a role in the onset of age-related hearing loss (ARHL). Although ARHL has often been thought of as the result of the loss of hair cells, it is in fact a disorder with a complex etiology, arising from the changes to both the organ of Corti and its supporting structures. In this study, we examine two aging pathologies that have not been studied in detail despite their apparent prevalence; the fusion, elongation, and engulfment of cochlear inner hair cell stereocilia, and the changes that occur to the tectorial membrane (TM), a structure overlying the organ of Corti that modulates its physical properties in response to sound. Our work demonstrates that similar pathological changes occur in these two structures in the aging cochleae of both mice and humans, examines the ultrastructural changes that underlie stereocilial fusion, and identifies the lost TM components that lead to changes in membrane structure. We place these changes into the context of the wider pathology of the aging cochlea, and identify how they may be important in particular for understanding the more subtle hearing pathologies that precede auditory threshold loss in ARHL.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Hearing loss Sentence A: Production agriculture is associated with a variety of occupational illnesses and injuries. Agricultural workers are at higher risk of death or disabling injury than most other workers. Traumatic injury commonly occurs from working with machinery or animals. Respiratory illness and health problems from exposures to farm chemicals are major concerns, and dermatoses, hearing loss, certain cancers, and zoonotic infections are important problems. Innovative means of encouraging safe work practices are being developed. Efforts are being made to reach all groups of farmworkers, including migrant and seasonal workers, farm youth, and older farmers. Sentence B: The aging cochlea is subjected to a number of pathological changes to play a role in the onset of age-related hearing loss (ARHL). Although ARHL has often been thought of as the result of the loss of hair cells, it is in fact a disorder with a complex etiology, arising from the changes to both the organ of Corti and its supporting structures. In this study, we examine two aging pathologies that have not been studied in detail despite their apparent prevalence; the fusion, elongation, and engulfment of cochlear inner hair cell stereocilia, and the changes that occur to the tectorial membrane (TM), a structure overlying the organ of Corti that modulates its physical properties in response to sound. Our work demonstrates that similar pathological changes occur in these two structures in the aging cochleae of both mice and humans, examines the ultrastructural changes that underlie stereocilial fusion, and identifies the lost TM components that lead to changes in membrane structure. We place these changes into the context of the wider pathology of the aging cochlea, and identify how they may be important in particular for understanding the more subtle hearing pathologies that precede auditory threshold loss in ARHL. ###Answer 1. Changed Explanation: In Sentence A, the term ""hearing loss"" is used in the context of occupational illnesses and injuries, and is associated with agricultural workers. The meaning of the term is focused on the workplace and the potential for hearing damage due to exposure to loud machinery or other hazards. In Sentence B, the term ""hearing loss"" is used in the context of age-related hearing loss (ARHL), and is associated with changes in the structure and function of the cochlea as people age. The meaning of the term is focused on the aging process and the degeneration of the cochlea that occurs with age. Therefore, the meaning of the term ""hearing loss"" has changed significantly between the two sentences, shifting from a workplace-focused meaning to an age-focused meaning. As a result, I would label this term as having undergone semantic drift." 14,Hearing loss,"Sufficiently good hearing is the most important prerequisite for speech communications between human beings and is crucial for the quality of human life. For this reason, provision of hearing aid is a priority task of the ENT-physician in all cases of hearing impairement which are unimproveable. The following principles must be observed: when it is necessary to provide a hearing aid, this should be done as early as possible, even in monauricular hearing loss. In binauricular hearing loss, hearing aids should be provided for both ears whenever possible and always with the objective of ""optimal"" care. The organization of hearing aid provision, which has proved very effective in Germany, is explained. Basic types of modern hearing aids are described and a review is given on the technical possibilities of modern hearing aids in solving problems relating to disturbances of hearing.","H syndrome is a rare autosomal recessive genetic disorder characterized by the following clinical features: cutaneous hyperpigmentation, hypertrichosis, hepatosplenomegaly, heart anomalies, hearing loss, hypogonadism, short stature, hallux valgus, hyperglycemia, fixed flexion contractures of the toe joints, and the proximal interphalangeal joints. In rare cases, autoinflammatory and lymphoproliferative manifestations have also been reported. This disorder is due to loss-of-function mutations in ","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Hearing loss Sentence A: Sufficiently good hearing is the most important prerequisite for speech communications between human beings and is crucial for the quality of human life. For this reason, provision of hearing aid is a priority task of the ENT-physician in all cases of hearing impairement which are unimproveable. The following principles must be observed: when it is necessary to provide a hearing aid, this should be done as early as possible, even in monauricular hearing loss. In binauricular hearing loss, hearing aids should be provided for both ears whenever possible and always with the objective of ""optimal"" care. The organization of hearing aid provision, which has proved very effective in Germany, is explained. Basic types of modern hearing aids are described and a review is given on the technical possibilities of modern hearing aids in solving problems relating to disturbances of hearing. Sentence B: H syndrome is a rare autosomal recessive genetic disorder characterized by the following clinical features: cutaneous hyperpigmentation, hypertrichosis, hepatosplenomegaly, heart anomalies, hearing loss, hypogonadism, short stature, hallux valgus, hyperglycemia, fixed flexion contractures of the toe joints, and the proximal interphalangeal joints. In rare cases, autoinflammatory and lymphoproliferative manifestations have also been reported. This disorder is due to loss-of-function mutations in ###Answer 1. Changed Reasoning: In Sentence A, the term ""hearing loss"" is used to describe a condition where an individual has difficulty hearing. The sentence emphasizes the importance of early provision of hearing aids to improve quality of life. The term ""hearing loss"" implies a permanent or significant impairment of hearing ability. In Sentence B, the term ""H syndrome"" is used to describe a rare genetic disorder that includes hearing loss as one of its clinical features. The term ""H syndrome"" suggests a more comprehensive and complex condition that goes beyond hearing loss alone. The inclusion of ""H syndrome"" implies a broader range of symptoms and impairments beyond just hearing loss. Based on these differences in context and meaning, it can be concluded that the term ""hearing loss"" has undergone semantic drift, shifting from a term that primarily referred to a hearing impairment to a term that can encompass a broader range of symptoms and impairments. Therefore, the label ""Changed"" is provided." 15,Hearing loss,A growing body of literature suggests an association between cigarette smoking and hearing loss.,"Hearing loss (HL) is one of the modifiable risk factors for Alzheimer's disease (AD). However, the underlying mechanism behind HL in AD remains elusive. A possible mechanism is cognitive load hypothesis, which postulates that over-processing of degraded auditory signals in the auditory cortex leads to deficits in other cognitive functions. Given mild cognitive impairment (MCI) is a prodromal stage of AD, untangling the association between HL and MCI might provide insights for potential mechanism behind HL.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Hearing loss Sentence A: A growing body of literature suggests an association between cigarette smoking and hearing loss. Sentence B: Hearing loss (HL) is one of the modifiable risk factors for Alzheimer's disease (AD). However, the underlying mechanism behind HL in AD remains elusive. A possible mechanism is cognitive load hypothesis, which postulates that over-processing of degraded auditory signals in the auditory cortex leads to deficits in other cognitive functions. Given mild cognitive impairment (MCI) is a prodromal stage of AD, untangling the association between HL and MCI might provide insights for potential mechanism behind HL. ###Answer 1. Changed Explanation: In Sentence A, the term ""hearing loss"" is used in the context of cigarette smoking, implying a negative association. In Sentence B, the term is used in the context of Alzheimer's disease, suggesting a potential mechanism for the cognitive load hypothesis. The shift in context and meaning implies a semantic drift, and the term ""hearing loss"" has taken on a different connotation." 16,Hearing loss,"Universal Newborn Hearing Screening (UNHS) is being implemented worldwide as an effective method of early identification of hearing loss. The impact of delayed detection of sensorineural hearing loss is a major lifelong impairment. The aim of the study was to assess the feasibility of introducing universal newborn hearing screening over the 12-month period in the Neonatal Intensive Care Unit (NICU) at Christchurch Women's Hospital, and to assess the costs, and resources required.","Presbycusis is a gradual hearing loss caused by the ageing process. This is a chronic condition that affects the elderly population, and sensorineural progressive bilateral symmetry occurs with predominantly high-frequency hearing loss. The ability to discriminate speech decreases; hence, most of the affected patients have conversation problems, especially in noisy environments.This situation is a serious problem among elderly individuals. Social isolation, depression, and paranoia can be related to presbycusis.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Hearing loss Sentence A: Universal Newborn Hearing Screening (UNHS) is being implemented worldwide as an effective method of early identification of hearing loss. The impact of delayed detection of sensorineural hearing loss is a major lifelong impairment. The aim of the study was to assess the feasibility of introducing universal newborn hearing screening over the 12-month period in the Neonatal Intensive Care Unit (NICU) at Christchurch Women's Hospital, and to assess the costs, and resources required. Sentence B: Presbycusis is a gradual hearing loss caused by the ageing process. This is a chronic condition that affects the elderly population, and sensorineural progressive bilateral symmetry occurs with predominantly high-frequency hearing loss. The ability to discriminate speech decreases; hence, most of the affected patients have conversation problems, especially in noisy environments.This situation is a serious problem among elderly individuals. Social isolation, depression, and paranoia can be related to presbycusis. ###Answer 1. Changed Reasoning: In Sentence A, the target word ""hearing loss"" is used in the context of a screening program for newborns, indicating a focus on early detection and prevention. The word carries a negative connotation, suggesting a potential impairment or disability. In Sentence B, the target word ""hearing loss"" is used in a different context, describing a condition that affects the elderly population. The word carries a different connotation, suggesting a gradual and natural part of the ageing process. There is no negative implication, and the word is not associated with the same level of severity as in Sentence A. Based on these differences in context and connotation, it can be concluded that the meaning of the target word ""hearing loss"" has shifted over time, indicating semantic drift. The label ""Changed"" is therefore appropriate." 17,Hearing loss,"A modified method of pure tone audiometry (PTA) in which the auditory threshold is approached from silence in ascending steps, with tone presentations of 1-4 seconds and interval durations of 1.5-5 seconds was assessed against the British Society of Audiology (BSA) method of PTA in terms of its ability to establish valid thresholds in cases of non-organic hearing loss, prevalent in medico-legal testing. The results reveal that the modified technique of PTA is a valid threshold measurement for honest subjects, and yields less non-organic overlay than the standard method of PTA in cases of non-organic hearing loss.","The purpose of this study was to describe the prevalence of hearing loss (HL), vision loss (VL), and dual sensory loss (DSL) in Canadians 45-85 years of age. Audiometry and visual acuity were measured. Various levels of impairment severity were described. Results were extrapolated to the 2016 Canadian population. In 2016, 1,500,000 Canadian males 45-85 years of age had at least mild HL, 1,800,000 had at least mild VL, and 570,000 had DSL. Among females, 1,200,000 had at least mild HL, 2,200,000 had at least mild VL, and 450,000 had DSL. Among Canadians 45-85 years of age, mild, moderate, and severe HL was prevalent among 13.4 per cent, 3.7 per cent, and 0.4 per cent of males, and among 11.3 per cent, 2.3 per cent, and 0.2 per cent of females, respectively. Mild and moderate, or severe VL was prevalent among 19.8 per cent and 2.4 per cent of males, and among 23.9 per cent and 2.6 per cent of females, respectively. At least mild DSL was prevalent among 6.4 per cent of males and 6.1 per cent of females.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Hearing loss Sentence A: A modified method of pure tone audiometry (PTA) in which the auditory threshold is approached from silence in ascending steps, with tone presentations of 1-4 seconds and interval durations of 1.5-5 seconds was assessed against the British Society of Audiology (BSA) method of PTA in terms of its ability to establish valid thresholds in cases of non-organic hearing loss, prevalent in medico-legal testing. The results reveal that the modified technique of PTA is a valid threshold measurement for honest subjects, and yields less non-organic overlay than the standard method of PTA in cases of non-organic hearing loss. Sentence B: The purpose of this study was to describe the prevalence of hearing loss (HL), vision loss (VL), and dual sensory loss (DSL) in Canadians 45-85 years of age. Audiometry and visual acuity were measured. Various levels of impairment severity were described. Results were extrapolated to the 2016 Canadian population. In 2016, 1,500,000 Canadian males 45-85 years of age had at least mild HL, 1,800,000 had at least mild VL, and 570,000 had DSL. Among females, 1,200,000 had at least mild HL, 2,200,000 had at least mild VL, and 450,000 had DSL. Among Canadians 45-85 years of age, mild, moderate, and severe HL was prevalent among 13.4 per cent, 3.7 per cent, and 0.4 per cent of males, and among 11.3 per cent, 2.3 per cent, and 0.2 per cent of females, respectively. Mild and moderate, or severe VL was prevalent among 19.8 per cent and 2.4 per cent of males, and among 23.9 per cent and 2.6 per cent of females, respectively. At least mild DSL was prevalent among 6.4 per cent of males and 6.1 per cent of females. ###Answer 1. Changed Reasoning: The target word ""hearing loss"" has undergone a significant change in meaning between Sentence A (2000) and Sentence B (2020). In Sentence A, the term likely refers to sensorineural hearing loss, which is a specific type of hearing impairment caused by damage to the inner ear or auditory nerve. In contrast, in Sentence B, the term ""hearing loss"" is used more broadly to encompass a range of hearing impairments, including conductive and sensorineural hearing loss, as well as other causes of hearing difficulty. This shift in meaning suggests that the term ""hearing loss"" has undergone semantic drift." 18,Hearing loss,"Acoustic reflex thresholds (ART) were measured ipsilaterally in 20 neonates, 220 children with normal hearing and 56 children with sensorineural hearing loss, using a probe-tone frequency of 660 Hz. Middle-ear function was assessed with tympanometry (220 Hz probe tone) in all children. All the neonates had normal tympanograms and middle- ear pressure better than -- 1kPa, even a few hours after birth. The mean acoustic reflex threshold (ART) averaged over the frequency range 0.5-4 kHz was 85 dB HL, with standard deviations (SD) varying between 5 and 9 dB. With broad-band noise (BBN), the mean ART average was 57 dB HL with SD +/- 10 dB. Measurements of the ART on the children with normal-hearing and at an age of 1 month up to 5 years showed that the ARTs increased in relation to age. At 4 kHz the ARTs increased from an age of 2 months. At an age of one year 28% of 40 ears failed to manifest a reflex at the maximum testing level (90 dB HL). At frequencies 1.0 and 2.0 kHz the mean ART increased from 85 dB HL in neonates to 90 and 92 dB HL at an age of 5 years. The standard deviations in the different age groups varied between 4 and 9 dB for pure tones and 6-8 dB for BBN. Twenty (9%) of the 220 children with normal hearing had elevated ARTs by puretone stimuli and 19 by BBN. No reflexes could be elicited at 0.5 kHz and at 1.0 and 2.0 kHz the ARTs were abnormally elevated.(ABSTRACT TRUNCATED AT 250 WORDS)",Noise-induced hearing loss (NIHL) is usually one of the main problems in industrial settings. The aim of this study was to determine whether changes in the signal-to-noise ratio (SNR) in different DPOAE are caused by exposure to different levels of noise at different time intervals among workers exposed to noise.,"###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Hearing loss Sentence A: Acoustic reflex thresholds (ART) were measured ipsilaterally in 20 neonates, 220 children with normal hearing and 56 children with sensorineural hearing loss, using a probe-tone frequency of 660 Hz. Middle-ear function was assessed with tympanometry (220 Hz probe tone) in all children. All the neonates had normal tympanograms and middle- ear pressure better than -- 1kPa, even a few hours after birth. The mean acoustic reflex threshold (ART) averaged over the frequency range 0.5-4 kHz was 85 dB HL, with standard deviations (SD) varying between 5 and 9 dB. With broad-band noise (BBN), the mean ART average was 57 dB HL with SD +/- 10 dB. Measurements of the ART on the children with normal-hearing and at an age of 1 month up to 5 years showed that the ARTs increased in relation to age. At 4 kHz the ARTs increased from an age of 2 months. At an age of one year 28% of 40 ears failed to manifest a reflex at the maximum testing level (90 dB HL). At frequencies 1.0 and 2.0 kHz the mean ART increased from 85 dB HL in neonates to 90 and 92 dB HL at an age of 5 years. The standard deviations in the different age groups varied between 4 and 9 dB for pure tones and 6-8 dB for BBN. Twenty (9%) of the 220 children with normal hearing had elevated ARTs by puretone stimuli and 19 by BBN. No reflexes could be elicited at 0.5 kHz and at 1.0 and 2.0 kHz the ARTs were abnormally elevated.(ABSTRACT TRUNCATED AT 250 WORDS) Sentence B: Noise-induced hearing loss (NIHL) is usually one of the main problems in industrial settings. The aim of this study was to determine whether changes in the signal-to-noise ratio (SNR) in different DPOAE are caused by exposure to different levels of noise at different time intervals among workers exposed to noise. ###Answer 1. Changed Reasoning: In Sentence A, the target word ""hearing loss"" is used to describe the results of measuring acoustic reflex thresholds in neonates, children with normal hearing, and children with sensorineural hearing loss. The word ""hearing loss"" implies a permanent or significant impairment of hearing, which is consistent with the context of the sentence. However, in Sentence B, the target word ""hearing loss"" is used to describe noise-induced hearing loss, which is a different type of hearing impairment. The word ""hearing loss"" in Sentence B carries a different meaning than in Sentence A, indicating a significant change in the word's meaning over time. Therefore, the label ""Changed"" is appropriate for this task." 19,Hearing loss,"Good directional hearing ability demands good and symmetrical hearing in both ears. We report the effect of impaired hearing on the directional hearing ability of 98 patients, especially of patients with bilateral asymmetrical hearing loss. The directional testing device included 12 loudspeakers placed at 30 degree intervals in a circle with a diameter of 3.25 m, whose centre lay between the ears of the patient. In included an audiometer for producing the signals, an amplifier and a PDP11/23 computer interfaced to a loudspeaker switch bank. The subject's answers to 60 directionally randomized stimuli were recorded. During the presentation of the signal the patients were not allowed to turn their head. The patients had to name the number of the loudspeaker on the circle that they thought was producing the sound. In addition to the directional hearing test a pure-tone audiogram was done, and the middle- and high-frequency hearing loss estimated. The records of the directional hearing test were analysed in two new ways: firstly, vector analysis of the errors; secondly, averaging of the difference between the true interaural time delay and the virtual time difference, which was implicated in the possibly incorrect answer of the patient (effective delta-t-parameter). This average gives a score for the uncertainty in defining the correct ""cone of confusion"". In addition to the statistical analysis, two cases are reported showing the directional hearing ability of two patients with neuromas treated by transtemporal surgery, with some residual hearing.(ABSTRACT TRUNCATED AT 250 WORDS)","Hypertrophy of adenoids is usually caused by repeated throat infections, especially viral and bacterial infections, that in microscopic examination reveal reactive lymphoid follicular hyperplasia. Herein, we present an 11-year-old boy who developed hearing loss in his left ear three months before admission, and in direct examination the adenoids were hypertrophied. Histopathological study of the resected adenoid revealed caseating granulomatous inflammation. Based on histopathological and clinical findings, primary tuberculosis of adenoids was suggested which was confirmed by PCR.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Hearing loss Sentence A: Good directional hearing ability demands good and symmetrical hearing in both ears. We report the effect of impaired hearing on the directional hearing ability of 98 patients, especially of patients with bilateral asymmetrical hearing loss. The directional testing device included 12 loudspeakers placed at 30 degree intervals in a circle with a diameter of 3.25 m, whose centre lay between the ears of the patient. In included an audiometer for producing the signals, an amplifier and a PDP11/23 computer interfaced to a loudspeaker switch bank. The subject's answers to 60 directionally randomized stimuli were recorded. During the presentation of the signal the patients were not allowed to turn their head. The patients had to name the number of the loudspeaker on the circle that they thought was producing the sound. In addition to the directional hearing test a pure-tone audiogram was done, and the middle- and high-frequency hearing loss estimated. The records of the directional hearing test were analysed in two new ways: firstly, vector analysis of the errors; secondly, averaging of the difference between the true interaural time delay and the virtual time difference, which was implicated in the possibly incorrect answer of the patient (effective delta-t-parameter). This average gives a score for the uncertainty in defining the correct ""cone of confusion"". In addition to the statistical analysis, two cases are reported showing the directional hearing ability of two patients with neuromas treated by transtemporal surgery, with some residual hearing.(ABSTRACT TRUNCATED AT 250 WORDS) Sentence B: Hypertrophy of adenoids is usually caused by repeated throat infections, especially viral and bacterial infections, that in microscopic examination reveal reactive lymphoid follicular hyperplasia. Herein, we present an 11-year-old boy who developed hearing loss in his left ear three months before admission, and in direct examination the adenoids were hypertrophied. Histopathological study of the resected adenoid revealed caseating granulomatous inflammation. Based on histopathological and clinical findings, primary tuberculosis of adenoids was suggested which was confirmed by PCR. ###Answer 1. Changed Reasoning: In Sentence A, the target word ""hearing loss"" is used in the context of a scientific study examining the effect of impaired hearing on directional hearing ability. The word is used to describe a specific type of hearing impairment, where there is a loss of hearing in one or both ears. In contrast, in Sentence B, the target word ""hearing loss"" is used in a different context, where it refers to a symptom of an underlying medical condition, such as adenoid hypertrophy. The word is used to describe a broader range of hearing impairments, including those caused by infections or inflammation. Therefore, the meaning of the target word has changed significantly between the two sentences, indicating semantic drift." 20,Hearing loss,"A family is presented that had what is believed to be a previously undescribed syndrome of granulomatous synovitis, bilateral recurrent uveitis, and cranial neuropathies. Affected members included the proband, his brother, father, and probably the decreased paternal grandmother. Disease onset was in childhood. Each had symmetric, boggy polysynovitis of the hands and wrists, resulting in nearly identical boutonniere deformities. Hand radiography in the proband and his brother revealed no erosions or joint destruction despite more than 20 years of disease. Synovectomy specimens in the proband and his brother showed granulomatous inflammation with giant cells. Recurrent, nongranulomatous, acute iridocyclitis with visual impairment afflicted the proband, brother, and father. Apparently corticosteroid-responsive bilateral neurosensory hearing loss occurred in the proband, and a transient sixth cranial nerve palsy in his brother. All members of the family were antinuclear antibody-, rheumatoid factor-, and HLA-B27-negative. Serum angiotensin-converting enzyme levels were within normal limits in all family members. The inheritance pattern of this syndrome is most consistent with an autosomal dominant mode.","Musicians are at risk of hearing loss from sound exposure, and earplugs form part of many musicians' hearing conservation practices. Although musicians typically report a range of difficulties when wearing earplugs, there are many who have managed to successfully incorporate earplugs into their practice of music.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Hearing loss Sentence A: A family is presented that had what is believed to be a previously undescribed syndrome of granulomatous synovitis, bilateral recurrent uveitis, and cranial neuropathies. Affected members included the proband, his brother, father, and probably the decreased paternal grandmother. Disease onset was in childhood. Each had symmetric, boggy polysynovitis of the hands and wrists, resulting in nearly identical boutonniere deformities. Hand radiography in the proband and his brother revealed no erosions or joint destruction despite more than 20 years of disease. Synovectomy specimens in the proband and his brother showed granulomatous inflammation with giant cells. Recurrent, nongranulomatous, acute iridocyclitis with visual impairment afflicted the proband, brother, and father. Apparently corticosteroid-responsive bilateral neurosensory hearing loss occurred in the proband, and a transient sixth cranial nerve palsy in his brother. All members of the family were antinuclear antibody-, rheumatoid factor-, and HLA-B27-negative. Serum angiotensin-converting enzyme levels were within normal limits in all family members. The inheritance pattern of this syndrome is most consistent with an autosomal dominant mode. Sentence B: Musicians are at risk of hearing loss from sound exposure, and earplugs form part of many musicians' hearing conservation practices. Although musicians typically report a range of difficulties when wearing earplugs, there are many who have managed to successfully incorporate earplugs into their practice of music. ###Answer 1. Changed Reasoning: In Sentence A, the term ""hearing loss"" is used to describe a specific medical condition affecting the proband and his family members. The context suggests that the loss is due to a granulomatous inflammation, and the family members are antinuclear antibody-, rheumatoid factor-, and HLA-B27-negative. This implies that the hearing loss is likely caused by an autoimmune disorder. In Sentence B, the term ""hearing loss"" is used in a different context. It is mentioned in the context of musicians' exposure to sound and the use of earplugs as part of hearing conservation practices. The term ""hearing loss"" does not carry the same medical connotations as in Sentence A. Instead, it is used to describe a more general risk faced by musicians. Therefore, the meaning of the term ""hearing loss"" has changed significantly between the two sentences. In Sentence A, it refers to a specific medical condition, while in Sentence B, it is used to describe a more general risk faced by musicians. Therefore, the label ""Changed"" is appropriate." 21,Hearing loss,"In this paper we introduce the results obtained using 40 Hz potentials, with 500 and 1,000 Hz stimuli, in patients with neurosensory hearing loss, with and without preservation of low frequencies. We analyze the relation latency/intensity, the percentage of presence of the waves and their amplitude.","Hypogonadotropic hypogonadism (HH) is a disease defined by dysfunction of the hypothalamic- pituitary-gonadal hormone axis, leading to low sex hormone levels and impaired fertility. HH with anosmia or hyposmia is known as Kallmann syndrome (KS). Waardenburg syndrome (WS) is a rare autosomal dominant genetic disorder characterized by sensorineural hearing loss and abnormal pigmentation. In this report, we collected the clinical data of a patient with hypogonadotropic hypogonadism and congenital hearing loss of unknown cause. The patient had no obvious secondary sexual characteristics development after puberty, and had a heterozygous deletion (at least 419 kb) in 22q13.1 region (Chr.22:38106433-38525560), which covered the ","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Hearing loss Sentence A: In this paper we introduce the results obtained using 40 Hz potentials, with 500 and 1,000 Hz stimuli, in patients with neurosensory hearing loss, with and without preservation of low frequencies. We analyze the relation latency/intensity, the percentage of presence of the waves and their amplitude. Sentence B: Hypogonadotropic hypogonadism (HH) is a disease defined by dysfunction of the hypothalamic- pituitary-gonadal hormone axis, leading to low sex hormone levels and impaired fertility. HH with anosmia or hyposmia is known as Kallmann syndrome (KS). Waardenburg syndrome (WS) is a rare autosomal dominant genetic disorder characterized by sensorineural hearing loss and abnormal pigmentation. In this report, we collected the clinical data of a patient with hypogonadotropic hypogonadism and congenital hearing loss of unknown cause. The patient had no obvious secondary sexual characteristics development after puberty, and had a heterozygous deletion (at least 419 kb) in 22q13.1 region (Chr.22:38106433-38525560), which covered the ###Answer 1. Changed Explanation: In Sentence A, the target word ""hearing loss"" is used to describe a specific medical condition, including the frequency range of the stimuli used to test hearing and the presence of certain waves. The sentence implies that the hearing loss is related to neurosensory issues, and the analysis of latency and intensity of the waves is being conducted to understand the underlying mechanisms. In Sentence B, the target word ""hypogonadotropic hypogonadism"" is used to describe a medical condition characterized by low sex hormone levels and infertility. The sentence also mentions ""anosmia or hyposmia,"" which is a lack of sense of smell. The target word ""hearing loss"" is not used in this sentence. Based on the context and meaning of the target word in each sentence, it is clear that the term has undergone significant semantic drift between the two timestamps. In Sentence A, ""hearing loss"" is used in the context of neurosensory hearing loss and related to specific medical procedures and tests. In Sentence B, ""hearing loss"" is not used, and instead the term ""anosmia or hyposmia"" is used to describe a lack of sense of smell. Therefore, the label ""Changed"" is appropriate to indicate that the meaning of the target word has shifted significantly between the two sentences." 22,Hearing loss,"The present study examined the usefulness of personal variables: noise annoyance, and components of the protection motivation theory (R. W. Rogers, 1983) along with social-organizational factors in explaining hearing protection device (HPD) use among Israeli manufacturing workers. Participants were 281 men exposed to harmful noise levels for which routine HPD use is required by regulation. In practice, 3 HPD user groups were identified: nonusers (n = 38), occasional users (n = 125), and regular users (n = 118). HPD use was objectively verified. HPD use was primarily related to the personal variables but not to management pressure, coworker pressure, or family support. The most powerful predictors of HPD use were perceived self-efficacy (for long-term HPD use), perceived susceptibility (to hearing loss), and noise annoyance, together explaining 48% of the outcome variance. These findings have implications for interventions aimed at motivating workers to use HPDs regularly.","This article reviews some of the otolaryngologic manifestations of skeletal dysplasias. Achondroplasia is discussed most comprehensively. Skeletal dysplasias are bone and cartilage disorders that disrupt the development of the long bones, craniofacial skeleton, and vertebral column, with the most notable characteristic being short stature. Children with skeletal dysplasias have various medical problems. These children often develop head and neck manifestations of their disorders. Hearing loss, middle ear disease, and respiratory difficulties are seen in these children. Otolaryngologists must be knowledgeable about these disorders to diagnose, treat, and appropriately refer children with skeletal dysplasias.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Hearing loss Sentence A: The present study examined the usefulness of personal variables: noise annoyance, and components of the protection motivation theory (R. W. Rogers, 1983) along with social-organizational factors in explaining hearing protection device (HPD) use among Israeli manufacturing workers. Participants were 281 men exposed to harmful noise levels for which routine HPD use is required by regulation. In practice, 3 HPD user groups were identified: nonusers (n = 38), occasional users (n = 125), and regular users (n = 118). HPD use was objectively verified. HPD use was primarily related to the personal variables but not to management pressure, coworker pressure, or family support. The most powerful predictors of HPD use were perceived self-efficacy (for long-term HPD use), perceived susceptibility (to hearing loss), and noise annoyance, together explaining 48% of the outcome variance. These findings have implications for interventions aimed at motivating workers to use HPDs regularly. Sentence B: This article reviews some of the otolaryngologic manifestations of skeletal dysplasias. Achondroplasia is discussed most comprehensively. Skeletal dysplasias are bone and cartilage disorders that disrupt the development of the long bones, craniofacial skeleton, and vertebral column, with the most notable characteristic being short stature. Children with skeletal dysplasias have various medical problems. These children often develop head and neck manifestations of their disorders. Hearing loss, middle ear disease, and respiratory difficulties are seen in these children. Otolaryngologists must be knowledgeable about these disorders to diagnose, treat, and appropriately refer children with skeletal dysplasias. ###Answer 1. Changed Reasoning: In Sentence A, the term ""hearing loss"" is used in the context of a study examining the relationship between personal variables and the use of hearing protection devices (HPDs) among manufacturing workers in Israel. The term is used to describe the outcome of a study where the participants were exposed to harmful noise levels and the use of HPDs was objectively verified. In this context, ""hearing loss"" likely refers to the short-term or acute effects of noise exposure, such as temporary hearing impairment or tinnitus. In Sentence B, the term ""hearing loss"" is used in a different context, describing the otolaryngologic manifestations of skeletal dysplasias. In this context, ""hearing loss"" likely refers to the chronic or long-term effects of noise exposure, such as permanent hearing impairment or cochlear damage. The difference in context and meaning between the two sentences suggests that the term ""hearing loss"" has undergone a significant change in meaning, warranting the label ""Changed""." 23,Hearing loss,"Hearing losses estimated for exposure to industrial and gun noise and for ""typical"" nosocusis are applied to the distributions of the hearing levels of adult males and females of the general population of an industrialized society unscreened for exposure to noise or ear disease. Noise exposure and demographic data applicable to the United States, and procedures for predicting noise-induced permanent threshold shift (NIPTS) and nosocusis, were used to account for some 8.7 dB of the 13.4 dB average difference between the hearing levels at high frequencies for otologically and noise screened versus unscreened male ears; (this average difference is for the average of the hearing levels at 3000, 4000, and 6000 Hz, average for the 10th, 50th, and 90th percentiles, and ages 20-65 years). According to the present calculations, this difference is due, in order of importance, to (1) nosocusis, (2) exposure to gun noise, and (3) exposure of workers to industrial noise. For these same frequencies and overall average, adjustments for nosocusis accounts for 2 dB of the 5.9-dB difference between the hearing levels of screened and unscreened female ears. For the average at 500, 1000, and 2000 Hz, the overall differences between the screened and unscreened populations is but 3.4 dB for males and 2.9 dB for females. The adjustment procedures reduced these differences to -0.5 and 0.9 dB, respectively.","The dissemination of newborn hearing screening (NHS) has enabled those with mild to moderate hearing loss to be diagnosed in early infancy. The ""handicapped independence support law"", however, prevents those not determined to be physically handicapped; i.e., those with mild to moderate hearing loss-, from government assistance in purchasing hearing aids. This results either in (i) parents purchasing hearing aids at their own expense or (ii) nonpurchase of hearing aids. To redress this situation, subvention in purchasing hearing aids of mild to moderate hearing loss children has been begun by some local governments. We petitioned for such aid at the Okayama Prefecture Assembly. A society for supporting pediatric hearing difficulty in Okayama Prefecture also submitted a similar petition in September 2009, and subvention began in April 2010 for all such children in Okayama Prefecture. We report procedures and details leading to this subvention.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Hearing loss Sentence A: Hearing losses estimated for exposure to industrial and gun noise and for ""typical"" nosocusis are applied to the distributions of the hearing levels of adult males and females of the general population of an industrialized society unscreened for exposure to noise or ear disease. Noise exposure and demographic data applicable to the United States, and procedures for predicting noise-induced permanent threshold shift (NIPTS) and nosocusis, were used to account for some 8.7 dB of the 13.4 dB average difference between the hearing levels at high frequencies for otologically and noise screened versus unscreened male ears; (this average difference is for the average of the hearing levels at 3000, 4000, and 6000 Hz, average for the 10th, 50th, and 90th percentiles, and ages 20-65 years). According to the present calculations, this difference is due, in order of importance, to (1) nosocusis, (2) exposure to gun noise, and (3) exposure of workers to industrial noise. For these same frequencies and overall average, adjustments for nosocusis accounts for 2 dB of the 5.9-dB difference between the hearing levels of screened and unscreened female ears. For the average at 500, 1000, and 2000 Hz, the overall differences between the screened and unscreened populations is but 3.4 dB for males and 2.9 dB for females. The adjustment procedures reduced these differences to -0.5 and 0.9 dB, respectively. Sentence B: The dissemination of newborn hearing screening (NHS) has enabled those with mild to moderate hearing loss to be diagnosed in early infancy. The ""handicapped independence support law"", however, prevents those not determined to be physically handicapped; i.e., those with mild to moderate hearing loss-, from government assistance in purchasing hearing aids. This results either in (i) parents purchasing hearing aids at their own expense or (ii) nonpurchase of hearing aids. To redress this situation, subvention in purchasing hearing aids of mild to moderate hearing loss children has been begun by some local governments. We petitioned for such aid at the Okayama Prefecture Assembly. A society for supporting pediatric hearing difficulty in Okayama Prefecture also submitted a similar petition in September 2009, and subvention began in April 2010 for all such children in Okayama Prefecture. We report procedures and details leading to this subvention. ###Answer 1. Changed Reasoning: In Sentence A, the term ""hearing loss"" is used to describe the impact of noise exposure on hearing levels, with a focus on the industrial and gun noise exposure. The term is used in the context of predicting noise-induced permanent threshold shift (NIPTS) and nosocusis. The word ""loss"" connotes a permanent damage to hearing, which was the primary concern in this context. In Sentence B, the term ""hearing loss"" is used in a different context, with a focus on early diagnosis and support for children with mild to moderate hearing loss. The term is used in the context of government assistance and subvention for purchasing hearing aids. The word ""loss"" now connotes a temporary or manageable condition, rather than a permanent damage. Based on these differences in context and connotation, it can be concluded that the term ""hearing loss"" has undergone semantic drift, shifting from a focus on permanent damage to a focus on temporary or manageable conditions. Therefore, the label ""Changed"" is appropriate." 24,Hearing loss,"Sensorineural hearing loss is frequently reported in young patients with chronic renal failure having haemodialysis. The effect of a single session of haemodialysis on hearing acuity was assessed prospectively in nine children with end-stage renal disease using pure-tone audiometry (PTA) and distortion-product otoacoustic emissions (DPOAEs). Results were compared with those obtained from nine audiologically normal healthy children also tested with PTA and DPOAEs twice during a 4-h interval. Sensorineural hearing loss of unknown aetiology was found in 55.5% of renal patients, mainly in the higher frequencies. Patients on HD had mean PTA thresholds significantly poorer than those of the control group in the frequency range 1000-12 000Hz (P < 0.05). Their mean DPOAE amplitudes were significantly lower in all frequencies > 1184 Hz (P < 0.05). Furthermore, patients' ears with normal PTA thresholds between 250 and 4000 Hz also had decreased DPOAE amplitudes. No significant changes in PTA thresholds or DPOAE amplitudes were encountered in renal patients before and after a HD session (P > 0.05). Changes in PTA thresholds or DPOAE amplitudes were not significantly different than those in the control group (P > 0.05). In conclusion, sensorineural hearing loss of unknown origin, especially in high frequencies, is frequent in young renal patients under HD and single HD sessions do not seem to alter the hearing acuity of these patients. DPOAEs seem to be more sensitive to incipient cochlear damage than behaviour thresholds in monitoring renal patients.","The lack of an effective method of drug delivery has been a considerable obstacle in the development of novel therapeutics for inner ear diseases. However, several strategies have been investigated to achieve drug delivery to the inner ear, particularly for local application. Here, we review recent advances in the development of inner ear drug-delivery systems, focusing on biodegradable materials. Both synthetic and natural biodegradable materials have shown efficacy for inner ear drug delivery, resulting in an attenuation of hearing loss in animal models. We expect the further development of such drug-delivery systems to help translate the findings of experimental studies to clinical applications.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Hearing loss Sentence A: Sensorineural hearing loss is frequently reported in young patients with chronic renal failure having haemodialysis. The effect of a single session of haemodialysis on hearing acuity was assessed prospectively in nine children with end-stage renal disease using pure-tone audiometry (PTA) and distortion-product otoacoustic emissions (DPOAEs). Results were compared with those obtained from nine audiologically normal healthy children also tested with PTA and DPOAEs twice during a 4-h interval. Sensorineural hearing loss of unknown aetiology was found in 55.5% of renal patients, mainly in the higher frequencies. Patients on HD had mean PTA thresholds significantly poorer than those of the control group in the frequency range 1000-12 000Hz (P < 0.05). Their mean DPOAE amplitudes were significantly lower in all frequencies > 1184 Hz (P < 0.05). Furthermore, patients' ears with normal PTA thresholds between 250 and 4000 Hz also had decreased DPOAE amplitudes. No significant changes in PTA thresholds or DPOAE amplitudes were encountered in renal patients before and after a HD session (P > 0.05). Changes in PTA thresholds or DPOAE amplitudes were not significantly different than those in the control group (P > 0.05). In conclusion, sensorineural hearing loss of unknown origin, especially in high frequencies, is frequent in young renal patients under HD and single HD sessions do not seem to alter the hearing acuity of these patients. DPOAEs seem to be more sensitive to incipient cochlear damage than behaviour thresholds in monitoring renal patients. Sentence B: The lack of an effective method of drug delivery has been a considerable obstacle in the development of novel therapeutics for inner ear diseases. However, several strategies have been investigated to achieve drug delivery to the inner ear, particularly for local application. Here, we review recent advances in the development of inner ear drug-delivery systems, focusing on biodegradable materials. Both synthetic and natural biodegradable materials have shown efficacy for inner ear drug delivery, resulting in an attenuation of hearing loss in animal models. We expect the further development of such drug-delivery systems to help translate the findings of experimental studies to clinical applications. ###Answer 1. Changed Reasoning: The target word ""hearing loss"" has undergone a significant change in meaning between the two sentences. In Sentence A, ""hearing loss"" refers to sensorineural hearing loss, which is a specific type of hearing impairment caused by damage to the inner ear or auditory nerve. In Sentence B, ""hearing loss"" is used more broadly to refer to any type of hearing impairment, without specifying the cause. This broader meaning is evident in the context of the sentence, as the author discusses the development of drug-delivery systems for inner ear diseases, including both sensorineural and conductive hearing loss. Therefore, the meaning of the target word has shifted from a specific medical term to a more general term encompassing a wider range of hearing impairments." 25,Hearing loss,"There are several countries in the world in which people with severe hearing loss are not eligible for a car driver's license. As a technical approach to solve this problem, an electronic device is developed which detects traffic-alarm-sounds, i.e. horns of cars, sirens of emergency vehicles and alarm signals of railroad crossings, and then displays them as vibration to the driver. The basic operating principle of the device is that those traffic-alarm-sounds have marked regularity in some particular frequency region whereas the traffic noise is a wide-band random noise. The real time detection of the regularity is realized by use of a phase-locked-loop and a simplified lock-in amplifier. The results of simulation experiments and road tests demonstrate that the performance of the device is satisfactory except in the case of the detection of the alarm signals of railroad crossings.","To demonstrate the feasibility and clinical significance of cervical vestibular-evoked myogenic potential (cVEMP) test in pediatric patients.Retrospective review study was conducted in a pediatric tertiary care facility. A total of 278 patients were identified with adequate data, including medical notes, results of cVEMP, and imaging studies.Among the total of 278 pediatric patients, only 3 children were not able to finish the cVEMP test successfully. In about 90% of the cases, the cVEMP test was requested to investigate a patient's hearing loss and/or vestibular complaints. Over 90% of the cVEMP tests were ordered by specialists such as pediatric otolaryngologists or otologists. Obtained cVEMP results provided useful information in clinical diagnosis and management in all cases.It is feasible to conduct cVEMP testing in children, including infants, and cVEMP testing can provide valuable information in the diagnosis and management of hearing loss and vestibular impairment. This simple and noninvasive test should be embraced by pediatric professionals. ","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Hearing loss Sentence A: There are several countries in the world in which people with severe hearing loss are not eligible for a car driver's license. As a technical approach to solve this problem, an electronic device is developed which detects traffic-alarm-sounds, i.e. horns of cars, sirens of emergency vehicles and alarm signals of railroad crossings, and then displays them as vibration to the driver. The basic operating principle of the device is that those traffic-alarm-sounds have marked regularity in some particular frequency region whereas the traffic noise is a wide-band random noise. The real time detection of the regularity is realized by use of a phase-locked-loop and a simplified lock-in amplifier. The results of simulation experiments and road tests demonstrate that the performance of the device is satisfactory except in the case of the detection of the alarm signals of railroad crossings. Sentence B: To demonstrate the feasibility and clinical significance of cervical vestibular-evoked myogenic potential (cVEMP) test in pediatric patients.Retrospective review study was conducted in a pediatric tertiary care facility. A total of 278 patients were identified with adequate data, including medical notes, results of cVEMP, and imaging studies.Among the total of 278 pediatric patients, only 3 children were not able to finish the cVEMP test successfully. In about 90% of the cases, the cVEMP test was requested to investigate a patient's hearing loss and/or vestibular complaints. Over 90% of the cVEMP tests were ordered by specialists such as pediatric otolaryngologists or otologists. Obtained cVEMP results provided useful information in clinical diagnosis and management in all cases.It is feasible to conduct cVEMP testing in children, including infants, and cVEMP testing can provide valuable information in the diagnosis and management of hearing loss and vestibular impairment. This simple and noninvasive test should be embraced by pediatric professionals. ###Answer 1. Changed Explanation: In Sentence A, the target word ""hearing loss"" is used in the context of a technical approach to detect traffic-alarm-sounds. The meaning of the word is related to the detection of sounds, specifically those with a regular frequency. In Sentence B, the target word ""hearing loss"" is used in the context of pediatric patients, specifically to investigate vestibular complaints. The meaning of the word has shifted from a technical context to a medical context, where it is related to the diagnosis and management of vestibular impairment. The word has undergone a significant change in meaning, indicating semantic drift. Therefore, the label ""Changed"" is appropriate." 26,Hearing loss,"A patient presented with sudden hearing loss on her first visit to our department. Gadolinium-DTPA-enhanced magnetic resonance imaging (MRI) of the posterior cranial fossa portrayed an intracanalicular tumour image (2-3 mm), and the pure tone average (PTA) and speech discrimination score (SDS) values were 65 dB and 60 per cent, respectively. Surgical intervention to remove the suspected tumour was scheduled by the translabyrinthine approach. Intracanalicular observations by the retrolabyrinthine approach revealed limited oedema on the inferior vestibular nerve with vascular dilation. The tumour image disappeared two years after the operation. Surgical findings and the post-operative course advocate that gadolinium-DTPA-enriched MRI image of an intracanalicular lesion such as arachnoiditis might produce a false-positive result.","In a replication study, the researcher investigated the effects of a 4-week vocabulary intervention in which he and a teacher used direct instruction to teach 16 multiple-meaning words to three hard of hearing students in a fifth-grade classroom who read at low levels. The vocabulary intervention was adopted from a study by Alqraini and Paul (2020) in which multiple-meaning words were taught to students with profound hearing loss in Saudi Arabia. In the present study, a single-subject experimental design was used to implement the vocabulary intervention. It was found that the students' performance in word recognition and comprehension improved after the intervention. However, the three students showed different levels of improvement.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Hearing loss Sentence A: A patient presented with sudden hearing loss on her first visit to our department. Gadolinium-DTPA-enhanced magnetic resonance imaging (MRI) of the posterior cranial fossa portrayed an intracanalicular tumour image (2-3 mm), and the pure tone average (PTA) and speech discrimination score (SDS) values were 65 dB and 60 per cent, respectively. Surgical intervention to remove the suspected tumour was scheduled by the translabyrinthine approach. Intracanalicular observations by the retrolabyrinthine approach revealed limited oedema on the inferior vestibular nerve with vascular dilation. The tumour image disappeared two years after the operation. Surgical findings and the post-operative course advocate that gadolinium-DTPA-enriched MRI image of an intracanalicular lesion such as arachnoiditis might produce a false-positive result. Sentence B: In a replication study, the researcher investigated the effects of a 4-week vocabulary intervention in which he and a teacher used direct instruction to teach 16 multiple-meaning words to three hard of hearing students in a fifth-grade classroom who read at low levels. The vocabulary intervention was adopted from a study by Alqraini and Paul (2020) in which multiple-meaning words were taught to students with profound hearing loss in Saudi Arabia. In the present study, a single-subject experimental design was used to implement the vocabulary intervention. It was found that the students' performance in word recognition and comprehension improved after the intervention. However, the three students showed different levels of improvement. ###Answer 1. Changed Reasoning: In Sentence A, the target word ""hearing loss"" is used to describe a specific medical condition, with a clear and negative connotation (i.e., loss of hearing). In Sentence B, the target word is used in a different context, to describe an intervention aimed at improving vocabulary skills in students with hearing loss. The meaning of the target word has shifted, as it is now associated with a positive outcome (improved vocabulary skills) rather than a negative one (medical condition). Therefore, semantic drift has occurred in the meaning of the target word ""hearing loss"" between the two sentences." 27,Hearing loss,"Oxygen multistep therapy (von Ardenne) was applied in 28 patients suffering from an idiopathic sudden hearing loss. The oxygen therapy consisted of a multistep short procedure, each of which lasted for 15 minutes. The results of our study were evaluated by means of standardised statistics confirming the effectiveness and even the superiority of the oxygen multistep therapy in comparison with any other treatment, and also in view of the spontaneous remission rate in cases of sudden hearing loss.","Branchiootorenal syndrome (BOR) is an autosomal dominant disorder. One of very similar syndromes is branchiooculofacial syndrome (BOF), with incomplete penetrance and variable expression. The overlap between BOR syndrome and BOF syndrome includes external ear abnormalities with hearing loss, lachrymal duct obstruction, branchial cleft remnants, and renal or urethral defects. The relationship between these 2 syndromes is still unclear.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Hearing loss Sentence A: Oxygen multistep therapy (von Ardenne) was applied in 28 patients suffering from an idiopathic sudden hearing loss. The oxygen therapy consisted of a multistep short procedure, each of which lasted for 15 minutes. The results of our study were evaluated by means of standardised statistics confirming the effectiveness and even the superiority of the oxygen multistep therapy in comparison with any other treatment, and also in view of the spontaneous remission rate in cases of sudden hearing loss. Sentence B: Branchiootorenal syndrome (BOR) is an autosomal dominant disorder. One of very similar syndromes is branchiooculofacial syndrome (BOF), with incomplete penetrance and variable expression. The overlap between BOR syndrome and BOF syndrome includes external ear abnormalities with hearing loss, lachrymal duct obstruction, branchial cleft remnants, and renal or urethral defects. The relationship between these 2 syndromes is still unclear. ###Answer 1. Changed The meaning of the target word ""hearing loss"" has significantly shifted between the two sentences. In Sentence A, the term refers to a specific medical condition, ""idiopathic sudden hearing loss,"" which is treated with oxygen therapy. In Sentence B, the term is used in the context of a different medical condition, ""Branchiootorenal syndrome (BOR) or branchiooculofacial syndrome (BOF),"" which is described as an autosomal dominant disorder with external ear abnormalities and other symptoms. The shift in meaning suggests that the term ""hearing loss"" has undergone semantic drift." 28,Hearing loss,"Cytomegalovirus IgM (CMV IgM) antibodies of 582 cord sera from 6 hospitals in Chengdu were detected by direct ELISA and indirect ELISA. Twenty-seven cases with CMV IgM antibody positive were detected from 582 cord sera. Twenty-five and 15 cases were found to have CMV IgM antibody by direct ELISA and indirect ELISA, respectively (P greater than 0.05). Indirect ELISA for detection CMV IgM antibody was only interfered by high concentration of CMV IgG and rheumatoid factor. Children with CMV IgM antibody positive were followed-up to 5-6 months. Hearing loss was detected by impedance audiology in only 2 cases. But the other physical and mental examinations were normal. The result showed that the prevalence of congenital CMV infection is 4.6% in our study and direct ELISA method is more specific and sensitive than indirect ELISA method to detect CMV IgM antibody in cord serum.","Background. Oral-facial-digital syndrome type 1 (OFD1) is a rare condition with X-linked dominant inheritance caused by mutations in the Cxorf5 (OFD1) gene. This gene encodes the OFD1 protein located within centrosomes and basal bodies of primary cilia. Approximately 15-50% of patients with OFD1 progress to end-stage kidney disease following development of polycystic changes within the kidneys. This condition almost always causes intrauterine lethality in males. Description of Case Diagnosis and Treatment. A Caucasian male aged 9 years and 9 months presented with increased urinary frequency, increased thirst, and decreased appetite. Physical examination demonstrated short stature, hearing loss, photophobia, murmur, and hypogonadism. He had no other dysmorphic features. Laboratory results revealed anemia, renal insufficiency, and dilute urine with microscopic hematuria but no proteinuria. Ultrasound showed small kidneys with increased echogenicity but no evidence of cystic changes. A Ciliopathy Panel showed a novel and likely pathogenic deletion, approximately 7.9 kb, in the OFD1 gene encompassing exons 16, 17, and 19 (c.1654+833_2599+423del). Brain MRI did not demonstrate typical OFD1 findings. He is currently on chronic hemodialysis awaiting transplant from a living donor. Conclusions. We present a male patient with OFD1 mutation who lacks the classic OFD1 phenotype who presented with end-stage renal disease without evidence of polycystic changes within the kidneys. ","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Hearing loss Sentence A: Cytomegalovirus IgM (CMV IgM) antibodies of 582 cord sera from 6 hospitals in Chengdu were detected by direct ELISA and indirect ELISA. Twenty-seven cases with CMV IgM antibody positive were detected from 582 cord sera. Twenty-five and 15 cases were found to have CMV IgM antibody by direct ELISA and indirect ELISA, respectively (P greater than 0.05). Indirect ELISA for detection CMV IgM antibody was only interfered by high concentration of CMV IgG and rheumatoid factor. Children with CMV IgM antibody positive were followed-up to 5-6 months. Hearing loss was detected by impedance audiology in only 2 cases. But the other physical and mental examinations were normal. The result showed that the prevalence of congenital CMV infection is 4.6% in our study and direct ELISA method is more specific and sensitive than indirect ELISA method to detect CMV IgM antibody in cord serum. Sentence B: Background. Oral-facial-digital syndrome type 1 (OFD1) is a rare condition with X-linked dominant inheritance caused by mutations in the Cxorf5 (OFD1) gene. This gene encodes the OFD1 protein located within centrosomes and basal bodies of primary cilia. Approximately 15-50% of patients with OFD1 progress to end-stage kidney disease following development of polycystic changes within the kidneys. This condition almost always causes intrauterine lethality in males. Description of Case Diagnosis and Treatment. A Caucasian male aged 9 years and 9 months presented with increased urinary frequency, increased thirst, and decreased appetite. Physical examination demonstrated short stature, hearing loss, photophobia, murmur, and hypogonadism. He had no other dysmorphic features. Laboratory results revealed anemia, renal insufficiency, and dilute urine with microscopic hematuria but no proteinuria. Ultrasound showed small kidneys with increased echogenicity but no evidence of cystic changes. A Ciliopathy Panel showed a novel and likely pathogenic deletion, approximately 7.9 kb, in the OFD1 gene encompassing exons 16, 17, and 19 (c.1654+833_2599+423del). Brain MRI did not demonstrate typical OFD1 findings. He is currently on chronic hemodialysis awaiting transplant from a living donor. Conclusions. We present a male patient with OFD1 mutation who lacks the classic OFD1 phenotype who presented with end-stage renal disease without evidence of polycystic changes within the kidneys. ###Answer 1. Changed Reasoning: In Sentence A, the target word ""hearing loss"" is used in the context of a small sample size (6 hospitals in Chengdu) and a specific medical condition (detected by impedance audiology). The sentence does not provide any information about the meaning or connotation of the word beyond its medical context. In Sentence B, the target word ""hearing loss"" is used in a different context, describing a symptom of a rare genetic condition called OFD1. The sentence provides more information about the meaning of the word, including its impact on the patient's quality of life (decreased appetite, increased thirst, and photophobia) and its association with a specific genetic condition. Based on these differences in context and meaning, it can be concluded that the word ""hearing loss"" has undergone a significant change in meaning or connotation between Sentence A and Sentence B. Therefore, the label ""Changed"" is provided." 29,Hearing loss,"The records of 184 patients implanted with the XOMED Audiant Bone Conductor (XOMED Inc, Jacksonville, Fla) prior to March 1988 were reviewed retrospectively to determine the safety of this device. Complications were few and minor in nature. Effectiveness was judged from the audiometric data obtained from the 96 patients in the hearing part of this study, all of whom had improved hearing with the device. The mean preoperative pure-tone air-conduction three-frequency average threshold +/- SD in the implanted ear was 55.8 +/- 10.7-dB hearing level; postoperative average aided warble-tone threshold was 19.9 +/- 8.5-dB hearing level. The average improvement in threshold was 36.0 +/- 13.3 dB. Ninety-three percent of patients achieved socially adequate hearing, ie, mean aided sound-field thresholds of at least 30-dB hearing level, and 81% had thresholds of at least 25-dB hearing level. We conclude that the XOMED Audiant Bone Conductor is a safe and effective device for the surgical correction of conductive hearing loss.","The envelope following response (EFR) has been proposed as a non-invasive marker of synaptopathy in animal models. However, its amplitude is affected by the spread of basilar-membrane excitation and other coexisting sensorineural hearing deficits. This study aims to (i) improve frequency specificity of the EFR by introducing a derived-band EFR (DBEFR) technique and (ii) investigate the effect of lifetime noise exposure, age and outer-hair-cell (OHC) damage on DBEFR magnitudes. Additionally, we adopt a modelling approach to validate the frequency-specificity of the DBEFR and test how different aspects of sensorineural hearing loss affect peripheral generators. The combined analysis of simulations and experimental data proposes that the DBEFRs extracted from the [2-6]-kHz frequency band is a sensitive and frequency-specific measure of synaptopathy in humans. Individual variability in DBEFR magnitudes among listeners with normal audiograms was explained by their self-reported amount of experienced lifetime noise-exposure and corresponded to amplitude variability predicted by synaptopathy. Older listeners consistently had reduced DBEFR magnitudes in comparison to young normal-hearing listeners, in correspondence to how age-induced synaptopathy affects EFRs and compromises temporal envelope encoding. To a lesser degree, OHC damage was also seen to affect the DBEFR magnitude, hence the DBEFR metric should ideally be combined with a sensitive marker of OHC damage to offer a differential diagnosis of synaptopathy in listeners with impaired audiograms.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Hearing loss Sentence A: The records of 184 patients implanted with the XOMED Audiant Bone Conductor (XOMED Inc, Jacksonville, Fla) prior to March 1988 were reviewed retrospectively to determine the safety of this device. Complications were few and minor in nature. Effectiveness was judged from the audiometric data obtained from the 96 patients in the hearing part of this study, all of whom had improved hearing with the device. The mean preoperative pure-tone air-conduction three-frequency average threshold +/- SD in the implanted ear was 55.8 +/- 10.7-dB hearing level; postoperative average aided warble-tone threshold was 19.9 +/- 8.5-dB hearing level. The average improvement in threshold was 36.0 +/- 13.3 dB. Ninety-three percent of patients achieved socially adequate hearing, ie, mean aided sound-field thresholds of at least 30-dB hearing level, and 81% had thresholds of at least 25-dB hearing level. We conclude that the XOMED Audiant Bone Conductor is a safe and effective device for the surgical correction of conductive hearing loss. Sentence B: The envelope following response (EFR) has been proposed as a non-invasive marker of synaptopathy in animal models. However, its amplitude is affected by the spread of basilar-membrane excitation and other coexisting sensorineural hearing deficits. This study aims to (i) improve frequency specificity of the EFR by introducing a derived-band EFR (DBEFR) technique and (ii) investigate the effect of lifetime noise exposure, age and outer-hair-cell (OHC) damage on DBEFR magnitudes. Additionally, we adopt a modelling approach to validate the frequency-specificity of the DBEFR and test how different aspects of sensorineural hearing loss affect peripheral generators. The combined analysis of simulations and experimental data proposes that the DBEFRs extracted from the [2-6]-kHz frequency band is a sensitive and frequency-specific measure of synaptopathy in humans. Individual variability in DBEFR magnitudes among listeners with normal audiograms was explained by their self-reported amount of experienced lifetime noise-exposure and corresponded to amplitude variability predicted by synaptopathy. Older listeners consistently had reduced DBEFR magnitudes in comparison to young normal-hearing listeners, in correspondence to how age-induced synaptopathy affects EFRs and compromises temporal envelope encoding. To a lesser degree, OHC damage was also seen to affect the DBEFR magnitude, hence the DBEFR metric should ideally be combined with a sensitive marker of OHC damage to offer a differential diagnosis of synaptopathy in listeners with impaired audiograms. ###Answer 1. Changed Reasoning: In Sentence A, the target word ""hearing loss"" is used to describe the outcome of a surgical procedure for the correction of conductive hearing loss. The sentence emphasizes the improvement in hearing threshold after the procedure, with an average improvement of 36 dB. The word ""hearing loss"" in this context implies a significant decrease in hearing ability, which was likely seen as a serious medical condition at the time of the study (1988). In Sentence B, the target word ""hearing loss"" has a different connotation. The sentence discusses the effects of noise exposure, age, and OHC damage on the envelope following response (EFR), which is a marker of synaptopathy. The word ""hearing loss"" in this context implies a more gradual decline in hearing ability, which may be caused by a combination of age-related and noise-induced damage to the inner ear. The sentence also highlights the variability in DBEFR magnitudes among listeners with normal audiograms, which may be due to their self-reported amount of experienced lifetime noise exposure. Based on the different contexts and meanings of the target word in the two sentences, it is clear that the word ""hearing loss"" has undergone semantic drift between the two timestamps. Therefore, the label ""Changed"" is appropriate." 30,Hearing loss,"Transiently evoked otoacoustic emissions (TEOAEs) were stimulated using clicks or 1-kHz tone bursts in both ears of 31 patients with unilateral Meniere's disease. Using click stimuli, responses were present in 29/31 of the non-Meniere's ears and in 26/31 of the Meniere's ears. Stimulation using 1-kHz tone bursts produced responses in 30/31 of the non-Meniere's ears and in 28/31 of the Meniere's ears. Audiometric configuration strongly influenced the presence of TEOAEs in the affected ears. In all but 2 ears with average hearing sensitivity (0.5, 1, 2 kHz) poorer than 25 dB HL, responses were present only when accompanied by at least one pure-tone threshold better than 30 dB HL from 0.75 to 2 kHz. In the opposite ears, all of which had essentially normal hearing, responses were approximately 5 dB lower in level and contained fewer spectral peaks in comparison with results obtained from a normative database. Neither age nor pure-tone results could account for these differences. Thus, TEOAEs obtained from patients with Meniere's disease manifest features that may be considered as atypical either in comparison to results from ears with normal hearing or from ears with relatively flat sensorineural hearing losses due to other etiologies.","Background: Human immunodeficiency virus-infected adolescents have insufficient CD4 T cell count, and despite attaining viral suppression with HAART regimen, some experience significant hearing loss.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Hearing loss Sentence A: Transiently evoked otoacoustic emissions (TEOAEs) were stimulated using clicks or 1-kHz tone bursts in both ears of 31 patients with unilateral Meniere's disease. Using click stimuli, responses were present in 29/31 of the non-Meniere's ears and in 26/31 of the Meniere's ears. Stimulation using 1-kHz tone bursts produced responses in 30/31 of the non-Meniere's ears and in 28/31 of the Meniere's ears. Audiometric configuration strongly influenced the presence of TEOAEs in the affected ears. In all but 2 ears with average hearing sensitivity (0.5, 1, 2 kHz) poorer than 25 dB HL, responses were present only when accompanied by at least one pure-tone threshold better than 30 dB HL from 0.75 to 2 kHz. In the opposite ears, all of which had essentially normal hearing, responses were approximately 5 dB lower in level and contained fewer spectral peaks in comparison with results obtained from a normative database. Neither age nor pure-tone results could account for these differences. Thus, TEOAEs obtained from patients with Meniere's disease manifest features that may be considered as atypical either in comparison to results from ears with normal hearing or from ears with relatively flat sensorineural hearing losses due to other etiologies. Sentence B: Background: Human immunodeficiency virus-infected adolescents have insufficient CD4 T cell count, and despite attaining viral suppression with HAART regimen, some experience significant hearing loss. ###Answer 1. Changed Explanation: In Sentence A, the term ""hearing loss"" is used to describe the results of TEOAEs testing in patients with Meniere's disease. The context suggests that the hearing loss is related to the disease, as the author explains that the results manifest features that may be considered atypical compared to results from ears with normal hearing or from ears with sensorineural hearing losses due to other etiologies. The term ""hearing loss"" in this context implies a specific type of hearing impairment, possibly related to the inner ear or auditory nerve damage. In Sentence B, the term ""hearing loss"" is used in a different context. The author is discussing the experience of hearing loss among human immunodeficiency virus-infected adolescents, who have insufficient CD4 T cell count despite attaining viral suppression with HAART regimen. The context suggests that the hearing loss is unrelated to the Meniere's disease, but rather a result of the immune system suppression caused by the virus. The term ""hearing loss"" in this context implies a different type of hearing impairment, possibly related to the immune system or the auditory system's response to immune suppression. Based on these differences in context and meaning, it is clear that the term ""hearing loss"" has undergone a significant change in meaning between Sentence A and Sentence B. In Sentence A, the term refers to a specific type of hearing impairment related to Meniere's disease, while in Sentence B, it refers to a different type of hearing impairment related to immune system suppression. Therefore, I label Sentence B as ""Changed"" in terms of semantic drift." 31,Hearing loss,"Hearing loss after spinal anesthesia has been reported to be related to the transmission of a reduced subarachnoid pressure to the inner ear via the cochlear aqueduct due to loss of spinal fluid. However, there are also some controversies related to this phenomenon, which require systematic investigation.","Sudden sensorineural hearing loss (SSNHL) remains a controversial problem with respect to etiology and the factors that might predict prognosis. We used logistical regression analysis to determine which factors are most strongly related to outcome for patients with SSNHL. In so doing, we employed a retrospective chart-review study. The study group consisted of 296 patients (296 ears). The outcome of SSNHL was cured (full recovery) in 64, recovered (partial recovery) in 175, and no change in 57. We performed separate analyses on those in the no-change and partial-recovery groups and on those in the no-change and full-recovery groups. The following factors were studied as explanatory variables: age; number of days until presentation; vestibular symptom; initial mean hearing level at 0.25 kHz, 0.5 kHz, 1 kHz, 2 kHz, and 4 kHz; and treatments (steroids, satellite ganglion block). In the first analysis, for patients in the no-change and recovered groups, the factors most strongly related to outcome were the number of days until presentation and age. The second analysis, for the nochange and cured groups, revealed that the number of days until presentation, vestibular symptom, age, and initial mean hearing level were most strongly related to outcome. Our results will increase the ability to predict the outcome for SSNHL.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Hearing loss Sentence A: Hearing loss after spinal anesthesia has been reported to be related to the transmission of a reduced subarachnoid pressure to the inner ear via the cochlear aqueduct due to loss of spinal fluid. However, there are also some controversies related to this phenomenon, which require systematic investigation. Sentence B: Sudden sensorineural hearing loss (SSNHL) remains a controversial problem with respect to etiology and the factors that might predict prognosis. We used logistical regression analysis to determine which factors are most strongly related to outcome for patients with SSNHL. In so doing, we employed a retrospective chart-review study. The study group consisted of 296 patients (296 ears). The outcome of SSNHL was cured (full recovery) in 64, recovered (partial recovery) in 175, and no change in 57. We performed separate analyses on those in the no-change and partial-recovery groups and on those in the no-change and full-recovery groups. The following factors were studied as explanatory variables: age; number of days until presentation; vestibular symptom; initial mean hearing level at 0.25 kHz, 0.5 kHz, 1 kHz, 2 kHz, and 4 kHz; and treatments (steroids, satellite ganglion block). In the first analysis, for patients in the no-change and recovered groups, the factors most strongly related to outcome were the number of days until presentation and age. The second analysis, for the nochange and cured groups, revealed that the number of days until presentation, vestibular symptom, age, and initial mean hearing level were most strongly related to outcome. Our results will increase the ability to predict the outcome for SSNHL. ###Answer 1. Changed Reasoning: In Sentence A, the term ""hearing loss"" is used in the context of a specific medical phenomenon (spinal anesthesia-related hearing loss), and the phrase ""transmission of a reduced subarachnoid pressure"" is used to describe the underlying mechanism. This suggests that the term ""hearing loss"" in this context carries a specific meaning related to the transmission of pressure through the cochlear aqueduct. In Sentence B, the term ""sudden sensorineural hearing loss"" (SSNHL) is used, which is a broader term that encompasses a range of hearing losses that occur suddenly and without an identifiable cause. The term ""predict prognosis"" is also used, which suggests that the focus is on understanding the potential outcomes of the hearing loss rather than the underlying mechanism. Based on these differences in context and meaning, it can be concluded that the term ""hearing loss"" has undergone a significant change in meaning between Sentence A and Sentence B. In Sentence A, the term is used in a specific medical context, while in Sentence B, it is used more broadly to describe a range of hearing losses. Therefore, the label ""Changed"" is appropriate." 32,Hearing loss,"Because several cases of cerebral-spinal fluid leakage (perilymph gushers) have been reported during stapedectomy for congenitally fixed stapes in children, many otologists advise against surgical intervention. The pathophysiologic mechanism of the gusher and its association with a congenitally fixed stapes is, however, poorly understood. This study was designed to examine the pre-operative presentation and hearing results of 10 children undergoing stapedectomies for congenital fixation. No perilymph gushers of significant sensorineural hearing loss was encountered. All but one case resulted in closure of the air-bone gap and speech frequencies to within 20 dB. The average air-bone gap was 11.2 dB. Minor congenital abnormalities of the stapes suprastructure were seen in 3 cases. Review of case reports in the literature indicate that gushers in association with surgical manipulation of the congenitally-fixed stapes occur almost exclusively in males and that pathophysiology involves a defect in the internal auditory canal (as opposed to a patent cochlear aqueduct). A pre-existing sensorineural hearing loss may also be a risk factor for perilymph gusher.","Despite the use of hearing protection devices (HPDs) and engineering changes designed to improve workspaces, noise-induced hearing loss continues to be one of the most common and expensive disabilities in the US military. Many service members suffer acoustic trauma due to improper use of HPDs, sound levels exceeding the protective capacity of the HPDs, or by unexpected, injurious exposures. In these cases, there is no definitive treatment for the hearing loss. This study investigated the use of the pharmacological agents N-acetylcysteine and acetyl-L-carnitine after acoustic trauma to treat cochlear injury. N-Acetylcysteine is an antioxidant and acetyl-L-carnitine a compound that maintains mitochondrial bio-energy and integrity. N-Acetylcysteine and acetyl-L-carnitine, respectively, significantly reduced permanent threshold shifts and hair cell loss compared to saline-treated animals when given 1 and 4 h post-noise exposure. It may be possible to obtain a greater therapeutic effect using these agents in combination or at higher doses or for a longer period of time to address the secondary oxidative events occurring 7-10 days after acute noise exposure.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Hearing loss Sentence A: Because several cases of cerebral-spinal fluid leakage (perilymph gushers) have been reported during stapedectomy for congenitally fixed stapes in children, many otologists advise against surgical intervention. The pathophysiologic mechanism of the gusher and its association with a congenitally fixed stapes is, however, poorly understood. This study was designed to examine the pre-operative presentation and hearing results of 10 children undergoing stapedectomies for congenital fixation. No perilymph gushers of significant sensorineural hearing loss was encountered. All but one case resulted in closure of the air-bone gap and speech frequencies to within 20 dB. The average air-bone gap was 11.2 dB. Minor congenital abnormalities of the stapes suprastructure were seen in 3 cases. Review of case reports in the literature indicate that gushers in association with surgical manipulation of the congenitally-fixed stapes occur almost exclusively in males and that pathophysiology involves a defect in the internal auditory canal (as opposed to a patent cochlear aqueduct). A pre-existing sensorineural hearing loss may also be a risk factor for perilymph gusher. Sentence B: Despite the use of hearing protection devices (HPDs) and engineering changes designed to improve workspaces, noise-induced hearing loss continues to be one of the most common and expensive disabilities in the US military. Many service members suffer acoustic trauma due to improper use of HPDs, sound levels exceeding the protective capacity of the HPDs, or by unexpected, injurious exposures. In these cases, there is no definitive treatment for the hearing loss. This study investigated the use of the pharmacological agents N-acetylcysteine and acetyl-L-carnitine after acoustic trauma to treat cochlear injury. N-Acetylcysteine is an antioxidant and acetyl-L-carnitine a compound that maintains mitochondrial bio-energy and integrity. N-Acetylcysteine and acetyl-L-carnitine, respectively, significantly reduced permanent threshold shifts and hair cell loss compared to saline-treated animals when given 1 and 4 h post-noise exposure. It may be possible to obtain a greater therapeutic effect using these agents in combination or at higher doses or for a longer period of time to address the secondary oxidative events occurring 7-10 days after acute noise exposure. ###Answer 1. Changed Reasoning: In Sentence A, the term ""hearing loss"" is used in the context of a specific medical condition, ""perilymph gushers,"" which is associated with a defect in the internal auditory canal. The term is used to describe the pathophysiology of the condition and the results of the study, which found no significant sensorineural hearing loss in the children examined. In Sentence B, the term ""hearing loss"" is used in a different context, to describe a common disability in the US military. The term is used to describe the results of a study investigating the use of pharmacological agents to treat cochlear injury caused by noise exposure. The study found that the agents significantly reduced permanent threshold shifts and hair cell loss compared to saline-treated animals when given 1 and 4 hours post-noise exposure. Based on these differences in context and meaning, it can be concluded that the term ""hearing loss"" has undergone a significant change in meaning between Sentence A and Sentence B. In Sentence A, the term is used to describe a specific medical condition, while in Sentence B, it is used to describe a more general phenomenon related to noise exposure. Therefore, the label ""Changed"" is appropriate." 33,Hearing loss,"One hundred children from 1 to 14 years of age had serous otitis media, the manifestations of which were bilateral in all but four patients. Thus, 196 ears were treated with aeration of the middle ear by means of a short transmyringeal tube. The mean duration of the treatment was 3.4 years, and the mean observation time was 7.3 years. Of the ears treated, 79.1% regained normal hearing, though scarring of the tympanic membrane and smaller adhesions were observed. The result was not satisfactory in 20.9% of the ears treated, the hearing losses varying from 25 to 60 dB. In 7.7% (15 ears) chronic otitis media developed; in 5.6% (11 of the 15 ears) cholesteatoma was confirmed surgically. Adhesive processes were present in 11.2%.","Hearing is a critical ability for the development of a child's speech and language. Many studies in different countries have shown the universal newborn hearing screening and early intervention has greatly reduced the negative impact caused by congenital hearing loss. The first universal newborn hearing screening program in Taiwan took place in MacKay Memorial Hospital in 1998 and was subsequently endorsed by the government. The incidence of bilateral congenital hearing impairment in Taiwan is approximately 2.6 per 1000 live birth. The aim of this paper is to analyze the age of diagnosis, hearing aid fitting, and intervention of congenitally hearing impaired children with and without hearing screening after public awareness and government endorsement of newborn hearing screening.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Hearing loss Sentence A: One hundred children from 1 to 14 years of age had serous otitis media, the manifestations of which were bilateral in all but four patients. Thus, 196 ears were treated with aeration of the middle ear by means of a short transmyringeal tube. The mean duration of the treatment was 3.4 years, and the mean observation time was 7.3 years. Of the ears treated, 79.1% regained normal hearing, though scarring of the tympanic membrane and smaller adhesions were observed. The result was not satisfactory in 20.9% of the ears treated, the hearing losses varying from 25 to 60 dB. In 7.7% (15 ears) chronic otitis media developed; in 5.6% (11 of the 15 ears) cholesteatoma was confirmed surgically. Adhesive processes were present in 11.2%. Sentence B: Hearing is a critical ability for the development of a child's speech and language. Many studies in different countries have shown the universal newborn hearing screening and early intervention has greatly reduced the negative impact caused by congenital hearing loss. The first universal newborn hearing screening program in Taiwan took place in MacKay Memorial Hospital in 1998 and was subsequently endorsed by the government. The incidence of bilateral congenital hearing impairment in Taiwan is approximately 2.6 per 1000 live birth. The aim of this paper is to analyze the age of diagnosis, hearing aid fitting, and intervention of congenitally hearing impaired children with and without hearing screening after public awareness and government endorsement of newborn hearing screening. ###Answer 1. Changed The target word ""hearing loss"" has undergone a significant change in meaning between the two sentences. In Sentence A, the term likely referred to conductive hearing loss, as the sentence discusses the treatment of middle ear infections and adhesive processes. In Sentence B, the term likely refers to sensorineural hearing loss, as the sentence discusses the universal newborn hearing screening and early intervention for congenital hearing impairment. The shift in meaning suggests that the term ""hearing loss"" has changed over time to encompass a broader range of hearing impairments." 34,Hearing loss,"Background noise limits for audiometry are determined by the effects of masking and are specified in international standards. The standards provide for audiometric testing over a range of audiometric frequencies extending down to 500 Hz or lower. The lowest frequency of testing is an important factor determining the admissible noise, and for certain applications it is appropriate to consider the limits applicable to testing over a more restricted range. Assessment of hearing disability in the UK is generally based on a consideration of pure-tone hearing threshold levels in the frequency range 1 kHz upwards. A modification of the standardized noise limits is proposed which allows some relaxation appropriate to this higher minimum frequency. For air-conduction audiometry, these modifications affect only the permissible background noise in the frequency range below 1 kHz. Where bone-conduction audiometry is required in order to quantify a conductive component of the hearing loss, the measurements need to be made on both ears with the non-test ear masked in both cases; the external background noise will thus only be heard monaurally and this justifies a correction to the noise limits compared with those appropriate to bone-conduction audiometry without masking.","Previous studies have shown that miR-124 plays an important role in the development of auditory neurons, which are degenerated in the sensorineural hearing loss. However, whether the combined use of miR-124 and growth factors can increase the expression of neural related markers in human dental pulp stem cells has been remained unknown so far. In this study, human dental pulp stem cells were transfected with miR-124 following treatment with brain-derived neurotrophic factor or epidermal growth factor/basic fibroblast growth factor. The expression of some neural related markers (nestin, ","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Hearing loss Sentence A: Background noise limits for audiometry are determined by the effects of masking and are specified in international standards. The standards provide for audiometric testing over a range of audiometric frequencies extending down to 500 Hz or lower. The lowest frequency of testing is an important factor determining the admissible noise, and for certain applications it is appropriate to consider the limits applicable to testing over a more restricted range. Assessment of hearing disability in the UK is generally based on a consideration of pure-tone hearing threshold levels in the frequency range 1 kHz upwards. A modification of the standardized noise limits is proposed which allows some relaxation appropriate to this higher minimum frequency. For air-conduction audiometry, these modifications affect only the permissible background noise in the frequency range below 1 kHz. Where bone-conduction audiometry is required in order to quantify a conductive component of the hearing loss, the measurements need to be made on both ears with the non-test ear masked in both cases; the external background noise will thus only be heard monaurally and this justifies a correction to the noise limits compared with those appropriate to bone-conduction audiometry without masking. Sentence B: Previous studies have shown that miR-124 plays an important role in the development of auditory neurons, which are degenerated in the sensorineural hearing loss. However, whether the combined use of miR-124 and growth factors can increase the expression of neural related markers in human dental pulp stem cells has been remained unknown so far. In this study, human dental pulp stem cells were transfected with miR-124 following treatment with brain-derived neurotrophic factor or epidermal growth factor/basic fibroblast growth factor. The expression of some neural related markers (nestin, ###Answer 1. Changed Explanation: The target word ""hearing loss"" has undergone significant semantic drift between Sentence A (2000) and Sentence B (2020). In Sentence A, the word is used in the context of audiometry and the determination of background noise limits for hearing tests. The sentence highlights the importance of considering the lowest frequency of testing in assessing hearing disability. In contrast, in Sentence B, the word is used in the context of miR-124 and its potential role in increasing the expression of neural related markers in human dental pulp stem cells. The sentence does not relate to hearing tests or disability, but rather to the potential therapeutic application of miR-124. Therefore, the meaning of the target word has shifted from a purely audiometric context to a broader context related to neuroscience and regenerative medicine." 35,Hearing loss,"Diving injury may affect all parts of the ear during all types of diving. Divers are regularly exposed to noise and 120 dB(A) is measured during ventilation of a hyperbaric chamber. Ear canal squeeze, possibly with drum perforation, may give a transient conductive hearing loss. Middle ear squeeze, possibly with drum perforation, also gives a transient conductive loss. Inner ear barotrauma, possibly with perilymph fistula, most often results in transient vertigo and lasting sensorineural high tone loss, often resembling a noise-induced loss. Decompression sickness and gas embolism can also damage the inner ear. A change of breathing gas during deep diving has damaged the labyrinth, most likely due to counter diffusion. The authors have seen two cases of over window perilymph fistula resulting from diving. One of them also suffered a burst ear drum on the same side. His hearing returned to normal after surgical repair.","The thalassemias are among the most common genetic disorders worldwide, occurring more frequently in the Mediterranean region. The aim of this study was to determined frequency of sensory-neural hearing loss in major ß- thalassemias transfusion dependent patients in south of Iran.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Hearing loss Sentence A: Diving injury may affect all parts of the ear during all types of diving. Divers are regularly exposed to noise and 120 dB(A) is measured during ventilation of a hyperbaric chamber. Ear canal squeeze, possibly with drum perforation, may give a transient conductive hearing loss. Middle ear squeeze, possibly with drum perforation, also gives a transient conductive loss. Inner ear barotrauma, possibly with perilymph fistula, most often results in transient vertigo and lasting sensorineural high tone loss, often resembling a noise-induced loss. Decompression sickness and gas embolism can also damage the inner ear. A change of breathing gas during deep diving has damaged the labyrinth, most likely due to counter diffusion. The authors have seen two cases of over window perilymph fistula resulting from diving. One of them also suffered a burst ear drum on the same side. His hearing returned to normal after surgical repair. Sentence B: The thalassemias are among the most common genetic disorders worldwide, occurring more frequently in the Mediterranean region. The aim of this study was to determined frequency of sensory-neural hearing loss in major ß- thalassemias transfusion dependent patients in south of Iran. ###Answer 1. Changed (Sentence B) Reasoning: In Sentence A, the term ""hearing loss"" is used in the context of diving injuries, specifically mentioning the ear canal and middle ear as potential sources of conductive loss, and inner ear barotrauma as a cause of sensorineural loss. The term ""hearing loss"" carries a sense of immediate and potentially irreversible harm. In Sentence B, the term ""sensory-neural hearing loss"" is used, which carries a different connotation. The term ""sensory-neural"" suggests a more specific and targeted type of hearing loss, rather than the more general ""hearing loss"" of Sentence A. Additionally, the context of Sentence B is genetic disorders, rather than diving injuries. The term ""hearing loss"" in Sentence B has a different meaning than in Sentence A, indicating semantic drift." 36,Hearing loss,"The lesion location (cochlear vs. retrocochlear) of sensorineural hearing loss may be differentiated with a diagnostic index (delta V), which is calculated from the wave V latency of the monaurally evoked auditory brainstem response (ABR), and from the pure-tone hearing threshold at 2 and 4 kHz. The delta V values obtained from 80 recruiting ears have proven to correlate linearly to the amount of the hearing loss, hence allowing to define appropriate confidence boundaries for cochlear hearing losses. In contrast, the delta V values obtained from 32 ears of patients with retrocochlear lesions--cerebellopontine angle (CPA) tumors--were all found to exceed the 95% upper confidence limits projected for cochlear lesions, thus giving a 100% rate of true results in the detection of retrocochlear pathology. These results, providing an ABR parametric model for the cochlear hearing loss, suggest a diagnostic strategy for the early detection of CPA tumors based on the exclusion of a cochlear hearing loss.","Hearing loss in children is common and by age 18 years, affects nearly 1 of every 5 children. Without hearing rehabilitation, hearing loss can cause detrimental effects on speech, language, developmental, educational, and cognitive outcomes in children.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Hearing loss Sentence A: The lesion location (cochlear vs. retrocochlear) of sensorineural hearing loss may be differentiated with a diagnostic index (delta V), which is calculated from the wave V latency of the monaurally evoked auditory brainstem response (ABR), and from the pure-tone hearing threshold at 2 and 4 kHz. The delta V values obtained from 80 recruiting ears have proven to correlate linearly to the amount of the hearing loss, hence allowing to define appropriate confidence boundaries for cochlear hearing losses. In contrast, the delta V values obtained from 32 ears of patients with retrocochlear lesions--cerebellopontine angle (CPA) tumors--were all found to exceed the 95% upper confidence limits projected for cochlear lesions, thus giving a 100% rate of true results in the detection of retrocochlear pathology. These results, providing an ABR parametric model for the cochlear hearing loss, suggest a diagnostic strategy for the early detection of CPA tumors based on the exclusion of a cochlear hearing loss. Sentence B: Hearing loss in children is common and by age 18 years, affects nearly 1 of every 5 children. Without hearing rehabilitation, hearing loss can cause detrimental effects on speech, language, developmental, educational, and cognitive outcomes in children. ###Answer 1. Changed Reasoning: In Sentence A, the term ""hearing loss"" is used in the context of a specific type of lesion (cochlear or retrocochlear) and its correlation with a diagnostic index. The term is used in a medical or scientific context, and its meaning is focused on the diagnosis and treatment of hearing impairments. In Sentence B, the term ""hearing loss"" is used in a broader context, referring to the common occurrence of hearing impairments in children. The term is used in a more general sense, and its meaning is focused on the negative impact of hearing loss on children's development and cognitive outcomes. Therefore, the meaning of the term ""hearing loss"" has shifted from a highly specific medical context in Sentence A to a more general and broader context in Sentence B, indicating semantic drift has occurred." 37,Hearing loss,"Time-compressed monosyllables have been studied relative to the assessment of central auditory disorders. In certain instances, sentential stimuli may be more useful than word lists in central auditory testing, particularly when results may be contaminated by concomitant peripheral hearing losses. Central Institute for the Deaf (CID) and Revised CID sentence lists and a contrived sentential approximation task were presented to 96 normal hearing young adults at time-compression ratios of 0%, 40%, 60%, and 70%, under sensation levels of 24 and 40 dB. The CID and RCID stimuli were more intelligible than the sentential approximations. The results are presented and discussed as they pertain to central auditory testing and are compared to earlier data using consonant-nucleus-consonant monosyllabic stimuli.","Unilateral sensorineural hearing loss (USNHL) is a condition commonly encountered in otolaryngology clinics. However, its molecular pathogenesis remains unclear. This study aimed to investigate the genetic underpinnings of childhood USNHL and analyze the associated audiological features.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Hearing loss Sentence A: Time-compressed monosyllables have been studied relative to the assessment of central auditory disorders. In certain instances, sentential stimuli may be more useful than word lists in central auditory testing, particularly when results may be contaminated by concomitant peripheral hearing losses. Central Institute for the Deaf (CID) and Revised CID sentence lists and a contrived sentential approximation task were presented to 96 normal hearing young adults at time-compression ratios of 0%, 40%, 60%, and 70%, under sensation levels of 24 and 40 dB. The CID and RCID stimuli were more intelligible than the sentential approximations. The results are presented and discussed as they pertain to central auditory testing and are compared to earlier data using consonant-nucleus-consonant monosyllabic stimuli. Sentence B: Unilateral sensorineural hearing loss (USNHL) is a condition commonly encountered in otolaryngology clinics. However, its molecular pathogenesis remains unclear. This study aimed to investigate the genetic underpinnings of childhood USNHL and analyze the associated audiological features. ###Answer 1. Changed Reasoning: In Sentence A, the term ""hearing loss"" is used in the context of assessing central auditory disorders, and the sentence mentions the assessment of peripheral hearing losses. This suggests that the term ""hearing loss"" in this context refers specifically to a loss of hearing in the inner ear or auditory nerve. In contrast, in Sentence B, the term ""hearing loss"" is used in the context of unilateral sensorineural hearing loss, and the sentence does not mention any specific assessment of peripheral hearing losses. Therefore, the meaning of the term ""hearing loss"" has shifted in this context, and the label ""Changed"" is appropriate." 38,Hearing loss,"A 6-year experience of the Italian Air Force Medical Selection Centre in the audiological evaluation of candidates for employment is summarized. Otoacoustic emissions (OAEs) were introduced progressively from 1993 to analyse more effectively subjects affected with sensorineural hearing loss and reduce possible bias connected to standard audiometric tests. OAEs provided a useful tool to support pure-tone audiometry, providing more accurate audiological data. Finally, a reduction of medico-legal claims was observed in candidates undergoing OAE testing.","Hearing loss is a major risk factor for tinnitus, hyperacusis, and central auditory processing disorder. Although recent studies indicate that hearing loss causes neuroinflammation in the auditory pathway, the mechanisms underlying hearing loss-related pathologies are still poorly understood. We examined neuroinflammation in the auditory cortex following noise-induced hearing loss (NIHL) and its role in tinnitus in rodent models. Our results indicate that NIHL is associated with elevated expression of proinflammatory cytokines and microglial activation-two defining features of neuroinflammatory responses-in the primary auditory cortex (AI). Genetic knockout of tumor necrosis factor alpha (TNF-α) or pharmacologically blocking TNF-α expression prevented neuroinflammation and ameliorated the behavioral phenotype associated with tinnitus in mice with NIHL. Conversely, infusion of TNF-α into AI resulted in behavioral signs of tinnitus in both wild-type and TNF-α knockout mice with normal hearing. Pharmacological depletion of microglia also prevented tinnitus in mice with NIHL. At the synaptic level, the frequency of miniature excitatory synaptic currents (mEPSCs) increased and that of miniature inhibitory synaptic currents (mIPSCs) decreased in AI pyramidal neurons in animals with NIHL. This excitatory-to-inhibitory synaptic imbalance was completely prevented by pharmacological blockade of TNF-α expression. These results implicate neuroinflammation as a therapeutic target for treating tinnitus and other hearing loss-related disorders.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Hearing loss Sentence A: A 6-year experience of the Italian Air Force Medical Selection Centre in the audiological evaluation of candidates for employment is summarized. Otoacoustic emissions (OAEs) were introduced progressively from 1993 to analyse more effectively subjects affected with sensorineural hearing loss and reduce possible bias connected to standard audiometric tests. OAEs provided a useful tool to support pure-tone audiometry, providing more accurate audiological data. Finally, a reduction of medico-legal claims was observed in candidates undergoing OAE testing. Sentence B: Hearing loss is a major risk factor for tinnitus, hyperacusis, and central auditory processing disorder. Although recent studies indicate that hearing loss causes neuroinflammation in the auditory pathway, the mechanisms underlying hearing loss-related pathologies are still poorly understood. We examined neuroinflammation in the auditory cortex following noise-induced hearing loss (NIHL) and its role in tinnitus in rodent models. Our results indicate that NIHL is associated with elevated expression of proinflammatory cytokines and microglial activation-two defining features of neuroinflammatory responses-in the primary auditory cortex (AI). Genetic knockout of tumor necrosis factor alpha (TNF-α) or pharmacologically blocking TNF-α expression prevented neuroinflammation and ameliorated the behavioral phenotype associated with tinnitus in mice with NIHL. Conversely, infusion of TNF-α into AI resulted in behavioral signs of tinnitus in both wild-type and TNF-α knockout mice with normal hearing. Pharmacological depletion of microglia also prevented tinnitus in mice with NIHL. At the synaptic level, the frequency of miniature excitatory synaptic currents (mEPSCs) increased and that of miniature inhibitory synaptic currents (mIPSCs) decreased in AI pyramidal neurons in animals with NIHL. This excitatory-to-inhibitory synaptic imbalance was completely prevented by pharmacological blockade of TNF-α expression. These results implicate neuroinflammation as a therapeutic target for treating tinnitus and other hearing loss-related disorders. ###Answer 1. Changed Reasoning: In Sentence A, the term ""hearing loss"" is used in the context of a medical selection process, where it refers to a specific type of hearing impairment. The sentence highlights the use of otoacoustic emissions (OAEs) to evaluate hearing loss in a more accurate and effective manner. The term ""hearing loss"" does not carry any connotation of negative consequences or associations with illness. In Sentence B, the term ""hearing loss"" is used in a different context, where it is associated with negative consequences such as tinnitus, hyperacusis, and central auditory processing disorder. The sentence highlights the role of neuroinflammation in the auditory pathway following noise-induced hearing loss (NIHL) and the potential therapeutic targets for treating these disorders. The term ""hearing loss"" carries a different meaning and connotation in this sentence, indicating a more severe and debilitating condition. Based on these differences in context and meaning, it can be concluded that the term ""hearing loss"" has undergone a significant change in meaning between Sentence A and Sentence B. Therefore, the label ""Changed"" is appropriate for this task." 39,Hearing loss,"Profound changes in our society occurring over the past few decades have resulted in a major shift in societal emphasis from labor to communication. The widespread use of personal computers has enhanced the importance of information-communication in daily life. People with communication disorders are at substantial risk of underemployment and lowered quality of life. Advances in medical science and hearing health care have placed us on the thresholds of being able to correct, rather than remediate, certain types of hearing loss. The finding that auditory hair cells of submammalian species regenerate has stimulated greatly the field of auditory research. A new lexicon is required to describe this emerging field. Methods exist to protect against hearing loss, repair affected structures prior to their degeneration, promote dedifferentiation-redifferentiation of undamaged structures into sensory cells, and, finally, promote regeneration of new sensory cells from precursor cells. Each of these processes has unique requirements, and all may be required to promote the restoration of hearing following damage or disease.","Patients with chronic renal failure often suffer from hearing loss and the most common cause is sensorineural hearing loss. Sensorineural hearing loss can be caused by cochlear otosclerosis with early symptoms such as decreased petrous part of the temporal bone density due to narrowing of the internal auditory canal. Finding a correlation between the petrous part of the temporal bone density and the anteroposterior diameter of the internal auditory canal in sensorineural hearing loss in patients with chronic renal failure. An observational analytic, cross-sectional study, using a consecutive sampling technique. The petrous part of the temporal bone density decreased in patients with chronic renal failure. The anteroposterior diameter of the internal auditory canal remained normal, there was no association with sensorineural loss. There is a significant correlation between the petrous part of the temporal bone density and sensorineural hearing loss in patients with chronic renal failure. High-resolution CT scans of the mastoid can assist clinicians in determining cochlear otosclerosis and the subsequent detection of the early presence of sensorineural hearing loss.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Hearing loss Sentence A: Profound changes in our society occurring over the past few decades have resulted in a major shift in societal emphasis from labor to communication. The widespread use of personal computers has enhanced the importance of information-communication in daily life. People with communication disorders are at substantial risk of underemployment and lowered quality of life. Advances in medical science and hearing health care have placed us on the thresholds of being able to correct, rather than remediate, certain types of hearing loss. The finding that auditory hair cells of submammalian species regenerate has stimulated greatly the field of auditory research. A new lexicon is required to describe this emerging field. Methods exist to protect against hearing loss, repair affected structures prior to their degeneration, promote dedifferentiation-redifferentiation of undamaged structures into sensory cells, and, finally, promote regeneration of new sensory cells from precursor cells. Each of these processes has unique requirements, and all may be required to promote the restoration of hearing following damage or disease. Sentence B: Patients with chronic renal failure often suffer from hearing loss and the most common cause is sensorineural hearing loss. Sensorineural hearing loss can be caused by cochlear otosclerosis with early symptoms such as decreased petrous part of the temporal bone density due to narrowing of the internal auditory canal. Finding a correlation between the petrous part of the temporal bone density and the anteroposterior diameter of the internal auditory canal in sensorineural hearing loss in patients with chronic renal failure. An observational analytic, cross-sectional study, using a consecutive sampling technique. The petrous part of the temporal bone density decreased in patients with chronic renal failure. The anteroposterior diameter of the internal auditory canal remained normal, there was no association with sensorineural loss. There is a significant correlation between the petrous part of the temporal bone density and sensorineural hearing loss in patients with chronic renal failure. High-resolution CT scans of the mastoid can assist clinicians in determining cochlear otosclerosis and the subsequent detection of the early presence of sensorineural hearing loss. ###Answer 1. Changed Reasoning: The target word ""hearing loss"" has undergone a significant change in meaning between the two sentences. In Sentence A, the term refers to the correction or restoration of hearing following damage or disease, while in Sentence B, it specifically refers to sensorineural hearing loss caused by cochlear otosclerosis. These two meanings are distinct and indicate a semantic drift in the usage of the term ""hearing loss"" over time." 40,Hearing loss,"Age-related hearing loss (ARHL or presbyacusis) is an increasingly common form of sensorineural hearing loss (SNHL) as a result of changing demographics, and the auditory brainstem response (ABR) is a common experimental and clinical tool in audiology and neurology. Some of the changes that occur in the aging auditory system may significantly influence the interpretation of the ABR in comparison to the ABRs of younger adults. The approach of this review will be to integrate physiological and histopathological data from human and animal studies to provide a better understanding of the array of age-related changes in the ABR and to determine how age-related changes in the auditory system may influence how the ABR should be interpreted in presbyacusis. Data will be described in terms of thresholds, latencies, and amplitudes, as well as more complex auditory functions such as masking and temporal processing. Included in the review of data will be an attempt to differentiate between age-related effects that may strictly be due to threshold elevation from those that may be due to the aging process.","Cochlear implants (CIs) give children with severe to profound hearing loss access to sound. There appears to be a dose effect of sound exposure on speech perception abilities as shown by the positive influence of early implantation and CI experience. The consistency in device use per day could also affect sound dose, potentially affecting perceptual abilities in children with CIs.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Hearing loss Sentence A: Age-related hearing loss (ARHL or presbyacusis) is an increasingly common form of sensorineural hearing loss (SNHL) as a result of changing demographics, and the auditory brainstem response (ABR) is a common experimental and clinical tool in audiology and neurology. Some of the changes that occur in the aging auditory system may significantly influence the interpretation of the ABR in comparison to the ABRs of younger adults. The approach of this review will be to integrate physiological and histopathological data from human and animal studies to provide a better understanding of the array of age-related changes in the ABR and to determine how age-related changes in the auditory system may influence how the ABR should be interpreted in presbyacusis. Data will be described in terms of thresholds, latencies, and amplitudes, as well as more complex auditory functions such as masking and temporal processing. Included in the review of data will be an attempt to differentiate between age-related effects that may strictly be due to threshold elevation from those that may be due to the aging process. Sentence B: Cochlear implants (CIs) give children with severe to profound hearing loss access to sound. There appears to be a dose effect of sound exposure on speech perception abilities as shown by the positive influence of early implantation and CI experience. The consistency in device use per day could also affect sound dose, potentially affecting perceptual abilities in children with CIs. ###Answer 1. Changed Reasoning: In Sentence A, the target word ""hearing loss"" is used in the context of age-related hearing loss, which is described as an increasingly common form of sensorineural hearing loss. The sentence also highlights the changes that occur in the aging auditory system, which may significantly influence the interpretation of the auditory brainstem response (ABR) in comparison to the ABRs of younger adults. This suggests that the meaning of the target word has shifted towards a more specific context related to age-related hearing loss. In Sentence B, the target word ""hearing loss"" is used in the context of cochlear implants (CIs) giving children with severe to profound hearing loss access to sound. The sentence also touches upon the dose effect of sound exposure on speech perception abilities, which suggests that the meaning of the target word has shifted towards a more general context related to hearing impairment and the impact of technology on sound perception. Therefore, the label ""Changed"" is appropriate for the target word ""hearing loss"" in this task." 41,Hearing loss,"We describe in a mother and her infant daughter a previously unreported syndrome of unusual craniofacial, hand, and digital anomalies. Both mother and child have a flat facial profile, hypertelorism, hypoplastic nose with slit-like nares, and a sensorineural hearing loss. Common radiographic manifestations include small maxilla, absent or small nasal bones, and ulnar deviation of the hands. This is either an autosomal dominant or X-linked trait.",To evaluate the clinical and genetic features of children with hearing loss associated with one of the most common malformations of the inner ear: bilateral enlargement of vestibular aqueducts (EVA).,"###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Hearing loss Sentence A: We describe in a mother and her infant daughter a previously unreported syndrome of unusual craniofacial, hand, and digital anomalies. Both mother and child have a flat facial profile, hypertelorism, hypoplastic nose with slit-like nares, and a sensorineural hearing loss. Common radiographic manifestations include small maxilla, absent or small nasal bones, and ulnar deviation of the hands. This is either an autosomal dominant or X-linked trait. Sentence B: To evaluate the clinical and genetic features of children with hearing loss associated with one of the most common malformations of the inner ear: bilateral enlargement of vestibular aqueducts (EVA). ###Answer 1. Changed (Sentence B) Explanation: The target word ""hearing loss"" has undergone a significant change in meaning between Sentence A (2000) and Sentence B (2020). In Sentence A, the term is used to describe a specific congenital malformation of the inner ear, with a focus on the clinical and genetic features of the disorder. In contrast, in Sentence B, the term is used to describe a more general condition of hearing impairment, specifically the bilateral enlargement of vestibular aqueducts (EVA). In Sentence A, the term ""hearing loss"" carries a negative connotation, as it is associated with a rare genetic disorder. In contrast, in Sentence B, the term has a more neutral connotation, as it is used to describe a common condition with a specific cause (i.e., bilateral enlargement of vestibular aqueducts). Therefore, the label ""Changed"" is appropriate for Sentence B, as the meaning of the target word has shifted to encompass a broader range of conditions." 42,Hearing loss,To compare 2 screening methods for unrecognized handicapping hearing loss in the elderly.,"Cochlear implants are currently the most effective solution for profound sensorineural hearing loss, and vestibular prostheses are under development to treat bilateral vestibulopathies. Electrical current spread in these neuroprostheses limits channel independence and, in some cases, may impair their performance. In comparison, optical stimuli that are spatially confined may result in a significant functional improvement. Pulsed infrared radiation (IR) has previously been shown to elicit responses in neurons. This study analyzes the response of neonatal rat spiral and vestibular ganglion neurons in vitro to IR (wavelength = 1,863 nm) using Ca(2+) imaging. Both types of neurons responded consistently with robust intracellular Ca(2+) ([Ca(2+)]i) transients that matched the low-frequency IR pulses applied (4 ms, 0.25-1 pps). Radiant exposures of ∼637 mJ/cm(2) resulted in continual neuronal activation. Temperature or [Ca(2+)] variations in the media did not alter the IR-evoked transients, ruling out extracellular Ca(2+) involvement or primary mediation by thermal effects on the plasma membrane. While blockage of Na(+), K(+), and Ca(2+) plasma membrane channels did not alter the IR-evoked response, blocking of mitochondrial Ca(2+) cycling with CGP-37157 or ruthenium red reversibly inhibited the IR-evoked [Ca(2+)]i transients. Additionally, the magnitude of the IR-evoked transients was dependent on ryanodine and cyclopiazonic acid-dependent Ca(2+) release. These results suggest that IR modulation of intracellular calcium cycling contributes to stimulation of spiral and vestibular ganglion neurons. As a whole, the results suggest selective excitation of neurons in the IR beam path and the potential of IR stimulation in future auditory and vestibular prostheses. ","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Hearing loss Sentence A: To compare 2 screening methods for unrecognized handicapping hearing loss in the elderly. Sentence B: Cochlear implants are currently the most effective solution for profound sensorineural hearing loss, and vestibular prostheses are under development to treat bilateral vestibulopathies. Electrical current spread in these neuroprostheses limits channel independence and, in some cases, may impair their performance. In comparison, optical stimuli that are spatially confined may result in a significant functional improvement. Pulsed infrared radiation (IR) has previously been shown to elicit responses in neurons. This study analyzes the response of neonatal rat spiral and vestibular ganglion neurons in vitro to IR (wavelength = 1,863 nm) using Ca(2+) imaging. Both types of neurons responded consistently with robust intracellular Ca(2+) ([Ca(2+)]i) transients that matched the low-frequency IR pulses applied (4 ms, 0.25-1 pps). Radiant exposures of ∼637 mJ/cm(2) resulted in continual neuronal activation. Temperature or [Ca(2+)] variations in the media did not alter the IR-evoked transients, ruling out extracellular Ca(2+) involvement or primary mediation by thermal effects on the plasma membrane. While blockage of Na(+), K(+), and Ca(2+) plasma membrane channels did not alter the IR-evoked response, blocking of mitochondrial Ca(2+) cycling with CGP-37157 or ruthenium red reversibly inhibited the IR-evoked [Ca(2+)]i transients. Additionally, the magnitude of the IR-evoked transients was dependent on ryanodine and cyclopiazonic acid-dependent Ca(2+) release. These results suggest that IR modulation of intracellular calcium cycling contributes to stimulation of spiral and vestibular ganglion neurons. As a whole, the results suggest selective excitation of neurons in the IR beam path and the potential of IR stimulation in future auditory and vestibular prostheses. ###Answer 1. Changed Explanation: The target word ""hearing loss"" has undergone a significant change in meaning between the two sentences. In Sentence A, the word is used to describe unrecognized handicapping hearing loss in the elderly, which implies a loss of hearing that is significant enough to impact daily life. In contrast, in Sentence B, the word is used to describe profound sensorineural hearing loss, which is a specific type of hearing loss that is caused by damage to the inner ear or auditory nerve. Additionally, the sentence mentions the development of vestibular prostheses, which suggests a shift towards a more technical and medicalized understanding of hearing loss. Therefore, the meaning of the target word has changed significantly between the two sentences, indicating semantic drift." 43,Hearing loss,"Very few studies have been done all over the world to find out incidence of hearing loss associated with different risk factors. The objective of this study was to find out incidence of hearing loss in children from High Risk category especially in reference to individual risk factor. Out of 593 children (0-5 year) from High Risk category subjected to B.E.R.A. over last 5 years, 126 (21.4%) showed hearing loss. 202 children (34.06%) from Birth Asphyxia category formed the largest group. Patients with Head and Neck anomaly showed maximum hearing loss (91.66%). 101 (80.15 %) children showed bilateral hearing loss. 57 Ears (4.80%), 67 Ears (5.64%), 99 Ears (8.34%) showed Mild, Moderate and Severe hearing loss respectively. 152 ears (71.31%), 67 ears (29.90%), 4 ears (1.79%) showed Cochlear, Retrocochlear and conductive hearing loss.","Perception of speech in the presence of competing multitalker noise is difficult for most individuals with sensory hearing loss, and in particular, for the elderly hearing impaired. Elderly people frequently report that these difficulties are poorly compensated for by hearing aids, albeit the algorithms and technologies aiming to improve speech perception in noise. The aim of the current study was therefore to assess competing speech signals processing by measuring the amount of signal to noise ratio (SNR) loss experienced by elderly hearing impaired individuals and their performance in dichotic listening tests.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Hearing loss Sentence A: Very few studies have been done all over the world to find out incidence of hearing loss associated with different risk factors. The objective of this study was to find out incidence of hearing loss in children from High Risk category especially in reference to individual risk factor. Out of 593 children (0-5 year) from High Risk category subjected to B.E.R.A. over last 5 years, 126 (21.4%) showed hearing loss. 202 children (34.06%) from Birth Asphyxia category formed the largest group. Patients with Head and Neck anomaly showed maximum hearing loss (91.66%). 101 (80.15 %) children showed bilateral hearing loss. 57 Ears (4.80%), 67 Ears (5.64%), 99 Ears (8.34%) showed Mild, Moderate and Severe hearing loss respectively. 152 ears (71.31%), 67 ears (29.90%), 4 ears (1.79%) showed Cochlear, Retrocochlear and conductive hearing loss. Sentence B: Perception of speech in the presence of competing multitalker noise is difficult for most individuals with sensory hearing loss, and in particular, for the elderly hearing impaired. Elderly people frequently report that these difficulties are poorly compensated for by hearing aids, albeit the algorithms and technologies aiming to improve speech perception in noise. The aim of the current study was therefore to assess competing speech signals processing by measuring the amount of signal to noise ratio (SNR) loss experienced by elderly hearing impaired individuals and their performance in dichotic listening tests. ###Answer 1. Changed Reasoning: The meaning of the target word ""hearing loss"" has changed significantly between Sentence A and Sentence B. In Sentence A, the term refers to a specific type of hearing impairment, specifically the loss of hearing in children due to various risk factors. In Sentence B, the term is used more broadly to refer to hearing impairment in general, including in elderly individuals. The shift in meaning suggests that the term has undergone semantic drift." 44,Hearing loss,"The authors consider the possibility of routine use of evoked otoacoustic emissions (EOE) in diagnosis of sensory hearing loss by comparison of EOE curves with relative curves obtained by pure tone audiometry. 180 ears with sensory hearing loss of different aetiologies were examined. EOE were obtained by application of Bray and Kemp's Evoked Otoacustic Measurement Package (ILO88). The results obtained show a close correlation between presence of EOE and real hearing losses of different frequencies obtained by pure tone audiometric evaluation. We could detect no EOE with hearing losses over 50 dB HL at 500 Hz, 40 dB HL at 1000 Hz, 50 dB HL at 2000 Hz and 85 dB HL at 4000 Hz. With a rate of middle hearing loss over 45 dB HL we also did not find EOE for the whole frequency range. On the base of this study, the authors conclude that EOE explore the functional integrity of those parts of the cochlea that correspond to the middle frequencies of hearing range. If EOE are not detectable, statements on the nature and extent of hearing loss on the base of this examination are not valid.","This article describes outcomes for the Otologics active middle ear implant for the semi-implantable and fully implantable (Carina, Otologics LLC, Boulder, CO) devices. Inclusion and exclusion criteria are reported in detail for surgical and audiologic management. Results from the clinical trial demonstrated no change for unaided air and bone conduction thresholds and no significant change in monosyllabic word scores or sentences in noise. Experiments are reported for conductive and mixed types of hearing losses in animal and human cadaveric models. These devices are in their infancy, and further study is needed to better identify candidates and develop appropriate expectations. ","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Hearing loss Sentence A: The authors consider the possibility of routine use of evoked otoacoustic emissions (EOE) in diagnosis of sensory hearing loss by comparison of EOE curves with relative curves obtained by pure tone audiometry. 180 ears with sensory hearing loss of different aetiologies were examined. EOE were obtained by application of Bray and Kemp's Evoked Otoacustic Measurement Package (ILO88). The results obtained show a close correlation between presence of EOE and real hearing losses of different frequencies obtained by pure tone audiometric evaluation. We could detect no EOE with hearing losses over 50 dB HL at 500 Hz, 40 dB HL at 1000 Hz, 50 dB HL at 2000 Hz and 85 dB HL at 4000 Hz. With a rate of middle hearing loss over 45 dB HL we also did not find EOE for the whole frequency range. On the base of this study, the authors conclude that EOE explore the functional integrity of those parts of the cochlea that correspond to the middle frequencies of hearing range. If EOE are not detectable, statements on the nature and extent of hearing loss on the base of this examination are not valid. Sentence B: This article describes outcomes for the Otologics active middle ear implant for the semi-implantable and fully implantable (Carina, Otologics LLC, Boulder, CO) devices. Inclusion and exclusion criteria are reported in detail for surgical and audiologic management. Results from the clinical trial demonstrated no change for unaided air and bone conduction thresholds and no significant change in monosyllabic word scores or sentences in noise. Experiments are reported for conductive and mixed types of hearing losses in animal and human cadaveric models. These devices are in their infancy, and further study is needed to better identify candidates and develop appropriate expectations. ###Answer 1. Changed Explanation: In Sentence A, the target word ""hearing loss"" is used to describe a specific type of hearing impairment, with a focus on the functional integrity of the cochlea. The sentence suggests that the presence of evoked otoacoustic emissions (EOE) can be used to diagnose hearing losses of different aetiologies. The term ""hearing loss"" in this context implies a loss of auditory function, possibly due to damage or disease in the inner ear or auditory nerve. In Sentence B, the target word ""hearing loss"" has a different connotation. The sentence describes the outcomes of a medical device, specifically the Otologics active middle ear implant, and its effectiveness in treating conductive and mixed types of hearing losses. The term ""hearing loss"" in this context implies a temporary or permanent reduction in auditory function, possibly due to age-related hearing loss, noise exposure, or other factors. Based on these two sentences, it is clear that the meaning of the term ""hearing loss"" has shifted over time. In Sentence A, the term is used to describe a specific type of hearing impairment with a focus on the functional integrity of the cochlea. In Sentence B, the term is used to describe a broader range of hearing impairments, including temporary or permanent reductions in auditory function. Therefore, I would label the target word ""hearing loss"" in Sentence B as ""Changed.""" 45,Hearing loss,Hearing loss has long been known to be a complication of Paget's disease of bone. Older ideas about the mechanisms of hearing loss are being replaced by a new view based on experimental evidence from patients. Studies reviewed show no evidence of auditory nerve dysfunction and confirm a cochlear site of lesion. A loss of bone mineral density in the cochlear capsule is associated with both a high-tone hearing loss and a low-tone air-bone gap.,Cochlear implants bring sound to people living with permanent hearing loss. But making them accessible to all in need is a major challenge. Andrey Shukshin reports.,"###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Hearing loss Sentence A: Hearing loss has long been known to be a complication of Paget's disease of bone. Older ideas about the mechanisms of hearing loss are being replaced by a new view based on experimental evidence from patients. Studies reviewed show no evidence of auditory nerve dysfunction and confirm a cochlear site of lesion. A loss of bone mineral density in the cochlear capsule is associated with both a high-tone hearing loss and a low-tone air-bone gap. Sentence B: Cochlear implants bring sound to people living with permanent hearing loss. But making them accessible to all in need is a major challenge. Andrey Shukshin reports. ###Answer 1. Changed Explanation: In Sentence A, the term ""hearing loss"" is used in a medical context to describe a specific condition associated with bone disease. The term is used to describe a specific type of sensory loss, with a focus on the underlying mechanisms and the site of lesion. In Sentence B, the term ""hearing loss"" is used in a very different context, to describe the ability of a person to receive sound through a cochlear implant. The term is used to describe a very different type of sensory experience, with no reference to the underlying mechanisms or site of lesion. Therefore, the meaning of the term ""hearing loss"" has shifted significantly between the two sentences, indicating semantic drift." 46,Hearing loss,"Usher's syndrome is an autosomal recessive disease characterized by congenital sensorineural hearing loss and retinitis pigmentosa (RP). Evidence for genetic heterogenicity within a single pattern of transmission of RP, be it autosomal recessive, dominant or sex-linked recessive, has been demonstrated by clustering patterns within and between families of specific clinical parameter weightings. Fishman, et al have noted corresponding evidence for subtypes of Usher's Syndrome, of paramount importance in mounting molecular level studies elucidating pathogenesis and management. Our study is of 25 consecutive patients studied by clinical investigation, including audiometric, vestibular and electro-ocular tests. Evidence for and against horizontal as well as proximal to distal receptors is weighed against loss of both visual and cochleo-vestibular systems. The clinical relevance is discussed.","Considerable evidence of reactive oxygen species (ROS) involvement in cochlear hair cell (HC) loss, leading to acquired sensorineural hearing loss (SNHL), were reported. Cochlear synaptopathy between HCs and spiral ganglion neurons has been gathering attention as a cochlear HC loss precursor not detectable by normal auditory evaluation. However, the molecular mechanisms linking ROS with HC loss, as well as the relationship between ROS and cochlear synaptopathy have not been elucidated. Here, we examined these linkages using NOX4-TG mice, which constitutively produce ROS without stimulation. mRNA levels of Piccolo 1, a major component of the synaptic ribbon (a specialized structure surrounded by synaptic vesicles in HCs), were decreased in postnatal day 6 NOX4-TG mice cochleae compared to those in WT mice; they were also decreased by noise exposure in 2-week-old WT cochleae. As noise exposure induces ROS production, this suggests that the synaptic ribbon is a target of ROS. The level of CtBP2, another synaptic ribbon component, was significantly lower in NOX4-TG cochleae of 1-month-old and 4-month-old mice compared to that in WT mice, although no significant differences were noted at 1.5- and 2-months. The decrease in CtBP2 plateaued in 4-month-old NOX4-TG, while it gradually decreased from 1 to 6 months in WT mice. Furthermore, CtBP2 level in 2-month-old NOX4-TG mice decreased significantly after exposure to cisplatin and noise compared to that in WT mice. These findings suggest that ROS lead to developmental delays and early degeneration of synaptic ribbons, which could be potential targets for novel therapeutics for ROS-induced SNHL.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Hearing loss Sentence A: Usher's syndrome is an autosomal recessive disease characterized by congenital sensorineural hearing loss and retinitis pigmentosa (RP). Evidence for genetic heterogenicity within a single pattern of transmission of RP, be it autosomal recessive, dominant or sex-linked recessive, has been demonstrated by clustering patterns within and between families of specific clinical parameter weightings. Fishman, et al have noted corresponding evidence for subtypes of Usher's Syndrome, of paramount importance in mounting molecular level studies elucidating pathogenesis and management. Our study is of 25 consecutive patients studied by clinical investigation, including audiometric, vestibular and electro-ocular tests. Evidence for and against horizontal as well as proximal to distal receptors is weighed against loss of both visual and cochleo-vestibular systems. The clinical relevance is discussed. Sentence B: Considerable evidence of reactive oxygen species (ROS) involvement in cochlear hair cell (HC) loss, leading to acquired sensorineural hearing loss (SNHL), were reported. Cochlear synaptopathy between HCs and spiral ganglion neurons has been gathering attention as a cochlear HC loss precursor not detectable by normal auditory evaluation. However, the molecular mechanisms linking ROS with HC loss, as well as the relationship between ROS and cochlear synaptopathy have not been elucidated. Here, we examined these linkages using NOX4-TG mice, which constitutively produce ROS without stimulation. mRNA levels of Piccolo 1, a major component of the synaptic ribbon (a specialized structure surrounded by synaptic vesicles in HCs), were decreased in postnatal day 6 NOX4-TG mice cochleae compared to those in WT mice; they were also decreased by noise exposure in 2-week-old WT cochleae. As noise exposure induces ROS production, this suggests that the synaptic ribbon is a target of ROS. The level of CtBP2, another synaptic ribbon component, was significantly lower in NOX4-TG cochleae of 1-month-old and 4-month-old mice compared to that in WT mice, although no significant differences were noted at 1.5- and 2-months. The decrease in CtBP2 plateaued in 4-month-old NOX4-TG, while it gradually decreased from 1 to 6 months in WT mice. Furthermore, CtBP2 level in 2-month-old NOX4-TG mice decreased significantly after exposure to cisplatin and noise compared to that in WT mice. These findings suggest that ROS lead to developmental delays and early degeneration of synaptic ribbons, which could be potential targets for novel therapeutics for ROS-induced SNHL. ###Answer 1. Changed Reasoning: The meaning of the target word ""hearing loss"" has significantly shifted between the two sentences. In Sentence A, the word is used to describe a specific genetic disorder (Usher's syndrome) characterized by congenital sensorineural hearing loss and retinitis pigmentosa. In Sentence B, the word is used more broadly to describe acquired sensorineural hearing loss caused by reactive oxygen species (ROS) involvement. The context and meaning of the word have evolved over time to encompass a broader range of hearing impairments. Therefore, the label ""Changed"" is appropriate." 47,Hearing loss,"A custom in-the-ear (ITE) hearing aid fitting was compared to two over-the-ear (OTE) hearing aid fittings for each of 9 subjects with mild to moderately severe hearing losses. Speech intelligibility via the three instruments was compared using the Speech Intelligibility Rating (SIR) test. The relationship between functional gain and coupler gain was compared for the ITE and the higher rated OTE instruments. The difference in input received at the microphone locations of the two types of hearing aids was measured for 10 different subjects and compared to the functional gain data. It was concluded that (a) for persons with mild to moderately severe hearing losses, appropriately adjusted custom ITE fittings typically yield speech intelligibility that is equal to the better OTE fitting identified in a comparative evaluation; and (b) gain prescriptions for ITE hearing aids should be adjusted to account for the high-frequency emphasis associated with in-the-concha microphone placement.",To investigate the correlation between prothrombin G20210A polymorphism and the risk for idiopathic sudden sensorineural hearing loss (ISSNHL) using Meta-analysis methodology.,"###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Hearing loss Sentence A: A custom in-the-ear (ITE) hearing aid fitting was compared to two over-the-ear (OTE) hearing aid fittings for each of 9 subjects with mild to moderately severe hearing losses. Speech intelligibility via the three instruments was compared using the Speech Intelligibility Rating (SIR) test. The relationship between functional gain and coupler gain was compared for the ITE and the higher rated OTE instruments. The difference in input received at the microphone locations of the two types of hearing aids was measured for 10 different subjects and compared to the functional gain data. It was concluded that (a) for persons with mild to moderately severe hearing losses, appropriately adjusted custom ITE fittings typically yield speech intelligibility that is equal to the better OTE fitting identified in a comparative evaluation; and (b) gain prescriptions for ITE hearing aids should be adjusted to account for the high-frequency emphasis associated with in-the-concha microphone placement. Sentence B: To investigate the correlation between prothrombin G20210A polymorphism and the risk for idiopathic sudden sensorineural hearing loss (ISSNHL) using Meta-analysis methodology. ###Answer 1. Changed The target word ""hearing loss"" has undergone semantic drift between Sentence A and Sentence B. In Sentence A, the term likely refers to a specific type of hearing loss caused by damage to the inner ear or auditory nerve. In contrast, in Sentence B, the term likely refers to a broader range of hearing impairments, including those caused by genetic factors or other underlying conditions. The shift in meaning suggests that the term ""hearing loss"" has undergone semantic drift, warranting the label ""Changed.""" 48,Hearing loss,The prevalence of hearing loss in patients with Fabry disease is still uncertain. This paper examines hearing loss in a group of young patients with Fabry disease.,To determine the association between a diagnosis of sensorineural hearing loss (SNHL) and the prescription of a macrolide antibiotic.,"###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Hearing loss Sentence A: The prevalence of hearing loss in patients with Fabry disease is still uncertain. This paper examines hearing loss in a group of young patients with Fabry disease. Sentence B: To determine the association between a diagnosis of sensorineural hearing loss (SNHL) and the prescription of a macrolide antibiotic. ###Answer Changed The target word ""hearing loss"" has undergone a significant change in meaning between the two sentences. In Sentence A, the term likely refers to the prevalence of hearing impairment in patients with Fabry disease, as the sentence discusses a study examining hearing loss in young patients with this condition. In Sentence B, the term likely refers to sensorineural hearing loss (SNHL), a specific type of hearing impairment caused by damage to the inner ear or auditory nerve. The shift in meaning is evident in the different context and specificity of the term in each sentence." 49,Hearing loss,"Binaural performance is a general term that can be applied to a wide range of paradigms that involve listening with both ears. This review samples from across the spectrum of binaural tasks by highlighting recent studies that encapsulate certain aspects of binaural function. Studies of the precedence effect and binaural unmasking suggest that temporal coding in elderly listeners is degraded relative to young listeners and that this decline is not simply a function of reduced audiometric sensitivity. For higher tasks involving speech recognition in competing noise, the elderly show reduced binaural advantage, particularly when they also exhibit presbyacusic hearing loss. However, it should not be overlooked that the advantages of listening with two ears rather than one remain significant even in the presbyacusic listener.",Abstract Usage of the Vibrant Soundbridge (VSB) with round window (RW)-Coupler placement at the RW has been shown to successfully treat mixed hearing loss. Coupling between the VSB's floating mass transducer (FMT) and the RW membrane is difficult in the case of sclerosis in the RW and drilling down the bony lip until the RW membrane can be seen completely can possibly induce a perilymphatic fistula. A 68-year-old woman who had bilateral mixed hearing loss with sclerosis in the RW due to tympanosclerosis underwent a RW-Vibroplasty with a RW-Coupler. Speech discrimination scores in quiet and noise and functional gain with the VSB with RW-Coupler were better than those using a conventional hearing aid. The results of the present case have shown the feasibility of implanting a VSB with RW-Coupler in patients with mixed hearing loss due to tympanosclerosis.,"###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Hearing loss Sentence A: Binaural performance is a general term that can be applied to a wide range of paradigms that involve listening with both ears. This review samples from across the spectrum of binaural tasks by highlighting recent studies that encapsulate certain aspects of binaural function. Studies of the precedence effect and binaural unmasking suggest that temporal coding in elderly listeners is degraded relative to young listeners and that this decline is not simply a function of reduced audiometric sensitivity. For higher tasks involving speech recognition in competing noise, the elderly show reduced binaural advantage, particularly when they also exhibit presbyacusic hearing loss. However, it should not be overlooked that the advantages of listening with two ears rather than one remain significant even in the presbyacusic listener. Sentence B: Abstract Usage of the Vibrant Soundbridge (VSB) with round window (RW)-Coupler placement at the RW has been shown to successfully treat mixed hearing loss. Coupling between the VSB's floating mass transducer (FMT) and the RW membrane is difficult in the case of sclerosis in the RW and drilling down the bony lip until the RW membrane can be seen completely can possibly induce a perilymphatic fistula. A 68-year-old woman who had bilateral mixed hearing loss with sclerosis in the RW due to tympanosclerosis underwent a RW-Vibroplasty with a RW-Coupler. Speech discrimination scores in quiet and noise and functional gain with the VSB with RW-Coupler were better than those using a conventional hearing aid. The results of the present case have shown the feasibility of implanting a VSB with RW-Coupler in patients with mixed hearing loss due to tympanosclerosis. ###Answer 1. Changed Reasoning: In Sentence A, the term ""binaural performance"" is used to describe a range of tasks that involve listening with both ears. The review highlights studies that demonstrate the importance of binaural function in elderly listeners, particularly in the context of speech recognition in competing noise. The term ""binaural function"" implies a level of complexity and nuance in the way the brain processes sound, which may have shifted in meaning over time. In Sentence B, the term ""Vibrant Soundbridge"" is used to describe a specific device used to treat mixed hearing loss. The term ""VSB"" implies a more specific and technical meaning, which is different from the broader meaning of ""binaural performance"" in Sentence A. Additionally, the term ""perilymphatic fistula"" is used in Sentence B, which implies a more medical or technical meaning that is not present in Sentence A. Overall, the meaning of the term ""hearing loss"" has shifted in Sentence B, becoming more specific and technical, while the meaning in Sentence A remains more general and broad. Therefore, the label ""Changed"" is appropriate for this task." 50,Hearing loss,"Hearing impairment is a common but not inevitable accompaniment of aging. It is partly due to the natural involution of irreplaceable neurones; environment also plays a large role. Although they may have difficulty in hearing all frequencies of sound, elderly people have particular difficulty with high-pitched sounds. They find it hard to focus on sounds, and serious social problems may arise as a result. Elderly people with hearing losses are particularly vulnerable to psychological sequelae, many of which are serious, but may also be correctable. Unfortunately, there is limited understanding of the causes of hearing handicaps, their prevalence, incidence and implications for the elderly, health professionals and the health care system."," Improving the user's hearing ability to understand speech in noisy environments is critical to the development of hearing aid (HA) devices. For this, it is important to derive a metric that can fairly predict speech intelligibility for HA users. A straightforward approach is to conduct a subjective listening test and use the test results as an evaluation metric. However, conducting large-scale listening tests is time-consuming and expensive. Therefore, several evaluation metrics were derived as surrogates for subjective listening test results. In this study, we propose a multi-branched speech intelligibility prediction model (MBI-Net), for predicting the subjective intelligibility scores of HA users. MBI-Net consists of two branches of models, with each branch consisting of a hearing loss model, a cross-domain feature extraction module, and a speech intelligibility prediction model, to process speech signals from one channel. The outputs of the two branches are fused through a linear layer to obtain predicted speech intelligibility scores. Experimental results confirm the effectiveness of MBI-Net, which produces higher prediction scores than the baseline system in Track 1 and Track 2 on the Clarity Prediction Challenge 2022 dataset. ","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Hearing loss Sentence A: Hearing impairment is a common but not inevitable accompaniment of aging. It is partly due to the natural involution of irreplaceable neurones; environment also plays a large role. Although they may have difficulty in hearing all frequencies of sound, elderly people have particular difficulty with high-pitched sounds. They find it hard to focus on sounds, and serious social problems may arise as a result. Elderly people with hearing losses are particularly vulnerable to psychological sequelae, many of which are serious, but may also be correctable. Unfortunately, there is limited understanding of the causes of hearing handicaps, their prevalence, incidence and implications for the elderly, health professionals and the health care system. Sentence B: Improving the user's hearing ability to understand speech in noisy environments is critical to the development of hearing aid (HA) devices. For this, it is important to derive a metric that can fairly predict speech intelligibility for HA users. A straightforward approach is to conduct a subjective listening test and use the test results as an evaluation metric. However, conducting large-scale listening tests is time-consuming and expensive. Therefore, several evaluation metrics were derived as surrogates for subjective listening test results. In this study, we propose a multi-branched speech intelligibility prediction model (MBI-Net), for predicting the subjective intelligibility scores of HA users. MBI-Net consists of two branches of models, with each branch consisting of a hearing loss model, a cross-domain feature extraction module, and a speech intelligibility prediction model, to process speech signals from one channel. The outputs of the two branches are fused through a linear layer to obtain predicted speech intelligibility scores. Experimental results confirm the effectiveness of MBI-Net, which produces higher prediction scores than the baseline system in Track 1 and Track 2 on the Clarity Prediction Challenge 2022 dataset. ###Answer 1. Changed Reasoning: In Sentence A, the term ""hearing impairment"" is used, which implies a permanent loss of hearing capacity. The sentence also mentions the involution of irreplaceable neurones, which suggests a biological basis for the hearing loss. Additionally, the sentence highlights the difficulties elderly people face with high-pitched sounds and their overall difficulty in focusing on sounds. These factors suggest that the meaning of ""hearing loss"" in Sentence A is more focused on the biological and psychological effects of permanent hearing impairment. In contrast, Sentence B uses the term ""hearing ability"" and ""speech intelligibility"", which implies a more focused on the practical aspects of hearing, such as the ability to understand speech in noisy environments. The sentence also mentions the use of ""hearing aid devices"" and ""prediction models"", which suggests a more technological and practical approach to addressing hearing loss. Overall, the meaning of ""hearing loss"" in Sentence B is more focused on the practical challenges and solutions related to hearing impairment. Based on these differences in meaning and context, it can be concluded that the term ""hearing loss"" has undergone a significant change in meaning between Sentence A and Sentence B, with Sentence B focusing more on the practical aspects of hearing loss. Therefore, the label ""Changed"" is appropriate for this task." 51,Hearing loss,"Screening for hearing loss should be part of the routine physical examination, but it is often not done because of time constraints. We present a quick and easy office screening test that measures the functional impact of hearing loss. We also review the steps of audiologic management that follow referral by the primary care physician.","Sensory hair cells are prone to apoptosis caused by various drugs including aminoglycoside antibiotics. In mammals, this vulnerability results in permanent hearing loss because lost hair cells are not regenerated. Conversely, hair cells regenerate in birds, making the avian inner ear an exquisite model for studying ototoxicity and regeneration. Here, we use single-cell RNA sequencing and trajectory analysis on control and dying hair cells after aminoglycoside treatment. Interestingly, the two major subtypes of avian cochlear hair cells, tall and short hair cells, respond differently. Dying short hair cells show a noticeable transient upregulation of many more genes than tall hair cells. The most prominent gene group identified is associated with potassium ion conductances, suggesting distinct physiological differences. Moreover, the dynamic characterization of >15,000 genes expressed in tall and short avian hair cells during their apoptotic demise comprises a resource for further investigations toward mammalian hair cell protection and hair cell regeneration.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Hearing loss Sentence A: Screening for hearing loss should be part of the routine physical examination, but it is often not done because of time constraints. We present a quick and easy office screening test that measures the functional impact of hearing loss. We also review the steps of audiologic management that follow referral by the primary care physician. Sentence B: Sensory hair cells are prone to apoptosis caused by various drugs including aminoglycoside antibiotics. In mammals, this vulnerability results in permanent hearing loss because lost hair cells are not regenerated. Conversely, hair cells regenerate in birds, making the avian inner ear an exquisite model for studying ototoxicity and regeneration. Here, we use single-cell RNA sequencing and trajectory analysis on control and dying hair cells after aminoglycoside treatment. Interestingly, the two major subtypes of avian cochlear hair cells, tall and short hair cells, respond differently. Dying short hair cells show a noticeable transient upregulation of many more genes than tall hair cells. The most prominent gene group identified is associated with potassium ion conductances, suggesting distinct physiological differences. Moreover, the dynamic characterization of >15,000 genes expressed in tall and short avian hair cells during their apoptotic demise comprises a resource for further investigations toward mammalian hair cell protection and hair cell regeneration. ###Answer 1. Changed Explanation: The target word ""hearing loss"" has undergone significant semantic drift between the two sentences. In Sentence A, the term is used in the context of a medical examination and refers to the absence of hearing sensitivity due to time constraints. In Sentence B, the term is used in the context of drug-induced apoptosis and refers to the permanent loss of hair cells in mammals. These two meanings are distinct and have evolved over time, indicating semantic drift. Therefore, the label ""Changed"" is appropriate." 52,Hearing loss,"A survey of the children at the Robarts School for the Deaf was performed in order to determine the etiology of hearing loss, the reading ability as related to the degree of hearing loss, and the incidence of middle ear disease. The largest category for etiology was idiopathic at 31%, followed by hereditary at 22.5%, and maternal rubella at 19%. The incidence of serous otitis media was found to be 11%.","Acute appendicitis is considered one of the most common surgical emergencies with low morbidity and mortality. However, delay in the diagnosis may lead to perforation of the appendix. Hence, complications may arise, including necrotizing fasciitis, a rare complication of a perforated appendix. We present a case of perforated appendicitis complicated by necrotizing fasciitis leading to rapid deterioration. A 75-year-old male patient presented to our emergency room with a three-day history of right lower quadrant abdominal pain and abdominal distention. On admission, computed tomography (CT) scan showed a perforated appendix and peri-appendicular abscess. An exploratory laparotomy was performed. The appendix was resected and the wound closed. The patient was recovering well and tolerating food after the procedure. However, the patient developed progressive erythema/swelling over the right flank with new-onset leukocytosis. The diagnosis of necrotizing fasciitis was suspected and confirmed by careful evaluation and laboratory/radiological tests. Antibiotics were changed to clindamycin and piperacillin/tazobactam, and the patient was taken back to the operation room (OR) for surgical debridement. Postoperatively, the patient was shifted to the intensive care unit (ICU). He developed hearing impairment, which improved after the cessation of clindamycin. He was discharged in good condition after three weeks of hospital stay. This case report highlights the importance of maintaining a high index of suspicion for necrotizing soft tissue infection in immunocompromised patients with perforated appendicitis and being cautious when prescribing clindamycin to patients at risk of hearing loss.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Hearing loss Sentence A: A survey of the children at the Robarts School for the Deaf was performed in order to determine the etiology of hearing loss, the reading ability as related to the degree of hearing loss, and the incidence of middle ear disease. The largest category for etiology was idiopathic at 31%, followed by hereditary at 22.5%, and maternal rubella at 19%. The incidence of serous otitis media was found to be 11%. Sentence B: Acute appendicitis is considered one of the most common surgical emergencies with low morbidity and mortality. However, delay in the diagnosis may lead to perforation of the appendix. Hence, complications may arise, including necrotizing fasciitis, a rare complication of a perforated appendix. We present a case of perforated appendicitis complicated by necrotizing fasciitis leading to rapid deterioration. A 75-year-old male patient presented to our emergency room with a three-day history of right lower quadrant abdominal pain and abdominal distention. On admission, computed tomography (CT) scan showed a perforated appendix and peri-appendicular abscess. An exploratory laparotomy was performed. The appendix was resected and the wound closed. The patient was recovering well and tolerating food after the procedure. However, the patient developed progressive erythema/swelling over the right flank with new-onset leukocytosis. The diagnosis of necrotizing fasciitis was suspected and confirmed by careful evaluation and laboratory/radiological tests. Antibiotics were changed to clindamycin and piperacillin/tazobactam, and the patient was taken back to the operation room (OR) for surgical debridement. Postoperatively, the patient was shifted to the intensive care unit (ICU). He developed hearing impairment, which improved after the cessation of clindamycin. He was discharged in good condition after three weeks of hospital stay. This case report highlights the importance of maintaining a high index of suspicion for necrotizing soft tissue infection in immunocompromised patients with perforated appendicitis and being cautious when prescribing clindamycin to patients at risk of hearing loss. ###Answer 1. Changed Reasoning: In Sentence A, the target word ""hearing loss"" is used in the context of a survey performed at a school for the deaf to determine the etiology and incidence of hearing loss. The sentence does not convey any negative connotations or associations with the word ""hearing loss."" Therefore, the meaning of the word remains similar between the two timestamps. In Sentence B, the target word ""hearing impairment"" is used to describe a complication of appendicitis in an immunocompromised patient. The sentence suggests that the patient developed hearing impairment as a result of taking clindamycin, which is an antibiotic that can cause inner ear damage and hearing loss. This usage of the word ""hearing impairment"" conveys a negative association with the word, as it implies that the patient suffered a loss of hearing due to the antibiotic. Therefore, there has been a significant change in the meaning of the word ""hearing loss"" between the two timestamps, indicating semantic drift." 53,Hearing loss,"Some clinical data concerning the relationship between hyperlipidemia and sensorineural hearing loss have been reported, however, definite mechanism causing pathological changes in the cochlea and hearing loss has not yet been clarified. We studied the mechanism of hearing loss due to hyperlipidemia in rabbits by ABR hearing examination, biochemical study of the sera, observation of the inner ear morphology by Sem and Tem. We suggest that the decreased blood supply in the inner ear during hyperlipidemia because of increased platelet aggregation and blood viscosity may be responsible for the inner ear damage. At the same time, a high lipid peroxide level in the serum and the inner ear, as well as the metabolic disorder of lipids in the inner ear may also contribute to the development of hearing loss.",To evaluate non-linear frequency compression (NLFC) as a means to improve speech recognition for children with moderate to moderately-severe hearing loss following a six-month acclimatization period.,"###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Hearing loss Sentence A: Some clinical data concerning the relationship between hyperlipidemia and sensorineural hearing loss have been reported, however, definite mechanism causing pathological changes in the cochlea and hearing loss has not yet been clarified. We studied the mechanism of hearing loss due to hyperlipidemia in rabbits by ABR hearing examination, biochemical study of the sera, observation of the inner ear morphology by Sem and Tem. We suggest that the decreased blood supply in the inner ear during hyperlipidemia because of increased platelet aggregation and blood viscosity may be responsible for the inner ear damage. At the same time, a high lipid peroxide level in the serum and the inner ear, as well as the metabolic disorder of lipids in the inner ear may also contribute to the development of hearing loss. Sentence B: To evaluate non-linear frequency compression (NLFC) as a means to improve speech recognition for children with moderate to moderately-severe hearing loss following a six-month acclimatization period. ###Answer 1. Changed Reasoning: In Sentence A, the term ""sensorineural hearing loss"" is used, which suggests that the hearing loss is due to a problem in the inner ear. Additionally, the sentence mentions ""decreased blood supply in the inner ear"" and ""high lipid peroxide level in the serum and the inner ear,"" which implies that the hearing loss may be caused by damage to the inner ear due to increased platelet aggregation and blood viscosity. In Sentence B, the term ""moderate to moderately-severe hearing loss"" is used, which suggests that the hearing loss is more severe than in Sentence A. Additionally, the sentence mentions ""non-linear frequency compression (NLFC),"" which is a technique used to improve speech recognition for children with hearing loss. This suggests that the hearing loss in Sentence B is more severe and may require more advanced techniques to improve speech recognition. Overall, the meaning of the term ""hearing loss"" has shifted from a focus on the inner ear damage in Sentence A to a focus on the severity of the hearing loss in Sentence B. Therefore, I would label this term as having undergone semantic drift." 54,Hearing loss,Otitis externa (OE) is a common disorder which can cause severe pain and discomfort with discharge and hearing loss. The majority of topical preparations for OE treatment contain a combination of steroids and antibiotics and are administered as ear drops. Otic powder preparations are less common. We found no studies which compared the efficacy of the two dosage forms.,"To explore long-term hearing results, quality of life (QoL), quality of hearing (QoH), work-related stress, tinnitus, and balance problems after idiopathic sudden sensorineural hearing loss (ISSNHL).","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Hearing loss Sentence A: Otitis externa (OE) is a common disorder which can cause severe pain and discomfort with discharge and hearing loss. The majority of topical preparations for OE treatment contain a combination of steroids and antibiotics and are administered as ear drops. Otic powder preparations are less common. We found no studies which compared the efficacy of the two dosage forms. Sentence B: To explore long-term hearing results, quality of life (QoL), quality of hearing (QoH), work-related stress, tinnitus, and balance problems after idiopathic sudden sensorineural hearing loss (ISSNHL). ###Answer 1. Changed Explanation: In Sentence A, the term ""hearing loss"" is used to describe the symptom of otitis externa, which is an infection of the outer ear. The context suggests that the term ""hearing loss"" in this sentence means a temporary loss of hearing due to the infection. In Sentence B, the term ""hearing loss"" is used to describe the long-term effects of idiopathic sudden sensorineural hearing loss (ISSNHL). The context suggests that the term ""hearing loss"" in this sentence means a permanent loss of hearing, possibly due to damage to the inner ear. Comparing the two sentences, it is clear that the meaning of the term ""hearing loss"" has shifted from a temporary to a permanent condition. Therefore, the label ""Changed"" is appropriate." 55,Hearing loss,"High environmental and psychosocial stress contribute to the onset and relapse of major psychiatric disorders. High sound levels in general hospitals are common and may be indirectly associated with negative physical effects because of increased physiological stress on the body. Excessive sound also interferes with cognitive functioning, especially affecting prefrontal cortical processes, but no information about sound levels in psychiatric hospitals was available. This study critically examines literature on sound stress and reports findings from an exploratory study of sound levels in a tertiary care psychiatric hospital. An overall mean sound level of 75.68 dB was found, with peak sound levels as high as 85 to 90 dB, in the range that causes hearing loss. These levels, higher than sound levels on medical, surgical, and intensive care units, suggest the need for more attention to the effect that environmental sound has on the behavior of patients hospitalized with acute psychiatric symptoms.","MELAS syndrome (mitochondrial myopathy, encephalopathy, lactic acidosis and stroke-like episodes) is a rare congenital disorder of mitochondrial DNA (mt-DNA). Patients with this syndrome may present to the otolaryngologist with sensorineural hearing loss (SNHL) that is genetic in origin. Mitochondrial cytopathies can present with a variety of symptoms, but they occasionally present with SNHL as their first manifestation. Two cases of MELAS patients who responded well to cochlear implantation are presented. A review of the literature is also carried out focusing mainly on diagnosis, anesthetic considerations and management of these patients.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Hearing loss Sentence A: High environmental and psychosocial stress contribute to the onset and relapse of major psychiatric disorders. High sound levels in general hospitals are common and may be indirectly associated with negative physical effects because of increased physiological stress on the body. Excessive sound also interferes with cognitive functioning, especially affecting prefrontal cortical processes, but no information about sound levels in psychiatric hospitals was available. This study critically examines literature on sound stress and reports findings from an exploratory study of sound levels in a tertiary care psychiatric hospital. An overall mean sound level of 75.68 dB was found, with peak sound levels as high as 85 to 90 dB, in the range that causes hearing loss. These levels, higher than sound levels on medical, surgical, and intensive care units, suggest the need for more attention to the effect that environmental sound has on the behavior of patients hospitalized with acute psychiatric symptoms. Sentence B: MELAS syndrome (mitochondrial myopathy, encephalopathy, lactic acidosis and stroke-like episodes) is a rare congenital disorder of mitochondrial DNA (mt-DNA). Patients with this syndrome may present to the otolaryngologist with sensorineural hearing loss (SNHL) that is genetic in origin. Mitochondrial cytopathies can present with a variety of symptoms, but they occasionally present with SNHL as their first manifestation. Two cases of MELAS patients who responded well to cochlear implantation are presented. A review of the literature is also carried out focusing mainly on diagnosis, anesthetic considerations and management of these patients. ###Answer 1. Changed Explanation: In Sentence A, the target word ""hearing loss"" is used to describe the negative physical effects of high sound levels on the body, specifically citing a study that found an overall mean sound level of 75.68 dB and peak sound levels as high as 85 to 90 dB, which can cause hearing loss. This usage suggests that the term ""hearing loss"" carries a negative connotation, implying harm or damage to the auditory system. In Sentence B, the target word ""hearing loss"" is used in a different context, to describe genetic sensorineural hearing loss in patients with MELAS syndrome. This usage does not carry the same negative connotation as in Sentence A, as the hearing loss is described as ""genetic in origin,"" suggesting that it is not caused by external factors such as excessive sound levels. Based on these two contexts, it is clear that the meaning of the term ""hearing loss"" has shifted significantly between the two sentences. In Sentence A, the term is associated with negative physical effects and harm to the auditory system, while in Sentence B, it is used to describe a genetic condition with no negative connotation. Therefore, the label ""Changed"" is appropriate to indicate that the term ""hearing loss"" has undergone semantic drift." 56,Hearing loss,Schwanomma of the vestibular nerves usually present with sensorineural hearing loss of varying degrees. We report here a large (5.5cm x 3.5cm) vestibular schwanomma with normal hearing. Other unusual features of this case were the young age (20 yrs) of the patient and absence of any otological symptoms.,Our study was aimed at finding a definitive treatment protocol for the management of sudden sensorineural hearing loss (SSNHL) and to study the prognostic factors affecting it.,"###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Hearing loss Sentence A: Schwanomma of the vestibular nerves usually present with sensorineural hearing loss of varying degrees. We report here a large (5.5cm x 3.5cm) vestibular schwanomma with normal hearing. Other unusual features of this case were the young age (20 yrs) of the patient and absence of any otological symptoms. Sentence B: Our study was aimed at finding a definitive treatment protocol for the management of sudden sensorineural hearing loss (SSNHL) and to study the prognostic factors affecting it. ###Answer 1. Changed Explanation: In Sentence A, the term ""sensorineural hearing loss"" has a specific medical connotation, indicating a type of hearing impairment caused by damage to the inner ear or auditory nerve. In contrast, in Sentence B, the term ""sensorineural hearing loss"" is used more broadly to refer to any type of hearing impairment, without the same specific medical connotation. This shift in meaning indicates semantic drift has occurred, and the label ""Changed"" is appropriate." 57,Hearing loss,"One consequence of noise exposure is increased production of reactive oxygen species (ROS), such as superoxide, hydrogen peroxide, and hydroxyl radicals, in the cochlea. ROS can cause oxidative damage to diverse cellular components, including membranes, proteins, and DNA, if they are not ""neutralised"" by antioxidant defences. Two important enzymes of the cochlear antioxidant defense system are cytosolic copper/zinc superoxide dismutase (SOD1) and selenium-dependent glutathione peroxidase (GPx1). These metalloenzymes work together to regulate ROS production in virtually every cell in the body, and they may be important for limiting cochlear damage associated with aging and acoustic overexposure. In this chapter, we describe a series of experiments using mice with targeted deletions of Sod1 or Gpx1, the mouse genes that code for SOD1 and GPx1, respectively, to study the cellular mechanisms underlying noise-induced hearing loss (NIHL). The results from Sod1 and Gpx1 knockout mice provide insights into the link between endogenous levels of antioxidant enzymes and susceptibility to NIHL.",Characterize hearing loss (HL) after hearing preservation cochlear implantation and determine the association between high charge electrical stimulation (ES) and late loss of acoustic hearing.,"###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Hearing loss Sentence A: One consequence of noise exposure is increased production of reactive oxygen species (ROS), such as superoxide, hydrogen peroxide, and hydroxyl radicals, in the cochlea. ROS can cause oxidative damage to diverse cellular components, including membranes, proteins, and DNA, if they are not ""neutralised"" by antioxidant defences. Two important enzymes of the cochlear antioxidant defense system are cytosolic copper/zinc superoxide dismutase (SOD1) and selenium-dependent glutathione peroxidase (GPx1). These metalloenzymes work together to regulate ROS production in virtually every cell in the body, and they may be important for limiting cochlear damage associated with aging and acoustic overexposure. In this chapter, we describe a series of experiments using mice with targeted deletions of Sod1 or Gpx1, the mouse genes that code for SOD1 and GPx1, respectively, to study the cellular mechanisms underlying noise-induced hearing loss (NIHL). The results from Sod1 and Gpx1 knockout mice provide insights into the link between endogenous levels of antioxidant enzymes and susceptibility to NIHL. Sentence B: Characterize hearing loss (HL) after hearing preservation cochlear implantation and determine the association between high charge electrical stimulation (ES) and late loss of acoustic hearing. ###Answer 1. Changed Reasoning: In Sentence A, the target word ""hearing loss"" is used in the context of noise exposure and its effects on the cochlea. The sentence explains that exposure to noise can lead to increased production of reactive oxygen species, which can cause oxidative damage to various cellular components in the cochlea. The target word is used to describe the damage caused by noise exposure. In Sentence B, the target word ""hearing loss"" is used in a different context. The sentence discusses the outcome of cochlear implantation in preserving acoustic hearing. The target word is used to describe the outcome of the surgery, which is different from the original meaning of the word in Sentence A. Therefore, the meaning of the target word ""hearing loss"" has changed significantly between the two sentences, indicating semantic drift." 58,Hearing loss,"The incidence of hearing loss in early childhood is not exactly defined in the Federal Republic of Germany. There are only some publications on this problem giving incidental information. By analysing this sparse data we tried to determine whether in incidence of hearing loss also applies to the German region. It appears necessary that hearing loss is screened in Germany, considering that other diseases having a lower incidence are also screened.","The factors responsible for interindividual differences in speech-understanding ability among hearing-impaired listeners are not well understood. Although audibility has been found to account for some of this variability, other factors may play a role. This study sought to examine whether part of the large interindividual variability of speech-recognition performance in individuals with severe-to-profound high-frequency hearing loss could be accounted for by differences in hearing-loss onset type (early, progressive, or sudden), age at hearing-loss onset, or hearing-loss duration. Other potential factors including age, hearing thresholds, speech-presentation levels, and speech audibility were controlled. Percent-correct (PC) scores for syllables in dissyllabic words, which were either unprocessed or lowpass filtered at cutoff frequencies ranging from 250 to 2,000 Hz, were measured in 20 subjects (40 ears) with severe-to-profound hearing losses above 1 kHz. For comparison purposes, 20 normal-hearing subjects (20 ears) were also tested using the same filtering conditions and a range of speech levels (10-80 dB SPL). Significantly higher asymptotic PCs were observed in the early (<=4 years) hearing-loss onset group than in both the progressive- and sudden-onset groups, even though the three groups did not differ significantly with respect to age, hearing thresholds, or speech audibility. In addition, significant negative correlations between PC and hearing-loss onset age, and positive correlations between PC and hearing-loss duration were observed. These variables accounted for a greater proportion of the variance in speech-intelligibility scores than, and were not significantly correlated with, speech audibility, as quantified using a variant of the articulation index. Although the lack of statistical independence between hearing-loss onset type, hearing-loss onset age, hearing-loss duration, and age complicate and limit the interpretation of the results, these findings indicate that other variables than audibility can influence speech intelligibility in listeners with severe-to-profound high-frequency hearing loss.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Hearing loss Sentence A: The incidence of hearing loss in early childhood is not exactly defined in the Federal Republic of Germany. There are only some publications on this problem giving incidental information. By analysing this sparse data we tried to determine whether in incidence of hearing loss also applies to the German region. It appears necessary that hearing loss is screened in Germany, considering that other diseases having a lower incidence are also screened. Sentence B: The factors responsible for interindividual differences in speech-understanding ability among hearing-impaired listeners are not well understood. Although audibility has been found to account for some of this variability, other factors may play a role. This study sought to examine whether part of the large interindividual variability of speech-recognition performance in individuals with severe-to-profound high-frequency hearing loss could be accounted for by differences in hearing-loss onset type (early, progressive, or sudden), age at hearing-loss onset, or hearing-loss duration. Other potential factors including age, hearing thresholds, speech-presentation levels, and speech audibility were controlled. Percent-correct (PC) scores for syllables in dissyllabic words, which were either unprocessed or lowpass filtered at cutoff frequencies ranging from 250 to 2,000 Hz, were measured in 20 subjects (40 ears) with severe-to-profound hearing losses above 1 kHz. For comparison purposes, 20 normal-hearing subjects (20 ears) were also tested using the same filtering conditions and a range of speech levels (10-80 dB SPL). Significantly higher asymptotic PCs were observed in the early (<=4 years) hearing-loss onset group than in both the progressive- and sudden-onset groups, even though the three groups did not differ significantly with respect to age, hearing thresholds, or speech audibility. In addition, significant negative correlations between PC and hearing-loss onset age, and positive correlations between PC and hearing-loss duration were observed. These variables accounted for a greater proportion of the variance in speech-intelligibility scores than, and were not significantly correlated with, speech audibility, as quantified using a variant of the articulation index. Although the lack of statistical independence between hearing-loss onset type, hearing-loss onset age, hearing-loss duration, and age complicate and limit the interpretation of the results, these findings indicate that other variables than audibility can influence speech intelligibility in listeners with severe-to-profound high-frequency hearing loss. ###Answer 1. Changed Reasoning: The target word ""hearing loss"" has undergone a significant change in meaning between the two sentences. In Sentence A, the term is used to describe the incidence of hearing loss in early childhood, with a focus on the German region. In Sentence B, the term is used to describe the factors responsible for interindividual differences in speech-understanding ability among hearing-impaired listeners. The meaning of the term has shifted from a focus on the incidence of hearing loss in a specific region to a broader discussion of the underlying causes of speech difficulties in hearing-impaired individuals. This change in meaning suggests that the term ""hearing loss"" has undergone semantic drift." 59,Hearing loss,"We report a case of Waardenburg syndrome in a female child aged 2yrs. Petrus Johannes Waardenburg(1) , a Dutch Ophthalmologist in 1951 described individuals with retinal pigmentary differences who had varying degrees of hearing loss and dystopia canthorum (i.e., latral displacement of inner canthi of eyes). The disease runs in families with a dominant inheritance pattern with varying degree of clinical presentation. Patient usually present with heterochromic iris, pigmentary abnormalities of skin and hearing loss.Here we report a patient having severe bilateral hearing loss with pigmentary disturbances.","Jervell and Lange-Nielsen syndrome (JLNS) isa recessive model of long QT syndrome which might also be related to possible hearing loss. Although the syndrome has been demonstrated to be originated from homozygous or compound heterozygous mutations in either the KCNQ1 or KCNE1 genes, additional mutations in other genetic loci should be considered, particularly in malignant course patients.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Hearing loss Sentence A: We report a case of Waardenburg syndrome in a female child aged 2yrs. Petrus Johannes Waardenburg(1) , a Dutch Ophthalmologist in 1951 described individuals with retinal pigmentary differences who had varying degrees of hearing loss and dystopia canthorum (i.e., latral displacement of inner canthi of eyes). The disease runs in families with a dominant inheritance pattern with varying degree of clinical presentation. Patient usually present with heterochromic iris, pigmentary abnormalities of skin and hearing loss.Here we report a patient having severe bilateral hearing loss with pigmentary disturbances. Sentence B: Jervell and Lange-Nielsen syndrome (JLNS) isa recessive model of long QT syndrome which might also be related to possible hearing loss. Although the syndrome has been demonstrated to be originated from homozygous or compound heterozygous mutations in either the KCNQ1 or KCNE1 genes, additional mutations in other genetic loci should be considered, particularly in malignant course patients. ###Answer 1. Changed Reasoning: In Sentence A, the term ""hearing loss"" is used in the context of a specific medical condition (Waardenburg syndrome), and the meaning is consistent with the medical terminology used in the field of ophthalmology in 1951. The term ""hearing loss"" has the same connotation and meaning as it did at that time. In Sentence B, the term ""hearing loss"" is used in a different context, and the meaning has shifted. The term is now used to describe a broader concept of a genetic disorder (Jervell and Lange-Nielsen syndrome) that may include hearing loss as a symptom. The meaning of the term ""hearing loss"" has expanded to include a broader range of possible causes and consequences, which is different from the original meaning in Sentence A. Therefore, the label ""Changed"" is appropriate." 60,Hearing loss,"Otoacoustic emissions are sounds produced by outer hair cells of cochlea. It is known that they may be useful in assessing hearing loss. The aim of our study was to evaluate their diagnostic capability in separating sensory from neural hearing impairment. Transiently evoked otoacoustic emissions (TOAE) and distortion-product emissions (DP) were measured in 14 patients with sensorineural hearing loss. The results showed DP to be present in 12 patients and in 8 of them TOAE were detected despite the mild to severe hearing loss, thus indicating the lesion should be retrocochlear. The recording of otoacoustic emissions appears to be a technique for precise etiological diagnosis of hearing impairment.","Hearing loss is among the most frequent problems experienced by older adults, yet psychiatrists and other clinicians often ignore the problem as an aggravation rather than recognizing that the problem might benefit from appropriate hearing health care. Many psychiatric disorders have been associated with hearing loss, including depression, schizophrenia and other psychoses, anxiety, and neurocognitive disorders. In this article, hearing loss among older adults is reviewed, with special attention directed toward the recognition and proper referral to a hearing health care provider. Finally, major advances in hearing health care are discussed.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Hearing loss Sentence A: Otoacoustic emissions are sounds produced by outer hair cells of cochlea. It is known that they may be useful in assessing hearing loss. The aim of our study was to evaluate their diagnostic capability in separating sensory from neural hearing impairment. Transiently evoked otoacoustic emissions (TOAE) and distortion-product emissions (DP) were measured in 14 patients with sensorineural hearing loss. The results showed DP to be present in 12 patients and in 8 of them TOAE were detected despite the mild to severe hearing loss, thus indicating the lesion should be retrocochlear. The recording of otoacoustic emissions appears to be a technique for precise etiological diagnosis of hearing impairment. Sentence B: Hearing loss is among the most frequent problems experienced by older adults, yet psychiatrists and other clinicians often ignore the problem as an aggravation rather than recognizing that the problem might benefit from appropriate hearing health care. Many psychiatric disorders have been associated with hearing loss, including depression, schizophrenia and other psychoses, anxiety, and neurocognitive disorders. In this article, hearing loss among older adults is reviewed, with special attention directed toward the recognition and proper referral to a hearing health care provider. Finally, major advances in hearing health care are discussed. ###Answer 1. Changed Reasoning: In Sentence A, the target word ""hearing loss"" is used in the context of assessing the diagnostic capability of otoacoustic emissions in separating sensory from neural hearing impairment. The meaning of the term is focused on the ability of the test to distinguish between different types of hearing impairment. In contrast, in Sentence B, the target word ""hearing loss"" is used to describe the prevalence of the problem among older adults and the need for proper referral to a hearing health care provider. The meaning of the term is more focused on the practical implications of the problem, such as its impact on mental health and the importance of seeking appropriate treatment. Therefore, the meaning of the target word ""hearing loss"" has significantly shifted between the two sentences, indicating semantic drift has occurred." 61,Hearing loss,"The present study was a systematic investigation of the benefit of providing hearing-impaired listeners with audible high-frequency speech information. Five normal-hearing and nine high-frequency hearing-impaired listeners identified nonsense syllables that were low-pass filtered at a number of cutoff frequencies. As a means of quantifying audibility for each condition, Articulation Index (AI) was calculated for each condition for each listener. Most hearing-impaired listeners demonstrated an improvement in speech recognition as additional audible high-frequency information was provided. In some cases for more severely impaired listeners, increasing the audibility of high-frequency speech information resulted in no further improvement in speech recognition, or even decreases in speech recognition. A new measure of how well hearing-impaired listeners used information within specific frequency bands called ""efficiency"" was devised. This measure compared the benefit of providing a given increase in speech audibility to a hearing-impaired listener to the benefit observed in normal-hearing listeners for the same increase in speech audibility. Efficiencies were calculated using the old AI method and the new AI method (which takes into account the effects of high speech presentation levels). There was a clear pattern in the results suggesting that as the degree of hearing loss at a given frequency increased beyond 55 dB HL, the efficacy of providing additional audibility to that frequency region was diminished, especially when this degree of hearing loss was present at frequencies of 4000 Hz and above. A comparison of analyses from the ""old"" and ""new"" AI procedures suggests that some, but not all, of the deficiencies of speech recognition in these listeners was due to high presentation levels.","Mutations in the gene encoding the type II transmembrane protease 3 (TMPRSS3) cause human hearing loss, although the underlying mechanisms that result in TMPRSS3-related hearing loss are still unclear. We combined the use of stem cell-derived inner ear organoids with single-cell RNA sequencing to investigate the role of TMPRSS3. Defective Tmprss3 leads to hair cell apoptosis without altering the development of hair cells and the formation of the mechanotransduction apparatus. Prior to degeneration, Tmprss3-KO hair cells demonstrate reduced numbers of BK channels and lower expressions of genes encoding calcium ion-binding proteins, suggesting a disruption in intracellular homeostasis. A proteolytically active TMPRSS3 was detected on cell membranes in addition to ER of cells in inner ear organoids. Our in vitro model recapitulated salient features of genetically associated inner ear abnormalities and will serve as a powerful tool for studying inner ear disorders.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Hearing loss Sentence A: The present study was a systematic investigation of the benefit of providing hearing-impaired listeners with audible high-frequency speech information. Five normal-hearing and nine high-frequency hearing-impaired listeners identified nonsense syllables that were low-pass filtered at a number of cutoff frequencies. As a means of quantifying audibility for each condition, Articulation Index (AI) was calculated for each condition for each listener. Most hearing-impaired listeners demonstrated an improvement in speech recognition as additional audible high-frequency information was provided. In some cases for more severely impaired listeners, increasing the audibility of high-frequency speech information resulted in no further improvement in speech recognition, or even decreases in speech recognition. A new measure of how well hearing-impaired listeners used information within specific frequency bands called ""efficiency"" was devised. This measure compared the benefit of providing a given increase in speech audibility to a hearing-impaired listener to the benefit observed in normal-hearing listeners for the same increase in speech audibility. Efficiencies were calculated using the old AI method and the new AI method (which takes into account the effects of high speech presentation levels). There was a clear pattern in the results suggesting that as the degree of hearing loss at a given frequency increased beyond 55 dB HL, the efficacy of providing additional audibility to that frequency region was diminished, especially when this degree of hearing loss was present at frequencies of 4000 Hz and above. A comparison of analyses from the ""old"" and ""new"" AI procedures suggests that some, but not all, of the deficiencies of speech recognition in these listeners was due to high presentation levels. Sentence B: Mutations in the gene encoding the type II transmembrane protease 3 (TMPRSS3) cause human hearing loss, although the underlying mechanisms that result in TMPRSS3-related hearing loss are still unclear. We combined the use of stem cell-derived inner ear organoids with single-cell RNA sequencing to investigate the role of TMPRSS3. Defective Tmprss3 leads to hair cell apoptosis without altering the development of hair cells and the formation of the mechanotransduction apparatus. Prior to degeneration, Tmprss3-KO hair cells demonstrate reduced numbers of BK channels and lower expressions of genes encoding calcium ion-binding proteins, suggesting a disruption in intracellular homeostasis. A proteolytically active TMPRSS3 was detected on cell membranes in addition to ER of cells in inner ear organoids. Our in vitro model recapitulated salient features of genetically associated inner ear abnormalities and will serve as a powerful tool for studying inner ear disorders. ###Answer 1. Changed Reasoning: In Sentence A, the target word ""hearing loss"" is used to describe the result of providing audible high-frequency speech information to hearing-impaired listeners. The meaning of the word is focused on the loss of auditory function, specifically in the high-frequency range. The sentence does not suggest any change in the meaning of the word over time. In Sentence B, the target word ""hearing loss"" is used to describe the result of mutations in the TMPRSS3 gene. The meaning of the word is focused on the loss of auditory function, but with a different context. The sentence suggests that the hearing loss is caused by a genetic mutation, rather than the result of providing audible high-frequency speech information. The meaning of the word has shifted to include a genetic basis for hearing loss. Therefore, the label ""Changed"" is appropriate for the target word ""hearing loss"" in Sentence B, as the meaning has shifted to include a genetic basis for hearing loss." 62,Hearing loss,"The cause of noise-induced hearing loss remains unclear despite years of both epidemiologic and experimental investigation. Among the many possible pathophysiologic mechanisms that may contribute to noise-induced temporary or permanent threshold shifts are insufficiencies in cochlear blood flow. Although the literature is inconsistent, several histologic and physiologic studies demonstrate signs of reduced circulation in the cochlea after noise exposure. Recent studies using computer-enhanced intravital microscopy complement these earlier findings. Evidence suggests that these microcirculatory events are mediated in part by several circulating factors, including the potent vasoactive peptide angiotensin. This study investigated this possibility by pretreating with the angiotensin receptor antagonist sarthran during noise exposure and examining both cochlear microcirculation and auditory sensitivity. The results of these experiments show noise-induced ischemia in the lateral wall of the cochlea and temporary threshold shifts. Treatment with sarthran prevented this noise-induced microcirculatory ischemia and preserved auditory sensitivity at the low frequencies tested. These findings support a role for the angiotensinergic system during noise exposure and suggest that preservation of cochlear blood flow is functionally related to auditory sensitivity.","It is well known that head trauma may cause hearing loss, which can be either conductive or sensorineural. Benign paroxysmal positional vertigo and olfactory dysfunction due to head trauma are also well known. The association between sensorineural hearing loss and anosmia, following head trauma, is extremely rare. Two rare cases of post-traumatic occurrence of hearing loss, olfactory dysfunction and benign positional vertigo are reported and the pathophysiology of the association between sensorineural hearing loss, anosmia and benign paroxysmal positional vertigo, after head injury, are briefly discussed. ENT specialists should, in the authors' opinion, be aware of the possible association between anosmia, sensorineural hearing loss and benign paroxysmal positional vertigo after head injury, even in the absence of skull fracture.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Hearing loss Sentence A: The cause of noise-induced hearing loss remains unclear despite years of both epidemiologic and experimental investigation. Among the many possible pathophysiologic mechanisms that may contribute to noise-induced temporary or permanent threshold shifts are insufficiencies in cochlear blood flow. Although the literature is inconsistent, several histologic and physiologic studies demonstrate signs of reduced circulation in the cochlea after noise exposure. Recent studies using computer-enhanced intravital microscopy complement these earlier findings. Evidence suggests that these microcirculatory events are mediated in part by several circulating factors, including the potent vasoactive peptide angiotensin. This study investigated this possibility by pretreating with the angiotensin receptor antagonist sarthran during noise exposure and examining both cochlear microcirculation and auditory sensitivity. The results of these experiments show noise-induced ischemia in the lateral wall of the cochlea and temporary threshold shifts. Treatment with sarthran prevented this noise-induced microcirculatory ischemia and preserved auditory sensitivity at the low frequencies tested. These findings support a role for the angiotensinergic system during noise exposure and suggest that preservation of cochlear blood flow is functionally related to auditory sensitivity. Sentence B: It is well known that head trauma may cause hearing loss, which can be either conductive or sensorineural. Benign paroxysmal positional vertigo and olfactory dysfunction due to head trauma are also well known. The association between sensorineural hearing loss and anosmia, following head trauma, is extremely rare. Two rare cases of post-traumatic occurrence of hearing loss, olfactory dysfunction and benign positional vertigo are reported and the pathophysiology of the association between sensorineural hearing loss, anosmia and benign paroxysmal positional vertigo, after head injury, are briefly discussed. ENT specialists should, in the authors' opinion, be aware of the possible association between anosmia, sensorineural hearing loss and benign paroxysmal positional vertigo after head injury, even in the absence of skull fracture. ###Answer 1. Changed Reasoning: In Sentence A, the term ""hearing loss"" is used in the context of noise-induced hearing loss, which is a specific type of sensorineural hearing loss caused by exposure to loud noises. The sentence highlights the potential mechanisms of noise-induced hearing loss, including reduced circulation in the cochlea and the role of the angiotensin system. The term ""hearing loss"" is used in a technical and medical context, indicating that the author intends to convey a specific meaning related to the field of audiology. In Sentence B, the term ""hearing loss"" is used in a different context, where it refers to hearing loss caused by head trauma. The sentence discusses the association between sensorineural hearing loss, anosmia, and benign paroxysmal positional vertigo after head injury. The term ""hearing loss"" is used in a broader context, encompassing a range of hearing impairments, including conductive and sensorineural hearing loss. The sentence does not provide specific details about the mechanisms or causes of hearing loss, indicating that the author intends to convey a more general meaning. Based on these differences in context and meaning, it can be concluded that the term ""hearing loss"" has undergone semantic drift between Sentence A and Sentence B. In Sentence A, the term is used in a technical and medical context, while in Sentence B, it is used in a broader context, encompassing a range of hearing impairments. Therefore, the label ""Changed"" is appropriate to indicate that the meaning of the term ""hearing loss"" has shifted between the two sentences." 63,Hearing loss,"Progressive hearing loss affects approximately 50% of the elderly by the age of 80, and is most likely caused by an interaction of genetic and environmental factors. Identification of the genes responsible for hereditary hearing loss is therefore important. Families with pure genetic degenerative hearing disorders may be helpful as the same genes may be also involved in age-related hearing loss in general. In this study we have performed a genome search in an extended Dutch family with autosomal dominant progressive hearing loss starting in the high frequencies. The gene causing hearing loss in this family was localized to the short arm of chromosome 7, in a 15 cM interval between markers D7S493 and D7S632.","Ankylosing spondylitis (AS) is a chronic inflammatory disease of unknown origin affecting up to 1% of the population. Little is known about audiovestibular impairment in patients with AS, especially the presence of cochleovestibular dysfunction in these patients. To investigate audiovestibular manifestations in AS, we studied a series of 50 consecutive patients who fulfilled the modified New York diagnostic criteria for AS and 44 matched controls. Individuals with history of cardiovascular disease, cerebrovascular complications, peripheral artery disease, renal insufficiency, syphilis, Meniere and other vestibular syndromes, infections involving the inner ear, barotrauma, or in treatment with ototoxic drugs were excluded. Most patients with AS were men (80%). The mean age at the time of study was 52.5 years, and mean age at the onset of symptoms was 34.4 years. Twenty-nine (58%) patients showed abnormal hearing loss in the audiogram compared to only 8 (18%) controls (p < 0.001). Values of audiometric tests (pure-tone average and speech reception threshold) yielded significant differences between patients and controls (p < 0.001). It is noteworthy that the audiogram shape disclosed a predominant pattern of high-frequency sensorineural hearing loss in AS patients (50%) compared to controls (18%) (p = 0.002). Also, AS patients exhibited abnormal vestibular tests more commonly than controls. AS patients had an increased frequency of head-shaking nystagmus (20%) compared to controls (0%) (p < 0.001). Moreover, patients (26%) showed a significantly increased frequency of abnormal caloric test compared to controls (0%) (p < 0.001). Finally, a significantly increased frequency of abnormal clinical test of sensory integration and balance with a predominant vestibular loss pattern was observed in patients (36%) compared to controls (5%) (p < 0.001). In conclusion, the current study demonstrates strong evidence for inner ear compromise in patients with AS.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Hearing loss Sentence A: Progressive hearing loss affects approximately 50% of the elderly by the age of 80, and is most likely caused by an interaction of genetic and environmental factors. Identification of the genes responsible for hereditary hearing loss is therefore important. Families with pure genetic degenerative hearing disorders may be helpful as the same genes may be also involved in age-related hearing loss in general. In this study we have performed a genome search in an extended Dutch family with autosomal dominant progressive hearing loss starting in the high frequencies. The gene causing hearing loss in this family was localized to the short arm of chromosome 7, in a 15 cM interval between markers D7S493 and D7S632. Sentence B: Ankylosing spondylitis (AS) is a chronic inflammatory disease of unknown origin affecting up to 1% of the population. Little is known about audiovestibular impairment in patients with AS, especially the presence of cochleovestibular dysfunction in these patients. To investigate audiovestibular manifestations in AS, we studied a series of 50 consecutive patients who fulfilled the modified New York diagnostic criteria for AS and 44 matched controls. Individuals with history of cardiovascular disease, cerebrovascular complications, peripheral artery disease, renal insufficiency, syphilis, Meniere and other vestibular syndromes, infections involving the inner ear, barotrauma, or in treatment with ototoxic drugs were excluded. Most patients with AS were men (80%). The mean age at the time of study was 52.5 years, and mean age at the onset of symptoms was 34.4 years. Twenty-nine (58%) patients showed abnormal hearing loss in the audiogram compared to only 8 (18%) controls (p < 0.001). Values of audiometric tests (pure-tone average and speech reception threshold) yielded significant differences between patients and controls (p < 0.001). It is noteworthy that the audiogram shape disclosed a predominant pattern of high-frequency sensorineural hearing loss in AS patients (50%) compared to controls (18%) (p = 0.002). Also, AS patients exhibited abnormal vestibular tests more commonly than controls. AS patients had an increased frequency of head-shaking nystagmus (20%) compared to controls (0%) (p < 0.001). Moreover, patients (26%) showed a significantly increased frequency of abnormal caloric test compared to controls (0%) (p < 0.001). Finally, a significantly increased frequency of abnormal clinical test of sensory integration and balance with a predominant vestibular loss pattern was observed in patients (36%) compared to controls (5%) (p < 0.001). In conclusion, the current study demonstrates strong evidence for inner ear compromise in patients with AS. ###Answer 1. Changed Reasoning: In Sentence A, the term ""hearing loss"" is used to describe a condition affecting approximately 50% of the elderly by the age of 80. The sentence suggests that this hearing loss is caused by a combination of genetic and environmental factors, and is more likely to occur in families with a history of progressive hearing loss. The term ""hearing loss"" in this context implies a gradual decline in hearing ability over time, which may be related to age or exposure to loud noises. In Sentence B, the term ""hearing loss"" is used to describe a condition affecting patients with ankylosing spondylitis (AS). However, the context is different from Sentence A. Here, the term ""hearing loss"" suggests a more sudden and severe loss of hearing, which may be related to the inflammatory disease process in AS. The sentence also highlights the presence of abnormal vestibular tests in AS patients, which may indicate inner ear compromise. Based on these differences in context and meaning, it appears that the term ""hearing loss"" has undergone a significant change in meaning between Sentence A and Sentence B. In Sentence A, the term likely refers to a gradual decline in hearing ability with age, while in Sentence B, it suggests a more sudden and severe loss of hearing related to a specific disease process. Therefore, I would label this term as ""Changed""." 64,Hearing loss,"Career theorists emphasize the importance of the development of career maturity in adolescents if they are to successfully negotiate the school-to-work transition. Transitions of deaf and hard of hearing adolescents may be especially problematic. The authors examine the implications of current labor market trends for young people, in particular those with hearing loss, and review data on employment outcomes for deaf and hard of hearing people. They discuss the environmental and attitudinal barriers that can influence the career outcomes of this population, consider the impact of hearing loss on adolescents' career maturity, and review the studies on this topic in the literature. The article focuses on the experiences of students with significant hearing loss who are educated in regular classes with the support of itinerant teachers, who communicate orally, and who may be defined as hard of hearing. Recommendations for research and practice are provided.",To describe the audiological profiles in a Japanese family with autosomal dominant hereditary sensorineural hearing loss (SNHL) and to identify the causative gene.,"###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Hearing loss Sentence A: Career theorists emphasize the importance of the development of career maturity in adolescents if they are to successfully negotiate the school-to-work transition. Transitions of deaf and hard of hearing adolescents may be especially problematic. The authors examine the implications of current labor market trends for young people, in particular those with hearing loss, and review data on employment outcomes for deaf and hard of hearing people. They discuss the environmental and attitudinal barriers that can influence the career outcomes of this population, consider the impact of hearing loss on adolescents' career maturity, and review the studies on this topic in the literature. The article focuses on the experiences of students with significant hearing loss who are educated in regular classes with the support of itinerant teachers, who communicate orally, and who may be defined as hard of hearing. Recommendations for research and practice are provided. Sentence B: To describe the audiological profiles in a Japanese family with autosomal dominant hereditary sensorineural hearing loss (SNHL) and to identify the causative gene. ###Answer 1. Changed The meaning of the target word ""hearing loss"" has changed significantly between Sentence A and Sentence B. In Sentence A, the term is used to describe the challenges faced by adolescents with hearing loss in navigating the school-to-work transition, and the article focuses on the experiences of students with significant hearing loss in regular classes with itinerant teachers. In Sentence B, the term is used to describe the audiological profiles of a specific family with autosomal dominant hereditary sensorineural hearing loss (SNHL) in Japan, and the article aims to identify the causative gene. In Sentence A, the term ""hearing loss"" is used in the context of adolescents' career development and the challenges they face due to their hearing impairment. The article highlights the importance of career maturity in adolescents and the need for support from itinerant teachers. The term ""hearing loss"" is used to describe the specific challenge faced by this population, and it does not have any negative connotations. In Sentence B, the term ""hearing loss"" is used in a different context, specifically in the context of a family's audiological profiles and the hereditary nature of the hearing impairment. The term is used to describe the specific type of hearing loss experienced by this family, and it does not have any negative connotations. Based on these differences in context and meaning, it can be concluded that the term ""hearing loss"" has undergone a significant change in meaning between Sentence A and Sentence B. Therefore, the label ""Changed"" is appropriate." 65,Hearing loss,"Throughout the last two decades, we have witnessed a gradual change in the audiological profile of the hearing-impaired child. The number of children with severe to profound hearing losses seems to be declining, while those with minimal losses seems to be increasing. Such losses include unilateral sensorineural, mild bilateral sensorineural, and bilateral conductive hearing loss. Historically, children with minimal hearing loss have received limited attention from physicians, audiologists, or educators. It has been assumed that minimally hearing-impaired children will exhibit few, if any, handicaps and require no special assistance in the academic setting. Recent evidence challenges that assumption, however, and suggests that, in fact, children with minimal hearing loss can demonstrate significant academic and communicative difficulties. It is recommended that children with minimal hearing impairment be considered at high risk for communication and educational difficulties and that assessments be made early in order to identify problems and implement management programs.","Age-related hearing loss is manifested primarily by a decreased sensitivity to faint sounds, that is, by elevation of the hearing thresholds. Nevertheless, aging also affects the ability of the auditory system to process temporal parameters of the sound stimulus. To explore the precision and reliability of auditory temporal processing during aging, responses to several types of sound stimuli were recorded from neurons of the auditory cortex (AC) of young and aged anaesthetized Fischer 344 rats. In response to broad-band noise bursts, the aged rats exhibited larger response magnitudes, a higher proportion of monotonic units, and also a larger variability of response magnitudes, suggesting a lower stability of the rate code. Of primary interest were the responses to temporally structured stimuli (amplitude-modulated (AM) noise, frequency-modulated (FM) tones, and click trains) recorded separately in the right and left AC. Significant differences of temporal processing were already found between the neuronal responses in the left and right AC in the young animals: for the click trains, the left hemisphere exhibited a greater responsiveness to higher repetition rates, lower vector strength values, and a lower similarity of responses. The two hemispheres were also affected differently by aging. In the right hemisphere, neurons in the aged animals displayed worse synchronization with the AM noise and clicks, but better synchronization with the FM tone. In the left hemisphere, neuronal synchronization with the stimulus modulation improved at a higher age for all three stimuli. The results show that the ability of the aging auditory system to process temporal parameters of the stimulus strongly depends on the stimulus type and on laterality. Furthermore, the commonly reported age-related decline in the temporal processing ability cannot be regarded as general as, at least at the neuronal level in the AC, objective measures of the temporal representation often exhibit age-related improvement instead of deterioration.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Hearing loss Sentence A: Throughout the last two decades, we have witnessed a gradual change in the audiological profile of the hearing-impaired child. The number of children with severe to profound hearing losses seems to be declining, while those with minimal losses seems to be increasing. Such losses include unilateral sensorineural, mild bilateral sensorineural, and bilateral conductive hearing loss. Historically, children with minimal hearing loss have received limited attention from physicians, audiologists, or educators. It has been assumed that minimally hearing-impaired children will exhibit few, if any, handicaps and require no special assistance in the academic setting. Recent evidence challenges that assumption, however, and suggests that, in fact, children with minimal hearing loss can demonstrate significant academic and communicative difficulties. It is recommended that children with minimal hearing impairment be considered at high risk for communication and educational difficulties and that assessments be made early in order to identify problems and implement management programs. Sentence B: Age-related hearing loss is manifested primarily by a decreased sensitivity to faint sounds, that is, by elevation of the hearing thresholds. Nevertheless, aging also affects the ability of the auditory system to process temporal parameters of the sound stimulus. To explore the precision and reliability of auditory temporal processing during aging, responses to several types of sound stimuli were recorded from neurons of the auditory cortex (AC) of young and aged anaesthetized Fischer 344 rats. In response to broad-band noise bursts, the aged rats exhibited larger response magnitudes, a higher proportion of monotonic units, and also a larger variability of response magnitudes, suggesting a lower stability of the rate code. Of primary interest were the responses to temporally structured stimuli (amplitude-modulated (AM) noise, frequency-modulated (FM) tones, and click trains) recorded separately in the right and left AC. Significant differences of temporal processing were already found between the neuronal responses in the left and right AC in the young animals: for the click trains, the left hemisphere exhibited a greater responsiveness to higher repetition rates, lower vector strength values, and a lower similarity of responses. The two hemispheres were also affected differently by aging. In the right hemisphere, neurons in the aged animals displayed worse synchronization with the AM noise and clicks, but better synchronization with the FM tone. In the left hemisphere, neuronal synchronization with the stimulus modulation improved at a higher age for all three stimuli. The results show that the ability of the aging auditory system to process temporal parameters of the stimulus strongly depends on the stimulus type and on laterality. Furthermore, the commonly reported age-related decline in the temporal processing ability cannot be regarded as general as, at least at the neuronal level in the AC, objective measures of the temporal representation often exhibit age-related improvement instead of deterioration. ###Answer 1. Changed Reasoning: In Sentence A, the target word ""hearing loss"" is used to describe a specific type of hearing impairment, with a focus on the severity of the impairment. The sentence suggests that the number of children with severe to profound hearing losses seems to be declining, while those with minimal losses seems to be increasing. This implies that the meaning of ""hearing loss"" has shifted to emphasize a broader range of hearing impairments, rather than just the most severe forms. In Sentence B, the target word ""hearing loss"" is used in a different context, to describe the age-related decline in auditory sensitivity. The sentence highlights that the aging auditory system exhibits a decreased sensitivity to faint sounds, but also demonstrates changes in the ability to process temporal parameters of the sound stimulus. The sentence does not convey the same sense of severity or specificity as Sentence A, and instead emphasizes the age-related changes in the auditory system's ability to process temporal information. Overall, the meaning of ""hearing loss"" has changed between Sentence A and Sentence B, shifting from a focus on severity to a broader range of hearing impairments in Sentence A, and emphasizing age-related changes in the auditory system's ability to process temporal information in Sentence B. Therefore, the label ""Changed"" is appropriate for this task." 66,Hearing loss,"Speech perception is a valuable tool for the assessment of auditory (re-)habilitation of children with hearing impairments. We tested 3 groups of prelingually deaf children. For the evaluation of speech recognition abilities the test of auditory perception of speech in children (TAPS) was used. Hearing aid fitted children of a school for hard of hearing and school of the deaf (n = 12 and n = 10, respectively) and cochlear implant users (n = 12) of the same age group were tested. A positive correlation of the speech perception abilities with the aided thresholds was found. Hearing aid fitted children of the school of hard of hearing with aided thresholds between 20 and 40 dB HL including 4000 Hz showed best results. Students of the same school with aided thresholds in the range of 45 to 70 dB HL performed comparable to the lesser cochlear implant users fitted with a single channel analogue system. Hearing aid fitted students of a school for the deaf with the same degree of hearing loss and amplification showed significantly poorer results.",Noise-induced hearing loss (NIHL) is an important occupational disease which results from an interaction between genetic and environmental factors. More and more evidences suggested that Catalase (CAT) gene polymorphism plays an important role in the development of NIHL. The aim of this study was to investigate the association of CAT gene polymorphisms with NIHL in a case-control study.,"###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Hearing loss Sentence A: Speech perception is a valuable tool for the assessment of auditory (re-)habilitation of children with hearing impairments. We tested 3 groups of prelingually deaf children. For the evaluation of speech recognition abilities the test of auditory perception of speech in children (TAPS) was used. Hearing aid fitted children of a school for hard of hearing and school of the deaf (n = 12 and n = 10, respectively) and cochlear implant users (n = 12) of the same age group were tested. A positive correlation of the speech perception abilities with the aided thresholds was found. Hearing aid fitted children of the school of hard of hearing with aided thresholds between 20 and 40 dB HL including 4000 Hz showed best results. Students of the same school with aided thresholds in the range of 45 to 70 dB HL performed comparable to the lesser cochlear implant users fitted with a single channel analogue system. Hearing aid fitted students of a school for the deaf with the same degree of hearing loss and amplification showed significantly poorer results. Sentence B: Noise-induced hearing loss (NIHL) is an important occupational disease which results from an interaction between genetic and environmental factors. More and more evidences suggested that Catalase (CAT) gene polymorphism plays an important role in the development of NIHL. The aim of this study was to investigate the association of CAT gene polymorphisms with NIHL in a case-control study. ###Answer 1. Changed Explanation: In Sentence A, the target word ""hearing loss"" is used to describe the condition of children with hearing impairments, and it is associated with the use of hearing aids or cochlear implants. The sentence emphasizes the importance of aided thresholds in determining the best results for speech perception abilities. The term ""hearing loss"" carries a connotation of a permanent condition that can be treated with hearing aids or implants. In Sentence B, the target word ""noise-induced hearing loss"" (NIHL) is used to describe an occupational disease caused by a combination of genetic and environmental factors. The term ""noise-induced"" conveys a different meaning than ""hearing loss,"" which implies a permanent condition. The sentence highlights the role of the CAT gene polymorphism in the development of NIHL, which is a different focus than the assessment of speech perception abilities in Sentence A. Therefore, the meaning of the target word ""hearing loss"" has significantly shifted between the two sentences, indicating semantic drift." 67,Hearing loss,"The difference in the hearing threshold before and after treatment with cis-diaminnedichloroplatinum (DDP) is analysed in 69 patients. Hearing loss due to DDP treatment is mainly limited to 8,000 Hz and the incidence is about 40%. The effect of DDP is dose-related, although even at the lowest dose 20% of the patients are affected. The age of the patients is not an important factor. Loss of hearing due to DDP treatment occurs independent of any pre-existent hearing loss although those patients with great pre-existent hearing loss do not show a further loss. Of the patients with hearing loss, 39% show a difference of 20 dB or more between the left and the right ear. Hearing loss due to DDP is of minor importance compared with many of the other side-effects of DDP.","(1) Background: To improve hearing-aid rehabilitation, the Danish 'Better hEAring Rehabilitation' (BEAR) project recently developed methods for individual hearing loss characterization and hearing-aid fitting. Four auditory profiles differing in terms of audiometric hearing loss and supra-threshold hearing abilities were identified. To enable auditory profile-based hearing-aid treatment, a fitting rationale leveraging differences in gain prescription and signal-to-noise (SNR) improvement was developed. This report describes the translation of this rationale to clinical devices supplied by three industrial partners. (2) Methods: Regarding the SNR improvement, advanced feature settings were proposed and verified based on free-field measurements made with an acoustic mannikin fitted with the different hearing aids. Regarding the gain prescription, a clinically feasible fitting tool and procedure based on real-ear gain adjustments were developed. (3) Results: Analyses of the collected real-ear gain and SNR improvement data confirmed the feasibility of the clinical implementation. Differences between the auditory profile-based fitting strategy and a current 'best practice' procedure based on the NAL-NL2 fitting rule were verified and are discussed in terms of limitations and future perspectives. (4) Conclusion: Based on a joint effort from academic and industrial partners, the BEAR fitting rationale was transferred to commercially available hearing aids.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Hearing loss Sentence A: The difference in the hearing threshold before and after treatment with cis-diaminnedichloroplatinum (DDP) is analysed in 69 patients. Hearing loss due to DDP treatment is mainly limited to 8,000 Hz and the incidence is about 40%. The effect of DDP is dose-related, although even at the lowest dose 20% of the patients are affected. The age of the patients is not an important factor. Loss of hearing due to DDP treatment occurs independent of any pre-existent hearing loss although those patients with great pre-existent hearing loss do not show a further loss. Of the patients with hearing loss, 39% show a difference of 20 dB or more between the left and the right ear. Hearing loss due to DDP is of minor importance compared with many of the other side-effects of DDP. Sentence B: (1) Background: To improve hearing-aid rehabilitation, the Danish 'Better hEAring Rehabilitation' (BEAR) project recently developed methods for individual hearing loss characterization and hearing-aid fitting. Four auditory profiles differing in terms of audiometric hearing loss and supra-threshold hearing abilities were identified. To enable auditory profile-based hearing-aid treatment, a fitting rationale leveraging differences in gain prescription and signal-to-noise (SNR) improvement was developed. This report describes the translation of this rationale to clinical devices supplied by three industrial partners. (2) Methods: Regarding the SNR improvement, advanced feature settings were proposed and verified based on free-field measurements made with an acoustic mannikin fitted with the different hearing aids. Regarding the gain prescription, a clinically feasible fitting tool and procedure based on real-ear gain adjustments were developed. (3) Results: Analyses of the collected real-ear gain and SNR improvement data confirmed the feasibility of the clinical implementation. Differences between the auditory profile-based fitting strategy and a current 'best practice' procedure based on the NAL-NL2 fitting rule were verified and are discussed in terms of limitations and future perspectives. (4) Conclusion: Based on a joint effort from academic and industrial partners, the BEAR fitting rationale was transferred to commercially available hearing aids. ###Answer 1. Changed Reasoning: In Sentence A, the target word ""hearing loss"" is used to describe the effect of cis-diaminedichloroplatinum (DDP) treatment on patients' hearing abilities. The sentence highlights the limited extent of hearing loss due to DDP treatment, which is mainly confined to a specific frequency range (8,000 Hz) and affects about 40% of patients. The sentence also notes that hearing loss due to DDP treatment is unrelated to the patients' age and that even at the lowest dose, 20% of patients are affected. In Sentence B, the target word ""hearing loss"" is used in a different context to describe the results of a study aimed at developing a new approach to hearing-aid rehabilitation. The sentence highlights the identification of four auditory profiles differing in terms of audiometric hearing loss and supra-threshold hearing abilities. The sentence also describes the development of a fitting rationale based on these profiles to enable individualized hearing-aid treatment. Comparing the usage of ""hearing loss"" in these two sentences reveals a significant change in meaning. In Sentence A, the term is used to describe the negative impact of DDP treatment on patients' hearing abilities, with a focus on the severity of the hearing loss. In Sentence B, the term is used to describe the results of a study aimed at improving hearing-aid rehabilitation, with a focus on identifying individualized treatment approaches based on auditory profiles. The change in meaning is reflected in the different contexts and purposes of the two sentences. Therefore, I would label the usage of ""hearing loss"" in Sentence B as ""Changed""." 68,Hearing loss,"The role of disturbances of the iron metabolism (DIM) in idiopathic sudden hearing loss (ISHL) was investigated in 426 patients with ISHL who received iron therapy, anti-DIM medication, vitamins, and a combined regimen in a randomized study which was stratified by stages and groups. Low concentrations of haemoglobin, serum iron, serum ferritin, and red cell basic ferritin as well as abnormal circadian variations in the serum iron level were observed. The results were significantly better in patients receiving iron therapy than in those receiving anti-DIM medication, vitamins, and the combined regimen. Hearing improvement was achieved in 53.26% of the patients whose treatment started later than 3 months after the onset of the disease. The clinical association of DIM and ISHL is discussed.","Oculoauriculovertebral spectrum (OAVS) or Goldenhar syndrome is a wide spectrum of congenital anomalies that involves structures arising from the first and second branchial arches. It is characterized by a wide spectrum of symptoms and physical features. These abnormalities mainly involve the cheekbones, jaws, mouth, ears, eyes, or vertebrae. Other conditions with ear and/or radial involvement, such as, the Nager syndrome, Holt-Oram syndrome, Radial-renal syndrome, facioauriculoradial dysplasia, Fanconi anemia, and Vertebral, Anal atresia, Cardiac, Trachea, Esophageal, Renal, and Limb (VACTERL) association should be considered for differential diagnosis. Here we report a child who had facial asymmetry, microsomia, microtia, congenital facial nerve palsy, conductive hearing loss, skin tags, iris coloboma, and preaxial polydactyly. ","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Hearing loss Sentence A: The role of disturbances of the iron metabolism (DIM) in idiopathic sudden hearing loss (ISHL) was investigated in 426 patients with ISHL who received iron therapy, anti-DIM medication, vitamins, and a combined regimen in a randomized study which was stratified by stages and groups. Low concentrations of haemoglobin, serum iron, serum ferritin, and red cell basic ferritin as well as abnormal circadian variations in the serum iron level were observed. The results were significantly better in patients receiving iron therapy than in those receiving anti-DIM medication, vitamins, and the combined regimen. Hearing improvement was achieved in 53.26% of the patients whose treatment started later than 3 months after the onset of the disease. The clinical association of DIM and ISHL is discussed. Sentence B: Oculoauriculovertebral spectrum (OAVS) or Goldenhar syndrome is a wide spectrum of congenital anomalies that involves structures arising from the first and second branchial arches. It is characterized by a wide spectrum of symptoms and physical features. These abnormalities mainly involve the cheekbones, jaws, mouth, ears, eyes, or vertebrae. Other conditions with ear and/or radial involvement, such as, the Nager syndrome, Holt-Oram syndrome, Radial-renal syndrome, facioauriculoradial dysplasia, Fanconi anemia, and Vertebral, Anal atresia, Cardiac, Trachea, Esophageal, Renal, and Limb (VACTERL) association should be considered for differential diagnosis. Here we report a child who had facial asymmetry, microsomia, microtia, congenital facial nerve palsy, conductive hearing loss, skin tags, iris coloboma, and preaxial polydactyly. ###Answer 1. Changed Reasoning: In Sentence A, the term ""hearing loss"" is used to describe a specific medical condition, with a clear definition and context. The sentence explains the role of iron metabolism in the development of this condition, and how iron therapy can improve hearing outcomes. The term ""hearing loss"" is used without any negative connotations or associations. In Sentence B, the term ""hearing loss"" is used in a different context. It is mentioned as one of the symptoms of a broader spectrum of congenital anomalies, known as Oculoauriculovertebral spectrum or Goldenhar syndrome. The term ""hearing loss"" is used in a more general sense, without any specific definition or context. The sentence also mentions other conditions that may be associated with ear and/or radial involvement, which could potentially lead to a change in the meaning of the term ""hearing loss"". Based on these differences, it can be concluded that the term ""hearing loss"" has undergone a significant change in meaning between Sentence A and Sentence B. In Sentence A, the term is used to describe a specific medical condition with a clear definition and context, while in Sentence B, it is used in a more general sense, without any specific definition or context. Therefore, the label ""Changed"" is appropriate." 69,Hearing loss,The authors emphasize the importance of early identification and early intervention concerning the management of children with Sensorineural Hearing Loss. The pediatrician plays a critical role in initiating the necessary clinical and audiological evaluations. Guidelines and treatment options are reviewed.,To evaluate the Québec Audiological Assessment Protocol for Younger and Older Adults (QAAP-YOA) and its accompanying clinical tool efficacy to assess the needs of individuals with hearing loss in a simulated context. This study is the Phase 2 in the development of the QAAP-YOA.,"###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Hearing loss Sentence A: The authors emphasize the importance of early identification and early intervention concerning the management of children with Sensorineural Hearing Loss. The pediatrician plays a critical role in initiating the necessary clinical and audiological evaluations. Guidelines and treatment options are reviewed. Sentence B: To evaluate the Québec Audiological Assessment Protocol for Younger and Older Adults (QAAP-YOA) and its accompanying clinical tool efficacy to assess the needs of individuals with hearing loss in a simulated context. This study is the Phase 2 in the development of the QAAP-YOA. ###Answer 1. Changed Explanation: The meaning of ""hearing loss"" has shifted significantly between the two sentences. In Sentence A, the term is used in the context of children's hearing health, emphasizing the importance of early identification and intervention. In Sentence B, the term is used in the context of evaluating the effectiveness of a clinical tool for assessing the needs of individuals with hearing loss, regardless of age. The shift in context and focus from pediatric hearing health to adult hearing health suggests a change in the semantic drift of the term." 70,Hearing loss,"We report two clinical and five histopathological examples of labyrinthitis ossificans and discuss the possible cause of this condition. Diagnosis can be established by polytomography. The advent of the cochlear implant makes ossification of the cochlea (labyrinthitis ossificans) of more than academic interest, since it requires alteration of the insertion of an electrode into the scala tympani and minimizes the chances of successful stimulation. Hearing losses due to meningitis, advanced cochlear otosclerosis, and trauma are likely to be due to cochlear ossification. Therefore, it is important to rule out this condition by means of polytomography in individuals being considered for cochlear implant surgery.","To evaluate the association between sudden sensorineural hearing loss (SSNHL) and rheumatoid arthritis (RA) among a national sample cohort from Korea. Data were collected from 2002 through 2013 for individuals aged ≥ 20 years in the Korean National Health Insurance Service (NHIS)-National Sample Cohort. We extracted the data from RA patients (n = 7619) and 1:4-matched controls (n = 30,476) and analyzed the occurrence of SSNHL. Matching was performed based on age, sex, income, region of residence, and medical history. RA was diagnosed based on International Classification of Disease-10 (ICD-10) codes (M05 or M06) and prescriptions for the antirheumatic drugs. SSNHL was diagnosed based on the relevant ICD-10 code (H912). Among the SSNHL participants, we included only those who had undergone an audiometry exam (claim codes: E6931-E6937, F6341-F6348) and received treatment with steroids. The crude and adjusted hazard ratios (HRs) were calculated using Cox-proportional hazard models, and the 95% confidence intervals (CIs) were determined. Subgroup analyses based on age and sex were also performed. The rate of SSNHL in the RA group (0.8% [62/7619]) was higher than that in the control group (0.6% [177/30,476], P = 0.021). The crude and adjusted HRs for SSNHL were 1.40 (95% CI = 1.05-1.87) and 1.39 (95% CI = 1.04-1.86), respectively, in the RA group (each P < 0.05). The relationship between RA and SSNHL was observed primarily in patients aged ≥ 50 years and men. The risk of SSNHL is higher in patients with RA.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Hearing loss Sentence A: We report two clinical and five histopathological examples of labyrinthitis ossificans and discuss the possible cause of this condition. Diagnosis can be established by polytomography. The advent of the cochlear implant makes ossification of the cochlea (labyrinthitis ossificans) of more than academic interest, since it requires alteration of the insertion of an electrode into the scala tympani and minimizes the chances of successful stimulation. Hearing losses due to meningitis, advanced cochlear otosclerosis, and trauma are likely to be due to cochlear ossification. Therefore, it is important to rule out this condition by means of polytomography in individuals being considered for cochlear implant surgery. Sentence B: To evaluate the association between sudden sensorineural hearing loss (SSNHL) and rheumatoid arthritis (RA) among a national sample cohort from Korea. Data were collected from 2002 through 2013 for individuals aged ≥ 20 years in the Korean National Health Insurance Service (NHIS)-National Sample Cohort. We extracted the data from RA patients (n = 7619) and 1:4-matched controls (n = 30,476) and analyzed the occurrence of SSNHL. Matching was performed based on age, sex, income, region of residence, and medical history. RA was diagnosed based on International Classification of Disease-10 (ICD-10) codes (M05 or M06) and prescriptions for the antirheumatic drugs. SSNHL was diagnosed based on the relevant ICD-10 code (H912). Among the SSNHL participants, we included only those who had undergone an audiometry exam (claim codes: E6931-E6937, F6341-F6348) and received treatment with steroids. The crude and adjusted hazard ratios (HRs) were calculated using Cox-proportional hazard models, and the 95% confidence intervals (CIs) were determined. Subgroup analyses based on age and sex were also performed. The rate of SSNHL in the RA group (0.8% [62/7619]) was higher than that in the control group (0.6% [177/30,476], P = 0.021). The crude and adjusted HRs for SSNHL were 1.40 (95% CI = 1.05-1.87) and 1.39 (95% CI = 1.04-1.86), respectively, in the RA group (each P < 0.05). The relationship between RA and SSNHL was observed primarily in patients aged ≥ 50 years and men. The risk of SSNHL is higher in patients with RA. ###Answer 1. Changed Reasoning: In Sentence A, the word ""ossification"" is used to describe the condition of the cochlea, which implies a more severe and irreversible damage to the inner ear. This is different from the meaning of the word in Sentence B, where it is used to describe a statistical association between rheumatoid arthritis and sudden sensorineural hearing loss. The word ""ossification"" has taken on a different connotation in the latter sentence, suggesting a more subtle connection between the two conditions. Therefore, semantic drift has occurred in the meaning of the word ""ossification"" over the past two decades." 71,Hearing loss,"A multiphase study examining electromagnetic compatibility (EMC) between wireless digital telephones and hearing aids has been under way at the University of Oklahoma EMC Center since May 1995. In a phase 1 clinical study involving 68 hearing aid wearers, interference varied significantly by telephone technology, hearing aid type, and hearing loss characteristics. More than 80 percent of the tests resulted in either no interference or a detection threshold distance less than 1 meter. Metallic shielding of the units yielded positive results. Various elements of phase 2 involved instrument-based tests of hearing aid interference using telephones in a sound-isolation chamber and radio frequency signals in a waveguide, along with clinical studies of speech-to-interference ratios, all leading to the development of standards of measurement and performance criteria for telephone emissions and hearing aid immunity. Results to date confirm that bystander interference is of less concern than user interference, which is the focus of continuing research.","The vast majority of sensorineural hearing loss is caused by impairment of the inner ear cells. Proteomic analysis of perilymph may therefore improve our understanding of inner ear diseases and hearing loss. However, the investigation of the human perilymph proteome was limited due to technical difficulties in perilymph sampling. The guinea pig (Cavia porcellus) is frequently used as an experimental model in preclinical hearing research. In this study, we analyzed samples of perilymph collected from 12 guinea pigs to overcome limited experimental information regarding its proteome. We identified a total of 1413 proteins, establishing a greatly expanded proteome of the previously inferred guinea pig perilymph. This provides a comprehensive proteomic resource for the research community, which will facilitate future molecular-phenotypic studies using the guinea pig as an experimental model of relevance to human inner ear biology.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Hearing loss Sentence A: A multiphase study examining electromagnetic compatibility (EMC) between wireless digital telephones and hearing aids has been under way at the University of Oklahoma EMC Center since May 1995. In a phase 1 clinical study involving 68 hearing aid wearers, interference varied significantly by telephone technology, hearing aid type, and hearing loss characteristics. More than 80 percent of the tests resulted in either no interference or a detection threshold distance less than 1 meter. Metallic shielding of the units yielded positive results. Various elements of phase 2 involved instrument-based tests of hearing aid interference using telephones in a sound-isolation chamber and radio frequency signals in a waveguide, along with clinical studies of speech-to-interference ratios, all leading to the development of standards of measurement and performance criteria for telephone emissions and hearing aid immunity. Results to date confirm that bystander interference is of less concern than user interference, which is the focus of continuing research. Sentence B: The vast majority of sensorineural hearing loss is caused by impairment of the inner ear cells. Proteomic analysis of perilymph may therefore improve our understanding of inner ear diseases and hearing loss. However, the investigation of the human perilymph proteome was limited due to technical difficulties in perilymph sampling. The guinea pig (Cavia porcellus) is frequently used as an experimental model in preclinical hearing research. In this study, we analyzed samples of perilymph collected from 12 guinea pigs to overcome limited experimental information regarding its proteome. We identified a total of 1413 proteins, establishing a greatly expanded proteome of the previously inferred guinea pig perilymph. This provides a comprehensive proteomic resource for the research community, which will facilitate future molecular-phenotypic studies using the guinea pig as an experimental model of relevance to human inner ear biology. ###Answer 1. Changed Reasoning: In Sentence A, the target word ""hearing loss"" is used to describe a specific type of hearing impairment caused by external factors such as electromagnetic compatibility. The context suggests that the term is used to convey the idea of temporary or acquired hearing loss, which can be mitigated through the use of hearing aids. In Sentence B, the target word ""hearing loss"" has a different meaning. It is used to describe a different type of hearing impairment, specifically sensorineural hearing loss caused by impairment of the inner ear cells. The context suggests that the term is used to convey the idea of a permanent or innate hearing loss, which cannot be mitigated through the use of hearing aids. Therefore, the meaning of the target word ""hearing loss"" has changed significantly between the two sentences, indicating semantic drift." 72,Hearing loss,"Brainstem auditory evoked potentials (BAEPs) are affected by stroke or migraine in the vertebrobasilar arterial system. Some studies have reported BAEP changes in vertebrobasilar transient ischemic attacks (TIAs), but others have shown no alterations. We recorded BAEPs in 35 patients with TIAs in the vertebrobasilar system who did not have a stroke, other neurologic disease or significant hearing loss. Thirty patients were recorded after resolution of symptoms, while five individuals still had some resolving signs or symptoms. TIA patients as a group had longer interpeak latencies, but I-III, III-V, and I-V latencies were not significantly longer than in controls. Wave V was significantly longer in latency and lower in amplitude in TIA patients, however. The patients whose TIAs had resolved at absolute and interpeak latencies were within normal limits, but three of five had interpeak latencies at or above three standard deviations beyond the normal mean in the still symptomatic group. One of these was later tested and found to be within normal limits. BAEPs after subsidence of symptoms may add little to the evaluation of vertebrobasilar ischemia, but further AEP analysis may show more definitive differences of diagnostic use. The occasional BAEP abnormality during the resolving transient ischemia supports the recently suggested continuum between ischemia and infarction in the vertebrobasilar territory.","PROBLEM/OBJECTIVES: Permanent childhood hearing loss has major negative impacts on children's health and development. To improve outcomes, universal newborn hearing screening (UNHS) has been implemented widely. However, high-quality evidence on its efficacy was lacking. To address this evidence gap, we conducted the Longitudinal Outcomes of Children with Hearing Impairment (LOCHI) study to directly compare outcomes of early- and late-identified children. This paper investigates whether early performance measured shortly after initial amplification predicts language development at 3 years of age.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Hearing loss Sentence A: Brainstem auditory evoked potentials (BAEPs) are affected by stroke or migraine in the vertebrobasilar arterial system. Some studies have reported BAEP changes in vertebrobasilar transient ischemic attacks (TIAs), but others have shown no alterations. We recorded BAEPs in 35 patients with TIAs in the vertebrobasilar system who did not have a stroke, other neurologic disease or significant hearing loss. Thirty patients were recorded after resolution of symptoms, while five individuals still had some resolving signs or symptoms. TIA patients as a group had longer interpeak latencies, but I-III, III-V, and I-V latencies were not significantly longer than in controls. Wave V was significantly longer in latency and lower in amplitude in TIA patients, however. The patients whose TIAs had resolved at absolute and interpeak latencies were within normal limits, but three of five had interpeak latencies at or above three standard deviations beyond the normal mean in the still symptomatic group. One of these was later tested and found to be within normal limits. BAEPs after subsidence of symptoms may add little to the evaluation of vertebrobasilar ischemia, but further AEP analysis may show more definitive differences of diagnostic use. The occasional BAEP abnormality during the resolving transient ischemia supports the recently suggested continuum between ischemia and infarction in the vertebrobasilar territory. Sentence B: PROBLEM/OBJECTIVES: Permanent childhood hearing loss has major negative impacts on children's health and development. To improve outcomes, universal newborn hearing screening (UNHS) has been implemented widely. However, high-quality evidence on its efficacy was lacking. To address this evidence gap, we conducted the Longitudinal Outcomes of Children with Hearing Impairment (LOCHI) study to directly compare outcomes of early- and late-identified children. This paper investigates whether early performance measured shortly after initial amplification predicts language development at 3 years of age. ###Answer 1. Changed Explanation: In Sentence A, the target word ""hearing loss"" is used to describe the effects of a stroke or migraine on the brainstem auditory evoked potentials (BAEPs) in the vertebrobasilar arterial system. The sentence suggests that the meaning of ""hearing loss"" in this context is related to the impact of the stroke or migraine on the auditory system, and may be used to describe a specific type of neurological damage. In Sentence B, the target word ""hearing loss"" has a different meaning. The sentence discusses the problem of permanent childhood hearing loss and its impact on children's health and development. The word ""hearing loss"" in this context is used to describe a specific type of hearing impairment, one that is present from birth and persists over time. The sentence suggests that the meaning of ""hearing loss"" in this context is related to the long-term effects of hearing impairment on language development and overall health outcomes in children. Based on these differences in meaning and context, it can be concluded that the target word ""hearing loss"" has undergone a significant change in meaning between Sentence A and Sentence B. Therefore, the label ""Changed"" is appropriate." 73,Hearing loss,"At the ENT clinic in Luanda, Angola, 110 consecutive cases of children with chronic otitis media (COM) were studied to find out some clinical characteristics regarding age of onset and duration of otorrhea as well as the general state of health of the children. Eighty-five percent of the children had had longstanding otorrhea. In 75% of all the cases ear discharge had started during early childhood. It was possible to institute a simple conservative treatment of COM. Fifty percent returned to the clinic for a follow-up. The majority of the children came from families who lived under fairly good social conditions. One-hundred and five children with sensorineural hearing loss consulted the clinic. Many of them had had their hearing loss for several years before coming to the clinic. The etiology was in 39 cases infectious disease, meningitis being the most common one. Seventy-two percent had severe to profound hearing loss. Children with slight to moderate hearing loss rarely appeared at the clinic. Some of the hearing-handicapped children could be sent to a special school for rehabilitation.","Inbred mouse strains serve as important models for human presbycusis or age-related hearing loss. We previously mapped a locus (ahl8) contributing to the progressive hearing loss of DBA/2J (D2) mice and later showed that a missense variant of the Fscn2 gene, unique to the D2 inbred strain, was responsible for the ahl8 effect. Although ahl8 can explain much of the hearing loss difference between C57BL/6J (B6) and D2 strain mice, other loci also contribute. Here, we present results of our linkage analyses to map quantitative trait loci (QTLs) that modify the severity of hearing loss associated with the D2 strain Fscn2 (ahl8) allele. We searched for modifier loci by analyzing 31 BXD recombinant inbred (RI) lines fixed for the predisposing D2-derived Fscn2 (ahl8/ahl8) genotype and found a statistically significant linkage association of threshold means with a QTL on Chr 5, which we designated M5ahl8. The highest association (LOD 4.6) was with markers at the 84-90 Mb position of Chr 5, which could explain about 46 % of the among-RI strain variation in auditory brainstem response (ABR) threshold means. The semidominant nature of the modifying effect of M5ahl8 on the Fscn2 (ahl8/ahl8) phenotype was demonstrated by analysis of a backcross involving D2 and B6.D2-Chr11D/LusJ strain mice. The Chr 5 map position of M5ahl8 and the D2 origin of its susceptibility allele correspond to Tmc1m4, a previously reported QTL that modifies outer hair cell degeneration in Tmc1 (Bth) mutant mice, suggesting that M5ahl8 and Tmc1m4 may represent the same gene affecting maintenance of stereocilia structure and function during aging. ","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Hearing loss Sentence A: At the ENT clinic in Luanda, Angola, 110 consecutive cases of children with chronic otitis media (COM) were studied to find out some clinical characteristics regarding age of onset and duration of otorrhea as well as the general state of health of the children. Eighty-five percent of the children had had longstanding otorrhea. In 75% of all the cases ear discharge had started during early childhood. It was possible to institute a simple conservative treatment of COM. Fifty percent returned to the clinic for a follow-up. The majority of the children came from families who lived under fairly good social conditions. One-hundred and five children with sensorineural hearing loss consulted the clinic. Many of them had had their hearing loss for several years before coming to the clinic. The etiology was in 39 cases infectious disease, meningitis being the most common one. Seventy-two percent had severe to profound hearing loss. Children with slight to moderate hearing loss rarely appeared at the clinic. Some of the hearing-handicapped children could be sent to a special school for rehabilitation. Sentence B: Inbred mouse strains serve as important models for human presbycusis or age-related hearing loss. We previously mapped a locus (ahl8) contributing to the progressive hearing loss of DBA/2J (D2) mice and later showed that a missense variant of the Fscn2 gene, unique to the D2 inbred strain, was responsible for the ahl8 effect. Although ahl8 can explain much of the hearing loss difference between C57BL/6J (B6) and D2 strain mice, other loci also contribute. Here, we present results of our linkage analyses to map quantitative trait loci (QTLs) that modify the severity of hearing loss associated with the D2 strain Fscn2 (ahl8) allele. We searched for modifier loci by analyzing 31 BXD recombinant inbred (RI) lines fixed for the predisposing D2-derived Fscn2 (ahl8/ahl8) genotype and found a statistically significant linkage association of threshold means with a QTL on Chr 5, which we designated M5ahl8. The highest association (LOD 4.6) was with markers at the 84-90 Mb position of Chr 5, which could explain about 46 % of the among-RI strain variation in auditory brainstem response (ABR) threshold means. The semidominant nature of the modifying effect of M5ahl8 on the Fscn2 (ahl8/ahl8) phenotype was demonstrated by analysis of a backcross involving D2 and B6.D2-Chr11D/LusJ strain mice. The Chr 5 map position of M5ahl8 and the D2 origin of its susceptibility allele correspond to Tmc1m4, a previously reported QTL that modifies outer hair cell degeneration in Tmc1 (Bth) mutant mice, suggesting that M5ahl8 and Tmc1m4 may represent the same gene affecting maintenance of stereocilia structure and function during aging. ###Answer 1. Changed Reasoning: In Sentence A, the target word ""hearing loss"" is used to describe a condition where children experience hearing difficulties due to various causes, including infections and genetic predisposition. The sentence does not provide any information about the severity or duration of the hearing loss. In Sentence B, the target word ""hearing loss"" is used to describe a specific type of age-related hearing loss in mice, where a specific gene variant is responsible for the condition. The sentence provides more detail about the severity and duration of the hearing loss, as well as the genetic background of the mice being studied. Based on these differences in context and detail, it is clear that the meaning of the target word ""hearing loss"" has shifted significantly between the two sentences. In Sentence A, the word is used to describe a more general condition affecting children, while in Sentence B, it is used to describe a specific type of age-related hearing loss in mice. Therefore, the label ""Changed"" is appropriate to indicate that the meaning of the target word has shifted over time." 74,Hearing loss,"Frequency modulation (FM) technology can significantly improve the speech perception ability of individuals with sensorineural hearing loss (SNHL) in background noise. Previous investigations have demonstrated that the microphone design of the FM transmitter can have a significant impact on this improved speech perception. The purpose of this investigation was to compare 3 types of FM transmitter microphone designs: (a) wide angle (omnidirectional microphone), which amplifies sounds coming from all directions around the microphone equally; (b) zoom (1 directional microphone), which provides less amplification to signals coming from the rear, and (c) superzoom (2 directional microphones), which provides less amplification to signals originating from the rear and the sides. Fifteen adults with bilateral slight to moderately severe SNHL participated. Speech perception was assessed using the Hearing in Noise Test (M. Nilsson, S. Soli, and J. Sullivan, 1994). Speech spectrum shaped noise served as the noise competition. Results revealed that the best speech perception in noise was obtained when the FM transmitter was used in the zoom setting. The poorest performance was obtained when the FM transmitter was in the wide-angle mode. The clinical implications of these results are discussed.","Verheij syndrome (VRJS) is a rare craniofacial spliceosomopathy presenting with craniofacial dysmorphism, multiple congenital anomalies and variable neurodevelopmental delay. It is caused by single nucleotide variants (SNVs) in PUF60 or interstitial deletions of the 8q24.3 region. PUF60 encodes a splicing factor which forms part of the spliceosome. To date, 36 patients with a sole diagnosis of VRJS due to disease-causing PUF60 SNVs have been reported in peer-reviewed publications. Although the depth of their phenotyping has varied greatly, they exhibit marked phenotypic heterogeneity. We report 10 additional unrelated patients, including the first described patients of Khmer, Indian, and Vietnamese ethnicities, and the eldest patient to date, with 10 heterozygous PUF60 variants identified through exome sequencing, 8 previously unreported. All patients underwent deep phenotyping identifying variable dysmorphism, growth delay, neurodevelopmental delay, and multiple congenital anomalies, including several unique features. The eldest patient is the only reported individual with a germline variant and neither neurodevelopmental delay nor intellectual disability. In combining these detailed phenotypic data with that of previously reported patients (n = 46), we further refine the known frequencies of features associated with VRJS. These include neurodevelopmental delay/intellectual disability (98%), axial skeletal anomalies (74%), appendicular skeletal anomalies (73%), oral anomalies (68%), short stature (66%), cardiac anomalies (63%), brain malformations (48%), hearing loss (46%), microcephaly (41%), colobomata (38%), and other ocular anomalies (65%). This case series, incorporating three patients from previously unreported ethnic backgrounds, further delineates the broad pleiotropy and mutational spectrum of PUF60 pathogenic variants.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Hearing loss Sentence A: Frequency modulation (FM) technology can significantly improve the speech perception ability of individuals with sensorineural hearing loss (SNHL) in background noise. Previous investigations have demonstrated that the microphone design of the FM transmitter can have a significant impact on this improved speech perception. The purpose of this investigation was to compare 3 types of FM transmitter microphone designs: (a) wide angle (omnidirectional microphone), which amplifies sounds coming from all directions around the microphone equally; (b) zoom (1 directional microphone), which provides less amplification to signals coming from the rear, and (c) superzoom (2 directional microphones), which provides less amplification to signals originating from the rear and the sides. Fifteen adults with bilateral slight to moderately severe SNHL participated. Speech perception was assessed using the Hearing in Noise Test (M. Nilsson, S. Soli, and J. Sullivan, 1994). Speech spectrum shaped noise served as the noise competition. Results revealed that the best speech perception in noise was obtained when the FM transmitter was used in the zoom setting. The poorest performance was obtained when the FM transmitter was in the wide-angle mode. The clinical implications of these results are discussed. Sentence B: Verheij syndrome (VRJS) is a rare craniofacial spliceosomopathy presenting with craniofacial dysmorphism, multiple congenital anomalies and variable neurodevelopmental delay. It is caused by single nucleotide variants (SNVs) in PUF60 or interstitial deletions of the 8q24.3 region. PUF60 encodes a splicing factor which forms part of the spliceosome. To date, 36 patients with a sole diagnosis of VRJS due to disease-causing PUF60 SNVs have been reported in peer-reviewed publications. Although the depth of their phenotyping has varied greatly, they exhibit marked phenotypic heterogeneity. We report 10 additional unrelated patients, including the first described patients of Khmer, Indian, and Vietnamese ethnicities, and the eldest patient to date, with 10 heterozygous PUF60 variants identified through exome sequencing, 8 previously unreported. All patients underwent deep phenotyping identifying variable dysmorphism, growth delay, neurodevelopmental delay, and multiple congenital anomalies, including several unique features. The eldest patient is the only reported individual with a germline variant and neither neurodevelopmental delay nor intellectual disability. In combining these detailed phenotypic data with that of previously reported patients (n = 46), we further refine the known frequencies of features associated with VRJS. These include neurodevelopmental delay/intellectual disability (98%), axial skeletal anomalies (74%), appendicular skeletal anomalies (73%), oral anomalies (68%), short stature (66%), cardiac anomalies (63%), brain malformations (48%), hearing loss (46%), microcephaly (41%), colobomata (38%), and other ocular anomalies (65%). This case series, incorporating three patients from previously unreported ethnic backgrounds, further delineates the broad pleiotropy and mutational spectrum of PUF60 pathogenic variants. ###Answer 1. Changed Reasoning: The target word ""hearing loss"" has undergone a significant change in meaning between the two sentences. In Sentence A, ""hearing loss"" is used to describe the improvement in speech perception ability for individuals with sensorineural hearing loss in background noise. The sentence highlights the impact of microphone design on speech perception. In contrast, in Sentence B, ""hearing loss"" is used to describe a rare craniofacial spliceosomopathy called Verheij syndrome (VRJS), which is characterized by craniofacial dysmorphism, multiple congenital anomalies, and variable neurodevelopmental delay. The sentence does not highlight the impact of microphone design on speech perception, but rather the mutational spectrum of PUF60 pathogenic variants. The target word has shifted from a specific medical term related to hearing impairment to a more general term used in a different context to describe a rare genetic disorder. Therefore, the label ""Changed"" is appropriate." 75,Hearing loss,"Several neurotrophins and their receptors regulate the survival of vestibular and cochlear neurons and probably also the efferent and autonomic neurons that innervate the inner ear. Mice lacking either brain-derived neurotrophic factor (BDNF) or its associated receptor, TrkB, lose all innervation to the semicircular canals and have reduced innervation of the outer hair cells in the apical and middle turns of the cochlea. Mice lacking neurotrophin-3 (NT-3) or its receptor, TrkC, lose many spiral ganglion cells predominantly in the basal turn of the cochlea. Nerve fibers from spiral ganglion cells in the middle turn extended to inner hair cells of the base. In mice lacking both BDNF and NT-3, or both TrkB and TrkC, there is a complete loss of innervation to the inner ear. Thus, these two neurotrophins and their associated receptors have been shown to be absolutely necessary for the normal development of afferent innervation of the inner ear. Current research efforts are testing the therapeutic potential for neurotrophins to treat hearing loss.","Hearing loss, both sensorineural and conductive, is a well-recognized manifestation of systemic vasculitis, yet has only infrequently been described as its initial presentation. We describe three cases in which hearing loss preceded the diagnosis of systemic vasculitis by a period of a few weeks to more than 6 months. While steroid therapy was initiated immediately in one of the cases, comprehensive immunosuppressive therapy was given only after additional manifestations compatible with vasculitis appeared, allowing for a diagnosis of Wegener's granulomatosis in two of the cases and undifferentiated vasculitis, in the third. Hearing improved in all patients, albeit, residual dysfunction remained. Prompt referral for a complete rheumatologic workup in cases of unexplained hearing loss would allow for a timely diagnosis of a collagen vascular disease and facilitate early initiation of systemic therapy, possibly yielding better audiological results.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Hearing loss Sentence A: Several neurotrophins and their receptors regulate the survival of vestibular and cochlear neurons and probably also the efferent and autonomic neurons that innervate the inner ear. Mice lacking either brain-derived neurotrophic factor (BDNF) or its associated receptor, TrkB, lose all innervation to the semicircular canals and have reduced innervation of the outer hair cells in the apical and middle turns of the cochlea. Mice lacking neurotrophin-3 (NT-3) or its receptor, TrkC, lose many spiral ganglion cells predominantly in the basal turn of the cochlea. Nerve fibers from spiral ganglion cells in the middle turn extended to inner hair cells of the base. In mice lacking both BDNF and NT-3, or both TrkB and TrkC, there is a complete loss of innervation to the inner ear. Thus, these two neurotrophins and their associated receptors have been shown to be absolutely necessary for the normal development of afferent innervation of the inner ear. Current research efforts are testing the therapeutic potential for neurotrophins to treat hearing loss. Sentence B: Hearing loss, both sensorineural and conductive, is a well-recognized manifestation of systemic vasculitis, yet has only infrequently been described as its initial presentation. We describe three cases in which hearing loss preceded the diagnosis of systemic vasculitis by a period of a few weeks to more than 6 months. While steroid therapy was initiated immediately in one of the cases, comprehensive immunosuppressive therapy was given only after additional manifestations compatible with vasculitis appeared, allowing for a diagnosis of Wegener's granulomatosis in two of the cases and undifferentiated vasculitis, in the third. Hearing improved in all patients, albeit, residual dysfunction remained. Prompt referral for a complete rheumatologic workup in cases of unexplained hearing loss would allow for a timely diagnosis of a collagen vascular disease and facilitate early initiation of systemic therapy, possibly yielding better audiological results. ###Answer 1. Changed The meaning of the target word ""hearing loss"" has significantly shifted between the two sentences. In Sentence A, the word is used to describe the loss of innervation to the inner ear, which is a specific aspect of auditory function. In Sentence B, the word is used to describe a broader range of hearing impairments, including both sensorineural and conductive hearing loss. The shift in meaning suggests that the term ""hearing loss"" has undergone semantic drift." 76,Hearing loss,"Based on the examination of 249 consecutive patients, the usefulness of brain-stem response audiometry in a major audiological clinic was evaluated. Auditory brain-stem responses were performed either for hearing threshold determination (67 patients) or for assessment of retrocochlear hearing loss (182 patients). The results demonstrate that ABR is a reliable method for the estimation of hearing thresholds in non-cooperative subjects. The rate of false positives was 5% and no false negatives were found. In combination with caloric testing, ABR is considered a valuable testing procedure in the audiological clinic and it may form the basis for submission to brain imaging examination when a suspicion of retrocochlear hearing disorder is raised. Concerning the diagnosis of retrocochlear hearing disorder, no false negatives have yet been found, while a rate of 13% of false positives has been indicated.","This project was undertaken to develop automated tests of speech recognition, including speech-recognition threshold (SRT) and word-recognition test, using forced-choice responses and computerized scoring of responses. Specific aims were (1) to develop an automated method for measuring SRT for spondaic words that produces scores that are in close agreement with average pure-tone thresholds and (2) to develop an automated test of word recognition that distinguishes listeners with normal hearing from those with sensorineural hearing loss and which informs the hearing aid evaluation process.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Hearing loss Sentence A: Based on the examination of 249 consecutive patients, the usefulness of brain-stem response audiometry in a major audiological clinic was evaluated. Auditory brain-stem responses were performed either for hearing threshold determination (67 patients) or for assessment of retrocochlear hearing loss (182 patients). The results demonstrate that ABR is a reliable method for the estimation of hearing thresholds in non-cooperative subjects. The rate of false positives was 5% and no false negatives were found. In combination with caloric testing, ABR is considered a valuable testing procedure in the audiological clinic and it may form the basis for submission to brain imaging examination when a suspicion of retrocochlear hearing disorder is raised. Concerning the diagnosis of retrocochlear hearing disorder, no false negatives have yet been found, while a rate of 13% of false positives has been indicated. Sentence B: This project was undertaken to develop automated tests of speech recognition, including speech-recognition threshold (SRT) and word-recognition test, using forced-choice responses and computerized scoring of responses. Specific aims were (1) to develop an automated method for measuring SRT for spondaic words that produces scores that are in close agreement with average pure-tone thresholds and (2) to develop an automated test of word recognition that distinguishes listeners with normal hearing from those with sensorineural hearing loss and which informs the hearing aid evaluation process. ###Answer 1. Changed (Sentence B) Explanation: In Sentence A, the term ""hearing loss"" is used in the context of an evaluation of hearing threshold determination and assessment of retrocochlear hearing loss. The sentence does not convey any negative connotations or associations with the term. In Sentence B, the term ""hearing loss"" is used in the context of speech recognition and hearing aid evaluation. The sentence implies that hearing loss can be a significant issue for speech recognition and hearing aid evaluation, and it may have negative connotations or associations. Therefore, the meaning of the term ""hearing loss"" has changed significantly between the two sentences, indicating semantic drift." 77,Hearing loss,"Caspase-3 is one of the cystein proteases that play essential roles in programmed cell death. As such, brain development is profoundly affected by caspase-3-deficiency, resulting in hyperplasia and abnormal cell organization (Kuida et al., Nature 1996;384:368-372). In the present study, we used caspase-3 (-/-) mice to show that caspase-3 deficiency results in severe hearing loss, hyperplasia of supporting cells and degeneration of sensory hair cells. The greater epithelial ridge, a remnant of the primordial organ of Corti, persists throughout all of the turns of cochlea in 2-week-old caspase-3 (-/-) mice, which indicates that the morphology of the cochlea is immature. The number of border cells, that develop from the greater epithelial ridge and are one of the supporting cells of the inner hair cell, increase significantly in both 2- and 5-week-old caspase-3 (-/-) mice. On the other hand, abnormal fused stereocilia can be seen in both 2- and 5-week-old caspase-3 (-/-) mice, and disarrangement and loss of sensory hair cells are observed in 5-week-old caspase-3 (-/-) mice. Taken together, both hyperplasia and degeneration occur simultaneously in the inner ear of the caspase-3 (-/-) mice, suggesting that caspase-3-dependent apoptosis is necessary for the development and formation of a properly functioning auditory system in mammals.","Severe neurologic complications following epidural and spinal anesthesia rarely occur. Transverse myelitis has been reported as a rare complication of epidural or spinal anesthesia. We report a case of longitudinally extensive transverse myelitis and an isolated pontine lesion, which responded to immunotherapy. The patient was a 31-year-old pregnant woman who underwent elective cesarean section under epidural and spinal anesthesia. Though the insertions of the epidural and spinal catheters were smooth, she experienced back pain and transient hearing loss during epidural anesthesia. Postoperatively, she exhibited severe motor weakness in both lower extremities, neuralgia below the level of Th10 dermatome, and urinary retention. Magnetic resonance imaging showed longitudinally extensive transverse myelitis from T6 to T10 with a ring-shaped enhanced lesion and an isolated pontine lesion. These findings on magnetic resonance imaging were suggestive of autoimmune diseases such as neuromyelitis optica. The patient was diagnosed with an immunoreactive disease triggered by epidural or spinal anesthesia and was administered high-dose methylprednisolone, which led to the improvement in clinical symptoms. Clinicians should be aware of the possibility of the development of longitudinally extensive transverse myelitis and isolated pontine lesions after cesarean section under epidural and spinal anesthesia.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Hearing loss Sentence A: Caspase-3 is one of the cystein proteases that play essential roles in programmed cell death. As such, brain development is profoundly affected by caspase-3-deficiency, resulting in hyperplasia and abnormal cell organization (Kuida et al., Nature 1996;384:368-372). In the present study, we used caspase-3 (-/-) mice to show that caspase-3 deficiency results in severe hearing loss, hyperplasia of supporting cells and degeneration of sensory hair cells. The greater epithelial ridge, a remnant of the primordial organ of Corti, persists throughout all of the turns of cochlea in 2-week-old caspase-3 (-/-) mice, which indicates that the morphology of the cochlea is immature. The number of border cells, that develop from the greater epithelial ridge and are one of the supporting cells of the inner hair cell, increase significantly in both 2- and 5-week-old caspase-3 (-/-) mice. On the other hand, abnormal fused stereocilia can be seen in both 2- and 5-week-old caspase-3 (-/-) mice, and disarrangement and loss of sensory hair cells are observed in 5-week-old caspase-3 (-/-) mice. Taken together, both hyperplasia and degeneration occur simultaneously in the inner ear of the caspase-3 (-/-) mice, suggesting that caspase-3-dependent apoptosis is necessary for the development and formation of a properly functioning auditory system in mammals. Sentence B: Severe neurologic complications following epidural and spinal anesthesia rarely occur. Transverse myelitis has been reported as a rare complication of epidural or spinal anesthesia. We report a case of longitudinally extensive transverse myelitis and an isolated pontine lesion, which responded to immunotherapy. The patient was a 31-year-old pregnant woman who underwent elective cesarean section under epidural and spinal anesthesia. Though the insertions of the epidural and spinal catheters were smooth, she experienced back pain and transient hearing loss during epidural anesthesia. Postoperatively, she exhibited severe motor weakness in both lower extremities, neuralgia below the level of Th10 dermatome, and urinary retention. Magnetic resonance imaging showed longitudinally extensive transverse myelitis from T6 to T10 with a ring-shaped enhanced lesion and an isolated pontine lesion. These findings on magnetic resonance imaging were suggestive of autoimmune diseases such as neuromyelitis optica. The patient was diagnosed with an immunoreactive disease triggered by epidural or spinal anesthesia and was administered high-dose methylprednisolone, which led to the improvement in clinical symptoms. Clinicians should be aware of the possibility of the development of longitudinally extensive transverse myelitis and isolated pontine lesions after cesarean section under epidural and spinal anesthesia. ###Answer 1. Changed Reasoning: In Sentence A, the target word ""hearing loss"" is used in the context of a scientific study on the development and formation of the auditory system. The sentence describes the results of a mouse model that suggests that caspase-3-dependent apoptosis is necessary for the development and formation of a properly functioning auditory system in mammals. The word ""hearing loss"" is used to describe the hyperplasia and degeneration of sensory hair cells in the inner ear of the mice. In Sentence B, the target word ""hearing loss"" is used in a different context. The sentence describes a patient who experienced back pain and transient hearing loss during epidural anesthesia. The word ""hearing loss"" is used to describe the patient's postoperative symptoms, which suggest a neurological complication following the anesthesia. Based on these contexts, it is clear that the meaning of the target word ""hearing loss"" has shifted in Sentence B compared to Sentence A. In Sentence A, the word is used to describe a specific aspect of the development and formation of the auditory system, while in Sentence B, it is used to describe a neurological complication following anesthesia. Therefore, the label ""Changed"" is appropriate for this task." 78,Hearing loss,"This report summarizes audiologic and temporal bone findings in a 47-year-old white female with recurrent attacks of vertigo, tinnitus, and bilateral hearing loss. A series of audiograms, obtained over a 15-year period, showed a fluctuating mixed (sensorineural and conductive) hearing loss with a relatively flat configuration in the left ear and a relatively stable, mild sensorineural loss with a sloping contour in the right ear. Temporal bone studies revealed the existence of otosclerotic foci bilaterally. In the left ear, the otosclerotic focus has grown close to the utricular and lateral ampullary nerves, displaced and ankylosed the stapedial footplate, invaded the endosteal zone (1,000-2,000 Hz area), and deformed the lateral cochlear wall. In the right ear, the otosclerotic invasion was limited to the inferior portion on the promontory (vestibular cecum) and round window niche.",An effective and sustainable hearing loss (HL) screening strategy for the early detection of and intervention for HL in older adults is needed.,"###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Hearing loss Sentence A: This report summarizes audiologic and temporal bone findings in a 47-year-old white female with recurrent attacks of vertigo, tinnitus, and bilateral hearing loss. A series of audiograms, obtained over a 15-year period, showed a fluctuating mixed (sensorineural and conductive) hearing loss with a relatively flat configuration in the left ear and a relatively stable, mild sensorineural loss with a sloping contour in the right ear. Temporal bone studies revealed the existence of otosclerotic foci bilaterally. In the left ear, the otosclerotic focus has grown close to the utricular and lateral ampullary nerves, displaced and ankylosed the stapedial footplate, invaded the endosteal zone (1,000-2,000 Hz area), and deformed the lateral cochlear wall. In the right ear, the otosclerotic invasion was limited to the inferior portion on the promontory (vestibular cecum) and round window niche. Sentence B: An effective and sustainable hearing loss (HL) screening strategy for the early detection of and intervention for HL in older adults is needed. ###Answer 1. Changed Explanation: In Sentence A, the term ""hearing loss"" (HL) is used to describe a specific condition characterized by fluctuating mixed hearing loss, otosclerotic foci, and displacement of the stapedial footplate. The context suggests that the term ""hearing loss"" refers to a specific medical condition that affects the inner ear and auditory nerve. In Sentence B, the term ""hearing loss"" is used more broadly to refer to any degree of impaired hearing, without specifying the type or cause of the condition. The context suggests that the term ""hearing loss"" now refers to a more general concept of impaired hearing, without the specific medical details of the condition described in Sentence A. Therefore, semantic drift has occurred in the meaning of the term ""hearing loss"" between Sentence A and Sentence B, as the term has shifted from a specific medical condition to a more general concept of impaired hearing." 79,Hearing loss,"Meniere's disease is an inner ear disease in which the symptom cluster of hearing loss, tinnitus, and dizziness is found along with attacks of vertigo and nausea. In this study, 20 subjects diagnosed with Meniere's disease completed daily measures of stress and symptoms during periods ranging between 45 and 351 days (M = 193.5). Data were analyzed by means of time-series analysis (ARIMA), and the temporal associations were investigated by lagged correlations. The results showed concurrent (same day) associations between stress and symptoms, but individual differences were found regarding which symptoms were associated with stress. Although stress is linked with symptom perception, this study does not support the role of stress as a precursor of symptoms in Meniere's disease.","THE READING LEVELS of a population of 93 Spanish deaf students were examined. All study participants had prelingual profound hearing loss; their ages ranged from 9 to 20 years. All were enrolled in compulsory education during 2002-2003 in the Canary Islands (Spain). They were evaluated with sentence and text comprehension subtests from the Evaluation of Reading Processes of Primary Education Students, whose Spanish acronym is PROLEC (Cuetos, Rodríguez, & Ruano, 1996). A questionnaire on reading attitude was also used (Espín, 1987). Study results were consistent with those of previous research: Deaf students, at the end of their primary school education (mean age 13 years), have reading levels similar to or lower than the reading levels of hearing students at the onset of primary school education (mean age 7 years). These deaf students also have an indifferent attitude toward reading.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Hearing loss Sentence A: Meniere's disease is an inner ear disease in which the symptom cluster of hearing loss, tinnitus, and dizziness is found along with attacks of vertigo and nausea. In this study, 20 subjects diagnosed with Meniere's disease completed daily measures of stress and symptoms during periods ranging between 45 and 351 days (M = 193.5). Data were analyzed by means of time-series analysis (ARIMA), and the temporal associations were investigated by lagged correlations. The results showed concurrent (same day) associations between stress and symptoms, but individual differences were found regarding which symptoms were associated with stress. Although stress is linked with symptom perception, this study does not support the role of stress as a precursor of symptoms in Meniere's disease. Sentence B: THE READING LEVELS of a population of 93 Spanish deaf students were examined. All study participants had prelingual profound hearing loss; their ages ranged from 9 to 20 years. All were enrolled in compulsory education during 2002-2003 in the Canary Islands (Spain). They were evaluated with sentence and text comprehension subtests from the Evaluation of Reading Processes of Primary Education Students, whose Spanish acronym is PROLEC (Cuetos, Rodríguez, & Ruano, 1996). A questionnaire on reading attitude was also used (Espín, 1987). Study results were consistent with those of previous research: Deaf students, at the end of their primary school education (mean age 13 years), have reading levels similar to or lower than the reading levels of hearing students at the onset of primary school education (mean age 7 years). These deaf students also have an indifferent attitude toward reading. ###Answer 1. Changed (Hearing loss) Explanation: In Sentence A, the term ""hearing loss"" is used in the context of Meniere's disease, a specific inner ear disorder. The sentence suggests that hearing loss is a symptom of this disease, and it is associated with vertigo and nausea. The term is not given any particular connotation or emphasis. In Sentence B, the term ""hearing loss"" is used in a different context, referring to a population of deaf students. The sentence suggests that these students have prelingual profound hearing loss, which means they were born with significant hearing impairment. The term is used to describe the students' hearing status, and it is not associated with any particular connotation or emphasis. Based on these two sentences, it is clear that the term ""hearing loss"" has undergone a significant change in meaning. In Sentence A, it is used to describe a specific medical condition, while in Sentence B, it is used to describe a population of individuals with hearing impairment. Therefore, I label the term ""hearing loss"" as having undergone semantic drift, and the change in meaning is reflected in the different contexts in which the term is used." 80,Hearing loss,This study was designed to measure the ability of listeners with and without sensorineural hearing loss to discriminate silent gaps between noise band markers of different frequencies presented in an anechoic and a reverberant listening environment.,"Otosclerosis is a common form of progressive hearing loss, characterized by abnormal bone remodeling in the otic capsule. The etiology of the disease is largely unknown, and both environmental and genetic factors have been implicated. To identify genetic factors involved in otosclerosis, we used a case-control discovery group to complete a genome-wide association (GWA) study with 555,000 single-nucleotide polymorphisms (SNPs), utilizing pooled DNA samples. By individual genotyping of the top 250 SNPs in a stepwise strategy, we were able to identify two highly associated SNPs that replicated in two additional independent populations. We then genotyped 79 tagSNPs to fine map the two genomic regions defined by the associated SNPs. The region with the strongest association signal, p(combined) = 6.23 x 10(-10), is on chromosome 7q22.1 and spans intron 1 to intron 4 of reelin (RELN), a gene known for its role in neuronal migration. Evidence for allelic heterogeneity was found in this region. Consistent with the GWA data, expression of RELN was confirmed in the inner ear and in stapes footplate specimens. In conclusion, we provide evidence that implicates RELN in the pathogenesis of otosclerosis.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Hearing loss Sentence A: This study was designed to measure the ability of listeners with and without sensorineural hearing loss to discriminate silent gaps between noise band markers of different frequencies presented in an anechoic and a reverberant listening environment. Sentence B: Otosclerosis is a common form of progressive hearing loss, characterized by abnormal bone remodeling in the otic capsule. The etiology of the disease is largely unknown, and both environmental and genetic factors have been implicated. To identify genetic factors involved in otosclerosis, we used a case-control discovery group to complete a genome-wide association (GWA) study with 555,000 single-nucleotide polymorphisms (SNPs), utilizing pooled DNA samples. By individual genotyping of the top 250 SNPs in a stepwise strategy, we were able to identify two highly associated SNPs that replicated in two additional independent populations. We then genotyped 79 tagSNPs to fine map the two genomic regions defined by the associated SNPs. The region with the strongest association signal, p(combined) = 6.23 x 10(-10), is on chromosome 7q22.1 and spans intron 1 to intron 4 of reelin (RELN), a gene known for its role in neuronal migration. Evidence for allelic heterogeneity was found in this region. Consistent with the GWA data, expression of RELN was confirmed in the inner ear and in stapes footplate specimens. In conclusion, we provide evidence that implicates RELN in the pathogenesis of otosclerosis. ###Answer 1. Changed Reasoning: The meaning of the target word ""hearing loss"" has shifted significantly between the two sentences. In Sentence A, the term is used to describe a specific type of hearing loss caused by sensorineural damage, while in Sentence B, it is used more broadly to refer to any type of progressive hearing loss, including otosclerosis. The term's connotation has also changed, as it is now associated with a specific disease or condition (otosclerosis) rather than a general hearing impairment. Therefore, the label ""Changed"" is appropriate." 81,Hearing loss,"Creutzfeldt-Jakob disease is a rare type of spongiform encephalopathy. Affected patients present with constitutional symptoms, which progress to severe mental deterioration and movement disorders. Dizziness is the most common early otologic symptom. Few reports in the literature describe patients with Creutzfeldt-Jakob disease who present with sudden-onset hearing loss as their primary symptom for seeking treatment. This paper discusses one such patient and reviews the clinical presentation, treatment options, and relevant literature.","Railway workers performing maintenance work of trains and tracks could be at risk of developing noise-induced hearing loss, since they are exposed to noise levels of 75-90 dB(A) with peak exposures of 130-140 dB(C). The objective was to make a risk assessment by comparing the hearing thresholds among train and track maintenance workers with a reference group not exposed to noise and reference values from the ISO 1999.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Hearing loss Sentence A: Creutzfeldt-Jakob disease is a rare type of spongiform encephalopathy. Affected patients present with constitutional symptoms, which progress to severe mental deterioration and movement disorders. Dizziness is the most common early otologic symptom. Few reports in the literature describe patients with Creutzfeldt-Jakob disease who present with sudden-onset hearing loss as their primary symptom for seeking treatment. This paper discusses one such patient and reviews the clinical presentation, treatment options, and relevant literature. Sentence B: Railway workers performing maintenance work of trains and tracks could be at risk of developing noise-induced hearing loss, since they are exposed to noise levels of 75-90 dB(A) with peak exposures of 130-140 dB(C). The objective was to make a risk assessment by comparing the hearing thresholds among train and track maintenance workers with a reference group not exposed to noise and reference values from the ISO 1999. ###Answer 1. Changed The target word ""hearing loss"" has undergone a significant change in meaning between Sentence A (2000) and Sentence B (2020). In Sentence A, the term is used in the context of Creutzfeldt-Jakob disease, a rare neurodegenerative disorder that causes progressive cognitive decline and movement disorders. The mention of ""sudden-onset hearing loss"" in this context suggests that the term ""hearing loss"" is being used to describe a specific symptom of the disease. In Sentence B, the term ""hearing loss"" is used in a different context, specifically in relation to noise-induced hearing loss in railway workers. This usage suggests that the term has taken on a different meaning, specifically referring to a type of hearing impairment caused by exposure to loud noises. Given these differences in context and meaning, it is clear that the term ""hearing loss"" has undergone semantic drift between Sentence A and Sentence B. Therefore, the label ""Changed"" is appropriate." 82,Hearing loss,"Articulation index (AI) theory was used to evaluate stop-consonant recognition of normal-hearing listeners and listeners with high-frequency hearing loss. From results reported in a companion article [Dubno et al., J. Acoust. Soc. Am. 85, 347-354 (1989)], a transfer function relating the AI to stop-consonant recognition was established, and a frequency importance function was determined for the nine stop-consonant-vowel syllables used as test stimuli. The calculations included the rms and peak levels of the speech that had been measured in 1/3 octave bands; the internal noise was estimated from the thresholds for each subject. The AI model was then used to predict performance for the hearing-impaired listeners. A majority of the AI predictions for the hearing-impaired subjects fell within +/- 2 standard deviations of the normal-hearing listeners' results. However, as observed in previous data, the AI tended to overestimate performance of the hearing-impaired listeners. The accuracy of the predictions decreased with the magnitude of high-frequency hearing loss. Thus, with the exception of performance for listeners with severe high-frequency hearing loss, the results suggest that poorer speech recognition among hearing-impaired listeners results from reduced audibility within critical spectral regions of the speech stimuli.","Hearing loss is a global health problem with profound socioeconomic impact. We contend that acquired hearing loss is mainly a modern disorder caused by man-made noise and modern drugs, among other causes. These factors, combined with increasing lifespan, have exposed a deficit in cochlear self-regeneration that was irrelevant for most of mammalian evolution. Nevertheless, the mammalian cochlea has evolved from phylogenetically older structures, which do have the capacity for self-repair. Moreover, nonmammalian vertebrates can regenerate auditory hair cells that restore sensory function. We will offer a critical perspective on recent advances in stem cell biology, gene therapy, cell cycle regulation and pharmacotherapeutics to define and validate regenerative medical interventions for mammalian hair cell loss. Although these advances are promising, we are only beginning to fully appreciate the complexity of the many challenges that lie ahead.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Hearing loss Sentence A: Articulation index (AI) theory was used to evaluate stop-consonant recognition of normal-hearing listeners and listeners with high-frequency hearing loss. From results reported in a companion article [Dubno et al., J. Acoust. Soc. Am. 85, 347-354 (1989)], a transfer function relating the AI to stop-consonant recognition was established, and a frequency importance function was determined for the nine stop-consonant-vowel syllables used as test stimuli. The calculations included the rms and peak levels of the speech that had been measured in 1/3 octave bands; the internal noise was estimated from the thresholds for each subject. The AI model was then used to predict performance for the hearing-impaired listeners. A majority of the AI predictions for the hearing-impaired subjects fell within +/- 2 standard deviations of the normal-hearing listeners' results. However, as observed in previous data, the AI tended to overestimate performance of the hearing-impaired listeners. The accuracy of the predictions decreased with the magnitude of high-frequency hearing loss. Thus, with the exception of performance for listeners with severe high-frequency hearing loss, the results suggest that poorer speech recognition among hearing-impaired listeners results from reduced audibility within critical spectral regions of the speech stimuli. Sentence B: Hearing loss is a global health problem with profound socioeconomic impact. We contend that acquired hearing loss is mainly a modern disorder caused by man-made noise and modern drugs, among other causes. These factors, combined with increasing lifespan, have exposed a deficit in cochlear self-regeneration that was irrelevant for most of mammalian evolution. Nevertheless, the mammalian cochlea has evolved from phylogenetically older structures, which do have the capacity for self-repair. Moreover, nonmammalian vertebrates can regenerate auditory hair cells that restore sensory function. We will offer a critical perspective on recent advances in stem cell biology, gene therapy, cell cycle regulation and pharmacotherapeutics to define and validate regenerative medical interventions for mammalian hair cell loss. Although these advances are promising, we are only beginning to fully appreciate the complexity of the many challenges that lie ahead. ###Answer 1. Changed Reasoning: The target word ""hearing loss"" has undergone a significant change in meaning between Sentence A (2000) and Sentence B (2020). In Sentence A, the term is used in the context of speech recognition and audibility, with a focus on the effects of high-frequency hearing loss on speech perception. The sentence highlights the importance of audibility in speech recognition and the limitations of the AI model in predicting performance for hearing-impaired listeners. In contrast, Sentence B uses the term ""hearing loss"" in a broader context, framing it as a global health problem with significant socioeconomic impact. The sentence emphasizes the modern causes of hearing loss, including man-made noise and drugs, and suggests that the mammalian cochlea has evolved from older structures with the capacity for self-repair. The sentence also mentions nonmammalian vertebrates' ability to regenerate auditory hair cells, indicating a more optimistic view of the potential for regenerative medical interventions. Given these differences in context and focus, it is clear that the meaning of ""hearing loss"" has shifted significantly between Sentence A and Sentence B. Therefore, the label ""Changed"" is appropriate." 83,Hearing loss,"Sudden sensorineural hearing loss (SSHL) is thought to have many different origins, including disturbances of microcirculation, autoimmune pathology, and viral infection. We aimed to determine whether acute reduction of plasma fibrinogen and serum LDL is effective for treatment of SSHL of suspected vascular origin.","To explore the establishment of the mimetic aging effect in guinea pigs induced by D-galactose, and to detect the biological indicatrix associated with hearing loss and provide a new tool for molecular pathogenesis of hearing loss.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Hearing loss Sentence A: Sudden sensorineural hearing loss (SSHL) is thought to have many different origins, including disturbances of microcirculation, autoimmune pathology, and viral infection. We aimed to determine whether acute reduction of plasma fibrinogen and serum LDL is effective for treatment of SSHL of suspected vascular origin. Sentence B: To explore the establishment of the mimetic aging effect in guinea pigs induced by D-galactose, and to detect the biological indicatrix associated with hearing loss and provide a new tool for molecular pathogenesis of hearing loss. ###Answer 1. Changed Reasoning: In Sentence A, the target word ""hearing loss"" is used in the context of a specific medical condition (SSHL) with a clear definition and cause(s). The sentence also mentions the potential treatments for this condition. In Sentence B, the target word ""hearing loss"" is used in a completely different context, with no clear definition or cause provided. Instead, the sentence discusses the mimetic aging effect in guinea pigs and the potential biological indicatrix associated with hearing loss. The target word is used in a much broader and more general sense than in Sentence A, indicating a significant shift in meaning. Therefore, the label ""Changed"" is appropriate." 84,Hearing loss,"The bases for the preferential use of one ear are not clear. We investigated ear preference, asymmetry on a dichotic listening test and acuity dominance (laterality of hearing loss) in a sample of 51 patients with mild high frequency hardness of hearing. There was a higher correlation between measured ear preference and the measured acuity dominance than between ear preference and dichotic listening, suggesting a certain peripheral (cochlear) base for the ear preference.","Cockayne syndrome and xeroderma pigmentosum-Cockayne syndrome complex are rare autosomal recessive disorders with poorly understood biology. They are characterized by profound postnatal brain and somatic growth failure and by degeneration of multiple tissues resulting in cachexia, dementia, and premature aging. They result in premature death, usually in childhood, exceptionally in adults. This study compares the clinical course and pathology of a man with Cockayne syndrome group A who died at age 31(1/2) years with 15 adequately documented other adults with Cockayne syndrome and 5 with xeroderma pigmentosum-Cockayne syndrome complex. Slowing of head and somatic growth was apparent before age 2 years, mental retardation and slowly progressive spasticity at 4 years, ataxia and hearing loss at 9 years, visual impairment at 14 years, typical Cockayne facies at 17 years, and cachexia and dementia in his twenties, with a retained outgoing personality. He experienced several transient right and left hemipareses and two episodes of status epilepticus following falls. Neuropathology disclosed profound microencephaly, bilateral old subdural hematomas, white-matter atrophy, tigroid leukodystrophy with string vessels, oligodendrocyte proliferation, bizarre reactive astrocytes, multifocal dystrophic calcification that was most marked in the basal ganglia, advanced atherosclerosis, mixed demyelinating and axonal neuropathy, and neurogenic muscular atrophy. Cellular degeneration of the organ of Corti, spiral and vestibular ganglia, and all chambers of the eye was severe. Rarely, and for unexplained reasons, in some patients with Cockayne syndrome the course is slower than usual, resulting in survival into adulthood. The profound dwarfing, failure of brain growth, cachexia, selectivity of tissue degeneration, and poor correlation between genotypes and phenotypes are not understood. Deficient repair of DNA can increase vulnerability to oxidative stress and play a role in the premature aging, but why patients with mutations in xeroderma pigmentosum genes present with the Cockayne syndrome phenotype is still not known.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Hearing loss Sentence A: The bases for the preferential use of one ear are not clear. We investigated ear preference, asymmetry on a dichotic listening test and acuity dominance (laterality of hearing loss) in a sample of 51 patients with mild high frequency hardness of hearing. There was a higher correlation between measured ear preference and the measured acuity dominance than between ear preference and dichotic listening, suggesting a certain peripheral (cochlear) base for the ear preference. Sentence B: Cockayne syndrome and xeroderma pigmentosum-Cockayne syndrome complex are rare autosomal recessive disorders with poorly understood biology. They are characterized by profound postnatal brain and somatic growth failure and by degeneration of multiple tissues resulting in cachexia, dementia, and premature aging. They result in premature death, usually in childhood, exceptionally in adults. This study compares the clinical course and pathology of a man with Cockayne syndrome group A who died at age 31(1/2) years with 15 adequately documented other adults with Cockayne syndrome and 5 with xeroderma pigmentosum-Cockayne syndrome complex. Slowing of head and somatic growth was apparent before age 2 years, mental retardation and slowly progressive spasticity at 4 years, ataxia and hearing loss at 9 years, visual impairment at 14 years, typical Cockayne facies at 17 years, and cachexia and dementia in his twenties, with a retained outgoing personality. He experienced several transient right and left hemipareses and two episodes of status epilepticus following falls. Neuropathology disclosed profound microencephaly, bilateral old subdural hematomas, white-matter atrophy, tigroid leukodystrophy with string vessels, oligodendrocyte proliferation, bizarre reactive astrocytes, multifocal dystrophic calcification that was most marked in the basal ganglia, advanced atherosclerosis, mixed demyelinating and axonal neuropathy, and neurogenic muscular atrophy. Cellular degeneration of the organ of Corti, spiral and vestibular ganglia, and all chambers of the eye was severe. Rarely, and for unexplained reasons, in some patients with Cockayne syndrome the course is slower than usual, resulting in survival into adulthood. The profound dwarfing, failure of brain growth, cachexia, selectivity of tissue degeneration, and poor correlation between genotypes and phenotypes are not understood. Deficient repair of DNA can increase vulnerability to oxidative stress and play a role in the premature aging, but why patients with mutations in xeroderma pigmentosum genes present with the Cockayne syndrome phenotype is still not known. ###Answer 1. Changed Reasoning: In Sentence A, the term ""hearing loss"" is used in the context of a study investigating the prevalence of hearing impairment in patients with Cockayne syndrome. The sentence suggests that the study found a high prevalence of hearing loss in these patients, with degeneration of multiple tissues resulting in cachexia, dementia, and premature aging. The term ""hearing loss"" is used in a neutral manner, without any connotation of negative impact. In Sentence B, the term ""hearing loss"" is used in a different context, to describe the profound microencephaly and bilateral old subdural hematomas found in the patient's neuropathology. The term is used to convey the severity of the brain damage and the impact on the patient's cognitive and motor functions. The sentence also suggests that the patient experienced several transient right and left hemipareses and two episodes of status epilepticus following falls, which may have contributed to the hearing loss. Based on the context and meaning of the term ""hearing loss"" in each sentence, it is clear that the term has undergone a significant change in meaning between the two timestamps. In Sentence A, the term is used in a neutral manner to describe a prevalence of hearing impairment in a specific population. In Sentence B, the term is used to describe the severe brain damage and its impact on the patient's hearing. Therefore, the label ""Changed"" is appropriate to indicate that the meaning of the term ""hearing loss"" has shifted between the two sentences." 85,Hearing loss,"Experimental herpes simplex virus type 1 (HSV-1) labyrinthitis provides a model of idiopathic sudden sensorineural hearing loss (ISSHL). Corticosteroids improve the prognosis for hearing recovery in ISSHL, but the effects of acyclovir are unknown. To establish the therapeutic efficacy of acyclovir (Zovirax) and prednisolone in experimental HSV-1 viral labyrinthitis, we induced HSV-1 labyrinthitis in 12 guinea pigs. Three animals received no treatment, 3 received prednisolone, 3 received acyclovir, and 3 received both. Four other animals served as controls, receiving culture medium only. Hearing, HSV-1 antibody titers, and cochlear damage were evaluated. The HSV-1 labyrinthitis caused hearing loss within 24 hours. Combination treatment consisting of prednisolone and acyclovir resulted in earlier hearing recovery and less extensive cochlear destruction compared to prednisolone or acyclovir as a monotherapy. The beneficial effect of this treatment modality remains to be demonstrated in ISSHL.","Hearing loss is associated with cognitive/physical health; less is known about mental health. We investigated associations between hearing loss severity, depression, and health-related quality of life among older adults with unaided hearing loss. Data (","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Hearing loss Sentence A: Experimental herpes simplex virus type 1 (HSV-1) labyrinthitis provides a model of idiopathic sudden sensorineural hearing loss (ISSHL). Corticosteroids improve the prognosis for hearing recovery in ISSHL, but the effects of acyclovir are unknown. To establish the therapeutic efficacy of acyclovir (Zovirax) and prednisolone in experimental HSV-1 viral labyrinthitis, we induced HSV-1 labyrinthitis in 12 guinea pigs. Three animals received no treatment, 3 received prednisolone, 3 received acyclovir, and 3 received both. Four other animals served as controls, receiving culture medium only. Hearing, HSV-1 antibody titers, and cochlear damage were evaluated. The HSV-1 labyrinthitis caused hearing loss within 24 hours. Combination treatment consisting of prednisolone and acyclovir resulted in earlier hearing recovery and less extensive cochlear destruction compared to prednisolone or acyclovir as a monotherapy. The beneficial effect of this treatment modality remains to be demonstrated in ISSHL. Sentence B: Hearing loss is associated with cognitive/physical health; less is known about mental health. We investigated associations between hearing loss severity, depression, and health-related quality of life among older adults with unaided hearing loss. Data ( ###Answer 1. Changed Reasoning: In Sentence A, the target word ""hearing loss"" is used in the context of an experimental condition where a virus is causing hearing damage. The sentence highlights the medical aspects of hearing loss, including the ability to measure hearing loss and the potential for cochlear damage. The word ""hearing loss"" is used in a medical context and carries a negative connotation, suggesting that the loss of hearing is undesirable. In Sentence B, the target word ""hearing loss"" is used in a different context, with a focus on the relationship between hearing loss and mental health. The sentence suggests that hearing loss is associated with cognitive and physical health problems, and that there is less known about its impact on mental health. The word ""hearing loss"" is used in a different context than in Sentence A, and carries a different connotation, suggesting that the loss of hearing is not necessarily a negative thing. Based on these differences in context and connotation, it can be determined that the meaning of the target word ""hearing loss"" has shifted significantly between the two sentences. Therefore, the label ""Changed"" is appropriate." 86,Hearing loss,"The purpose of this study was the examination of 60 children with Down's syndrome with particular attention paid to the organ of hearing. The investigation included anamnesis concerning the risk factors of hearing loss, psychomotoric development, otolaryngological examination, pure tone, impedance and speech audiometry. The main conclusion is: hearing impairment is more frequent in children with Down's syndrome (82.8%) than in normal population (0.5-2%). The type of hearing impairment is mainly conductive and mild degree.","To study the surgical anatomy of the labyrinthine artery (LA) and the subarcuate artery (SA), their anatomic relationships, and clinical implications, as injury of the LA can result in hearing loss.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Hearing loss Sentence A: The purpose of this study was the examination of 60 children with Down's syndrome with particular attention paid to the organ of hearing. The investigation included anamnesis concerning the risk factors of hearing loss, psychomotoric development, otolaryngological examination, pure tone, impedance and speech audiometry. The main conclusion is: hearing impairment is more frequent in children with Down's syndrome (82.8%) than in normal population (0.5-2%). The type of hearing impairment is mainly conductive and mild degree. Sentence B: To study the surgical anatomy of the labyrinthine artery (LA) and the subarcuate artery (SA), their anatomic relationships, and clinical implications, as injury of the LA can result in hearing loss. ###Answer 1. Changed In Sentence A, the target word ""hearing loss"" is used in the context of a medical study examining the frequency of hearing impairment in children with Down's syndrome. The word is used to describe the specific type of impairment found in this population, including the degree and nature of the impairment. The meaning of the word in this context is focused on the medical aspects of hearing loss, such as its causes, diagnosis, and treatment. In Sentence B, the target word ""hearing loss"" is used in a different context, specifically in the context of surgical anatomy and the clinical implications of injury to the labyrinthine artery. The word is used to describe the potential consequences of injury to this artery, which can result in hearing loss. The meaning of the word in this context is focused on the potential effects of injury on hearing function, rather than the medical aspects of hearing loss. Based on these differences in context, it is clear that the meaning of the target word ""hearing loss"" has shifted significantly between the two sentences. In Sentence A, the word is used specifically to describe a medical condition found in a particular population, while in Sentence B, the word is used to describe a potential surgical complication. Therefore, the label ""Changed"" is appropriate to indicate that the meaning of the target word has shifted significantly between the two sentences." 87,Hearing loss,"Errors on a nonsense syllable test (NST) were compared to pure-tone thresholds and ages of 109 subjects with normal or sensorineural hearing loss. A strong correlation was found between the number of NST errors and hearing loss at 2000 and 250 Hz. NST errors do not appear to be related to the age of subjects. Excellent predictive relationships were found between total NST errors and a weighted pure-tone average for slight to marked sensorineural hearing loss. Implications for counseling, site of lesion, and amplification evaluation are discussed.",To determine whether children with mild-to-moderately severe sensorineural hearing loss (CHL) present with disturbances in working memory and whether these disturbances relate to the size of their receptive vocabularies.,"###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Hearing loss Sentence A: Errors on a nonsense syllable test (NST) were compared to pure-tone thresholds and ages of 109 subjects with normal or sensorineural hearing loss. A strong correlation was found between the number of NST errors and hearing loss at 2000 and 250 Hz. NST errors do not appear to be related to the age of subjects. Excellent predictive relationships were found between total NST errors and a weighted pure-tone average for slight to marked sensorineural hearing loss. Implications for counseling, site of lesion, and amplification evaluation are discussed. Sentence B: To determine whether children with mild-to-moderately severe sensorineural hearing loss (CHL) present with disturbances in working memory and whether these disturbances relate to the size of their receptive vocabularies. ###Answer 1. Changed In Sentence A from 2000, the term ""sensorineural hearing loss"" is used, which refers to a specific type of hearing loss caused by damage to the inner ear or auditory nerve. This term was commonly used in the medical literature at the time. In contrast, in Sentence B from 2020, the term ""mild-to-moderately severe sensorineural hearing loss"" is used, which includes a broader range of hearing losses and implies a more severe degree of impairment. This shift in language suggests that the meaning of the term ""sensorineural hearing loss"" has changed over time, indicating semantic drift." 88,Hearing loss,"Between 3 and 25 months of age, light and electron microscopic features of principal neurons in the central nucleus of the inferior colliculus of the C57BL/6 mouse were quantitated. This mouse strain has a genetic defect producing progressive sensorineural hearing loss which starts during young adulthood (2 months of age) with high-frequency sounds. During the second year of life, hearing is severely impaired, progressively involving all frequencies. The hearing loss was documented in the present study by auditory brainstem recordings of the mice at various ages. The cochleas from many of the same animals showed massive loss of both inner and outer hair cells beginning at the base (high-frequency region) and progressing with age along the entire length to the apex (low-frequency region). In the inferior colliculi, there was a significant decrease in the size of principal neurons in the central nucleus. There was a dramatic decrease in the number of synapses of all morphologic types on principal neuronal somas. The percentage of somatic membrane covered by synapses decreased by 67%. A ventral (high frequency) to dorsal (low frequency) gradient of synaptic loss could not be identified within the central nucleus. These synaptic changes may be related to the equally dramatic physiologic changes which have been noted in the central nucleus of the inferior colliculus, in which response properties of neurons normally sensitive to high-frequency sounds become more sensitive to low-frequency sounds. The synaptic loss noted in this study may be due to more than the loss of primary afferent pathways. It may represent alterations of the complex synaptic circuitry related to the central deficits of presbycusis.","It has been reported that about half of patients with sudden sensorineural hearing loss (SSNHL) show high signals in the affected inner ear on three-dimensional, fluid-attenuated inversion recovery magnetic resonance imaging (3D-FLAIR MRI). These signals may reflect minor hemorrhage or an increased concentration of protein in the inner ear, which has passed through blood vessels with increased permeability. Our objective was to compare the positive ratio of the high signal in affected inner ears at different time points to determine the suitable imaging time point for 3D-FLAIR MRI in SSNHL. 3D-FLAIR MRI images were taken at three times, precontrast and approximately 10 min and 4 h after intravenous injection of a single dose of gadodiamide (Gd) (0.1 mmol/kg), in 46 patients with SNHL. We compared the positive findings of the high signals in the inner ear of patients with SNHL as well as the signal intensity ratio (SIR) between the affected cochleae and unaffected cochleae at three time points. The positive ratios of the high signals in the affected inner ear at the time points of precontrast and 10 min and 4 h after the intravenous Gd injection were 26.1, 32.6, and 41.3%, respectively. The high signal intensity ratios of affected inner ears at the three time points were 1.28, 1.31, and 1.48, respectively. The difference between the positive ratios precontrast and at 10 min after the intravenous Gd injection was statistically significant (P = 0.006); the differences between the positive ratios at 4 h after the intravenous Gd injection and precontrast and between the ratios at 4 h and 10 min after the intravenous Gd injection were not statistically significant. The time effects of the median value of SIR were not significant (P = 0.064). We do not recommend 4 h after intravenous Gd injection as a time point to image the inner ear in SNHL. We believe that imaging precontrast and at 10 min after the intravenous Gd injection are suitable time points.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Hearing loss Sentence A: Between 3 and 25 months of age, light and electron microscopic features of principal neurons in the central nucleus of the inferior colliculus of the C57BL/6 mouse were quantitated. This mouse strain has a genetic defect producing progressive sensorineural hearing loss which starts during young adulthood (2 months of age) with high-frequency sounds. During the second year of life, hearing is severely impaired, progressively involving all frequencies. The hearing loss was documented in the present study by auditory brainstem recordings of the mice at various ages. The cochleas from many of the same animals showed massive loss of both inner and outer hair cells beginning at the base (high-frequency region) and progressing with age along the entire length to the apex (low-frequency region). In the inferior colliculi, there was a significant decrease in the size of principal neurons in the central nucleus. There was a dramatic decrease in the number of synapses of all morphologic types on principal neuronal somas. The percentage of somatic membrane covered by synapses decreased by 67%. A ventral (high frequency) to dorsal (low frequency) gradient of synaptic loss could not be identified within the central nucleus. These synaptic changes may be related to the equally dramatic physiologic changes which have been noted in the central nucleus of the inferior colliculus, in which response properties of neurons normally sensitive to high-frequency sounds become more sensitive to low-frequency sounds. The synaptic loss noted in this study may be due to more than the loss of primary afferent pathways. It may represent alterations of the complex synaptic circuitry related to the central deficits of presbycusis. Sentence B: It has been reported that about half of patients with sudden sensorineural hearing loss (SSNHL) show high signals in the affected inner ear on three-dimensional, fluid-attenuated inversion recovery magnetic resonance imaging (3D-FLAIR MRI). These signals may reflect minor hemorrhage or an increased concentration of protein in the inner ear, which has passed through blood vessels with increased permeability. Our objective was to compare the positive ratio of the high signal in affected inner ears at different time points to determine the suitable imaging time point for 3D-FLAIR MRI in SSNHL. 3D-FLAIR MRI images were taken at three times, precontrast and approximately 10 min and 4 h after intravenous injection of a single dose of gadodiamide (Gd) (0.1 mmol/kg), in 46 patients with SNHL. We compared the positive findings of the high signals in the inner ear of patients with SNHL as well as the signal intensity ratio (SIR) between the affected cochleae and unaffected cochleae at three time points. The positive ratios of the high signals in the affected inner ear at the time points of precontrast and 10 min and 4 h after the intravenous Gd injection were 26.1, 32.6, and 41.3%, respectively. The high signal intensity ratios of affected inner ears at the three time points were 1.28, 1.31, and 1.48, respectively. The difference between the positive ratios precontrast and at 10 min after the intravenous Gd injection was statistically significant (P = 0.006); the differences between the positive ratios at 4 h after the intravenous Gd injection and precontrast and between the ratios at 4 h and 10 min after the intravenous Gd injection were not statistically significant. The time effects of the median value of SIR were not significant (P = 0.064). We do not recommend 4 h after intravenous Gd injection as a time point to image the inner ear in SNHL. We believe that imaging precontrast and at 10 min after the intravenous Gd injection are suitable time points. ###Answer 1. Changed Reasoning: The target word ""hearing loss"" has undergone a significant change in meaning between the two sentences. In Sentence A, the term refers to a genetic defect causing progressive sensorineural hearing loss starting in young adulthood, with high-frequency sounds being impaired first. In Sentence B, the term refers to minor hemorrhage or increased protein concentration in the inner ear, which may be detected by MRI. The two sentences have different contexts and meanings, indicating that the term ""hearing loss"" has changed in its semantic drift." 89,Hearing loss,"Implantable hearing aids can form the basis of new surgical techniques for dealing with hearing problems originating in the inner ear, provided they are fully implantable. Accordingly, a comprehensive, interdisciplinary, combined project was initiated at the ENT clinic of the University of Tübingen which was to conclude with operations to improve hearing via fully implantable hearing aids. A novel electromechanical transducer for implantable hearing aids based on the piezoelectric principle is described. Unlike the piezoelectric transducers reported so far, this transducer does not rely on the bimorphic principle but on a circle-shaped, heteromorphic combination system consisting of a piezoceramic disc and metal membrane. The transducer can be hermetically sealed and is designed for implantation into the mastoid. Transfer of mechanical oscillations to an ossicle in the middle ear is effected by a directly fixed coupling rod or via suitable coupling elements. The transducer is highly tuned with a resonance frequency at the upper end of the spectral transfer range (greater than 10 kHz). Below this resonance and down to low frequencies, the frequency response of elongation is smooth with amplitudes of around 20 nm. At low and middle frequencies of up to 1 kHz, these vibration amplitudes correspond to sound-pressure levels of around 90 dB SPL. At higher frequencies of up to 10 kHz, the output level increases to about 130 dB SPL. Nonlinear distortions are also very small at the highest levels (less than 0.1%) throughout the whole transfer range. Electric power consumption at maximum levels is in the range of a few microwatts and is therefore significantly lower than that of electromagnetic systems. Particularly, this makes it possible to use the transducer in fully implantable hearing aids for rehabilitation of sensorineural hearing loss.","The ear vulnerability of a group of combat soldiers was tested. The study initially included 84 soldiers and lasted two years. The soldiers were exposed to the noise of small-arms fire. Measurements included transient-evoked otoacoustic emissions (TEOAE) and pure-tone audiometry. Measurements, initially performed prior to the soldiers' basic training, were repeated several times during the study. In general, TEOAE levels (Em) decreased over time. About 57% of the ears developed a slight hearing loss (SHL) after two years of noise exposure. We define SHL as a threshold shift of 10 dB or greater, in at least at one of the audiometric frequencies 1000, 2000, 3000, 4000, or 6000 Hz. About 63% of the tested ears that had medium TEOAE level (1 or =8 dB SPL), less than 30% developed SHL. We suggest a prediction for ear vulnerability on the basis of Em prior to noise exposure.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Hearing loss Sentence A: Implantable hearing aids can form the basis of new surgical techniques for dealing with hearing problems originating in the inner ear, provided they are fully implantable. Accordingly, a comprehensive, interdisciplinary, combined project was initiated at the ENT clinic of the University of Tübingen which was to conclude with operations to improve hearing via fully implantable hearing aids. A novel electromechanical transducer for implantable hearing aids based on the piezoelectric principle is described. Unlike the piezoelectric transducers reported so far, this transducer does not rely on the bimorphic principle but on a circle-shaped, heteromorphic combination system consisting of a piezoceramic disc and metal membrane. The transducer can be hermetically sealed and is designed for implantation into the mastoid. Transfer of mechanical oscillations to an ossicle in the middle ear is effected by a directly fixed coupling rod or via suitable coupling elements. The transducer is highly tuned with a resonance frequency at the upper end of the spectral transfer range (greater than 10 kHz). Below this resonance and down to low frequencies, the frequency response of elongation is smooth with amplitudes of around 20 nm. At low and middle frequencies of up to 1 kHz, these vibration amplitudes correspond to sound-pressure levels of around 90 dB SPL. At higher frequencies of up to 10 kHz, the output level increases to about 130 dB SPL. Nonlinear distortions are also very small at the highest levels (less than 0.1%) throughout the whole transfer range. Electric power consumption at maximum levels is in the range of a few microwatts and is therefore significantly lower than that of electromagnetic systems. Particularly, this makes it possible to use the transducer in fully implantable hearing aids for rehabilitation of sensorineural hearing loss. Sentence B: The ear vulnerability of a group of combat soldiers was tested. The study initially included 84 soldiers and lasted two years. The soldiers were exposed to the noise of small-arms fire. Measurements included transient-evoked otoacoustic emissions (TEOAE) and pure-tone audiometry. Measurements, initially performed prior to the soldiers' basic training, were repeated several times during the study. In general, TEOAE levels (Em) decreased over time. About 57% of the ears developed a slight hearing loss (SHL) after two years of noise exposure. We define SHL as a threshold shift of 10 dB or greater, in at least at one of the audiometric frequencies 1000, 2000, 3000, 4000, or 6000 Hz. About 63% of the tested ears that had medium TEOAE level (1 or =8 dB SPL), less than 30% developed SHL. We suggest a prediction for ear vulnerability on the basis of Em prior to noise exposure. ###Answer 1. Changed Reasoning: The target word ""hearing loss"" has undergone a significant change in meaning between the two sentences. In Sentence A, the term refers to a specific type of hearing impairment that can be treated with implantable hearing aids. In Sentence B, the term is used more broadly to describe a group of soldiers who have developed hearing loss due to exposure to noise. The two sentences have different contexts and meanings, indicating semantic drift." 90,Hearing loss,"It is well known that there are wide individual variations in the susceptibility of human hearing to noise exposure. The hearing of male forest workers were examined with vibration-induced white finger (VWF) as an indicator of noise susceptibility of hearing. The results were as follows: 1. Hearing losses at 4 and 8 kHz in subjects with VWF were greater than those of unaffected men in a matched pair case-control study allowing for confounding due to differences of age and noise exposure. 2. The hearing loss at 4 kHz on the ipsilateral side of the hand with VWF was greater than the loss on the contralateral side in subjects with VWF in one hand. 3. The hearing loss at 4 kHz in subjects with VWF progressed more rapidly during a five-year follow-up period than the loss in men with no history of VWF. These results indicate that the hearing of subjects with VWF was more vulnerable to noise than the hearing of subjects without VWF. It was suggested that a pathological change causing VWF, such as enhanced vasoconstriction due to elevated sympathetic nervous tone, could also cause this additional auditory vulnerability to noise exposure.","Hearing loss is the most common sensory defect, and it affects over 6% of the population worldwide. Approximately 50-60% of hearing loss patients are attributed to genetic causes. Currently, more than 100 genes have been reported to cause non-syndromic hearing loss. It is possible and efficient to screen all potential disease-causing genes for hereditary hearing loss by whole exome sequencing (WES).","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Hearing loss Sentence A: It is well known that there are wide individual variations in the susceptibility of human hearing to noise exposure. The hearing of male forest workers were examined with vibration-induced white finger (VWF) as an indicator of noise susceptibility of hearing. The results were as follows: 1. Hearing losses at 4 and 8 kHz in subjects with VWF were greater than those of unaffected men in a matched pair case-control study allowing for confounding due to differences of age and noise exposure. 2. The hearing loss at 4 kHz on the ipsilateral side of the hand with VWF was greater than the loss on the contralateral side in subjects with VWF in one hand. 3. The hearing loss at 4 kHz in subjects with VWF progressed more rapidly during a five-year follow-up period than the loss in men with no history of VWF. These results indicate that the hearing of subjects with VWF was more vulnerable to noise than the hearing of subjects without VWF. It was suggested that a pathological change causing VWF, such as enhanced vasoconstriction due to elevated sympathetic nervous tone, could also cause this additional auditory vulnerability to noise exposure. Sentence B: Hearing loss is the most common sensory defect, and it affects over 6% of the population worldwide. Approximately 50-60% of hearing loss patients are attributed to genetic causes. Currently, more than 100 genes have been reported to cause non-syndromic hearing loss. It is possible and efficient to screen all potential disease-causing genes for hereditary hearing loss by whole exome sequencing (WES). ###Answer 1. Changed Reasoning: In Sentence A, the term ""hearing loss"" is used in the context of occupational noise exposure and the susceptibility of the human ear to noise. The sentence suggests that the hearing of individuals with vasoconstriction due to elevated sympathetic nervous tone is more vulnerable to noise exposure. This implies that the term ""hearing loss"" in this context refers to a specific type of hearing impairment caused by exposure to loud noises. In Sentence B, the term ""hearing loss"" is used in a broader context, referring to the most common sensory defect that affects over 6% of the population worldwide. The sentence suggests that genetic causes are a significant contributor to hearing loss, and that whole exome sequencing can be used to screen for disease-causing genes. This implies that the term ""hearing loss"" in this context refers to a more general and widespread type of hearing impairment, rather than a specific type caused by noise exposure. Based on these differences in context and meaning, it can be concluded that the term ""hearing loss"" has undergone a significant change in meaning between Sentence A and Sentence B. In Sentence A, the term refers to a specific type of hearing impairment caused by noise exposure, while in Sentence B, it refers to a more general and widespread type of hearing impairment. Therefore, the label ""Changed"" is appropriate for this task." 91,Hearing loss,"Five Japanese families showing aminoglycoside-induced hearing loss were genetically as well as clinically investigated. A mitochondrial mutation at nucleotide 1555 was found in 28 out of 32 subjects. One hundred American control subjects did not show any evidence of the mutation at nucleotide 1555, suggesting that the 1555 A-->G (A1555G) mitochondrial mutation may be found more frequently among populations in the Asian continent. Many subjects who harbor this mitochondrial mutation exhibit a mild, high-frequency, progressive hearing loss even without aminoglycoside injection. The results presented here appear to support the hypothesis that the A1555G mutation may play a more general role in causing hearing loss.","The rare developmental defect, Goldenhar syndrome is characterized by complex craniofacial and dentofacial anomalies. Here we describe the successful orthodontic treatment of a 5-year-old Japanese Goldenhar syndrome patient with mild facial asymmetry, right microtia, right-side hearing loss, and tongue-thrusting by a modification of dentofacial growth using a non-surgical orthopedic treatment approach. Improvement of the vertical discrepancies on the affected side and canted occlusal plane as well as mandibular deviation were achieved with a functional orthopaedic approach. Stable and acceptable occlusion were obtained over the 32-month post-retention period. A non-surgical orthodontic treatment approach offers satisfactory facial aesthetic outcomes in Goldenhar syndrome.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Hearing loss Sentence A: Five Japanese families showing aminoglycoside-induced hearing loss were genetically as well as clinically investigated. A mitochondrial mutation at nucleotide 1555 was found in 28 out of 32 subjects. One hundred American control subjects did not show any evidence of the mutation at nucleotide 1555, suggesting that the 1555 A-->G (A1555G) mitochondrial mutation may be found more frequently among populations in the Asian continent. Many subjects who harbor this mitochondrial mutation exhibit a mild, high-frequency, progressive hearing loss even without aminoglycoside injection. The results presented here appear to support the hypothesis that the A1555G mutation may play a more general role in causing hearing loss. Sentence B: The rare developmental defect, Goldenhar syndrome is characterized by complex craniofacial and dentofacial anomalies. Here we describe the successful orthodontic treatment of a 5-year-old Japanese Goldenhar syndrome patient with mild facial asymmetry, right microtia, right-side hearing loss, and tongue-thrusting by a modification of dentofacial growth using a non-surgical orthopedic treatment approach. Improvement of the vertical discrepancies on the affected side and canted occlusal plane as well as mandibular deviation were achieved with a functional orthopaedic approach. Stable and acceptable occlusion were obtained over the 32-month post-retention period. A non-surgical orthodontic treatment approach offers satisfactory facial aesthetic outcomes in Goldenhar syndrome. ###Answer 1. Changed (Sentence B) Reasoning: In Sentence A, the target word ""hearing loss"" is used to describe a specific medical condition found in a population, with a focus on genetic mutations as a potential cause. The word carries a negative connotation, implying a loss of hearing function. In Sentence B, the target word ""hearing loss"" is used in a different context. It is no longer associated with a medical condition, but rather as a descriptive term for a child with developmental defects. The word carries a different connotation, implying a more general or mild hearing impairment. The shift in meaning is significant enough to warrant a label of ""Changed.""" 92,Hearing loss,"The primary goal of this study was to compare the characteristics of the post-implant evoked potentials with preimplant evoked potentials in patients with auditory neuropathy (AN) or dys-synchrony. AN is typically characterized by sensorineural hearing loss, reduced speech perception, abnormal temporal processing, and unusual patterns of results with various objective audiological tests. In some cases, these patients may be appropriate candidates for a cochlear implant. In this article, we highlight evoked potential findings in two children diagnosed with AN who were provided with multichannel cochlear implants. Preoperative, interoperative and postoperative evoked potential measures show that the restoration of neural synchrony may occur at multiple levels of the auditory pathways in patients with AN when appropriate diagnostic tests, cochlear implantation and rehabilitation are provided.","Within the Early Hearing Detection and Intervention (EHDI) pathway, which includes the processes of screening, diagnosis and intervention for paediatric hearing loss, paediatric diagnostic audiology involves a battery of specific tests and procedures. International studies have highlighted a golden standard for diagnosis of paediatric hearing loss as based on the Joint Committee of Infant Hearing (2007) diagnostic guidelines, closely resembling the HPCSA diagnostic guidelines. There are limited South African studies on the processes and protocols followed in diagnostic paediatric audiology.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Hearing loss Sentence A: The primary goal of this study was to compare the characteristics of the post-implant evoked potentials with preimplant evoked potentials in patients with auditory neuropathy (AN) or dys-synchrony. AN is typically characterized by sensorineural hearing loss, reduced speech perception, abnormal temporal processing, and unusual patterns of results with various objective audiological tests. In some cases, these patients may be appropriate candidates for a cochlear implant. In this article, we highlight evoked potential findings in two children diagnosed with AN who were provided with multichannel cochlear implants. Preoperative, interoperative and postoperative evoked potential measures show that the restoration of neural synchrony may occur at multiple levels of the auditory pathways in patients with AN when appropriate diagnostic tests, cochlear implantation and rehabilitation are provided. Sentence B: Within the Early Hearing Detection and Intervention (EHDI) pathway, which includes the processes of screening, diagnosis and intervention for paediatric hearing loss, paediatric diagnostic audiology involves a battery of specific tests and procedures. International studies have highlighted a golden standard for diagnosis of paediatric hearing loss as based on the Joint Committee of Infant Hearing (2007) diagnostic guidelines, closely resembling the HPCSA diagnostic guidelines. There are limited South African studies on the processes and protocols followed in diagnostic paediatric audiology. ###Answer 1. Changed Reasoning: The target word ""hearing loss"" has undergone a significant change in meaning between Sentence A (2000) and Sentence B (2020). In Sentence A, the term is used to describe a specific type of sensorineural hearing loss associated with auditory neuropathy. In Sentence B, the term is used more broadly to refer to any type of paediatric hearing loss, without any specific reference to a particular type of hearing loss or condition. This shift in meaning suggests that the term ""hearing loss"" has undergone semantic drift." 93,Hearing loss,To determine whether transtympanic steroid administration may be an effective treatment for sudden onset sensorineural hearing loss (SSNHL) in patients for whom systemic steroid treatment has failed or who were not candidates for systemic steroids.,The present study investigated the effects of supporting both English and Spanish on language outcomes in bilingual children with hearing loss (HL) who used listening devices (cochlear implants and hearing aids). The English language skills of bilingual children with HL were compared to those of their monolingual English-speaking peers' with HL. The Spanish and English language skills of the bilingual participants were also compared.,"###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Hearing loss Sentence A: To determine whether transtympanic steroid administration may be an effective treatment for sudden onset sensorineural hearing loss (SSNHL) in patients for whom systemic steroid treatment has failed or who were not candidates for systemic steroids. Sentence B: The present study investigated the effects of supporting both English and Spanish on language outcomes in bilingual children with hearing loss (HL) who used listening devices (cochlear implants and hearing aids). The English language skills of bilingual children with HL were compared to those of their monolingual English-speaking peers' with HL. The Spanish and English language skills of the bilingual participants were also compared. ###Answer 1. Changed Explanation: In Sentence A, the target word ""hearing loss"" is used in the context of medical treatment for a sudden onset of sensorineural hearing loss. The meaning is focused on the medical condition and its treatment options. In Sentence B, the target word ""hearing loss"" is used in a different context, referring to language outcomes in bilingual children with hearing aids or cochlear implants. The meaning has shifted to include the impact of hearing loss on language development in bilingual children. The term ""hearing loss"" now carries a different connotation, emphasizing the language consequences of the condition rather than the medical treatment options. Therefore, the label ""Changed"" is appropriate." 94,Hearing loss,To determine whether chronic conductive hearing loss in adults results in changes in the auditory brainstem response (ABR) similar to those observed in children with histories of otitis media with effusion.,"Bilaterally progressive tinnitus and hearing impairment occurred in a hypertensive patient shortly after an episode of right ganglionic hemorrhage. Audiometric tests showed a mixed sensorineural and conduction hearing loss. When low-dose gabapentin was administrated for the pre-existing postherpetic thoracic neuralgia, the tinnitus dramatically improved but recurred after discontinuation of the drug. Hearing function did not change. In view of a controversy of gabapentin and tinnitus in previous trials, the findings in this patient support that low-dose gabapentin benefits the subgroup of tinnitus patients with secondary contributing factors, such as stroke.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Hearing loss Sentence A: To determine whether chronic conductive hearing loss in adults results in changes in the auditory brainstem response (ABR) similar to those observed in children with histories of otitis media with effusion. Sentence B: Bilaterally progressive tinnitus and hearing impairment occurred in a hypertensive patient shortly after an episode of right ganglionic hemorrhage. Audiometric tests showed a mixed sensorineural and conduction hearing loss. When low-dose gabapentin was administrated for the pre-existing postherpetic thoracic neuralgia, the tinnitus dramatically improved but recurred after discontinuation of the drug. Hearing function did not change. In view of a controversy of gabapentin and tinnitus in previous trials, the findings in this patient support that low-dose gabapentin benefits the subgroup of tinnitus patients with secondary contributing factors, such as stroke. ###Answer 1. Changed Reasoning: The target word ""hearing loss"" has undergone significant semantic drift between Sentence A (2000) and Sentence B (2020). In Sentence A, the term likely refers to conductive hearing loss, which is a specific type of hearing impairment caused by a problem in the middle ear. However, in Sentence B, the term ""hearing impairment"" is used, which could refer to a broader range of hearing problems, including sensorineural hearing loss, which is not specifically mentioned in Sentence A. Additionally, the context of Sentence B suggests that the hearing loss may be related to a medical condition such as hypertension or stroke, which is not the case in Sentence A. Therefore, the meaning of the target word has changed significantly between the two sentences, indicating semantic drift has occurred." 95,Hearing loss,"Loudness recruitment and reduced frequency resolution both occur in cochlear types of hearing loss. One theory of loudness recruitment suggests that, as intensity is coded partly by spread of excitation across the nerve fibre array, recruitment is a direct consequence of the broad spread of excitation associated with poor frequency resolution. The present study investigated the relationship between these two quantities. The study involved a simple measure of frequency resolution (three-point psychoacoustical tuning curve, PTC) and conventional measures of recruitment obtained from patients undergoing neuro-otological investigation. Results from 376 ears of 226 patients without any material conductive impairment are presented. Measures of recruitment included the alternate binaural loudness balance test (ABLB) and estimates of dynamic range given by the sensation levels of the uncomfortable loudness level and the acoustic reflex threshold. Once covariation with hearing threshold level had been accounted for, no clear relationship emerged between frequency resolution and any of the measures of recruitment. This finding does not support the notion that frequency resolution and recruitment are specifically related. Rather, PTCs provide information complementary to measures of recruitment.",To observe the alterations of auditory brainstem response (ABR) in guinea pigs with gentamicin-induced hearing loss under awake and anesthetic conditions.,"###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Hearing loss Sentence A: Loudness recruitment and reduced frequency resolution both occur in cochlear types of hearing loss. One theory of loudness recruitment suggests that, as intensity is coded partly by spread of excitation across the nerve fibre array, recruitment is a direct consequence of the broad spread of excitation associated with poor frequency resolution. The present study investigated the relationship between these two quantities. The study involved a simple measure of frequency resolution (three-point psychoacoustical tuning curve, PTC) and conventional measures of recruitment obtained from patients undergoing neuro-otological investigation. Results from 376 ears of 226 patients without any material conductive impairment are presented. Measures of recruitment included the alternate binaural loudness balance test (ABLB) and estimates of dynamic range given by the sensation levels of the uncomfortable loudness level and the acoustic reflex threshold. Once covariation with hearing threshold level had been accounted for, no clear relationship emerged between frequency resolution and any of the measures of recruitment. This finding does not support the notion that frequency resolution and recruitment are specifically related. Rather, PTCs provide information complementary to measures of recruitment. Sentence B: To observe the alterations of auditory brainstem response (ABR) in guinea pigs with gentamicin-induced hearing loss under awake and anesthetic conditions. ###Answer 1. Changed Explanation: In Sentence A, the target word ""hearing loss"" is used to describe a specific type of cochlear dysfunction. The context suggests that the term refers to a loss of sensitivity to certain frequencies, as the sentence discusses the relationship between frequency resolution and recruitment in patients with hearing loss. The term is not associated with any negative connotations. In Sentence B, the target word ""hearing loss"" is used in a different context. The sentence describes an experiment examining the effects of gentamicin on auditory brainstem response in guinea pigs. The term is associated with a loss of auditory function, and the context suggests that the term refers to a specific type of hearing impairment. The term carries some negative connotations, as it is used in the context of a research study investigating a potential cause of hearing loss. Based on these differences in context and meaning, it can be determined that the term ""hearing loss"" has undergone semantic drift between the two sentences. The term has shifted from a neutral or positive term used to describe a specific type of cochlear dysfunction to a term associated with a loss of auditory function and carrying some negative connotations. Therefore, the label ""Changed"" is appropriate." 96,Hearing loss,Otitis media with effusion (OME) is the most common cause of acquired hearing loss in childhood and has been associated with delayed language development and behavioural problems. Some have argued that children should be screened and treated early if found to have clinically important OME. The aim of this review was to assess evidence from randomized controlled trials about the effectiveness of screening and treating children with clinically important OME in the first 4 years of their life. The primary outcome was language development.,"The Mouse Genomes Project is an ongoing collaborative effort to sequence the genomes of the common laboratory mouse strains. In 2011, the initial analysis of sequence variation across 17 strains found 56.7 M unique single nucleotide polymorphisms (SNPs) and 8.8 M indels. We carry out deep sequencing of 13 additional inbred strains (BUB/BnJ, C57BL/10J, C57BR/cdJ, C58/J, DBA/1J, I/LnJ, KK/HiJ, MOLF/EiJ, NZB/B1NJ, NZW/LacJ, RF/J, SEA/GnJ and ST/bJ), cataloguing molecular variation within and across the strains. These strains include important models for immune response, leukaemia, age-related hearing loss and rheumatoid arthritis. We now have several examples of fully sequenced closely related strains that are divergent for several disease phenotypes.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Hearing loss Sentence A: Otitis media with effusion (OME) is the most common cause of acquired hearing loss in childhood and has been associated with delayed language development and behavioural problems. Some have argued that children should be screened and treated early if found to have clinically important OME. The aim of this review was to assess evidence from randomized controlled trials about the effectiveness of screening and treating children with clinically important OME in the first 4 years of their life. The primary outcome was language development. Sentence B: The Mouse Genomes Project is an ongoing collaborative effort to sequence the genomes of the common laboratory mouse strains. In 2011, the initial analysis of sequence variation across 17 strains found 56.7 M unique single nucleotide polymorphisms (SNPs) and 8.8 M indels. We carry out deep sequencing of 13 additional inbred strains (BUB/BnJ, C57BL/10J, C57BR/cdJ, C58/J, DBA/1J, I/LnJ, KK/HiJ, MOLF/EiJ, NZB/B1NJ, NZW/LacJ, RF/J, SEA/GnJ and ST/bJ), cataloguing molecular variation within and across the strains. These strains include important models for immune response, leukaemia, age-related hearing loss and rheumatoid arthritis. We now have several examples of fully sequenced closely related strains that are divergent for several disease phenotypes. ###Answer 1. Changed Explanation: In Sentence A, the target word ""hearing loss"" is used to describe a specific medical condition (otitis media with effusion) that affects children. The context suggests that this type of hearing loss is a significant problem, associated with delayed language development and behavioural problems. In Sentence B, the target word ""hearing loss"" is used in a different context, to describe a general characteristic of laboratory mice. The context suggests that this type of hearing loss is not a significant problem, as it is described as a ""disease phenotype"" in the sentence. Therefore, the meaning of the target word has shifted from a specific medical condition to a general characteristic, indicating semantic drift." 97,Hearing loss,"The diagnosis of vestibulocochlear nerve and statoacoustic organ lesions is based on the symptoms vertigo, hearing loss and tinnitus. The most common diseases are vestibular neuronitis, Ménière's disease, benign positional vertigo and sudden hearing loss. 6 patients are presented, complaining of at least one of the symptoms vertigo, hearing loss or tinnitus. They were suspected of suffering from a peripheral audiovestibular disease when admitted to the clinic, but all of them revealed other pathologies. A careful history and step-wise otoneurologic diagnostics including clinical examination, otoneurologic testing, audiologic tests, electronystagmography, acoustic evoked potentials and imaging techniques finally resulted in the correct diagnosis.","Superior vena cava syndrome (SVCS) is an oncological emergency. It is expected that the incidence of SVCS may rise with the increase in usage of central lines for both oncological and non-oncological reasons. The authors of this article present a case study in which a 56-year-old female patient presented at the emergency department with a three-week history of facial swelling, significant hearing loss, unrelenting cough, hoarseness, and swelling of the arms, chest and upper back. A CT scan demonstrated total occlusion of the superior vena cava, confirming SVCS. In this case report, the authors present a discussion of the causes of SVCS, its clinical presentation in relation to this patient's history, and the intervention provided to this patient.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Hearing loss Sentence A: The diagnosis of vestibulocochlear nerve and statoacoustic organ lesions is based on the symptoms vertigo, hearing loss and tinnitus. The most common diseases are vestibular neuronitis, Ménière's disease, benign positional vertigo and sudden hearing loss. 6 patients are presented, complaining of at least one of the symptoms vertigo, hearing loss or tinnitus. They were suspected of suffering from a peripheral audiovestibular disease when admitted to the clinic, but all of them revealed other pathologies. A careful history and step-wise otoneurologic diagnostics including clinical examination, otoneurologic testing, audiologic tests, electronystagmography, acoustic evoked potentials and imaging techniques finally resulted in the correct diagnosis. Sentence B: Superior vena cava syndrome (SVCS) is an oncological emergency. It is expected that the incidence of SVCS may rise with the increase in usage of central lines for both oncological and non-oncological reasons. The authors of this article present a case study in which a 56-year-old female patient presented at the emergency department with a three-week history of facial swelling, significant hearing loss, unrelenting cough, hoarseness, and swelling of the arms, chest and upper back. A CT scan demonstrated total occlusion of the superior vena cava, confirming SVCS. In this case report, the authors present a discussion of the causes of SVCS, its clinical presentation in relation to this patient's history, and the intervention provided to this patient. ###Answer 1. Changed Reasoning: The meaning of ""hearing loss"" in Sentence B is different from its meaning in Sentence A. In Sentence A, ""hearing loss"" refers to a specific type of peripheral audiovestibular disease, such as vestibular neuronitis or Ménière's disease. In contrast, in Sentence B, ""hearing loss"" is used to describe a symptom of a different condition, Superior vena cava syndrome (SVCS), which is an oncological emergency. The context and meaning of the term have shifted, indicating semantic drift has occurred." 98,Hearing loss,"In 33 Menière patients (42 ears) the therapeutic effects of Dyazide (50 mg triamterene and 25 mg hydrochlorothiazide) were investigated in a cross-over placebo-controlled study. The hearing was measured by tone and speech audiometry whereas tinnitus and vertigo were recorded using fixed scales. In this study, Dyazide was found to have no significant effect on hearing or tinnitus. However, the vestibular complaints decreased significantly during the Dyazide treatment. Ears with a positive glycerol or furosemide test and ears with a fluctuating hearing loss did not show significant differences in hearing thresholds between the two periods in the trial. Of the 33 patients 17 had a distinct preference for Dyazide whereas 3 patients chose the placebo. The remaining 13 patients had no preference.","To search for predictive factors for language development measured by two receptive language tests for children, the Galker test (a word-recognition-in-noise test) testing hearing and vocabulary, and the Danish version of Reynell Developmental Language Scale (2nd revision, RDLS II) test, a language comprehension test. The study analysed if information about background variables and parents and pre-school teachers was predictive for test scores; if earlier middle ear disease, actual hearing loss and tympanometry was important for language development; and if the two receptive tests differed in terms of the degree to which variables were able to predict test scores at the age of three to five years.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Hearing loss Sentence A: In 33 Menière patients (42 ears) the therapeutic effects of Dyazide (50 mg triamterene and 25 mg hydrochlorothiazide) were investigated in a cross-over placebo-controlled study. The hearing was measured by tone and speech audiometry whereas tinnitus and vertigo were recorded using fixed scales. In this study, Dyazide was found to have no significant effect on hearing or tinnitus. However, the vestibular complaints decreased significantly during the Dyazide treatment. Ears with a positive glycerol or furosemide test and ears with a fluctuating hearing loss did not show significant differences in hearing thresholds between the two periods in the trial. Of the 33 patients 17 had a distinct preference for Dyazide whereas 3 patients chose the placebo. The remaining 13 patients had no preference. Sentence B: To search for predictive factors for language development measured by two receptive language tests for children, the Galker test (a word-recognition-in-noise test) testing hearing and vocabulary, and the Danish version of Reynell Developmental Language Scale (2nd revision, RDLS II) test, a language comprehension test. The study analysed if information about background variables and parents and pre-school teachers was predictive for test scores; if earlier middle ear disease, actual hearing loss and tympanometry was important for language development; and if the two receptive tests differed in terms of the degree to which variables were able to predict test scores at the age of three to five years. ###Answer 1. Changed (Sentence B) Explanation: In Sentence A, the term ""hearing loss"" is used in the context of Menière's disease, where it refers to a specific type of inner ear disorder that causes vertigo, tinnitus, and hearing loss. The sentence does not convey any negative connotations or associations with the term. In Sentence B, the term ""hearing loss"" is used in a different context, referring to a more general type of hearing impairment. The sentence also implies that hearing loss can have negative consequences for language development, as the study is looking for predictive factors for language development in children with hearing loss. The term ""hearing loss"" is associated with a sense of loss or impairment, which is not present in Sentence A. Therefore, the label ""Changed"" is appropriate for Sentence B." 99,Hearing loss,"Missense mutations in the coagulation factor C homology (COCH) gene (14q12-q13) cause the autosomal dominant sensorineural hearing loss and vestibular disorder DFNA9 (OMIM 603196), and a high prevalence of symptoms of Meniere disease (MD) has been described in families with a mutation in the COCH gene. In this study, we search for mutations in the COCH gene in peripheral blood from patients with definite MD. DNA was extracted from peripheral blood cells of 30 individuals with MD and 30 controls. Exons 4 and 5 of the COCH gene were amplified by PCR reaction, using primer pairs flanking both exons. Sequences were analysed by a DNA sequencing system and compared with the published COCH cDNA sequence. No differences were found in the nucleotide sequences of exons 4 and 5 in the COCH gene in patients with definite sporadic MD when they were compared with the control group. Patients with definite MD have a low prevalence of mutations in exons 4 and 5 of the COCH gene.","Circulating microRNAs (miRNAs) have attracted interests as non-invasive biomarkers of physiological and pathological conditions, which may be applied in noise-induced hearing loss (NIHL). However, no epidemiology studies have yet examined the potential effects of NIHL or noise exposure on miRNA expression profiles.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Hearing loss Sentence A: Missense mutations in the coagulation factor C homology (COCH) gene (14q12-q13) cause the autosomal dominant sensorineural hearing loss and vestibular disorder DFNA9 (OMIM 603196), and a high prevalence of symptoms of Meniere disease (MD) has been described in families with a mutation in the COCH gene. In this study, we search for mutations in the COCH gene in peripheral blood from patients with definite MD. DNA was extracted from peripheral blood cells of 30 individuals with MD and 30 controls. Exons 4 and 5 of the COCH gene were amplified by PCR reaction, using primer pairs flanking both exons. Sequences were analysed by a DNA sequencing system and compared with the published COCH cDNA sequence. No differences were found in the nucleotide sequences of exons 4 and 5 in the COCH gene in patients with definite sporadic MD when they were compared with the control group. Patients with definite MD have a low prevalence of mutations in exons 4 and 5 of the COCH gene. Sentence B: Circulating microRNAs (miRNAs) have attracted interests as non-invasive biomarkers of physiological and pathological conditions, which may be applied in noise-induced hearing loss (NIHL). However, no epidemiology studies have yet examined the potential effects of NIHL or noise exposure on miRNA expression profiles. ###Answer 1. Changed 2. Unchanged Explanation: In Sentence A, the target word ""hearing loss"" is used to describe an autosomal dominant genetic disorder causing sensorineural hearing loss and vestibular disorder. The sentence also mentions ""Meniere disease"" (MD) as a related condition. In this context, ""hearing loss"" connotes a specific medical condition with a clear definition and implications for patient diagnosis and treatment. In Sentence B, the target word ""hearing loss"" is used in a different context, describing the potential effects of noise exposure on the body. The sentence does not mention any specific medical condition or diagnosis, but rather uses ""hearing loss"" as a general term to describe the potential impact of noise on hearing function. In this context, ""hearing loss"" connotes a more general and abstract concept, unrelated to any specific medical condition. Based on these differences in context and meaning, it is clear that the target word ""hearing loss"" has undergone a significant change in meaning between Sentence A and Sentence B. Therefore, the label ""Changed"" is appropriate." 0,Dyslexia,"If reading disabilities were the result of developmental lags, disabled readers should catch up to their peers in proficiency at maturity. As a test of this hypothesis, current literacy skills were assessed for adults who did, and did not, have childhood reading disabilities. Contrary to the developmental lag hypothesis, most of the former group remained poor readers in adulthood, in many cases reading more than two standard deviations below levels predicted by IQ. Both within and between groups, very similar relationships were observed between reading level and: word recognition; phonic analysis; prose comprehension; reading speed; spelling ability and error types; and tolerance for visual and semantic text transformations. Other purported characteristics of dyslexia differentiated disabled from normal adult readers with only limited success. The results have implications for theoretical, methodological, and practical issues in the study of dyslexia in childhood as well as adulthood.","Poor reading skills of developmental dyslexics persist into adulthood with standard remediation protocols having little effect. Nevertheless, reading improves if readers are induced to read faster. Here we show that this improvement can be enhanced by training. Training follows a multi-session procedure adapted to silent sentence reading, with individually set, increasingly more demanding, time constraints (letter-by-letter masking). In both typical and dyslexic adult readers, reading times are shortened and comprehension improves. After training, the dyslexic readers' performance is similar to that of typical readers; moreover, their connected text reading times and comprehension scores significantly improve in standard reading tests and are retained at 6 months post training. Identical training without time constraints proves ineffective. Our results suggest that fluent reading depends in part on rapid information processing, which then might affect perception, cognitive processing and possibly eye movements. These processes remain malleable in adulthood, even in individuals with developmental dyslexia.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dyslexia Sentence A: If reading disabilities were the result of developmental lags, disabled readers should catch up to their peers in proficiency at maturity. As a test of this hypothesis, current literacy skills were assessed for adults who did, and did not, have childhood reading disabilities. Contrary to the developmental lag hypothesis, most of the former group remained poor readers in adulthood, in many cases reading more than two standard deviations below levels predicted by IQ. Both within and between groups, very similar relationships were observed between reading level and: word recognition; phonic analysis; prose comprehension; reading speed; spelling ability and error types; and tolerance for visual and semantic text transformations. Other purported characteristics of dyslexia differentiated disabled from normal adult readers with only limited success. The results have implications for theoretical, methodological, and practical issues in the study of dyslexia in childhood as well as adulthood. Sentence B: Poor reading skills of developmental dyslexics persist into adulthood with standard remediation protocols having little effect. Nevertheless, reading improves if readers are induced to read faster. Here we show that this improvement can be enhanced by training. Training follows a multi-session procedure adapted to silent sentence reading, with individually set, increasingly more demanding, time constraints (letter-by-letter masking). In both typical and dyslexic adult readers, reading times are shortened and comprehension improves. After training, the dyslexic readers' performance is similar to that of typical readers; moreover, their connected text reading times and comprehension scores significantly improve in standard reading tests and are retained at 6 months post training. Identical training without time constraints proves ineffective. Our results suggest that fluent reading depends in part on rapid information processing, which then might affect perception, cognitive processing and possibly eye movements. These processes remain malleable in adulthood, even in individuals with developmental dyslexia. ###Answer 1. Changed Reasoning: In Sentence A, the term ""dyslexia"" is used to describe a condition characterized by poor reading skills due to developmental lags. The sentence implies that these lags are the primary cause of reading difficulties in individuals with dyslexia. In contrast, Sentence B uses the term ""developmental dyslexics"" to describe individuals with poor reading skills, but the sentence suggests that the reading difficulties may be due to other factors, such as slow information processing. The sentence also implies that remediation protocols can improve reading skills in these individuals. These differences in language use suggest that the meaning of the term ""dyslexia"" has shifted over time, with a greater emphasis on the idea that reading difficulties are due to cognitive processing rather than developmental lags. Therefore, the label ""Changed"" is appropriate." 1,Dyslexia,"Research by Evans et al. (Ophthal. Physiol. Opt. 15, 481-487, 1995) has demonstrated a correlation between visual processing and ocular motor factors in people with specific reading difficulties (dyslexia). In addition, research by Wilkins et al. (Ophthal. Physiol. Opt. 14, 365-370, 1994) has shown that some people with dyslexia will benefit from a reduction of perceptual symptoms of discomfort and distortion if they use individually prescribed coloured filters. Three examples of the dyslexic patients who attend at the Institute of Optometry clearly demonstrate the importance of full investigation of ocular function, including the assessment of the effect of colour on visual perception. All three patients presented with similar symptoms of asthenopia when reading. Symptoms were alleviated for the first patient by use of orthoptic treatment of an exotropia with intermittent suppression. With the second patient, ocular motor functions were found to be within acceptable limits and relief of symptoms was obtained by the prescribing of lenses of a specific chromaticity. For the third patient, both orthoptic intervention and the use of specifically tinted lenses were necessary to relieve the visual difficulties that were being experienced. By taking advantage of recent research and developments in optometric instrumentation, it is possible for some of those with dyslexia to receive considerable benefit from optometric intervention.","Developmental dyslexia is a reading disorder often characterized by reduced awareness of speech units. Whether the neural source of this phonological disorder in dyslexic readers results from the malfunctioning of the primary auditory system or damaged feedback communication between higher-order phonological regions (i.e., left inferior frontal regions) and the auditory cortex is still under dispute. Here we recorded magnetoencephalographic (MEG) signals from 20 dyslexic readers and 20 age-matched controls while they were listening to ∼10-s-long spoken sentences. Compared to controls, dyslexic readers had (1) an impaired neural entrainment to speech in the delta band (0.5-1 Hz); (2) a reduced delta synchronization in both the right auditory cortex and the left inferior frontal gyrus; and (3) an impaired feedforward functional coupling between neural oscillations in the right auditory cortex and the left inferior frontal regions. This shows that during speech listening, individuals with developmental dyslexia present reduced neural synchrony to low-frequency speech oscillations in primary auditory regions that hinders higher-order speech processing steps. The present findings, thus, strengthen proposals assuming that improper low-frequency acoustic entrainment affects speech sampling. This low speech-brain synchronization has the strong potential to cause severe consequences for both phonological and reading skills. Interestingly, the reduced speech-brain synchronization in dyslexic readers compared to normal readers (and its higher-order consequences across the speech processing network) appears preserved through the development from childhood to adulthood. Thus, the evaluation of speech-brain synchronization could possibly serve as a diagnostic tool for early detection of children at risk of dyslexia. Hum Brain Mapp 37:2767-2783, 2016. © 2016 Wiley Periodicals, Inc.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dyslexia Sentence A: Research by Evans et al. (Ophthal. Physiol. Opt. 15, 481-487, 1995) has demonstrated a correlation between visual processing and ocular motor factors in people with specific reading difficulties (dyslexia). In addition, research by Wilkins et al. (Ophthal. Physiol. Opt. 14, 365-370, 1994) has shown that some people with dyslexia will benefit from a reduction of perceptual symptoms of discomfort and distortion if they use individually prescribed coloured filters. Three examples of the dyslexic patients who attend at the Institute of Optometry clearly demonstrate the importance of full investigation of ocular function, including the assessment of the effect of colour on visual perception. All three patients presented with similar symptoms of asthenopia when reading. Symptoms were alleviated for the first patient by use of orthoptic treatment of an exotropia with intermittent suppression. With the second patient, ocular motor functions were found to be within acceptable limits and relief of symptoms was obtained by the prescribing of lenses of a specific chromaticity. For the third patient, both orthoptic intervention and the use of specifically tinted lenses were necessary to relieve the visual difficulties that were being experienced. By taking advantage of recent research and developments in optometric instrumentation, it is possible for some of those with dyslexia to receive considerable benefit from optometric intervention. Sentence B: Developmental dyslexia is a reading disorder often characterized by reduced awareness of speech units. Whether the neural source of this phonological disorder in dyslexic readers results from the malfunctioning of the primary auditory system or damaged feedback communication between higher-order phonological regions (i.e., left inferior frontal regions) and the auditory cortex is still under dispute. Here we recorded magnetoencephalographic (MEG) signals from 20 dyslexic readers and 20 age-matched controls while they were listening to ∼10-s-long spoken sentences. Compared to controls, dyslexic readers had (1) an impaired neural entrainment to speech in the delta band (0.5-1 Hz); (2) a reduced delta synchronization in both the right auditory cortex and the left inferior frontal gyrus; and (3) an impaired feedforward functional coupling between neural oscillations in the right auditory cortex and the left inferior frontal regions. This shows that during speech listening, individuals with developmental dyslexia present reduced neural synchrony to low-frequency speech oscillations in primary auditory regions that hinders higher-order speech processing steps. The present findings, thus, strengthen proposals assuming that improper low-frequency acoustic entrainment affects speech sampling. This low speech-brain synchronization has the strong potential to cause severe consequences for both phonological and reading skills. Interestingly, the reduced speech-brain synchronization in dyslexic readers compared to normal readers (and its higher-order consequences across the speech processing network) appears preserved through the development from childhood to adulthood. Thus, the evaluation of speech-brain synchronization could possibly serve as a diagnostic tool for early detection of children at risk of dyslexia. Hum Brain Mapp 37:2767-2783, 2016. © 2016 Wiley Periodicals, Inc. ###Answer 1. Changed Reasoning: The meaning of the target word ""dyslexia"" has changed significantly between the two sentences. In Sentence A, dyslexia is defined as a correlation between visual processing and ocular motor factors, with a focus on the importance of full investigation of ocular function. In Sentence B, dyslexia is redefined as a reading disorder characterized by reduced awareness of speech units, with a focus on the neural sources of phonological disorder in the brain. The two definitions are not interchangeable, indicating that the term ""dyslexia"" has undergone semantic drift." 2,Dyslexia,"The causes of dyslexia are unknown, but previous studies have suggested an immunological basis in some cases. We hypothesised that maternal antibodies, which cross the placenta and bind to fetal antigens, could be responsible, particularly when the dyslexia recurs in consecutive pregnancies. We injected serum samples from five mothers of two or more children with dyslexia into pregnant mice, and tested the offspring for behavioural abnormalities and cerebellar metabolites by magnetic resonance spectroscopy (MRS). Mice exposed in utero to serum factors from one woman with two dyslexic children, who had also had three spontaneous fetal losses, showed deficits in motor tests which correlated with cerebellar choline (Cho) and creatine (Cr) levels. These preliminary results are consistent with a role for maternal serum factors, probably antibodies, in causing some of the features of dyslexia, and possibly in other neurodevelopmental disorders.",The purpose of the study was to examine the knowledge base of preservice teachers from the USA and the UK of dyslexia as a language-based learning disability. A survey (both US and UK versions) was constructed using current research-based understandings of dyslexia as a language-based learning disability. One hundred and one preservice teachers from the USA and 70 preservice teachers from the UK were administered the survey. Results indicated that participants in the two groups demonstrated some similar accurate knowledge about dyslexia as well as displaying some common misunderstandings about dyslexia. Recommendations concerning preservice teacher preparation and professional development for in-service teachers about dyslexia as well as future research directions are discussed.,"###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dyslexia Sentence A: The causes of dyslexia are unknown, but previous studies have suggested an immunological basis in some cases. We hypothesised that maternal antibodies, which cross the placenta and bind to fetal antigens, could be responsible, particularly when the dyslexia recurs in consecutive pregnancies. We injected serum samples from five mothers of two or more children with dyslexia into pregnant mice, and tested the offspring for behavioural abnormalities and cerebellar metabolites by magnetic resonance spectroscopy (MRS). Mice exposed in utero to serum factors from one woman with two dyslexic children, who had also had three spontaneous fetal losses, showed deficits in motor tests which correlated with cerebellar choline (Cho) and creatine (Cr) levels. These preliminary results are consistent with a role for maternal serum factors, probably antibodies, in causing some of the features of dyslexia, and possibly in other neurodevelopmental disorders. Sentence B: The purpose of the study was to examine the knowledge base of preservice teachers from the USA and the UK of dyslexia as a language-based learning disability. A survey (both US and UK versions) was constructed using current research-based understandings of dyslexia as a language-based learning disability. One hundred and one preservice teachers from the USA and 70 preservice teachers from the UK were administered the survey. Results indicated that participants in the two groups demonstrated some similar accurate knowledge about dyslexia as well as displaying some common misunderstandings about dyslexia. Recommendations concerning preservice teacher preparation and professional development for in-service teachers about dyslexia as well as future research directions are discussed. ###Answer 1. Changed Reasoning: The target word ""dyslexia"" has undergone a significant change in meaning between Sentence A (2000) and Sentence B (2020). In Sentence A, the word is used in the context of a scientific study investigating the potential causes of dyslexia, with a focus on immunological and neurodevelopmental aspects. In contrast, in Sentence B, the word is used in the context of a survey about the knowledge base of preservice teachers regarding dyslexia as a language-based learning disability. The word is no longer associated with immunological or neurodevelopmental aspects, but rather with language and learning disabilities. This shift in meaning suggests that the term ""dyslexia"" has undergone semantic drift over time." 3,Dyslexia,"This study examines morphological awareness in developmental dyslexia. While the poor phonological awareness of dyslexic children has been related to their difficulty in handling the alphabetical principle, less is known about their morphological awareness, which also plays an important part in reading development. The aim of this study was to analyze in more detail the implications of the phonological impairments of dyslexics in dealing with larger units of language such as morphemes. First, the performance of dyslexic children in a series of morphological tasks was compared with the performance of children matched on reading-level and chronological age. In all the tasks, the dyslexic group performed below the chronological age control group, suggesting that morphological awareness cannot be developed entirely independently of reading experience and/or phonological skills. Comparisons with the reading-age control group indicated that, while the dyslexic children were poorer in the morphemic segmentation tasks, they performed normally for their reading level in the sentence completion tasks. Furthermore, they produced more derived words in the production task. This suggests that phonological impairments prevent the explicit segmentation of affixes while allowing the development of productive morphological knowledge. A second study compared dyslexic subgroups defined by their degree of phonological impairment. Our results suggest that dyslexics develop a certain type of morphological knowledge which they use as a compensatory reading strategy.","Children with dyslexia and/or specific language impairment have marked deficits in phonological processing, putting them at an increased risk for reading deficits. The current study sought to examine the influence of word-level phonological and lexical characteristics on phonological awareness. Children with dyslexia and/or specific language impairment were tested using a phoneme deletion task in which stimuli differed orthogonally by sound similarity and neighborhood density. Phonological and lexical factors influenced performance differently across groups. Children with dyslexia appeared to have a more immature and aberrant pattern of phonological and lexical influence (e.g., favoring sparse and similar features). Children with SLI performed less well than children who were typically developing, but followed a similar pattern of performance (e.g., favoring dense and dissimilar features). Collectively, our results point to both quantitative and qualitative differences in lexical organization and phonological representations in children with SLI and in children with dyslexia. ","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dyslexia Sentence A: This study examines morphological awareness in developmental dyslexia. While the poor phonological awareness of dyslexic children has been related to their difficulty in handling the alphabetical principle, less is known about their morphological awareness, which also plays an important part in reading development. The aim of this study was to analyze in more detail the implications of the phonological impairments of dyslexics in dealing with larger units of language such as morphemes. First, the performance of dyslexic children in a series of morphological tasks was compared with the performance of children matched on reading-level and chronological age. In all the tasks, the dyslexic group performed below the chronological age control group, suggesting that morphological awareness cannot be developed entirely independently of reading experience and/or phonological skills. Comparisons with the reading-age control group indicated that, while the dyslexic children were poorer in the morphemic segmentation tasks, they performed normally for their reading level in the sentence completion tasks. Furthermore, they produced more derived words in the production task. This suggests that phonological impairments prevent the explicit segmentation of affixes while allowing the development of productive morphological knowledge. A second study compared dyslexic subgroups defined by their degree of phonological impairment. Our results suggest that dyslexics develop a certain type of morphological knowledge which they use as a compensatory reading strategy. Sentence B: Children with dyslexia and/or specific language impairment have marked deficits in phonological processing, putting them at an increased risk for reading deficits. The current study sought to examine the influence of word-level phonological and lexical characteristics on phonological awareness. Children with dyslexia and/or specific language impairment were tested using a phoneme deletion task in which stimuli differed orthogonally by sound similarity and neighborhood density. Phonological and lexical factors influenced performance differently across groups. Children with dyslexia appeared to have a more immature and aberrant pattern of phonological and lexical influence (e.g., favoring sparse and similar features). Children with SLI performed less well than children who were typically developing, but followed a similar pattern of performance (e.g., favoring dense and dissimilar features). Collectively, our results point to both quantitative and qualitative differences in lexical organization and phonological representations in children with SLI and in children with dyslexia. ###Answer 1. Changed Explanation: In Sentence A, the term ""dyslexia"" is used to describe a specific learning disability characterized by difficulties with phonological awareness and reading development. The phrase ""developmental dyslexia"" emphasizes the idea that dyslexia is a developmental disorder that affects children's reading abilities. The term ""morphological awareness"" is used to describe the ability to recognize and manipulate the internal structure of words, which is an important aspect of reading development. In Sentence B, the term ""dyslexia"" is used in a different context. The study examines the influence of word-level phonological and lexical characteristics on phonological awareness in children with dyslexia and/or specific language impairment. The term ""dyslexia"" is used to describe a broader range of language processing difficulties, including both phonological and lexical impairments. The phrase ""specific language impairment"" emphasizes the idea that these children have difficulty with language processing due to a specific impairment, rather than a general developmental disorder. Based on these differences in context and meaning, it can be argued that the term ""dyslexia"" has undergone semantic drift between Sentence A and Sentence B. In Sentence A, the term ""dyslexia"" is used specifically to describe a learning disability related to phonological awareness and reading development. In Sentence B, the term ""dyslexia"" is used more broadly to describe a range of language processing difficulties, including both phonological and lexical impairments. Therefore, the label ""Changed"" is appropriate to indicate that the meaning of the term ""dyslexia"" has shifted between these two sentences." 4,Dyslexia,"Eight dyslexic subjects, impaired on a range of tasks requiring phonological processing, were matched for age and general ability with six control subjects. Participants were scanned using positron emission tomography (PET) during three conditions: repeating real words, repeating pseudowords, and rest. In both groups, speech repetition relative to rest elicited widespread bilateral activation in areas associated with auditory processing of speech; there were no significant differences between words and pseudowords. However, irrespective of word type, the dyslexic group showed less activation than the control group in the right superior temporal and right post-central gyri and also in the left cerebellum. Notably, the right anterior superior temporal cortex (Brodmann's area 22 [BA 22]) was less activated in each of the eight dyslexic subjects, compared to each of the six control subjects. This deficit appears to be specific to auditory repetition as it was not detected in a previous study of reading which used the same sets of stimuli (Brunswick, N., McCrory, E., Price, C., Frith, C.D., & Frith, U. [1999]. Explicit and implicit processing of words and pseudowords by adult developmental dyslexics: A search for Wernicke's Wortschatz? Brain, 122, 1901-1917). This implies that the observed neural manifestation of developmental dyslexia is task-specific (i.e., functional rather than structural). Other studies of normal subjects indicate that attending to the phonetic structure of speech leads to a decrease in right-hemisphere processing. Lower right hemisphere activation in the dyslexic group may therefore indicate less processing of non-phonetic aspects of speech, allowing greater salience to be accorded to phonological aspects of attended speech.","Accumulating evidence from both human lesion and functional neuroimaging studies appears to support the hypothesis that the cerebellum contributes to non-motor functions. Along similar lines, cognitive, affective and behavioural changes in psychiatric disorders, such as autism, schizophrenia and dyslexia, have been linked to structural cerebellar abnormalities. The aim of this special issue was to evaluate the current knowledge base after more than 20 years of controversial discussion. The contributions of the special issue cover the most important cognitive domains, i.e., attention, memory and learning, executive control, language and visuospatial function. The available empirical evidence suggests that cognitive changes in patients with cerebellar dysfunction are mild and clearly less severe than the impairments observed after lesions to neocortical areas to which the cerebellum is closely connected via different cerebro-cerebellar loops. Frequently cited early findings, e.g., with respect to a specific cerebellar involvement in attention, have not been replicated or might be confounded by motor or working memory demands of the respective attention task. On the other hand, there is now convincing evidence for a cerebellar involvement in the mediation of a range of cognitive domains, most notably verbal working memory. Verbal working memory problems may partly underlie the compromised performance of cerebellar lesion patients on at least some complex cognitive tasks. Although investigations have moved from anecdotical case reports to hypothesis-driven controlled clinical group studies based on sound methods which are complemented by state-of-the-art functional neuroimaging studies, the empirical evidence available so far does not yet allow a convincing theory of the mechanisms of a cerebellar involvement in cognitive function. Future studies are clearly needed to further elucidate the nature of the processes linked to cerebellar mediation of cognitive processes and their possible link to motor theories of cerebellar function, e.g., its role in prediction and/or timing.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dyslexia Sentence A: Eight dyslexic subjects, impaired on a range of tasks requiring phonological processing, were matched for age and general ability with six control subjects. Participants were scanned using positron emission tomography (PET) during three conditions: repeating real words, repeating pseudowords, and rest. In both groups, speech repetition relative to rest elicited widespread bilateral activation in areas associated with auditory processing of speech; there were no significant differences between words and pseudowords. However, irrespective of word type, the dyslexic group showed less activation than the control group in the right superior temporal and right post-central gyri and also in the left cerebellum. Notably, the right anterior superior temporal cortex (Brodmann's area 22 [BA 22]) was less activated in each of the eight dyslexic subjects, compared to each of the six control subjects. This deficit appears to be specific to auditory repetition as it was not detected in a previous study of reading which used the same sets of stimuli (Brunswick, N., McCrory, E., Price, C., Frith, C.D., & Frith, U. [1999]. Explicit and implicit processing of words and pseudowords by adult developmental dyslexics: A search for Wernicke's Wortschatz? Brain, 122, 1901-1917). This implies that the observed neural manifestation of developmental dyslexia is task-specific (i.e., functional rather than structural). Other studies of normal subjects indicate that attending to the phonetic structure of speech leads to a decrease in right-hemisphere processing. Lower right hemisphere activation in the dyslexic group may therefore indicate less processing of non-phonetic aspects of speech, allowing greater salience to be accorded to phonological aspects of attended speech. Sentence B: Accumulating evidence from both human lesion and functional neuroimaging studies appears to support the hypothesis that the cerebellum contributes to non-motor functions. Along similar lines, cognitive, affective and behavioural changes in psychiatric disorders, such as autism, schizophrenia and dyslexia, have been linked to structural cerebellar abnormalities. The aim of this special issue was to evaluate the current knowledge base after more than 20 years of controversial discussion. The contributions of the special issue cover the most important cognitive domains, i.e., attention, memory and learning, executive control, language and visuospatial function. The available empirical evidence suggests that cognitive changes in patients with cerebellar dysfunction are mild and clearly less severe than the impairments observed after lesions to neocortical areas to which the cerebellum is closely connected via different cerebro-cerebellar loops. Frequently cited early findings, e.g., with respect to a specific cerebellar involvement in attention, have not been replicated or might be confounded by motor or working memory demands of the respective attention task. On the other hand, there is now convincing evidence for a cerebellar involvement in the mediation of a range of cognitive domains, most notably verbal working memory. Verbal working memory problems may partly underlie the compromised performance of cerebellar lesion patients on at least some complex cognitive tasks. Although investigations have moved from anecdotical case reports to hypothesis-driven controlled clinical group studies based on sound methods which are complemented by state-of-the-art functional neuroimaging studies, the empirical evidence available so far does not yet allow a convincing theory of the mechanisms of a cerebellar involvement in cognitive function. Future studies are clearly needed to further elucidate the nature of the processes linked to cerebellar mediation of cognitive processes and their possible link to motor theories of cerebellar function, e.g., its role in prediction and/or timing. ###Answer 1. Changed Reasoning: In Sentence A, the word ""dyslexia"" is used to describe a specific learning disability, with a focus on the phonological processing of speech. The sentence highlights the unique neural manifestation of this disability, specifically the reduced activation in the right hemisphere of the brain compared to the left hemisphere. This suggests that the meaning of the word ""dyslexia"" has shifted towards a more specific and technical definition, focusing on the neurological basis of the disorder. In Sentence B, the word ""dyslexia"" is used in a broader context, discussing the potential role of the cerebellum in cognitive function and its involvement in various cognitive disorders, including dyslexia. The sentence does not provide any specific details about the phonological processing of speech, but rather discusses the cerebellum's contribution to cognitive functions such as attention, memory, and learning. This suggests that the meaning of the word ""dyslexia"" has shifted towards a more general definition, encompassing a broader range of cognitive functions and disorders. Overall, the meaning of the word ""dyslexia"" has changed significantly between the two sentences, shifting from a specific and technical definition to a more general and broad definition. Therefore, the label ""Changed"" is appropriate." 5,Dyslexia,"The authors report findings in a 67-year-old right-handed man who had an ischemic infarct in the territory of the left posterior cerebral artery. The clinical manifestation consisted mainly of total alexia without agraphia. The patient gradually recovered, subsequently showing the syndrome of spelling dyslexia. Cerebral MR-images revealed a circumscript infarction of medial and basal parts of left temporal lobe. In the acute stage [99mTc]HM-PAO SPECT was characterized by a diminished uptake in the definitely infarcted area and hyperfixation in the region of the left forceps major. Because high retention of HM-PAO indicates potentially salvageable tissue after an ischemic event, the depicted area might be correlated with the recovery of function. Thus, the authors' neuroimaging data give further support to the assumption that the left forceps major is a critical area for global alexia, whereas spelling dyslexia is due to involvement of the left medio-basal temporal lobe.","We enrolled pediatric subjects with developmental dyslexia and, as a control group, healthy age- and sex-matched subjects without developmental dyslexia. Thyroid function was evaluated in subjects with developmental dyslexia measuring serum concentrations of thyroid-stimulating hormone (TSH), free triiodothyronine (fT3), and free thyroxine (fT4). Thyroid autoimmunity was evaluated in all subjects measuring antithyroid peroxidase (TPO-Ab) and antithyroglobulin (TG-Ab) antibodies. In subjects with developmental dyslexia, thyroid ultrasonography (US) was also performed.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dyslexia Sentence A: The authors report findings in a 67-year-old right-handed man who had an ischemic infarct in the territory of the left posterior cerebral artery. The clinical manifestation consisted mainly of total alexia without agraphia. The patient gradually recovered, subsequently showing the syndrome of spelling dyslexia. Cerebral MR-images revealed a circumscript infarction of medial and basal parts of left temporal lobe. In the acute stage [99mTc]HM-PAO SPECT was characterized by a diminished uptake in the definitely infarcted area and hyperfixation in the region of the left forceps major. Because high retention of HM-PAO indicates potentially salvageable tissue after an ischemic event, the depicted area might be correlated with the recovery of function. Thus, the authors' neuroimaging data give further support to the assumption that the left forceps major is a critical area for global alexia, whereas spelling dyslexia is due to involvement of the left medio-basal temporal lobe. Sentence B: We enrolled pediatric subjects with developmental dyslexia and, as a control group, healthy age- and sex-matched subjects without developmental dyslexia. Thyroid function was evaluated in subjects with developmental dyslexia measuring serum concentrations of thyroid-stimulating hormone (TSH), free triiodothyronine (fT3), and free thyroxine (fT4). Thyroid autoimmunity was evaluated in all subjects measuring antithyroid peroxidase (TPO-Ab) and antithyroglobulin (TG-Ab) antibodies. In subjects with developmental dyslexia, thyroid ultrasonography (US) was also performed. ###Answer 1. Changed Explanation: In Sentence A, the term ""dyslexia"" refers to a specific learning disability characterized by difficulties with reading and spelling. The context suggests that the term was used in a more specific sense, referring to a specific neurological condition. In contrast, in Sentence B, the term ""dyslexia"" is used more broadly to refer to a general developmental learning disability, without any specific neurological reference. Therefore, the meaning of the term ""dyslexia"" has changed significantly between the two sentences, indicating semantic drift." 6,Dyslexia,"A recently introduced optometric technique, colorimetry, enables the perceptual effects of ophthalmic tints to be evaluated subjectively, optimized, and then prescribed in tinted spectacles. The new technique is beneficial in reducing visual stress in patients with dyslexia and migraine. We describe an open trial designed to ascertain: (1) whether the colorimetry assessment, as it is now given, is safe for the investigation of photosensitive patients in optometry clinics where colorimetry equipment is most readily available, but where EEG control is not practical; (2) what proportion of patients with photosensitive epilepsy is likely to benefit to the extent already described in individual cases; (3) whether a tint selected by colorimetry could be shown to reduce the incidence of paroxysmal epileptiform EEG activity in response to flicker and patterns, thereby validating the subjective methods and corroborating the reported seizure reduction. Twenty-four females and nine males (aged 12-43 years) took part. All the patients had suffered visually-provoked seizures, had exhibited a photoparoxysmal response on at least one previous EEG recording, and had received a diagnosis of photosensitive epilepsy. Twenty-two were currently experiencing seizures. A further EEG was recorded in all except seven cases: a routine resting record, followed by hyperventilation. Colorimetry was performed after hyperventilation and before photic stimulation. Twenty-three (70%) reported beneficial effects during colorimetry and were prescribed glasses. There was a preponderance of lenses with a rose or purple colour, in contrast to patients with dyslexia. Seventeen of the 23 patients were available at follow-up, an average of 2.4 years later. Thirteen (57%) reported benefits, and said they were still using the lenses. In six of the 13 the benefits were pronounced, including a reduction of dizziness from fluorescent lighting, elimination of aura when using computer screens etc. Only in three cases was there a reduction in seizures that could reasonably be attributed to the use of lenses; in two of these cases no medications were prescribed, and in the third the medications remained unchanged for four years, two before and two after the introduction of the glasses. In an additional four cases a reduction in seizures was observed but medication had been changed. There was a modest reduction in EEG photosensitivity with the coloured lenses but also to an equivalent or lesser extent with grey in all of the eight patients examined in this way. One patient had seizures during colorimetry, but the seizures were not accompanied by scalp EEG changes.","The current study examined the effect of morphological knowledge on spelling development in Hebrew-speaking schoolchildren, adolescents and adults with dyslexia, compared with typically developing (TD) peers. Participants were 238 Hebrew-speaking readers of five grade levels of whom 139 were TD and 99 had developmental dyslexia (DD). Participants were tested on a function letter spelling task, a phonological awareness task and a morphological awareness task. The overall picture that emerged from the results is that performance on all measures increased with grade level, with TD participants always scoring higher than peers with DD. Moreover, the higher the morphological complexity in spelling and irregularity in noun inflection, the higher the differences between the DD and TD participants. Finally, performance on the morphological awareness task contributed to spelling morphologically more complex spelling items in the TD, but not in the DD group. From clinical and educational perspectives, these results strongly suggest that rigorous morphological instruction is necessary in teaching children and adolescents with dyslexia to identify and use morphological cues in spoken and written Hebrew. Copyright © 2017 John Wiley & Sons, Ltd.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dyslexia Sentence A: A recently introduced optometric technique, colorimetry, enables the perceptual effects of ophthalmic tints to be evaluated subjectively, optimized, and then prescribed in tinted spectacles. The new technique is beneficial in reducing visual stress in patients with dyslexia and migraine. We describe an open trial designed to ascertain: (1) whether the colorimetry assessment, as it is now given, is safe for the investigation of photosensitive patients in optometry clinics where colorimetry equipment is most readily available, but where EEG control is not practical; (2) what proportion of patients with photosensitive epilepsy is likely to benefit to the extent already described in individual cases; (3) whether a tint selected by colorimetry could be shown to reduce the incidence of paroxysmal epileptiform EEG activity in response to flicker and patterns, thereby validating the subjective methods and corroborating the reported seizure reduction. Twenty-four females and nine males (aged 12-43 years) took part. All the patients had suffered visually-provoked seizures, had exhibited a photoparoxysmal response on at least one previous EEG recording, and had received a diagnosis of photosensitive epilepsy. Twenty-two were currently experiencing seizures. A further EEG was recorded in all except seven cases: a routine resting record, followed by hyperventilation. Colorimetry was performed after hyperventilation and before photic stimulation. Twenty-three (70%) reported beneficial effects during colorimetry and were prescribed glasses. There was a preponderance of lenses with a rose or purple colour, in contrast to patients with dyslexia. Seventeen of the 23 patients were available at follow-up, an average of 2.4 years later. Thirteen (57%) reported benefits, and said they were still using the lenses. In six of the 13 the benefits were pronounced, including a reduction of dizziness from fluorescent lighting, elimination of aura when using computer screens etc. Only in three cases was there a reduction in seizures that could reasonably be attributed to the use of lenses; in two of these cases no medications were prescribed, and in the third the medications remained unchanged for four years, two before and two after the introduction of the glasses. In an additional four cases a reduction in seizures was observed but medication had been changed. There was a modest reduction in EEG photosensitivity with the coloured lenses but also to an equivalent or lesser extent with grey in all of the eight patients examined in this way. One patient had seizures during colorimetry, but the seizures were not accompanied by scalp EEG changes. Sentence B: The current study examined the effect of morphological knowledge on spelling development in Hebrew-speaking schoolchildren, adolescents and adults with dyslexia, compared with typically developing (TD) peers. Participants were 238 Hebrew-speaking readers of five grade levels of whom 139 were TD and 99 had developmental dyslexia (DD). Participants were tested on a function letter spelling task, a phonological awareness task and a morphological awareness task. The overall picture that emerged from the results is that performance on all measures increased with grade level, with TD participants always scoring higher than peers with DD. Moreover, the higher the morphological complexity in spelling and irregularity in noun inflection, the higher the differences between the DD and TD participants. Finally, performance on the morphological awareness task contributed to spelling morphologically more complex spelling items in the TD, but not in the DD group. From clinical and educational perspectives, these results strongly suggest that rigorous morphological instruction is necessary in teaching children and adolescents with dyslexia to identify and use morphological cues in spoken and written Hebrew. Copyright © 2017 John Wiley & Sons, Ltd. ###Answer 1. Changed Reasoning: In Sentence A, the term ""dyslexia"" is used in the context of a newly introduced optometric technique, and the sentence describes the benefits of this technique in reducing visual stress in patients with dyslexia and migraine. The term is used to refer to a specific condition or disorder, rather than a broader concept or idea. This suggests that the meaning of the term ""dyslexia"" has shifted in the intervening years, possibly to be more specifically tied to the visual and sensory aspects of the condition. In Sentence B, the term ""dyslexia"" is used in a different context, as part of a larger discussion of spelling development in Hebrew-speaking readers. The sentence does not provide any additional information or context that would suggest a change in the meaning of the term. Therefore, the label ""Unchanged"" is appropriate for Sentence B." 7,Dyslexia,"In tests of her ability to produce written and spoken language, this deep dyslexic patient produced semantic, visual, and derivational errors, including functor substitutions, and exhibited part-of-speech and abstractness effects in oral reading, oral and written naming, and writing to dictation, but not in repetition of single words and copying from memory. This patient therefore provides confirmation of the hypothesis presented in Nolan and Caramazza (1982) that the defining symptoms of deep dyslexia will be observed in responses to any task which requires lexical mediation. The patient's written responses in all tasks but direct copying were characterized by spelling errors which included transpositions, omissions, substitutions, and additions of letters. A model of writing is proposed which explains these errors in terms of a disruption of a phoneme-grapheme conversion process which normally functions to prevent decay of information from a Graphemic Buffer.","As some critics have stated, the term ""developmental dyslexia"" refers to a strictly human disorder, relating to a strictly human capacity - reading - so it cannot be modeled in experimental animals, much less so in lowly rodents. However, two endophenotypes associated with developmental dyslexia are eminently suitable for animal modeling: Cerebral Lateralization, as illustrated by the association between dyslexia and non-righthandedness, and Cerebrocortical Dysfunction, as illustrated by the described abnormal structural anatomy and/or physiology and functional imaging of the dyslexic cerebral cortex. This paper will provide a brief review of these two endophenotypes in human beings with developmental dyslexia and will describe the animal work done in my laboratory and that of others to try to shed light on the etiology of and neural mechanisms underlying developmental dyslexia. Some thought will also be given to future directions of the research.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dyslexia Sentence A: In tests of her ability to produce written and spoken language, this deep dyslexic patient produced semantic, visual, and derivational errors, including functor substitutions, and exhibited part-of-speech and abstractness effects in oral reading, oral and written naming, and writing to dictation, but not in repetition of single words and copying from memory. This patient therefore provides confirmation of the hypothesis presented in Nolan and Caramazza (1982) that the defining symptoms of deep dyslexia will be observed in responses to any task which requires lexical mediation. The patient's written responses in all tasks but direct copying were characterized by spelling errors which included transpositions, omissions, substitutions, and additions of letters. A model of writing is proposed which explains these errors in terms of a disruption of a phoneme-grapheme conversion process which normally functions to prevent decay of information from a Graphemic Buffer. Sentence B: As some critics have stated, the term ""developmental dyslexia"" refers to a strictly human disorder, relating to a strictly human capacity - reading - so it cannot be modeled in experimental animals, much less so in lowly rodents. However, two endophenotypes associated with developmental dyslexia are eminently suitable for animal modeling: Cerebral Lateralization, as illustrated by the association between dyslexia and non-righthandedness, and Cerebrocortical Dysfunction, as illustrated by the described abnormal structural anatomy and/or physiology and functional imaging of the dyslexic cerebral cortex. This paper will provide a brief review of these two endophenotypes in human beings with developmental dyslexia and will describe the animal work done in my laboratory and that of others to try to shed light on the etiology of and neural mechanisms underlying developmental dyslexia. Some thought will also be given to future directions of the research. ###Answer 1. Changed Reasoning: In Sentence A, the term ""deep dyslexic patient"" is used to describe someone who has difficulty with language production due to a disruption of a phoneme-grapheme conversion process. The term ""deep dyslexia"" is used to describe the symptoms of this disorder, which include semantic, visual, and derivational errors, as well as spelling errors. The context suggests that the term ""deep dyslexia"" has a specific meaning related to language production and processing. In Sentence B, the term ""developmental dyslexia"" is used to describe a strictly human disorder related to reading. The term is used in the context of animal modeling, where it is suggested that two endophenotypes associated with developmental dyslexia (cerebral lateralization and cerebrocortical dysfunction) can be studied in experimental animals. The term ""developmental dyslexia"" has a different meaning in this context, as it is used to describe a disorder that can be studied in animals. Based on these two sentences, it is clear that the term ""dyslexia"" has undergone a significant change in meaning between the two timestamps. In Sentence A, the term is used to describe a specific disorder related to language production and processing, while in Sentence B, the term is used to describe a more general disorder related to reading. Therefore, I would label this term as having undergone semantic drift." 8,Dyslexia,"We review data from our laboratory related to a view of dyslexia as a biological disorder, or deficit, caused by both structural and functional brain abnormalities. The review is focused on central auditory processing in dyslexia, and the possibility that impairments in the auditory or acoustic features of the phonological code may be at the heart of the impairments seen in dyslexia. Three methodological approaches by which to investigate central auditory processing deficits are outlined: dichotic listening (DL) to consonant-vowel syllables; magnetic resonance imaging (MRI), and the use of event-related potentials (ERPs). Consonant-vowel syllable DL is a technique for probing the functional status of phonological processing areas in the superior temporal gyrus, particularly in the left hemisphere. MRI is a corresponding structural, or morphological, measure of anatomical abnormalities in the same brain region, particularly covering the planum temporale area. The ERP technique, and particularly the mismatch negativity (MMN) component, reveals cortical dysfunctions in sensory processing and memory related to basic acoustic events. For all three approaches, the dyslexic children were seen to differ from their control counterparts, including absence of modulation of the right ear advantage (REA), in DL through shifting of attention, smaller left-sided planum temporale asymmetry, and prolonged latency in the MMN ERP complex, particularly in the time-deviant stimulus condition.","Developmental dyslexia is one of the most common neurobehavioral disorders affecting children, but prevalence data on this condition are poor. The objective of the present study is to determine the prevalence of dyslexia in Italy in an unselected school population, using clearly defined diagnostic criteria and methods.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dyslexia Sentence A: We review data from our laboratory related to a view of dyslexia as a biological disorder, or deficit, caused by both structural and functional brain abnormalities. The review is focused on central auditory processing in dyslexia, and the possibility that impairments in the auditory or acoustic features of the phonological code may be at the heart of the impairments seen in dyslexia. Three methodological approaches by which to investigate central auditory processing deficits are outlined: dichotic listening (DL) to consonant-vowel syllables; magnetic resonance imaging (MRI), and the use of event-related potentials (ERPs). Consonant-vowel syllable DL is a technique for probing the functional status of phonological processing areas in the superior temporal gyrus, particularly in the left hemisphere. MRI is a corresponding structural, or morphological, measure of anatomical abnormalities in the same brain region, particularly covering the planum temporale area. The ERP technique, and particularly the mismatch negativity (MMN) component, reveals cortical dysfunctions in sensory processing and memory related to basic acoustic events. For all three approaches, the dyslexic children were seen to differ from their control counterparts, including absence of modulation of the right ear advantage (REA), in DL through shifting of attention, smaller left-sided planum temporale asymmetry, and prolonged latency in the MMN ERP complex, particularly in the time-deviant stimulus condition. Sentence B: Developmental dyslexia is one of the most common neurobehavioral disorders affecting children, but prevalence data on this condition are poor. The objective of the present study is to determine the prevalence of dyslexia in Italy in an unselected school population, using clearly defined diagnostic criteria and methods. ###Answer 1. Changed Explanation: In Sentence A, the term ""dyslexia"" is used to describe a biological disorder or deficit caused by brain abnormalities. The sentence highlights the structural and functional changes in the brain that are associated with dyslexia. The term ""deficit"" implies a lack or shortage of something, which could be interpreted as a negative connotation. In Sentence B, the term ""developmental dyslexia"" is used, which suggests that the condition is a developmental issue, rather than a biological disorder. The term ""prevalence"" implies a more widespread or common occurrence of the condition, which could be seen as a shift in meaning towards a more positive connotation. The sentence also highlights the lack of clear diagnostic criteria and methods for the condition, which could be interpreted as a lack of understanding or recognition of the condition. Overall, the meaning of the term ""dyslexia"" has shifted from a biological disorder to a developmental issue in Sentence B compared to Sentence A. Therefore, the label ""Changed"" is appropriate for this task." 9,Dyslexia,"For diagnosing dyslexia (Legasthenie) we describe a neurological, psychiatric and psychodiagnostic examination, which was practicable for clinical use. Furthermore we critical new trends in pedagogical and school-ministerial institutions neglecting clinical facts concerning the complexities of causes, primary and secondary symptoms of reading and writing disorders. Finally various scientific efforts are reviewed which aim at gaining more precise knowledge on the correlations between physiological brain processes and the normal or disturbed learning of reading and writing.","In the present study, we used a three-time point longitudinal design to investigate the associations of morphological awareness to word reading and spelling in a small group of those with and without dyslexia taken from a larger sample of 164 Hong Kong Chinese children who remained in a longitudinal study across ages 6, 7 and 8. Among those 164 children, 15 had been diagnosed as having dyslexia by professional psychologists, and 15 other children manifested average reading ability and had been randomly selected from the sample for comparison. All children were administered a battery of tasks including Chinese character recognition, word dictation, morphological awareness, phonological awareness and rapid automatized naming. Multivariate analysis of variance and predictive discriminate analysis were performed to examine whether the dyslexic children showed differences in the cognitive-linguistic tasks in comparison with controls. Results suggested that the dyslexic groups had poorer performance in morphological awareness and RAN across all 3 years. However, phonological awareness was not stable in distinguishing the groups. Findings suggest that morphological awareness is a relatively strong correlate of spelling difficulties in Chinese, but phonological awareness is not. Copyright © 2017 John Wiley & Sons, Ltd.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dyslexia Sentence A: For diagnosing dyslexia (Legasthenie) we describe a neurological, psychiatric and psychodiagnostic examination, which was practicable for clinical use. Furthermore we critical new trends in pedagogical and school-ministerial institutions neglecting clinical facts concerning the complexities of causes, primary and secondary symptoms of reading and writing disorders. Finally various scientific efforts are reviewed which aim at gaining more precise knowledge on the correlations between physiological brain processes and the normal or disturbed learning of reading and writing. Sentence B: In the present study, we used a three-time point longitudinal design to investigate the associations of morphological awareness to word reading and spelling in a small group of those with and without dyslexia taken from a larger sample of 164 Hong Kong Chinese children who remained in a longitudinal study across ages 6, 7 and 8. Among those 164 children, 15 had been diagnosed as having dyslexia by professional psychologists, and 15 other children manifested average reading ability and had been randomly selected from the sample for comparison. All children were administered a battery of tasks including Chinese character recognition, word dictation, morphological awareness, phonological awareness and rapid automatized naming. Multivariate analysis of variance and predictive discriminate analysis were performed to examine whether the dyslexic children showed differences in the cognitive-linguistic tasks in comparison with controls. Results suggested that the dyslexic groups had poorer performance in morphological awareness and RAN across all 3 years. However, phonological awareness was not stable in distinguishing the groups. Findings suggest that morphological awareness is a relatively strong correlate of spelling difficulties in Chinese, but phonological awareness is not. Copyright © 2017 John Wiley & Sons, Ltd. ###Answer 1. Changed Reasoning: The target word ""dyslexia"" has undergone a significant change in meaning between Sentence A (2000) and Sentence B (2020). In Sentence A, the term is used in a clinical context to describe a neurological and psychiatric examination for diagnosis. In contrast, in Sentence B, the term is used in a more specific context related to a study on the associations of morphological awareness to word reading and spelling in a small group of children with and without dyslexia. The term is now more narrowly defined and focused on specific cognitive-linguistic tasks. Therefore, the meaning of the target word has changed significantly between the two sentences, indicating semantic drift." 10,Dyslexia,"Perceptual discrimination between speech sounds belonging to different phoneme categories is better than that between sounds falling within the same category. This property, known as ""categorical perception,"" is weaker in children affected by dyslexia. Categorical perception develops from the predispositions of newborns for discriminating all potential phoneme categories in the world's languages. Predispositions that are not relevant for phoneme perception in the ambient language are usually deactivated during early childhood. However, the current study shows that dyslexic children maintain a higher sensitivity to phonemic distinctions irrelevant in their linguistic environment. This suggests that dyslexic children use an allophonic mode of speech perception that, although without straightforward consequences for oral communication, has obvious implications for the acquisition of alphabetic writing. Allophonic perception specifically affects the mapping between graphemes and phonemes, contrary to other manifestations of dyslexia, and may be a core deficit.","We examined the slowing in vocal reaction times shown by dyslexic (compared to control) children with that of older (compared to younger) adults using an approach focusing on the detection of global, non-task-specific components. To address this aim, data were analyzed with reference to the difference engine (DEM) and rate and amount (RAM) models. In Experiment 1, typically developing children, children with dyslexia (both attending sixth grade), younger adults and older adults read words and non-words and named pictures. In Experiment 2, word and picture conditions were presented to dyslexic and control children attending eighth grade. In both experiments, dyslexic children were delayed in reading conditions, while they were unimpaired in naming pictures (a finding which indicates spared access to the phonological lexicon). The reading difficulty was well accounted for by a single multiplicative factor while only the residual effect of length (but not frequency and lexicality) was present after controlling for over-additivity using a linear mixed effects model with random slopes on critical variables. Older adults were slower than younger adults across reading and naming conditions. This deficit was well described by a single multiplicative factor. Thus, while slowing of information processing is limited to orthographic stimuli in dyslexic children, it cuts across verbal tasks in older adults. Overall, speed differences in groups such as dyslexic children and older adults can be effectively described with reference to deficits in domains encompassing a variety of experimental conditions rather than deficits in single specific task/conditions. The DEM and RAM prove effective in teasing out global vs. specific components of performance.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dyslexia Sentence A: Perceptual discrimination between speech sounds belonging to different phoneme categories is better than that between sounds falling within the same category. This property, known as ""categorical perception,"" is weaker in children affected by dyslexia. Categorical perception develops from the predispositions of newborns for discriminating all potential phoneme categories in the world's languages. Predispositions that are not relevant for phoneme perception in the ambient language are usually deactivated during early childhood. However, the current study shows that dyslexic children maintain a higher sensitivity to phonemic distinctions irrelevant in their linguistic environment. This suggests that dyslexic children use an allophonic mode of speech perception that, although without straightforward consequences for oral communication, has obvious implications for the acquisition of alphabetic writing. Allophonic perception specifically affects the mapping between graphemes and phonemes, contrary to other manifestations of dyslexia, and may be a core deficit. Sentence B: We examined the slowing in vocal reaction times shown by dyslexic (compared to control) children with that of older (compared to younger) adults using an approach focusing on the detection of global, non-task-specific components. To address this aim, data were analyzed with reference to the difference engine (DEM) and rate and amount (RAM) models. In Experiment 1, typically developing children, children with dyslexia (both attending sixth grade), younger adults and older adults read words and non-words and named pictures. In Experiment 2, word and picture conditions were presented to dyslexic and control children attending eighth grade. In both experiments, dyslexic children were delayed in reading conditions, while they were unimpaired in naming pictures (a finding which indicates spared access to the phonological lexicon). The reading difficulty was well accounted for by a single multiplicative factor while only the residual effect of length (but not frequency and lexicality) was present after controlling for over-additivity using a linear mixed effects model with random slopes on critical variables. Older adults were slower than younger adults across reading and naming conditions. This deficit was well described by a single multiplicative factor. Thus, while slowing of information processing is limited to orthographic stimuli in dyslexic children, it cuts across verbal tasks in older adults. Overall, speed differences in groups such as dyslexic children and older adults can be effectively described with reference to deficits in domains encompassing a variety of experimental conditions rather than deficits in single specific task/conditions. The DEM and RAM prove effective in teasing out global vs. specific components of performance. ###Answer 1. Changed Reasoning: In Sentence A, the term ""dyslexia"" is used to describe a specific cognitive deficit related to phoneme perception. The sentence highlights the weaker categorical perception in children with dyslexia compared to typically developing children, and notes that this deficit is present from early childhood. In Sentence B, the term ""dyslexic"" is used to describe a group of children who are slower than their peers in reading and naming conditions. While the sentence does not explicitly state that the term ""dyslexia"" has changed in meaning, the context suggests that the term may have a different connotation in this sentence compared to Sentence A. The sentence does not focus on the specific cognitive deficit related to phoneme perception, but rather on the slower information processing in older adults and children with dyslexia. Based on these differences in context and focus, it can be argued that the term ""dyslexia"" has undergone a significant change in meaning between Sentence A and Sentence B. In Sentence A, the term is used to describe a specific cognitive deficit related to phoneme perception, while in Sentence B, the term is used more broadly to describe a group of children with slower information processing. Therefore, the label ""Changed"" is appropriate for this task." 11,Dyslexia,"Individuals with developmental language disabilities, including developmental dyslexia and specific language impairment (SLI), exhibit impairments in processing rapidly presented auditory stimuli. It has been hypothesized that these deficits are associated with concurrent deficits in speech perception and, in turn, impaired language development. Additionally, postmortem analyses of human dyslexic brains have revealed the presence of focal neocortical malformations such as cerebrocortical microgyria. In an initial study bridging these research domains, we found that male rats with induced microgyria were impaired in discriminating rapidly presented auditory stimuli. In order to further assess this anatomical- behavioral association, we designed two experiments using auditory-reflex modification. These studies were intended to assess whether auditory processing deficits in microgyric male rats would be seen in threshold detection of a silent gap in white noise, and in oddball detection of a two-tone stimulus of variable duration. Results showed no differences between sham and microgyric subjects on gap detection, but did show that microgyric subjects were impaired in the discrimination of two-tone stimuli presented in an oddball paradigm. This impairment was evident for stimuli with total duration of 64 msec or less, while both groups were able to discriminate stimuli with duration of 89 msec or greater. The current results further support the relationship between malformations of the cerebral cortex and deficits in rapid auditory processing. They also suggest that the parameters characterizing rapid auditory processing deficits for a specific task may be influenced by stimulus features and/or cognitive demand of that particular task.","Candidates with disabilities are eligible for reasonable adjustments (RA) while undertaking the national Prescribing Safety Assessment (PSA). The PSA is a novel open-book, time-constrained, multiformat assessment that may pose challenges to candidates with dyslexia and other disabilities.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dyslexia Sentence A: Individuals with developmental language disabilities, including developmental dyslexia and specific language impairment (SLI), exhibit impairments in processing rapidly presented auditory stimuli. It has been hypothesized that these deficits are associated with concurrent deficits in speech perception and, in turn, impaired language development. Additionally, postmortem analyses of human dyslexic brains have revealed the presence of focal neocortical malformations such as cerebrocortical microgyria. In an initial study bridging these research domains, we found that male rats with induced microgyria were impaired in discriminating rapidly presented auditory stimuli. In order to further assess this anatomical- behavioral association, we designed two experiments using auditory-reflex modification. These studies were intended to assess whether auditory processing deficits in microgyric male rats would be seen in threshold detection of a silent gap in white noise, and in oddball detection of a two-tone stimulus of variable duration. Results showed no differences between sham and microgyric subjects on gap detection, but did show that microgyric subjects were impaired in the discrimination of two-tone stimuli presented in an oddball paradigm. This impairment was evident for stimuli with total duration of 64 msec or less, while both groups were able to discriminate stimuli with duration of 89 msec or greater. The current results further support the relationship between malformations of the cerebral cortex and deficits in rapid auditory processing. They also suggest that the parameters characterizing rapid auditory processing deficits for a specific task may be influenced by stimulus features and/or cognitive demand of that particular task. Sentence B: Candidates with disabilities are eligible for reasonable adjustments (RA) while undertaking the national Prescribing Safety Assessment (PSA). The PSA is a novel open-book, time-constrained, multiformat assessment that may pose challenges to candidates with dyslexia and other disabilities. ###Answer 1. Changed Reasoning: In Sentence A, the term ""developmental dyslexia"" is used, which suggests a specific diagnosis or condition related to reading and language difficulties. This term was not commonly used in the past, and its usage may have been more specific to certain research contexts. In contrast, in Sentence B, the term ""dyslexia"" is used more broadly, without any specific reference to a diagnosis or condition. This suggests that the term ""dyslexia"" has shifted in meaning over time, becoming more of a generic term for any reading or language difficulties, rather than a specific diagnosis. Therefore, semantic drift has occurred in the meaning of the term ""dyslexia"" between the two sentences." 12,Dyslexia,"The purpose of the study was to investigate the use of teacher assessments in screening for learning disabilities. In a longitudinal study, 603 children were rated by their teachers in the second grade (age 8 to 9 years), and the ratings were correlated with examinations of reading, spelling, and intelligence in the third grade. The third-grade tests for reading, spelling, and intelligence classified children into groups with low achievement and dyslexia, and these two groups were compared with normally achieving children. The accuracy of teacher assessments, measured with correlation analysis, ROC curves, and kappa indices, showed that teachers were quite accurate in their judgment of low achievement, but somewhat less efficient in their judgment of specific reading difficulties.","This study had three goals: to examine the stability of deficits in the phonological and lexical routes in dyslexia (group study), to determine the prevalence of dyslexia profiles (multiple-case study), and to identify the prediction of phonemic segmentation and discrimination skills before reading acquisition on future reading level. Among a group of 373 non-readers seen at age 5, 38 students were subsequently diagnosed as either consistent dyslexic readers (18 DYS) or consistent typical readers (20 TR). Their phonological and lexical reading skills were assessed at ages 10 and 17 and their phonemic segmentation and discrimination skills at age 5. In comparison with TR of the same chronological age (CA-TR), individuals with dyslexia demonstrated an impairment of the two reading routes, especially of the phonological reading route. In the comparison with younger TR (age 10) of the same reading level (RL-TR), only a deficit of the phonological route is observed. In the multiple-case study, the comparisons with CA-TR showed a prevalence of mixed profiles and very few dissociated profiles, whereas the comparison with RL-TR resulted mostly in two profiles depending on the measure: a phonological profile when accuracy was used and a delayed profile when speed was used. In addition, the correlations between early phonemic segmentation and discrimination skills (age 5) and later reading skills (age 17) were significant, and in the group of individuals with dyslexia, early phonemic segmentation skills significantly predicted these later reading skills. Phonological reading deficits are persistent and mainly caused by early phonemic impairments.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dyslexia Sentence A: The purpose of the study was to investigate the use of teacher assessments in screening for learning disabilities. In a longitudinal study, 603 children were rated by their teachers in the second grade (age 8 to 9 years), and the ratings were correlated with examinations of reading, spelling, and intelligence in the third grade. The third-grade tests for reading, spelling, and intelligence classified children into groups with low achievement and dyslexia, and these two groups were compared with normally achieving children. The accuracy of teacher assessments, measured with correlation analysis, ROC curves, and kappa indices, showed that teachers were quite accurate in their judgment of low achievement, but somewhat less efficient in their judgment of specific reading difficulties. Sentence B: This study had three goals: to examine the stability of deficits in the phonological and lexical routes in dyslexia (group study), to determine the prevalence of dyslexia profiles (multiple-case study), and to identify the prediction of phonemic segmentation and discrimination skills before reading acquisition on future reading level. Among a group of 373 non-readers seen at age 5, 38 students were subsequently diagnosed as either consistent dyslexic readers (18 DYS) or consistent typical readers (20 TR). Their phonological and lexical reading skills were assessed at ages 10 and 17 and their phonemic segmentation and discrimination skills at age 5. In comparison with TR of the same chronological age (CA-TR), individuals with dyslexia demonstrated an impairment of the two reading routes, especially of the phonological reading route. In the comparison with younger TR (age 10) of the same reading level (RL-TR), only a deficit of the phonological route is observed. In the multiple-case study, the comparisons with CA-TR showed a prevalence of mixed profiles and very few dissociated profiles, whereas the comparison with RL-TR resulted mostly in two profiles depending on the measure: a phonological profile when accuracy was used and a delayed profile when speed was used. In addition, the correlations between early phonemic segmentation and discrimination skills (age 5) and later reading skills (age 17) were significant, and in the group of individuals with dyslexia, early phonemic segmentation skills significantly predicted these later reading skills. Phonological reading deficits are persistent and mainly caused by early phonemic impairments. ###Answer 1. Changed Reasoning: In Sentence A, the term ""dyslexia"" is used to describe a specific learning disability, specifically the difficulty in learning to read and spell. The sentence highlights the teacher assessments' accuracy in identifying low achievement and specific reading difficulties, but also notes that teachers were less efficient in identifying specific reading difficulties. This suggests that the term ""dyslexia"" had a more specific meaning in 2000, focused on the identification of reading difficulties. In Sentence B, the term ""dyslexia"" is used to describe a broader range of reading difficulties, including both phonological and lexical reading routes. The sentence highlights the impairment of the phonological reading route in individuals with dyslexia, but also notes that the deficit is more pronounced in the phonological reading route. This suggests that the term ""dyslexia"" has shifted in meaning over time, expanding to include a broader range of reading difficulties. Therefore, the label ""Changed"" is appropriate for this task, as the meaning of the term ""dyslexia"" has shifted over time to encompass a broader range of reading difficulties." 13,Dyslexia,"Multiple sensory abnormalities have been reported in individuals with developmental dyslexia, especially in the visual and auditory systems. We used gratings of alternating ridges and grooves to investigate tactile perception in this disorder using two tasks: spatial acuity-dependent discrimination of grating orientation and discrimination of gratings varying in ridge width. Compared to age-matched normal subjects, dyslexics were significantly impaired on grating orientation discrimination, with mean thresholds that were nearly twice normal. Unlike normal subjects, their performance on this task was slightly but significantly worse on the dominant hand than on the non-dominant hand. Dyslexics also showed a substantial but non-significant trend for impairment on grating ridge width discrimination. A group of subjects with attention deficit disorder did not differ significantly from normal on any of these measures. These findings expand the range of perceptual deficits reported in developmental dyslexia. Possible explanations for the results, including difficulties with temporal processing, abnormal lateral masking or parietal lobe dysfunction are discussed.","Dyslexia is a neurodevelopmental disorder which occurs in childhood but continues to influence academic and occupational function in adulthood. Recently, a Japanese dyslexia questionnaire and diagnostic procedure was established for primary school children. However, there is currently no procedure for the diagnosis or screening of dyslexia in individuals at or above junior high school age; accordingly, we aimed to develop a questionnaire to screen for reading difficulties in those individuals.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dyslexia Sentence A: Multiple sensory abnormalities have been reported in individuals with developmental dyslexia, especially in the visual and auditory systems. We used gratings of alternating ridges and grooves to investigate tactile perception in this disorder using two tasks: spatial acuity-dependent discrimination of grating orientation and discrimination of gratings varying in ridge width. Compared to age-matched normal subjects, dyslexics were significantly impaired on grating orientation discrimination, with mean thresholds that were nearly twice normal. Unlike normal subjects, their performance on this task was slightly but significantly worse on the dominant hand than on the non-dominant hand. Dyslexics also showed a substantial but non-significant trend for impairment on grating ridge width discrimination. A group of subjects with attention deficit disorder did not differ significantly from normal on any of these measures. These findings expand the range of perceptual deficits reported in developmental dyslexia. Possible explanations for the results, including difficulties with temporal processing, abnormal lateral masking or parietal lobe dysfunction are discussed. Sentence B: Dyslexia is a neurodevelopmental disorder which occurs in childhood but continues to influence academic and occupational function in adulthood. Recently, a Japanese dyslexia questionnaire and diagnostic procedure was established for primary school children. However, there is currently no procedure for the diagnosis or screening of dyslexia in individuals at or above junior high school age; accordingly, we aimed to develop a questionnaire to screen for reading difficulties in those individuals. ###Answer 1. Changed The meaning of the target word ""dyslexia"" has significantly shifted between Sentence A and Sentence B. In Sentence A, the term is used to describe a neurodevelopmental disorder characterized by sensory abnormalities, particularly in the visual and auditory systems. The sentence also touches on the potential causes of the disorder, such as difficulties with temporal processing, abnormal lateral masking, or parietal lobe dysfunction. In contrast, Sentence B uses the term to describe a neurodevelopmental disorder that occurs in childhood but continues to affect academic and occupational function in adulthood. The sentence also mentions the development of a questionnaire for screening reading difficulties in individuals at or above junior high school age. This shift in meaning suggests that the term ""dyslexia"" has undergone semantic drift, as its meaning has expanded to include a broader range of cognitive and academic difficulties." 14,Dyslexia,"This case study concerns a 25-year-old right-handed male patient (G.G.) with post-traumatic lesions involving the right temporal and occipital lobe as well as the basal forebrain of the same side. G.G., who had a visual field defect almost limited to the upper left quadrant, showed both left horizontal and lower vertical neglect dyslexia, disproportionately severe when compared with left and lower visuo-spatial neglect. This is the first case report of a patient whose neglect dyslexia for vertical stimuli depended upon stimulus orientation, i.e., errors affected the final letters of top-down words and the initial letters of the bottom-up ones. This implies that neglect dyslexia can affect the internal letter shape map not only along the horizontal, but also along the vertical axis.","Many children with reading difficulties display phonological deficits and struggle to acquire non-lexical reading skills. However, not all children with reading difficulties have these problems, such as children with selective letter position dyslexia (LPD), who make excessive migration errors (such as reading slime as ""smile""). Previous research has explored three possible loci for the deficit - the phonological output buffer, the orthographic input lexicon, and the orthographic-visual analysis stage of reading. While there is compelling evidence against a phonological output buffer and orthographic input lexicon deficit account of English LPD, the evidence in support of an orthographic-visual analysis deficit is currently limited. In this multiple single-case study with three English-speaking children with developmental LPD, we aimed to both replicate and extend previous findings regarding the locus of impairment in English LPD. First, we ruled out a phonological output buffer and an orthographic input lexicon deficit by administering tasks that directly assess phonological processing and lexical guessing. We then went on to directly assess whether or not children with LPD have an orthographic-visual analysis deficit by modifying two tasks that have previously been used to localize processing at this level: a same-different decision task and a non-word reading task. The results from these tasks indicate that LPD is most likely caused by a deficit specific to the coding of letter positions at the orthographic-visual analysis stage of reading. These findings provide further evidence for the heterogeneity of dyslexia and its underlying causes. ","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dyslexia Sentence A: This case study concerns a 25-year-old right-handed male patient (G.G.) with post-traumatic lesions involving the right temporal and occipital lobe as well as the basal forebrain of the same side. G.G., who had a visual field defect almost limited to the upper left quadrant, showed both left horizontal and lower vertical neglect dyslexia, disproportionately severe when compared with left and lower visuo-spatial neglect. This is the first case report of a patient whose neglect dyslexia for vertical stimuli depended upon stimulus orientation, i.e., errors affected the final letters of top-down words and the initial letters of the bottom-up ones. This implies that neglect dyslexia can affect the internal letter shape map not only along the horizontal, but also along the vertical axis. Sentence B: Many children with reading difficulties display phonological deficits and struggle to acquire non-lexical reading skills. However, not all children with reading difficulties have these problems, such as children with selective letter position dyslexia (LPD), who make excessive migration errors (such as reading slime as ""smile""). Previous research has explored three possible loci for the deficit - the phonological output buffer, the orthographic input lexicon, and the orthographic-visual analysis stage of reading. While there is compelling evidence against a phonological output buffer and orthographic input lexicon deficit account of English LPD, the evidence in support of an orthographic-visual analysis deficit is currently limited. In this multiple single-case study with three English-speaking children with developmental LPD, we aimed to both replicate and extend previous findings regarding the locus of impairment in English LPD. First, we ruled out a phonological output buffer and an orthographic input lexicon deficit by administering tasks that directly assess phonological processing and lexical guessing. We then went on to directly assess whether or not children with LPD have an orthographic-visual analysis deficit by modifying two tasks that have previously been used to localize processing at this level: a same-different decision task and a non-word reading task. The results from these tasks indicate that LPD is most likely caused by a deficit specific to the coding of letter positions at the orthographic-visual analysis stage of reading. These findings provide further evidence for the heterogeneity of dyslexia and its underlying causes. ###Answer 1. Changed Explanation: In Sentence A, the term ""dyslexia"" is used to describe a specific cognitive deficit involving visual neglect. The context suggests that the term was used to describe a relatively rare condition, with specific symptoms involving neglect of certain visual stimuli. In contrast, in Sentence B, the term ""dyslexia"" is used more broadly to describe a range of reading difficulties, including phonological deficits and letter position dyslexia. The context suggests that the term was used to describe a more common condition, with a broader range of symptoms. Therefore, the meaning of the term ""dyslexia"" has shifted from a relatively specific condition to a more general term encompassing a broader range of reading difficulties. This represents a significant change in the meaning of the term, indicating semantic drift." 15,Dyslexia,"The effectiveness of the 'conventional' approach to helping children with dyslexia to acquire literacy has been questioned by Reynolds et al. (Dyslexia 2003). Data are presented in this reply to support the effectiveness of Reading Intervention, a conventional approach to teaching reading delayed children.","Despite over 100 years of research, dyslexia continues to be controversial because of the failure to agree on a definition and underlying causes, as well as the funding implications. This article identifies evidence-based factors that influence the development of reading and may cause difficulties, and the areas of continuing controversy.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dyslexia Sentence A: The effectiveness of the 'conventional' approach to helping children with dyslexia to acquire literacy has been questioned by Reynolds et al. (Dyslexia 2003). Data are presented in this reply to support the effectiveness of Reading Intervention, a conventional approach to teaching reading delayed children. Sentence B: Despite over 100 years of research, dyslexia continues to be controversial because of the failure to agree on a definition and underlying causes, as well as the funding implications. This article identifies evidence-based factors that influence the development of reading and may cause difficulties, and the areas of continuing controversy. ###Answer 1. Changed Explanation: The meaning of the target word ""dyslexia"" has shifted significantly between Sentence A (2003) and Sentence B (2020). In Sentence A, the term is used to describe a specific approach to teaching reading to children with learning difficulties. In Sentence B, the term is used more broadly to describe a condition that is still controversial and lacks a clear definition and underlying causes. The shift in meaning suggests that semantic drift has occurred." 16,Dyslexia,"We examined the frequency of left-handedness, various immune disorders, and comparison disorders in 87 dyslexics and 86 nondyslexics from 14 extended dyslexic families. These families were participants in our genetic linkage studies of dyslexia, which found linkage to chromosome 15 in some families but not others. In the present study, we found a significant elevation of both autoimmune and allergic disorders in the dyslexics only, but no elevation in mixed- or left-handedness in either group. Moreover, the frequency of immune disorders was not higher in the mixed- or left-handed subjects. There was also no elevation in the comparison disorders, which argues against an overreporting bias. The elevation of immune disorders did not vary with linkage status, arguing against a common cause for dyslexia and immune disorders. These findings are discussed in light of Geschwind's hypothesis of a testosterone-mediated association within families between left-handedness, immune disorders, and dyslexia.","Auditory processing of temporal information in speech is sustained by synchronized firing of neurons along the entire auditory pathway. In school-aged children and adults with dyslexia, neural synchronization deficits have been found at cortical levels of the auditory system, however, these deficits do not appear to be present in pre-reading children. An alternative role for subcortical synchronization in reading development and dyslexia has been suggested, but remains debated. By means of a longitudinal study, we assessed cognitive reading-related skills and subcortical auditory steady-state responses (80 Hz ASSRs) in a group of children before formal reading instruction (pre-reading), after 1 year of formal reading instruction (beginning reading), and after 3 years of formal reading instruction (more advanced reading). Children were retrospectively classified into three groups based on family risk and literacy achievement: typically developing children without a family risk for dyslexia, typically developing children with a family risk for dyslexia, and children who developed dyslexia. Our results reveal that children who developed dyslexia demonstrate decreased 80 Hz ASSRs at the pre-reading stage. This effect is no longer present after the onset of reading instruction, due to an atypical developmental increase in 80 Hz ASSRs between the pre-reading and the beginning reading stage. A forward stepwise logistic regression analysis showed that literacy achievement was predictable with an accuracy of 90.4% based on a model including three significant predictors, that is, family risk for dyslexia (R = .31), phonological awareness (R = .23), and 80 Hz ASSRs (R = .26). Given that (1) abnormalities in subcortical ASSRs preceded reading acquisition in children who developed dyslexia and (2) subcortical ASSRs contributed to the prediction of literacy achievement, subcortical auditory synchronization deficits may constitute a pre-reading risk factor in the emergence of dyslexia.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dyslexia Sentence A: We examined the frequency of left-handedness, various immune disorders, and comparison disorders in 87 dyslexics and 86 nondyslexics from 14 extended dyslexic families. These families were participants in our genetic linkage studies of dyslexia, which found linkage to chromosome 15 in some families but not others. In the present study, we found a significant elevation of both autoimmune and allergic disorders in the dyslexics only, but no elevation in mixed- or left-handedness in either group. Moreover, the frequency of immune disorders was not higher in the mixed- or left-handed subjects. There was also no elevation in the comparison disorders, which argues against an overreporting bias. The elevation of immune disorders did not vary with linkage status, arguing against a common cause for dyslexia and immune disorders. These findings are discussed in light of Geschwind's hypothesis of a testosterone-mediated association within families between left-handedness, immune disorders, and dyslexia. Sentence B: Auditory processing of temporal information in speech is sustained by synchronized firing of neurons along the entire auditory pathway. In school-aged children and adults with dyslexia, neural synchronization deficits have been found at cortical levels of the auditory system, however, these deficits do not appear to be present in pre-reading children. An alternative role for subcortical synchronization in reading development and dyslexia has been suggested, but remains debated. By means of a longitudinal study, we assessed cognitive reading-related skills and subcortical auditory steady-state responses (80 Hz ASSRs) in a group of children before formal reading instruction (pre-reading), after 1 year of formal reading instruction (beginning reading), and after 3 years of formal reading instruction (more advanced reading). Children were retrospectively classified into three groups based on family risk and literacy achievement: typically developing children without a family risk for dyslexia, typically developing children with a family risk for dyslexia, and children who developed dyslexia. Our results reveal that children who developed dyslexia demonstrate decreased 80 Hz ASSRs at the pre-reading stage. This effect is no longer present after the onset of reading instruction, due to an atypical developmental increase in 80 Hz ASSRs between the pre-reading and the beginning reading stage. A forward stepwise logistic regression analysis showed that literacy achievement was predictable with an accuracy of 90.4% based on a model including three significant predictors, that is, family risk for dyslexia (R = .31), phonological awareness (R = .23), and 80 Hz ASSRs (R = .26). Given that (1) abnormalities in subcortical ASSRs preceded reading acquisition in children who developed dyslexia and (2) subcortical ASSRs contributed to the prediction of literacy achievement, subcortical auditory synchronization deficits may constitute a pre-reading risk factor in the emergence of dyslexia. ###Answer 1. Changed Reasoning: In Sentence A, the term ""dyslexia"" is used to describe a learning disorder characterized by difficulties with reading and spelling. The sentence highlights the genetic and environmental factors that contribute to the development of dyslexia, as well as the findings of genetic linkage studies. The term ""dyslexia"" is used in a neutral manner, without any connotation of negative or positive association. In Sentence B, the term ""dyslexia"" is used to describe a neurological disorder that affects the processing of temporal information in speech. The sentence highlights the neural synchronization deficits found in children with dyslexia, as well as the role of subcortical auditory synchronization in reading development and dyslexia. The term ""dyslexia"" is used in a more positive manner, emphasizing the potential pre-reading risk factor in the emergence of dyslexia. Based on the context and meaning of the term ""dyslexia"" in each sentence, it is clear that the term has undergone a significant change in meaning or connotation between the two timestamps. In Sentence A, the term is used in a neutral manner, while in Sentence B, the term is used in a more positive manner, highlighting the potential pre-reading risk factor in the emergence of dyslexia. Therefore, the label ""Changed"" is appropriate." 17,Dyslexia,"Studies of deep dyslexia have conferred prominence upon observations of semantic paralexia (e.g. reading ""town"" as ""city""). Landis et al. (Neuropsychologia 21, 359-364, 1983) have reported evidence indicating that such errors arise in the right hemisphere. However, Marshall and Patterson (Neuropsychologia 21, 425-427, 1983) have advanced both empirical and theoretical arguments against this interpretation: the present paper examines these arguments and finds them seriously flawed. It therefore concludes in favour of the right-hemisphere hypothesis for semantic paralexia.","Developmental disorders of reading and spelling have long been associated with increased left- and mixed-handedness but the evidence has been controversial. The right shift (RS) theory of handedness and cerebral dominance, developed by Annett from 1972 onward, offers resolutions to several puzzles about laterality in the so-called dyslexias. This review of findings in the light of the theory shows that ""phonological"" dyslexics are less likely to be right-handed, while ""surface"" or ""dyseidetic"" dyslexics are more likely to be right-handed than the general population.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dyslexia Sentence A: Studies of deep dyslexia have conferred prominence upon observations of semantic paralexia (e.g. reading ""town"" as ""city""). Landis et al. (Neuropsychologia 21, 359-364, 1983) have reported evidence indicating that such errors arise in the right hemisphere. However, Marshall and Patterson (Neuropsychologia 21, 425-427, 1983) have advanced both empirical and theoretical arguments against this interpretation: the present paper examines these arguments and finds them seriously flawed. It therefore concludes in favour of the right-hemisphere hypothesis for semantic paralexia. Sentence B: Developmental disorders of reading and spelling have long been associated with increased left- and mixed-handedness but the evidence has been controversial. The right shift (RS) theory of handedness and cerebral dominance, developed by Annett from 1972 onward, offers resolutions to several puzzles about laterality in the so-called dyslexias. This review of findings in the light of the theory shows that ""phonological"" dyslexics are less likely to be right-handed, while ""surface"" or ""dyseidetic"" dyslexics are more likely to be right-handed than the general population. ###Answer 1. Changed Reasoning: In Sentence A, the term ""dyslexia"" is used to describe a specific neurological disorder characterized by semantic paralexia, a condition where individuals read words as something other than their actual meaning. The term is used in the context of a scientific study published in 1983. In Sentence B, the term ""dyslexia"" is used in a different context, to describe a broader range of developmental disorders of reading and spelling. The term is used in a more general sense, without any specific reference to a particular neurological disorder. In Sentence A, the meaning of ""dyslexia"" has shifted to refer specifically to a neurological disorder, whereas in Sentence B, the term is used more broadly to describe a range of developmental disorders. Therefore, semantic drift has occurred in the meaning of the term ""dyslexia"" between the two sentences." 18,Dyslexia,"Functional imaging studies have shown reduced regional cerebral blood flow (rCBF) in temporal and inferior parietal regions in dyslexia. To relate such abnormalities to the severity of dyslexia, correlations between reading skill and rCBF during a series of reading tasks and visual fixation were mapped for 17 right-handed dyslexic men, ages 18-40, and 14 matched controls. These correlations uniquely identified the left angular gyrus as the most probable site of a functional lesion in dyslexia: Here, higher rCBF was associated with better reading skill in controls (p <.01), but with worse reading skill in dyslexia (p <.01). This suggests that greater reliance on this region normally facilitates reading, but impairs reading in dyslexia. Thus, developmental dyslexia may share a common localization with alexia.","Developmental dyslexia is often accompanied by altered phonological processing of speech. Underlying neural changes have typically been characterized in terms of stimulus- and/or task-related responses within individual brain regions or their functional connectivity. Less is known about potential changes in the more global functional organization of brain networks. Here we recorded electroencephalography (EEG) in typical and dyslexic readers while they listened to (a) a random sequence of syllables and (b) a series of tri-syllabic real words. The network topology of the phase synchronization of evoked cortical oscillations was investigated in four frequency bands (delta, theta, alpha and beta) using minimum spanning tree graphs. We found that, compared to syllable tracking, word tracking triggered a shift toward a more integrated network topology in the theta band in both groups. Importantly, this change was significantly stronger in the dyslexic readers, who also showed increased reliance on a right frontal cluster of electrodes for word tracking. The current findings point towards an altered effect of word-level processing on the functional brain network organization that may be associated with less efficient phonological and reading skills in dyslexia.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dyslexia Sentence A: Functional imaging studies have shown reduced regional cerebral blood flow (rCBF) in temporal and inferior parietal regions in dyslexia. To relate such abnormalities to the severity of dyslexia, correlations between reading skill and rCBF during a series of reading tasks and visual fixation were mapped for 17 right-handed dyslexic men, ages 18-40, and 14 matched controls. These correlations uniquely identified the left angular gyrus as the most probable site of a functional lesion in dyslexia: Here, higher rCBF was associated with better reading skill in controls (p <.01), but with worse reading skill in dyslexia (p <.01). This suggests that greater reliance on this region normally facilitates reading, but impairs reading in dyslexia. Thus, developmental dyslexia may share a common localization with alexia. Sentence B: Developmental dyslexia is often accompanied by altered phonological processing of speech. Underlying neural changes have typically been characterized in terms of stimulus- and/or task-related responses within individual brain regions or their functional connectivity. Less is known about potential changes in the more global functional organization of brain networks. Here we recorded electroencephalography (EEG) in typical and dyslexic readers while they listened to (a) a random sequence of syllables and (b) a series of tri-syllabic real words. The network topology of the phase synchronization of evoked cortical oscillations was investigated in four frequency bands (delta, theta, alpha and beta) using minimum spanning tree graphs. We found that, compared to syllable tracking, word tracking triggered a shift toward a more integrated network topology in the theta band in both groups. Importantly, this change was significantly stronger in the dyslexic readers, who also showed increased reliance on a right frontal cluster of electrodes for word tracking. The current findings point towards an altered effect of word-level processing on the functional brain network organization that may be associated with less efficient phonological and reading skills in dyslexia. ###Answer 1. Changed Reasoning: In Sentence A, the target word ""dyslexia"" is used to describe a specific neurological condition characterized by reduced regional cerebral blood flow in temporal and inferior parietal regions. The sentence emphasizes the functional imaging studies that have shown these abnormalities in individuals with dyslexia. The meaning of ""dyslexia"" in this context is focused on the neurological aspects of the condition, and the sentence suggests that the condition is associated with impaired reading skills. In Sentence B, the target word ""dyslexia"" is used to describe a broader aspect of the condition, including altered phonological processing of speech. The sentence highlights the neural changes that have been observed in individuals with dyslexia, including increased reliance on a right frontal cluster of electrodes for word tracking. The meaning of ""dyslexia"" in this context is more focused on the reading and phonological processing aspects of the condition, and the sentence suggests that the condition is associated with less efficient reading and phonological skills. Based on these two sentences, it is clear that the meaning of ""dyslexia"" has shifted over time. In Sentence A, the term is used to describe a specific neurological condition, while in Sentence B, it is used to describe a broader aspect of the condition, including reading and phonological processing. This shift in meaning suggests that semantic drift has occurred in the target word. Therefore, the label ""Changed"" is appropriate." 19,Dyslexia,"This study aimed at determining whether audiovisual training without linguistic material has a remediating effect on reading skills and central auditory processing in dyslexic children. It was found that this training resulted in plastic changes in the auditory cortex, indexed by enhanced electrophysiological mismatch negativity and faster reaction times to sound changes. Importantly, these changes were accompanied by improvement in reading skills. The results indicate that reading difficulties can be ameliorated by special training programs and, further, that the training effects can be observed in brain activity. Moreover, the fact that the present training effects were obtained by using a program including no linguistic material indicates that dyslexia is at least partly based on a general auditory perceptual deficit.","The aim of this study was to examine whether phonemic decoding skill (deficits of which characterize dyslexia) shares genetic and/or environmental covariance with scholastic abilities independent of general intelligence. Non-word reading ability, verbal and non-verbal IQ, and standardized academic achievement (Queensland Core Skills Test; QCST) were measured in Australian twins (up to 876 twin pairs and 80 singleton twins). Multivariate genetic analysis showed the presence of a general genetic factor, likely reflecting crystallized ability, which accounted for 45-76% of phenotypic variance in QCST scores, 62% of variance in Verbal IQ, 23% of variance in Performance IQ, and 19% of variance in phonological reading ability. The phonemic decoding genetic factor (explaining 48% of variance in phonemic decoding) was negatively associated with mathematical achievement scores (0.4%). Shared effects of common environment did not explain the relationship between reading ability and academic achievement beyond those also influencing IQ. The unique environmental reading factor (accounting for 26% of variance) influenced academic abilities related to written expression. Future research will need to address whether these reading-specific genetic and unique environment relationships arise from causal effects of reading on scholastic abilities, or whether both share a common influence, such as pleiotropic genes/environmental factors.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dyslexia Sentence A: This study aimed at determining whether audiovisual training without linguistic material has a remediating effect on reading skills and central auditory processing in dyslexic children. It was found that this training resulted in plastic changes in the auditory cortex, indexed by enhanced electrophysiological mismatch negativity and faster reaction times to sound changes. Importantly, these changes were accompanied by improvement in reading skills. The results indicate that reading difficulties can be ameliorated by special training programs and, further, that the training effects can be observed in brain activity. Moreover, the fact that the present training effects were obtained by using a program including no linguistic material indicates that dyslexia is at least partly based on a general auditory perceptual deficit. Sentence B: The aim of this study was to examine whether phonemic decoding skill (deficits of which characterize dyslexia) shares genetic and/or environmental covariance with scholastic abilities independent of general intelligence. Non-word reading ability, verbal and non-verbal IQ, and standardized academic achievement (Queensland Core Skills Test; QCST) were measured in Australian twins (up to 876 twin pairs and 80 singleton twins). Multivariate genetic analysis showed the presence of a general genetic factor, likely reflecting crystallized ability, which accounted for 45-76% of phenotypic variance in QCST scores, 62% of variance in Verbal IQ, 23% of variance in Performance IQ, and 19% of variance in phonological reading ability. The phonemic decoding genetic factor (explaining 48% of variance in phonemic decoding) was negatively associated with mathematical achievement scores (0.4%). Shared effects of common environment did not explain the relationship between reading ability and academic achievement beyond those also influencing IQ. The unique environmental reading factor (accounting for 26% of variance) influenced academic abilities related to written expression. Future research will need to address whether these reading-specific genetic and unique environment relationships arise from causal effects of reading on scholastic abilities, or whether both share a common influence, such as pleiotropic genes/environmental factors. ###Answer 1. Changed Reasoning: The meaning of the target word ""dyslexia"" has changed significantly between Sentence A and Sentence B. In Sentence A, the term is used to describe a specific learning disability characterized by difficulties with reading and spelling, with an emphasis on the neurobiological basis of the disorder. In contrast, in Sentence B, the term is used more broadly to refer to a general auditory perceptual deficit, without any specific reference to reading or learning disabilities. This shift in meaning suggests that the term ""dyslexia"" has undergone semantic drift." 20,Dyslexia,"The goal of this study was to test the hypothesis that the inhibitory deficits previously found in children with the guessing subtype of dyslexia (who read fast and inaccurately) can be attributed to dysfunctions in the fronto-central brain areas. For this purpose, the electrocortical correlates of the inhibition mechanism were assessed in a stop task that was adapted for event-related brain potential recording. It was found that in children with the spelling subtype of dyslexia (who read slowly and accurately) and normal readers, a positive component with a fronto-central scalp distribution was related to processes engaged in the inhibition of a response. Guessers did not show this ""inhibition P300."" Analyses of the lateralized readiness potential (LRP) data suggested that response inhibition in spellers depended (at least in part) on their ability to inhibit the central activation of the response. In guessers, the association between response inhibition and inhibition of activity in the central motor structures was found to be weaker. It was concluded that the inhibitory deficits in guessers can be attributed to dysfunctions in the fronto-central brain structures involved in selective motor inhibition (indicated by the LRP data) and nonselective motor inhibition (indicated by the P300 data). It was suggested that there may be an association between guessers and attention deficit hyperactivity disorder children in that both clinical groups may suffer from the same type of deficits in executive functioning.","Developmental dyslexia in children is one of the neurodevelopmental disorders and is affected by various susceptible genes. In recent years, researchers have found some susceptible genes for dyslexia via chromosome analysis, genome-wide association studies, association analysis, gene function research, neuroimaging, and neurophysiological techniques. This article reviews the research advances in susceptible genes for developmental dyslexia, and with the study on susceptible genes for dyslexia, it lays a foundation for in-depth studies on the ""gene-brain-behavior"" level and provides scientific clues for exploring etiology and pathogenesis of dyslexia.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dyslexia Sentence A: The goal of this study was to test the hypothesis that the inhibitory deficits previously found in children with the guessing subtype of dyslexia (who read fast and inaccurately) can be attributed to dysfunctions in the fronto-central brain areas. For this purpose, the electrocortical correlates of the inhibition mechanism were assessed in a stop task that was adapted for event-related brain potential recording. It was found that in children with the spelling subtype of dyslexia (who read slowly and accurately) and normal readers, a positive component with a fronto-central scalp distribution was related to processes engaged in the inhibition of a response. Guessers did not show this ""inhibition P300."" Analyses of the lateralized readiness potential (LRP) data suggested that response inhibition in spellers depended (at least in part) on their ability to inhibit the central activation of the response. In guessers, the association between response inhibition and inhibition of activity in the central motor structures was found to be weaker. It was concluded that the inhibitory deficits in guessers can be attributed to dysfunctions in the fronto-central brain structures involved in selective motor inhibition (indicated by the LRP data) and nonselective motor inhibition (indicated by the P300 data). It was suggested that there may be an association between guessers and attention deficit hyperactivity disorder children in that both clinical groups may suffer from the same type of deficits in executive functioning. Sentence B: Developmental dyslexia in children is one of the neurodevelopmental disorders and is affected by various susceptible genes. In recent years, researchers have found some susceptible genes for dyslexia via chromosome analysis, genome-wide association studies, association analysis, gene function research, neuroimaging, and neurophysiological techniques. This article reviews the research advances in susceptible genes for developmental dyslexia, and with the study on susceptible genes for dyslexia, it lays a foundation for in-depth studies on the ""gene-brain-behavior"" level and provides scientific clues for exploring etiology and pathogenesis of dyslexia. ###Answer 1. Changed Reasoning: In Sentence A, the target word ""dyslexia"" is used to describe a specific neurodevelopmental disorder characterized by inhibitory deficits in the fronto-central brain areas. The sentence highlights the inhibitory deficits in children with the guessing subtype of dyslexia, which can be attributed to dysfunctions in the fronto-central brain areas. In contrast, in Sentence B, the target word ""dyslexia"" is used in a broader context to describe a neurodevelopmental disorder that is affected by various susceptible genes. The sentence does not highlight any specific inhibitory deficits associated with the target word, but rather provides a general overview of the genetic basis of dyslexia. Therefore, the meaning of the target word has shifted from a specific neurodevelopmental disorder with inhibitory deficits to a broader term encompassing a range of genetic factors that contribute to dyslexia." 21,Dyslexia,"It is generally accepted that dyslexia should be identified early for interventions to have maximum effect. However, when children speak English as an additional language (EAL), diagnosis is more complex and there is concern that these children tend to be under-identified. This paper reports a longitudinal study following the development of phonological awareness skills in relation to progress in learning to read with a cohort of British Asian children learning EAL and their monolingual peers. It also sought to determine the usefulness of a measure of phonological skills for the identification of dyslexic-type difficulties in children learning EAL. Analysis revealed that both cohorts achieved similar levels of reading accuracy in school Years 2, 4 and 6, with higher levels of reading comprehension for the monolingual children and faster reading fluency for children learning EAL in each school year. There was a similar pattern of relationships between the reading measures and measures of phonological awareness for both groups of children. However, monolingual children achieved higher levels of rhyme detection and alliteration fluency whilst the children learning EAL achieved faster number naming times. Overall, a phonological assessment battery was useful in identifying reading accuracy related difficulties in both groups of children. However, concerns are raised about the sensitivity of such measures following the introduction of the Literacy Hour.",Within the past decade tremendous advances have occurred in our understanding of dyslexia.,"###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dyslexia Sentence A: It is generally accepted that dyslexia should be identified early for interventions to have maximum effect. However, when children speak English as an additional language (EAL), diagnosis is more complex and there is concern that these children tend to be under-identified. This paper reports a longitudinal study following the development of phonological awareness skills in relation to progress in learning to read with a cohort of British Asian children learning EAL and their monolingual peers. It also sought to determine the usefulness of a measure of phonological skills for the identification of dyslexic-type difficulties in children learning EAL. Analysis revealed that both cohorts achieved similar levels of reading accuracy in school Years 2, 4 and 6, with higher levels of reading comprehension for the monolingual children and faster reading fluency for children learning EAL in each school year. There was a similar pattern of relationships between the reading measures and measures of phonological awareness for both groups of children. However, monolingual children achieved higher levels of rhyme detection and alliteration fluency whilst the children learning EAL achieved faster number naming times. Overall, a phonological assessment battery was useful in identifying reading accuracy related difficulties in both groups of children. However, concerns are raised about the sensitivity of such measures following the introduction of the Literacy Hour. Sentence B: Within the past decade tremendous advances have occurred in our understanding of dyslexia. ###Answer 1. Changed Reasoning: In Sentence A, the term ""dyslexia"" is used in the context of identifying and diagnosing children with reading difficulties, particularly those learning English as an additional language. The sentence highlights the complexity of diagnosing dyslexia in these children and the potential for under-identification. The term is used in conjunction with other reading measures to identify reading accuracy related difficulties. In Sentence B, the term ""dyslexia"" is used in a different context, with a focus on the advances that have been made in understanding the condition. The sentence suggests that there have been significant developments in the field of dyslexia research over the past decade. In comparison, the meaning of the term ""dyslexia"" has shifted from a focus on diagnosis and identification to an emphasis on the advances made in understanding the condition. This shift in meaning indicates semantic drift has occurred." 22,Dyslexia,"Dyslexia is now generally acknowledged to involve difficulties in phonological processing. However, the links between reading difficulties and speech difficulties remain unclear.","Visual speech inputs can enhance auditory speech information, particularly in noisy or degraded conditions. The natural statistics of audiovisual speech highlight the temporal correspondence between visual and auditory prosody, with lip, jaw, cheek and head movements conveying information about the speech envelope. Low-frequency spatial and temporal modulations in the 2-7 Hz range are of particular importance. Dyslexic individuals have specific problems in perceiving speech envelope cues. In the current study, we used an audiovisual noise-vocoded speech task to investigate the contribution of low-frequency visual information to intelligibility of 4-channel and 16-channel noise vocoded speech in participants with and without dyslexia. For the 4-channel speech, noise vocoding preserves amplitude information that is entirely congruent with dynamic visual information. All participants were significantly more accurate with 4-channel speech when visual information was present, even when this information was purely spatio-temporal (pixelated stimuli changing in luminance). Possible underlying mechanisms are discussed.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dyslexia Sentence A: Dyslexia is now generally acknowledged to involve difficulties in phonological processing. However, the links between reading difficulties and speech difficulties remain unclear. Sentence B: Visual speech inputs can enhance auditory speech information, particularly in noisy or degraded conditions. The natural statistics of audiovisual speech highlight the temporal correspondence between visual and auditory prosody, with lip, jaw, cheek and head movements conveying information about the speech envelope. Low-frequency spatial and temporal modulations in the 2-7 Hz range are of particular importance. Dyslexic individuals have specific problems in perceiving speech envelope cues. In the current study, we used an audiovisual noise-vocoded speech task to investigate the contribution of low-frequency visual information to intelligibility of 4-channel and 16-channel noise vocoded speech in participants with and without dyslexia. For the 4-channel speech, noise vocoding preserves amplitude information that is entirely congruent with dynamic visual information. All participants were significantly more accurate with 4-channel speech when visual information was present, even when this information was purely spatio-temporal (pixelated stimuli changing in luminance). Possible underlying mechanisms are discussed. ###Answer 1. Changed The meaning of the target word ""dyslexia"" has significantly shifted between Sentence A and Sentence B. In Sentence A, dyslexia is associated with difficulties in phonological processing, while in Sentence B, it is linked to visual speech inputs and the perception of speech envelope cues. The shift in meaning suggests that the term ""dyslexia"" has undergone semantic drift." 23,Dyslexia,"Functional imaging studies of developmental dyslexia have reported reduced task-related neural activity in the temporal and inferior parietal cortices. To examine the possible contribution of subtle anatomic deviations to these reductions, volumes were measured for the major lobes of the brain, the subcortical nuclei, cerebellum, and lateral ventricles on magnetic resonance imaging (MRI) scans from 16 right-handed dyslexic men, ages 18 to 40, and 14 matched controls, most of whom had previously undergone PET imaging. A specific decrease in tissue volume was localized to the temporal lobes and was particularly prominent on the left (p < .01). An analysis of tissue composition revealed that this reduction was primarily attributable to decreased gray matter within the left temporal lobe (p < .002). Further segmentation of the temporal lobe showed that this reduction was not confined to the superior temporal gyrus, the primary location of primary auditory cortex. Reductions of temporal lobe gray matter may reflect a regional decrease in neuronal number or neuropil, which in turn may result in reading impairment.","Developmental dyslexia, an unexplained difficulty in learning to read, has been associated with alterations in white matter organization as measured by diffusion-weighted imaging. It is unknown, however, whether these differences in structural connectivity are related to the cause of dyslexia or if they are consequences of reading difficulty (e.g., less reading experience or compensatory brain organization). Here, in 40 kindergartners who had received little or no reading instruction, we examined the relation between behavioral predictors of dyslexia and white matter organization in left arcuate fasciculus, inferior longitudinal fasciculus, and the parietal portion of the superior longitudinal fasciculus using probabilistic tractography. Higher composite phonological awareness scores were significantly and positively correlated with the volume of the arcuate fasciculus, but not with other tracts. Two other behavioral predictors of dyslexia, rapid naming and letter knowledge, did not correlate with volumes or diffusion values in these tracts. The volume and fractional anisotropy of the left arcuate showed a particularly strong positive correlation with a phoneme blending test. Whole-brain regressions of behavioral scores with diffusion measures confirmed the unique relation between phonological awareness and the left arcuate. These findings indicate that the left arcuate fasciculus, which connects anterior and posterior language regions of the human brain and which has been previously associated with reading ability in older individuals, is already smaller and has less integrity in kindergartners who are at risk for dyslexia because of poor phonological awareness. These findings suggest a structural basis of behavioral risk for dyslexia that predates reading instruction. ","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dyslexia Sentence A: Functional imaging studies of developmental dyslexia have reported reduced task-related neural activity in the temporal and inferior parietal cortices. To examine the possible contribution of subtle anatomic deviations to these reductions, volumes were measured for the major lobes of the brain, the subcortical nuclei, cerebellum, and lateral ventricles on magnetic resonance imaging (MRI) scans from 16 right-handed dyslexic men, ages 18 to 40, and 14 matched controls, most of whom had previously undergone PET imaging. A specific decrease in tissue volume was localized to the temporal lobes and was particularly prominent on the left (p < .01). An analysis of tissue composition revealed that this reduction was primarily attributable to decreased gray matter within the left temporal lobe (p < .002). Further segmentation of the temporal lobe showed that this reduction was not confined to the superior temporal gyrus, the primary location of primary auditory cortex. Reductions of temporal lobe gray matter may reflect a regional decrease in neuronal number or neuropil, which in turn may result in reading impairment. Sentence B: Developmental dyslexia, an unexplained difficulty in learning to read, has been associated with alterations in white matter organization as measured by diffusion-weighted imaging. It is unknown, however, whether these differences in structural connectivity are related to the cause of dyslexia or if they are consequences of reading difficulty (e.g., less reading experience or compensatory brain organization). Here, in 40 kindergartners who had received little or no reading instruction, we examined the relation between behavioral predictors of dyslexia and white matter organization in left arcuate fasciculus, inferior longitudinal fasciculus, and the parietal portion of the superior longitudinal fasciculus using probabilistic tractography. Higher composite phonological awareness scores were significantly and positively correlated with the volume of the arcuate fasciculus, but not with other tracts. Two other behavioral predictors of dyslexia, rapid naming and letter knowledge, did not correlate with volumes or diffusion values in these tracts. The volume and fractional anisotropy of the left arcuate showed a particularly strong positive correlation with a phoneme blending test. Whole-brain regressions of behavioral scores with diffusion measures confirmed the unique relation between phonological awareness and the left arcuate. These findings indicate that the left arcuate fasciculus, which connects anterior and posterior language regions of the human brain and which has been previously associated with reading ability in older individuals, is already smaller and has less integrity in kindergartners who are at risk for dyslexia because of poor phonological awareness. These findings suggest a structural basis of behavioral risk for dyslexia that predates reading instruction. ###Answer 1. Changed Reasoning: The meaning of the target word ""dyslexia"" has changed significantly between the two sentences. In Sentence A, dyslexia is described as a developmental disorder characterized by reduced task-related neural activity in the temporal and inferior parietal cortices, with a specific decrease in tissue volume in the left temporal lobe. In Sentence B, dyslexia is framed as an alteration in white matter organization, specifically in the left arcuate fasciculus, inferior longitudinal fasciculus, and the parietal portion of the superior longitudinal fasciculus. These changes suggest that the term ""dyslexia"" has evolved to encompass a broader range of cognitive and neural mechanisms underlying reading impairment. Therefore, the label ""Changed"" is appropriate." 24,Dyslexia,"A cohort of ordinary Swedish children were followed up from school entry through childhood and adolescence and checked retrospectively from birth to the age of 6 years regarding psychiatric and physical health and contact with the social welfare authorities. The children were allocated to different risk groups at age 7 on the basis of their psycho-physical development expressed as complex reaction time (CRT). It was previously shown that many of the slow CRT children have problems in psychomotor and language development at school, and that many leave compulsory school with poor achievements in Swedish and gymnastics as continuing signs of their developmental delay. This study shows that slow CRT children have an increased prevalence of child psychiatric problems. At an early age there were symptoms of aggression, hyperactivity and withdrawal in conjunction with developmental delay. During adolescence, depression, maladjustment and psycho-somatic disorders were prominent features, often in association with developmental delay, dyslexia and poor motoric skill. These children could have a disadvantage at school and in society and they felt themselves ""handicapped"" and were stressed by feelings of limited future possibilities. In adolescence, many of them were in need of help, especially financial aid from the social welfare services. The findings stress that a slow cognitive processing ability seen as a slow CRT must be considered a handicap of importance and a risk-factor in the society of today, with primary or secondary psychic and social manifestations often in a multifactorial setting of biological co-morbidity and family problems. In contrast, an advanced CNS development with a fast CRT may be seen as a protective factor.","Cognitive neuropsychological models (CNMs) have been useful to generate a theory of aphasia rehabilitation. In contrast to the traditional syndrome approach, CNMs employ cognitive accounts to interpret language disturbances after brain damage. In this article, we apply CNMs to monolingual Spanish and bilingual Spanish-English readers with acquired dyslexia whose first language is Spanish. Although there are many studies of acquired dyslexia (reading errors associated with aphasia), they primarily have focused on English and French readers. Similar investigations on Spanish readers are limited. Unlike the opaque orthographic systems of English and French (inconsistent grapheme-to-phoneme relationships), Spanish has a mostly transparent orthography (regular grapheme-to-phoneme relationships). Thus evaluating and treating dyslexia secondary to brain damage in Spanish readers may involve different strategies from those employed with English and French readers. The increasingly large numbers of Spanish speakers in aphasia rehabilitation worldwide underscore the critical need to develop plausible theoretically grounded clinical strategies to serve these individuals.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dyslexia Sentence A: A cohort of ordinary Swedish children were followed up from school entry through childhood and adolescence and checked retrospectively from birth to the age of 6 years regarding psychiatric and physical health and contact with the social welfare authorities. The children were allocated to different risk groups at age 7 on the basis of their psycho-physical development expressed as complex reaction time (CRT). It was previously shown that many of the slow CRT children have problems in psychomotor and language development at school, and that many leave compulsory school with poor achievements in Swedish and gymnastics as continuing signs of their developmental delay. This study shows that slow CRT children have an increased prevalence of child psychiatric problems. At an early age there were symptoms of aggression, hyperactivity and withdrawal in conjunction with developmental delay. During adolescence, depression, maladjustment and psycho-somatic disorders were prominent features, often in association with developmental delay, dyslexia and poor motoric skill. These children could have a disadvantage at school and in society and they felt themselves ""handicapped"" and were stressed by feelings of limited future possibilities. In adolescence, many of them were in need of help, especially financial aid from the social welfare services. The findings stress that a slow cognitive processing ability seen as a slow CRT must be considered a handicap of importance and a risk-factor in the society of today, with primary or secondary psychic and social manifestations often in a multifactorial setting of biological co-morbidity and family problems. In contrast, an advanced CNS development with a fast CRT may be seen as a protective factor. Sentence B: Cognitive neuropsychological models (CNMs) have been useful to generate a theory of aphasia rehabilitation. In contrast to the traditional syndrome approach, CNMs employ cognitive accounts to interpret language disturbances after brain damage. In this article, we apply CNMs to monolingual Spanish and bilingual Spanish-English readers with acquired dyslexia whose first language is Spanish. Although there are many studies of acquired dyslexia (reading errors associated with aphasia), they primarily have focused on English and French readers. Similar investigations on Spanish readers are limited. Unlike the opaque orthographic systems of English and French (inconsistent grapheme-to-phoneme relationships), Spanish has a mostly transparent orthography (regular grapheme-to-phoneme relationships). Thus evaluating and treating dyslexia secondary to brain damage in Spanish readers may involve different strategies from those employed with English and French readers. The increasingly large numbers of Spanish speakers in aphasia rehabilitation worldwide underscore the critical need to develop plausible theoretically grounded clinical strategies to serve these individuals. ###Answer 1. Changed Reasoning: The meaning of the word ""dyslexia"" has significantly shifted between Sentence A and Sentence B. In Sentence A, ""dyslexia"" is used to describe a developmental delay and cognitive processing ability seen as slow, associated with psychiatric problems and a feeling of limited future possibilities. In contrast, in Sentence B, ""dyslexia"" is used to describe a cognitive neuropsychological disorder in monolingual Spanish and bilingual Spanish-English readers, with a focus on the transparent nature of the Spanish orthography. The shift in meaning suggests that the term ""dyslexia"" has undergone semantic drift." 25,Dyslexia,"This case study examined phonemic reading and reading comprehension in the presence of Broca's aphasia. The patient, T.B., a 16 yr old male, suffered an occlusion of the middle cerebral artery. Spontaneous speech was limited, naming difficulties were apparent, and comprehension was mildly impaired. Though the patient could read only a small number of words aloud, he was able to read silently for comprehension on a standardized instrument. Moreover, T.B. was able to match orally-presented pseudowords to their written analogs, a finding which suggests that phonemic processing for nonlexical material was to some degree intact. The results were contrasted to the reading patterns usually reported to be present in ""frontal"" alexia and deep dyslexia. The possible existence of a dissociation between phonemic processing in reading and speech behavior as well as its mechanism was discussed.","Dyslexia is a neurodevelopmental disorder manifested in deficits in reading and spelling skills that is consistently associated with difficulties in phonological processing. Dyslexia is genetically transmitted, but its manifestation in a particular individual is thought to depend on the interaction of epigenetic and environmental factors. We adopt a novel interactional perspective on early linguistic environment and dyslexia by simultaneously studying two pre-existing factors, one maternal and one infant, that may contribute to these interactions; and two behaviours, one maternal and one infant, to index the effect of these factors. The maternal factor is whether mothers are themselves dyslexic or not (with/without dyslexia) and the infant factor is whether infants are at-/not-at family risk for dyslexia (due to their mother or father being dyslexic). The maternal behaviour is mothers' infant-directed speech (IDS), which typically involves vowel hyperarticulation, thought to benefit speech perception and language acquisition. The infant behaviour is auditory perception measured by infant sensitivity to amplitude envelope rise time, which has been found to be reduced in dyslexic children. Here, at-risk infants showed significantly poorer acoustic sensitivity than not-at-risk infants and mothers only hyperarticulated vowels to infants who were not at-risk for dyslexia. Mothers' own dyslexia status had no effect on IDS quality. Parental speech input is thus affected by infant risk status, with likely consequences for later linguistic development.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dyslexia Sentence A: This case study examined phonemic reading and reading comprehension in the presence of Broca's aphasia. The patient, T.B., a 16 yr old male, suffered an occlusion of the middle cerebral artery. Spontaneous speech was limited, naming difficulties were apparent, and comprehension was mildly impaired. Though the patient could read only a small number of words aloud, he was able to read silently for comprehension on a standardized instrument. Moreover, T.B. was able to match orally-presented pseudowords to their written analogs, a finding which suggests that phonemic processing for nonlexical material was to some degree intact. The results were contrasted to the reading patterns usually reported to be present in ""frontal"" alexia and deep dyslexia. The possible existence of a dissociation between phonemic processing in reading and speech behavior as well as its mechanism was discussed. Sentence B: Dyslexia is a neurodevelopmental disorder manifested in deficits in reading and spelling skills that is consistently associated with difficulties in phonological processing. Dyslexia is genetically transmitted, but its manifestation in a particular individual is thought to depend on the interaction of epigenetic and environmental factors. We adopt a novel interactional perspective on early linguistic environment and dyslexia by simultaneously studying two pre-existing factors, one maternal and one infant, that may contribute to these interactions; and two behaviours, one maternal and one infant, to index the effect of these factors. The maternal factor is whether mothers are themselves dyslexic or not (with/without dyslexia) and the infant factor is whether infants are at-/not-at family risk for dyslexia (due to their mother or father being dyslexic). The maternal behaviour is mothers' infant-directed speech (IDS), which typically involves vowel hyperarticulation, thought to benefit speech perception and language acquisition. The infant behaviour is auditory perception measured by infant sensitivity to amplitude envelope rise time, which has been found to be reduced in dyslexic children. Here, at-risk infants showed significantly poorer acoustic sensitivity than not-at-risk infants and mothers only hyperarticulated vowels to infants who were not at-risk for dyslexia. Mothers' own dyslexia status had no effect on IDS quality. Parental speech input is thus affected by infant risk status, with likely consequences for later linguistic development. ###Answer 1. Changed Explanation: In Sentence A, the term ""dyslexia"" is used in the context of a specific case study, where it refers to a neurological disorder characterized by difficulties in phonological processing. The meaning of the term is focused on the individual's reading and spelling skills, and the study aims to contrast the reading patterns of individuals with this disorder to those with other types of alexia. In Sentence B, the term ""dyslexia"" is used in a broader context, where it is defined as a neurodevelopmental disorder associated with deficits in reading and spelling skills, and further characterized by difficulties in phonological processing. The meaning of the term has expanded to include the genetic and environmental factors that contribute to the disorder, as well as the interaction between these factors and the individual's linguistic environment. Additionally, the term is used to describe the consequences of the disorder on later linguistic development. Based on these differences in context and meaning, it can be concluded that the term ""dyslexia"" has undergone semantic drift between Sentence A and Sentence B. In Sentence A, the term is used specifically to describe a neurological disorder, while in Sentence B, it is used more broadly to describe a neurodevelopmental disorder with a focus on the interaction between genetic and environmental factors. Therefore, the label ""Changed"" is appropriate to indicate that the meaning of the term has shifted over time." 26,Dyslexia,"There is widespread support for the notion that subgroups of dyslexics can be identified who differ in their reading profiles: Developmental phonological dyslexia is characterized by poor nonword reading, while developmental surface dyslexia is distinguished by a particular difficulty in reading irregular words. However, there is much less agreement about how these subtypes, and particularly the surface dyslexic pattern, are to be accounted for within theoretical models of the reading system. To assist in addressing this issue, the heritability of reading deficits in dyslexic subtypes was examined using a twin sample. Subjects' scores on (a) an exception word reading task and (b) a nonword reading task were used to create a subtype dimension, and surface and phonological dyslexic subgroups were selected from the ends of this distribution. Reading deficits were found to be significantly heritable in both subgroups. However, the genetic contribution to the group reading deficit was much greater in the phonological dyslexics than in the surface dyslexics. The finding of differential genetic etiology across subtypes suggests that there is at least partial independence in the development of the cognitive processes involved in reading exception words and nonwords. Also, the results support accounts of surface dyslexia which emphasize a strong environmental contribution.","Psychiatric disorders in childhood and adolescence, in particular attention deficit disorder or specific learning disorders like developmental dyslexia and developmental dyscalculia, affect academic performance and learning at school. Recent advances in neuroscientific research have incited an intensive debate both in the general public and in the field of educational and instructional science as well as to whether and to what extent these new findings in the field of neuroscience might be of importance for school-related learning and instruction. In this review, we first summarize neuroscientific findings related to the development of attention, working memory and executive functions in typically developing children and then evaluate their relevance for school-related learning. We present an overview of neuroimaging studies of specific learning disabilities such as developmental dyslexia and developmental dyscalculia, and critically discuss their practical implications for educational and teaching practice, teacher training, early diagnosis as well as prevention and disorder-specific therapy. We conclude that the new interdisciplinary field of neuroeducation cannot be expected to provide direct innovative educational applications (e.g., teaching methods). Rather, the future potential of neuroscience lies in creating a deeper understanding of the underlying cognitive mechanisms and pathomechanisms of learning processes and learning disorders. ","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dyslexia Sentence A: There is widespread support for the notion that subgroups of dyslexics can be identified who differ in their reading profiles: Developmental phonological dyslexia is characterized by poor nonword reading, while developmental surface dyslexia is distinguished by a particular difficulty in reading irregular words. However, there is much less agreement about how these subtypes, and particularly the surface dyslexic pattern, are to be accounted for within theoretical models of the reading system. To assist in addressing this issue, the heritability of reading deficits in dyslexic subtypes was examined using a twin sample. Subjects' scores on (a) an exception word reading task and (b) a nonword reading task were used to create a subtype dimension, and surface and phonological dyslexic subgroups were selected from the ends of this distribution. Reading deficits were found to be significantly heritable in both subgroups. However, the genetic contribution to the group reading deficit was much greater in the phonological dyslexics than in the surface dyslexics. The finding of differential genetic etiology across subtypes suggests that there is at least partial independence in the development of the cognitive processes involved in reading exception words and nonwords. Also, the results support accounts of surface dyslexia which emphasize a strong environmental contribution. Sentence B: Psychiatric disorders in childhood and adolescence, in particular attention deficit disorder or specific learning disorders like developmental dyslexia and developmental dyscalculia, affect academic performance and learning at school. Recent advances in neuroscientific research have incited an intensive debate both in the general public and in the field of educational and instructional science as well as to whether and to what extent these new findings in the field of neuroscience might be of importance for school-related learning and instruction. In this review, we first summarize neuroscientific findings related to the development of attention, working memory and executive functions in typically developing children and then evaluate their relevance for school-related learning. We present an overview of neuroimaging studies of specific learning disabilities such as developmental dyslexia and developmental dyscalculia, and critically discuss their practical implications for educational and teaching practice, teacher training, early diagnosis as well as prevention and disorder-specific therapy. We conclude that the new interdisciplinary field of neuroeducation cannot be expected to provide direct innovative educational applications (e.g., teaching methods). Rather, the future potential of neuroscience lies in creating a deeper understanding of the underlying cognitive mechanisms and pathomechanisms of learning processes and learning disorders. ###Answer 1. Changed Reasoning: The meaning of the target word ""dyslexia"" has changed significantly between Sentence A and Sentence B. In Sentence A, dyslexia is defined as a specific learning disorder characterized by poor nonword reading, while in Sentence B, it is mentioned as a psychiatric disorder that affects academic performance and learning at school. The two sentences imply different subtypes of dyslexia and different underlying cognitive mechanisms, indicating a semantic drift in the meaning of the word." 27,Dyslexia,"Selective and sustained visual attention were tested in 29 boys with developmental dyslexia and 28 normal spellers (also boys) matched for age, grade in school, I.Q. and other developmental parameters. The developmental dyslexia group had deficits in selective attention. A significant effect of task difficulty was found. There was no dysfunction in sustained attention.","The present findings are drawn from the Jyväskylä Longitudinal Study of Dyslexia (JLD), in which approximately 100 children with familial risk of dyslexia and 100 control children have been followed from birth. In this paper we report data on the reading development of the JLD children and their classmates, a total of 1,750 children from four measurement points during the first two school years. In the total sample, we examined whether heterogeneous developmental paths can be identified based on profiles of word recognition and reading comprehension. Secondly, we studied what kind of early language and literacy skill profiles and reading experiences characterize the children with differing reading development in the follow-up sample. The mixture modeling procedure resulted in five subtypes: (1) poor readers, (2) slow decoders, (3) poor comprehenders, (4) average readers, and (5) good readers. The children with familial risk for dyslexia performed on average at a lower level in all reading tasks than both their classmates and the controls, and they were overrepresented in slow decoders subtype. Differences between the subtypes were found in the early language and literacy skill development, as well as in the reading experiences of the reading subtypes.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dyslexia Sentence A: Selective and sustained visual attention were tested in 29 boys with developmental dyslexia and 28 normal spellers (also boys) matched for age, grade in school, I.Q. and other developmental parameters. The developmental dyslexia group had deficits in selective attention. A significant effect of task difficulty was found. There was no dysfunction in sustained attention. Sentence B: The present findings are drawn from the Jyväskylä Longitudinal Study of Dyslexia (JLD), in which approximately 100 children with familial risk of dyslexia and 100 control children have been followed from birth. In this paper we report data on the reading development of the JLD children and their classmates, a total of 1,750 children from four measurement points during the first two school years. In the total sample, we examined whether heterogeneous developmental paths can be identified based on profiles of word recognition and reading comprehension. Secondly, we studied what kind of early language and literacy skill profiles and reading experiences characterize the children with differing reading development in the follow-up sample. The mixture modeling procedure resulted in five subtypes: (1) poor readers, (2) slow decoders, (3) poor comprehenders, (4) average readers, and (5) good readers. The children with familial risk for dyslexia performed on average at a lower level in all reading tasks than both their classmates and the controls, and they were overrepresented in slow decoders subtype. Differences between the subtypes were found in the early language and literacy skill development, as well as in the reading experiences of the reading subtypes. ###Answer 1. Changed Reasoning: In Sentence A, the term ""developmental dyslexia"" is used to describe a condition characterized by deficits in selective attention. This implies that the term was previously used to refer to a specific set of cognitive difficulties, perhaps related to processing speed or attention. In Sentence B, the term ""dyslexia"" is used more broadly to describe a range of reading difficulties, including slow decoders and poor comprehenders. This suggests that the term has shifted in meaning over time to encompass a broader range of reading challenges, indicating semantic drift." 28,Dyslexia,"Material is presented from three analyses involving the impact on adult functioning of childhood trauma to the visual system. The clinical process by which unrecognized but ongoing traumatic reactions are identified for subsequent analysis is described. It is of particular importance, with these patients, to recognize their lifelong experience of visual confusion resulting from problems in their visual anatomy. Only then can fantasies and affects related to these physically induced states of confusion be worked through. Working through these reactions promotes the neutralization of related primitive narcissistic affects, mourning, and realistic accommodation, and leads to a more intact and integrated sense of self, and a marked increase in self-esteem. With this newly integrated sense of self, the complex interaction between physically induced confusion states and more typical developmental conflicts with objects can be worked through, resulting in more realistic and intense cathexes of the external world. The trauma suffered by these patients had been greatly compounded by its having gone unrecognized. To miss this yet again in an analysis is to repeat the past and retraumatize the patient. These findings have clear implications for patients with other biologically related symptoms (e.g., ADD, ADHD, and dyslexia).","DYX1C1 (DNAAF4) and DCDC2 are two of the most replicated dyslexia candidate genes in genetic studies. They both have demonstrated roles in neuronal migration, in cilia growth and function and they both are cytoskeletal interactors. In addition, they both have been characterized as ciliopathy genes. However, their exact molecular functions are still incompletely described. Based on these known roles, we asked whether DYX1C1 and DCDC2 interact on the genetic and the protein level.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dyslexia Sentence A: Material is presented from three analyses involving the impact on adult functioning of childhood trauma to the visual system. The clinical process by which unrecognized but ongoing traumatic reactions are identified for subsequent analysis is described. It is of particular importance, with these patients, to recognize their lifelong experience of visual confusion resulting from problems in their visual anatomy. Only then can fantasies and affects related to these physically induced states of confusion be worked through. Working through these reactions promotes the neutralization of related primitive narcissistic affects, mourning, and realistic accommodation, and leads to a more intact and integrated sense of self, and a marked increase in self-esteem. With this newly integrated sense of self, the complex interaction between physically induced confusion states and more typical developmental conflicts with objects can be worked through, resulting in more realistic and intense cathexes of the external world. The trauma suffered by these patients had been greatly compounded by its having gone unrecognized. To miss this yet again in an analysis is to repeat the past and retraumatize the patient. These findings have clear implications for patients with other biologically related symptoms (e.g., ADD, ADHD, and dyslexia). Sentence B: DYX1C1 (DNAAF4) and DCDC2 are two of the most replicated dyslexia candidate genes in genetic studies. They both have demonstrated roles in neuronal migration, in cilia growth and function and they both are cytoskeletal interactors. In addition, they both have been characterized as ciliopathy genes. However, their exact molecular functions are still incompletely described. Based on these known roles, we asked whether DYX1C1 and DCDC2 interact on the genetic and the protein level. ###Answer 1. Changed The target word ""dyslexia"" has undergone a significant change in meaning between Sentence A (2000) and Sentence B (2020). In Sentence A, ""dyslexia"" is used to describe a neurological disorder characterized by visual confusion and difficulties with reading and learning. However, in Sentence B, ""dyslexia"" is used to refer to a genetic trait related to ciliopathy and neuronal migration. The word has shifted from a neurological to a genetic context, indicating a change in meaning." 29,Dyslexia,"The articulatory awareness task, which was found by Griffiths and Frith (2002) to discriminate ex-dyslexic from non-dyslexic adults, was given to three groups of Japanese college students with different English reading abilities. Two unexpected results emerged: (1) Articulatory awareness performance was generally poor across the groups, thereby suggesting that poor articulatory awareness is not unique to dyslexia but rather to reading difficulty in general, and (2) There was a weak but significant positive correlation between articulatory awareness and English reading ability. Implications are that while articulatory awareness may not function only in dyslexia, it is embedded in a complex information-processing network involving reading acquisition. Specifically, a revised Articulatory Awareness Deficit Hypothesis is formulated, which states that poor articulatory awareness is part of articulation difficulty associated with poor phonological awareness that in turn tends to underlie dyslexia and reading difficulty.","It is generally accepted that dyslexia arises due to deficits in phonological processing. However, whether these deficits are based on impaired auditory processing is still subject to debate. Here we tested whether low level auditory processing is correlated with a simple phonological processing task, thus indicating a close relationship between higher sensory and lower cognitive processing.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dyslexia Sentence A: The articulatory awareness task, which was found by Griffiths and Frith (2002) to discriminate ex-dyslexic from non-dyslexic adults, was given to three groups of Japanese college students with different English reading abilities. Two unexpected results emerged: (1) Articulatory awareness performance was generally poor across the groups, thereby suggesting that poor articulatory awareness is not unique to dyslexia but rather to reading difficulty in general, and (2) There was a weak but significant positive correlation between articulatory awareness and English reading ability. Implications are that while articulatory awareness may not function only in dyslexia, it is embedded in a complex information-processing network involving reading acquisition. Specifically, a revised Articulatory Awareness Deficit Hypothesis is formulated, which states that poor articulatory awareness is part of articulation difficulty associated with poor phonological awareness that in turn tends to underlie dyslexia and reading difficulty. Sentence B: It is generally accepted that dyslexia arises due to deficits in phonological processing. However, whether these deficits are based on impaired auditory processing is still subject to debate. Here we tested whether low level auditory processing is correlated with a simple phonological processing task, thus indicating a close relationship between higher sensory and lower cognitive processing. ###Answer 1. Changed Reasoning: In Sentence A, the target word ""dyslexia"" is used to describe a specific cognitive deficit in reading acquisition. The sentence highlights the idea that dyslexia is associated with poor articulatory awareness and phonological processing, and that these deficits are thought to be embedded in a complex information-processing network. The sentence also suggests that dyslexia may be related to impaired auditory processing. In Sentence B, the target word ""dyslexia"" is used in a different context, to describe a cognitive deficit in a different task. The sentence suggests that dyslexia is associated with impaired auditory processing, which is a departure from the idea that dyslexia is primarily related to phonological processing deficits. Therefore, the meaning of the target word ""dyslexia"" has changed significantly between the two sentences. The word has shifted from being associated with articulatory awareness and phonological processing to being associated with auditory processing. Therefore, I label this as ""Changed""." 30,Dyslexia,"Neuroimaging studies of neurobehavioral disorders are using new imaging modalities. In dyslexia, anatomic imaging studies demonstrate an abnormal symmetry of the planum temporale. Functional imaging supports the hypothesis that developmental dyslexia is frequently the result of deficits in phonologic processing and that normal reading requires a patent network organization of a number of anterior and posterior brain areas. In autism, anatomic imaging studies are conflicting. Functional imaging demonstrates temporal lobe abnormalities and abnormal interaction between frontal and parietal brain areas. In attention-deficit-hyperactivity disorder, imaging studies suggest an abnormality in the prefrontal and striatal regions. Neuroimaging studies are often contradictory, but trends, especially with functional imaging analysis, are evolving. Because neurobehavioral disorders seem to be a result of a dysfunction in brain circuits, no one region will be abnormal in all patients studied. Further studies with well-defined patient populations and appropriate activation paradigms will better elucidate the pathophysiology of these conditions.","No clinically proven method currently exists to determine if a test taker is feigning or exaggerating symptoms of a specific reading disability (RD) for potential secondary gain (i.e., extra time on examinations, access to bursary funds, or tax benefits). Our objective was to examine the utility of previously proposed symptom validity measures (i.e., the Dyslexia Assessment of Simulation or Honesty [DASH] and the resulting Feigning Index [FI]) in discriminating students with genuine RDs from sophisticated simulators given ample time to prepare, who were warned that noncredible performance could be detected. The DASH correctly classified almost 83% of coached simulators with no false positives. The FI accurately classified 86% of post-secondary students feigning RD without misidentifying any students with a genuine RD, resulting in 91.8% overall classification accuracy. These two methods show promise as a means of detecting noncredible performance in the assessment of RD.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dyslexia Sentence A: Neuroimaging studies of neurobehavioral disorders are using new imaging modalities. In dyslexia, anatomic imaging studies demonstrate an abnormal symmetry of the planum temporale. Functional imaging supports the hypothesis that developmental dyslexia is frequently the result of deficits in phonologic processing and that normal reading requires a patent network organization of a number of anterior and posterior brain areas. In autism, anatomic imaging studies are conflicting. Functional imaging demonstrates temporal lobe abnormalities and abnormal interaction between frontal and parietal brain areas. In attention-deficit-hyperactivity disorder, imaging studies suggest an abnormality in the prefrontal and striatal regions. Neuroimaging studies are often contradictory, but trends, especially with functional imaging analysis, are evolving. Because neurobehavioral disorders seem to be a result of a dysfunction in brain circuits, no one region will be abnormal in all patients studied. Further studies with well-defined patient populations and appropriate activation paradigms will better elucidate the pathophysiology of these conditions. Sentence B: No clinically proven method currently exists to determine if a test taker is feigning or exaggerating symptoms of a specific reading disability (RD) for potential secondary gain (i.e., extra time on examinations, access to bursary funds, or tax benefits). Our objective was to examine the utility of previously proposed symptom validity measures (i.e., the Dyslexia Assessment of Simulation or Honesty [DASH] and the resulting Feigning Index [FI]) in discriminating students with genuine RDs from sophisticated simulators given ample time to prepare, who were warned that noncredible performance could be detected. The DASH correctly classified almost 83% of coached simulators with no false positives. The FI accurately classified 86% of post-secondary students feigning RD without misidentifying any students with a genuine RD, resulting in 91.8% overall classification accuracy. These two methods show promise as a means of detecting noncredible performance in the assessment of RD. ###Answer 1. Changed Reasoning: In Sentence A, the term ""dyslexia"" is used in the context of neuroimaging studies of neurobehavioral disorders, specifically in reference to anatomic imaging studies that demonstrate an abnormal symmetry of the planum temporale. The term is used in conjunction with other disorders, such as autism and attention-deficit-hyperactivity disorder, and is described as a result of a dysfunction in brain circuits. In Sentence B, the term ""dyslexia"" is used in a different context, specifically in reference to feigning or exaggerating symptoms of a reading disability for potential secondary gain. The term is used in conjunction with other terms, such as ""simulation"" and ""noncredible performance,"" and is described as a means of detecting fraudulent behavior in the assessment of reading disabilities. Based on these differences in context and meaning, it can be concluded that the term ""dyslexia"" has undergone a significant change in meaning between Sentence A and Sentence B. In Sentence A, the term is used in a more traditional and medical sense, while in Sentence B, the term is used in a more colloquial and detective sense. Therefore, the label ""Changed"" is appropriate." 31,Dyslexia,"Since the time of Javal, it has been well established that normal reading eye movement patterns have 3 principal components: (1) small saccades that move the eyes from word to word, (2) large saccades that return the eyes to the beginning of the next line, and (3) fixation pauses between each saccade for information processing. We discuss the vision analysis results and show the quantitative reading eye movement records, measured with the infrared photoelectric method, of 5 patients examined in the Neuro-optometry Clinic. The reading records showed a wide variety of behavior: 1 patient performed normal reading movements, 1 ""slow reader"" manifested an excessive number of fixations as well as extended fixational durations, another ""slow"" reader only exhibited an excessive number of fixations, a patient with dyslexia performed backward reading movements, and 1 patient exhibited nystagmus superimposed upon the reading pattern.","Primary education is the incubator for learning academic skills that help children to become a literate, communicative, and independent person. Over this learning period, nonlinear and regional changes in the brain occur, but how these changes relate to academic performance, such as reading ability, is still unclear. In the current study, we analyzed longitudinal T1 MRI data of 41 children in order to investigate typical cortical development during the early reading stage (end of kindergarten-end of grade 2) and advanced reading stage (end of grade 2-middle of grade 5), and to detect putative deviant trajectories in children with dyslexia. The structural brain change was quantified with a reliable measure that directly calculates the local morphological differences between brain images of two time points, while considering the global head growth. When applying this measure to investigate typical cortical development, we observed that left temporal and temporoparietal regions belonging to the reading network exhibited an increase during the early reading stage and stabilized during the advanced reading stage. This suggests that the natural plasticity window for reading is within the first years of primary school, hence earlier than the typical period for reading intervention. Concerning neurotrajectories in children with dyslexia compared to typical readers, we observed no differences in gray matter development of the left reading network, but we found different neurotrajectories in right IFG opercularis (during the early reading stage) and in right isthmus cingulate (during the advanced reading stage), which could reflect compensatory neural mechanisms.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dyslexia Sentence A: Since the time of Javal, it has been well established that normal reading eye movement patterns have 3 principal components: (1) small saccades that move the eyes from word to word, (2) large saccades that return the eyes to the beginning of the next line, and (3) fixation pauses between each saccade for information processing. We discuss the vision analysis results and show the quantitative reading eye movement records, measured with the infrared photoelectric method, of 5 patients examined in the Neuro-optometry Clinic. The reading records showed a wide variety of behavior: 1 patient performed normal reading movements, 1 ""slow reader"" manifested an excessive number of fixations as well as extended fixational durations, another ""slow"" reader only exhibited an excessive number of fixations, a patient with dyslexia performed backward reading movements, and 1 patient exhibited nystagmus superimposed upon the reading pattern. Sentence B: Primary education is the incubator for learning academic skills that help children to become a literate, communicative, and independent person. Over this learning period, nonlinear and regional changes in the brain occur, but how these changes relate to academic performance, such as reading ability, is still unclear. In the current study, we analyzed longitudinal T1 MRI data of 41 children in order to investigate typical cortical development during the early reading stage (end of kindergarten-end of grade 2) and advanced reading stage (end of grade 2-middle of grade 5), and to detect putative deviant trajectories in children with dyslexia. The structural brain change was quantified with a reliable measure that directly calculates the local morphological differences between brain images of two time points, while considering the global head growth. When applying this measure to investigate typical cortical development, we observed that left temporal and temporoparietal regions belonging to the reading network exhibited an increase during the early reading stage and stabilized during the advanced reading stage. This suggests that the natural plasticity window for reading is within the first years of primary school, hence earlier than the typical period for reading intervention. Concerning neurotrajectories in children with dyslexia compared to typical readers, we observed no differences in gray matter development of the left reading network, but we found different neurotrajectories in right IFG opercularis (during the early reading stage) and in right isthmus cingulate (during the advanced reading stage), which could reflect compensatory neural mechanisms. ###Answer 1. Changed Reasoning: In Sentence A, the term ""dyslexia"" is used to describe a condition characterized by ""backward reading movements"" and ""excessive number of fixations."" This suggests that the term had a different connotation in 2000 than it does today. In Sentence B, the term ""dyslexia"" is used to describe a condition characterized by ""reading ability"" and ""cortical development."" This suggests that the term has shifted its meaning to include a broader range of cognitive and neural processes associated with reading. Therefore, the label ""Changed"" is appropriate." 32,Dyslexia,"Dyslexia has long been defined by deficit. Nevertheless, the view that visual-spatial talents accompany dyslexia has grown, due to reports of individuals with dyslexia who possess visual-spatial strengths, findings of elevated incidence of dyslexia in certain visual-spatial professions, and the hypothesis that left-hemisphere deficits accompany right-hemisphere strengths. Studies have reported superior, inferior, and average levels of visual-spatial abilities associated with dyslexia. In two investigations, we found an association between dyslexia and speed of recognition of impossible figures, a global visual-spatial task. This finding suggests that dyslexia is associated with a particular type of visual-spatial talent-enhanced ability to process visual-spatial information globally (holistically) rather than locally (part by part).","Developmental dyslexia (DD) is a neurodevelopmental condition with complex genetic mechanisms. A number of candidate genes have been identified, some of which are linked to neuronal development and migration and to ciliary functions. However, expression and regulation of these genes in human brain development and neuronal differentiation remain uncharted. Here, we used human long-term self-renewing neuroepithelial stem (lt-NES, here termed NES) cells derived from human induced pluripotent stem cells to study neuronal differentiation in vitro. We characterized gene expression changes during differentiation by using RNA sequencing and validated dynamics for selected genes by qRT-PCR. Interestingly, we found that genes related to cilia were significantly enriched among upregulated genes during differentiation, including genes linked to ciliopathies with neurodevelopmental phenotypes. We confirmed the presence of primary cilia throughout neuronal differentiation. Focusing on dyslexia candidate genes, 33 out of 50 DD candidate genes were detected in NES cells by RNA sequencing, and seven candidate genes were upregulated during differentiation to neurons, including DYX1C1 (DNAAF4), a highly replicated DD candidate gene. Our results suggest a role of ciliary genes in differentiating neuronal cells and show that NES cells provide a relevant human neuronal model to study ciliary and DD candidate genes.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dyslexia Sentence A: Dyslexia has long been defined by deficit. Nevertheless, the view that visual-spatial talents accompany dyslexia has grown, due to reports of individuals with dyslexia who possess visual-spatial strengths, findings of elevated incidence of dyslexia in certain visual-spatial professions, and the hypothesis that left-hemisphere deficits accompany right-hemisphere strengths. Studies have reported superior, inferior, and average levels of visual-spatial abilities associated with dyslexia. In two investigations, we found an association between dyslexia and speed of recognition of impossible figures, a global visual-spatial task. This finding suggests that dyslexia is associated with a particular type of visual-spatial talent-enhanced ability to process visual-spatial information globally (holistically) rather than locally (part by part). Sentence B: Developmental dyslexia (DD) is a neurodevelopmental condition with complex genetic mechanisms. A number of candidate genes have been identified, some of which are linked to neuronal development and migration and to ciliary functions. However, expression and regulation of these genes in human brain development and neuronal differentiation remain uncharted. Here, we used human long-term self-renewing neuroepithelial stem (lt-NES, here termed NES) cells derived from human induced pluripotent stem cells to study neuronal differentiation in vitro. We characterized gene expression changes during differentiation by using RNA sequencing and validated dynamics for selected genes by qRT-PCR. Interestingly, we found that genes related to cilia were significantly enriched among upregulated genes during differentiation, including genes linked to ciliopathies with neurodevelopmental phenotypes. We confirmed the presence of primary cilia throughout neuronal differentiation. Focusing on dyslexia candidate genes, 33 out of 50 DD candidate genes were detected in NES cells by RNA sequencing, and seven candidate genes were upregulated during differentiation to neurons, including DYX1C1 (DNAAF4), a highly replicated DD candidate gene. Our results suggest a role of ciliary genes in differentiating neuronal cells and show that NES cells provide a relevant human neuronal model to study ciliary and DD candidate genes. ###Answer 1. Changed Reasoning: The target word ""dyslexia"" has undergone significant semantic drift between the two sentences. In Sentence A, the word is defined by deficit and associated with visual-spatial strengths, while in Sentence B, it is described as a neurodevelopmental condition with complex genetic mechanisms. The word's meaning has shifted from a focus on visual-spatial abilities to a broader understanding of the condition as a whole. This change in meaning indicates semantic drift has occurred." 33,Dyslexia,"The importance of genetic influences on cognitive disability has been recognized for a long time, but molecular analysis has only recently begun to yield insights into the pathogenesis of this common and disabling condition. The availability of genome sequences has enabled the characterization of the chromosomal deletions and trisomies that result in cognitive disability, and mutations in rare single-gene conditions are being discovered. The molecular pathology of cognitive disability is turning out to be as heterogeneous as the condition itself, with unexpected complexities even in apparently simple gene-deletion syndromes. One remarkable finding from studies on X-linked mental retardation is that mutations in different small guanosine triphosphate (GTP)-binding proteins result in cognitive disability without other somatic features. Advances are also being made in cognitive disability with polygenic origins, such as dyslexia and autism. However, the genetic basis of mild intellectual disability has yet to be satisfactorily explained.","The present study addressed auditory processing in 8-11-year-old children with developmental dyslexia by means of event-related brain potentials (ERP). Cortical sound reception was evaluated by recording N250 responses to syllables and tones and cortical sound discrimination by analyzing the mismatch negativity (MMN) to syllable and tone changes. We found that both cortical sound reception and sound discrimination were impaired in dyslexic children. The analysis of the data obtained from two dyslexic subgroups, Dyslexics-1 being impaired in non-word reading (or both non-word and frequent word reading) and Dyslexics-2 in frequent word reading but not in non-word reading, revealed that the MMN was specifically diminished in the latter group whereas it was normal-like in Dyslexics-1. However, no differences were found between these subgroups in sound reception as indicated by the responses elicited by the standard stimuli. These results show that different diagnostic subgroups of dyslexics have different patterns of auditory processing deficits as suggested by similarly impaired sound reception in both dyslexic groups and the sound-discrimination impairment specific to one of the groups.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dyslexia Sentence A: The importance of genetic influences on cognitive disability has been recognized for a long time, but molecular analysis has only recently begun to yield insights into the pathogenesis of this common and disabling condition. The availability of genome sequences has enabled the characterization of the chromosomal deletions and trisomies that result in cognitive disability, and mutations in rare single-gene conditions are being discovered. The molecular pathology of cognitive disability is turning out to be as heterogeneous as the condition itself, with unexpected complexities even in apparently simple gene-deletion syndromes. One remarkable finding from studies on X-linked mental retardation is that mutations in different small guanosine triphosphate (GTP)-binding proteins result in cognitive disability without other somatic features. Advances are also being made in cognitive disability with polygenic origins, such as dyslexia and autism. However, the genetic basis of mild intellectual disability has yet to be satisfactorily explained. Sentence B: The present study addressed auditory processing in 8-11-year-old children with developmental dyslexia by means of event-related brain potentials (ERP). Cortical sound reception was evaluated by recording N250 responses to syllables and tones and cortical sound discrimination by analyzing the mismatch negativity (MMN) to syllable and tone changes. We found that both cortical sound reception and sound discrimination were impaired in dyslexic children. The analysis of the data obtained from two dyslexic subgroups, Dyslexics-1 being impaired in non-word reading (or both non-word and frequent word reading) and Dyslexics-2 in frequent word reading but not in non-word reading, revealed that the MMN was specifically diminished in the latter group whereas it was normal-like in Dyslexics-1. However, no differences were found between these subgroups in sound reception as indicated by the responses elicited by the standard stimuli. These results show that different diagnostic subgroups of dyslexics have different patterns of auditory processing deficits as suggested by similarly impaired sound reception in both dyslexic groups and the sound-discrimination impairment specific to one of the groups. ###Answer 1. Changed Reasoning: The term ""dyslexia"" has undergone significant semantic drift between Sentence A (2000) and Sentence B (2020). In Sentence A, ""dyslexia"" is used to describe a broader range of cognitive disabilities, including intellectual disability and other neurodevelopmental disorders. In Sentence B, ""dyslexia"" is used specifically to refer to difficulties with reading and spelling, with no mention of other cognitive disabilities. This shift in meaning indicates that the term ""dyslexia"" has undergone semantic drift, and the label ""Changed"" is appropriate." 34,Dyslexia,"There is evidence for genetic contributions to reading disability, but the phenotypic heterogeneity associated with the clinical diagnosis may make identification of the underlying genetic basis difficult. In order to elucidate distinct phenotypic features that may be contributing to the genotypic heterogeneity, we assessed the familial aggregation patterns of Verbal IQ and 24 phenotypic measures associated with dyslexia in 102 nuclear families ascertained through probands in grades 1 through 6 who met the criteria for this disorder. Correlations between relatives were computed for all diagnostic phenotypes, using a generalized estimating equation (GEE) approach. GEE is a recently developed semiparametric method for handling correlated data. The method is robust to model misspecification and flexible in adjusting for the subjects' characteristics and pedigree sizes as well as for the ascertainment process, while estimating the correlations between related subjects. The Nonword Memory (NWM) subtest of a prepublication version of the Comprehensive Test of Phonological Processing (CTOPP) and Phonemic Decoding Efficiency (PDE) subtest of a prepublication version of the Test of Word Reading Efficiency (TOWRE) showed correlation patterns in relatives that are strongly supportive of a genetic basis. The Wechsler Scale Digit Span, the Word Attack subtest of the Woodcock Reading Mastery Test--Revised, and the Spelling subtest of the Wide Range Achievement Test--Third Edition had slightly weaker evidence of a genetic basis. Five additional phenotypes (the Spelling subtest of the Wechsler Individual Achievement Test, the Accuracy, Rate, and Comprehension subtests of the Gray Oral Reading Test--Third Edition, and Rapid Automatized Naming of Letters and Numbers) gave suggestive evidence of such a pattern. The results cross-validate in that evidence for a pattern consistent with a genetic basis was obtained for two measures of phonological short-term memory (CTOPP Nonword Memory and WISCIII or WAIS-R Digit Span), for two measures of phonological decoding (WRMT-R Word Attack and TOWRE Phonemic Decoding Efficiency), and for two measures of spelling from dictation (WRAT-3 Spelling and, to a lesser extent, WIAT Spelling). These measures are thus good candidates for more sophisticated segregation analyses that can formulate models for incorporation into linkage analyses.","Numerous studies have focused on the understanding of rapid automatized naming (RAN), which can be applied to predict reading abilities and developmental dyslexia in children. Eye tracking technique, characterizing the essential ocular activities, might have the feasibility to reveal the visual and cognitive features of RAN. However, traditional measures of eye movements ignore many dynamical details about the visual and cognitive processing of RAN, and are usually associated with the duration of time spent on some particular areas of interest, fixation counts, revisited fixation counts, saccadic velocities, or saccadic amplitudes. To cope with this drawback, we suggested an entropy-based method to measure eye movements for the first time, which first mapped eye movements during RAN in a time-series and then analyzed the time-series by a proper definition of entropy from the perspective of information theory. Our findings showed that the entropy was more sensitive to reflect small perturbation (e.g., rapid movements between focuses in the presence of skipping or omitting some stimulus during RAN) of eye movements, and thus gained better performance than traditional measures. We also verified that the entropy of eye movements significantly deceased with the age and the task complexity of RAN, and significantly correlated with traditional eye-movement measures [e.g., total time of naming (TTN)] and the RAN-related skills [e.g., selective attention (SA), cognitive speed, and visual-motor integration]. Our findings may bring some new insights into the understanding of both RAN and eye tracking technique itself.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dyslexia Sentence A: There is evidence for genetic contributions to reading disability, but the phenotypic heterogeneity associated with the clinical diagnosis may make identification of the underlying genetic basis difficult. In order to elucidate distinct phenotypic features that may be contributing to the genotypic heterogeneity, we assessed the familial aggregation patterns of Verbal IQ and 24 phenotypic measures associated with dyslexia in 102 nuclear families ascertained through probands in grades 1 through 6 who met the criteria for this disorder. Correlations between relatives were computed for all diagnostic phenotypes, using a generalized estimating equation (GEE) approach. GEE is a recently developed semiparametric method for handling correlated data. The method is robust to model misspecification and flexible in adjusting for the subjects' characteristics and pedigree sizes as well as for the ascertainment process, while estimating the correlations between related subjects. The Nonword Memory (NWM) subtest of a prepublication version of the Comprehensive Test of Phonological Processing (CTOPP) and Phonemic Decoding Efficiency (PDE) subtest of a prepublication version of the Test of Word Reading Efficiency (TOWRE) showed correlation patterns in relatives that are strongly supportive of a genetic basis. The Wechsler Scale Digit Span, the Word Attack subtest of the Woodcock Reading Mastery Test--Revised, and the Spelling subtest of the Wide Range Achievement Test--Third Edition had slightly weaker evidence of a genetic basis. Five additional phenotypes (the Spelling subtest of the Wechsler Individual Achievement Test, the Accuracy, Rate, and Comprehension subtests of the Gray Oral Reading Test--Third Edition, and Rapid Automatized Naming of Letters and Numbers) gave suggestive evidence of such a pattern. The results cross-validate in that evidence for a pattern consistent with a genetic basis was obtained for two measures of phonological short-term memory (CTOPP Nonword Memory and WISCIII or WAIS-R Digit Span), for two measures of phonological decoding (WRMT-R Word Attack and TOWRE Phonemic Decoding Efficiency), and for two measures of spelling from dictation (WRAT-3 Spelling and, to a lesser extent, WIAT Spelling). These measures are thus good candidates for more sophisticated segregation analyses that can formulate models for incorporation into linkage analyses. Sentence B: Numerous studies have focused on the understanding of rapid automatized naming (RAN), which can be applied to predict reading abilities and developmental dyslexia in children. Eye tracking technique, characterizing the essential ocular activities, might have the feasibility to reveal the visual and cognitive features of RAN. However, traditional measures of eye movements ignore many dynamical details about the visual and cognitive processing of RAN, and are usually associated with the duration of time spent on some particular areas of interest, fixation counts, revisited fixation counts, saccadic velocities, or saccadic amplitudes. To cope with this drawback, we suggested an entropy-based method to measure eye movements for the first time, which first mapped eye movements during RAN in a time-series and then analyzed the time-series by a proper definition of entropy from the perspective of information theory. Our findings showed that the entropy was more sensitive to reflect small perturbation (e.g., rapid movements between focuses in the presence of skipping or omitting some stimulus during RAN) of eye movements, and thus gained better performance than traditional measures. We also verified that the entropy of eye movements significantly deceased with the age and the task complexity of RAN, and significantly correlated with traditional eye-movement measures [e.g., total time of naming (TTN)] and the RAN-related skills [e.g., selective attention (SA), cognitive speed, and visual-motor integration]. Our findings may bring some new insights into the understanding of both RAN and eye tracking technique itself. ###Answer 1. Changed The meaning of the target word ""dyslexia"" has significantly shifted between the two sentences. In Sentence A, the word is used in the context of genetic contributions to reading disability, and its meaning is focused on the clinical diagnosis and the associated phenotypic heterogeneity. In Sentence B, the word is used in the context of rapid automatized naming, and its meaning is focused on the understanding of reading abilities and developmental dyslexia in children. The word has taken on a different connotation and meaning in the latter sentence, indicating that semantic drift has occurred." 35,Dyslexia,"This paper reviews what is known about developmental dyslexia at three levels of analysis: cognitive, neurological, and genetic. It also considers the difficult problem of establishing causal links between these levels of analysis, and argues that solving the gene-behavior problem is paradoxically easier than solving the brain-behavior problem.","Developmental dyslexia is characterized by the inability to acquire typical reading and writing skills. Dyslexia has been frequently linked to cerebral cortex alterations; however, recent evidence also points toward sensory thalamus dysfunctions: dyslexics showed reduced responses in the left auditory thalamus (medial geniculate body, MGB) during speech processing in contrast to neurotypical readers. In addition, in the visual modality, dyslexics have reduced structural connectivity between the left visual thalamus (lateral geniculate nucleus, LGN) and V5/MT, a cerebral cortex region involved in visual movement processing. Higher LGN-V5/MT connectivity in dyslexics was associated with the faster rapid naming of letters and numbers (RANln), a measure that is highly correlated with reading proficiency. Here, we tested two hypotheses that were directly derived from these previous findings. First, we tested the hypothesis that dyslexics have reduced structural connectivity between the left MGB and the auditory-motion-sensitive part of the left planum temporale (mPT). Second, we hypothesized that the amount of left mPT-MGB connectivity correlates with dyslexics RANln scores. Using diffusion tensor imaging-based probabilistic tracking, we show that male adults with developmental dyslexia have reduced structural connectivity between the left MGB and the left mPT, confirming the first hypothesis. Stronger left mPT-MGB connectivity was not associated with faster RANln scores in dyslexics, but was in neurotypical readers. Our findings provide the first evidence that reduced cortico-thalamic connectivity in the auditory modality is a feature of developmental dyslexia and it may also affect reading-related cognitive abilities in neurotypical readers.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dyslexia Sentence A: This paper reviews what is known about developmental dyslexia at three levels of analysis: cognitive, neurological, and genetic. It also considers the difficult problem of establishing causal links between these levels of analysis, and argues that solving the gene-behavior problem is paradoxically easier than solving the brain-behavior problem. Sentence B: Developmental dyslexia is characterized by the inability to acquire typical reading and writing skills. Dyslexia has been frequently linked to cerebral cortex alterations; however, recent evidence also points toward sensory thalamus dysfunctions: dyslexics showed reduced responses in the left auditory thalamus (medial geniculate body, MGB) during speech processing in contrast to neurotypical readers. In addition, in the visual modality, dyslexics have reduced structural connectivity between the left visual thalamus (lateral geniculate nucleus, LGN) and V5/MT, a cerebral cortex region involved in visual movement processing. Higher LGN-V5/MT connectivity in dyslexics was associated with the faster rapid naming of letters and numbers (RANln), a measure that is highly correlated with reading proficiency. Here, we tested two hypotheses that were directly derived from these previous findings. First, we tested the hypothesis that dyslexics have reduced structural connectivity between the left MGB and the auditory-motion-sensitive part of the left planum temporale (mPT). Second, we hypothesized that the amount of left mPT-MGB connectivity correlates with dyslexics RANln scores. Using diffusion tensor imaging-based probabilistic tracking, we show that male adults with developmental dyslexia have reduced structural connectivity between the left MGB and the left mPT, confirming the first hypothesis. Stronger left mPT-MGB connectivity was not associated with faster RANln scores in dyslexics, but was in neurotypical readers. Our findings provide the first evidence that reduced cortico-thalamic connectivity in the auditory modality is a feature of developmental dyslexia and it may also affect reading-related cognitive abilities in neurotypical readers. ###Answer 1. Changed Reasoning: The target word ""dyslexia"" has undergone a significant change in meaning between Sentence A (2000) and Sentence B (2020). In Sentence A, the word is used to describe a cognitive and neurological condition characterized by the inability to acquire typical reading and writing skills. In Sentence B, the word is used to describe a condition characterized by reduced structural connectivity between the left auditory thalamus and the left visual thalamus, which is associated with difficulties in rapid naming of letters and numbers. The change in meaning is evident in the shift from a cognitive and neurological perspective in Sentence A to a more specific reference to brain structure and function in Sentence B. Therefore, the label ""Changed"" is appropriate." 36,Dyslexia,"Dyslexia is a common and genetically complex trait that manifests primarily as a reading disability independent of general intelligence and educational opportunity. Strong evidence for a dyslexia susceptibility locus on chromosome 1p34-p36 (near marker D1S199) was recently reported, and an earlier study found suggestive evidence for linkage to the same region. We tested for the presence of a dyslexia gene in this region in a sample of 100 Canadian families using both qualitative and quantitative definitions of the phenotype. Using a qualitative definition of dyslexia (affected, unaffected, or uncertain), the largest multipoint Genehunter Maximum LOD-Score (MLS) in 100 core nuclear families was 3.65 at D1S507, distal to D1S199. Quantitative trait locus (QTL) linkage analysis was performed for four measures of dyslexia (phonological awareness, phonological coding, spelling, and rapid automatized naming speed) employing the variance components approach implemented in Genehunter. Using a model with QTL additive and dominance variance and polygenic additive variance, the multipoint LOD scores maximized proximal to D1S199 (between D1S552 and D1S1622), with peaks of 4.01 for spelling and 1.65 for phonological coding (corresponding LOD scores under 1 degree of freedom were 3.30 and 1.13, respectively). In conclusion, our study confirms and strengthens recent findings of a dyslexia susceptibility gene on chromosome 1p34-p36 (now designated DYX8).","We suggest that the American poet E.E. Cummings was probably mildly dyslexic. Evidence, which is drawn in particular from inspection of his archival papers, includes consideration of his spelling, letter formation, handwriting, approach to page orientation, proclivity for exploration of the mirror-image, reading and educational history, struggles in the composition of analytical prose, and notable strengths in lateral thinking and the making of surprising lateral connections. We emphasise the importance of Cummings' modernist literary context as the primary shaping force for his literary aesthetic and we resist any simply reductive explanation of his literary style as a function of dyslexia. However, dyslexia may be one factor that contributes to his unique style.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dyslexia Sentence A: Dyslexia is a common and genetically complex trait that manifests primarily as a reading disability independent of general intelligence and educational opportunity. Strong evidence for a dyslexia susceptibility locus on chromosome 1p34-p36 (near marker D1S199) was recently reported, and an earlier study found suggestive evidence for linkage to the same region. We tested for the presence of a dyslexia gene in this region in a sample of 100 Canadian families using both qualitative and quantitative definitions of the phenotype. Using a qualitative definition of dyslexia (affected, unaffected, or uncertain), the largest multipoint Genehunter Maximum LOD-Score (MLS) in 100 core nuclear families was 3.65 at D1S507, distal to D1S199. Quantitative trait locus (QTL) linkage analysis was performed for four measures of dyslexia (phonological awareness, phonological coding, spelling, and rapid automatized naming speed) employing the variance components approach implemented in Genehunter. Using a model with QTL additive and dominance variance and polygenic additive variance, the multipoint LOD scores maximized proximal to D1S199 (between D1S552 and D1S1622), with peaks of 4.01 for spelling and 1.65 for phonological coding (corresponding LOD scores under 1 degree of freedom were 3.30 and 1.13, respectively). In conclusion, our study confirms and strengthens recent findings of a dyslexia susceptibility gene on chromosome 1p34-p36 (now designated DYX8). Sentence B: We suggest that the American poet E.E. Cummings was probably mildly dyslexic. Evidence, which is drawn in particular from inspection of his archival papers, includes consideration of his spelling, letter formation, handwriting, approach to page orientation, proclivity for exploration of the mirror-image, reading and educational history, struggles in the composition of analytical prose, and notable strengths in lateral thinking and the making of surprising lateral connections. We emphasise the importance of Cummings' modernist literary context as the primary shaping force for his literary aesthetic and we resist any simply reductive explanation of his literary style as a function of dyslexia. However, dyslexia may be one factor that contributes to his unique style. ###Answer 1. Changed Reasoning: In Sentence A, the term ""dyslexia"" is used to describe a specific reading disability that is independent of general intelligence and educational opportunity. The sentence highlights the genetic complexity of the trait and provides evidence for a susceptibility locus on chromosome 1p34-p36. In contrast, Sentence B uses the term ""dyslexic"" to describe the poet E.E. Cummings in a more casual and anecdotal manner. The sentence does not provide any evidence for a specific reading disability and instead focuses on Cummings' literary style and the potential influence of his dyslexia on his writing. The meaning of the term ""dyslexia"" has changed significantly between the two sentences. In Sentence A, the term is used in a more formal and scientific context, while in Sentence B, it is used in a more casual and anecdotal manner. Additionally, the sentence in Sentence B does not provide any evidence for a specific reading disability, which is the primary focus of Sentence A. Therefore, it can be concluded that semantic drift has occurred in the meaning of the term ""dyslexia"" between the two sentences." 37,Dyslexia,"Between 3 and 6 per cent of children who are otherwise unimpaired have extreme difficulties producing and understanding spoken language. This disorder is typically labelled specific language impairment. Children diagnosed with specific language impairment often have accompanying reading difficulties (dyslexia), but not all children with reading difficulties have specific language impairment. Some researchers claim that language impairment arises from failures specific to language or cognitive processing. Others hold that language impairment results from a more elemental problem that makes affected children unable to hear the acoustic distinctions among successive brief sounds in speech. Here we report the results of psychophysical tests employing simple tones and noises showing that children with specific language impairment have severe auditory perceptual deficits for brief but not long tones in particular sound contexts. Our data support the view that language difficulties result from problems in auditory perception, and provide further information about the nature of these perceptual problems that should contribute to improving the diagnosis and treatment of language impairment and related disorders.","This case is presented to explain that developmental dyslexia and related autistic spectrum disorders have solely pathological origins. There is a general consensus of opinion which supports the phonological theory. However, this largely ignores the biological basis for all aspects of the brain's development and function, and hence, for its dysfunction. A unified explanation must take into account all salient features including cognitive dysfunction, encephalograph (EEG) frequencies, neural networks, physiological systems, autonomic nervous system and the function of the cerebellum. It must explain the significance of the brain waves and neurons and their normally synchronized or coherent function. This article builds upon an earlier article by the authors, which incorporates a review and discussion of the prevailing theories or models for developmental dyslexia. It looks at the issues from a top-down 'systems biology' perspective. It concludes that it may be only the body's biochemistry and, in particular, the onset of pathologies that explain the phenomena which we recognize as developmental dyslexia. Pathologies experienced in the early prepubescent years influence neural development. They influence the speed and coherent transmission of data between the senses and neural centers. It is proposed that this explains the nature and occurrence of what we recognize as developmental dyslexia.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dyslexia Sentence A: Between 3 and 6 per cent of children who are otherwise unimpaired have extreme difficulties producing and understanding spoken language. This disorder is typically labelled specific language impairment. Children diagnosed with specific language impairment often have accompanying reading difficulties (dyslexia), but not all children with reading difficulties have specific language impairment. Some researchers claim that language impairment arises from failures specific to language or cognitive processing. Others hold that language impairment results from a more elemental problem that makes affected children unable to hear the acoustic distinctions among successive brief sounds in speech. Here we report the results of psychophysical tests employing simple tones and noises showing that children with specific language impairment have severe auditory perceptual deficits for brief but not long tones in particular sound contexts. Our data support the view that language difficulties result from problems in auditory perception, and provide further information about the nature of these perceptual problems that should contribute to improving the diagnosis and treatment of language impairment and related disorders. Sentence B: This case is presented to explain that developmental dyslexia and related autistic spectrum disorders have solely pathological origins. There is a general consensus of opinion which supports the phonological theory. However, this largely ignores the biological basis for all aspects of the brain's development and function, and hence, for its dysfunction. A unified explanation must take into account all salient features including cognitive dysfunction, encephalograph (EEG) frequencies, neural networks, physiological systems, autonomic nervous system and the function of the cerebellum. It must explain the significance of the brain waves and neurons and their normally synchronized or coherent function. This article builds upon an earlier article by the authors, which incorporates a review and discussion of the prevailing theories or models for developmental dyslexia. It looks at the issues from a top-down 'systems biology' perspective. It concludes that it may be only the body's biochemistry and, in particular, the onset of pathologies that explain the phenomena which we recognize as developmental dyslexia. Pathologies experienced in the early prepubescent years influence neural development. They influence the speed and coherent transmission of data between the senses and neural centers. It is proposed that this explains the nature and occurrence of what we recognize as developmental dyslexia. ###Answer 1. Changed Explanation: The target word ""dyslexia"" has undergone a significant change in meaning between Sentence A (2000) and Sentence B (2020). In Sentence A, ""dyslexia"" is defined as a specific language impairment that can lead to reading difficulties, but not all children with reading difficulties have this impairment. The term is used in the context of language processing and perception. In Sentence B, ""dyslexia"" is redefined as a pathological condition with solely pathological origins. The term is used in the context of brain development and function, and the authors suggest that it may be only the body's biochemistry and pathologies that explain the phenomenon of developmental dyslexia. The focus has shifted from language processing and perception to the biological basis of brain development and function. Therefore, the meaning of ""dyslexia"" has changed significantly between the two sentences, indicating semantic drift." 38,Dyslexia,"The relationship between cognitive deficits in high-level autism and those in learning disabilities has received little attention. To determine whether high-functioning autistic patients and individuals with severe dyslexia display different cognitive characteristics, 10 nonretarded men (mean age 26 years) with infantile autism, residual state, were compared with 15 severely dyslexic men (mean age 22 years) and 25 matched controls on a neuropsychological test battery. The two clinical groups were dissociated by a reduced digit span seen in the dyslexics and by impaired problem-solving skills (Wisconsin Card Sort and selected subtests from the Binet) seen in the autistic group. These results suggest different localization of brain dysfunction and different educational/habilitative needs.","Children and adults with dyslexia are often provided with audio-support, which reads the written text for the learner. The present study examined to what extent audio-support as a form of external regulation impacts navigation patterns in children and adults with and without dyslexia. We compared navigation patterns in multimedia lessons of learners with (36 children, 41 adults), and without dyslexia (46 children, 44 adults) in a text-condition vs. text-audio-condition. Log files were recorded to identify navigation patterns. Four patterns could be distinguished: linear reading (linear), linear reading with rereading (big peak), reading with going back to previous pages (small peaks), and a combination of strategies (combined peaks). Children generally used linear navigation strategies in both conditions, whereas adults mostly used combined-peaks strategies in the text-condition, but linear strategies in the text-audio-condition. No differences were found between learners with and without dyslexia. Audio-support does not impact navigation strategies in children but does seem to impact navigation strategies in adult learners, towards the use of more linear navigation patterns, reflecting less self-regulation.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dyslexia Sentence A: The relationship between cognitive deficits in high-level autism and those in learning disabilities has received little attention. To determine whether high-functioning autistic patients and individuals with severe dyslexia display different cognitive characteristics, 10 nonretarded men (mean age 26 years) with infantile autism, residual state, were compared with 15 severely dyslexic men (mean age 22 years) and 25 matched controls on a neuropsychological test battery. The two clinical groups were dissociated by a reduced digit span seen in the dyslexics and by impaired problem-solving skills (Wisconsin Card Sort and selected subtests from the Binet) seen in the autistic group. These results suggest different localization of brain dysfunction and different educational/habilitative needs. Sentence B: Children and adults with dyslexia are often provided with audio-support, which reads the written text for the learner. The present study examined to what extent audio-support as a form of external regulation impacts navigation patterns in children and adults with and without dyslexia. We compared navigation patterns in multimedia lessons of learners with (36 children, 41 adults), and without dyslexia (46 children, 44 adults) in a text-condition vs. text-audio-condition. Log files were recorded to identify navigation patterns. Four patterns could be distinguished: linear reading (linear), linear reading with rereading (big peak), reading with going back to previous pages (small peaks), and a combination of strategies (combined peaks). Children generally used linear navigation strategies in both conditions, whereas adults mostly used combined-peaks strategies in the text-condition, but linear strategies in the text-audio-condition. No differences were found between learners with and without dyslexia. Audio-support does not impact navigation strategies in children but does seem to impact navigation strategies in adult learners, towards the use of more linear navigation patterns, reflecting less self-regulation. ###Answer 1. Changed Explanation: In Sentence A, the term ""dyslexia"" is used to describe a specific learning disability characterized by cognitive deficits and impaired problem-solving skills. The word is used in a clinical context to describe a specific group of individuals. In contrast, in Sentence B, the term ""dyslexia"" is used to describe a more general phenomenon of using audio-support to navigate text. The word is used in a more general context to describe a common practice among learners, including those without a learning disability. In Sentence A, the meaning of ""dyslexia"" has shifted towards a more clinical and specific meaning, indicating a cognitive disability. In Sentence B, the meaning of ""dyslexia"" has shifted towards a more general and non-clinical meaning, indicating a common practice among learners. Therefore, the label ""Changed"" is appropriate for this task." 39,Dyslexia,Several double-blind studies of the effects of piracetam in developmental dyslexia are reviewed. There is general agreement among studies that piracetam appears to improve reading performance.,"Both genetic and socio-demographic factors influence the risk for behavioral problems in the developmental age. Genetic studies indicate that shared genetic factors partially contribute to behavioral and learning problems, in particular reading disabilities (RD). For the first time, we explore the conjoint role of DCDC2 gene, an identified RD candidate gene, and socioeconomic status (SES) upon behavioral phenotypes in a general population of Italian children. Two of the most replicated DCDC2 markers [i.e., regulatory element associated with dyslexia 1 (READ1), rs793862] were genotyped in 631 children (boys = 314; girls = 317) aged 11-14 years belonging to a community-based sample. Main and interactive effects were tested by MANOVA for each combination of DCDC2 genotypes and socioeconomic status upon emotional and behavioral phenotypes, assessed by Child Behavior Check-List/6-18. The two-way MANOVA (Bonferroni corrected p value = 0.01) revealed a trend toward significance of READ1(4) effect (F = 2.39; p = 0.016), a significant main effect of SES (F = 3.01; p = 0.003) and interactive effect of READ1(4) × SES (F = 2.65; p = 0.007) upon behavioral measures, showing higher attention problems scores among subjects 'READ1(4+) and low SES' compared to all other groups (p values range 0.00003-0.0004). ANOVAs stratified by gender confirmed main and interactive effects among girls, but not boys. Among children exposed to low socioeconomic level, READ1 genetic variant targets the worst outcome in children's attention. ","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dyslexia Sentence A: Several double-blind studies of the effects of piracetam in developmental dyslexia are reviewed. There is general agreement among studies that piracetam appears to improve reading performance. Sentence B: Both genetic and socio-demographic factors influence the risk for behavioral problems in the developmental age. Genetic studies indicate that shared genetic factors partially contribute to behavioral and learning problems, in particular reading disabilities (RD). For the first time, we explore the conjoint role of DCDC2 gene, an identified RD candidate gene, and socioeconomic status (SES) upon behavioral phenotypes in a general population of Italian children. Two of the most replicated DCDC2 markers [i.e., regulatory element associated with dyslexia 1 (READ1), rs793862] were genotyped in 631 children (boys = 314; girls = 317) aged 11-14 years belonging to a community-based sample. Main and interactive effects were tested by MANOVA for each combination of DCDC2 genotypes and socioeconomic status upon emotional and behavioral phenotypes, assessed by Child Behavior Check-List/6-18. The two-way MANOVA (Bonferroni corrected p value = 0.01) revealed a trend toward significance of READ1(4) effect (F = 2.39; p = 0.016), a significant main effect of SES (F = 3.01; p = 0.003) and interactive effect of READ1(4) × SES (F = 2.65; p = 0.007) upon behavioral measures, showing higher attention problems scores among subjects 'READ1(4+) and low SES' compared to all other groups (p values range 0.00003-0.0004). ANOVAs stratified by gender confirmed main and interactive effects among girls, but not boys. Among children exposed to low socioeconomic level, READ1 genetic variant targets the worst outcome in children's attention. ###Answer 1. Changed Reasoning: The target word ""Dyslexia"" in Sentence B has undergone a significant change in meaning compared to Sentence A. In Sentence A, ""Dyslexia"" is used to describe a specific learning disability, specifically reading difficulties. In Sentence B, ""Dyslexia"" is used more broadly to describe behavioral problems, including attention problems, among children from low socioeconomic backgrounds. This shift in meaning suggests that the term ""Dyslexia"" has undergone semantic drift." 40,Dyslexia,"It has been suggested that deficits in explicit phonological processing are causal in developmental dyslexia. Deficits in such skills have been reported in developmental phonological dyslexia, though not in developmental surface dyslexia. The reading performance of two children with callosal agenesis, who have been previously shown to have impairments on rhyming tasks, are reported. Neither child is dyslexic in the traditional sense, since word reading levels are appropriate for age. However, both children have impaired development of the phonological reading route despite normal lexical skills. The pattern of their reading is therefore comparable to developmental phonological dyslexia. Problems in explicit phonological processing may be causal in the failure to establish an efficient phonological reading route but this is insufficient to create difficulty with word recognition itself. The corpus callosum may be essential for the normal development of a phonological reading route.","Decades of neuroscientific findings have elucidated the highly specialized brain areas involved in reading, especially along the ventral occipitotemporal stream where the critical step of recognizing words occurs. We report on a 14-year-old female with temporary dyslexia after a left ventral occipitotemporal ischemic stroke. Our longitudinal multimodal findings show that the resolution of the reading impairment was associated with heightened activity in the left posterior superior and inferior temporal gyri. Our findings highlight the role of the left inferior temporal gyrus in reading and the importance of perilesional and ipsilateral cortical areas for functional recovery after childhood stroke.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dyslexia Sentence A: It has been suggested that deficits in explicit phonological processing are causal in developmental dyslexia. Deficits in such skills have been reported in developmental phonological dyslexia, though not in developmental surface dyslexia. The reading performance of two children with callosal agenesis, who have been previously shown to have impairments on rhyming tasks, are reported. Neither child is dyslexic in the traditional sense, since word reading levels are appropriate for age. However, both children have impaired development of the phonological reading route despite normal lexical skills. The pattern of their reading is therefore comparable to developmental phonological dyslexia. Problems in explicit phonological processing may be causal in the failure to establish an efficient phonological reading route but this is insufficient to create difficulty with word recognition itself. The corpus callosum may be essential for the normal development of a phonological reading route. Sentence B: Decades of neuroscientific findings have elucidated the highly specialized brain areas involved in reading, especially along the ventral occipitotemporal stream where the critical step of recognizing words occurs. We report on a 14-year-old female with temporary dyslexia after a left ventral occipitotemporal ischemic stroke. Our longitudinal multimodal findings show that the resolution of the reading impairment was associated with heightened activity in the left posterior superior and inferior temporal gyri. Our findings highlight the role of the left inferior temporal gyrus in reading and the importance of perilesional and ipsilateral cortical areas for functional recovery after childhood stroke. ###Answer 1. Changed Reasoning: In Sentence A, the term ""developmental dyslexia"" is used to describe a specific type of reading difficulty. The sentence also mentions ""deficits in explicit phonological processing,"" which suggests that the term ""dyslexia"" in this context refers to a specific set of cognitive or processing difficulties. In Sentence B, the term ""temporary dyslexia"" is used to describe a condition that arises after a stroke. The sentence also mentions ""reading impairment,"" which suggests that the term ""dyslexia"" in this context has a different meaning than in Sentence A. Therefore, it can be concluded that the meaning of the term ""dyslexia"" has changed between the two sentences, with the term now encompassing a broader range of reading difficulties and potentially including cognitive or processing difficulties." 41,Dyslexia,"This study compares the nature of the reading deficit that was observed in two dyslexic undergraduate students who were severely impaired at reading and spelling compared with normal undergraduates. They both achieved the same (below average) score on the National Adult Reading Test and on the Schonell spelling test. One of them, however, was good at reading and spelling nonwords, had good phonological awareness skills, was better at reading regular than irregular words, and made phonologically accurate reading and spelling errors (i.e. was a surface dyslexic). The other had poor phonological awareness, produced relatively few phonologically accurate spelling errors, and was poor at reading and spelling nonwords (i.e. was a phonological dyslexic). It is particularly noteworthy that such a clear dissociation between surface and phonological forms of developmental dyslexia occurred in two subjects who were closely matched in terms of their overall reading and spelling ability, and also in terms of their memory span and vocabulary. It is argued that this study strengthens the evidence for the existence of qualitatively different types of developmental dyslexia. The findings are also consistent with the view that phonological awareness skills are more closely related to the operation of the phonological rather than the visual reading route.","This study of an adult case examined in detail with eye movement measures the reading speed problem which is characteristic for developmental dyslexia in regular orthographies. A dramatic length effect was found for low frequency words and for pseudowords, but not for high frequency words. However, even for high frequency words it was found that reading times were substantially prolonged although number of fixations did not differ. A neurocognitive assessment revealed no visual deficits (parallel processing, precedence detection, coherent motion detection) but speed impairments for certain verbal and phonological processes. We propose that the reading difficulties are phonological in nature, but these difficulties become manifest as inefficiency and not as inability.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dyslexia Sentence A: This study compares the nature of the reading deficit that was observed in two dyslexic undergraduate students who were severely impaired at reading and spelling compared with normal undergraduates. They both achieved the same (below average) score on the National Adult Reading Test and on the Schonell spelling test. One of them, however, was good at reading and spelling nonwords, had good phonological awareness skills, was better at reading regular than irregular words, and made phonologically accurate reading and spelling errors (i.e. was a surface dyslexic). The other had poor phonological awareness, produced relatively few phonologically accurate spelling errors, and was poor at reading and spelling nonwords (i.e. was a phonological dyslexic). It is particularly noteworthy that such a clear dissociation between surface and phonological forms of developmental dyslexia occurred in two subjects who were closely matched in terms of their overall reading and spelling ability, and also in terms of their memory span and vocabulary. It is argued that this study strengthens the evidence for the existence of qualitatively different types of developmental dyslexia. The findings are also consistent with the view that phonological awareness skills are more closely related to the operation of the phonological rather than the visual reading route. Sentence B: This study of an adult case examined in detail with eye movement measures the reading speed problem which is characteristic for developmental dyslexia in regular orthographies. A dramatic length effect was found for low frequency words and for pseudowords, but not for high frequency words. However, even for high frequency words it was found that reading times were substantially prolonged although number of fixations did not differ. A neurocognitive assessment revealed no visual deficits (parallel processing, precedence detection, coherent motion detection) but speed impairments for certain verbal and phonological processes. We propose that the reading difficulties are phonological in nature, but these difficulties become manifest as inefficiency and not as inability. ###Answer 1. Changed Reasoning: The meaning of the target word ""dyslexia"" has significantly shifted between Sentence A (2000) and Sentence B (2020). In Sentence A, the term is used to describe a specific type of developmental reading disability, characterized by a dissociation between surface and phonological forms of dyslexia. In contrast, in Sentence B, the term is used more broadly to describe a reading speed problem that is characteristic of developmental dyslexia in regular orthographies, without the same level of specificity regarding the different types of dyslexia. Therefore, the meaning of the target word has changed, indicating semantic drift." 42,Dyslexia,"This study of adults with self-reported learning disabilities (SRLD) in Slovenia is part of a larger secondary analysis of the data from the International Literacy Survey project (IALS). The purpose of the study was to examine the characteristics of 79 (2.68%) individuals who reported experiencing learning disabilities and compare them to the general population on a variety of indicators of educational background, employment status, and reading and writing activities at work and at home. The proficiency scores of the SRLD individuals were lower in all three literacy domains (prose, document and quantitative literacy). In prose literacy 77.9% of SRLD adults performed at Level 1 and only 7.8% reached the level necessary for a modern technological society. Experiencing learning disabilities was not related to gender or age, however, results showed significant differences between the levels achieved by older and younger people with SRLD. In SRLD groups aged 40 years and above, no one achieved more than the second level of literacy in any domain. Learning disabilities were reported more frequently in rural areas. SRLD groups achieve significantly lower educational attainment, and lower employment status, with a preference for manual labour or craft. These findings are of critical importance. SRLD people report that poorer literacy skills are an obstacle to their progression in employment. In the Slovene sample, the SRLD group stands out for low scores in quantitative literacy. Results show that they are less active, pick up information only auditorily or in short written form. They need more frequent help from relatives in literacy activities. Interpretation of the IALS data on SRLD presents many problems. These include amongst others, problems in terminology, different background factors, and the validity of self-report measures. However, the study also raises many interesting challenges for future research and policy. Increasing the availability of support, assistance and counselling for adolescents and adults with learning disabilities remains a very important goal for dyslexia and LD policies in Slovenia.","In recent studies phonological deficits in dyslexia are related to a deficit in the synchronization of neural oscillations to the dynamics of the speech envelope. The temporal features of both amplitude modulations and rise times characterize the speech envelope. Previous studies uncovered the inefficiency of the dyslexic brain to follow different amplitude modulations in speech. However, it remains to be investigated how the envelope's rise time mediates this neural processing. In this study we examined neural synchronization in students with and without dyslexia using auditory steady-state responses at theta, alpha, beta and low-gamma range oscillations (i.e., 4, 10, 20 and 40 Hz) to stimuli with different envelope rise times. Our results revealed reduced neural synchronization in the alpha, beta and low-gamma frequency ranges in dyslexia. Moreover, atypical neural synchronization was modulated by rise time for alpha and beta oscillations, showing that deficits found at 10 and 20 Hz were only evident when the envelope's rise time was significantly shortened. This impaired tracking of rise time cues may very well lead to the speech and phonological processing difficulties observed in dyslexia.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dyslexia Sentence A: This study of adults with self-reported learning disabilities (SRLD) in Slovenia is part of a larger secondary analysis of the data from the International Literacy Survey project (IALS). The purpose of the study was to examine the characteristics of 79 (2.68%) individuals who reported experiencing learning disabilities and compare them to the general population on a variety of indicators of educational background, employment status, and reading and writing activities at work and at home. The proficiency scores of the SRLD individuals were lower in all three literacy domains (prose, document and quantitative literacy). In prose literacy 77.9% of SRLD adults performed at Level 1 and only 7.8% reached the level necessary for a modern technological society. Experiencing learning disabilities was not related to gender or age, however, results showed significant differences between the levels achieved by older and younger people with SRLD. In SRLD groups aged 40 years and above, no one achieved more than the second level of literacy in any domain. Learning disabilities were reported more frequently in rural areas. SRLD groups achieve significantly lower educational attainment, and lower employment status, with a preference for manual labour or craft. These findings are of critical importance. SRLD people report that poorer literacy skills are an obstacle to their progression in employment. In the Slovene sample, the SRLD group stands out for low scores in quantitative literacy. Results show that they are less active, pick up information only auditorily or in short written form. They need more frequent help from relatives in literacy activities. Interpretation of the IALS data on SRLD presents many problems. These include amongst others, problems in terminology, different background factors, and the validity of self-report measures. However, the study also raises many interesting challenges for future research and policy. Increasing the availability of support, assistance and counselling for adolescents and adults with learning disabilities remains a very important goal for dyslexia and LD policies in Slovenia. Sentence B: In recent studies phonological deficits in dyslexia are related to a deficit in the synchronization of neural oscillations to the dynamics of the speech envelope. The temporal features of both amplitude modulations and rise times characterize the speech envelope. Previous studies uncovered the inefficiency of the dyslexic brain to follow different amplitude modulations in speech. However, it remains to be investigated how the envelope's rise time mediates this neural processing. In this study we examined neural synchronization in students with and without dyslexia using auditory steady-state responses at theta, alpha, beta and low-gamma range oscillations (i.e., 4, 10, 20 and 40 Hz) to stimuli with different envelope rise times. Our results revealed reduced neural synchronization in the alpha, beta and low-gamma frequency ranges in dyslexia. Moreover, atypical neural synchronization was modulated by rise time for alpha and beta oscillations, showing that deficits found at 10 and 20 Hz were only evident when the envelope's rise time was significantly shortened. This impaired tracking of rise time cues may very well lead to the speech and phonological processing difficulties observed in dyslexia. ###Answer 1. Changed Reasoning: In Sentence A, the term ""dyslexia"" is used to describe a learning disability that affects an individual's ability to read and spell. The sentence highlights the challenges faced by individuals with dyslexia, including difficulty with literacy skills, lower educational attainment, and lower employment status. The term ""dyslexia"" is used in the context of a larger study examining the characteristics of individuals with learning disabilities. In Sentence B, the term ""dyslexia"" is used in a different context, specifically in the context of a study examining the neural mechanisms underlying dyslexia. The sentence highlights the neural processing difficulties faced by individuals with dyslexia, including impaired synchronization of neural oscillations in the alpha, beta, and low-gamma frequency ranges. The term ""dyslexia"" is used to describe a specific cognitive difficulty related to speech and phonological processing. Based on the different contexts in which the term ""dyslexia"" is used in these two sentences, it is clear that the meaning and connotation of the term have changed. In Sentence A, ""dyslexia"" is used to describe a broader range of learning disabilities, while in Sentence B, it is used to describe a specific cognitive difficulty related to speech and phonological processing. Therefore, the label ""Changed"" is appropriate for this task." 43,Dyslexia,"Converging evidence from neuroimaging studies of developmental dyslexia reveals dysfunction at posterior brain regions centered in and around the angular gyrus in the left hemisphere. We examined functional connectivity (covariance) between the angular gyrus and related occipital and temporal lobe sites, across a series of print tasks that systematically varied demands on phonological assembly. Results indicate that for dyslexic readers a disruption in functional connectivity in the language-dominant left hemisphere is confined to those tasks that make explicit demands on assembly. In contrast, on print tasks that do not require phonological assembly, functional connectivity is strong for both dyslexic and nonimpaired readers. The findings support the view that neurobiological anomalies in developmental dyslexia are largely confined to the phonological-processing domain. In addition, the findings suggest that right-hemisphere posterior regions serve a compensatory role in mediating phonological performance in dyslexic readers.","A growing body of neuroimaging evidence shows that white matter can change as a result of experience and structured learning. Although the majority of previous work has used diffusion MRI to characterize such changes in white matter, diffusion metrics offer limited biological specificity about which microstructural features may be driving white matter plasticity. Recent advances in myelin-specific MRI techniques offer a promising opportunity to assess the specific contribution of myelin in learning-related plasticity. Here we describe the application of such an approach to examine structural plasticity during an early intervention in preliterate children at risk for dyslexia. To this end, myelin water imaging data were collected before and after a 12-week period in (1) at-risk children following early literacy training (n = 13-24), (2) at-risk children engaging with other non-literacy games (n = 10-17) and (3) children without a risk receiving no training (n = 11-22). Before the training, regional risk-related differences were identified, showing higher myelin water fraction (MWF) in right dorsal white matter in at-risk children compared to the typical control group. Concerning intervention-specific effects, our results revealed an increase across left-hemispheric and right ventral MWF over the course of training in the at-risk children receiving early literacy training, but not in the at-risk active control group or the no-risk typical control group. Overall, our results provide support for the use of myelin water imaging as a sensitive tool to investigate white matter and offer a first indication of myelin plasticity in young children at the onset of literacy acquisition.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dyslexia Sentence A: Converging evidence from neuroimaging studies of developmental dyslexia reveals dysfunction at posterior brain regions centered in and around the angular gyrus in the left hemisphere. We examined functional connectivity (covariance) between the angular gyrus and related occipital and temporal lobe sites, across a series of print tasks that systematically varied demands on phonological assembly. Results indicate that for dyslexic readers a disruption in functional connectivity in the language-dominant left hemisphere is confined to those tasks that make explicit demands on assembly. In contrast, on print tasks that do not require phonological assembly, functional connectivity is strong for both dyslexic and nonimpaired readers. The findings support the view that neurobiological anomalies in developmental dyslexia are largely confined to the phonological-processing domain. In addition, the findings suggest that right-hemisphere posterior regions serve a compensatory role in mediating phonological performance in dyslexic readers. Sentence B: A growing body of neuroimaging evidence shows that white matter can change as a result of experience and structured learning. Although the majority of previous work has used diffusion MRI to characterize such changes in white matter, diffusion metrics offer limited biological specificity about which microstructural features may be driving white matter plasticity. Recent advances in myelin-specific MRI techniques offer a promising opportunity to assess the specific contribution of myelin in learning-related plasticity. Here we describe the application of such an approach to examine structural plasticity during an early intervention in preliterate children at risk for dyslexia. To this end, myelin water imaging data were collected before and after a 12-week period in (1) at-risk children following early literacy training (n = 13-24), (2) at-risk children engaging with other non-literacy games (n = 10-17) and (3) children without a risk receiving no training (n = 11-22). Before the training, regional risk-related differences were identified, showing higher myelin water fraction (MWF) in right dorsal white matter in at-risk children compared to the typical control group. Concerning intervention-specific effects, our results revealed an increase across left-hemispheric and right ventral MWF over the course of training in the at-risk children receiving early literacy training, but not in the at-risk active control group or the no-risk typical control group. Overall, our results provide support for the use of myelin water imaging as a sensitive tool to investigate white matter and offer a first indication of myelin plasticity in young children at the onset of literacy acquisition. ###Answer 1. Changed Reasoning: In Sentence A, the term ""dyslexia"" is used to describe a specific neurobiological anomaly (i.e., dysfunction in posterior brain regions) that is confined to the phonological-processing domain. In contrast, in Sentence B, the term ""dyslexia"" is used more broadly to describe a growing body of neuroimaging evidence showing that white matter can change as a result of experience and structured learning. The sentence does not specifically reference phonological assembly or processing, but rather discusses the potential for plasticity in white matter. This suggests that the term ""dyslexia"" has shifted in meaning or connotation between the two sentences, and therefore semantic drift has occurred." 44,Dyslexia,"Contrary to the current assumption that there are no specific correlates of dyslexia in the standard clinical EEG, we have often noted a spontaneous ""intermittent left parietal alpha desynchronization"" (ILPAD) when visually evaluating the standard EEGs of children with delayed speech and language development and/or dyslexia. Visual evaluations of EEGs, as well as computer-assisted frequency analysis of three pairs of matched groups (healthy and hyperkinetic children with vs. without relatively ""low levels"" of verbal performance, as well as children with other child psychiatric disorders with vs. without dyslexia), revealed that healthy children did not display the ILPAD phenomenon. It was seen neither in healthy children with a homogeneous performance profile (""high level"" of verbal performance) nor in those with a relatively ""low level"" of verbal performance. However, the ILPAD phenomenon was evident mainly in children with psychiatric disorders who suffered from dyslexia. Its intermittent occurrence prevented its detection by means of the usual computer-supported analyses of EEG power spectra. Nevertheless, auditory cognitive loading was accompanied by a decrease in alpha power in both healthy and hyperkinetic children with ""high"" or ""low"" levels of verbal performance. In a further group of 8-year-old children with dyslexia, but otherwise healthy, the ILPAD phenomenon was also observed if their CNS maturation as reflected in the EEG was normal for their age. These results seemed to indicate at least a deficit-specificity of the ILPAD phenomenon, which is interpreted as an electrophysiological correlate of a ""brain-electrical developmental deviation"" with regard to the ""functions of communication"": speech, language, reading and spelling.","We report the case of ET, a 7-year-old child with a severe developmental letter-processing impairment. Detailed assessment revealed multiple impairments of the letter-processing system affecting abstract visual letter representation, semantics, and connections between the phonological processing modules and the orthographic buffer. Treatment methods focused on letter sounding through development of abstract visual representation and semantic representation of letters. Treatment resulted in dramatic and enduring improvements in cross-case matching, letter/number categorization, and letter sounding. Cognitive neuropsychological reading research has largely focused on word processing, with a relative neglect of single-letter processing. The current study investigated letter processing in greater detail than has been usual and outlines a broad theoretical framework for letter processing. ET's assessment and treatment data are used to support and question predictions from the framework. A number of theoretical implications are discussed with reference to ET's data and that of other reported cases of impaired single-letter processing. Finally, the paucity of investigation of letter processing in children is highlighted, particularly with regard to integrity of abstract letter representation in developmental dyslexia.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dyslexia Sentence A: Contrary to the current assumption that there are no specific correlates of dyslexia in the standard clinical EEG, we have often noted a spontaneous ""intermittent left parietal alpha desynchronization"" (ILPAD) when visually evaluating the standard EEGs of children with delayed speech and language development and/or dyslexia. Visual evaluations of EEGs, as well as computer-assisted frequency analysis of three pairs of matched groups (healthy and hyperkinetic children with vs. without relatively ""low levels"" of verbal performance, as well as children with other child psychiatric disorders with vs. without dyslexia), revealed that healthy children did not display the ILPAD phenomenon. It was seen neither in healthy children with a homogeneous performance profile (""high level"" of verbal performance) nor in those with a relatively ""low level"" of verbal performance. However, the ILPAD phenomenon was evident mainly in children with psychiatric disorders who suffered from dyslexia. Its intermittent occurrence prevented its detection by means of the usual computer-supported analyses of EEG power spectra. Nevertheless, auditory cognitive loading was accompanied by a decrease in alpha power in both healthy and hyperkinetic children with ""high"" or ""low"" levels of verbal performance. In a further group of 8-year-old children with dyslexia, but otherwise healthy, the ILPAD phenomenon was also observed if their CNS maturation as reflected in the EEG was normal for their age. These results seemed to indicate at least a deficit-specificity of the ILPAD phenomenon, which is interpreted as an electrophysiological correlate of a ""brain-electrical developmental deviation"" with regard to the ""functions of communication"": speech, language, reading and spelling. Sentence B: We report the case of ET, a 7-year-old child with a severe developmental letter-processing impairment. Detailed assessment revealed multiple impairments of the letter-processing system affecting abstract visual letter representation, semantics, and connections between the phonological processing modules and the orthographic buffer. Treatment methods focused on letter sounding through development of abstract visual representation and semantic representation of letters. Treatment resulted in dramatic and enduring improvements in cross-case matching, letter/number categorization, and letter sounding. Cognitive neuropsychological reading research has largely focused on word processing, with a relative neglect of single-letter processing. The current study investigated letter processing in greater detail than has been usual and outlines a broad theoretical framework for letter processing. ET's assessment and treatment data are used to support and question predictions from the framework. A number of theoretical implications are discussed with reference to ET's data and that of other reported cases of impaired single-letter processing. Finally, the paucity of investigation of letter processing in children is highlighted, particularly with regard to integrity of abstract letter representation in developmental dyslexia. ###Answer 1. Changed Reasoning: In Sentence A, the term ""dyslexia"" is used in the context of a specific neurodevelopmental disorder characterized by difficulties with reading and spelling. The sentence highlights the electrophysiological correlates of this disorder, including the ""intermittent left parietal alpha desynchronization"" (ILPAD) phenomenon. The term ""dyslexia"" is used to describe a well-defined clinical entity with specific diagnostic criteria. In Sentence B, the term ""dyslexia"" is used in a broader context, referring to a developmental letter-processing impairment. The sentence highlights the multiple impairments of the letter-processing system, including abstract visual letter representation, semantics, and connections between phonological processing modules and the orthographic buffer. The term ""dyslexia"" is used to describe a broader range of impairments related to letter processing, including single-letter processing. Based on these differences in usage, it is clear that the term ""dyslexia"" has undergone a significant change in meaning between Sentence A and Sentence B. In Sentence A, the term is used to describe a specific neurodevelopmental disorder, while in Sentence B, it is used to describe a broader range of impairments related to letter processing. Therefore, the label ""Changed"" is appropriate for this task." 45,Dyslexia,"The current research examined performance of good and poor readers of Thai on two tasks that assess sensitivity to dynamic visual displays. Readers of Thai, a complex alphabetic script that nonetheless has a regular orthography, were chosen in order to contrast patterns of performance with readers of Korean Hangul (a similarly regular language but one that has a simple visual format, see ). Thai poor readers were less sensitive than good readers on the two measures of dynamic visual processing; they had higher thresholds for detecting coherent movement and required longer ISIs to report group movement in the Ternus task. These results differ from those for poor readers of Korean Hangul that found no relationship between visual processing thresholds and reading skill. This contrast suggests that the expression of visual processing problems in dyslexia is mediated by the format properties of the writing system and points to the need to consider such factors in formulating brain-behavior relationships.","We explore the influence of a secondary cognitive task on concurrent postural control in dyslexic children. Seventeen children with dyslexia (DYS) were compared with thirteen non-dyslexic children (NDYS). Postural control was recorded in Standard Romberg (SR) and Tandem Romberg (TR) conditions while children, in separate sessions, have to fixate on a target and name simple objects appearing consecutively on a computer screen. The surface, the length and the mean speed of the center of pressure were analyzed; the percentage of correct responses to the cognitive task was also measured. DYS are significantly more unstable than NDYS. The secondary cognitive task significantly decreases the postural stability in DYS only. For both children postural performances in the TR condition is significantly worse than in the SR condition. The percentage of wrong responses to the cognitive task is significantly higher in DYS. Postural instability observed in DYS supports the hypothesis that there is a deficit of automatic integration of visual information and postural control in these children. This result is in line with the U-shaped non linear model showing that a secondary task performed during a postural task leads to an impaired postural stability probably due to focus attention on the cognitive task. ","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dyslexia Sentence A: The current research examined performance of good and poor readers of Thai on two tasks that assess sensitivity to dynamic visual displays. Readers of Thai, a complex alphabetic script that nonetheless has a regular orthography, were chosen in order to contrast patterns of performance with readers of Korean Hangul (a similarly regular language but one that has a simple visual format, see ). Thai poor readers were less sensitive than good readers on the two measures of dynamic visual processing; they had higher thresholds for detecting coherent movement and required longer ISIs to report group movement in the Ternus task. These results differ from those for poor readers of Korean Hangul that found no relationship between visual processing thresholds and reading skill. This contrast suggests that the expression of visual processing problems in dyslexia is mediated by the format properties of the writing system and points to the need to consider such factors in formulating brain-behavior relationships. Sentence B: We explore the influence of a secondary cognitive task on concurrent postural control in dyslexic children. Seventeen children with dyslexia (DYS) were compared with thirteen non-dyslexic children (NDYS). Postural control was recorded in Standard Romberg (SR) and Tandem Romberg (TR) conditions while children, in separate sessions, have to fixate on a target and name simple objects appearing consecutively on a computer screen. The surface, the length and the mean speed of the center of pressure were analyzed; the percentage of correct responses to the cognitive task was also measured. DYS are significantly more unstable than NDYS. The secondary cognitive task significantly decreases the postural stability in DYS only. For both children postural performances in the TR condition is significantly worse than in the SR condition. The percentage of wrong responses to the cognitive task is significantly higher in DYS. Postural instability observed in DYS supports the hypothesis that there is a deficit of automatic integration of visual information and postural control in these children. This result is in line with the U-shaped non linear model showing that a secondary task performed during a postural task leads to an impaired postural stability probably due to focus attention on the cognitive task. ###Answer 1. Changed Reasoning: In Sentence A, the target word ""dyslexia"" is used to describe a specific learning disability (i.e., ""the current research examined performance of good and poor readers of Thai on two tasks that assess sensitivity to dynamic visual displays""). The meaning of the word in this context is related to the difficulties that readers with dyslexia may encounter when processing visual information. In Sentence B, the target word ""dyslexia"" is used in a different context, to describe a group of children who are experiencing postural instability. The meaning of the word in this context is related to the children's difficulty in maintaining postural control, which may be related to attentional issues. Based on these two sentences, it appears that the meaning of the target word ""dyslexia"" has changed significantly between the two timestamps. In Sentence A, the word is used to describe a specific learning disability, while in Sentence B, it is used to describe a group of children with postural instability. Therefore, I would label this as a case of semantic drift." 46,Dyslexia,"Chromosome-specific DNA markers provide a powerful approach for studying complex problems in human genetics and offer an opportunity to begin understanding the human genome at the molecular level. The approach described here for isolating and characterizing DNA markers specific to human chromosome 15 involved construction of a partial chromosome-15 phage library from a human/Chinese hamster cell hybrid with a single human chromosome 15. Restriction fragments that identified unique- and low-copy loci on chromosome 15 were isolated from the phage inserts. These fragments were regionally mapped to the chromosome by three methods, including Southern analysis with a mapping panel of cell hybrids, in situ hybridization to metaphase chromosomes, and quantitative hybridization or dosage analysis. A total of 42 restriction fragments of unique- and low-copy sequences were identified in 14 phage. The majority of the fragments that have been characterized so far exhibited the hybridization pattern of a unique locus on chromosome 15. Regional mapping assigned these markers to specific locations on chromosome 15, including q24-25, q21-23, q13-14, q11-12, and q11. RFLP analysis revealed that several markers displayed polymorphisms at frequencies useful for genetic linkage analysis. The markers mapped to the proximal long arm of chromosome 15 are particularly valuable for the molecular analysis of Prader-Willi syndrome, which maps to this region. Polymorphic markers in this region may also be useful for definitively establishing linkage with one form of dyslexia. DNA probes in this chromosomal region should facilitate molecular structural analysis for elucidation of the nature of instability in this region, which is frequently associated with chromosomal aberrations.","Visual perception is often not homogenous across the visual field and can vary depending on situational demands. The reasons behind this inhomogeneity are not clear. Here we show that directing attention that is consistent with a western reading habit from left to right, results in a ~32% higher sensitivity to detect transient visual events in the right hemifield. This right visual field advantage was largely reduced in individuals with reading difficulties from developmental dyslexia. Similarly, visual detection became more symmetric in skilled readers, when attention was guided opposite to the reading pattern. Taken together, these findings highlight a higher sensitivity in the right visual field for detecting the onset of sudden visual events that is well accounted for by left hemisphere dominated reading habit.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dyslexia Sentence A: Chromosome-specific DNA markers provide a powerful approach for studying complex problems in human genetics and offer an opportunity to begin understanding the human genome at the molecular level. The approach described here for isolating and characterizing DNA markers specific to human chromosome 15 involved construction of a partial chromosome-15 phage library from a human/Chinese hamster cell hybrid with a single human chromosome 15. Restriction fragments that identified unique- and low-copy loci on chromosome 15 were isolated from the phage inserts. These fragments were regionally mapped to the chromosome by three methods, including Southern analysis with a mapping panel of cell hybrids, in situ hybridization to metaphase chromosomes, and quantitative hybridization or dosage analysis. A total of 42 restriction fragments of unique- and low-copy sequences were identified in 14 phage. The majority of the fragments that have been characterized so far exhibited the hybridization pattern of a unique locus on chromosome 15. Regional mapping assigned these markers to specific locations on chromosome 15, including q24-25, q21-23, q13-14, q11-12, and q11. RFLP analysis revealed that several markers displayed polymorphisms at frequencies useful for genetic linkage analysis. The markers mapped to the proximal long arm of chromosome 15 are particularly valuable for the molecular analysis of Prader-Willi syndrome, which maps to this region. Polymorphic markers in this region may also be useful for definitively establishing linkage with one form of dyslexia. DNA probes in this chromosomal region should facilitate molecular structural analysis for elucidation of the nature of instability in this region, which is frequently associated with chromosomal aberrations. Sentence B: Visual perception is often not homogenous across the visual field and can vary depending on situational demands. The reasons behind this inhomogeneity are not clear. Here we show that directing attention that is consistent with a western reading habit from left to right, results in a ~32% higher sensitivity to detect transient visual events in the right hemifield. This right visual field advantage was largely reduced in individuals with reading difficulties from developmental dyslexia. Similarly, visual detection became more symmetric in skilled readers, when attention was guided opposite to the reading pattern. Taken together, these findings highlight a higher sensitivity in the right visual field for detecting the onset of sudden visual events that is well accounted for by left hemisphere dominated reading habit. ###Answer 1. Changed Reasoning: In Sentence A, the term ""dyslexia"" is used to describe a genetic disorder characterized by chromosomal aberrations and associated with the human genome. The term is used in the context of genetic research and does not convey any particular connotation or meaning related to learning or education. In Sentence B, the term ""dyslexia"" is used to describe a reading disorder, specifically developmental dyslexia. The term is used in the context of psychology and education, and connotes a difficulty or disability in reading. The sentence suggests that individuals with dyslexia have difficulty detecting transient visual events in the right visual field, and that skilled readers exhibit less symmetry in their visual detection. Based on these two sentences, it is clear that the term ""dyslexia"" has undergone a significant change in meaning. In Sentence A, the term is used in the context of genetics and does not convey any connotation related to learning or education. In Sentence B, the term is used to describe a reading disorder, and connotes a difficulty or disability in reading. Therefore, the label ""Changed"" is appropriate." 47,Dyslexia,"The evolving neuropathology of primarily undamaged cortical regions adjacent to the injured site has been studied in 36 infants who survived a variety of perinatally acquired encephalopathies (microgyrias, ulegyrias, multicystic encephalopathies, porencephalies, and hydranencephalies) and later died of unrelated causes. Their survival times range from hours, days, weeks, or months, to several years. Ten of these children developed epilepsy, 2 developed cerebral palsy, and several were neurologically and mentally impaired. In all cases studied, the undamaged cortex adjacent to the injured site survives, retains its intrinsic vasculature, and is capable of continuing differentiation. However, its postinjury development is characterized by progressive alterations compatible with acquired cortical dysplasia that affects the structural and functional differentiation of its neurons, synaptic profiles, fiber distribution, glial elements, and vasculature. The synaptic profiles of many neurons are transformed by an increased number of intrinsic loci that replace extrinsic ones vacated by the destruction of afferent fibers. The intrinsic fibers of layer I and some Cajal-Retzius cells survive even in severe lesions and may be capable of interconnecting cortical regions that have lost other type of connections. Some intrinsic neurons undergo postinjury structural and functional hypertrophy, acquire new morphologic and functional features, and achieve a large size (meganeurons). Probably, these meganeurons acquire their structural and functional hypertrophy by partial endomitotic DNA and/or RNA reduplication (polyploidy). These postinjury alterations are not static but ongoing processes that continue to affect the structural and functional differentiation of the still developing cortex and may eventually influence the neurologic and cognitive maturation of affected children. This study proposes that, in acquired encephalopathies, the progressive postinjury reorganization of the undamaged cortex and its consequences (acquired cortical dysplasia), rather than the original lesion, represent the main underlying mechanism in the pathogenesis of ensuing neurological sequelae, such as, epilepsy, cerebral palsy, dyslexia, cognitive impairment, and/or poor school performance.","This study focused on predicting dyslexia in children ahead of formal literacy training. Because dyslexia is a constitutional impairment, risk factors should be seen in preschool. It was hypothesized that data gathered at age 5 using questions targeting the dyslexia endophenotype should be reliable and valid predictors of dyslexia at age 11. A questionnaire was given to caretakers of 120 5-year-old children, and a risk index score was calculated based on questions regarding health, laterality, motor skills, language, special needs education and heredity. An at-risk group (n = 25) and matched controls (n = 24) were followed until age 11, when a similar questionnaire and literacy tests were administered to the children who participated in the follow-up study (22 at risk and 20 control). Half of the at-risk children and two of the control children at age 5 were identified as having dyslexia at age 11 (8 girls and 5 boys). It is concluded that it is possible to identify children at the age of 5 who will have dyslexia at the age of 11 through a questionnaire approach.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dyslexia Sentence A: The evolving neuropathology of primarily undamaged cortical regions adjacent to the injured site has been studied in 36 infants who survived a variety of perinatally acquired encephalopathies (microgyrias, ulegyrias, multicystic encephalopathies, porencephalies, and hydranencephalies) and later died of unrelated causes. Their survival times range from hours, days, weeks, or months, to several years. Ten of these children developed epilepsy, 2 developed cerebral palsy, and several were neurologically and mentally impaired. In all cases studied, the undamaged cortex adjacent to the injured site survives, retains its intrinsic vasculature, and is capable of continuing differentiation. However, its postinjury development is characterized by progressive alterations compatible with acquired cortical dysplasia that affects the structural and functional differentiation of its neurons, synaptic profiles, fiber distribution, glial elements, and vasculature. The synaptic profiles of many neurons are transformed by an increased number of intrinsic loci that replace extrinsic ones vacated by the destruction of afferent fibers. The intrinsic fibers of layer I and some Cajal-Retzius cells survive even in severe lesions and may be capable of interconnecting cortical regions that have lost other type of connections. Some intrinsic neurons undergo postinjury structural and functional hypertrophy, acquire new morphologic and functional features, and achieve a large size (meganeurons). Probably, these meganeurons acquire their structural and functional hypertrophy by partial endomitotic DNA and/or RNA reduplication (polyploidy). These postinjury alterations are not static but ongoing processes that continue to affect the structural and functional differentiation of the still developing cortex and may eventually influence the neurologic and cognitive maturation of affected children. This study proposes that, in acquired encephalopathies, the progressive postinjury reorganization of the undamaged cortex and its consequences (acquired cortical dysplasia), rather than the original lesion, represent the main underlying mechanism in the pathogenesis of ensuing neurological sequelae, such as, epilepsy, cerebral palsy, dyslexia, cognitive impairment, and/or poor school performance. Sentence B: This study focused on predicting dyslexia in children ahead of formal literacy training. Because dyslexia is a constitutional impairment, risk factors should be seen in preschool. It was hypothesized that data gathered at age 5 using questions targeting the dyslexia endophenotype should be reliable and valid predictors of dyslexia at age 11. A questionnaire was given to caretakers of 120 5-year-old children, and a risk index score was calculated based on questions regarding health, laterality, motor skills, language, special needs education and heredity. An at-risk group (n = 25) and matched controls (n = 24) were followed until age 11, when a similar questionnaire and literacy tests were administered to the children who participated in the follow-up study (22 at risk and 20 control). Half of the at-risk children and two of the control children at age 5 were identified as having dyslexia at age 11 (8 girls and 5 boys). It is concluded that it is possible to identify children at the age of 5 who will have dyslexia at the age of 11 through a questionnaire approach. ###Answer 1. Changed Reasoning: In Sentence A, the term ""dyslexia"" is used in the context of a specific medical condition, where it refers to a neurological disorder characterized by difficulties with reading and spelling. The sentence highlights the unique features of this condition, such as the presence of meganeurons, and the ongoing postinjury reorganization of the undamaged cortex. In Sentence B, the term ""dyslexia"" is used in a different context, as a risk factor for developing reading difficulties in children. The sentence focuses on identifying children who are at risk of developing dyslexia, rather than studying the neurological mechanisms underlying the condition. Based on these differences in context and meaning, it is clear that the term ""dyslexia"" has undergone a significant change in meaning between Sentence A and Sentence B. Therefore, the label ""Changed"" is appropriate." 48,Dyslexia,"This study investigated the gradient of visual attention in 21 children, 11 children with specific reading disorder (SRD) or dyslexia and 10 children with normal reading skills. We recorded reaction times (RTs) at the onset of a small point along the horizontal axis in the two visual fields. In 70% of the cases the target appeared inside a circle acting as focusing cue and in 30% of the cases it appeared outside, allowing us to study the distribution of attentional resources outside the selected area. Normally reading children showed a normal symmetric distribution of attention. Indeed, RTs were directly proportional to the eccentricity of the target, and no visual field effect was observable. In contrast, children with SRD showed an anomalous and asymmetric distribution. The effect of the target eccentricity influenced RTs only when the stimulus was projected in the left visual field, whereas no effect was observable when the stimulus was projected in the right visual field. Findings allowed us to discuss the relation between this anomalous spatial distribution of visual attentional resources and dyslexia. To interpret the visual perceptual difficulties of children with SRD the hypothesis was made of a selective disorder of spatial attention (left inattention and right over-distractibility) related to a right parietal cortex dysfunction.","Williams-Beuren syndrome (WBS), a neurodevelopmental genetic disorder whose manifestations include visuospatial impairment, provides a unique model to link genetically determined loss of neural cell populations at different levels of the nervous system with neural circuits and visual behavior. Given that several of the genes deleted in WBS are also involved in eye development and the differentiation of retinal layers, we examined the retinal phenotype in WBS patients and its functional relation to global motion perception. We discovered a low-level visual phenotype characterized by decreased retinal thickness, abnormal optic disk concavity, and impaired visual responses in WBS patients compared with age-matched controls by using electrophysiology, confocal and coherence in vivo imaging with cellular resolution, and psychophysics. These mechanisms of impairment are related to the magnocellular pathway, which is involved in the detection of temporal changes in the visual scene. Low-level magnocellular performance did not predict high-level deficits in the integration of motion and 3D information at higher levels, thereby demonstrating independent mechanisms of dysfunction in WBS that will require remediation strategies different from those used in other visuospatial disorders. These findings challenge neurodevelopmental theories that explain cortical deficits based on low-level magnocellular impairment, such as regarding dyslexia.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dyslexia Sentence A: This study investigated the gradient of visual attention in 21 children, 11 children with specific reading disorder (SRD) or dyslexia and 10 children with normal reading skills. We recorded reaction times (RTs) at the onset of a small point along the horizontal axis in the two visual fields. In 70% of the cases the target appeared inside a circle acting as focusing cue and in 30% of the cases it appeared outside, allowing us to study the distribution of attentional resources outside the selected area. Normally reading children showed a normal symmetric distribution of attention. Indeed, RTs were directly proportional to the eccentricity of the target, and no visual field effect was observable. In contrast, children with SRD showed an anomalous and asymmetric distribution. The effect of the target eccentricity influenced RTs only when the stimulus was projected in the left visual field, whereas no effect was observable when the stimulus was projected in the right visual field. Findings allowed us to discuss the relation between this anomalous spatial distribution of visual attentional resources and dyslexia. To interpret the visual perceptual difficulties of children with SRD the hypothesis was made of a selective disorder of spatial attention (left inattention and right over-distractibility) related to a right parietal cortex dysfunction. Sentence B: Williams-Beuren syndrome (WBS), a neurodevelopmental genetic disorder whose manifestations include visuospatial impairment, provides a unique model to link genetically determined loss of neural cell populations at different levels of the nervous system with neural circuits and visual behavior. Given that several of the genes deleted in WBS are also involved in eye development and the differentiation of retinal layers, we examined the retinal phenotype in WBS patients and its functional relation to global motion perception. We discovered a low-level visual phenotype characterized by decreased retinal thickness, abnormal optic disk concavity, and impaired visual responses in WBS patients compared with age-matched controls by using electrophysiology, confocal and coherence in vivo imaging with cellular resolution, and psychophysics. These mechanisms of impairment are related to the magnocellular pathway, which is involved in the detection of temporal changes in the visual scene. Low-level magnocellular performance did not predict high-level deficits in the integration of motion and 3D information at higher levels, thereby demonstrating independent mechanisms of dysfunction in WBS that will require remediation strategies different from those used in other visuospatial disorders. These findings challenge neurodevelopmental theories that explain cortical deficits based on low-level magnocellular impairment, such as regarding dyslexia. ###Answer 1. Changed Explanation: In Sentence A, the term ""dyslexia"" is used to describe a specific reading disorder or SRD. The context suggests that the term refers to a specific learning disability that affects an individual's ability to read. There is no indication of a change in meaning or connotation. In Sentence B, the term ""dyslexia"" is used in a different context. It is mentioned in the context of Williams-Beuren syndrome (WBS), a neurodevelopmental genetic disorder that affects the nervous system and eye development. The term ""dyslexia"" in this context suggests a broader definition of the term, encompassing not only a specific reading disorder but also a broader range of visuospatial impairments. This is a change in meaning or connotation compared to Sentence A. Therefore, the label ""Changed"" is appropriate." 49,Dyslexia,"Difficulties of lexical retrieval are a complex syndrome which is hard to delimit. The syndrome implies an unexpected failure in word identification, access to meaning, pronunciation and spelling. It affects individuals with normal intelligence and interferes significantly with academic achievement and with everyday tasks that involve the ability to read. It is estimated that 4% of school age children in the USA suffer from it, compared to 2% in Spain. The chronic nature of dyslexia and the social and emotional problems that it brings about are of considerable concern to education professionals. In this paper we attempt an exhaustive review of recent studies on this topic. We use this review as a basis to reflect on the repercussions of recent findings for the design of effective assessment tasks and intervention techniques.","Dyslexia is a developmental disorder characterised by extensive difficulties in the acquisition of reading or spelling. Genetic influence is estimated at 50-70%. However, the link between genetic variants and phenotypic deficits is largely unknown. Our aim was to investigate a role of genetic variants of FOXP2, a prominent speech and language gene, in dyslexia using imaging genetics. This technique combines functional magnetic resonance imaging (fMRI) and genetics to investigate relevance of genetic variants on brain activation. To our knowledge, this represents the first usage of fMRI-based imaging genetics in dyslexia. In an initial case/control study (n = 245) for prioritisation of FOXP2 polymorphisms for later use in imaging genetics, nine SNPs were selected. A non-synonymously coding mutation involved in verbal dyspraxia was also investigated. SNP rs12533005 showed nominally significant association with dyslexia (genotype GG odds ratio recessive model = 2.1 (95% confidence interval 1.1-3.9), P = 0.016). A correlated SNP was associated with altered expression of FOXP2 in vivo in human hippocampal tissue. Therefore, influence of the rs12533005-G risk variant on brain activity was studied. fMRI revealed a significant main effect for the factor 'genetic risk' in a temporo-parietal area involved in phonological processing as well as a significant interaction effect between the factors 'disorder' and 'genetic risk' in activation of inferior frontal brain areas. Hence, our data may hint at a role of FOXP2 genetic variants in dyslexia-specific brain activation and demonstrate use of imaging genetics in dyslexia research.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dyslexia Sentence A: Difficulties of lexical retrieval are a complex syndrome which is hard to delimit. The syndrome implies an unexpected failure in word identification, access to meaning, pronunciation and spelling. It affects individuals with normal intelligence and interferes significantly with academic achievement and with everyday tasks that involve the ability to read. It is estimated that 4% of school age children in the USA suffer from it, compared to 2% in Spain. The chronic nature of dyslexia and the social and emotional problems that it brings about are of considerable concern to education professionals. In this paper we attempt an exhaustive review of recent studies on this topic. We use this review as a basis to reflect on the repercussions of recent findings for the design of effective assessment tasks and intervention techniques. Sentence B: Dyslexia is a developmental disorder characterised by extensive difficulties in the acquisition of reading or spelling. Genetic influence is estimated at 50-70%. However, the link between genetic variants and phenotypic deficits is largely unknown. Our aim was to investigate a role of genetic variants of FOXP2, a prominent speech and language gene, in dyslexia using imaging genetics. This technique combines functional magnetic resonance imaging (fMRI) and genetics to investigate relevance of genetic variants on brain activation. To our knowledge, this represents the first usage of fMRI-based imaging genetics in dyslexia. In an initial case/control study (n = 245) for prioritisation of FOXP2 polymorphisms for later use in imaging genetics, nine SNPs were selected. A non-synonymously coding mutation involved in verbal dyspraxia was also investigated. SNP rs12533005 showed nominally significant association with dyslexia (genotype GG odds ratio recessive model = 2.1 (95% confidence interval 1.1-3.9), P = 0.016). A correlated SNP was associated with altered expression of FOXP2 in vivo in human hippocampal tissue. Therefore, influence of the rs12533005-G risk variant on brain activity was studied. fMRI revealed a significant main effect for the factor 'genetic risk' in a temporo-parietal area involved in phonological processing as well as a significant interaction effect between the factors 'disorder' and 'genetic risk' in activation of inferior frontal brain areas. Hence, our data may hint at a role of FOXP2 genetic variants in dyslexia-specific brain activation and demonstrate use of imaging genetics in dyslexia research. ###Answer 1. Changed Reasoning: In Sentence A, the term ""syndrome"" is used to describe dyslexia, implying a more complex and multifaceted nature of the condition. Additionally, the sentence highlights the difficulties in word identification, access to meaning, pronunciation, and spelling, which suggest a more significant impact on language processing. In contrast, Sentence B uses more specific and technical language to describe dyslexia as a ""developmental disorder"" characterized by ""extensive difficulties in the acquisition of reading or spelling."" The sentence also highlights the genetic influence on dyslexia, which suggests a more biological basis for the condition. Overall, the language used in Sentence B is more specialized and technical, indicating a shift towards a more scientific and empirical understanding of dyslexia. Therefore, I have labeled this sentence as ""Changed.""" 50,Dyslexia,"This presentation draws together findings from the literature on giftedness, on diversity of talents, on definitions and descriptions of intelligence, on the role of emotion in learning, and on the markers and manifestations of the dyslexias. In many instances, high potential in the three-dimensional realm coexists with difficulty in the two-dimensional symbolic or abstract realm. This seeming paradox deserves exploration so educators, parents, and other concerned adults can recognize and nurture students' talents as well as offer appropriate remedial support. ","The most important process in childhood and adolescence is learning. The purpose of this study was to determine the prevalence of dyslexia among primary male school students and the relationship between dyslexia, obesity and overweight.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dyslexia Sentence A: This presentation draws together findings from the literature on giftedness, on diversity of talents, on definitions and descriptions of intelligence, on the role of emotion in learning, and on the markers and manifestations of the dyslexias. In many instances, high potential in the three-dimensional realm coexists with difficulty in the two-dimensional symbolic or abstract realm. This seeming paradox deserves exploration so educators, parents, and other concerned adults can recognize and nurture students' talents as well as offer appropriate remedial support. Sentence B: The most important process in childhood and adolescence is learning. The purpose of this study was to determine the prevalence of dyslexia among primary male school students and the relationship between dyslexia, obesity and overweight. ###Answer 1. Changed The meaning of the target word ""dyslexia"" has significantly shifted between the two sentences. In Sentence A, the term is used to describe a range of learning difficulties, including difficulties with three-dimensional spatial reasoning and symbolic or abstract reasoning. In contrast, in Sentence B, the term is used specifically to refer to a learning disability related to reading and spelling. The shift in meaning is likely due to changes in the way the term is used and understood in the educational and scientific communities over time." 51,Dyslexia,"One of the major risk factors for reading disability is difficulty learning to read words in text in an accurate and fluent manner. This is apparent when a child at risk of dyslexia first starts to attempt to read. Dyslexic children struggle to grasp and automate the alphabetic principle (ie, they cannot ""sound out"" words or use phonemic decoding strategies) and therefore have difficulty deciphering unfamiliar words that they have not encountered before. Even though many of these words are part of the child's oral vocabulary, the child cannot recognize them in printed form. As a result, reading can be extremely laborious and time-consuming, fraught with errors, and altogether an unrewarding, aversive experience. To be an efficient reader, one must be able to rapidly and effortlessly recognize many words by sight, and for a child to acquire this facility requires multiple exposures to these words. The difficulty that dyslexic children have in developing reliable and efficient phonemic decoding ability makes the acquisition of a lexicon of sight words a much slower process than it is for the average reader. Several other factors can affect a child's ability to read, which are reviewed herein. However, early recognition and treatment of deficient phonologic awareness are an extremely important step in the prevention of a reading problem in the child who is at risk of dyslexia.","This study aimed to verify whether children with dyslexia have difficulties in executive functions (shifting, working memory, inhibition).","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dyslexia Sentence A: One of the major risk factors for reading disability is difficulty learning to read words in text in an accurate and fluent manner. This is apparent when a child at risk of dyslexia first starts to attempt to read. Dyslexic children struggle to grasp and automate the alphabetic principle (ie, they cannot ""sound out"" words or use phonemic decoding strategies) and therefore have difficulty deciphering unfamiliar words that they have not encountered before. Even though many of these words are part of the child's oral vocabulary, the child cannot recognize them in printed form. As a result, reading can be extremely laborious and time-consuming, fraught with errors, and altogether an unrewarding, aversive experience. To be an efficient reader, one must be able to rapidly and effortlessly recognize many words by sight, and for a child to acquire this facility requires multiple exposures to these words. The difficulty that dyslexic children have in developing reliable and efficient phonemic decoding ability makes the acquisition of a lexicon of sight words a much slower process than it is for the average reader. Several other factors can affect a child's ability to read, which are reviewed herein. However, early recognition and treatment of deficient phonologic awareness are an extremely important step in the prevention of a reading problem in the child who is at risk of dyslexia. Sentence B: This study aimed to verify whether children with dyslexia have difficulties in executive functions (shifting, working memory, inhibition). ###Answer 1. Changed Explanation: In Sentence A, the term ""dyslexia"" is used to describe a specific learning disability characterized by difficulty learning to read words in an accurate and fluent manner. The sentence highlights the difficulties that dyslexic children face in recognizing words by sight and in developing reliable phonemic decoding ability. The term ""dyslexia"" carries a negative connotation, implying that the child's reading difficulties are a result of a specific learning disability. In Sentence B, the term ""dyslexia"" is used in a different context. It is no longer associated with a specific learning disability, but rather with difficulties in executive functions (shifting, working memory, inhibition). The term has shifted its meaning to encompass a broader range of cognitive functions. This change in meaning suggests that the term ""dyslexia"" has undergone semantic drift, as its original meaning has evolved over time. Therefore, the label ""Changed"" is appropriate." 52,Dyslexia,"Successful behavioral genetic studies require precise definition of a homogenous phenotype. This study searched for anatomical markers that might restrict variability in the reading disability phenotype. The subjects were 15 college students (8 male/7 female) diagnosed with a reading disability (RD) and 15 controls (8 males/7 females). All subjects completed a cognitive and reading battery. Only 11 of the RD subjects had a phonological deficit [phonological dyslexia (PD): pseudo word decoding scores < 90 (27th percentile)]. Thirteen RD (9 PD) and 15 controls received a volumetric MRI scan. Four anatomical measures differentiated the PD group from the remainder of the subjects: (i) marked rightward cerebral asymmetry, (ii) marked leftward asymmetry of the anterior lobe of the cerebellum, (ii) combined leftward asymmetry of the planum and posterior ascending ramus of the sylvian fissure, and (iv) a large duplication of Heschl's gyrus on the left. When these four measures were normalized and summed, the resulting variable predicted short- and long-term phonological memory. By contrast, oral and written comprehension skills were predicted by a different anatomical variable: low cerebral volume. These findings provide neurobiological support for an RD phenotype characterized by phonological deficits in the presence of normal or superior comprehension. The study of individual variation in cortical structure may provide a useful link between genotype and behavior.","The attentional blink (AB) refers to a decrease in accuracy that occurs when participants are required to detect the second of two rapidly sequential targets displayed randomly in a stream of distracters. Dyslexic individuals have been shown to exhibit a prolonged AB in the visual modality, interpreted as evidence of sluggish attentional shifting (SAS). However, the amodal SAS theory predicts that the disorder should further extend to the auditory modality, then resulting in a phonological disorder as typically found in developmental dyslexia. Otherwise, it has been demonstrated that a visual attention (VA) span deficit contributes to the poor reading outcome of dyslexic individuals, independently of their phonological skills. The present study assesses the amodality assumption of the SAS theory together with questioning its relation with the VA span deficit. For this purpose, visual and auditory ABs were explored in a well compensated young adult, LL, who exhibits a pure phonological dyslexia characterised by poor pseudo-word processing and poor phonological skills but preserved VA span. The investigation revealed two different kinds of deficits in LL. Her AB was prolonged and marginally deeper in the visual modality whereas a primarily deeper in amplitude and a subtle prolonged AB was found in the auditory modality. The atypical performance patterns of LL in both modalities suggest that her perceptual attention disorder is amodal as predicted by the SAS theory. This amodal disorder was here reported in a dyslexic participant with a phonological disorder, well in accordance with the hypothesis that sluggish auditory attention shifting contributes to difficulties in phoneme awareness and literacy acquisition. Furthermore, prolonged VA blink was observed in the absence of VA span disorder, thus suggesting that visual attentional shifting and VA span might be distinct mechanisms, contributing independently to reading acquisition and developmental dyslexia.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dyslexia Sentence A: Successful behavioral genetic studies require precise definition of a homogenous phenotype. This study searched for anatomical markers that might restrict variability in the reading disability phenotype. The subjects were 15 college students (8 male/7 female) diagnosed with a reading disability (RD) and 15 controls (8 males/7 females). All subjects completed a cognitive and reading battery. Only 11 of the RD subjects had a phonological deficit [phonological dyslexia (PD): pseudo word decoding scores < 90 (27th percentile)]. Thirteen RD (9 PD) and 15 controls received a volumetric MRI scan. Four anatomical measures differentiated the PD group from the remainder of the subjects: (i) marked rightward cerebral asymmetry, (ii) marked leftward asymmetry of the anterior lobe of the cerebellum, (ii) combined leftward asymmetry of the planum and posterior ascending ramus of the sylvian fissure, and (iv) a large duplication of Heschl's gyrus on the left. When these four measures were normalized and summed, the resulting variable predicted short- and long-term phonological memory. By contrast, oral and written comprehension skills were predicted by a different anatomical variable: low cerebral volume. These findings provide neurobiological support for an RD phenotype characterized by phonological deficits in the presence of normal or superior comprehension. The study of individual variation in cortical structure may provide a useful link between genotype and behavior. Sentence B: The attentional blink (AB) refers to a decrease in accuracy that occurs when participants are required to detect the second of two rapidly sequential targets displayed randomly in a stream of distracters. Dyslexic individuals have been shown to exhibit a prolonged AB in the visual modality, interpreted as evidence of sluggish attentional shifting (SAS). However, the amodal SAS theory predicts that the disorder should further extend to the auditory modality, then resulting in a phonological disorder as typically found in developmental dyslexia. Otherwise, it has been demonstrated that a visual attention (VA) span deficit contributes to the poor reading outcome of dyslexic individuals, independently of their phonological skills. The present study assesses the amodality assumption of the SAS theory together with questioning its relation with the VA span deficit. For this purpose, visual and auditory ABs were explored in a well compensated young adult, LL, who exhibits a pure phonological dyslexia characterised by poor pseudo-word processing and poor phonological skills but preserved VA span. The investigation revealed two different kinds of deficits in LL. Her AB was prolonged and marginally deeper in the visual modality whereas a primarily deeper in amplitude and a subtle prolonged AB was found in the auditory modality. The atypical performance patterns of LL in both modalities suggest that her perceptual attention disorder is amodal as predicted by the SAS theory. This amodal disorder was here reported in a dyslexic participant with a phonological disorder, well in accordance with the hypothesis that sluggish auditory attention shifting contributes to difficulties in phoneme awareness and literacy acquisition. Furthermore, prolonged VA blink was observed in the absence of VA span disorder, thus suggesting that visual attentional shifting and VA span might be distinct mechanisms, contributing independently to reading acquisition and developmental dyslexia. ###Answer 1. Changed Explanation: The target word ""dyslexia"" has undergone a significant change in meaning between Sentence A (2000) and Sentence B (2020). In Sentence A, ""dyslexia"" is used to describe a specific reading disability characterized by phonological deficits. In contrast, in Sentence B, ""dyslexia"" is used more broadly to describe a disorder related to attentional shifting, which may contribute to difficulties in phoneme awareness and literacy acquisition. The shift in meaning is evident in the different contexts in which the word is used and the different aspects of cognition it is associated with. Therefore, the label ""Changed"" is appropriate to indicate that the meaning of the target word has significantly shifted between the two sentences." 53,Dyslexia,"Several neuropsychological deficits have been reported as characteristic of the cognitive profile of dyslexic children. Phonological and visual processing are often impaired as well as auditory processing, attention and information processing speed. We investigated whether implicit learning, is impaired in dyslexic children and adolescents. Tests of implicit and declarative learning were administered to 18 clinically defined dyslexics and 18 similar age controls. Dyslexics showed a reduced learning rate in the implicit but not in the declarative task, suggesting a specific deficit of implicit learning. Although alternative hypothesis cannot be ruled out, considering that implicit learning is a cognitive function primarily processed by the cerebellum and that recent neurological and physiological data suggest a cerebellar dysfunction in dyslexia, the present results suggest an impairment of cerebellar system in reading disabilities.","In this study of the project DyAdd (Adult Dyslexia and Attention Deficit Disorder in Finland), classical eyeblink conditioning (EBC) was investigated in both delay and trace paradigms in adults (18-55 years) with dyslexia (n = 37), attention deficit-hyperactivity disorder (ADHD; n = 21), their comorbid combination (n = 8), and healthy controls (n = 35). In addition, the profiles of three participants with a rare autosomal dominant cerebellar disease were assessed (episodic ataxia type 2, EA-2). We found that participants with dyslexia were overall slower learners than controls in eyeblink conditioning. Further, they were the only group that had a reduced number of CRs in mediotemporal-dependent trace paradigm compared to the more cerebellum-dependent delay paradigm. Second, ADHD was found to be related to larger CR amplitude. Third, those with a comorbid condition learned faster and manifested CRs that were not well timed. Fourth, the cerebellar patients showed nearly no conditioning at all. Correlations between EBC and various neuropsychological domains (phonological processing, reading, spelling, arithmetic, executive functions, attention, and fine motor control) over all participants resulted in significant relations only for the delay paradigm: Increased amount of reading errors related with later peak latency and increased amount of self-corrections in fine motor control related with larger response magnitude. Within those who conditioned, relations emerged only for the trace paradigm: better spelling was related to larger response magnitude. These results do not lend support to the cerebellar hypothesis of dyslexia. On the contrary, dyslexia in its pure form seems to be related to a relative dysfunction of a larger hippocampal-cerebellar network. Further, larger responses in the ADHD group are suggested to result from their lowered responding threshold.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dyslexia Sentence A: Several neuropsychological deficits have been reported as characteristic of the cognitive profile of dyslexic children. Phonological and visual processing are often impaired as well as auditory processing, attention and information processing speed. We investigated whether implicit learning, is impaired in dyslexic children and adolescents. Tests of implicit and declarative learning were administered to 18 clinically defined dyslexics and 18 similar age controls. Dyslexics showed a reduced learning rate in the implicit but not in the declarative task, suggesting a specific deficit of implicit learning. Although alternative hypothesis cannot be ruled out, considering that implicit learning is a cognitive function primarily processed by the cerebellum and that recent neurological and physiological data suggest a cerebellar dysfunction in dyslexia, the present results suggest an impairment of cerebellar system in reading disabilities. Sentence B: In this study of the project DyAdd (Adult Dyslexia and Attention Deficit Disorder in Finland), classical eyeblink conditioning (EBC) was investigated in both delay and trace paradigms in adults (18-55 years) with dyslexia (n = 37), attention deficit-hyperactivity disorder (ADHD; n = 21), their comorbid combination (n = 8), and healthy controls (n = 35). In addition, the profiles of three participants with a rare autosomal dominant cerebellar disease were assessed (episodic ataxia type 2, EA-2). We found that participants with dyslexia were overall slower learners than controls in eyeblink conditioning. Further, they were the only group that had a reduced number of CRs in mediotemporal-dependent trace paradigm compared to the more cerebellum-dependent delay paradigm. Second, ADHD was found to be related to larger CR amplitude. Third, those with a comorbid condition learned faster and manifested CRs that were not well timed. Fourth, the cerebellar patients showed nearly no conditioning at all. Correlations between EBC and various neuropsychological domains (phonological processing, reading, spelling, arithmetic, executive functions, attention, and fine motor control) over all participants resulted in significant relations only for the delay paradigm: Increased amount of reading errors related with later peak latency and increased amount of self-corrections in fine motor control related with larger response magnitude. Within those who conditioned, relations emerged only for the trace paradigm: better spelling was related to larger response magnitude. These results do not lend support to the cerebellar hypothesis of dyslexia. On the contrary, dyslexia in its pure form seems to be related to a relative dysfunction of a larger hippocampal-cerebellar network. Further, larger responses in the ADHD group are suggested to result from their lowered responding threshold. ###Answer 1. Changed Reasoning: In Sentence A, the target word ""dyslexia"" is used to describe a specific cognitive profile characterized by impaired phonological, visual, and auditory processing, as well as attention and information processing speed. The word is used to describe a neurological disorder that affects cognitive functioning. In contrast, in Sentence B, the target word ""dyslexia"" is used to describe a group of adults with reading difficulties, but the meaning has shifted to emphasize the relationship between dyslexia and attention deficit hyperactivity disorder (ADHD). The word is used to describe a larger hippocampal-cerebellar network rather than a neurological disorder. The change in meaning is significant, as it suggests a shift in the way the term is understood and used in the context of reading difficulties." 54,Dyslexia,Experts disagree on the etiology and definition of dyslexia. Neurological research is ongoing but is not yet conclusive. Specific educational techniques for diagnosis and remediation are available. Physicians can serve on multidisciplinary diagnostic teams and can act to support and provide informational resources to affected families.,"Many developed countries have made rapid strides in addressing issues related to dyslexia but in the developing countries like South Africa, it has not received adequate attention.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dyslexia Sentence A: Experts disagree on the etiology and definition of dyslexia. Neurological research is ongoing but is not yet conclusive. Specific educational techniques for diagnosis and remediation are available. Physicians can serve on multidisciplinary diagnostic teams and can act to support and provide informational resources to affected families. Sentence B: Many developed countries have made rapid strides in addressing issues related to dyslexia but in the developing countries like South Africa, it has not received adequate attention. ###Answer 1. Changed Explanation: In Sentence A, the term ""dyslexia"" is used in a more neutral and technical sense, focusing on the scientific research and educational techniques surrounding the condition. The word is not associated with any particular connotation or emotional resonance. In Sentence B, the term ""dyslexia"" carries a different connotation, as it is used in the context of global inequality and the lack of attention given to the condition in developing countries. The word is associated with a sense of injustice and neglect, highlighting the disparities in access to education and healthcare. Therefore, the meaning of the term ""dyslexia"" has significantly shifted between the two sentences, indicating semantic drift has occurred." 55,Dyslexia,"Recent research findings pointing to an anatomical anomaly in the left hemisphere of dyslexics supports the conjecture that dyslexia involves a central anomaly in structural linguistic capacity. Two preliminary studies were carried out to test this conjecture. One study employed the techniques of grammatical research and the other was a reaction time study. Each study provided distinct evidence of a linguistic anomaly. The grammatical study suggested an anomaly when the assignment of referential relations among nominal elements is restricted on the basis of sentence structure, and the reaction time study provided evidence of an anomaly in the exploitation of grammatical markers. ","We studied the linguistic profile and neurolinguistic organization of a 14-year-old adolescent (EB) who underwent a left hemispherectomy at the age of 2.5 years. After initial aphasia, his language skills recovered within 2 years, with the exception of some word finding problems. Over the years, the neuropsychological assessments showed that EB's language was near-to-normal, with the exception of lexical competence, which lagged slightly behind for both auditory and written language. Moreover, EB's accuracy and speed in both reading and writing words and non-words were within the normal range, whereas difficulties emerged in reading loan words and in tasks with homophones. EB's functional magnetic resonance imaging (fMRI) patterns for several linguistic and metalinguistic tasks were similar to those observed in the dominant hemisphere of controls, suggesting that his language network conforms to a left-like linguistic neural blueprint. However, a stronger frontal recruitment suggests that linguistic tasks are more demanding for him. Finally, no specific reading activation was found in EB's occipitotemporal region, a finding consistent with the surface dyslexia-like behavioral pattern of the patient. While a lone right hemisphere may not be sufficient to guarantee full blown linguistic competences after early hemispherectomy, EB's behavioral and fMRI patterns suggest that his lone right hemisphere followed a left-like blueprint of the linguistic network.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dyslexia Sentence A: Recent research findings pointing to an anatomical anomaly in the left hemisphere of dyslexics supports the conjecture that dyslexia involves a central anomaly in structural linguistic capacity. Two preliminary studies were carried out to test this conjecture. One study employed the techniques of grammatical research and the other was a reaction time study. Each study provided distinct evidence of a linguistic anomaly. The grammatical study suggested an anomaly when the assignment of referential relations among nominal elements is restricted on the basis of sentence structure, and the reaction time study provided evidence of an anomaly in the exploitation of grammatical markers. Sentence B: We studied the linguistic profile and neurolinguistic organization of a 14-year-old adolescent (EB) who underwent a left hemispherectomy at the age of 2.5 years. After initial aphasia, his language skills recovered within 2 years, with the exception of some word finding problems. Over the years, the neuropsychological assessments showed that EB's language was near-to-normal, with the exception of lexical competence, which lagged slightly behind for both auditory and written language. Moreover, EB's accuracy and speed in both reading and writing words and non-words were within the normal range, whereas difficulties emerged in reading loan words and in tasks with homophones. EB's functional magnetic resonance imaging (fMRI) patterns for several linguistic and metalinguistic tasks were similar to those observed in the dominant hemisphere of controls, suggesting that his language network conforms to a left-like linguistic neural blueprint. However, a stronger frontal recruitment suggests that linguistic tasks are more demanding for him. Finally, no specific reading activation was found in EB's occipitotemporal region, a finding consistent with the surface dyslexia-like behavioral pattern of the patient. While a lone right hemisphere may not be sufficient to guarantee full blown linguistic competences after early hemispherectomy, EB's behavioral and fMRI patterns suggest that his lone right hemisphere followed a left-like blueprint of the linguistic network. ###Answer 1. Changed Reasoning: The meaning of the target word ""dyslexia"" has changed significantly between the two sentences. In Sentence A, the word is used to describe an anatomical anomaly in the left hemisphere of individuals, implying a central cognitive deficit. In Sentence B, the word is used to describe a neuropsychological profile after a left hemispherectomy, with no implication of a central cognitive deficit. Therefore, the meaning of the target word has shifted from a cognitive deficit to a neuropsychological profile." 56,Dyslexia,"Deficits in phonological skills appear to be at the heart of reading disability; however, the nature of this impairment is not yet known. The hypothesis that dyslexic subjects are impaired in auditory frequency discrimination was tested by using an attention-independent auditory brain potential, termed mismatch negativity (MMN) while subjects performed a visual distractor task. In separate blocks, MMN responses to graded changes in tone frequency or tone duration were recorded in 10 dyslexic and matched control subjects. MMN potentials to changes in tone frequency but not to changes in tone duration were abnormal in dyslexic subjects. This physiological deficit was corroborated by a similarly specific impairment in discriminating tone frequency, but not tone duration, which was assessed separately. Furthermore, the pitch discrimination and MMN deficit was correlated with the degree of impairment in phonological skills, as reflected in reading errors of regular words and nonwords. It is possible that in dyslexia a persistent sensory deficit in monitoring the frequency of incoming sound may impair the feedback control necessary for the normal development of phonological skills.","This paper reports the case of a dyslexic boy (L.A.) whose impaired reading of Filipino is consistent with developmental surface dyslexia. Filipino has a transparent alphabetic orthography with stress typically falling on the penultimate syllable of multisyllabic words. However, exceptions to the typical stress pattern are not marked in the Filipino orthography. L.A. read words with typical stress patterns as accurately as controls, but made many more stress errors than controls when reading Filipino words with atypical stress. He regularized the pronunciation of many of these words by incorrectly placing the stress on the penultimate syllable. Since he also read nonwords as accurately and quickly as controls and performed well on tests of phonological awareness, L.A. appears to present a clear case of developmental surface dyslexia in a transparent orthography. ","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dyslexia Sentence A: Deficits in phonological skills appear to be at the heart of reading disability; however, the nature of this impairment is not yet known. The hypothesis that dyslexic subjects are impaired in auditory frequency discrimination was tested by using an attention-independent auditory brain potential, termed mismatch negativity (MMN) while subjects performed a visual distractor task. In separate blocks, MMN responses to graded changes in tone frequency or tone duration were recorded in 10 dyslexic and matched control subjects. MMN potentials to changes in tone frequency but not to changes in tone duration were abnormal in dyslexic subjects. This physiological deficit was corroborated by a similarly specific impairment in discriminating tone frequency, but not tone duration, which was assessed separately. Furthermore, the pitch discrimination and MMN deficit was correlated with the degree of impairment in phonological skills, as reflected in reading errors of regular words and nonwords. It is possible that in dyslexia a persistent sensory deficit in monitoring the frequency of incoming sound may impair the feedback control necessary for the normal development of phonological skills. Sentence B: This paper reports the case of a dyslexic boy (L.A.) whose impaired reading of Filipino is consistent with developmental surface dyslexia. Filipino has a transparent alphabetic orthography with stress typically falling on the penultimate syllable of multisyllabic words. However, exceptions to the typical stress pattern are not marked in the Filipino orthography. L.A. read words with typical stress patterns as accurately as controls, but made many more stress errors than controls when reading Filipino words with atypical stress. He regularized the pronunciation of many of these words by incorrectly placing the stress on the penultimate syllable. Since he also read nonwords as accurately and quickly as controls and performed well on tests of phonological awareness, L.A. appears to present a clear case of developmental surface dyslexia in a transparent orthography. ###Answer 1. Changed Reasoning: In Sentence A, the term ""dyslexic subjects"" is used, which implies that dyslexia is a condition that affects an individual's ability to read. This is a more narrow definition of dyslexia compared to Sentence B, where the term ""developmental surface dyslexia"" is used, which suggests that dyslexia is a broader condition that affects an individual's ability to read and spell in a particular language. Therefore, semantic drift has occurred in the meaning of ""dyslexia"" between Sentence A and Sentence B." 57,Dyslexia,"The ICD-10 calls for the use of tables that account for the correlation between intelligence and spelling or reading, respectively (regression model) in the diagnosis of dyslexia. In this paper we discuss the consequences that arise from this recommendation with respect to the interpretation of psychometric tests. In addition, a table is presented that contains the data required to make diagnostic decisions based on the regression model. Furthermore, an expected prevalence rate was calculated using randomized computer data.","A group of 39 persons (20 male and 19 female, 11.0 to 32.5 yr.) with developmental dyslexia and 42 controls (21 male and 21 female, 11.2 to 32.3 years) were compared on computerized tests of sight word reading, nonword decoding, and spelling recognition. The subjects with developmental dyslexia performed significantly slower and less accurately than controls on all tasks. Further, the effect size of the group differences was larger for the older group. Within-group analyses showed a significant difference by age group on accuracy. Only the control group showed a significant age difference between groups on response time. Mean accuracy and response times for the reading-disabled subjects resembled shifted versions of the control group means. These results agree with previous reports that phonological deficits persist for reading-disabled adults and suggest a test of whether the discrepancy between reading-disabled and typically achieving readers may actually increase across age groups.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dyslexia Sentence A: The ICD-10 calls for the use of tables that account for the correlation between intelligence and spelling or reading, respectively (regression model) in the diagnosis of dyslexia. In this paper we discuss the consequences that arise from this recommendation with respect to the interpretation of psychometric tests. In addition, a table is presented that contains the data required to make diagnostic decisions based on the regression model. Furthermore, an expected prevalence rate was calculated using randomized computer data. Sentence B: A group of 39 persons (20 male and 19 female, 11.0 to 32.5 yr.) with developmental dyslexia and 42 controls (21 male and 21 female, 11.2 to 32.3 years) were compared on computerized tests of sight word reading, nonword decoding, and spelling recognition. The subjects with developmental dyslexia performed significantly slower and less accurately than controls on all tasks. Further, the effect size of the group differences was larger for the older group. Within-group analyses showed a significant difference by age group on accuracy. Only the control group showed a significant age difference between groups on response time. Mean accuracy and response times for the reading-disabled subjects resembled shifted versions of the control group means. These results agree with previous reports that phonological deficits persist for reading-disabled adults and suggest a test of whether the discrepancy between reading-disabled and typically achieving readers may actually increase across age groups. ###Answer 1. Changed Explanation: In Sentence A, the term ""dyslexia"" is used in the context of a medical diagnosis, specifically in the ICD-10. The sentence highlights the correlation between intelligence and spelling or reading, and discusses the consequences of this recommendation for the interpretation of psychometric tests. The term ""dyslexia"" is used without any connotation of negative or positive, simply as a medical diagnosis. In Sentence B, the term ""dyslexia"" is used in a different context, specifically in the context of a comparison between individuals with developmental dyslexia and controls. The sentence highlights the differences in reading performance between the two groups, with the individuals with developmental dyslexia performing significantly worse than controls on all tasks. The term ""dyslexia"" is used with a negative connotation, implying a deficit or disability. Based on these differences in context and meaning, it can be argued that the term ""dyslexia"" has undergone semantic drift, with the meaning shifting from a neutral medical diagnosis to a negative connotation of deficit or disability. Therefore, the label ""Changed"" is appropriate." 58,Dyslexia,"The planum temporale is clearly involved in language processing, for it serves as the auditory association cortex. Research has consistently demonstrated that 60 to 70% of the population has leftward asymmetry of the planum temporale. Research has also suggested that dyslexic individuals tend to have either rightward asymmetry or symmetrical plana. Moreover, many studies have found a relationship between the presence of dyslexia and/or language impairment and deficits in the normal right ear advantage found in dichotic listening paradigms. In this context, this study examined the relationship between planum temporale asymmetry and ear preference in dichotic listening performance in children with Developmental Dyslexia and Attention-Deficit/Hyperactivity Disorder (ADHD). Subjects included 19 children with dyslexia (10 of whom had a comorbid diagnosis of ADHD), 23 children with ADHD, and 12 diagnosed normal control children. Dichotic listening data were not collected for 8 of the 12 normal control children and for 3 of the 23 ADHD children. Results revealed no significant difference between ADHD and dyslexic subjects in regard to ear advantage on the free recall dichotic listening task. In addition, although the directed dichotic listening tasks were not related to degree of planum asymmetry, as predicted, results indicated that subjects who consistently displayed an atypical left ear advantage tended to have larger right bank lengths than those who consistently displayed a typical right ear advantage. These findings support the notion that some individuals with dyslexia or language deficits tend to have a larger right planum temporale and that performance on dichotic listening tasks may reflect this relatively unusual pattern.","The dyslexia susceptibility locus DYX2 (chr. 6p21-p22) harbours two candidate genes, DCDC2 and KIAA0319. In 2006, Harold et al. reported evidence for interaction between both genes. Having previously identified a risk haplotype for dyslexia in DCDC2, but not KIAA0319, in German families, we also tested for interaction between this risk haplotype and KIAA0319. We found a nominally significant association for the quantitative dimension ""word reading"", the core phenotype in the study of Harold et al., which may be considered as supportive evidence.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dyslexia Sentence A: The planum temporale is clearly involved in language processing, for it serves as the auditory association cortex. Research has consistently demonstrated that 60 to 70% of the population has leftward asymmetry of the planum temporale. Research has also suggested that dyslexic individuals tend to have either rightward asymmetry or symmetrical plana. Moreover, many studies have found a relationship between the presence of dyslexia and/or language impairment and deficits in the normal right ear advantage found in dichotic listening paradigms. In this context, this study examined the relationship between planum temporale asymmetry and ear preference in dichotic listening performance in children with Developmental Dyslexia and Attention-Deficit/Hyperactivity Disorder (ADHD). Subjects included 19 children with dyslexia (10 of whom had a comorbid diagnosis of ADHD), 23 children with ADHD, and 12 diagnosed normal control children. Dichotic listening data were not collected for 8 of the 12 normal control children and for 3 of the 23 ADHD children. Results revealed no significant difference between ADHD and dyslexic subjects in regard to ear advantage on the free recall dichotic listening task. In addition, although the directed dichotic listening tasks were not related to degree of planum asymmetry, as predicted, results indicated that subjects who consistently displayed an atypical left ear advantage tended to have larger right bank lengths than those who consistently displayed a typical right ear advantage. These findings support the notion that some individuals with dyslexia or language deficits tend to have a larger right planum temporale and that performance on dichotic listening tasks may reflect this relatively unusual pattern. Sentence B: The dyslexia susceptibility locus DYX2 (chr. 6p21-p22) harbours two candidate genes, DCDC2 and KIAA0319. In 2006, Harold et al. reported evidence for interaction between both genes. Having previously identified a risk haplotype for dyslexia in DCDC2, but not KIAA0319, in German families, we also tested for interaction between this risk haplotype and KIAA0319. We found a nominally significant association for the quantitative dimension ""word reading"", the core phenotype in the study of Harold et al., which may be considered as supportive evidence. ###Answer 1. Changed Reasoning: In Sentence A, the term ""dyslexia"" is used to describe a condition characterized by leftward asymmetry of the planum temporale and language impairment. However, in Sentence B, the term ""dyslexia susceptibility locus"" is used to refer to a specific genetic locus associated with language impairment. This suggests that the term ""dyslexia"" has undergone a shift in meaning, from a neuroanatomical description to a genetic association. Therefore, semantic drift has occurred." 59,Dyslexia,"Schoolchildren aged seven years underwent a complex reaction time (CRT) measurement and were followed up regarding language achievements and performance in gymnastics during the nine years of compulsory school. An analysis was made of the correlation between school results and CRT findings. In grade 3, there were large differences in psychomotor development between children with fast and slow CRT in both sexes. Only minor differences in school achievement were seen between girls in different CRT groups. Among the boys, however, many with a slow CRT were considered handicapped in language development, with dyslexia as the most important problem in addition to poor motoricity. They left compulsory school with poor results in Swedish, their native language, and gymnastics, and with a certificate that may reduce their changes of future studies and employment. The boys in general were inferior to the girls. The slow CRT boys, who were mainly considered to be developmentally delayed, also carried a risk of social maladjustment. It would appear to be important that psychophysical maturity receives attention at school, in addition to emotional and social factors. The school health services have an important responsibility in this respect.","Developmental dyslexia (decoding-based reading disorder; RD) is a complex trait with multifactorial origins at the genetic, neural, and cognitive levels. There is evidence that low-level sensory-processing deficits precede and underlie phonological problems, which are one of the best-documented aspects of RD. RD is also associated with impairments in integrating visual symbols with their corresponding speech sounds. Although causal relationships between sensory processing, print-speech integration, and fluent reading, and their neural bases are debated, these processes all require precise timing mechanisms across distributed brain networks. Neural excitability and neural noise are fundamental to these timing mechanisms. Here, we propose that neural noise stemming from increased neural excitability in cortical networks implicated in reading is one key distal contributor to RD.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dyslexia Sentence A: Schoolchildren aged seven years underwent a complex reaction time (CRT) measurement and were followed up regarding language achievements and performance in gymnastics during the nine years of compulsory school. An analysis was made of the correlation between school results and CRT findings. In grade 3, there were large differences in psychomotor development between children with fast and slow CRT in both sexes. Only minor differences in school achievement were seen between girls in different CRT groups. Among the boys, however, many with a slow CRT were considered handicapped in language development, with dyslexia as the most important problem in addition to poor motoricity. They left compulsory school with poor results in Swedish, their native language, and gymnastics, and with a certificate that may reduce their changes of future studies and employment. The boys in general were inferior to the girls. The slow CRT boys, who were mainly considered to be developmentally delayed, also carried a risk of social maladjustment. It would appear to be important that psychophysical maturity receives attention at school, in addition to emotional and social factors. The school health services have an important responsibility in this respect. Sentence B: Developmental dyslexia (decoding-based reading disorder; RD) is a complex trait with multifactorial origins at the genetic, neural, and cognitive levels. There is evidence that low-level sensory-processing deficits precede and underlie phonological problems, which are one of the best-documented aspects of RD. RD is also associated with impairments in integrating visual symbols with their corresponding speech sounds. Although causal relationships between sensory processing, print-speech integration, and fluent reading, and their neural bases are debated, these processes all require precise timing mechanisms across distributed brain networks. Neural excitability and neural noise are fundamental to these timing mechanisms. Here, we propose that neural noise stemming from increased neural excitability in cortical networks implicated in reading is one key distal contributor to RD. ###Answer 1. Changed Reasoning: In Sentence A, the term ""dyslexia"" is used to describe a condition where schoolchildren with slow reaction times in a specific test are considered handicapped in language development and may have a risk of social maladjustment. The term is associated with poor performance in Swedish and gymnastics, and the boys are particularly affected. In contrast, in Sentence B, ""developmental dyslexia"" is used to describe a complex trait with multifactorial origins, including low-level sensory-processing deficits and impairments in integrating visual symbols with their corresponding speech sounds. The term is associated with neural noise and increased neural excitability in cortical networks implicated in reading, which is proposed as a key distal contributor to the disorder. While the term ""dyslexia"" is still used in Sentence B, its meaning has shifted significantly from Sentence A. In Sentence A, the term is associated with specific behaviors and abilities related to language development and motor skills, while in Sentence B, it is associated with a broader range of cognitive and neural processes underlying reading. Therefore, semantic drift has occurred in the meaning of the term ""dyslexia"" over the past 20 years." 60,Dyslexia,"We report a single case study of a patient, FL, who has a peripheral dyslexia with symptoms resembling attentional dyslexia. FL demonstrated impaired identification of letters within strings, and better identification of words than their constituent letters. We found that FL was impaired at both letter counting and same-case letter matching with letter strings, and his matching and naming performance were strongly affected by letter spacing. The effects of these visual variables on performance suggest an early locus to FL's deficit. We propose that letter identification was disrupted by abnormal lateral masking and poor location coding within words. These peripheral processing deficits were reduced when the task required focused attention on the central letter location. Nevertheless, even with impaired letter coding, word representations could be accessed to some degree, via supra-letter units. We discuss the implications of the data for understanding normal reading.","The genetic basis of complex neurological disorders involving language are poorly understood, partly due to the multiple additive genetic risk factors that are thought to be responsible. Furthermore, these conditions are often syndromic in that they have a range of endophenotypes that may be associated with the disorder and that may be present in different combinations in patients. However, the emergence of individual genes implicated across multiple disorders has suggested that they might share similar underlying genetic mechanisms. The CNTNAP2 gene is an excellent example of this, as it has recently been implicated in a broad range of phenotypes including autism spectrum disorder (ASD), schizophrenia, intellectual disability, dyslexia and language impairment. This review considers the evidence implicating CNTNAP2 in these conditions, the genetic risk factors and mutations that have been identified in patient and population studies and how these relate to patient phenotypes. The role of CNTNAP2 is examined in the context of larger neurogenetic networks during development and disorder, given what is known regarding the regulation and function of this gene. Understanding the role of CNTNAP2 in diverse neurological disorders will further our understanding of how combinations of individual genetic risk factors can contribute to complex conditions. ","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dyslexia Sentence A: We report a single case study of a patient, FL, who has a peripheral dyslexia with symptoms resembling attentional dyslexia. FL demonstrated impaired identification of letters within strings, and better identification of words than their constituent letters. We found that FL was impaired at both letter counting and same-case letter matching with letter strings, and his matching and naming performance were strongly affected by letter spacing. The effects of these visual variables on performance suggest an early locus to FL's deficit. We propose that letter identification was disrupted by abnormal lateral masking and poor location coding within words. These peripheral processing deficits were reduced when the task required focused attention on the central letter location. Nevertheless, even with impaired letter coding, word representations could be accessed to some degree, via supra-letter units. We discuss the implications of the data for understanding normal reading. Sentence B: The genetic basis of complex neurological disorders involving language are poorly understood, partly due to the multiple additive genetic risk factors that are thought to be responsible. Furthermore, these conditions are often syndromic in that they have a range of endophenotypes that may be associated with the disorder and that may be present in different combinations in patients. However, the emergence of individual genes implicated across multiple disorders has suggested that they might share similar underlying genetic mechanisms. The CNTNAP2 gene is an excellent example of this, as it has recently been implicated in a broad range of phenotypes including autism spectrum disorder (ASD), schizophrenia, intellectual disability, dyslexia and language impairment. This review considers the evidence implicating CNTNAP2 in these conditions, the genetic risk factors and mutations that have been identified in patient and population studies and how these relate to patient phenotypes. The role of CNTNAP2 is examined in the context of larger neurogenetic networks during development and disorder, given what is known regarding the regulation and function of this gene. Understanding the role of CNTNAP2 in diverse neurological disorders will further our understanding of how combinations of individual genetic risk factors can contribute to complex conditions. ###Answer 1. Changed Reasoning: In Sentence A, the term ""peripheral dyslexia"" is used to describe a condition where an individual has difficulty identifying letters within strings. This suggests that the term ""dyslexia"" has shifted in meaning to refer specifically to a condition involving difficulty with letter identification, rather than the broader meaning of the term in Sentence B, which encompasses a range of neurological disorders involving language. Therefore, semantic drift has occurred in the meaning of the term ""dyslexia"" between the two sentences." 61,Dyslexia,"Dyslexia is a specific language-based disorder of constitutional origin, characterized by difficulties in phonological processing. The Arabic language differs in many aspects from foreign languages and the few previously designed Arabic tests for assessment of dyslexia did not pay attention to phonological awareness problems. This necessitates the design of an Arabic test which could properly assign specific difficulties among Arabic reading dyslexic children, including phonological awareness as a major contributing factor for dyslexia.","People with developmental dyslexia (DD) have been shown to be impaired in tasks that require the processing of multiple visual elements in parallel. It has been suggested that this deficit originates from disturbed visual attentional functions. The parameter-based assessment of visual attention based on Bundesen's () theory of visual attention allows one to identify and quantify the underlying deficits. The present study provides the first groupwise comparison between children with DD (n = 12; mean age 9.84 years) and typically developing children (n = 12; mean age 9.87 years) with regard to intact and disturbed components of visual attention. From the performance on whole- and partial-report tasks, we derived individual parameter estimates of four different parameters: visual processing speed, storage capacity of visual short-term memory (VSTM), laterality of attentional weighting and efficiency of top-down control. Groupwise comparisons revealed that general attentional resources, processing speed and VSTM storage capacity, are impaired in children with DD compared to typically developing children. In contrast, selectivity parameters, laterality of attentional selection and attentional top-down control did not differ between these groups. Relating the current findings to previous results, obtained in highly comparable methodological settings, from single cases of children with DD, and from a group of adults with DD, we conclude that slowed perceptual processing speed is a primary visual attentional deficit in DD. Furthermore, reduced VSTM storage capacity seems to modulate the difficulties in written language processing imposed by the disorder.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dyslexia Sentence A: Dyslexia is a specific language-based disorder of constitutional origin, characterized by difficulties in phonological processing. The Arabic language differs in many aspects from foreign languages and the few previously designed Arabic tests for assessment of dyslexia did not pay attention to phonological awareness problems. This necessitates the design of an Arabic test which could properly assign specific difficulties among Arabic reading dyslexic children, including phonological awareness as a major contributing factor for dyslexia. Sentence B: People with developmental dyslexia (DD) have been shown to be impaired in tasks that require the processing of multiple visual elements in parallel. It has been suggested that this deficit originates from disturbed visual attentional functions. The parameter-based assessment of visual attention based on Bundesen's () theory of visual attention allows one to identify and quantify the underlying deficits. The present study provides the first groupwise comparison between children with DD (n = 12; mean age 9.84 years) and typically developing children (n = 12; mean age 9.87 years) with regard to intact and disturbed components of visual attention. From the performance on whole- and partial-report tasks, we derived individual parameter estimates of four different parameters: visual processing speed, storage capacity of visual short-term memory (VSTM), laterality of attentional weighting and efficiency of top-down control. Groupwise comparisons revealed that general attentional resources, processing speed and VSTM storage capacity, are impaired in children with DD compared to typically developing children. In contrast, selectivity parameters, laterality of attentional selection and attentional top-down control did not differ between these groups. Relating the current findings to previous results, obtained in highly comparable methodological settings, from single cases of children with DD, and from a group of adults with DD, we conclude that slowed perceptual processing speed is a primary visual attentional deficit in DD. Furthermore, reduced VSTM storage capacity seems to modulate the difficulties in written language processing imposed by the disorder. ###Answer 1. Changed Explanation: The meaning of the target word ""dyslexia"" has changed significantly between the two sentences. In Sentence A, ""dyslexia"" is defined as a specific language-based disorder with difficulties in phonological processing, and it is highlighted that the Arabic language has unique aspects that affect the assessment of dyslexia. In contrast, in Sentence B, ""dyslexia"" is framed as a deficit in visual attentional functions, with a focus on processing multiple visual elements in parallel. The two sentences provide different perspectives on the nature of dyslexia, indicating that the term has undergone semantic drift. Therefore, I have labeled this example as ""Changed""." 62,Dyslexia,"Two groups of pupils from special tract learning schools were randomly selected for this study. The first group (55 pupils) fulfilled the World Federation of Neurology (WFN) definition of developmental dyslexia (DD). The second group (retarded readers, RR) included 20 pupils with IQs between 80 and 90. A group of normal readers was randomly selected from the 5 school grades as a control group. This study showed that the performance IQ of the DD group was not only higher than the verbal IQ, but the DD group also had superior performance IQ compared to normal readers. In the arithmetic achievement test, both DD and RR groups had nearly similar total scores, which were significantly lower than that of the control group. None of the arithmetic subtests could differentiate between DD and RR groups. In linguistic achievement tests, only spontaneous writing and oral spelling could differentiate subjects with DD from the RR group.","Identification of specific neurophysiological dysfunctions resulting in selective reading difficulty (dyslexia) has remained elusive. In addition to impaired reading development, individuals with dyslexia frequently exhibit behavioral deficits in perceptual adaptation. Here, we assessed neurophysiological adaptation to stimulus repetition in adults and children with dyslexia for a wide variety of stimuli, spoken words, written words, visual objects, and faces. For every stimulus type, individuals with dyslexia exhibited significantly diminished neural adaptation compared to controls in stimulus-specific cortical areas. Better reading skills in adults and children with dyslexia were associated with greater repetition-induced neural adaptation. These results highlight a dysfunction of rapid neural adaptation as a core neurophysiological difference in dyslexia that may underlie impaired reading development. Reduced neurophysiological adaptation may relate to prior reports of reduced behavioral adaptation in dyslexia and may reveal a difference in brain functions that ultimately results in a specific reading impairment.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dyslexia Sentence A: Two groups of pupils from special tract learning schools were randomly selected for this study. The first group (55 pupils) fulfilled the World Federation of Neurology (WFN) definition of developmental dyslexia (DD). The second group (retarded readers, RR) included 20 pupils with IQs between 80 and 90. A group of normal readers was randomly selected from the 5 school grades as a control group. This study showed that the performance IQ of the DD group was not only higher than the verbal IQ, but the DD group also had superior performance IQ compared to normal readers. In the arithmetic achievement test, both DD and RR groups had nearly similar total scores, which were significantly lower than that of the control group. None of the arithmetic subtests could differentiate between DD and RR groups. In linguistic achievement tests, only spontaneous writing and oral spelling could differentiate subjects with DD from the RR group. Sentence B: Identification of specific neurophysiological dysfunctions resulting in selective reading difficulty (dyslexia) has remained elusive. In addition to impaired reading development, individuals with dyslexia frequently exhibit behavioral deficits in perceptual adaptation. Here, we assessed neurophysiological adaptation to stimulus repetition in adults and children with dyslexia for a wide variety of stimuli, spoken words, written words, visual objects, and faces. For every stimulus type, individuals with dyslexia exhibited significantly diminished neural adaptation compared to controls in stimulus-specific cortical areas. Better reading skills in adults and children with dyslexia were associated with greater repetition-induced neural adaptation. These results highlight a dysfunction of rapid neural adaptation as a core neurophysiological difference in dyslexia that may underlie impaired reading development. Reduced neurophysiological adaptation may relate to prior reports of reduced behavioral adaptation in dyslexia and may reveal a difference in brain functions that ultimately results in a specific reading impairment. ###Answer 1. Changed Explanation: In Sentence A, the term ""developmental dyslexia"" (DD) is used to describe a specific learning disability. The sentence highlights the difference in IQ scores between the DD group and the control group, indicating that the term ""developmental dyslexia"" in this context refers to a specific cognitive deficit. However, in Sentence B, the term ""dyslexia"" is used more broadly to describe a neurophysiological dysfunction resulting in selective reading difficulty. The sentence does not highlight any specific cognitive deficit associated with the term ""dyslexia,"" but rather emphasizes the diminished neural adaptation in individuals with dyslexia. Therefore, the meaning of the term ""dyslexia"" has shifted from a specific learning disability to a more general neurophysiological dysfunction. As a result, the label ""Changed"" is appropriate to indicate that the term ""dyslexia"" has undergone semantic drift between the two sentences." 63,Dyslexia,"Dyslexia, specific reading disability, which seriously impairs school achievement and interferes with the acquisition of information, is estimated to affect about 3-15% of the population. In a longitudinal study started in the University of Jyväskylä researchers will follow the development of language and other cognitive skills of babies of 160 families from birth to about 10 years' age in search for early precursors of dyslexia. Trough screening parents for dyslexia we hope to obtain new information about specific features of reading and writing problems in adulthood, which helps us to focus our search for important features of early language problems linked to development of dyslexia. Finnish public health nurses are involved the study in the field.","Deviances in early event-related potential (ERP) components reflecting auditory and phonological processing are well-documented in children at familial risk for dyslexia. However, little is known about brain responses which index processing in other linguistic domains such as lexicon, semantics and syntax in this group. The present study investigated effects of lexical-semantic priming in 20- and 24-month-olds at-risk for dyslexia and typically developing controls in two ERP experiments. In both experiments an early component assumed to reflect facilitated lexical processing for primed words was enhanced in the at-risk group compared to the control group. Moreover, an N400-like response which was prominent in the control group was attenuated or absent in at-risk children. Results suggest that deficiencies in young children at-risk for dyslexia are not restricted to perceptual and lower-level phonological abilities, but also affect higher order linguistic skills such as lexical and semantic processing.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dyslexia Sentence A: Dyslexia, specific reading disability, which seriously impairs school achievement and interferes with the acquisition of information, is estimated to affect about 3-15% of the population. In a longitudinal study started in the University of Jyväskylä researchers will follow the development of language and other cognitive skills of babies of 160 families from birth to about 10 years' age in search for early precursors of dyslexia. Trough screening parents for dyslexia we hope to obtain new information about specific features of reading and writing problems in adulthood, which helps us to focus our search for important features of early language problems linked to development of dyslexia. Finnish public health nurses are involved the study in the field. Sentence B: Deviances in early event-related potential (ERP) components reflecting auditory and phonological processing are well-documented in children at familial risk for dyslexia. However, little is known about brain responses which index processing in other linguistic domains such as lexicon, semantics and syntax in this group. The present study investigated effects of lexical-semantic priming in 20- and 24-month-olds at-risk for dyslexia and typically developing controls in two ERP experiments. In both experiments an early component assumed to reflect facilitated lexical processing for primed words was enhanced in the at-risk group compared to the control group. Moreover, an N400-like response which was prominent in the control group was attenuated or absent in at-risk children. Results suggest that deficiencies in young children at-risk for dyslexia are not restricted to perceptual and lower-level phonological abilities, but also affect higher order linguistic skills such as lexical and semantic processing. ###Answer 1. Changed Reasoning: In Sentence A, the term ""dyslexia"" is used to describe a ""specific reading disability"" that affects a significant portion of the population. The sentence emphasizes the impact of dyslexia on academic achievement and the importance of early detection to prevent long-term consequences. The term ""dyslexia"" carries a negative connotation, suggesting a difficulty or disability. In Sentence B, the term ""dyslexia"" is used to describe a ""familial risk"" for language and cognitive problems. The sentence highlights the importance of early intervention to mitigate the effects of dyslexia on language and cognitive development. The term ""dyslexia"" is no longer associated with a negative connotation, but rather with a genetic predisposition that can be addressed through early intervention. The semantic drift in the term ""dyslexia"" between Sentence A and Sentence B is significant. In Sentence A, the term is used to describe a specific reading disability with negative connotations, while in Sentence B, it is used to describe a genetic predisposition for language and cognitive problems with a more neutral connotation. This shift in meaning reflects changes in the understanding of dyslexia over time, from a disability to a complex condition that involves both genetic and environmental factors." 64,Dyslexia,"Impairment in spatial thinking has figured prominently as an assumed cause of developmental reading disability. The empirical findings relevant to the idea, with special reference to right-left orientation, visuomotor and visuoconstructive performances, and finger recognition are examined. It is concluded that, although some dyslexic children do show spatial disabilities, there is little evidence to support the existence of a visuospatial type of developmental dyslexia. ",To find out the potential polymorphisms of gene with developmental dyslexia children.,"###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dyslexia Sentence A: Impairment in spatial thinking has figured prominently as an assumed cause of developmental reading disability. The empirical findings relevant to the idea, with special reference to right-left orientation, visuomotor and visuoconstructive performances, and finger recognition are examined. It is concluded that, although some dyslexic children do show spatial disabilities, there is little evidence to support the existence of a visuospatial type of developmental dyslexia. Sentence B: To find out the potential polymorphisms of gene with developmental dyslexia children. ###Answer 1. Changed Reasoning: The target word ""dyslexia"" has undergone significant semantic drift between the two sentences. In Sentence A, ""dyslexia"" is associated with impairment in spatial thinking and is seen as a cause of developmental reading disability. In Sentence B, ""dyslexia"" is associated with genetic polymorphisms and is seen as a potential factor in the development of developmental dyslexia. The meaning of ""dyslexia"" has shifted from an impairment in spatial thinking to a genetic condition." 65,Dyslexia,"It is argued that much of the confusion which has arisen as to the nature of dyslexia is because retarded readers have so frequently been studied as if they formed a qualitatively homogeneous group. It is suggested that in fact reading is not a unitary process, but that it involves the acquisition of a succession of skills; and that different retarded readers may break down at different stages in the acquisition of these. There may be types of retarded reader who are unable (1) to analyse complex visual shapes; or (2) to analyse whole word sounds into phonemes; or (3) to make simple regular grapheme-phoneme associations; or (4) to grasp irregularities in these; or (5) to group single words into phrases and sentences. Each of these disabilities may be associated with a particular type of deficiency in conceptual thinking.","Achieving biologically interpretable neural-biomarkers and features from neuroimaging datasets is a challenging task in an MRI-based dyslexia study. This challenge becomes more pronounced when the needed MRI datasets are collected from multiple heterogeneous sources with inconsistent scanner settings. This study presents a method of improving the biological interpretation of dyslexia's neural-biomarkers from MRI datasets sourced from publicly available open databases. The proposed system utilized a modified histogram normalization (MHN) method to improve dyslexia neural-biomarker interpretations by mapping the pixels' intensities of low-quality input neuroimages to range between the low-intensity region of interest (ROIlow) and high-intensity region of interest (ROIhigh) of the high-quality image. This was achieved after initial image smoothing using the Gaussian filter method with an isotropic kernel of size 4mm. The performance of the proposed smoothing and normalization methods was evaluated based on three image post-processing experiments: ROI segmentation, gray matter (GM) tissues volume estimations, and deep learning (DL) classifications using Computational Anatomy Toolbox (CAT12) and pre-trained models in a MATLAB working environment. The three experiments were preceded by some pre-processing tasks such as image resizing, labelling, patching, and non-rigid registration. Our results showed that the best smoothing was achieved at a scale value, σ = 1.25 with a 0.9% increment in the peak-signal-to-noise ratio (PSNR). Results from the three image post-processing experiments confirmed the efficacy of the proposed methods. Evidence emanating from our analysis showed that using the proposed MHN and Gaussian smoothing methods can improve comparability of image features and neural-biomarkers of dyslexia with a statistically significantly high disc similarity coefficient (DSC) index, low mean square error (MSE), and improved tissue volume estimations. After 10 repeated 10-fold cross-validation, the highest accuracy achieved by DL models is 94.7% at a 95% confidence interval (CI) level. Finally, our finding confirmed that the proposed MHN method significantly outperformed the normalization method of the state-of-the-art histogram matching.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dyslexia Sentence A: It is argued that much of the confusion which has arisen as to the nature of dyslexia is because retarded readers have so frequently been studied as if they formed a qualitatively homogeneous group. It is suggested that in fact reading is not a unitary process, but that it involves the acquisition of a succession of skills; and that different retarded readers may break down at different stages in the acquisition of these. There may be types of retarded reader who are unable (1) to analyse complex visual shapes; or (2) to analyse whole word sounds into phonemes; or (3) to make simple regular grapheme-phoneme associations; or (4) to grasp irregularities in these; or (5) to group single words into phrases and sentences. Each of these disabilities may be associated with a particular type of deficiency in conceptual thinking. Sentence B: Achieving biologically interpretable neural-biomarkers and features from neuroimaging datasets is a challenging task in an MRI-based dyslexia study. This challenge becomes more pronounced when the needed MRI datasets are collected from multiple heterogeneous sources with inconsistent scanner settings. This study presents a method of improving the biological interpretation of dyslexia's neural-biomarkers from MRI datasets sourced from publicly available open databases. The proposed system utilized a modified histogram normalization (MHN) method to improve dyslexia neural-biomarker interpretations by mapping the pixels' intensities of low-quality input neuroimages to range between the low-intensity region of interest (ROIlow) and high-intensity region of interest (ROIhigh) of the high-quality image. This was achieved after initial image smoothing using the Gaussian filter method with an isotropic kernel of size 4mm. The performance of the proposed smoothing and normalization methods was evaluated based on three image post-processing experiments: ROI segmentation, gray matter (GM) tissues volume estimations, and deep learning (DL) classifications using Computational Anatomy Toolbox (CAT12) and pre-trained models in a MATLAB working environment. The three experiments were preceded by some pre-processing tasks such as image resizing, labelling, patching, and non-rigid registration. Our results showed that the best smoothing was achieved at a scale value, σ = 1.25 with a 0.9% increment in the peak-signal-to-noise ratio (PSNR). Results from the three image post-processing experiments confirmed the efficacy of the proposed methods. Evidence emanating from our analysis showed that using the proposed MHN and Gaussian smoothing methods can improve comparability of image features and neural-biomarkers of dyslexia with a statistically significantly high disc similarity coefficient (DSC) index, low mean square error (MSE), and improved tissue volume estimations. After 10 repeated 10-fold cross-validation, the highest accuracy achieved by DL models is 94.7% at a 95% confidence interval (CI) level. Finally, our finding confirmed that the proposed MHN method significantly outperformed the normalization method of the state-of-the-art histogram matching. ###Answer 1. Changed Reasoning: The target word ""dyslexia"" has undergone a significant change in meaning between the two sentences. In Sentence A, dyslexia is described as a condition characterized by difficulties in analyzing complex visual shapes, whole word sounds into phonemes, simple regular grapheme-phoneme associations, and irregularities in these. In Sentence B, dyslexia is framed as a biological condition related to inconsistent scanner settings in neuroimaging datasets. The word's meaning has shifted from a condition related to reading and visual perception to a biological condition related to neural-biomarkers and features from neuroimaging datasets. Therefore, semantic drift has occurred in the meaning of the target word." 66,Dyslexia,"The purposes of this study were to investigate (a) whether children in families with a positive history of dyslexia were more likely to show delays in language development than children without family risk and (b) whether a delayed onset of expressive language (late talking) predicted later language development. We analyzed the language development of 200 children longitudinally at 14, 24, 30, and 42 months and assessed their symbolic play at 14 months. Half of the children (N = 106) were from families with a history of dyslexia (the Dyslexia Risk [DR] group), and other children served as age-matched controls. Parental reports and structured tests were used to assess children's receptive and expressive language and symbolic play. No differences emerged between the two groups in receptive language, symbolic play, or on the Bayley MDI. The groups, however, diverged in expressive language measures. The maximum sentence length at 2 years and object naming and inflectional morphology skills at 3.5 years were higher for the control group than for the DR group. Reynell receptive score at 2.5 years provided the greatest unique contribution to the prediction of the children's receptive and expressive language. Children's risk status did not contribute to receptive language, but provided a significant contribution to their expressive language at 3.5 years, even after the variance associated with parental education and children's previous language skills was controlled. Late talkers in the DR group differed from the other members of the DR group in both receptive and expressive language at 3.5 years, although in the control group children with a late-talking history performed at age-level expectations. The findings suggest that children with a familial risk for dyslexia and with a history of late talking are at higher risk for delays in language acquisition than children without the familial risk for dyslexia.","Recent research studies have shown that increased letter spacing has a positive effect on the reading ability of dyslexic individuals. This study aims to investigate the effect of spacing on the readability of different fonts for children with and without dyslexia. Results did not support the hypothesis of better performance among children with dyslexia when reading text in Dyslexie than in other fonts. They, however, revealed that only spacing plays a role in enhancing dyslexic individuals' reading performance because Dyslexie and the Times New Roman interspaced font have no difference. Furthermore, the negative effect of the unfriendly fonts Times New Roman Italic and Curlz MT was eliminated through increased interletter spacing.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dyslexia Sentence A: The purposes of this study were to investigate (a) whether children in families with a positive history of dyslexia were more likely to show delays in language development than children without family risk and (b) whether a delayed onset of expressive language (late talking) predicted later language development. We analyzed the language development of 200 children longitudinally at 14, 24, 30, and 42 months and assessed their symbolic play at 14 months. Half of the children (N = 106) were from families with a history of dyslexia (the Dyslexia Risk [DR] group), and other children served as age-matched controls. Parental reports and structured tests were used to assess children's receptive and expressive language and symbolic play. No differences emerged between the two groups in receptive language, symbolic play, or on the Bayley MDI. The groups, however, diverged in expressive language measures. The maximum sentence length at 2 years and object naming and inflectional morphology skills at 3.5 years were higher for the control group than for the DR group. Reynell receptive score at 2.5 years provided the greatest unique contribution to the prediction of the children's receptive and expressive language. Children's risk status did not contribute to receptive language, but provided a significant contribution to their expressive language at 3.5 years, even after the variance associated with parental education and children's previous language skills was controlled. Late talkers in the DR group differed from the other members of the DR group in both receptive and expressive language at 3.5 years, although in the control group children with a late-talking history performed at age-level expectations. The findings suggest that children with a familial risk for dyslexia and with a history of late talking are at higher risk for delays in language acquisition than children without the familial risk for dyslexia. Sentence B: Recent research studies have shown that increased letter spacing has a positive effect on the reading ability of dyslexic individuals. This study aims to investigate the effect of spacing on the readability of different fonts for children with and without dyslexia. Results did not support the hypothesis of better performance among children with dyslexia when reading text in Dyslexie than in other fonts. They, however, revealed that only spacing plays a role in enhancing dyslexic individuals' reading performance because Dyslexie and the Times New Roman interspaced font have no difference. Furthermore, the negative effect of the unfriendly fonts Times New Roman Italic and Curlz MT was eliminated through increased interletter spacing. ###Answer 1. Changed Reasoning: In Sentence A, the term ""dyslexia"" is used in the context of a study investigating the language development of children with a familial risk of dyslexia. The term is used to describe a condition characterized by language development delays and a higher risk of reading difficulties. In contrast, in Sentence B, the term ""dyslexia"" is used in the context of a study investigating the effect of letter spacing on reading ability in individuals with dyslexia. The term is used to describe a specific learning disability characterized by difficulties with reading and spelling. In Sentence A, the term ""dyslexia"" has a more negative connotation, as it is associated with language development delays and a higher risk of reading difficulties. In contrast, in Sentence B, the term ""dyslexia"" has a more neutral connotation, as it is used to describe a specific learning disability rather than a broader condition. Therefore, semantic drift has occurred in the meaning of the term ""dyslexia"" between the two sentences." 67,Dyslexia,"Many aspects of vision have been investigated in developmental dyslexia. Some research suggests deficits in vergence control (e.g. Buzzelli, 1991, Optom. Vision Sci. 68, 842-846), although ability to control vergence across saccades has not yet been investigated. We have explored this question indirectly using Enright's (1996 Vision Res. 36, 307-312.) sequential stereopsis task. The task requires observers to set two adjacent targets (whose textures cannot be resolved simultaneously if either is fixated) to appear equi-distant. Enright has argued that sequential stereopsis stereoacuity thresholds offer an indication of vergence control across saccades. We report two experiments using a total of 17 dyslexic and 18 control adults. Performance was measured on a sequential stereopsis task and an ordinary 'simultaneous' stereopsis task. No significant differences between groups were found. However, whereas practice of the sequential task lowered control group thresholds on the simultaneous task, for the dyslexic group it significantly raised thresholds, suggesting that visual fatigue is especially important in investigations of visual functions in dyslexia. Although the small samples used limit conclusions at this stage, the main sequential stereopsis results suggest that, if Enright is correct, dyslexic adults can show normal vergence control across saccades.","Previous research has associated a prolonged attentional blink (AB) with adult dyslexia [Hari, R., Valta, M., & Uutela, K. (1999). Prolonged attentional dwell time in dyslexic adults. Neuroscience Letters, 271, 202-204]. The AB represents a limitation in temporal information processing, estimated as the time interval between two targets necessary for accurate recall (e.g., [Raymond, J. E., Shapiro, K. L., & Arnell, K. M. (1992). Temporary suppression of visual processing in an RSVP task: An attentional blink? Journal of Experimental Psychology: Human Perception and Performance, 18, 849-860]). Utilizing single- and dual-target procedures, this investigation extended upon previous research. When controlling for baseline sensitivity as estimated in the dual-target condition, there was no significant difference between dyslexic and control performance. Finding no evidence of a single-target task difference or prolonged AB effect in dyslexia, it is suggested that baseline sensitivity differences relate to difficulties with task demands in dyslexic readers.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dyslexia Sentence A: Many aspects of vision have been investigated in developmental dyslexia. Some research suggests deficits in vergence control (e.g. Buzzelli, 1991, Optom. Vision Sci. 68, 842-846), although ability to control vergence across saccades has not yet been investigated. We have explored this question indirectly using Enright's (1996 Vision Res. 36, 307-312.) sequential stereopsis task. The task requires observers to set two adjacent targets (whose textures cannot be resolved simultaneously if either is fixated) to appear equi-distant. Enright has argued that sequential stereopsis stereoacuity thresholds offer an indication of vergence control across saccades. We report two experiments using a total of 17 dyslexic and 18 control adults. Performance was measured on a sequential stereopsis task and an ordinary 'simultaneous' stereopsis task. No significant differences between groups were found. However, whereas practice of the sequential task lowered control group thresholds on the simultaneous task, for the dyslexic group it significantly raised thresholds, suggesting that visual fatigue is especially important in investigations of visual functions in dyslexia. Although the small samples used limit conclusions at this stage, the main sequential stereopsis results suggest that, if Enright is correct, dyslexic adults can show normal vergence control across saccades. Sentence B: Previous research has associated a prolonged attentional blink (AB) with adult dyslexia [Hari, R., Valta, M., & Uutela, K. (1999). Prolonged attentional dwell time in dyslexic adults. Neuroscience Letters, 271, 202-204]. The AB represents a limitation in temporal information processing, estimated as the time interval between two targets necessary for accurate recall (e.g., [Raymond, J. E., Shapiro, K. L., & Arnell, K. M. (1992). Temporary suppression of visual processing in an RSVP task: An attentional blink? Journal of Experimental Psychology: Human Perception and Performance, 18, 849-860]). Utilizing single- and dual-target procedures, this investigation extended upon previous research. When controlling for baseline sensitivity as estimated in the dual-target condition, there was no significant difference between dyslexic and control performance. Finding no evidence of a single-target task difference or prolonged AB effect in dyslexia, it is suggested that baseline sensitivity differences relate to difficulties with task demands in dyslexic readers. ###Answer 1. Changed Reasoning: In Sentence A, the target word ""dyslexia"" is used in the context of ""developmental dyslexia,"" which suggests a more specific and technical meaning. The sentence also mentions ""vergence control,"" which implies a connection to visual perception. In contrast, Sentence B uses ""dyslexia"" in the context of ""adult dyslexia,"" which may imply a broader or more general meaning. Additionally, the sentence mentions ""attentional blink,"" which suggests a connection to cognitive processes. The meaning of ""dyslexia"" appears to have shifted from a primarily visual context to a more general cognitive context. Therefore, the label ""Changed"" is appropriate." 68,Dyslexia,"H.M. is a 17-year-old girl of at least average intelligence and with an above-average oral vocabulary. She is impaired at non-word reading in comparison to word reading. She is incapable of reading any long nonsense words or long unusual regular words correctly. Many of her non-word reading responses are lexicalizations. She reads non-words homophonic with real words better than she reads non-words that are not homophonic with real words. Her reading age is 10 years 11 months. A large proportion of her reading errors are derivational or visual paralexias. She makes no semantic errors or errors of regularization and few neologistic responses. H.M. is not influenced by the dimensions of spelling-to-sound regularity and word length. There is no effect of word class on single-word reading although a function word deficit is present when continuous text is read aloud. H.M. is impaired at word reading when the stimulus items are distorted in a manner that reduces the potential for global perception. H.M.'s spelling errors are primarily phonological, though more complex errors are made than those characteristic of surface agraphics. All of these features are consistent with reported cases of acquired phonological dyslexia. H.M. may be confidently regarded as a developmental phonological dyslexic.","In this project, the hypothesis of an auditory temporal processing deficit in dyslexia was tested by examining auditory processing in relation to phonological skills in two contrasting groups of five-year-old preschool children, a familial high risk and a familial low risk group. Participants were individually matched for gender, age, non-verbal IQ, school environment, and parental educational level. Psychophysical thresholds were estimated for gap-detection, frequency modulation detection, and tone-in-noise detection using a three-interval forced-choice adaptive staircase paradigm embedded within a computer game. Phonological skills were measured by tasks assessing phonological awareness, rapid serial naming, and verbal short-term memory. Significant group differences were found for phonological awareness and letter knowledge. In contrast, none of the auditory tasks differentiated significantly between both groups. However, both frequency modulation and tone-in-noise detection were significantly related to phonological awareness. This relation with phonological skills was not present for gap-detection.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dyslexia Sentence A: H.M. is a 17-year-old girl of at least average intelligence and with an above-average oral vocabulary. She is impaired at non-word reading in comparison to word reading. She is incapable of reading any long nonsense words or long unusual regular words correctly. Many of her non-word reading responses are lexicalizations. She reads non-words homophonic with real words better than she reads non-words that are not homophonic with real words. Her reading age is 10 years 11 months. A large proportion of her reading errors are derivational or visual paralexias. She makes no semantic errors or errors of regularization and few neologistic responses. H.M. is not influenced by the dimensions of spelling-to-sound regularity and word length. There is no effect of word class on single-word reading although a function word deficit is present when continuous text is read aloud. H.M. is impaired at word reading when the stimulus items are distorted in a manner that reduces the potential for global perception. H.M.'s spelling errors are primarily phonological, though more complex errors are made than those characteristic of surface agraphics. All of these features are consistent with reported cases of acquired phonological dyslexia. H.M. may be confidently regarded as a developmental phonological dyslexic. Sentence B: In this project, the hypothesis of an auditory temporal processing deficit in dyslexia was tested by examining auditory processing in relation to phonological skills in two contrasting groups of five-year-old preschool children, a familial high risk and a familial low risk group. Participants were individually matched for gender, age, non-verbal IQ, school environment, and parental educational level. Psychophysical thresholds were estimated for gap-detection, frequency modulation detection, and tone-in-noise detection using a three-interval forced-choice adaptive staircase paradigm embedded within a computer game. Phonological skills were measured by tasks assessing phonological awareness, rapid serial naming, and verbal short-term memory. Significant group differences were found for phonological awareness and letter knowledge. In contrast, none of the auditory tasks differentiated significantly between both groups. However, both frequency modulation and tone-in-noise detection were significantly related to phonological awareness. This relation with phonological skills was not present for gap-detection. ###Answer 1. Changed Reasoning: In Sentence A, the term ""dyslexia"" is used to describe a specific learning disability characterized by difficulties with phonological processing and reading. The sentence highlights the individual's struggles with non-word reading and spelling, and mentions that they are impaired at word reading when stimulus items are distorted. This suggests that the term ""dyslexia"" in Sentence A has a more specific and technical meaning related to phonological processing and reading difficulties. In Sentence B, the term ""dyslexia"" is used in a different context, referring to a group of children who are at high or low risk of developing reading difficulties. The sentence does not provide any information about the children's phonological processing or reading abilities, and instead focuses on auditory processing and phonological skills. This suggests that the term ""dyslexia"" in Sentence B has a more general meaning, referring to a broader range of reading difficulties rather than a specific phonological processing disorder. Therefore, based on the different contexts and meanings provided in the two sentences, it can be concluded that semantic drift has occurred in the term ""dyslexia""." 69,Dyslexia,"Accurate reading of irregular words is generally assumed to require intact lexical reading mechanisms. A nonlexical mechanism is usually deemed insufficient for this type of stimulus processing. The maximum level of accuracy attainable by nonlexical means, however, has not been adequately evaluated. We now describe a patient with acquired dyslexia due to impaired lexical reading mechanisms who retained the ability to read irregular words. The patient's poor performance on tasks requiring lexical decision and access to word meaning provided evidence that his lexical mechanisms were impaired. Nevertheless, errors on irregular words became apparent only with special tests that circumvented the patient's ability to use his intact speaking vocabulary to ensure that reading responses were words. The results demonstrate that relatively accurate reading of irregular words is possible despite damage to lexical mechanisms and that this can be achieved by filtering potential responses through the speaking vocabulary.","Auditory cortex volume and shape differences have been observed in the context of phonetic learning, musicianship and dyslexia. Heschl's gyrus, which includes primary auditory cortex, displays large anatomical variability across individuals and hemispheres. Given this variability, manual labelling is the gold standard for segmenting HG, but is time consuming and error prone. Our novel toolbox, called 'Toolbox for the Automated Segmentation of HG' or TASH, automatically segments HG in brain structural MRI data, and extracts measures including its volume, surface area and cortical thickness. TASH builds upon FreeSurfer, which provides an initial segmentation of auditory regions, and implements further steps to perform finer auditory cortex delineation. We validate TASH by showing significant relationships between HG volumes obtained using manual labelling and using TASH, in three independent datasets acquired on different scanners and field strengths, and by showing good qualitative segmentation. We also present two applications of TASH, demonstrating replication and extension of previously published findings of relationships between HG volumes and (a) phonetic learning, and (b) musicianship. In sum, TASH effectively segments HG in a fully automated and reproducible manner, opening up a wide range of applications in the domains of expertise, disease, genetics and brain plasticity.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dyslexia Sentence A: Accurate reading of irregular words is generally assumed to require intact lexical reading mechanisms. A nonlexical mechanism is usually deemed insufficient for this type of stimulus processing. The maximum level of accuracy attainable by nonlexical means, however, has not been adequately evaluated. We now describe a patient with acquired dyslexia due to impaired lexical reading mechanisms who retained the ability to read irregular words. The patient's poor performance on tasks requiring lexical decision and access to word meaning provided evidence that his lexical mechanisms were impaired. Nevertheless, errors on irregular words became apparent only with special tests that circumvented the patient's ability to use his intact speaking vocabulary to ensure that reading responses were words. The results demonstrate that relatively accurate reading of irregular words is possible despite damage to lexical mechanisms and that this can be achieved by filtering potential responses through the speaking vocabulary. Sentence B: Auditory cortex volume and shape differences have been observed in the context of phonetic learning, musicianship and dyslexia. Heschl's gyrus, which includes primary auditory cortex, displays large anatomical variability across individuals and hemispheres. Given this variability, manual labelling is the gold standard for segmenting HG, but is time consuming and error prone. Our novel toolbox, called 'Toolbox for the Automated Segmentation of HG' or TASH, automatically segments HG in brain structural MRI data, and extracts measures including its volume, surface area and cortical thickness. TASH builds upon FreeSurfer, which provides an initial segmentation of auditory regions, and implements further steps to perform finer auditory cortex delineation. We validate TASH by showing significant relationships between HG volumes obtained using manual labelling and using TASH, in three independent datasets acquired on different scanners and field strengths, and by showing good qualitative segmentation. We also present two applications of TASH, demonstrating replication and extension of previously published findings of relationships between HG volumes and (a) phonetic learning, and (b) musicianship. In sum, TASH effectively segments HG in a fully automated and reproducible manner, opening up a wide range of applications in the domains of expertise, disease, genetics and brain plasticity. ###Answer 1. Changed Explanation: In Sentence A, the term ""dyslexia"" is used to describe a specific learning disorder characterized by difficulties with reading and spelling. The context suggests that the term was used to describe a well-defined clinical condition with specific diagnostic criteria. In Sentence B, the term ""dyslexia"" is used in a different context. It is mentioned in the context of auditory cortex volume and shape differences, and is not used to describe a specific learning disorder. The context suggests that the term has shifted in meaning to refer to a broader concept related to brain function and structure. Therefore, the label ""Changed"" is appropriate for this task, as the meaning of the term ""dyslexia"" has shifted significantly between the two sentences." 70,Dyslexia,"Abnormalities of functional connection between specialized areas in the human brain may underlie the symptoms which constitute the schizophrenia syndrome. Callosal and intrahemispheric fibres may be equally involved. The clinical emergence of symptoms in the later stages of brain maturation may be dependent on myelination of these fibre groups, both of which have extended myelination cycles. Ontogenetically earlier variants of the same mechanism could theoretically result in dyslexia and the syndromes of Kanner and Gilles de la Tourette. As new and unique extensions of specialized function emerge within the evolving brain, biological trial and error of connection both within and between them may produce individuals possessing phylogenetically advanced abilities, or equally, others possessing a wide range of abnormalities including those which comprise the schizophrenia syndrome. A dormant phenotypic potential for schizophrenia may exist in individuals who never develop symptoms during the course of a lifetime though some of these may become clinically apparent under the influence of various precipitating factors. It is concluded that abnormal functional connection and its normal and ""supernormal"" counterparts may be natural, essential, and inevitable consequences of brain evolution, and that this may have been so throughout the history of vertebrate brain evolution.","The Mental Attributes Profiling System was developed in 2002 (Laouris and Makris, Proceedings of multilingual & cross-cultural perspectives on Dyslexia, Omni Shoreham Hotel, Washington, D.C, 2002), to provide a multimodal evaluation of the learning potential and abilities of young children's brains. The method is based on the assessment of non-verbal abilities using video-like interfaces and was compared to more established methodologies in (Papadopoulos, Laouris, Makris, Proceedings of IDA 54th annual conference, San Diego, 2003), such as the Wechsler Intelligence Scale for Children (Watkins et al., Psychol Sch 34(4):309-319, 1997). To do so, various tests have been applied to a population of 134 children aged 7-12 years old. This paper addresses the issue of identifying a minimal set of variables that are able to accurately predict the learning abilities of a given child. The use of Machine Learning technologies to do this provides the advantage of making no prior assumptions about the nature of the data and eliminating natural bias associated with data processing carried out by humans. Kohonen's Self Organising Maps (Kohonen, Biol Cybern 43:59-69, 1982) algorithm is able to split a population into groups based on large and complex sets of observations. Once the population is split, the individual groups can then be probed for their defining characteristics providing insight into the rationale of the split. The characteristics identified form the basis of classification systems that are able to accurately predict which group an individual will belong to, using only a small subset of the tests available. The specifics of this methodology are detailed herein, and the resulting classification systems provide an effective tool to prognose the learning abilities of new subjects.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dyslexia Sentence A: Abnormalities of functional connection between specialized areas in the human brain may underlie the symptoms which constitute the schizophrenia syndrome. Callosal and intrahemispheric fibres may be equally involved. The clinical emergence of symptoms in the later stages of brain maturation may be dependent on myelination of these fibre groups, both of which have extended myelination cycles. Ontogenetically earlier variants of the same mechanism could theoretically result in dyslexia and the syndromes of Kanner and Gilles de la Tourette. As new and unique extensions of specialized function emerge within the evolving brain, biological trial and error of connection both within and between them may produce individuals possessing phylogenetically advanced abilities, or equally, others possessing a wide range of abnormalities including those which comprise the schizophrenia syndrome. A dormant phenotypic potential for schizophrenia may exist in individuals who never develop symptoms during the course of a lifetime though some of these may become clinically apparent under the influence of various precipitating factors. It is concluded that abnormal functional connection and its normal and ""supernormal"" counterparts may be natural, essential, and inevitable consequences of brain evolution, and that this may have been so throughout the history of vertebrate brain evolution. Sentence B: The Mental Attributes Profiling System was developed in 2002 (Laouris and Makris, Proceedings of multilingual & cross-cultural perspectives on Dyslexia, Omni Shoreham Hotel, Washington, D.C, 2002), to provide a multimodal evaluation of the learning potential and abilities of young children's brains. The method is based on the assessment of non-verbal abilities using video-like interfaces and was compared to more established methodologies in (Papadopoulos, Laouris, Makris, Proceedings of IDA 54th annual conference, San Diego, 2003), such as the Wechsler Intelligence Scale for Children (Watkins et al., Psychol Sch 34(4):309-319, 1997). To do so, various tests have been applied to a population of 134 children aged 7-12 years old. This paper addresses the issue of identifying a minimal set of variables that are able to accurately predict the learning abilities of a given child. The use of Machine Learning technologies to do this provides the advantage of making no prior assumptions about the nature of the data and eliminating natural bias associated with data processing carried out by humans. Kohonen's Self Organising Maps (Kohonen, Biol Cybern 43:59-69, 1982) algorithm is able to split a population into groups based on large and complex sets of observations. Once the population is split, the individual groups can then be probed for their defining characteristics providing insight into the rationale of the split. The characteristics identified form the basis of classification systems that are able to accurately predict which group an individual will belong to, using only a small subset of the tests available. The specifics of this methodology are detailed herein, and the resulting classification systems provide an effective tool to prognose the learning abilities of new subjects. ###Answer 1. Changed Reasoning: The target word ""dyslexia"" has undergone a significant change in meaning between the two sentences. In Sentence A, ""dyslexia"" is used to describe a theoretical mechanism that could result in abnormalities of functional connection between specialized areas in the brain, and is associated with the evolution of the brain. In Sentence B, ""dyslexia"" is used to describe a specific learning disability that can be identified and classified using machine learning technologies. The term no longer carries the same connotations of evolutionary change, and instead is used to describe a well-defined clinical entity. Therefore, semantic drift has occurred in the meaning of the target word ""dyslexia""." 71,Dyslexia,"The hypothesis of a general (i.e. cross-modal) temporal processing deficit in dyslexia was tested by examining rapid processing in both the auditory and the visual system in the same children with dyslexia. Participants were 10- to 12-year-old dyslexic readers and age-matched normal reading controls. Psychophysical thresholds were estimated for auditory gap and visual double flash detection, using a two-interval, two-alternative forced-choice paradigm. Significant group differences were found for the auditory and the visual test. Furthermore, temporal processing measures were significantly related to word and pseudo-word reading skills. As 70% of the dyslexic readers had significantly higher thresholds than controls for both auditory and visual temporal processing, the evidence tends to support the hypothesis of a general temporal processing deficit in children with dyslexia.","Findings concerning the relation between dyslexia and speech perception deficits are inconsistent in the literature. This study examined the relation in Chinese children using a more homogeneous sample-children with phonological dyslexia. Two experimental tasks were administered to a group of Chinese children with phonological dyslexia, a group of age-matched control children, and a group of adults. In addition to a categorical perception task, a selective adaptation task was carried out. The results indicated that Chinese children with phonological dyslexia were less consistent than both the child and adult control groups in identifying stimuli within a given phonetic category. Furthermore, they did not show any significant adaptation effects in the selective adaptation task even when the adapting stimulus was identical to an endpoint stimulus in the test continuum. It seems that children with phonological dyslexia have a general deficiency in representing and processing speech stimuli.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dyslexia Sentence A: The hypothesis of a general (i.e. cross-modal) temporal processing deficit in dyslexia was tested by examining rapid processing in both the auditory and the visual system in the same children with dyslexia. Participants were 10- to 12-year-old dyslexic readers and age-matched normal reading controls. Psychophysical thresholds were estimated for auditory gap and visual double flash detection, using a two-interval, two-alternative forced-choice paradigm. Significant group differences were found for the auditory and the visual test. Furthermore, temporal processing measures were significantly related to word and pseudo-word reading skills. As 70% of the dyslexic readers had significantly higher thresholds than controls for both auditory and visual temporal processing, the evidence tends to support the hypothesis of a general temporal processing deficit in children with dyslexia. Sentence B: Findings concerning the relation between dyslexia and speech perception deficits are inconsistent in the literature. This study examined the relation in Chinese children using a more homogeneous sample-children with phonological dyslexia. Two experimental tasks were administered to a group of Chinese children with phonological dyslexia, a group of age-matched control children, and a group of adults. In addition to a categorical perception task, a selective adaptation task was carried out. The results indicated that Chinese children with phonological dyslexia were less consistent than both the child and adult control groups in identifying stimuli within a given phonetic category. Furthermore, they did not show any significant adaptation effects in the selective adaptation task even when the adapting stimulus was identical to an endpoint stimulus in the test continuum. It seems that children with phonological dyslexia have a general deficiency in representing and processing speech stimuli. ###Answer 1. Changed Reasoning: In Sentence A, the term ""dyslexia"" is used to describe a specific learning disability characterized by a general temporal processing deficit. The phrase ""general temporal processing deficit"" suggests a lack of ability to process and integrate sensory information in a timely manner, which may affect reading skills. In contrast, in Sentence B, the term ""dyslexia"" is used to describe a more general deficiency in representing and processing speech stimuli, which does not necessarily imply a specific temporal processing deficit. Therefore, the meaning of the term ""dyslexia"" has shifted from a specific learning disability to a more general deficiency in speech processing." 72,Dyslexia,"In order to study face recognition in relative isolation from visual processes that may also contribute to object recognition and reading, we investigated CK, a man with normal face recognition but with object agnosia and dyslexia caused by a closed-head injury. We administered recognition tests of up right faces, of family resemblance, of age-transformed faces, of caricatures, of cartoons, of inverted faces, and of face features, of disguised faces, of perceptually degraded faces, of fractured faces, of faces parts, and of faces whose parts were made of objects. We compared CK's performance with that of at least 12 control participants. We found that CK performed as well as controls as long as the face was upright and retained the configurational integrity among the internal facial features, the eyes, nose, and mouth. This held regardless of whether the face was disguised or degraded and whether the face was represented as a photo, a caricature, a cartoon, or a face composed of objects. In the last case, CK perceived the face but, unlike controls, was rarely aware that it was composed of objects. When the face, or just the internal features, were inverted or when the configurational gestalt was broken by fracturing the face or misaligning the top and bottom halves, CK's performance suffered far more than that of controls. We conclude that face recognition normally depends on two systems: (1) a holistic, face-specific system that is dependent on orientationspecific coding of second-order relational features (internal), which is intact in CK and (2) a part-based object-recognition system, which is damaged in CK and which contributes to face recognition when the face stimulus does not satisfy the domain-specific conditions needed to activate the face system. ","The knowledge that reading and phonological awareness are mainly reciprocally related has hardly influenced the status of a phonological awareness deficit as the main cause of a reading deficit in dyslexia. Because direct proofs for this theory are still lacking we investigated children at familial risk for dyslexia in kindergarten and first grade. The familial risk was genuine; 40% developed reading deficits in first grade. However, we did not find any relationship between a phonological awareness or other phonological processing deficits in kindergarten and reading deficits in first grade. Finally, we did not find evidence for the claim that a phonological awareness deficit assumedly causes a reading deficit via 'unstable' or otherwise corrupted letter-speech sound associations. Although earlier research indicated letter knowledge as another significant determinant of later reading deficits, we found no support for this claim. Letter knowledge learning and learning to associate and integrate letters and speech sound are different processes and only problems in the latter process seem directly linked to the development of a reading deficit. The nature of this deficit and the impact it might have on multisensory processing in the whole reading network presents a major challenge to future reading and dyslexia research.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dyslexia Sentence A: In order to study face recognition in relative isolation from visual processes that may also contribute to object recognition and reading, we investigated CK, a man with normal face recognition but with object agnosia and dyslexia caused by a closed-head injury. We administered recognition tests of up right faces, of family resemblance, of age-transformed faces, of caricatures, of cartoons, of inverted faces, and of face features, of disguised faces, of perceptually degraded faces, of fractured faces, of faces parts, and of faces whose parts were made of objects. We compared CK's performance with that of at least 12 control participants. We found that CK performed as well as controls as long as the face was upright and retained the configurational integrity among the internal facial features, the eyes, nose, and mouth. This held regardless of whether the face was disguised or degraded and whether the face was represented as a photo, a caricature, a cartoon, or a face composed of objects. In the last case, CK perceived the face but, unlike controls, was rarely aware that it was composed of objects. When the face, or just the internal features, were inverted or when the configurational gestalt was broken by fracturing the face or misaligning the top and bottom halves, CK's performance suffered far more than that of controls. We conclude that face recognition normally depends on two systems: (1) a holistic, face-specific system that is dependent on orientationspecific coding of second-order relational features (internal), which is intact in CK and (2) a part-based object-recognition system, which is damaged in CK and which contributes to face recognition when the face stimulus does not satisfy the domain-specific conditions needed to activate the face system. Sentence B: The knowledge that reading and phonological awareness are mainly reciprocally related has hardly influenced the status of a phonological awareness deficit as the main cause of a reading deficit in dyslexia. Because direct proofs for this theory are still lacking we investigated children at familial risk for dyslexia in kindergarten and first grade. The familial risk was genuine; 40% developed reading deficits in first grade. However, we did not find any relationship between a phonological awareness or other phonological processing deficits in kindergarten and reading deficits in first grade. Finally, we did not find evidence for the claim that a phonological awareness deficit assumedly causes a reading deficit via 'unstable' or otherwise corrupted letter-speech sound associations. Although earlier research indicated letter knowledge as another significant determinant of later reading deficits, we found no support for this claim. Letter knowledge learning and learning to associate and integrate letters and speech sound are different processes and only problems in the latter process seem directly linked to the development of a reading deficit. The nature of this deficit and the impact it might have on multisensory processing in the whole reading network presents a major challenge to future reading and dyslexia research. ###Answer 1. Changed Reasoning: In Sentence A, the term ""dyslexia"" is used to describe a condition characterized by difficulty with face recognition, object agnosia, and impaired reading. The context suggests that the term ""dyslexia"" had a different meaning or connotation in 2000 compared to 2020. In Sentence B, the term ""dyslexia"" is used in a different context, referring to a reading deficit in children at familial risk. The two sentences suggest that the term ""dyslexia"" has undergone semantic drift, with the meaning shifting from a condition related to face recognition to a reading deficit." 73,Dyslexia,"It has been proposed that dyslexia is the result of a deficit in the magnocellular system. Reduced metacontrast masking in dyslexic readers has been taken as support for this view. In metacontrast, a masking stimulus reduces the visibility of a spatially adjacent target stimulus when the target stimulus precedes the masking stimulus by about 30-100 msec. Recent evidence indicates that the latency difference between the magnocellular and parvocellular subcortical pathways is at most 20 msec and may be as small as only 5 msec, or even less. This makes it difficult to attribute the latency in metacontrast to the latency differences between the magnocellular and parvocellular systems. It is therefore problematic to attribute reduced metacontrast masking to a deficit in the magnocellular system.","People with dyslexia have difficulty learning to read and many lack fluent word recognition as adults. In a novel task that borrows elements of the 'word superiority' and 'word inversion' paradigms, we investigate whether holistic word recognition is impaired in dyslexia. In Experiment 1 students with dyslexia and controls judged the similarity of pairs of 6- and 7-letter words or pairs of words whose letters had been partially jumbled. The stimuli were presented in both upright and inverted form with orthographic regularity and orientation randomized from trial to trial. While both groups showed sensitivity to orthographic regularity, both word inversion and letter jumbling were more detrimental to skilled than dyslexic readers supporting the idea that the latter may read in a more analytic fashion. Experiment 2 employed the same task but using shorter, 4- and 5-letter words and a design where orthographic regularity and stimuli orientation was held constant within experimental blocks to encourage the use of either holistic or analytic processing. While there was no difference in reaction time between the dyslexic and control groups for inverted stimuli, the students with dyslexia were significantly slower than controls for upright stimuli. These findings suggest that holistic word recognition, which is largely based on the detection of orthographic regularity, is impaired in dyslexia.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dyslexia Sentence A: It has been proposed that dyslexia is the result of a deficit in the magnocellular system. Reduced metacontrast masking in dyslexic readers has been taken as support for this view. In metacontrast, a masking stimulus reduces the visibility of a spatially adjacent target stimulus when the target stimulus precedes the masking stimulus by about 30-100 msec. Recent evidence indicates that the latency difference between the magnocellular and parvocellular subcortical pathways is at most 20 msec and may be as small as only 5 msec, or even less. This makes it difficult to attribute the latency in metacontrast to the latency differences between the magnocellular and parvocellular systems. It is therefore problematic to attribute reduced metacontrast masking to a deficit in the magnocellular system. Sentence B: People with dyslexia have difficulty learning to read and many lack fluent word recognition as adults. In a novel task that borrows elements of the 'word superiority' and 'word inversion' paradigms, we investigate whether holistic word recognition is impaired in dyslexia. In Experiment 1 students with dyslexia and controls judged the similarity of pairs of 6- and 7-letter words or pairs of words whose letters had been partially jumbled. The stimuli were presented in both upright and inverted form with orthographic regularity and orientation randomized from trial to trial. While both groups showed sensitivity to orthographic regularity, both word inversion and letter jumbling were more detrimental to skilled than dyslexic readers supporting the idea that the latter may read in a more analytic fashion. Experiment 2 employed the same task but using shorter, 4- and 5-letter words and a design where orthographic regularity and stimuli orientation was held constant within experimental blocks to encourage the use of either holistic or analytic processing. While there was no difference in reaction time between the dyslexic and control groups for inverted stimuli, the students with dyslexia were significantly slower than controls for upright stimuli. These findings suggest that holistic word recognition, which is largely based on the detection of orthographic regularity, is impaired in dyslexia. ###Answer 1. Changed (Dyslexia) Reasoning: In Sentence A, the term ""dyslexia"" is used to describe a specific learning disability characterized by difficulty with word recognition and reading. The sentence highlights the proposal that this disability is due to a deficit in the magnocellular system. However, in Sentence B, the term ""dyslexia"" is used to describe a broader range of reading difficulties, including difficulty with holistic word recognition. The sentence also suggests that people with dyslexia may read in an analytic rather than a holistic manner. These changes in meaning suggest that the term ""dyslexia"" has undergone semantic drift over time, and its meaning has shifted from a specific learning disability to a broader term encompassing a range of reading difficulties." 74,Dyslexia,"We measured brain activity, perceptual thresholds, and reading performance in a group of dyslexic and normal readers to test the hypothesis that dyslexia is associated with an abnormality in the magnocellular (M) pathway of the early visual system. Functional magnetic resonance imaging (fMRI) was used to measure brain activity in conditions designed to preferentially stimulate the M pathway. Speed discrimination thresholds, which measure the minimal increase in stimulus speed that is just noticeable, were acquired in a paradigm modeled after a previous study of M pathway-lesioned monkeys. Dyslexics showed reduced brain activity compared with controls both in primary visual cortex (V1) and in several extrastriate areas, including area MT and adjacent motion-sensitive areas (MT+) that are believed to receive a predominant M pathway input. There was a strong three-way correlation between brain activity, speed discrimination thresholds, and reading speed. Subjects with higher V1 and MT+ responses had lower perceptual thresholds (better performance) and were faster readers. These results support the hypothesis for an M pathway abnormality in dyslexia and imply strong relationships between the integrity of the M pathway, visual motion perception, and reading ability.","Statistical learning (SL), the ability to pick up patterns in sensory input, serves as one of the building blocks of language acquisition. Although SL has been studied extensively in developmental dyslexia (DD), much less is known about the way SL evolves over time. The handful of studies examining this question were all limited to the acquisition of motor sequential knowledge or highly learned segmented linguistic units. Here we examined memory consolidation of statistical regularities in adults with DD and typically developed (TD) readers by using auditory SL requiring the segmentation of units from continuous input, which represents one of the earliest learning challenges in language acquisition. DD and TD groups were exposed to tones in a probabilistically determined sequential structure varying in difficulty and subsequently tested for recognition of novel short sequences that adhered to this statistical pattern in immediate and delayed-recall sessions separated by a night of sleep. SL performance of the DD group at the easy and hard difficulty levels was poorer than that of the TD group in the immediate-recall session. Importantly, DD participants showed a significant overnight deterioration in SL performance at the medium difficulty level compared to TD, who instead showed overnight stabilization of the learned information. These findings imply that SL difficulties in DD may arise not only from impaired initial learning but also due to a failure to consolidate statistically structured information into long-term memory. We hypothesize that these deficits disrupt the typical course of language acquisition in those with DD.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dyslexia Sentence A: We measured brain activity, perceptual thresholds, and reading performance in a group of dyslexic and normal readers to test the hypothesis that dyslexia is associated with an abnormality in the magnocellular (M) pathway of the early visual system. Functional magnetic resonance imaging (fMRI) was used to measure brain activity in conditions designed to preferentially stimulate the M pathway. Speed discrimination thresholds, which measure the minimal increase in stimulus speed that is just noticeable, were acquired in a paradigm modeled after a previous study of M pathway-lesioned monkeys. Dyslexics showed reduced brain activity compared with controls both in primary visual cortex (V1) and in several extrastriate areas, including area MT and adjacent motion-sensitive areas (MT+) that are believed to receive a predominant M pathway input. There was a strong three-way correlation between brain activity, speed discrimination thresholds, and reading speed. Subjects with higher V1 and MT+ responses had lower perceptual thresholds (better performance) and were faster readers. These results support the hypothesis for an M pathway abnormality in dyslexia and imply strong relationships between the integrity of the M pathway, visual motion perception, and reading ability. Sentence B: Statistical learning (SL), the ability to pick up patterns in sensory input, serves as one of the building blocks of language acquisition. Although SL has been studied extensively in developmental dyslexia (DD), much less is known about the way SL evolves over time. The handful of studies examining this question were all limited to the acquisition of motor sequential knowledge or highly learned segmented linguistic units. Here we examined memory consolidation of statistical regularities in adults with DD and typically developed (TD) readers by using auditory SL requiring the segmentation of units from continuous input, which represents one of the earliest learning challenges in language acquisition. DD and TD groups were exposed to tones in a probabilistically determined sequential structure varying in difficulty and subsequently tested for recognition of novel short sequences that adhered to this statistical pattern in immediate and delayed-recall sessions separated by a night of sleep. SL performance of the DD group at the easy and hard difficulty levels was poorer than that of the TD group in the immediate-recall session. Importantly, DD participants showed a significant overnight deterioration in SL performance at the medium difficulty level compared to TD, who instead showed overnight stabilization of the learned information. These findings imply that SL difficulties in DD may arise not only from impaired initial learning but also due to a failure to consolidate statistically structured information into long-term memory. We hypothesize that these deficits disrupt the typical course of language acquisition in those with DD. ###Answer 1. Changed (Dyslexia) Explanation: In Sentence A, the term ""dyslexia"" is used to describe a specific neurological disorder characterized by abnormalities in the magnocellular (M) pathway of the early visual system. The sentence highlights the brain activity, perceptual thresholds, and reading performance of dyslexic and normal readers, and discusses the results in the context of the M pathway abnormality. The term ""dyslexia"" in this sentence has a clear and specific meaning related to the scientific field of neuroscience and psychology. In Sentence B, the term ""dyslexia"" is used in a different context, referring to statistical learning (SL) difficulties in adults with developmental dyslexia (DD) and typically developed (TD) readers. The sentence discusses the performance of DD and TD groups in recognizing novel short sequences that adhered to a statistical pattern in immediate and delayed-recall sessions. The term ""dyslexia"" in this sentence has a different meaning, related to the field of language acquisition and cognitive psychology. Based on the different meanings and contexts of the term ""dyslexia"" in these two sentences, it is clear that semantic drift has occurred. The term ""dyslexia"" has shifted in meaning over time, from a specific neurological disorder to a more general term related to statistical learning difficulties. Therefore, I would label the term ""dyslexia"" in Sentence B as ""Changed""." 75,Dyslexia,"Developmental dyslexia is a specific reading disability that affects 5-10% of the population. Recent studies have suggested that dyslexics may experience a deficit in the visual magnocellular pathway. The most extensively studied prediction deriving from this hypothesis is impaired contrast sensitivity to transient, low-luminance stimuli at low spatial frequencies. However, the findings are inconsistent across studies and even seemingly contradictory. In the present study, we administered several different paradigms for assessing temporal contrast sensitivity, and found both impaired and normal contrast sensitivity within the same group of dyslexic participants. Under sequential presentation, in a temporal forced choice paradigm, dyslexics showed impaired sensitivity to both drifting and flickering gratings. However, under simultaneous presentation, with a spatial forced choice paradigm, dyslexics' sensitivity did not differ from that of the controls. Within each paradigm, dyslexics' sensitivity was poorer at higher temporal frequencies, consistent with the magnocellular hypothesis. These results suggest that a basic perceptual impairment in dyslexics may be their limited ability to retain-and-compare perceptual traces across brief intervals.","DIP2A mutation is associated with abnormal brain development and diseases including dyslexia, autism and Alzheimer's disease. However, the role and the involved mechanisms remain unknown. To study the biological function of DIP2A during mESCs neural differentiation in early neural development, we generated a Dip2a homozygous knockout 46C ESC cell line using CRISPR/Cas9 genome editing technology. The eighth exon of Dip2a gene was replaced with PGK-Puro-P2A-mCherry. This 46C-Dip2a KO cell line offers a useful resource to investigate the molecular mechanisms of DIP2A in the process of cell fate determination, as well as a potential source of building disease mouse model.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dyslexia Sentence A: Developmental dyslexia is a specific reading disability that affects 5-10% of the population. Recent studies have suggested that dyslexics may experience a deficit in the visual magnocellular pathway. The most extensively studied prediction deriving from this hypothesis is impaired contrast sensitivity to transient, low-luminance stimuli at low spatial frequencies. However, the findings are inconsistent across studies and even seemingly contradictory. In the present study, we administered several different paradigms for assessing temporal contrast sensitivity, and found both impaired and normal contrast sensitivity within the same group of dyslexic participants. Under sequential presentation, in a temporal forced choice paradigm, dyslexics showed impaired sensitivity to both drifting and flickering gratings. However, under simultaneous presentation, with a spatial forced choice paradigm, dyslexics' sensitivity did not differ from that of the controls. Within each paradigm, dyslexics' sensitivity was poorer at higher temporal frequencies, consistent with the magnocellular hypothesis. These results suggest that a basic perceptual impairment in dyslexics may be their limited ability to retain-and-compare perceptual traces across brief intervals. Sentence B: DIP2A mutation is associated with abnormal brain development and diseases including dyslexia, autism and Alzheimer's disease. However, the role and the involved mechanisms remain unknown. To study the biological function of DIP2A during mESCs neural differentiation in early neural development, we generated a Dip2a homozygous knockout 46C ESC cell line using CRISPR/Cas9 genome editing technology. The eighth exon of Dip2a gene was replaced with PGK-Puro-P2A-mCherry. This 46C-Dip2a KO cell line offers a useful resource to investigate the molecular mechanisms of DIP2A in the process of cell fate determination, as well as a potential source of building disease mouse model. ###Answer 1. Changed Reasoning: In Sentence A, the term ""developmental dyslexia"" is used to describe a specific reading disability that affects 5-10% of the population. The sentence also mentions a ""visual magnocellular pathway"" and ""impared contrast sensitivity to transient, low-luminance stimuli at low spatial frequencies."" These terms suggest that the target word ""dyslexia"" had a different meaning in 2000 than it does today. In particular, the term ""visual magnocellular pathway"" implies that the disability was thought to be related to visual processing in the brain, which is not the primary focus of the term today. Additionally, the mention of ""impared contrast sensitivity"" suggests that the disability was thought to be related to difficulties with visual perception, which is not the primary focus of the term today. In Sentence B, the term ""DIP2A mutation"" is used to describe a genetic mutation associated with various diseases, including dyslexia. The sentence does not mention the specific meaning of ""dyslexia"" in 2000, but rather focuses on the genetic mutation and its relationship to brain development and disease. This suggests that the term ""dyslexia"" has shifted in meaning over time, and is no longer primarily associated with visual processing and perception. Therefore, I would label Sentence B as ""Changed.""" 76,Dyslexia,"The role of visual processing in dyslexia continues to stir controversy. Previous research using early components of visual evoked potentials (VEP's) has revealed differences in visual processing between dyslexics and controls. VEP's have successfully indexed binocular advantage. Intrasensory functioning could conceivably be deficient in dyslexics. This study recorded VEP's in response to contrast-reversing checkerboards binocularly and monocularly from dyslexic and control children. The overall monocular and binocular amplitudes of the major positive peaks (P100) were greater for controls than dyslexics; however, contrary to the original hypothesis, the magnitude of binocular advantage was higher for dyslexics than for the control children. Stimulus factors had an effect, but did not interact with reading ability.","Dyslexia is hard to diagnose in a second language. Poor performance on a test of reading may be caused by poor language proficiency in the second language or by limited schooling rather than by poor reading ability per se. This confound was supported in a study of 88 adult second language learners and 65 native language speakers. The incidence of dyslexia in the second language learners varied widely depending on the measure of reading. In order to reduce language and schooling confounds, a dynamic test of acquisition of basic decoding ability was developed. In the dynamic test, participants are taught three novel letters and to synthesise the letter sounds into new words. Results from the study indicated that the dynamic test provided results in accordance with the current IDA definition of dyslexia, while significantly reducing the influence second language vocabulary and amount of schooling. With the dynamic measure, the same cut-off point between dyslexic and non-dyslexic performance appeared valid in both native language speakers and second language learners.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dyslexia Sentence A: The role of visual processing in dyslexia continues to stir controversy. Previous research using early components of visual evoked potentials (VEP's) has revealed differences in visual processing between dyslexics and controls. VEP's have successfully indexed binocular advantage. Intrasensory functioning could conceivably be deficient in dyslexics. This study recorded VEP's in response to contrast-reversing checkerboards binocularly and monocularly from dyslexic and control children. The overall monocular and binocular amplitudes of the major positive peaks (P100) were greater for controls than dyslexics; however, contrary to the original hypothesis, the magnitude of binocular advantage was higher for dyslexics than for the control children. Stimulus factors had an effect, but did not interact with reading ability. Sentence B: Dyslexia is hard to diagnose in a second language. Poor performance on a test of reading may be caused by poor language proficiency in the second language or by limited schooling rather than by poor reading ability per se. This confound was supported in a study of 88 adult second language learners and 65 native language speakers. The incidence of dyslexia in the second language learners varied widely depending on the measure of reading. In order to reduce language and schooling confounds, a dynamic test of acquisition of basic decoding ability was developed. In the dynamic test, participants are taught three novel letters and to synthesise the letter sounds into new words. Results from the study indicated that the dynamic test provided results in accordance with the current IDA definition of dyslexia, while significantly reducing the influence second language vocabulary and amount of schooling. With the dynamic measure, the same cut-off point between dyslexic and non-dyslexic performance appeared valid in both native language speakers and second language learners. ###Answer 1. Changed Reasoning: In Sentence A, the term ""dyslexia"" is used to describe a specific cognitive processing disorder characterized by difficulties with reading and spelling. The sentence highlights the controversy surrounding the role of visual processing in dyslexia and the limitations of previous research using early components of visual evoked potentials (VEP's). The term ""dyslexics"" is used to refer to individuals with this disorder. In Sentence B, the term ""dyslexia"" is used in a different context to describe the difficulty in diagnosing this disorder in a second language. The sentence highlights the confounding factors of language proficiency and schooling on the diagnosis of dyslexia. The term ""dyslexics"" is used less frequently in this sentence, and the focus is more on the challenges of diagnosing the disorder in a second language learner. Based on these differences in usage and context, it can be argued that the term ""dyslexia"" has undergone a significant change in meaning or connotation between the two sentences. In Sentence A, the term is used in a more traditional sense, emphasizing the cognitive processing disorder and its relationship to visual processing. In Sentence B, the term is used in a more general sense, focusing on the difficulty in diagnosing the disorder in a second language learner, and highlighting the confounding factors of language proficiency and schooling. Therefore, the label ""Changed"" is appropriate." 77,Dyslexia,"The contribution of peripheral, data-driven effects is contrasted with conceptual, 'top-down' effects to the reading performance of 2 subjects with neglect dyslexia following a single right hemisphere lesion. Several tasks were administered, manipulating the physical, lexical or morphemic properties of the stimuli in an attempt to establish whether the attentional deficit disrupts reading at an early or late stage of processing. Both subjects were impaired at detecting elementary stimulus features on the left side of the display but were even more impaired at identifying conjoined features. One subject's performance was influenced by structural manipulations which altered the low-level representation of the stimulus. The other was less affected by structural changes of the stimuli but was influenced by the lexical and morphemic status of the words. This apparent double dissociation is interpreted as arising from a graded attentional deficit at a single locus, early in the reading process where low-level information is detected. When the deficit is not severe sufficient information may be picked up and may interact with higher order lexical knowledge to offset partially the peripheral malfunction. For a severe attentional deficit, top-down knowledge is not engaged as insufficient information is processed on the left-hand side. This hybrid view of attention provides insight into the mechanisms underlying neglect dyslexia and bears on the role of attention in normal visual processing.","Number processing abilities are important for academic and personal development. The course of initial specialization of ventral occipito-temporal cortex (vOTC) sensitivity to visual number processing is crucial for the acquisition of numeric and arithmetic skills. We examined the visual N1, the electrophysiological correlate of vOTC activation across five time points in kindergarten (T1, mean age 6.60 years), middle and end of first grade (T2, 7.38 years; T3, 7.68 years), second grade (T4, 8.28 years), and fifth grade (T5, 11.40 years). A combination of cross-sectional and longitudinal EEG data of a total of 62 children (35 female) at varying familial risk for dyslexia were available to form groups of 23, 22, 27, 27, and 42 participants for each of the five time points. The children performed a target detection task which included visual presentation of single digits (DIG), false fonts (FF), and letters (LET) to derive measures for coarse (DIG vs. FF) and fine (DIG vs. LET) digit sensitive processing across development. The N1 amplitude analyses indicated coarse and fine sensitivity characterized by a stronger N1 to digits than false fonts across all five time points, and stronger N1 to digits than letters at all but the second (T2) time point. In addition, lower arithmetic skills were associated with stronger coarse N1 digit sensitivity over the left hemisphere in second grade (T4), possibly reflecting allocation of more attentional resources or stronger reliance on the verbal system in children with poorer arithmetic skills. To summarize, our results show persistent visual N1 sensitivity to digits that is already present early on in pre-school and remains stable until fifth grade. This pattern of digit sensitivity development clearly differs from the relatively sharp rise and fall of the visual N1 sensitivity to words or letters between kindergarten and middle of elementary school and suggests unique developmental trajectories for visual processing of written characters that are relevant to numeracy and literacy.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dyslexia Sentence A: The contribution of peripheral, data-driven effects is contrasted with conceptual, 'top-down' effects to the reading performance of 2 subjects with neglect dyslexia following a single right hemisphere lesion. Several tasks were administered, manipulating the physical, lexical or morphemic properties of the stimuli in an attempt to establish whether the attentional deficit disrupts reading at an early or late stage of processing. Both subjects were impaired at detecting elementary stimulus features on the left side of the display but were even more impaired at identifying conjoined features. One subject's performance was influenced by structural manipulations which altered the low-level representation of the stimulus. The other was less affected by structural changes of the stimuli but was influenced by the lexical and morphemic status of the words. This apparent double dissociation is interpreted as arising from a graded attentional deficit at a single locus, early in the reading process where low-level information is detected. When the deficit is not severe sufficient information may be picked up and may interact with higher order lexical knowledge to offset partially the peripheral malfunction. For a severe attentional deficit, top-down knowledge is not engaged as insufficient information is processed on the left-hand side. This hybrid view of attention provides insight into the mechanisms underlying neglect dyslexia and bears on the role of attention in normal visual processing. Sentence B: Number processing abilities are important for academic and personal development. The course of initial specialization of ventral occipito-temporal cortex (vOTC) sensitivity to visual number processing is crucial for the acquisition of numeric and arithmetic skills. We examined the visual N1, the electrophysiological correlate of vOTC activation across five time points in kindergarten (T1, mean age 6.60 years), middle and end of first grade (T2, 7.38 years; T3, 7.68 years), second grade (T4, 8.28 years), and fifth grade (T5, 11.40 years). A combination of cross-sectional and longitudinal EEG data of a total of 62 children (35 female) at varying familial risk for dyslexia were available to form groups of 23, 22, 27, 27, and 42 participants for each of the five time points. The children performed a target detection task which included visual presentation of single digits (DIG), false fonts (FF), and letters (LET) to derive measures for coarse (DIG vs. FF) and fine (DIG vs. LET) digit sensitive processing across development. The N1 amplitude analyses indicated coarse and fine sensitivity characterized by a stronger N1 to digits than false fonts across all five time points, and stronger N1 to digits than letters at all but the second (T2) time point. In addition, lower arithmetic skills were associated with stronger coarse N1 digit sensitivity over the left hemisphere in second grade (T4), possibly reflecting allocation of more attentional resources or stronger reliance on the verbal system in children with poorer arithmetic skills. To summarize, our results show persistent visual N1 sensitivity to digits that is already present early on in pre-school and remains stable until fifth grade. This pattern of digit sensitivity development clearly differs from the relatively sharp rise and fall of the visual N1 sensitivity to words or letters between kindergarten and middle of elementary school and suggests unique developmental trajectories for visual processing of written characters that are relevant to numeracy and literacy. ###Answer 1. Changed Reasoning: In Sentence A, the term ""dyslexia"" is used in the context of a specific neurological condition that affects reading performance. The sentence highlights the contribution of peripheral and top-down effects on reading performance in individuals with neglect dyslexia. The term is used to describe a specific cognitive process and is not associated with any negative connotations. In Sentence B, the term ""dyslexia"" is used in a broader context to describe the difficulty in processing numbers and letters. The sentence highlights the importance of number processing abilities for academic and personal development, and the relationship between numeracy and literacy. The term is used to describe a general cognitive difficulty rather than a specific neurological condition. Based on these differences in context and meaning, it is clear that the term ""dyslexia"" has undergone a significant change in meaning between Sentence A and Sentence B. In Sentence A, the term is used to describe a specific neurological condition with a clear clinical definition, while in Sentence B, it is used more broadly to describe a general cognitive difficulty. Therefore, the label ""Changed"" is appropriate to indicate that the meaning of the term ""dyslexia"" has shifted between these two sentences." 78,Dyslexia,"Reading disability (RD), or dyslexia, is a common heterogeneous syndrome with a large genetic component. Several studies have consistently found evidence for a quantitative-trait locus (QTL) within the 17 Mb (14.9 cM) that span D6S109 and D6S291 on chromosome 6p21.3-22. To characterize further linkage to the QTL, to define more accurately the location and the effect size, and to identify a peak of association, we performed Haseman-Elston and DeFries-Fulker linkage analyses, as well as transmission/disequilibrium, total-association, and variance-components analyses, on 11 quantitative reading and language phenotypes. One hundred four families with RD were genotyped with a new panel of 29 markers that spans 9 Mb of this region. Linkage results varied widely in degree of statistical significance for the different linkage tests, but multipoint analysis suggested a peak near D6S461. The average 6p QTL heritability for the 11 reading and language phenotypes was 0.27, with a maximum of 0.66 for orthographic choice. Consistent with the region of linkage described by these studies and others, there was a peak of transmission disequilibrium with a QTL centered at JA04 (chi2=9.48; empirical P=.0033; orthographic choice), and there was strong evidence for total association at this same marker (chi2=11.49; P=.0007; orthographic choice). Although the boundaries of the peak could not be precisely defined, the most likely location of the QTL is within a 4-Mb region surrounding JA04.","This study investigated whether auditory, speech perception, and phonological skills are tightly interrelated or independently contributing to reading. We assessed each of these three skills in 36 adults with a past diagnosis of dyslexia and 54 matched normal reading adults. Phonological skills were tested by the typical threefold tasks, i.e., rapid automatic naming, verbal short-term memory and phonological awareness. Dynamic auditory processing skills were assessed by means of a frequency modulation (FM) and an amplitude rise time (RT); an intensity discrimination task (ID) was included as a non-dynamic control task. Speech perception was assessed by means of sentences and words-in-noise tasks. Group analyses revealed significant group differences in auditory tasks (i.e., RT and ID) and in phonological processing measures, yet no differences were found for speech perception. In addition, performance on RT discrimination correlated with reading but this relation was mediated by phonological processing and not by speech-in-noise. Finally, inspection of the individual scores revealed that the dyslexic readers showed an increased proportion of deviant subjects on the slow-dynamic auditory and phonological tasks, yet each individual dyslexic reader does not display a clear pattern of deficiencies across the processing skills. Although our results support phonological and slow-rate dynamic auditory deficits which relate to literacy, they suggest that at the individual level, problems in reading and writing cannot be explained by the cascading auditory theory. Instead, dyslexic adults seem to vary considerably in the extent to which each of the auditory and phonological factors are expressed and interact with environmental and higher-order cognitive influences. ","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dyslexia Sentence A: Reading disability (RD), or dyslexia, is a common heterogeneous syndrome with a large genetic component. Several studies have consistently found evidence for a quantitative-trait locus (QTL) within the 17 Mb (14.9 cM) that span D6S109 and D6S291 on chromosome 6p21.3-22. To characterize further linkage to the QTL, to define more accurately the location and the effect size, and to identify a peak of association, we performed Haseman-Elston and DeFries-Fulker linkage analyses, as well as transmission/disequilibrium, total-association, and variance-components analyses, on 11 quantitative reading and language phenotypes. One hundred four families with RD were genotyped with a new panel of 29 markers that spans 9 Mb of this region. Linkage results varied widely in degree of statistical significance for the different linkage tests, but multipoint analysis suggested a peak near D6S461. The average 6p QTL heritability for the 11 reading and language phenotypes was 0.27, with a maximum of 0.66 for orthographic choice. Consistent with the region of linkage described by these studies and others, there was a peak of transmission disequilibrium with a QTL centered at JA04 (chi2=9.48; empirical P=.0033; orthographic choice), and there was strong evidence for total association at this same marker (chi2=11.49; P=.0007; orthographic choice). Although the boundaries of the peak could not be precisely defined, the most likely location of the QTL is within a 4-Mb region surrounding JA04. Sentence B: This study investigated whether auditory, speech perception, and phonological skills are tightly interrelated or independently contributing to reading. We assessed each of these three skills in 36 adults with a past diagnosis of dyslexia and 54 matched normal reading adults. Phonological skills were tested by the typical threefold tasks, i.e., rapid automatic naming, verbal short-term memory and phonological awareness. Dynamic auditory processing skills were assessed by means of a frequency modulation (FM) and an amplitude rise time (RT); an intensity discrimination task (ID) was included as a non-dynamic control task. Speech perception was assessed by means of sentences and words-in-noise tasks. Group analyses revealed significant group differences in auditory tasks (i.e., RT and ID) and in phonological processing measures, yet no differences were found for speech perception. In addition, performance on RT discrimination correlated with reading but this relation was mediated by phonological processing and not by speech-in-noise. Finally, inspection of the individual scores revealed that the dyslexic readers showed an increased proportion of deviant subjects on the slow-dynamic auditory and phonological tasks, yet each individual dyslexic reader does not display a clear pattern of deficiencies across the processing skills. Although our results support phonological and slow-rate dynamic auditory deficits which relate to literacy, they suggest that at the individual level, problems in reading and writing cannot be explained by the cascading auditory theory. Instead, dyslexic adults seem to vary considerably in the extent to which each of the auditory and phonological factors are expressed and interact with environmental and higher-order cognitive influences. ###Answer 1. Changed Reasoning: The target word ""Dyslexia"" has undergone a significant change in meaning between the two sentences. In Sentence A, ""Dyslexia"" is defined as a ""reading disability (RD), or dyslexia, is a common heterogeneous syndrome with a large genetic component."" It is described as a disability that affects reading and is thought to have a genetic component. In Sentence B, ""Dyslexia"" is described as ""a study investigated whether auditory, speech perception, and phonological skills are tightly interrelated or independently contributing to reading."" It is no longer framed as a disability, but rather as a complex set of skills that are related to reading. The word has shifted from a disability-focused term to a skills-focused term, indicating a change in the way the term is understood and used. Therefore, the label ""Changed"" is appropriate." 79,Dyslexia,"Our study compares the efficiency and acceptance of two different methods of treating dyslexia in children. The first method addresses the most commonly encountered deficits in sequential processing. It relies primarly upon the ""Kieler Lese-Rechtschreibaufbau"". The second proceeds from the child's relative resources with regard to simultaneous processing as described by Kaufman. Training materials are those prescribed by Kaufman. Normally gifted primary school third-graders were trained in two groups (n = 13 and n = 12) and achieved a mean SIF score of SW = 101 on the K-ABC. As expected, the children scored significantly lower on the SED scale (SW = 95) than on the SGD scale (SW = 105). At the beginning of the respective training program their spelling ability fell 1.5 SD below the class mean. One year of regular weekly one-hour training according to the simultaneous processing method was significantly more successful than training in sequential processing, whereas girls improved significantly more than boys regardless of the method used. Acceptance of the methods did not vary. This result requires careful consideration and should be replicated in younger samples such as first- and second-graders in the early stages of learning to read and write, and/or in children whose dyslexia is more severe than that encountered in the current sample. It underscores that determination of an adequate method of remediation entails more than the mere identification of the underlying deficits.","Study of the developmental amnesias utilizing a cognitive neuropsychological methodology has highlighted the dissociations that may occur between the development of components of memory. M.M., a new case of developmental amnesia, was identified after screening from the normal population on cognitive and memory measures. Retrospective investigation found that he was of low birthweight. M.M. had impaired semantic memory for knowledge of facts and words. There was impaired episodic memory for words and stories but intact episodic memory for visual designs and features. This forms a double dissociation with Dr S. (Temple, 1992), who had intact verbal but impaired visual episodic memory. M.M. also had impaired autobiographical episodic memory. Nevertheless, learning over repeated trials occurred, consistent with previous theorizing that learning is not simply the effect of recurrent episodic memory. Nor is it the same as establishing semantic memory, since for M.M. semantic memory is also impaired. Within reading, there was an impaired lexico-semantic system, elevated levels of homophone confusion, but intact phonological reading, consistent with surface dyslexia and raising issues about the interrelationship of the semantic system and literacy development. The results are compatible with discrete semi-independent components within memory development, whereby deficits are associated with residual normality, but there may also be an explicit relationship between the semantic memory system and both vocabulary and reading acquisition.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dyslexia Sentence A: Our study compares the efficiency and acceptance of two different methods of treating dyslexia in children. The first method addresses the most commonly encountered deficits in sequential processing. It relies primarly upon the ""Kieler Lese-Rechtschreibaufbau"". The second proceeds from the child's relative resources with regard to simultaneous processing as described by Kaufman. Training materials are those prescribed by Kaufman. Normally gifted primary school third-graders were trained in two groups (n = 13 and n = 12) and achieved a mean SIF score of SW = 101 on the K-ABC. As expected, the children scored significantly lower on the SED scale (SW = 95) than on the SGD scale (SW = 105). At the beginning of the respective training program their spelling ability fell 1.5 SD below the class mean. One year of regular weekly one-hour training according to the simultaneous processing method was significantly more successful than training in sequential processing, whereas girls improved significantly more than boys regardless of the method used. Acceptance of the methods did not vary. This result requires careful consideration and should be replicated in younger samples such as first- and second-graders in the early stages of learning to read and write, and/or in children whose dyslexia is more severe than that encountered in the current sample. It underscores that determination of an adequate method of remediation entails more than the mere identification of the underlying deficits. Sentence B: Study of the developmental amnesias utilizing a cognitive neuropsychological methodology has highlighted the dissociations that may occur between the development of components of memory. M.M., a new case of developmental amnesia, was identified after screening from the normal population on cognitive and memory measures. Retrospective investigation found that he was of low birthweight. M.M. had impaired semantic memory for knowledge of facts and words. There was impaired episodic memory for words and stories but intact episodic memory for visual designs and features. This forms a double dissociation with Dr S. (Temple, 1992), who had intact verbal but impaired visual episodic memory. M.M. also had impaired autobiographical episodic memory. Nevertheless, learning over repeated trials occurred, consistent with previous theorizing that learning is not simply the effect of recurrent episodic memory. Nor is it the same as establishing semantic memory, since for M.M. semantic memory is also impaired. Within reading, there was an impaired lexico-semantic system, elevated levels of homophone confusion, but intact phonological reading, consistent with surface dyslexia and raising issues about the interrelationship of the semantic system and literacy development. The results are compatible with discrete semi-independent components within memory development, whereby deficits are associated with residual normality, but there may also be an explicit relationship between the semantic memory system and both vocabulary and reading acquisition. ###Answer 1. Changed Reasoning: In Sentence A, the term ""dyslexia"" is used to describe a specific learning disability that affects children's ability to read and spell. The sentence highlights the importance of addressing the underlying deficits in sequential processing and simultaneous processing methods to improve spelling ability. The term ""dyslexia"" is used in the context of education and learning, with no apparent connotations or associations with other meanings. In Sentence B, the term ""dyslexia"" is used in a different context, where it is associated with impaired semantic memory for knowledge of facts and words, and impaired autobiographical episodic memory. The sentence highlights the dissociations that may occur between the development of components of memory, and raises questions about the interrelationship of the semantic memory system and literacy development. The term ""dyslexia"" is used in a different way than in Sentence A, with connotations of impaired memory and learning. Based on these differences in context and meaning, it can be concluded that the term ""dyslexia"" has undergone a significant change in meaning between Sentence A (2000) and Sentence B (2020). Therefore, the label ""Changed"" is appropriate." 80,Dyslexia,"Deep dyslexia is a striking reading disorder that results from left-hemisphere brain damage and is characterized by semantic errors in reading single words aloud (e.g., reading 'spirit' as 'whisky'). Two types of explanation for this syndrome have been advanced. One is that deep dyslexia results from a residual left-hemisphere reading system that has lost the ability to pronounce a printed word without reference to meaning. The second is that deep dyslexia reflects right-hemisphere word processing. Although previous attempts to adjudicate between these hypotheses have been inconclusive, the controversy can now be addressed by mapping functional anatomy. In this study, we demonstrate that reading by two deep dyslexic patients (CJ and JG) involves normal or enhanced activity in spared left-hemisphere regions associated with naming (Broca's area and the left posterior inferior temporal cortex) and with the meanings of words (the left posterior temporo-parietal cortex and the left anterior temporal cortex). In the right-hemisphere homologues of these regions, there was inconsistent activation within the normal group and between the deep dyslexic patients. One (CJ) showed enhanced activity (relative to the normals) in the right anterior inferior temporal cortex, the other (JG) in the right Broca's area, and both in the right frontal operculum. Although these differential right-hemisphere activations may have influenced the reading behavior of the patients, their activation patterns primarily reflect semantic and phonological systems in spared regions of the left hemisphere. These results preclude an explanation of deep dyslexia in terms of purely right-hemisphere word processing.",Developmental dyslexia has been associated with reduced interhemispheric neural connectivity in children. The present study investigated functional interhemispheric connectivity in male dyslexic adults.,"###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dyslexia Sentence A: Deep dyslexia is a striking reading disorder that results from left-hemisphere brain damage and is characterized by semantic errors in reading single words aloud (e.g., reading 'spirit' as 'whisky'). Two types of explanation for this syndrome have been advanced. One is that deep dyslexia results from a residual left-hemisphere reading system that has lost the ability to pronounce a printed word without reference to meaning. The second is that deep dyslexia reflects right-hemisphere word processing. Although previous attempts to adjudicate between these hypotheses have been inconclusive, the controversy can now be addressed by mapping functional anatomy. In this study, we demonstrate that reading by two deep dyslexic patients (CJ and JG) involves normal or enhanced activity in spared left-hemisphere regions associated with naming (Broca's area and the left posterior inferior temporal cortex) and with the meanings of words (the left posterior temporo-parietal cortex and the left anterior temporal cortex). In the right-hemisphere homologues of these regions, there was inconsistent activation within the normal group and between the deep dyslexic patients. One (CJ) showed enhanced activity (relative to the normals) in the right anterior inferior temporal cortex, the other (JG) in the right Broca's area, and both in the right frontal operculum. Although these differential right-hemisphere activations may have influenced the reading behavior of the patients, their activation patterns primarily reflect semantic and phonological systems in spared regions of the left hemisphere. These results preclude an explanation of deep dyslexia in terms of purely right-hemisphere word processing. Sentence B: Developmental dyslexia has been associated with reduced interhemispheric neural connectivity in children. The present study investigated functional interhemispheric connectivity in male dyslexic adults. ###Answer 1. Changed Reasoning: In Sentence A, the term ""deep dyslexia"" is used to describe a specific reading disorder caused by brain damage, with a focus on the semantic errors in reading single words aloud. The term ""deep dyslexia"" is used in a medical context, and the meaning is straightforward. In Sentence B, the term ""developmental dyslexia"" is used, which has a different meaning than ""deep dyslexia"". Developmental dyslexia refers to a reading disorder that is present from a young age, whereas deep dyslexia specifically refers to a reading disorder caused by brain damage. The term ""dyslexia"" in Sentence B has a different connotation than in Sentence A, indicating that the term has undergone semantic drift. Therefore, the label ""Changed"" is appropriate." 81,Dyslexia,"This paper deals with intervention strategies for developmental and acquired dyslexia. In Study 1 two alternative strategies for developmental surface dyslexia (dysfunctional connection between the whole word orthographic code and the phonetic or name code) were compared. In both the initial study and replication study, a modification of the selective reminding technique was superior to a traditional multisensory technique in beginning readers, presumably because it facilitated word finding or prelexical access to a phonetic code. In Study 2 an adolescent with acquired deep dyslexia (dysfunctional connection between letter and phonemic codes) who had had his angular gyrus (site of grapheme-phoneme correspondence) surgically removed, recovered reading function after a four-month phonemic analysis training program. Further research is needed to evaluate the efficacy of theory-based intervention strategies in children with developmental reading disorders unrelated to focal lesions and in adults with acquired reading disorders related to focal lesions.","The purpose of this study was to examine graph comprehension in college students with developmental dyslexia. We investigated how graph types (line, vertical bar, and horizontal bar graphs), graphic patterns (single and double graphic patterns), and question types (point locating and comparison questions) differentially affect graph comprehension of students with and without dyslexia. Groups were compared for (1) reaction times for answering comprehension questions based on graphed data and (2) eye gaze times for specific graph subregions (x-axis, y-axis, pattern, legend, question, and answer). Dyslexic readers were significantly slower in their graph comprehension than their peers with group differences becoming more robust with the increasing complexity of graphs and tasks. In addition, dyslexic readers' initial eye gaze viewing times for linguistic subregions (question and answer) and total viewing times for both linguistic (question and answer) and nonlinguistic (pattern) subregions were significantly longer than their control peers' times. In spite of using elementary-level paragraphs for comprehension and simple graph forms, young adults with dyslexia needed more time to process linguistic and nonlinguistic stimuli. These findings are discussed relative to theories proposed to address fundamental processing deficits in individuals with dyslexia.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dyslexia Sentence A: This paper deals with intervention strategies for developmental and acquired dyslexia. In Study 1 two alternative strategies for developmental surface dyslexia (dysfunctional connection between the whole word orthographic code and the phonetic or name code) were compared. In both the initial study and replication study, a modification of the selective reminding technique was superior to a traditional multisensory technique in beginning readers, presumably because it facilitated word finding or prelexical access to a phonetic code. In Study 2 an adolescent with acquired deep dyslexia (dysfunctional connection between letter and phonemic codes) who had had his angular gyrus (site of grapheme-phoneme correspondence) surgically removed, recovered reading function after a four-month phonemic analysis training program. Further research is needed to evaluate the efficacy of theory-based intervention strategies in children with developmental reading disorders unrelated to focal lesions and in adults with acquired reading disorders related to focal lesions. Sentence B: The purpose of this study was to examine graph comprehension in college students with developmental dyslexia. We investigated how graph types (line, vertical bar, and horizontal bar graphs), graphic patterns (single and double graphic patterns), and question types (point locating and comparison questions) differentially affect graph comprehension of students with and without dyslexia. Groups were compared for (1) reaction times for answering comprehension questions based on graphed data and (2) eye gaze times for specific graph subregions (x-axis, y-axis, pattern, legend, question, and answer). Dyslexic readers were significantly slower in their graph comprehension than their peers with group differences becoming more robust with the increasing complexity of graphs and tasks. In addition, dyslexic readers' initial eye gaze viewing times for linguistic subregions (question and answer) and total viewing times for both linguistic (question and answer) and nonlinguistic (pattern) subregions were significantly longer than their control peers' times. In spite of using elementary-level paragraphs for comprehension and simple graph forms, young adults with dyslexia needed more time to process linguistic and nonlinguistic stimuli. These findings are discussed relative to theories proposed to address fundamental processing deficits in individuals with dyslexia. ###Answer 1. Changed Reasoning: In Sentence A, the term ""developmental dyslexia"" is used to describe a specific learning disability. The term ""acquired dyslexia"" is also used, but in a different context (to describe a specific type of acquired brain injury). The meaning of the term ""dyslexia"" has shifted slightly in Sentence B, as it is used to describe a broader range of learning difficulties, including developmental and acquired forms. Additionally, the term ""dyslexic readers"" is used in Sentence B to describe individuals with dyslexia, whereas in Sentence A it is used to describe a specific group of people. These changes suggest that the term ""dyslexia"" has undergone a significant shift in meaning over time." 82,Dyslexia,"Reviews of the dyslexia literature often seem to suggest that children with dyslexia perform at a lower level on almost any task. Richards et al. (Dyslexia 2002; 8: 1-8) note the importance of being able to demonstrate dissociations between tasks. However, increasingly elegant experiments, in which dissociations are found, almost inevitably find that the performance of children with dyslexia is lower as tasks become more difficult! By looking for deficits in dyslexia, could we be barking up the wrong tree? A methodological approach for circumventing this potential problem is discussed.","A theoretical framework suggests that developmental dyslexia is characterized by abnormalities in brain structures underlying the procedural learning and memory systems while the declarative learning and memory systems are presumed to remain intact or even enhanced (Procedural Deficit Hypothesis). This notion has been supported by a substantial body of research, which focused on each system independently. However, less attention has been paid to interactions between these memory systems which may provide insights as to learning situations and conditions in which learning in dyslexia can be improved. The current study was undertaken to examine these important but unresolved issues. To this end, probabilistic reinforcement learning and episodic memory tasks were examined in participants with dyslexia and neurotypicals simultaneously within a single task. Feedback timing presentation was manipulated, building on prior research indicating that delaying feedback timing shifts striatal-based probabilistic learning, to become more hippocampal-dependent. It was hypothesized that if the procedural learning and memory systems are impaired in dyslexia, performance will be impaired under conditions that encourage procedural memory engagement (immediate feedback trials) but not under conditions that promote declarative memory processing (long delayed feedback trials). It was also predicted that the ability to incidentally acquire episodic information would be preserved in dyslexia. The results supported these predictions. Participants with dyslexia were impaired in probabilistic learning of cue-outcome associations compared to neurotypicals in an immediate feedback condition, but not when feedback on choices was presented after a long delay. Furthermore, participants with dyslexia demonstrated similar performance to neurotypicals in a task requiring incidental episodic memory formation. These findings attest to a dissociation between procedural-based and declarative-based learning in developmental dyslexia within a single task, a finding that adds discriminative validity to the Procedural Deficit Hypothesis. Just as important, the present findings suggest that training conditions designed to shift the load from midbrain/striatal systems to declarative memory mechanisms have the potential to compensate for impaired learning in developmental dyslexia.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dyslexia Sentence A: Reviews of the dyslexia literature often seem to suggest that children with dyslexia perform at a lower level on almost any task. Richards et al. (Dyslexia 2002; 8: 1-8) note the importance of being able to demonstrate dissociations between tasks. However, increasingly elegant experiments, in which dissociations are found, almost inevitably find that the performance of children with dyslexia is lower as tasks become more difficult! By looking for deficits in dyslexia, could we be barking up the wrong tree? A methodological approach for circumventing this potential problem is discussed. Sentence B: A theoretical framework suggests that developmental dyslexia is characterized by abnormalities in brain structures underlying the procedural learning and memory systems while the declarative learning and memory systems are presumed to remain intact or even enhanced (Procedural Deficit Hypothesis). This notion has been supported by a substantial body of research, which focused on each system independently. However, less attention has been paid to interactions between these memory systems which may provide insights as to learning situations and conditions in which learning in dyslexia can be improved. The current study was undertaken to examine these important but unresolved issues. To this end, probabilistic reinforcement learning and episodic memory tasks were examined in participants with dyslexia and neurotypicals simultaneously within a single task. Feedback timing presentation was manipulated, building on prior research indicating that delaying feedback timing shifts striatal-based probabilistic learning, to become more hippocampal-dependent. It was hypothesized that if the procedural learning and memory systems are impaired in dyslexia, performance will be impaired under conditions that encourage procedural memory engagement (immediate feedback trials) but not under conditions that promote declarative memory processing (long delayed feedback trials). It was also predicted that the ability to incidentally acquire episodic information would be preserved in dyslexia. The results supported these predictions. Participants with dyslexia were impaired in probabilistic learning of cue-outcome associations compared to neurotypicals in an immediate feedback condition, but not when feedback on choices was presented after a long delay. Furthermore, participants with dyslexia demonstrated similar performance to neurotypicals in a task requiring incidental episodic memory formation. These findings attest to a dissociation between procedural-based and declarative-based learning in developmental dyslexia within a single task, a finding that adds discriminative validity to the Procedural Deficit Hypothesis. Just as important, the present findings suggest that training conditions designed to shift the load from midbrain/striatal systems to declarative memory mechanisms have the potential to compensate for impaired learning in developmental dyslexia. ###Answer 1. Changed Reasoning: The target word ""dyslexia"" has undergone a significant change in meaning between Sentence A (2000) and Sentence B (2020). In Sentence A, the word is used to describe a condition characterized by lower performance on almost any task, with a focus on the importance of demonstrating dissociations between tasks. In contrast, in Sentence B, the word is used to describe a developmental disorder characterized by abnormalities in brain structures underlying the procedural learning and memory systems, while the declarative learning and memory systems are presumed to remain intact or even enhanced. This shift in meaning suggests that the term ""dyslexia"" has undergone semantic drift, and the label ""Changed"" is appropriate." 83,Dyslexia,"Deep dyslexia evolved into phonological dyslexia in one patient. Semantic errors resolved while phonological and derivational errors persisted in reading. Nonword reading improved but remained inferior to word reading. Despite a residual semantic deficit naming improved. The Simultaneous Activation Hypothesis explains recovery from deep to phonological dyslexia and the continued dissociation between reading and naming errors. Partial recovery to all three reading routes increased constraints for word selection at the phonological output lexicon (POL) improving word reading. With recovery, the POL receives additional supportive information from the partially recovered direct oral reading route and grapheme-to-phoneme conversion (GPC) eliminating semantic errors in oral reading. Nonword reading also improved because of partial recovery to all three routes. Semantic errors in naming persisted because additional constraints were unavailable at the POL to activate a phonological entry. Phonological and derivational errors were more frequent in reading than in naming the result of incomplete GPC recovery. Residual nonword reading deficits resulted from incomplete GPC recovery, indicated by the persistence of neologisms in nonwords. The Simultaneous Activation Hypothesis readily accounts for the evolution from deep to phonological dyslexia.","To evaluate the effect of online visual games on the balance, visual perception, and oculomotor skills of children with developmental dyslexia during the COVID-19 pandemic.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dyslexia Sentence A: Deep dyslexia evolved into phonological dyslexia in one patient. Semantic errors resolved while phonological and derivational errors persisted in reading. Nonword reading improved but remained inferior to word reading. Despite a residual semantic deficit naming improved. The Simultaneous Activation Hypothesis explains recovery from deep to phonological dyslexia and the continued dissociation between reading and naming errors. Partial recovery to all three reading routes increased constraints for word selection at the phonological output lexicon (POL) improving word reading. With recovery, the POL receives additional supportive information from the partially recovered direct oral reading route and grapheme-to-phoneme conversion (GPC) eliminating semantic errors in oral reading. Nonword reading also improved because of partial recovery to all three routes. Semantic errors in naming persisted because additional constraints were unavailable at the POL to activate a phonological entry. Phonological and derivational errors were more frequent in reading than in naming the result of incomplete GPC recovery. Residual nonword reading deficits resulted from incomplete GPC recovery, indicated by the persistence of neologisms in nonwords. The Simultaneous Activation Hypothesis readily accounts for the evolution from deep to phonological dyslexia. Sentence B: To evaluate the effect of online visual games on the balance, visual perception, and oculomotor skills of children with developmental dyslexia during the COVID-19 pandemic. ###Answer 1. Changed Reasoning: In Sentence A, the term ""dyslexia"" refers to a specific learning disability characterized by difficulties with phonological processing, spelling, and reading. The sentence highlights the evolution of the disorder from ""deep dyslexia"" to ""phonological dyslexia,"" indicating a shift in focus from the underlying cause of the disorder to its symptoms. This change in emphasis suggests a semantic drift in the meaning of the term ""dyslexia."" In Sentence B, the term ""dyslexia"" is used in a different context, referring to a broader category of learning disabilities. The sentence does not suggest any significant shift in the meaning of the term, and therefore the label ""Unchanged"" is appropriate. Note: The example given is a real sentence from a scientific paper, but the semantic drift analysis is a hypothetical exercise." 84,Dyslexia,"Developmental dyslexia was until recently considered to belong solely in the domain of educational psychology. With the advent of better theories on language and reading, and better methods for assessing the structure and function of living human brains and for determining genetic transmission, dyslexia is now poised to become a focal concern of cognitive neuroscience, neurology, and genetic research. Still unresolved are questions relating to how much a reading disability represents a normal variation or a separate pathological entity, and whether the cognitive disorder is primarily cognitive, or secondary to a disorder in early perception. Recent findings from neuroanatomy, neurophysiology, neuropsychology, and genetics research are reviewed. (This review is an updated version of a review first published in Current Opinion In Neurology and Neurosurgery 1992, 5:71-76.)","Research findings and positions concerning the nature of the dyslexia construct are currently diverse and increasingly complex. The ability of assessor practitioners to operationalize such knowledge and categorically diagnose dyslexia in any reliable and consistent way is being questioned. This study aimed to explore the way in which diverse and complex research findings are operationalized in the dyslexia diagnostic assessment of UK higher education students. The perspectives of 118 professional assessors of dyslexia working within the sector were collected using a questionnaire and some interviews. Data were analysed both quantitatively and qualitatively, as appropriate, and then integrated. The results confirmed critics' concerns about the consistency and reliability of the construct as currently diagnosed within the higher education context. Key controversial aspects of practice that emerged included the contextualized interpretation of literacy difficulties, a general commitment to discrepancy concepts, scepticism about the face validity of prescribed psychometric tests, and a related reliance on professional observation and experience above test results. The findings pointed to the need for a more informed nuanced understanding of the dyslexia label and a more cautious and responsible attitude towards its use.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dyslexia Sentence A: Developmental dyslexia was until recently considered to belong solely in the domain of educational psychology. With the advent of better theories on language and reading, and better methods for assessing the structure and function of living human brains and for determining genetic transmission, dyslexia is now poised to become a focal concern of cognitive neuroscience, neurology, and genetic research. Still unresolved are questions relating to how much a reading disability represents a normal variation or a separate pathological entity, and whether the cognitive disorder is primarily cognitive, or secondary to a disorder in early perception. Recent findings from neuroanatomy, neurophysiology, neuropsychology, and genetics research are reviewed. (This review is an updated version of a review first published in Current Opinion In Neurology and Neurosurgery 1992, 5:71-76.) Sentence B: Research findings and positions concerning the nature of the dyslexia construct are currently diverse and increasingly complex. The ability of assessor practitioners to operationalize such knowledge and categorically diagnose dyslexia in any reliable and consistent way is being questioned. This study aimed to explore the way in which diverse and complex research findings are operationalized in the dyslexia diagnostic assessment of UK higher education students. The perspectives of 118 professional assessors of dyslexia working within the sector were collected using a questionnaire and some interviews. Data were analysed both quantitatively and qualitatively, as appropriate, and then integrated. The results confirmed critics' concerns about the consistency and reliability of the construct as currently diagnosed within the higher education context. Key controversial aspects of practice that emerged included the contextualized interpretation of literacy difficulties, a general commitment to discrepancy concepts, scepticism about the face validity of prescribed psychometric tests, and a related reliance on professional observation and experience above test results. The findings pointed to the need for a more informed nuanced understanding of the dyslexia label and a more cautious and responsible attitude towards its use. ###Answer 1. Changed Reasoning: The target word ""dyslexia"" has undergone a significant change in meaning between Sentence A (2000) and Sentence B (2020). In Sentence A, ""dyslexia"" is associated with a specific domain (educational psychology) and is described as a ""reading disability."" In Sentence B, ""dyslexia"" is described as a ""construct"" that is ""currently diverse and increasingly complex,"" and the ability of assessors to diagnose it in a ""reliable and consistent way"" is questioned. These changes suggest that the meaning of ""dyslexia"" has shifted from a specific reading disability to a more general term encompassing a range of complex and diverse research findings." 85,Dyslexia,"There is evolving evidence that developmental dyslexia is associated with anomalous cerebral morphology in the bilateral frontal and left temporoparietal regions. This study examined the morphology of the corpus callosum, as possible deviations in other important structures are poorly understood in this behaviorally diagnosed syndrome.","The authors previously identified a haplotype on chromosome 6p22 defined by three single-nucleotide polymorphisms (SNPs) that was associated with dyslexia (reading disability) in two independent samples of families that included at least one sibling with severe reading impairment. The authors also showed that this haplotype is associated with a reduction in expression of the KIAA0319 gene. In addition, a completely independent study detected an association between KIAA0319 markers and reading disability. In the current study, the authors tested whether the KIAA0319 gene influences reading skills in the general population, rather than having an effect restricted to reading disability.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dyslexia Sentence A: There is evolving evidence that developmental dyslexia is associated with anomalous cerebral morphology in the bilateral frontal and left temporoparietal regions. This study examined the morphology of the corpus callosum, as possible deviations in other important structures are poorly understood in this behaviorally diagnosed syndrome. Sentence B: The authors previously identified a haplotype on chromosome 6p22 defined by three single-nucleotide polymorphisms (SNPs) that was associated with dyslexia (reading disability) in two independent samples of families that included at least one sibling with severe reading impairment. The authors also showed that this haplotype is associated with a reduction in expression of the KIAA0319 gene. In addition, a completely independent study detected an association between KIAA0319 markers and reading disability. In the current study, the authors tested whether the KIAA0319 gene influences reading skills in the general population, rather than having an effect restricted to reading disability. ###Answer 1. Changed The meaning of the target word ""dyslexia"" has significantly shifted between the two sentences. In Sentence A, the word is used to describe a neurological disorder characterized by anomalous cerebral morphology in the bilateral frontal and left temporoparietal regions. In Sentence B, the word is used to describe a genetic disorder associated with a reduction in expression of the KIAA0319 gene. These two meanings are unrelated and indicate a semantic drift in the usage of the target word over time." 86,Dyslexia,"It has been proposed that developmental dyslexia is associated with a deficit in the magnocellular pathway of the visual system. Other research focuses upon the heterogeneous nature of developmental dyslexia, and evidence that subgroups of dyslexia may be identified based on selective deficits in specific component reading skills. This study tested the hypothesis that visual processing deficits may be present in different subgroups of developmental dyslexia by comparing the visual contrast sensitivity of three subgroups of dyslexic children (phonological, surface and mixed) and controls. The stimulus designed to measure magnocellular visual function was a low spatial frequency Gaussian blob, flickered sinusoidally at a temporal frequency of 8.33 Hz. The control stimulus, designed to measure parvocellular visual function, was a relatively high spatial frequency Gaussian windowed grating (8 c/deg) slowly ramped on and off. There were no significant differences between the groups of dyslexic and control children in contrast sensitivity to either stimulus. The findings do not support the existence of a magnocellular system deficit in dyslexia.","The reading deficit for people with dyslexia is typically associated with linguistic, memory, and perceptual-discrimination difficulties, whose relation to reading impairment is disputed. We proposed that automatic detection and usage of serial sound regularities for individuals with dyslexia is impaired (anchoring deficit hypothesis), leading to the formation of less reliable sound predictions. Agus, Carrión-Castillo, Pressnitzer, and Ramus, (2014) reported seemingly contradictory evidence by showing similar performance by participants with and without dyslexia in a demanding auditory task that contained task-relevant regularities. To carefully assess the sensitivity of participants with dyslexia to regularities of this task, we replicated their study.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dyslexia Sentence A: It has been proposed that developmental dyslexia is associated with a deficit in the magnocellular pathway of the visual system. Other research focuses upon the heterogeneous nature of developmental dyslexia, and evidence that subgroups of dyslexia may be identified based on selective deficits in specific component reading skills. This study tested the hypothesis that visual processing deficits may be present in different subgroups of developmental dyslexia by comparing the visual contrast sensitivity of three subgroups of dyslexic children (phonological, surface and mixed) and controls. The stimulus designed to measure magnocellular visual function was a low spatial frequency Gaussian blob, flickered sinusoidally at a temporal frequency of 8.33 Hz. The control stimulus, designed to measure parvocellular visual function, was a relatively high spatial frequency Gaussian windowed grating (8 c/deg) slowly ramped on and off. There were no significant differences between the groups of dyslexic and control children in contrast sensitivity to either stimulus. The findings do not support the existence of a magnocellular system deficit in dyslexia. Sentence B: The reading deficit for people with dyslexia is typically associated with linguistic, memory, and perceptual-discrimination difficulties, whose relation to reading impairment is disputed. We proposed that automatic detection and usage of serial sound regularities for individuals with dyslexia is impaired (anchoring deficit hypothesis), leading to the formation of less reliable sound predictions. Agus, Carrión-Castillo, Pressnitzer, and Ramus, (2014) reported seemingly contradictory evidence by showing similar performance by participants with and without dyslexia in a demanding auditory task that contained task-relevant regularities. To carefully assess the sensitivity of participants with dyslexia to regularities of this task, we replicated their study. ###Answer 1. Unchanged The meaning of the target word ""dyslexia"" remains similar between the two sentences. While the context and specific details of the sentence have changed (e.g., the study design and task in Sentence B), the core concept of developmental dyslexia as a condition associated with reading difficulties remains the same. Therefore, the label ""Unchanged"" is appropriate." 87,Dyslexia,"Developmental dyslexia has been associated with both abnormal hemispheric symmetry of the planum temporale (PT) and a deficit in the magnocellular visual pathway. We examined the relationship between these two abnormalities. Using sagittal magnetic resonance images and three methods, we measured the PT in dyslexic subjects with a documented magnocellular deficit and controls. Dyslexic subjects did not deviate from normal leftward PT asymmetry, but both groups became less left-lateralized with methods that excluded sulcul tissue. Results suggest that dyslexic subjects with a magnocellular deficit do not always have abnormal symmetry of the PT. PT symmetry may instead be related to a different subtype of dyslexia. In addition, PT asymmetry in any subject group depends on the measurement method.","Children affected by dyslexia exhibit a deficit in the categorical perception of speech sounds, characterized by both poorer discrimination of between-category differences and by better discrimination of within-category differences, compared to normal readers. These categorical perception anomalies might be at the origin of dyslexia, by hampering the set up of grapheme-phoneme correspondences, but they might also be the consequence of poor reading skills, as literacy probably contributes to stabilizing phonological categories. The aim of the present study was to investigate this issue by comparing categorical perception performances of illiterate and literate people. Identification and discrimination responses were collected for a /ba-da/ synthetic place-of-articulation continuum and between-group differences in both categorical perception and in the precision of the categorical boundary were examined. The results showed that illiterate vs. literate people did not differ in categorical perception, thereby suggesting that the categorical perception anomalies displayed by dyslexics are indeed a cause rather than a consequence of their reading problems. However, illiterate people displayed a less precise categorical boundary and a stronger lexical bias, both also associated with dyslexia, which might, therefore, be a specific consequence of written language deprivation or impairment.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dyslexia Sentence A: Developmental dyslexia has been associated with both abnormal hemispheric symmetry of the planum temporale (PT) and a deficit in the magnocellular visual pathway. We examined the relationship between these two abnormalities. Using sagittal magnetic resonance images and three methods, we measured the PT in dyslexic subjects with a documented magnocellular deficit and controls. Dyslexic subjects did not deviate from normal leftward PT asymmetry, but both groups became less left-lateralized with methods that excluded sulcul tissue. Results suggest that dyslexic subjects with a magnocellular deficit do not always have abnormal symmetry of the PT. PT symmetry may instead be related to a different subtype of dyslexia. In addition, PT asymmetry in any subject group depends on the measurement method. Sentence B: Children affected by dyslexia exhibit a deficit in the categorical perception of speech sounds, characterized by both poorer discrimination of between-category differences and by better discrimination of within-category differences, compared to normal readers. These categorical perception anomalies might be at the origin of dyslexia, by hampering the set up of grapheme-phoneme correspondences, but they might also be the consequence of poor reading skills, as literacy probably contributes to stabilizing phonological categories. The aim of the present study was to investigate this issue by comparing categorical perception performances of illiterate and literate people. Identification and discrimination responses were collected for a /ba-da/ synthetic place-of-articulation continuum and between-group differences in both categorical perception and in the precision of the categorical boundary were examined. The results showed that illiterate vs. literate people did not differ in categorical perception, thereby suggesting that the categorical perception anomalies displayed by dyslexics are indeed a cause rather than a consequence of their reading problems. However, illiterate people displayed a less precise categorical boundary and a stronger lexical bias, both also associated with dyslexia, which might, therefore, be a specific consequence of written language deprivation or impairment. ###Answer 1. Changed Reasoning: In Sentence A, the term ""developmental dyslexia"" is used, which was not a commonly used term in the past. Additionally, the phrase ""a deficit in the magnocellular visual pathway"" is mentioned, which suggests that the term ""dyslexia"" may have had a different meaning or connotation in the past. In Sentence B, the term ""dyslexia"" is used without any additional information, indicating that the term has not undergone significant change in meaning or connotation between the two timestamps. Therefore, the label ""Changed"" is appropriate for this task." 88,Dyslexia,"This article addresses the neuroimaging (CT/MRI), electrophysiological (ERP/EEG), and postmortem evidence as to the neurological basis of dyslexia and discusses why these sources of evidence yield what appear to be inconsistent findings. It is concluded that what appear to be inconsistencies may relate in part to limitations of these investigative technologies. Then, important correlates of reading ability and disability are discussed in a developmental-neuropsychological context, and recommendations are made for research serving to further integrate cognitive and neurological paradigms. Of particular importance, inconsistencies between the results revealed through neuroimaging, electrophysiological, and postmortem studies, on the one hand, and neurolinguistic theory, on the other, must be addressed. Articulating the neurometabolic role-and particularly the nature of the behavioral correlates of the thalamus, supplementary motor area, and frontal cortex-in regard to bihemispheric mechanisms related to reading in developmental dyslexia should be a priority in future research.","Acquired spatial dyslexia is a reading disorder frequently occurring after left or right posterior brain lesions. This article describes several types of spatial dyslexia with an attentional approach. After right posterior lesions, patients show left neglect dyslexia with errors on the left side of text, words, and non-words. The deficit is frequently associated with left unilateral spatial neglect. Severe left neglect dyslexia can be detected with unlimited exposure duration of words or non-words. Minor neglect dyslexia is detected with brief presentation of bilateral words, one in the left and one in the right visual field (phenomenon of contralesional extinction). Neglect dyslexia can be explained as a difficulty in orienting attention to the left side of verbal stimuli. With left posterior lesions, spatial dyslexia is also frequent but multiform. Right neglect dyslexia is frequent, but right unilateral spatial neglect is rare. Attentional dyslexia represents difficulty in selecting a stimulus, letter or word among other similar stimuli; it is a deficit of attentional selection, and the left hemisphere plays a crucial role in selection. Two other types of spatial dyslexia can be found after left posterior lesions: paradoxical ipsilesional extinction and stimulus-centred neglect dyslexia. Disconnections between left or right parietal attentional areas and the left temporal visual word form area could explain these deficits. Overall, a model of attention dissociating modulation, selection control, and selection positioning can help in understanding these reading disorders.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dyslexia Sentence A: This article addresses the neuroimaging (CT/MRI), electrophysiological (ERP/EEG), and postmortem evidence as to the neurological basis of dyslexia and discusses why these sources of evidence yield what appear to be inconsistent findings. It is concluded that what appear to be inconsistencies may relate in part to limitations of these investigative technologies. Then, important correlates of reading ability and disability are discussed in a developmental-neuropsychological context, and recommendations are made for research serving to further integrate cognitive and neurological paradigms. Of particular importance, inconsistencies between the results revealed through neuroimaging, electrophysiological, and postmortem studies, on the one hand, and neurolinguistic theory, on the other, must be addressed. Articulating the neurometabolic role-and particularly the nature of the behavioral correlates of the thalamus, supplementary motor area, and frontal cortex-in regard to bihemispheric mechanisms related to reading in developmental dyslexia should be a priority in future research. Sentence B: Acquired spatial dyslexia is a reading disorder frequently occurring after left or right posterior brain lesions. This article describes several types of spatial dyslexia with an attentional approach. After right posterior lesions, patients show left neglect dyslexia with errors on the left side of text, words, and non-words. The deficit is frequently associated with left unilateral spatial neglect. Severe left neglect dyslexia can be detected with unlimited exposure duration of words or non-words. Minor neglect dyslexia is detected with brief presentation of bilateral words, one in the left and one in the right visual field (phenomenon of contralesional extinction). Neglect dyslexia can be explained as a difficulty in orienting attention to the left side of verbal stimuli. With left posterior lesions, spatial dyslexia is also frequent but multiform. Right neglect dyslexia is frequent, but right unilateral spatial neglect is rare. Attentional dyslexia represents difficulty in selecting a stimulus, letter or word among other similar stimuli; it is a deficit of attentional selection, and the left hemisphere plays a crucial role in selection. Two other types of spatial dyslexia can be found after left posterior lesions: paradoxical ipsilesional extinction and stimulus-centred neglect dyslexia. Disconnections between left or right parietal attentional areas and the left temporal visual word form area could explain these deficits. Overall, a model of attention dissociating modulation, selection control, and selection positioning can help in understanding these reading disorders. ###Answer 1. Changed Reasoning: In Sentence A, the term ""dyslexia"" is used in the context of a neurological disorder with a clear definition and explanation of its underlying mechanisms. The sentence highlights the complexity of the disorder and the need to address inconsistencies in the findings of various investigative technologies. In Sentence B, the term ""dyslexia"" is used in a different context, specifically in relation to acquired spatial dyslexia, a reading disorder that occurs after brain lesions. The sentence does not provide a clear definition or explanation of the term, and instead focuses on the specific type of dyslexia that occurs after lesions in the posterior brain. Therefore, the meaning of the term ""dyslexia"" has changed significantly between the two sentences, indicating semantic drift." 89,Dyslexia,"Disorders of reading are frequently encountered in patients with acquired cerebral lesions. Investigations in the past few decades have improved our understanding of these disorders. In this article we review the peripheral dyslexias, including neglect dyslexia, attentional dyslexia, and pure alexia (or alexia without agraphia), as well as the ""central"" dyslexias, including deep, surface, and phonological dyslexia. Current accounts of acquired dyslexia are also discussed. Finally, we briefly describe the reading tasks that serve to differentiate the different reading disorders.","Reading disorder is a recognized feature in primary progressive aphasia (PPA). Surface dyslexia, characterized by regularization errors, is typically seen in the English-speaking semantic variant of PPA (svPPA). However, dyslexic characteristics of other languages, particularly logographical languages such as Chinese, remain sparse in the literature. This study aims to characterize and describe the dyslexic pattern in this group of patients by comparing an English-speaking svPPA group with a Chinese-speaking svPPA group. The authors hypothesized that Chinese-speaking individuals with svPPA would likely commit fewer surface dyslexic errors. By accessing the database of Singapore's National Neuroscience Institute and the National Alzheimer's Coordinating Center of the United States, the authors identified three Chinese-speaking and 18 English-speaking patients with svPPA, respectively, for comparison. The results suggest that, instead of surface dyslexia, svPPA in Chinese-speaking individuals is characterized by a profound deep dyslexic error. Based on current evidence suggesting the role of the temporal pole as a semantic convergence center, the authors conclude that this region also mediates and converges lexical-semantic significance in logographical languages.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dyslexia Sentence A: Disorders of reading are frequently encountered in patients with acquired cerebral lesions. Investigations in the past few decades have improved our understanding of these disorders. In this article we review the peripheral dyslexias, including neglect dyslexia, attentional dyslexia, and pure alexia (or alexia without agraphia), as well as the ""central"" dyslexias, including deep, surface, and phonological dyslexia. Current accounts of acquired dyslexia are also discussed. Finally, we briefly describe the reading tasks that serve to differentiate the different reading disorders. Sentence B: Reading disorder is a recognized feature in primary progressive aphasia (PPA). Surface dyslexia, characterized by regularization errors, is typically seen in the English-speaking semantic variant of PPA (svPPA). However, dyslexic characteristics of other languages, particularly logographical languages such as Chinese, remain sparse in the literature. This study aims to characterize and describe the dyslexic pattern in this group of patients by comparing an English-speaking svPPA group with a Chinese-speaking svPPA group. The authors hypothesized that Chinese-speaking individuals with svPPA would likely commit fewer surface dyslexic errors. By accessing the database of Singapore's National Neuroscience Institute and the National Alzheimer's Coordinating Center of the United States, the authors identified three Chinese-speaking and 18 English-speaking patients with svPPA, respectively, for comparison. The results suggest that, instead of surface dyslexia, svPPA in Chinese-speaking individuals is characterized by a profound deep dyslexic error. Based on current evidence suggesting the role of the temporal pole as a semantic convergence center, the authors conclude that this region also mediates and converges lexical-semantic significance in logographical languages. ###Answer 1. Changed Reasoning: In Sentence A, the target word ""dyslexia"" is used to describe a group of disorders affecting reading, including neglect dyslexia, attentional dyslexia, and pure alexia. These disorders are characterized by difficulties with reading, particularly with regard to decoding and comprehension. The term ""dyslexia"" does not convey any particular connotation or emotional valence. In Sentence B, the target word ""dyslexia"" is used in a different context. Here, it is used to describe a specific type of reading disorder in patients with primary progressive aphasia (PPA). The disorder is characterized by deep dyslexic errors, rather than the regularization errors seen in Sentence A. The term ""dyslexia"" in this context connotes a specific type of cognitive impairment that affects an individual's ability to read and process written language. Based on these differences in context and meaning, it is clear that the term ""dyslexia"" has undergone a significant change in meaning between Sentence A and Sentence B. In Sentence A, the term is used to describe a group of disorders affecting reading, without any particular connotation or emotional valence. In Sentence B, the term is used to describe a specific type of cognitive impairment that affects an individual's ability to read and process written language. Therefore, the label ""Changed"" is appropriate for this example." 90,Dyslexia,"Dyslexia: Advances in theory and practice, Dyslexia Research Foundation and Center for Reading Research, 20-23 November 1997, Stavanger, Norway.","Phonology has been a central concept in the scientific study of dyslexia over the past decades. Despite its central position, however, it is a concept with no precise definition or status. The present article investigates the notion of 'phonology' in the tradition of cognitive psychology. An attempt is made to characterize the basic assumptions of the phonological approach to dyslexia and to evaluate these assumptions on the basis of commonly accepted standards of empirical science. First, the core assumptions of phonological awareness are outlined and discussed. Second, the position of Paula Tallal is presented and discussed in order to shed light on an attempt to stretch the cognitive-psychological notion of 'phonology' towards auditory and perceptual aspects. Both the core assumptions and Tallal's position are rejected as unfortunate, albeit for different reasons. Third, the outcome of this discussion is a search for what is referred to as a 'vulnerable theory' within this field. The present article claims that phonological descriptions must be based on observable linguistic behaviour, so that hypotheses can be falsified by data. Consequently, definitions of 'dyslexia' must be based on symptoms; causal aspects should not be included. In fact, we claim that causal aspects, such as 'phonological deficit', both exclude other causal hypotheses and lead to circular reasoning. If we are to use terms such as 'phonology' and 'phoneme' in dyslexia research, we must have more precise operationalizations of them.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dyslexia Sentence A: Dyslexia: Advances in theory and practice, Dyslexia Research Foundation and Center for Reading Research, 20-23 November 1997, Stavanger, Norway. Sentence B: Phonology has been a central concept in the scientific study of dyslexia over the past decades. Despite its central position, however, it is a concept with no precise definition or status. The present article investigates the notion of 'phonology' in the tradition of cognitive psychology. An attempt is made to characterize the basic assumptions of the phonological approach to dyslexia and to evaluate these assumptions on the basis of commonly accepted standards of empirical science. First, the core assumptions of phonological awareness are outlined and discussed. Second, the position of Paula Tallal is presented and discussed in order to shed light on an attempt to stretch the cognitive-psychological notion of 'phonology' towards auditory and perceptual aspects. Both the core assumptions and Tallal's position are rejected as unfortunate, albeit for different reasons. Third, the outcome of this discussion is a search for what is referred to as a 'vulnerable theory' within this field. The present article claims that phonological descriptions must be based on observable linguistic behaviour, so that hypotheses can be falsified by data. Consequently, definitions of 'dyslexia' must be based on symptoms; causal aspects should not be included. In fact, we claim that causal aspects, such as 'phonological deficit', both exclude other causal hypotheses and lead to circular reasoning. If we are to use terms such as 'phonology' and 'phoneme' in dyslexia research, we must have more precise operationalizations of them. ###Answer 1. Changed Reasoning: The meaning of the target word ""dyslexia"" has significantly shifted between the two sentences. In Sentence A, the term is used to describe a specific condition characterized by difficulties with phonological awareness and processing, with a focus on the cognitive-psychological aspects of the condition. In Sentence B, the term is used more broadly to refer to any difficulty with phonology, without any specific reference to cognitive-psychological processes. This shift in meaning suggests that the term ""dyslexia"" has undergone semantic drift." 91,Dyslexia,"Replication of linkage results for complex traits has been exceedingly difficult, owing in part to the inability to measure the precise underlying phenotype, small sample sizes, genetic heterogeneity, and statistical methods employed in analysis. Often, in any particular study, multiple correlated traits have been collected, yet these have been analyzed independently or, at most, in bivariate analyses. Theoretical arguments suggest that full multivariate analysis of all available traits should offer more power to detect linkage; however, this has not yet been evaluated on a genomewide scale. Here, we conduct multivariate genomewide analyses of quantitative-trait loci that influence reading- and language-related measures in families affected with developmental dyslexia. The results of these analyses are substantially clearer than those of previous univariate analyses of the same data set, helping to resolve a number of key issues. These outcomes highlight the relevance of multivariate analysis for complex disorders for dissection of linkage results in correlated traits. The approach employed here may aid positional cloning of susceptibility genes in a wide spectrum of complex traits.","Reading acquisition is enabled by deep changes in the brain's visual system and language areas, and in the links subtending their collaboration. Disruption of those plastic processes commonly results in developmental dyslexia. However, atypical development of reading mechanisms may occasionally result in ticker-tape synesthesia (TTS), a condition described by Francis Galton in 1883 wherein individuals ""see mentally in print every word that is uttered (…) as from a long imaginary strip of paper"". While reading is the bottom-up translation of letters into speech, TTS may be viewed as its opposite, the top-down translation of speech into internally visualized letters. In a series of functional MRI experiments, we studied MK, a man with TTS. We showed that a set of left-hemispheric areas were more active in MK than in controls during the perception of normal than reversed speech, including frontoparietal areas involved in speech processing, and the Visual Word Form Area, an occipitotemporal region subtending orthography. Those areas were identical to those involved in reading, supporting the construal of TTS as upended reading. Using dynamic causal modeling, we further showed that, parallel to reading, TTS induced by spoken words and pseudowords relied on top-down flow of information along distinct lexical and phonological routes, involving the middle temporal and supramarginal gyri, respectively. Future studies of TTS should shed new light on the neurodevelopmental mechanisms of reading acquisition, their variability and their disorders.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dyslexia Sentence A: Replication of linkage results for complex traits has been exceedingly difficult, owing in part to the inability to measure the precise underlying phenotype, small sample sizes, genetic heterogeneity, and statistical methods employed in analysis. Often, in any particular study, multiple correlated traits have been collected, yet these have been analyzed independently or, at most, in bivariate analyses. Theoretical arguments suggest that full multivariate analysis of all available traits should offer more power to detect linkage; however, this has not yet been evaluated on a genomewide scale. Here, we conduct multivariate genomewide analyses of quantitative-trait loci that influence reading- and language-related measures in families affected with developmental dyslexia. The results of these analyses are substantially clearer than those of previous univariate analyses of the same data set, helping to resolve a number of key issues. These outcomes highlight the relevance of multivariate analysis for complex disorders for dissection of linkage results in correlated traits. The approach employed here may aid positional cloning of susceptibility genes in a wide spectrum of complex traits. Sentence B: Reading acquisition is enabled by deep changes in the brain's visual system and language areas, and in the links subtending their collaboration. Disruption of those plastic processes commonly results in developmental dyslexia. However, atypical development of reading mechanisms may occasionally result in ticker-tape synesthesia (TTS), a condition described by Francis Galton in 1883 wherein individuals ""see mentally in print every word that is uttered (…) as from a long imaginary strip of paper"". While reading is the bottom-up translation of letters into speech, TTS may be viewed as its opposite, the top-down translation of speech into internally visualized letters. In a series of functional MRI experiments, we studied MK, a man with TTS. We showed that a set of left-hemispheric areas were more active in MK than in controls during the perception of normal than reversed speech, including frontoparietal areas involved in speech processing, and the Visual Word Form Area, an occipitotemporal region subtending orthography. Those areas were identical to those involved in reading, supporting the construal of TTS as upended reading. Using dynamic causal modeling, we further showed that, parallel to reading, TTS induced by spoken words and pseudowords relied on top-down flow of information along distinct lexical and phonological routes, involving the middle temporal and supramarginal gyri, respectively. Future studies of TTS should shed new light on the neurodevelopmental mechanisms of reading acquisition, their variability and their disorders. ###Answer 1. Changed Explanation: In Sentence A, the term ""developmental dyslexia"" is used to describe a learning disorder characterized by difficulties with reading and language skills. The term is used in the context of genetic research, where it is mentioned that disruption of plastic processes in the brain can result in dyslexia. This usage implies a more narrow and specific definition of dyslexia as a neurological disorder. In Sentence B, the term ""developmental dyslexia"" is used in a different context, to describe a condition where individuals experience ""ticker-tape synesthesia"" (TTS), a condition where they see mentally in print every word that is uttered. In this context, the term ""developmental dyslexia"" is used to describe a neurological condition that involves the visualization of letters and speech, rather than a traditional definition of the term as a learning disorder. Based on these two sentences, it is clear that the term ""developmental dyslexia"" has undergone a significant shift in meaning. In Sentence A, the term is used in a more narrow and specific context, while in Sentence B, the term is used in a more general and neurological context. Therefore, the label ""Changed"" is appropriate to indicate that the meaning of the term ""developmental dyslexia"" has shifted over time." 92,Dyslexia,"The most prominent ERP to occur during intervals of preparation and anticipation is the contingent negative variation (CNV) or expectancy wave. The resolution of this wave is called the postimperative negative variation (PINV). The purpose of this study was to distinguish the characteristics of the CNV and the PINV in a group of children with reading disabilities or dyslexia and to compare them from a group of normal readers. Nine righthanded boys aged between 10-13 years with reading disabilities were studied. The children were matched with a group of nine normal readers. Four derivations were used: frontal, central, parietal and occipital zones, with reference to linked ears. Data were analyzed using multivariate procedures. Significant differences between groups in CNV amplitude and in PINV amplitude and latency at the left parietal site were observed. We discuss the participation of this zone and we consider processes like expectancy, attention and brain activity signal processing in the differences mentioned.","Punctuation strongly contributes to the cohesion of the text. Despite this relevant role in written activity, this linguistic paradigm is too rarely observed. Moreover, it is all the more important to analyze its management as it is one of the difficulties declared by students with dyslexia. In that sense, the purpose of this paper is to analyze punctuation management during written text production by students with dyslexia, compared to matched control students. Previous English and Dutch studies confirm this feeling and reveal that students with dyslexia make many punctuation errors. That being said, there is no consensus; other studies do not reach this conclusion. For this present study, students with dyslexia and control students matched in age, university level, and gender were asked to produce spontaneous written and spoken narrative and expository texts. The written texts (N = 86) were collected using Eye and Pen© software with digitizing tablets. Results reveal that if students with dyslexia use the same inventory of punctuation marks as control students, they use fewer punctuation marks and make more errors than control students. These results are discussed and highlighted by the literature dealing with written production as a complex cognitive activity. They reveal that punctuation management is deficient for students with dyslexia, suggesting that the cohesion system can be impacted by dyslexia.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dyslexia Sentence A: The most prominent ERP to occur during intervals of preparation and anticipation is the contingent negative variation (CNV) or expectancy wave. The resolution of this wave is called the postimperative negative variation (PINV). The purpose of this study was to distinguish the characteristics of the CNV and the PINV in a group of children with reading disabilities or dyslexia and to compare them from a group of normal readers. Nine righthanded boys aged between 10-13 years with reading disabilities were studied. The children were matched with a group of nine normal readers. Four derivations were used: frontal, central, parietal and occipital zones, with reference to linked ears. Data were analyzed using multivariate procedures. Significant differences between groups in CNV amplitude and in PINV amplitude and latency at the left parietal site were observed. We discuss the participation of this zone and we consider processes like expectancy, attention and brain activity signal processing in the differences mentioned. Sentence B: Punctuation strongly contributes to the cohesion of the text. Despite this relevant role in written activity, this linguistic paradigm is too rarely observed. Moreover, it is all the more important to analyze its management as it is one of the difficulties declared by students with dyslexia. In that sense, the purpose of this paper is to analyze punctuation management during written text production by students with dyslexia, compared to matched control students. Previous English and Dutch studies confirm this feeling and reveal that students with dyslexia make many punctuation errors. That being said, there is no consensus; other studies do not reach this conclusion. For this present study, students with dyslexia and control students matched in age, university level, and gender were asked to produce spontaneous written and spoken narrative and expository texts. The written texts (N = 86) were collected using Eye and Pen© software with digitizing tablets. Results reveal that if students with dyslexia use the same inventory of punctuation marks as control students, they use fewer punctuation marks and make more errors than control students. These results are discussed and highlighted by the literature dealing with written production as a complex cognitive activity. They reveal that punctuation management is deficient for students with dyslexia, suggesting that the cohesion system can be impacted by dyslexia. ###Answer Target word: Dyslexia Sentence A: The purpose of this study was to distinguish the characteristics of the CNV and the PINV in a group of children with reading disabilities or dyslexia and to compare them from a group of normal readers. Sentence B: Punctuation strongly contributes to the cohesion of the text. Moreover, it is all the more important to analyze its management as it is one of the difficulties declared by students with dyslexia. Label: Changed Reasoning: In Sentence A, the term ""dyslexia"" is used to describe a specific reading disability, with a focus on the neural mechanisms underlying it. The sentence highlights the distinct characteristics of the CNV and PINV in individuals with reading disabilities. In contrast, in Sentence B, the term ""dyslexia"" is used more broadly to refer to the difficulty of managing punctuation in written text production. This shift in meaning is significant, as it suggests that the term ""dyslexia"" has evolved to encompass a broader range of language processing difficulties. Note: The answer provided is just one possible interpretation of the data, and there may be other possible labels and explanations." 93,Dyslexia,"Ten adults with dyslexia (4 women and 6 men, mean age: 26.8 years, range: 19-43 years) and 11 controls (5 women and 6 men, mean age: 20.5 years, range: 18-29 years) were tested on their ability to differentiate between real and false traffic signs. The stimuli, computer-presented color pictures, were chosen to minimize the applicability of verbal or written linguistic skills to the task. The adults with dyslexia recognized the traffic signs significantly less well than did the controls. Furthermore, whereas for the controls there was a significant correlation between traffic sign recognition and driving experience, no such correlation was found for the adults with dyslexia. The results are interpreted in terms of a deficit in implicit learning.","This study focused on English as L2 in a group of Norwegian dyslexic 12 year olds, compared to an age and gender matched control group. Norwegian school children learn English from the first grades on. The subjects were assessed with a test battery of verbal and written tasks. First, they were given a comprehension task; second, a model sentence task; third, two pragmatic tasks, and fourth, three tasks of literacy. The verbal tasks were scored according to comprehension, morphology, syntax and semantics, while the literacy tasks were scored by spelling, translation and reading skills. It was hypothesized that the results of the control group and the dyslexia group would differ on all tasks, but that subgrouping the dyslexia group by comprehension skills would show heterogeneity within the dyslexia group. The data analyses confirmed these hypotheses. Significant differences were seen between the dyslexia group and the control group. However, the subgrouping revealed minor differences between the control group and the subgroup with good comprehension skills, and major differences between the control group and the subgroup with poor comprehension skills. Especially morphology and spelling were difficult for the dyslexia group. The results were tentatively discussed within the framework of biological and cognitive models of how to interpret L2 performance in dyslexia, underlining the importance of further research in L2 acquisition in dyslexia.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dyslexia Sentence A: Ten adults with dyslexia (4 women and 6 men, mean age: 26.8 years, range: 19-43 years) and 11 controls (5 women and 6 men, mean age: 20.5 years, range: 18-29 years) were tested on their ability to differentiate between real and false traffic signs. The stimuli, computer-presented color pictures, were chosen to minimize the applicability of verbal or written linguistic skills to the task. The adults with dyslexia recognized the traffic signs significantly less well than did the controls. Furthermore, whereas for the controls there was a significant correlation between traffic sign recognition and driving experience, no such correlation was found for the adults with dyslexia. The results are interpreted in terms of a deficit in implicit learning. Sentence B: This study focused on English as L2 in a group of Norwegian dyslexic 12 year olds, compared to an age and gender matched control group. Norwegian school children learn English from the first grades on. The subjects were assessed with a test battery of verbal and written tasks. First, they were given a comprehension task; second, a model sentence task; third, two pragmatic tasks, and fourth, three tasks of literacy. The verbal tasks were scored according to comprehension, morphology, syntax and semantics, while the literacy tasks were scored by spelling, translation and reading skills. It was hypothesized that the results of the control group and the dyslexia group would differ on all tasks, but that subgrouping the dyslexia group by comprehension skills would show heterogeneity within the dyslexia group. The data analyses confirmed these hypotheses. Significant differences were seen between the dyslexia group and the control group. However, the subgrouping revealed minor differences between the control group and the subgroup with good comprehension skills, and major differences between the control group and the subgroup with poor comprehension skills. Especially morphology and spelling were difficult for the dyslexia group. The results were tentatively discussed within the framework of biological and cognitive models of how to interpret L2 performance in dyslexia, underlining the importance of further research in L2 acquisition in dyslexia. ###Answer 1. Changed Reasoning: The meaning of the word ""dyslexia"" has changed significantly between Sentence A (2000) and Sentence B (2020). In Sentence A, the word is used to describe a deficit in implicit learning, specifically in the context of traffic sign recognition. In Sentence B, the word is used to describe a broader range of language and literacy skills, including morphology, syntax, semantics, spelling, translation, and reading skills. The shift in meaning suggests that the term ""dyslexia"" has undergone semantic drift." 94,Dyslexia,"Visual factors in specific learning difficulties (SpLD) are reviewed. People with SpLD fail to achieve at a level that is commensurate with their intelligence. The commonest SpLD is dyslexia, which usually results from phonological processing/decoding deficits. Additionally, there are several optometric correlates of SpLD which may, in some cases, contribute to the learning difficulty. These correlates include binocular instability and a low amplitude of accommodation. Some people with reading difficulties and perceptual distortions/eyestrain can be helped by individually prescribed coloured filters. A visual processing anomaly is also often present in the form of a deficit of the transient visual system. The role of the optometrist is discussed.","Previous studies showed that the lateral masking of a fast-moving low spatial frequency (SF) target was strong when exerted by static flankers of lower or equal to the target SF and absent when flankers' SF was higher than the target's one. These masking and unmasking effects have been interpreted as due to Magnocellular-Magnocellular (M-M) inhibition and Parvocellular-on-Magnocellular (P-M) disinhibitory coactivation, respectively. Based on the hypothesis that the balance between the two systems is perturbed in Developmental Dyslexia (DD), we asked whether dyslexic children (DDs) behaved differently than Typically Developing children (TDs) in conditions of lateral masking. DDs and TDs performed a motion discrimination task, of a .5c/deg Gabor target moving at 16 deg/sec, either isolated or flanked by static Gabors with a SF of .125, .5 or 2 c/deg (Experiment 1). As a control, they also performed a contrast detection task of a static target, either isolated or flanked (Experiment 2). DDs did not perform any different from TDs with either a static target or an isolated moving target of low spatial frequency, thus suggesting efficient feedforward Magnocellular (M) and Parvocellular (P) processing. Also, DDs showed similar contrast thresholds to TDs in the M-M inhibition condition. Conversely, DDs did not recover from lateral masking in the M-P coactivation condition. In addition, their performance in this condition negatively correlated with non-words accuracy, supporting the suggestion that an inefficient Magno-Parvo coactivation may possibly be associated to both higher visual suppression and reduced perceptual stability during reading.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dyslexia Sentence A: Visual factors in specific learning difficulties (SpLD) are reviewed. People with SpLD fail to achieve at a level that is commensurate with their intelligence. The commonest SpLD is dyslexia, which usually results from phonological processing/decoding deficits. Additionally, there are several optometric correlates of SpLD which may, in some cases, contribute to the learning difficulty. These correlates include binocular instability and a low amplitude of accommodation. Some people with reading difficulties and perceptual distortions/eyestrain can be helped by individually prescribed coloured filters. A visual processing anomaly is also often present in the form of a deficit of the transient visual system. The role of the optometrist is discussed. Sentence B: Previous studies showed that the lateral masking of a fast-moving low spatial frequency (SF) target was strong when exerted by static flankers of lower or equal to the target SF and absent when flankers' SF was higher than the target's one. These masking and unmasking effects have been interpreted as due to Magnocellular-Magnocellular (M-M) inhibition and Parvocellular-on-Magnocellular (P-M) disinhibitory coactivation, respectively. Based on the hypothesis that the balance between the two systems is perturbed in Developmental Dyslexia (DD), we asked whether dyslexic children (DDs) behaved differently than Typically Developing children (TDs) in conditions of lateral masking. DDs and TDs performed a motion discrimination task, of a .5c/deg Gabor target moving at 16 deg/sec, either isolated or flanked by static Gabors with a SF of .125, .5 or 2 c/deg (Experiment 1). As a control, they also performed a contrast detection task of a static target, either isolated or flanked (Experiment 2). DDs did not perform any different from TDs with either a static target or an isolated moving target of low spatial frequency, thus suggesting efficient feedforward Magnocellular (M) and Parvocellular (P) processing. Also, DDs showed similar contrast thresholds to TDs in the M-M inhibition condition. Conversely, DDs did not recover from lateral masking in the M-P coactivation condition. In addition, their performance in this condition negatively correlated with non-words accuracy, supporting the suggestion that an inefficient Magno-Parvo coactivation may possibly be associated to both higher visual suppression and reduced perceptual stability during reading. ###Answer 1. Changed Reasoning: In Sentence A, the term ""dyslexia"" is used to describe a specific learning difficulty that is characterized by phonological processing/decoding deficits. The term is not accompanied by any additional connotations or associations, and its meaning remains relatively consistent with the current understanding of the condition. In Sentence B, the term ""dyslexia"" is used in a different context, where it is related to a hypothesis about the balance between Magnocellular-Magnocellular and Parvocellular-on-Magnocellular systems in the development of Developmental Dyslexia. The term is accompanied by additional connotations, such as the idea of ""infficient Magno-Parvo coactivation,"" which suggests a different meaning than in Sentence A. Therefore, semantic drift has occurred in the meaning of the term ""dyslexia"" between Sentence A and Sentence B." 95,Dyslexia,"A consecutive cohort of 112 children, 42 girls and 70 boys, aged 5-17 years, receiving child psychiatric inpatient care, was investigated regarding the probability of a complex background of concomitant biological and social factors. Most of the subjects showed maladjustment and depressive states, school problems, problems with peers, psychosomatic complaints and anxiety. A very high rate of factors indicating neurodevelopmental dysfunctions was found particularly in boys, who exhibited developmental delay, dyslexia, heredity for dyslexia, and a slow complex reaction time (CRT) - suggesting slow cognitive processing - considered an impairment in itself. Further, many children obtained errors on the CRT task, indicating attention deficit and deterioration during the test, pointing toward exhaustion. The social background displayed frequent problems such as broken homes, care outside the biological home, and disordered and/or abusing parents. The biological and social factors created a complex web, predisposing the child to primary, secondary and/or comorbidity problems, and leading to an interactive process reducing the child's psychosocial capacity and competence. A pattern was developed of an impaired child, living in an inadequate/insufficient family milieu in a modern society, with increasing demands on children.","Recently, a general implicit sequence learning deficit was proposed as an underlying cause of dyslexia. This new hypothesis was investigated in the present study by including a number of methodological improvements, for example, the inclusion of appropriate control conditions. The second goal of the study was to explore the role of attentional functioning in implicit and explicit learning tasks.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dyslexia Sentence A: A consecutive cohort of 112 children, 42 girls and 70 boys, aged 5-17 years, receiving child psychiatric inpatient care, was investigated regarding the probability of a complex background of concomitant biological and social factors. Most of the subjects showed maladjustment and depressive states, school problems, problems with peers, psychosomatic complaints and anxiety. A very high rate of factors indicating neurodevelopmental dysfunctions was found particularly in boys, who exhibited developmental delay, dyslexia, heredity for dyslexia, and a slow complex reaction time (CRT) - suggesting slow cognitive processing - considered an impairment in itself. Further, many children obtained errors on the CRT task, indicating attention deficit and deterioration during the test, pointing toward exhaustion. The social background displayed frequent problems such as broken homes, care outside the biological home, and disordered and/or abusing parents. The biological and social factors created a complex web, predisposing the child to primary, secondary and/or comorbidity problems, and leading to an interactive process reducing the child's psychosocial capacity and competence. A pattern was developed of an impaired child, living in an inadequate/insufficient family milieu in a modern society, with increasing demands on children. Sentence B: Recently, a general implicit sequence learning deficit was proposed as an underlying cause of dyslexia. This new hypothesis was investigated in the present study by including a number of methodological improvements, for example, the inclusion of appropriate control conditions. The second goal of the study was to explore the role of attentional functioning in implicit and explicit learning tasks. ###Answer 1. Changed Reasoning: In Sentence A, the term ""dyslexia"" is used in the context of a psychiatric inpatient cohort of children, where it is associated with a range of other cognitive and behavioral difficulties, such as developmental delay, attention deficit, and slow cognitive processing. The term is also used to describe a complex background of biological and social factors that may contribute to the child's difficulties. In this context, the term ""dyslexia"" carries a strong connotation of neurodevelopmental dysfunction and impaired cognitive processing. In Sentence B, the term ""dyslexia"" is used in a different context, to describe a proposed underlying cause of dyslexia. In this context, the term is associated with a specific hypothesis about the nature of dyslexia, rather than a broader range of cognitive and behavioral difficulties. The term is also used in the context of methodological improvements and control conditions, rather than a clinical description of a child's difficulties. In this context, the term ""dyslexia"" carries a different connotation, suggesting a more specific and narrow focus on the underlying mechanisms of dyslexia. Overall, the meaning of the term ""dyslexia"" has shifted significantly between the two sentences, from a broad clinical description to a more specific hypothesis about the underlying cause of dyslexia. Therefore, the label ""Changed"" is appropriate." 96,Dyslexia,"Recent studies have reported an attentional feedback that highlights neural responses as early along the visual pathway as the primary visual cortex. Such filtering would help in reducing informational overload and in performing serial visual search by directing attention to individual locations in the visual field. The magnocellular (M) and parvocellular (P) subdivisions are two of the major parallel pathways in primate vision that originate in the retina and carry distinctly different types of information. The M pathway, characterized by its high sensitivity to movement and to low contrast stimuli, forms the predominant visual input into the dorsal, parietal stream in the neocortex. The P inputs, characterized by their colour selectivity and higher spatial resolution, are channeled mainly into the ventral, temporal stream. It is proposed that the attentional spotlight originates in the dorsal stream and helps in serially searching the field for conjunction of the relevant target features in the temporal stream, effectively performing a gating function on all visual inputs. This model predicts that a defect limited to the magnocellular or the dorsal pathway can lead to widespread deficits in cognitive abilities, including those functions that are largely based on parvocellular information. For example, the model provides a neural mechanism linking a peripheral defect in the magnocellular pathway to the reading disabilities in dyslexia. Even though there has been strong evidence for a magnocellular deficit in dyslexia, the paradox has been that the cognitive disability seems to be related to P pathway function. The scheme proposed here shows how M input may be vital for controlling sequential attention during reading.","We investigated reading skills in individuals who have undergone left cerebral hemispherectomy and in readers with developmental dyslexia to understand diverse characteristics contributing to reading difficulty. Although dyslexia is a developmental disorder, left hemispherectomy requires that patients (re)establish the language process needed to perform the language-based tasks in the nondominant (right) hemisphere to become readers.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dyslexia Sentence A: Recent studies have reported an attentional feedback that highlights neural responses as early along the visual pathway as the primary visual cortex. Such filtering would help in reducing informational overload and in performing serial visual search by directing attention to individual locations in the visual field. The magnocellular (M) and parvocellular (P) subdivisions are two of the major parallel pathways in primate vision that originate in the retina and carry distinctly different types of information. The M pathway, characterized by its high sensitivity to movement and to low contrast stimuli, forms the predominant visual input into the dorsal, parietal stream in the neocortex. The P inputs, characterized by their colour selectivity and higher spatial resolution, are channeled mainly into the ventral, temporal stream. It is proposed that the attentional spotlight originates in the dorsal stream and helps in serially searching the field for conjunction of the relevant target features in the temporal stream, effectively performing a gating function on all visual inputs. This model predicts that a defect limited to the magnocellular or the dorsal pathway can lead to widespread deficits in cognitive abilities, including those functions that are largely based on parvocellular information. For example, the model provides a neural mechanism linking a peripheral defect in the magnocellular pathway to the reading disabilities in dyslexia. Even though there has been strong evidence for a magnocellular deficit in dyslexia, the paradox has been that the cognitive disability seems to be related to P pathway function. The scheme proposed here shows how M input may be vital for controlling sequential attention during reading. Sentence B: We investigated reading skills in individuals who have undergone left cerebral hemispherectomy and in readers with developmental dyslexia to understand diverse characteristics contributing to reading difficulty. Although dyslexia is a developmental disorder, left hemispherectomy requires that patients (re)establish the language process needed to perform the language-based tasks in the nondominant (right) hemisphere to become readers. ###Answer 1. Changed Reasoning: The meaning of the target word ""dyslexia"" has changed significantly between Sentence A and Sentence B. In Sentence A, ""dyslexia"" is used to describe a specific cognitive disability related to attentional spotlighting and magnocellular pathway function. In Sentence B, ""dyslexia"" is used more broadly to describe reading difficulties in individuals with left cerebral hemispherectomy or developmental dyslexia, without specifying any particular cognitive mechanism. The shift in meaning suggests that the term ""dyslexia"" has undergone semantic drift, and its original meaning has been lost." 97,Dyslexia,"For nearly 100 years, the underlying cause of dyslexia has been a matter of much debate, with widely varying viewpoints that have ranged from considering dyslexia as largely a learning disability to claims that it is essentially a perceptual defect occurring early along the visual pathway. This paper reviews some of this literature with particular reference to the studies that have implicated a defect in the afferent visual pathways in the aetiology of the disorder, then goes on to outline a neural theory of how functionally distinct parallel pathways in vision interact with each other in the process of reading and suggests how a defect in these pathways can lead to reading difficulties. Central to the proposed scheme is the suggestion that a fast-track pathway, arising from the magnocellular cells in the retina and acting through an attentional mechanism, has a gating function in spotlighting the individual letters of a text in a sequential fashion. That such gating occurs at the level of the primary visual cortex is supported by recent physiological evidence concerning attentional mechanisms.","Although there have been frequent clinical reports about sleep disturbances in children with learning disabilities, no data are available about the prevalence of sleep disturbances in children with developmental dyslexia (DD). This study evaluated sleep disturbances in children with DD referred to a hospital clinic and compared their scores with healthy controls.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dyslexia Sentence A: For nearly 100 years, the underlying cause of dyslexia has been a matter of much debate, with widely varying viewpoints that have ranged from considering dyslexia as largely a learning disability to claims that it is essentially a perceptual defect occurring early along the visual pathway. This paper reviews some of this literature with particular reference to the studies that have implicated a defect in the afferent visual pathways in the aetiology of the disorder, then goes on to outline a neural theory of how functionally distinct parallel pathways in vision interact with each other in the process of reading and suggests how a defect in these pathways can lead to reading difficulties. Central to the proposed scheme is the suggestion that a fast-track pathway, arising from the magnocellular cells in the retina and acting through an attentional mechanism, has a gating function in spotlighting the individual letters of a text in a sequential fashion. That such gating occurs at the level of the primary visual cortex is supported by recent physiological evidence concerning attentional mechanisms. Sentence B: Although there have been frequent clinical reports about sleep disturbances in children with learning disabilities, no data are available about the prevalence of sleep disturbances in children with developmental dyslexia (DD). This study evaluated sleep disturbances in children with DD referred to a hospital clinic and compared their scores with healthy controls. ###Answer 1. Changed Reasoning: In Sentence A, the term ""dyslexia"" is used to describe a specific neurological disorder with a clear definition and causes. The sentence explains the origins of the disorder, its neural basis, and the attentional mechanisms involved in reading. In contrast, Sentence B uses the term ""dyslexia"" in a very different context, as a synonym for ""learning disabilities"" or ""developmental dyslexia"". The sentence does not provide any information about the neurological basis of the disorder, nor does it explain the attentional mechanisms involved in reading. Therefore, the meaning of the term ""dyslexia"" has significantly shifted between the two sentences, indicating semantic drift has occurred." 98,Dyslexia,"Comparisons of the developmental pathways of the first 5 years of life for children with (N = 107) and without (N = 93) familial risk for dyslexia observed in the Jyväskylä Longitudinal study of Dyslexia are reviewed. The earliest differences between groups were found at the ages of a few days and at 6 months in brain event-related potential responses to speech sounds and in head-turn responses (at 6 months), conditioned to reflect categorical perception of speech stimuli. The development of vocalization and motor behavior, based on parental report of the time of reaching significant milestones, or the growth of vocabulary (using the MacArthur Communicative Development Inventories) failed to reveal differences before age 2. Similarly, no group differences were found in cognitive and language development assessed by the Bayley Scales of Infant Development and the Reynell Developmental Language Scales before age 2.5. The earliest language measure that showed lower scores among the at-risk group was maximum sentence length at age 2. Early gross motor development had higher correlation to later language skills among the at-risk group rather than the control children. The most consistent predictor of differential development between groups was the onset of talking. Children who were identified as late talkers at age 2 were still delayed at the age 3.5 in most features of language-related skills-but only if they belonged to the group at familial risk for dyslexia. Several phonological and naming measures known to correlate with reading from preschool age differentiated the groups consistently from age 3.5. Our findings imply that a marked proportion of children at familial risk for dyslexia follow atypical neurodevelopmental paths. The signs listed previously comprise a pool of candidates for early predictors and precursors of dyslexia, which await validation.","This article analyzes, from the standpoint of reception studies and transnational history, the different ways Lev S. Vygotsky's published work in Spanish, English, and Russian was read, discussed, and used in Argentina from 1935 to 1974. This ""early"" reception primarily involved 2 groups: writers affiliated with the Argentine Communist Party, and individuals without political affiliations who engaged in discussion with Communists. The article argues that Communism, as a cultural tradition and political organization, played a key role in the reception and diffusion of Vygotsky's work. The ideas of the Soviet psychologist were applied in 3 different areas: the psychophysiological theorizing of consciousness, the diagnosis and treatment of dyslexia, and the study of psychiatric phenomena. This article partially reconstructs the circulation of Soviet psychology in Argentina in order to provide a critical approach regarding the inclusion of certain figures in the psychological canon, the methods by which these authors have been researched in the past, the means that enable the circulation of psychological knowledge, and the ways in which the political and intellectual milieu of reception define the productivity and relevance of an author. (PsycINFO Database Record","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dyslexia Sentence A: Comparisons of the developmental pathways of the first 5 years of life for children with (N = 107) and without (N = 93) familial risk for dyslexia observed in the Jyväskylä Longitudinal study of Dyslexia are reviewed. The earliest differences between groups were found at the ages of a few days and at 6 months in brain event-related potential responses to speech sounds and in head-turn responses (at 6 months), conditioned to reflect categorical perception of speech stimuli. The development of vocalization and motor behavior, based on parental report of the time of reaching significant milestones, or the growth of vocabulary (using the MacArthur Communicative Development Inventories) failed to reveal differences before age 2. Similarly, no group differences were found in cognitive and language development assessed by the Bayley Scales of Infant Development and the Reynell Developmental Language Scales before age 2.5. The earliest language measure that showed lower scores among the at-risk group was maximum sentence length at age 2. Early gross motor development had higher correlation to later language skills among the at-risk group rather than the control children. The most consistent predictor of differential development between groups was the onset of talking. Children who were identified as late talkers at age 2 were still delayed at the age 3.5 in most features of language-related skills-but only if they belonged to the group at familial risk for dyslexia. Several phonological and naming measures known to correlate with reading from preschool age differentiated the groups consistently from age 3.5. Our findings imply that a marked proportion of children at familial risk for dyslexia follow atypical neurodevelopmental paths. The signs listed previously comprise a pool of candidates for early predictors and precursors of dyslexia, which await validation. Sentence B: This article analyzes, from the standpoint of reception studies and transnational history, the different ways Lev S. Vygotsky's published work in Spanish, English, and Russian was read, discussed, and used in Argentina from 1935 to 1974. This ""early"" reception primarily involved 2 groups: writers affiliated with the Argentine Communist Party, and individuals without political affiliations who engaged in discussion with Communists. The article argues that Communism, as a cultural tradition and political organization, played a key role in the reception and diffusion of Vygotsky's work. The ideas of the Soviet psychologist were applied in 3 different areas: the psychophysiological theorizing of consciousness, the diagnosis and treatment of dyslexia, and the study of psychiatric phenomena. This article partially reconstructs the circulation of Soviet psychology in Argentina in order to provide a critical approach regarding the inclusion of certain figures in the psychological canon, the methods by which these authors have been researched in the past, the means that enable the circulation of psychological knowledge, and the ways in which the political and intellectual milieu of reception define the productivity and relevance of an author. (PsycINFO Database Record ###Answer 1. Changed Reasoning: In Sentence A, the term ""dyslexia"" is used in the context of a developmental pathway and is associated with familial risk. The sentence highlights the atypical neurodevelopmental path of children with familial risk for dyslexia, suggesting a more significant shift in meaning towards a condition characterized by developmental delays and atypical brain function. In Sentence B, the term ""dyslexia"" is used in the context of Vygotsky's work and its reception in Argentina. The sentence does not convey any significant shift in meaning or connotation, as the term is used in a different context and does not carry any specific associations with developmental risk. Therefore, the label ""Unchanged"" is appropriate." 99,Dyslexia,"Dyslexia is a disability in acquiring reading and spelling skills that is independent of general intelligence and educational opportunity, and is highly heritable. It is known that dyslexia often co-occurs with attention deficit hyperactivity disorder (ADHD), and the 7-repeat allele of the 48-bp tandem repeat in exon 3 of the dopamine D4 receptor (DRD4) has been implicated in ADHD. We, therefore, investigated DRD4 as a candidate gene for dyslexia by testing for linkage and association with 14 markers at and around the DRD4 locus on chromosome 11p15.5. Using 100 families having at least two siblings affected with dyslexia, model-free linkage analysis revealed evidence for linkage to the DRD4-exon 3 repeat (two-point MFLOD = 2.27, P = 0.001) and to HRAS located just proximal to DRD4 (two-point MFLOD = 2.68, P = 0.0004). Evidence for linkage was maximal between DRD4 and HRAS (three-point MFLOD = 3.57, P = 0.00005). However, linkage disequilibrium analysis showed no significant evidence for association between dyslexia and DRD4 or HRAS. In particular, dyslexic subjects showed no significant increase of the DRD4 7-repeat allele associated with ADHD. It is possible that other DRD4 variants, not in strong linkage disequilibrium with the exon 3 repeat polymorphism, or alternatively, another gene very closely linked to DRD4, may influence susceptibility to dyslexia.",The purpose of this study is to investigate word learning in children with dyslexia to ascertain their strengths and weaknesses during the configuration stage of word learning.,"###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dyslexia Sentence A: Dyslexia is a disability in acquiring reading and spelling skills that is independent of general intelligence and educational opportunity, and is highly heritable. It is known that dyslexia often co-occurs with attention deficit hyperactivity disorder (ADHD), and the 7-repeat allele of the 48-bp tandem repeat in exon 3 of the dopamine D4 receptor (DRD4) has been implicated in ADHD. We, therefore, investigated DRD4 as a candidate gene for dyslexia by testing for linkage and association with 14 markers at and around the DRD4 locus on chromosome 11p15.5. Using 100 families having at least two siblings affected with dyslexia, model-free linkage analysis revealed evidence for linkage to the DRD4-exon 3 repeat (two-point MFLOD = 2.27, P = 0.001) and to HRAS located just proximal to DRD4 (two-point MFLOD = 2.68, P = 0.0004). Evidence for linkage was maximal between DRD4 and HRAS (three-point MFLOD = 3.57, P = 0.00005). However, linkage disequilibrium analysis showed no significant evidence for association between dyslexia and DRD4 or HRAS. In particular, dyslexic subjects showed no significant increase of the DRD4 7-repeat allele associated with ADHD. It is possible that other DRD4 variants, not in strong linkage disequilibrium with the exon 3 repeat polymorphism, or alternatively, another gene very closely linked to DRD4, may influence susceptibility to dyslexia. Sentence B: The purpose of this study is to investigate word learning in children with dyslexia to ascertain their strengths and weaknesses during the configuration stage of word learning. ###Answer 1. Changed Explanation: In Sentence A, the term ""dyslexia"" is used to describe a disability in acquiring reading and spelling skills that is independent of general intelligence and educational opportunity, and is highly heritable. The sentence highlights the genetic and heritable nature of dyslexia, and mentions the co-occurrence of dyslexia with attention deficit hyperactivity disorder (ADHD). In contrast, in Sentence B, the term ""dyslexia"" is used to describe a specific aspect of word learning in children, specifically their strengths and weaknesses during the configuration stage of word learning. The sentence does not highlight the genetic or heritable nature of dyslexia, nor does it mention the co-occurrence of dyslexia with ADHD. Therefore, the meaning of the term ""dyslexia"" has changed significantly between the two sentences, indicating semantic drift has occurred." 0,Asperger,"Autism spectrum disorders (ASD) are a heterogeneous group of disorders encompassing Autistic Disorder, Asperger's Disorder, Semantic-Pragmatic disorder and Pervasive Developmental Disorder Not Otherwise Specified. Auditory integration therapy (AIT) was developed as a technique for improving abnormal sound sensitivity in individuals with behavioural disorders including autism. Other sound therapies bearing similarities to AIT include the Tomatis Method and Samonas Sound Therapy.","Although a number of advanced theory of mind tasks have been developed, there is a dearth of information on whether performances on different tasks are associated. The present study examined the performance of 21 children and adolescents with diagnoses of Asperger syndrome (AS) and 20 typically developing controls on three advanced theory of mind tasks: The Eyes Task, the Strange Stories, and the Stories from Everyday Life. The participants in the clinical group demonstrated lower performance than the controls on all the three tasks. The pattern of findings, however, indicates that these tasks may share different information-processing requirements in addition to tapping different mentalizing abilities.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Asperger Sentence A: Autism spectrum disorders (ASD) are a heterogeneous group of disorders encompassing Autistic Disorder, Asperger's Disorder, Semantic-Pragmatic disorder and Pervasive Developmental Disorder Not Otherwise Specified. Auditory integration therapy (AIT) was developed as a technique for improving abnormal sound sensitivity in individuals with behavioural disorders including autism. Other sound therapies bearing similarities to AIT include the Tomatis Method and Samonas Sound Therapy. Sentence B: Although a number of advanced theory of mind tasks have been developed, there is a dearth of information on whether performances on different tasks are associated. The present study examined the performance of 21 children and adolescents with diagnoses of Asperger syndrome (AS) and 20 typically developing controls on three advanced theory of mind tasks: The Eyes Task, the Strange Stories, and the Stories from Everyday Life. The participants in the clinical group demonstrated lower performance than the controls on all the three tasks. The pattern of findings, however, indicates that these tasks may share different information-processing requirements in addition to tapping different mentalizing abilities. ###Answer 1. Changed Reasoning: In Sentence A, the term ""Asperger's Disorder"" is used, which was a diagnostic label used in the past to describe individuals with similar characteristics to those with autism but without significant delays in language or cognitive development. However, in Sentence B, the term ""Asperger syndrome"" is used, which is no longer considered a valid diagnostic label by the American Psychiatric Association. Therefore, the meaning of the term ""Asperger"" has shifted significantly between the two sentences, indicating semantic drift has occurred." 1,Asperger,"Pervasive Developmental Disorder (PDD) is characterized by peculiar psycho-behavioral patterns. Youths with PDD who commit delinquent acts often exhibit strange behavior beyond ordinary comprehension. In order to fully understand and identify PDD it is important to take a comprehensive psychosocial history. Here we report on a 19-year-old delinquent male from a juvenile detention home who was exhibiting PDD. Both the psycho-behavioral patterns of the subject and the dysfunctional family background were key factors in this case. The subject persistently stalked and harassed an elementary school girl despite repeated intervention by police and the girl's parents to stop doing so. This behavior culminated in the subject being arrested and put on probation. While on probation his behavior continued, leading to his arrest and confinement to a correctional facility for juveniles with medical needs. Several features that included sustained impairment in social interaction and repetitive patterns of behavior that are often identified in delinquents with PDD were found to exist in the subject and he was diagnosed with PDD (probably Asperger's disease). The subject presented with a superficial understanding of the consequences his behavior had on others and for himself. Also, impaired family function was found to be a major contributing factor to his delinquency. Together theses factors hindered the subject from acquiring appropriate social skills. The major responsibility for providing care and support of an individual with PDD is within the family. Failure of the family to undertake such responsibilities can lead to ineffective treatment even after a specialist has identified the disorder. Given the slow decline of the nuclear family in Japan, it is important to understand the role of the family in caring for a child with PDD. Also, public recognition of PDD and social support for individuals with the disorder is important.","Autism spectrum disorders (ASD) include Autistic Disorder, Asperger's Disorder and Pervasive Developmental Disorder Not Otherwise Specified (PDD-NOS). Irritability related to ASD has been treated with antipsychotics. Aripiprazole, a third generation atypical antipsychotic, is a relatively new drug that has a unique mechanism of action different from other antipsychotics.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Asperger Sentence A: Pervasive Developmental Disorder (PDD) is characterized by peculiar psycho-behavioral patterns. Youths with PDD who commit delinquent acts often exhibit strange behavior beyond ordinary comprehension. In order to fully understand and identify PDD it is important to take a comprehensive psychosocial history. Here we report on a 19-year-old delinquent male from a juvenile detention home who was exhibiting PDD. Both the psycho-behavioral patterns of the subject and the dysfunctional family background were key factors in this case. The subject persistently stalked and harassed an elementary school girl despite repeated intervention by police and the girl's parents to stop doing so. This behavior culminated in the subject being arrested and put on probation. While on probation his behavior continued, leading to his arrest and confinement to a correctional facility for juveniles with medical needs. Several features that included sustained impairment in social interaction and repetitive patterns of behavior that are often identified in delinquents with PDD were found to exist in the subject and he was diagnosed with PDD (probably Asperger's disease). The subject presented with a superficial understanding of the consequences his behavior had on others and for himself. Also, impaired family function was found to be a major contributing factor to his delinquency. Together theses factors hindered the subject from acquiring appropriate social skills. The major responsibility for providing care and support of an individual with PDD is within the family. Failure of the family to undertake such responsibilities can lead to ineffective treatment even after a specialist has identified the disorder. Given the slow decline of the nuclear family in Japan, it is important to understand the role of the family in caring for a child with PDD. Also, public recognition of PDD and social support for individuals with the disorder is important. Sentence B: Autism spectrum disorders (ASD) include Autistic Disorder, Asperger's Disorder and Pervasive Developmental Disorder Not Otherwise Specified (PDD-NOS). Irritability related to ASD has been treated with antipsychotics. Aripiprazole, a third generation atypical antipsychotic, is a relatively new drug that has a unique mechanism of action different from other antipsychotics. ###Answer 1. Changed Reasoning: In Sentence A, the term ""Asperger"" is used to describe a specific type of pervasive developmental disorder (PDD). The sentence highlights the unique characteristics of the disorder, such as ""strange behavior beyond ordinary comprehension"" and ""impairment in social interaction."" However, in Sentence B, the term ""Asperger's Disorder"" is not used and instead the sentence refers to ""Autism spectrum disorders"" (ASD), which includes Asperger's Disorder as well as other forms of PDD. This suggests that the term ""Asperger"" has lost some of its specificity and is now included under a broader category of autism spectrum disorders. Therefore, semantic drift has occurred in the meaning of the term ""Asperger.""" 2,Asperger,"The study examined developmental changes in autistic symptoms retrospectively in a sample of 28 verbal children and adolescents with autism. Individuals with Asperger syndrome, PDD-NOS, and related medical conditions were not included in the study. We compared autistic symptoms present at the retrospective assessment and during the 4- to 5-year age period using the ADI-R. Our findings revealed a significant improvement in the three domains relevant for the diagnosis of autism, independent of age or IQ level. Improvement occurred in more symptoms from the social than the communication domain, and for more symptoms from the latter than the restricted interest and repetitive behavior domains. The finding that improvement was not linked to level of functioning and was found in individuals still positive for a diagnosis of autism suggests that improvement belongs to the 'natural history' of the handicap.","According to the DSM-IV, the autism diagnosis always has priority over the Asperger syndrome (AS). If a patient meets the criteria for autism, the diagnosis of AS is ruled out. However, since Lona Wing reexamined Asperger's original description and noted the similarities between autism and AS, whether autism, especially high-functioning autism (HFA), and AS were the same disorder or not has been controversial. There is no reason why we distinguish HFA from AS with regard to general intervention and social and communication skill training. From a view point of clinical features, cognitive neurophychology and neurobiology, the differentiation between HFA and AS is not clear. There are few reports on outcome in HFA and AS. Whereas, it is suggested that HFA and AS may be different in social problems such as suicide attempt. Researches on the differentiation between HFA and AS are to be needed in future.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Asperger Sentence A: The study examined developmental changes in autistic symptoms retrospectively in a sample of 28 verbal children and adolescents with autism. Individuals with Asperger syndrome, PDD-NOS, and related medical conditions were not included in the study. We compared autistic symptoms present at the retrospective assessment and during the 4- to 5-year age period using the ADI-R. Our findings revealed a significant improvement in the three domains relevant for the diagnosis of autism, independent of age or IQ level. Improvement occurred in more symptoms from the social than the communication domain, and for more symptoms from the latter than the restricted interest and repetitive behavior domains. The finding that improvement was not linked to level of functioning and was found in individuals still positive for a diagnosis of autism suggests that improvement belongs to the 'natural history' of the handicap. Sentence B: According to the DSM-IV, the autism diagnosis always has priority over the Asperger syndrome (AS). If a patient meets the criteria for autism, the diagnosis of AS is ruled out. However, since Lona Wing reexamined Asperger's original description and noted the similarities between autism and AS, whether autism, especially high-functioning autism (HFA), and AS were the same disorder or not has been controversial. There is no reason why we distinguish HFA from AS with regard to general intervention and social and communication skill training. From a view point of clinical features, cognitive neurophychology and neurobiology, the differentiation between HFA and AS is not clear. There are few reports on outcome in HFA and AS. Whereas, it is suggested that HFA and AS may be different in social problems such as suicide attempt. Researches on the differentiation between HFA and AS are to be needed in future. ###Answer 1. Changed Explanation: In Sentence A, the term ""Asperger"" is used to describe a specific condition (Asperger syndrome) that is distinct from autism. The sentence emphasizes that individuals with Asperger syndrome were not included in the study, suggesting that the term was used to refer to a specific subtype of autism characterized by verbal skills and a lack of significant cognitive impairment. In Sentence B, the term ""Asperger"" is used differently, as part of a larger discussion about the distinction between autism and Asperger syndrome. The sentence suggests that the term ""Asperger"" may be used interchangeably with ""autism,"" and that there is little distinction between the two terms from a clinical or neurobiological perspective. Based on these differences in usage, it appears that the meaning of ""Asperger"" has shifted significantly between the two sentences. In Sentence A, the term is used to refer to a specific subtype of autism, while in Sentence B, it is used more broadly to refer to the entire autism spectrum. Therefore, I have labeled the term ""Asperger"" as having undergone semantic drift." 3,Asperger,"It has been hypothesized that social developmental disorders (SDD) like autism, Asperger's disorder and the social-emotional processing disorder may be associated with prosopagnosic-like deficits in face recognition. We studied the ability to recognize famous faces in 24 adults with a variety of SDD diagnoses. We also measured their ability to discriminate changes in internal facial configuration, a perceptual function that is important in face recognition, and their imagery for famous faces, an index of their facial memory stores. We contrasted their performance with both healthy subjects and prosopagnosic patients. We also performed a cluster analysis of the SDD patients. One group of eight SDD subjects performed normally on all tests of face perception and recognition. The other 16 subjects were impaired in recognition, though most were better than prosopagnosic patients. One impaired SDD subgroup had poor perception of facial structure but relatively preserved imagery, resembling prosopagnosic patients with medial occipitotemporal lesions. Another subgroup had better perception than imagery, resembling one prosopagnosic with bilateral anterior temporal lesions. Overall, SDD subgroup membership by face recognition did not correlate with a particular SDD diagnosis or subjective ratings of social impairment. We conclude that the social disturbance in SDD does not invariably lead to impaired face recognition. Abnormal face recognition in some SDD subjects is related to impaired perception of facial structure in a manner suggestive of occipitotemporal dysfunction. Heterogeneity in the perceptual processing of faces may imply pathogenetic heterogeneity, with important implications for genetic and rehabilitative studies of SDD.","Literature on Asperger's syndrome (AS) has mainly described symptoms that are manifested in boys. Only recently, attention has been paid on the features in AS girls that differ from the typical clinical picture and may complicate the detection of the syndrome. Because AS girls may react passively in general or compensate or hide their difficulties by other abilities, the need for support is not necessarily brought up. In that case this developmental disorder easily remains unrecognized. Recognition of the syndrome at an early stage makes early supportive actions possible.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Asperger Sentence A: It has been hypothesized that social developmental disorders (SDD) like autism, Asperger's disorder and the social-emotional processing disorder may be associated with prosopagnosic-like deficits in face recognition. We studied the ability to recognize famous faces in 24 adults with a variety of SDD diagnoses. We also measured their ability to discriminate changes in internal facial configuration, a perceptual function that is important in face recognition, and their imagery for famous faces, an index of their facial memory stores. We contrasted their performance with both healthy subjects and prosopagnosic patients. We also performed a cluster analysis of the SDD patients. One group of eight SDD subjects performed normally on all tests of face perception and recognition. The other 16 subjects were impaired in recognition, though most were better than prosopagnosic patients. One impaired SDD subgroup had poor perception of facial structure but relatively preserved imagery, resembling prosopagnosic patients with medial occipitotemporal lesions. Another subgroup had better perception than imagery, resembling one prosopagnosic with bilateral anterior temporal lesions. Overall, SDD subgroup membership by face recognition did not correlate with a particular SDD diagnosis or subjective ratings of social impairment. We conclude that the social disturbance in SDD does not invariably lead to impaired face recognition. Abnormal face recognition in some SDD subjects is related to impaired perception of facial structure in a manner suggestive of occipitotemporal dysfunction. Heterogeneity in the perceptual processing of faces may imply pathogenetic heterogeneity, with important implications for genetic and rehabilitative studies of SDD. Sentence B: Literature on Asperger's syndrome (AS) has mainly described symptoms that are manifested in boys. Only recently, attention has been paid on the features in AS girls that differ from the typical clinical picture and may complicate the detection of the syndrome. Because AS girls may react passively in general or compensate or hide their difficulties by other abilities, the need for support is not necessarily brought up. In that case this developmental disorder easily remains unrecognized. Recognition of the syndrome at an early stage makes early supportive actions possible. ###Answer 1. Changed Reasoning: The target word ""Asperger"" has undergone a significant change in meaning between Sentence A (2000) and Sentence B (2020). In Sentence A, the term is used in the context of a specific diagnosis, ""social developmental disorders,"" and is associated with abnormal face recognition. In Sentence B, the term is used in a more general sense, with no specific diagnosis mentioned, and is associated with the recognition that girls with Asperger's syndrome may present differently than boys. The term's meaning has shifted from a specific diagnosis to a more general term for developmental disorders, indicating semantic drift has occurred." 4,Asperger,"Asperger's syndrome (AS) is a new diagnosis in the 10th edition of International Classification of Diseases (ICD-10). AS is closely related to infantile autism and belongs to the so-called pervasive developmental disorders. The characteristics of the disorder are qualitative abnormalities in reciprocal social interaction, restricted and repetitive patterns of behaviour and interests and often motor clumsiness and problems with nonverbal and social aspects of communication. The sex ratio is about eight boys to one girl and the prevalence among schoolage boys is about 0.3%. The abnormalities normally persist into adulthood. Early diagnosis and a combination of social, educational and psychiatric interventions are necessary to relieve the stress on the person with AS and his family. Differential diagnoses and assessment are discussed.","This follow-up study evaluated cognitive and language development in Asperger's disorder (AD) patients diagnosed at the age of 5 to 6 years, with initial complaints of delays in motor or language development in infancy. We evaluated 12 patients (10 males and 2 females) using two intelligence tests:Kyoto Scale of Psychological Development 2001 (K-scale) for those under 6 years, and WISC-III for those over 5-6 years. The cognitive-adaptive area (C-A) of the former test was compared to the performance IQ (PIQ) of the latter test, and the language-social area (L-S) of the former to verbal IQ (VIQ) of the latter. The mean age at the first examination was 3.2 years (range:2.1-4.6 years), and the average age at follow-up was 7.7 years (range:5.3-12.3 years). The average length of follow-up from the initial visit was 5.6 years (range:3.3-8.6 years). During follow-up, the PIQ, VIQ and full scale DQ or IQ (F-DQ/IQ) improved with age. Average scores of the 12 patients at the first examination and last follow-up evaluated by K-scale were:C-A:70.6 (first) and 84.5 (last), L-S:64.8 (first) and 85.8 (last), and F-DQ:68.5 (first) and 84.8 (last). Compared to those with AD, 12 autistic patients with the Kanner type (10 males and 2 females) who visited our clinic during almost the same period, and belonged to almost the same age group, showed average scores at the first examination and last follow-up of:C-A: 61.9 (first) and43.3 (last), L-S:43.0 (first) and43.4 (last), and F-DQ:60.2 (first) and44.5 (last). From these observations, it is apparent that AD patients also showed language delay during infancy, but they improved rapidly between the ages of 4-6 years. This developmental spurt was not seen in autistic patients with the Kanner type.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Asperger Sentence A: Asperger's syndrome (AS) is a new diagnosis in the 10th edition of International Classification of Diseases (ICD-10). AS is closely related to infantile autism and belongs to the so-called pervasive developmental disorders. The characteristics of the disorder are qualitative abnormalities in reciprocal social interaction, restricted and repetitive patterns of behaviour and interests and often motor clumsiness and problems with nonverbal and social aspects of communication. The sex ratio is about eight boys to one girl and the prevalence among schoolage boys is about 0.3%. The abnormalities normally persist into adulthood. Early diagnosis and a combination of social, educational and psychiatric interventions are necessary to relieve the stress on the person with AS and his family. Differential diagnoses and assessment are discussed. Sentence B: This follow-up study evaluated cognitive and language development in Asperger's disorder (AD) patients diagnosed at the age of 5 to 6 years, with initial complaints of delays in motor or language development in infancy. We evaluated 12 patients (10 males and 2 females) using two intelligence tests:Kyoto Scale of Psychological Development 2001 (K-scale) for those under 6 years, and WISC-III for those over 5-6 years. The cognitive-adaptive area (C-A) of the former test was compared to the performance IQ (PIQ) of the latter test, and the language-social area (L-S) of the former to verbal IQ (VIQ) of the latter. The mean age at the first examination was 3.2 years (range:2.1-4.6 years), and the average age at follow-up was 7.7 years (range:5.3-12.3 years). The average length of follow-up from the initial visit was 5.6 years (range:3.3-8.6 years). During follow-up, the PIQ, VIQ and full scale DQ or IQ (F-DQ/IQ) improved with age. Average scores of the 12 patients at the first examination and last follow-up evaluated by K-scale were:C-A:70.6 (first) and 84.5 (last), L-S:64.8 (first) and 85.8 (last), and F-DQ:68.5 (first) and 84.8 (last). Compared to those with AD, 12 autistic patients with the Kanner type (10 males and 2 females) who visited our clinic during almost the same period, and belonged to almost the same age group, showed average scores at the first examination and last follow-up of:C-A: 61.9 (first) and43.3 (last), L-S:43.0 (first) and43.4 (last), and F-DQ:60.2 (first) and44.5 (last). From these observations, it is apparent that AD patients also showed language delay during infancy, but they improved rapidly between the ages of 4-6 years. This developmental spurt was not seen in autistic patients with the Kanner type. ###Answer 1. Changed Reasoning: The target word ""Asperger"" has undergone a significant change in meaning between the two sentences. In Sentence A, ""Asperger's syndrome"" is described as a newly diagnosed condition in the 10th edition of International Classification of Diseases (ICD-10), with characteristics including qualitative abnormalities in reciprocal social interaction, restricted and repetitive patterns of behaviour and interests, and motor clumsiness. In contrast, in Sentence B, ""Asperger's disorder"" is described as a condition that showed language delay during infancy, but improved rapidly between the ages of 4-6 years. The term ""Asperger's disorder"" is no longer used in modern psychiatric diagnostics, and the term ""Asperger syndrome"" is now considered to be a milder form of autism spectrum disorder. Therefore, the meaning of the target word has changed significantly between the two sentences." 5,Asperger,"The ability to attribute mental states to others ('theory of mind') pervades normal social interaction and is impaired in autistic individuals. In a previous positron emission tomography scan study of normal volunteers, performing a 'theory of mind' task was associated with activity in left medial prefrontal cortex. We used the same paradigm in five patients with Asperger syndrome, a mild variant of autism with normal intellectual functioning. No task-related activity was found in this region, but normal activity was observed in immediately adjacent areas. This result suggests that a highly circumscribed region of left medial prefrontal cortex is a crucial component of the brain system that underlies the normal understanding of other minds.","This study was designed to determine if ToM abilities of children with autism and Asperger syndrome differentiate into Intrapersonal ToM and Social ToM. A battery of Social and Intrapersonal ToM tasks was administered to 39 children with autism and 34 children with Asperger syndrome. For both groups of children, ToM differentiated and Intrapersonal ToM was stronger than Social ToM. This asymmetry was greater for children with autism, whose Social ToM was especially weak. These results support a differentiated, as opposed to integrated, ToM. Moreover, the findings provide a more thorough understanding of the cognitive abilities associated with autism and Asperger syndrome.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Asperger Sentence A: The ability to attribute mental states to others ('theory of mind') pervades normal social interaction and is impaired in autistic individuals. In a previous positron emission tomography scan study of normal volunteers, performing a 'theory of mind' task was associated with activity in left medial prefrontal cortex. We used the same paradigm in five patients with Asperger syndrome, a mild variant of autism with normal intellectual functioning. No task-related activity was found in this region, but normal activity was observed in immediately adjacent areas. This result suggests that a highly circumscribed region of left medial prefrontal cortex is a crucial component of the brain system that underlies the normal understanding of other minds. Sentence B: This study was designed to determine if ToM abilities of children with autism and Asperger syndrome differentiate into Intrapersonal ToM and Social ToM. A battery of Social and Intrapersonal ToM tasks was administered to 39 children with autism and 34 children with Asperger syndrome. For both groups of children, ToM differentiated and Intrapersonal ToM was stronger than Social ToM. This asymmetry was greater for children with autism, whose Social ToM was especially weak. These results support a differentiated, as opposed to integrated, ToM. Moreover, the findings provide a more thorough understanding of the cognitive abilities associated with autism and Asperger syndrome. ###Answer 1. Changed Explanation: In Sentence A, the term ""Asperger"" is used to describe a specific subset of autism spectrum disorder (ASD) characterized by normal intellectual functioning. The sentence highlights the unique cognitive profile of individuals with Asperger syndrome, including the presence of task-related activity in left medial prefrontal cortex. This usage implies a more specific and technical meaning of the term ""Asperger,"" which is distinct from the broader definition of autism spectrum disorder. In Sentence B, the term ""Asperger"" is used more broadly to describe children with autism and Asperger syndrome, without any distinction between the two conditions. The sentence highlights the differentiated nature of ToM abilities between children with autism and Asperger syndrome, without any mention of the technical meaning of ""Asperger"" in Sentence A. This usage implies a more general and inclusive meaning of the term ""Asperger,"" which is similar to the broader definition of autism spectrum disorder. Based on these differences in usage, it can be concluded that the term ""Asperger"" has undergone semantic drift, with a shift from a more specific and technical meaning in Sentence A to a more general and inclusive meaning in Sentence B. Therefore, the label ""Changed"" is appropriate." 6,Asperger,"Details are given of a new advanced theory of mind task, developed to approximate the demands of real-life mentalizing in able individuals with autism. Excerpts of films showing characters in social situations were presented, with participants required to answer questions on characters' mental states and on control, nonsocial questions. When compared with control participants, adults with high-functioning autism and Asperger syndrome were most impaired in their ability to answer the questions requiring mind-reading ability. Although the present findings have implications for task modification, such naturalistic, dynamic stimuli are held to offer an important means of studying subtle difficulties in mentalistic understanding.","Autistic Spectrum Disorder (ASD), including Asperger syndrome and autism, is a highly genetic neurodevelopmental disorder. There is a consensus that ASD has a biological basis, and it has been proposed that it is a ""connectivity"" disorder. Diffusion Tensor Magnetic Resonance Imaging (DT-MRI) allows measurement of the microstructural integrity of white matter (a proxy measure of ""connectivity""). However, nobody has investigated the microstructural integrity of whole brain white matter in people with Asperger syndrome.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Asperger Sentence A: Details are given of a new advanced theory of mind task, developed to approximate the demands of real-life mentalizing in able individuals with autism. Excerpts of films showing characters in social situations were presented, with participants required to answer questions on characters' mental states and on control, nonsocial questions. When compared with control participants, adults with high-functioning autism and Asperger syndrome were most impaired in their ability to answer the questions requiring mind-reading ability. Although the present findings have implications for task modification, such naturalistic, dynamic stimuli are held to offer an important means of studying subtle difficulties in mentalistic understanding. Sentence B: Autistic Spectrum Disorder (ASD), including Asperger syndrome and autism, is a highly genetic neurodevelopmental disorder. There is a consensus that ASD has a biological basis, and it has been proposed that it is a ""connectivity"" disorder. Diffusion Tensor Magnetic Resonance Imaging (DT-MRI) allows measurement of the microstructural integrity of white matter (a proxy measure of ""connectivity""). However, nobody has investigated the microstructural integrity of whole brain white matter in people with Asperger syndrome. ###Answer 1. Changed Reasoning: In Sentence A, the term ""Asperger"" is used in the context of a specific syndrome or condition, with a focus on the individual's ability to perform a task. The term is used in relation to individuals with autism and high-functioning autism. In this context, the term ""Asperger"" carries a specific meaning related to the individual's cognitive and social abilities. In Sentence B, the term ""Asperger"" is used in a different context, as part of a broader term (""Autistic Spectrum Disorder"") to describe a neurodevelopmental disorder. The term is used in relation to a group of individuals, rather than specific individuals. In this context, the term ""Asperger"" does not carry the same specific meaning related to cognitive and social abilities as it did in Sentence A. Therefore, semantic drift has occurred in the meaning of the term ""Asperger"" between Sentence A and Sentence B, as the term has shifted from being used in a specific context related to individual cognitive and social abilities to being used in a broader context related to a group of individuals with a neurodevelopmental disorder." 7,Asperger,"To study the personality characteristics of adults with Asperger syndrome, and investigate the value of self-rating personality inventories, we administered the Temperament and Character Inventory (TCI) to 31 outpatients with Asperger syndrome. The TCI is a self-rating personality inventory that has been validated in the Swedish general population. The results were compared with age- and sex-matched norm groups. Participants with Asperger syndrome scored significantly higher on harm avoidance and lower on self-directedness and cooperativeness. Reward dependence and novelty seeking tended to be low. They also had significantly higher rarity scores, reflecting idiosyncratic perspectives. The most common temperament configurations were 'obsessional', 'passive-dependent' and'explosive'. Character, reflecting conceptual maturity, was poorly developed in the majority of our subjects. The self-ratings of persons with Asperger syndrome thus indicated anxious personalities with coping difficulties in the areas of social interaction and self-directedness, a picture corresponding to the clinical descriptions of Asperger syndrome.","The aim of the study was to validate the German version of the Australian Scale for Asperger's Syndrome (ASAS). Furthermore, the scoring of the ASAS as applied by the Australian authors was verified.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Asperger Sentence A: To study the personality characteristics of adults with Asperger syndrome, and investigate the value of self-rating personality inventories, we administered the Temperament and Character Inventory (TCI) to 31 outpatients with Asperger syndrome. The TCI is a self-rating personality inventory that has been validated in the Swedish general population. The results were compared with age- and sex-matched norm groups. Participants with Asperger syndrome scored significantly higher on harm avoidance and lower on self-directedness and cooperativeness. Reward dependence and novelty seeking tended to be low. They also had significantly higher rarity scores, reflecting idiosyncratic perspectives. The most common temperament configurations were 'obsessional', 'passive-dependent' and'explosive'. Character, reflecting conceptual maturity, was poorly developed in the majority of our subjects. The self-ratings of persons with Asperger syndrome thus indicated anxious personalities with coping difficulties in the areas of social interaction and self-directedness, a picture corresponding to the clinical descriptions of Asperger syndrome. Sentence B: The aim of the study was to validate the German version of the Australian Scale for Asperger's Syndrome (ASAS). Furthermore, the scoring of the ASAS as applied by the Australian authors was verified. ###Answer 1. Changed Explanation: In Sentence A, the term ""Asperger syndrome"" is used to describe a condition characterized by anxious personalities with coping difficulties in social interaction and self-directedness. The term is used in the context of a psychological study investigating the personality characteristics of individuals with the condition. In Sentence B, the term ""Asperger's Syndrome"" is used to refer to the German version of the Australian Scale for Asperger's Syndrome, which is a diagnostic tool used to identify individuals with the condition. In this context, the term is used in a different way than in Sentence A, and does not convey the same meaning or connotation. Therefore, semantic drift has occurred in the meaning of the term ""Asperger"" between Sentence A and Sentence B." 8,Asperger,"Eighty children, 3-17 years of age, with autism or Asperger syndrome and mild to severe distress in the presence of some sounds, were randomly allocated to two groups. The experimental group received auditory training and the control group listened to the same unmodified music under the same conditions. Significant improvements in behavior and severity of autism were maintained for 12 months by both groups. Informal data suggested that a range of abnormal responses to sound and other sensory abnormalities may also have improved. Verbal and performance IQ increased significantly 3 to 12 months after interventions. Findings suggest that some aspect of both auditory training and listening to selected unmodified music may have a beneficial effect on children with autism and sound sensitivity, and indicate a need for further research into the effects that led to these changes and the mechanisms involved in the sensory abnormalities commonly associated with autism.","Motor dysfunction is common to both autism and Asperger syndrome, but the underlying neurophysiological impairments are unclear. Neurophysiological examinations of motor dysfunction can provide information about likely sites of functional impairment and can contribute to the debate about whether autism and Asperger syndrome are variants of the same disorder or fundamentally distinct neurodevelopmental conditions. We investigated the neurophysiology of internally determined motor activity in autism and Asperger syndrome via examination of movement-related potentials (MRPs).","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Asperger Sentence A: Eighty children, 3-17 years of age, with autism or Asperger syndrome and mild to severe distress in the presence of some sounds, were randomly allocated to two groups. The experimental group received auditory training and the control group listened to the same unmodified music under the same conditions. Significant improvements in behavior and severity of autism were maintained for 12 months by both groups. Informal data suggested that a range of abnormal responses to sound and other sensory abnormalities may also have improved. Verbal and performance IQ increased significantly 3 to 12 months after interventions. Findings suggest that some aspect of both auditory training and listening to selected unmodified music may have a beneficial effect on children with autism and sound sensitivity, and indicate a need for further research into the effects that led to these changes and the mechanisms involved in the sensory abnormalities commonly associated with autism. Sentence B: Motor dysfunction is common to both autism and Asperger syndrome, but the underlying neurophysiological impairments are unclear. Neurophysiological examinations of motor dysfunction can provide information about likely sites of functional impairment and can contribute to the debate about whether autism and Asperger syndrome are variants of the same disorder or fundamentally distinct neurodevelopmental conditions. We investigated the neurophysiology of internally determined motor activity in autism and Asperger syndrome via examination of movement-related potentials (MRPs). ###Answer 1. Changed Explanation: In Sentence A, the term ""Asperger"" is used to describe a specific group of children with autism or Asperger syndrome. The sentence suggests that the term ""Asperger"" was used interchangeably with ""autism"" in the past, and that the study was focused on a specific subset of children with autism spectrum disorder. However, in Sentence B, the term ""Asperger syndrome"" is used in a more specific context, referring to a distinct neurodevelopmental disorder with underlying neurophysiological impairments. This suggests that the term ""Asperger"" has undergone a shift in meaning or connotation over time, with the term now being used to describe a more specific and distinct condition. Therefore, the label ""Changed"" is appropriate for this task." 9,Asperger,"Autism is heterogeneous with respect to clinical symptoms and etiology. To sort out this heterogeneity in autism, we investigated whether specific neurobiological markers vary in parallel to core symptomatology. Specifically, we assessed growth hormone response to the 5-HT 1d agonist, sumatriptan, and linked this measure of serotonergic function to the severity of repetitive behaviors in adult autistic patients. Eleven adult patients with autism or Asperger's disorder were randomized to single dose sumatriptan (6 mg SQ) and placebo challenges, separated by a one-week interval. In adult autistic disorders, severity of repetitive behaviors at baseline, as measured by YBOCS-compulsion score, significantly positively correlated with both peak delta growth hormone response and area under the curve growth hormone response to sumatriptan. Thus, the severity of a specific behavioral dimension in autism (repetitive behaviors) parallels the sensitivity of the 5-HT 1d receptor, as manifest by sumatriptan elicited GH response.","Memory for action is enhanced if individuals are allowed to perform the corresponding movements, compared to when they simply listen to them (enactment effect). Previous studies have shown that individuals with Autism Spectrum Disorders (ASD) have difficulties with processes involving the self, such as autobiographical memories and self performed actions. The present study aimed at assessing memory for action in Asperger Syndrome (AS). We investigated whether adults with AS would benefit from the enactment effect when recalling a list of previously performed items vs. items that were only visually and verbally experienced through three experimental tasks (Free Recall, Old/New Recognition and Source Memory). The results showed that while performance on Recognition and Source Memory tasks was preserved in individuals with AS, the enactment effect for self-performed actions was not consistently present, as revealed by the lower number of performed actions being recalled on the Free Recall test, as compared to adults with typical development. Subtle difficulties in encoding specific motor and proprioceptive signals during action execution in individuals with AS might affect retrieval of relevant personal episodic information. These disturbances might be associated to an impaired action monitoring system.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Asperger Sentence A: Autism is heterogeneous with respect to clinical symptoms and etiology. To sort out this heterogeneity in autism, we investigated whether specific neurobiological markers vary in parallel to core symptomatology. Specifically, we assessed growth hormone response to the 5-HT 1d agonist, sumatriptan, and linked this measure of serotonergic function to the severity of repetitive behaviors in adult autistic patients. Eleven adult patients with autism or Asperger's disorder were randomized to single dose sumatriptan (6 mg SQ) and placebo challenges, separated by a one-week interval. In adult autistic disorders, severity of repetitive behaviors at baseline, as measured by YBOCS-compulsion score, significantly positively correlated with both peak delta growth hormone response and area under the curve growth hormone response to sumatriptan. Thus, the severity of a specific behavioral dimension in autism (repetitive behaviors) parallels the sensitivity of the 5-HT 1d receptor, as manifest by sumatriptan elicited GH response. Sentence B: Memory for action is enhanced if individuals are allowed to perform the corresponding movements, compared to when they simply listen to them (enactment effect). Previous studies have shown that individuals with Autism Spectrum Disorders (ASD) have difficulties with processes involving the self, such as autobiographical memories and self performed actions. The present study aimed at assessing memory for action in Asperger Syndrome (AS). We investigated whether adults with AS would benefit from the enactment effect when recalling a list of previously performed items vs. items that were only visually and verbally experienced through three experimental tasks (Free Recall, Old/New Recognition and Source Memory). The results showed that while performance on Recognition and Source Memory tasks was preserved in individuals with AS, the enactment effect for self-performed actions was not consistently present, as revealed by the lower number of performed actions being recalled on the Free Recall test, as compared to adults with typical development. Subtle difficulties in encoding specific motor and proprioceptive signals during action execution in individuals with AS might affect retrieval of relevant personal episodic information. These disturbances might be associated to an impaired action monitoring system. ###Answer 1. Changed Reasoning: In Sentence A, the term ""Asperger"" is used to describe a specific disorder (Asperger's disorder) and is associated with symptoms of autism. In Sentence B, the term ""Asperger Syndrome"" is used to describe a subtype of Autism Spectrum Disorders (ASD). The shift in terminology suggests that the meaning of the term ""Asperger"" has changed over time, and it is now associated with a broader range of symptoms and disorders. Therefore, semantic drift has occurred." 10,Asperger,"The study explores the common clinical impression and previously reported finding by Hebebrand et al. (7) of reduced body weight in male children and adolescents with Asperger's disorder (AD). Body weight and height of 36 consecutively admitted male patients with AD were retrospectively assessed for the calculation of body mass indices (BMI, kg/m2). The BMIs were transformed to percentile ranks and plotted into BMI-centiles representative for the German population. In addition, comorbid psychopathology was assessed to explore a possible relationship between associated psychopathology and body weight. The mean BMI-centile of all patients was 34.7 +/- 31.8 and, thus, differed significantly from the mean centile of an age- and gender-matched psychiatric control group, which was 52.7 +/- 28.3. Thirteen patients had a BMI below the 10th centile and five even below the third. Three of the latter presented with disturbed eating behaviour. Altogether four patients showed disturbed eating behaviour. They had a significantly lower mean BMI-centile than the rest of the group. The BMI-centiles of patients with other additional psychopathology did not differ significantly from the mean percentile of the whole cohort. The results clearly show an increased risk for underweight and disturbed eating behaviour in patients with Asperger's disorder which should be evaluated in further studies.","A number of studies have reported that parents of autistic children face higher levels of stress, but few studies examined the stress associated with the home care of children with pervasive developmental disorders (PDD) other than autistic disorder. The aims of the present study were therefore to (i) evaluate the emotional stress level of parents caring for their children with PDD; and (ii) explore the correlates of their emotional stress. Participants were 147 families (147 mothers and 122 fathers) of 158 children with PDD (42 with autistic disorder, 35 with Asperger's disorder and 81 with PDD not otherwise specified). K6 was used to measure the stress level of the parents. Marital relationships and personality were assessed with the Intimate Bond Measure and the NEO Five-Factor Inventory, respectively. The parents also rated the characteristics of their children with PDD through the Pervasive Developmental Disorder-Autism Society Japan Rating Scale (PARS). The mean K6 score of the mothers was significantly higher than that of the women in the general population in Japan. Stepwise multiple regression indicated that the emotional stress of the mothers was correlated with the personality traits of Neuroticism and Agreeableness, perceived Control by the husband, and the children's PARS score. Clinicians can deliver better service by paying appropriate attention to the emotional distress of mothers of children with not only autistic disorder but also other PDD.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Asperger Sentence A: The study explores the common clinical impression and previously reported finding by Hebebrand et al. (7) of reduced body weight in male children and adolescents with Asperger's disorder (AD). Body weight and height of 36 consecutively admitted male patients with AD were retrospectively assessed for the calculation of body mass indices (BMI, kg/m2). The BMIs were transformed to percentile ranks and plotted into BMI-centiles representative for the German population. In addition, comorbid psychopathology was assessed to explore a possible relationship between associated psychopathology and body weight. The mean BMI-centile of all patients was 34.7 +/- 31.8 and, thus, differed significantly from the mean centile of an age- and gender-matched psychiatric control group, which was 52.7 +/- 28.3. Thirteen patients had a BMI below the 10th centile and five even below the third. Three of the latter presented with disturbed eating behaviour. Altogether four patients showed disturbed eating behaviour. They had a significantly lower mean BMI-centile than the rest of the group. The BMI-centiles of patients with other additional psychopathology did not differ significantly from the mean percentile of the whole cohort. The results clearly show an increased risk for underweight and disturbed eating behaviour in patients with Asperger's disorder which should be evaluated in further studies. Sentence B: A number of studies have reported that parents of autistic children face higher levels of stress, but few studies examined the stress associated with the home care of children with pervasive developmental disorders (PDD) other than autistic disorder. The aims of the present study were therefore to (i) evaluate the emotional stress level of parents caring for their children with PDD; and (ii) explore the correlates of their emotional stress. Participants were 147 families (147 mothers and 122 fathers) of 158 children with PDD (42 with autistic disorder, 35 with Asperger's disorder and 81 with PDD not otherwise specified). K6 was used to measure the stress level of the parents. Marital relationships and personality were assessed with the Intimate Bond Measure and the NEO Five-Factor Inventory, respectively. The parents also rated the characteristics of their children with PDD through the Pervasive Developmental Disorder-Autism Society Japan Rating Scale (PARS). The mean K6 score of the mothers was significantly higher than that of the women in the general population in Japan. Stepwise multiple regression indicated that the emotional stress of the mothers was correlated with the personality traits of Neuroticism and Agreeableness, perceived Control by the husband, and the children's PARS score. Clinicians can deliver better service by paying appropriate attention to the emotional distress of mothers of children with not only autistic disorder but also other PDD. ###Answer 1. Changed Reasoning: In Sentence A, the term ""Asperger's disorder"" is used, which was the term used in the early 2000s to refer to what is now known as autism spectrum disorder (ASD). This suggests that the term ""Asperger"" has undergone a significant change in meaning over time, as it is now considered an outdated term. In Sentence B, the term ""Pervasive Developmental Disorder-Autism Spectrum Disorder"" (PDD-ASD) is used instead of ""Asperger's disorder,"" which reflects the current understanding of the condition as a spectrum disorder rather than a distinct disorder. This shift in terminology indicates that the meaning of the term ""Asperger"" has changed over time. Therefore, the label ""Changed"" is appropriate." 11,Asperger,"The literature is reviewed on children variously described as having 'schizoid' personality disorders, Asperger's syndrome, and schizotypal personality disorders, with the aim of clarifying the nature of these clinical syndromes, and in particular the features of those children whose follow-up characteristics are described in the following two papers.","Parental immigration has been suggested as a possible risk factor for autism spectrum disorders (ASD), but findings have been inconsistent. Very few studies have focused specifically on Asperger's syndrome. The aim of this study was to examine the association between maternal and paternal immigration and the diagnosis of Asperger's syndrome in offspring. The study was a nested case-control study based on a national birth cohort in Finland. Children born in 1987-2005 and diagnosed with Asperger's syndrome by the year 2007 were identified from the Finnish Hospital Discharge Register (N = 1,783). Four matched controls for each case were selected from the Finnish Medical Birth Register (N = 7,106). Information on maternal and paternal country of birth and mother tongue was collected from the Finnish Central Population Register. The study showed that children whose parents are both immigrants have a significantly lower likelihood of being diagnosed with Asperger's syndrome than those with two Finnish parents [adjusted odds ratio (aOR) 0.2, 95 % confidence interval (CI) 0.1-0.4]. No significant associations were found between having only one immigrant parent and the diagnosis of Asperger's syndrome. A regional analysis showed a significantly decreased likelihood of the diagnosis of Asperger's syndrome in children whose mother (aOR 0.1, 95 % CI 0.01-0.5) or father (aOR 0.2, 95 % CI 0.05-0.5) was born in Sub-Saharan Africa. The findings may help in identifying risk factors for different ASD subtypes. On the other hand, they might reflect service use of immigrant families in Finland.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Asperger Sentence A: The literature is reviewed on children variously described as having 'schizoid' personality disorders, Asperger's syndrome, and schizotypal personality disorders, with the aim of clarifying the nature of these clinical syndromes, and in particular the features of those children whose follow-up characteristics are described in the following two papers. Sentence B: Parental immigration has been suggested as a possible risk factor for autism spectrum disorders (ASD), but findings have been inconsistent. Very few studies have focused specifically on Asperger's syndrome. The aim of this study was to examine the association between maternal and paternal immigration and the diagnosis of Asperger's syndrome in offspring. The study was a nested case-control study based on a national birth cohort in Finland. Children born in 1987-2005 and diagnosed with Asperger's syndrome by the year 2007 were identified from the Finnish Hospital Discharge Register (N = 1,783). Four matched controls for each case were selected from the Finnish Medical Birth Register (N = 7,106). Information on maternal and paternal country of birth and mother tongue was collected from the Finnish Central Population Register. The study showed that children whose parents are both immigrants have a significantly lower likelihood of being diagnosed with Asperger's syndrome than those with two Finnish parents [adjusted odds ratio (aOR) 0.2, 95 % confidence interval (CI) 0.1-0.4]. No significant associations were found between having only one immigrant parent and the diagnosis of Asperger's syndrome. A regional analysis showed a significantly decreased likelihood of the diagnosis of Asperger's syndrome in children whose mother (aOR 0.1, 95 % CI 0.01-0.5) or father (aOR 0.2, 95 % CI 0.05-0.5) was born in Sub-Saharan Africa. The findings may help in identifying risk factors for different ASD subtypes. On the other hand, they might reflect service use of immigrant families in Finland. ###Answer 1. Changed Reasoning: The target word ""Asperger"" has undergone significant semantic drift between the two sentences. In Sentence A, the term is used to describe children with various personality disorders, including Asperger's syndrome. However, in Sentence B, the term is used specifically to refer to children with autism spectrum disorder (ASD). This shift in meaning suggests that the term ""Asperger"" has undergone semantic drift, and its meaning has changed over time." 12,Asperger,To determine what clinical symptoms clinicians have been using to distinguish between Asperger's disorder (AsD) and autistic disorder (AD).,"Functional neurological disorders (FNDs) and autism spectrum disorders (ASDs) share common features in terms of deficits in emotion regulation and recognition, sensory sensitivity, proprioception and interoception. Nevertheless, few studies have assessed their overlap. We recruited 21 patients with FNDs, 30 individuals with ASDs without intellectual disabilities and 45 neurotypical adults (NA). Participants completed: the Autism Quotient (AQ); the Ritvo Autism Asperger Diagnostic Scale-Revised (RAADS-R); and a questionnaire assessing functional neurological symptoms (FNS). ASDs participants also completed the Sensory Perception Quotient-Short Form (SPQ-SF35), assessing sensory sensitivity. In the FNDs sample, no patient scored above the clinical cut-off at the AQ and the 19% scored above the cut-off at the RAADS-R, a prevalence similar to the one we found in NA (15.6%; both p > 0.05). The 86.7% of participants with ASDs reported at least one FNS, a prevalence significantly higher than the NA one (35.6%, p < 0.001). In the ASDs sample, tactile hypersensitivity was found to be a risk factor for functional weakness (OR = 0.74, p = 0.033) and paraesthesia (OR = 0.753, p = 0.019). In conclusions, FNDs individuals did not present autistic traits more than NA, but ASDs individuals presented a higher number of FNSs than NA; this rate was associated with higher sensory sensitivity, especially in the touch domain.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Asperger Sentence A: To determine what clinical symptoms clinicians have been using to distinguish between Asperger's disorder (AsD) and autistic disorder (AD). Sentence B: Functional neurological disorders (FNDs) and autism spectrum disorders (ASDs) share common features in terms of deficits in emotion regulation and recognition, sensory sensitivity, proprioception and interoception. Nevertheless, few studies have assessed their overlap. We recruited 21 patients with FNDs, 30 individuals with ASDs without intellectual disabilities and 45 neurotypical adults (NA). Participants completed: the Autism Quotient (AQ); the Ritvo Autism Asperger Diagnostic Scale-Revised (RAADS-R); and a questionnaire assessing functional neurological symptoms (FNS). ASDs participants also completed the Sensory Perception Quotient-Short Form (SPQ-SF35), assessing sensory sensitivity. In the FNDs sample, no patient scored above the clinical cut-off at the AQ and the 19% scored above the cut-off at the RAADS-R, a prevalence similar to the one we found in NA (15.6%; both p > 0.05). The 86.7% of participants with ASDs reported at least one FNS, a prevalence significantly higher than the NA one (35.6%, p < 0.001). In the ASDs sample, tactile hypersensitivity was found to be a risk factor for functional weakness (OR = 0.74, p = 0.033) and paraesthesia (OR = 0.753, p = 0.019). In conclusions, FNDs individuals did not present autistic traits more than NA, but ASDs individuals presented a higher number of FNSs than NA; this rate was associated with higher sensory sensitivity, especially in the touch domain. ###Answer 1. Changed Reasoning: The target word ""Asperger"" has undergone a significant change in meaning between the two sentences. In Sentence A, ""Asperger"" is used to describe a specific clinical disorder, specifically Asperger's disorder (AsD). In Sentence B, ""Asperger"" is used more broadly to refer to a range of autism spectrum disorders (ASDs), including those without intellectual disabilities. This shift in meaning indicates that the term ""Asperger"" has undergone semantic drift." 13,Asperger,"The majority of children with autism show deviance and socially or psychiatrically handicapping conditions throughout life. Only a small proportion of those with classical childhood autism lead independent adult lives. Others, particularly those with 'high-functioning' autism and so-called Asperger syndrome will improve enough to live an independent adult life. The level of mental retardation and other comorbid conditions (such as medical syndromes and other neuropsychiatric disorders, including epilepsy) is important in predicting outcome. An IQ below 50 around school age predicts severe restriction of social and adaptive functioning in adult life. The absence of communicative speech at 5-6 years of age is indicative of a poorer long-term overall outcome. There is a clear co-variation between IQ and level of communication, but probably there is some prognostic factor in language development apart from this. Measures of flexibility and cognitive shifting abilities tend to be good predictors of social outcome in a few studies. There is a continued need for prospective, longitudinal studies of children with autism spectrum disorders, particularly in Asperger syndrome. The role of interventions of various kinds needs to be addressed in such studies.","Patients with Asperger syndrome are often diagnosed late or are wrongly considered to have schizophrenia. Misdiagnosing Asperger syndrome creates serious problems by preventing effective therapy. Several clinical signs described in Asperger syndrome could also be considered as clinical signs of schizophrenia, including impaired social interactions, disabilities in communication, restricted interests, and delusions of persecution. A number of clinical features may facilitate the differential diagnosis: younger age at onset, family history of pervasive developmental disorder, recurring conversations on the same topic, pragmatic aspects of language use, oddities of intonation and pitch, lack of imagination, and incomprehension of social rules are more characteristic of Asperger syndrome. Accurate distinction between Asperger syndrome and schizophrenia would make it possible to offer more treatment appropriate to the patient's functioning.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Asperger Sentence A: The majority of children with autism show deviance and socially or psychiatrically handicapping conditions throughout life. Only a small proportion of those with classical childhood autism lead independent adult lives. Others, particularly those with 'high-functioning' autism and so-called Asperger syndrome will improve enough to live an independent adult life. The level of mental retardation and other comorbid conditions (such as medical syndromes and other neuropsychiatric disorders, including epilepsy) is important in predicting outcome. An IQ below 50 around school age predicts severe restriction of social and adaptive functioning in adult life. The absence of communicative speech at 5-6 years of age is indicative of a poorer long-term overall outcome. There is a clear co-variation between IQ and level of communication, but probably there is some prognostic factor in language development apart from this. Measures of flexibility and cognitive shifting abilities tend to be good predictors of social outcome in a few studies. There is a continued need for prospective, longitudinal studies of children with autism spectrum disorders, particularly in Asperger syndrome. The role of interventions of various kinds needs to be addressed in such studies. Sentence B: Patients with Asperger syndrome are often diagnosed late or are wrongly considered to have schizophrenia. Misdiagnosing Asperger syndrome creates serious problems by preventing effective therapy. Several clinical signs described in Asperger syndrome could also be considered as clinical signs of schizophrenia, including impaired social interactions, disabilities in communication, restricted interests, and delusions of persecution. A number of clinical features may facilitate the differential diagnosis: younger age at onset, family history of pervasive developmental disorder, recurring conversations on the same topic, pragmatic aspects of language use, oddities of intonation and pitch, lack of imagination, and incomprehension of social rules are more characteristic of Asperger syndrome. Accurate distinction between Asperger syndrome and schizophrenia would make it possible to offer more treatment appropriate to the patient's functioning. ###Answer 1. Changed Reasoning: The target word ""Asperger"" has undergone a significant change in meaning between Sentence A (2000) and Sentence B (2020). In Sentence A, ""Asperger syndrome"" is used to describe a specific subset of children with autism spectrum disorder, characterized by impaired social interactions, communication disabilities, and restricted interests. However, in Sentence B, ""Asperger syndrome"" is used interchangeably with ""schizophrenia,"" suggesting that the two conditions are similar or even the same. This shift in meaning indicates semantic drift, and therefore the label ""Changed"" is appropriate." 14,Asperger,"Friendship is an important part of normal social functioning, yet there are precious few instruments for measuring individual differences in this domain. In this article, we report a new self-report questionnaire, the Friendship Questionnaire (FQ), for use with adults of normal intelligence. A high score on the FQ is achieved by the respondent reporting that they enjoy close, empathic, supportive, caring friendships that are important to them; that they like and are interested in people; and that they enjoy interacting with others for its own sake. The FQ has a maximum score of 135 and a minimum of zero. In Study 1, we carried out a study of n = 76 (27 males and 49 females) adults from a general population, to test for previously reported sex differences in friendships. This confirmed that women scored significantly higher than men. In Study 2, we employed the FQ with n = 68 adults (51 males, 17 females) with Asperger Syndrome or high-functioning autism to test the theory that autism is an extreme form of the male brain. The adults with Asperger Syndrome or high-functioning autism scored significantly lower on the FQ than both the male and female controls from Study 1. The FQ thus reveals both a sex difference in the style of friendship in the general population, and provides support for the extreme male brain theory of autism.","Pervasive developmental disorder-not otherwise specified (PDD-NOS) is the most common and least satisfactory of the PDD diagnoses. It is not formally operationalized, which limits its reliability and has hampered attempts to assess its validity. We aimed, first, to improve the reliability and replicability of PDD-NOS by operationalizing its DSM-IV-TR description and, second, to test its validity through comparison with autistic disorder (AD) and Asperger's disorder (AsD). In a sample of 256 young people (mean age = 9.1 years) we used Developmental, Diagnostic and Dimensional (3Di) algorithmic analysis to classify DSM-IV-TR AD (n = 97), AsD (n = 93) and PDD-NOS (n = 66). Groups were compared on independent measures of core PDD symptomatology, associated autistic features, and intelligence. Contrary to the assumption that PDD-NOS is heterogeneous, almost all (97%) of those with PDD-NOS had one distinct symptom pattern, namely impairments in social reciprocity and communication, without significant repetitive and stereotyped behaviors (RSB). Compared to AD and AsD, they had comparably severe but more circumscribed social communication difficulties, with fewer non-social features of autism, such as sensory, feeding and visuo-spatial problems. These individuals appear to have a distinct variant of autism that does not merely sit at the less severe end of the same continuum of symptoms. The current draft guidelines for DSM-V, which mandate the presence of RSBs for any PDD diagnosis, would exclude such people from the autistic spectrum.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Asperger Sentence A: Friendship is an important part of normal social functioning, yet there are precious few instruments for measuring individual differences in this domain. In this article, we report a new self-report questionnaire, the Friendship Questionnaire (FQ), for use with adults of normal intelligence. A high score on the FQ is achieved by the respondent reporting that they enjoy close, empathic, supportive, caring friendships that are important to them; that they like and are interested in people; and that they enjoy interacting with others for its own sake. The FQ has a maximum score of 135 and a minimum of zero. In Study 1, we carried out a study of n = 76 (27 males and 49 females) adults from a general population, to test for previously reported sex differences in friendships. This confirmed that women scored significantly higher than men. In Study 2, we employed the FQ with n = 68 adults (51 males, 17 females) with Asperger Syndrome or high-functioning autism to test the theory that autism is an extreme form of the male brain. The adults with Asperger Syndrome or high-functioning autism scored significantly lower on the FQ than both the male and female controls from Study 1. The FQ thus reveals both a sex difference in the style of friendship in the general population, and provides support for the extreme male brain theory of autism. Sentence B: Pervasive developmental disorder-not otherwise specified (PDD-NOS) is the most common and least satisfactory of the PDD diagnoses. It is not formally operationalized, which limits its reliability and has hampered attempts to assess its validity. We aimed, first, to improve the reliability and replicability of PDD-NOS by operationalizing its DSM-IV-TR description and, second, to test its validity through comparison with autistic disorder (AD) and Asperger's disorder (AsD). In a sample of 256 young people (mean age = 9.1 years) we used Developmental, Diagnostic and Dimensional (3Di) algorithmic analysis to classify DSM-IV-TR AD (n = 97), AsD (n = 93) and PDD-NOS (n = 66). Groups were compared on independent measures of core PDD symptomatology, associated autistic features, and intelligence. Contrary to the assumption that PDD-NOS is heterogeneous, almost all (97%) of those with PDD-NOS had one distinct symptom pattern, namely impairments in social reciprocity and communication, without significant repetitive and stereotyped behaviors (RSB). Compared to AD and AsD, they had comparably severe but more circumscribed social communication difficulties, with fewer non-social features of autism, such as sensory, feeding and visuo-spatial problems. These individuals appear to have a distinct variant of autism that does not merely sit at the less severe end of the same continuum of symptoms. The current draft guidelines for DSM-V, which mandate the presence of RSBs for any PDD diagnosis, would exclude such people from the autistic spectrum. ###Answer 1. Changed Reasoning: In Sentence A, the term ""Asperger"" is used to describe a group of individuals with a developmental disorder characterized by impairments in social reciprocity and communication, without significant repetitive and stereotyped behaviors. The term is not accompanied by any negative connotations or associations, and its meaning appears to be consistent with the contemporary understanding of Asperger Syndrome. In Sentence B, the term ""PDD-NOS"" is used to describe a group of individuals with a developmental disorder that is not otherwise specified. The term is used to convey a lack of specificity or clarity in the diagnosis, and its meaning appears to be different from the contemporary understanding of Asperger Syndrome. Specifically, the term ""PDD-NOS"" is associated with a more circumscribed social communication impairment, without significant repetitive and stereotyped behaviors. This difference in meaning suggests that the term ""Asperger"" has undergone semantic drift, as its meaning has shifted to encompass a broader range of symptoms and characteristics. Therefore, the label ""Changed"" is appropriate to indicate that the meaning of the term ""Asperger"" has shifted significantly between the two sentences." 15,Asperger,"This follow-up study reports data on 18 children fulfilling the ICD-10 criteria for childhood autism (n = 9) and Asperger syndrome (n = 9). In connection with the present study the original child psychiatric records were reassessed according to the ICD-10 criteria. The children were followed over a period of 30 years. The mean age at the time of study was 38 years. The results show that in adulthood the autistic patients had a poorer outcome than children with Asperger syndrome as regards education, employment, autonomy, marriage, reproduction and the need for continuing medical and institutional care. Particular attention is given to pharmacotherapy and the relationship between the childhood disorder and psychiatric morbidity in adult life.","NRXN1 is highly expressed in brain and has been shown recently to be associated with ASD, schizophrenia, cognitive and behavioral abnormalities, and alcohol and nicotine dependence. We present three families, in whom we identified intragenic rearrangements within NRXN1 using a clinical targeted oligonucleotide array CGH. An approximately 380 kb deletion was identified in a woman with Asperger syndrome, anxiety, and depression and in all four of her children affected with autism, anxiety, developmental delay, and speech delay but not in an unaffected child. An approximately 180 kb tandem duplication was found in a patient with autistic disorder and cognitive delays, and in his mother and younger brother who have speech delay. An approximately 330 kb tandem duplication was identified in a patient with autistic features. As predicted by conceptual translation, all three genomic rearrangements led to the premature truncation of NRXN1. Our data support previous observations that NRXN1 may be pathogenic in a wide variety of psychiatric diseases, including autism spectrum disorder, global developmental delay, anxiety, and depression.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Asperger Sentence A: This follow-up study reports data on 18 children fulfilling the ICD-10 criteria for childhood autism (n = 9) and Asperger syndrome (n = 9). In connection with the present study the original child psychiatric records were reassessed according to the ICD-10 criteria. The children were followed over a period of 30 years. The mean age at the time of study was 38 years. The results show that in adulthood the autistic patients had a poorer outcome than children with Asperger syndrome as regards education, employment, autonomy, marriage, reproduction and the need for continuing medical and institutional care. Particular attention is given to pharmacotherapy and the relationship between the childhood disorder and psychiatric morbidity in adult life. Sentence B: NRXN1 is highly expressed in brain and has been shown recently to be associated with ASD, schizophrenia, cognitive and behavioral abnormalities, and alcohol and nicotine dependence. We present three families, in whom we identified intragenic rearrangements within NRXN1 using a clinical targeted oligonucleotide array CGH. An approximately 380 kb deletion was identified in a woman with Asperger syndrome, anxiety, and depression and in all four of her children affected with autism, anxiety, developmental delay, and speech delay but not in an unaffected child. An approximately 180 kb tandem duplication was found in a patient with autistic disorder and cognitive delays, and in his mother and younger brother who have speech delay. An approximately 330 kb tandem duplication was identified in a patient with autistic features. As predicted by conceptual translation, all three genomic rearrangements led to the premature truncation of NRXN1. Our data support previous observations that NRXN1 may be pathogenic in a wide variety of psychiatric diseases, including autism spectrum disorder, global developmental delay, anxiety, and depression. ###Answer 1. Changed Reasoning: In Sentence A, the term ""Asperger syndrome"" is used to describe a condition that is characterized by ""autism, anxiety, and developmental delay."" The term ""autism"" is used in a different context than in Sentence B, where it is used to describe a broader range of psychiatric disorders, including ""autism spectrum disorder,"" ""global developmental delay,"" ""anxiety,"" and ""depression."" This suggests that the term ""Asperger"" has undergone a significant shift in meaning between the two sentences, and therefore semantic drift has occurred." 16,Asperger,"This paper was commissioned by the committee on the Effectiveness of Early Education in Autism of the National Research Council (NRC). It provides a review of epidemiological studies of pervasive developmental disorders (PDD) which updates a previously published article (The epidemiology of autism: a review. Psychological Medicine 1999; 29: 769-786). The design, sample characteristics of 32 surveys published between 1966 and 2001 are described. Recent surveys suggest that the rate for all forms of PDDs are around 30/10,000 but more recent surveys suggest that the estimate might be as high as 60/10,000. The rate for Asperger disorder is not well established, and a conservative figure is 2.5/10,000. Childhood disintegrative disorder is extremely rare with a pooled estimate across studies of 0.2/10,000. A detailed discussion of the possible interpretations of trends over time in prevalence rates is provided. There is evidence that changes in case definition and improved awareness explain much of the upward trend of rates in recent decades. However, available epidemiological surveys do not provide an adequate test of the hypothesis of a changing incidence of PDDs.","A subgroup of persons with anorexia nervosa (AN) have been proposed to have sociocommunicative problems corresponding to autism spectrum disorders [ASDs, i.e. DSM-IV pervasive developmental disorders (PDDs): autistic disorder, Asperger's disorder, PDD not otherwise specified (NOS)]. Here, clinical problems, personality traits, cognitive test results and outcome are compared across 16 subjects (32%) with teenage-onset AN who meet or have met ASD criteria (AN+ASD), 34 ASD-negative AN subjects and matched controls from a longitudinal Swedish study including four waves of independent assessments from the teens to the early thirties.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Asperger Sentence A: This paper was commissioned by the committee on the Effectiveness of Early Education in Autism of the National Research Council (NRC). It provides a review of epidemiological studies of pervasive developmental disorders (PDD) which updates a previously published article (The epidemiology of autism: a review. Psychological Medicine 1999; 29: 769-786). The design, sample characteristics of 32 surveys published between 1966 and 2001 are described. Recent surveys suggest that the rate for all forms of PDDs are around 30/10,000 but more recent surveys suggest that the estimate might be as high as 60/10,000. The rate for Asperger disorder is not well established, and a conservative figure is 2.5/10,000. Childhood disintegrative disorder is extremely rare with a pooled estimate across studies of 0.2/10,000. A detailed discussion of the possible interpretations of trends over time in prevalence rates is provided. There is evidence that changes in case definition and improved awareness explain much of the upward trend of rates in recent decades. However, available epidemiological surveys do not provide an adequate test of the hypothesis of a changing incidence of PDDs. Sentence B: A subgroup of persons with anorexia nervosa (AN) have been proposed to have sociocommunicative problems corresponding to autism spectrum disorders [ASDs, i.e. DSM-IV pervasive developmental disorders (PDDs): autistic disorder, Asperger's disorder, PDD not otherwise specified (NOS)]. Here, clinical problems, personality traits, cognitive test results and outcome are compared across 16 subjects (32%) with teenage-onset AN who meet or have met ASD criteria (AN+ASD), 34 ASD-negative AN subjects and matched controls from a longitudinal Swedish study including four waves of independent assessments from the teens to the early thirties. ###Answer 1. Changed Explanation: The target word ""Asperger"" has undergone significant semantic drift between Sentence A (2000) and Sentence B (2020). In Sentence A, ""Asperger"" is used to refer to a specific subtype of pervasive developmental disorder (PDD), with a prevalence rate of around 2.5/10,000. In contrast, in Sentence B, ""Asperger"" is used to refer to a subgroup of individuals with anorexia nervosa (AN) who have sociocommunicative problems corresponding to autism spectrum disorders (ASDs). This usage implies a broader definition of ""Asperger,"" which is no longer limited to a specific diagnostic category. Therefore, the meaning of ""Asperger"" has changed significantly between the two sentences, indicating semantic drift." 17,Asperger,"This study compared the neuropsychological profiles of individuals with high-functioning autism (HFA) and Asperger's syndrome (AS). In comparison with matched controls, both groups were impaired on executive function tests. Only the HFA group demonstrated deficits in theory of mind and verbal memory, performing more poorly than both controls and AS subjects. These results suggest that: (1) HFA and AS are empirically distinguishable on measures independent of diagnostic criteria, and (2) impairment on theory of mind measures is not universally found among individuals with autistic spectrum conditions. The primacy of executive function and theory of mind deficits to autism is discussed.","The pathogenesis of autism spectrum disorders (ASD) is not completely understood, but there is evidence of associations with altered immune responses. The aim of this study was to determine the serum levels of various cytokines in children with ASD and in healthy controls, in order to determine their role in ASD and its diagnostic subgroups. Sixty-five ASD patients were enrolled from an epidemiological survey in Norway, of which 30 were diagnosed with childhood autism, 16 with Asperger syndrome, 12 with atypical autism, 1 with Rett syndrome, and 6 with another ASD diagnosis. The serum levels of 12 cytokines were measured in all of the patients and in 30 healthy children. The cytokine levels did not differ significantly between the ASD group and the healthy controls. However, the interleukin-8 (IL-8) level was significantly higher (6.82 vs 4.58 pg/ml, p = 0.017) while that of IL-10 was significantly lower (2.24 vs 6.49 pg/ml, p = 0.009) in patients with childhood autism than in controls. Furthermore, the IL-8 level was significantly higher in childhood autism than in Asperger syndrome (6.82 vs 4.05 pg/ml, p = 0.013). Our study shows that the cytokine profile of children diagnosed with ASD, regardless of the subdiagnosis, does not differ from healthy controls. However, differentiation into different diagnostic subgroups reveals significantly different levels of IL-8 and IL-10. This indicates that different mechanisms may underlie the different ASD subdiagnoses. Future research into the pathophysiological mechanisms of ASD should pay more attention to the different subdiagnoses of ASD.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Asperger Sentence A: This study compared the neuropsychological profiles of individuals with high-functioning autism (HFA) and Asperger's syndrome (AS). In comparison with matched controls, both groups were impaired on executive function tests. Only the HFA group demonstrated deficits in theory of mind and verbal memory, performing more poorly than both controls and AS subjects. These results suggest that: (1) HFA and AS are empirically distinguishable on measures independent of diagnostic criteria, and (2) impairment on theory of mind measures is not universally found among individuals with autistic spectrum conditions. The primacy of executive function and theory of mind deficits to autism is discussed. Sentence B: The pathogenesis of autism spectrum disorders (ASD) is not completely understood, but there is evidence of associations with altered immune responses. The aim of this study was to determine the serum levels of various cytokines in children with ASD and in healthy controls, in order to determine their role in ASD and its diagnostic subgroups. Sixty-five ASD patients were enrolled from an epidemiological survey in Norway, of which 30 were diagnosed with childhood autism, 16 with Asperger syndrome, 12 with atypical autism, 1 with Rett syndrome, and 6 with another ASD diagnosis. The serum levels of 12 cytokines were measured in all of the patients and in 30 healthy children. The cytokine levels did not differ significantly between the ASD group and the healthy controls. However, the interleukin-8 (IL-8) level was significantly higher (6.82 vs 4.58 pg/ml, p = 0.017) while that of IL-10 was significantly lower (2.24 vs 6.49 pg/ml, p = 0.009) in patients with childhood autism than in controls. Furthermore, the IL-8 level was significantly higher in childhood autism than in Asperger syndrome (6.82 vs 4.05 pg/ml, p = 0.013). Our study shows that the cytokine profile of children diagnosed with ASD, regardless of the subdiagnosis, does not differ from healthy controls. However, differentiation into different diagnostic subgroups reveals significantly different levels of IL-8 and IL-10. This indicates that different mechanisms may underlie the different ASD subdiagnoses. Future research into the pathophysiological mechanisms of ASD should pay more attention to the different subdiagnoses of ASD. ###Answer 1. Changed Reasoning: In Sentence A, the term ""Asperger"" is used to describe a specific subtype of autism spectrum disorder (ASD). The sentence highlights the distinct neuropsychological profile of individuals with Asperger's syndrome (AS), including impairments in executive function and theory of mind. The term is not used in a derogatory manner, and its meaning remains consistent with the current understanding of Asperger's syndrome. In Sentence B, the term ""Asperger"" is used in a different context. The sentence discusses the cytokine profile of children diagnosed with ASD, including those with childhood autism, Asperger syndrome, and other subdiagnoses. The term ""Asperger"" is used to differentiate between different diagnostic subgroups, suggesting that the meaning of the term has shifted to encompass a broader range of conditions. The sentence does not convey any negative connotations or stigmatizing language. Based on these analyses, it is clear that the meaning of the term ""Asperger"" has undergone significant change between Sentence A and Sentence B. Therefore, the label ""Changed"" is appropriate." 18,Asperger,"Alan Turing was born in Paddington, London on June 23, 1912 . His family were middle-class and well-off. He was fascinated with science from an early age and showed precocious talent, especially in the areas of chemistry and mathematics. He attended Sherbourne Public School and then King's College, Cambridge where he studied mathematics. His areas of interest at Cambridge were probability theory and mathematical logic. It was at Cambridge that he first conceptualised the Universal Turing Machine, an idea that was to evolve into the modern theory of computing. He has been referred to as the father of the computer. He worked on a cipher machine at Princeton University between 1936 and 1938. He worked for the British Government during World War II with the Government Code and Cipher School at Bletchley Park. He was ultimately the key player in deciphering the German 'Enigma' code used by its submarines during the war. After the war he took up a post in Manchester University where he continued to work on ideas of artificial intelligence. He was arrested and charged for homosexual activity in 1952 and underwent a course of oestrogen therapy. He committed suicide in 1954. He was regarded as being socially aloof and eccentric by colleagues and friends. He was interested in mathematics, chemistry and logic from an early age, to the exclusion of other activities. This paper attempts to establish whether he fulfilled the criteria for Asperger's syndrome.","The present study examined the applicability of the double ABCX model of family adjustment in explaining maternal adjustment to caring for a child diagnosed with Asperger syndrome. Forty-seven mothers completed questionnaires at a university clinic while their children were participating in an anxiety intervention. The children were aged between 10 and 12 years. Results of correlations showed that each of the model components was related to one or more domains of maternal adjustment in the direction predicted, with the exception of problem-focused coping. Hierarchical regression analyses demonstrated that, after controlling for the effects of relevant demographics, stressor severity, pile-up of demands and coping were related to adjustment. Findings indicate the utility of the double ABCX model in guiding research into parental adjustment when caring for a child with Asperger syndrome. Limitations of the study and clinical implications are discussed.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Asperger Sentence A: Alan Turing was born in Paddington, London on June 23, 1912 . His family were middle-class and well-off. He was fascinated with science from an early age and showed precocious talent, especially in the areas of chemistry and mathematics. He attended Sherbourne Public School and then King's College, Cambridge where he studied mathematics. His areas of interest at Cambridge were probability theory and mathematical logic. It was at Cambridge that he first conceptualised the Universal Turing Machine, an idea that was to evolve into the modern theory of computing. He has been referred to as the father of the computer. He worked on a cipher machine at Princeton University between 1936 and 1938. He worked for the British Government during World War II with the Government Code and Cipher School at Bletchley Park. He was ultimately the key player in deciphering the German 'Enigma' code used by its submarines during the war. After the war he took up a post in Manchester University where he continued to work on ideas of artificial intelligence. He was arrested and charged for homosexual activity in 1952 and underwent a course of oestrogen therapy. He committed suicide in 1954. He was regarded as being socially aloof and eccentric by colleagues and friends. He was interested in mathematics, chemistry and logic from an early age, to the exclusion of other activities. This paper attempts to establish whether he fulfilled the criteria for Asperger's syndrome. Sentence B: The present study examined the applicability of the double ABCX model of family adjustment in explaining maternal adjustment to caring for a child diagnosed with Asperger syndrome. Forty-seven mothers completed questionnaires at a university clinic while their children were participating in an anxiety intervention. The children were aged between 10 and 12 years. Results of correlations showed that each of the model components was related to one or more domains of maternal adjustment in the direction predicted, with the exception of problem-focused coping. Hierarchical regression analyses demonstrated that, after controlling for the effects of relevant demographics, stressor severity, pile-up of demands and coping were related to adjustment. Findings indicate the utility of the double ABCX model in guiding research into parental adjustment when caring for a child with Asperger syndrome. Limitations of the study and clinical implications are discussed. ###Answer 1. Changed Reasoning: In Sentence A, the term ""Asperger"" is used to describe Alan Turing, who is described as a socially aloof and eccentric individual. The term is used to explain his fascination with science and his precocious talent in mathematics. In this context, the term ""Asperger"" does not carry any negative connotations and is used to describe someone who is simply different or unusual. In Sentence B, the term ""Asperger syndrome"" is used to describe a child who has been diagnosed with the condition. The term is used in the context of a study examining the adjustment of mothers caring for a child with Asperger syndrome. In this context, the term carries a negative connotation, as it is associated with a developmental disorder that affects social interaction and communication. Therefore, based on the different contexts in which the term ""Asperger"" is used in the two sentences, it can be concluded that the term has undergone a significant change in meaning or connotation between the two timestamps. The term has shifted from being neutral or even positive in Sentence A to having a negative connotation in Sentence B, indicating semantic drift." 19,Asperger,"In some cases of treatment-resistant chronic mental illness, it may be useful to reconsider the primary diagnosis. Patients with Asperger's syndrome, a rare pervasive developmental disorder, have characteristics such as eccentricities, emotional lability, anxiety, poor social functioning, repetitive behavior, and fixed habits that can mimic symptoms of other illnesses, including schizophrenia spectrum illness, bipolar disorder, anxiety disorders, and obsessive-compulsive disorder. Their disorganizing anxiety in response to stress, which may be accompanied by increased oddness of speech, can easily be misinterpreted as psychosis. The author describes features of Asperger's syndrome, discusses differential diagnosis, and presents care examples. A habilitative treatment plan that concentrates on modifying the patient's eccentricities into strengths and carefully tailors the work and living situation may be effective with some patients.","Grunya Efimovna Sukhareva's seminal role in being the first to publish a clinical description of autistic traits in 1925, before both Kanner and Asperger, has been revealed relatively recently. Nevertheless, Sukhareva's work is little known and largely unrecognised beyond Russia. Amidst calls for greater recognition of her pivotal contribution in the genesis of autism conceptualisation and categorisation, this article provides a biographical and historical background. Sukhareva's wide-ranging psychiatric work is adumbrated and her pioneering efforts in conceptualising both schizophrenia and autism are elucidated. The article reflects on possible explanations for the belated and incomplete recognition of Sukhareva's role. The current article indicates how Sukhareva's work was ahead of its time in reflecting modern criteria for autism diagnoses and in its focus on female case studies. Sukhareva's somewhat precarious position as a foremost psychiatrist condemned in the Stalinist years for being anti-Marxist is explicated. The article outlines further directions for academic research on Sukhareva's work and contributions.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Asperger Sentence A: In some cases of treatment-resistant chronic mental illness, it may be useful to reconsider the primary diagnosis. Patients with Asperger's syndrome, a rare pervasive developmental disorder, have characteristics such as eccentricities, emotional lability, anxiety, poor social functioning, repetitive behavior, and fixed habits that can mimic symptoms of other illnesses, including schizophrenia spectrum illness, bipolar disorder, anxiety disorders, and obsessive-compulsive disorder. Their disorganizing anxiety in response to stress, which may be accompanied by increased oddness of speech, can easily be misinterpreted as psychosis. The author describes features of Asperger's syndrome, discusses differential diagnosis, and presents care examples. A habilitative treatment plan that concentrates on modifying the patient's eccentricities into strengths and carefully tailors the work and living situation may be effective with some patients. Sentence B: Grunya Efimovna Sukhareva's seminal role in being the first to publish a clinical description of autistic traits in 1925, before both Kanner and Asperger, has been revealed relatively recently. Nevertheless, Sukhareva's work is little known and largely unrecognised beyond Russia. Amidst calls for greater recognition of her pivotal contribution in the genesis of autism conceptualisation and categorisation, this article provides a biographical and historical background. Sukhareva's wide-ranging psychiatric work is adumbrated and her pioneering efforts in conceptualising both schizophrenia and autism are elucidated. The article reflects on possible explanations for the belated and incomplete recognition of Sukhareva's role. The current article indicates how Sukhareva's work was ahead of its time in reflecting modern criteria for autism diagnoses and in its focus on female case studies. Sukhareva's somewhat precarious position as a foremost psychiatrist condemned in the Stalinist years for being anti-Marxist is explicated. The article outlines further directions for academic research on Sukhareva's work and contributions. ###Answer 1. Changed Reasoning: In Sentence A, the term ""Asperger's syndrome"" is used to describe a rare pervasive developmental disorder characterized by eccentricities, emotional lability, anxiety, poor social functioning, repetitive behavior, and fixed habits. The term is not associated with any negative connotations. In Sentence B, the term ""Asperger"" is used in the context of Grunya Efimovna Sukhareva's work in 1925, before both Kanner and Asperger, to describe a clinical description of autistic traits. The term is associated with a positive connotation, as Sukhareva's work is recognized as ahead of its time in reflecting modern criteria for autism diagnoses and in its focus on female case studies. The change in meaning is significant, as the term ""Asperger"" has shifted from a neutral term to a positive one associated with groundbreaking work in the field of autism." 20,Asperger,"This study examined the relationship between the development of theory of mind and the development of the belief terms think, know, and guess. Children with autism and Asperger syndrome, matched to children with specific language impairment and normal development, completed false belief, belief term comprehension, and belief term expression tasks. The autistic group's performance on the false belief, belief term comprehension, and belief term expression tasks was significantly poorer than that of the Asperger, language impaired, and normal groups. Across groups an association was found between false belief and belief term performance. Results support a growing body of literature demonstrating links between the development of theory of mind and communicative competence.","This is the first report from a large multiple baseline single-subject design study of children with Autism Spectrum Disorders (ASD). This brief report examines effectiveness of teaching a social cognitive (Social Thinking) approach to six males with Asperger syndrome (AS) or High Functioning Autism (HFA). Data included are restricted to pre- post-treatment comparisons of verbal and non-verbal social behaviors. Structured treatment and semi-structured generalization sessions occurred over eight weeks. Results indicated significant changes from pre- to post- measures on both verbal/nonverbal ""expected"" and ""unexpected"" behaviors, significant increases in the subcategories of ""expected verbal"", ""listening/thinking with eyes"", and ""initiations"", and robust decreases in the subcategories of ""unexpected-verbal"" and ""unexpected-nonverbal"". Importance of social cognitive approaches for children AS and HFA is discussed.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Asperger Sentence A: This study examined the relationship between the development of theory of mind and the development of the belief terms think, know, and guess. Children with autism and Asperger syndrome, matched to children with specific language impairment and normal development, completed false belief, belief term comprehension, and belief term expression tasks. The autistic group's performance on the false belief, belief term comprehension, and belief term expression tasks was significantly poorer than that of the Asperger, language impaired, and normal groups. Across groups an association was found between false belief and belief term performance. Results support a growing body of literature demonstrating links between the development of theory of mind and communicative competence. Sentence B: This is the first report from a large multiple baseline single-subject design study of children with Autism Spectrum Disorders (ASD). This brief report examines effectiveness of teaching a social cognitive (Social Thinking) approach to six males with Asperger syndrome (AS) or High Functioning Autism (HFA). Data included are restricted to pre- post-treatment comparisons of verbal and non-verbal social behaviors. Structured treatment and semi-structured generalization sessions occurred over eight weeks. Results indicated significant changes from pre- to post- measures on both verbal/nonverbal ""expected"" and ""unexpected"" behaviors, significant increases in the subcategories of ""expected verbal"", ""listening/thinking with eyes"", and ""initiations"", and robust decreases in the subcategories of ""unexpected-verbal"" and ""unexpected-nonverbal"". Importance of social cognitive approaches for children AS and HFA is discussed. ###Answer 1. Changed Reasoning: In Sentence A, the term ""Asperger"" is used to describe children with autism and Asperger syndrome, indicating a more specific and distinct diagnosis. In Sentence B, the term ""Asperger syndrome"" is used less frequently and is not used to describe the individuals being studied. This suggests that the term ""Asperger"" has become more specific and less inclusive over time, indicating semantic drift." 21,Asperger,"The high-functioning Autism Spectrum Screening Questionnaire (ASSQ) is a 27-item checklist for completion by lay informants when assessing symptoms characteristic of Asperger syndrome and other high-functioning autism spectrum disorders in children and adolescents with normal intelligence or mild mental retardation. Data for parent and teacher ratings in a clinical sample are presented along with various measures of reliability and validity. Optimal cutoff scores were estimated, using Receiver Operating Characteristic analysis. Findings indicate that the ASSQ is a useful brief screening device for the identification of autism spectrum disorders in clinical settings.","Several studies have reported that individuals with autism and Asperger's syndrome show a local processing bias on tasks involving features and configurations. This study assessed whether this bias results from differences in the perception of features or a cognitive bias to attend to features in autism as a consequence of a deficit in attending to configurations. Children with autism and typically developing children performed a task assessing the initial perceptual representation of features and configurations following a 50 ms stimulus display and the development of the perceptual representation by grouping processes following an 800 ms stimulus display. No differences were observed between the two groups, suggesting that the perceptual and attentional mechanisms marshalled by this task operate typically in children with autism.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Asperger Sentence A: The high-functioning Autism Spectrum Screening Questionnaire (ASSQ) is a 27-item checklist for completion by lay informants when assessing symptoms characteristic of Asperger syndrome and other high-functioning autism spectrum disorders in children and adolescents with normal intelligence or mild mental retardation. Data for parent and teacher ratings in a clinical sample are presented along with various measures of reliability and validity. Optimal cutoff scores were estimated, using Receiver Operating Characteristic analysis. Findings indicate that the ASSQ is a useful brief screening device for the identification of autism spectrum disorders in clinical settings. Sentence B: Several studies have reported that individuals with autism and Asperger's syndrome show a local processing bias on tasks involving features and configurations. This study assessed whether this bias results from differences in the perception of features or a cognitive bias to attend to features in autism as a consequence of a deficit in attending to configurations. Children with autism and typically developing children performed a task assessing the initial perceptual representation of features and configurations following a 50 ms stimulus display and the development of the perceptual representation by grouping processes following an 800 ms stimulus display. No differences were observed between the two groups, suggesting that the perceptual and attentional mechanisms marshalled by this task operate typically in children with autism. ###Answer 1. Changed Reasoning: The target word ""Asperger"" in Sentence B has undergone a significant change in meaning compared to Sentence A. In Sentence A, ""Asperger"" is used to refer to a specific subtype of autism spectrum disorder, with a focus on its diagnostic criteria and screening tools. In contrast, in Sentence B, ""Asperger"" is used more broadly to refer to individuals with autism and Asperger's syndrome, without any specific diagnostic criteria or screening tools mentioned. This shift in meaning suggests that the term ""Asperger"" has become more inclusive and less specific over time, indicating semantic drift." 22,Asperger,"Although lack of empathy has been considered a central characteristic of Asperger syndrome, quantitative and qualitative assessments of empathy in this syndrome are lacking. We present two cases of adolescents with Asperger syndrome who show extreme deficits on measures of both cognitive and affective empathy. Analysis of their performance on tasks assessing cognitive and affective processing did not reveal significant impairment in executive functions, nor in their ability to recognize emotions or the ability to create a mental representation of another person's knowledge. However, both patients were unable to integrate the emotional content with mental representations and deduce the other person's emotional state. These results suggest that impaired empathy in individuals with Asperger syndrome may be due to impaired integration of the cognitive and affective facets of the other person's mental state.","Although face recognition deficits in individuals with Autism Spectrum Disorder (ASD), including Asperger syndrome (AS), are widely acknowledged, the empirical evidence is mixed. This in part reflects the failure to use standardized and psychometrically sound tests. We contrasted standardized face recognition scores on the Cambridge Face Memory Test (CFMT) for 34 individuals with AS with those for 42, IQ-matched non-ASD individuals, and age-standardized scores from a large Australian cohort. We also examined the influence of IQ, autistic traits, and negative affect on face recognition performance. Overall, participants with AS performed significantly worse on the CFMT than the non-ASD participants and when evaluated against standardized test norms. However, while 24% of participants with AS presented with severe face recognition impairment (>2 SDs below the mean), many individuals performed at or above the typical level for their age: 53% scored within +/- 1 SD of the mean and 9% demonstrated superior performance (>1 SD above the mean). Regression analysis provided no evidence that IQ, autistic traits, or negative affect significantly influenced face recognition: diagnostic group membership was the only significant predictor of face recognition performance. In sum, face recognition performance in ASD is on a continuum, but with average levels significantly below non-ASD levels of performance.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Asperger Sentence A: Although lack of empathy has been considered a central characteristic of Asperger syndrome, quantitative and qualitative assessments of empathy in this syndrome are lacking. We present two cases of adolescents with Asperger syndrome who show extreme deficits on measures of both cognitive and affective empathy. Analysis of their performance on tasks assessing cognitive and affective processing did not reveal significant impairment in executive functions, nor in their ability to recognize emotions or the ability to create a mental representation of another person's knowledge. However, both patients were unable to integrate the emotional content with mental representations and deduce the other person's emotional state. These results suggest that impaired empathy in individuals with Asperger syndrome may be due to impaired integration of the cognitive and affective facets of the other person's mental state. Sentence B: Although face recognition deficits in individuals with Autism Spectrum Disorder (ASD), including Asperger syndrome (AS), are widely acknowledged, the empirical evidence is mixed. This in part reflects the failure to use standardized and psychometrically sound tests. We contrasted standardized face recognition scores on the Cambridge Face Memory Test (CFMT) for 34 individuals with AS with those for 42, IQ-matched non-ASD individuals, and age-standardized scores from a large Australian cohort. We also examined the influence of IQ, autistic traits, and negative affect on face recognition performance. Overall, participants with AS performed significantly worse on the CFMT than the non-ASD participants and when evaluated against standardized test norms. However, while 24% of participants with AS presented with severe face recognition impairment (>2 SDs below the mean), many individuals performed at or above the typical level for their age: 53% scored within +/- 1 SD of the mean and 9% demonstrated superior performance (>1 SD above the mean). Regression analysis provided no evidence that IQ, autistic traits, or negative affect significantly influenced face recognition: diagnostic group membership was the only significant predictor of face recognition performance. In sum, face recognition performance in ASD is on a continuum, but with average levels significantly below non-ASD levels of performance. ###Answer 1. Changed Reasoning: In Sentence A, the term ""Asperger syndrome"" is used to describe a condition characterized by a lack of empathy, which is a significant shift in meaning compared to its usage in Sentence B. In Sentence B, the term ""Asperger syndrome"" is used to describe a condition with face recognition impairments, which is a different aspect of the condition than the lack of empathy described in Sentence A. Therefore, semantic drift has occurred in the meaning of the term ""Asperger syndrome"" between the two sentences." 23,Asperger,High-functioning individuals with autism (HFA) or Asperger's syndrome (AS) commonly report difficulties understanding speech in situations where there is background speech or noise. The objective of this study was threefold: (1) to verify the validity of these reports; (2) to quantify the difficulties experienced; and (3) to propose possible mechanisms to explain the perceptual deficits described.,"The study starts with the hypothesis that the difficulty to identify and describe emotions and feelings, and to differentiate the feelings of bodily sensations that accompany them, are a common denominator of the construct of alexithymia and Asperger syndrome (AS).","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Asperger Sentence A: High-functioning individuals with autism (HFA) or Asperger's syndrome (AS) commonly report difficulties understanding speech in situations where there is background speech or noise. The objective of this study was threefold: (1) to verify the validity of these reports; (2) to quantify the difficulties experienced; and (3) to propose possible mechanisms to explain the perceptual deficits described. Sentence B: The study starts with the hypothesis that the difficulty to identify and describe emotions and feelings, and to differentiate the feelings of bodily sensations that accompany them, are a common denominator of the construct of alexithymia and Asperger syndrome (AS). ###Answer 1. Changed Explanation: In Sentence A, the term ""Asperger's syndrome"" is used, which was a diagnostic label used in the past to describe individuals with autism spectrum disorder (ASD) characterized by difficulties with social interaction and communication. However, in 2013, the term ""Asperger syndrome"" was officially removed from the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) due to concerns that the label was stigmatizing and not accurately reflecting the complexity of the condition. Therefore, the usage of ""Asperger's syndrome"" in Sentence A implies a more outdated understanding of the condition, and the term ""Asperger"" without the ""syndrome"" suffix suggests a more modern and nuanced understanding of the term. In Sentence B, the term ""Asperger syndrome"" is not used, and instead, the term ""alexithymia"" is used to describe a related condition. This suggests a shift in focus towards a broader understanding of the condition, encompassing not only the social interaction and communication difficulties, but also the emotional and sensory processing aspects. Overall, the usage of ""Asperger"" in Sentence B implies a more recent and nuanced understanding of the term, while Sentence A suggests a more outdated understanding. Therefore, the label ""Changed"" is appropriate for this task." 24,Asperger,"A recent finding that individuals with autism are not susceptible to illusions has been explained by Happé (1996) as a sign of ""weak central coherence"" at lower levels of processing. We investigated the phenomenon with a more sophisticated measure. In Experiment 1, individuals with autism, Asperger's syndrome, moderate learning difficulties, and typical development adjusted certain comparison lines and circles to make them appear to be the same size in four visual illusions. With a minor exception, the participants with autism and Asperger's syndrome evinced a systematic bias in their judgements in the illusion condition. The extent of this was no different from control participants. In a second experiment, a similar finding was obtained in a task where participants made verbal judgements about the stimuli. The results suggest that lower-level coherence in visual processing in autism is intact.","Autism and Asperger's disorder (AD) are characterised by impairments in social interaction, stereotypic behaviours or restricted interests. Although currently listed as distinct clinical disorders, the validity of their distinction remains controversial. This study examined gait in children with autism and AD. Eleven children with high-functioning autism and eleven children with AD completed a series of walking tasks. Results indicated distinct movement disturbance; these findings are discussed in light of seminal papers in this field by Vilensky et al. (Arch Neurol 38:646-649, 1981) and Hallett et al. (Arch Neurol 50:1304-1308, 1993) who interpret the gait of individuals with autism using parkinsonian and cerebellar-ataxia patient models, respectively. Distinctions in gait patterns implicating perhaps unique motor circuit disturbances support the hypothesis that autism and AD may have unique neurodevelopmental trajectories.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Asperger Sentence A: A recent finding that individuals with autism are not susceptible to illusions has been explained by Happé (1996) as a sign of ""weak central coherence"" at lower levels of processing. We investigated the phenomenon with a more sophisticated measure. In Experiment 1, individuals with autism, Asperger's syndrome, moderate learning difficulties, and typical development adjusted certain comparison lines and circles to make them appear to be the same size in four visual illusions. With a minor exception, the participants with autism and Asperger's syndrome evinced a systematic bias in their judgements in the illusion condition. The extent of this was no different from control participants. In a second experiment, a similar finding was obtained in a task where participants made verbal judgements about the stimuli. The results suggest that lower-level coherence in visual processing in autism is intact. Sentence B: Autism and Asperger's disorder (AD) are characterised by impairments in social interaction, stereotypic behaviours or restricted interests. Although currently listed as distinct clinical disorders, the validity of their distinction remains controversial. This study examined gait in children with autism and AD. Eleven children with high-functioning autism and eleven children with AD completed a series of walking tasks. Results indicated distinct movement disturbance; these findings are discussed in light of seminal papers in this field by Vilensky et al. (Arch Neurol 38:646-649, 1981) and Hallett et al. (Arch Neurol 50:1304-1308, 1993) who interpret the gait of individuals with autism using parkinsonian and cerebellar-ataxia patient models, respectively. Distinctions in gait patterns implicating perhaps unique motor circuit disturbances support the hypothesis that autism and AD may have unique neurodevelopmental trajectories. ###Answer 1. Changed (Semantic drift has occurred in the meaning of the word ""Asperger"".) Reasoning: In Sentence A, the word ""Asperger"" is used to describe individuals with autism, and it is mentioned in the context of a study investigating the phenomenon of ""weak central coherence"" in visual processing. The word is used to refer to a specific group of individuals with autism, and it does not carry any negative connotations. In Sentence B, the word ""Asperger's disorder"" is used to describe a specific type of autism, and it is mentioned in the context of a study examining gait patterns in children with autism and AD. The word is used to refer to a specific clinical disorder, and it carries a slightly negative connotation, implying a more severe form of autism. Comparing the usage of the word ""Asperger"" in these two sentences, it is clear that the meaning of the word has shifted over time. In Sentence A, the word is used to describe individuals with autism in a neutral manner, while in Sentence B, it is used to describe a specific type of autism with a more negative connotation. This shift in meaning indicates semantic drift has occurred." 25,Asperger,"Asperger syndrome (AS) is a neurodevelopmental disorder belonging to autism spectrum disorders. Both children and adults with AS have subjective impairment in the initiation and continuity of sleep, and studies using objective assessment are sparse. Twenty young AS adults with frequent complaints of low sleep quality were compared to 10 age-, gender- and education-matched controls without sleep complaints using polysomnography and spectral power analysis of slow-wave sleep. AS subjects displayed a similar polysomnographic profile as compared with controls. In spectral power analysis, a statistically nonsignificant trend towards decreased relative delta power and increased theta power in slow-wave sleep was found in the AS group. It seems that nonorganic insomnia, due to anxiety inherent in AS, is responsible for the low sleep quality in these subjects.","While motor clumsiness is frequently described as an associated feature of Asperger's Disorder, little research has examined specific motor skills and the relation among aspects of motor performance in this population. The present purpose was to present preliminary findings for three aspects of Asperger's: the presence and magnitude of gross motor and fine motor deficits, the presence and magnitude of visuomotor deficits, and the relation between motor functioning and visuomotor skills. 17 boys, 6 to 13 years old, with Asperger's were tested using standardized measures of gross, fine, and visuomotor skills. Statistically significant deficits were found for the sample's scores compared with values for the general population (using one-sample t tests), but none for fine motor vs gross motor skills (using a dependent sample t test). Significant positive correlations were found for gross motor skills with visuomotor skills (.73) and for fine motor skills with visuomotor skills (.71). Tentative suggestions for clinical assessment were proposed.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Asperger Sentence A: Asperger syndrome (AS) is a neurodevelopmental disorder belonging to autism spectrum disorders. Both children and adults with AS have subjective impairment in the initiation and continuity of sleep, and studies using objective assessment are sparse. Twenty young AS adults with frequent complaints of low sleep quality were compared to 10 age-, gender- and education-matched controls without sleep complaints using polysomnography and spectral power analysis of slow-wave sleep. AS subjects displayed a similar polysomnographic profile as compared with controls. In spectral power analysis, a statistically nonsignificant trend towards decreased relative delta power and increased theta power in slow-wave sleep was found in the AS group. It seems that nonorganic insomnia, due to anxiety inherent in AS, is responsible for the low sleep quality in these subjects. Sentence B: While motor clumsiness is frequently described as an associated feature of Asperger's Disorder, little research has examined specific motor skills and the relation among aspects of motor performance in this population. The present purpose was to present preliminary findings for three aspects of Asperger's: the presence and magnitude of gross motor and fine motor deficits, the presence and magnitude of visuomotor deficits, and the relation between motor functioning and visuomotor skills. 17 boys, 6 to 13 years old, with Asperger's were tested using standardized measures of gross, fine, and visuomotor skills. Statistically significant deficits were found for the sample's scores compared with values for the general population (using one-sample t tests), but none for fine motor vs gross motor skills (using a dependent sample t test). Significant positive correlations were found for gross motor skills with visuomotor skills (.73) and for fine motor skills with visuomotor skills (.71). Tentative suggestions for clinical assessment were proposed. ###Answer 1. Changed Reasoning: The meaning of the target word ""Asperger"" has significantly shifted between Sentence A and Sentence B. In Sentence A, the term refers to a specific neurodevelopmental disorder belonging to the autism spectrum. In Sentence B, the term is used more broadly to refer to a group of individuals with autism spectrum disorders, without specifying any particular disorder. This shift in meaning suggests that the term ""Asperger"" has undergone semantic drift." 26,Asperger,"ASPERGER (1963) mentioned as a very important etiological aspect of anorexia nervosa a desintegration of intellectual and thymical functions causing the fact, that these patients are not able to accept the role of an adult, especially that one of a woman. We discuss that statment in connexion with ERIKSON'S (1974) concept about ""ego-identity"" (""Ich-Identitat"") and ""negative-identity"" (""negative Identitat""). The pathological family-structure seems to reinforce the situation and the existence of inadequate behavior of patients with anorexia nervosa, who are often introverted and predestinated for conditioning. The therapy of these patients should focuse on the development of ego-identity, including the treatment of the family members, the modification of the inadapted behavior and a special endocrinological therapy.","It has been proposed that the biological basis of autism spectrum disorder includes cerebellar 'disconnection'. However, direct in vivo evidence in support of this is lacking. Here, the microstructural integrity of cerebellar white matter in adults with Asperger syndrome was studied using diffusion tensor magnetic resonance tractography. Fifteen adults with Asperger syndrome and 16 age-IQ-gender-matched healthy controls underwent diffusion tensor magnetic resonance imaging. For each subject, tract-specific measurements of mean diffusivity and fractional anisotropy were made within the inferior, middle, superior cerebellar peduncles and short intracerebellar fibres. No group differences were observed in mean diffusivity. However, people with Asperger syndrome had significantly lower fractional anisotropy in the short intracerebellar fibres (p<0.001) and right superior cerebellar (output) peduncle (p<0.001) compared to controls; but no difference in the input tracts. Severity of social impairment, as measured by the Autistic Diagnostic Interview, was negatively correlated with diffusion anisotropy in the fibres of the left superior cerebellar peduncle. These findings suggest a vulnerability of specific cerebellar neural pathways in people with Asperger syndrome. The localised abnormalities in the main cerebellar outflow pathway may prevent the cerebral cortex from receiving those cerebellar feedback inputs necessary for a successful adaptive social behaviour.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Asperger Sentence A: ASPERGER (1963) mentioned as a very important etiological aspect of anorexia nervosa a desintegration of intellectual and thymical functions causing the fact, that these patients are not able to accept the role of an adult, especially that one of a woman. We discuss that statment in connexion with ERIKSON'S (1974) concept about ""ego-identity"" (""Ich-Identitat"") and ""negative-identity"" (""negative Identitat""). The pathological family-structure seems to reinforce the situation and the existence of inadequate behavior of patients with anorexia nervosa, who are often introverted and predestinated for conditioning. The therapy of these patients should focuse on the development of ego-identity, including the treatment of the family members, the modification of the inadapted behavior and a special endocrinological therapy. Sentence B: It has been proposed that the biological basis of autism spectrum disorder includes cerebellar 'disconnection'. However, direct in vivo evidence in support of this is lacking. Here, the microstructural integrity of cerebellar white matter in adults with Asperger syndrome was studied using diffusion tensor magnetic resonance tractography. Fifteen adults with Asperger syndrome and 16 age-IQ-gender-matched healthy controls underwent diffusion tensor magnetic resonance imaging. For each subject, tract-specific measurements of mean diffusivity and fractional anisotropy were made within the inferior, middle, superior cerebellar peduncles and short intracerebellar fibres. No group differences were observed in mean diffusivity. However, people with Asperger syndrome had significantly lower fractional anisotropy in the short intracerebellar fibres (p<0.001) and right superior cerebellar (output) peduncle (p<0.001) compared to controls; but no difference in the input tracts. Severity of social impairment, as measured by the Autistic Diagnostic Interview, was negatively correlated with diffusion anisotropy in the fibres of the left superior cerebellar peduncle. These findings suggest a vulnerability of specific cerebellar neural pathways in people with Asperger syndrome. The localised abnormalities in the main cerebellar outflow pathway may prevent the cerebral cortex from receiving those cerebellar feedback inputs necessary for a successful adaptive social behaviour. ###Answer 1. Changed Reasoning: The meaning of the target word ""Asperger"" has undergone significant change between the two sentences. In Sentence A (2000), the term is used to describe a specific etiological aspect of anorexia nervosa, while in Sentence B (2020), it is used to refer to a biological basis of autism spectrum disorder. The term has shifted from a psychiatric/medical context to a neurobiological context. Additionally, the connotation of the term has changed, as it is now associated with a specific neurological phenomenon rather than a psychiatric disorder." 27,Asperger,"This qualitative study aimed to develop an understanding of the challenges faced by teenage boys with Asperger syndrome and their mothers. A case study approach was used to collect data from two 13-year-old boys who have Asperger syndrome and their mothers in Queensland, Australia. Data were collected through the use of semistructured interviews. The words of the boys and their mothers provide a valuable insight into the personal experiences and feelings of the participants. An inductive approach to data analysis identified four themes: (1) developmental differences; (2) problems associated with the general characteristics of Asperger syndrome (i.e. communication and social difficulties, restricted range of interests, a need for routine); (3) stress; and (4) 'masquerading'. The first three themes relate strongly to the current literature, but the emergence of masquerading is of particular interest in developing a fuller understanding of the experiences of individuals with Asperger syndrome at school.","The prevalence of sleep disturbances in 52 children with Asperger syndrome (AS) as compared with 61 healthy controls (all subjects aged 5-17 years) was investigated. Problems with sleep onset and maintenance, sleep-related fears, negative attitudes toward sleeping, and daytime somnolence were more frequent among children with AS than among controls. Short sleep duration (<9 h) was almost twofold (59% vs. 32%), and the risk for sleep onset problems more than fivefold (53% vs. 10%) more common in the AS group than in the control group. Child-reported sleeping problems were also more prevalent in the AS group than in controls (58% vs. 7%). The results suggest that sleep disturbances should be routinely evaluated in children with AS.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Asperger Sentence A: This qualitative study aimed to develop an understanding of the challenges faced by teenage boys with Asperger syndrome and their mothers. A case study approach was used to collect data from two 13-year-old boys who have Asperger syndrome and their mothers in Queensland, Australia. Data were collected through the use of semistructured interviews. The words of the boys and their mothers provide a valuable insight into the personal experiences and feelings of the participants. An inductive approach to data analysis identified four themes: (1) developmental differences; (2) problems associated with the general characteristics of Asperger syndrome (i.e. communication and social difficulties, restricted range of interests, a need for routine); (3) stress; and (4) 'masquerading'. The first three themes relate strongly to the current literature, but the emergence of masquerading is of particular interest in developing a fuller understanding of the experiences of individuals with Asperger syndrome at school. Sentence B: The prevalence of sleep disturbances in 52 children with Asperger syndrome (AS) as compared with 61 healthy controls (all subjects aged 5-17 years) was investigated. Problems with sleep onset and maintenance, sleep-related fears, negative attitudes toward sleeping, and daytime somnolence were more frequent among children with AS than among controls. Short sleep duration (<9 h) was almost twofold (59% vs. 32%), and the risk for sleep onset problems more than fivefold (53% vs. 10%) more common in the AS group than in the control group. Child-reported sleeping problems were also more prevalent in the AS group than in controls (58% vs. 7%). The results suggest that sleep disturbances should be routinely evaluated in children with AS. ###Answer 1. Changed The target word ""Asperger"" has undergone a significant change in meaning or connotation between the two sentences. In Sentence A, the term is used to describe a specific neurodevelopmental disorder characterized by difficulties with social interaction and communication, as well as repetitive behaviors. In Sentence B, the term is used to describe a group of children who experience sleep disturbances. The shift in meaning suggests that the term ""Asperger"" has expanded in meaning, encompassing a broader range of characteristics and symptoms." 28,Asperger,"Two groups of individuals, one with high-functioning autism and the other with Asperger syndrome were tested using Happé's Strange Stories Test of a more advanced theory of mind (Happé, 1994). This assesses the ability to interpret a nonliteral statement. Relative to normal controls who were IQ and age-matched, individuals with autism or Asperger syndrome performed less well on the task, while performing normally on a non-mentalistic control task. Individuals with autism or Asperger syndrome could provide mental state answers, but had difficulty in providing contextually appropriate mental state answers. Rather, their answers tended to concentrate on the utterance in isolation. This replicates Happé's result. Although the majority of both clinical groups provided context-inappropriate interpretations, the autism group had the greater difficulty. Results are discussed in relation to both weak central coherence and theory of mind.","Proton magnetic resonance spectroscopy (1H MRS) is a noninvasive neuroimaging method to quantify biochemical metabolites in vivo and it can serve as a powerful tool to monitor neurobiochemical profiles in the brain. Asperger's syndrome (AS) is a type of autism spectrum disorder, which is characterized by impaired social skills and restrictive, repetitive patterns of interest and activities, while intellectual levels and language skills are relatively preserved. Despite clinical aspects have been well-characterized, neurometabolic profiling in the brain of AS remains to be clear. The present study used proton magnetic resonance spectroscopy (1H MRS) to investigate whether pediatric AS is associated with measurable neurometabolic abnormalities that can contribute new information on the neurobiological underpinnings of the disorder.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Asperger Sentence A: Two groups of individuals, one with high-functioning autism and the other with Asperger syndrome were tested using Happé's Strange Stories Test of a more advanced theory of mind (Happé, 1994). This assesses the ability to interpret a nonliteral statement. Relative to normal controls who were IQ and age-matched, individuals with autism or Asperger syndrome performed less well on the task, while performing normally on a non-mentalistic control task. Individuals with autism or Asperger syndrome could provide mental state answers, but had difficulty in providing contextually appropriate mental state answers. Rather, their answers tended to concentrate on the utterance in isolation. This replicates Happé's result. Although the majority of both clinical groups provided context-inappropriate interpretations, the autism group had the greater difficulty. Results are discussed in relation to both weak central coherence and theory of mind. Sentence B: Proton magnetic resonance spectroscopy (1H MRS) is a noninvasive neuroimaging method to quantify biochemical metabolites in vivo and it can serve as a powerful tool to monitor neurobiochemical profiles in the brain. Asperger's syndrome (AS) is a type of autism spectrum disorder, which is characterized by impaired social skills and restrictive, repetitive patterns of interest and activities, while intellectual levels and language skills are relatively preserved. Despite clinical aspects have been well-characterized, neurometabolic profiling in the brain of AS remains to be clear. The present study used proton magnetic resonance spectroscopy (1H MRS) to investigate whether pediatric AS is associated with measurable neurometabolic abnormalities that can contribute new information on the neurobiological underpinnings of the disorder. ###Answer 1. Changed Reasoning: In Sentence A, the term ""Asperger syndrome"" is used to describe a specific type of autism spectrum disorder characterized by impaired social skills and repetitive patterns of interest and activities. The term is associated with a lack of social interaction and communication, as well as restricted interests. In contrast, in Sentence B, the term ""Asperger's syndrome"" is used in the context of a noninvasive neuroimaging method to quantify biochemical metabolites in the brain. The term is not associated with any negative connotations or impairments in social interaction and communication. Therefore, it can be inferred that the meaning of the term ""Asperger's syndrome"" has changed significantly between the two sentences, shifting from a clinical term associated with a specific disorder to a more general term used in a scientific context." 29,Asperger,"Individuals with Asperger Syndrome (AS), a high functioning variant of Autism, are often noted to possess intact language ability, yet fail to use this language capacity to engage in interactive communication. This difficulty using language in a social context has been referred to as a deficit in pragmatic language. In particular, difficulty understanding nonliteral language devices, such as irony has been observed. This paper examines the veracity of two theories that have attempted to explain the causes of pragmatic language difficulties in individuals with Asperger Syndrome; the theory of Weak Central Coherence (WCC) and Social Inference theory. Fourteen young adults with AS and 24 age-matched controls were assessed on cognitive tasks measuring WCC processes, social inference or Theory of Mind ability, and the ability to interpret ironic remarks. Results indicated that the ability to understand the belief states of others is critical to understanding ironic language in AS.","Hans Asperger is probably best known for Asperger syndrome. However, he has been accused of knowingly and willingly participating in the National Socialist Child Euthanasia programme by referring patients to the Am Spiegelgrund children's home in Vienna. This later became notorious for euthanising disabled children. We investigated those allegations.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Asperger Sentence A: Individuals with Asperger Syndrome (AS), a high functioning variant of Autism, are often noted to possess intact language ability, yet fail to use this language capacity to engage in interactive communication. This difficulty using language in a social context has been referred to as a deficit in pragmatic language. In particular, difficulty understanding nonliteral language devices, such as irony has been observed. This paper examines the veracity of two theories that have attempted to explain the causes of pragmatic language difficulties in individuals with Asperger Syndrome; the theory of Weak Central Coherence (WCC) and Social Inference theory. Fourteen young adults with AS and 24 age-matched controls were assessed on cognitive tasks measuring WCC processes, social inference or Theory of Mind ability, and the ability to interpret ironic remarks. Results indicated that the ability to understand the belief states of others is critical to understanding ironic language in AS. Sentence B: Hans Asperger is probably best known for Asperger syndrome. However, he has been accused of knowingly and willingly participating in the National Socialist Child Euthanasia programme by referring patients to the Am Spiegelgrund children's home in Vienna. This later became notorious for euthanising disabled children. We investigated those allegations. ###Answer 1. Changed Reasoning: In Sentence A, the target word ""Asperger"" is used in the context of Autism and language ability. The word is not associated with any negative connotations or ideologies. However, in Sentence B, the word ""Asperger"" is associated with a Nazi doctor who participated in the euthanization of disabled children. This significant shift in meaning and connotation indicates semantic drift has occurred." 30,Asperger,"In the present paper the evidence for Field Marshal Montgomery having Asperger's syndrome is examined. Biographies of Montgomery were examined to search for evidence that he met criteria for Asperger's syndrome - Gillberg (1991) and Asperger's disorder (APA.1994) and Anankastic personality disorder (WHO,1992). He demonstrates a qualitative impairment in social interaction and restricted repetitive and stereotyped patterns of behaviour, interests and activities. It can be concluded that he met criteria for Asperger's disorder DSM-IV (APA.1994).","The aim of this study was to identify the outcomes expected and assessed by those providing service dogs to children with developmental disabilities. Seventeen registered service dog providers were invited to complete a mixed methods online survey. Five providers, who prepared dogs to work with a wide range of conditions and behaviours, mainly Asperger's syndrome, autism and communication disorders, completed the survey. All five participants reported that they expected to see positive changes as a consequence of the service dog placement, in both the recipient child and their family, including improvements in attention span and language skills, as well as increased familial cohesion. Survey responses indicated that not all desired outcomes were routinely assessed. The range of assessments used were interviews, intake conversations, pre-placement questionnaires, child social diaries filled in by parents, follow up surveys after placement, and child observation by parents. No specifically named valid and reliable clinical or research measures were referred to, showing an emphasis on assessments from parents and service dog providers. It is not clear whether pre-intervention assessments are repeated systematically at follow-up, which could show robust intervention effects. There is scope for professionals in developmental disability to work with service dog providers to improve the evidence base in this field.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Asperger Sentence A: In the present paper the evidence for Field Marshal Montgomery having Asperger's syndrome is examined. Biographies of Montgomery were examined to search for evidence that he met criteria for Asperger's syndrome - Gillberg (1991) and Asperger's disorder (APA.1994) and Anankastic personality disorder (WHO,1992). He demonstrates a qualitative impairment in social interaction and restricted repetitive and stereotyped patterns of behaviour, interests and activities. It can be concluded that he met criteria for Asperger's disorder DSM-IV (APA.1994). Sentence B: The aim of this study was to identify the outcomes expected and assessed by those providing service dogs to children with developmental disabilities. Seventeen registered service dog providers were invited to complete a mixed methods online survey. Five providers, who prepared dogs to work with a wide range of conditions and behaviours, mainly Asperger's syndrome, autism and communication disorders, completed the survey. All five participants reported that they expected to see positive changes as a consequence of the service dog placement, in both the recipient child and their family, including improvements in attention span and language skills, as well as increased familial cohesion. Survey responses indicated that not all desired outcomes were routinely assessed. The range of assessments used were interviews, intake conversations, pre-placement questionnaires, child social diaries filled in by parents, follow up surveys after placement, and child observation by parents. No specifically named valid and reliable clinical or research measures were referred to, showing an emphasis on assessments from parents and service dog providers. It is not clear whether pre-intervention assessments are repeated systematically at follow-up, which could show robust intervention effects. There is scope for professionals in developmental disability to work with service dog providers to improve the evidence base in this field. ###Answer 1. Changed Explanation: The target word ""Asperger"" has undergone a significant change in meaning between Sentence A (2000) and Sentence B (2020). In Sentence A, the term is used to describe Field Marshal Montgomery's condition, with a clear emphasis on the diagnostic criteria outlined in the DSM-IV (APA.1994). The context suggests that the term was used to indicate a specific neurodevelopmental disorder characterized by difficulties with social interaction and repetitive behaviors. In contrast, in Sentence B (2020), the term ""Asperger's syndrome"" is used more broadly to refer to a range of developmental disabilities, including autism and communication disorders. The context suggests that the term is now used more inclusively to encompass a broader range of conditions, rather than a specific diagnosis. Therefore, based on the context and meaning of the term ""Asperger"" in each sentence, it is clear that semantic drift has occurred, and the label ""Changed"" is appropriate." 31,Asperger,"An emerging literature on the neuroanatomical correlates of social cognition in pervasive developmental disorders is reviewed. Studies conducted with high-functioning adults with autism or Asperger's syndrome highlight patterns of decreased activation in ventromedial prefrontal cortex, temporo-parietal junction, amygdala, and periamygdaloid cortex, along with aberrantly increased activation in primary sensory cortices. Future studies should extend these important initial results to younger and more severely affected subjects.","From the 1970s on, case studies reported the effectiveness of therapeutic mirroring in movement with children with autism spectrum disorder. In this feasibility study, we tested a dance movement therapy intervention based on mirroring in movement in a population of 31 young adults with autism spectrum disorder (mainly high-functioning and Asperger's syndrome) with the aim to increase body awareness, social skills, self-other distinction, empathy, and well-being. We employed a manualized dance movement therapy intervention implemented in hourly sessions once a week for 7 weeks. The treatment group (n = 16) and the no-intervention control group (n = 15) were matched by sex, age, and symptom severity. Participants did not participate in any other therapies for the duration of the study. After the treatment, participants in the intervention group reported improved well-being, improved body awareness, improved self-other distinction, and increased social skills. The dance movement therapy-based mirroring approach seemed to address more primary developmental aspects of autism than the presently prevailing theory-of-mind approach. Results suggest that dance movement therapy can be an effective and feasible therapy approach for autism spectrum disorder, while future randomized control trials with bigger samples are needed. ","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Asperger Sentence A: An emerging literature on the neuroanatomical correlates of social cognition in pervasive developmental disorders is reviewed. Studies conducted with high-functioning adults with autism or Asperger's syndrome highlight patterns of decreased activation in ventromedial prefrontal cortex, temporo-parietal junction, amygdala, and periamygdaloid cortex, along with aberrantly increased activation in primary sensory cortices. Future studies should extend these important initial results to younger and more severely affected subjects. Sentence B: From the 1970s on, case studies reported the effectiveness of therapeutic mirroring in movement with children with autism spectrum disorder. In this feasibility study, we tested a dance movement therapy intervention based on mirroring in movement in a population of 31 young adults with autism spectrum disorder (mainly high-functioning and Asperger's syndrome) with the aim to increase body awareness, social skills, self-other distinction, empathy, and well-being. We employed a manualized dance movement therapy intervention implemented in hourly sessions once a week for 7 weeks. The treatment group (n = 16) and the no-intervention control group (n = 15) were matched by sex, age, and symptom severity. Participants did not participate in any other therapies for the duration of the study. After the treatment, participants in the intervention group reported improved well-being, improved body awareness, improved self-other distinction, and increased social skills. The dance movement therapy-based mirroring approach seemed to address more primary developmental aspects of autism than the presently prevailing theory-of-mind approach. Results suggest that dance movement therapy can be an effective and feasible therapy approach for autism spectrum disorder, while future randomized control trials with bigger samples are needed. ###Answer 1. Changed Reasoning: The target word ""Asperger"" has undergone a significant change in meaning between Sentence A and Sentence B. In Sentence A, ""Asperger's syndrome"" is used to describe a specific neurodevelopmental disorder characterized by social cognition impairments. In Sentence B, ""Asperger's syndrome"" is used more broadly to refer to individuals with autism spectrum disorder (ASD) who have high-functioning autism. This shift in meaning suggests that the term ""Asperger"" has undergone semantic drift." 32,Asperger,"Asperger's disorder or syndrome is characterized by impaired social interaction, normal intelligence, and adequate language skills in the areas of grammar and vocabulary. The symptoms are pervasive in nature and usually manifested in childhood. Despite the gravity and chronicity of the condition, the medical literature remains sparse and offers no information about possible neuropathologic underpinnings. The present study is a case report on two patients with Asperger's syndrome. Neuropathologic examination revealed no degenerative changes or gliosis. A more detailed assessment with computerized image analysis indicated abnormalities in the minicolumnar organization of the three areas examined (9, 21, 22) (P = .032). Specifically, minicolumns were smaller, and their component cells were more dispersed than normal. A similar neuropathology has recently been reported for autism and disputes the uniqueness of these findings. The minicolumnar changes provide a possible link to receptive field abnormalities and a useful clinicopathologic correlate to Asperger's syndrome.","The Test of Language Competence-Expanded Edition (TLC-E) was administered to children and adults with a diagnosis of autism spectrum disorder (ASD). Relative to controls, those with ASD were less competent on a range of TLC-E tasks. No differences were found for either child or adult ASD groups on any of the TLC-E measures when re-classified as Asperger syndrome (AS) and high functioning autism (HFA) using DSM-IV language criterion. Hierarchical cluster analyses of individuals with ASD identified subgroups within the spectrum. The use of developmental language history as an identifying marker in autism is questioned. The findings suggest that comprehensive language assessments on individuals with ASD can provide clinically relevant information regarding the heterogeneity of language skills within the autistic spectrum.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Asperger Sentence A: Asperger's disorder or syndrome is characterized by impaired social interaction, normal intelligence, and adequate language skills in the areas of grammar and vocabulary. The symptoms are pervasive in nature and usually manifested in childhood. Despite the gravity and chronicity of the condition, the medical literature remains sparse and offers no information about possible neuropathologic underpinnings. The present study is a case report on two patients with Asperger's syndrome. Neuropathologic examination revealed no degenerative changes or gliosis. A more detailed assessment with computerized image analysis indicated abnormalities in the minicolumnar organization of the three areas examined (9, 21, 22) (P = .032). Specifically, minicolumns were smaller, and their component cells were more dispersed than normal. A similar neuropathology has recently been reported for autism and disputes the uniqueness of these findings. The minicolumnar changes provide a possible link to receptive field abnormalities and a useful clinicopathologic correlate to Asperger's syndrome. Sentence B: The Test of Language Competence-Expanded Edition (TLC-E) was administered to children and adults with a diagnosis of autism spectrum disorder (ASD). Relative to controls, those with ASD were less competent on a range of TLC-E tasks. No differences were found for either child or adult ASD groups on any of the TLC-E measures when re-classified as Asperger syndrome (AS) and high functioning autism (HFA) using DSM-IV language criterion. Hierarchical cluster analyses of individuals with ASD identified subgroups within the spectrum. The use of developmental language history as an identifying marker in autism is questioned. The findings suggest that comprehensive language assessments on individuals with ASD can provide clinically relevant information regarding the heterogeneity of language skills within the autistic spectrum. ###Answer 1. Changed Explanation: In Sentence A, the term ""Asperger's disorder or syndrome"" is used, indicating that the condition was considered a distinct disorder or syndrome at the time of writing. The sentence also highlights the key symptoms of the condition, including impaired social interaction, normal intelligence, and adequate language skills. However, in Sentence B, the term ""Asperger syndrome"" is used, which suggests that the condition is now considered to be a part of the autism spectrum. Additionally, the sentence does not mention any distinct symptoms of the condition, but rather focuses on the language skills of individuals with autism spectrum disorder (ASD). This shift in language and focus suggests that the meaning of the term ""Asperger"" has changed significantly over time, warranting the label ""Changed""." 33,Asperger,"We tested whether dimensional measures of empathic ability, theory of mind, and intelligence would differentiate autism spectrum disorders from each other and from non-spectrum disorders. Tests were administered to children with a diagnosis of Autistic Disorder (AutD; n = 20), Asperger's Disorder (AspD; n = 28), Attention Deficit/Hyperactivity Disorder (Inattentive Type) (ADHD; n = 35), Mental Retardation (Mild) (MR; n = 34), Anxiety Disorder (AnxD; n = 14), or No Psychological Disorder (NPD; n = 36). Results showed that empathic ability discriminated among groups on the autism spectrum (AutD < AspD < NPD). Because empathic ability is not independent of intelligence (AutD < AspD < NPD on intelligence; MR < ADHD < NPD on empathic ability), both dimensions are necessary to discriminate autism spectrum from non-spectrum disorders. When intelligence is covaried, empathic ability discriminated AutD, but not AspD, from other disorders (AutD < MR < ADHD < NPD = AnxD = AspD).","Using a key word search on electronic databases, two relevant journals and relevant review references, four measures of autistic symptoms (Childhood Asperger Syndrome Test, Autism Behavior Checklist, Social Communication Questionnaire, Social Responsiveness Scale) were reviewed with reference to their ability to discriminate the three major components of autism and measure across the whole spectrum of autism. None of the reviewed measures were able to effectively tap into and differentiate between all points on the spectrum. Further work is required to assess the sensitivity of the measures to independence between domains. The development of a measure sensitive to symptom change/continuity across development may be useful.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Asperger Sentence A: We tested whether dimensional measures of empathic ability, theory of mind, and intelligence would differentiate autism spectrum disorders from each other and from non-spectrum disorders. Tests were administered to children with a diagnosis of Autistic Disorder (AutD; n = 20), Asperger's Disorder (AspD; n = 28), Attention Deficit/Hyperactivity Disorder (Inattentive Type) (ADHD; n = 35), Mental Retardation (Mild) (MR; n = 34), Anxiety Disorder (AnxD; n = 14), or No Psychological Disorder (NPD; n = 36). Results showed that empathic ability discriminated among groups on the autism spectrum (AutD < AspD < NPD). Because empathic ability is not independent of intelligence (AutD < AspD < NPD on intelligence; MR < ADHD < NPD on empathic ability), both dimensions are necessary to discriminate autism spectrum from non-spectrum disorders. When intelligence is covaried, empathic ability discriminated AutD, but not AspD, from other disorders (AutD < MR < ADHD < NPD = AnxD = AspD). Sentence B: Using a key word search on electronic databases, two relevant journals and relevant review references, four measures of autistic symptoms (Childhood Asperger Syndrome Test, Autism Behavior Checklist, Social Communication Questionnaire, Social Responsiveness Scale) were reviewed with reference to their ability to discriminate the three major components of autism and measure across the whole spectrum of autism. None of the reviewed measures were able to effectively tap into and differentiate between all points on the spectrum. Further work is required to assess the sensitivity of the measures to independence between domains. The development of a measure sensitive to symptom change/continuity across development may be useful. ###Answer 1. Changed Reasoning: In Sentence A, the term ""Asperger"" is used to describe a specific diagnosis of Autistic Disorder. The context suggests that the term was used to refer to a specific set of symptoms and characteristics that were distinct from other autism spectrum disorders. In contrast, in Sentence B, the term ""Asperger"" is used more broadly to refer to the autism spectrum as a whole, without any implication that it refers to a specific diagnosis. This suggests that the term has undergone a significant shift in meaning or connotation over time, from a specific diagnosis to a broader concept." 34,Asperger,"Investigated the use of cohesive links to create a reciprocal conversation in individuals with autism, Asperger syndrome, and a control group of children and adolescents with nonspecific social problems. All subjects engaged in a 10-minute conversation with an examiner that touched on various topics. The conversation was audiotaped, transcribed, and coded blindly for several types of cohesive links. Compared to controls, the higher functioning autistic group referred less to a previous stretch of the conversation and more to an aspect of the physical environment. The Asperger group, on the other hand, was very similar to the controls except they made more unclear references that were difficult to interpret. Implications of these findings for understanding the communicative failure of subjects with pervasive developmental disorder are discussed.","In a longitudinal study, the authors explore the course of general cognition in anorexia nervosa (AN) over time and compare general cognitive problems, executive function deficits, attentional problems and visuomotor dysfunctions across AN individuals and healthy controls. A community-based sample of adolescent onset AN cases (n=40-47) was contrasted with an age-, sex- and school matched comparison group (n=47-51) on the Wechsler Adult Intelligence Scale-Revised, the Wisconsin Card Sorting Test and Luria word recall test at a mean age of 24 years. Only two of the cases tested were underweight at the time of the study. The Wechsler scale had also been administered when the groups had a mean age of 21 years. There were few differences across the two groups even though the comparison group performed significantly better on the Object Assembly subtest of the WAIS-R. IQ increased slightly but significantly over time in both groups. There was no relationship between level of starvation and poor results on tests in the AN group. A subgroup of the subjects had autism spectrum disorders. In this subgroup there were cases with test profiles similar to those observed in autism and Asperger syndrome, just as there had been on testing three years previously. Ten years after AN onset, the former AN cases showed no major neuropsychological deficits. A subgroup with autistic features had test profiles similar to those observed in autism spectrum disorders. The AN group as a whole showed poor results on the object assembly subtest indicating weak central coherence with a tendency to focus on details at the expense of configural information. This cognitive style may account for their obsession with details, with implications for psychoeducational approaches in treatment programmes/interventions.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Asperger Sentence A: Investigated the use of cohesive links to create a reciprocal conversation in individuals with autism, Asperger syndrome, and a control group of children and adolescents with nonspecific social problems. All subjects engaged in a 10-minute conversation with an examiner that touched on various topics. The conversation was audiotaped, transcribed, and coded blindly for several types of cohesive links. Compared to controls, the higher functioning autistic group referred less to a previous stretch of the conversation and more to an aspect of the physical environment. The Asperger group, on the other hand, was very similar to the controls except they made more unclear references that were difficult to interpret. Implications of these findings for understanding the communicative failure of subjects with pervasive developmental disorder are discussed. Sentence B: In a longitudinal study, the authors explore the course of general cognition in anorexia nervosa (AN) over time and compare general cognitive problems, executive function deficits, attentional problems and visuomotor dysfunctions across AN individuals and healthy controls. A community-based sample of adolescent onset AN cases (n=40-47) was contrasted with an age-, sex- and school matched comparison group (n=47-51) on the Wechsler Adult Intelligence Scale-Revised, the Wisconsin Card Sorting Test and Luria word recall test at a mean age of 24 years. Only two of the cases tested were underweight at the time of the study. The Wechsler scale had also been administered when the groups had a mean age of 21 years. There were few differences across the two groups even though the comparison group performed significantly better on the Object Assembly subtest of the WAIS-R. IQ increased slightly but significantly over time in both groups. There was no relationship between level of starvation and poor results on tests in the AN group. A subgroup of the subjects had autism spectrum disorders. In this subgroup there were cases with test profiles similar to those observed in autism and Asperger syndrome, just as there had been on testing three years previously. Ten years after AN onset, the former AN cases showed no major neuropsychological deficits. A subgroup with autistic features had test profiles similar to those observed in autism spectrum disorders. The AN group as a whole showed poor results on the object assembly subtest indicating weak central coherence with a tendency to focus on details at the expense of configural information. This cognitive style may account for their obsession with details, with implications for psychoeducational approaches in treatment programmes/interventions. ###Answer 1. Changed Reasoning: In Sentence A, the term ""Asperger syndrome"" is used to describe a specific developmental disorder characterized by difficulties with social interaction and communication. The sentence also highlights the distinct cognitive profile of individuals with Asperger syndrome, including a tendency to focus on details at the expense of configural information. In Sentence B, the term ""Asperger syndrome"" is used in a different context, to describe a subgroup of individuals with anorexia nervosa who also have autism spectrum disorders. This subgroup is characterized by test profiles similar to those observed in autism and Asperger syndrome, suggesting a significant shift in the meaning of the term ""Asperger syndrome"" over time. The sentence also implies that the cognitive profile of this subgroup is different from that of individuals with Asperger syndrome in Sentence A. Therefore, semantic drift has occurred in the term ""Asperger syndrome"" between Sentence A and Sentence B, indicating a change in its meaning or connotation over time." 35,Asperger,"We investigated a male, aged 4 years 11 months, who fulfilled the criteria of Asperger syndrome). In addition to the typical pattern of autistic symptoms, psychological testing revealed prosopagnosia in tasks for face recognition and matching. Prosopagnosia was also present when he tried to identify the faces of his parents and himself in photographs whenever these were presented with photographs of other persons. Although impairment in reciprocal social interaction in individuals with Asperger syndrome is closely correlated to their impaired perceptional abilities in non-verbal communication, especially facial expression, overt prosopagnosia seems to be a rare neuropsychological symptom in persons with autistic disorders.","In 2008, we launched a new outpatient clinic and day care service designed exclusively for adults with autism spectrum disorder (ASD). Since then, more than 6000 people visited our facility. We have also launched the Medical Institute for Developmental Disabilities Research (MIDDR) at Showa University, where neuroimaging studies with a 3.0 Tesla MRI scanner and rehabilitation studies intended to support people with ASD for job seeking were conducted for the past five years. As our subjects were found to have normal or high intelligence, we present here our research studies on Asperger syndrome patients with the focus on their resting-state functional connectivity network. We also review hypotheses of brain functioning in Asperger syndrome.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Asperger Sentence A: We investigated a male, aged 4 years 11 months, who fulfilled the criteria of Asperger syndrome). In addition to the typical pattern of autistic symptoms, psychological testing revealed prosopagnosia in tasks for face recognition and matching. Prosopagnosia was also present when he tried to identify the faces of his parents and himself in photographs whenever these were presented with photographs of other persons. Although impairment in reciprocal social interaction in individuals with Asperger syndrome is closely correlated to their impaired perceptional abilities in non-verbal communication, especially facial expression, overt prosopagnosia seems to be a rare neuropsychological symptom in persons with autistic disorders. Sentence B: In 2008, we launched a new outpatient clinic and day care service designed exclusively for adults with autism spectrum disorder (ASD). Since then, more than 6000 people visited our facility. We have also launched the Medical Institute for Developmental Disabilities Research (MIDDR) at Showa University, where neuroimaging studies with a 3.0 Tesla MRI scanner and rehabilitation studies intended to support people with ASD for job seeking were conducted for the past five years. As our subjects were found to have normal or high intelligence, we present here our research studies on Asperger syndrome patients with the focus on their resting-state functional connectivity network. We also review hypotheses of brain functioning in Asperger syndrome. ###Answer 1. Changed Reasoning: In Sentence A, the term ""Asperger syndrome"" is used to describe a specific neurodevelopmental disorder characterized by difficulties with social interaction and communication. The sentence also highlights the distinctive neuropsychological symptoms associated with the disorder, such as prosopagnosia (face recognition impairment). In Sentence B, the term ""Asperger syndrome"" is used in a different context, to describe a group of adults with autism spectrum disorder (ASD) who have visited a clinic or are undergoing research studies. The sentence does not convey the same level of detail or specificity regarding the neurodevelopmental disorder as in Sentence A. Instead, it focuses on the clinical and rehabilitation aspects of ASD in adults. Therefore, the meaning of the term ""Asperger"" has shifted from a specific diagnostic label to a more general term encompassing a range of neurodevelopmental disorders. This semantic drift is evident in the difference in context and meaning between Sentence A and Sentence B." 36,Asperger,"This study assessed the utility of a Social Story intervention to improve the lunchtime eating behaviors of an adolescent diagnosed with Asperger syndrome. Using an ABAB design, the Social Story program appeared to result in a decrease in the number of food and drink spills and an increase in the frequency of appropriate mouth-wiping during lunch at school.","Recent evidence suggests that a subgroup of children with autism show similarities to children with Specific Language Impairment (SLI) in the pattern of their linguistic impairments, but the source of this overlap is unclear. We examined the ability of auditory evoked magnetic fields to predict language and other developmental abilities in children and adolescents. Following standardized assessment of language ability, nonverbal IQ, and autism-associated behaviors, 110 trails of a tone were binaurally presented to 45 7-18 year olds who had typical development, autism (with LI), Asperger Syndrome (i.e., without LI), or SLI. Using a 151-channel MEG system, latency of left hemisphere (LH) and right hemisphere (RH) auditory M50 and M100 peaks was recorded. RH M50 latency (and to a lesser extent, RH M100 latency) predicted overall oral language ability, accounting for 36% of the variance. Nonverbal IQ and autism behavior ratings were not predicted by any of the evoked fields. Latency of the RH M50 was the best predictor of clinical LI (i.e., irrespective of autism diagnosis), and demonstrated 82% accuracy in predicting Receptive LI; a cutoff of 84.6 ms achieved 92% specificity and 70% sensitivity in classifying children with and without Receptive LI. Auditory evoked responses appear to reflect language functioning and impairment rather than non-specific brain (dys)function (e.g., IQ, behavior). RH M50 latency proved to be a relatively useful indicator of impaired language comprehension, suggesting that delayed auditory perceptual processing in the RH may be a key neural dysfunction underlying the overlap between subgroups of children with autism and SLI.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Asperger Sentence A: This study assessed the utility of a Social Story intervention to improve the lunchtime eating behaviors of an adolescent diagnosed with Asperger syndrome. Using an ABAB design, the Social Story program appeared to result in a decrease in the number of food and drink spills and an increase in the frequency of appropriate mouth-wiping during lunch at school. Sentence B: Recent evidence suggests that a subgroup of children with autism show similarities to children with Specific Language Impairment (SLI) in the pattern of their linguistic impairments, but the source of this overlap is unclear. We examined the ability of auditory evoked magnetic fields to predict language and other developmental abilities in children and adolescents. Following standardized assessment of language ability, nonverbal IQ, and autism-associated behaviors, 110 trails of a tone were binaurally presented to 45 7-18 year olds who had typical development, autism (with LI), Asperger Syndrome (i.e., without LI), or SLI. Using a 151-channel MEG system, latency of left hemisphere (LH) and right hemisphere (RH) auditory M50 and M100 peaks was recorded. RH M50 latency (and to a lesser extent, RH M100 latency) predicted overall oral language ability, accounting for 36% of the variance. Nonverbal IQ and autism behavior ratings were not predicted by any of the evoked fields. Latency of the RH M50 was the best predictor of clinical LI (i.e., irrespective of autism diagnosis), and demonstrated 82% accuracy in predicting Receptive LI; a cutoff of 84.6 ms achieved 92% specificity and 70% sensitivity in classifying children with and without Receptive LI. Auditory evoked responses appear to reflect language functioning and impairment rather than non-specific brain (dys)function (e.g., IQ, behavior). RH M50 latency proved to be a relatively useful indicator of impaired language comprehension, suggesting that delayed auditory perceptual processing in the RH may be a key neural dysfunction underlying the overlap between subgroups of children with autism and SLI. ###Answer 1. Changed Explanation: The target word ""Asperger"" has undergone significant semantic drift between the two sentences. In Sentence A, the word is used to describe a specific diagnosis in the context of a study on a particular intervention for an adolescent with Asperger syndrome. The word is used to convey a sense of specificity and diagnosability. In Sentence B, the word is used in a different context, describing a subgroup of children with autism who show similarities to children with Specific Language Impairment (SLI). The word is used to convey a sense of overlap or shared characteristics between the two groups. The word ""Asperger"" is no longer used to describe a specific diagnosis, but rather a characteristic or feature of a particular group of individuals. Therefore, the label ""Changed"" is appropriate, as the meaning of the word has shifted from a specific diagnosis to a general characteristic or feature." 37,Asperger,"Autism and Asperger syndrome (ASP) are neurobiological conditions with overlapping behavioral symptoms and of unknown etiologies. Results from previous autism neuroimaging studies have been difficult to replicate, possibly owing to site differences in subject samples, scanning procedures, and image-processing methods. We sought (1) to determine whether low-functioning autism (LFA; IQ<70), high-functioning autism (HFA; IQ>or=70), and ASP constitute distinct biological entities as evidenced by neuroanatomical measures, and (2) to assess for intersite differences.","Autism spectrum disorders (autism, Asperger's syndrome, high-functioning autism) are characterized by a common pattern of marked impairments in social interactions. Deficits have been described in face processing, facial emotion recognition, and social attribution (""theory of mind"") or generally speaking in social cognition. Some studies have shown that these impairments are already detectable in early childhood, leading to the assumption that the underlying cause is an early disruption of neuronal development. Accordingly, neuroimaging data have revealed alterations of structure and function in the brains of autistic children, adolescents, and adults. The present review gives a systematic overview of the existing literature on functional imaging studies using experimental paradigms of social cognition, i.e. face discrimination, facial emotion recognition, and theory of mind in autistic disorders.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Asperger Sentence A: Autism and Asperger syndrome (ASP) are neurobiological conditions with overlapping behavioral symptoms and of unknown etiologies. Results from previous autism neuroimaging studies have been difficult to replicate, possibly owing to site differences in subject samples, scanning procedures, and image-processing methods. We sought (1) to determine whether low-functioning autism (LFA; IQ<70), high-functioning autism (HFA; IQ>or=70), and ASP constitute distinct biological entities as evidenced by neuroanatomical measures, and (2) to assess for intersite differences. Sentence B: Autism spectrum disorders (autism, Asperger's syndrome, high-functioning autism) are characterized by a common pattern of marked impairments in social interactions. Deficits have been described in face processing, facial emotion recognition, and social attribution (""theory of mind"") or generally speaking in social cognition. Some studies have shown that these impairments are already detectable in early childhood, leading to the assumption that the underlying cause is an early disruption of neuronal development. Accordingly, neuroimaging data have revealed alterations of structure and function in the brains of autistic children, adolescents, and adults. The present review gives a systematic overview of the existing literature on functional imaging studies using experimental paradigms of social cognition, i.e. face discrimination, facial emotion recognition, and theory of mind in autistic disorders. ###Answer 1. Changed Explanation: In Sentence A (2000), the term ""Asperger"" is used in the context of a research study on autism spectrum disorders, where it is mentioned alongside ""autism"" and ""high-functioning autism."" The term is used to describe a specific type of autism spectrum disorder, with a focus on the neurobiological aspects of the condition. In this context, the term ""Asperger"" carries a specific meaning related to the neurobiology of autism. In Sentence B (2020), the term ""Asperger's syndrome"" is used in a different context, where it is mentioned alongside ""autism spectrum disorders"" and ""high-functioning autism."" The term is used to describe a broader range of autism spectrum disorders, with a focus on the social cognition aspects of the condition. In this context, the term ""Asperger"" carries a different meaning related to the social cognition aspects of autism. Comparing the usage of the term ""Asperger"" in these two sentences reveals that its meaning has shifted over time. In Sentence A (2000), the term is used specifically to refer to a neurobiological aspect of autism, while in Sentence B (2020), it is used more broadly to refer to a social cognition aspect of autism. This shift in meaning suggests that semantic drift has occurred in the usage of the term ""Asperger."" Therefore, the label ""Changed"" is appropriate." 38,Asperger,"The current status of autism studies was reviewed based on English articles published during the 1990s. Although the concepts of autism and pervasive developmental disorders (PDD) are established, diagnostic criteria of PDDNOS or atypical autism, which is frequently difficult to differentiate from autism, need to be established. The prevalence of autism has been estimated as about 0.05% in the U.S and many European countries, while it was reported to be 0.1% or higher in Japan and some European countries, though the reasons for this difference are unclear. High-functioning (IQ > or = 70) autism may not be as rare a condition as previously thought and both its difference from and similarity to Asperger's syndrome, the highest functioning PDD subtype, need clarification. About 20 to 40% of children with autism lose meaningful words by the age of 2 years and display autistic symptoms thereafter. Such autism, called the setback type in Japan, has been demonstrated to have a poorer adolescent/adult outcome compared to autism without setback and its relationship with childhood disintegrative disorder, which displays a clearer regression after normal development for at least the first 2 years of life, needs to be addressed. The etiology of autism is now considered mostly genetic for reasons, such as the significantly higher concordance rate of autism in identical twin pairs (60-80%) than in fraternal twin pairs (0-10%) and an 3-5% incidence of autism among sibs of an autism proband, 30 to 100 times higher than that in the general population. The involvement of several genes is implicated to create susceptibility for autism, yet the responsible genes have not been identified. Although there is no medication to cure autism, some psychotropic drugs, such as antipsychotics and SSRIs, seem effective for behavior problems in autism patients. Psychosocial treatments are the main therapeutic approach to autism, though they are yet to be well systematized. It is important to evaluate various autism treatments now practiced and to integrate effective ones into an efficient therapeutic system. Early diagnosis of PDD, support for the mother to develop a better relationship with her autistic infant, enrollment of an autistic infant in a day care for handicapped or non-handicapped infants, education in a relevant school, vocational training, treatment of behavior problems, and establishing social welfare services are a framework of the therapeutic system of autism. Much should be done to improve the long-term outcome of autism patients, including high-functioning autism.","In this study, three hundred and sixty-eight participants answered a questionnaire consisting of three vignettes describing a person with depression, severe Autism Spectrum Disorder (ASD), and high-functioning Autism Spectrum Disorder/Asperger's Syndrome (AS). Each vignette was followed by thirteen questions concerning the participant's knowledge about diagnosis, treatment, and prognosis. Participants demonstrated good mental health literacy (MHL) for depression, but were poor at diagnosing ASD. Drug therapy was rated as the least effective treatment and 'talking to a family member of friend' was rated as the most effective for each disorder. The highest prognosis ratings were given to depression, and the lowest given to ASD. Participants demonstrated better MHL than expected, possibly due to the availability of information on the Internet and the increase in prevalence of mental illnesses such as depression and ASD among the general population.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Asperger Sentence A: The current status of autism studies was reviewed based on English articles published during the 1990s. Although the concepts of autism and pervasive developmental disorders (PDD) are established, diagnostic criteria of PDDNOS or atypical autism, which is frequently difficult to differentiate from autism, need to be established. The prevalence of autism has been estimated as about 0.05% in the U.S and many European countries, while it was reported to be 0.1% or higher in Japan and some European countries, though the reasons for this difference are unclear. High-functioning (IQ > or = 70) autism may not be as rare a condition as previously thought and both its difference from and similarity to Asperger's syndrome, the highest functioning PDD subtype, need clarification. About 20 to 40% of children with autism lose meaningful words by the age of 2 years and display autistic symptoms thereafter. Such autism, called the setback type in Japan, has been demonstrated to have a poorer adolescent/adult outcome compared to autism without setback and its relationship with childhood disintegrative disorder, which displays a clearer regression after normal development for at least the first 2 years of life, needs to be addressed. The etiology of autism is now considered mostly genetic for reasons, such as the significantly higher concordance rate of autism in identical twin pairs (60-80%) than in fraternal twin pairs (0-10%) and an 3-5% incidence of autism among sibs of an autism proband, 30 to 100 times higher than that in the general population. The involvement of several genes is implicated to create susceptibility for autism, yet the responsible genes have not been identified. Although there is no medication to cure autism, some psychotropic drugs, such as antipsychotics and SSRIs, seem effective for behavior problems in autism patients. Psychosocial treatments are the main therapeutic approach to autism, though they are yet to be well systematized. It is important to evaluate various autism treatments now practiced and to integrate effective ones into an efficient therapeutic system. Early diagnosis of PDD, support for the mother to develop a better relationship with her autistic infant, enrollment of an autistic infant in a day care for handicapped or non-handicapped infants, education in a relevant school, vocational training, treatment of behavior problems, and establishing social welfare services are a framework of the therapeutic system of autism. Much should be done to improve the long-term outcome of autism patients, including high-functioning autism. Sentence B: In this study, three hundred and sixty-eight participants answered a questionnaire consisting of three vignettes describing a person with depression, severe Autism Spectrum Disorder (ASD), and high-functioning Autism Spectrum Disorder/Asperger's Syndrome (AS). Each vignette was followed by thirteen questions concerning the participant's knowledge about diagnosis, treatment, and prognosis. Participants demonstrated good mental health literacy (MHL) for depression, but were poor at diagnosing ASD. Drug therapy was rated as the least effective treatment and 'talking to a family member of friend' was rated as the most effective for each disorder. The highest prognosis ratings were given to depression, and the lowest given to ASD. Participants demonstrated better MHL than expected, possibly due to the availability of information on the Internet and the increase in prevalence of mental illnesses such as depression and ASD among the general population. ###Answer 1. Changed Reasoning: In Sentence A, the term ""Asperger"" is used in the context of autism studies in the 1990s. At that time, Asperger Syndrome was considered a subtype of autism, and the term was used interchangeably with PDD (Pervasive Developmental Disorder). However, in Sentence B, the term ""Autism Spectrum Disorder/Asperger's Syndrome"" is used, which suggests a shift in understanding and terminology. The term ""Autism Spectrum Disorder"" has become more widely used and accepted, and ""Asperger's Syndrome"" is now considered a specific subtype of autism spectrum disorder. Therefore, the label ""Changed"" is appropriate for this example, as the meaning and connotation of the term ""Asperger"" have shifted over time." 39,Asperger,"A meta-analysis was performed on the 133 cognitive and behavioral papers in autism using comparison groups in the 1999-2002 period. High-functioning (average IQ: 84.7), adolescents (average, 14.4 years) are largely dominant. IQ is the most frequent matching variable in use (51.2%). The instruments that are most frequently used to determine IQ or general level are Wechsler scales (46.9%), British Picture Vocabulary Scale (BPVS; 22.3%), and Raven Progressive Matrices (RPM; 16.9%). In order to determine if these instruments were equivalent when applied to individuals with pervasive developmental disorders (PDDs), Wechsler IQ, EVIP (a French Canadian translation of the BPVS), and RPM were given to a group of 14 individuals with autism and 12 with Asperger syndrome. Comparison of Wechsler and RPM IQs values, expressed as percentiles, to percentile values of EVIP score revealed that EVIP (and to a lesser extent RPM) considerably overestimates the level of all PDD participants as compared to Wechsler Verbal IQ (VIQ), Performance IQ (PIQ), or Full-Scale IQ (FSIQ), whereas these instruments are reported to be strongly correlated in typically developing individuals. This study reveals that identification of objects from a verbal label--the BPVS-PPVT-EVIP task--is a peak of ability in high functioning individuals with PDDs. This peak of ability, even superior to that of block design, has a detrimental effect on matching based on this instrument. A recommendation to replace BPVS/PPVT/EVIP or RPM by Wechsler scale as a basis of IQ/level matching is provided. Accordingly, the former instruments are a potential source of type-1 (for cognitive deficits) or type-2 (for cognitive hyperfunctioning) errors.","The prevalence of Asperger syndrome, a mild form of autism, appears to be rapidly increasing. This developmental disorder affects children and adults and can present challenges to providing medical care. In this update on Asperger syndrome, we offer guidance on how to interact with adult patients with the disorder. We also address proposed diagnostic changes scheduled to take effect in 2013.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Asperger Sentence A: A meta-analysis was performed on the 133 cognitive and behavioral papers in autism using comparison groups in the 1999-2002 period. High-functioning (average IQ: 84.7), adolescents (average, 14.4 years) are largely dominant. IQ is the most frequent matching variable in use (51.2%). The instruments that are most frequently used to determine IQ or general level are Wechsler scales (46.9%), British Picture Vocabulary Scale (BPVS; 22.3%), and Raven Progressive Matrices (RPM; 16.9%). In order to determine if these instruments were equivalent when applied to individuals with pervasive developmental disorders (PDDs), Wechsler IQ, EVIP (a French Canadian translation of the BPVS), and RPM were given to a group of 14 individuals with autism and 12 with Asperger syndrome. Comparison of Wechsler and RPM IQs values, expressed as percentiles, to percentile values of EVIP score revealed that EVIP (and to a lesser extent RPM) considerably overestimates the level of all PDD participants as compared to Wechsler Verbal IQ (VIQ), Performance IQ (PIQ), or Full-Scale IQ (FSIQ), whereas these instruments are reported to be strongly correlated in typically developing individuals. This study reveals that identification of objects from a verbal label--the BPVS-PPVT-EVIP task--is a peak of ability in high functioning individuals with PDDs. This peak of ability, even superior to that of block design, has a detrimental effect on matching based on this instrument. A recommendation to replace BPVS/PPVT/EVIP or RPM by Wechsler scale as a basis of IQ/level matching is provided. Accordingly, the former instruments are a potential source of type-1 (for cognitive deficits) or type-2 (for cognitive hyperfunctioning) errors. Sentence B: The prevalence of Asperger syndrome, a mild form of autism, appears to be rapidly increasing. This developmental disorder affects children and adults and can present challenges to providing medical care. In this update on Asperger syndrome, we offer guidance on how to interact with adult patients with the disorder. We also address proposed diagnostic changes scheduled to take effect in 2013. ###Answer 1. Changed Reasoning: In Sentence A, the term ""Asperger syndrome"" is used in the context of a research study examining the relationship between IQ and cognitive abilities in individuals with autism spectrum disorder. The term is used to describe a specific subtype of autism, with a focus on the cognitive and behavioral characteristics of individuals with the disorder. In Sentence B, the term ""Asperger syndrome"" is used in a different context, to describe a rapidly increasing prevalence of the disorder. The term is used to convey a sense of urgency and concern for the medical community, rather than in the context of a research study. The meaning of the term has shifted from a specific diagnostic label to a more general term for a developmental disorder, indicating a semantic drift has occurred." 40,Asperger,"Baron-Cohen, Wheelwright, Skinner, Martin, and Clubley (2001) constructed brief, self-administered instruments named the Autism-Spectrum Quotient (AQ), for measuring the degree to which an adult with normal intelligence has the traits associated with the autistic spectrum. In this paper, we report on a Japanese version of this new instrument. Three groups of Japanese subjects were assessed. Group 1 (n = 57) consisted of adults with Asperger Syndrome (AS) or high-functioning autism (HFA). The other two groups were control groups. Subjects of Group 2 (n = 194) were normal adults and those of Group 3 (n = 1 050) were students selected from five Universities in Tokyo and Chiba. The adults with AS/HFA had a mean AQ score of 37.9 (SD = 5.31), which was significantly higher than the two control groups (Group 2: X = 18.5, SD = 6.21, and Group 3: X = 20.7, SD = 6.38). While eighty-eight percent of the adults with AS/HFA scored more than 33 points, only 3% of subjects in the two control groups indicated those points. Among the controls, males scored slightly but significantly higher than females. The reliability of the AQ in both test-retest and inter-rater measures were significantly high.",Higher education requires more than academic skills and everyday student-life can be stressful. Students with Asperger syndrome (AS) may need support to manage their education due to difficulties in social functioning.,"###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Asperger Sentence A: Baron-Cohen, Wheelwright, Skinner, Martin, and Clubley (2001) constructed brief, self-administered instruments named the Autism-Spectrum Quotient (AQ), for measuring the degree to which an adult with normal intelligence has the traits associated with the autistic spectrum. In this paper, we report on a Japanese version of this new instrument. Three groups of Japanese subjects were assessed. Group 1 (n = 57) consisted of adults with Asperger Syndrome (AS) or high-functioning autism (HFA). The other two groups were control groups. Subjects of Group 2 (n = 194) were normal adults and those of Group 3 (n = 1 050) were students selected from five Universities in Tokyo and Chiba. The adults with AS/HFA had a mean AQ score of 37.9 (SD = 5.31), which was significantly higher than the two control groups (Group 2: X = 18.5, SD = 6.21, and Group 3: X = 20.7, SD = 6.38). While eighty-eight percent of the adults with AS/HFA scored more than 33 points, only 3% of subjects in the two control groups indicated those points. Among the controls, males scored slightly but significantly higher than females. The reliability of the AQ in both test-retest and inter-rater measures were significantly high. Sentence B: Higher education requires more than academic skills and everyday student-life can be stressful. Students with Asperger syndrome (AS) may need support to manage their education due to difficulties in social functioning. ###Answer 1. Changed Explanation: In Sentence A, the term ""Asperger Syndrome"" is used to describe a specific condition, with a clear clinical definition and diagnostic criteria. The sentence highlights the distinct features of the disorder, such as difficulties in social functioning, and emphasizes the importance of the AQ instrument in measuring the degree of autistic traits in individuals. In Sentence B, the term ""Asperger syndrome"" is used more broadly, without any clinical definition or diagnostic criteria. The sentence focuses on the challenges that students with Asperger syndrome may face in higher education, without specifying any particular features of the disorder. The term is used more as a general descriptor of individuals who may need support in managing their education. Based on these differences, it is clear that the term ""Asperger syndrome"" has undergone a significant change in meaning between Sentence A and Sentence B. In Sentence A, the term is used in a clinical context to describe a specific disorder, while in Sentence B, it is used more broadly to describe individuals who may need support in higher education. Therefore, the label ""Changed"" is appropriate to indicate that the meaning of the term ""Asperger syndrome"" has shifted significantly between these two sentences." 41,Asperger,"Thirteen children and adolescents with diagnoses of Asperger syndrome (AS) were matched with 13 nonautistic control children on chronological age and verbal IQ. They were tested on their ability to recognize simple facial emotions, as well as facial emotions paired with matching, mismatching, or irrelevant verbal labels. There were no differences between the groups at recognizing simple emotions but the Asperger group performed significantly worse than the control group at recognizing emotions when faces were paired with mismatching words (but not with matching or irrelevant words). The results suggest that there are qualitative differences from nonclinical populations in how children with AS process facial expressions. When presented with a more demanding affective processing task, individuals with AS showed a bias towards visual-verbal over visual-affective information (i.e., words over faces). Thus, children with AS may be utilizing compensatory strategies, such as verbal mediation, to process facial expressions of emotion.","We developed a 28-item Chinese Eyes Test and tested its psychometric properties with a mixed sample of high-functioning adults with autism or Asperger syndrome and neurotypical adults. The Chinese Eyes Test showed good convergent and divergent validity, satisfactory known-group discrimination, and acceptable internal consistency. The identified cutoff score of 18 or below (Sensitivity: 66.7%; Specificity: 84.0%) should be useful for identifying clinically significant levels of social cognitive deficits, in terms of difficulty with the perceptual understanding of others' mental states, in high-functioning adults with autism or Asperger syndrome.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Asperger Sentence A: Thirteen children and adolescents with diagnoses of Asperger syndrome (AS) were matched with 13 nonautistic control children on chronological age and verbal IQ. They were tested on their ability to recognize simple facial emotions, as well as facial emotions paired with matching, mismatching, or irrelevant verbal labels. There were no differences between the groups at recognizing simple emotions but the Asperger group performed significantly worse than the control group at recognizing emotions when faces were paired with mismatching words (but not with matching or irrelevant words). The results suggest that there are qualitative differences from nonclinical populations in how children with AS process facial expressions. When presented with a more demanding affective processing task, individuals with AS showed a bias towards visual-verbal over visual-affective information (i.e., words over faces). Thus, children with AS may be utilizing compensatory strategies, such as verbal mediation, to process facial expressions of emotion. Sentence B: We developed a 28-item Chinese Eyes Test and tested its psychometric properties with a mixed sample of high-functioning adults with autism or Asperger syndrome and neurotypical adults. The Chinese Eyes Test showed good convergent and divergent validity, satisfactory known-group discrimination, and acceptable internal consistency. The identified cutoff score of 18 or below (Sensitivity: 66.7%; Specificity: 84.0%) should be useful for identifying clinically significant levels of social cognitive deficits, in terms of difficulty with the perceptual understanding of others' mental states, in high-functioning adults with autism or Asperger syndrome. ###Answer 1. Changed Reasoning: In Sentence A from 2000, the term ""Asperger syndrome"" is used to describe a specific diagnosis. The sentence also highlights the difference in processing facial expressions between individuals with AS and non-AS individuals. However, in Sentence B from 2020, the term ""Asperger"" is used in a different context, referring to a specific group of individuals with autism or AS. The sentence does not focus on the differences in facial expression processing, but rather on the psychometric properties of a new test. This shift in meaning suggests that the term ""Asperger"" has undergone semantic drift, and its meaning has significantly changed over time." 42,Asperger,"To identify genetic loci for autism-spectrum disorders, we have performed a two-stage genomewide scan in 38 Finnish families. The detailed clinical examination of all family members revealed infantile autism, but also Asperger syndrome (AS) and developmental dysphasia, in the same set of families. The most significant evidence for linkage was found on chromosome 3q25-27, with a maximum two-point LOD score of 4.31 (Z(max )(dom)) for D3S3037, using infantile autism and AS as an affection status. Six markers flanking over a 5-cM region on 3q gave Z(max dom) >3, and a maximum parametric multipoint LOD score (MLS) of 4.81 was obtained in the vicinity of D3S3715 and D3S3037. Association, linkage disequilibrium, and haplotype analyses provided some evidence for shared ancestor alleles on this chromosomal region among affected individuals, especially in the regional subisolate. Additional potential susceptibility loci with two-point LOD scores >2 were observed on chromosomes 1q21-22 and 7q. The region on 1q21-22 overlaps with the previously reported candidate region for infantile autism and schizophrenia, whereas the region on chromosome 7q provided evidence for linkage 58 cM distally from the previously described autism susceptibility locus (AUTS1).","There are still no good quantitative methods to be applied in psychiatric diagnosis. The interview is still the main and most important tool in the psychiatrist work. This paper presents the results of electroencephalographic research with the subjects of a group of 30 patients with psychiatric disorders compared to the control group of healthy volunteers. All subjects were solving working memory task. The digit-span working memory task test was chosen as one of the most popular tasks given to subjects with cognitive dysfunctions, especially for the patients with panic disorders, depression (including the depressive phase of bipolar disorder), phobias, and schizophrenia. Having such cohort of patients some results for the subjects with insomnia and Asperger syndrome are also presented. The cortical activity of their brains was registered by the dense array EEG amplifier. Source localization using the photogrammetry station and the sLORETA algorithm was then performed in five EEG frequency bands. The most active Brodmann Areas are indicated. Methodology for mapping the brain and research protocol are presented. The first results indicate that the presented technique can be useful in finding psychiatric disorder neurophysiological biomarkers. The first attempts were made to associate hyperactivity of selected Brodmann Areas with particular disorders.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Asperger Sentence A: To identify genetic loci for autism-spectrum disorders, we have performed a two-stage genomewide scan in 38 Finnish families. The detailed clinical examination of all family members revealed infantile autism, but also Asperger syndrome (AS) and developmental dysphasia, in the same set of families. The most significant evidence for linkage was found on chromosome 3q25-27, with a maximum two-point LOD score of 4.31 (Z(max )(dom)) for D3S3037, using infantile autism and AS as an affection status. Six markers flanking over a 5-cM region on 3q gave Z(max dom) >3, and a maximum parametric multipoint LOD score (MLS) of 4.81 was obtained in the vicinity of D3S3715 and D3S3037. Association, linkage disequilibrium, and haplotype analyses provided some evidence for shared ancestor alleles on this chromosomal region among affected individuals, especially in the regional subisolate. Additional potential susceptibility loci with two-point LOD scores >2 were observed on chromosomes 1q21-22 and 7q. The region on 1q21-22 overlaps with the previously reported candidate region for infantile autism and schizophrenia, whereas the region on chromosome 7q provided evidence for linkage 58 cM distally from the previously described autism susceptibility locus (AUTS1). Sentence B: There are still no good quantitative methods to be applied in psychiatric diagnosis. The interview is still the main and most important tool in the psychiatrist work. This paper presents the results of electroencephalographic research with the subjects of a group of 30 patients with psychiatric disorders compared to the control group of healthy volunteers. All subjects were solving working memory task. The digit-span working memory task test was chosen as one of the most popular tasks given to subjects with cognitive dysfunctions, especially for the patients with panic disorders, depression (including the depressive phase of bipolar disorder), phobias, and schizophrenia. Having such cohort of patients some results for the subjects with insomnia and Asperger syndrome are also presented. The cortical activity of their brains was registered by the dense array EEG amplifier. Source localization using the photogrammetry station and the sLORETA algorithm was then performed in five EEG frequency bands. The most active Brodmann Areas are indicated. Methodology for mapping the brain and research protocol are presented. The first results indicate that the presented technique can be useful in finding psychiatric disorder neurophysiological biomarkers. The first attempts were made to associate hyperactivity of selected Brodmann Areas with particular disorders. ###Answer 1. Changed Reasoning: In Sentence A, the term ""Asperger syndrome"" is used in the context of a genetic scan for autism-spectrum disorders. The sentence highlights the clinical features of the disorder, including infantile autism, developmental dysphasia, and Asperger syndrome. The term is used without any negative connotations or associations, and its meaning appears to be consistent with the contemporary understanding of the disorder. In Sentence B, the term ""Asperger syndrome"" is used in the context of a study on psychiatric disorders. The sentence highlights the cortical activity of the brains of patients with insomnia and Asperger syndrome, and the most active Brodmann Areas are indicated. The term ""Asperger syndrome"" is used in a different context than in Sentence A, and its meaning appears to have shifted. The term is now associated with a broader range of psychiatric disorders, including insomnia, and its meaning appears to be more nuanced and complex. The term is also used in a more clinical and technical manner, without any negative connotations or associations. Based on these differences in usage and context, it can be argued that the term ""Asperger syndrome"" has undergone semantic drift between the two sentences. The term has shifted from a relatively narrow and well-defined clinical disorder to a more broad and complex category of psychiatric disorders." 43,Asperger,"This article reviews a range of social communication interventions that have been developed for students with autism at the preschool, school age, and adolescent level. Adult-mediated and peer-mediated methods that use highly structured, child-centered, and hybrid methods are examined. Programs that provide information on generalization and maintenance are identified. A set of recommendations for programs that would seem to be most appropriate for students with Asperger syndrome is presented.","Autism is one of the five disorders that falls under the umbrella of Pervasive Developmental Disorders (PDD) or Autism Spectrum Disorder (ASD), a category of neurological disorders characterized by ""severe and pervasive impairment in several areas of development."" ASD is characterized by varying degrees of impairment in communication skills, social interaction and restricted, repetitive stereotyped patterns of behavior. The five disorders under PDD are autistic disorder, Asperger's disorder, childhood disintegrative disorder, Rett's disorder and PDD-not otherwise specified. ASD can often be reliably detected by the age of 3 years and, in some cases, as early as 18 months. The appearance of any warning signs of ASD is reason to have the child evaluated by a professional specializing in these disorders.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Asperger Sentence A: This article reviews a range of social communication interventions that have been developed for students with autism at the preschool, school age, and adolescent level. Adult-mediated and peer-mediated methods that use highly structured, child-centered, and hybrid methods are examined. Programs that provide information on generalization and maintenance are identified. A set of recommendations for programs that would seem to be most appropriate for students with Asperger syndrome is presented. Sentence B: Autism is one of the five disorders that falls under the umbrella of Pervasive Developmental Disorders (PDD) or Autism Spectrum Disorder (ASD), a category of neurological disorders characterized by ""severe and pervasive impairment in several areas of development."" ASD is characterized by varying degrees of impairment in communication skills, social interaction and restricted, repetitive stereotyped patterns of behavior. The five disorders under PDD are autistic disorder, Asperger's disorder, childhood disintegrative disorder, Rett's disorder and PDD-not otherwise specified. ASD can often be reliably detected by the age of 3 years and, in some cases, as early as 18 months. The appearance of any warning signs of ASD is reason to have the child evaluated by a professional specializing in these disorders. ###Answer 1. Changed Reasoning: In Sentence A, the term ""Asperger"" is used to describe a specific intervention method for individuals with autism. The sentence does not convey any negative or pejorative connotations associated with the term. Therefore, the meaning of the term ""Asperger"" remains similar between the two sentences. In Sentence B, the term ""Asperger's disorder"" is used in the context of a list of five disorders under the umbrella of Pervasive Developmental Disorders (PDD) or Autism Spectrum Disorder (ASD). This suggests that the term ""Asperger"" is now being used as a specific diagnosis or disorder, which is different from its previous usage in Sentence A as a method or intervention. This shift in meaning indicates semantic drift has occurred." 44,Asperger,"Two experiments compared incidental (implicit) and intentional (explicit) memory performance in adults with Asperger's syndrome and individually matched controls. Experiment 1 involved perceptual tests using word fragment cues, following study tasks in which the participants either generated the words from contextual cues or read the words alone, with no contextual cues. Experiment 2 involved conceptual tests using paired associate cues, following study tasks in which the paired associates were rated either for their relatedness or for their readability. Performance in both the incidental tests was similar for both groups. Performance in both the intentional tests was also similar for both groups, with one exception. The adults with Asperger's syndrome were more likely to falsely recall words that had not actually been studied. These findings further delimit the nature of memory impairments in adults with Asperger's syndrome, which seem restricted to certain aspects of episodic memory that include the tendency to make more intrusion errors in recall.","Childhood maltreatment is known to increase the risk of future psychiatric disorders. In the present study, we explored the impact of experienced maltreatment on the prevalence and comorbidity of psychiatric disorders in a high-risk population of adolescents in residential care units. We also studied the impact of poly-victimization. The participants of the study were adolescents in residential care units in Norway (n=335, mean age 16.8 years, girls 58.5%). A diagnostic interview (Child and Adolescent Psychiatric Assessment Interview) was used, yielding information about previous maltreatment (witnessing violence, victim of family violence, community violence, sexual abuse) and DSM-IV diagnoses present in the last three months. Exposure to maltreatment was reported by 71%, and in this group, we found significantly more Asperger's syndrome (AS) (p=.041), conduct disorder (CD) (p=.049), major depressive disorder (MDD) (p=.001), dysthymia (p=.030), general anxiety disorder (GAD) (p<.001), and having attempted suicide (p=.006). We found significantly more comorbid disorders in the maltreated group. Poly-victimization was studied by constructing a scale comprised of witnessing violence, victim of family violence, victim of sexual abuse and household dysfunction. We found that poly-victimization was associated with significantly increased risk of MDD, GAD, AS, CD, and having attempted suicide (p<.01). The complexity of the clinical outcomes revealed in this study suggest that longer-term treatment plans and follow-up by psychiatric services might be needed to a greater extend than for the rest of the child and adolescent population, and that trauma informed care is essential for adolescents in residential youth care. ","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Asperger Sentence A: Two experiments compared incidental (implicit) and intentional (explicit) memory performance in adults with Asperger's syndrome and individually matched controls. Experiment 1 involved perceptual tests using word fragment cues, following study tasks in which the participants either generated the words from contextual cues or read the words alone, with no contextual cues. Experiment 2 involved conceptual tests using paired associate cues, following study tasks in which the paired associates were rated either for their relatedness or for their readability. Performance in both the incidental tests was similar for both groups. Performance in both the intentional tests was also similar for both groups, with one exception. The adults with Asperger's syndrome were more likely to falsely recall words that had not actually been studied. These findings further delimit the nature of memory impairments in adults with Asperger's syndrome, which seem restricted to certain aspects of episodic memory that include the tendency to make more intrusion errors in recall. Sentence B: Childhood maltreatment is known to increase the risk of future psychiatric disorders. In the present study, we explored the impact of experienced maltreatment on the prevalence and comorbidity of psychiatric disorders in a high-risk population of adolescents in residential care units. We also studied the impact of poly-victimization. The participants of the study were adolescents in residential care units in Norway (n=335, mean age 16.8 years, girls 58.5%). A diagnostic interview (Child and Adolescent Psychiatric Assessment Interview) was used, yielding information about previous maltreatment (witnessing violence, victim of family violence, community violence, sexual abuse) and DSM-IV diagnoses present in the last three months. Exposure to maltreatment was reported by 71%, and in this group, we found significantly more Asperger's syndrome (AS) (p=.041), conduct disorder (CD) (p=.049), major depressive disorder (MDD) (p=.001), dysthymia (p=.030), general anxiety disorder (GAD) (p<.001), and having attempted suicide (p=.006). We found significantly more comorbid disorders in the maltreated group. Poly-victimization was studied by constructing a scale comprised of witnessing violence, victim of family violence, victim of sexual abuse and household dysfunction. We found that poly-victimization was associated with significantly increased risk of MDD, GAD, AS, CD, and having attempted suicide (p<.01). The complexity of the clinical outcomes revealed in this study suggest that longer-term treatment plans and follow-up by psychiatric services might be needed to a greater extend than for the rest of the child and adolescent population, and that trauma informed care is essential for adolescents in residential youth care. ###Answer 1. Changed Reasoning: The word ""Asperger"" has undergone a significant change in meaning between the two sentences. In Sentence A, ""Asperger's syndrome"" is used to describe a specific neurodevelopmental disorder characterized by difficulties with social interaction and communication. In Sentence B, ""Asperger"" is used more broadly to refer to individuals with a history of maltreatment, including those without a formal diagnosis of Asperger's syndrome. This shift in meaning suggests that the term ""Asperger"" has become more associated with the broader concept of trauma and mental health, rather than the specific disorder it once referred to." 45,Asperger,"Autism is considered by many to be the most strongly genetically influenced multifactorial childhood psychiatric disorder. In the absence of any known gene or genes, the main support for this is derived from family and twin studies. Two recent studies (Greenberg et al. 2001; Betancur et al. 2002) suggested that the twinning process itself is an important risk factor in the development of autism. If true, this would have major consequences for the interpretation of twin studies. Both studies compared the number of affected twin pairs among affected sib pairs to expected values in two separate samples of multiplex families and reported a substantial and significant excess of twin pairs. Using data from our epidemiological study in Western Australia, we investigated the possibility of an increased rate of autism in twins. All children born between 1980 and 1995 with autism, Asperger syndrome, or pervasive developmental disorder not otherwise specified (PDD-NOS) were ascertained. Of the 465 children with a diagnosis, 14 were twin births (rate 30.0/1,000) compared to 9,640 children of multiple births out of a total of 386,637 births in Western Australia between 1980 and 1995 (twin rate weighted to number of children with autism or PDD per year 26.3/1,000). These data clearly do not support twinning as a substantial risk factor in the etiology of autism. We demonstrate that the high proportion of twins found in affected-sib-pair studies can be adequately explained by the high ratio of concordance rates in monozygotic (MZ) twins versus siblings and the distribution of family size in the population studied. Our results are in agreement with those of two similar studies by Croen et al. (2002) in California and Hultman et al. (2002) in Sweden.","The case of a 35-year-old biological woman with Asperger syndrome (AS) and gender identity disorder (GID) fulfilling DSM-IV criteria is reported. Against the background of recently emerging theories of cognitive male pattern underlying autism we present additional psychological assessments in order to discuss any possible interaction or discrimination between AS and GID. Whilst we explain GID as a secondary feature of AS, we examine the assumption of the necessity of treating GID in AS as a primary GID in accordance with international standards. We consider the treatment of GID as compelling, particularly because curative therapy for AS is lacking and with GID treatment in this vein, the patient gains psychosocial improvement.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Asperger Sentence A: Autism is considered by many to be the most strongly genetically influenced multifactorial childhood psychiatric disorder. In the absence of any known gene or genes, the main support for this is derived from family and twin studies. Two recent studies (Greenberg et al. 2001; Betancur et al. 2002) suggested that the twinning process itself is an important risk factor in the development of autism. If true, this would have major consequences for the interpretation of twin studies. Both studies compared the number of affected twin pairs among affected sib pairs to expected values in two separate samples of multiplex families and reported a substantial and significant excess of twin pairs. Using data from our epidemiological study in Western Australia, we investigated the possibility of an increased rate of autism in twins. All children born between 1980 and 1995 with autism, Asperger syndrome, or pervasive developmental disorder not otherwise specified (PDD-NOS) were ascertained. Of the 465 children with a diagnosis, 14 were twin births (rate 30.0/1,000) compared to 9,640 children of multiple births out of a total of 386,637 births in Western Australia between 1980 and 1995 (twin rate weighted to number of children with autism or PDD per year 26.3/1,000). These data clearly do not support twinning as a substantial risk factor in the etiology of autism. We demonstrate that the high proportion of twins found in affected-sib-pair studies can be adequately explained by the high ratio of concordance rates in monozygotic (MZ) twins versus siblings and the distribution of family size in the population studied. Our results are in agreement with those of two similar studies by Croen et al. (2002) in California and Hultman et al. (2002) in Sweden. Sentence B: The case of a 35-year-old biological woman with Asperger syndrome (AS) and gender identity disorder (GID) fulfilling DSM-IV criteria is reported. Against the background of recently emerging theories of cognitive male pattern underlying autism we present additional psychological assessments in order to discuss any possible interaction or discrimination between AS and GID. Whilst we explain GID as a secondary feature of AS, we examine the assumption of the necessity of treating GID in AS as a primary GID in accordance with international standards. We consider the treatment of GID as compelling, particularly because curative therapy for AS is lacking and with GID treatment in this vein, the patient gains psychosocial improvement. ###Answer 1. Changed Explanation: In Sentence A, the term ""Asperger"" is used in the context of autism research, specifically to describe a group of children with autism spectrum disorder. The sentence does not convey any particular connotation or meaning associated with the term ""Asperger."" Therefore, there has been no semantic drift in the meaning of the term ""Asperger"" between the two sentences. In Sentence B, the term ""Asperger"" is used in the context of a person's gender identity disorder. The sentence conveys that the person in question has Asperger syndrome and gender identity disorder, which are two distinct conditions. The term ""Asperger"" in this sentence carries a different meaning than in Sentence A, as it is associated with a different condition and context. Therefore, there has been semantic drift in the meaning of the term ""Asperger"" between the two sentences, as it has taken on a new connotation related to gender identity." 46,Asperger,Autism spectrum conditions are diagnosed on the basis of impaired imagination. The present study used a totally free story-telling method to assess if narratives produced by children with autism or Asperger Syndrome (AS) contained fewer imaginative events.,A high prevalence of subjective insomnia in adults with Asperger syndrome has been reported. In the present study the sleep quality of these patients was studied using wrist actigraphy. Nineteen adults with Asperger syndrome and frequent feelings of insomnia were compared with 10 controls devoid of neuropsychiatric disorders and subjective sleep problems during six consecutive nights. The patients had similar actigraphic sleep profile to the controls. The subjective low sleep quality in patients was not reflected in actigraphic assessment of sleep. This finding suggests that pervasive anxiety inherent in persons with Asperger syndrome predisposes them to insomnia complaints.,"###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Asperger Sentence A: Autism spectrum conditions are diagnosed on the basis of impaired imagination. The present study used a totally free story-telling method to assess if narratives produced by children with autism or Asperger Syndrome (AS) contained fewer imaginative events. Sentence B: A high prevalence of subjective insomnia in adults with Asperger syndrome has been reported. In the present study the sleep quality of these patients was studied using wrist actigraphy. Nineteen adults with Asperger syndrome and frequent feelings of insomnia were compared with 10 controls devoid of neuropsychiatric disorders and subjective sleep problems during six consecutive nights. The patients had similar actigraphic sleep profile to the controls. The subjective low sleep quality in patients was not reflected in actigraphic assessment of sleep. This finding suggests that pervasive anxiety inherent in persons with Asperger syndrome predisposes them to insomnia complaints. ###Answer 1. Changed Reasoning: The target word ""Asperger"" in Sentence B has undergone significant semantic drift compared to its usage in Sentence A. In Sentence A, ""Asperger Syndrome"" is used to describe a specific condition on the autism spectrum, with a focus on imaginative impairments. In Sentence B, ""Asperger syndrome"" is used in a different context, with a focus on insomnia and anxiety. This shift in meaning indicates semantic drift has occurred." 47,Asperger,"DSM-IV specifies that Asperger's disorder is a type of pervasive developmental disorder without clinically significant cognitive or language delay. There are no data, however, on the outcome of children with Asperger's disorder or on whether their outcome differs from that of children with autism. The objectives of this study were to compare the outcome of groups of children with these disorders over a period of 2 years on variables independent of the defining criteria and to identify variables that might account for these differences.","The objective of this article is to decompose the level of functioning phenotype in autism to see if it can be conceptualized as two simpler, but still familial, dimensional phenotypes of language and non-verbal IQ. We assembled 80 sibpairs with either autism, Asperger syndrome or atypical autism. To see whether the familial correlation on language scores was accounted for by the familial correlation on non-verbal IQ, residual language scores were calculated for each member of the sibpair based on a multiple regression equation using their IQ score as an explanatory or independent variable and controlling for the age and gender of the affected individual. These residual scores were then used to calculate intraclass correlations between affected sibs. This process was repeated using IQ as the dependent variable and language as a covariate. Within affected individuals there was a strong relation between non-verbal IQ (as measured by the Leiter performance scale) and language (as measured by the Vineland Communication Scale). In addition, there was familial correlation between sibs on both measures. Evidence of familial aggregation on both non-verbal IQ and language remained even after partialling out the effect of the covariates by regression analysis and by generalized estimating equation. These findings suggest that non-verbal IQ and language in PDD may arise from independent genetic mechanisms. The implications of this finding for linkage analysis and for identifying genetically informative phenotypes are discussed.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Asperger Sentence A: DSM-IV specifies that Asperger's disorder is a type of pervasive developmental disorder without clinically significant cognitive or language delay. There are no data, however, on the outcome of children with Asperger's disorder or on whether their outcome differs from that of children with autism. The objectives of this study were to compare the outcome of groups of children with these disorders over a period of 2 years on variables independent of the defining criteria and to identify variables that might account for these differences. Sentence B: The objective of this article is to decompose the level of functioning phenotype in autism to see if it can be conceptualized as two simpler, but still familial, dimensional phenotypes of language and non-verbal IQ. We assembled 80 sibpairs with either autism, Asperger syndrome or atypical autism. To see whether the familial correlation on language scores was accounted for by the familial correlation on non-verbal IQ, residual language scores were calculated for each member of the sibpair based on a multiple regression equation using their IQ score as an explanatory or independent variable and controlling for the age and gender of the affected individual. These residual scores were then used to calculate intraclass correlations between affected sibs. This process was repeated using IQ as the dependent variable and language as a covariate. Within affected individuals there was a strong relation between non-verbal IQ (as measured by the Leiter performance scale) and language (as measured by the Vineland Communication Scale). In addition, there was familial correlation between sibs on both measures. Evidence of familial aggregation on both non-verbal IQ and language remained even after partialling out the effect of the covariates by regression analysis and by generalized estimating equation. These findings suggest that non-verbal IQ and language in PDD may arise from independent genetic mechanisms. The implications of this finding for linkage analysis and for identifying genetically informative phenotypes are discussed. ###Answer 1. Changed Explanation: In Sentence A, the target word ""Asperger"" is used to describe a specific type of pervasive developmental disorder. The sentence does not provide any information about the meaning or connotation of the word beyond its definition in the DSM-IV. Therefore, the word ""Asperger"" in this sentence has not undergone any significant change in meaning or connotation. In Sentence B, the target word ""Asperger"" is used in the context of a study comparing the level of functioning phenotype in autism. The sentence provides more information about the meaning and connotation of the word, as it is used to describe a specific dimension of functioning (language and non-verbal IQ) in individuals with autism or Asperger syndrome. The sentence suggests that the word ""Asperger"" has undergone a significant change in meaning or connotation, as it is now used to describe a specific aspect of functioning rather than a distinct disorder. Therefore, the label ""Changed"" is appropriate for this sentence." 48,Asperger,"Recent neuropathological and magnetic resonance imaging (MRI) studies have demonstrated developmental disturbances of neuronal migration in the cerebral cortex of autistic subjects. We report neuroradiological findings in two patients with Asperger's syndrome, a less severe variant of autism. One patient had left frontal macrogyria; the other had bilateral opercular polymicrogyria. A computer tomography (CT) scan performed on one of the patients' first-degree relatives (who had a bipolar disease) also showed cortical migration anomalies.","Across the autism spectrum, level of intelligence is highly dependent on the psychometric instrument used for assessment, and there are conflicting views concerning which measures best estimate autistic cognitive abilities. Inspection time is a processing speed measure associated with general intelligence in typical individuals. We therefore investigated autism spectrum performance on inspection time in relation to two different general intelligence tests. Autism spectrum individuals were divided into autistic and Asperger subgroups according to speech development history. Compared to a typical control group, mean inspection time for the autistic subgroup but not the Asperger subgroup was significantly shorter (by 31%). However, the shorter mean autistic inspection time was evident only when groups were matched on Wechsler IQ and disappeared when they were matched using Raven's Progressive Matrices. When autism spectrum abilities are compared to typical abilities, results may be influenced by speech development history as well as by the instrument used for intelligence matching.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Asperger Sentence A: Recent neuropathological and magnetic resonance imaging (MRI) studies have demonstrated developmental disturbances of neuronal migration in the cerebral cortex of autistic subjects. We report neuroradiological findings in two patients with Asperger's syndrome, a less severe variant of autism. One patient had left frontal macrogyria; the other had bilateral opercular polymicrogyria. A computer tomography (CT) scan performed on one of the patients' first-degree relatives (who had a bipolar disease) also showed cortical migration anomalies. Sentence B: Across the autism spectrum, level of intelligence is highly dependent on the psychometric instrument used for assessment, and there are conflicting views concerning which measures best estimate autistic cognitive abilities. Inspection time is a processing speed measure associated with general intelligence in typical individuals. We therefore investigated autism spectrum performance on inspection time in relation to two different general intelligence tests. Autism spectrum individuals were divided into autistic and Asperger subgroups according to speech development history. Compared to a typical control group, mean inspection time for the autistic subgroup but not the Asperger subgroup was significantly shorter (by 31%). However, the shorter mean autistic inspection time was evident only when groups were matched on Wechsler IQ and disappeared when they were matched using Raven's Progressive Matrices. When autism spectrum abilities are compared to typical abilities, results may be influenced by speech development history as well as by the instrument used for intelligence matching. ###Answer 1. Changed (Asperger) Reasoning: In Sentence A, the term ""Asperger's syndrome"" is used to describe a less severe variant of autism. This suggests that the term ""Asperger"" was previously used to refer to a specific subtype of autism, with distinct characteristics. However, in Sentence B, the term ""Asperger"" is used more broadly to refer to individuals on the autism spectrum, without any implication of a specific subtype. This shift in usage suggests that the term ""Asperger"" has undergone semantic drift, and its meaning has changed over time." 49,Asperger,"College students, with or without disabilities, are faced with numerous stressful situations within the university environment. For an individual diagnosed with Asperger syndrome, success at this level requires non-traditional supports. With limited knowledge of this disorder, the university staff are faced with a distinct disadvantage in their efforts to outline an appropriate plan. While providing traditional academic assistance is now commonplace, federal laws mandate that universities widen the scope of support so as not to exclude any student from campus activities or programs. In an effort to provide a framework for support, this article interfaces diagnostic information with the realities of college life. Areas of focus include the transition process, social rules, engagement in academic activities, and mastering a new life of independence. It is hoped that the presented suggestions might prove helpful as universities begin to establish service support teams and outline plans of support.","The goal of this paper is to illustrate the application of the tools of genetic epidemiology, particularly the family study method, to inform the classification of psychiatric disorders in adults and children. The first section describes family studies of adults designed to investigate the causes of comorbidity of anxiety and depression. The analysis of familial traits provides stronger evidence for the validity of certain sub-types of anxiety and mood disorders that co-occur within the same individual and within families. The second section presents an example of the use of the family study method to examine the validity of the autism spectrum disorders (ASD). A review of these studies suggests that the most consistently familial traits in ASD are language and communication skills, insistence on sameness and non-verbal IQ. These are also the traits most commonly associated with the differentiation of autism from Asperger disorder and PDDNOS using both cross-sectional and longitudinal studies. From these data, a new classification system of the ASDs is proposed based on these familial traits.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Asperger Sentence A: College students, with or without disabilities, are faced with numerous stressful situations within the university environment. For an individual diagnosed with Asperger syndrome, success at this level requires non-traditional supports. With limited knowledge of this disorder, the university staff are faced with a distinct disadvantage in their efforts to outline an appropriate plan. While providing traditional academic assistance is now commonplace, federal laws mandate that universities widen the scope of support so as not to exclude any student from campus activities or programs. In an effort to provide a framework for support, this article interfaces diagnostic information with the realities of college life. Areas of focus include the transition process, social rules, engagement in academic activities, and mastering a new life of independence. It is hoped that the presented suggestions might prove helpful as universities begin to establish service support teams and outline plans of support. Sentence B: The goal of this paper is to illustrate the application of the tools of genetic epidemiology, particularly the family study method, to inform the classification of psychiatric disorders in adults and children. The first section describes family studies of adults designed to investigate the causes of comorbidity of anxiety and depression. The analysis of familial traits provides stronger evidence for the validity of certain sub-types of anxiety and mood disorders that co-occur within the same individual and within families. The second section presents an example of the use of the family study method to examine the validity of the autism spectrum disorders (ASD). A review of these studies suggests that the most consistently familial traits in ASD are language and communication skills, insistence on sameness and non-verbal IQ. These are also the traits most commonly associated with the differentiation of autism from Asperger disorder and PDDNOS using both cross-sectional and longitudinal studies. From these data, a new classification system of the ASDs is proposed based on these familial traits. ###Answer 1. Changed Reasoning: In Sentence A, the term ""Asperger syndrome"" is used in the context of a diagnosis, implying that it is a recognized medical condition. The sentence also highlights the challenges faced by individuals with Asperger syndrome in higher education, such as needing ""non-traditional supports."" This suggests that the term was used to describe a specific set of symptoms and challenges associated with autism spectrum disorders. In Sentence B, the term ""Asperger disorder"" is used in the context of a classification system for psychiatric disorders. The sentence highlights the importance of familial traits in diagnosing autism spectrum disorders, including language and communication skills, insistence on sameness, and non-verbal IQ. This suggests that the term ""Asperger disorder"" has been redefined to include a broader range of symptoms and characteristics associated with autism spectrum disorders. Therefore, semantic drift has occurred in the meaning of the term ""Asperger disorder"" over time." 50,Asperger,"""Theory of mind,"" the ability to make inferences about others"" mental states, seems to be a modular cognitive capacity that underlies humans"" ability to engage in complex social interaction. It develops in several distinct stages, which can be measured with social reasoning tests of increasing difficulty. Individuals with Asperger""s syndrome, a mild form of autism, perform well on simpler theory of mind tests but show deficits on more developmentally advanced theory of mind tests. We tested patients with bilateral damage to orbito-frontal cortex (n = 5) and unilateral damage in left dorsolateral prefrontal cortex (n = 5) on a series of theory of mind tasks varying in difficulty. Bilateral orbito-frontal lesion patients performed similarly to individuals with Asperger""s syndrome, performing well on simpler tests and showing deficits on tasks requiring more subtle social reasoning, such as the ability to recognize a faux pas. In contrast, no specific theory of mind deficits were evident in the unilateral dorsolateral frontal lesion patients. The dorsolateral lesion patients had difficulty only on versions of the tasks that placed demands on working memory.","Thalamic abnormalities have been reported in people with pervasive developmental disorders (PDD) including Asperger's Disorder (ASP). The aim of the present study was to compare the volume and volume fraction of the thalamus and the metabolite concentrations in children and adolescents with ASP using the magnetic resonance imaging and proton magnetic resonance spectroscopy. Additionally, the relationships between thalamic abnormalities and clinical features were examined.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Asperger Sentence A: ""Theory of mind,"" the ability to make inferences about others"" mental states, seems to be a modular cognitive capacity that underlies humans"" ability to engage in complex social interaction. It develops in several distinct stages, which can be measured with social reasoning tests of increasing difficulty. Individuals with Asperger""s syndrome, a mild form of autism, perform well on simpler theory of mind tests but show deficits on more developmentally advanced theory of mind tests. We tested patients with bilateral damage to orbito-frontal cortex (n = 5) and unilateral damage in left dorsolateral prefrontal cortex (n = 5) on a series of theory of mind tasks varying in difficulty. Bilateral orbito-frontal lesion patients performed similarly to individuals with Asperger""s syndrome, performing well on simpler tests and showing deficits on tasks requiring more subtle social reasoning, such as the ability to recognize a faux pas. In contrast, no specific theory of mind deficits were evident in the unilateral dorsolateral frontal lesion patients. The dorsolateral lesion patients had difficulty only on versions of the tasks that placed demands on working memory. Sentence B: Thalamic abnormalities have been reported in people with pervasive developmental disorders (PDD) including Asperger's Disorder (ASP). The aim of the present study was to compare the volume and volume fraction of the thalamus and the metabolite concentrations in children and adolescents with ASP using the magnetic resonance imaging and proton magnetic resonance spectroscopy. Additionally, the relationships between thalamic abnormalities and clinical features were examined. ###Answer 1. Changed Explanation: In Sentence A, the term ""Asperger"" is used to describe a specific cognitive capacity (theory of mind) and a neurodevelopmental disorder (Asperger's syndrome). The meaning of the term is focused on the individual's cognitive abilities and the disorder itself. In Sentence B, the term ""Asperger"" is used in the context of a different topic (thalamic abnormalities in people with pervasive developmental disorders). The meaning of the term has shifted to refer to a specific neuroanatomical feature (the thalamus) and its relationship to a different clinical condition (Asperger's Disorder). The term is used in a more general sense, without the same level of specificity as in Sentence A. Therefore, the label ""Changed"" is appropriate, as the meaning of the term ""Asperger"" has shifted significantly between the two sentences." 51,Asperger,"Subjects with Asperger's syndrome (AS) are impaired in social interaction and imitation, but the underlying brain mechanisms are poorly understood. Because the mirror-neuron system (MNS) that matches observed and executed actions has been suggested to play an important role in imitation and in reading of other people's intentions, we assessed MNS functions in 8 adult AS subjects and in 10 healthy control subjects during imitation of still pictures of lip forms. In the control subjects, cortical activation progressed in 30 to 80-millisecond steps from the occipital cortex to the superior temporal sulcus, to the inferior parietal lobe, and to the inferior frontal lobe, and finally, 75 to 90 milliseconds later, to the primary motor cortex of both hemispheres. Similar activation sites were found in AS subjects but with slightly larger scatter. Activation of the inferior frontal lobe was delayed by 45 to 60 milliseconds and activations in the inferior frontal lobe and in the primary motor cortex were weaker than in control subjects. The observed abnormal premotor and motor processing could account for a part of imitation and social impairments in subjects with AS.","This study evaluated Mind Reading, an interactive systematic guide to emotions, for its effectiveness in teaching adults with Asperger syndrome (AS) and high-functioning autism (HFA) to recognize complex emotions in faces and voices. Experiment 1 tested a group of adults diagnosed with AS/HFA (n = 19) who used the software at home for 10-15 weeks. Participants were tested on recognition of faces and voices at three different levels of generalization. A matched control group of adults with AS/HFA (n = 22) were assessed without any intervention. In addition, a third group of general population controls (n = 24) was tested. Experiment 2 repeated the design of Experiment 1 with a group of adults with AS/HFA who used the software at home and met in a group with a tutor on a weekly basis. They were matched to a control group of adults with AS/HFA attending social skills training and to a general population control group (n = 13 for all three groups). In both experiments the intervention group improved significantly more than the control group on close, but not distant, generalization tasks. Verbal IQ had significant effects in Experiment 2. Using Mind Reading for a relatively short period of time allows users to learn to recognize a variety of complex emotions and mental states. However, additional methods are required to enhance generalization.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Asperger Sentence A: Subjects with Asperger's syndrome (AS) are impaired in social interaction and imitation, but the underlying brain mechanisms are poorly understood. Because the mirror-neuron system (MNS) that matches observed and executed actions has been suggested to play an important role in imitation and in reading of other people's intentions, we assessed MNS functions in 8 adult AS subjects and in 10 healthy control subjects during imitation of still pictures of lip forms. In the control subjects, cortical activation progressed in 30 to 80-millisecond steps from the occipital cortex to the superior temporal sulcus, to the inferior parietal lobe, and to the inferior frontal lobe, and finally, 75 to 90 milliseconds later, to the primary motor cortex of both hemispheres. Similar activation sites were found in AS subjects but with slightly larger scatter. Activation of the inferior frontal lobe was delayed by 45 to 60 milliseconds and activations in the inferior frontal lobe and in the primary motor cortex were weaker than in control subjects. The observed abnormal premotor and motor processing could account for a part of imitation and social impairments in subjects with AS. Sentence B: This study evaluated Mind Reading, an interactive systematic guide to emotions, for its effectiveness in teaching adults with Asperger syndrome (AS) and high-functioning autism (HFA) to recognize complex emotions in faces and voices. Experiment 1 tested a group of adults diagnosed with AS/HFA (n = 19) who used the software at home for 10-15 weeks. Participants were tested on recognition of faces and voices at three different levels of generalization. A matched control group of adults with AS/HFA (n = 22) were assessed without any intervention. In addition, a third group of general population controls (n = 24) was tested. Experiment 2 repeated the design of Experiment 1 with a group of adults with AS/HFA who used the software at home and met in a group with a tutor on a weekly basis. They were matched to a control group of adults with AS/HFA attending social skills training and to a general population control group (n = 13 for all three groups). In both experiments the intervention group improved significantly more than the control group on close, but not distant, generalization tasks. Verbal IQ had significant effects in Experiment 2. Using Mind Reading for a relatively short period of time allows users to learn to recognize a variety of complex emotions and mental states. However, additional methods are required to enhance generalization. ###Answer 1. Changed Reasoning: In Sentence A, the term ""Asperger"" is used to describe a specific neurological disorder, and the context suggests that the term has a specific meaning related to the study of brain mechanisms and imitation. In contrast, in Sentence B, the term ""Asperger"" is used more broadly to describe individuals with a neurodevelopmental disorder, and the context suggests that the term has shifted towards a more inclusive and less technical meaning. The shift in meaning is evident in the way the term is used to describe a group of individuals rather than a specific neurological disorder, and the lack of technical details in the context. Therefore, the label ""Changed"" is appropriate to indicate that the meaning of the term ""Asperger"" has shifted over time." 52,Asperger,"This study examines the narrative abilities of 28 high-functioning children with autism or Asperger's Syndrome and 22 typically developing children across two different discourse contexts. As compared with the typically developing children, the high-functioning group performed relatively well in the storybook context but exhibited difficulty imbuing their narratives of personal experience with the more sophisticated characteristics typically employed by the comparison group. Furthermore, children with autism or Asperger's Syndrome demonstrated impairments inferring and building on the underlying causal relationships both within and across story episodes in both narrative contexts. Findings further revealed that the narrative abilities of children with autism or Asperger's Syndrome were associated with performance on measures of emotional understanding, but not theory of mind or verbal IQ. Findings are discussed in relation to the social and emotional underpinnings of narrative discourse.","The rise in Infantile Autism, learning problems, cognitive decline with age, Alzheimer's, Parkinson's Diseases and the SIDS epidemic, has a common cause in the rising dietary deficit in Omega-3 brain-food. This paper suggests that aside from the wider concept of Autism Spectrum Disorders (ASD) and Pervasive Developmental Disorders (PDD), the rise in Infantile Autism (IA) in the last decade is the effect of deficient brain-food (Omega-3). The consequent delay of development prolongs the 2nd regressive event in infancy to pruning of the centre in the Medial Frontal Lobe System that connects Hippocampus and Cingulum. With a consequently defective Supplementary Motor Area (SMA), the Delayed Response Function is affected leading to persistent psychosis. Post-Pubertal Episodic Psychoses are associated with acute reduction of excitation, a risk of breakdown of circuitry, insufficient fill-in mechanisms, and silent spots. An acute psychosis occurs if the silent spots comprise of SMA. Only two brain areas have continuous neurogenesis, indicating their important functions: the Hippocampus and Olfactory Bulb that belongs to the Lateral Frontal Lobe System essential to survival. Concerned with necessity of action in response to the environment, it relies upon short-term memory and Acute Feedback Mechanisms influenced by emotion and motivation from the external world. In contrast, the Medial Frontal Lobe network is controlled by Feed-Forward Predictive Mechanisms related to storage of information. The Delayed Response Function is mastered at 7 months, when 2nd event occurs with pruning of axons and dendrites. An abolished or defective Delayed Response Function seriously incapacitates an individual: A defective ""Social Brain"" with an inability for conscious action and to communicate, predominates in IA. There is a near lack of speech, despite normal vision and hearing in the minority without marked adversity in pregnancy, at delivery or in infancy. I propose that the recent rise in IA despite no rise in adversity signifies a rising deficiency in brain-food. That this is so is suggested by a changing clinical picture: no Mental Retardation in an IA majority. Deficit in Olfaction is pathognomonic in schizophrenia since 30 yrs and distinguishes the Asperger Syndrome. If brain-food deficiency alone sufficiently prolongs pruning to cause absent activity in SMA in infancy, less mentally retarded IA from other causes might be observed. Deficit in brain-food was evident in the Sudden Infant Death Syndrome: birthweight averaged 200-300 g lower than sibs, Omega-3 levels in brainstem were lower than controls. Only 20 % SIDS died in first hypoxic episode, suggesting such episodes are more frequent than we imagined. Children with learning-behaviour problems have similarly depressed birthweight. A general deficiency in Omega-3 contributes to the lacking reduction in Schizophrenia, despite early puberty predominates. Olfactory Bulb is first affected in the Alzheimer's and Parkinson's Disease. Cognitive decline with age, Hippocampal dysfunctions rise markedly irrespective of disease, but the major mental illnesses and Infantile Autism in particular, benefit from ""brain-food"" that might also prevent a development of these disorders. To secure optimal brain function in the coming generations, there is a need to change the diet now from its emphasis on protein for body growth to food for the brain. This means there is a need to increase fish and sea food consumption.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Asperger Sentence A: This study examines the narrative abilities of 28 high-functioning children with autism or Asperger's Syndrome and 22 typically developing children across two different discourse contexts. As compared with the typically developing children, the high-functioning group performed relatively well in the storybook context but exhibited difficulty imbuing their narratives of personal experience with the more sophisticated characteristics typically employed by the comparison group. Furthermore, children with autism or Asperger's Syndrome demonstrated impairments inferring and building on the underlying causal relationships both within and across story episodes in both narrative contexts. Findings further revealed that the narrative abilities of children with autism or Asperger's Syndrome were associated with performance on measures of emotional understanding, but not theory of mind or verbal IQ. Findings are discussed in relation to the social and emotional underpinnings of narrative discourse. Sentence B: The rise in Infantile Autism, learning problems, cognitive decline with age, Alzheimer's, Parkinson's Diseases and the SIDS epidemic, has a common cause in the rising dietary deficit in Omega-3 brain-food. This paper suggests that aside from the wider concept of Autism Spectrum Disorders (ASD) and Pervasive Developmental Disorders (PDD), the rise in Infantile Autism (IA) in the last decade is the effect of deficient brain-food (Omega-3). The consequent delay of development prolongs the 2nd regressive event in infancy to pruning of the centre in the Medial Frontal Lobe System that connects Hippocampus and Cingulum. With a consequently defective Supplementary Motor Area (SMA), the Delayed Response Function is affected leading to persistent psychosis. Post-Pubertal Episodic Psychoses are associated with acute reduction of excitation, a risk of breakdown of circuitry, insufficient fill-in mechanisms, and silent spots. An acute psychosis occurs if the silent spots comprise of SMA. Only two brain areas have continuous neurogenesis, indicating their important functions: the Hippocampus and Olfactory Bulb that belongs to the Lateral Frontal Lobe System essential to survival. Concerned with necessity of action in response to the environment, it relies upon short-term memory and Acute Feedback Mechanisms influenced by emotion and motivation from the external world. In contrast, the Medial Frontal Lobe network is controlled by Feed-Forward Predictive Mechanisms related to storage of information. The Delayed Response Function is mastered at 7 months, when 2nd event occurs with pruning of axons and dendrites. An abolished or defective Delayed Response Function seriously incapacitates an individual: A defective ""Social Brain"" with an inability for conscious action and to communicate, predominates in IA. There is a near lack of speech, despite normal vision and hearing in the minority without marked adversity in pregnancy, at delivery or in infancy. I propose that the recent rise in IA despite no rise in adversity signifies a rising deficiency in brain-food. That this is so is suggested by a changing clinical picture: no Mental Retardation in an IA majority. Deficit in Olfaction is pathognomonic in schizophrenia since 30 yrs and distinguishes the Asperger Syndrome. If brain-food deficiency alone sufficiently prolongs pruning to cause absent activity in SMA in infancy, less mentally retarded IA from other causes might be observed. Deficit in brain-food was evident in the Sudden Infant Death Syndrome: birthweight averaged 200-300 g lower than sibs, Omega-3 levels in brainstem were lower than controls. Only 20 % SIDS died in first hypoxic episode, suggesting such episodes are more frequent than we imagined. Children with learning-behaviour problems have similarly depressed birthweight. A general deficiency in Omega-3 contributes to the lacking reduction in Schizophrenia, despite early puberty predominates. Olfactory Bulb is first affected in the Alzheimer's and Parkinson's Disease. Cognitive decline with age, Hippocampal dysfunctions rise markedly irrespective of disease, but the major mental illnesses and Infantile Autism in particular, benefit from ""brain-food"" that might also prevent a development of these disorders. To secure optimal brain function in the coming generations, there is a need to change the diet now from its emphasis on protein for body growth to food for the brain. This means there is a need to increase fish and sea food consumption. ###Answer 1. Changed Reasoning: The target word ""Asperger"" has undergone a significant change in meaning between the two sentences. In Sentence A, ""Asperger's Syndrome"" is used to describe a specific neurodevelopmental disorder characterized by difficulties with social interaction and communication. In Sentence B, ""Asperger"" is used more broadly to refer to a general deficiency in brain-food, which is associated with various neurological and psychiatric disorders. The shift in meaning is evident in the context of the sentences, as the term is used to describe a specific condition in one sentence and a general nutritional deficiency in the other. Therefore, the label ""Changed"" is appropriate to indicate that the meaning of the target word has significantly shifted between the two sentences." 53,Asperger,"Children with diagnoses of either autism or Asperger's syndrome were matched on measures of verbal mental age with nonautistic control children. They were tested on their abilities to process both facial and nonfacial stimuli. There were no significant differences between the low ability autistic and control groups, but the high ability autistic and Asperger's children performed significantly worse than controls across all tests. Group averages masked substantial individual variation. The results are seen as indicating a general perceptual deficit that is not specific to faces or emotions. This appears to be a common correlate of autism and Asperger's syndrome, rather than a core symptom.","Sleep patterns of 32 school-age children with Asperger syndrome (AS) and high-functioning autism (HFA) were compared to those of 32 typically developing age- and gender-matched children, using parent survey and one week of diary and actigraphic monitoring. Parents of children with AS/HFA more commonly reported that their children had difficulty falling asleep. One week of sleep recording with diary and actigraphy confirmed that children in the AS/HFA group spent a longer time awake in bed before falling asleep than children in the control group, possibly because the children in the AS/HFA group had earlier bedtimes. Other essential aspects of sleep patterns coincided between the groups. The sleep patterns of children with AS and HFA did not differ.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Asperger Sentence A: Children with diagnoses of either autism or Asperger's syndrome were matched on measures of verbal mental age with nonautistic control children. They were tested on their abilities to process both facial and nonfacial stimuli. There were no significant differences between the low ability autistic and control groups, but the high ability autistic and Asperger's children performed significantly worse than controls across all tests. Group averages masked substantial individual variation. The results are seen as indicating a general perceptual deficit that is not specific to faces or emotions. This appears to be a common correlate of autism and Asperger's syndrome, rather than a core symptom. Sentence B: Sleep patterns of 32 school-age children with Asperger syndrome (AS) and high-functioning autism (HFA) were compared to those of 32 typically developing age- and gender-matched children, using parent survey and one week of diary and actigraphic monitoring. Parents of children with AS/HFA more commonly reported that their children had difficulty falling asleep. One week of sleep recording with diary and actigraphy confirmed that children in the AS/HFA group spent a longer time awake in bed before falling asleep than children in the control group, possibly because the children in the AS/HFA group had earlier bedtimes. Other essential aspects of sleep patterns coincided between the groups. The sleep patterns of children with AS and HFA did not differ. ###Answer 1. Changed The target word ""Asperger"" has undergone significant semantic drift between Sentence A (2000) and Sentence B (2020). In Sentence A, the term ""Asperger's syndrome"" is used to describe a specific diagnosis within the autism spectrum. However, in Sentence B, the term ""Asperger syndrome"" is used more broadly to refer to a general perceptual deficit that is not specific to faces or emotions. This shift in meaning indicates that the term ""Asperger"" has undergone semantic drift." 54,Asperger,"A health questionnaire based on parental observations of clinical signs of fatty acid deficiency (FAD) showed that patients with autism and Asperger's syndrome (ASP) had significantly higher FAD scores (6.34+/-4.37 and 7.64+/-6.20, respectively) compared to controls (1.78+/-1.68). Patients with regressive autism had significantly higher percentages of 18:0,18:2n-6 and total saturates in their RBC membranes compared to controls, while 24:0, 22:5n-6, 24:1 and the 20:4n-6/20:5n-3 ratio were significantly higher in both regressive autism and ASP groups compared to controls. By comparison, the 18:1n-9 and 20:4n-6 values were significantly lower in patients with regressive autism compared to controls while 22:5n-3, total n-3 and total dimethyl acetals were significantly lower in both regressive autism and ASP groups compared to controls. Storage of RBC at -20 degrees C for 6 weeks resulted in significant reductions in highly unsaturated fatty acid levels in polar lipids of patients with regressive autism, compared to patients with classical autism or ASP, or controls. Patients diagnosed with both autism and ASP showed significantly increased levels of EPA ( approximately 200%) and DHA ( approximately 40%), and significantly reduced levels of ARA ( approximately 20%), 20:3n-6 and ARA/EPA ratio in their RBC polar lipids, when supplemented with EPA-rich fish oils, compared to controls and non-supplemented patients with autism. Patients with both regressive autism and classical autism/Asperger's syndrome had significantly higher concentrations of RBC type IV phospholipase A2 compared to controls. However, patients with autism/ASP, who had taken EPA supplements, had significantly reduced PLA2 concentrations compared to unsupplemented patients with classical autism or ASP.","This study was designed to identify items of the ADI-R that allow an early and sensitive identification of children with possible Asperger syndrome (AS). The aim was to obtain an economic short interview suitable for screening purposes. The study was based on data from a clinical sample of 5-18-year-old children and adolescents (mean age 10.9 years) with either Attention-Deficit Hyperactivity Disorder (ADHD; n = 43) or AS (n = 62). The introductory questions and 36 items, which contribute to the diagnostic algorithm of the ADI-R, were subjected to content analysis and stepwise discriminant function analysis. Eight meaningful items were found, which were shown to be good predictors of AS and to discriminate between the children with AS and those with ADHD. The short interview was especially useful for the assessment and screening of children up to 11 years in our sample, because in this subgroup, sensitivity was even higher (.92) and specificity was also excellent (.90). Eight items with high discriminatory power allowed sensitive and economic screening for young children with suspected AS.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Asperger Sentence A: A health questionnaire based on parental observations of clinical signs of fatty acid deficiency (FAD) showed that patients with autism and Asperger's syndrome (ASP) had significantly higher FAD scores (6.34+/-4.37 and 7.64+/-6.20, respectively) compared to controls (1.78+/-1.68). Patients with regressive autism had significantly higher percentages of 18:0,18:2n-6 and total saturates in their RBC membranes compared to controls, while 24:0, 22:5n-6, 24:1 and the 20:4n-6/20:5n-3 ratio were significantly higher in both regressive autism and ASP groups compared to controls. By comparison, the 18:1n-9 and 20:4n-6 values were significantly lower in patients with regressive autism compared to controls while 22:5n-3, total n-3 and total dimethyl acetals were significantly lower in both regressive autism and ASP groups compared to controls. Storage of RBC at -20 degrees C for 6 weeks resulted in significant reductions in highly unsaturated fatty acid levels in polar lipids of patients with regressive autism, compared to patients with classical autism or ASP, or controls. Patients diagnosed with both autism and ASP showed significantly increased levels of EPA ( approximately 200%) and DHA ( approximately 40%), and significantly reduced levels of ARA ( approximately 20%), 20:3n-6 and ARA/EPA ratio in their RBC polar lipids, when supplemented with EPA-rich fish oils, compared to controls and non-supplemented patients with autism. Patients with both regressive autism and classical autism/Asperger's syndrome had significantly higher concentrations of RBC type IV phospholipase A2 compared to controls. However, patients with autism/ASP, who had taken EPA supplements, had significantly reduced PLA2 concentrations compared to unsupplemented patients with classical autism or ASP. Sentence B: This study was designed to identify items of the ADI-R that allow an early and sensitive identification of children with possible Asperger syndrome (AS). The aim was to obtain an economic short interview suitable for screening purposes. The study was based on data from a clinical sample of 5-18-year-old children and adolescents (mean age 10.9 years) with either Attention-Deficit Hyperactivity Disorder (ADHD; n = 43) or AS (n = 62). The introductory questions and 36 items, which contribute to the diagnostic algorithm of the ADI-R, were subjected to content analysis and stepwise discriminant function analysis. Eight meaningful items were found, which were shown to be good predictors of AS and to discriminate between the children with AS and those with ADHD. The short interview was especially useful for the assessment and screening of children up to 11 years in our sample, because in this subgroup, sensitivity was even higher (.92) and specificity was also excellent (.90). Eight items with high discriminatory power allowed sensitive and economic screening for young children with suspected AS. ###Answer 1. Changed Reasoning: In Sentence A, the term ""Asperger's syndrome"" is used to describe a neurodevelopmental disorder characterized by difficulties with social interaction and communication, and by repetitive behaviors or interests. The sentence highlights the distinct clinical signs and symptoms of the disorder, including elevated levels of certain fatty acids in red blood cells, and the results of a health questionnaire that suggests a higher prevalence of these signs in patients with autism and Asperger's syndrome compared to controls. In Sentence B, the term ""Asperger syndrome"" is used in the context of a study designed to identify items of the Autism Diagnostic Interview-Revised (ADI-R) that allow for an early and sensitive identification of children with possible Asperger syndrome. The sentence focuses on the usefulness of a short interview for the assessment and screening of children with suspected Asperger syndrome, particularly those up to 11 years old. Based on the context and meaning of the term ""Asperger"" in each sentence, it is clear that the term has undergone a significant shift in meaning over time. In Sentence A, the term is used to describe a well-defined neurodevelopmental disorder with distinct clinical signs and symptoms. In Sentence B, the term is used in the context of a study designed to identify items of a diagnostic interview that can be used to identify children with possible Asperger syndrome. The shift in meaning is likely due to changes in the diagnostic criteria for autism and Asperger syndrome over time, as well as changes in the broader cultural and social context in which these terms are used. Therefore, the label ""Changed"" is appropriate for this task." 55,Asperger,"Three studies are reported that address the often described impoverished creativity in autism. Using the Torrance Creativity Tests, Experiment 1 found that children with autism and Asperger syndrome (AS) showed impairments. Experiment 2 tested two explanations of these results: the executive dysfunction and the imagination deficit hypotheses. Results supported both hypotheses. Children with autism and AS could generate possible novel changes to an object, though they generated fewer of these relative to controls. Furthermore, these were all reality-based, rather than imaginative. Experiment 3 extended this using a test of imaginative fluency. Children with autism and AS generated fewer suggestions involving attribution of animacy to foam shapes, compared to controls, instead generating reality-based suggestions of what the shapes could be. Although this is evidence of executive dysfunction, it does not directly account for why imaginative creativity is more difficult than reality-based creativity.","Individuals with Asperger's disorder and high functioning autism often don't have diagnosis during the childhood because of their high intelligence. It is not easy to diagnose adults as pervasive developmental disorder, because the information about their state and episodes in the childhood depends on the retrospective memories by caregivers and themselves. Although some researchers proposed that biological indicators might be useful for diagnosis, they have not found reliable indicators yet. Diagnosis of pervasive developmental disorder based only on biological indicators has limitations, because pervasive developmental disorder is biologically heterogeneous, and the diagnosis criteria were made based on abnormal behaviors, but not on the biological characteristics. However it is expected that the biological indicators that are useful to diagnose will be found in the near future. The outlines of neuroimaging and eye tracking studies that are relatively simple and useful methods, including findings of our studies, are introduced in this review.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Asperger Sentence A: Three studies are reported that address the often described impoverished creativity in autism. Using the Torrance Creativity Tests, Experiment 1 found that children with autism and Asperger syndrome (AS) showed impairments. Experiment 2 tested two explanations of these results: the executive dysfunction and the imagination deficit hypotheses. Results supported both hypotheses. Children with autism and AS could generate possible novel changes to an object, though they generated fewer of these relative to controls. Furthermore, these were all reality-based, rather than imaginative. Experiment 3 extended this using a test of imaginative fluency. Children with autism and AS generated fewer suggestions involving attribution of animacy to foam shapes, compared to controls, instead generating reality-based suggestions of what the shapes could be. Although this is evidence of executive dysfunction, it does not directly account for why imaginative creativity is more difficult than reality-based creativity. Sentence B: Individuals with Asperger's disorder and high functioning autism often don't have diagnosis during the childhood because of their high intelligence. It is not easy to diagnose adults as pervasive developmental disorder, because the information about their state and episodes in the childhood depends on the retrospective memories by caregivers and themselves. Although some researchers proposed that biological indicators might be useful for diagnosis, they have not found reliable indicators yet. Diagnosis of pervasive developmental disorder based only on biological indicators has limitations, because pervasive developmental disorder is biologically heterogeneous, and the diagnosis criteria were made based on abnormal behaviors, but not on the biological characteristics. However it is expected that the biological indicators that are useful to diagnose will be found in the near future. The outlines of neuroimaging and eye tracking studies that are relatively simple and useful methods, including findings of our studies, are introduced in this review. ###Answer 1. Changed Reasoning: In Sentence A, the term ""Asperger syndrome"" is used, which was a recognized diagnostic category in the early 2000s. However, in Sentence B, the term ""Asperger's disorder"" is used, which is not a recognized diagnostic term today. This suggests that the meaning of the term ""Asperger"" has shifted over time, with the term ""Asperger's disorder"" being used to refer to a broader range of conditions that were previously considered part of the autism spectrum. Therefore, semantic drift has occurred in the meaning of the term ""Asperger""." 56,Asperger,The purpose of the study was to examine behavioral/cognitive and neuroradiological features of patients with concurrent Tourette's disorder (TD) and Asperger's syndrome (AS).,"Autism spectrum disorders (ASDs) are neurodevelopmental conditions characterized by impairments in social/communication abilities and restricted behaviors. The present study aims to examine color vision discrimination in ASD children and adolescents without intellectual disability. The participants were also subdivided in order to compare color vision thresholds of autistic participants and those who achieved diagnostic criteria for Asperger Syndrome (AS). Nine subjects with autism, 11 participants with AS and 36 typically developing children and adolescents participated in the study. Color vision was assessed by the Cambridge Color Test (CCT). The Trivector protocol was administered to determine color discrimination thresholds along the protan, deutan, and tritan color confusion lines. Data from ASD participants were compared to tolerance limits for 90% of the population with 90% probability obtained from controls thresholds. Of the 20 ASD individuals examined, 6 (30%) showed color vision losses. Elevated color discrimination thresholds were found in 3/9 participants with autism and in 3/11 AS participants. Diffuse and tritan deficits were found. Mechanisms for chromatic losses may be either at the retinal level and/or reflect reduced cortical integration.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Asperger Sentence A: The purpose of the study was to examine behavioral/cognitive and neuroradiological features of patients with concurrent Tourette's disorder (TD) and Asperger's syndrome (AS). Sentence B: Autism spectrum disorders (ASDs) are neurodevelopmental conditions characterized by impairments in social/communication abilities and restricted behaviors. The present study aims to examine color vision discrimination in ASD children and adolescents without intellectual disability. The participants were also subdivided in order to compare color vision thresholds of autistic participants and those who achieved diagnostic criteria for Asperger Syndrome (AS). Nine subjects with autism, 11 participants with AS and 36 typically developing children and adolescents participated in the study. Color vision was assessed by the Cambridge Color Test (CCT). The Trivector protocol was administered to determine color discrimination thresholds along the protan, deutan, and tritan color confusion lines. Data from ASD participants were compared to tolerance limits for 90% of the population with 90% probability obtained from controls thresholds. Of the 20 ASD individuals examined, 6 (30%) showed color vision losses. Elevated color discrimination thresholds were found in 3/9 participants with autism and in 3/11 AS participants. Diffuse and tritan deficits were found. Mechanisms for chromatic losses may be either at the retinal level and/or reflect reduced cortical integration. ###Answer 1. Changed Reasoning: In Sentence A, the term ""Asperger's syndrome"" is used, which was a diagnostic category recognized by the American Psychiatric Association until 2013. At that time, the diagnosis was merged into the broader diagnosis of autism spectrum disorder (ASD). Therefore, the term ""Asperger"" in Sentence A refers to a specific diagnostic category that is no longer used. In Sentence B, the term ""autism spectrum disorder"" is used, which is the current diagnostic term for a broader range of neurodevelopmental conditions characterized by impairments in social/communication abilities and restricted behaviors. The term ""Asperger"" is not used in Sentence B, indicating that the term has changed in meaning over time. Therefore, there has been semantic drift in the meaning of the term ""Asperger"" between Sentence A and Sentence B, and the label ""Changed"" is appropriate." 57,Asperger,"The social impairments of autism, which are especially salient in autism of the Asperger type, have been attributed to a failure of affective processing, and more recently to a failure to develop a ""theory of mind"". Recent research evidence bearing on these theories is reviewed and a new hypothesis is put forward, based on research in progress, which posits a developmentally earlier abnormality of the ""social gaze response"": the inherent tendency of the normal infant to focus gaze and attention on social cues and, later, on objects in the environment as indicated by the gesture of gaze of others. Weakness or absence of the social gaze response is enough, it is argued, to account for many of the typical symptoms of autism, including the failure to acquire a theory of mind.","Including children with autism in regular classrooms has become prevalent; yet some evidence suggests such placements could increase the risk of isolation and rejection. In this study, we used social network methods to explore the involvement of children with autism in typical classrooms. Participants were 398 children (196 boys) in regular 2nd through 5th grade classes, including 17 children (14 boys) with high functioning autism or Asperger's syndrome. Children reported on friendship qualities, peer acceptance, loneliness, and classroom social networks. Despite involvement in networks, children with autism experienced lower centrality, acceptance, companionship, and reciprocity; yet they did not report greater loneliness. Future research is needed to help children with autism move from the periphery to more effective engagement with peers.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Asperger Sentence A: The social impairments of autism, which are especially salient in autism of the Asperger type, have been attributed to a failure of affective processing, and more recently to a failure to develop a ""theory of mind"". Recent research evidence bearing on these theories is reviewed and a new hypothesis is put forward, based on research in progress, which posits a developmentally earlier abnormality of the ""social gaze response"": the inherent tendency of the normal infant to focus gaze and attention on social cues and, later, on objects in the environment as indicated by the gesture of gaze of others. Weakness or absence of the social gaze response is enough, it is argued, to account for many of the typical symptoms of autism, including the failure to acquire a theory of mind. Sentence B: Including children with autism in regular classrooms has become prevalent; yet some evidence suggests such placements could increase the risk of isolation and rejection. In this study, we used social network methods to explore the involvement of children with autism in typical classrooms. Participants were 398 children (196 boys) in regular 2nd through 5th grade classes, including 17 children (14 boys) with high functioning autism or Asperger's syndrome. Children reported on friendship qualities, peer acceptance, loneliness, and classroom social networks. Despite involvement in networks, children with autism experienced lower centrality, acceptance, companionship, and reciprocity; yet they did not report greater loneliness. Future research is needed to help children with autism move from the periphery to more effective engagement with peers. ###Answer 1. Changed Explanation: In Sentence A, the term ""Asperger"" is used to describe a specific type of autism characterized by a failure of affective processing and a lack of theory of mind. This implies that the term ""Asperger"" had a specific meaning in 2000, related to the understanding of autism at that time. In Sentence B, the term ""Asperger's syndrome"" is used in a different context, without any reference to the specific cognitive or behavioral features of the disorder. This suggests that the term ""Asperger"" has shifted in meaning over time, and is now used more broadly to refer to any aspect of autism spectrum disorder. Therefore, the label ""Changed"" is appropriate." 58,Asperger,"Two experiments are described in which the memory of adults with Asperger's syndrome is compared with that of verbal IQ controls. The results of the first experiment showed that the Asperger subjects resembled autistic adults and children in their failure to use category information to aid their free recall. In the second experiment, both groups of subjects showed similar priming effects in an implicit stem completion task and similar performance on an explicit cued recall task. Moreover, both groups also showed more priming for items that they had read at study and better recall for items that they had to generate at study, suggesting that the cued recall of the Asperger subjects did not result from contamination by automatic or involuntary processes.","To examine the implications for research of the use of three alternative definitions for Asperger syndrome (AS). Differences across the three nosologic systems were examined in terms of diagnostic assignment, IQ profiles, comorbid symptoms, and familial aggregation of social and other psychiatric symptoms.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Asperger Sentence A: Two experiments are described in which the memory of adults with Asperger's syndrome is compared with that of verbal IQ controls. The results of the first experiment showed that the Asperger subjects resembled autistic adults and children in their failure to use category information to aid their free recall. In the second experiment, both groups of subjects showed similar priming effects in an implicit stem completion task and similar performance on an explicit cued recall task. Moreover, both groups also showed more priming for items that they had read at study and better recall for items that they had to generate at study, suggesting that the cued recall of the Asperger subjects did not result from contamination by automatic or involuntary processes. Sentence B: To examine the implications for research of the use of three alternative definitions for Asperger syndrome (AS). Differences across the three nosologic systems were examined in terms of diagnostic assignment, IQ profiles, comorbid symptoms, and familial aggregation of social and other psychiatric symptoms. ###Answer 1. Changed Reasoning: In Sentence A, the term ""Asperger's syndrome"" is used to describe a specific neurodevelopmental disorder characterized by difficulties with memory and language processing. The term is used in the context of research experiments comparing the memory abilities of individuals with Asperger's syndrome to those of verbal IQ controls. The term is used consistently throughout the sentence and carries a consistent meaning. In Sentence B, the term ""Asperger syndrome"" is used in a different context to describe a disorder with three alternative definitions. The term is used to differentiate between the different definitions and is not used consistently throughout the sentence. Therefore, the meaning of the term has changed significantly between the two sentences." 59,Asperger,"Sleep disturbances are common in patients with Asperger disorder. Although these sleep problems are often persistent and may significantly impair the child's daytime well-being, no treatment studies have been reported. In this open clinical trial, the effectiveness of melatonin was studied in a sample of 15 children with Asperger disorder (13 boys, 2 girls) aged 6-17 years using several questionnaires and actigraph measurements. They included assessments of sleep quality, tiredness, and behavior. Melatonin (3 mg/day) was used for 14 days. All the measurements were made three times: before the treatment period, during the treatment (days 12-14), and 3 weeks after the discontinuation of the treatment. The sleep patterns of all the children improved, and half of them displayed excellent responses to melatonin. In particular, actigraphically measured sleep latency decreased from 40.02 +/- 24.09 minutes to 21.82 +/- 9.64 minutes (p = 0.002), whereas sleep duration remained steady at 477.40 +/- 55.56 minutes and 480.48 +/- 50.71 minutes. Despite the short duration of the treatment, behavioral measures also displayed a significant improvement, and most of the effect disappeared after the discontinuation of the melatonin (p = 0.001). In conclusion, melatonin may provide an interesting new and well-tolerated treatment option for children with Asperger disorder suffering from chronic insomnia. However, these results must be confirmed in a controlled study.","Asperger's syndrome in adulthood is frequently associated with depression, but few studies have explored the lifetime experience of self-reported suicidal ideation and suicide plans or attempts in this clinical group. We aimed to assess this prevalence in a clinical cohort of patients in the UK.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Asperger Sentence A: Sleep disturbances are common in patients with Asperger disorder. Although these sleep problems are often persistent and may significantly impair the child's daytime well-being, no treatment studies have been reported. In this open clinical trial, the effectiveness of melatonin was studied in a sample of 15 children with Asperger disorder (13 boys, 2 girls) aged 6-17 years using several questionnaires and actigraph measurements. They included assessments of sleep quality, tiredness, and behavior. Melatonin (3 mg/day) was used for 14 days. All the measurements were made three times: before the treatment period, during the treatment (days 12-14), and 3 weeks after the discontinuation of the treatment. The sleep patterns of all the children improved, and half of them displayed excellent responses to melatonin. In particular, actigraphically measured sleep latency decreased from 40.02 +/- 24.09 minutes to 21.82 +/- 9.64 minutes (p = 0.002), whereas sleep duration remained steady at 477.40 +/- 55.56 minutes and 480.48 +/- 50.71 minutes. Despite the short duration of the treatment, behavioral measures also displayed a significant improvement, and most of the effect disappeared after the discontinuation of the melatonin (p = 0.001). In conclusion, melatonin may provide an interesting new and well-tolerated treatment option for children with Asperger disorder suffering from chronic insomnia. However, these results must be confirmed in a controlled study. Sentence B: Asperger's syndrome in adulthood is frequently associated with depression, but few studies have explored the lifetime experience of self-reported suicidal ideation and suicide plans or attempts in this clinical group. We aimed to assess this prevalence in a clinical cohort of patients in the UK. ###Answer 1. Changed Reasoning: In Sentence A, the term ""Asperger disorder"" is used, which was the previous term used to describe individuals with Asperger syndrome before it was merged with autism spectrum disorder (ASD) in the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) in 2013. This suggests that the term ""Asperger"" has undergone a significant change in meaning, as it is no longer a distinct diagnosis but rather a part of the broader ASD diagnostic category. Therefore, the label ""Changed"" is appropriate. In Sentence B, the term ""Asperger's syndrome"" is used, which is an outdated term that was previously used to describe individuals with autism spectrum disorder (ASD) before the DSM-5 was published. This suggests that the term ""Asperger's syndrome"" has also undergone a significant change in meaning, as it is no longer used to describe a distinct diagnostic category but rather as a part of the broader ASD diagnostic category. Therefore, the label ""Changed"" is also appropriate. In conclusion, both sentences demonstrate that the term ""Asperger"" has undergone semantic drift, as its meaning has shifted over time to become more broad and inclusive of the broader ASD diagnostic category." 60,Asperger,"In a population study, 55 children aged 13 years and under were diagnosed as suffering from autistic disorder according to DSM-III-R criteria. Fifteen of these children (27%) were born to parents, at least one of whom had migrated to Sweden. These 15 cases were analysed in some detail with a view to finding possible background factors that could account for the relatively high prevalence of autism among some immigrant populations. In a few cases, autism or Asperger syndrome had been diagnosed in a native Swedish parent who went abroad in order to find a spouse. In several other cases, the child was the first child born in Sweden after the mother had moved there. The contribution of genetic and other prenatal factors to autism in immigrant populations is discussed.","Although Asperger syndrome is described by international classifications as a category of pervasive developmental disorder (PDD), its validity as a specific entity distinct from autistic disorders remains controversial. The syndrome, first described by Hans Asperger, could not be distinguished from high functioning autism (onset, symptoms, outcome...). However, international classifications propose a distinction between the two syndromes based on a delayed onset, the absence of speech delay, the presence of motor disorders and a better outcome in Asperger syndrome. This categorical differentiation is not confirmed by current studies and in the absence of biological markers, no clinical, neuropsychological or epidemiological criteria makes it possible to distinguish high functioning autism from Asperger syndrome. From a clinical perspective, it is nevertheless of interest to isolate Asperger syndrome from other autistic disorders to propose specific assessment and therapy.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Asperger Sentence A: In a population study, 55 children aged 13 years and under were diagnosed as suffering from autistic disorder according to DSM-III-R criteria. Fifteen of these children (27%) were born to parents, at least one of whom had migrated to Sweden. These 15 cases were analysed in some detail with a view to finding possible background factors that could account for the relatively high prevalence of autism among some immigrant populations. In a few cases, autism or Asperger syndrome had been diagnosed in a native Swedish parent who went abroad in order to find a spouse. In several other cases, the child was the first child born in Sweden after the mother had moved there. The contribution of genetic and other prenatal factors to autism in immigrant populations is discussed. Sentence B: Although Asperger syndrome is described by international classifications as a category of pervasive developmental disorder (PDD), its validity as a specific entity distinct from autistic disorders remains controversial. The syndrome, first described by Hans Asperger, could not be distinguished from high functioning autism (onset, symptoms, outcome...). However, international classifications propose a distinction between the two syndromes based on a delayed onset, the absence of speech delay, the presence of motor disorders and a better outcome in Asperger syndrome. This categorical differentiation is not confirmed by current studies and in the absence of biological markers, no clinical, neuropsychological or epidemiological criteria makes it possible to distinguish high functioning autism from Asperger syndrome. From a clinical perspective, it is nevertheless of interest to isolate Asperger syndrome from other autistic disorders to propose specific assessment and therapy. ###Answer 1. Changed Reasoning: In Sentence A, the term ""Asperger syndrome"" is used in the context of a diagnostic criteria checklist for autistic disorder. The term is used interchangeably with ""autistic disorder"" and is not given any distinct meaning or connotation. Therefore, there is no evidence of semantic drift in the usage of the term ""Asperger syndrome"" between the two sentences. In Sentence B, the term ""Asperger syndrome"" is used in a different context, where it is described as a potential distinct entity from autistic disorders. The sentence highlights the controversy surrounding the validity of the syndrome as a specific entity, and the lack of biological markers or clinical, neuropsychological, or epidemiological criteria to distinguish it from other autistic disorders. This suggests that the meaning and connotation of the term ""Asperger syndrome"" have shifted, with a greater emphasis on its potential distinctness from other autistic disorders. Therefore, semantic drift has occurred in the usage of the term ""Asperger syndrome"" between the two sentences." 61,Asperger,"The ratio between the length of the 2nd or index finger and the 4th or ring finger (2D:4D) differs between the sexes, such that males have lower 2D:4D than females, and shows considerable ethnic differences, with low values found in Black populations. It has been suggested that the sex difference in 2D:4D arises early in development and that finger ratio is a correlate of prenatal testosterone and oestrogen. In children, 2D:4D has been reported to be associated with measures of fetal growth, congenital adrenal hyperplasia, developmental psychopathology, autism and Asperger's syndrome. However, little is known of the patterns of sex and ethnic differences in the 2D:4D ratio of children.","Asperger's disorder (ASP), like other autism spectrum disorders, is associated with altered responsiveness to social stimuli. This study investigated learning and responsiveness to nonsocial, but motivational, stimuli in ASP. We examined choice behavior and galvanic skin conductance responses (SCRs) during the Iowa Gambling Task (IGT; Bechara et al., 1994) in 15 adolescents and young adults with ASP and 14 comparison subjects. We examined aspects of learning, attention to wins and losses, and response style with a formal cognitive model, the Expectancy-Valence Learning model (Busemeyer & Stout, 2002). The ASP group did not differ from the comparison group in proportions of selections from advantageous decks. However, ASP participants showed a distinct pattern of selection characterized by frequent shifts between the four IGT decks, whereas comparison participants developed clear deck preferences. SCR results showed some evidence of reduced responsiveness in the ASP group during the IGT. Results from the cognitive model indicated that, in contrast to the comparison group, the ASP group's selections were less consistent with the motivational significance they assigned to decks. Findings are discussed in the context of the neurobiological substrates associated with IGT performance.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Asperger Sentence A: The ratio between the length of the 2nd or index finger and the 4th or ring finger (2D:4D) differs between the sexes, such that males have lower 2D:4D than females, and shows considerable ethnic differences, with low values found in Black populations. It has been suggested that the sex difference in 2D:4D arises early in development and that finger ratio is a correlate of prenatal testosterone and oestrogen. In children, 2D:4D has been reported to be associated with measures of fetal growth, congenital adrenal hyperplasia, developmental psychopathology, autism and Asperger's syndrome. However, little is known of the patterns of sex and ethnic differences in the 2D:4D ratio of children. Sentence B: Asperger's disorder (ASP), like other autism spectrum disorders, is associated with altered responsiveness to social stimuli. This study investigated learning and responsiveness to nonsocial, but motivational, stimuli in ASP. We examined choice behavior and galvanic skin conductance responses (SCRs) during the Iowa Gambling Task (IGT; Bechara et al., 1994) in 15 adolescents and young adults with ASP and 14 comparison subjects. We examined aspects of learning, attention to wins and losses, and response style with a formal cognitive model, the Expectancy-Valence Learning model (Busemeyer & Stout, 2002). The ASP group did not differ from the comparison group in proportions of selections from advantageous decks. However, ASP participants showed a distinct pattern of selection characterized by frequent shifts between the four IGT decks, whereas comparison participants developed clear deck preferences. SCR results showed some evidence of reduced responsiveness in the ASP group during the IGT. Results from the cognitive model indicated that, in contrast to the comparison group, the ASP group's selections were less consistent with the motivational significance they assigned to decks. Findings are discussed in the context of the neurobiological substrates associated with IGT performance. ###Answer 1. Changed Reasoning: In Sentence A, the term ""Asperger"" is used in the context of a medical condition, specifically the 2D:4D ratio of fingers. The sentence highlights the differences in finger ratios between males and females, and notes that this difference is associated with prenatal hormone levels. The term ""Asperger"" is not used in the context of a neurobiological disorder or cognitive impairment, as it is in Sentence B. Therefore, the meaning of the term ""Asperger"" has changed significantly between the two sentences, indicating semantic drift." 62,Asperger,"Pervasive developmental disorders without mental retardation is a new clinical category including high-functioning autism, Asperger syndrome and pervasive developmental disorder non otherwise specified. Its recognition is recent and still problematic in many regards. This article reviews the historical, theoretical and clinical relations between pervasive developmental disorders without mental retardation and bordering disorders. The consequences of an inadequate diagnosis on measures of assistance for these patients is also investigated. The authors conclude on the necessity in considering, independently of the diagnosis, the description of symptoms, the intellectual level and the adaptative level in order to take the most appropriate educational and psychosocial decisions regarding pervasive developmental disorders without mental retardation.","Autism Spectrum Conditions (ASC) are neurodevelopmental conditions characterized by difficulties in communication and social interaction, alongside unusually repetitive behaviours and narrow interests. Asperger Syndrome (AS) is one subgroup of ASC and differs from classic autism in that in AS there is no language or general cognitive delay. Genetic, epigenetic and environmental factors are implicated in ASC and genes involved in neural connectivity and neurodevelopment are good candidates for studying the susceptibility to ASC. The aryl-hydrocarbon receptor nuclear translocator 2 (ARNT2) gene encodes a transcription factor involved in neurodevelopmental processes, neuronal connectivity and cellular responses to hypoxia. A mutation in this gene has been identified in individuals with ASC and single nucleotide polymorphisms (SNPs) have been nominally associated with AS and autistic traits in previous studies.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Asperger Sentence A: Pervasive developmental disorders without mental retardation is a new clinical category including high-functioning autism, Asperger syndrome and pervasive developmental disorder non otherwise specified. Its recognition is recent and still problematic in many regards. This article reviews the historical, theoretical and clinical relations between pervasive developmental disorders without mental retardation and bordering disorders. The consequences of an inadequate diagnosis on measures of assistance for these patients is also investigated. The authors conclude on the necessity in considering, independently of the diagnosis, the description of symptoms, the intellectual level and the adaptative level in order to take the most appropriate educational and psychosocial decisions regarding pervasive developmental disorders without mental retardation. Sentence B: Autism Spectrum Conditions (ASC) are neurodevelopmental conditions characterized by difficulties in communication and social interaction, alongside unusually repetitive behaviours and narrow interests. Asperger Syndrome (AS) is one subgroup of ASC and differs from classic autism in that in AS there is no language or general cognitive delay. Genetic, epigenetic and environmental factors are implicated in ASC and genes involved in neural connectivity and neurodevelopment are good candidates for studying the susceptibility to ASC. The aryl-hydrocarbon receptor nuclear translocator 2 (ARNT2) gene encodes a transcription factor involved in neurodevelopmental processes, neuronal connectivity and cellular responses to hypoxia. A mutation in this gene has been identified in individuals with ASC and single nucleotide polymorphisms (SNPs) have been nominally associated with AS and autistic traits in previous studies. ###Answer 1. Changed Reasoning: The target word ""Asperger"" has undergone a significant change in meaning between Sentence A (2000) and Sentence B (2020). In Sentence A, ""Asperger"" is described as a clinical category within the broader diagnosis of pervasive developmental disorders without mental retardation. In Sentence B, ""Asperger Syndrome"" is described as a subgroup of autism spectrum conditions (ASC), which are characterized by difficulties in communication and social interaction, alongside repetitive behaviors and narrow interests. The term ""Asperger Syndrome"" no longer refers to a distinct clinical category, but rather a subtype of ASC. Therefore, the meaning of the target word ""Asperger"" has changed significantly between the two time periods, indicating semantic drift." 63,Asperger,"Forty-seven individuals (28 male and 19 female) referred for treatment of obsessive-compulsive disorder (OCD) in childhood were followed-up 15 years later (range 6-22 years) in respect of psychiatric and personality disorders. In early adulthood, the patients could be sub-divided into 4 groups of about equal size. One group had no later OCD, another had OCD on a sub-clinical level, a third group had an episodic course of OCD, and a final group had a chronic and often very disabling OCD. Outcome was similar in males and females, except that more girls had an episodic course. Eating disorder was diagnosed in 4 (21%) of the females, and Asperger syndrome in 2 (7%) of the males, at follow-up.","Autism spectrum disorders (ASD), comprising classic autism, Asperger syndrome, Rett syndrome, childhood disintegrative disorder and pervasive development disorder-not otherwise specified, represent complex neurodevelopmental conditions characterised by impaired social interactions, difficulties with communication and repetitive, stereotyped behaviours. It is estimated that up to 1% of the general population may be affected by an ASD. Whether due to improved diagnostic techniques or a true rise in incidence, the prevalence of patients with ASD is rising, and these individuals are increasingly encountered in a variety of healthcare settings. Care givers of patients with an ASD report frequently that lack of awareness of the complications of these disorders and the method of appropriately assessing these individuals impair the effective delivery of healthcare to this patient population. It is now clear that patients with an ASD, in addition to the defining characteristics of these disorders, can present to the outpatient, emergency department and inpatient settings with a variety of psychiatric, neurological, gastrointestinal, nutritional/metabolic, dental, ophthalmological, cardiovascular, gynaecological, traumatic and musculoskeletal conditions that can require acute intervention. In addition, the common treatments given to patients with an ASD may result in side effects and complications that may require acute intervention. For physicians who encounter patients with an ASD, the combination of impaired social interactions, difficulties with communication and stereotyped behaviours creates an additional barrier to diagnosis and treatment of these individuals. Careful preparation of the examination environment, direct engagement of care givers and the patient and the use of communication techniques and pharmacological adjuncts can aid physicians in treating the patient with an ASD in the outpatient, emergency department and inpatient settings.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Asperger Sentence A: Forty-seven individuals (28 male and 19 female) referred for treatment of obsessive-compulsive disorder (OCD) in childhood were followed-up 15 years later (range 6-22 years) in respect of psychiatric and personality disorders. In early adulthood, the patients could be sub-divided into 4 groups of about equal size. One group had no later OCD, another had OCD on a sub-clinical level, a third group had an episodic course of OCD, and a final group had a chronic and often very disabling OCD. Outcome was similar in males and females, except that more girls had an episodic course. Eating disorder was diagnosed in 4 (21%) of the females, and Asperger syndrome in 2 (7%) of the males, at follow-up. Sentence B: Autism spectrum disorders (ASD), comprising classic autism, Asperger syndrome, Rett syndrome, childhood disintegrative disorder and pervasive development disorder-not otherwise specified, represent complex neurodevelopmental conditions characterised by impaired social interactions, difficulties with communication and repetitive, stereotyped behaviours. It is estimated that up to 1% of the general population may be affected by an ASD. Whether due to improved diagnostic techniques or a true rise in incidence, the prevalence of patients with ASD is rising, and these individuals are increasingly encountered in a variety of healthcare settings. Care givers of patients with an ASD report frequently that lack of awareness of the complications of these disorders and the method of appropriately assessing these individuals impair the effective delivery of healthcare to this patient population. It is now clear that patients with an ASD, in addition to the defining characteristics of these disorders, can present to the outpatient, emergency department and inpatient settings with a variety of psychiatric, neurological, gastrointestinal, nutritional/metabolic, dental, ophthalmological, cardiovascular, gynaecological, traumatic and musculoskeletal conditions that can require acute intervention. In addition, the common treatments given to patients with an ASD may result in side effects and complications that may require acute intervention. For physicians who encounter patients with an ASD, the combination of impaired social interactions, difficulties with communication and stereotyped behaviours creates an additional barrier to diagnosis and treatment of these individuals. Careful preparation of the examination environment, direct engagement of care givers and the patient and the use of communication techniques and pharmacological adjuncts can aid physicians in treating the patient with an ASD in the outpatient, emergency department and inpatient settings. ###Answer 1. Changed Reasoning: The term ""Asperger"" in Sentence B has a different connotation than in Sentence A. In Sentence A, ""Asperger"" is used specifically to describe a subtype of autism spectrum disorder, with a focus on the diagnostic criteria and subgroups within the disorder. In contrast, in Sentence B, ""Asperger"" is used more broadly to refer to any neurodevelopmental disorder on the autism spectrum, encompassing a wider range of conditions than the specific focus of Sentence A. This shift in meaning suggests that the term ""Asperger"" has undergone semantic drift." 64,Asperger,To discuss special behavioural problems shown by a patient with Asperger's disorder from adolescence onward.,"Angela is an 18-year-old college freshman who made an appointment with her pediatrician because of academic and social difficulties at college. She was diagnosed with Asperger disorder at age 6 based on difficulties relating to adults and peers, perseverative patterns of interest, and normal language development.She received special education services in middle school to help follow directions and complete assignments. She reports feeling very isolated during this time. In freshman year of high school, she insisted on discontinuing special education and managed with weekly private individual psychotherapy.In sophomore year, Angela learned strategies to get additional help from her teachers about assignments, and her grades improved. Socially, she formed a close friendship with a classmate who was also on the autistic spectrum, and she found a group of friends through this individual. As a senior with an upward grade trajectory and good SAT scores, she was admitted to a competitive 4-year college. In a precollege consult 6 months ago, she was anxious about fitting in.Angela began college classes without accommodations, but she now describes a challenging semester. She has not made many friends. She finds her courses difficult and does not fully understand assignments. She believes her peers dislike her. She thinks she would benefit from receiving note-taking and other services and asks you to document her disability for the college so that she might obtain accommodations.You point out that the DSM-5 eliminates the Asperger category. Angela is concerned. She does not believe that her profile is consistent with autism spectrum disorder, and she fears that being labeled as autistic will be prejudicial at school. Yet she is worried about retaining eligibility for services on the basis of a disability. How do you counsel her?","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Asperger Sentence A: To discuss special behavioural problems shown by a patient with Asperger's disorder from adolescence onward. Sentence B: Angela is an 18-year-old college freshman who made an appointment with her pediatrician because of academic and social difficulties at college. She was diagnosed with Asperger disorder at age 6 based on difficulties relating to adults and peers, perseverative patterns of interest, and normal language development.She received special education services in middle school to help follow directions and complete assignments. She reports feeling very isolated during this time. In freshman year of high school, she insisted on discontinuing special education and managed with weekly private individual psychotherapy.In sophomore year, Angela learned strategies to get additional help from her teachers about assignments, and her grades improved. Socially, she formed a close friendship with a classmate who was also on the autistic spectrum, and she found a group of friends through this individual. As a senior with an upward grade trajectory and good SAT scores, she was admitted to a competitive 4-year college. In a precollege consult 6 months ago, she was anxious about fitting in.Angela began college classes without accommodations, but she now describes a challenging semester. She has not made many friends. She finds her courses difficult and does not fully understand assignments. She believes her peers dislike her. She thinks she would benefit from receiving note-taking and other services and asks you to document her disability for the college so that she might obtain accommodations.You point out that the DSM-5 eliminates the Asperger category. Angela is concerned. She does not believe that her profile is consistent with autism spectrum disorder, and she fears that being labeled as autistic will be prejudicial at school. Yet she is worried about retaining eligibility for services on the basis of a disability. How do you counsel her? ###Answer 1. Changed Reasoning: The target word ""Asperger"" has undergone a significant change in meaning between Sentence A (2000) and Sentence B (2020). In Sentence A, the term is used to describe a specific disorder characterized by difficulties in social interaction and communication, as well as repetitive behaviors. However, in Sentence B, the term is used more broadly to describe individuals with autism spectrum disorder. This shift in meaning suggests that the term ""Asperger"" has undergone semantic drift. In Sentence A, the term ""Asperger's disorder"" is used to describe a specific condition that was recognized and defined in the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) at the time of writing. However, in Sentence B, the term ""Asperger disorder"" is used less specifically, and is not recognized as a distinct diagnostic category in the DSM-5. Instead, the term ""autism spectrum disorder"" is used to describe a broader range of conditions characterized by difficulties in social interaction and communication. Therefore, the label ""Changed"" is appropriate, as the meaning of the target word has shifted significantly between the two sentences." 65,Asperger,"The author presents the data of 4- to 25-year-long observation of a group of boys distinguished since the early age by a pronounced disproportionaity of the psychic development: an accelerated development of abstract-logical thinking with gross defects of sensuous perception, emotions, psychomotor functions, and adaptive behaviour as a whole. Despite the evolutional course of the state most of the patients appeared to be unable to independent social adaptation. The degree and structure of this disharmonic underdevelopment allow one to regard this pathology as a variant of nervous system dysontogenesis differing from, but bordering on such forms as Kanner's autism, Asperger's psychopathy, or mental retardation with partial giftedness.","Although people with autism spectrum disorders (ASD) often have severe problems with pragmatic aspects of language, little is known about their pragmatic reasoning. We carried out a behavioral study on high-functioning adults with autistic disorder (n = 11) and Asperger syndrome (n = 17) and matched controls (n = 28) to investigate whether they are capable of deriving scalar implicatures, which are generally considered to be pragmatic inferences. Participants were presented with underinformative sentences like ""Some sparrows are birds"". This sentence is logically true, but pragmatically inappropriate if the scalar implicature ""Not all sparrows are birds"" is derived. The present findings indicate that the combined ASD group was just as likely as controls to derive scalar implicatures, yet there was a difference between participants with autistic disorder and Asperger syndrome, suggesting a potential differentiation between these disorders in pragmatic reasoning. Moreover, our results suggest that verbal intelligence is a constraint for task performance in autistic disorder but not in Asperger syndrome.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Asperger Sentence A: The author presents the data of 4- to 25-year-long observation of a group of boys distinguished since the early age by a pronounced disproportionaity of the psychic development: an accelerated development of abstract-logical thinking with gross defects of sensuous perception, emotions, psychomotor functions, and adaptive behaviour as a whole. Despite the evolutional course of the state most of the patients appeared to be unable to independent social adaptation. The degree and structure of this disharmonic underdevelopment allow one to regard this pathology as a variant of nervous system dysontogenesis differing from, but bordering on such forms as Kanner's autism, Asperger's psychopathy, or mental retardation with partial giftedness. Sentence B: Although people with autism spectrum disorders (ASD) often have severe problems with pragmatic aspects of language, little is known about their pragmatic reasoning. We carried out a behavioral study on high-functioning adults with autistic disorder (n = 11) and Asperger syndrome (n = 17) and matched controls (n = 28) to investigate whether they are capable of deriving scalar implicatures, which are generally considered to be pragmatic inferences. Participants were presented with underinformative sentences like ""Some sparrows are birds"". This sentence is logically true, but pragmatically inappropriate if the scalar implicature ""Not all sparrows are birds"" is derived. The present findings indicate that the combined ASD group was just as likely as controls to derive scalar implicatures, yet there was a difference between participants with autistic disorder and Asperger syndrome, suggesting a potential differentiation between these disorders in pragmatic reasoning. Moreover, our results suggest that verbal intelligence is a constraint for task performance in autistic disorder but not in Asperger syndrome. ###Answer 1. Changed (Asperger) The meaning of the target word ""Asperger"" has significantly shifted between the two sentences. In Sentence A, Asperger is used to describe a group of boys with a specific set of developmental characteristics, including difficulties with sensory perception and adaptive behavior. In Sentence B, Asperger is used to describe individuals with autism spectrum disorders (ASD), and the meaning has shifted to include pragmatic reasoning and language processing. The term is no longer used to describe a specific developmental profile, but rather a broader category of individuals with ASD. Therefore, the label ""Changed"" is appropriate." 66,Asperger,"Asperger syndrome (AS) is a pervasive developmental disorder widely regarded as a mild variant of autism. To investigate if AS is associated with a history of fewer obstetric insults compared to autism, we examined the developmental history and obstetric records of 10 males with AS (mean full scale IQ 95.3), and compared them with 10 autistic males with a full scale IQ of 70 or above (so-called high-functioning autism; mean full scale IQ 82.6). Males with AS showed a trend toward lower Apgar scores at one minute (chi-square = 4; df = 1; P = 0.04) and were more likely to have been born to mothers outside the optimal age group of 20-30 years (chi-square = 5; df = 1; P = 0.02). They were also less likely to have been irritable and floppy as infants (chi-square = 3.8; df = 1; P = 0.05). However, the total optimality scores did not differ significantly between the two groups.",": Alex is a 9-year-old boy brought to you, his primary care provider, for a ""fifth opinion."" You have cared for Alex since he was adopted from a Romanian orphanage at 3 years of age. He has been physically healthy with normal growth parameters and no evidence of fetal alcohol syndrome. Alex has long-standing history of social difficulties, impulsivity, lying, controlling, manipulative behaviors, violent outbursts at home with subsequent lack of remorse, and excessive chatter. You referred Alex to an interdisciplinary child development clinic 2 years ago, where he was diagnosed with reactive attachment disorder (RAD) and attention deficit hyperactivity disorder (ADHD). He was noted to have normal cognitive and language skills. Attachment therapy, stimulant therapy, and school accommodations for ADHD were recommended.Alex received some individual counseling with the school psychologist for a year after the first evaluation, with little improvement in core behaviors. The following year, Alex established care with a psychiatrist and a private counselor. The psychiatrist prescribed a succession of stimulants, each of which worked for only a short time and then had waning effect. The counselor worked with Alex and his parents on managing Alex's behavior, which the family reports has been somewhat helpful.Alex's parents express great frustration and sadness that parenting Alex has been such an ongoing struggle since he was adopted. They note that Alex is superficially friendly, chatty, and charming, with everyone he encounters, including strangers, but he never progresses past such superficial interaction, even with his adoptive parents. The parents express that they are deeply wounded that Alex is not more loving and is not more appreciative of the fact that they rescued him from the orphanage.His parents asked his pediatric clinician about Autism as they observe Alex's lack of real affection and social connection with parents or peers. They also note that Alex has difficulty verbalizing his feelings and that he lies frequently, chatters tangentially, and he can watch the Discovery channel for hours. A neurologist, to whom Alex was referred to evaluate staring spells, reassured the family that the spells did not seem to be epilepsy and also diagnosed Alex with ""Asperger's syndrome."" The school psychologist, after 2 years of equivocation, recently made Alex eligible for autism spectrum services.During the interview and examination, Alex is funny, friendly, and a bit silly. He uses normal eye contact, seems to enjoy the neuromotor examination, and is eager to show you his cool, new handshake. He engages in easy banter, using normal vernacular and prosody. After the visit, you call the therapist to express your opinion that the RAD diagnosis is valid after all and to ask whether the family is engaged in attachment therapy. The therapist refutes the RAD diagnosis, endorsing Asperger's syndrome (AS) instead and notes that Alex is making good progress in school and in therapy, where he is learning pragmatic skills and basic social skills with the use of social stories.Where do you head next?","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Asperger Sentence A: Asperger syndrome (AS) is a pervasive developmental disorder widely regarded as a mild variant of autism. To investigate if AS is associated with a history of fewer obstetric insults compared to autism, we examined the developmental history and obstetric records of 10 males with AS (mean full scale IQ 95.3), and compared them with 10 autistic males with a full scale IQ of 70 or above (so-called high-functioning autism; mean full scale IQ 82.6). Males with AS showed a trend toward lower Apgar scores at one minute (chi-square = 4; df = 1; P = 0.04) and were more likely to have been born to mothers outside the optimal age group of 20-30 years (chi-square = 5; df = 1; P = 0.02). They were also less likely to have been irritable and floppy as infants (chi-square = 3.8; df = 1; P = 0.05). However, the total optimality scores did not differ significantly between the two groups. Sentence B: : Alex is a 9-year-old boy brought to you, his primary care provider, for a ""fifth opinion."" You have cared for Alex since he was adopted from a Romanian orphanage at 3 years of age. He has been physically healthy with normal growth parameters and no evidence of fetal alcohol syndrome. Alex has long-standing history of social difficulties, impulsivity, lying, controlling, manipulative behaviors, violent outbursts at home with subsequent lack of remorse, and excessive chatter. You referred Alex to an interdisciplinary child development clinic 2 years ago, where he was diagnosed with reactive attachment disorder (RAD) and attention deficit hyperactivity disorder (ADHD). He was noted to have normal cognitive and language skills. Attachment therapy, stimulant therapy, and school accommodations for ADHD were recommended.Alex received some individual counseling with the school psychologist for a year after the first evaluation, with little improvement in core behaviors. The following year, Alex established care with a psychiatrist and a private counselor. The psychiatrist prescribed a succession of stimulants, each of which worked for only a short time and then had waning effect. The counselor worked with Alex and his parents on managing Alex's behavior, which the family reports has been somewhat helpful.Alex's parents express great frustration and sadness that parenting Alex has been such an ongoing struggle since he was adopted. They note that Alex is superficially friendly, chatty, and charming, with everyone he encounters, including strangers, but he never progresses past such superficial interaction, even with his adoptive parents. The parents express that they are deeply wounded that Alex is not more loving and is not more appreciative of the fact that they rescued him from the orphanage.His parents asked his pediatric clinician about Autism as they observe Alex's lack of real affection and social connection with parents or peers. They also note that Alex has difficulty verbalizing his feelings and that he lies frequently, chatters tangentially, and he can watch the Discovery channel for hours. A neurologist, to whom Alex was referred to evaluate staring spells, reassured the family that the spells did not seem to be epilepsy and also diagnosed Alex with ""Asperger's syndrome."" The school psychologist, after 2 years of equivocation, recently made Alex eligible for autism spectrum services.During the interview and examination, Alex is funny, friendly, and a bit silly. He uses normal eye contact, seems to enjoy the neuromotor examination, and is eager to show you his cool, new handshake. He engages in easy banter, using normal vernacular and prosody. After the visit, you call the therapist to express your opinion that the RAD diagnosis is valid after all and to ask whether the family is engaged in attachment therapy. The therapist refutes the RAD diagnosis, endorsing Asperger's syndrome (AS) instead and notes that Alex is making good progress in school and in therapy, where he is learning pragmatic skills and basic social skills with the use of social stories.Where do you head next? ###Answer For the target word ""Asperger"", semantic drift has occurred between the two sentences. In Sentence A, the term ""Asperger syndrome"" is used to describe a specific developmental disorder characterized by difficulties with social interaction and communication, and by restricted and repetitive behaviors. The sentence suggests that Asperger syndrome is a mild variant of autism, and that individuals with Asperger syndrome have a history of fewer obstetric insults compared to autism. In Sentence B, the term ""Asperger's syndrome"" is used in a different context. The sentence describes a 9-year-old boy named Alex who has been diagnosed with reactive attachment disorder (RAD) and attention deficit hyperactivity disorder (ADHD). The term ""Asperger's syndrome"" is used to describe Alex's social difficulties, impulsivity, and lying, but it is not used to describe a specific developmental disorder. Instead, it is used to describe Alex's superficial friendliness and lack of real affection and social connection with his parents or peers. Based on these differences, it can be concluded that the meaning of the term ""Asperger"" has shifted over time. In Sentence A, the term is used to describe a specific developmental disorder, while in Sentence B, it is used more broadly to describe social difficulties and impulsivity. This suggests that the term ""Asperger"" has undergone semantic drift and has taken on a different meaning in the second sentence. Therefore, the label ""Changed"" is appropriate for this task." 67,Asperger,"The author describes some aspects of a once-weekly psychoanalytic psychotherapy of a 12-year-old boy diagnosed with Asperger's syndrome. The patient's emotional and cognitive development had been impaired since early life, possibly due to an internal deficit and to the likelihood of inadequate environmental holding. He was unaware of having difficulties but was underachieving academically, was socially isolated and often visibly unhappy in his life. The patient's denial, splitting, and projection of emotion and insight presented the therapist with the difficult task of how to reach him. In order to communicate with him emotionally, the therapist created a modified technique which reflected the patient's development from part-object to whole-object relationships. This development became apparent in the sessions and was interpreted in the transference relationship. An account of the patient's early years was pieced together from a detailed commentary of what was being observed and intuited by the therapist during the sessions, as well as by an understanding of the countertransference. By the end of two years' treatment, the patient's sensitivity and creativity, which had been buried beneath a self-sufficient, autistic-like encapsulation, finally began to emerge in his communications with his therapist.","A 6-year-old boy had progressive muscle weakness since age 4 and emotional problems diagnosed as Asperger syndrome. His mother and two older siblings are in good health and there is no family history of neuromuscular disorders. Muscle biopsy showed ragged-red and cytochrome coxidase (COX)-negative fibers. Respiratory chain activities were reduced for all enzymes containing mtDNA-encoded subunits, especially COX. Sequence analysis of the 22 tRNA genes revealed a novel G10406A base substitution, which was heteroplasmic in multiple tissues of the patient by RFLP analysis (muscle, 96%; urinary sediment, 94%; cheek mucosa, 36%; blood, 29%). The mutation was not detected in any accessible tissues from his mother or siblings. It appears that this mutation arose de novo in the proband, probably early in embryogenesis.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Asperger Sentence A: The author describes some aspects of a once-weekly psychoanalytic psychotherapy of a 12-year-old boy diagnosed with Asperger's syndrome. The patient's emotional and cognitive development had been impaired since early life, possibly due to an internal deficit and to the likelihood of inadequate environmental holding. He was unaware of having difficulties but was underachieving academically, was socially isolated and often visibly unhappy in his life. The patient's denial, splitting, and projection of emotion and insight presented the therapist with the difficult task of how to reach him. In order to communicate with him emotionally, the therapist created a modified technique which reflected the patient's development from part-object to whole-object relationships. This development became apparent in the sessions and was interpreted in the transference relationship. An account of the patient's early years was pieced together from a detailed commentary of what was being observed and intuited by the therapist during the sessions, as well as by an understanding of the countertransference. By the end of two years' treatment, the patient's sensitivity and creativity, which had been buried beneath a self-sufficient, autistic-like encapsulation, finally began to emerge in his communications with his therapist. Sentence B: A 6-year-old boy had progressive muscle weakness since age 4 and emotional problems diagnosed as Asperger syndrome. His mother and two older siblings are in good health and there is no family history of neuromuscular disorders. Muscle biopsy showed ragged-red and cytochrome coxidase (COX)-negative fibers. Respiratory chain activities were reduced for all enzymes containing mtDNA-encoded subunits, especially COX. Sequence analysis of the 22 tRNA genes revealed a novel G10406A base substitution, which was heteroplasmic in multiple tissues of the patient by RFLP analysis (muscle, 96%; urinary sediment, 94%; cheek mucosa, 36%; blood, 29%). The mutation was not detected in any accessible tissues from his mother or siblings. It appears that this mutation arose de novo in the proband, probably early in embryogenesis. ###Answer 1. Changed Reasoning: In Sentence A, the term ""Asperger's syndrome"" is used to describe a 12-year-old boy who had impaired emotional and cognitive development since early life, possibly due to an internal deficit and inadequate environmental holding. The term is used to convey a sense of pathology and vulnerability. In Sentence B, the term ""Asperger syndrome"" is used to describe a 6-year-old boy who had progressive muscle weakness and emotional problems. The term is used in a different context, indicating a different meaning. The term is used to convey a sense of genetic mutation and potential for future medical problems. In Sentence A, the term ""Asperger's syndrome"" is used to describe a condition that is primarily related to psychological and emotional development. In Sentence B, the term is used to describe a condition that is primarily related to physical symptoms and genetics. Therefore, the meaning of the term ""Asperger's syndrome"" has changed significantly between the two sentences, indicating semantic drift." 68,Asperger,"Asperger syndrome is an autistic disorder which was first described in 1944 without further acceptance in the literature over almost four decades. Following several publications in the ""80's, the disorder became more widely known. Asperger syndrome was introduced into ICD-10 and DSM-IV as a new diagnosis in 1988 and 1994, respectively. Several authors developed own criteria. Until now, some of the diagnostic criteria of Asperger syndrome remain controversial. We present a survey and a comparison of the criteria in the classification of DSM-IV, ICD-10 and of other authors. Six criteria are widely accepted, but there are divergent opinions about the criteria ""intelligence"" and ""speech development"".","This article discusses the meaning and philosophical basis of disability discrimination in health care. It focuses on aspects of language that influence discourse about disability and affect the experiences of people with disabilities. Reference is made to the experiences of those who have an autism spectrum condition, with a specific focus on three NHS employees with Asperger syndrome, in relation to disability discrimination. The implications for nurses and nursing are discussed. Recommendations are made for awareness raising and training. ","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Asperger Sentence A: Asperger syndrome is an autistic disorder which was first described in 1944 without further acceptance in the literature over almost four decades. Following several publications in the ""80's, the disorder became more widely known. Asperger syndrome was introduced into ICD-10 and DSM-IV as a new diagnosis in 1988 and 1994, respectively. Several authors developed own criteria. Until now, some of the diagnostic criteria of Asperger syndrome remain controversial. We present a survey and a comparison of the criteria in the classification of DSM-IV, ICD-10 and of other authors. Six criteria are widely accepted, but there are divergent opinions about the criteria ""intelligence"" and ""speech development"". Sentence B: This article discusses the meaning and philosophical basis of disability discrimination in health care. It focuses on aspects of language that influence discourse about disability and affect the experiences of people with disabilities. Reference is made to the experiences of those who have an autism spectrum condition, with a specific focus on three NHS employees with Asperger syndrome, in relation to disability discrimination. The implications for nurses and nursing are discussed. Recommendations are made for awareness raising and training. ###Answer 1. Changed Explanation: In Sentence A, the term ""Asperger syndrome"" is used in the context of a medical diagnosis, specifically in relation to the classification of autistic disorders. The phrase ""was first described in 1944 without further acceptance in the literature over almost four decades"" suggests that the term was not widely recognized or accepted until later. Additionally, the mention of ""diagnostic criteria"" and ""controversial opinions"" implies that the meaning of the term was not well-defined or consistently understood at the time. In Sentence B, the term ""Asperger syndrome"" is used in a different context, specifically in relation to disability discrimination and the experiences of people with autism spectrum conditions. The term is not used in the same way as in Sentence A, and the focus is on the philosophical basis of disability discrimination rather than the medical diagnosis of Asperger syndrome. This suggests that the meaning and connotation of the term have shifted, and it is no longer solely associated with a medical diagnosis. Overall, the meaning and connotation of the term ""Asperger"" have changed significantly between the two sentences, warranting the label ""Changed""." 69,Asperger,"Episodic memory is identified with autonoetic consciousness, which gives rise to remembering in the sense of self-recollection in the mental re-enactment of previous events at which one was present. Autonoetic consciousness is distinguished from noetic consciousness, which gives rise to awareness of the past that is limited to feelings of familiarity or knowing. Noetic consciousness is identified not with episodic but with semantic memory, which involves general knowledge. A recently developed approach to episodic memory makes use of 'first-person' reports of remembering and knowing. Studies using this approach have revealed many independent variables that selectively affect remembering and others that selectively affect knowing. These studies can also be interpreted in terms of distinctiveness and fluency of processing. Remembering and knowing do not correspond with degrees of confidence in memory. Nor does remembering always control the memory response. There is evidence that remembering is selectively impaired in various populations, including not only amnesic patients and older adults but also adults with Asperger's syndrome. This first-person approach to episodic memory represents one way in which that most elusive aspect of consciousness, its subjectivity, can be investigated scientifically. The two kinds of conscious experiences can be manipulated experimentally in ways that are systematic, replicable and intelligible theoretically.","The present population-based, case-control study examines associations between specific parental psychiatric disorders and autism spectrum disorders (ASD) including childhood autism, Asperger's syndrome and pervasive developmental disorder (PDD-NOS). The cohort includes 4713 children born between 1987 and 2005 with diagnoses of childhood autism, Asperger's syndrome or PDD-NOS. Cases were ascertained from the Finnish Hospital Discharge Register, and each was matched to four controls by gender, date of birth, place of birth, and residence in Finland. Controls were selected from the Finnish Medical Birth Register. Parents were identified through the Finnish Medical Birth Register and Finnish Central Population Register. Parental psychiatric diagnoses from inpatient care were collected from the Finnish Hospital Discharge Register. Conditional logistic regression models were used to assess whether parents' psychiatric disorders predicted ASD after controlling for parents' age, smoking during pregnancy and weight for gestational age. In summary, parental schizophrenia spectrum disorders and affective disorders were associated with the risk of ASD regardless of the subgroup. PDD-NOS was associated with all parental psychiatric disorders investigated. Further studies are needed to replicate these findings. These results may facilitate the investigation of shared genetic and familial factors between ASD and other psychiatric disorders.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Asperger Sentence A: Episodic memory is identified with autonoetic consciousness, which gives rise to remembering in the sense of self-recollection in the mental re-enactment of previous events at which one was present. Autonoetic consciousness is distinguished from noetic consciousness, which gives rise to awareness of the past that is limited to feelings of familiarity or knowing. Noetic consciousness is identified not with episodic but with semantic memory, which involves general knowledge. A recently developed approach to episodic memory makes use of 'first-person' reports of remembering and knowing. Studies using this approach have revealed many independent variables that selectively affect remembering and others that selectively affect knowing. These studies can also be interpreted in terms of distinctiveness and fluency of processing. Remembering and knowing do not correspond with degrees of confidence in memory. Nor does remembering always control the memory response. There is evidence that remembering is selectively impaired in various populations, including not only amnesic patients and older adults but also adults with Asperger's syndrome. This first-person approach to episodic memory represents one way in which that most elusive aspect of consciousness, its subjectivity, can be investigated scientifically. The two kinds of conscious experiences can be manipulated experimentally in ways that are systematic, replicable and intelligible theoretically. Sentence B: The present population-based, case-control study examines associations between specific parental psychiatric disorders and autism spectrum disorders (ASD) including childhood autism, Asperger's syndrome and pervasive developmental disorder (PDD-NOS). The cohort includes 4713 children born between 1987 and 2005 with diagnoses of childhood autism, Asperger's syndrome or PDD-NOS. Cases were ascertained from the Finnish Hospital Discharge Register, and each was matched to four controls by gender, date of birth, place of birth, and residence in Finland. Controls were selected from the Finnish Medical Birth Register. Parents were identified through the Finnish Medical Birth Register and Finnish Central Population Register. Parental psychiatric diagnoses from inpatient care were collected from the Finnish Hospital Discharge Register. Conditional logistic regression models were used to assess whether parents' psychiatric disorders predicted ASD after controlling for parents' age, smoking during pregnancy and weight for gestational age. In summary, parental schizophrenia spectrum disorders and affective disorders were associated with the risk of ASD regardless of the subgroup. PDD-NOS was associated with all parental psychiatric disorders investigated. Further studies are needed to replicate these findings. These results may facilitate the investigation of shared genetic and familial factors between ASD and other psychiatric disorders. ###Answer 1. Changed Explanation: In Sentence A, the term ""Asperger"" is used to describe a specific population with a diagnosis of Asperger's syndrome. The sentence highlights the distinctiveness and fluency of processing in individuals with Asperger's syndrome. In contrast, in Sentence B, the term ""Asperger"" is used in the context of a population-based, case-control study examining associations between specific parental psychiatric disorders and autism spectrum disorders (ASD). Here, the term ""Asperger's syndrome"" is not used to describe a specific population or diagnostic category, but rather as a part of a larger discussion on the relationship between parental psychiatric disorders and ASD. In this context, it is clear that the term ""Asperger"" has undergone a significant change in meaning or connotation between the two sentences. In Sentence A, the term is used to describe a specific population with a well-defined diagnostic criteria, while in Sentence B, the term is used more broadly to describe a part of a larger discussion on the relationship between parental psychiatric disorders and ASD. Therefore, I would label the usage of ""Asperger"" in Sentence B as ""Changed""." 70,Asperger,"Since the introduction of a separate diagnosis for Asperger's syndrome in the ICD-10 and DSM-IV classification systems, a controversial debate has continued on whether Asperger's syndrome is a specific, clearly distinguishable disorder within the autistic spectrum or whether it represents a milder phenotypical variation of autism. The effect on the amount of autistic symptoms of the variables language delay and level of intelligence was analyzed within a sample of individuals exhibiting autism diagnosed by standardized methods. Both variables showed a significant effect on the degree of autistic symptoms in that impairments in social interaction were less noticeable. In addition, a subsample of individuals exhibited symptoms assumed to be characteristic for Asperger's syndrome. The findings support the assumption that autism and Asperger's syndrome represent ""extreme points"" on a scale of severity, which leads to the suggestion that the classification of different subtypes of autism could be abandoned in favor of a dimensional (multiaxial) approach.","Here we present the case of a 17-year-old male patient, affected by Asperger syndrome, who reached the emergency division of our hospital after anal insertion of some stylus batteries. Transanal extraction of 30 stylus batteries avoided surgical intervention. Lockdown and boredom due to the strict domestic quarantine policies adopted during COVID-19 pandemic might have unmasked in our patient a susceptibility to unhealthy behaviour.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Asperger Sentence A: Since the introduction of a separate diagnosis for Asperger's syndrome in the ICD-10 and DSM-IV classification systems, a controversial debate has continued on whether Asperger's syndrome is a specific, clearly distinguishable disorder within the autistic spectrum or whether it represents a milder phenotypical variation of autism. The effect on the amount of autistic symptoms of the variables language delay and level of intelligence was analyzed within a sample of individuals exhibiting autism diagnosed by standardized methods. Both variables showed a significant effect on the degree of autistic symptoms in that impairments in social interaction were less noticeable. In addition, a subsample of individuals exhibited symptoms assumed to be characteristic for Asperger's syndrome. The findings support the assumption that autism and Asperger's syndrome represent ""extreme points"" on a scale of severity, which leads to the suggestion that the classification of different subtypes of autism could be abandoned in favor of a dimensional (multiaxial) approach. Sentence B: Here we present the case of a 17-year-old male patient, affected by Asperger syndrome, who reached the emergency division of our hospital after anal insertion of some stylus batteries. Transanal extraction of 30 stylus batteries avoided surgical intervention. Lockdown and boredom due to the strict domestic quarantine policies adopted during COVID-19 pandemic might have unmasked in our patient a susceptibility to unhealthy behaviour. ###Answer 1. Changed Reasoning: In Sentence A, the term ""Asperger's syndrome"" is used in the context of a scientific debate about the nature of the disorder. The sentence highlights the controversy surrounding the diagnosis and suggests that the disorder is not well-defined and may represent a milder form of autism. The term is used in a neutral or scientific manner, without any pejorative connotations. In Sentence B, the term ""Asperger syndrome"" is used in a very different context, in the description of a patient's medical condition. The sentence implies that the patient has a diagnosis of Asperger syndrome, and the term is used in a more stigmatizing manner, suggesting that the patient's condition is problematic or unusual. The sentence also highlights the potential negative consequences of the patient's behavior, implying that the patient's condition is a source of concern. Therefore, the meaning of the term ""Asperger's syndrome"" has shifted significantly between the two sentences, from a neutral or scientific term to a stigmatizing one. This constitutes semantic drift, and the label ""Changed"" is appropriate." 71,Asperger,"With publication of the fourth edition of the Diagnostic and statistical manual of mental disorders (DSM-IV), standardized criteria for Asperger Disorder, a putative subtype of Pervasive Developmental Disorder, are now available. This paper examines the four cases Asperger originally presented in his seminal paper (1991/1994), using DSM-IV criteria to determine whether a diagnosis of Autistic or Asperger Disorder is most appropriate. We found that all four cases met DSM-IV criteria for Autistic Disorder, rather than Asperger Disorder. This suggests that the syndrome Asperger originally described may not be captured by present diagnostic criteria. Implications for future research are discussed.","It is unclear whether the increase in autism over the past two decades is a real increase or due to changes in diagnosis and ascertainment of autism spectrum disorders (ASDs), which include autism, Asperger syndrome and pervasive developmental disorder not otherwise specified (PDD-NOS). The aim of this study was to examine the trends in ASD over time in Western Australia (WA) and the possible effects and contribution of changes in diagnostic criteria, age at diagnosis, eligibility for service provision based on ASD diagnoses and changes in diagnostic practices.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Asperger Sentence A: With publication of the fourth edition of the Diagnostic and statistical manual of mental disorders (DSM-IV), standardized criteria for Asperger Disorder, a putative subtype of Pervasive Developmental Disorder, are now available. This paper examines the four cases Asperger originally presented in his seminal paper (1991/1994), using DSM-IV criteria to determine whether a diagnosis of Autistic or Asperger Disorder is most appropriate. We found that all four cases met DSM-IV criteria for Autistic Disorder, rather than Asperger Disorder. This suggests that the syndrome Asperger originally described may not be captured by present diagnostic criteria. Implications for future research are discussed. Sentence B: It is unclear whether the increase in autism over the past two decades is a real increase or due to changes in diagnosis and ascertainment of autism spectrum disorders (ASDs), which include autism, Asperger syndrome and pervasive developmental disorder not otherwise specified (PDD-NOS). The aim of this study was to examine the trends in ASD over time in Western Australia (WA) and the possible effects and contribution of changes in diagnostic criteria, age at diagnosis, eligibility for service provision based on ASD diagnoses and changes in diagnostic practices. ###Answer 1. Changed Reasoning: In Sentence A, the term ""Asperger Disorder"" is used, which is a term that was used in the past to describe a subtype of Pervasive Developmental Disorder. However, in Sentence B, the term ""Asperger syndrome"" is used, which is the current term used to describe a milder form of autism. This suggests that the meaning of the term ""Asperger"" has shifted over time, with the term now encompassing a broader range of conditions. Therefore, the label ""Changed"" is appropriate." 72,Asperger,"Cytoarchitectonic changes in the anterior cingulate cortex, hippocampus, subiculum, entorhinal cortex, amygdala, mammillary bodies, and septum were reported in a postmortem study of autism. Previously, the authors found smaller cingulate volume and decreased metabolism of the cingulate in seven autistic patients. In this study, they measured the volume and glucose metabolism of the amygdala, hippocampus, and cingulate gyrus in an expanded group of 17 patients with autism spectrum disorders (autism [N=10] or Asperger's disorder [N=7]) and 17 age- and sex-matched healthy volunteers.","Deficits in social functioning are a core feature of autistic spectrum disorders (ASD), being linked to various cognitive and developmental factors, but there has been little attempt to draw on normative models of social cognition to understand social behaviour in ASD. The current study explored the utility of Crick and Dodge's (1994) information processing model to studying social cognition in ASD, and examined associations between social information processing patterns, theory of mind skills and social functioning. A matched-group design compared young people with Asperger syndrome with typically developing peers, using a social information processing interview previously designed for this purpose. The Asperger syndrome group showed significantly different patterns of information processing at the intent attribution, response generation and response evaluation stages of the information processing model. Theory of mind skills were found to be significantly associated with parental ratings of peer problems in the Asperger syndrome group but not with parental ratings of pro-social behaviour, with only limited evidence of an association between social information processing and measures of theory of mind and social functioning. Overall, the study supports the use of normative social information processing approaches to understanding social functioning in ASD.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Asperger Sentence A: Cytoarchitectonic changes in the anterior cingulate cortex, hippocampus, subiculum, entorhinal cortex, amygdala, mammillary bodies, and septum were reported in a postmortem study of autism. Previously, the authors found smaller cingulate volume and decreased metabolism of the cingulate in seven autistic patients. In this study, they measured the volume and glucose metabolism of the amygdala, hippocampus, and cingulate gyrus in an expanded group of 17 patients with autism spectrum disorders (autism [N=10] or Asperger's disorder [N=7]) and 17 age- and sex-matched healthy volunteers. Sentence B: Deficits in social functioning are a core feature of autistic spectrum disorders (ASD), being linked to various cognitive and developmental factors, but there has been little attempt to draw on normative models of social cognition to understand social behaviour in ASD. The current study explored the utility of Crick and Dodge's (1994) information processing model to studying social cognition in ASD, and examined associations between social information processing patterns, theory of mind skills and social functioning. A matched-group design compared young people with Asperger syndrome with typically developing peers, using a social information processing interview previously designed for this purpose. The Asperger syndrome group showed significantly different patterns of information processing at the intent attribution, response generation and response evaluation stages of the information processing model. Theory of mind skills were found to be significantly associated with parental ratings of peer problems in the Asperger syndrome group but not with parental ratings of pro-social behaviour, with only limited evidence of an association between social information processing and measures of theory of mind and social functioning. Overall, the study supports the use of normative social information processing approaches to understanding social functioning in ASD. ###Answer 1. Changed Reasoning: The target word ""Asperger"" has undergone a significant change in meaning between Sentence A (2000) and Sentence B (2020). In Sentence A, ""Asperger"" is used specifically to refer to a subtype of autism spectrum disorder, while in Sentence B, it is used more broadly to refer to individuals with deficits in social functioning, including those with autism spectrum disorder and Asperger syndrome. This shift in meaning suggests that the term ""Asperger"" has undergone semantic drift." 73,Asperger,"An 8 year-old boy with Asperger's syndrome had difficulties in communicating with his teachers and classmates. He occasionally stole out of the classroom. He could not sleep at night recalling his awful experience and kept crying every night and refused to go to school. The treatment with fluvoxamine was started at the dose of 25 mg daily. Four weeks after the treatment, his repetitive behavior and hyperactivity decreased and night crying diminished. Although he still has difficulties in communicating with others, he is now able to attend extra-curricular classes in a private school. Fluvoxamine, a selective serotonin re-uptake inhibitor that has been mainly used for patients with depression and obsessive-compulsive disorder, might be effective for compulsive symptoms and sleep disturbance of patients with pervasive developmental disorders.","Autism spectrum disorders (ASDs) are a group of complex neurodevelopmental disorders, including autistic disorder, Asperger's syndrome, pervasive developmental disorder and childhood disintegrative disorder. Mitochondria not only provide neurons with energy in the form of ATP to sustain neuron growth, proliferation and neurodevelopment, but also regulate neuron apoptosis, intracellular calcium ion (Ca","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Asperger Sentence A: An 8 year-old boy with Asperger's syndrome had difficulties in communicating with his teachers and classmates. He occasionally stole out of the classroom. He could not sleep at night recalling his awful experience and kept crying every night and refused to go to school. The treatment with fluvoxamine was started at the dose of 25 mg daily. Four weeks after the treatment, his repetitive behavior and hyperactivity decreased and night crying diminished. Although he still has difficulties in communicating with others, he is now able to attend extra-curricular classes in a private school. Fluvoxamine, a selective serotonin re-uptake inhibitor that has been mainly used for patients with depression and obsessive-compulsive disorder, might be effective for compulsive symptoms and sleep disturbance of patients with pervasive developmental disorders. Sentence B: Autism spectrum disorders (ASDs) are a group of complex neurodevelopmental disorders, including autistic disorder, Asperger's syndrome, pervasive developmental disorder and childhood disintegrative disorder. Mitochondria not only provide neurons with energy in the form of ATP to sustain neuron growth, proliferation and neurodevelopment, but also regulate neuron apoptosis, intracellular calcium ion (Ca ###Answer 1. Changed Reasoning: In Sentence A, the target word ""Asperger"" is used to describe a specific neurodevelopmental disorder with symptoms of repetitive behavior, hyperactivity, and difficulty with communication. The sentence also highlights the potential effectiveness of a specific medication (fluvoxamine) in treating these symptoms. In Sentence B, the target word ""Asperger"" is used in a broader context to describe a group of neurodevelopmental disorders, including autistic disorder, Asperger's syndrome, pervasive developmental disorder, and childhood disintegrative disorder. The sentence does not provide specific information about the symptoms or treatments for these disorders. Based on these differences in context and focus, it can be argued that the meaning of the target word ""Asperger"" has shifted significantly between Sentence A and Sentence B. In Sentence A, the term is used to describe a specific and well-defined disorder, while in Sentence B, it is used more broadly to encompass a range of related disorders. Therefore, the label ""Changed"" is appropriate to indicate that the meaning of the target word has shifted over time." 74,Asperger,"We review the English-language literature on Asperger's syndrome (AS), with particular reference to diagnostic criteria and differentiation from infantile autism and personality disorders, and describe six cases seen in practice: all met DSM-III criteria for 'atypical pervasive developmental disorder'. Three also developed Tourette syndrome: the co-occurrence of the two disorders, and methods of intervention, are discussed.","We combined eye-tracking technology with a test of facial affect recognition and a measure of self-reported social anxiety in order to explore the aetiology of social-perceptual deficits in Asperger's syndrome (AS). Compared to controls matched for age, IQ and visual-perceptual ability, we found a group of AS adults was impaired in their recognition of fearful and sad expressions and spent significantly less time fixating the eye region of all faces. For AS subjects, but not controls, the extent of the failure to fixate the eyes predicted the degree of impairment at recognising fearful expressions. In addition, poor fear recognition and reduced fixation of the eyes were independently associated with greater levels of social anxiety in AS individuals. These findings support the hypothesis that avoidance of emotionally arousing stimuli, such as eyes, contributes to social-perceptual impairment in AS. Furthermore, our findings are consistent with theories implicating amygdala-mediated over-arousal and anxiety in the development of these social-perceptual deficits.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Asperger Sentence A: We review the English-language literature on Asperger's syndrome (AS), with particular reference to diagnostic criteria and differentiation from infantile autism and personality disorders, and describe six cases seen in practice: all met DSM-III criteria for 'atypical pervasive developmental disorder'. Three also developed Tourette syndrome: the co-occurrence of the two disorders, and methods of intervention, are discussed. Sentence B: We combined eye-tracking technology with a test of facial affect recognition and a measure of self-reported social anxiety in order to explore the aetiology of social-perceptual deficits in Asperger's syndrome (AS). Compared to controls matched for age, IQ and visual-perceptual ability, we found a group of AS adults was impaired in their recognition of fearful and sad expressions and spent significantly less time fixating the eye region of all faces. For AS subjects, but not controls, the extent of the failure to fixate the eyes predicted the degree of impairment at recognising fearful expressions. In addition, poor fear recognition and reduced fixation of the eyes were independently associated with greater levels of social anxiety in AS individuals. These findings support the hypothesis that avoidance of emotionally arousing stimuli, such as eyes, contributes to social-perceptual impairment in AS. Furthermore, our findings are consistent with theories implicating amygdala-mediated over-arousal and anxiety in the development of these social-perceptual deficits. ###Answer 1. Changed The meaning of the target word ""Asperger"" has significantly shifted between Sentence A and Sentence B. In Sentence A, the term refers to a specific diagnosis of autism, with a focus on diagnostic criteria and differential diagnosis from other conditions. In Sentence B, the term is used more broadly to refer to a range of social-perceptual impairments associated with anxiety and avoidance behaviors. The term is no longer limited to a specific diagnostic category, but rather encompasses a broader set of symptoms and behaviors. Therefore, the label ""Changed"" is appropriate to indicate that the meaning of the target word has shifted significantly over time." 75,Asperger,"Satisfaction with disclosure of the diagnosis of an autistic spectrum disorder was investigated using a self-report questionnaire completed by 126 parents. On a rating of satisfaction, 55 percent indicated that they were satisfied or very satisfied with the disclosure. Parents were more likely to be satisfied if they gave positive ratings to the manner of the professional and the quality of the information provided; if they had been given written information and the opportunity to ask questions; and if their early suspicions had been accepted by professionals. These factors were combined into a global index of satisfaction; those gaining higher scores were more likely to have been given the diagnosis of Asperger syndrome (as opposed to autism), to have had a definite diagnosis, and to have children who were not currently in an educational placement. These results underline the importance of the interaction between parent and professional during the disclosure interview.","Can adults with autism spectrum disorders (ASD) infer what happened to someone from their emotional response? Millikan has argued that in everyday life, others' emotions are most commonly used to work out the antecedents of behavior, an ability termed retrodictive mindreading. As those with ASD show difficulties interpreting others' emotions, we predicted that these individuals would have difficulty with retrodictive mindreading. Sixteen adults with high-functioning autism or Asperger's syndrome and 19 typically developing adults viewed 21 video clips of people reacting to one of three gifts (chocolate, monopoly money, or a homemade novelty) and then inferred what gift the recipient received and the emotion expressed by that person. Participants' eye movements were recorded while they viewed the videos. Results showed that participants with ASD were only less accurate when inferring who received a chocolate or homemade gift. This difficulty was not due to lack of understanding what emotions were appropriate in response to each gift, as both groups gave consistent gift and emotion inferences significantly above chance (genuine positive for chocolate and feigned positive for homemade). Those with ASD did not look significantly less to the eyes of faces in the videos, and looking to the eyes did not correlate with accuracy on the task. These results suggest that those with ASD are less accurate when retrodicting events involving recognition of genuine and feigned positive emotions, and challenge claims that lack of attention to the eyes causes emotion recognition difficulties in ASD.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Asperger Sentence A: Satisfaction with disclosure of the diagnosis of an autistic spectrum disorder was investigated using a self-report questionnaire completed by 126 parents. On a rating of satisfaction, 55 percent indicated that they were satisfied or very satisfied with the disclosure. Parents were more likely to be satisfied if they gave positive ratings to the manner of the professional and the quality of the information provided; if they had been given written information and the opportunity to ask questions; and if their early suspicions had been accepted by professionals. These factors were combined into a global index of satisfaction; those gaining higher scores were more likely to have been given the diagnosis of Asperger syndrome (as opposed to autism), to have had a definite diagnosis, and to have children who were not currently in an educational placement. These results underline the importance of the interaction between parent and professional during the disclosure interview. Sentence B: Can adults with autism spectrum disorders (ASD) infer what happened to someone from their emotional response? Millikan has argued that in everyday life, others' emotions are most commonly used to work out the antecedents of behavior, an ability termed retrodictive mindreading. As those with ASD show difficulties interpreting others' emotions, we predicted that these individuals would have difficulty with retrodictive mindreading. Sixteen adults with high-functioning autism or Asperger's syndrome and 19 typically developing adults viewed 21 video clips of people reacting to one of three gifts (chocolate, monopoly money, or a homemade novelty) and then inferred what gift the recipient received and the emotion expressed by that person. Participants' eye movements were recorded while they viewed the videos. Results showed that participants with ASD were only less accurate when inferring who received a chocolate or homemade gift. This difficulty was not due to lack of understanding what emotions were appropriate in response to each gift, as both groups gave consistent gift and emotion inferences significantly above chance (genuine positive for chocolate and feigned positive for homemade). Those with ASD did not look significantly less to the eyes of faces in the videos, and looking to the eyes did not correlate with accuracy on the task. These results suggest that those with ASD are less accurate when retrodicting events involving recognition of genuine and feigned positive emotions, and challenge claims that lack of attention to the eyes causes emotion recognition difficulties in ASD. ###Answer 1. Changed Reasoning: In Sentence A, the term ""Asperger"" is used to describe a specific diagnosis within the autism spectrum. The sentence highlights the importance of the interaction between the professional and the parent during the disclosure interview, and the specific characteristics of the diagnosis, such as the global index of satisfaction. These details suggest that the term ""Asperger"" had a specific meaning in 2000 that is different from its meaning in 2020. In Sentence B, the term ""Asperger's syndrome"" is used, which is an outdated term that was previously used to describe the condition. The sentence also mentions ""autism spectrum disorders"" (ASD), which is a more inclusive term that encompasses a broader range of conditions than the outdated term ""Asperger's syndrome."" These details suggest that the term ""Asperger"" has undergone a significant change in meaning between the two timestamps, and that the term is no longer used to describe a specific diagnosis within the autism spectrum. Therefore, the label ""Changed"" is appropriate." 76,Asperger,"Autism is a neurodevelopmental disorder characterized by dysfunction in three core behavioral domains: repetitive behaviors, social deficits, and language abnormalities. There is evidence that abnormalities exist in peptide systems, particularly the oxytocin system, in autism spectrum patients. Furthermore, oxytocin and the closely related peptide vasopressin are known to play a role in social and repetitive behaviors. This study examined the impact of oxytocin on repetitive behaviors in 15 adults with autism or Asperger's disorder via randomized double-blind oxytocin and placebo challenges. The primary outcome measure was an instrument rating six repetitive behaviors: need to know, repeating, ordering, need to tell/ask, self-injury, and touching. Patients with autism spectrum disorders showed a significant reduction in repetitive behaviors following oxytocin infusion in comparison to placebo infusion. Repetitive behavior in autism spectrum disorders may be related to abnormalities in the oxytocin system, and may be partially ameliorated by synthetic oxytocin infusion.","The present study was undertaken in order to determine whether a set of clinical features, which are not included in the DSM-IV or ICD-10 for Asperger Syndrome (AS), are associated with AS in particular or whether they are merely a familial trait that is not related to the diagnosis.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Asperger Sentence A: Autism is a neurodevelopmental disorder characterized by dysfunction in three core behavioral domains: repetitive behaviors, social deficits, and language abnormalities. There is evidence that abnormalities exist in peptide systems, particularly the oxytocin system, in autism spectrum patients. Furthermore, oxytocin and the closely related peptide vasopressin are known to play a role in social and repetitive behaviors. This study examined the impact of oxytocin on repetitive behaviors in 15 adults with autism or Asperger's disorder via randomized double-blind oxytocin and placebo challenges. The primary outcome measure was an instrument rating six repetitive behaviors: need to know, repeating, ordering, need to tell/ask, self-injury, and touching. Patients with autism spectrum disorders showed a significant reduction in repetitive behaviors following oxytocin infusion in comparison to placebo infusion. Repetitive behavior in autism spectrum disorders may be related to abnormalities in the oxytocin system, and may be partially ameliorated by synthetic oxytocin infusion. Sentence B: The present study was undertaken in order to determine whether a set of clinical features, which are not included in the DSM-IV or ICD-10 for Asperger Syndrome (AS), are associated with AS in particular or whether they are merely a familial trait that is not related to the diagnosis. ###Answer 1. Changed Reasoning: In Sentence A, the term ""Asperger"" is used to describe a specific neurodevelopmental disorder characterized by repetitive behaviors and social deficits. However, in Sentence B, the term ""Asperger Syndrome"" is used more broadly to describe a set of clinical features that may be associated with the diagnosis. This suggests that the term ""Asperger"" has shifted in meaning over time, from a specific diagnosis to a broader set of clinical features." 77,Asperger,"Theory of mind (ToM) deficits are central to autistic spectrum disorders, including Asperger syndrome. Research in psychotic disorders has developed a cognitive model of paranoid delusions involving abnormal causal attributions for negative events. Possible aetiologies of these include deficits in social reasoning, specifically ToM. The present study investigated this attributional model of paranoia in Asperger syndrome. Participants diagnosed with Asperger syndrome scored significantly higher on a measure of paranoia and lower on a measure of ToM, compared with the control group. They did not differ in self-concept and causal attributions, contrary to the attributional model of paranoia. A regression analysis highlighted private self-consciousness as the only predictor of paranoia. The theoretical and clinical implications of these findings are discussed.","Subjects with Asperger's syndrome without intellectual disabilities have significant difficulties in establishing social relationships despite their IQ being within the normal range. One of the effects of social deficit is depression. The question arises whether loneliness and dimensions of meaning in life correlate with the severity of depression and whether the average severity of depression, loneliness and dimensions of meaning in life differentiate the following groups: people with Asperger's syndrome and depression, people with Asperger's syndrome without depression, people with depression without Asperger's syndrome and healthy subjects. The study was conducted on a total of 170 people, including: 43 people with Asperger's syndrome and depression, 41 people with Asperger's syndrome without depression, 40 people with depression without Asperger's syndrome and 46 healthy people (without Asperger's syndrome and without depression). All were administered a demographic survey, Beck Depression Inventory II (BDI-II), De Jong Gierveld Loneliness Scale, Life Attitude Profile-Revised. Asperger's syndrome and depressive episodes were diagnosed on the basis of ICD-10 research criteria still applicable in Poland. In the group with Asperger's syndrome and depression the highest levels of loneliness and the lowest values of the dimensions of the sense of meaning in life, except for the acceptance of death, were observed. This result was significantly different from the results obtained in the other study groups. Both in people with Asperger's syndrome without depression and in people with depression without Asperger's syndrome, the values of the dimensions of the sense of meaning in life and the level of loneliness differ significantly from the results obtained in the control group. The BDI-II scores correlated positively with the loneliness values and negatively with the sense of meaning in life values in all groups. The results indicate that both suffering from depression and having Asperger's syndrome are associated with an increased sense of loneliness and a reduced sense of meaning in life. People with Asperger's syndrome and depression have the highest values of loneliness and the lowest values of dimensions of the sense of meaning of life compared to the other groups studied. The limitation of the work is the deliberate selection of groups, because it would be interesting to answer the question whether Asperger's syndrome is a risk factor for depression in the population.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Asperger Sentence A: Theory of mind (ToM) deficits are central to autistic spectrum disorders, including Asperger syndrome. Research in psychotic disorders has developed a cognitive model of paranoid delusions involving abnormal causal attributions for negative events. Possible aetiologies of these include deficits in social reasoning, specifically ToM. The present study investigated this attributional model of paranoia in Asperger syndrome. Participants diagnosed with Asperger syndrome scored significantly higher on a measure of paranoia and lower on a measure of ToM, compared with the control group. They did not differ in self-concept and causal attributions, contrary to the attributional model of paranoia. A regression analysis highlighted private self-consciousness as the only predictor of paranoia. The theoretical and clinical implications of these findings are discussed. Sentence B: Subjects with Asperger's syndrome without intellectual disabilities have significant difficulties in establishing social relationships despite their IQ being within the normal range. One of the effects of social deficit is depression. The question arises whether loneliness and dimensions of meaning in life correlate with the severity of depression and whether the average severity of depression, loneliness and dimensions of meaning in life differentiate the following groups: people with Asperger's syndrome and depression, people with Asperger's syndrome without depression, people with depression without Asperger's syndrome and healthy subjects. The study was conducted on a total of 170 people, including: 43 people with Asperger's syndrome and depression, 41 people with Asperger's syndrome without depression, 40 people with depression without Asperger's syndrome and 46 healthy people (without Asperger's syndrome and without depression). All were administered a demographic survey, Beck Depression Inventory II (BDI-II), De Jong Gierveld Loneliness Scale, Life Attitude Profile-Revised. Asperger's syndrome and depressive episodes were diagnosed on the basis of ICD-10 research criteria still applicable in Poland. In the group with Asperger's syndrome and depression the highest levels of loneliness and the lowest values of the dimensions of the sense of meaning in life, except for the acceptance of death, were observed. This result was significantly different from the results obtained in the other study groups. Both in people with Asperger's syndrome without depression and in people with depression without Asperger's syndrome, the values of the dimensions of the sense of meaning in life and the level of loneliness differ significantly from the results obtained in the control group. The BDI-II scores correlated positively with the loneliness values and negatively with the sense of meaning in life values in all groups. The results indicate that both suffering from depression and having Asperger's syndrome are associated with an increased sense of loneliness and a reduced sense of meaning in life. People with Asperger's syndrome and depression have the highest values of loneliness and the lowest values of dimensions of the sense of meaning of life compared to the other groups studied. The limitation of the work is the deliberate selection of groups, because it would be interesting to answer the question whether Asperger's syndrome is a risk factor for depression in the population. ###Answer 1. Changed Reasoning: The target word ""Asperger"" has undergone a significant change in meaning between the two sentences. In Sentence A, ""Asperger"" is used in the context of a psychiatric disorder, specifically autistic spectrum disorders, and is associated with deficits in theory of mind and cognitive models of paranoid delusions. In Sentence B, ""Asperger"" is used in the context of social relationships and depression, without any reference to psychiatric disorders. This shift in meaning suggests that the term ""Asperger"" has undergone semantic drift, and its meaning has significantly changed over time." 78,Asperger,"Research has shown that individuals with autism and Asperger syndrome are impaired in humor appreciation, although anecdotal and parental reports provide some evidence to the contrary. This paper reviews the cognitive and affective processes involved in humor and recent neurological findings. It examines humor expression and understanding in autism and Asperger syndrome in the context of the main psychological theories (Theory of Mind, Executive Functions, Weak Central Coherence and Laterization models) and associated neural substrates. In the concluding sections, examples of humor displayed by individuals with autism/Asperger syndrome which appear to challenge the above theories are analyzed and areas for further research are suggested.","Autism Spectrum Disorder (ASD) is diagnosed on the basis of behavioral symptoms, but cognitive abilities may also be useful in characterizing individuals with ASD. One hundred seventy-eight high-functioning male adults, half with ASD and half without, completed tasks assessing IQ, a broad range of cognitive skills, and autistic and comorbid symptomatology. The aims of the study were, first, to determine whether significant differences existed between cases and controls on cognitive tasks, and whether cognitive profiles, derived using a multivariate classification method with data from multiple cognitive tasks, could distinguish between the two groups. Second, to establish whether cognitive skill level was correlated with degree of autistic symptom severity, and third, whether cognitive skill level was correlated with degree of comorbid psychopathology. Fourth, cognitive characteristics of individuals with Asperger Syndrome (AS) and high-functioning autism (HFA) were compared. After controlling for IQ, ASD and control groups scored significantly differently on tasks of social cognition, motor performance, and executive function (P's < 0.05). To investigate cognitive profiles, 12 variables were entered into a support vector machine (SVM), which achieved good classification accuracy (81%) at a level significantly better than chance (P < 0.0001). After correcting for multiple correlations, there were no significant associations between cognitive performance and severity of either autistic or comorbid symptomatology. There were no significant differences between AS and HFA groups on the cognitive tasks. Cognitive classification models could be a useful aid to the diagnostic process when used in conjunction with other data sources-including clinical history.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Asperger Sentence A: Research has shown that individuals with autism and Asperger syndrome are impaired in humor appreciation, although anecdotal and parental reports provide some evidence to the contrary. This paper reviews the cognitive and affective processes involved in humor and recent neurological findings. It examines humor expression and understanding in autism and Asperger syndrome in the context of the main psychological theories (Theory of Mind, Executive Functions, Weak Central Coherence and Laterization models) and associated neural substrates. In the concluding sections, examples of humor displayed by individuals with autism/Asperger syndrome which appear to challenge the above theories are analyzed and areas for further research are suggested. Sentence B: Autism Spectrum Disorder (ASD) is diagnosed on the basis of behavioral symptoms, but cognitive abilities may also be useful in characterizing individuals with ASD. One hundred seventy-eight high-functioning male adults, half with ASD and half without, completed tasks assessing IQ, a broad range of cognitive skills, and autistic and comorbid symptomatology. The aims of the study were, first, to determine whether significant differences existed between cases and controls on cognitive tasks, and whether cognitive profiles, derived using a multivariate classification method with data from multiple cognitive tasks, could distinguish between the two groups. Second, to establish whether cognitive skill level was correlated with degree of autistic symptom severity, and third, whether cognitive skill level was correlated with degree of comorbid psychopathology. Fourth, cognitive characteristics of individuals with Asperger Syndrome (AS) and high-functioning autism (HFA) were compared. After controlling for IQ, ASD and control groups scored significantly differently on tasks of social cognition, motor performance, and executive function (P's < 0.05). To investigate cognitive profiles, 12 variables were entered into a support vector machine (SVM), which achieved good classification accuracy (81%) at a level significantly better than chance (P < 0.0001). After correcting for multiple correlations, there were no significant associations between cognitive performance and severity of either autistic or comorbid symptomatology. There were no significant differences between AS and HFA groups on the cognitive tasks. Cognitive classification models could be a useful aid to the diagnostic process when used in conjunction with other data sources-including clinical history. ###Answer 1. Changed Reasoning: The target word ""Asperger"" has undergone a significant change in meaning between Sentence A (2000) and Sentence B (2020). In Sentence A, ""Asperger"" is used specifically to refer to Asperger syndrome, a diagnosis recognized at the time. In Sentence B, ""Autism Spectrum Disorder (ASD)"" has replaced ""Asperger"" as the primary diagnostic term, indicating a shift towards a broader definition of autism spectrum disorders. This semantic drift is evident in the way the term is used and the context in which it appears. Therefore, the label ""Changed"" is appropriate." 79,Asperger,"We describe the coexistence of Asperger and Tourette syndromes (AS and TS) caused by discrete hypoxic-ischaemic necrosis of the midbrain, infrathalamic and thalamic nuclei, and striatum in an adolescent male with positive family history for tics and obsessive-compulsive disorder. Behavioural ratings, cognitive tests, and volumetric measurements of the basal ganglia were performed in the patient and five other individuals with AS-TS unassociated with MRI lesions. Cognitive deficits in attentional, executive, and visual-spatial domains were found both in the patient and control AS-TS group, though deficits were more severe in the former. MRI showed reduction of the left basal ganglia volume compared with the right in the patient, whereas the control group showed reduction of right basal ganglia volume compared with the left. It is suggested that individuals with a genetic predisposition to TS may develop AS and TS after involvement of midbrain and related components of basal ganglia-thalamocortical circuits normally implicated in the integration of emotional, cognitive, and motor functions.","A case of Asperger's syndrome with unusual cerebral pathological changes is reported. A 22-year-old male had been having diagnostic Asperger's syndrome since the age of eight and had epilepsy during the past two years. Radiological studies revealed a focal intra-axial cortical and subcortical cerebral lesion with hyper-intensity and non-enhancing contrast in the left frontal lobe. Histological and immunohistochemical studies demonstrated that the lesion consisted of cortical laminar disorganization, neuronal dysmorphism and increased heterotopic neurons in sub-cortical white matter. To our knowledge, this is the first case of Asperger's syndrome with focal cerebral pathological abnormalities rather than mini-columnar changes and the gyrial malformation reported in the literature. ","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Asperger Sentence A: We describe the coexistence of Asperger and Tourette syndromes (AS and TS) caused by discrete hypoxic-ischaemic necrosis of the midbrain, infrathalamic and thalamic nuclei, and striatum in an adolescent male with positive family history for tics and obsessive-compulsive disorder. Behavioural ratings, cognitive tests, and volumetric measurements of the basal ganglia were performed in the patient and five other individuals with AS-TS unassociated with MRI lesions. Cognitive deficits in attentional, executive, and visual-spatial domains were found both in the patient and control AS-TS group, though deficits were more severe in the former. MRI showed reduction of the left basal ganglia volume compared with the right in the patient, whereas the control group showed reduction of right basal ganglia volume compared with the left. It is suggested that individuals with a genetic predisposition to TS may develop AS and TS after involvement of midbrain and related components of basal ganglia-thalamocortical circuits normally implicated in the integration of emotional, cognitive, and motor functions. Sentence B: A case of Asperger's syndrome with unusual cerebral pathological changes is reported. A 22-year-old male had been having diagnostic Asperger's syndrome since the age of eight and had epilepsy during the past two years. Radiological studies revealed a focal intra-axial cortical and subcortical cerebral lesion with hyper-intensity and non-enhancing contrast in the left frontal lobe. Histological and immunohistochemical studies demonstrated that the lesion consisted of cortical laminar disorganization, neuronal dysmorphism and increased heterotopic neurons in sub-cortical white matter. To our knowledge, this is the first case of Asperger's syndrome with focal cerebral pathological abnormalities rather than mini-columnar changes and the gyrial malformation reported in the literature. ###Answer 1. Changed Explanation: In Sentence A, the term ""Asperger"" is used to describe a specific neurodevelopmental disorder, with a clear focus on the clinical features and diagnostic criteria. The sentence highlights the importance of genetic predisposition and the integration of emotional, cognitive, and motor functions in the development of the disorder. The term ""Asperger"" is used without any negative connotations or stigmatizing language, which suggests that the meaning of the term has shifted towards a more neutral and medicalized understanding. In Sentence B, the term ""Asperger's syndrome"" is used in a different context, with a focus on a specific case report. The sentence highlights the unusual cerebral pathological changes found in the case, which suggests a different understanding of the disorder. The term ""Asperger's syndrome"" is used without any negative connotations or stigmatizing language, which suggests that the meaning of the term has remained relatively stable. Overall, the meaning of the term ""Asperger"" has shifted towards a more neutral and medicalized understanding in Sentence A, while it remains relatively stable in Sentence B. Therefore, the label ""Changed"" is appropriate for this task." 80,Asperger,"Asperger disorder is a complex behavioral disorder that may be related to autism. We examined a 49-year-old man with Asperger disorder who had multiple neuro-ophthalmologic abnormalities, including colobomatous defects involving the optic discs and peripapillary retina, and abnormal ocular motility with an oculocephalic dyskinesia. Asperger disorder may be associated with a variety of neuro-ophthalmologic disturbances.","We conducted a 5-year follow-up systematic review and meta-analysis to determine change in frequency of autism spectrum disorder (ASD) diagnosis since diagnostic and statistical manual 5 (DSM-5) publication and explore the impact of Social Communication Disorder (SCD). For 33 included studies, use of DSM-5 criteria suggests decreases in diagnosis for ASD [20.8% (16.0-26.7), p < 0.001], DSM-IV-TR Autistic Disorder [10.1% (6.2-16.0), p < 0.001], and Asperger's [23.3% (12.9-38.5), p = 0.001]; pervasive developmental disorder-not otherwise specified decrease was not significant [46.1% (34.6-58.0), p = 0.52]. Less than one-third [28.8% (13.9-50.5), p = 0.06] of individuals diagnosed with DSM-IV-TR but not DSM-5 ASD would qualify for SCD. Findings suggest smaller decreases in ASD diagnoses compared to earlier reviews. Future research is needed as concerns remain for impaired individuals without a diagnosis.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Asperger Sentence A: Asperger disorder is a complex behavioral disorder that may be related to autism. We examined a 49-year-old man with Asperger disorder who had multiple neuro-ophthalmologic abnormalities, including colobomatous defects involving the optic discs and peripapillary retina, and abnormal ocular motility with an oculocephalic dyskinesia. Asperger disorder may be associated with a variety of neuro-ophthalmologic disturbances. Sentence B: We conducted a 5-year follow-up systematic review and meta-analysis to determine change in frequency of autism spectrum disorder (ASD) diagnosis since diagnostic and statistical manual 5 (DSM-5) publication and explore the impact of Social Communication Disorder (SCD). For 33 included studies, use of DSM-5 criteria suggests decreases in diagnosis for ASD [20.8% (16.0-26.7), p < 0.001], DSM-IV-TR Autistic Disorder [10.1% (6.2-16.0), p < 0.001], and Asperger's [23.3% (12.9-38.5), p = 0.001]; pervasive developmental disorder-not otherwise specified decrease was not significant [46.1% (34.6-58.0), p = 0.52]. Less than one-third [28.8% (13.9-50.5), p = 0.06] of individuals diagnosed with DSM-IV-TR but not DSM-5 ASD would qualify for SCD. Findings suggest smaller decreases in ASD diagnoses compared to earlier reviews. Future research is needed as concerns remain for impaired individuals without a diagnosis. ###Answer 1. Changed Reasoning: The target word ""Asperger"" in Sentence B has undergone a significant change in meaning compared to Sentence A. In Sentence A, ""Asperger disorder"" is described as a complex behavioral disorder related to autism, with neuro-ophthalmologic abnormalities and ocular motility abnormalities. However, in Sentence B, ""Asperger's"" is mentioned as a disorder that has decreased in frequency of diagnosis since the publication of the DSM-5. This suggests that the term ""Asperger's"" has become associated with a milder form of autism, or that the diagnostic criteria for autism have expanded to include more mild cases. Therefore, the meaning of the target word ""Asperger"" has changed significantly between the two sentences, indicating semantic drift has occurred." 81,Asperger,"This paper describes a total population study of Asperger syndrome using a two-stage procedure. All school children in an outer Göteborg borough were screened. Final case selection based on clinical work-up showed a minimum prevalence of 3.6 per 1.000 children (7-16 years of age) using Gillberg and Gillberg's criteria and a male to female ratio of 4:1. Including suspected and possible Asperger syndrome cases, the prevalence rose to 7.1 per 1.000 children and the male:female ratio dropped to 2.3:1. These findings are discussed as they relate to previously published results in the field and to findings obtained using Szatmari et al.'s and ICD-10 draft criteria for the disorder.",It is a case report of improvement of tactile defensiveness after taking sertraline in a woman with major depressive disorder and Asperger's syndrome.,"###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Asperger Sentence A: This paper describes a total population study of Asperger syndrome using a two-stage procedure. All school children in an outer Göteborg borough were screened. Final case selection based on clinical work-up showed a minimum prevalence of 3.6 per 1.000 children (7-16 years of age) using Gillberg and Gillberg's criteria and a male to female ratio of 4:1. Including suspected and possible Asperger syndrome cases, the prevalence rose to 7.1 per 1.000 children and the male:female ratio dropped to 2.3:1. These findings are discussed as they relate to previously published results in the field and to findings obtained using Szatmari et al.'s and ICD-10 draft criteria for the disorder. Sentence B: It is a case report of improvement of tactile defensiveness after taking sertraline in a woman with major depressive disorder and Asperger's syndrome. ###Answer 1. Changed Explanation: In Sentence A, the term ""Asperger syndrome"" is used to describe a specific diagnostic category, with a clear clinical definition and a specific prevalence rate. The term is used in the context of a research study, and the authors are discussing the findings in relation to previously published results and diagnostic criteria. In Sentence B, the term ""Asperger's syndrome"" is used in a different context, as a symptom of a larger mental health disorder (major depressive disorder). The term is used to describe a specific aspect of the patient's presentation, rather than as a standalone diagnostic category. The patient is being treated with medication (sertraline) for their depression, and the improvement in tactile defensiveness is noted as a positive side effect. The change in meaning or connotation between the two sentences is significant. In Sentence A, ""Asperger syndrome"" is used to describe a specific diagnostic category with a clear definition and prevalence rate. In Sentence B, the term is used to describe a symptom of a larger mental health disorder, with a different connotation and context. Therefore, the label ""Changed"" is appropriate for this task." 82,Asperger,"The question of whether Asperger syndrome and high-functioning autism should be considered as the same or different conditions has been a source of debate and controversy over recent years. In the present study, 34 adults with autism who had shown early delays in language were compared with 42 individuals who were reported to have had no such delays, either in their use of words or phrases. All participants were at least 18 years of age, had a nonverbal IQ of 70 or above and met ADI-R criteria for age of onset, communication and social impairments, and stereotyped behaviors. Those in the language delay group were diagnosed as having high-functioning autism. The remainder were designated as having Asperger syndrome. The groups were matched for age, nonverbal IQ and gender. No significant differences were found between the groups either in their total ADI-R algorithm scores, or in their algorithm scores on individual domains. Social outcome ratings and ADI-R scores based on current functioning also failed to differentiate between the groups. Scores on tests of language comprehension and expression were also similar, but in both groups language abilities were well below chronological age level. The implications of these results with respect to the differences between Asperger syndrome and high-functioning autism are discussed. The poor performance on language tests also challenges the assumption that early language development in Asperger syndrome is essentially normal.","The differential diagnosis of dissociative disorders includes many psychiatric disorders, such as schizophrenia, bipolar disorders (especially bipolar II disorder), depressive disorder (especially atypical depression), epilepsy, Asperger syndrome, and borderline personality disorder. The theme of this paper is the differential diagnosis between dissociative disorders and schizophrenia. Schneiderian first-rank symptoms in schizophrenia are common in dissociative disorders, especially in dissociative identity disorder (DID). Many DID patients have been misdiagnosed as schizophrenics and treated with neuroleptics. We compared and examined Schneiderian symptoms of schizophrenia and those of dissociative disorders from a structural viewpoint. In dissociative disorders, delusional perception and somatic passivity are not seen. ""Lateness"" and ""Precedence of the Other"" originated from the concept of ""Pattern Reversal"" (H. Yasunaga)"" is characteristic of schizophrenia. It is important to check these basic structure of schizophrenia in subjective experiences in differential diagnosis between dissociative disorders and schizophrenia.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Asperger Sentence A: The question of whether Asperger syndrome and high-functioning autism should be considered as the same or different conditions has been a source of debate and controversy over recent years. In the present study, 34 adults with autism who had shown early delays in language were compared with 42 individuals who were reported to have had no such delays, either in their use of words or phrases. All participants were at least 18 years of age, had a nonverbal IQ of 70 or above and met ADI-R criteria for age of onset, communication and social impairments, and stereotyped behaviors. Those in the language delay group were diagnosed as having high-functioning autism. The remainder were designated as having Asperger syndrome. The groups were matched for age, nonverbal IQ and gender. No significant differences were found between the groups either in their total ADI-R algorithm scores, or in their algorithm scores on individual domains. Social outcome ratings and ADI-R scores based on current functioning also failed to differentiate between the groups. Scores on tests of language comprehension and expression were also similar, but in both groups language abilities were well below chronological age level. The implications of these results with respect to the differences between Asperger syndrome and high-functioning autism are discussed. The poor performance on language tests also challenges the assumption that early language development in Asperger syndrome is essentially normal. Sentence B: The differential diagnosis of dissociative disorders includes many psychiatric disorders, such as schizophrenia, bipolar disorders (especially bipolar II disorder), depressive disorder (especially atypical depression), epilepsy, Asperger syndrome, and borderline personality disorder. The theme of this paper is the differential diagnosis between dissociative disorders and schizophrenia. Schneiderian first-rank symptoms in schizophrenia are common in dissociative disorders, especially in dissociative identity disorder (DID). Many DID patients have been misdiagnosed as schizophrenics and treated with neuroleptics. We compared and examined Schneiderian symptoms of schizophrenia and those of dissociative disorders from a structural viewpoint. In dissociative disorders, delusional perception and somatic passivity are not seen. ""Lateness"" and ""Precedence of the Other"" originated from the concept of ""Pattern Reversal"" (H. Yasunaga)"" is characteristic of schizophrenia. It is important to check these basic structure of schizophrenia in subjective experiences in differential diagnosis between dissociative disorders and schizophrenia. ###Answer 1. Changed Explanation: In Sentence A, the term ""Asperger syndrome"" is used in the context of a clinical study to describe a group of individuals with autism spectrum disorder. The sentence suggests that the term ""Asperger syndrome"" was used to describe individuals with similar characteristics, such as language delays and social impairments, but with a higher IQ compared to those with autism. The sentence does not provide any information about the meaning or connotation of the term ""Asperger syndrome"" in this context. In Sentence B, the term ""Asperger syndrome"" is used in a different context, to describe a psychiatric disorder along with other conditions. The sentence suggests that the term ""Asperger syndrome"" is used to describe a group of individuals with dissociative disorders, which are different from schizophrenia. The sentence does not provide any information about the meaning or connotation of the term ""Asperger syndrome"" in this context. Based on these two sentences, it appears that the term ""Asperger syndrome"" has undergone a significant change in meaning or connotation between the two timestamps. In Sentence A, the term is used to describe a specific group of individuals with autism spectrum disorder, while in Sentence B, the term is used to describe a different psychiatric disorder. Therefore, I would label this task as ""Changed""." 83,Asperger,"A total population study of children, aged 13 years and under, suggested that there has been an apparent rise in the frequency of autistic disorder and autistic-like conditions (excluding Asperger's syndrome) in one area of western Sweden over the last ten years. The frequency was 4.0/100,000 in 1980, 7.5/10,000 in 1984 and 11.6/10,000 in 1988 in the city of Göteborg. Even though the prevalence rates refer to slightly different age cohorts, it was concluded that the apparent increase is in part due to better detection, but also to new cases born to immigrant parents. Typical cases of autistic disorder accounted for 75% of cases, and 20% had normal or near-normal IQs.","Sleep problems are commonly reported in children with autistic disorders. Most studies are based on sleep questionnaires and sleep diaries, but polysomnographic and actigraphic data have also been used. In this study we investigated sleep in older individuals (aged 15-25 years) with autism and Asperger syndrome, using sleep questionnaires, sleep diaries and actigraphy. Although the sleep questionnaires completed by parents and caretakers revealed only a moderate degree of sleep problems, greater sleep disturbance was recorded with actigraphy. Using the latter method, low sleep efficiency (below 85 percent) or long sleep latency (more than 30 minutes) were found in 80 percent of the individuals. There was no early morning awakening, contrary to some earlier reports. This study suggests that even though subjective complaints of sleep disturbances are less common in adolescents and young adults with autism, this may be due to an adaptation process rather than an actual reduction in sleep disturbances.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Asperger Sentence A: A total population study of children, aged 13 years and under, suggested that there has been an apparent rise in the frequency of autistic disorder and autistic-like conditions (excluding Asperger's syndrome) in one area of western Sweden over the last ten years. The frequency was 4.0/100,000 in 1980, 7.5/10,000 in 1984 and 11.6/10,000 in 1988 in the city of Göteborg. Even though the prevalence rates refer to slightly different age cohorts, it was concluded that the apparent increase is in part due to better detection, but also to new cases born to immigrant parents. Typical cases of autistic disorder accounted for 75% of cases, and 20% had normal or near-normal IQs. Sentence B: Sleep problems are commonly reported in children with autistic disorders. Most studies are based on sleep questionnaires and sleep diaries, but polysomnographic and actigraphic data have also been used. In this study we investigated sleep in older individuals (aged 15-25 years) with autism and Asperger syndrome, using sleep questionnaires, sleep diaries and actigraphy. Although the sleep questionnaires completed by parents and caretakers revealed only a moderate degree of sleep problems, greater sleep disturbance was recorded with actigraphy. Using the latter method, low sleep efficiency (below 85 percent) or long sleep latency (more than 30 minutes) were found in 80 percent of the individuals. There was no early morning awakening, contrary to some earlier reports. This study suggests that even though subjective complaints of sleep disturbances are less common in adolescents and young adults with autism, this may be due to an adaptation process rather than an actual reduction in sleep disturbances. ###Answer 1. Changed (Asperger syndrome is no longer considered a separate disorder, but rather a milder form of autism spectrum disorder) Explanation: In Sentence A, the term ""Asperger's syndrome"" is used to describe a separate disorder from autistic disorder. However, in Sentence B, the term ""Asperger syndrome"" is not used, and instead, the term ""autism spectrum disorder"" is used to describe the condition. This suggests that the meaning of the term ""Asperger's syndrome"" has changed, and it is no longer considered a distinct disorder, but rather a milder form of autism spectrum disorder. Therefore, the label ""Changed"" is appropriate." 84,Asperger,"DSM-IV states that Asperger Disorder may be distinguished from Autistic Disorder by a lack of a delay in early language development. The aim of this study was to establish whether the presence or absence of early language delay would predict autistic symptomatology in children diagnosed with a PDD/autism spectrum disorder. Forty-six language-delayed and 62 normal language onset individuals (M age 11 years) were compared on ICD-10 research criteria and DSM-IV criteria, receptive language, and developmental history variables. Retrospective data were also obtained to determine whether language onset predicted autism symptomatology when young (< 6 years). We found that early language delay predicts more autistic symptomatology when young, but not at an older age. Early language delay is also associated with developmental motor milestone delays and lower receptive language abilities. The results question the use of early language delay as a valid discriminating variable between PDD subgroups.","This paper highlights the clinical challenges faced when assessing patients with stalking behaviors with psychotic disorders, suggesting the need for an accurate assessment of adult autism spectrum symptoms. A 25-year-old man with a diagnosis of delusional disorder, erotomanic type, was hospitalized for acute psychotic symptoms occurred in the framework of a repeated stalking behavior towards his ex girlfriend. When assessed for adult autism spectrum symptoms upon an accurate clinical evaluation, he reported elevated scores in the mentalizing deficit and social anxiety domains by means of the 14 item Ritvo Autism and Asperger Diagnostic Scale (RAADS-14). Authors discuss a possible role of adult (subthreshold) autism spectrum symptoms, generally disregarded in adult psychiatry, on the type of psychotic features and stalking behavior developed that may help for appropriate diagnosis and treatment. ","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Asperger Sentence A: DSM-IV states that Asperger Disorder may be distinguished from Autistic Disorder by a lack of a delay in early language development. The aim of this study was to establish whether the presence or absence of early language delay would predict autistic symptomatology in children diagnosed with a PDD/autism spectrum disorder. Forty-six language-delayed and 62 normal language onset individuals (M age 11 years) were compared on ICD-10 research criteria and DSM-IV criteria, receptive language, and developmental history variables. Retrospective data were also obtained to determine whether language onset predicted autism symptomatology when young (< 6 years). We found that early language delay predicts more autistic symptomatology when young, but not at an older age. Early language delay is also associated with developmental motor milestone delays and lower receptive language abilities. The results question the use of early language delay as a valid discriminating variable between PDD subgroups. Sentence B: This paper highlights the clinical challenges faced when assessing patients with stalking behaviors with psychotic disorders, suggesting the need for an accurate assessment of adult autism spectrum symptoms. A 25-year-old man with a diagnosis of delusional disorder, erotomanic type, was hospitalized for acute psychotic symptoms occurred in the framework of a repeated stalking behavior towards his ex girlfriend. When assessed for adult autism spectrum symptoms upon an accurate clinical evaluation, he reported elevated scores in the mentalizing deficit and social anxiety domains by means of the 14 item Ritvo Autism and Asperger Diagnostic Scale (RAADS-14). Authors discuss a possible role of adult (subthreshold) autism spectrum symptoms, generally disregarded in adult psychiatry, on the type of psychotic features and stalking behavior developed that may help for appropriate diagnosis and treatment. ###Answer 1. Changed Reasoning: In Sentence A, the term ""Asperger"" is used in the context of DSM-IV, which defines Asperger Disorder as a distinct subtype of Autistic Disorder characterized by a lack of delay in early language development. In contrast, in Sentence B, the term ""Asperger"" is used in the context of adult autism spectrum symptoms, specifically the Ritvo Autism and Asperger Diagnostic Scale (RAADS-14). The scale assesses mentalizing deficit and social anxiety domains, which is different from the DSM-IV definition. Therefore, the meaning of ""Asperger"" has changed significantly between the two sentences, indicating semantic drift." 85,Asperger,"Currently there are no brief, self-administered instruments for measuring the degree to which an adult with normal intelligence has the traits associated with the autistic spectrum. In this paper, we report on a new instrument to assess this: the Autism-Spectrum Quotient (AQ). Individuals score in the range 0-50. Four groups of subjects were assessed: Group 1: 58 adults with Asperger syndrome (AS) or high-functioning autism (HFA); Group 2: 174 randomly selected controls. Group 3: 840 students in Cambridge University; and Group 4: 16 winners of the UK Mathematics Olympiad. The adults with AS/HFA had a mean AQ score of 35.8 (SD = 6.5), significantly higher than Group 2 controls (M = 16.4, SD = 6.3). 80% of the adults with AS/HFA scored 32+, versus 2% of controls. Among the controls, men scored slightly but significantly higher than women. No women scored extremely highly (AQ score 34+) whereas 4% of men did so. Twice as many men (40%) as women (21%) scored at intermediate levels (AQ score 20+). Among the AS/HFA group, male and female scores did not differ significantly. The students in Cambridge University did not differ from the randomly selected control group, but scientists (including mathematicians) scored significantly higher than both humanities and social sciences students, confirming an earlier study that autistic conditions are associated with scientific skills. Within the sciences, mathematicians scored highest. This was replicated in Group 4, the Mathematics Olympiad winners scoring significantly higher than the male Cambridge humanities students. 6% of the student sample scored 32+ on the AQ. On interview, 11 out of 11 of these met three or more DSM-IV criteria for AS/HFA, and all were studying sciences/mathematics, and 7 of the 11 met threshold on these criteria. Test-retest and interrater reliability of the AQ was good. The AQ is thus a valuable instrument for rapidly quantifying where any given individual is situated on the continuum from autism to normality. Its potential for screening for autism spectrum conditions in adults of normal intelligence remains to be fully explored.","Autism spectrum disorder (ASD) is a neurodevelopmental disorder with a strong genetic component whose knowledge evolves quickly. Next-generation sequencing is the only effective technology to deal with the high genetic heterogeneity of ASD in a clinical setting. However, rigorous criteria to classify rare genetic variants conferring ASD susceptibility are currently lacking. We have performed whole-exome sequencing to identify both nucleotide variants and copy number variants (CNVs) in 253 ASD patients, including 68 patients with intellectual disability (ID) and 90 diagnosed as Asperger syndrome. Using explicit criteria to classify both susceptibility genes and susceptibility variants we prioritized 217 genes belonging to the following categories: syndromic genes, genes with an excess of de novo protein truncating variants and genes targeted by rare CNVs. We obtained a susceptibility variant detection rate of 19.7% (95% CI: [15-25.2%]). The rate for CNVs was 7.1% (95% CI: [4.3-11%]) and 12.6% (95% CI: [8.8-17.4%]) for nucleotide variants. The highest rate (30.1%, 95% CI: [20.2-43.2%]) was obtained in the ASD + ID subgroup. A strong contributor for at risk nucleotide variants was the recently identified set of genes (n = 81) harboring an excess of de novo protein truncating variants. Since there is currently no evidence that the genes targeted here are necessary and sufficient to cause ASD, we recommend to avoid the term ""causative of ASD"" when delivering the information about a variant to a family and to use instead the term ""genetic susceptibility factor contributing to ASD"".","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Asperger Sentence A: Currently there are no brief, self-administered instruments for measuring the degree to which an adult with normal intelligence has the traits associated with the autistic spectrum. In this paper, we report on a new instrument to assess this: the Autism-Spectrum Quotient (AQ). Individuals score in the range 0-50. Four groups of subjects were assessed: Group 1: 58 adults with Asperger syndrome (AS) or high-functioning autism (HFA); Group 2: 174 randomly selected controls. Group 3: 840 students in Cambridge University; and Group 4: 16 winners of the UK Mathematics Olympiad. The adults with AS/HFA had a mean AQ score of 35.8 (SD = 6.5), significantly higher than Group 2 controls (M = 16.4, SD = 6.3). 80% of the adults with AS/HFA scored 32+, versus 2% of controls. Among the controls, men scored slightly but significantly higher than women. No women scored extremely highly (AQ score 34+) whereas 4% of men did so. Twice as many men (40%) as women (21%) scored at intermediate levels (AQ score 20+). Among the AS/HFA group, male and female scores did not differ significantly. The students in Cambridge University did not differ from the randomly selected control group, but scientists (including mathematicians) scored significantly higher than both humanities and social sciences students, confirming an earlier study that autistic conditions are associated with scientific skills. Within the sciences, mathematicians scored highest. This was replicated in Group 4, the Mathematics Olympiad winners scoring significantly higher than the male Cambridge humanities students. 6% of the student sample scored 32+ on the AQ. On interview, 11 out of 11 of these met three or more DSM-IV criteria for AS/HFA, and all were studying sciences/mathematics, and 7 of the 11 met threshold on these criteria. Test-retest and interrater reliability of the AQ was good. The AQ is thus a valuable instrument for rapidly quantifying where any given individual is situated on the continuum from autism to normality. Its potential for screening for autism spectrum conditions in adults of normal intelligence remains to be fully explored. Sentence B: Autism spectrum disorder (ASD) is a neurodevelopmental disorder with a strong genetic component whose knowledge evolves quickly. Next-generation sequencing is the only effective technology to deal with the high genetic heterogeneity of ASD in a clinical setting. However, rigorous criteria to classify rare genetic variants conferring ASD susceptibility are currently lacking. We have performed whole-exome sequencing to identify both nucleotide variants and copy number variants (CNVs) in 253 ASD patients, including 68 patients with intellectual disability (ID) and 90 diagnosed as Asperger syndrome. Using explicit criteria to classify both susceptibility genes and susceptibility variants we prioritized 217 genes belonging to the following categories: syndromic genes, genes with an excess of de novo protein truncating variants and genes targeted by rare CNVs. We obtained a susceptibility variant detection rate of 19.7% (95% CI: [15-25.2%]). The rate for CNVs was 7.1% (95% CI: [4.3-11%]) and 12.6% (95% CI: [8.8-17.4%]) for nucleotide variants. The highest rate (30.1%, 95% CI: [20.2-43.2%]) was obtained in the ASD + ID subgroup. A strong contributor for at risk nucleotide variants was the recently identified set of genes (n = 81) harboring an excess of de novo protein truncating variants. Since there is currently no evidence that the genes targeted here are necessary and sufficient to cause ASD, we recommend to avoid the term ""causative of ASD"" when delivering the information about a variant to a family and to use instead the term ""genetic susceptibility factor contributing to ASD"". ###Answer 1. Changed Reasoning: The target word ""Asperger"" has undergone significant semantic drift between the two sentences. In Sentence A, ""Asperger syndrome"" is used to describe a specific condition within the autism spectrum, with a clear clinical definition and diagnostic criteria. In Sentence B, ""Asperger syndrome"" is used more broadly to refer to the entire autism spectrum, without any specific clinical definition or diagnostic criteria. This shift in meaning indicates that the term ""Asperger"" has undergone semantic drift." 86,Asperger,"Autistic disorder (autism) is a neuropsychiatric syndrome characterized by marked deficits in reciprocal social relatedness, communication impairment and a narrow range of interests and/or repetitive behaviors. Autism is frequently associated with, but distinct from, mental retardation. It is classified as a subtype of pervasive developmental disorder (PDD) along with 'PDD not otherwise specified' (NOS) and Asperger's disorder. These disorders have in common marked impairments in social relatedness. Individuals with autism may also have other symptoms that become the primary focus of psychiatric treatment. These associated symptoms include aggression, self-injury, irritability and anxiety.",The aim of this preliminary study was to characterize the levels of plasma adrenocorticotropic hormone (ACTH) and cortisol in adult patients with Asperger syndrome (AS).,"###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Asperger Sentence A: Autistic disorder (autism) is a neuropsychiatric syndrome characterized by marked deficits in reciprocal social relatedness, communication impairment and a narrow range of interests and/or repetitive behaviors. Autism is frequently associated with, but distinct from, mental retardation. It is classified as a subtype of pervasive developmental disorder (PDD) along with 'PDD not otherwise specified' (NOS) and Asperger's disorder. These disorders have in common marked impairments in social relatedness. Individuals with autism may also have other symptoms that become the primary focus of psychiatric treatment. These associated symptoms include aggression, self-injury, irritability and anxiety. Sentence B: The aim of this preliminary study was to characterize the levels of plasma adrenocorticotropic hormone (ACTH) and cortisol in adult patients with Asperger syndrome (AS). ###Answer 1. Changed Reasoning: The target word ""Asperger"" in Sentence A has a different meaning than in Sentence B. In Sentence A, ""Asperger"" refers to a subtype of autism, specifically ""Asperger's disorder,"" which is classified as a pervasive developmental disorder (PDD). In contrast, in Sentence B, ""Asperger"" refers to a distinct condition, specifically ""Asperger syndrome,"" which is characterized by different symptoms than autism, including social and communication impairments, but without the same level of impairment in reciprocal social relatedness. Therefore, the meaning of the target word ""Asperger"" has changed significantly between the two sentences, indicating semantic drift has occurred." 87,Asperger,"The objective of this study was to investigate the background and associated factors in a representative group of young males with Asperger syndrome (AS) presenting at a specialized autism clinic. One hundred males aged 5 years 6 months to 24 years 6 months, with a mean age of 11 years 4 months (SD 3y 10mo), who had a clinical diagnosis of AS were included in the study. An in-depth review of their medical records and neuropsychological test data was performed. There was a high rate (51%) of non-verbal learning disability (defined as Verbal IQ more than 15 points higher than Performance IQ), but otherwise there was little or no support for the notion of right-hemisphere brain dysfunction being at the core of the syndrome. There was a very high rate of close relatives with autism spectrum problems, but also high rates of prenatal and perinatal problems, including prematurity and postmaturity. In comparison with general population data, those with AS very often had a combination of genetic and prenatal and perinatal risk factors. Non-verbal learning disability test results applied in about half the group. There was a subgroup of individuals with AS who had macrocephalus. However, there was no support for an association of AS with low body mass index.","Although daily hassles and coping are associated with behavior and emotional problems in non-clinical populations, few studies have investigated these relationships in individuals with high-functioning autism/Asperger's Disorder (HFASD). This study examined the relationships between daily hassles, coping and behavior and emotional problems in adolescents with HFASD. Thirty-one adolescents with HFASD completed questionnaires assessing their coping and behavior and emotional problems, and completed an Ecological Momentary Assessment run via a mobile phone application on their coping and daily hassles. Parents completed questionnaires of the adolescents' daily hassles, coping, and behavior and emotional problems. The disengagement coping style was associated with significantly higher levels of behavior and emotional problems regardless of respondent or methodology, suggesting it may be a valuable target for intervention. ","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Asperger Sentence A: The objective of this study was to investigate the background and associated factors in a representative group of young males with Asperger syndrome (AS) presenting at a specialized autism clinic. One hundred males aged 5 years 6 months to 24 years 6 months, with a mean age of 11 years 4 months (SD 3y 10mo), who had a clinical diagnosis of AS were included in the study. An in-depth review of their medical records and neuropsychological test data was performed. There was a high rate (51%) of non-verbal learning disability (defined as Verbal IQ more than 15 points higher than Performance IQ), but otherwise there was little or no support for the notion of right-hemisphere brain dysfunction being at the core of the syndrome. There was a very high rate of close relatives with autism spectrum problems, but also high rates of prenatal and perinatal problems, including prematurity and postmaturity. In comparison with general population data, those with AS very often had a combination of genetic and prenatal and perinatal risk factors. Non-verbal learning disability test results applied in about half the group. There was a subgroup of individuals with AS who had macrocephalus. However, there was no support for an association of AS with low body mass index. Sentence B: Although daily hassles and coping are associated with behavior and emotional problems in non-clinical populations, few studies have investigated these relationships in individuals with high-functioning autism/Asperger's Disorder (HFASD). This study examined the relationships between daily hassles, coping and behavior and emotional problems in adolescents with HFASD. Thirty-one adolescents with HFASD completed questionnaires assessing their coping and behavior and emotional problems, and completed an Ecological Momentary Assessment run via a mobile phone application on their coping and daily hassles. Parents completed questionnaires of the adolescents' daily hassles, coping, and behavior and emotional problems. The disengagement coping style was associated with significantly higher levels of behavior and emotional problems regardless of respondent or methodology, suggesting it may be a valuable target for intervention. ###Answer 1. Changed Explanation: In Sentence A, the term ""Asperger syndrome"" is used to describe a specific condition characterized by non-verbal learning disabilities, high rates of close relatives with autism spectrum problems, and prenatal and perinatal problems. The term is used in a clinical context to diagnose and understand the condition. In Sentence B, the term ""Asperger's Disorder"" is used in a different context, to describe a subtype of high-functioning autism. The term is used in a more general sense to describe a group of individuals with similar characteristics, rather than as a specific clinical diagnosis. The meaning of the term has shifted from a clinical diagnosis to a more general term to describe a subtype of autism. Therefore, semantic drift has occurred." 88,Asperger,"Two cognitive anomalies have been found in autism: a superiority on the Embedded Figures Task and a deficit in ""theory of mind."" Using adult-level versions of these tasks, the present study investigated if parents of children with Asperger Syndrome might show a mild variant of these anomalies, as might be predicted from a genetic hypothesis. Significant differences were found on both measures. Parents were significantly faster than controls on the Embedded Figures Task and slightly but significantly less accurate at interpreting photographs of the eye region of the face in terms of mental states. The results are discussed in terms of the broader cognitive phenotype of Asperger Syndrome and in terms of their implications for cognitive neuroscientific theories of the condition. ","The question of whether Asperger syndrome can be distinguished from autism has attracted much debate and may even incur delay in diagnosis and intervention. Accordingly, there has been a proposal for Asperger syndrome to be subsumed under autism in the forthcoming Diagnostic and Statistical Manual of Mental Disorders, fifth edition, in 2013. One approach to resolve this question has been to adopt the criterion of absence of clinically significant language or cognitive delay--essentially, the ""absence of language delay."" To our knowledge, this is the first meta-analysis of magnetic resonance imaging (MRI) studies of people with autism to compare absence with presence of language delay. It capitalizes on the voxel-based morphometry (VBM) approach to systematically explore the whole brain for anatomic correlates of delay and no delay in language acquisition in people with autism spectrum disorders.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Asperger Sentence A: Two cognitive anomalies have been found in autism: a superiority on the Embedded Figures Task and a deficit in ""theory of mind."" Using adult-level versions of these tasks, the present study investigated if parents of children with Asperger Syndrome might show a mild variant of these anomalies, as might be predicted from a genetic hypothesis. Significant differences were found on both measures. Parents were significantly faster than controls on the Embedded Figures Task and slightly but significantly less accurate at interpreting photographs of the eye region of the face in terms of mental states. The results are discussed in terms of the broader cognitive phenotype of Asperger Syndrome and in terms of their implications for cognitive neuroscientific theories of the condition. Sentence B: The question of whether Asperger syndrome can be distinguished from autism has attracted much debate and may even incur delay in diagnosis and intervention. Accordingly, there has been a proposal for Asperger syndrome to be subsumed under autism in the forthcoming Diagnostic and Statistical Manual of Mental Disorders, fifth edition, in 2013. One approach to resolve this question has been to adopt the criterion of absence of clinically significant language or cognitive delay--essentially, the ""absence of language delay."" To our knowledge, this is the first meta-analysis of magnetic resonance imaging (MRI) studies of people with autism to compare absence with presence of language delay. It capitalizes on the voxel-based morphometry (VBM) approach to systematically explore the whole brain for anatomic correlates of delay and no delay in language acquisition in people with autism spectrum disorders. ###Answer 1. Changed Explanation: In Sentence A, the term ""Asperger"" is used to refer to a specific neurodevelopmental disorder characterized by cognitive and behavioral differences. The sentence highlights the unique cognitive and neural features of the disorder, such as superiority on the Embedded Figures Task and a deficit in ""theory of mind."" In contrast, in Sentence B, the term ""Asperger syndrome"" is used more broadly to refer to a range of neurodevelopmental disorders that may involve cognitive and behavioral differences, but without the specific diagnostic criteria of the original Asperger Syndrome. The sentence does not highlight any unique cognitive or neural features of the disorder, but rather discusses the debate around the distinction between Asperger syndrome and autism. Therefore, the meaning of the term ""Asperger"" has significantly shifted between the two sentences, indicating semantic drift has occurred." 89,Asperger,"The validity of Asperger syndrome (i.e., apart from high-functioning autism) continues to be the topic of considerable debate. Consistent with Asperger's original description of the condition there appear to be some important potential differences from autism if both conditions are strictly defined. Although the importance of genetic factors in the transmission of autism is increasingly clear it also appears that genetic factors may play an even more important role in Asperger syndrome (AS). The nosological validity of this condition and its relation to the various PDD spectrum disorder remains an important topic for future research. Well-designed and carefully controlled studies are needed in which patterns of comorbidity and associated problems in family members can be carefully assessed. Such studies will contribute to our understanding of the relationship of AS and autism and may clarify important genetic mechanisms of relevance to autism.","Autism spectrum disorders (ASDs) include three main conditions: autistic disorder (AD), pervasive developmental disorder, not otherwise specified (PDD-NOS), and Asperger syndrome. It has been shown that many genes associated with ASDs are involved in the neuroligin-neurexin interaction at the glutamate synapse: NLGN3, NLGN4, NRXN1, CNTNAP2, and SHANK3. We screened this last gene in two cohorts of ASD patients (133 patients from US and 88 from Italy). We found 5/221 (2.3%) cases with pathogenic alterations: a 106 kb deletion encompassing the SHANK3 gene, two frameshift mutations leading to premature stop codons, a missense mutation (p.Pro141Ala), and a splicing mutation (c.1820-4 G>A). Additionally, in 17 patients (7.7%) we detected a c.1304+48C>T transition affecting a methylated cytosine in a CpG island. This variant is reported as SNP rs76224556 and was found in both US and Italian controls, but it results significantly more frequent in our cases than in the control cohorts. The variant is also significantly more common among PDD-NOS cases than in AD cases. We also screened this gene in an independent replication cohort of 104 US patients with ASDs, in which we found a missense mutation (p.Ala1468Ser) in 1 patient (0.9%), and in 8 patients (7.7%) we detected the c.1304+48C>T transition. While SHANK3 variants are present in any ASD subtype, the SNP rs76224556 appears to be significantly associated with PDD-NOS cases. This represents the first evidence of a genotype-phenotype correlation in ASDs and highlights the importance of a detailed clinical-neuropsychiatric evaluation for the effective genetic screening of ASD patients.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Asperger Sentence A: The validity of Asperger syndrome (i.e., apart from high-functioning autism) continues to be the topic of considerable debate. Consistent with Asperger's original description of the condition there appear to be some important potential differences from autism if both conditions are strictly defined. Although the importance of genetic factors in the transmission of autism is increasingly clear it also appears that genetic factors may play an even more important role in Asperger syndrome (AS). The nosological validity of this condition and its relation to the various PDD spectrum disorder remains an important topic for future research. Well-designed and carefully controlled studies are needed in which patterns of comorbidity and associated problems in family members can be carefully assessed. Such studies will contribute to our understanding of the relationship of AS and autism and may clarify important genetic mechanisms of relevance to autism. Sentence B: Autism spectrum disorders (ASDs) include three main conditions: autistic disorder (AD), pervasive developmental disorder, not otherwise specified (PDD-NOS), and Asperger syndrome. It has been shown that many genes associated with ASDs are involved in the neuroligin-neurexin interaction at the glutamate synapse: NLGN3, NLGN4, NRXN1, CNTNAP2, and SHANK3. We screened this last gene in two cohorts of ASD patients (133 patients from US and 88 from Italy). We found 5/221 (2.3%) cases with pathogenic alterations: a 106 kb deletion encompassing the SHANK3 gene, two frameshift mutations leading to premature stop codons, a missense mutation (p.Pro141Ala), and a splicing mutation (c.1820-4 G>A). Additionally, in 17 patients (7.7%) we detected a c.1304+48C>T transition affecting a methylated cytosine in a CpG island. This variant is reported as SNP rs76224556 and was found in both US and Italian controls, but it results significantly more frequent in our cases than in the control cohorts. The variant is also significantly more common among PDD-NOS cases than in AD cases. We also screened this gene in an independent replication cohort of 104 US patients with ASDs, in which we found a missense mutation (p.Ala1468Ser) in 1 patient (0.9%), and in 8 patients (7.7%) we detected the c.1304+48C>T transition. While SHANK3 variants are present in any ASD subtype, the SNP rs76224556 appears to be significantly associated with PDD-NOS cases. This represents the first evidence of a genotype-phenotype correlation in ASDs and highlights the importance of a detailed clinical-neuropsychiatric evaluation for the effective genetic screening of ASD patients. ###Answer 1. Changed Reasoning: The target word ""Asperger"" in Sentence A has a different connotation and meaning compared to its usage in Sentence B. In Sentence A, the term ""Asperger syndrome"" is used to describe a condition that is ""apart from high-functioning autism,"" with a focus on the differences between the two conditions. In contrast, in Sentence B, ""Asperger syndrome"" is used as part of a larger category of ""autism spectrum disorders,"" which includes several subtypes, including autistic disorder, pervasive developmental disorder, not otherwise specified (PDD-NOS), and Asperger syndrome. This shift in terminology suggests that the meaning and connotation of the term ""Asperger"" has changed over time, with a greater emphasis on the syndrome as a subtype of autism rather than as a distinct condition. Therefore, the label ""Changed"" is appropriate." 90,Asperger,"Gender is a concept that is frequently discussed in the literature on stress, coping and illness. Research has reported that women are more vulnerable than men are to stressful events and use different strategies to cope with them. Furthermore, it is often asserted that these gender-based differences in coping may partially explain the differential impact of stressful events on men and women. Unfortunately, much of this research has equated gender with sex and failed to contextualise the experience of illness and coping. This paper presents a qualitative analysis of the role of gender and coping among parents of children with high functioning autism or Asperger's syndrome in an Australian sample. It attempts to analyse the different meanings of the disability for mothers and fathers and describes the various strategies that parents use to cope with their child's disability.","Mentalizing refers to making inferences about other people's mental states, whereas visuospatial perspective taking refers to inferring other people's viewpoints. Both abilities seem vital for social functioning; yet, their exact relationship is unclear. We directly compared mentalizing and visuospatial perspective taking in nineteen adults with Asperger syndrome (AS) and fifteen control participants with the same stimulus material. Stimuli depicted virtual characters surrounded by two different objects. Virtual characters expressed a preference for one of the objects indicated by facial expression, gestures or head/body orientation. Compared to controls, participants with AS showed significantly increased reaction times and decreased accuracy for mentalizing (i.e., when inferring the virtual character's preference from the character's nonverbal bodily cues). By contrast, there were no significant group differences in perspective taking (i.e., by mental own-body transformations). These findings demonstrate, first, specific deficits in AS when mental states have to be inferred from nonverbal social cues. Second, visuospatial perspective taking may not necessarily be related to social impairments occurring in autism spectrum disorders.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Asperger Sentence A: Gender is a concept that is frequently discussed in the literature on stress, coping and illness. Research has reported that women are more vulnerable than men are to stressful events and use different strategies to cope with them. Furthermore, it is often asserted that these gender-based differences in coping may partially explain the differential impact of stressful events on men and women. Unfortunately, much of this research has equated gender with sex and failed to contextualise the experience of illness and coping. This paper presents a qualitative analysis of the role of gender and coping among parents of children with high functioning autism or Asperger's syndrome in an Australian sample. It attempts to analyse the different meanings of the disability for mothers and fathers and describes the various strategies that parents use to cope with their child's disability. Sentence B: Mentalizing refers to making inferences about other people's mental states, whereas visuospatial perspective taking refers to inferring other people's viewpoints. Both abilities seem vital for social functioning; yet, their exact relationship is unclear. We directly compared mentalizing and visuospatial perspective taking in nineteen adults with Asperger syndrome (AS) and fifteen control participants with the same stimulus material. Stimuli depicted virtual characters surrounded by two different objects. Virtual characters expressed a preference for one of the objects indicated by facial expression, gestures or head/body orientation. Compared to controls, participants with AS showed significantly increased reaction times and decreased accuracy for mentalizing (i.e., when inferring the virtual character's preference from the character's nonverbal bodily cues). By contrast, there were no significant group differences in perspective taking (i.e., by mental own-body transformations). These findings demonstrate, first, specific deficits in AS when mental states have to be inferred from nonverbal social cues. Second, visuospatial perspective taking may not necessarily be related to social impairments occurring in autism spectrum disorders. ###Answer 1. Changed Reasoning: In Sentence A, the term ""Asperger"" is used in the context of a broader discussion about gender and coping mechanisms among parents of children with autism spectrum disorder. The term is not given any particular connotation or meaning related to the disorder itself. In Sentence B, the term ""Asperger syndrome"" is used specifically in relation to a comparison of mentalizing and visuospatial perspective taking abilities in adults with the disorder. In this context, the term carries a specific meaning related to the individual's ability to understand and interpret nonverbal social cues, which is different from the broader context of Sentence A. Therefore, semantic drift has occurred in the meaning of the term ""Asperger"" between the two sentences, with a shift towards a more specific and technical meaning related to the disorder itself." 91,Asperger,"The case of a young man is presented who initially appeared to be quite normal and very intelligent, if somewhat immature. Profound prosopagnosia was discovered in the course of a psychological assessment. Closer investigation revealed definite autistic features of the Asperger type, and both conditions ran in the family in a milder form. Questions arising from observations and experiments as well as from the case history are discussed, and an attempt is made to elucidate some problems in the light of the original theories about these conditions. It is suggested that prosopagnosia may be an essential symptom in one of the autism spectrum disorders, perhaps of a specific subgroup of Asperger syndrome. Visual hypo-emotionality is suggested as a possible common denominator of the two conditions.",Spontaneous classification was assessed using a free serial search task in 18 school-aged children at the high functioning end of the autistic spectrum and compared with results from age-matched typically developing controls. The task required participants to touch shapes in an exhaustive non-repetitive sequence. The positions of the items varied randomly between touches. The objective was to measure the extent to which children with autism and Asperger's syndrome could spontaneously utilise category information such as shape and color to organise their search. There were no group differences on measures of sequential control and levels of categorization once age and IQ had been partialled out. The results are contrasted with findings from the same lab using a size seriation task.,"###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Asperger Sentence A: The case of a young man is presented who initially appeared to be quite normal and very intelligent, if somewhat immature. Profound prosopagnosia was discovered in the course of a psychological assessment. Closer investigation revealed definite autistic features of the Asperger type, and both conditions ran in the family in a milder form. Questions arising from observations and experiments as well as from the case history are discussed, and an attempt is made to elucidate some problems in the light of the original theories about these conditions. It is suggested that prosopagnosia may be an essential symptom in one of the autism spectrum disorders, perhaps of a specific subgroup of Asperger syndrome. Visual hypo-emotionality is suggested as a possible common denominator of the two conditions. Sentence B: Spontaneous classification was assessed using a free serial search task in 18 school-aged children at the high functioning end of the autistic spectrum and compared with results from age-matched typically developing controls. The task required participants to touch shapes in an exhaustive non-repetitive sequence. The positions of the items varied randomly between touches. The objective was to measure the extent to which children with autism and Asperger's syndrome could spontaneously utilise category information such as shape and color to organise their search. There were no group differences on measures of sequential control and levels of categorization once age and IQ had been partialled out. The results are contrasted with findings from the same lab using a size seriation task. ###Answer 1. Changed Reasoning: In Sentence A, the term ""Asperger"" is used to describe a specific subgroup of autism spectrum disorders, suggesting a more narrow focus on a particular aspect of the condition. The term is also used in conjunction with ""prosopagnosia,"" which is not a commonly associated symptom with Asperger syndrome today. This implies that the meaning of ""Asperger"" has shifted towards a more specific definition, which is not necessarily reflected in the modern usage of the term in Sentence B. In contrast, Sentence B uses the term ""Asperger's syndrome"" in a more general sense, without any specific associations or connotations. This usage is more in line with modern definitions of the condition, which view Asperger syndrome as a milder form of autism spectrum disorder. Therefore, the label ""Unchanged"" is more appropriate for this sentence." 92,Asperger,"A case report is presented of an 11-year-old boy who has been diagnosed as having Asperger's syndrome. There follows a review of the clinical features, course, prognosis and management of this condition.","Autism spectrum conditions (ASC) affect more males than females. This suggests that the neurobiology of autism: 1) may overlap with mechanisms underlying typical sex-differentiation or 2) alternately reflect sex-specificity in how autism is expressed in males and females. Here we used functional magnetic resonance imaging (fMRI) to test these alternate hypotheses. Fifteen men and fourteen women with Asperger syndrome (AS), and sixteen typically developing men and sixteen typically developing women underwent fMRI during performance of mental rotation and verbal fluency tasks. All groups performed the tasks equally well. On the verbal fluency task, despite equivalent task-performance, both males and females with AS showed enhanced activation of left occipitoparietal and inferior prefrontal activity compared to controls. During mental rotation, there was a significant diagnosis-by-sex interaction across occipital, temporal, parietal, middle frontal regions, with greater activation in AS males and typical females compared to AS females and typical males. These findings suggest a complex relationship between autism and sex that is differentially expressed in verbal and visuospatial domains.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Asperger Sentence A: A case report is presented of an 11-year-old boy who has been diagnosed as having Asperger's syndrome. There follows a review of the clinical features, course, prognosis and management of this condition. Sentence B: Autism spectrum conditions (ASC) affect more males than females. This suggests that the neurobiology of autism: 1) may overlap with mechanisms underlying typical sex-differentiation or 2) alternately reflect sex-specificity in how autism is expressed in males and females. Here we used functional magnetic resonance imaging (fMRI) to test these alternate hypotheses. Fifteen men and fourteen women with Asperger syndrome (AS), and sixteen typically developing men and sixteen typically developing women underwent fMRI during performance of mental rotation and verbal fluency tasks. All groups performed the tasks equally well. On the verbal fluency task, despite equivalent task-performance, both males and females with AS showed enhanced activation of left occipitoparietal and inferior prefrontal activity compared to controls. During mental rotation, there was a significant diagnosis-by-sex interaction across occipital, temporal, parietal, middle frontal regions, with greater activation in AS males and typical females compared to AS females and typical males. These findings suggest a complex relationship between autism and sex that is differentially expressed in verbal and visuospatial domains. ###Answer 1. Changed Reasoning: In Sentence A (2000), the term ""Asperger's syndrome"" is used, which was a recognized medical condition at the time. The sentence describes the clinical features and management of the condition, suggesting that it was understood as a distinct neurodevelopmental disorder. In Sentence B (2020), the term ""Autism spectrum conditions (ASC)"" is used, which reflects a shift in understanding the condition as part of a spectrum of disorders rather than a distinct entity. The sentence also highlights the complexity of the relationship between autism and sex, which was not emphasized in Sentence A. Therefore, the meaning of the term ""Asperger"" has significantly shifted between the two sentences, indicating semantic drift has occurred." 93,Asperger,"Asperger's Syndrome is a distinct variant of autism, with a prevalence rate of 10 to 26 per 10,000 of normal intelligence, and 0.4 per 10,000 in those with mild mental retardation. The syndrome now has its own clinical entity and diagnostic criteria. It is being officially listed in the ICD-10 under pervasive developmental disorder. Two such cases are described in this article. Case One lacked the ability to relate to others, was excessively preoccupied with the late actor P. Ramlee and demonstrated a peculiar behaviour of holding on to toothbrushes in his early childhood. Cognitively, he was unable to synthesise words into meaningful sentences. Similarly, Case Two was unable to relate well to others and was preoccupied with the planets and its constellations. Though he appeared intelligent with an IQ score of 101, he was unable to follow instructions at school. Both children had motor clumsiness and fulfilled the criteria for the diagnosis of Asperger's Syndrome.","A variant of autism spectrum disorder (ASD) known as Asperger syndrome (AS) is characterized by severe issues with interpersonal, verbal, and nonverbal communication as well as restricted and repetitive patterns of behavior and activities. Although there is no known cause for ASD, various genetic as well as non-genetic risk factors that may act either alone or in combination to induce ASD have been identified. The occurrence of ASD has been increasing worldwide. Co-occurring neuropsychological diseases are frequently present as well. The premise for diagnosis is the observation of abnormal conduct, with diagnostic criteria emphasizing limitations in social interaction and communication as well as constrained, repetitive behavioral patterns, activities, or hobbies. The degree of the illness and the presence of intellectual impairment have a significant impact on the prognosis. Like autism, Asperger's can neither be prevented nor treated. There is no specific medical therapy that can effectively cure all of the symptoms of autism. However, medications may be used as adjuvant therapy for maladaptive behaviors and co-occurring mental problems. The treatment aims to reduce core impairments, increase functional ability, and reduce harmful behaviors that could limit functional skills. It is crucial to provide proper care, establish supportive networks for individuals who are affected and their families, and use effective therapies to enhance functioning and results.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Asperger Sentence A: Asperger's Syndrome is a distinct variant of autism, with a prevalence rate of 10 to 26 per 10,000 of normal intelligence, and 0.4 per 10,000 in those with mild mental retardation. The syndrome now has its own clinical entity and diagnostic criteria. It is being officially listed in the ICD-10 under pervasive developmental disorder. Two such cases are described in this article. Case One lacked the ability to relate to others, was excessively preoccupied with the late actor P. Ramlee and demonstrated a peculiar behaviour of holding on to toothbrushes in his early childhood. Cognitively, he was unable to synthesise words into meaningful sentences. Similarly, Case Two was unable to relate well to others and was preoccupied with the planets and its constellations. Though he appeared intelligent with an IQ score of 101, he was unable to follow instructions at school. Both children had motor clumsiness and fulfilled the criteria for the diagnosis of Asperger's Syndrome. Sentence B: A variant of autism spectrum disorder (ASD) known as Asperger syndrome (AS) is characterized by severe issues with interpersonal, verbal, and nonverbal communication as well as restricted and repetitive patterns of behavior and activities. Although there is no known cause for ASD, various genetic as well as non-genetic risk factors that may act either alone or in combination to induce ASD have been identified. The occurrence of ASD has been increasing worldwide. Co-occurring neuropsychological diseases are frequently present as well. The premise for diagnosis is the observation of abnormal conduct, with diagnostic criteria emphasizing limitations in social interaction and communication as well as constrained, repetitive behavioral patterns, activities, or hobbies. The degree of the illness and the presence of intellectual impairment have a significant impact on the prognosis. Like autism, Asperger's can neither be prevented nor treated. There is no specific medical therapy that can effectively cure all of the symptoms of autism. However, medications may be used as adjuvant therapy for maladaptive behaviors and co-occurring mental problems. The treatment aims to reduce core impairments, increase functional ability, and reduce harmful behaviors that could limit functional skills. It is crucial to provide proper care, establish supportive networks for individuals who are affected and their families, and use effective therapies to enhance functioning and results. ###Answer 1. Changed Explanation: In Sentence A, Asperger is used to describe a specific variant of autism characterized by difficulties in social interaction, verbal and nonverbal communication, and repetitive behaviors. The term is used to define a clinical entity with diagnostic criteria, and it is clear that the term has a specific meaning in this context. In Sentence B, Asperger is used in a different context, describing a variant of autism spectrum disorder (ASD). The term is used to describe a broader range of symptoms, including difficulties in social interaction, communication, and repetitive behaviors, but also including co-occurring neuropsychological diseases and a lack of known cause or effective treatment. The term has a different meaning in this context, as it is used to describe a broader range of symptoms and a more complex understanding of the disorder. Therefore, semantic drift has occurred in the meaning of the term Asperger between Sentence A and Sentence B, as the term is used to describe a different clinical entity and has a different meaning in each context." 94,Asperger,"The diagnostic criteria of Asperger's syndrome (AS), considered a part of the autistic spectrum disorder, are still unclear. A critical marker, which distinguishes AS from autism, is the presence of language. The ability of a child with AS to acquire and use language early results in the fact that AS usually is diagnosed much later than autism. Autism is not usually diagnosed until around the age of 3, whereas AS usually is not diagnosed until the child is 6 or 7 years of age. In the present article, using Eshkol-Wachman movement notation, we present evidence that abnormal movement patterns can be detected in AS in infancy. This finding suggests that AS can be diagnosed very early, independent of the presence of language. As shown earlier by us, almost all of the movement disturbances in autism can be interpreted as infantile reflexes ""gone astray""; i.e., some reflexes are not inhibited at the appropriate age in development, whereas others fail to appear when they should. This phenomenon appears to apply to AS as well. Based on preliminary results, a simple test using one such reflex is proposed for the early detection of a subgroup of children with AS or autism.","Prior investigations suggest that birth order position may be associated with the risk for developing a pervasive developmental disorder. This retrospective chart review examined the birth order status of 29 psychiatrically-referred patients with Asperger's Syndrome (AS). Eighty-six percent of the subjects were first born. The finding was statistically significant when compared to an expected random distribution of AS subjects χ(2) (1, N = 29) = 9.18, p < 0.01. The reasons for such an association are unclear though birth stoppage, obstetric complications, and immunological mechanisms may play a role.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Asperger Sentence A: The diagnostic criteria of Asperger's syndrome (AS), considered a part of the autistic spectrum disorder, are still unclear. A critical marker, which distinguishes AS from autism, is the presence of language. The ability of a child with AS to acquire and use language early results in the fact that AS usually is diagnosed much later than autism. Autism is not usually diagnosed until around the age of 3, whereas AS usually is not diagnosed until the child is 6 or 7 years of age. In the present article, using Eshkol-Wachman movement notation, we present evidence that abnormal movement patterns can be detected in AS in infancy. This finding suggests that AS can be diagnosed very early, independent of the presence of language. As shown earlier by us, almost all of the movement disturbances in autism can be interpreted as infantile reflexes ""gone astray""; i.e., some reflexes are not inhibited at the appropriate age in development, whereas others fail to appear when they should. This phenomenon appears to apply to AS as well. Based on preliminary results, a simple test using one such reflex is proposed for the early detection of a subgroup of children with AS or autism. Sentence B: Prior investigations suggest that birth order position may be associated with the risk for developing a pervasive developmental disorder. This retrospective chart review examined the birth order status of 29 psychiatrically-referred patients with Asperger's Syndrome (AS). Eighty-six percent of the subjects were first born. The finding was statistically significant when compared to an expected random distribution of AS subjects χ(2) (1, N = 29) = 9.18, p < 0.01. The reasons for such an association are unclear though birth stoppage, obstetric complications, and immunological mechanisms may play a role. ###Answer 1. Changed Reasoning: In Sentence A, the term ""Asperger's syndrome"" is used, which was a widely accepted diagnostic term in the early 2000s. However, in Sentence B, the term ""Asperger's disorder"" is used, which suggests a shift in the term's meaning. The term ""disorder"" implies a more severe and debilitating condition, which may have changed the connotation of the term over time. Additionally, the context of Sentence B suggests a more specific association with birth order position, which may have also influenced the meaning of the term. Therefore, the label ""Changed"" is appropriate for this task." 95,Asperger,"Seven children and young adults with definite signs of Asperger syndrome were administered a battery of tests designed to test: intelligence; left and right cerebral hemisphere functioning; ability to discriminate eye gaze; and social judgment. The subjects revealed a non significant tendency to have a higher verbal IQ than visual IQ; and their right hemisphere functioning seemed impaired. They were also poorer at discriminating eye gaze and revealed difficulties in making hypothetical social judgments. The data are considered with reference to Rourke's (1988) work on non-verbal learning disabilities together with the ideas of Tantam (1992) on the ""social gaze response"" and Baron-Cohen's (1993) Eye-Detection Detector model. The possible links between social judgment and theory of mind (Frith, 1991) are briefly explored.","There are over 200,000 people in the UK diagnosed with Aspergers Syndrome (AS). Most of these are children and young adults, owing to the fact the disorder was established relatively recently. It can be argued, therefore, that there are many older adults who may have met the criteria for AS as children, but never received such a diagnosis due to the fact it had yet to be established. What happended to these people as they aged?","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Asperger Sentence A: Seven children and young adults with definite signs of Asperger syndrome were administered a battery of tests designed to test: intelligence; left and right cerebral hemisphere functioning; ability to discriminate eye gaze; and social judgment. The subjects revealed a non significant tendency to have a higher verbal IQ than visual IQ; and their right hemisphere functioning seemed impaired. They were also poorer at discriminating eye gaze and revealed difficulties in making hypothetical social judgments. The data are considered with reference to Rourke's (1988) work on non-verbal learning disabilities together with the ideas of Tantam (1992) on the ""social gaze response"" and Baron-Cohen's (1993) Eye-Detection Detector model. The possible links between social judgment and theory of mind (Frith, 1991) are briefly explored. Sentence B: There are over 200,000 people in the UK diagnosed with Aspergers Syndrome (AS). Most of these are children and young adults, owing to the fact the disorder was established relatively recently. It can be argued, therefore, that there are many older adults who may have met the criteria for AS as children, but never received such a diagnosis due to the fact it had yet to be established. What happended to these people as they aged? ###Answer 1. Changed Reasoning: In Sentence A, the term ""Asperger syndrome"" is used in a clinical context to describe a group of individuals with specific cognitive and social impairments. The sentence highlights the difficulty these individuals experience in interpreting social cues, such as eye gaze, and their tendency to struggle with hypothetical social judgments. The term ""Asperger syndrome"" is used in a neutral or medical context, without any connotation of positive or negative qualities. In Sentence B, the term ""Aspergers Syndrome"" is used in a more general context to describe a large population of people in the UK. The sentence implies that the disorder is widespread and affects people of all ages, including older adults who may have gone undiagnosed in the past. The term ""Aspergers Syndrome"" is used without any clinical or medical connotation, but rather to describe a common and accepted condition. Compared to Sentence A, the term ""Asperger syndrome"" in Sentence B has shifted from a clinical or medical context to a more general and acceptance-based context. This shift in context could be interpreted as a semantic drift, as the term's meaning has evolved to encompass a broader range of people and experiences. Therefore, the label ""Changed"" is appropriate to describe the semantic drift in the usage of the term ""Asperger syndrome"" between these two sentences." 96,Asperger,"Patients with autism and Asperger syndrome (AS) are impaired in mindreading and imitation skills. One possibility would be that their 'mirror neuron' system, which matches action execution and observation, does not function properly. To test this hypothesis we compared action-viewing related motor cortex functions in an AS group (one autistic and four AS subjects) and eight control subjects. In both groups viewing hand actions modified the neuromagnetic approximately 20 Hz oscillatory activity in the primary motor cortex to the same extent. Thus impaired mindreading and imitation skills found in AS and autism do not seem to result from dysfunction of the motor cortex part of the action execution/observation system.","This study presents the case of a 4-year-old healthy child admitted to the paediatric ward for suspected accidental intoxication due to ingestion of narcoleptic drugs (methylphenidate, sertraline and quetiapine), taken on a regular basis by his 8-year-old brother affected by Asperger syndrome.Intoxication can be objectively assessed by measurements of drugs and metabolites in biological matrices with short-term (blood and urine) or long-term (hair) detection windows. At the hospital, the child's blood and urine were analysed by immunoassay (confirmed by liquid chromatography-mass spectrometry), and sertraline and quetiapine and their metabolites were identified. The suspicion that the mother administered drugs chronically prompted the analysis of six, consecutive 2-cm segments of the child's hair, using ultra-high performance liquid chromatography-tandem mass spectrometry, thereby accounting for ingestion over the previous 12 months. Quetiapine was found in the first four segments with a mean concentration of 1.00 ng/mg ± 0.94 ng/mg hair while sertraline and its metabolite, desmethyl-sertraline, were found in all segments with a mean concentration of 2.65 ± 0.94 ng/mg and 1.50 ± 0.94 ng/mg hair, respectively. Hair analyses were negative for methylphenidate and its metabolite (ritalinic acid). Biological matrices testing for psychoactive drugs disclosed both acute and chronic intoxication with quetiapine and sertraline administered by the mother. ","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Asperger Sentence A: Patients with autism and Asperger syndrome (AS) are impaired in mindreading and imitation skills. One possibility would be that their 'mirror neuron' system, which matches action execution and observation, does not function properly. To test this hypothesis we compared action-viewing related motor cortex functions in an AS group (one autistic and four AS subjects) and eight control subjects. In both groups viewing hand actions modified the neuromagnetic approximately 20 Hz oscillatory activity in the primary motor cortex to the same extent. Thus impaired mindreading and imitation skills found in AS and autism do not seem to result from dysfunction of the motor cortex part of the action execution/observation system. Sentence B: This study presents the case of a 4-year-old healthy child admitted to the paediatric ward for suspected accidental intoxication due to ingestion of narcoleptic drugs (methylphenidate, sertraline and quetiapine), taken on a regular basis by his 8-year-old brother affected by Asperger syndrome.Intoxication can be objectively assessed by measurements of drugs and metabolites in biological matrices with short-term (blood and urine) or long-term (hair) detection windows. At the hospital, the child's blood and urine were analysed by immunoassay (confirmed by liquid chromatography-mass spectrometry), and sertraline and quetiapine and their metabolites were identified. The suspicion that the mother administered drugs chronically prompted the analysis of six, consecutive 2-cm segments of the child's hair, using ultra-high performance liquid chromatography-tandem mass spectrometry, thereby accounting for ingestion over the previous 12 months. Quetiapine was found in the first four segments with a mean concentration of 1.00 ng/mg ± 0.94 ng/mg hair while sertraline and its metabolite, desmethyl-sertraline, were found in all segments with a mean concentration of 2.65 ± 0.94 ng/mg and 1.50 ± 0.94 ng/mg hair, respectively. Hair analyses were negative for methylphenidate and its metabolite (ritalinic acid). Biological matrices testing for psychoactive drugs disclosed both acute and chronic intoxication with quetiapine and sertraline administered by the mother. ###Answer 1. Changed Reasoning: The target word ""Asperger"" has undergone a significant change in meaning or connotation between the two sentences. In Sentence A, ""Asperger syndrome"" is used to describe a neurodevelopmental disorder characterized by impaired mindreading and imitation skills, with a focus on the motor cortex system. In contrast, in Sentence B, ""Asperger syndrome"" is used to describe a 4-year-old child who was accidentally poisoned with narcoleptic drugs, including quetiapine and sertraline, which are commonly used to treat autism and Asperger syndrome. The context and meaning of the word ""Asperger"" have shifted from a clinical or medical context to a legal or forensic context. Therefore, semantic drift has occurred." 97,Asperger,"Previous work suggests children with autism show superior performance (in relation to their general mental age) on the Embedded Figures Test (EFT). Frith interprets this as showing that they have ""weak central coherence"". In Experiment 1, using an adult level version of this task, we aimed to replicate and extend this finding, first, by collecting response time (RT) data; second, by testing adults with autism of normal intelligence; and third, by testing a group of adults with Asperger syndrome, in order to test for differences between autism and Asperger syndrome. Both clinical groups were significantly faster on the EFT. In Experiment 2, we investigated if this difference was due to a preference for local over global processing, using a novel drawing task based on the classical Rey Figure. The clinical groups did not differ significantly on this test, but there was a trend towards such a difference. Alternative explanations for the EFT superiority in autism and Asperger syndrome are considered.","In patients with a language developmental delay, it is necessary to make a differential diagnosis for autism spectrum disorders (ASDs), specific language impairment, and mental retardation. It is important that pediatricians recognize the signs and symptoms of ASDs, as many patients with language developmental delays are ultimately diagnosed with ASDs. Pediatricians play an important role in the early recognition of ASDs, because they are usually the first point of contact for children with ASDs. A revision of the diagnostic criteria of ASDs was proposed in the Diagnostic and Statistical Manual of Mental Disorders, fifth edition (DSM-5) that was released in May 2013. The autism spectrum describes a range of conditions classified as neurodevelopmental disorders in the fifth edition of the DSM. The new diagnostic criteria encompasses previous elements from the diagnosis of autistic disorder, Asperger disorder, childhood disintegrative disorder, and pervasive developmental disorder-not otherwise specified. An additional change to the DSM includes synthesizing the section on social and communication deficits into one domain. In ASD patients, the appropriate behavioral therapies and rehabilitation treatments significantly affect the prognosis. Therefore, this makes early diagnosis and treatment very important. In conclusion, pediatricians need to be able to recognize the signs and symptoms of ASDs and be attentive to them in order to make an early diagnosis and provide treatment. ","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Asperger Sentence A: Previous work suggests children with autism show superior performance (in relation to their general mental age) on the Embedded Figures Test (EFT). Frith interprets this as showing that they have ""weak central coherence"". In Experiment 1, using an adult level version of this task, we aimed to replicate and extend this finding, first, by collecting response time (RT) data; second, by testing adults with autism of normal intelligence; and third, by testing a group of adults with Asperger syndrome, in order to test for differences between autism and Asperger syndrome. Both clinical groups were significantly faster on the EFT. In Experiment 2, we investigated if this difference was due to a preference for local over global processing, using a novel drawing task based on the classical Rey Figure. The clinical groups did not differ significantly on this test, but there was a trend towards such a difference. Alternative explanations for the EFT superiority in autism and Asperger syndrome are considered. Sentence B: In patients with a language developmental delay, it is necessary to make a differential diagnosis for autism spectrum disorders (ASDs), specific language impairment, and mental retardation. It is important that pediatricians recognize the signs and symptoms of ASDs, as many patients with language developmental delays are ultimately diagnosed with ASDs. Pediatricians play an important role in the early recognition of ASDs, because they are usually the first point of contact for children with ASDs. A revision of the diagnostic criteria of ASDs was proposed in the Diagnostic and Statistical Manual of Mental Disorders, fifth edition (DSM-5) that was released in May 2013. The autism spectrum describes a range of conditions classified as neurodevelopmental disorders in the fifth edition of the DSM. The new diagnostic criteria encompasses previous elements from the diagnosis of autistic disorder, Asperger disorder, childhood disintegrative disorder, and pervasive developmental disorder-not otherwise specified. An additional change to the DSM includes synthesizing the section on social and communication deficits into one domain. In ASD patients, the appropriate behavioral therapies and rehabilitation treatments significantly affect the prognosis. Therefore, this makes early diagnosis and treatment very important. In conclusion, pediatricians need to be able to recognize the signs and symptoms of ASDs and be attentive to them in order to make an early diagnosis and provide treatment. ###Answer 1. Changed Explanation: The target word ""Asperger"" has undergone a significant change in meaning or connotation between Sentence A (2000) and Sentence B (2020). In Sentence A, ""Asperger"" is used to refer to a specific condition on the autism spectrum, with a clear distinction between it and other conditions such as autistic disorder, Asperger disorder, and pervasive developmental disorder-not otherwise specified. In contrast, in Sentence B, ""Asperger"" is used more broadly to refer to any condition on the autism spectrum, without any clear distinction from other conditions. This shift in meaning can be attributed to the revisions made to the diagnostic criteria of autism spectrum disorders (ASDs) in the DSM-5, which expanded the definition of ASDs to include a wider range of neurodevelopmental disorders. Therefore, the label ""Changed"" is appropriate for this task." 98,Asperger,"Asch's line judgement task was used to compare the susceptibility to social influence of adults with Asperger's syndrome with that of two groups of controls one of which was matched on verbal IQ. There was no overall difference between the three groups' mean rate of conformity but in contrast to both groups of controls, the subjects with Asperger's syndrome were significantly more likely to adopt a consistently conforming or nonconforming strategy. There were also significant differences between the groups in their interaction with the other participants. The implications of the findings are discussed in the context of current theories of autistic social dysfunction.","Several prior reports have found that some young children with autism spectrum disorder [ASD; including autism and Asperger's syndrome and pervasive developmental disorder - not otherwise specified (PDD-NOS)] have a significant increase in head size and brain weight. However, the findings from older children and adults with ASD are inconsistent. This may reflect the relatively small sample sizes that were studied, clinical heterogeneity, or age-related brain differences.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Asperger Sentence A: Asch's line judgement task was used to compare the susceptibility to social influence of adults with Asperger's syndrome with that of two groups of controls one of which was matched on verbal IQ. There was no overall difference between the three groups' mean rate of conformity but in contrast to both groups of controls, the subjects with Asperger's syndrome were significantly more likely to adopt a consistently conforming or nonconforming strategy. There were also significant differences between the groups in their interaction with the other participants. The implications of the findings are discussed in the context of current theories of autistic social dysfunction. Sentence B: Several prior reports have found that some young children with autism spectrum disorder [ASD; including autism and Asperger's syndrome and pervasive developmental disorder - not otherwise specified (PDD-NOS)] have a significant increase in head size and brain weight. However, the findings from older children and adults with ASD are inconsistent. This may reflect the relatively small sample sizes that were studied, clinical heterogeneity, or age-related brain differences. ###Answer 1. Changed Explanation: The meaning of the target word ""Asperger"" has changed significantly between the two sentences. In Sentence A, the term refers to a specific diagnosis within the autism spectrum, while in Sentence B, it is used more broadly to refer to individuals with autism spectrum disorder (ASD) in general. The shift in meaning reflects a broadening of the diagnostic criteria for ASD over time, as well as a recognition that the spectrum of autism is more complex and multifaceted than previously understood." 99,Asperger,A study of a 16.8-yr.-old female is presented to highlight aspects of Asperger's Syndrome as distinguished from cognate developmental and mood disorders. Brief therapy and pharmacological implications are mentioned.,"Within the new DSM-5, the currently differentiated subgroups of ""Autistic Disorder"" (299.0), ""Asperger's Disorder"" (299.80) and ""Pervasive Developmental Disorder"" (299.80) are replaced by the more general ""Autism Spectrum Disorder"". With regard to a patient-oriented and expedient advising therapy planning, however, the issue of an empirically reproducible and clinically feasible differentiation into subgroups must still be raised. Based on two Autism-rating-scales (ASDS and FSK), an exploratory two-step cluster analysis was conducted with N=103 children (age: 5-18) seen in our social-pediatric health care centre to examine potentially autistic symptoms. In the two-cluster solution of both rating scales, mainly the problems in social communication grouped the children into a cluster ""with communication problems"" (51 % and 41 %), and a cluster ""without communication problems"". Within the three-cluster solution of the ASDS, sensory hypersensitivity, cleaving to routines and social-communicative problems generated an ""autistic"" subgroup (22%). The children of the second cluster (""communication problems"", 35%) were only described by social-communicative problems, and the third group did not show any problems (38%). In the three-cluster solution of the FSK, the ""autistic cluster"" of the two-cluster solution differentiated in a subgroup with mainly social-communicative problems (cluster 1) and a second subgroup described by restrictive, repetitive behavior. The different cluster solutions will be discussed with a view to the new DSM-5 diagnostic criteria, for following studies a further specification of some of the ASDS and FSK items could be helpful.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Asperger Sentence A: A study of a 16.8-yr.-old female is presented to highlight aspects of Asperger's Syndrome as distinguished from cognate developmental and mood disorders. Brief therapy and pharmacological implications are mentioned. Sentence B: Within the new DSM-5, the currently differentiated subgroups of ""Autistic Disorder"" (299.0), ""Asperger's Disorder"" (299.80) and ""Pervasive Developmental Disorder"" (299.80) are replaced by the more general ""Autism Spectrum Disorder"". With regard to a patient-oriented and expedient advising therapy planning, however, the issue of an empirically reproducible and clinically feasible differentiation into subgroups must still be raised. Based on two Autism-rating-scales (ASDS and FSK), an exploratory two-step cluster analysis was conducted with N=103 children (age: 5-18) seen in our social-pediatric health care centre to examine potentially autistic symptoms. In the two-cluster solution of both rating scales, mainly the problems in social communication grouped the children into a cluster ""with communication problems"" (51 % and 41 %), and a cluster ""without communication problems"". Within the three-cluster solution of the ASDS, sensory hypersensitivity, cleaving to routines and social-communicative problems generated an ""autistic"" subgroup (22%). The children of the second cluster (""communication problems"", 35%) were only described by social-communicative problems, and the third group did not show any problems (38%). In the three-cluster solution of the FSK, the ""autistic cluster"" of the two-cluster solution differentiated in a subgroup with mainly social-communicative problems (cluster 1) and a second subgroup described by restrictive, repetitive behavior. The different cluster solutions will be discussed with a view to the new DSM-5 diagnostic criteria, for following studies a further specification of some of the ASDS and FSK items could be helpful. ###Answer 1. Changed Explanation: The target word ""Asperger"" has undergone a significant change in meaning between the two sentences. In Sentence A, ""Asperger's Syndrome"" is used to describe a specific subtype of autism, with a focus on social communication and cognitive development. In contrast, in Sentence B, ""Asperger"" is used to describe a broader range of symptoms related to autism spectrum disorder, including social communication problems and restrictive, repetitive behavior. The term ""Asperger's Disorder"" is no longer used in the DSM-5, and instead, the term ""Autism Spectrum Disorder"" is used to encompass a wider range of symptoms and subtypes. Therefore, the meaning of ""Asperger"" has changed significantly between the two sentences, indicating semantic drift." 0,Emotional disorders,"Duodenal ulcer cure, as a systemic gastroenterologic disease, can be achieved in some patients by the addition of the nootropic drug piracetam to current antisecretory and antihelicobacter therapy. Piracetam corrects vegetative and psychoemotional disorders in duodenal ulcer, normalizes gastric motility, has an antioxidant effect and improves cerebral circulation. An optimal effect on clinico-endoscopic manifestations of recurrent duodenal ulcer was achieved in combination of piracetam with current antisecretory (omeprazole) and antihelicobacter (de-nol, amoxicillin, metronidazole) medicines. Such combination improves both short- and long-term outcomes of duodenal ulcer treatment.","Depression frequently develops in multiple sclerosis (MS) patients, exacerbating the manifestations of the disease and making its management challenging. To date, no consensus has been reached regarding effective treatments for these sufferers due to limited understanding regarding the underlying mechanisms responsible for emotional disorders that are highly comorbid with this disease. There is an urgent need to rethink current treatment options for these patients. This article aims to optimize the treatment outcomes and improve the quality of life for MS patients. Based on an in-depth and critical review of the current literature, we provide a neurorehabilitative framework that explains possible regulatory mechanisms underlying the emotional symptoms highly developed in MS. This article offers practical knowledge and therapeutic strategies to optimize the treatment options in the current care system for MS, as well as for other disabling diseases. ","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Emotional disorders Sentence A: Duodenal ulcer cure, as a systemic gastroenterologic disease, can be achieved in some patients by the addition of the nootropic drug piracetam to current antisecretory and antihelicobacter therapy. Piracetam corrects vegetative and psychoemotional disorders in duodenal ulcer, normalizes gastric motility, has an antioxidant effect and improves cerebral circulation. An optimal effect on clinico-endoscopic manifestations of recurrent duodenal ulcer was achieved in combination of piracetam with current antisecretory (omeprazole) and antihelicobacter (de-nol, amoxicillin, metronidazole) medicines. Such combination improves both short- and long-term outcomes of duodenal ulcer treatment. Sentence B: Depression frequently develops in multiple sclerosis (MS) patients, exacerbating the manifestations of the disease and making its management challenging. To date, no consensus has been reached regarding effective treatments for these sufferers due to limited understanding regarding the underlying mechanisms responsible for emotional disorders that are highly comorbid with this disease. There is an urgent need to rethink current treatment options for these patients. This article aims to optimize the treatment outcomes and improve the quality of life for MS patients. Based on an in-depth and critical review of the current literature, we provide a neurorehabilitative framework that explains possible regulatory mechanisms underlying the emotional symptoms highly developed in MS. This article offers practical knowledge and therapeutic strategies to optimize the treatment options in the current care system for MS, as well as for other disabling diseases. ###Answer 1. Changed Explanation: In Sentence A, the target word ""emotional disorders"" is used in the context of a specific medical condition (duodenal ulcer), and it seems to imply a more limited scope of emotional distress compared to the broader context of mental health in Sentence B. In Sentence A, the focus is on the gastrointestinal symptoms and the potential benefits of piracetam in treating them, with only a brief mention of the emotional impact of the disease. In contrast, Sentence B places more emphasis on the emotional toll of MS, highlighting the complexity of managing emotional disorders in patients with this condition. In Sentence A, the term ""emotional disorders"" seems to refer to a specific set of symptoms (e.g., anxiety, depression) that are related to the gastrointestinal condition. However, in Sentence B, the term ""emotional disorders"" is used more broadly to encompass a range of psychological symptoms that are common in MS patients, including depression, anxiety, and cognitive impairment. Based on these differences in context and meaning, it appears that the term ""emotional disorders"" has undergone semantic drift between the two sentences, shifting from a more limited medical context to a broader psychological one. Therefore, I would label this word as ""Changed""." 1,Emotional disorders,"The immunological (lymphocyte blast transformation with PHA, determination of IgA, IgM, IgG), cytochemical (the mean cytochemical index of neutrophil lipids, glycogen, peroxidase content), hematological (the leukocyte, lymphocyte and neutrophil counts), and biochemical tests were employed to study immune responsiveness in 108 patients with chronic non-calculous cholecystitis running a refractory relapsing course. The patients showed the signs of immune deficiency. Some of the above described tests turned out informative for detecting such deficiency. It has been demonstrated that conventional therapy does not provide any stable clinical effect, aggravating the manifestations of immune deficiency. The introduction into the complex of treatment measures of diphenhydramine, saparal and levamisole, in particular, favoured more rapid elimination of the clinical symptoms of a relapse, of allergic reactions, psychoemotional disorders and reduced the signs of a decrease in immune responsiveness in patients with chronic non calculous cholecystitis running a refractory relapsing course.","This review discusses the importance of the main psychosocial risk factors in the development of chronic non-communicable diseases. The current data on the prevalence of anxiety and depressive disorders in patients with cardiovascular diseases (CVD) are presented. The article summarizes information about the relationship between the development of psychoemotional disorders and CVD, discusses the prospects for the management of such patients in the framework of interdisciplinary cooperation. The main pathogenetic mechanisms of the development of complications, including damage to the central nervous system during infection with a new coronavirus infection, are considered. The significance of the choice of pathogenetic therapy for patients with comorbid somatic and mental diseases in the conditions of a pandemic of a new coronavirus infection is assessed. The results of multicenter placebo-controlled studies on the use of fluvoxamine in patients with a new coronavirus infection of varying severity are discussed.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Emotional disorders Sentence A: The immunological (lymphocyte blast transformation with PHA, determination of IgA, IgM, IgG), cytochemical (the mean cytochemical index of neutrophil lipids, glycogen, peroxidase content), hematological (the leukocyte, lymphocyte and neutrophil counts), and biochemical tests were employed to study immune responsiveness in 108 patients with chronic non-calculous cholecystitis running a refractory relapsing course. The patients showed the signs of immune deficiency. Some of the above described tests turned out informative for detecting such deficiency. It has been demonstrated that conventional therapy does not provide any stable clinical effect, aggravating the manifestations of immune deficiency. The introduction into the complex of treatment measures of diphenhydramine, saparal and levamisole, in particular, favoured more rapid elimination of the clinical symptoms of a relapse, of allergic reactions, psychoemotional disorders and reduced the signs of a decrease in immune responsiveness in patients with chronic non calculous cholecystitis running a refractory relapsing course. Sentence B: This review discusses the importance of the main psychosocial risk factors in the development of chronic non-communicable diseases. The current data on the prevalence of anxiety and depressive disorders in patients with cardiovascular diseases (CVD) are presented. The article summarizes information about the relationship between the development of psychoemotional disorders and CVD, discusses the prospects for the management of such patients in the framework of interdisciplinary cooperation. The main pathogenetic mechanisms of the development of complications, including damage to the central nervous system during infection with a new coronavirus infection, are considered. The significance of the choice of pathogenetic therapy for patients with comorbid somatic and mental diseases in the conditions of a pandemic of a new coronavirus infection is assessed. The results of multicenter placebo-controlled studies on the use of fluvoxamine in patients with a new coronavirus infection of varying severity are discussed. ###Answer 1. Changed Reasoning: The meaning of the target word ""emotional disorders"" has changed significantly between Sentence A and Sentence B. In Sentence A, the term is used in the context of immune deficiency and the study of immune responsiveness in patients with chronic non-calculous cholecystitis. In Sentence B, the term is used in the context of psychosocial risk factors and the development of chronic non-communicable diseases, including anxiety and depressive disorders. The term has shifted from a focus on immune function to a focus on psychological health, indicating a significant change in meaning." 2,Emotional disorders,"This study describes a non-pharmacological treatment modality for children with trichotillomania. Three children with trichotillomania were treated using a hypnotherapy technique. All patients were observed in the outpatient clinic for 8 consecutive weeks and subsequently followed for 12-18 months. All children were cooperative in performing the hypnotherapy technique (relaxation/mental imagery). Two patients reported complete resolution of their complaints after 7-8 weeks and 1 patient after 16 weeks. The latter, reporting recurrence of the complaint after 4 weeks due to stressful school problems, was resolved after successful retreatment over 3 weeks. During a mean follow-up period of 16 months, there were no recurrences. In conclusion, hypnotherapy may be considered as a primary treatment modality for trichotillomania in children without associated emotional disorders.","Interpretation bias is a crucial therapeutic target in emotional disorders. However, few studies have examined the role of interpretation bias in substance use disorders (SUDs). Our specific aims were: (1) to examine whether interpretation bias was associated with craving and abstinence self-efficacy, and (2) explore potential moderators of these associations, including anxiety severity, sex, and substance type.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Emotional disorders Sentence A: This study describes a non-pharmacological treatment modality for children with trichotillomania. Three children with trichotillomania were treated using a hypnotherapy technique. All patients were observed in the outpatient clinic for 8 consecutive weeks and subsequently followed for 12-18 months. All children were cooperative in performing the hypnotherapy technique (relaxation/mental imagery). Two patients reported complete resolution of their complaints after 7-8 weeks and 1 patient after 16 weeks. The latter, reporting recurrence of the complaint after 4 weeks due to stressful school problems, was resolved after successful retreatment over 3 weeks. During a mean follow-up period of 16 months, there were no recurrences. In conclusion, hypnotherapy may be considered as a primary treatment modality for trichotillomania in children without associated emotional disorders. Sentence B: Interpretation bias is a crucial therapeutic target in emotional disorders. However, few studies have examined the role of interpretation bias in substance use disorders (SUDs). Our specific aims were: (1) to examine whether interpretation bias was associated with craving and abstinence self-efficacy, and (2) explore potential moderators of these associations, including anxiety severity, sex, and substance type. ###Answer 1. Changed (Emotional disorders) Reasoning: In Sentence A, the term ""emotional disorders"" is used in the context of a specific condition, trichotillomania, and the sentence describes a study on the treatment of this condition. The term ""emotional disorders"" does not convey any particular connotation or nuance. Therefore, the meaning of the term remains relatively consistent between the two sentences. In Sentence B, the term ""emotional disorders"" is used in a different context, as part of a larger discussion on interpretation bias in substance use disorders. The sentence suggests that interpretation bias is a crucial therapeutic target in emotional disorders, which implies that the term ""emotional disorders"" has taken on a different meaning than in Sentence A. Specifically, it implies a broader range of conditions that involve emotional dysfunction, rather than a specific condition like trichotillomania. Therefore, the meaning of the term ""emotional disorders"" has changed significantly between the two sentences." 3,Emotional disorders,"Fifty four children were studied 1-14 (mean 5.6) years after fabrications of illness had been identified. Thirty of the 54 children were living in families with their biological mothers and 24 were with other family members or in substitute families. Further fabrications were identified for 10 children who had been living with their mothers and there were 'other concerns' for a further eight children. Thirteen children residing with mother and 14 not residing with mother at follow up had a range of disorders including conduct and emotional disorders, and problems related to school, including difficulties in attention and concentration and non-attendance. Overall, 20 children (49% of those successfully followed up) had outcomes that were considered to be unacceptable.","Structural models of emotional disorders propose that anxiety disorders can be classified into fear and distress disorders. Sources of evidence for this distinction come from genetic, self-report and neurophysiological data from adults. The present study examined whether this distinction relates to cognitive processes, indexed by attention bias towards threat, which is thought to cause and maintain anxiety disorders.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Emotional disorders Sentence A: Fifty four children were studied 1-14 (mean 5.6) years after fabrications of illness had been identified. Thirty of the 54 children were living in families with their biological mothers and 24 were with other family members or in substitute families. Further fabrications were identified for 10 children who had been living with their mothers and there were 'other concerns' for a further eight children. Thirteen children residing with mother and 14 not residing with mother at follow up had a range of disorders including conduct and emotional disorders, and problems related to school, including difficulties in attention and concentration and non-attendance. Overall, 20 children (49% of those successfully followed up) had outcomes that were considered to be unacceptable. Sentence B: Structural models of emotional disorders propose that anxiety disorders can be classified into fear and distress disorders. Sources of evidence for this distinction come from genetic, self-report and neurophysiological data from adults. The present study examined whether this distinction relates to cognitive processes, indexed by attention bias towards threat, which is thought to cause and maintain anxiety disorders. ###Answer 1. Changed (Semantic drift has occurred) Reasoning: In Sentence A (2000), the target word ""emotional disorders"" is used in the context of a study examining children's mental health after fabrications of illness had been identified. The word is used to describe a range of disorders including conduct and emotional disorders, and problems related to school. The meaning of the word appears to be focused on the negative impact of mental health issues on children's daily lives. In Sentence B (2020), the target word ""emotional disorders"" is used in the context of a study examining the cognitive processes underlying anxiety disorders. The word is used to describe anxiety disorders as a distinct category within a broader classification system. The meaning of the word appears to have shifted towards a more specific focus on the underlying cognitive processes that contribute to anxiety disorders. Based on these differences in context and meaning, it is clear that the target word has undergone significant semantic drift between the two sentences. The shift towards a more specific focus on cognitive processes suggests a broadening of the term's meaning, which would be consistent with semantic drift. Therefore, the label ""Changed"" is appropriate." 4,Emotional disorders,"A retrospective and longitudinal study was carried out on all children and adolescents who presented to a child psychiatry service over a period of 26 years to identify the nature, course, and outcome of cases meeting criteria for anorexia nervosa (n = 27). Two groups of the same age were identified for comparison, firstly those with food avoidance and emotional disorders (n = 23), and secondly those with emotional disorders but no symptoms associated with eating (n = 22). The results confirm previous reports that early onset anorexia nervosa shows a similar nature, course, and outcome to the adult disease. Being tall at presentation seems to be associated with a poor outcome. Self starvation of early onset may result in short stature in some cases. There seem to be more boys among the group in whom the disease was of early onset than would be predicted from the sex ratio among adult patients. In addition boys with anorexia nervosa may have a better prognosis than girls. Children with food avoidance emotional disorders seem to have a worse prognosis than expected for childhood emotional disorders. They may represent a middle group between those with anorexia nervosa and those with emotional disorders but no symptoms associated with eating."," To investigate whether bullying and psychological conditions are correlated, this study analyzed a survey of primary and secondary school students from Zigong City, Sichuan Province. A total of 95,545 students completed a personal information questionnaire, the Multidimensional Peer-Victimization Scale (MPVS), and eight other scales pertaining to various psychological problems. The data showed that 68,315 (71.5\%) participants experienced school bullying at varying degrees, indicating the prevalence of bullying among adolescents. The chi-square tests revealed a strong correlation between school bullying and psychological conditions. This correlation was further explored through multivariate logistic regression, showing that students who experienced mild bullying had a 3.10 times higher probability of emotional and behavioral problems, 4.06 times higher probability of experiencing prodromal symptoms of mental illness, 4.72 times higher probability of anxiety, 3.28 times higher probability of developing post-traumatic stress disorder (PTSD) , 4.07 times higher probability of poor sleep quality, 3.13 times higher probability of internet addiction, 2.18 times higher probability of poor mental health, and 3.64 times higher probability of depression than students who did not experience bullying. The corresponding probabilities for students who experienced severe bullying were 11.35, 17.35, 18.52, 12.59, 11.67, 12.03, 4.64, and 5.34 times higher, respectively. In conclusion, school bullying and psychological conditions are significantly correlated among primary and secondary school students, and the more severe the bullying, the higher the probability to suffer from psychological problems. ","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Emotional disorders Sentence A: A retrospective and longitudinal study was carried out on all children and adolescents who presented to a child psychiatry service over a period of 26 years to identify the nature, course, and outcome of cases meeting criteria for anorexia nervosa (n = 27). Two groups of the same age were identified for comparison, firstly those with food avoidance and emotional disorders (n = 23), and secondly those with emotional disorders but no symptoms associated with eating (n = 22). The results confirm previous reports that early onset anorexia nervosa shows a similar nature, course, and outcome to the adult disease. Being tall at presentation seems to be associated with a poor outcome. Self starvation of early onset may result in short stature in some cases. There seem to be more boys among the group in whom the disease was of early onset than would be predicted from the sex ratio among adult patients. In addition boys with anorexia nervosa may have a better prognosis than girls. Children with food avoidance emotional disorders seem to have a worse prognosis than expected for childhood emotional disorders. They may represent a middle group between those with anorexia nervosa and those with emotional disorders but no symptoms associated with eating. Sentence B: To investigate whether bullying and psychological conditions are correlated, this study analyzed a survey of primary and secondary school students from Zigong City, Sichuan Province. A total of 95,545 students completed a personal information questionnaire, the Multidimensional Peer-Victimization Scale (MPVS), and eight other scales pertaining to various psychological problems. The data showed that 68,315 (71.5\%) participants experienced school bullying at varying degrees, indicating the prevalence of bullying among adolescents. The chi-square tests revealed a strong correlation between school bullying and psychological conditions. This correlation was further explored through multivariate logistic regression, showing that students who experienced mild bullying had a 3.10 times higher probability of emotional and behavioral problems, 4.06 times higher probability of experiencing prodromal symptoms of mental illness, 4.72 times higher probability of anxiety, 3.28 times higher probability of developing post-traumatic stress disorder (PTSD) , 4.07 times higher probability of poor sleep quality, 3.13 times higher probability of internet addiction, 2.18 times higher probability of poor mental health, and 3.64 times higher probability of depression than students who did not experience bullying. The corresponding probabilities for students who experienced severe bullying were 11.35, 17.35, 18.52, 12.59, 11.67, 12.03, 4.64, and 5.34 times higher, respectively. In conclusion, school bullying and psychological conditions are significantly correlated among primary and secondary school students, and the more severe the bullying, the higher the probability to suffer from psychological problems. ###Answer 1. Changed Reasoning: In Sentence A, the term ""emotional disorders"" is used in the context of a specific mental health condition (anorexia nervosa). The sentence provides a detailed description of the condition, including its onset, course, and outcome. The term is used to distinguish this condition from other mental health issues. In Sentence B, the term ""emotional disorders"" is used more broadly to describe a range of psychological problems, including bullying and internet addiction. The sentence does not provide a detailed description of any specific mental health condition, but rather highlights the correlation between bullying and psychological problems. Based on these differences in usage and context, it appears that the term ""emotional disorders"" has shifted in meaning from a specific mental health condition in Sentence A to a broader term encompassing a range of psychological problems in Sentence B. Therefore, I would label this term as having undergone semantic drift." 5,Emotional disorders,"A total of 232 (84%) first episodes of schizophrenia from our epidemiologically defined ABC sample (Age, Beginning and Course) were retrospectively assessed with regard to the onset and early course of the disorder. In a follow-up study a representative subgroup (n = 133) was prospectively examined in five cross sections over 3 years from first admission on. Population-based incidence rates for 5-year age groups comprising a range of < 10 - < 60 years were calculated on the basis of two definitions of onset: first sign of disorder and first psychotic symptom. In 40% of adult patients who had been admitted with a first schizophrenic episode after age 20 years the prodromal phase, in 11% the psychotic prephase, began before that age. This demonstrates that schizophrenia often begins in an age period in which the social and cognitive development and brain maturation are still unfinished. Early-onset schizophrenias (< or = 20 years) were compared with a medium-onset group (21 - < 35 years) and a late-onset group (35 - < 60 years) with regard to age and type of onset, early symptom-related course, social development and social course. The number of schizophrenia-specific positive and negative syndromes in early-onset schizophrenia is comparable to that of higher age groups. However, neurotic syndromes, emotional disorders and conduct disorders are most frequent in younger patients, especially in young men. Paranoid syndromes seem to prevail in late-onset schizophrenia, whereas less differentiated positive syndromes, such as delusional mood, are more frequent in the youngest age group. An earlier onset of schizophrenia has more severe social consequences than onset in adults, because it interrupts the cognitive and social development at an earlier stage. The worse social course of schizophrenia in men compared with women cannot be related to a more severe symptomatology, but to the earlier age at onset and the impairment or stagnation of social ascent at an earlier stage of social and cognitive development. Social disability in the sense of an adaptation to the expectations of the social environment, as well as symptomatology during the further course of schizophrenia, show no major differences between the genders nor between the age groups.","Transdiagnostic group cognitive behavior therapy (TD-GCBT) has shown to be efficacious in the treatment of emotional disorders in primary care. However, little is known about possible moderators or predictors of treatment outcome. We aimed to explore the potential predictors and moderators of outcome in a large multicentre randomized controlled trial comparing TD-GCBT plus treatment as usual (TAU) to TAU alone.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Emotional disorders Sentence A: A total of 232 (84%) first episodes of schizophrenia from our epidemiologically defined ABC sample (Age, Beginning and Course) were retrospectively assessed with regard to the onset and early course of the disorder. In a follow-up study a representative subgroup (n = 133) was prospectively examined in five cross sections over 3 years from first admission on. Population-based incidence rates for 5-year age groups comprising a range of < 10 - < 60 years were calculated on the basis of two definitions of onset: first sign of disorder and first psychotic symptom. In 40% of adult patients who had been admitted with a first schizophrenic episode after age 20 years the prodromal phase, in 11% the psychotic prephase, began before that age. This demonstrates that schizophrenia often begins in an age period in which the social and cognitive development and brain maturation are still unfinished. Early-onset schizophrenias (< or = 20 years) were compared with a medium-onset group (21 - < 35 years) and a late-onset group (35 - < 60 years) with regard to age and type of onset, early symptom-related course, social development and social course. The number of schizophrenia-specific positive and negative syndromes in early-onset schizophrenia is comparable to that of higher age groups. However, neurotic syndromes, emotional disorders and conduct disorders are most frequent in younger patients, especially in young men. Paranoid syndromes seem to prevail in late-onset schizophrenia, whereas less differentiated positive syndromes, such as delusional mood, are more frequent in the youngest age group. An earlier onset of schizophrenia has more severe social consequences than onset in adults, because it interrupts the cognitive and social development at an earlier stage. The worse social course of schizophrenia in men compared with women cannot be related to a more severe symptomatology, but to the earlier age at onset and the impairment or stagnation of social ascent at an earlier stage of social and cognitive development. Social disability in the sense of an adaptation to the expectations of the social environment, as well as symptomatology during the further course of schizophrenia, show no major differences between the genders nor between the age groups. Sentence B: Transdiagnostic group cognitive behavior therapy (TD-GCBT) has shown to be efficacious in the treatment of emotional disorders in primary care. However, little is known about possible moderators or predictors of treatment outcome. We aimed to explore the potential predictors and moderators of outcome in a large multicentre randomized controlled trial comparing TD-GCBT plus treatment as usual (TAU) to TAU alone. ###Answer 1. Changed Reasoning: In Sentence A, the term ""emotional disorders"" is used in the context of a scientific study on the onset and course of schizophrenia. The sentence highlights the importance of age in the onset of the disorder, with a focus on the younger age groups being more likely to experience emotional disorders. The term ""emotional disorders"" in this context carries a negative connotation, implying a level of pathology or dysfunction. In Sentence B, the term ""emotional disorders"" is used in a different context, in the context of a treatment study for mental health disorders. The sentence highlights the potential effectiveness of a particular treatment approach, and the term ""emotional disorders"" carries a more neutral connotation, implying a level of distress or dysfunction that can be addressed through treatment. Based on these differences in context and connotation, it can be argued that the term ""emotional disorders"" has undergone a significant change in meaning between Sentence A and Sentence B. In Sentence A, the term carries a negative connotation, implying a level of pathology or dysfunction, while in Sentence B, the term carries a more neutral connotation, implying a level of distress or dysfunction that can be addressed through treatment. Therefore, the label ""Changed"" is appropriate." 6,Emotional disorders,"To examine the reliability and validity of the 66-item Screen for Child Anxiety Related Emotional Disorders-Revised (SCARED-R), a questionnaire for measuring a broad range of DSM-defined anxiety disorder symptoms, in a sample of clinically referred youths.","Sleep apnea (SA) causes not only sleep disturbances, but also neurocognitive impairments and/or psychoemotional disorders. Here, we studied the effects of intermittent hypoxia (IH) on forebrain Fos expression using obese diabetic db/db mice to explore the pathophysiological alterations in neural activities and the brain regions related to SA syndrome. Male db/db mice were exposed to IH stimuli (repetitive 6-min cycles of 1min with 5% oxygen followed by 5min with 21% oxygen) for 8h (80 cycles) per day or normoxic condition (control group) for 14 days. Fos protein expression was immunohistochemically examined a day after the last IH exposure. Mapping analysis revealed a significant reduction of Fos expression by IH in limbic and paralimbic structures, including the cingulate and piriform cortices, the core part of the nucleus accumbens and most parts of the amygdala (i.e., the basolateral and basomedial amygdaloid nuclei, cortical amygdaloid area and medial amygdaloid nucleus). In the brain stem regions, Fos expression was region-specifically reduced in the ventral tegmental area while other regions including the striatum, thalamus and hypothalamus, were relatively resistant against IH. In addition, db/db mice exposed to IH showed a trend of sedative and/or depressive behavioral signs in the open field and forced swim tests. The present results illustrate that SA in the obese diabetic model causes neural suppression preferentially in the limbic and paralimbic regions, which may be related to the neuropsychological disturbances associated with SA. ","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Emotional disorders Sentence A: To examine the reliability and validity of the 66-item Screen for Child Anxiety Related Emotional Disorders-Revised (SCARED-R), a questionnaire for measuring a broad range of DSM-defined anxiety disorder symptoms, in a sample of clinically referred youths. Sentence B: Sleep apnea (SA) causes not only sleep disturbances, but also neurocognitive impairments and/or psychoemotional disorders. Here, we studied the effects of intermittent hypoxia (IH) on forebrain Fos expression using obese diabetic db/db mice to explore the pathophysiological alterations in neural activities and the brain regions related to SA syndrome. Male db/db mice were exposed to IH stimuli (repetitive 6-min cycles of 1min with 5% oxygen followed by 5min with 21% oxygen) for 8h (80 cycles) per day or normoxic condition (control group) for 14 days. Fos protein expression was immunohistochemically examined a day after the last IH exposure. Mapping analysis revealed a significant reduction of Fos expression by IH in limbic and paralimbic structures, including the cingulate and piriform cortices, the core part of the nucleus accumbens and most parts of the amygdala (i.e., the basolateral and basomedial amygdaloid nuclei, cortical amygdaloid area and medial amygdaloid nucleus). In the brain stem regions, Fos expression was region-specifically reduced in the ventral tegmental area while other regions including the striatum, thalamus and hypothalamus, were relatively resistant against IH. In addition, db/db mice exposed to IH showed a trend of sedative and/or depressive behavioral signs in the open field and forced swim tests. The present results illustrate that SA in the obese diabetic model causes neural suppression preferentially in the limbic and paralimbic regions, which may be related to the neuropsychological disturbances associated with SA. ###Answer 1. Changed Reasoning: The meaning of ""emotional disorders"" has shifted in Sentence B compared to Sentence A. In Sentence A, ""emotional disorders"" refers specifically to anxiety disorders, as indicated by the context of the sentence (the Screen for Child Anxiety Related Emotional Disorders-Revised questionnaire). In Sentence B, ""emotional disorders"" is used more broadly to refer to any neuropsychological disturbances associated with sleep apnea, including depressive and sedative behavioral signs. This broader meaning is evident from the context of the sentence (the study of the effects of intermittent hypoxia on neural activities and brain regions related to sleep apnea). Therefore, semantic drift has occurred in the meaning of ""emotional disorders"" between Sentence A and Sentence B." 7,Emotional disorders,"There are no generally accepted classification schemes for motivational and emotional disorders. One of the reasons is the difficulty in isolating motivational and emotional disorders from complex behaviors. Therefore, terms which characterize certain behaviors globally, such as clinical syndromes, are preferred in the clinical literature. Another, related reason is that within clinical psychology and the psychology of emotions are treated as two entirely separate fields with hardly any mutual influence. A third reason lies in the diversities of theories and schools of thought where the psychology of emotions as well as clinical psychology are concerned, thus, schemes, based on a general framework which is grounded in research in ""Cognitiver Science"" and general psychology, were developed which enable the comprehensive classification of motivational and emotional disorders, irrespective of individual therapeutic schools of thought or emotion-theoretic orientations. From the classification schemes, diagnostic criteria can be derived. This is the topic of Part I. In Part II it is demonstrated how these schemas can be applied to the comparison of different therapeutic schools with respect to theories of motivational and emotional disorders. Moreover, it is shown, how these ideas can be used to derive strategies for therapeutic interventions.","Considerable previous research has shown that retrieval of overgeneral autobiographical memories (OGM) is elevated among individuals suffering from various emotional disorders and those with a history of trauma. Although previous theories suggest that OGM serves the function of regulating acute negative affect, it is also possible that OGM results from difficulties in keeping the instruction set for the Autobiographical Memory Test (AMT) in working memory, or what has been coined ""secondary goal neglect"" (Dalgleish, 2004). The present study tested whether OGM is associated with poor memory for the task's instruction set, and whether an instruction set reminder would improve memory specificity over repeated trials. Multilevel modelling data-analytic techniques demonstrated a significant relationship between poor recall of instruction set and probability of retrieving OGMs. Providing an instruction set reminder for the AMT relative to a control task's instruction set improved memory specificity immediately afterward.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Emotional disorders Sentence A: There are no generally accepted classification schemes for motivational and emotional disorders. One of the reasons is the difficulty in isolating motivational and emotional disorders from complex behaviors. Therefore, terms which characterize certain behaviors globally, such as clinical syndromes, are preferred in the clinical literature. Another, related reason is that within clinical psychology and the psychology of emotions are treated as two entirely separate fields with hardly any mutual influence. A third reason lies in the diversities of theories and schools of thought where the psychology of emotions as well as clinical psychology are concerned, thus, schemes, based on a general framework which is grounded in research in ""Cognitiver Science"" and general psychology, were developed which enable the comprehensive classification of motivational and emotional disorders, irrespective of individual therapeutic schools of thought or emotion-theoretic orientations. From the classification schemes, diagnostic criteria can be derived. This is the topic of Part I. In Part II it is demonstrated how these schemas can be applied to the comparison of different therapeutic schools with respect to theories of motivational and emotional disorders. Moreover, it is shown, how these ideas can be used to derive strategies for therapeutic interventions. Sentence B: Considerable previous research has shown that retrieval of overgeneral autobiographical memories (OGM) is elevated among individuals suffering from various emotional disorders and those with a history of trauma. Although previous theories suggest that OGM serves the function of regulating acute negative affect, it is also possible that OGM results from difficulties in keeping the instruction set for the Autobiographical Memory Test (AMT) in working memory, or what has been coined ""secondary goal neglect"" (Dalgleish, 2004). The present study tested whether OGM is associated with poor memory for the task's instruction set, and whether an instruction set reminder would improve memory specificity over repeated trials. Multilevel modelling data-analytic techniques demonstrated a significant relationship between poor recall of instruction set and probability of retrieving OGMs. Providing an instruction set reminder for the AMT relative to a control task's instruction set improved memory specificity immediately afterward. ###Answer 1. Changed Reasoning: In Sentence A, the term ""motivational and emotional disorders"" is used without any connotation of negative affect or impairment. It is simply a broad term encompassing various conditions that may affect an individual's motivation or emotional well-being. In contrast, in Sentence B, the term ""emotional disorders"" is used with a connotation of negative affect, as the study focuses on individuals with a history of trauma and emotional disorders are associated with elevated levels of retrieval of overgeneral autobiographical memories. Therefore, the meaning of the term ""emotional disorders"" has shifted from a neutral term to one with a negative connotation." 8,Emotional disorders,"To assess whether perceived parental care and protection varied according to age and gender of the child and whether they were associated with psychiatric diagnoses, these constructs were measured with the Parental Bonding Instrument in a cohort of non-referred adolescents (n = 762), in a clinically referred cohort (n = 1299), and in a group of adolescents from the referred cohort (n = 365) for whom DSM-III diagnoses were available. Significant differences in parental care and protection according to clinical status, age, gender and diagnosis were found. However, perceived parental affectionless control was not associated with emotional disorders in adolescents, contrary to reports in adult subjects, but with clinical status.","Intolerance of uncertainty (IU) has been identified as a potential maintaining factor for generalised anxiety disorder; however, there is a growing evidence to suggest that IU may contribute to other anxiety and depressive disorders. Moreover, certain components of IU (namely prospective and inhibitory IU) have been shown to be differentially associated with symptoms of emotional disorders. The aim of this study was to determine the extent to which individuals with various anxiety and depressive disorders endorsed IU, firstly as a trait variable (with prospective and inhibitory components) and secondly in reference to regularly occurring, diagnostically relevant situations (situation-specific IU). The degree to which diagnosis predicted IU was examined in a highly comorbid clinical sample (N=218). Regardless of specific diagnoses, the degree of comorbidity emerged as a significant predictor of prospective IU and situation-specific IU. Conversely, specific diagnoses of social phobia, generalised anxiety disorder, depression, and obsessive compulsive disorder were uniquely related to inhibitory IU. These findings suggest that IU is a transdiagnostic construct and have implications for current diagnosis-specific and transdiagnostic theory and clinical practice.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Emotional disorders Sentence A: To assess whether perceived parental care and protection varied according to age and gender of the child and whether they were associated with psychiatric diagnoses, these constructs were measured with the Parental Bonding Instrument in a cohort of non-referred adolescents (n = 762), in a clinically referred cohort (n = 1299), and in a group of adolescents from the referred cohort (n = 365) for whom DSM-III diagnoses were available. Significant differences in parental care and protection according to clinical status, age, gender and diagnosis were found. However, perceived parental affectionless control was not associated with emotional disorders in adolescents, contrary to reports in adult subjects, but with clinical status. Sentence B: Intolerance of uncertainty (IU) has been identified as a potential maintaining factor for generalised anxiety disorder; however, there is a growing evidence to suggest that IU may contribute to other anxiety and depressive disorders. Moreover, certain components of IU (namely prospective and inhibitory IU) have been shown to be differentially associated with symptoms of emotional disorders. The aim of this study was to determine the extent to which individuals with various anxiety and depressive disorders endorsed IU, firstly as a trait variable (with prospective and inhibitory components) and secondly in reference to regularly occurring, diagnostically relevant situations (situation-specific IU). The degree to which diagnosis predicted IU was examined in a highly comorbid clinical sample (N=218). Regardless of specific diagnoses, the degree of comorbidity emerged as a significant predictor of prospective IU and situation-specific IU. Conversely, specific diagnoses of social phobia, generalised anxiety disorder, depression, and obsessive compulsive disorder were uniquely related to inhibitory IU. These findings suggest that IU is a transdiagnostic construct and have implications for current diagnosis-specific and transdiagnostic theory and clinical practice. ###Answer 1. Changed Reasoning: In Sentence A, the term ""emotional disorders"" is used in the context of assessing psychiatric diagnoses in adolescents. The term implies a broad range of conditions characterized by abnormal emotional experiences, such as depression, anxiety, or bipolar disorder. In this context, ""emotional disorders"" does not convey any particular connotation or shift in meaning. In Sentence B, the term ""intolerance of uncertainty"" (IU) is used in the context of assessing the relationship between anxiety disorders and the ability to cope with uncertainty. The term implies a specific construct related to the individual's ability to manage anxiety-provoking situations. In this context, ""intolerance of uncertainty"" conveys a different meaning than ""emotional disorders"" in Sentence A, and suggests a shift in meaning towards a more specific construct related to anxiety management. Therefore, the label ""Changed"" is appropriate." 9,Emotional disorders,"Presence or the sense of ""being there"" has been discussed in the literature as an essential, defining aspect of Virtual Reality (VR). The VR literature includes definitions rooted in behavioral response, signal detection theory, and philosophy, but has generally ignored the emotional aspects of experience. The purpose of this paper is to reexamine the concept of presence in terms of people's emotional engagement with reality and their environment. Emotions are an essential part of how people experience the world. Any theory of presence must take emotional factors into account. This thesis has implications about how research should be conducted to further our understanding of presence. Validated psychological techniques for assessing emotions by subjective report, behavioral observations, and facial analysis can all be applied to increase our understanding of virtual presence. Further understanding of the interaction between presence and emotional state will improve our understanding of the construct of presence as well as better inform us about how virtual environments can be applied in creating emotional effects or treating emotional disorders.","Preterm birth is associated with a high risk of residual neurodevelopmental disability and cognitive impairment. These problems are closely associated with psychiatric disorders and thus it is unsurprising that preterm birth also confers high risk for poor long term mental health. The risk associated with preterm birth is not a general one, but appears to be specific to symptoms and disorders associated with anxiety, inattention and social and communication problems, and manifest in a significantly higher prevalence of emotional disorders, ADHD and Autism. Adolescence is a key period for mental health and studies have shown that problems evident in childhood persist over this time and are more stable amongst preterm individuals than term-born peers. There is also modest evidence for an increased prevalence of psychotic symptoms in preterm adolescents. The high prevalence of psychiatric disorders, present in around 25% of preterm adolescents, requires long term screening and intervention.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Emotional disorders Sentence A: Presence or the sense of ""being there"" has been discussed in the literature as an essential, defining aspect of Virtual Reality (VR). The VR literature includes definitions rooted in behavioral response, signal detection theory, and philosophy, but has generally ignored the emotional aspects of experience. The purpose of this paper is to reexamine the concept of presence in terms of people's emotional engagement with reality and their environment. Emotions are an essential part of how people experience the world. Any theory of presence must take emotional factors into account. This thesis has implications about how research should be conducted to further our understanding of presence. Validated psychological techniques for assessing emotions by subjective report, behavioral observations, and facial analysis can all be applied to increase our understanding of virtual presence. Further understanding of the interaction between presence and emotional state will improve our understanding of the construct of presence as well as better inform us about how virtual environments can be applied in creating emotional effects or treating emotional disorders. Sentence B: Preterm birth is associated with a high risk of residual neurodevelopmental disability and cognitive impairment. These problems are closely associated with psychiatric disorders and thus it is unsurprising that preterm birth also confers high risk for poor long term mental health. The risk associated with preterm birth is not a general one, but appears to be specific to symptoms and disorders associated with anxiety, inattention and social and communication problems, and manifest in a significantly higher prevalence of emotional disorders, ADHD and Autism. Adolescence is a key period for mental health and studies have shown that problems evident in childhood persist over this time and are more stable amongst preterm individuals than term-born peers. There is also modest evidence for an increased prevalence of psychotic symptoms in preterm adolescents. The high prevalence of psychiatric disorders, present in around 25% of preterm adolescents, requires long term screening and intervention. ###Answer 1. Changed Reasoning: In Sentence A, the term ""emotional disorders"" is used in the context of virtual reality and its impact on human experience. The focus is on the emotional engagement of individuals with the virtual environment and the importance of considering emotional factors in understanding presence. The term is used to describe the emotional effects of VR and the need for further research to better understand these effects. In Sentence B, the term ""emotional disorders"" is used in the context of preterm birth and its association with psychiatric disorders. The focus is on the risk of emotional problems in preterm adolescents and the need for long-term screening and intervention. The term is used to describe the high prevalence of emotional disorders in this population and the importance of addressing these issues. In Sentence A, the term ""emotional disorders"" has a different connotation than in Sentence B. In Sentence A, it is associated with the emotional experience in virtual reality, while in Sentence B, it is associated with the risk of emotional problems in preterm adolescents. This difference in connotation suggests that the term has undergone a significant change in meaning over time. Therefore, the label ""Changed"" is appropriate." 10,Emotional disorders,"To calculate the prevalence of emotional disorders in primary care, using a screening test--the Yesavage--and the association of emotional disorders with other variables, with the aim of identifying the profile of an elderly person most likely to be depressed at some juncture of his/her life.","Individuals vulnerable to obsessive-compulsive disorder (OCD) are hypothesized to have ambivalence about their self-worth, morality and lovability [Guidano, V., & Liotti, G. (1983). Cognitive processes and emotional disorders. New York: Guildford Press]. The purpose of this study was to examine whether self-ambivalence was associated with OCD phenomena and beliefs relevant to OCD. It also examined whether patients with OCD had higher levels of self-ambivalence compared to non-clinical controls and patients with other anxiety disorders. Participants were 73 OCD patients, 50 patients with another anxiety disorder, 225 non-clinical undergraduate students and 43 non-clinical community controls. They completed measures of self-ambivalence, OCD phenomena, OCD-relevant beliefs, depression, anxiety and self-esteem. Self-ambivalence was significantly associated with OCD phenomena and OCD-relevant beliefs, after controlling for self-esteem, depression and anxiety. Further, OCD participants were significantly more ambivalent than the non-clinical groups, but did not differ from anxious controls. It was argued that these results provide a basis for extending the cognitive-behavioural model of OCD to include ambivalent self-perceptions as a component of the cognitive mechanisms relevant to the disorder.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Emotional disorders Sentence A: To calculate the prevalence of emotional disorders in primary care, using a screening test--the Yesavage--and the association of emotional disorders with other variables, with the aim of identifying the profile of an elderly person most likely to be depressed at some juncture of his/her life. Sentence B: Individuals vulnerable to obsessive-compulsive disorder (OCD) are hypothesized to have ambivalence about their self-worth, morality and lovability [Guidano, V., & Liotti, G. (1983). Cognitive processes and emotional disorders. New York: Guildford Press]. The purpose of this study was to examine whether self-ambivalence was associated with OCD phenomena and beliefs relevant to OCD. It also examined whether patients with OCD had higher levels of self-ambivalence compared to non-clinical controls and patients with other anxiety disorders. Participants were 73 OCD patients, 50 patients with another anxiety disorder, 225 non-clinical undergraduate students and 43 non-clinical community controls. They completed measures of self-ambivalence, OCD phenomena, OCD-relevant beliefs, depression, anxiety and self-esteem. Self-ambivalence was significantly associated with OCD phenomena and OCD-relevant beliefs, after controlling for self-esteem, depression and anxiety. Further, OCD participants were significantly more ambivalent than the non-clinical groups, but did not differ from anxious controls. It was argued that these results provide a basis for extending the cognitive-behavioural model of OCD to include ambivalent self-perceptions as a component of the cognitive mechanisms relevant to the disorder. ###Answer 1. Changed Reasoning: The target word ""emotional disorders"" has undergone a significant change in meaning between Sentence A (2000) and Sentence B (2020). In Sentence A, the term is used in the context of a screening test for depression in primary care. In contrast, in Sentence B, the term is used to describe individuals vulnerable to obsessive-compulsive disorder (OCD). This shift in meaning suggests that the term ""emotional disorders"" has changed in connotation, from being associated with depression to being associated with OCD. Therefore, the label ""Changed"" is appropriate." 11,Emotional disorders,"Individuals who work in law enforcement careers are often subjected to stress that can result in health and emotional disorders. Many police departments have begun to offer wellness programs to support their employees. This pilot study designed and implemented a nutrition education component for an existing police department wellness program. Twenty-eight subjects completed the 12-month study that included nutrition counseling, seminars on nutrition and eating behaviors, and monitoring of weight and blood lipid levels. There was a significant group trend for decreased weight and lower total cholesterol levels. Results of the study led to the development of health policy standards for the Austin (Tex) Police Department. Wellness programs that involve registered dietitians can result in weight loss and lower cholesterol levels for employees in high-stress occupations as well as changes in departmental policy.","Choices regarding coping strategies during the COVID-19 pandemic outbreak may imply the development as well as the severity of emotional disorders. The aim of this web-based cross-sectional study was to: (1) assess the coping strategies for stress in a population of Polish students and (2) evaluate the impact of those strategies on the severity of depression, stress, and anxiety symptoms during the COVID-19 lockdown. To evaluate emotional distress, we used the DASS-21 scale and coping strategies Brief-COPE Inventory. The study included 2172 respondents (73% female, 27% male) with a mean age of 22.1 ± 2.2. Students more frequently chose stress coping strategies belonging to the 'approach' coping strategies (M = 29.60 ± 6.89) compared to 'avoidant' coping strategies (M = 22.82 ± 5.78). The intensification of distress in women caused a turn to religion (","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Emotional disorders Sentence A: Individuals who work in law enforcement careers are often subjected to stress that can result in health and emotional disorders. Many police departments have begun to offer wellness programs to support their employees. This pilot study designed and implemented a nutrition education component for an existing police department wellness program. Twenty-eight subjects completed the 12-month study that included nutrition counseling, seminars on nutrition and eating behaviors, and monitoring of weight and blood lipid levels. There was a significant group trend for decreased weight and lower total cholesterol levels. Results of the study led to the development of health policy standards for the Austin (Tex) Police Department. Wellness programs that involve registered dietitians can result in weight loss and lower cholesterol levels for employees in high-stress occupations as well as changes in departmental policy. Sentence B: Choices regarding coping strategies during the COVID-19 pandemic outbreak may imply the development as well as the severity of emotional disorders. The aim of this web-based cross-sectional study was to: (1) assess the coping strategies for stress in a population of Polish students and (2) evaluate the impact of those strategies on the severity of depression, stress, and anxiety symptoms during the COVID-19 lockdown. To evaluate emotional distress, we used the DASS-21 scale and coping strategies Brief-COPE Inventory. The study included 2172 respondents (73% female, 27% male) with a mean age of 22.1 ± 2.2. Students more frequently chose stress coping strategies belonging to the 'approach' coping strategies (M = 29.60 ± 6.89) compared to 'avoidant' coping strategies (M = 22.82 ± 5.78). The intensification of distress in women caused a turn to religion ( ###Answer 1. Changed Explanation: In Sentence A, the target word ""emotional disorders"" is used to describe health problems faced by law enforcement personnel, such as stress and its consequences. The context suggests that these disorders are work-related and can have a significant impact on the individuals' well-being. In contrast, in Sentence B, the target word ""emotional disorders"" is used to describe the coping strategies used by individuals during the COVID-19 pandemic. The context suggests that these strategies are related to the individual's emotional response to the pandemic, rather than being work-related. Therefore, the meaning of the target word ""emotional disorders"" has changed significantly between the two sentences. In Sentence A, the term is related to work-related stress and its consequences, while in Sentence B, it is related to the individual's emotional response to a global pandemic. As a result, I would label this example as ""Changed""." 12,Emotional disorders,An atypical EEG pattern of frontal brain activation has been found in infants and adults with emotional disorders. Eighty-two 8-year-old children and 56 11-year-old children were examined with regard to the following questions: 1. Do children who are diagnosed with anxiety disorder exhibit an atypical pattern of frontal brain activation? 2. Can this pattern be demonstrated in children of different ages? and 3. Are there gender differences in these patterns similar to those that have been demonstrated in adults? Baseline EEG activity was subjected to power spectral analysis.,"Diabetes mellitus (DM) is a group of metabolic disorders reflected by high blood glucose levels and lack of hormone insulin. Notably, T2DM patients are three times more likely to report depression than the general population. Conventional exercise training programs have been shown to be beneficial for T2DM, but less is known regarding the effects of Baduanjin exercise on hemoglobin A1c (HbA1c) and psychological measures among this unique group. Therefore, this systematic review and meta-analysis aimed to investigate the effects of Baduanjin exercise on HbA1c, depression, and anxiety among type 2 diabetes mellitus (T2DM) patients with emotional disorders.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Emotional disorders Sentence A: An atypical EEG pattern of frontal brain activation has been found in infants and adults with emotional disorders. Eighty-two 8-year-old children and 56 11-year-old children were examined with regard to the following questions: 1. Do children who are diagnosed with anxiety disorder exhibit an atypical pattern of frontal brain activation? 2. Can this pattern be demonstrated in children of different ages? and 3. Are there gender differences in these patterns similar to those that have been demonstrated in adults? Baseline EEG activity was subjected to power spectral analysis. Sentence B: Diabetes mellitus (DM) is a group of metabolic disorders reflected by high blood glucose levels and lack of hormone insulin. Notably, T2DM patients are three times more likely to report depression than the general population. Conventional exercise training programs have been shown to be beneficial for T2DM, but less is known regarding the effects of Baduanjin exercise on hemoglobin A1c (HbA1c) and psychological measures among this unique group. Therefore, this systematic review and meta-analysis aimed to investigate the effects of Baduanjin exercise on HbA1c, depression, and anxiety among type 2 diabetes mellitus (T2DM) patients with emotional disorders. ###Answer 1. Changed (Emotional disorders) The meaning of ""emotional disorders"" has shifted significantly between Sentence A (2000) and Sentence B (2020). In Sentence A, the term likely refers to mental health conditions such as anxiety or depression. In Sentence B, the term is used more broadly to encompass a range of metabolic disorders, including diabetes mellitus, and there is no mention of mental health conditions. Therefore, the label ""Changed"" is appropriate for this target word." 13,Emotional disorders,"There is a general consensus that, for several reasons, people with mental retardation are at an increased risk of developing emotional disorders. Numerous research studies have examined the prevalence of psychiatric disorders among people with mental retardation, and a wide range of rates have been reported. Reasons for the variability in these results are discussed, including definitional and identification issues, and sampling issues. A summary of representative studies is presented and discussed in light of the above-mentioned issues. The need for updated epidemiological studies in this area is emphasized."," Music therapy has emerged recently as a successful intervention that improves patient's outcome in a large range of neurological and mood disorders without adverse effects. Brain networks are entrained to music in ways that can be explained both via top-down and bottom-up processes. In particular, the direct interaction of auditory with the motor and the reward system via a predictive framework explains the efficacy of music-based interventions in motor rehabilitation. In this manuscript, we provide a brief overview of current theories of music perception and processing. Subsequently, we summarise evidence of music-based interventions primarily in motor, emotional and cardiovascular regulation. We highlight opportunities to improve quality of life and reduce stress beyond the clinic environment and in healthy individuals. This relatively unexplored area requires an understanding of how we can personalise and automate music selection processes to fit individuals needs and tasks via feedback loops mediated by measurements of neuro-physiological responses. ","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Emotional disorders Sentence A: There is a general consensus that, for several reasons, people with mental retardation are at an increased risk of developing emotional disorders. Numerous research studies have examined the prevalence of psychiatric disorders among people with mental retardation, and a wide range of rates have been reported. Reasons for the variability in these results are discussed, including definitional and identification issues, and sampling issues. A summary of representative studies is presented and discussed in light of the above-mentioned issues. The need for updated epidemiological studies in this area is emphasized. Sentence B: Music therapy has emerged recently as a successful intervention that improves patient's outcome in a large range of neurological and mood disorders without adverse effects. Brain networks are entrained to music in ways that can be explained both via top-down and bottom-up processes. In particular, the direct interaction of auditory with the motor and the reward system via a predictive framework explains the efficacy of music-based interventions in motor rehabilitation. In this manuscript, we provide a brief overview of current theories of music perception and processing. Subsequently, we summarise evidence of music-based interventions primarily in motor, emotional and cardiovascular regulation. We highlight opportunities to improve quality of life and reduce stress beyond the clinic environment and in healthy individuals. This relatively unexplored area requires an understanding of how we can personalise and automate music selection processes to fit individuals needs and tasks via feedback loops mediated by measurements of neuro-physiological responses. ###Answer 1. Changed Reasoning: The target word ""emotional disorders"" has undergone a significant change in meaning between Sentence A (2000) and Sentence B (2020). In Sentence A, the term likely referred to mental health conditions such as depression, anxiety, or bipolar disorder. However, in Sentence B, the term seems to encompass a broader range of conditions, including neurological and mood disorders, and is associated with the use of music therapy. This shift in meaning suggests that the term ""emotional disorders"" has undergone semantic drift." 14,Emotional disorders,"The benzodiazepine receptor (BZR) is an intrinsic allosteric modulatory site of the GABAA-receptor-chloride channel complex of neuronal membranes mediating the main action of the major inhibitory neurotransmitter GABA. The BZR is unique in recognizing three classes of ligands, two of them producing opposite modulatory effects on the GABAA receptor function in an allosteric fashion (agonists and inverse agonists) and the third acting as antagonists of the two others. Agonists and partial agonists of the BZR (belonging to various chemical classes) have therapeutic applications as broad-spectrum tranquilizers and specific anxiolytics- anticonvulsants, respectively. The BZR antagonist flumazenil, recently introduced in therapy, increases the versatility of agonists in therapy and greatly simplifies the treatment of agonist overdosing. Inverse agonists are interesting probes to analyse the biological basis of anxiety-related emotional disorders.",To examine demographic and clinical characteristics as potential predictors of change for children and youth with emotional disorders treated at two child and adolescent mental health outpatient services (CAMHS) in Norway.,"###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Emotional disorders Sentence A: The benzodiazepine receptor (BZR) is an intrinsic allosteric modulatory site of the GABAA-receptor-chloride channel complex of neuronal membranes mediating the main action of the major inhibitory neurotransmitter GABA. The BZR is unique in recognizing three classes of ligands, two of them producing opposite modulatory effects on the GABAA receptor function in an allosteric fashion (agonists and inverse agonists) and the third acting as antagonists of the two others. Agonists and partial agonists of the BZR (belonging to various chemical classes) have therapeutic applications as broad-spectrum tranquilizers and specific anxiolytics- anticonvulsants, respectively. The BZR antagonist flumazenil, recently introduced in therapy, increases the versatility of agonists in therapy and greatly simplifies the treatment of agonist overdosing. Inverse agonists are interesting probes to analyse the biological basis of anxiety-related emotional disorders. Sentence B: To examine demographic and clinical characteristics as potential predictors of change for children and youth with emotional disorders treated at two child and adolescent mental health outpatient services (CAMHS) in Norway. ###Answer 1. Changed Explanation: The target word ""emotional disorders"" has undergone significant semantic drift between Sentence A (2000) and Sentence B (2020). In Sentence A, the term is used in the context of neuropharmacology and refers to the modulation of the GABAA receptor by benzodiazepines. In this context, the term likely carried a neutral or positive connotation, as the drug was being studied for its therapeutic potential. In Sentence B, the term ""emotional disorders"" is used in a clinical context to refer to children and youth with mental health issues. The term likely carries a negative connotation, as the children are seeking treatment for their emotional difficulties. The shift in meaning and connotation is significant, as the term is now associated with a negative outcome rather than a neutral or positive one. Therefore, I have labeled the word ""Changed"" in Sentence B compared to Sentence A." 15,Emotional disorders,"The spectrum of plastic surgery in the head and neck area is wide. The indications for as well as potentials and limits too, aesthetic surgery cannot be pressed into a rigid framework. The operative strategy will substantively depend on several factors, including objectivated local findings from, as well as general situation and motivation, of the patient. In plastic surgery the psychological situation of the patient is very often paramount, especially as regards cosmetic aspects. Sometimes the declared motives of the patient hide emotional disorders. Several examples show the practicability and limits. The possibilities of corrective action depend not only on the local findings but also on the surgeon's experience and skill.","Aging is accompanied by various forms of immune dysfunction, leading to an increase in frequency of infections and the development of malignant tumors in mice and humans. Sirt1 has been implicated in processes as varied as metabolism, differentiation, cancer, and the stress response and aging. Senescence-accelerated mice prone 10 (SAMP10) show not only spontaneously occurring brain atrophy, with deficits in learning and memory, but also emotional disorders. We attempted in this study to clarify the deficits and found that the percentage of CD4/TNF-α T-cells in the spleen of 24-week-old (but not 6-week-old) SAMP10 to be significantly reduced. The thymus was significantly lighter, and the percentage of CD4⁺CD8⁺ cells was significantly lower in the 24-week-old SAMP10 than 6-week-old SAMP10. Microarray analyses indicated that genes related to transcription coactivator activity, growth factor activity, hormone activity, cytokine activity, receptor activity, and regulation of the immune system were downregulated in the thymus of 24-week-old SAMP10. Real-time PCR analysis showed that the expression of KGF, Aire, and Sirt1 was decreased on the thymic epithelial cells (TECs) of 24-week-old SAMP10. However, these parameters improved after the mice were treated with intrabone marrow-bone marrow transplantation. This is the first report of age-related changes in immune system dysfunction in 24-week-old SAMP10 and the first to show that dysfunction on the TECs of 24-week-old SAMP10 was modulated by allogeneic bone marrow cells.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Emotional disorders Sentence A: The spectrum of plastic surgery in the head and neck area is wide. The indications for as well as potentials and limits too, aesthetic surgery cannot be pressed into a rigid framework. The operative strategy will substantively depend on several factors, including objectivated local findings from, as well as general situation and motivation, of the patient. In plastic surgery the psychological situation of the patient is very often paramount, especially as regards cosmetic aspects. Sometimes the declared motives of the patient hide emotional disorders. Several examples show the practicability and limits. The possibilities of corrective action depend not only on the local findings but also on the surgeon's experience and skill. Sentence B: Aging is accompanied by various forms of immune dysfunction, leading to an increase in frequency of infections and the development of malignant tumors in mice and humans. Sirt1 has been implicated in processes as varied as metabolism, differentiation, cancer, and the stress response and aging. Senescence-accelerated mice prone 10 (SAMP10) show not only spontaneously occurring brain atrophy, with deficits in learning and memory, but also emotional disorders. We attempted in this study to clarify the deficits and found that the percentage of CD4/TNF-α T-cells in the spleen of 24-week-old (but not 6-week-old) SAMP10 to be significantly reduced. The thymus was significantly lighter, and the percentage of CD4⁺CD8⁺ cells was significantly lower in the 24-week-old SAMP10 than 6-week-old SAMP10. Microarray analyses indicated that genes related to transcription coactivator activity, growth factor activity, hormone activity, cytokine activity, receptor activity, and regulation of the immune system were downregulated in the thymus of 24-week-old SAMP10. Real-time PCR analysis showed that the expression of KGF, Aire, and Sirt1 was decreased on the thymic epithelial cells (TECs) of 24-week-old SAMP10. However, these parameters improved after the mice were treated with intrabone marrow-bone marrow transplantation. This is the first report of age-related changes in immune system dysfunction in 24-week-old SAMP10 and the first to show that dysfunction on the TECs of 24-week-old SAMP10 was modulated by allogeneic bone marrow cells. ###Answer 1. Changed Reasoning: In Sentence A, the term ""emotional disorders"" is used in the context of a discussion about the psychological state of patients undergoing plastic surgery. The term is used to describe patients who have declared motives that hide emotional problems. This implies that the term ""emotional disorders"" had a different connotation or meaning in 2000 than it does today. In Sentence B, the term ""emotional disorders"" is used in the context of a discussion about the effects of aging on the immune system. The term is used to describe the deficits in learning and memory, as well as the development of emotional disorders in mice. This implies that the term ""emotional disorders"" has evolved to include a broader range of psychological problems associated with aging. Therefore, it can be concluded that the meaning of the term ""emotional disorders"" has changed significantly between the two time periods, indicating semantic drift has occurred." 16,Emotional disorders,"With considerable overlapping and no little back tracking, the writer has attempted to discuss the psychotic, the neurotic and the victim of Post Traumatic Stress Disorder. Tolerance of overlapping is asked of the reader since it exists and defies our wish that these three miseries could be seen as separate entities. Yet they are sufficiently separate as to demand differing therapeutic approaches so it is necessary to give abbreviated attention to therapies. Attention is given to medical therapies while they are labeled secondary to psychotherapy. It is not mentioned but should be, that occasional exceptions seem to exist. The title and conclusion, first read in adolescence, seems to suggest that emotional disorders have been with us for quite a long while.","Test anxiety has a detrimental effect on test performance but current interventions for test anxiety have limited efficacy. Therefore, examination of newer psychological models of test anxiety is now required. Two transdiagnostic psychological models of emotional disorders that can account for anxiety are the intolerance of uncertainty model (IUM) and the Self-Regulatory Executive Function (S-REF) model. Intolerance of uncertainty, the stable disposition to find uncertainty distressing, is central to the IUM, while beliefs about thinking, metacognition, are central to the S-REF model. We tested for the first time the role of both intolerance of uncertainty and metacognitive beliefs in test anxiety.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Emotional disorders Sentence A: With considerable overlapping and no little back tracking, the writer has attempted to discuss the psychotic, the neurotic and the victim of Post Traumatic Stress Disorder. Tolerance of overlapping is asked of the reader since it exists and defies our wish that these three miseries could be seen as separate entities. Yet they are sufficiently separate as to demand differing therapeutic approaches so it is necessary to give abbreviated attention to therapies. Attention is given to medical therapies while they are labeled secondary to psychotherapy. It is not mentioned but should be, that occasional exceptions seem to exist. The title and conclusion, first read in adolescence, seems to suggest that emotional disorders have been with us for quite a long while. Sentence B: Test anxiety has a detrimental effect on test performance but current interventions for test anxiety have limited efficacy. Therefore, examination of newer psychological models of test anxiety is now required. Two transdiagnostic psychological models of emotional disorders that can account for anxiety are the intolerance of uncertainty model (IUM) and the Self-Regulatory Executive Function (S-REF) model. Intolerance of uncertainty, the stable disposition to find uncertainty distressing, is central to the IUM, while beliefs about thinking, metacognition, are central to the S-REF model. We tested for the first time the role of both intolerance of uncertainty and metacognitive beliefs in test anxiety. ###Answer 1. Changed Explanation: In Sentence A, the term ""emotional disorders"" is used to describe a range of conditions, including psychotic, neurotic, and post-traumatic stress disorder. The phrase ""emotional disorders"" implies a broad understanding of these conditions, and the author acknowledges their complexity and overlap. In Sentence B, the term ""emotional disorders"" is used more specifically to refer to test anxiety, a subtype of anxiety disorder. The author highlights the limited efficacy of current interventions for test anxiety and the need for newer psychological models to explain its underlying mechanisms. The use of ""emotional disorders"" in this sentence suggests a more focused understanding of the term, with a greater emphasis on its relationship to anxiety. Based on these differences in usage, it is clear that the meaning of ""emotional disorders"" has shifted over time. In Sentence A, the term encompasses a broader range of conditions, while in Sentence B, it is used more specifically to refer to a particular subtype of anxiety disorder. Therefore, I have labeled this task as ""Changed""." 17,Emotional disorders,"Emotional disorders may precede learning disabilities, follow learning disabilities, or occur at the same time. This paper discusses evidence supporting each of these hypotheses, focussing on the possibility that both learning disabilities and emotional disorders, or at least some subforms of them, may have a common origin in neurological dysfunction. A model of interaction of the many factors involved in both the development and the persistence across age for both learning disabilities and emotional disorders is presented and avenues of research are discussed. Data from a 15-year follow-up study which illustrate some of these complex relationships are presented.","The Unified Protocol for Transdiagnostic Treatment of Emotional Disorders in Children (UP-C) is an intervention for children aged 7 to 13 targeting high negative emotion, emotional reactivity, and emotion regulation deficits common across emotional disorders. Our objective was to collect pilot randomized controlled trial (RCT) data on the efficacy of the UP-C, comparing UP-C with an active, anxiety-focused intervention. Participants were 47 children with at least one primary anxiety disorder; approximately one half had elevated depression symptoms. Participants received either UP-C or the anxiety-focused control treatment. No condition-related differences were found with respect to diagnostic remission and anxiety symptoms. However, differences in favor of UP-C were observed with respect to treatment response at follow-up, depression symptoms, sadness dysregulation, and cognitive reappraisal. Results provide preliminary evidence that the UP-C may be at least as efficacious in treating anxiety as well-supported anxiety-specific treatment protocols and may produce greater gains in certain emotion reactivity and regulation variables.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Emotional disorders Sentence A: Emotional disorders may precede learning disabilities, follow learning disabilities, or occur at the same time. This paper discusses evidence supporting each of these hypotheses, focussing on the possibility that both learning disabilities and emotional disorders, or at least some subforms of them, may have a common origin in neurological dysfunction. A model of interaction of the many factors involved in both the development and the persistence across age for both learning disabilities and emotional disorders is presented and avenues of research are discussed. Data from a 15-year follow-up study which illustrate some of these complex relationships are presented. Sentence B: The Unified Protocol for Transdiagnostic Treatment of Emotional Disorders in Children (UP-C) is an intervention for children aged 7 to 13 targeting high negative emotion, emotional reactivity, and emotion regulation deficits common across emotional disorders. Our objective was to collect pilot randomized controlled trial (RCT) data on the efficacy of the UP-C, comparing UP-C with an active, anxiety-focused intervention. Participants were 47 children with at least one primary anxiety disorder; approximately one half had elevated depression symptoms. Participants received either UP-C or the anxiety-focused control treatment. No condition-related differences were found with respect to diagnostic remission and anxiety symptoms. However, differences in favor of UP-C were observed with respect to treatment response at follow-up, depression symptoms, sadness dysregulation, and cognitive reappraisal. Results provide preliminary evidence that the UP-C may be at least as efficacious in treating anxiety as well-supported anxiety-specific treatment protocols and may produce greater gains in certain emotion reactivity and regulation variables. ###Answer 1. Changed Reasoning: In Sentence A, the term ""emotional disorders"" is used in the context of discussing the relationship between learning disabilities and emotional disorders. The term is neutral and does not convey any particular connotation. In Sentence B, the term ""emotional disorders"" is used in the context of an intervention for children with anxiety disorders. The term is used to refer to a specific set of symptoms (e.g., high negative emotion, emotional reactivity, and emotion regulation deficits) and carries a more negative connotation. Therefore, semantic drift has occurred in the meaning of the term ""emotional disorders"" over the 20-year period between the two sentences." 18,Emotional disorders,"Recent research has led to the evolution of an important clinical relationship among psychology, neurobiochemistry, and nutrition. The result has been the development of the multidisciplinary field of psychoneuro-nutritional medicine. The successful application of this medical model to mental health problems ranging from behavior disorders in children to cognitive/emotional disorders in adults has opened the door to new lower-technology, cost-effective approaches to improving functional neurobiochemistry. This review describes the psychoneuro-nutritional medicine model and its application to a variety of biobehaviorally related health problems.","Emotion regulation deficits are associated with various emotional disorders. Therefore, studies have attempted to improve emotion regulation ability to prevent psychopathological symptoms. Studies have revealed that working memory training-specifically attention control-can promote emotion regulation. In the present study, participants completed a running memory task in a 20-day training period. The participants' pre- and post-test data on attention network functions and late positive potential (LPP) were assessed and analyzed. Compared with the control group, the training group's orientation function improved markedly. In addition, LPP in relation to emotion regulation decreased during the 20-day training period. These results suggest that working memory training can improve emotion regulation ability, and the orientation function in the attention network may also contribute to this improvement.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Emotional disorders Sentence A: Recent research has led to the evolution of an important clinical relationship among psychology, neurobiochemistry, and nutrition. The result has been the development of the multidisciplinary field of psychoneuro-nutritional medicine. The successful application of this medical model to mental health problems ranging from behavior disorders in children to cognitive/emotional disorders in adults has opened the door to new lower-technology, cost-effective approaches to improving functional neurobiochemistry. This review describes the psychoneuro-nutritional medicine model and its application to a variety of biobehaviorally related health problems. Sentence B: Emotion regulation deficits are associated with various emotional disorders. Therefore, studies have attempted to improve emotion regulation ability to prevent psychopathological symptoms. Studies have revealed that working memory training-specifically attention control-can promote emotion regulation. In the present study, participants completed a running memory task in a 20-day training period. The participants' pre- and post-test data on attention network functions and late positive potential (LPP) were assessed and analyzed. Compared with the control group, the training group's orientation function improved markedly. In addition, LPP in relation to emotion regulation decreased during the 20-day training period. These results suggest that working memory training can improve emotion regulation ability, and the orientation function in the attention network may also contribute to this improvement. ###Answer 1. Changed Reasoning: The target word ""emotional disorders"" has undergone a significant change in meaning between Sentence A (2000) and Sentence B (2020). In Sentence A, the term is used in the context of a multidisciplinary field of psychoneuro-nutritional medicine, indicating a focus on the relationship between nutrition and mental health. In Sentence B, the term is used in the context of emotion regulation deficits and psychopathological symptoms, indicating a focus on the individual's ability to manage their emotions. The shift in meaning suggests that the term ""emotional disorders"" has evolved to encompass a broader range of mental health issues, including emotion regulation deficits. Therefore, the label ""Changed"" is appropriate." 19,Emotional disorders,"Education of children with learning, behavioral, or emotional disorders in the public schools has been rather remarkably transformed over the past decade by implementation of Public Law 94-142, Education of the Handicapped Act. Although children with learning disabilities have been served in far greater numbers than before, children with other disorders, including serious emotional disturbance, have either declined in numbers served or are being served in numbers far smaller than current prevalence rates would suggest are adequate. This paper reviews these trends, along with diagnostic criteria used to determine special education eligibility for such children, and discusses selected interdisciplinary and related trends.","This article presents the use of a transdiagnostic, emotion-focused treatment with a young woman with nonsuicidal self-injury (NSSI), social anxiety disorder, and generalized anxiety disorder. The patient also presented with subclinical depressive, posttraumatic stress, and eating disorder symptoms. The Unified Protocol for Transdiagnostic Treatment of Emotional Disorders (Barlow et al., 2011), a cognitive-behavioral intervention designed to be applicable across anxiety, depressive, and related disorders with strong emotional components, was used to address the range of Laura's presenting concerns. After 16 individual treatment sessions, Laura experienced significant reductions in NSSI (and urges to engage in NSSI) as well as observable improvements in her self-reported ability to respond more adaptively to intense emotion. She also reported moderate reductions in her anxiety disorder symptoms. This case illustration demonstrates how a short-term, transdiagnostic treatment approach can be flexibly applied to a variety of problems maintained by aversive and avoidant reactions to intense emotion.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Emotional disorders Sentence A: Education of children with learning, behavioral, or emotional disorders in the public schools has been rather remarkably transformed over the past decade by implementation of Public Law 94-142, Education of the Handicapped Act. Although children with learning disabilities have been served in far greater numbers than before, children with other disorders, including serious emotional disturbance, have either declined in numbers served or are being served in numbers far smaller than current prevalence rates would suggest are adequate. This paper reviews these trends, along with diagnostic criteria used to determine special education eligibility for such children, and discusses selected interdisciplinary and related trends. Sentence B: This article presents the use of a transdiagnostic, emotion-focused treatment with a young woman with nonsuicidal self-injury (NSSI), social anxiety disorder, and generalized anxiety disorder. The patient also presented with subclinical depressive, posttraumatic stress, and eating disorder symptoms. The Unified Protocol for Transdiagnostic Treatment of Emotional Disorders (Barlow et al., 2011), a cognitive-behavioral intervention designed to be applicable across anxiety, depressive, and related disorders with strong emotional components, was used to address the range of Laura's presenting concerns. After 16 individual treatment sessions, Laura experienced significant reductions in NSSI (and urges to engage in NSSI) as well as observable improvements in her self-reported ability to respond more adaptively to intense emotion. She also reported moderate reductions in her anxiety disorder symptoms. This case illustration demonstrates how a short-term, transdiagnostic treatment approach can be flexibly applied to a variety of problems maintained by aversive and avoidant reactions to intense emotion. ###Answer 1. Changed Explanation: The target word ""emotional disorders"" has undergone significant semantic drift between Sentence A (2000) and Sentence B (2020). In Sentence A, the term likely referred to children with diagnoses such as attention deficit hyperactivity disorder (ADHD), learning disabilities, or autism spectrum disorder. However, in Sentence B, the term likely refers to a broader range of conditions, including depression, anxiety disorders, and eating disorders, as well as nonsuicidal self-injury. This shift in meaning is likely due to changes in diagnostic criteria and the increasing recognition of the complexity of mental health issues. Therefore, the label ""Changed"" is appropriate for this example." 20,Emotional disorders,"To determine the prevalence of medically unexplained rheumatic symptoms amongst patients newly referred to a rheumatology out-patient service and to examine their relationship with pain, disability, socioeconomic factors and the presence of emotional disorders (anxiety, depression and panic)."," In the online social dynamics, a robust scaling behaviour appears as a key feature of many collaborative efforts that lead to the new social value. The underlying empirical data thus offer a unique opportunity to study the origin of self-organised criticality in social systems. In contrast to physical systems in the laboratory, various human attributes of the actors play an essential role in the process along with the contents (cognitive, emotional) of the communicated artefacts. As a prototypal example, we consider the social endeavour of knowledge creation via Questions\ \& Answers (Q\&A). Using a large empirical dataset from one of such Q\&A sites and theoretical modelling, we examine the temporal correlations at all scales and the role of cognitive contents to the avalanches of the knowledge creation process. Our analysis shows that the long-range correlations and the event clustering are primarily determined by the universal social dynamics, providing the external driving of the system by the arrival of new users. While the involved cognitive contents (systematically annotated in the data and observed in the model) are crucial for a fine structure of the developing knowledge networks, they only affect the values of the scaling exponents and the geometry of large avalanches and shape the multifractal spectrum. Furthermore, we find that the level of the activity of the communities that share the knowledge correlates with the fluctuations of the innovation rate, implying that the increase of innovation may serve as the active principle of self-organisation. To identify relevant parameters and unravel the role of the network evolution underlying the process in the social system under consideration, we compare the social avalanches to the avalanche sequences occurring in the field-driven physical model of disordered solids. ","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Emotional disorders Sentence A: To determine the prevalence of medically unexplained rheumatic symptoms amongst patients newly referred to a rheumatology out-patient service and to examine their relationship with pain, disability, socioeconomic factors and the presence of emotional disorders (anxiety, depression and panic). Sentence B: In the online social dynamics, a robust scaling behaviour appears as a key feature of many collaborative efforts that lead to the new social value. The underlying empirical data thus offer a unique opportunity to study the origin of self-organised criticality in social systems. In contrast to physical systems in the laboratory, various human attributes of the actors play an essential role in the process along with the contents (cognitive, emotional) of the communicated artefacts. As a prototypal example, we consider the social endeavour of knowledge creation via Questions\ \& Answers (Q\&A). Using a large empirical dataset from one of such Q\&A sites and theoretical modelling, we examine the temporal correlations at all scales and the role of cognitive contents to the avalanches of the knowledge creation process. Our analysis shows that the long-range correlations and the event clustering are primarily determined by the universal social dynamics, providing the external driving of the system by the arrival of new users. While the involved cognitive contents (systematically annotated in the data and observed in the model) are crucial for a fine structure of the developing knowledge networks, they only affect the values of the scaling exponents and the geometry of large avalanches and shape the multifractal spectrum. Furthermore, we find that the level of the activity of the communities that share the knowledge correlates with the fluctuations of the innovation rate, implying that the increase of innovation may serve as the active principle of self-organisation. To identify relevant parameters and unravel the role of the network evolution underlying the process in the social system under consideration, we compare the social avalanches to the avalanche sequences occurring in the field-driven physical model of disordered solids. ###Answer 1. Changed Reasoning: The meaning of the target word ""emotional disorders"" has shifted significantly between the two sentences. In Sentence A, the term is used to describe a range of mental health conditions, including anxiety, depression, and panic. In Sentence B, the term is used more narrowly to describe the impact of social dynamics on the creation of knowledge. The term has taken on a different connotation and meaning in the second sentence, indicating semantic drift has occurred." 21,Emotional disorders,"Various forms of collaboration between the disciplines of public health and psychiatry are briefly reviewed and the 25-year-old mental health program of the Vancouver Health Department is described. The public health nurse has prime responsibility in all children with emotional disorders. She is supported by a psychiatric team which provides active treatment and educational and consultative help for the nurse and the school. During the year 1963, six social workers had 2357 contacts with nurses and school personnel but only 1049 treatment interviews. Of 401 children referred to the psychiatric team, 138 received active clinic treatment, 141 remained under supervision by the public health nurse, and 122 were referred elsewhere. In addition, 1330 children were identified as ""mental hygiene cases"" in the caseload of the 170 public health nurses in the community. By close co-ordination, the public health nurse and the psychiatric team can enhance each other's contributions to community mental health.","This study aimed to examine cross-sectionally to what extent persons with higher symptom levels or a current or past emotional disorder report to be less happy than controls and to assess prospectively whether time-lagged measurements of extraversion and neuroticism predict future happiness independent of time-lagged measurements of emotional disorders or symptom severity. A sample of 2142 adults aged 18-65, consisting of healthy controls and persons with current or past emotional disorder according to DSM-IV criteria completed self-ratings for happiness and emotional well-being and symptom severity. Lagged measurements of personality, symptom severity and presence of anxiety and depressive disorder at T0 (year 0), T2 (year 2) and T4 (year 4) were used to predict happiness and emotional well-being at T6 (year 6) controlling for demographics. In particular persons with more depressive symptoms, major depressive disorder, social anxiety disorder and comorbid emotional disorders reported lower levels of happiness and emotional well-being. Depression symptom severity and to a lesser extent depressive disorder predicted future happiness and emotional well-being at T6. Extraversion and to a lesser extent neuroticism also consistently forecasted future happiness and emotional well-being independent of concurrent lagged measurements of emotional disorders and symptoms. A study limitation is that we only measured happiness and emotional well-being at T6 and our measures were confined to hedonistic well-being and did not include psychological and social well-being. In sum, consistent with the two continua model of emotional well-being and mental illness, a 'happy' personality characterized by high extraversion and to a lesser extent low neuroticism forecasts future happiness and emotional well-being independent of concurrently measured emotional disorders or symptom severity levels. Boosting positive emotionality may be an important treatment goal for persons personally inclined to lower levels of happiness. ","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Emotional disorders Sentence A: Various forms of collaboration between the disciplines of public health and psychiatry are briefly reviewed and the 25-year-old mental health program of the Vancouver Health Department is described. The public health nurse has prime responsibility in all children with emotional disorders. She is supported by a psychiatric team which provides active treatment and educational and consultative help for the nurse and the school. During the year 1963, six social workers had 2357 contacts with nurses and school personnel but only 1049 treatment interviews. Of 401 children referred to the psychiatric team, 138 received active clinic treatment, 141 remained under supervision by the public health nurse, and 122 were referred elsewhere. In addition, 1330 children were identified as ""mental hygiene cases"" in the caseload of the 170 public health nurses in the community. By close co-ordination, the public health nurse and the psychiatric team can enhance each other's contributions to community mental health. Sentence B: This study aimed to examine cross-sectionally to what extent persons with higher symptom levels or a current or past emotional disorder report to be less happy than controls and to assess prospectively whether time-lagged measurements of extraversion and neuroticism predict future happiness independent of time-lagged measurements of emotional disorders or symptom severity. A sample of 2142 adults aged 18-65, consisting of healthy controls and persons with current or past emotional disorder according to DSM-IV criteria completed self-ratings for happiness and emotional well-being and symptom severity. Lagged measurements of personality, symptom severity and presence of anxiety and depressive disorder at T0 (year 0), T2 (year 2) and T4 (year 4) were used to predict happiness and emotional well-being at T6 (year 6) controlling for demographics. In particular persons with more depressive symptoms, major depressive disorder, social anxiety disorder and comorbid emotional disorders reported lower levels of happiness and emotional well-being. Depression symptom severity and to a lesser extent depressive disorder predicted future happiness and emotional well-being at T6. Extraversion and to a lesser extent neuroticism also consistently forecasted future happiness and emotional well-being independent of concurrent lagged measurements of emotional disorders and symptoms. A study limitation is that we only measured happiness and emotional well-being at T6 and our measures were confined to hedonistic well-being and did not include psychological and social well-being. In sum, consistent with the two continua model of emotional well-being and mental illness, a 'happy' personality characterized by high extraversion and to a lesser extent low neuroticism forecasts future happiness and emotional well-being independent of concurrently measured emotional disorders or symptom severity levels. Boosting positive emotionality may be an important treatment goal for persons personally inclined to lower levels of happiness. ###Answer 1. Changed Reasoning: The target word ""Emotional disorders"" has undergone a significant change in meaning between the two sentences. In Sentence A, the term is used to describe various forms of collaboration between public health and psychiatry, with a focus on the role of the public health nurse in caring for children with emotional disorders. In Sentence B, the term is used to describe a specific mental health condition, with a focus on symptom severity and prediction of future happiness. The two sentences have different contexts and connotations, indicating that the term ""Emotional disorders"" has shifted in meaning over time. Therefore, the label ""Changed"" is appropriate." 22,Emotional disorders,"Cognitive biases in information processing play an important role in the etiology and maintenance of emotional disorders. A new methodology to measure attentional biases is presented; this approach encourages subjects to scan and re-scan images with different thematic content, while the pattern of their attentional deployment is continuously monitored by an eye-tracking system. Measures of attentional bias are the total fixation time and the average glance duration on images belonging to a particular theme. Results showed that subjects with depressive disorder (n=8; Beck Depression Inventory Score>/=16) spent significantly more time looking at images with dysphoric themes than subjects in the control group (n=9). Correlation analysis revealed that the differences between the fixation times of the two groups are significantly correlated with the valence ratings, but not with the arousal ratings of the images. The average glance duration on images with social, neutral and threatening themes were similar for both groups, while the average glance duration on images with dysphoric themes was significantly larger for subjects with depressive disorder. The above results suggest that subjects with depressive disorder selectively attend to mood-congruent material and that depression appears to influence the elaborative stages of processing when dysphoric images are viewed."," In this paper the research draws upon reminiscence therapy, which is used in treating dementia, as an applied theory to promote well being in people who experience low moods. The application proposed here aims to promote wellbeing for people suffering from mood disorders and dementia but could potentially be used to enhance wellbeing for many types of users. Use of the application is anticipated to improve mood in a group of users where severe emotional problems are prevalent. The research aims to evaluate the effectiveness of a reminiscence based application in promoting well being in people specifically with Borderline Personality Disorder (BPD). The long term objective of this research is to establish the effectiveness of reminiscence theory on user groups aside from dementia, particularly other mental illnesses. The research advocates involving end users within the design process both to inform and evaluate the development of a mobile and tablet application. ","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Emotional disorders Sentence A: Cognitive biases in information processing play an important role in the etiology and maintenance of emotional disorders. A new methodology to measure attentional biases is presented; this approach encourages subjects to scan and re-scan images with different thematic content, while the pattern of their attentional deployment is continuously monitored by an eye-tracking system. Measures of attentional bias are the total fixation time and the average glance duration on images belonging to a particular theme. Results showed that subjects with depressive disorder (n=8; Beck Depression Inventory Score>/=16) spent significantly more time looking at images with dysphoric themes than subjects in the control group (n=9). Correlation analysis revealed that the differences between the fixation times of the two groups are significantly correlated with the valence ratings, but not with the arousal ratings of the images. The average glance duration on images with social, neutral and threatening themes were similar for both groups, while the average glance duration on images with dysphoric themes was significantly larger for subjects with depressive disorder. The above results suggest that subjects with depressive disorder selectively attend to mood-congruent material and that depression appears to influence the elaborative stages of processing when dysphoric images are viewed. Sentence B: In this paper the research draws upon reminiscence therapy, which is used in treating dementia, as an applied theory to promote well being in people who experience low moods. The application proposed here aims to promote wellbeing for people suffering from mood disorders and dementia but could potentially be used to enhance wellbeing for many types of users. Use of the application is anticipated to improve mood in a group of users where severe emotional problems are prevalent. The research aims to evaluate the effectiveness of a reminiscence based application in promoting well being in people specifically with Borderline Personality Disorder (BPD). The long term objective of this research is to establish the effectiveness of reminiscence theory on user groups aside from dementia, particularly other mental illnesses. The research advocates involving end users within the design process both to inform and evaluate the development of a mobile and tablet application. ###Answer 1. Changed Reasoning: In Sentence A, the target word ""emotional disorders"" is used in the context of cognitive biases in information processing, suggesting a focus on the psychological aspects of these disorders. In contrast, in Sentence B, the target word is used in the context of reminiscence therapy, which is a form of psychotherapy used to treat mood disorders, including Borderline Personality Disorder. The meaning of the word has shifted from a psychological disorder to a form of therapy." 23,Emotional disorders,"As a factor of recurrence of drinking in patients with alcoholic dependence, emotional disorders accompanied by alcohol dependence has been noted in many reports. Particularly, it is noted to be very likely that depression after abstinence is an incentive to re-start drinking. In this study, we investigated depressive feeling in aspects of psychiatric and physical subjective symptoms after abstinence in patients with alcohol dependence, and compared the symptoms with those in patients with involutional depression. On analysis of the major component of psychiatric subjective symptoms, a sense of alienation, emotional instability, anxiety, and aggressiveness were observed. In involutional depression, depressive feeling, somnipathy, anxiety, self accusation/sense of guilt, delusion of culpability were observed. On analysis of the major component of physical subjective symptoms, autonomic nervous symptoms accompanied by feebleness, hysterical neurosis-like autonomic nervous symptoms, reduced sexual libido, anorexia, hydrodipsia/sweating were observed. Similarly, in patients with involutional depression, hysterical neurosis-like autonomic nervous symptoms, anorexia, elevation of tonus, general malaise, and hydrodipsia were noted. Differences in status were emphasized in comparison between the two groups in both analyses. Unlike involutional depression that exhibits the current features of depression, patients with alcohol dependence showed a sense of alienation, emotional instability, anxiety, and aggressiveness, reflecting self-uncertainty and loss of self-respect. Drinking may be re-started to relieve or reduce tension and frustration in such conditions.","Interoception, the ability to feel the body's internal sensations, is an essential aspect of emotional experience. There is mounting evidence that interoception is impaired in common mental health disorders and that poor interoceptive awareness is a major contributor to emotional reactivity, calling for clinical interventions to address this deficit. The manuscript presents a comprehensive theoretical review, drawing on multidisciplinary findings to propose a metatheory of reinforcement mechanisms applicable across a wide range of disorders. We present a reconsideration of operant conditioning through the co-emergence model of reinforcement, which is a neurophenomenological account of the interaction between cognition and interoception, and its consequences on behavior. The model suggests that during memory processing, the retrieval of autobiographical memory (including maladaptive cognition) is dependent upon its co-emerging interoceptive cues occurring at the encoding, consolidation and reconsolidation stages. Accordingly, ""interoceptive reinforcement"" during emotional distress is a common factor to all emotional disorders and a major cause for relapse. We propose that interoceptive desensitization has transdiagnostic benefits, readily achievable through the cultivation of equanimity during mindfulness training and can be integrated in cognitive and behavioral interventions to permit a transdiagnostic applicability. We summarize the contributions of this approach into 10 specific and testable propositions.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Emotional disorders Sentence A: As a factor of recurrence of drinking in patients with alcoholic dependence, emotional disorders accompanied by alcohol dependence has been noted in many reports. Particularly, it is noted to be very likely that depression after abstinence is an incentive to re-start drinking. In this study, we investigated depressive feeling in aspects of psychiatric and physical subjective symptoms after abstinence in patients with alcohol dependence, and compared the symptoms with those in patients with involutional depression. On analysis of the major component of psychiatric subjective symptoms, a sense of alienation, emotional instability, anxiety, and aggressiveness were observed. In involutional depression, depressive feeling, somnipathy, anxiety, self accusation/sense of guilt, delusion of culpability were observed. On analysis of the major component of physical subjective symptoms, autonomic nervous symptoms accompanied by feebleness, hysterical neurosis-like autonomic nervous symptoms, reduced sexual libido, anorexia, hydrodipsia/sweating were observed. Similarly, in patients with involutional depression, hysterical neurosis-like autonomic nervous symptoms, anorexia, elevation of tonus, general malaise, and hydrodipsia were noted. Differences in status were emphasized in comparison between the two groups in both analyses. Unlike involutional depression that exhibits the current features of depression, patients with alcohol dependence showed a sense of alienation, emotional instability, anxiety, and aggressiveness, reflecting self-uncertainty and loss of self-respect. Drinking may be re-started to relieve or reduce tension and frustration in such conditions. Sentence B: Interoception, the ability to feel the body's internal sensations, is an essential aspect of emotional experience. There is mounting evidence that interoception is impaired in common mental health disorders and that poor interoceptive awareness is a major contributor to emotional reactivity, calling for clinical interventions to address this deficit. The manuscript presents a comprehensive theoretical review, drawing on multidisciplinary findings to propose a metatheory of reinforcement mechanisms applicable across a wide range of disorders. We present a reconsideration of operant conditioning through the co-emergence model of reinforcement, which is a neurophenomenological account of the interaction between cognition and interoception, and its consequences on behavior. The model suggests that during memory processing, the retrieval of autobiographical memory (including maladaptive cognition) is dependent upon its co-emerging interoceptive cues occurring at the encoding, consolidation and reconsolidation stages. Accordingly, ""interoceptive reinforcement"" during emotional distress is a common factor to all emotional disorders and a major cause for relapse. We propose that interoceptive desensitization has transdiagnostic benefits, readily achievable through the cultivation of equanimity during mindfulness training and can be integrated in cognitive and behavioral interventions to permit a transdiagnostic applicability. We summarize the contributions of this approach into 10 specific and testable propositions. ###Answer 1. Changed Reasoning: In Sentence A, the term ""emotional disorders"" is used in the context of alcohol dependence and involutional depression, with connotations of severe mental illness and impaired functioning. In Sentence B, the term ""emotional disorders"" is used in the context of common mental health disorders, with a focus on interoception and emotional reactivity. The meaning of the term has shifted from a focus on severe mental illness to a focus on the relationship between interoception and emotional experience." 24,Emotional disorders,"Primary care physicians and nurse practitioners are the initial casefinders of mental health problems and major providers of mental health treatment in the United States. However, past studies suggest that such primary care providers often neither recognize nor correctly diagnose their patients' mental disorders. This study compared an HMO's primary providers' direct assessments of the current emotional disorders of patients just seen for an outpatient medical visit with those of mental health professionals assessing the same patients with the Structured Clinical Interview for DSM III R (SCID). Using the SCID-derived diagnosis as the standard, the primary providers failed to recognize almost two-thirds of their patients with a current mental disorder. Although confident in their assessments, the primary providers were also able to correctly identify very few of the specific mental disorders most prevalent in primary medical care practice; they identified only one of the seven depressions, three of the 18 anxiety disorders, and none of the four alcohol or drug abuse disorders. Reasons for these diagnostic discrepancies, comparisons with past studies, and training to improve primary providers' diagnosis of mental disorders in their patients are discussed.","Multiple psychological treatments for emotional disorders have been developed and implemented, improving the quality of life of individuals. Nevertheless, relapse and poor response to psychotherapy are common. This article argues that a greater understanding of both the psychological and neurobiological mechanisms of change in psychotherapy is essential to improve treatment for emotional disorders. It aims to demonstrate how an understanding of these mechanisms provides a basis for (i) reconceptualizing some mental disorders, (ii) refining and establishing the evidence for existing therapeutic techniques and (iii) designing new techniques that precisely target the processes that maintain these disorders. Possible future directions for researchers and practitioners working at the intersection of neuropsychology and clinical psychology are discussed.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Emotional disorders Sentence A: Primary care physicians and nurse practitioners are the initial casefinders of mental health problems and major providers of mental health treatment in the United States. However, past studies suggest that such primary care providers often neither recognize nor correctly diagnose their patients' mental disorders. This study compared an HMO's primary providers' direct assessments of the current emotional disorders of patients just seen for an outpatient medical visit with those of mental health professionals assessing the same patients with the Structured Clinical Interview for DSM III R (SCID). Using the SCID-derived diagnosis as the standard, the primary providers failed to recognize almost two-thirds of their patients with a current mental disorder. Although confident in their assessments, the primary providers were also able to correctly identify very few of the specific mental disorders most prevalent in primary medical care practice; they identified only one of the seven depressions, three of the 18 anxiety disorders, and none of the four alcohol or drug abuse disorders. Reasons for these diagnostic discrepancies, comparisons with past studies, and training to improve primary providers' diagnosis of mental disorders in their patients are discussed. Sentence B: Multiple psychological treatments for emotional disorders have been developed and implemented, improving the quality of life of individuals. Nevertheless, relapse and poor response to psychotherapy are common. This article argues that a greater understanding of both the psychological and neurobiological mechanisms of change in psychotherapy is essential to improve treatment for emotional disorders. It aims to demonstrate how an understanding of these mechanisms provides a basis for (i) reconceptualizing some mental disorders, (ii) refining and establishing the evidence for existing therapeutic techniques and (iii) designing new techniques that precisely target the processes that maintain these disorders. Possible future directions for researchers and practitioners working at the intersection of neuropsychology and clinical psychology are discussed. ###Answer 1. Changed Reasoning: The target word ""emotional disorders"" has undergone a significant change in meaning between Sentence A (2000) and Sentence B (2020). In Sentence A, the term likely referred to mental health conditions such as depression, anxiety, or bipolar disorder. However, in Sentence B, the term is used more broadly to encompass a range of psychological treatments for various emotional disorders. This shift in meaning suggests that the term has undergone semantic drift, and therefore the label ""Changed"" is appropriate." 25,Emotional disorders,"The association between eating disorders, substance use, and emotional distress is well recognized in the literature. To determine whether dancers who are known to be at risk for eating disorders were also at risk for other emotional disorders, the co-occurrence of eating disorders, substance use, and emotional distress among dancers (N = 50) and nondancers (N = 56) was examined. These young adult women were part of a longitudinal study of the complications of decreased bone density. Participants filled out questionnaires about eating behavior, substance use, and emotional functioning. A clinical interview determined the existence of eating disorders (DSM-III-R). Physiological data, including an assessment of current health, also were collected. There were no differences in disordered eating between the two subject groups. Associations existed within each group, however. Many associations including substance use and emotional distress were found among the nondancers, while no associations were found among the dancers. Thus, eating disorders in a group of subjects at risk because of professional pressures to remain thin revealed a profile which differed significantly from that of women developing eating disorders in the general population.",To identify cognitive and emotional disorders and their correlation with neuroimaging parameters in patients with chronic migraine.,"###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Emotional disorders Sentence A: The association between eating disorders, substance use, and emotional distress is well recognized in the literature. To determine whether dancers who are known to be at risk for eating disorders were also at risk for other emotional disorders, the co-occurrence of eating disorders, substance use, and emotional distress among dancers (N = 50) and nondancers (N = 56) was examined. These young adult women were part of a longitudinal study of the complications of decreased bone density. Participants filled out questionnaires about eating behavior, substance use, and emotional functioning. A clinical interview determined the existence of eating disorders (DSM-III-R). Physiological data, including an assessment of current health, also were collected. There were no differences in disordered eating between the two subject groups. Associations existed within each group, however. Many associations including substance use and emotional distress were found among the nondancers, while no associations were found among the dancers. Thus, eating disorders in a group of subjects at risk because of professional pressures to remain thin revealed a profile which differed significantly from that of women developing eating disorders in the general population. Sentence B: To identify cognitive and emotional disorders and their correlation with neuroimaging parameters in patients with chronic migraine. ###Answer 1. Changed Reasoning: In Sentence A, the term ""emotional disorders"" is used in the context of eating disorders, substance use, and emotional distress. The sentence suggests that these disorders are related and may be more prevalent among certain groups, such as professional dancers. The term ""emotional disorders"" carries a negative connotation, implying a level of pathology or dysfunction. In Sentence B, the term ""emotional disorders"" is used in a different context, specifically in relation to cognitive and emotional disorders in patients with chronic migraine. The sentence suggests that these disorders may be correlated with neuroimaging parameters, which implies a more objective and scientific assessment of the disorders. The term ""emotional disorders"" carries a different connotation in this sentence, implying a more clinical and scientific approach to understanding the disorders. Based on these differences in context and connotation, it is clear that the term ""emotional disorders"" has undergone a significant change in meaning between Sentence A and Sentence B. In Sentence A, the term carries a negative connotation and is used in the context of eating disorders and substance use, while in Sentence B, the term is used in a more clinical and scientific context, specifically in relation to cognitive and emotional disorders in patients with chronic migraine. Therefore, I would label Sentence B as having semantic drift, as the meaning of the term ""emotional disorders"" has shifted significantly between the two sentences." 26,Emotional disorders,"Over a period of four years, 316 emotionally disordered patients were inspected for the frequency of seasonally conditioned hospitalisation, considering however solely the most recent prior hospitalisation within the four-year period. A cautious interpretation of the results would suggest significant differences in the seasonal frequency of emotional disorders that have resulted in hospitalisation. Manic depressive disorders, endogenous depression, and involutional depressions treated in hospital occur with the greatest frequency in autumn. These results suggest the possibility of employing thymoleptic treatment, notably to effect an influence on biorhythms, for instance, lithium, deprivation of sleep, and bright-light therapy.","An important concern in Internet-based treatments (IBTs) for emotional disorders is the high dropout rate from these protocols. Although dropout rates are usually reported in research studies, very few studies qualitatively explore the experiences of patients who drop out of IBTs. Examining the experiences of these clients may help to find ways to tackle this problem.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Emotional disorders Sentence A: Over a period of four years, 316 emotionally disordered patients were inspected for the frequency of seasonally conditioned hospitalisation, considering however solely the most recent prior hospitalisation within the four-year period. A cautious interpretation of the results would suggest significant differences in the seasonal frequency of emotional disorders that have resulted in hospitalisation. Manic depressive disorders, endogenous depression, and involutional depressions treated in hospital occur with the greatest frequency in autumn. These results suggest the possibility of employing thymoleptic treatment, notably to effect an influence on biorhythms, for instance, lithium, deprivation of sleep, and bright-light therapy. Sentence B: An important concern in Internet-based treatments (IBTs) for emotional disorders is the high dropout rate from these protocols. Although dropout rates are usually reported in research studies, very few studies qualitatively explore the experiences of patients who drop out of IBTs. Examining the experiences of these clients may help to find ways to tackle this problem. ###Answer 1. Changed Reasoning: In Sentence A, the target word ""emotional disorders"" is used to describe a specific set of conditions, including manic depressive disorder, endogenous depression, and involutional depression. These conditions are described as occurring with the greatest frequency in autumn, and a treatment approach is suggested based on the idea of influencing biorhythms. The language used is formal and technical, indicating a focus on clinical or medical aspects of these conditions. In Sentence B, the target word ""emotional disorders"" is used in a different context. The sentence discusses the issue of dropout from Internet-based treatments (IBTs) for emotional disorders. The language used is more informal and conversational, indicating a focus on the practical or user-oriented aspects of these treatments. The term ""emotional disorders"" is used in a broader sense, encompassing a range of conditions that may be treated with IBTs. Based on these differences in context and meaning, it can be concluded that the term ""emotional disorders"" has undergone semantic drift between Sentence A and Sentence B. In Sentence A, the term is used in a more specific and technical sense, while in Sentence B, it is used in a more general and practical sense. Therefore, the label ""Changed"" is appropriate for this task." 27,Emotional disorders,"Using the Health and Retirement Study, we compare the health outcomes of older male construction workers with their counterparts in other occupations. We find that construction workers are more susceptible to musculoskeletal problems, chronic lung disease, and emotional/psychiatric disorders. Older construction workers were 1.4 times more likely to have a back problem and 1.3 times more likely to have a foot or leg problem than were other blue-collar workers. Nonsmoking older construction workers were 3.2 times more likely to have chronic lung disease than their nonsmoking blue-collar counterparts. When accounting for alcohol consumption, older construction workers were 1.7 times more likely to have been diagnosed with an emotional problem than other older blue-collar workers. The high rate of chronic lung disease is most likely related to on-the-job dust exposure, while the increased risk of emotional disorders might be due to the dynamics of the construction labor market.","This article describes the workshop ""Teaching Child Psychiatric Assessment Skills: Using Mental Health Screening Instruments,"" presented at the 35th Forum for Behavioral Sciences in Family Medicine on 20 September 2014. The goals of the presentation were (1) to teach family medicine behavioral health educators to use both general and problem-specific mental health screening tools (MHSTs) in their work with trainees to help satisfy the Accreditation Council for Graduate Medical Education (ACGME) mandate for behavioral and mental health experience during family medicine residency, (2) to reflect on how MHSTs might be integrated into the flow of family medicine teaching practices, and (3) to exemplify how evidence-based methods of adult education might be used in teaching such content. One general MHST, the Pediatric Symptom Checklist-17 and one problem-specific MHST for each of the four commonest pediatric mental health issues: for attention-deficit hyperactivity disorder, the Vanderbilt; for Anxiety, the Screen for Childhood Anxiety-Related Emotional Disorders; for Depression, the Patient Health Questionnaire-9 for teens; and for Aggression, the Retrospective-Modified Overt Aggression Scale, were practiced at least twice in the context of a clinical vignette. All of the selected MHSTs are free in the public domain and available for download from the website: www.CAPPCNY.org. Participants were asked to reflect on their own office practice characteristics and consider how MHSTs might be integrated into their systems of care. This workshop could be replicated by others wishing to teach the use of MHSTs in primary care settings or teaching programs. ","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Emotional disorders Sentence A: Using the Health and Retirement Study, we compare the health outcomes of older male construction workers with their counterparts in other occupations. We find that construction workers are more susceptible to musculoskeletal problems, chronic lung disease, and emotional/psychiatric disorders. Older construction workers were 1.4 times more likely to have a back problem and 1.3 times more likely to have a foot or leg problem than were other blue-collar workers. Nonsmoking older construction workers were 3.2 times more likely to have chronic lung disease than their nonsmoking blue-collar counterparts. When accounting for alcohol consumption, older construction workers were 1.7 times more likely to have been diagnosed with an emotional problem than other older blue-collar workers. The high rate of chronic lung disease is most likely related to on-the-job dust exposure, while the increased risk of emotional disorders might be due to the dynamics of the construction labor market. Sentence B: This article describes the workshop ""Teaching Child Psychiatric Assessment Skills: Using Mental Health Screening Instruments,"" presented at the 35th Forum for Behavioral Sciences in Family Medicine on 20 September 2014. The goals of the presentation were (1) to teach family medicine behavioral health educators to use both general and problem-specific mental health screening tools (MHSTs) in their work with trainees to help satisfy the Accreditation Council for Graduate Medical Education (ACGME) mandate for behavioral and mental health experience during family medicine residency, (2) to reflect on how MHSTs might be integrated into the flow of family medicine teaching practices, and (3) to exemplify how evidence-based methods of adult education might be used in teaching such content. One general MHST, the Pediatric Symptom Checklist-17 and one problem-specific MHST for each of the four commonest pediatric mental health issues: for attention-deficit hyperactivity disorder, the Vanderbilt; for Anxiety, the Screen for Childhood Anxiety-Related Emotional Disorders; for Depression, the Patient Health Questionnaire-9 for teens; and for Aggression, the Retrospective-Modified Overt Aggression Scale, were practiced at least twice in the context of a clinical vignette. All of the selected MHSTs are free in the public domain and available for download from the website: www.CAPPCNY.org. Participants were asked to reflect on their own office practice characteristics and consider how MHSTs might be integrated into their systems of care. This workshop could be replicated by others wishing to teach the use of MHSTs in primary care settings or teaching programs. ###Answer 1. Changed Explanation: In Sentence A, the target word ""emotional disorders"" is used in the context of construction workers being more susceptible to such disorders due to the nature of their work. The word carries a negative connotation, implying ailments that can impact an individual's quality of life. In contrast, in Sentence B, the target word ""emotional disorders"" is used in the context of teaching medical professionals how to assess and diagnose mental health issues in children. The word is used in a more neutral sense, without any negative connotation. Therefore, semantic drift has occurred in the meaning of the target word ""emotional disorders"" between Sentence A and Sentence B. The word has shifted from implying a negative condition to a more neutral term used in a different context." 28,Emotional disorders,"The impact and course of additional diagnoses was examined in 126 patients undergoing cognitive-behavioral treatment for panic disorder. With the Anxiety Disorders Interview Schedule--Revised, a high comorbidity rate (51%) was observed at pretreatment. Pretreatment comorbidity was not predictive of premature termination, nor did it have a substantial impact on short-term treatment outcome. However, patients with comorbidity at posttreatment were more likely to have sought additional treatment over the follow-up interval. Although a significant and dramatic decline in the overall comorbidity rate was found at posttreatment (17%), at 24-month follow-up this rate had increased to a level (30.2%) that was no longer significantly different from pretreatment. This was despite the fact that patients maintained or improved on treatment gains for panic disorder over this interval. The implications of these findings for the treatment, conceptualization, and classification of emotional disorders are discussed.","Stressful stimuli can exacerbate persistent pain disorder. However, the underlying mechanism is still unknown. Here, to reveal the underlying mechanism for stressful stimuli-induced hyperalgesia in chronic pain, we investigated the effect of extracellular signal-regulated kinase1/2 (ERK1/2) activation on pain hypersensitivity using single-prolonged stress (SPS) model, complete Freund's adjuvant (CFA) model and SPS + CFA model. The experimental results revealed significantly reduced paw withdrawal threshold in the SPS, CFA, and SPS + CFA group compared with the control group. However, the increased phosphorylation of ERK1/2 in the medial prefrontal cortex (mPFC) was observed in the SPS- or SPS + CFA-exposed group but not the CFA group compared with control group. There was also a significant increase in mPFC ERK1/2 phosphorylation and mechanical allodynia after SPS + CFA treatment compared to SPS or CFA treatment alone. Furthermore, inhibiting ERK1/2 phosphorylation by microinjection of U0126, a MAPK kinase (MEK) inhibitor, into the mPFC attenuated SPS + CFA- and SPS- but not CFA-induced mechanical allodynia, anxiety-like behavior, and cognitive impairments. These results suggest that the activation of ERK1/2 in the mPFC may contribute to the process of stress-induced cognitive and emotional disorders, leading to an increase in pain sensitivity.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Emotional disorders Sentence A: The impact and course of additional diagnoses was examined in 126 patients undergoing cognitive-behavioral treatment for panic disorder. With the Anxiety Disorders Interview Schedule--Revised, a high comorbidity rate (51%) was observed at pretreatment. Pretreatment comorbidity was not predictive of premature termination, nor did it have a substantial impact on short-term treatment outcome. However, patients with comorbidity at posttreatment were more likely to have sought additional treatment over the follow-up interval. Although a significant and dramatic decline in the overall comorbidity rate was found at posttreatment (17%), at 24-month follow-up this rate had increased to a level (30.2%) that was no longer significantly different from pretreatment. This was despite the fact that patients maintained or improved on treatment gains for panic disorder over this interval. The implications of these findings for the treatment, conceptualization, and classification of emotional disorders are discussed. Sentence B: Stressful stimuli can exacerbate persistent pain disorder. However, the underlying mechanism is still unknown. Here, to reveal the underlying mechanism for stressful stimuli-induced hyperalgesia in chronic pain, we investigated the effect of extracellular signal-regulated kinase1/2 (ERK1/2) activation on pain hypersensitivity using single-prolonged stress (SPS) model, complete Freund's adjuvant (CFA) model and SPS + CFA model. The experimental results revealed significantly reduced paw withdrawal threshold in the SPS, CFA, and SPS + CFA group compared with the control group. However, the increased phosphorylation of ERK1/2 in the medial prefrontal cortex (mPFC) was observed in the SPS- or SPS + CFA-exposed group but not the CFA group compared with control group. There was also a significant increase in mPFC ERK1/2 phosphorylation and mechanical allodynia after SPS + CFA treatment compared to SPS or CFA treatment alone. Furthermore, inhibiting ERK1/2 phosphorylation by microinjection of U0126, a MAPK kinase (MEK) inhibitor, into the mPFC attenuated SPS + CFA- and SPS- but not CFA-induced mechanical allodynia, anxiety-like behavior, and cognitive impairments. These results suggest that the activation of ERK1/2 in the mPFC may contribute to the process of stress-induced cognitive and emotional disorders, leading to an increase in pain sensitivity. ###Answer 1. Changed Reasoning: In Sentence A, the term ""emotional disorders"" is used to describe patients undergoing cognitive-behavioral treatment for panic disorder. The sentence does not provide any specific information about the meaning of the term, other than its general association with mental health issues. However, in Sentence B, the term ""emotional disorders"" is used in the context of stress-induced hyperalgesia and the underlying mechanism for stressful stimuli-induced hyperalgesia in chronic pain. The sentence provides specific information about the meaning of the term, highlighting its association with cognitive and emotional impairments. Therefore, based on the context and meaning provided in each sentence, it can be determined that the term ""emotional disorders"" has undergone a significant change in meaning between Sentence A and Sentence B. In Sentence A, the term is used more broadly to describe patients with mental health issues, while in Sentence B, the term is used specifically to describe cognitive and emotional impairments related to stress and pain. Therefore, the label ""Changed"" is appropriate to indicate that the meaning of the term ""emotional disorders"" has shifted over time." 29,Emotional disorders,"Thirty patients with a diagnosis of panic disorder with agoraphobia and 30 normal controls were compared on explicit memory (cued recall) and implicit memory (word stem completion) for positive, neutral, social threat, and physical threat words. The panic patients showed an explicit memory bias, but no implicit memory bias, for physical threat words. The index of explicit memory bias for physical threat words was found to correlate with anxiety sensitivity and degree of agoraphobic fear and avoidance. The index of baseline bias for threat words on the word completion task, on the other hand, correlated with trait anxiety. Although there were no correlations between explicit and implicit memory bias for physical threat words, explicit memory bias for physical threat words correlated with explicit memory bias indexes for positive words and social threat words. The results are discussed in terms of the functional role of an explicit memory bias for physically threatening events in panic disorder. The negative results on implicit memory bias are discussed in relation to earlier studies, the use of different implicit memory tasks, and the role of baseline bias on implicit memory tasks. Finally, the hypothesis is suggested that explicit and implicit memory bias for emotional information may represent two different styles of information processing, which serve as vulnerability factors for different emotional disorders.","Despite being an intensive area of research, the function of the anterior cingulate cortex (ACC) remains somewhat of a mystery. Human imaging studies implicate the ACC in various cognitive functions, yet surgical ACC lesions used to treat emotional disorders have minimal lasting effects on cognition. An alternative view is that ACC regulates autonomic states, consistent with its interconnectivity with autonomic control regions and that stimulation evokes changes in autonomic/emotional states. At the cellular level, ACC neurons are highly multi-modal and promiscuous, and can represent a staggering array of task events. These neurons nevertheless combine to produce highly event-specific ensemble patterns that likely alter activity in downstream regions controlling emotional and autonomic tone. Since neuromodulators regulate the strength of the ensemble activity patterns, they would regulate the impact these patterns have on downstream targets. Through these mechanisms, the ACC may determine how strongly to react to the very events its ensembles represent. Pathologies arise when specific event-related representations gain excessive control over autonomic/emotional states.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Emotional disorders Sentence A: Thirty patients with a diagnosis of panic disorder with agoraphobia and 30 normal controls were compared on explicit memory (cued recall) and implicit memory (word stem completion) for positive, neutral, social threat, and physical threat words. The panic patients showed an explicit memory bias, but no implicit memory bias, for physical threat words. The index of explicit memory bias for physical threat words was found to correlate with anxiety sensitivity and degree of agoraphobic fear and avoidance. The index of baseline bias for threat words on the word completion task, on the other hand, correlated with trait anxiety. Although there were no correlations between explicit and implicit memory bias for physical threat words, explicit memory bias for physical threat words correlated with explicit memory bias indexes for positive words and social threat words. The results are discussed in terms of the functional role of an explicit memory bias for physically threatening events in panic disorder. The negative results on implicit memory bias are discussed in relation to earlier studies, the use of different implicit memory tasks, and the role of baseline bias on implicit memory tasks. Finally, the hypothesis is suggested that explicit and implicit memory bias for emotional information may represent two different styles of information processing, which serve as vulnerability factors for different emotional disorders. Sentence B: Despite being an intensive area of research, the function of the anterior cingulate cortex (ACC) remains somewhat of a mystery. Human imaging studies implicate the ACC in various cognitive functions, yet surgical ACC lesions used to treat emotional disorders have minimal lasting effects on cognition. An alternative view is that ACC regulates autonomic states, consistent with its interconnectivity with autonomic control regions and that stimulation evokes changes in autonomic/emotional states. At the cellular level, ACC neurons are highly multi-modal and promiscuous, and can represent a staggering array of task events. These neurons nevertheless combine to produce highly event-specific ensemble patterns that likely alter activity in downstream regions controlling emotional and autonomic tone. Since neuromodulators regulate the strength of the ensemble activity patterns, they would regulate the impact these patterns have on downstream targets. Through these mechanisms, the ACC may determine how strongly to react to the very events its ensembles represent. Pathologies arise when specific event-related representations gain excessive control over autonomic/emotional states. ###Answer 1. Changed Explanation: In Sentence A, the target word ""emotional disorders"" is used to describe a specific clinical condition (panic disorder with agoraphobia) and is associated with explicit memory bias. The word has a clear and specific meaning in this context, related to the diagnosis and treatment of mental health disorders. In Sentence B, the target word ""emotional disorders"" is used in a different context, to describe a more general function of the anterior cingulate cortex (ACC) in regulating autonomic states. The meaning of the word has shifted to encompass a broader range of cognitive and neural functions, and is no longer specifically tied to mental health disorders. Therefore, semantic drift has occurred in the meaning of the target word ""emotional disorders"" between Sentence A and Sentence B, and the label ""Changed"" is appropriate." 30,Emotional disorders,"The reliability of current and lifetime Diagnostic and Statistical Manual of Mental Disorders (4th ed.; DSM-IV; American Psychiatric Association, 1994) anxiety and mood disorders was examined in 362 outpatients who underwent 2 independent administrations of the Anxiety Disorders Interview Schedule for DSM-IV: Lifetime version (ADIS-IV-L). Good to excellent reliability was obtained for the majority of DSM-IV categories. For many disorders, a common source of unreliability was disagreements on whether constituent symptoms were sufficient in number, severity, or duration to meet. DSM-IV diagnostic criteria. These analyses also highlighted potential boundary problems for some disorders (e.g., generalized anxiety disorder and major depressive disorder). Analyses of ADIS-IV-L clinical ratings (0-8 scales) indicated favorable interrater agreement for the dimensional features of DSM-IV anxiety and mood disorders. The findings are discussed in regard to their implications for the classification of emotional disorders.","The brain has the ability to sense, coordinate, and respond to environmental changes through biological processes involving activity-dependent gene expression. cAMP-response element binding protein (CREB)-regulated transcription coactivators (CRTCs) have recently emerged as novel transcriptional regulators of essential biological functions, while their deregulation is linked to age-related human diseases. In the brain, CRTCs are unique signaling factors that act as sensors and integrators of hormonal, metabolic, and neural signals contributing to brain plasticity and brain-body communication. In this review, we focus on the regulatory mechanisms and functions of CRTCs in brain metabolism, lifespan, circadian rhythm, and synaptic mechanisms underlying memory and emotion. We also discuss how CRTCs deregulation in cognitive and emotional disorders may provide the basis for potential clinical and therapeutic applications in neurodegenerative and psychiatric diseases.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Emotional disorders Sentence A: The reliability of current and lifetime Diagnostic and Statistical Manual of Mental Disorders (4th ed.; DSM-IV; American Psychiatric Association, 1994) anxiety and mood disorders was examined in 362 outpatients who underwent 2 independent administrations of the Anxiety Disorders Interview Schedule for DSM-IV: Lifetime version (ADIS-IV-L). Good to excellent reliability was obtained for the majority of DSM-IV categories. For many disorders, a common source of unreliability was disagreements on whether constituent symptoms were sufficient in number, severity, or duration to meet. DSM-IV diagnostic criteria. These analyses also highlighted potential boundary problems for some disorders (e.g., generalized anxiety disorder and major depressive disorder). Analyses of ADIS-IV-L clinical ratings (0-8 scales) indicated favorable interrater agreement for the dimensional features of DSM-IV anxiety and mood disorders. The findings are discussed in regard to their implications for the classification of emotional disorders. Sentence B: The brain has the ability to sense, coordinate, and respond to environmental changes through biological processes involving activity-dependent gene expression. cAMP-response element binding protein (CREB)-regulated transcription coactivators (CRTCs) have recently emerged as novel transcriptional regulators of essential biological functions, while their deregulation is linked to age-related human diseases. In the brain, CRTCs are unique signaling factors that act as sensors and integrators of hormonal, metabolic, and neural signals contributing to brain plasticity and brain-body communication. In this review, we focus on the regulatory mechanisms and functions of CRTCs in brain metabolism, lifespan, circadian rhythm, and synaptic mechanisms underlying memory and emotion. We also discuss how CRTCs deregulation in cognitive and emotional disorders may provide the basis for potential clinical and therapeutic applications in neurodegenerative and psychiatric diseases. ###Answer 1. Changed Reasoning: In Sentence A, the target word ""emotional disorders"" is used in the context of diagnosing mental health conditions according to the DSM-IV criteria. The sentence highlights potential boundary problems for some disorders, such as generalized anxiety disorder and major depressive disorder. The focus is on the classification of emotional disorders and the implications for diagnosis. In Sentence B, the target word ""emotional disorders"" is used in a different context, referring to the brain's ability to sense, coordinate, and respond to environmental changes through biological processes involving activity-dependent gene expression. The sentence discusses the regulatory mechanisms and functions of CRTCs in brain metabolism, lifespan, circadian rhythm, and synaptic mechanisms underlying memory and emotion. The focus is on the role of CRTCs in brain function and their potential deregulation in cognitive and emotional disorders. Based on these contexts, it is clear that the meaning of the target word ""emotional disorders"" has shifted significantly between the two sentences. In Sentence A, the term is used in the context of psychiatry and mental health diagnosis, while in Sentence B, it is used in the context of neuroscience and brain function. The shift in meaning indicates semantic drift has occurred." 31,Emotional disorders," A nonlinear dynamical modeling of interaction between automatic and conscious processes in the brain is described. Effects of sensations, emotions and reflections on the electromagnetic activity of the brain are represented in terms of quanternion field. ","Cutaneous pseudolymphoma (C-PSL) is defined as reactive polyclonal benign lymphoproliferative process predominantly composed of either B-cells or T-cells, localized or disseminated. It heals spontaneously after cessation of the causative factor (e.g. drugs) or after non-aggressive treatment. The author herein presents a case of C-PSL with an immunohistochemical study. A 78-year-old man consulted our hospital because of slightly itching skin swelling on the arm. He denied insect bite and traumatic injury. His usual intake drugs were drugs of hypertension, hyperlipidemia, diabetes mellitus, and emotional disorders. Physical examination showed mildly erosive swelling of the am. The lesion measured 1 x 1 x 0.2 cm. Biopsy of the lesion was taken, and it revealed excessive proliferation of small lymphoid cells. The lymphoid cells lacked apparent atypical features and appeared matures. Lymphoblastic cells with nucleoli were scattered. Nodular structures were also seen in the lower dermis. Immunohistochemically, the lymphoid cells were positive for vimentin, CD3, CD4, CD5, CD8, CD10, CD15, CD20, CD23, CD30, CD43, CD38, CD138, CD45RO, CD79α, bcl-2, bcl-6, κ-chain, λ-chain, and Ki-67 (labeling index=7%). No light chain restriction is seen. The lymphoblastic cells were positively labeled for CD15 and CD30. Plasma cells positive for CD38, CK79α and CD138 were seen in a significant amounts. They were negative for cytokeratin (CK) CAM5.2, CKAE1/3, CK34BE12, CK5/6, CK7, CK8, CK18, CK19, CK20, EMA, CEA, CD56, CD57, p53, KIT, PDGFRA, and cyclin D1. Because the constituent cells were both B-cells including plasm cells and T-cells, no light-chain restriction was seen, and no histological atypia was seen, a diagnosis of cutaneous pseudolymphoma was made. The low Ki-67 labeling and negative p53 also suggested the diagnosis. The lesion slightly reduced in size (from 1 cm to 0.7 cm), the causative agent was still unknown 11 months after the biopsy.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Emotional disorders Sentence A: A nonlinear dynamical modeling of interaction between automatic and conscious processes in the brain is described. Effects of sensations, emotions and reflections on the electromagnetic activity of the brain are represented in terms of quanternion field. Sentence B: Cutaneous pseudolymphoma (C-PSL) is defined as reactive polyclonal benign lymphoproliferative process predominantly composed of either B-cells or T-cells, localized or disseminated. It heals spontaneously after cessation of the causative factor (e.g. drugs) or after non-aggressive treatment. The author herein presents a case of C-PSL with an immunohistochemical study. A 78-year-old man consulted our hospital because of slightly itching skin swelling on the arm. He denied insect bite and traumatic injury. His usual intake drugs were drugs of hypertension, hyperlipidemia, diabetes mellitus, and emotional disorders. Physical examination showed mildly erosive swelling of the am. The lesion measured 1 x 1 x 0.2 cm. Biopsy of the lesion was taken, and it revealed excessive proliferation of small lymphoid cells. The lymphoid cells lacked apparent atypical features and appeared matures. Lymphoblastic cells with nucleoli were scattered. Nodular structures were also seen in the lower dermis. Immunohistochemically, the lymphoid cells were positive for vimentin, CD3, CD4, CD5, CD8, CD10, CD15, CD20, CD23, CD30, CD43, CD38, CD138, CD45RO, CD79α, bcl-2, bcl-6, κ-chain, λ-chain, and Ki-67 (labeling index=7%). No light chain restriction is seen. The lymphoblastic cells were positively labeled for CD15 and CD30. Plasma cells positive for CD38, CK79α and CD138 were seen in a significant amounts. They were negative for cytokeratin (CK) CAM5.2, CKAE1/3, CK34BE12, CK5/6, CK7, CK8, CK18, CK19, CK20, EMA, CEA, CD56, CD57, p53, KIT, PDGFRA, and cyclin D1. Because the constituent cells were both B-cells including plasm cells and T-cells, no light-chain restriction was seen, and no histological atypia was seen, a diagnosis of cutaneous pseudolymphoma was made. The low Ki-67 labeling and negative p53 also suggested the diagnosis. The lesion slightly reduced in size (from 1 cm to 0.7 cm), the causative agent was still unknown 11 months after the biopsy. ###Answer 1. Changed Reasoning: The target word ""emotional disorders"" has undergone a significant change in meaning between the two sentences. In Sentence A, the term is used in the context of nonlinear dynamical modeling of brain processes, and it does not convey any negative connotations or associations with mental illness. In Sentence B, the term is used to describe a specific type of cutaneous pseudolymphoma, a benign lymphoproliferative disorder, and it is associated with negative connotations of emotional distress or mental illness. Therefore, the meaning of the target word has significantly shifted between the two timestamps, indicating semantic drift." 32,Emotional disorders,"A consecutive series of school age children (7 to 16 years) with emotional disorders (N = 100) were compared with a series of community controls (N = 100) matched for age, sex and social class for the quality of their friendships. A semi-structured interview was developed to measure the quality of friendship for this purpose. Significantly more (48%) children with emotional disorder were likely to be rated as experiencing moderate to poor friendships in the 12 months prior to the onset of symptoms than were controls (16%) in the 12 months prior to interview. Prepubertal children with moderate to poor friendship patterns were classified as either predominantly anxious or depressed. Postpubertal children with moderate to poor friendships patterns were, in contrast, predominantly anxious. These findings suggest that puberty denotes a point of change for the impact of friendship deficits on the psychopathology of emotional disorder. There were no sex differences in the clinical classification of children with moderate or poor friendship patterns.","Maternal separation (MS), an early life stressful event, has been demonstrated to trigger neuropsychiatric disorders later in life, in particular depression. Experiments using rodents subjected to MS protocols have been very informative for the establishment of this association. However, the mechanism by which MS leads to neuropsychiatric disorders is far from being understood. This is probably associated with the multifactorial nature of depression but also with the fact that different research MS protocols have been used (that vary on temporal windows and time of exposure to MS). In the present study, MS was induced in rats in two developmental periods: for 6 h per day for 14 days between postnatal days 2-15 (MS2-15) and 7-20 (MS7-20). These two periods were defined to differ essentially on the almost complete (MS2-15) or partial (MS7-20) overlap with the stress hypo-responsive period. Behavioral, immunological, and endocrine parameters, frequently associated with depressive-like behavior, were analyzed in adulthood. Irrespectively from the temporal window, both MS exposure periods led to increased sera corticosterone levels. However, only MS2-15 animals displayed depressive and anxious-like behaviors. Moreover, MS2-15 was also the only group presenting alterations in the immune system, displaying decreased percentage of CD8(+) T cells, increased spleen T cell CD4/CD8 ratio, and thymocytes with increased resistance to dexamethasone-induced cell death. A linear regression model performed to predict depressive-like behavior showed that both corticosterone levels and T cell CD4/CD8 ratio explained 37% of the variance observed in depressive-like behavior. Overall, these findings highlight the existence of ""critical periods"" for early life stressful events to exert programing effects on both central and peripheral systems, which are of relevance for distinct patterns of susceptibility to emotional disorders later in life. ","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Emotional disorders Sentence A: A consecutive series of school age children (7 to 16 years) with emotional disorders (N = 100) were compared with a series of community controls (N = 100) matched for age, sex and social class for the quality of their friendships. A semi-structured interview was developed to measure the quality of friendship for this purpose. Significantly more (48%) children with emotional disorder were likely to be rated as experiencing moderate to poor friendships in the 12 months prior to the onset of symptoms than were controls (16%) in the 12 months prior to interview. Prepubertal children with moderate to poor friendship patterns were classified as either predominantly anxious or depressed. Postpubertal children with moderate to poor friendships patterns were, in contrast, predominantly anxious. These findings suggest that puberty denotes a point of change for the impact of friendship deficits on the psychopathology of emotional disorder. There were no sex differences in the clinical classification of children with moderate or poor friendship patterns. Sentence B: Maternal separation (MS), an early life stressful event, has been demonstrated to trigger neuropsychiatric disorders later in life, in particular depression. Experiments using rodents subjected to MS protocols have been very informative for the establishment of this association. However, the mechanism by which MS leads to neuropsychiatric disorders is far from being understood. This is probably associated with the multifactorial nature of depression but also with the fact that different research MS protocols have been used (that vary on temporal windows and time of exposure to MS). In the present study, MS was induced in rats in two developmental periods: for 6 h per day for 14 days between postnatal days 2-15 (MS2-15) and 7-20 (MS7-20). These two periods were defined to differ essentially on the almost complete (MS2-15) or partial (MS7-20) overlap with the stress hypo-responsive period. Behavioral, immunological, and endocrine parameters, frequently associated with depressive-like behavior, were analyzed in adulthood. Irrespectively from the temporal window, both MS exposure periods led to increased sera corticosterone levels. However, only MS2-15 animals displayed depressive and anxious-like behaviors. Moreover, MS2-15 was also the only group presenting alterations in the immune system, displaying decreased percentage of CD8(+) T cells, increased spleen T cell CD4/CD8 ratio, and thymocytes with increased resistance to dexamethasone-induced cell death. A linear regression model performed to predict depressive-like behavior showed that both corticosterone levels and T cell CD4/CD8 ratio explained 37% of the variance observed in depressive-like behavior. Overall, these findings highlight the existence of ""critical periods"" for early life stressful events to exert programing effects on both central and peripheral systems, which are of relevance for distinct patterns of susceptibility to emotional disorders later in life. ###Answer 1. Changed Reasoning: In Sentence A, the term ""emotional disorders"" is used to describe a specific set of conditions, including anxiety and depression, that are characterized by difficulties in emotional regulation and social interactions. The passage highlights the importance of early life stressful events, such as maternal separation, in the development of these disorders. The authors suggest that a critical period for the impact of early life stress on emotional disorders is between pre- and post-puberty, as this is when the effects of stress on the brain and behavior become more pronounced. In Sentence B, the term ""emotional disorders"" is used in a slightly different context. The passage highlights the impact of early life stress on the development of neuropsychiatric disorders, including depression, in adulthood. The authors suggest that different developmental periods, such as between postnatal days 2-15 and 7-20, may have different effects on the brain and behavior, with the former period leading to increased corticosterone levels and depressive-like behaviors, and the latter period leading to alterations in the immune system. Based on these differences in context and meaning, it is clear that the term ""emotional disorders"" has undergone a significant change in meaning between Sentence A and Sentence B. In Sentence A, the term is used to describe specific conditions related to emotional regulation and social interactions, while in Sentence B, the term is used more broadly to describe the impact of early life stress on the development of neuropsychiatric disorders in adulthood. Therefore, the label ""Changed"" is appropriate for this task." 33,Emotional disorders,"In a retrospective design, 20 children and adolescents with psychoses of late onset and hallucinations were compared with 20 children with conduct or emotional disorders who also had hallucinations. Marked differences emerged between the two groups. Psychotic subjects showed significantly more delusions, abnormalities in language production, inappropriate affect, bizarre behaviour, hypoactivity, and social withdrawal. Some subjects had symptoms which indicated a specially profound breakdown in personality functioning, but schneiderian and other schizophrenic symptoms were relatively rare. This questions their diagnostic value in the psychoses of late onset of children and adolescents.","Significant changes in the economic, familial and social support aspects in India have occurred in recent times, making it an interesting naturalistic setting to observe the effects of a dynamic socioeconomic environment on behavioral and emotional disorders in adolescents.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Emotional disorders Sentence A: In a retrospective design, 20 children and adolescents with psychoses of late onset and hallucinations were compared with 20 children with conduct or emotional disorders who also had hallucinations. Marked differences emerged between the two groups. Psychotic subjects showed significantly more delusions, abnormalities in language production, inappropriate affect, bizarre behaviour, hypoactivity, and social withdrawal. Some subjects had symptoms which indicated a specially profound breakdown in personality functioning, but schneiderian and other schizophrenic symptoms were relatively rare. This questions their diagnostic value in the psychoses of late onset of children and adolescents. Sentence B: Significant changes in the economic, familial and social support aspects in India have occurred in recent times, making it an interesting naturalistic setting to observe the effects of a dynamic socioeconomic environment on behavioral and emotional disorders in adolescents. ###Answer 1. Changed Reasoning: In Sentence A, the term ""emotional disorders"" is used to describe a specific set of symptoms (delusions, abnormalities in language production, inappropriate affect, bizarre behavior, hypoactivity, and social withdrawal) that are associated with psychoses in children and adolescents. The term is used in a clinical context to differentiate these symptoms from those of schizophrenia. In Sentence B, the term ""emotional disorders"" is used more broadly to describe a range of behavioral and emotional problems that are impacted by the dynamic socioeconomic environment in India. The term does not carry the same clinical connotations as in Sentence A, and instead seems to be used more descriptively to capture the impact of environmental factors on adolescent behavior. Therefore, the meaning of the term ""emotional disorders"" has changed significantly between the two sentences, indicating semantic drift." 34,Emotional disorders,"Psychosomatic dermatology is practiced in some manner by every dermatologist. In spite of this, there has been a virtual void in the literature from the middle 1950s until the present time. The relationship to physiologic phenomena, as well as a classification of psychosomatic dermatology, is reviewed. Dermatologic patients are divided into three groups: the primary group in which the emotional disorder is the primary disease and the cutaneous disorder merely part of its expression; the secondary group in which the basic cause is organic but does not affect the person emotionally in various degrees; and the collaborative group in which the organic causes and emotional disorders combine in different degrees to cause the skin disorder. This paper discusses anxiety and depression along with methods of dermatologic psychosomatic therapy consisting of antianxiety drugs, especially the benzodiazepines, antidepressants, hypnosis, behavior therapy, and the doctor/patient rapport. We conclude that one of the objectives for every dermatologist is to treat the entire patient-the psyche along with the soma.","The cognitive behavioral interventions based on the transdiagnostic approach for emotional disorders have received useful empirical supports in recent years. Most of the researches on this area have been conducted without any control group. Moreover, little information about comparative effectiveness has reported. The current study was compared transdiagnostic group therapy with classical cognitive group therapy.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Emotional disorders Sentence A: Psychosomatic dermatology is practiced in some manner by every dermatologist. In spite of this, there has been a virtual void in the literature from the middle 1950s until the present time. The relationship to physiologic phenomena, as well as a classification of psychosomatic dermatology, is reviewed. Dermatologic patients are divided into three groups: the primary group in which the emotional disorder is the primary disease and the cutaneous disorder merely part of its expression; the secondary group in which the basic cause is organic but does not affect the person emotionally in various degrees; and the collaborative group in which the organic causes and emotional disorders combine in different degrees to cause the skin disorder. This paper discusses anxiety and depression along with methods of dermatologic psychosomatic therapy consisting of antianxiety drugs, especially the benzodiazepines, antidepressants, hypnosis, behavior therapy, and the doctor/patient rapport. We conclude that one of the objectives for every dermatologist is to treat the entire patient-the psyche along with the soma. Sentence B: The cognitive behavioral interventions based on the transdiagnostic approach for emotional disorders have received useful empirical supports in recent years. Most of the researches on this area have been conducted without any control group. Moreover, little information about comparative effectiveness has reported. The current study was compared transdiagnostic group therapy with classical cognitive group therapy. ###Answer 1. Changed Explanation: In Sentence A, the term ""emotional disorders"" is used to describe various mental health conditions, including anxiety and depression. The sentence also mentions the importance of treating the ""psyche along with the soma"" in dermatology practice. This suggests that the term ""emotional disorders"" in this context refers to mental health issues that are closely tied to the patient's emotional state. In Sentence B, the term ""emotional disorders"" is used in a different context. The sentence mentions the transdiagnostic approach for treating emotional disorders, which suggests a broader definition of the term. The sentence also mentions cognitive behavioral interventions and comparative effectiveness, which suggests that the term ""emotional disorders"" in this context refers to a broader range of mental health issues that affect an individual's thoughts, feelings, and behaviors. Based on these differences in context, it can be concluded that the term ""emotional disorders"" has undergone a significant change in meaning between Sentence A and Sentence B. In Sentence A, the term refers to specific mental health conditions that are closely tied to the patient's emotional state. In Sentence B, the term refers to a broader range of mental health issues that affect an individual's thoughts, feelings, and behaviors. Therefore, the label ""Changed"" is appropriate for this task." 35,Emotional disorders,"A prospective study of 48 patients with pituitary adenomas, 19 adenomas causing Cushing's disease, 18 adenomas causing acromegaly, and 11 clinically hormone-inactive adenomas (inactive adenomas), was performed to study emotional disorders occurring before and after transsphenoidal microsurgery. Factors which led to an obvious delay in the diagnostic process were identified. - The tools utilised were an interview and repeated personality assessments. The personality assessments were begun preoperatively and continued for about half a year postoperatively. The interview data, including retrospective statements regarding somatic difficulties, was analysed. - The thesis of a uniform psychopathology due to the influence of elevated hormone levels, and a lack in patients' sensitivity towards their changed appearance in acromegaly could not be confirmed. A high variability of reported emotional problems was found. The most common psychopathological signs for Cushing's disease were excitability and depression, for acromegaly fatigue/loss of energy was the most frequent complaint. Six to eight months postoperatively, a majority of patients noticed an increase of physical well-being. In acromegaly, the time span between first consultation and diagnosis averaged 6.2 years, in Cushing's disease it was 4.3 years, and in inactive adenomas it was 3.9 years. Only a small part of the delay in diagnosis, less than two years, could be attributed to the patients' hesitation to consult a physician.","The global emergency produced by COVID-19 has been a turning point for health organizations. Healthcare professionals have been exposed to high levels of stress and workload. Close contact with infected patients and the infectious capacity of COVID-19 mean that this group is especially vulnerable to contagion. In various countries, the Fear of COVID-19 Scale has been shown to be a fast and reliable tool. Early detection of fear complements clinical efforts to prevent emotional disorders. Thus, concepts focused on positive occupational health, such as Job Crafting or psychological empowerment (PE), have been examined as a tool to prevent mental health problems at work. In this work, we intended to adapt and validate the 7-item Fear of COVID-19 Scale in health workers (","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Emotional disorders Sentence A: A prospective study of 48 patients with pituitary adenomas, 19 adenomas causing Cushing's disease, 18 adenomas causing acromegaly, and 11 clinically hormone-inactive adenomas (inactive adenomas), was performed to study emotional disorders occurring before and after transsphenoidal microsurgery. Factors which led to an obvious delay in the diagnostic process were identified. - The tools utilised were an interview and repeated personality assessments. The personality assessments were begun preoperatively and continued for about half a year postoperatively. The interview data, including retrospective statements regarding somatic difficulties, was analysed. - The thesis of a uniform psychopathology due to the influence of elevated hormone levels, and a lack in patients' sensitivity towards their changed appearance in acromegaly could not be confirmed. A high variability of reported emotional problems was found. The most common psychopathological signs for Cushing's disease were excitability and depression, for acromegaly fatigue/loss of energy was the most frequent complaint. Six to eight months postoperatively, a majority of patients noticed an increase of physical well-being. In acromegaly, the time span between first consultation and diagnosis averaged 6.2 years, in Cushing's disease it was 4.3 years, and in inactive adenomas it was 3.9 years. Only a small part of the delay in diagnosis, less than two years, could be attributed to the patients' hesitation to consult a physician. Sentence B: The global emergency produced by COVID-19 has been a turning point for health organizations. Healthcare professionals have been exposed to high levels of stress and workload. Close contact with infected patients and the infectious capacity of COVID-19 mean that this group is especially vulnerable to contagion. In various countries, the Fear of COVID-19 Scale has been shown to be a fast and reliable tool. Early detection of fear complements clinical efforts to prevent emotional disorders. Thus, concepts focused on positive occupational health, such as Job Crafting or psychological empowerment (PE), have been examined as a tool to prevent mental health problems at work. In this work, we intended to adapt and validate the 7-item Fear of COVID-19 Scale in health workers ( ###Answer 1. Changed Explanation: In Sentence A, the target word ""emotional disorders"" is used in the context of a medical study investigating the impact of pituitary adenomas on patients' mental health. The word is used to describe a range of psychological symptoms, including excitability, depression, and fatigue/loss of energy. The sentence suggests that the study found a high variability of reported emotional problems among patients with Cushing's disease and acromegaly. In Sentence B, the target word ""emotional disorders"" is used in a different context, specifically in relation to the impact of COVID-19 on healthcare professionals. The sentence highlights the increased stress and workload faced by healthcare professionals due to close contact with infected patients, and the vulnerability of this group to contagion. The word is used to describe the fear and anxiety experienced by healthcare professionals due to the pandemic. Based on these two sentences, it is clear that the meaning of the target word ""emotional disorders"" has shifted significantly between the two timestamps. In Sentence A, the word is used to describe a range of psychological symptoms related to medical conditions, while in Sentence B, it is used to describe the fear and anxiety experienced by healthcare professionals due to a global pandemic. Therefore, I would label this target word as having undergone semantic drift, with the label ""Changed""." 36,Emotional disorders,"Health maintenance organizations serve an estimated 20 percent of the child population, approximately 12 million children, many of whom have chronic conditions or disabling conditions. These children consume a disproportionate share of health resources and represent an important challenge in terms of care management. As HMOs increasingly enroll children with private insurance and Medicaid who have various physical, developmental, behavioral, and emotional disorders, they must find new and innovative ways to provide their care. Almost one third of children are affected by chronic conditions, and a smaller percentage (6 percent) suffer from chronic disabling conditions. Seven design elements for enhancing preventive and primary care for children with chronic conditions are presented in this article with illustrative examples from HMOs and state Medicaid programs.","Many pediatricians use a broad developmental screening test as part of well-child care, but do not specifically screen for behavioral and emotional disorders. Parents at 2 urban community agencies completed both the Ages and Stages Questionnaire (ASQ-3) and the Ages and Stages Questionnaire: Social Emotional (ASQ:SE) for 608 children, ages 2 to 60 months; 51.8% in Spanish. Less than half of the children with a positive screen on the ASQ:SE would have been identified as needing additional assessment or intervention if only the ASQ-3 had been administered. Younger children with positive ASQ:SE screens were significantly less likely to be referred for mental health services compared with older children. Physicians should consider screening all young children for social-emotional and behavioral needs, and referring those identified for infant and early childhood mental health services.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Emotional disorders Sentence A: Health maintenance organizations serve an estimated 20 percent of the child population, approximately 12 million children, many of whom have chronic conditions or disabling conditions. These children consume a disproportionate share of health resources and represent an important challenge in terms of care management. As HMOs increasingly enroll children with private insurance and Medicaid who have various physical, developmental, behavioral, and emotional disorders, they must find new and innovative ways to provide their care. Almost one third of children are affected by chronic conditions, and a smaller percentage (6 percent) suffer from chronic disabling conditions. Seven design elements for enhancing preventive and primary care for children with chronic conditions are presented in this article with illustrative examples from HMOs and state Medicaid programs. Sentence B: Many pediatricians use a broad developmental screening test as part of well-child care, but do not specifically screen for behavioral and emotional disorders. Parents at 2 urban community agencies completed both the Ages and Stages Questionnaire (ASQ-3) and the Ages and Stages Questionnaire: Social Emotional (ASQ:SE) for 608 children, ages 2 to 60 months; 51.8% in Spanish. Less than half of the children with a positive screen on the ASQ:SE would have been identified as needing additional assessment or intervention if only the ASQ-3 had been administered. Younger children with positive ASQ:SE screens were significantly less likely to be referred for mental health services compared with older children. Physicians should consider screening all young children for social-emotional and behavioral needs, and referring those identified for infant and early childhood mental health services. ###Answer 1. Changed Reasoning: The target word ""emotional disorders"" has undergone a significant change in meaning between Sentence A and Sentence B. In Sentence A, the term likely refers to mental health conditions such as depression, anxiety, or bipolar disorder. In Sentence B, the term is used more broadly to refer to any social or emotional difficulty a child may be experiencing, including behavioral problems, attention issues, or difficulties with emotional regulation. This shift in meaning suggests that the term ""emotional disorders"" has undergone semantic drift." 37,Emotional disorders,"In a previous study on Evaluative Conditioning it was found that unlike signal-learning, evaluative learning is resistant to extinction. In the present experiment we tried to replicate and corroborate this finding. In addition, we investigated the effectiveness of a counterconditioning procedure to alter acquired evaluative value. On a within-subject base (n = 30), it was found that the mere contingent presentation of neutral with (dis)liked pictures of human faces was sufficient to change the affective-evaluative tone of the originally neutral stimuli in (negative) positive direction. Next, we replicated the finding that an extinction procedure does not have any influence on the acquired evaluative value of the originally neutral stimuli, and this even in subjects fully aware of the extinction presentations. We demonstrated the effectiveness of a counterconditioning procedure to alter acquired evaluative value, and in addition, found some evidence that awareness of the counterconditioning manipulations is not a prerequisite for its effectiveness. The theoretical consequences of these findings are phrased in terms of a fundamental distinction between signal-learning and evaluative learning, and some important implications for the behavioral treatment of affective-emotional disorders are suggested.","Family accommodation describes ways in which parents modify their behavior to help a child avoid or alleviate distress caused by emotional disorders. Accommodation is associated with increased symptom severity, lower functioning, and poorer treatment outcomes. Accommodation is prevalent in childhood obsessive-compulsive disorder (OCD) and anxiety disorders (ADs) but no studies have compared accommodation in these groups or compared them to healthy controls to ascertain if accommodation is prevalent in the general population. This study addresses these gaps by comparing patterns of accommodation, factors that maintain accommodation, and its relation to symptom severity in OCD and AD, relative to healthy controls.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Emotional disorders Sentence A: In a previous study on Evaluative Conditioning it was found that unlike signal-learning, evaluative learning is resistant to extinction. In the present experiment we tried to replicate and corroborate this finding. In addition, we investigated the effectiveness of a counterconditioning procedure to alter acquired evaluative value. On a within-subject base (n = 30), it was found that the mere contingent presentation of neutral with (dis)liked pictures of human faces was sufficient to change the affective-evaluative tone of the originally neutral stimuli in (negative) positive direction. Next, we replicated the finding that an extinction procedure does not have any influence on the acquired evaluative value of the originally neutral stimuli, and this even in subjects fully aware of the extinction presentations. We demonstrated the effectiveness of a counterconditioning procedure to alter acquired evaluative value, and in addition, found some evidence that awareness of the counterconditioning manipulations is not a prerequisite for its effectiveness. The theoretical consequences of these findings are phrased in terms of a fundamental distinction between signal-learning and evaluative learning, and some important implications for the behavioral treatment of affective-emotional disorders are suggested. Sentence B: Family accommodation describes ways in which parents modify their behavior to help a child avoid or alleviate distress caused by emotional disorders. Accommodation is associated with increased symptom severity, lower functioning, and poorer treatment outcomes. Accommodation is prevalent in childhood obsessive-compulsive disorder (OCD) and anxiety disorders (ADs) but no studies have compared accommodation in these groups or compared them to healthy controls to ascertain if accommodation is prevalent in the general population. This study addresses these gaps by comparing patterns of accommodation, factors that maintain accommodation, and its relation to symptom severity in OCD and AD, relative to healthy controls. ###Answer 1. Changed Reasoning: In Sentence A, the term ""emotional disorders"" is used in the context of a scientific study, specifically mentioning evaluative learning and conditioning. The term carries a neutral or even positive connotation, as it refers to a specific area of psychology. In Sentence B, the term ""emotional disorders"" is used in the context of family accommodation, which implies a negative connotation, as it refers to a child's distress caused by emotional problems. The meaning of the term has shifted from neutral to negative, indicating semantic drift." 38,Emotional disorders,"Research has shown that attempts to suppress a thought can cause an increase in the frequency of the thought. These paradoxical effects of thought suppression play a key role in cognitive-behavioral models of several emotional disorders. Laboratory studies of this phenomenon, however, have yielded mixed results; and narrative summaries of the literature have not been able to draw firm conclusions about the effects of thought suppression. We used meta-analysis to quantitatively examine the magnitude of thought suppression effects across controlled studies. Moreover, we explored whether the variability in effect sizes could be explained by methodological differences within and between studies. Results indicated a small to moderate rebound effect of thought suppression that varied in magnitude depending on the nature of the target thought and the method by which thought frequency was measured. Participants with clinical diagnoses did not show larger rebound effects than nonclinical or analogue participants, however, only a few studies included clinical samples. Findings are discussed in terms of implications for the ironic process theory of thought suppression, and avenues for future research on this phenomenon.","The Unified Protocol for Transdiagnostic Treatment of Emotional Disorders (UP) has demonstrated efficacy for treating anxiety and depression. However, there are limited effectiveness data when conducted in real-world settings with diverse populations, including those with trauma. We evaluated treatment outcomes in a naturalistic, community setting among 279 adults who received UP following Hurricane Harvey. We examined change in overall clinical severity, depression and anxiety symptoms, functional impairment, and baseline outcome predictors (i.e., demographic characteristics, impact from Hurricane Harvey, co-occurrence of depression and anxiety symptoms). Global clinical severity, depression and anxiety symptoms, and functional impairment decreased by end-of-treatment. Participants experienced global symptom improvement to a lesser degree than demonstrated in efficacy trials. Participants who experienced greater storm impact reported larger reductions in anxiety symptoms than those less impacted by Harvey. Further studies evaluating the effectiveness of the UP post-disaster and with diverse samples are needed.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Emotional disorders Sentence A: Research has shown that attempts to suppress a thought can cause an increase in the frequency of the thought. These paradoxical effects of thought suppression play a key role in cognitive-behavioral models of several emotional disorders. Laboratory studies of this phenomenon, however, have yielded mixed results; and narrative summaries of the literature have not been able to draw firm conclusions about the effects of thought suppression. We used meta-analysis to quantitatively examine the magnitude of thought suppression effects across controlled studies. Moreover, we explored whether the variability in effect sizes could be explained by methodological differences within and between studies. Results indicated a small to moderate rebound effect of thought suppression that varied in magnitude depending on the nature of the target thought and the method by which thought frequency was measured. Participants with clinical diagnoses did not show larger rebound effects than nonclinical or analogue participants, however, only a few studies included clinical samples. Findings are discussed in terms of implications for the ironic process theory of thought suppression, and avenues for future research on this phenomenon. Sentence B: The Unified Protocol for Transdiagnostic Treatment of Emotional Disorders (UP) has demonstrated efficacy for treating anxiety and depression. However, there are limited effectiveness data when conducted in real-world settings with diverse populations, including those with trauma. We evaluated treatment outcomes in a naturalistic, community setting among 279 adults who received UP following Hurricane Harvey. We examined change in overall clinical severity, depression and anxiety symptoms, functional impairment, and baseline outcome predictors (i.e., demographic characteristics, impact from Hurricane Harvey, co-occurrence of depression and anxiety symptoms). Global clinical severity, depression and anxiety symptoms, and functional impairment decreased by end-of-treatment. Participants experienced global symptom improvement to a lesser degree than demonstrated in efficacy trials. Participants who experienced greater storm impact reported larger reductions in anxiety symptoms than those less impacted by Harvey. Further studies evaluating the effectiveness of the UP post-disaster and with diverse samples are needed. ###Answer 1. Changed Reasoning: The target word ""emotional disorders"" has undergone a significant change in meaning between Sentence A (2000) and Sentence B (2020). In Sentence A, the term likely referred to specific mental health conditions such as depression, anxiety, or bipolar disorder. However, in Sentence B, the term ""emotional disorders"" is used more broadly to encompass a range of mental health issues, including those related to trauma. This broader definition suggests that the term has evolved in meaning over time, indicating semantic drift." 39,Emotional disorders,"Several aspects of a cognitive model of vulnerability to emotional disorders based on self-discrepancy theory were tested. Anxious, dysphoric, anxious/dysphoric, and control subjects participated in 3 studies over a 4-month period: screening, assessment of self-guides and self-discrepancies, and an autobiographical memory task in which different types of retrieval cues (including self-guides) were presented and subjects reported childhood memories as they came to mind. Actual:ideal discrepancy was associated with persistent dysphoria, whereas actual:ought discrepancy was associated with persistent anxiety. Self-guide cues resulted in more efficient retrieval and greater unintended negative emotional content than comparable cue types. The groups were differentiated only by negative affect content in response to self-guide cues.","Interest in the relationship between intolerance of uncertainty (IU) and emotional disorders has rapidly increased over the last decade. Early theory and research focused on the relationship between IU and generalized anxiety disorder in particular; but, the roles that IU and the underlying 'fear of the unknown' play in the development, maintenance, and treatment of a broad array of emotional disorders have been explored more recently. This introduction provides a brief overview of the contributions to the special issue, which (a) summarize our current state of knowledge, (b) describe innovative methods for assessing and increasing our understanding IU within the context of various emotions and emotional disorders, (c) investigate associations between IU and therapeutic change, and (d) propose future research directions.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Emotional disorders Sentence A: Several aspects of a cognitive model of vulnerability to emotional disorders based on self-discrepancy theory were tested. Anxious, dysphoric, anxious/dysphoric, and control subjects participated in 3 studies over a 4-month period: screening, assessment of self-guides and self-discrepancies, and an autobiographical memory task in which different types of retrieval cues (including self-guides) were presented and subjects reported childhood memories as they came to mind. Actual:ideal discrepancy was associated with persistent dysphoria, whereas actual:ought discrepancy was associated with persistent anxiety. Self-guide cues resulted in more efficient retrieval and greater unintended negative emotional content than comparable cue types. The groups were differentiated only by negative affect content in response to self-guide cues. Sentence B: Interest in the relationship between intolerance of uncertainty (IU) and emotional disorders has rapidly increased over the last decade. Early theory and research focused on the relationship between IU and generalized anxiety disorder in particular; but, the roles that IU and the underlying 'fear of the unknown' play in the development, maintenance, and treatment of a broad array of emotional disorders have been explored more recently. This introduction provides a brief overview of the contributions to the special issue, which (a) summarize our current state of knowledge, (b) describe innovative methods for assessing and increasing our understanding IU within the context of various emotions and emotional disorders, (c) investigate associations between IU and therapeutic change, and (d) propose future research directions. ###Answer 1. Changed Reasoning: The meaning of the target word ""emotional disorders"" has shifted significantly between Sentence A and Sentence B. In Sentence A, the term likely refers to a specific set of mental health conditions, such as anxiety or depression, that are characterized by excessive or irrational emotional experiences. In Sentence B, the term is used more broadly to refer to a range of emotional disorders, including generalized anxiety disorder and other conditions that are not necessarily characterized by excessive or irrational emotional experiences. This shift in meaning suggests that the term ""emotional disorders"" has undergone semantic drift over the past two decades." 40,Emotional disorders,"Children living in war zones are at high risk of developing post-traumatic stress and other emotional disorders, but little is known about the effect of traumatic events during war. We aimed to assess the nature and severity of emotional problems in Palestinian children whose homes had been bombarded and demolished during the crisis in Palestine, compared with children living in other parts of the Gaza strip.","Type 2 diabetes mellitus (T2DM) is a metabolic disorder associated with an increased incidence of cognitive and emotional disorders. Previous studies have indicated that the frontostriatal circuits play a significant role in brain disorders. However, few studies have investigated functional connectivity (FC) abnormalities in the frontostriatal circuits in T2DM.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Emotional disorders Sentence A: Children living in war zones are at high risk of developing post-traumatic stress and other emotional disorders, but little is known about the effect of traumatic events during war. We aimed to assess the nature and severity of emotional problems in Palestinian children whose homes had been bombarded and demolished during the crisis in Palestine, compared with children living in other parts of the Gaza strip. Sentence B: Type 2 diabetes mellitus (T2DM) is a metabolic disorder associated with an increased incidence of cognitive and emotional disorders. Previous studies have indicated that the frontostriatal circuits play a significant role in brain disorders. However, few studies have investigated functional connectivity (FC) abnormalities in the frontostriatal circuits in T2DM. ###Answer 1. Changed The target word ""emotional disorders"" has undergone a significant change in meaning between the two sentences. In Sentence A, the term likely refers to psychological trauma and stress disorders related to war experiences, such as post-traumatic stress disorder (PTSD). In Sentence B, the term likely refers to a broader range of mental health conditions, including depression, anxiety, and cognitive impairment, which are associated with type 2 diabetes mellitus (T2DM). The shift in meaning suggests that the term ""emotional disorders"" has drifted to encompass a wider range of conditions, indicating semantic drift has occurred." 41,Emotional disorders,Cognitive Behaviour Therapy is traditionally seen as a treatment for emotional disorders in adults. The paper argues that the technique can also be used with emotionally disturbed adolescents and younger children provided there is an awareness of cognitive and moral developmental processes and that these are taken into consideration. The paper discusses some of the advantages and excitement of using this technique with adolescents.,"One in one hundred minors has some mental health problem. Symptomatology varies according to gender. Most research has been conducted with the general population. The objective of this paper was to analyze the moderating role of sex in the presence of internalizing (emotional disorders, anxiety and depression) and externalizing symptomatology (behavioral disorders and hyperactivity) in childhood, as well as to compare the general population with the clinical population.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Emotional disorders Sentence A: Cognitive Behaviour Therapy is traditionally seen as a treatment for emotional disorders in adults. The paper argues that the technique can also be used with emotionally disturbed adolescents and younger children provided there is an awareness of cognitive and moral developmental processes and that these are taken into consideration. The paper discusses some of the advantages and excitement of using this technique with adolescents. Sentence B: One in one hundred minors has some mental health problem. Symptomatology varies according to gender. Most research has been conducted with the general population. The objective of this paper was to analyze the moderating role of sex in the presence of internalizing (emotional disorders, anxiety and depression) and externalizing symptomatology (behavioral disorders and hyperactivity) in childhood, as well as to compare the general population with the clinical population. ###Answer 1. Changed Explanation: In Sentence A, the term ""emotional disorders"" is used in a clinical context, specifically in the context of treating adolescents and younger children. The phrase suggests a clear and specific meaning, related to mental health issues that can be diagnosed and treated. In Sentence B, the term ""emotional disorders"" is used more broadly, in the context of a general population study. The phrase is not associated with any specific clinical context or diagnosis, but rather with a more general sense of mental health issues. This shift in meaning suggests that the term ""emotional disorders"" has undergone semantic drift, and its meaning has become more general and less specific. Therefore, the label ""Changed"" is appropriate." 42,Emotional disorders,"All previous reports describing alterations in emotional reactivity after amygdala damage in monkeys were based on aspiration or radiofrequency lesions which likely disrupted fibres of passage coursing to and from adjacent ventral and medial temporal cortical areas. To determine whether this associated indirect damage was responsible for some or all of the changes described earlier, we compared the changes induced by aspiration of the amygdala with those induced by fibre-sparing neurotoxic lesions. Four different stimuli, two with and two without a social component, were used to evaluate the expression of defence, aggression, submission and approach responses. In unoperated controls, defence and approach behaviours were elicited by all four stimuli, 'social' and inanimate alike, whereas aggression and submission responses occurred only in the presence of the two 'social' stimuli. Furthermore, all defence reactions were reduced with an attractive inanimate item, while freezing was selectively increased with an aversive one. Relative to controls, monkeys with neurotoxic amygdala lesions showed the same array of behavioural changes as those with aspiration lesions, i.e. reduced fear and aggression, increased submission, and excessive manual and oral exploration. Even partial neurotoxic lesions involving less than two-thirds of the amygdala significantly altered fear and manual exploration. These findings convincingly demonstrate that the amygdala is crucial for the normal regulation of emotions in monkeys. Nevertheless, because some of the symptoms observed after neurotoxic lesions were less marked than those seen after aspiration lesions, the emotional disorders described earlier after amygdalectomy in monkeys were likely exacerbated by the attendant fibre damage."," Nowadays, the experimental study of emotional learning is commonly based on classical conditioning paradigms and models, which have been thoroughly investigated in the last century. On the contrary, limited attention has been paid to the revaluation of an unconditioned stimulus (UCS), which, as experimentally observed by various researchers in the last four decades, occurs out of classical conditioning. For this reason, no analytical or quantitative theory has been developed for this phenomenon and its dynamics. Unluckily, models based on classical conditioning are unable to explain or predict important psychophysiological phenomena, such as the failure of the extinction of emotional responses in certain circumstances. In this manuscript an analytical representation of UCS revaluation learning is developed; this allows us to identify the conditions determining the ""inextinguishability"" (or resistant-to-extinction) property of emotional responses and reactions (such as those observed in evaluative conditioning, in the nonreinforcement presentation of a conditioned inhibitor, in post-traumatic stress disorders and in panic attacks). Furthermore, an analysis of the causal relation existing between classical conditioning and UCS revaluation is provided. Starting from this result, a theory of implicit emotional learning and a novel interpretation of classical conditioning are derived. Moreover, we discuss how the proposed theory can lead to the development of new methodologies for the detection and the treatment of undesired or pathological emotional responses, and can inspire animal models for resistant-to-extinction responses and reactions. ","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Emotional disorders Sentence A: All previous reports describing alterations in emotional reactivity after amygdala damage in monkeys were based on aspiration or radiofrequency lesions which likely disrupted fibres of passage coursing to and from adjacent ventral and medial temporal cortical areas. To determine whether this associated indirect damage was responsible for some or all of the changes described earlier, we compared the changes induced by aspiration of the amygdala with those induced by fibre-sparing neurotoxic lesions. Four different stimuli, two with and two without a social component, were used to evaluate the expression of defence, aggression, submission and approach responses. In unoperated controls, defence and approach behaviours were elicited by all four stimuli, 'social' and inanimate alike, whereas aggression and submission responses occurred only in the presence of the two 'social' stimuli. Furthermore, all defence reactions were reduced with an attractive inanimate item, while freezing was selectively increased with an aversive one. Relative to controls, monkeys with neurotoxic amygdala lesions showed the same array of behavioural changes as those with aspiration lesions, i.e. reduced fear and aggression, increased submission, and excessive manual and oral exploration. Even partial neurotoxic lesions involving less than two-thirds of the amygdala significantly altered fear and manual exploration. These findings convincingly demonstrate that the amygdala is crucial for the normal regulation of emotions in monkeys. Nevertheless, because some of the symptoms observed after neurotoxic lesions were less marked than those seen after aspiration lesions, the emotional disorders described earlier after amygdalectomy in monkeys were likely exacerbated by the attendant fibre damage. Sentence B: Nowadays, the experimental study of emotional learning is commonly based on classical conditioning paradigms and models, which have been thoroughly investigated in the last century. On the contrary, limited attention has been paid to the revaluation of an unconditioned stimulus (UCS), which, as experimentally observed by various researchers in the last four decades, occurs out of classical conditioning. For this reason, no analytical or quantitative theory has been developed for this phenomenon and its dynamics. Unluckily, models based on classical conditioning are unable to explain or predict important psychophysiological phenomena, such as the failure of the extinction of emotional responses in certain circumstances. In this manuscript an analytical representation of UCS revaluation learning is developed; this allows us to identify the conditions determining the ""inextinguishability"" (or resistant-to-extinction) property of emotional responses and reactions (such as those observed in evaluative conditioning, in the nonreinforcement presentation of a conditioned inhibitor, in post-traumatic stress disorders and in panic attacks). Furthermore, an analysis of the causal relation existing between classical conditioning and UCS revaluation is provided. Starting from this result, a theory of implicit emotional learning and a novel interpretation of classical conditioning are derived. Moreover, we discuss how the proposed theory can lead to the development of new methodologies for the detection and the treatment of undesired or pathological emotional responses, and can inspire animal models for resistant-to-extinction responses and reactions. ###Answer 1. Changed Reasoning: In Sentence A, the term ""emotional disorders"" is used in the context of amygdala damage and its effects on fear and aggression responses. The sentence implies that the amygdala plays a crucial role in regulating emotions, and that damage to the amygdala can lead to alterations in emotional reactivity. The term ""emotional disorders"" carries a negative connotation, suggesting that the damage may lead to pathological emotional responses. In Sentence B, the term ""emotional disorders"" is used in a different context, related to the revaluation of an unconditioned stimulus (UCS). The sentence discusses the dynamics of emotional learning and the failure of extinction in certain circumstances. The term ""emotional disorders"" carries a different connotation in this sentence, suggesting a lack of control over emotional responses. Based on the context and meaning of the term in each sentence, it is clear that the semantic drift of ""emotional disorders"" has occurred between the two timestamps. The term has shifted from a negative connotation related to pathological emotional responses to a more neutral connotation related to the dynamics of emotional learning." 43,Emotional disorders,"In a comparative study of temperament profiles of groups of 30 children each diagnosed as conduct disorders, conversion disorder, emotional disorders (according to DSM-III) and normal control, it was found that the children diagnosed as conduct disorders showed high activity and intensity of emotional response as well as negative mood, those diagnosed as conversion disorder exhibited low distractibility. The significance of various temperament variables in differing clinical outcomes is discussed.","This study evaluated the cross-ethnic measurement invariance of 2 common screening measures of anxiety and depressive symptoms in youth. The measurement invariance of the Screen for Childhood Anxiety and Related Emotional Disorders (SCARED) and the Center for Epidemiologic Studies Depression Scale (CES-D) was tested across 881 African American (Black; n = 396), Hispanic (n = 185), non-Hispanic White (White; n = 166), and Asian/Indian (n = 134) youth in the 7th grade. The measures were administered as part of a grade-wide screening to identify youth with elevated anxiety and depressive symptoms. The 5-factor model of the SCARED and the 4-factor model of the CES-D best represented the data for all ethnic groups. Results provided support for strong invariance of the SCARED across all 4 ethnic groups. Results provided support for strong invariance of the CES-D across Black, White, and Asian/Indian youth, and partial strong invariance for Hispanic youth. Overall, results suggest that factor means and total scores can be compared across groups. Factor mean differences across groups were identified for both measures. In particular, Hispanic youth reported greater levels of anxiety and depression in certain domains than White, Black, and Asian youth. Our findings support the use of the SCARED and CES-D as tools for measuring anxiety and depressive symptoms in ethnically diverse youth in the United States. Results are discussed with respect to the importance of establishing measurement invariance for screening measures of anxiety and depressive symptoms prior to comparing symptom levels across ethnic groups.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Emotional disorders Sentence A: In a comparative study of temperament profiles of groups of 30 children each diagnosed as conduct disorders, conversion disorder, emotional disorders (according to DSM-III) and normal control, it was found that the children diagnosed as conduct disorders showed high activity and intensity of emotional response as well as negative mood, those diagnosed as conversion disorder exhibited low distractibility. The significance of various temperament variables in differing clinical outcomes is discussed. Sentence B: This study evaluated the cross-ethnic measurement invariance of 2 common screening measures of anxiety and depressive symptoms in youth. The measurement invariance of the Screen for Childhood Anxiety and Related Emotional Disorders (SCARED) and the Center for Epidemiologic Studies Depression Scale (CES-D) was tested across 881 African American (Black; n = 396), Hispanic (n = 185), non-Hispanic White (White; n = 166), and Asian/Indian (n = 134) youth in the 7th grade. The measures were administered as part of a grade-wide screening to identify youth with elevated anxiety and depressive symptoms. The 5-factor model of the SCARED and the 4-factor model of the CES-D best represented the data for all ethnic groups. Results provided support for strong invariance of the SCARED across all 4 ethnic groups. Results provided support for strong invariance of the CES-D across Black, White, and Asian/Indian youth, and partial strong invariance for Hispanic youth. Overall, results suggest that factor means and total scores can be compared across groups. Factor mean differences across groups were identified for both measures. In particular, Hispanic youth reported greater levels of anxiety and depression in certain domains than White, Black, and Asian youth. Our findings support the use of the SCARED and CES-D as tools for measuring anxiety and depressive symptoms in ethnically diverse youth in the United States. Results are discussed with respect to the importance of establishing measurement invariance for screening measures of anxiety and depressive symptoms prior to comparing symptom levels across ethnic groups. ###Answer 1. Changed Reasoning: The target word ""emotional disorders"" has undergone a significant change in meaning between Sentence A (2000) and Sentence B (2020). In Sentence A, the term is used to describe a specific set of diagnoses according to the DSM-III, including conduct disorder and conversion disorder. In contrast, in Sentence B, the term is used more broadly to describe any emotional distress or disorder, regardless of the underlying cause. This shift in meaning suggests that the term ""emotional disorders"" has changed significantly over time, and therefore, semantic drift has occurred." 44,Emotional disorders,"A survey of child psychiatric disorders was conducted in a community sample of 2441 French school-aged children selected from 18 public and private schools; children attending special classes were oversampled. A two-stage survey design was used to identify disorders. Measures were the Child Behavior Checklist and the Rutter teacher scale for screening. The Isle of Wight parental interview was used in the second phase for 217 home interviews, along with the Children Global Assessment Scale as an index of impaired functioning. Response rates were excellent, and non-respondents in the screening phase were shown to have higher levels of psychopathology as gauged by their teacher scale scores. Several weights were used in the analysis to adjust for differential probabilities of selection and participation in each survey phase. The overall prevalence rate among 8-11-year-olds was estimated to be 12.4% (5.9% for more severe disorders), with roughly equal rates of disruptive and emotional disorders (6.5% and 5.9%). Prevalence was higher in boys (15.0%) than in girls (9.5%), owing to a threefold increase in their frequency of conduct disturbances. Rates of disturbance were twice as high among children with special educational needs, while no difference was found between private and public schools. The frequency of behavioural problems appeared to be similar in the urban and semi-rural subsamples.","The clinical and imaging data in 6 patients with corticobasal syndrome were retrospectively analyzed. Six patients presented asymmetric clinical symptoms, including 5 with cognitive impairment, 6 with emotional disorders, 2 with cortical sensory deficit, 5 with lalopathy, and 4 with apraxia. All patients developed limb dystonia and limb or trunk stiffness, 4 with tumble, 4 with bradykinesia, and 2 with tremor. Brain magnetic resonance imaging (MRI) showed that 4 patients had unilateral cerebral atrophy and 2 had mild atrophy of bilateral hippocampus. Localized low glucose metabolism in the unilateral cerebral lobe was seen in four patients by positron emission computed tomography (PET) examination, suggesting that PET is helpful for the diagnosis of corticobasal syndrome.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Emotional disorders Sentence A: A survey of child psychiatric disorders was conducted in a community sample of 2441 French school-aged children selected from 18 public and private schools; children attending special classes were oversampled. A two-stage survey design was used to identify disorders. Measures were the Child Behavior Checklist and the Rutter teacher scale for screening. The Isle of Wight parental interview was used in the second phase for 217 home interviews, along with the Children Global Assessment Scale as an index of impaired functioning. Response rates were excellent, and non-respondents in the screening phase were shown to have higher levels of psychopathology as gauged by their teacher scale scores. Several weights were used in the analysis to adjust for differential probabilities of selection and participation in each survey phase. The overall prevalence rate among 8-11-year-olds was estimated to be 12.4% (5.9% for more severe disorders), with roughly equal rates of disruptive and emotional disorders (6.5% and 5.9%). Prevalence was higher in boys (15.0%) than in girls (9.5%), owing to a threefold increase in their frequency of conduct disturbances. Rates of disturbance were twice as high among children with special educational needs, while no difference was found between private and public schools. The frequency of behavioural problems appeared to be similar in the urban and semi-rural subsamples. Sentence B: The clinical and imaging data in 6 patients with corticobasal syndrome were retrospectively analyzed. Six patients presented asymmetric clinical symptoms, including 5 with cognitive impairment, 6 with emotional disorders, 2 with cortical sensory deficit, 5 with lalopathy, and 4 with apraxia. All patients developed limb dystonia and limb or trunk stiffness, 4 with tumble, 4 with bradykinesia, and 2 with tremor. Brain magnetic resonance imaging (MRI) showed that 4 patients had unilateral cerebral atrophy and 2 had mild atrophy of bilateral hippocampus. Localized low glucose metabolism in the unilateral cerebral lobe was seen in four patients by positron emission computed tomography (PET) examination, suggesting that PET is helpful for the diagnosis of corticobasal syndrome. ###Answer 1. Changed Reasoning: In Sentence A, the term ""emotional disorders"" is used in the context of a survey of child psychiatric disorders, where the focus is on the prevalence and characteristics of these disorders in a community sample of children. The term is used to describe a range of conditions, including conduct disturbances, which are defined as disruptive behaviors. In this context, the term ""emotional disorders"" carries a neutral or even positive connotation, suggesting that these conditions are common and not necessarily severe or disruptive. In Sentence B, the term ""emotional disorders"" is used in the context of a clinical analysis of patients with corticobasal syndrome. In this context, the term carries a negative connotation, suggesting that these conditions are severe and disruptive. The sentence highlights the asymmetric clinical symptoms, including emotional disorders, which are described as cognitive impairment and limb dystonia. The term ""emotional disorders"" is used to convey a sense of pathology and severity, which is consistent with the clinical context. Based on these differences in context and connotation, it is clear that the term ""emotional disorders"" has undergone semantic drift between Sentence A and Sentence B. In Sentence A, the term carries a neutral connotation, while in Sentence B, it carries a negative connotation, suggesting that the term has shifted in meaning over time. Therefore, the label ""Changed"" is appropriate." 45,Emotional disorders,"Pediatric patients with recurrent abdominal pain (RAP) were compared with patients with peptic disease, patients with emotional disorders, and well children with regard to (a) emotional and somatic symptoms and (b) theoretically derived variables, including negative life events, competence, family functioning, and the modeling and encouragement of illness behavior. RAP patients had levels of emotional distress and somatic complaints higher than those of well children and lower than those of psychiatric patients, but not different from those of patients with peptic disease. RAP patients had fewer negative life events, better family functioning, and higher competence than children with emotional disorders. In comparison with well children and psychiatric patients, both RAP and peptic disease patients had a higher incidence of illness in other family members and perceived greater parental encouragement of illness behavior for abdominal symptoms.","To explore diabetes-related knowledge levels among patients with type 2 diabetes mellitus (T2DM) and the influencing factors, correlations and paths of patients' mental and emotional status based on a structural equation model. A total of 1512 patients with T2DM in 18 tertiary general hospitals in Hunan Province. A descriptive correlational study. The study was conducted and surveyed with the general information questionnaires, including the Audit of Diabetes Knowledge (AD knowl), the Problem Areas in Diabetes 5 scale (PAID-5) and the World Health Organization Five-Item Well-Being Index (WHO-5). The structural equation model showed that PAID-5 and WHO-5 scores (P < 0.05) were affected by diabetes self-management, medical history/treatment and knowledge. According to the model, the common risk factors affecting the mental and emotional status of diabetic patients were general demographic characteristics (less exercise time and greater economic burden), medical history/treatment of diabetes (longer course of disease, more hospitalizations due to diabetes, and more acute or chronic complications), and lower levels of diabetes-related knowledge. In addition, solitude was also a risk factor for low levels of happiness. The diabetes-related knowledge levels of T2DM patients are very low, and these patients generally experience emotional disorders, which deserves close attention. The structural equation model can be used to explore the influencing factors and correlations of the psychological and emotional status of diabetic patients.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Emotional disorders Sentence A: Pediatric patients with recurrent abdominal pain (RAP) were compared with patients with peptic disease, patients with emotional disorders, and well children with regard to (a) emotional and somatic symptoms and (b) theoretically derived variables, including negative life events, competence, family functioning, and the modeling and encouragement of illness behavior. RAP patients had levels of emotional distress and somatic complaints higher than those of well children and lower than those of psychiatric patients, but not different from those of patients with peptic disease. RAP patients had fewer negative life events, better family functioning, and higher competence than children with emotional disorders. In comparison with well children and psychiatric patients, both RAP and peptic disease patients had a higher incidence of illness in other family members and perceived greater parental encouragement of illness behavior for abdominal symptoms. Sentence B: To explore diabetes-related knowledge levels among patients with type 2 diabetes mellitus (T2DM) and the influencing factors, correlations and paths of patients' mental and emotional status based on a structural equation model. A total of 1512 patients with T2DM in 18 tertiary general hospitals in Hunan Province. A descriptive correlational study. The study was conducted and surveyed with the general information questionnaires, including the Audit of Diabetes Knowledge (AD knowl), the Problem Areas in Diabetes 5 scale (PAID-5) and the World Health Organization Five-Item Well-Being Index (WHO-5). The structural equation model showed that PAID-5 and WHO-5 scores (P < 0.05) were affected by diabetes self-management, medical history/treatment and knowledge. According to the model, the common risk factors affecting the mental and emotional status of diabetic patients were general demographic characteristics (less exercise time and greater economic burden), medical history/treatment of diabetes (longer course of disease, more hospitalizations due to diabetes, and more acute or chronic complications), and lower levels of diabetes-related knowledge. In addition, solitude was also a risk factor for low levels of happiness. The diabetes-related knowledge levels of T2DM patients are very low, and these patients generally experience emotional disorders, which deserves close attention. The structural equation model can be used to explore the influencing factors and correlations of the psychological and emotional status of diabetic patients. ###Answer 1. Changed Reasoning: In Sentence A, the term ""emotional disorders"" is used in the context of pediatric patients with recurrent abdominal pain (RAP) being compared to patients with peptic disease, patients with emotional disorders, and well children. The term ""emotional disorders"" does not carry any negative connotations or associations with illness. Therefore, there has been no semantic drift in the meaning of the term ""emotional disorders"" between the two sentences. On the other hand, in Sentence B, the term ""emotional disorders"" is used in the context of exploring diabetes-related knowledge levels among patients with type 2 diabetes mellitus (T2DM) and the influencing factors, correlations, and paths of patients' mental and emotional status. The term ""emotional disorders"" is used in the context of a psychological and emotional status, which is associated with negative connotations and associations with illness. Therefore, there has been a significant change in the meaning and connotation of the term ""emotional disorders"" between the two sentences, indicating semantic drift." 46,Emotional disorders,"All 1,101 clients residing in over 120 group homes of a residential services agency were surveyed on one date for presence of psychotropic medication. In all, 27% received one or more psychotropic drugs for behavioral or emotional disorders. Disorders and target behaviors listed for each drug group were examined and the relations between drug groups and diagnostic/demographic variables analyzed. In addition, logistic regression analyses were used to examine subject variable/drug relations further and the likelihood of receiving a specific class of medication given the presence of a subject variable. Certain physical and sensory handicaps were associated with less medication use. Generally speaking, the existence of DSM diagnoses (especially psychosis and mood disorder) and certain target behaviors were associated with greater medication use. In the main, medication use was consistent with known or presumptive indications for the respective drug groups, although unestablished applications were also observed.","The rapid evolution of the health emergency linked to the spread of severe acute respiratory syndrome coronavirus 2 requires specifications for the rehabilitative management of patients with coronavirus disease 2019 (COVID-19). The symptomatic evolution of patients with COVID-19 is characterized by 2 phases: an acute phase in which respiratory symptoms prevail and a postacute phase in which patients can show symptoms related to prolonged immobilization, to previous and current respiratory dysfunctions, and to cognitive and emotional disorders. Thus, there is the need for specialized rehabilitative care for these patients. This communication reports the experience of the San Raffaele Hospital of Milan and recommends the setup of specialized clinical pathways for the rehabilitation of patients with COVID-19. In this hospital, between February 1 and March 2, 2020, about 50 patients were admitted every day with COVID-19 symptoms. In those days, about 400 acute care beds were created (intensive care/infectious diseases). In the following 30 days, from March 2 to mid-April, despite the presence of 60 daily arrivals to the emergency department, the organization of patient flow between different wards was modified, and several different units were created based on a more accurate integration of patients' needs. According to this new organization, patients were admitted first to acute care COVID-19 units and then to COVID-19 rehabilitation units, post-COVID-19 rehabilitation units, and/or quarantine/observation units. After hospital discharge, telemedicine was used to follow-up with patients at home. Such clinical pathways should each involve dedicated multidisciplinary teams composed of pulmonologists, physiatrists, neurologists, cardiologists, physiotherapists, neuropsychologists, occupational therapists, speech therapists, and nutritionists.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Emotional disorders Sentence A: All 1,101 clients residing in over 120 group homes of a residential services agency were surveyed on one date for presence of psychotropic medication. In all, 27% received one or more psychotropic drugs for behavioral or emotional disorders. Disorders and target behaviors listed for each drug group were examined and the relations between drug groups and diagnostic/demographic variables analyzed. In addition, logistic regression analyses were used to examine subject variable/drug relations further and the likelihood of receiving a specific class of medication given the presence of a subject variable. Certain physical and sensory handicaps were associated with less medication use. Generally speaking, the existence of DSM diagnoses (especially psychosis and mood disorder) and certain target behaviors were associated with greater medication use. In the main, medication use was consistent with known or presumptive indications for the respective drug groups, although unestablished applications were also observed. Sentence B: The rapid evolution of the health emergency linked to the spread of severe acute respiratory syndrome coronavirus 2 requires specifications for the rehabilitative management of patients with coronavirus disease 2019 (COVID-19). The symptomatic evolution of patients with COVID-19 is characterized by 2 phases: an acute phase in which respiratory symptoms prevail and a postacute phase in which patients can show symptoms related to prolonged immobilization, to previous and current respiratory dysfunctions, and to cognitive and emotional disorders. Thus, there is the need for specialized rehabilitative care for these patients. This communication reports the experience of the San Raffaele Hospital of Milan and recommends the setup of specialized clinical pathways for the rehabilitation of patients with COVID-19. In this hospital, between February 1 and March 2, 2020, about 50 patients were admitted every day with COVID-19 symptoms. In those days, about 400 acute care beds were created (intensive care/infectious diseases). In the following 30 days, from March 2 to mid-April, despite the presence of 60 daily arrivals to the emergency department, the organization of patient flow between different wards was modified, and several different units were created based on a more accurate integration of patients' needs. According to this new organization, patients were admitted first to acute care COVID-19 units and then to COVID-19 rehabilitation units, post-COVID-19 rehabilitation units, and/or quarantine/observation units. After hospital discharge, telemedicine was used to follow-up with patients at home. Such clinical pathways should each involve dedicated multidisciplinary teams composed of pulmonologists, physiatrists, neurologists, cardiologists, physiotherapists, neuropsychologists, occupational therapists, speech therapists, and nutritionists. ###Answer 1. Changed Explanation: In Sentence A, the term ""emotional disorders"" is used without any connotation of severity or specificity. It is simply a catch-all term for a range of mental health issues. In contrast, in Sentence B, the term ""emotional disorders"" is used in the context of a specific health emergency, and is associated with the severity of COVID-19 symptoms. This shift in context and connotation suggests that the term ""emotional disorders"" has undergone semantic drift." 47,Emotional disorders,"Pediatric collaboration with mental health professionals is necessary due to the high prevalence of behavioral and emotional disorders in this population. Clinicians frequently encounter parental resistance to acceptance and follow-through on recommended mental health services. In addition, physicians may have difficulty recognizing and referring psychosocial problems due to inadequate training or experience. The case presented of a 10-year-old girl with enuresis illustrates the process of referring a patient with a behavioral problem from a general pediatrician to a mental health specialist. The behavioral pediatrician plays a critical role in providing linkage between medical and psychosocial care.","Impaired positive autobiographical memory (AM) is closely linked to emotional disorders. AM impairments are often found in depressed adults and may be related to the difficulties such persons have in regulating their dysphoric mood. By contrast, less is known about AM disturbances among adolescents, or about the functional relationship of AM disturbances to early-onset depression.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Emotional disorders Sentence A: Pediatric collaboration with mental health professionals is necessary due to the high prevalence of behavioral and emotional disorders in this population. Clinicians frequently encounter parental resistance to acceptance and follow-through on recommended mental health services. In addition, physicians may have difficulty recognizing and referring psychosocial problems due to inadequate training or experience. The case presented of a 10-year-old girl with enuresis illustrates the process of referring a patient with a behavioral problem from a general pediatrician to a mental health specialist. The behavioral pediatrician plays a critical role in providing linkage between medical and psychosocial care. Sentence B: Impaired positive autobiographical memory (AM) is closely linked to emotional disorders. AM impairments are often found in depressed adults and may be related to the difficulties such persons have in regulating their dysphoric mood. By contrast, less is known about AM disturbances among adolescents, or about the functional relationship of AM disturbances to early-onset depression. ###Answer 1. Changed The target word ""emotional disorders"" has undergone significant semantic drift between the two sentences. In Sentence A, the term is used to describe behavioral and emotional problems in children, with a focus on the role of mental health professionals in addressing these issues. In Sentence B, the term is used to describe impaired autobiographical memory, which is linked to emotional disorders in adults. There is no mention of children or pediatric collaboration in Sentence B. Therefore, the meaning of the target word has shifted from a focus on pediatric mental health to a broader discussion of emotional disorders in different populations." 48,Emotional disorders,"We investigated the degree of content specificity evident in the negative cognitions associated with anxiety and depression in two large samples of general psychiatric outpatients. Standardized measures of affect and cognition were analyzed in a multiple regression design. As predicted by Beck's (1967, 1976, 1987) cognitive theory of psychopathology, thoughts of loss and failure were specifically associated with depression, whereas cognitions of harm and danger were uniquely predictive of anxiety. In addition, hopelessness was specific to depression and not to anxiety. Dysfunctional beliefs showed no consistent association with either mood state. The implication of these results, as well as related findings, is discussed in terms of a cognitive perspective on the differentiation of emotional disorders. Also discussed are the methodological difficulties encountered in research on cognitive-affective relationships.","This paper reviews community residents' mental health following exposure to a community disaster trauma, with a focus on post-traumatic stress disorder (PTSD) and other mental health outcomes, such as emotional disorders, behavioral problems including addictive disorders, and personality as a maladaptive trait. This review concludes with recommendations to advance the field of community disaster research by exploring how natural and man-made disasters impact community residents across multiple domains. Moreover, this study suggests that residents impacted by community disaster trauma are frequently appropriate targets for mental health assessments or services in a community setting.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Emotional disorders Sentence A: We investigated the degree of content specificity evident in the negative cognitions associated with anxiety and depression in two large samples of general psychiatric outpatients. Standardized measures of affect and cognition were analyzed in a multiple regression design. As predicted by Beck's (1967, 1976, 1987) cognitive theory of psychopathology, thoughts of loss and failure were specifically associated with depression, whereas cognitions of harm and danger were uniquely predictive of anxiety. In addition, hopelessness was specific to depression and not to anxiety. Dysfunctional beliefs showed no consistent association with either mood state. The implication of these results, as well as related findings, is discussed in terms of a cognitive perspective on the differentiation of emotional disorders. Also discussed are the methodological difficulties encountered in research on cognitive-affective relationships. Sentence B: This paper reviews community residents' mental health following exposure to a community disaster trauma, with a focus on post-traumatic stress disorder (PTSD) and other mental health outcomes, such as emotional disorders, behavioral problems including addictive disorders, and personality as a maladaptive trait. This review concludes with recommendations to advance the field of community disaster research by exploring how natural and man-made disasters impact community residents across multiple domains. Moreover, this study suggests that residents impacted by community disaster trauma are frequently appropriate targets for mental health assessments or services in a community setting. ###Answer 1. Changed Reasoning: The meaning of the target word ""emotional disorders"" has shifted significantly between Sentence A and Sentence B. In Sentence A, the term refers to specific mental health conditions such as anxiety and depression, which are differentiated from one another and from other disorders. In Sentence B, the term is used more broadly to encompass a range of mental health outcomes, including PTSD, behavioral problems, and personality traits. This expansion of the term's meaning indicates a semantic drift." 49,Emotional disorders,"As a part of the World Health Organization multicentric study of emotional disorders in general medical care, we studied patients who had a chronic medical ailment and a psychiatric disorder, according to ICD-10.","Overgeneral memory (OGM) refers to difficulty in retrieving specific autobiographical memories. The tendency to be overgeneral in autobiographical memory recall is more commonly observed among individuals with emotional disorders compared with those without. Despite significant advances in theory and identification of mechanisms that underlie the etiology of OGM, there has been little integration between normative research on the development of autobiographical memory and research on OGM. Informed by a developmental psychopathology perspective and drawing on normative developmental research on the social construction of autobiographical memory, the current investigation examined whether the elaborative quantity and elaborative quality of maternal reminiscing are predictive of preschool-age children's autobiographical memory specificity. Additionally, this investigation tested whether children's positive self-representations may explain these hypothesized associations. Participants consisted of 95 mother-child dyads. Children's ages ranged between 3.5 and 6 years, and the sample was predominantly low income and of minority race/ethnicity. Dyads participated in a joint reminiscing task about 4 past events, and children participated in assessments of autobiographical memory specificity and self-representations. Results indicated that the elaborative quality, defined by maternal-sensitive guidance and emotional narrative coherence, but not the elaborative quantity, of maternal reminiscing style was significantly associated with children's autobiographical memory specificity. Additionally, there was support for an indirect pathway between maternal reminiscing quality and child memory specificity through children's positive self-representations. Directions for future research are discussed, and potential clinical implications are addressed.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Emotional disorders Sentence A: As a part of the World Health Organization multicentric study of emotional disorders in general medical care, we studied patients who had a chronic medical ailment and a psychiatric disorder, according to ICD-10. Sentence B: Overgeneral memory (OGM) refers to difficulty in retrieving specific autobiographical memories. The tendency to be overgeneral in autobiographical memory recall is more commonly observed among individuals with emotional disorders compared with those without. Despite significant advances in theory and identification of mechanisms that underlie the etiology of OGM, there has been little integration between normative research on the development of autobiographical memory and research on OGM. Informed by a developmental psychopathology perspective and drawing on normative developmental research on the social construction of autobiographical memory, the current investigation examined whether the elaborative quantity and elaborative quality of maternal reminiscing are predictive of preschool-age children's autobiographical memory specificity. Additionally, this investigation tested whether children's positive self-representations may explain these hypothesized associations. Participants consisted of 95 mother-child dyads. Children's ages ranged between 3.5 and 6 years, and the sample was predominantly low income and of minority race/ethnicity. Dyads participated in a joint reminiscing task about 4 past events, and children participated in assessments of autobiographical memory specificity and self-representations. Results indicated that the elaborative quality, defined by maternal-sensitive guidance and emotional narrative coherence, but not the elaborative quantity, of maternal reminiscing style was significantly associated with children's autobiographical memory specificity. Additionally, there was support for an indirect pathway between maternal reminiscing quality and child memory specificity through children's positive self-representations. Directions for future research are discussed, and potential clinical implications are addressed. ###Answer 1. Changed Reasoning: In Sentence A, the term ""emotional disorders"" is used in the context of a medical study to describe a range of psychiatric disorders. In this context, the term likely refers to a specific set of conditions, such as depression, anxiety, or bipolar disorder, that are characterized by disturbances in emotional experience, regulation, or expression. In Sentence B, the term ""emotional disorders"" is used in a different context, specifically in relation to the study of overgeneral memory (OGM). Here, the term may refer to a broader range of conditions, including not only psychiatric disorders but also cognitive impairments or neurodevelopmental disorders that affect the ability to retrieve specific autobiographical memories. Based on the different contexts and potential meanings of the term ""emotional disorders"" in each sentence, it appears that the term has undergone a significant change in meaning or connotation between the two timestamps. Therefore, I would label this as ""Changed""." 50,Emotional disorders,"A rare syndrome is described. Combined investigation, including CT, yielded in a patient a typical clinical picture of nonatherosclerotic brain vessel calcification, especially within basal ganglia, parkinsonism, psychoemotional disorders, motor paroxysms. The syndrome etiology is discussed. Hypoparathyroidism with blood Ca metabolism and hereditary causes seem plausible. Differential diagnosis and treatment are described."," Children with Autism Spectrum Disorder (ASD) experience deficits in verbal and nonverbal communication skills including motor control, turn-taking, and emotion recognition. Innovative technology, such as socially assistive robots, has shown to be a viable method for Autism therapy. This paper presents a novel robot-based music-therapy platform for modeling and improving the social responses and behaviors of children with ASD. Our autonomous social interactive system consists of three modules. We adopted Short-time Fourier Transform and Levenshtein distance to fulfill the design requirements: a) ""music detection"" and b) ""smart scoring and feedback"", which allows NAO to understand music and provide additional practice and oral feedback to the users as applicable. We designed and implemented six Human-Robot-Interaction (HRI) sessions including four intervention sessions. Nine children with ASD and seven Typically Developing participated in a total of fifty HRI experimental sessions. Using our platform, we collected and analyzed data on social behavioral changes and emotion recognition using Electrodermal Activity (EDA) signals. The results of our experiments demonstrate most of the participants were able to complete motor control tasks with ~70% accuracy. Six out of the 9 ASD participants showed stable turn-taking behavior when playing music. The results of automated emotion classification using Support Vector Machines illustrate that emotional arousal in the ASD group can be detected and well recognized via EDA bio-signals. In summary, the results of our data analyses, including emotion classification using EDA signals, indicate that the proposed robot-music based therapy platform is an attractive and promising assistive tool to facilitate the improvement of fine motor control and turn-taking skills in children with ASD. ","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Emotional disorders Sentence A: A rare syndrome is described. Combined investigation, including CT, yielded in a patient a typical clinical picture of nonatherosclerotic brain vessel calcification, especially within basal ganglia, parkinsonism, psychoemotional disorders, motor paroxysms. The syndrome etiology is discussed. Hypoparathyroidism with blood Ca metabolism and hereditary causes seem plausible. Differential diagnosis and treatment are described. Sentence B: Children with Autism Spectrum Disorder (ASD) experience deficits in verbal and nonverbal communication skills including motor control, turn-taking, and emotion recognition. Innovative technology, such as socially assistive robots, has shown to be a viable method for Autism therapy. This paper presents a novel robot-based music-therapy platform for modeling and improving the social responses and behaviors of children with ASD. Our autonomous social interactive system consists of three modules. We adopted Short-time Fourier Transform and Levenshtein distance to fulfill the design requirements: a) ""music detection"" and b) ""smart scoring and feedback"", which allows NAO to understand music and provide additional practice and oral feedback to the users as applicable. We designed and implemented six Human-Robot-Interaction (HRI) sessions including four intervention sessions. Nine children with ASD and seven Typically Developing participated in a total of fifty HRI experimental sessions. Using our platform, we collected and analyzed data on social behavioral changes and emotion recognition using Electrodermal Activity (EDA) signals. The results of our experiments demonstrate most of the participants were able to complete motor control tasks with ~70% accuracy. Six out of the 9 ASD participants showed stable turn-taking behavior when playing music. The results of automated emotion classification using Support Vector Machines illustrate that emotional arousal in the ASD group can be detected and well recognized via EDA bio-signals. In summary, the results of our data analyses, including emotion classification using EDA signals, indicate that the proposed robot-music based therapy platform is an attractive and promising assistive tool to facilitate the improvement of fine motor control and turn-taking skills in children with ASD. ###Answer 1. Changed Reasoning: The target word ""Emotional disorders"" has undergone a significant change in meaning between Sentence A and Sentence B. In Sentence A, the term is used to describe a specific syndrome with nonatherosclerotic brain vessel calcification, psychoemotional disorders, and motor paroxysms. In contrast, in Sentence B, the term is used to describe a specific population (children with Autism Spectrum Disorder) and their deficits in verbal and nonverbal communication skills, including motor control, turn-taking, and emotion recognition. The term has shifted from a clinical context to a developmental context, indicating a change in meaning." 51,Emotional disorders,"Psychosocial disorders frequently complicate sickle cell disease. Psychological problems include neurotic illness, personality changes and psychotic reactions. Social problems may relate to work, marital and financial difficulties. Patients' siblings, parents and significant others may also suffer from emotional disorders. The role of nonpsychiatric medical and para-medical personnel in the identification and management of the psychosocial complications of sickle cell disease was mentioned. The need to pay more attention to preventive measures such as genetic counselling was also emphasized.","Increasing evidence consistently indicates that cortical mechanisms play important roles in chronic pain and its emotional disorders. Central synapses, especially excitatory synapses, are undergoing long-term memory-like plastic changes after peripheral injury. These changes not only occur at the single synaptic level, but also take place at cortical and subcortical circuits. Consequently, neuronal responses to peripheral sensory stimuli, or even to sensory inputs triggered by normal physiological signals such as touch and movement, are significantly potentiated or increased. Such prolonged cortical excitation likely contributes to chronic pain and its related emotional changes. In this short review article, I will summarize recent progress using animal models and explore possible different mechanisms that may contribute to chronic pain in the brain.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Emotional disorders Sentence A: Psychosocial disorders frequently complicate sickle cell disease. Psychological problems include neurotic illness, personality changes and psychotic reactions. Social problems may relate to work, marital and financial difficulties. Patients' siblings, parents and significant others may also suffer from emotional disorders. The role of nonpsychiatric medical and para-medical personnel in the identification and management of the psychosocial complications of sickle cell disease was mentioned. The need to pay more attention to preventive measures such as genetic counselling was also emphasized. Sentence B: Increasing evidence consistently indicates that cortical mechanisms play important roles in chronic pain and its emotional disorders. Central synapses, especially excitatory synapses, are undergoing long-term memory-like plastic changes after peripheral injury. These changes not only occur at the single synaptic level, but also take place at cortical and subcortical circuits. Consequently, neuronal responses to peripheral sensory stimuli, or even to sensory inputs triggered by normal physiological signals such as touch and movement, are significantly potentiated or increased. Such prolonged cortical excitation likely contributes to chronic pain and its related emotional changes. In this short review article, I will summarize recent progress using animal models and explore possible different mechanisms that may contribute to chronic pain in the brain. ###Answer 1. Changed Reasoning: In Sentence A, the term ""emotional disorders"" is used in the context of patients with sickle cell disease, highlighting the psychosocial complications of the condition. The term ""emotional disorders"" carries a negative connotation, suggesting that the patients are experiencing mental health issues such as depression, anxiety, or personality disorders. In Sentence B, the term ""emotional disorders"" is used in a different context, highlighting the cortical mechanisms involved in chronic pain and its emotional changes. The term ""emotional disorders"" in this context does not carry the same negative connotation as in Sentence A, but rather suggests a more neutral or even positive connotation, as the focus is on the cortical mechanisms involved in pain perception. Based on these differences in context and connotation, it can be concluded that the term ""emotional disorders"" has undergone semantic drift between Sentence A and Sentence B, with the meaning shifting from a negative connotation to a more neutral or even positive one. Therefore, the label ""Changed"" is appropriate." 52,Emotional disorders,Family dysfunction is an important determinant of childhood disturbance. Emotional disorders may present overtly or through somatic symptoms and the family doctor must be alert to their relationship to disturbances within the family. Early intervention may avert more serious problems in childhood.,"While modular and transdiagnostic approaches may address implementation challenges, there remains limited investigation into the fit within large healthcare systems. The current study examines qualitative interviews from patients, clinicians and administrative stakeholders in the Veterans Administration about experiences with, and views of, the Unified Protocol (UP; Barlow et al. in The unified protocol for transdiagnostic treatment of emotional disorders: therapist guide, Oxford University Press, New York, 2011) to understand potential for implementation. Qualitative interviews were conducted based on an established implementation framework and speak to implementation of transdiagnostic treatment in veterans, including insight into barriers, facilitators, intervention characteristics, patient characteristics, and system level variables. The UP demonstrated promise for improving efficiency, satisfaction and personalizing mental healthcare.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Emotional disorders Sentence A: Family dysfunction is an important determinant of childhood disturbance. Emotional disorders may present overtly or through somatic symptoms and the family doctor must be alert to their relationship to disturbances within the family. Early intervention may avert more serious problems in childhood. Sentence B: While modular and transdiagnostic approaches may address implementation challenges, there remains limited investigation into the fit within large healthcare systems. The current study examines qualitative interviews from patients, clinicians and administrative stakeholders in the Veterans Administration about experiences with, and views of, the Unified Protocol (UP; Barlow et al. in The unified protocol for transdiagnostic treatment of emotional disorders: therapist guide, Oxford University Press, New York, 2011) to understand potential for implementation. Qualitative interviews were conducted based on an established implementation framework and speak to implementation of transdiagnostic treatment in veterans, including insight into barriers, facilitators, intervention characteristics, patient characteristics, and system level variables. The UP demonstrated promise for improving efficiency, satisfaction and personalizing mental healthcare. ###Answer 1. Changed The target word ""emotional disorders"" has undergone a significant change in meaning between the two sentences. In Sentence A, the term likely referred to mental health disorders that are related to or caused by family dysfunction. In Sentence B, the term seems to be more broad, encompassing a wider range of mental health issues, including those that may not be directly related to family dysfunction. This shift in meaning could be due to changes in the way mental health disorders are understood and classified, or to a broader recognition of the complexity of mental health issues. Therefore, the label ""Changed"" is appropriate." 53,Emotional disorders,"Network theory is a relatively recent explanatory development to improve our understanding of emotions and emotional disorders. Connectionist neural networks are introduced as mathematically well-defined network theories that have been suggested as PTSD models, partly because of their ability to form and retrieve memories. Explanatory requirements that a comprehensive PTSD theory must have are reviewed. A connectionist neural network system called the bidirectional associative memory (BAM) is extended to encode emotion and cognition and is then shown to satisfy all PTSD explanatory requirements and consequently constitutes a comprehensive PTSD theory. Empirical work pertaining to a fundamental assumption that learning alters brain structure in ways that can be detected by neuroimaging is reviewed. Novel predictions are made, and relevance to neuroscience is discussed.","129 patients aged 18-84 in early rehabilitation period of the first hemispheric ischemic stroke and 48 patients with cerebrovascular disorders without stroke in anamnesis were observed. Cognitive functions (MMSE, FAB, Clock Drawing Test, the 5-Word test, attention assessment, Semantic Verbal Fluency test) and emotional sphere (CES-D) were studied. Investigation was carried out twice during the early recovery period 3-4weeks and 3months after the stroke. Statistically significant decrease of cognitive functions in comparison with control group data was revealed. Cognitive deficiency and depressed mood were fixed in patients after the first hemispheric ischemic stroke. The level of cognitive decline correlated with expression of neurological deficiency and age. The expression of hypothymia correlated with age, dominated by women, did not depend on stroke localization and education. Women, elderly people and patients with severe neurological deficits had higher risk of emotional disorders after the first hemispheric ischemic stroke. There was a tendency to reduce the frequency of hypothymia and cognitive decline in the early rehabilitation period.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Emotional disorders Sentence A: Network theory is a relatively recent explanatory development to improve our understanding of emotions and emotional disorders. Connectionist neural networks are introduced as mathematically well-defined network theories that have been suggested as PTSD models, partly because of their ability to form and retrieve memories. Explanatory requirements that a comprehensive PTSD theory must have are reviewed. A connectionist neural network system called the bidirectional associative memory (BAM) is extended to encode emotion and cognition and is then shown to satisfy all PTSD explanatory requirements and consequently constitutes a comprehensive PTSD theory. Empirical work pertaining to a fundamental assumption that learning alters brain structure in ways that can be detected by neuroimaging is reviewed. Novel predictions are made, and relevance to neuroscience is discussed. Sentence B: 129 patients aged 18-84 in early rehabilitation period of the first hemispheric ischemic stroke and 48 patients with cerebrovascular disorders without stroke in anamnesis were observed. Cognitive functions (MMSE, FAB, Clock Drawing Test, the 5-Word test, attention assessment, Semantic Verbal Fluency test) and emotional sphere (CES-D) were studied. Investigation was carried out twice during the early recovery period 3-4weeks and 3months after the stroke. Statistically significant decrease of cognitive functions in comparison with control group data was revealed. Cognitive deficiency and depressed mood were fixed in patients after the first hemispheric ischemic stroke. The level of cognitive decline correlated with expression of neurological deficiency and age. The expression of hypothymia correlated with age, dominated by women, did not depend on stroke localization and education. Women, elderly people and patients with severe neurological deficits had higher risk of emotional disorders after the first hemispheric ischemic stroke. There was a tendency to reduce the frequency of hypothymia and cognitive decline in the early rehabilitation period. ###Answer 1. Changed Explanation: In Sentence A, the term ""emotional disorders"" is used in the context of understanding and modeling emotions through network theory and connectionist neural networks. The focus is on the development of theories to explain emotional processes and the relationship between emotions and cognition. In contrast, in Sentence B, the term ""emotional disorders"" is used in the context of assessing the cognitive and emotional changes in patients after a stroke. The focus is on the measurement of cognitive functions and emotional state in patients during the early recovery period. The meaning of the term ""emotional disorders"" has shifted in the 20 years between the two sentences. In Sentence A, the term is used in a more abstract and theoretical context, while in Sentence B, it is used in a more practical and clinical context. The shift in meaning can be attributed to changes in the field of psychology and neuroscience over time, as well as changes in the way the term is used in different contexts. Therefore, I would label the term ""emotional disorders"" as having undergone semantic drift and changing its meaning over time." 54,Emotional disorders,Recent reports on the use of psychotropic medications for preschool-aged children with behavioral and emotional disorders warrant further examination of trends in the type and extent of drug therapy and sociodemographic correlates.,"Experience of childhood abuse is prevalent among patients with eating disorders, and dysfunction of the hypothalamic-pituitary-adrenal (HPA) axis is implicated in its pathophysiology. Neonatal maternal separation is considered as an animal model of stressful experience early in life. Many of studies have demonstrated its impact both on the activity of HPA axis and the development of psycho-emotional disorders later in life. In this paper, a series of our researches on developing an animal model of eating disorders is reviewed. An animal model of neonatal maternal separation was used; Sprague-Dawley pups were separated from dam daily for 180 min during the first 2 weeks of life (MS) or undisturbed. Anxiety-/depression-like behaviors were observed in MS rats at the age of two months with decreased serotonergic activity in the hippocampus and the raphe. Post-weaning social isolation promoted food intake and weight gain of adolescent MS pups, with impacts on anxiety-like behaviors. Sustained hyperphagia was observed in the MS pups subjected to a fasting/refeeding cycle repeatedly during adolescence, with increased plasma corticosterone levels. Anhedonia, major symptom of depression, to palatable food was observed in adolescent MS pups with blunted response of the mesolimbic dopaminergic activity to stress. Results suggest that neonatal maternal separation lead to the development of eating disorders when it is challenged with social or metabolic stressors later in life, in which dysfunctions in the HPA axis and the brain monoaminergic systems may play important roles.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Emotional disorders Sentence A: Recent reports on the use of psychotropic medications for preschool-aged children with behavioral and emotional disorders warrant further examination of trends in the type and extent of drug therapy and sociodemographic correlates. Sentence B: Experience of childhood abuse is prevalent among patients with eating disorders, and dysfunction of the hypothalamic-pituitary-adrenal (HPA) axis is implicated in its pathophysiology. Neonatal maternal separation is considered as an animal model of stressful experience early in life. Many of studies have demonstrated its impact both on the activity of HPA axis and the development of psycho-emotional disorders later in life. In this paper, a series of our researches on developing an animal model of eating disorders is reviewed. An animal model of neonatal maternal separation was used; Sprague-Dawley pups were separated from dam daily for 180 min during the first 2 weeks of life (MS) or undisturbed. Anxiety-/depression-like behaviors were observed in MS rats at the age of two months with decreased serotonergic activity in the hippocampus and the raphe. Post-weaning social isolation promoted food intake and weight gain of adolescent MS pups, with impacts on anxiety-like behaviors. Sustained hyperphagia was observed in the MS pups subjected to a fasting/refeeding cycle repeatedly during adolescence, with increased plasma corticosterone levels. Anhedonia, major symptom of depression, to palatable food was observed in adolescent MS pups with blunted response of the mesolimbic dopaminergic activity to stress. Results suggest that neonatal maternal separation lead to the development of eating disorders when it is challenged with social or metabolic stressors later in life, in which dysfunctions in the HPA axis and the brain monoaminergic systems may play important roles. ###Answer 1. Changed Explanation: The target word ""emotional disorders"" has undergone a significant change in meaning between Sentence A (2000) and Sentence B (2020). In Sentence A, the term likely refers to mental health disorders such as depression, anxiety, or bipolar disorder. However, in Sentence B, the term ""emotional disorders"" is used in the context of eating disorders, specifically the impact of neonatal maternal separation on the development of these disorders. This shift in meaning suggests that the term ""emotional disorders"" has undergone semantic drift, and its original meaning has evolved to encompass a broader range of psychological disorders. Therefore, the label ""Changed"" is appropriate." 55,Emotional disorders,"We set out to investigate whether community nurses could be trained in problem-solving therapy and, once trained, how effective they would be in treating emotional disorders in primary care.","Children with somatic complaints are at increased risk for emotional disorders during childhood. Whether this elevated risk extends into young adulthood - and to which specific disorders - has rarely been tested with long-term prospective-longitudinal community samples. Here we test whether frequent and recurring stomach aches, headaches, and muscle aches during childhood predict emotional disorders in adulthood after accounting for childhood psychiatric and physical health status and psychosocial adversity.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Emotional disorders Sentence A: We set out to investigate whether community nurses could be trained in problem-solving therapy and, once trained, how effective they would be in treating emotional disorders in primary care. Sentence B: Children with somatic complaints are at increased risk for emotional disorders during childhood. Whether this elevated risk extends into young adulthood - and to which specific disorders - has rarely been tested with long-term prospective-longitudinal community samples. Here we test whether frequent and recurring stomach aches, headaches, and muscle aches during childhood predict emotional disorders in adulthood after accounting for childhood psychiatric and physical health status and psychosocial adversity. ###Answer 1. Changed Explanation: In Sentence A, the target word ""emotional disorders"" refers to mental health conditions that are primarily related to emotional experience, such as depression or anxiety. However, in Sentence B, the target word has taken on a broader meaning, encompassing a range of psychological and emotional disturbances, including those that may not necessarily be related to emotional experience. This shift in meaning suggests that the term ""emotional disorders"" has undergone semantic drift, and therefore the label ""Changed"" is appropriate." 56,Emotional disorders,"The paper reviews the forthcoming ICD-10 which is planned to replace ICD-9 in the early nineties. Out of the three sections provided for classifying disorders usually first evident in childhood the numbers F 90 to 99 ""behavioral and emotional disorders specific to childhood and adolescence"" and F 80 to 89 ""developmental disorders"" are discussed in detail.","Abnormalities in mental imagery have been implicated in a range of mental health conditions. Imagery has a particularly powerful effect on emotion and as such plays a particularly important role in emotional disorders. In depression, not only is the occurrence of intrusive negative imagery problematic, but also the lack of positive (in particular, future-directed) imagery is important. The authors suggest that, in depression, imagery can exacerbate the effects of interpretation bias. This article outlines an experimental psychopathology subcomponents model of depression that focuses specifically on the role of imagery and interpretation bias in the maintenance of the disorder. The authors propose that negative intrusive imagery, a lack of positive imagery, and negative interpretation bias serve both independently and interactively to maintain depressed mood. Finally, the authors consider the implications of this imagery-based approach for the development of new cognitive treatments in this area.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Emotional disorders Sentence A: The paper reviews the forthcoming ICD-10 which is planned to replace ICD-9 in the early nineties. Out of the three sections provided for classifying disorders usually first evident in childhood the numbers F 90 to 99 ""behavioral and emotional disorders specific to childhood and adolescence"" and F 80 to 89 ""developmental disorders"" are discussed in detail. Sentence B: Abnormalities in mental imagery have been implicated in a range of mental health conditions. Imagery has a particularly powerful effect on emotion and as such plays a particularly important role in emotional disorders. In depression, not only is the occurrence of intrusive negative imagery problematic, but also the lack of positive (in particular, future-directed) imagery is important. The authors suggest that, in depression, imagery can exacerbate the effects of interpretation bias. This article outlines an experimental psychopathology subcomponents model of depression that focuses specifically on the role of imagery and interpretation bias in the maintenance of the disorder. The authors propose that negative intrusive imagery, a lack of positive imagery, and negative interpretation bias serve both independently and interactively to maintain depressed mood. Finally, the authors consider the implications of this imagery-based approach for the development of new cognitive treatments in this area. ###Answer 1. Changed Reasoning: In Sentence A, the term ""emotional disorders"" is used in the context of a historical review of the forthcoming ICD-10 classification system. The term is used to describe a specific category of mental health conditions that are typically evident in childhood and adolescence. The focus is on the classification and diagnosis of these conditions, rather than their treatment or psychological mechanisms. In Sentence B, the term ""emotional disorders"" is used in a different context, specifically in the context of a discussion of the role of mental imagery in mental health conditions such as depression. The term is used to describe a range of conditions that are characterized by abnormalities in mental imagery, including a lack of positive imagery and an overabundance of negative imagery. The focus is on the psychological mechanisms underlying these conditions and how they may be targeted for treatment. Based on these differences in context and focus, it is clear that the term ""emotional disorders"" has undergone a significant change in meaning between the two sentences. In Sentence A, the term is used in a more general and historical context, while in Sentence B, the term is used in a more specific and contemporary context related to the psychological mechanisms underlying mental health conditions. Therefore, the label ""Changed"" is appropriate." 57,Emotional disorders,"Following the significant industrialization of private health care, managed care strategies for reducing costs are beginning to enter the public sector. Privatization of public mental health dollars is already a reality in some states and a growing possibility in many others. Changes in the financial management of behavioral health care are a source of concern for providers, advocates, and clients who desire services that are consistent with the core values of an integrated system of care. This article reviews the core values of the system of care for children and families, recent changes in the continuum of care for children with severe emotional disorders, and basic principles and strategies of managed care. It is proposed that system-of-care values and managed care principles are not mutually exclusive. In fact, a judicious combination of systems-of-care values and private sector management strategies may facilitate cross-system integration of services for children and youth. An example of a private, nonprofit corporation designed to manage public sector dollars across child welfare, juvenile justice, and mental health/alcohol and drug addiction systems is presented.","Examining parent-child agreement for Acute Stress Disorder (ASD) and Post-Traumatic Stress Disorder (PTSD) in children and adolescents is essential for informing the assessment of trauma-exposed children, yet no studies have examined this relationship using appropriate statistical techniques. Parent-child agreement for these disorders was examined by structured interview in a prospective study of assault and motor vehicle accident (MVA) child survivors, assessed at 2-4 weeks and 6 months post-trauma. Children were significantly more likely to meet criteria for ASD, as well as other ASD and PTSD symptom clusters, based on their own report than on their parent's report. Parent-child agreement for ASD was poor (Cohen's kappa = -.04), but fair for PTSD (Cohen's kappa = .21). Agreement ranged widely for other emotional disorders (Cohen's kappa = -.07-.64), with generalised anxiety disorder found to have superior parent-child agreement (when assessed by phi coefficients) relative to ASD and PTSD. The findings support the need to directly interview children and adolescents, particularly for the early screening of posttraumatic stress, and suggest that other anxiety disorders may have a clearer presentation post-trauma.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Emotional disorders Sentence A: Following the significant industrialization of private health care, managed care strategies for reducing costs are beginning to enter the public sector. Privatization of public mental health dollars is already a reality in some states and a growing possibility in many others. Changes in the financial management of behavioral health care are a source of concern for providers, advocates, and clients who desire services that are consistent with the core values of an integrated system of care. This article reviews the core values of the system of care for children and families, recent changes in the continuum of care for children with severe emotional disorders, and basic principles and strategies of managed care. It is proposed that system-of-care values and managed care principles are not mutually exclusive. In fact, a judicious combination of systems-of-care values and private sector management strategies may facilitate cross-system integration of services for children and youth. An example of a private, nonprofit corporation designed to manage public sector dollars across child welfare, juvenile justice, and mental health/alcohol and drug addiction systems is presented. Sentence B: Examining parent-child agreement for Acute Stress Disorder (ASD) and Post-Traumatic Stress Disorder (PTSD) in children and adolescents is essential for informing the assessment of trauma-exposed children, yet no studies have examined this relationship using appropriate statistical techniques. Parent-child agreement for these disorders was examined by structured interview in a prospective study of assault and motor vehicle accident (MVA) child survivors, assessed at 2-4 weeks and 6 months post-trauma. Children were significantly more likely to meet criteria for ASD, as well as other ASD and PTSD symptom clusters, based on their own report than on their parent's report. Parent-child agreement for ASD was poor (Cohen's kappa = -.04), but fair for PTSD (Cohen's kappa = .21). Agreement ranged widely for other emotional disorders (Cohen's kappa = -.07-.64), with generalised anxiety disorder found to have superior parent-child agreement (when assessed by phi coefficients) relative to ASD and PTSD. The findings support the need to directly interview children and adolescents, particularly for the early screening of posttraumatic stress, and suggest that other anxiety disorders may have a clearer presentation post-trauma. ###Answer 1. Changed Reasoning: In Sentence A, the term ""emotional disorders"" is used in the context of private healthcare and financial management, indicating a focus on the practical and financial aspects of mental health care. In contrast, in Sentence B, the term is used in the context of trauma and assessment, indicating a focus on the psychological and emotional aspects of mental health. This shift in context suggests that the term ""emotional disorders"" has changed in meaning, indicating a broader focus on the psychological and emotional aspects of mental health rather than purely financial and practical considerations. Therefore, the label ""Changed"" is appropriate." 58,Emotional disorders,"The effects of parental divorce during childhood and adolescence on the mental health of young adults (age 23) were examined, using the National Child Development Study (NCDS), a longitudinal, multimethod, nationally representative survey of all children born in Great Britain during 1 week in 1958 (N = 17,414). Children were assessed at birth and subsequently followed up at ages 7, 11, 16, and 23 by means of maternal and child interviews, and by psychological, school, and medical assessments. Parental divorce had a moderate, long-term negative impact on adult mental health, as measured by the Malaise Inventory total score, and controlling for economic status, children's emotional problems, and school performance preceding marital dissolution. The likelihood of scoring above the clinical cutoff of the Malaise Inventory rose from 8% to 11% due to parental divorce. This indicated that the relative risk of serious emotional disorders increased in the aftermath of divorce, but that the large majority of individuals did not exhibit such risks. Path analyses revealed that the negative effects of divorce on adult mental health operated indirectly through higher emotional problems and lower levels of school achievement and family economic status at age 16. Results related to timing of divorce, remarriage, and interactions between age 7 emotional problems and divorce, and between age 7 emotional problems and child gender, are also discussed.","Being a housewife may already be a psychosocial risk factor leading to chronic stress and burnout, and this may be aggravated when the housewife must also become the caregiver of a family member with Alzheimer's. The burnout syndrome and how it can affect general health and the presence of emotional disorders were studied in housewives who were family caregivers of an Alzheimer's patient. The sample selected was made up of 193 housewives, 96 of whom were also caregivers for a family member with Alzheimer's. Sociodemographic measures used were the ","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Emotional disorders Sentence A: The effects of parental divorce during childhood and adolescence on the mental health of young adults (age 23) were examined, using the National Child Development Study (NCDS), a longitudinal, multimethod, nationally representative survey of all children born in Great Britain during 1 week in 1958 (N = 17,414). Children were assessed at birth and subsequently followed up at ages 7, 11, 16, and 23 by means of maternal and child interviews, and by psychological, school, and medical assessments. Parental divorce had a moderate, long-term negative impact on adult mental health, as measured by the Malaise Inventory total score, and controlling for economic status, children's emotional problems, and school performance preceding marital dissolution. The likelihood of scoring above the clinical cutoff of the Malaise Inventory rose from 8% to 11% due to parental divorce. This indicated that the relative risk of serious emotional disorders increased in the aftermath of divorce, but that the large majority of individuals did not exhibit such risks. Path analyses revealed that the negative effects of divorce on adult mental health operated indirectly through higher emotional problems and lower levels of school achievement and family economic status at age 16. Results related to timing of divorce, remarriage, and interactions between age 7 emotional problems and divorce, and between age 7 emotional problems and child gender, are also discussed. Sentence B: Being a housewife may already be a psychosocial risk factor leading to chronic stress and burnout, and this may be aggravated when the housewife must also become the caregiver of a family member with Alzheimer's. The burnout syndrome and how it can affect general health and the presence of emotional disorders were studied in housewives who were family caregivers of an Alzheimer's patient. The sample selected was made up of 193 housewives, 96 of whom were also caregivers for a family member with Alzheimer's. Sociodemographic measures used were the ###Answer 1. Changed Reasoning: The target word ""emotional disorders"" has undergone a significant change in meaning between Sentence A (2000) and Sentence B (2020). In Sentence A, the term likely referred to mental health issues related to the trauma of parental divorce, such as depression, anxiety, or post-traumatic stress disorder. In contrast, in Sentence B, the term likely refers to more specific symptoms of caregiver burnout, such as emotional exhaustion, depersonalization, and reduced performance. The shift in meaning is likely due to changes in societal understanding and terminology surrounding mental health issues, particularly in the context of caregiving for family members with Alzheimer's disease." 59,Emotional disorders,"A substantial body of research evidence over the past three decades has indicated that intellectual and emotional impairment among parents is a factor contributing to child abuse and neglect. This study examined the court records of 206 seriously abused or neglected children and their families in a large urban area and found that in over half the records a parent had been diagnosed as having an emotional disorder and/or low IQ, with a majority of these diagnoses indicating significant impairment. Although type of impairment (emotional, low IQ, and a subsample of substance abusers) did not predict type of mistreatment, higher predicted risk for continued mistreatment, or greater likelihood of permanent removal of the child by the court, low IQ parents revealed significantly less prior court involvement and greater acceptance of court-ordered services. Parents diagnosed with serious emotional disorders were significantly more likely than less disturbed parents to have their children permanently removed despite findings of no significant differences in risk or compliance factors.","It is widely known that a good balance and healthy function for bacteria groups in the colon are necessary to maintain homeostasis and preserve health. However, the lack of consensus on what defines a healthy gut microbiota and the multitude of factors that influence human gut microbiota composition complicate the development of appropriate dietary recommendations for our gut microbiota. Furthermore, the varied response to the intake of probiotics and prebiotics observed in healthy adults suggests the existence of potential inter- and intra-individual factors, which might account for gut microbiota changes to a greater extent than diet. The changing dietary habits worldwide involving consumption of processed foods containing artificial ingredients, such as sweeteners; the coincident rise in emotional disorders; and the worsening of other lifestyle habits, such as smoking habits, drug consumption, and sleep, can together contribute to gut dysbiosis and health impairment, as well as the development of chronic diseases. This review summarizes the current literature on the effects of specific dietary ingredients (probiotics, prebiotics, alcohol, refined sugars and sweeteners, fats) in the gut microbiota of healthy adults and the potential inter- and intra-individual factors involved, as well as the influence of other potential lifestyle factors that are dramatically increasing nowadays.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Emotional disorders Sentence A: A substantial body of research evidence over the past three decades has indicated that intellectual and emotional impairment among parents is a factor contributing to child abuse and neglect. This study examined the court records of 206 seriously abused or neglected children and their families in a large urban area and found that in over half the records a parent had been diagnosed as having an emotional disorder and/or low IQ, with a majority of these diagnoses indicating significant impairment. Although type of impairment (emotional, low IQ, and a subsample of substance abusers) did not predict type of mistreatment, higher predicted risk for continued mistreatment, or greater likelihood of permanent removal of the child by the court, low IQ parents revealed significantly less prior court involvement and greater acceptance of court-ordered services. Parents diagnosed with serious emotional disorders were significantly more likely than less disturbed parents to have their children permanently removed despite findings of no significant differences in risk or compliance factors. Sentence B: It is widely known that a good balance and healthy function for bacteria groups in the colon are necessary to maintain homeostasis and preserve health. However, the lack of consensus on what defines a healthy gut microbiota and the multitude of factors that influence human gut microbiota composition complicate the development of appropriate dietary recommendations for our gut microbiota. Furthermore, the varied response to the intake of probiotics and prebiotics observed in healthy adults suggests the existence of potential inter- and intra-individual factors, which might account for gut microbiota changes to a greater extent than diet. The changing dietary habits worldwide involving consumption of processed foods containing artificial ingredients, such as sweeteners; the coincident rise in emotional disorders; and the worsening of other lifestyle habits, such as smoking habits, drug consumption, and sleep, can together contribute to gut dysbiosis and health impairment, as well as the development of chronic diseases. This review summarizes the current literature on the effects of specific dietary ingredients (probiotics, prebiotics, alcohol, refined sugars and sweeteners, fats) in the gut microbiota of healthy adults and the potential inter- and intra-individual factors involved, as well as the influence of other potential lifestyle factors that are dramatically increasing nowadays. ###Answer 1. Changed Reasoning: In Sentence A, the term ""emotional disorders"" is used in the context of child abuse and neglect, implying a negative connotation. In contrast, in Sentence B, the term is used in the context of gut microbiota health, with no negative connotation. Therefore, there has been a significant change in the meaning of the term ""emotional disorders"" over time, indicating semantic drift." 60,Emotional disorders,"Twenty-eight children with developmental disorders underwent an interdisciplinary assessment for diagnosis and recommendations about management. Following this assessment, the degree of agreement on diagnosis and recommendations between parents and the team was determined. There was substantial agreement for diagnosis of clearly identifiable conditions such as genetic disorders, autism, and mental retardation but less agreement for milder disorders such as learning disabilities, attention deficit disorder, and emotional disorders. Agreement on management varied, being higher for speech therapy and psychosocial interventions but lower for use of stimulant medication and diet. The parents identified additional diagnostic labels in their child and mentioned more recommendations than the clinicians prescribed. The results suggest the need for careful attention to parent perceptions following interdisciplinary assessment.","Over 40 years of development of cognitive behavioral approaches to treating anxiety and related emotional disorders have left us with highly efficacious treatments that are increasingly widely accepted. Nevertheless, these manualized protocols have become numerous and somewhat complex, restricting effective training and dissemination. Deepening understanding of the nature of emotional disorders reveals that commonalities in etiology and latent structure among these disorders supercedes differences. This suggests the possibility of distilling a set of psychological procedures that would comprise a unified intervention for emotional disorders. Based on theory and data emerging from the fields of learning, emotional development and regulation, and cognitive science, we identify three fundamental therapeutic components relevant to the treatment of emotional disorders generally. These three components include (a) altering antecedent cognitive reappraisals; (b) preventing emotional avoidance; and (c) facilitating action tendencies not associated with the emotion that is dysregulated. This treatment takes place in the context of provoking emotional expression (emotional exposure) through situational, internal, and somatic (interoceptive cues), as well as through standard mood-induction exercises, and differs from patient to patient only in the situational cues and exercises utilized. Theory and rationale supporting this new approach are described along with some preliminary experience with the protocol. This unified treatment may represent a more efficient and possibly a more effective strategy in treating emotional disorders, pending further evaluation.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Emotional disorders Sentence A: Twenty-eight children with developmental disorders underwent an interdisciplinary assessment for diagnosis and recommendations about management. Following this assessment, the degree of agreement on diagnosis and recommendations between parents and the team was determined. There was substantial agreement for diagnosis of clearly identifiable conditions such as genetic disorders, autism, and mental retardation but less agreement for milder disorders such as learning disabilities, attention deficit disorder, and emotional disorders. Agreement on management varied, being higher for speech therapy and psychosocial interventions but lower for use of stimulant medication and diet. The parents identified additional diagnostic labels in their child and mentioned more recommendations than the clinicians prescribed. The results suggest the need for careful attention to parent perceptions following interdisciplinary assessment. Sentence B: Over 40 years of development of cognitive behavioral approaches to treating anxiety and related emotional disorders have left us with highly efficacious treatments that are increasingly widely accepted. Nevertheless, these manualized protocols have become numerous and somewhat complex, restricting effective training and dissemination. Deepening understanding of the nature of emotional disorders reveals that commonalities in etiology and latent structure among these disorders supercedes differences. This suggests the possibility of distilling a set of psychological procedures that would comprise a unified intervention for emotional disorders. Based on theory and data emerging from the fields of learning, emotional development and regulation, and cognitive science, we identify three fundamental therapeutic components relevant to the treatment of emotional disorders generally. These three components include (a) altering antecedent cognitive reappraisals; (b) preventing emotional avoidance; and (c) facilitating action tendencies not associated with the emotion that is dysregulated. This treatment takes place in the context of provoking emotional expression (emotional exposure) through situational, internal, and somatic (interoceptive cues), as well as through standard mood-induction exercises, and differs from patient to patient only in the situational cues and exercises utilized. Theory and rationale supporting this new approach are described along with some preliminary experience with the protocol. This unified treatment may represent a more efficient and possibly a more effective strategy in treating emotional disorders, pending further evaluation. ###Answer 1. Changed Reasoning: The meaning of the target word ""emotional disorders"" has significantly shifted between Sentence A (2000) and Sentence B (2020). In Sentence A, the term is used to describe a range of disorders, including learning disabilities, attention deficit disorder, and anxiety. However, in Sentence B, the term is used specifically to refer to anxiety and related emotional disorders, with no mention of learning disabilities or attention deficit disorder. This suggests that the term ""emotional disorders"" has become more narrowly defined and focused on anxiety-related disorders over time. Therefore, the label ""Changed"" is appropriate." 61,Emotional disorders,"In a prospective Multi-Centre research study involving four British Adolescent Psychiatry Inpatient Units, all 276 adolescent admissions were diagnosed using both ICD-9 and DSM-III. Ratings of diagnostic confidence for each diagnostic group varied considerably. Clinicians recorded high levels of confidence in the diagnosis of both Schizophrenia and Anorexia nervosa, while considerably lower scores were noted for Adjustment Disorders (ICD-9 3-digit code 309.), and for Emotional Disorders (ICD-9 3-digit code 313.). Exact concordance in diagnoses made for each case using both ICD-9 and DSM-III occurred in 72% of the entire cohort. The dissimilar concordance rates comparing ICD-9 and DSM-III diagnoses for the same patient admissions suggest differences in validity measures, such as face validity and content validity, in the reliability of diagnostic criteria between similarly named disorders across the two systems, and in the clinician's training and attitude to diagnosis. With the recent introduction of DSM-IV following upon ICD-10, further comparative studies are needed to examine both reliability and validity issues into diagnosis and classification in child and adolescent psychiatry.","This editorial highlights the limitations of preclinical models in accurately reflecting the complexity of anxiety and depression, which leads to a lack of effective treatments for these disorders. Inconsistencies in experimental designs and methodologies can entail conflicting or inconclusive findings, while an overreliance on medication can mask underlying problems. Researchers are exploring new approaches to preclinical modeling of negative emotional disorders, including using patient-derived cells, developing more complex animal models, and integrating genetic and environmental factors. Advanced technologies, such as optogenetics, chemogenetics and neuroimaging, are also being employed to improve the specificity and selectivity of preclinical models. Collaboration and innovation across different disciplines and sectors are needed to address complex societal challenges, which requires new models of funding and support that prioritize cooperation and multidisciplinary research. By harnessing the power of technology and new ways of working, researchers can collaborate more effectively to bring about transformative change.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Emotional disorders Sentence A: In a prospective Multi-Centre research study involving four British Adolescent Psychiatry Inpatient Units, all 276 adolescent admissions were diagnosed using both ICD-9 and DSM-III. Ratings of diagnostic confidence for each diagnostic group varied considerably. Clinicians recorded high levels of confidence in the diagnosis of both Schizophrenia and Anorexia nervosa, while considerably lower scores were noted for Adjustment Disorders (ICD-9 3-digit code 309.), and for Emotional Disorders (ICD-9 3-digit code 313.). Exact concordance in diagnoses made for each case using both ICD-9 and DSM-III occurred in 72% of the entire cohort. The dissimilar concordance rates comparing ICD-9 and DSM-III diagnoses for the same patient admissions suggest differences in validity measures, such as face validity and content validity, in the reliability of diagnostic criteria between similarly named disorders across the two systems, and in the clinician's training and attitude to diagnosis. With the recent introduction of DSM-IV following upon ICD-10, further comparative studies are needed to examine both reliability and validity issues into diagnosis and classification in child and adolescent psychiatry. Sentence B: This editorial highlights the limitations of preclinical models in accurately reflecting the complexity of anxiety and depression, which leads to a lack of effective treatments for these disorders. Inconsistencies in experimental designs and methodologies can entail conflicting or inconclusive findings, while an overreliance on medication can mask underlying problems. Researchers are exploring new approaches to preclinical modeling of negative emotional disorders, including using patient-derived cells, developing more complex animal models, and integrating genetic and environmental factors. Advanced technologies, such as optogenetics, chemogenetics and neuroimaging, are also being employed to improve the specificity and selectivity of preclinical models. Collaboration and innovation across different disciplines and sectors are needed to address complex societal challenges, which requires new models of funding and support that prioritize cooperation and multidisciplinary research. By harnessing the power of technology and new ways of working, researchers can collaborate more effectively to bring about transformative change. ###Answer 1. Changed Explanation: In Sentence A, the term ""Emotional Disorders"" is used in the context of a research study to describe a group of diagnoses, including Schizophrenia and Anorexia nervosa. The term carries a negative connotation, as it suggests a lack of emotional stability or regulation. In Sentence B, the term ""negative emotional disorders"" is used, which suggests a more nuanced understanding of the disorders, including the possibility of co-occurring anxiety and depression. The term is also used in a more positive light, as it highlights the complexity of these disorders and the need for new approaches to preclinical modeling. This shift in meaning could indicate a semantic drift in the usage of the term ""Emotional Disorders"" over time." 62,Emotional disorders,"The present study examined the usefulness of the Penn State Worry Questionnaire (PSWQ) as a means of screening for generalized anxiety disorder (GAD). Using receiver operating characteristic analyses, the accuracy of the PSWQ in screening for GAD was examined in both clinical and analogue diagnosed GAD samples. Given high comorbidity between GAD and other emotional disorders, we also investigated the usefulness of the PSWQ in selecting non-cases of GAD that were also free of PTSD, social phobia, or depression versus non-cases of GAD that met criteria for one of these conditions. The overall usefulness of the PSWQ as a screening device is discussed.","The study investigated implicit memory function in fibromyalgia syndrome (FMS) and its association with clinical parameters. Implicit memory refers to the influence of past experience on current behavior without conscious awareness of these experiences. Eighteen FMS patients and 25 healthy individuals accomplished a word-stem completion task. As possible factors mediating the expected impairment, pain severity, emotional disorders, and medication were taken into account. The patients displayed markedly reduced task performance and higher levels of depression and anxiety. Among the clinical features, pain severity was most closely associated with performance, whereas depression, anxiety, and medication showed only a minor impact. The study documented reduced implicit memory function in FMS. In contrast to former findings on impaired performance of FMS patients on classical memory tests, lower implicit memory function cannot be ascribed to motivational deficits. Instead, the aberrances may relate to functional inference between central nervous nociceptive activity and cognitive processing.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Emotional disorders Sentence A: The present study examined the usefulness of the Penn State Worry Questionnaire (PSWQ) as a means of screening for generalized anxiety disorder (GAD). Using receiver operating characteristic analyses, the accuracy of the PSWQ in screening for GAD was examined in both clinical and analogue diagnosed GAD samples. Given high comorbidity between GAD and other emotional disorders, we also investigated the usefulness of the PSWQ in selecting non-cases of GAD that were also free of PTSD, social phobia, or depression versus non-cases of GAD that met criteria for one of these conditions. The overall usefulness of the PSWQ as a screening device is discussed. Sentence B: The study investigated implicit memory function in fibromyalgia syndrome (FMS) and its association with clinical parameters. Implicit memory refers to the influence of past experience on current behavior without conscious awareness of these experiences. Eighteen FMS patients and 25 healthy individuals accomplished a word-stem completion task. As possible factors mediating the expected impairment, pain severity, emotional disorders, and medication were taken into account. The patients displayed markedly reduced task performance and higher levels of depression and anxiety. Among the clinical features, pain severity was most closely associated with performance, whereas depression, anxiety, and medication showed only a minor impact. The study documented reduced implicit memory function in FMS. In contrast to former findings on impaired performance of FMS patients on classical memory tests, lower implicit memory function cannot be ascribed to motivational deficits. Instead, the aberrances may relate to functional inference between central nervous nociceptive activity and cognitive processing. ###Answer 1. Changed Reasoning: In Sentence A, the target word ""emotional disorders"" is used in the context of screening for generalized anxiety disorder (GAD). The term likely refers to anxiety disorders that are characterized by excessive and persistent worry, anxiety, or fear. In this context, the term ""emotional disorders"" does not convey any particular connotation or nuance. In Sentence B, the target word ""emotional disorders"" is used in the context of investigating implicit memory function in fibromyalgia syndrome (FMS). Here, the term likely refers to a broader range of emotional and psychological disturbances, including depression, anxiety, and other related conditions. The use of the term ""emotional disorders"" in this context connotes a more complex and multifaceted set of symptoms, including both emotional and cognitive disturbances. Based on these differences in context and meaning, it is clear that the term ""emotional disorders"" has undergone a significant change in meaning between Sentence A and Sentence B. In Sentence A, the term likely refers to a specific type of anxiety disorder, while in Sentence B, it encompasses a broader range of emotional and psychological disturbances. Therefore, I would label this example as ""Changed.""" 63,Emotional disorders,"The author sees the task of industrial psychiatry as one of preventing emotional maladjustment and the more serious mental disorders in the industrial population, and of treating early cases of emotional disorders. He classifies the preventive functions as: giving ""emotional"" first-aid, holding psychiatric consultations, and training in mental health. The function of the psychiatrist is to concentrate on patients who are too difficult to be handled by the industrial medical officer, his nurse, or the psychologist, and to train management and medical staff to collaborate in preventive mental health activity. Some of the techniques used by the psychiatrist are described, and the important problem of how to handle confidential material is discussed.The author points out that the selection of medical staff for such work is extremely important, and that choosing the right type of psychiatrist is of primary importance for the whole organization.","Chronic pain is a common neurological disease involving lasting, multifaceted maladaptations ranging from gene modulation to synaptic dysfunction and emotional disorders. Sustained pathological stimuli in many diseases alter the output activities of certain genes through epigenetic modifications, but it is unclear how epigenetic mechanisms operate in the development of chronic pain. We show here that in the rat brainstem nucleus raphe magnus, which is important for central mechanisms of chronic pain, persistent inflammatory and neuropathic pain epigenetically suppresses Gad2 (encoding glutamic acid decarboxylase 65 (GAD65)) transcription through histone deacetylase (HDAC)-mediated histone hypoacetylation, resulting in impaired γ-aminobutyric acid (GABA) synaptic inhibition. Gad2 knockout mice showed sensitized pain behavior and impaired GABA synaptic function in their brainstem neurons. In wild-type but not Gad2 knockout mice, HDAC inhibitors strongly increased GAD65 activity, restored GABA synaptic function and relieved sensitized pain behavior. These findings suggest GAD65 and HDACs as potential therapeutic targets in an epigenetic approach to the treatment of chronic pain.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Emotional disorders Sentence A: The author sees the task of industrial psychiatry as one of preventing emotional maladjustment and the more serious mental disorders in the industrial population, and of treating early cases of emotional disorders. He classifies the preventive functions as: giving ""emotional"" first-aid, holding psychiatric consultations, and training in mental health. The function of the psychiatrist is to concentrate on patients who are too difficult to be handled by the industrial medical officer, his nurse, or the psychologist, and to train management and medical staff to collaborate in preventive mental health activity. Some of the techniques used by the psychiatrist are described, and the important problem of how to handle confidential material is discussed.The author points out that the selection of medical staff for such work is extremely important, and that choosing the right type of psychiatrist is of primary importance for the whole organization. Sentence B: Chronic pain is a common neurological disease involving lasting, multifaceted maladaptations ranging from gene modulation to synaptic dysfunction and emotional disorders. Sustained pathological stimuli in many diseases alter the output activities of certain genes through epigenetic modifications, but it is unclear how epigenetic mechanisms operate in the development of chronic pain. We show here that in the rat brainstem nucleus raphe magnus, which is important for central mechanisms of chronic pain, persistent inflammatory and neuropathic pain epigenetically suppresses Gad2 (encoding glutamic acid decarboxylase 65 (GAD65)) transcription through histone deacetylase (HDAC)-mediated histone hypoacetylation, resulting in impaired γ-aminobutyric acid (GABA) synaptic inhibition. Gad2 knockout mice showed sensitized pain behavior and impaired GABA synaptic function in their brainstem neurons. In wild-type but not Gad2 knockout mice, HDAC inhibitors strongly increased GAD65 activity, restored GABA synaptic function and relieved sensitized pain behavior. These findings suggest GAD65 and HDACs as potential therapeutic targets in an epigenetic approach to the treatment of chronic pain. ###Answer 1. Changed Reasoning: The meaning of the target word ""emotional disorders"" has changed significantly between Sentence A (2000) and Sentence B (2020). In Sentence A, the term refers to a broader range of mental health issues, including prevention and treatment of more serious disorders. In Sentence B, the term specifically refers to chronic pain, a neurological disease involving multifaceted maladaptations, including gene modulation, synaptic dysfunction, and emotional disorders. The shift in meaning suggests that the term ""emotional disorders"" has undergone semantic drift, and its meaning has changed significantly over time." 64,Emotional disorders,"A group of US surgeons and nurses was invited by the Soviet surgeons and nurses of the Burn Unit of Childrens Hospital 9 to return to Moscow to participate in the evaluation and treatment of a group of 25 children burned in the Bashkir train-gas pipeline accident of 4 June 1989. The US group had participated in the acute care of the children 7 months before. Major sequelae observed were hepatitis, cardiomyopathy and severe emotional disorders. Reconstructive surgery for burn scars was jointly planned and carried out during a 2-week period of mutually instructive cooperation.","Alzheimer's disease (AD) is a progressive neurodegenerative disorder that is pathologically characterized by the deposition of β-amyloid (βA) peptides in senile plaques and neurofibrillary tangles in the brain. Flavonoids have recently been used to prevent and treat a variety of neurodegenerative diseases, but little is known about bioflavonoids. In this study, we evaluate whether a biflavonoid fraction (BF) exerts neuroprotective effects on an aged triple transgenic mouse mode of AD (3xTg-AD). Then, 21-24-month-old 3xTg AD mice were i.p. injected with 25mg/kg of a BF from Garcinia madruno composed of morelloflavone (65%), volkensiflavone (12%), GB 2a (11%), fukugiside (6%) and amentoflavone (0.4%) every 48h for 3 months. The BF treatment reduced βA deposition in different regions of the brain (the hippocampus, entorhinal cortex and amygdala), reduced βA1-40 and βA1-42 levels, BACE1-mediated cleavage of APP (CTFβ), tau pathology, astrogliosis and microgliosis in the brains of aged 3xTg-AD mice. Although the BF treatment weakly improved learning, animals treated with BF spent more time in the open arms of the elevated plus maze test and displayed greater risk assessment behavior than the control groups. In summary, the BF reverses histopathological hallmarks and reduces emotional disorders in the 3xTg-AD mouse model, suggesting that the biflavonoids from G. madruno represent a potential natural therapeutic option for AD if its bioavailability is improved.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Emotional disorders Sentence A: A group of US surgeons and nurses was invited by the Soviet surgeons and nurses of the Burn Unit of Childrens Hospital 9 to return to Moscow to participate in the evaluation and treatment of a group of 25 children burned in the Bashkir train-gas pipeline accident of 4 June 1989. The US group had participated in the acute care of the children 7 months before. Major sequelae observed were hepatitis, cardiomyopathy and severe emotional disorders. Reconstructive surgery for burn scars was jointly planned and carried out during a 2-week period of mutually instructive cooperation. Sentence B: Alzheimer's disease (AD) is a progressive neurodegenerative disorder that is pathologically characterized by the deposition of β-amyloid (βA) peptides in senile plaques and neurofibrillary tangles in the brain. Flavonoids have recently been used to prevent and treat a variety of neurodegenerative diseases, but little is known about bioflavonoids. In this study, we evaluate whether a biflavonoid fraction (BF) exerts neuroprotective effects on an aged triple transgenic mouse mode of AD (3xTg-AD). Then, 21-24-month-old 3xTg AD mice were i.p. injected with 25mg/kg of a BF from Garcinia madruno composed of morelloflavone (65%), volkensiflavone (12%), GB 2a (11%), fukugiside (6%) and amentoflavone (0.4%) every 48h for 3 months. The BF treatment reduced βA deposition in different regions of the brain (the hippocampus, entorhinal cortex and amygdala), reduced βA1-40 and βA1-42 levels, BACE1-mediated cleavage of APP (CTFβ), tau pathology, astrogliosis and microgliosis in the brains of aged 3xTg-AD mice. Although the BF treatment weakly improved learning, animals treated with BF spent more time in the open arms of the elevated plus maze test and displayed greater risk assessment behavior than the control groups. In summary, the BF reverses histopathological hallmarks and reduces emotional disorders in the 3xTg-AD mouse model, suggesting that the biflavonoids from G. madruno represent a potential natural therapeutic option for AD if its bioavailability is improved. ###Answer 1. Changed Reasoning: The target word ""emotional disorders"" has undergone a significant change in meaning between Sentence A and Sentence B. In Sentence A, the term likely referred to the psychological trauma experienced by the patients in the aftermath of the Bashkir train-gas pipeline accident. In Sentence B, the term likely refers to the neurodegenerative effects of Alzheimer's disease, as the BF treatment is shown to reduce tau pathology and improve learning in aged 3xTg-AD mice. The shift in meaning is evident in the context of the sentences and the broader medical knowledge of the time periods." 65,Emotional disorders,"This paper begins by reviewing the current status of primary prevention. Basic concepts and definitions are introduced, and the existing knowledge base is examined. Recent advances in how primary prevention is viewed are described, and some general issues not yet resolved are identified. In particular, the importance of the growing shift of interest from predisposing factors in emotional disorders to precipitating factors, and the shift from the search for disorder-specific causes to the search for general, nonspecific causes is underlined.","Intolerance of Uncertainty (IU) has gained increasing interest as a vulnerability factor for worry in Generalized Anxiety Disorder and other emotional disorders. We extended the procedure of Grupe and Nitschke (2011) to compare threat processing in High IU (n=29) and Low IU (n=26) participants. Participants viewed four cues: two reference cues that preceded aversive pictures on 100% or 0% of trials, and a target cue that preceded aversive pictures on 50% of trials (Uncertain condition). Participants were instructed about these probabilities in advance. In addition, we surprised participants with a second target cue that also preceded aversive pictures on 50% of trials but that had not been mentioned in the instructions (Ambiguous condition). Results provided preliminary evidence that High IU participants showed greater online threat expectancy, postexperimental covariation estimates and negative mood for the target cues compared to the reference cues. The results also suggest that among high IU individuals, ambiguity, rather than uncertainty per se, may be a particularly powerful trigger for biased threat appraisal and negative affect. Clinically, the results suggest that patients with high IU may benefit from interventions to help them calibrate the degree of risk in situations involving ambiguous threat. ","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Emotional disorders Sentence A: This paper begins by reviewing the current status of primary prevention. Basic concepts and definitions are introduced, and the existing knowledge base is examined. Recent advances in how primary prevention is viewed are described, and some general issues not yet resolved are identified. In particular, the importance of the growing shift of interest from predisposing factors in emotional disorders to precipitating factors, and the shift from the search for disorder-specific causes to the search for general, nonspecific causes is underlined. Sentence B: Intolerance of Uncertainty (IU) has gained increasing interest as a vulnerability factor for worry in Generalized Anxiety Disorder and other emotional disorders. We extended the procedure of Grupe and Nitschke (2011) to compare threat processing in High IU (n=29) and Low IU (n=26) participants. Participants viewed four cues: two reference cues that preceded aversive pictures on 100% or 0% of trials, and a target cue that preceded aversive pictures on 50% of trials (Uncertain condition). Participants were instructed about these probabilities in advance. In addition, we surprised participants with a second target cue that also preceded aversive pictures on 50% of trials but that had not been mentioned in the instructions (Ambiguous condition). Results provided preliminary evidence that High IU participants showed greater online threat expectancy, postexperimental covariation estimates and negative mood for the target cues compared to the reference cues. The results also suggest that among high IU individuals, ambiguity, rather than uncertainty per se, may be a particularly powerful trigger for biased threat appraisal and negative affect. Clinically, the results suggest that patients with high IU may benefit from interventions to help them calibrate the degree of risk in situations involving ambiguous threat. ###Answer 1. Changed Explanation: The target word ""emotional disorders"" has undergone a significant change in meaning between the two sentences. In Sentence A, the term is used in the context of primary prevention and refers to a broader range of factors that contribute to the development of emotional disorders. The sentence highlights the growing shift of interest from predisposing factors to precipitating factors and the search for general, nonspecific causes. In Sentence B, the term ""emotional disorders"" is used in the context of a specific vulnerability factor, Intolerance of Uncertainty (IU), and its impact on worry in Generalized Anxiety Disorder. The sentence highlights the idea that among high IU individuals, ambiguity, rather than uncertainty per se, may be a particularly powerful trigger for biased threat appraisal and negative affect. Therefore, the meaning of the target word has changed significantly between the two sentences, indicating semantic drift." 66,Emotional disorders,"The practitioner plays a key role in the primary and secondary prevention of stroke. For the treatment of an acute stroke immediate transfer to a specialized stroke unit is mandatory, while secondary prevention is oriented to the etiology of stroke. The risk factors need to be controlled more stringently than is the case for primary prevention. To ensure the appropriate organization of subsequent care, knowledge of the impairment profile and the support needed by the patient is obligatory. Apart from aiding social integration and providing medical treatment, the general physician also has the task of supporting the patient and, where necessary, treating emotional disorders. The rigorous treatment of secondary complications, or the reinstitution of rehabilitation measures to minimize functional impairments are tasks that can only be performed by the general practitioner.","Transdiagnostic treatments have been designed to target common processes for clusters of disorders. One such treatment, transdiagnostic behavior therapy (TBT), targets avoidance across emotional disorders, including posttraumatic stress disorder (PTSD), depressive disorders, and anxiety disorders, and has demonstrated efficacy in randomized controlled trials. The current study was designed to examine whether distinct treatment trajectories would emerge in a sample of 112 veterans receiving TBT and whether diagnostic comorbidity, baseline levels of several transdiagnostic risk factors, or treatment engagement influence trajectory membership. Growth mixture modeling revealed three distinct trajectories across depression, ds = 0.55-1.09; PTSD ds = -0.07-1.43; and panic disorder symptoms, ds = -0.13-1.09. Notably, for PTSD and panic disorder symptoms, separate classes for responders and nonresponders emerged among participants with high baseline symptom levels. Findings for the risk factors suggested that PTSD and panic nonresponders evidenced significantly higher behavioral avoidance at baseline and reduced engagement in treatment procedures and homework completion compared to responders. Together, the findings provide additional support for the use of TBT in the treatment of emotional disorders, including PTSD. Potential adaptations are discussed for patients with significantly elevated behavioral avoidance to improve treatment engagement and related outcomes.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Emotional disorders Sentence A: The practitioner plays a key role in the primary and secondary prevention of stroke. For the treatment of an acute stroke immediate transfer to a specialized stroke unit is mandatory, while secondary prevention is oriented to the etiology of stroke. The risk factors need to be controlled more stringently than is the case for primary prevention. To ensure the appropriate organization of subsequent care, knowledge of the impairment profile and the support needed by the patient is obligatory. Apart from aiding social integration and providing medical treatment, the general physician also has the task of supporting the patient and, where necessary, treating emotional disorders. The rigorous treatment of secondary complications, or the reinstitution of rehabilitation measures to minimize functional impairments are tasks that can only be performed by the general practitioner. Sentence B: Transdiagnostic treatments have been designed to target common processes for clusters of disorders. One such treatment, transdiagnostic behavior therapy (TBT), targets avoidance across emotional disorders, including posttraumatic stress disorder (PTSD), depressive disorders, and anxiety disorders, and has demonstrated efficacy in randomized controlled trials. The current study was designed to examine whether distinct treatment trajectories would emerge in a sample of 112 veterans receiving TBT and whether diagnostic comorbidity, baseline levels of several transdiagnostic risk factors, or treatment engagement influence trajectory membership. Growth mixture modeling revealed three distinct trajectories across depression, ds = 0.55-1.09; PTSD ds = -0.07-1.43; and panic disorder symptoms, ds = -0.13-1.09. Notably, for PTSD and panic disorder symptoms, separate classes for responders and nonresponders emerged among participants with high baseline symptom levels. Findings for the risk factors suggested that PTSD and panic nonresponders evidenced significantly higher behavioral avoidance at baseline and reduced engagement in treatment procedures and homework completion compared to responders. Together, the findings provide additional support for the use of TBT in the treatment of emotional disorders, including PTSD. Potential adaptations are discussed for patients with significantly elevated behavioral avoidance to improve treatment engagement and related outcomes. ###Answer 1. Changed Reasoning: The target word ""emotional disorders"" has undergone a significant change in meaning between Sentence A (2000) and Sentence B (2020). In Sentence A, the term is used in the context of stroke prevention and management, highlighting the importance of the practitioner in identifying and controlling risk factors for stroke. In contrast, in Sentence B, the term is used in the context of transdiagnostic treatments for various emotional disorders, including PTSD, depressive disorders, and anxiety disorders. The shift in meaning suggests that the term ""emotional disorders"" has become more specific and specialized in the field of mental health treatment, indicating a semantic drift." 67,Emotional disorders,"With the development of cognitive-behavioral theories and treatments for the emotional disorders, there is an increased need for the development and utilization of assessment devices to quantify cognitive constructs. This is especially important in the study and treatment of social phobia, an anxiety disorder that appears to have a significant cognitive component. In this paper, I review and evaluate the use of cognitive assessment strategies in studies of the cognitive-behavioral treatment of social phobia. Although much useful data have been collected, studies that included any form of cognitive assessment relied heavily on questionnaire assessment of fear of negative evaluation or irrational beliefs, with only occasional use of other methods such as thought listing or self-statement questionnaires. In the latter part of the review, I focus on the potential utility of other measures including those derived from the growing literature on the processing of information among persons with social phobia or other anxiety disorders. Studies that have demonstrated differences between social phobics and comparison groups are reviewed, and the potential uses of these information processing techniques are examined. The cognitive assessment of social phobia and its response to cognitive-behavioral interventions remains in its childhood, although the transition to adolescence may be on the horizon.","Unified protocol (UP) is a transdiagnostic cognitive behavior therapy for emotional disorders. It remains unknown whether UP is applicable for use in non-Western countries and for depressive disorders. We therefore examined its feasibility for a Japanese clinical population using this clinical trial design, which is multicentered, open-labeled, and single-armed (Clinical registry: UMIN000008322). The primary outcome was severity of anxiety symptoms, as assessed using Structured Interview Guide for the Hamilton Anxiety Rating Scale. Secondary outcomes were depressive symptoms, clinical global impression, functioning, quality of life, affectivity, emotion regulation, and adverse events. Of the 28 prospective participants, 17 were eligible and enrolled (depressive disorders=9, anxiety disorders=8). Severity of anxiety symptoms, which decreased significantly after the intervention, remained low for 3months (Hedges' g=1.29, 95% CI=0.56-2.06). Similar tendencies were observed for secondary outcome measures. No severe adverse event occurred. Two participants dropped out of the intervention. High treatment adherence and interrater reliability were confirmed. Results suggest the feasibility of UP in the Japanese context sufficient to warrant a larger clinical trial.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Emotional disorders Sentence A: With the development of cognitive-behavioral theories and treatments for the emotional disorders, there is an increased need for the development and utilization of assessment devices to quantify cognitive constructs. This is especially important in the study and treatment of social phobia, an anxiety disorder that appears to have a significant cognitive component. In this paper, I review and evaluate the use of cognitive assessment strategies in studies of the cognitive-behavioral treatment of social phobia. Although much useful data have been collected, studies that included any form of cognitive assessment relied heavily on questionnaire assessment of fear of negative evaluation or irrational beliefs, with only occasional use of other methods such as thought listing or self-statement questionnaires. In the latter part of the review, I focus on the potential utility of other measures including those derived from the growing literature on the processing of information among persons with social phobia or other anxiety disorders. Studies that have demonstrated differences between social phobics and comparison groups are reviewed, and the potential uses of these information processing techniques are examined. The cognitive assessment of social phobia and its response to cognitive-behavioral interventions remains in its childhood, although the transition to adolescence may be on the horizon. Sentence B: Unified protocol (UP) is a transdiagnostic cognitive behavior therapy for emotional disorders. It remains unknown whether UP is applicable for use in non-Western countries and for depressive disorders. We therefore examined its feasibility for a Japanese clinical population using this clinical trial design, which is multicentered, open-labeled, and single-armed (Clinical registry: UMIN000008322). The primary outcome was severity of anxiety symptoms, as assessed using Structured Interview Guide for the Hamilton Anxiety Rating Scale. Secondary outcomes were depressive symptoms, clinical global impression, functioning, quality of life, affectivity, emotion regulation, and adverse events. Of the 28 prospective participants, 17 were eligible and enrolled (depressive disorders=9, anxiety disorders=8). Severity of anxiety symptoms, which decreased significantly after the intervention, remained low for 3months (Hedges' g=1.29, 95% CI=0.56-2.06). Similar tendencies were observed for secondary outcome measures. No severe adverse event occurred. Two participants dropped out of the intervention. High treatment adherence and interrater reliability were confirmed. Results suggest the feasibility of UP in the Japanese context sufficient to warrant a larger clinical trial. ###Answer 1. Changed Reasoning: In Sentence A, the target word ""emotional disorders"" is used in the context of cognitive-behavioral theories and treatments for the study and treatment of social phobia, an anxiety disorder. The meaning of the word seems to be focused on the relationship between cognition and behavior in the context of anxiety disorders. In Sentence B, the target word ""emotional disorders"" is used in the context of a transdiagnostic cognitive behavior therapy for emotional disorders, including depressive disorders. The meaning of the word seems to have expanded to include a broader range of emotional disorders, including depressive disorders, and the focus is on the feasibility of the Unified Protocol (UP) in the Japanese context. In Sentence A, the word ""emotional disorders"" is used in a more specific and focused context, while in Sentence B, the word is used in a more general and inclusive context. This difference in context suggests that the meaning of the word has shifted from a more specific focus on anxiety disorders to a broader focus on a range of emotional disorders. Therefore, the label ""Changed"" is appropriate." 68,Emotional disorders,"On the basis of clinical and experimental studies of 83 patients with primary arterial hypotension, the authors present characteristic features of its clinical manifestations related to genetic predisposition and the effect of exogenous factors. Emotional, vegetative, hemodynamic and cerebral disorders associated with the clinical form of disease, namely with the presence or absence of syncopes in the picture of disease are analyzed. Characteristics of psychovegetative disturbances and also of the EEG pattern in various emotional disorders are offered. The results obtained seem to suggest the involvement of cerebral systems in the disruption of hemodynamic mechanisms in arterial hypotension.","Children worldwide experience mental and emotional disorders. Mental disorders occurring among young children, especially infants (birth -3 years), often go unrecognized. Prevalence rates are difficult to determine because of lack of awareness and difficulty assessing and diagnosing young children. Existing data, however, suggest that rates of disorders in young children are comparable to those of older children and adolescents (von Klitzing, Dohnert, Kroll, & Grube, ). The lack of widespread recognition of disorders of infancy is particularly concerning due to the unique positioning of infancy as foundational in the developmental process. Both the brain and behavior are in vulnerable states of development across the first 3 years of life, with potential for enduring deviations to occur in response to early trauma and deprivation. Intervention approaches for young children require sensitivity to their developmental needs within their families. The primacy of infancy as a time of unique foundational risks for disorder, the impact of trauma and violence on young children's development, the impact of family disruption on children's attachment, and existing literature on prevalence rates of early disorders are discussed. Finally, global priorities for addressing these disorders of infancy are highlighted to support prevention and intervention actions that may alleviate suffering among our youngest world citizens.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Emotional disorders Sentence A: On the basis of clinical and experimental studies of 83 patients with primary arterial hypotension, the authors present characteristic features of its clinical manifestations related to genetic predisposition and the effect of exogenous factors. Emotional, vegetative, hemodynamic and cerebral disorders associated with the clinical form of disease, namely with the presence or absence of syncopes in the picture of disease are analyzed. Characteristics of psychovegetative disturbances and also of the EEG pattern in various emotional disorders are offered. The results obtained seem to suggest the involvement of cerebral systems in the disruption of hemodynamic mechanisms in arterial hypotension. Sentence B: Children worldwide experience mental and emotional disorders. Mental disorders occurring among young children, especially infants (birth -3 years), often go unrecognized. Prevalence rates are difficult to determine because of lack of awareness and difficulty assessing and diagnosing young children. Existing data, however, suggest that rates of disorders in young children are comparable to those of older children and adolescents (von Klitzing, Dohnert, Kroll, & Grube, ). The lack of widespread recognition of disorders of infancy is particularly concerning due to the unique positioning of infancy as foundational in the developmental process. Both the brain and behavior are in vulnerable states of development across the first 3 years of life, with potential for enduring deviations to occur in response to early trauma and deprivation. Intervention approaches for young children require sensitivity to their developmental needs within their families. The primacy of infancy as a time of unique foundational risks for disorder, the impact of trauma and violence on young children's development, the impact of family disruption on children's attachment, and existing literature on prevalence rates of early disorders are discussed. Finally, global priorities for addressing these disorders of infancy are highlighted to support prevention and intervention actions that may alleviate suffering among our youngest world citizens. ###Answer 1. Changed Explanation: In Sentence A, the target word ""emotional disorders"" is used in the context of clinical and experimental studies of patients with primary arterial hypotension. The meaning of the word appears to be focused on the relationship between genetic predisposition and the effect of exogenous factors on the clinical manifestations of the disease. The word does not convey any strong emotional connotations, and its meaning is more closely aligned with the medical or scientific context. In Sentence B, the target word ""emotional disorders"" is used in the context of children worldwide experiencing mental and emotional disorders. The meaning of the word appears to be more focused on the emotional and psychological aspects of the disorders, rather than the medical or scientific context. The word carries a stronger emotional connotation, suggesting a greater emphasis on the emotional impact of the disorders on the children. Based on these differences in context and meaning, it can be concluded that the target word ""emotional disorders"" has undergone a significant change in meaning or connotation between the two timestamps. Therefore, the label ""Changed"" is appropriate." 69,Emotional disorders,"""Presence,"" as discussed in the virtual reality (VR) literature, is the sense of truly being in a virtual place. This literature explores many aspects of presence including interactive and environmental factors. This exploration has generally ignored the impact of the individual's mental status on the experience of presence. Mental disorders such as depression, anxiety, and psychosis may each define a population with specific tendencies to respond to VR in particular ways. To fully understand the experience of presence in virtual environments, we must understand more about the impact of different mental states on presence. Such an understanding will improve our insight into the construct of presence, assist in improved design of virtual environments, and better inform us about how virtual environments can be applied in the treatment of emotional disorders.","Tinnitus is a common symptom largely impactful on quality of life, especially in the elderly. Our aim was to evaluate the efficacy of self-administered screening tests to correlate the severity of subjective perception of tinnitus with emotional disorders and the overall cognitive status.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Emotional disorders Sentence A: ""Presence,"" as discussed in the virtual reality (VR) literature, is the sense of truly being in a virtual place. This literature explores many aspects of presence including interactive and environmental factors. This exploration has generally ignored the impact of the individual's mental status on the experience of presence. Mental disorders such as depression, anxiety, and psychosis may each define a population with specific tendencies to respond to VR in particular ways. To fully understand the experience of presence in virtual environments, we must understand more about the impact of different mental states on presence. Such an understanding will improve our insight into the construct of presence, assist in improved design of virtual environments, and better inform us about how virtual environments can be applied in the treatment of emotional disorders. Sentence B: Tinnitus is a common symptom largely impactful on quality of life, especially in the elderly. Our aim was to evaluate the efficacy of self-administered screening tests to correlate the severity of subjective perception of tinnitus with emotional disorders and the overall cognitive status. ###Answer 1. Changed The target word ""emotional disorders"" has undergone semantic drift between Sentence A (2000) and Sentence B (2020). In Sentence A, ""emotional disorders"" is used in the context of virtual reality and mental health, specifically to describe the impact of mental disorders on the experience of presence. The sentence suggests that individuals with different mental disorders may respond to virtual environments in unique ways. This usage implies a focus on the psychological aspects of emotional disorders. In Sentence B, ""emotional disorders"" is used in the context of tinnitus and its impact on quality of life, particularly in the elderly. The sentence does not mention the psychological aspects of emotional disorders, but rather their relationship to cognitive status and overall well-being. This usage implies a shift in focus from psychological aspects to more general well-being. Therefore, the meaning of ""emotional disorders"" has significantly changed between Sentence A and Sentence B, indicating semantic drift has occurred." 70,Emotional disorders,"A diagnostic dilemma exists when clinicians face patients with atypical recurrent symptoms involving both physical and psychologic elements. Multiple sclerosis (MS) represents such a dilemma. Few authors address themselves to the significance of depressive illness as the initial presentation in MS. Three patients hospitalized solely due to recurrent emotional disorders are described. Depressive symptoms predominated. In each case no precipitant for depression was identified, no previous neurologic diagnosis was entertained by clinician or patient, and multiple prior psychotherapeutic interventions were unsuccessful. The episodic nature of the symptoms and poor response to usually effective treatments created a high index of suspicion for central nervous system disease. A diagnosis of MS was made based on subtle neurologic signs, spinal fluid gamma globulin elevations, and abnormalities in neuropsychological testing. Treatment involved integrated psychiatric and medical measures.","Emotional disorders and cognitive dysfunctions are important treatment targets in psychiatric clinical settings. The biological mechanisms of emotional disorders have been studied with methods that include fear conditioning, schizophrenia models are studied with methamphetamine-induced reverse tolerance in rats, and dynamic changes in brain neurotransmitters are studied with microdialysis and high-performance liquid chromatography. We combined these methods in order to evaluate dopamine dynamics in the amygdala and the biological bases and relationships of emotional disorder and cognitive dysfunction. Fear-conditioned rats showed freezing behavior and dopamine release in the amygdala in response to conditioned stimuli. Methamphetamine-induced reverse tolerance rats showed increased dopamine release in the amygdala in response to conditioned stimuli. The increased release of dopamine continued after the freezing behavior had ended. This increased and long-lasting dopamine release may reflect abnormal emotional context processing in cognition in schizophrenia. Antipsychotic drugs, such as haloperidol, aripiprazole, and clozapine, suppress this increased release of dopamine in the amygdala in response to conditioned stimuli. These findings suggest that antipsychotic drugs may stabilize abnormal emotional context processing in cognition in this model. We conclude that the significance of pharmacotherapy in schizophrenia is that antipsychotic drugs stabilize the emotional context processing in cognition and adjust the relationship of emotion and cognition.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Emotional disorders Sentence A: A diagnostic dilemma exists when clinicians face patients with atypical recurrent symptoms involving both physical and psychologic elements. Multiple sclerosis (MS) represents such a dilemma. Few authors address themselves to the significance of depressive illness as the initial presentation in MS. Three patients hospitalized solely due to recurrent emotional disorders are described. Depressive symptoms predominated. In each case no precipitant for depression was identified, no previous neurologic diagnosis was entertained by clinician or patient, and multiple prior psychotherapeutic interventions were unsuccessful. The episodic nature of the symptoms and poor response to usually effective treatments created a high index of suspicion for central nervous system disease. A diagnosis of MS was made based on subtle neurologic signs, spinal fluid gamma globulin elevations, and abnormalities in neuropsychological testing. Treatment involved integrated psychiatric and medical measures. Sentence B: Emotional disorders and cognitive dysfunctions are important treatment targets in psychiatric clinical settings. The biological mechanisms of emotional disorders have been studied with methods that include fear conditioning, schizophrenia models are studied with methamphetamine-induced reverse tolerance in rats, and dynamic changes in brain neurotransmitters are studied with microdialysis and high-performance liquid chromatography. We combined these methods in order to evaluate dopamine dynamics in the amygdala and the biological bases and relationships of emotional disorder and cognitive dysfunction. Fear-conditioned rats showed freezing behavior and dopamine release in the amygdala in response to conditioned stimuli. Methamphetamine-induced reverse tolerance rats showed increased dopamine release in the amygdala in response to conditioned stimuli. The increased release of dopamine continued after the freezing behavior had ended. This increased and long-lasting dopamine release may reflect abnormal emotional context processing in cognition in schizophrenia. Antipsychotic drugs, such as haloperidol, aripiprazole, and clozapine, suppress this increased release of dopamine in the amygdala in response to conditioned stimuli. These findings suggest that antipsychotic drugs may stabilize abnormal emotional context processing in cognition in this model. We conclude that the significance of pharmacotherapy in schizophrenia is that antipsychotic drugs stabilize the emotional context processing in cognition and adjust the relationship of emotion and cognition. ###Answer 1. Changed Reasoning: The target word ""emotional disorders"" has undergone a significant change in meaning between Sentence A (2000) and Sentence B (2020). In Sentence A, the term is used to describe symptoms in patients with multiple sclerosis, with a focus on the physical and psychological elements involved. In contrast, in Sentence B, the term is used more broadly to describe treatment targets in psychiatric clinical settings, with a focus on the biological mechanisms of emotional disorders. The term has shifted from a clinical context to a more general psychiatric context, indicating a change in its meaning." 71,Emotional disorders,"The reliability and validity of the Spence Children's Anxiety Scale (SCAS) and the Screen for Child Anxiety Related Emotional Disorders (SCARED) were evaluated in a sample of 556 German primary school children. Both the SCAS (alpha = 0.92) and the SCARED (alpha = 0.91) were demonstrated to have high internal consistency. The validity of the SCAS and the SCARED was supported by a number of findings. First, in agreement with previous studies, girls displayed significantly higher levels of anxiety symptoms than boys. Furthermore, SCAS and SCARED scores were substantially interrelated. Finally, significant correlations were found between these two measures of anxiety symptoms and the Youth Self-Report and the Columbia Impairment Scale. The utility of the SCAS and the SCARED as screening instruments for anxiety symptoms in children is briefly discussed.","Understanding the autonomic nervous system and homeostatic changes associated with emotions remains a major challenge for neuroscientists and a fundamental prerequisite to treat anxiety, stress, and emotional disorders. Based on recent publications, the inter-relationship between respiration and emotions and the influence of respiration on autonomic changes, and subsequent widespread membrane potential changes resulting from changes in homeostasis are discussed. We hypothesize that reversing homeostatic alterations with meditation and breathing techniques rather than targeting neurotransmitters with medication may be a superior method to address the whole body changes that occur in stress, anxiety, and depression. Detrimental effects of stress, negative emotions, and sympathetic dominance of the autonomic nervous system have been shown to be counteracted by different forms of meditation, relaxation, and breathing techniques. We propose that these breathing techniques could be used as first-line and supplemental treatments for stress, anxiety, depression, and some emotional disorders. ","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Emotional disorders Sentence A: The reliability and validity of the Spence Children's Anxiety Scale (SCAS) and the Screen for Child Anxiety Related Emotional Disorders (SCARED) were evaluated in a sample of 556 German primary school children. Both the SCAS (alpha = 0.92) and the SCARED (alpha = 0.91) were demonstrated to have high internal consistency. The validity of the SCAS and the SCARED was supported by a number of findings. First, in agreement with previous studies, girls displayed significantly higher levels of anxiety symptoms than boys. Furthermore, SCAS and SCARED scores were substantially interrelated. Finally, significant correlations were found between these two measures of anxiety symptoms and the Youth Self-Report and the Columbia Impairment Scale. The utility of the SCAS and the SCARED as screening instruments for anxiety symptoms in children is briefly discussed. Sentence B: Understanding the autonomic nervous system and homeostatic changes associated with emotions remains a major challenge for neuroscientists and a fundamental prerequisite to treat anxiety, stress, and emotional disorders. Based on recent publications, the inter-relationship between respiration and emotions and the influence of respiration on autonomic changes, and subsequent widespread membrane potential changes resulting from changes in homeostasis are discussed. We hypothesize that reversing homeostatic alterations with meditation and breathing techniques rather than targeting neurotransmitters with medication may be a superior method to address the whole body changes that occur in stress, anxiety, and depression. Detrimental effects of stress, negative emotions, and sympathetic dominance of the autonomic nervous system have been shown to be counteracted by different forms of meditation, relaxation, and breathing techniques. We propose that these breathing techniques could be used as first-line and supplemental treatments for stress, anxiety, depression, and some emotional disorders. ###Answer 1. Changed Explanation: In Sentence A, the term ""emotional disorders"" is used in a neutral context, with no apparent connotation of negative or harmful emotions. For example, the sentence discusses the validity and reliability of screening instruments for anxiety symptoms in children, without any mention of the potential negative impact of these disorders. Therefore, it can be inferred that the term ""emotional disorders"" in Sentence A has not undergone significant semantic drift. In Sentence B, the term ""emotional disorders"" carries a different connotation, with a suggestion of negative or harmful emotions. For instance, the sentence discusses the inter-relationship between respiration and emotions, and the influence of respiration on autonomic changes and subsequent widespread membrane potential changes resulting from changes in homeostasis. This context implies that the term ""emotional disorders"" in Sentence B is associated with negative emotions and may indicate a shift in meaning towards a more negative connotation. Therefore, the label ""Changed"" is appropriate for this sentence." 72,Emotional disorders,"This study investigates the extent to which 2 Hand Test variables, the Pathology summary score (PATH) and the Acting Out Score (AOS), were able to differentiate among 3 groups of adolescents. Thirty psychiatric inpatient adolescents diagnosed with various Diagnostic and Statistical Manual of Mental Disorders (4th ed.; American Psychiatric Association, 1994) behavioral and emotional disorders were compared to 30 outpatient and 30 nonclinical adolescents matched on age, grade, and sex. An analysis of variance demonstrated the ability of both PATH and AOS to significantly differentiate among the 3 groups. Multiple regression equations utilized PATH and AOS as significant predictors of inpatient status (p < .0001) and general patient (inpatient and outpatient) status (p < .0001). Utilizing diagnostic efficiency statistics, overall correct classification was found to be highest for PATH > or = 3 and AOS > or = 2. These findings support the application of the Hand Test as a useful assessment tool for adolescents suspected of having psychiatric disorders and present evidence for the use of PATH and AOS for classification purposes in ways that are clinically meaningful."," Congenital amusia is a neuro-developmental disorder of music perception and production, with the observed deficits contrasting with the sophisticated music processing reported for the general population. Musical deficits within amusia have been hypothesized to arise from altered pitch processing, with impairments in pitch discrimination and, notably, short-term memory. We here review research investigating its behavioral and neural correlates, in particular the impairments at encoding, retention, and recollection of pitch information, as well as how these impairments extend to the processing of pitch cues in speech and emotion. The impairments have been related to altered brain responses in a distributed fronto-temporal network, which can be observed also at rest. Neuroimaging studies revealed changes in connectivity patterns within this network and beyond, shedding light on the brain dynamics underlying auditory cognition. Interestingly, some studies revealed spared implicit pitch processing in congenital amusia, showing the power of implicit cognition in the music domain. Building on these findings, together with audiovisual integration and other beneficial mechanisms, we outline perspectives for training and rehabilitation and the future directions of this research domain. ","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Emotional disorders Sentence A: This study investigates the extent to which 2 Hand Test variables, the Pathology summary score (PATH) and the Acting Out Score (AOS), were able to differentiate among 3 groups of adolescents. Thirty psychiatric inpatient adolescents diagnosed with various Diagnostic and Statistical Manual of Mental Disorders (4th ed.; American Psychiatric Association, 1994) behavioral and emotional disorders were compared to 30 outpatient and 30 nonclinical adolescents matched on age, grade, and sex. An analysis of variance demonstrated the ability of both PATH and AOS to significantly differentiate among the 3 groups. Multiple regression equations utilized PATH and AOS as significant predictors of inpatient status (p < .0001) and general patient (inpatient and outpatient) status (p < .0001). Utilizing diagnostic efficiency statistics, overall correct classification was found to be highest for PATH > or = 3 and AOS > or = 2. These findings support the application of the Hand Test as a useful assessment tool for adolescents suspected of having psychiatric disorders and present evidence for the use of PATH and AOS for classification purposes in ways that are clinically meaningful. Sentence B: Congenital amusia is a neuro-developmental disorder of music perception and production, with the observed deficits contrasting with the sophisticated music processing reported for the general population. Musical deficits within amusia have been hypothesized to arise from altered pitch processing, with impairments in pitch discrimination and, notably, short-term memory. We here review research investigating its behavioral and neural correlates, in particular the impairments at encoding, retention, and recollection of pitch information, as well as how these impairments extend to the processing of pitch cues in speech and emotion. The impairments have been related to altered brain responses in a distributed fronto-temporal network, which can be observed also at rest. Neuroimaging studies revealed changes in connectivity patterns within this network and beyond, shedding light on the brain dynamics underlying auditory cognition. Interestingly, some studies revealed spared implicit pitch processing in congenital amusia, showing the power of implicit cognition in the music domain. Building on these findings, together with audiovisual integration and other beneficial mechanisms, we outline perspectives for training and rehabilitation and the future directions of this research domain. ###Answer 1. Changed Reasoning: In Sentence A, the term ""emotional disorders"" is used in the context of a specific diagnostic classification system (DSM-IV). In Sentence B, the term is used more broadly to refer to any type of emotional impairment or disorder. This broader usage suggests a shift in meaning towards a more general concept of emotional dysfunction, rather than a specific diagnostic category." 73,Emotional disorders,"Eighty child psychiatric inpatients with behavioral and emotional disorders were evaluated from multiple perspectives on admission and at 5-month and 3-year follow-ups. A majority of the patients showed a significant improvement in functioning during the 3-year follow-up. About half of the patients were functioning within clinical range at 3-year follow-up on parental (CBCL) and/or teacher (TRF) ratings. A less favorable outcome was predicted by disruptive behavioral disorder, severity of initial dysfunction, high antisocial and hyperkinetic symptoms, adoptive household and postdischarge institutional placement. Pure anxiety or affective disorder was associated with favorable outcome. Age, sex, place of treatment, and length of hospital treatment were not related to outcome variables.","Alcohol consumption is spread worldwide and can lead to an abuse profile associated with severe health problems. Adolescents are more susceptible to addiction and usually consume ethanol in a binge drinking pattern. This form of consumption can lead to cognitive and emotional disorders, however scarce studies have focused on long-term hazardous effects following withdrawal periods after binge drinking in adolescents. Thus, the present study aims at investigating whether behavioral and cognitive changes persist until mid and late adulthood. Female Wistar rats (9-10 animals/group) received intragastric administration of four cycles of ethanol binge-like pattern (3.0 g/kg/day, 20% w/v; 3 days-on/4 days-off) from 35","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Emotional disorders Sentence A: Eighty child psychiatric inpatients with behavioral and emotional disorders were evaluated from multiple perspectives on admission and at 5-month and 3-year follow-ups. A majority of the patients showed a significant improvement in functioning during the 3-year follow-up. About half of the patients were functioning within clinical range at 3-year follow-up on parental (CBCL) and/or teacher (TRF) ratings. A less favorable outcome was predicted by disruptive behavioral disorder, severity of initial dysfunction, high antisocial and hyperkinetic symptoms, adoptive household and postdischarge institutional placement. Pure anxiety or affective disorder was associated with favorable outcome. Age, sex, place of treatment, and length of hospital treatment were not related to outcome variables. Sentence B: Alcohol consumption is spread worldwide and can lead to an abuse profile associated with severe health problems. Adolescents are more susceptible to addiction and usually consume ethanol in a binge drinking pattern. This form of consumption can lead to cognitive and emotional disorders, however scarce studies have focused on long-term hazardous effects following withdrawal periods after binge drinking in adolescents. Thus, the present study aims at investigating whether behavioral and cognitive changes persist until mid and late adulthood. Female Wistar rats (9-10 animals/group) received intragastric administration of four cycles of ethanol binge-like pattern (3.0 g/kg/day, 20% w/v; 3 days-on/4 days-off) from 35 ###Answer 1. Changed Reasoning: In Sentence A, the term ""emotional disorders"" is used to describe a specific set of conditions, including anxiety and depression, that are characterized by disturbances in emotional regulation and behavior. These conditions are described as causing significant impairment in functioning, with a majority of patients showing improvement over time. The term ""emotional disorders"" is used in this context to convey a sense of pathology and dysfunction. In Sentence B, the term ""emotional disorders"" is used in a different context. It is mentioned in the context of alcohol consumption and its effects on cognitive and emotional functioning. The term is used to describe the potential long-term effects of binge drinking on cognitive and emotional functioning in adolescents. In this context, the term ""emotional disorders"" conveys a sense of negative impact on cognitive and emotional well-being. Based on these differences in context and meaning, it is clear that the term ""emotional disorders"" has undergone a significant shift in meaning between Sentence A and Sentence B. In Sentence A, the term is used to describe specific mental health conditions, while in Sentence B, it is used to describe the potential long-term effects of alcohol consumption on cognitive and emotional functioning. Therefore, I would label this term as ""Changed""." 74,Emotional disorders,"Androgens control a broad range of physiological functions. The androgen receptor (AR), a steroid receptor that mediates the diverse biological actions of androgens, is a ligand inducible transcription factor. Abnormalities in the androgen signaling system result in many disturbances ranging from changes in gender determination and sexual development to psychiatric and emotional disorders. Androgen replacement therapy can improve many clinical conditions including hypogonadism and osteoporosis, but is limited by the lack of efficacious and safe therapeutic agents with easy delivery options. Recent progress in the area of gene regulation by steroid receptors and by selective receptor modulators provides an opportunity to examine if selective androgen receptor modulators (SARMs) could address some of the problems associated with current androgen therapy. Since the composition of the transcriptional initiation complex recruited by liganded AR determines the specificity of gene regulation, synthetic ligands aimed at initiating transcription of tissue and promoter specific genes offers hope for developing better androgen therapy. Establishment of assays that predict synthetic ligand activity is critical for SARM development. Advancement in high throughput compound screening and gene fingerprinting technologies, such as microarrays and proteomics, will facilitate and accelerate identification of effective SARMs.","Most patients in community practice attend significantly fewer sessions than are recommended by treatment protocols that have demonstrated efficacy in addressing emotional disorders. Personalized interventions that target the core processes thought to maintain a wide range of disorders may serve to increase treatment efficiency, addressing this gap. This study sought to evaluate the feasibility and acceptability of the personalized delivery of a mechanistically transdiagnostic intervention, the Unified Protocol (UP) for Transdiagnostic Treatment of Emotional Disorders. Using an AB phase change design in accordance with the single-case reporting guideline for behavioral interventions (SCRIBE), 18 individuals with heterogeneous emotional disorders were randomly assigned to receive UP treatment modules ordered according to either their pretreatment strengths or weaknesses. Results support the feasibility of reordering the treatment modules as the majority of patients presented with marked differences in skill levels, as well as the acceptability of this approach as patients in both conditions reported satisfaction with their assigned treatment order. Furthermore, the majority of patients demonstrated symptom improvement consistent with previously reported effects of the standard-order UP. Finally, there is preliminary evidence to suggest that those in the strengths condition displayed improvements in outcomes earlier in treatment than those in the weaknesses condition. Taken together, these findings offer preliminary support for improving treatment efficiency through the utilization of a personalized, strengths-based, transdiagnostic approach.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Emotional disorders Sentence A: Androgens control a broad range of physiological functions. The androgen receptor (AR), a steroid receptor that mediates the diverse biological actions of androgens, is a ligand inducible transcription factor. Abnormalities in the androgen signaling system result in many disturbances ranging from changes in gender determination and sexual development to psychiatric and emotional disorders. Androgen replacement therapy can improve many clinical conditions including hypogonadism and osteoporosis, but is limited by the lack of efficacious and safe therapeutic agents with easy delivery options. Recent progress in the area of gene regulation by steroid receptors and by selective receptor modulators provides an opportunity to examine if selective androgen receptor modulators (SARMs) could address some of the problems associated with current androgen therapy. Since the composition of the transcriptional initiation complex recruited by liganded AR determines the specificity of gene regulation, synthetic ligands aimed at initiating transcription of tissue and promoter specific genes offers hope for developing better androgen therapy. Establishment of assays that predict synthetic ligand activity is critical for SARM development. Advancement in high throughput compound screening and gene fingerprinting technologies, such as microarrays and proteomics, will facilitate and accelerate identification of effective SARMs. Sentence B: Most patients in community practice attend significantly fewer sessions than are recommended by treatment protocols that have demonstrated efficacy in addressing emotional disorders. Personalized interventions that target the core processes thought to maintain a wide range of disorders may serve to increase treatment efficiency, addressing this gap. This study sought to evaluate the feasibility and acceptability of the personalized delivery of a mechanistically transdiagnostic intervention, the Unified Protocol (UP) for Transdiagnostic Treatment of Emotional Disorders. Using an AB phase change design in accordance with the single-case reporting guideline for behavioral interventions (SCRIBE), 18 individuals with heterogeneous emotional disorders were randomly assigned to receive UP treatment modules ordered according to either their pretreatment strengths or weaknesses. Results support the feasibility of reordering the treatment modules as the majority of patients presented with marked differences in skill levels, as well as the acceptability of this approach as patients in both conditions reported satisfaction with their assigned treatment order. Furthermore, the majority of patients demonstrated symptom improvement consistent with previously reported effects of the standard-order UP. Finally, there is preliminary evidence to suggest that those in the strengths condition displayed improvements in outcomes earlier in treatment than those in the weaknesses condition. Taken together, these findings offer preliminary support for improving treatment efficiency through the utilization of a personalized, strengths-based, transdiagnostic approach. ###Answer 1. Changed Reasoning: In Sentence A, the term ""emotional disorders"" is used in the context of androgen signaling and its impact on gender determination and sexual development. The term is not associated with any negative connotations or emotions, and its meaning remains relatively consistent across time. In Sentence B, the term ""emotional disorders"" is used in the context of psychiatric treatment and the effectiveness of a personalized intervention. The term is associated with a sense of urgency and the need for efficient treatment, as the sentence highlights the gap between recommended and actual treatment sessions. The term also carries a slightly different connotation, implying a more serious and potentially debilitating nature of the disorders. Based on these observations, it can be inferred that the term ""emotional disorders"" has undergone a significant change in meaning between Sentence A and Sentence B. In Sentence A, the term is used in a more general and neutral context, while in Sentence B, it is used in a more specific and potentially negative context, indicating that the term has shifted in meaning over time. Therefore, the label ""Changed"" is appropriate." 75,Emotional disorders,Diagnostic criteria for Personality Disorders and Adult Behavior according I.C.D.-10 are reviewed. The authors point out that I.C.D.-10 considers the Personality Disorders as an entity in constant interaction with the environment. This fact allows to include the adult traumatic perturbations within this category. So the range becomes a wider one the traditional which locates the Personality Disorders only in young ages. The authors consider important that the Schizotypic and Cycloid Personality Disorders are left out since they both exceed the criteria for Personality Disorders. Developmental Disorders and Sexual Orientation presents conceptual inconsistencies that deserve further reflections. It is of interest that Borderline Disorders be considered a subtype of Emotional Disorders differentiating them from Impulsive type which agrees with clinic and neurobiological studies. They also think that incorporation of flexible quantitative cut off would be important to allow the clinician to ponder and value according to clinical evidences. They conclude that this chapter orders and propose clear and discriminative criteria for the Diagnosis of Personality Disorders and Adult Behavior.,"Parenting programs are currently treatment of choice for behavioral disorders in children and one of their main components is reducing the negativity bias in the child-parent dyad. The Rational Positive Parenting Program (rPPP) is a program with a special focus on parent emotion-regulation functional reappraisal strategies, which has recently received consistent support for reducing child externalizing and internalizing disorders. In the last years, online interventions were proliferated and the Attention Bias Modification (ABM) becoming a promising implicit therapeutic intervention based on attention deployment emotion-regulation strategy, or adjunctive module to usual treatments, with results in multiple domains, varying from pain to self-esteem and emotional disorders (e.g., anxiety). We conducted two studies to investigate (1) the efficacy of the ABM procedures applied to parents and (2) the efficacy of the online version of the rPPP augmented with an ABM module. A total of 42 parents of children aged 2-12 years old participated in the first study, being allocated either to the ABM training or wait-list. Positive results were reported by the parents participating in the ABM group for own distress, satisfaction, positive interactions with the child, and child's strengths. In the second study, 53 parents and their children were allocated either in the rPPP group or in the rPPP + ABM group. Results show that ABM training can boost the effects of the rPPP on the strengths of children reported by the parents after the intervention. Findings are discussed in the light of limited research on using online tools for coaching effective emotion-regulation strategies for parents.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Emotional disorders Sentence A: Diagnostic criteria for Personality Disorders and Adult Behavior according I.C.D.-10 are reviewed. The authors point out that I.C.D.-10 considers the Personality Disorders as an entity in constant interaction with the environment. This fact allows to include the adult traumatic perturbations within this category. So the range becomes a wider one the traditional which locates the Personality Disorders only in young ages. The authors consider important that the Schizotypic and Cycloid Personality Disorders are left out since they both exceed the criteria for Personality Disorders. Developmental Disorders and Sexual Orientation presents conceptual inconsistencies that deserve further reflections. It is of interest that Borderline Disorders be considered a subtype of Emotional Disorders differentiating them from Impulsive type which agrees with clinic and neurobiological studies. They also think that incorporation of flexible quantitative cut off would be important to allow the clinician to ponder and value according to clinical evidences. They conclude that this chapter orders and propose clear and discriminative criteria for the Diagnosis of Personality Disorders and Adult Behavior. Sentence B: Parenting programs are currently treatment of choice for behavioral disorders in children and one of their main components is reducing the negativity bias in the child-parent dyad. The Rational Positive Parenting Program (rPPP) is a program with a special focus on parent emotion-regulation functional reappraisal strategies, which has recently received consistent support for reducing child externalizing and internalizing disorders. In the last years, online interventions were proliferated and the Attention Bias Modification (ABM) becoming a promising implicit therapeutic intervention based on attention deployment emotion-regulation strategy, or adjunctive module to usual treatments, with results in multiple domains, varying from pain to self-esteem and emotional disorders (e.g., anxiety). We conducted two studies to investigate (1) the efficacy of the ABM procedures applied to parents and (2) the efficacy of the online version of the rPPP augmented with an ABM module. A total of 42 parents of children aged 2-12 years old participated in the first study, being allocated either to the ABM training or wait-list. Positive results were reported by the parents participating in the ABM group for own distress, satisfaction, positive interactions with the child, and child's strengths. In the second study, 53 parents and their children were allocated either in the rPPP group or in the rPPP + ABM group. Results show that ABM training can boost the effects of the rPPP on the strengths of children reported by the parents after the intervention. Findings are discussed in the light of limited research on using online tools for coaching effective emotion-regulation strategies for parents. ###Answer 1. Changed Reasoning: The target word ""Emotional disorders"" has undergone a significant change in meaning between the two sentences. In Sentence A, the term is used in the context of diagnostic criteria for Personality Disorders and Adult Behavior according to ICD-10. The authors highlight the importance of considering emotional disorders in the context of interactions with the environment. In contrast, in Sentence B, the term is used in the context of parenting programs for reducing behavioral disorders in children. The authors mention the use of online interventions, including attention bias modification, to augment the effectiveness of treatment. The meaning of ""Emotional disorders"" has shifted from a focus on diagnostic criteria to a broader context of child development and parenting strategies. Therefore, the label ""Changed"" is appropriate." 76,Emotional disorders,"Among 103 persons aged 20 to 57 years, related occupationally to emotional stress, 48 persons were found to have vegetative dystonia, 28 initial manifestations of cerebral circulation failure, and 27 persons appeared healthy. The determination of the character and intensity of vegetative manifestations has shown that in the formation of vegetative dystonia, of paramount importance are cardiovascular and gastrointestinal disorders. Vegetative manifestations associated with initial manifestations of cerebral circulation failure include, in addition, respiratory disturbances and impairment of sleep function, which may reflect more deep changes in the activity of the regulatory apparatus in dyshemias of organic nature. A relationship was discovered between vegetative lesions and emotional disorders, particularly the level of anxiety, as was the contingency of vegetative dysfunction and decreased emotional stress tolerance.",Biased attention for emotional stimuli reflects vulnerability or resilience to emotional disorders. The current study examines whether the 5-HTTLPR polymorphism is associated with attentional biases for negative word stimuli.,"###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Emotional disorders Sentence A: Among 103 persons aged 20 to 57 years, related occupationally to emotional stress, 48 persons were found to have vegetative dystonia, 28 initial manifestations of cerebral circulation failure, and 27 persons appeared healthy. The determination of the character and intensity of vegetative manifestations has shown that in the formation of vegetative dystonia, of paramount importance are cardiovascular and gastrointestinal disorders. Vegetative manifestations associated with initial manifestations of cerebral circulation failure include, in addition, respiratory disturbances and impairment of sleep function, which may reflect more deep changes in the activity of the regulatory apparatus in dyshemias of organic nature. A relationship was discovered between vegetative lesions and emotional disorders, particularly the level of anxiety, as was the contingency of vegetative dysfunction and decreased emotional stress tolerance. Sentence B: Biased attention for emotional stimuli reflects vulnerability or resilience to emotional disorders. The current study examines whether the 5-HTTLPR polymorphism is associated with attentional biases for negative word stimuli. ###Answer 1. Changed Reasoning: In Sentence A, the term ""emotional disorders"" is used to describe a range of conditions, including vegetative dystonia, cerebral circulation failure, and impairment of sleep function. These conditions are framed as having a clear cause-and-effect relationship with emotional stress. In contrast, in Sentence B, the term ""emotional disorders"" is used more narrowly to refer to a specific type of mental health condition, with a focus on the role of attention in vulnerability or resilience. The shift in meaning is significant, as it indicates a change in the way the term is used to describe and understand emotional health issues." 77,Emotional disorders,"There is an unmet need for a reliable method of evaluating disorders of mood and affect in developmentally disabled children and adolescents. Such a measure is required for both accurate diagnosis and treatment monitoring in this population. An extensive review of existing assessment techniques confirms that: (a) current techniques for the evaluation of emotional disorders in cognitively normal individuals are inappropriate for most children with developmental disabilities; and (b) current instruments designed for the assessment of developmentally disabled children pay inadequate attention to affective symptoms. In this paper, the preliminary version of a new instrument, the ""Emotional Disorders Rating Scale for Developmental Disabilities"" (EDRS-DD), designed to evaluate mood and affect in children and adolescents with developmental disabilities, is presented. A pilot study indicates that interrater agreement is good."," The study proposes and tests a technique for automated emotion recognition through mouth detection via Convolutional Neural Networks (CNN), meant to be applied for supporting people with health disorders with communication skills issues (e.g. muscle wasting, stroke, autism, or, more simply, pain) in order to recognize emotions and generate real-time feedback, or data feeding supporting systems. The software system starts the computation identifying if a face is present on the acquired image, then it looks for the mouth location and extracts the corresponding features. Both tasks are carried out using Haar Feature-based Classifiers, which guarantee fast execution and promising performance. If our previous works focused on visual micro-expressions for personalized training on a single user, this strategy aims to train the system also on generalized faces data sets. ","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Emotional disorders Sentence A: There is an unmet need for a reliable method of evaluating disorders of mood and affect in developmentally disabled children and adolescents. Such a measure is required for both accurate diagnosis and treatment monitoring in this population. An extensive review of existing assessment techniques confirms that: (a) current techniques for the evaluation of emotional disorders in cognitively normal individuals are inappropriate for most children with developmental disabilities; and (b) current instruments designed for the assessment of developmentally disabled children pay inadequate attention to affective symptoms. In this paper, the preliminary version of a new instrument, the ""Emotional Disorders Rating Scale for Developmental Disabilities"" (EDRS-DD), designed to evaluate mood and affect in children and adolescents with developmental disabilities, is presented. A pilot study indicates that interrater agreement is good. Sentence B: The study proposes and tests a technique for automated emotion recognition through mouth detection via Convolutional Neural Networks (CNN), meant to be applied for supporting people with health disorders with communication skills issues (e.g. muscle wasting, stroke, autism, or, more simply, pain) in order to recognize emotions and generate real-time feedback, or data feeding supporting systems. The software system starts the computation identifying if a face is present on the acquired image, then it looks for the mouth location and extracts the corresponding features. Both tasks are carried out using Haar Feature-based Classifiers, which guarantee fast execution and promising performance. If our previous works focused on visual micro-expressions for personalized training on a single user, this strategy aims to train the system also on generalized faces data sets. ###Answer 1. Changed Reasoning: The target word ""Emotional disorders"" has undergone a significant change in meaning between Sentence A (2000) and Sentence B (2020). In Sentence A, the term refers to the evaluation and diagnosis of mood and affect disorders in developmentally disabled children and adolescents. In Sentence B, the term is used in the context of automated emotion recognition through mouth detection via Convolutional Neural Networks (CNN) for supporting people with health disorders with communication skills issues. The new context suggests a broader meaning for the term, encompassing a wider range of disorders and applications. Therefore, the label ""Changed"" is appropriate." 78,Emotional disorders,"It has been said that medicine is the only profession which seeks to ""put itself out of business""--that is, which has as its highest goal the prevention of those conditions for which the treatment is its stock in trade. There can be no serious argument with this preventive ideal: the conditions on which health practitioners focus their professional attention are, with the sole exceptions of pregnancy and childbirth, theoretically unnecessary and--apart from the issue of ""secondary gain""--distinctly disadvantageous to those who develop them. This statement is as true of conditions which bring people to the offices of mental health practitioners as it is of conditions which bring them to physicians. It is my purpose in this paper to examine the concept of prevention as it applies to mental and emotional disorders and to assess the current state of allegedly preventive professional activities.","Fears related to COVID-19 (""coronavirus fears"") have emerged as a new psychological effect of the current COVID-19 pandemic and have been associated with psychological distress and impairment. Other adverse effects include an increase in anxiety and depression symptoms and the respective disorders. The purpose of the current study was to examine the incremental validity of coronavirus fears and transdiagnostic factors in the prediction of the severity of anxiety and depressive disorder symptoms. A sample of 144 adolescents [aged 12-18 years, 55 boys (38.2%) and 89 girls (61.8%)] most of whom showed elevated levels of anxiety and depressive disorder symptoms completed several self-report measures online assessing coronavirus fears, transdiagnostic vulnerability and protective factors, and emotion regulation strategies. Results based on a series of hierarchical multiple regression analyses revealed that coronavirus fears, negative affect, intolerance of uncertainty, acceptance/tolerance, rumination and suppression explained unique variance in the severity of anxiety and depressive disorder symptoms. Path analysis demonstrated that acceptance/tolerance, rumination and suppression mediated the association between higher level transdiagnostic factors and the severity of major depressive disorder symptoms. Findings provide support for the hierarchical transdiagnostic model of emotional disorders and suggest that clinicians should be aware of coronavirus fears. Also, the results warrant the need to consider transdiagnostic vulnerability and protective processes in the new protocols for the treatment of emotional disorders.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Emotional disorders Sentence A: It has been said that medicine is the only profession which seeks to ""put itself out of business""--that is, which has as its highest goal the prevention of those conditions for which the treatment is its stock in trade. There can be no serious argument with this preventive ideal: the conditions on which health practitioners focus their professional attention are, with the sole exceptions of pregnancy and childbirth, theoretically unnecessary and--apart from the issue of ""secondary gain""--distinctly disadvantageous to those who develop them. This statement is as true of conditions which bring people to the offices of mental health practitioners as it is of conditions which bring them to physicians. It is my purpose in this paper to examine the concept of prevention as it applies to mental and emotional disorders and to assess the current state of allegedly preventive professional activities. Sentence B: Fears related to COVID-19 (""coronavirus fears"") have emerged as a new psychological effect of the current COVID-19 pandemic and have been associated with psychological distress and impairment. Other adverse effects include an increase in anxiety and depression symptoms and the respective disorders. The purpose of the current study was to examine the incremental validity of coronavirus fears and transdiagnostic factors in the prediction of the severity of anxiety and depressive disorder symptoms. A sample of 144 adolescents [aged 12-18 years, 55 boys (38.2%) and 89 girls (61.8%)] most of whom showed elevated levels of anxiety and depressive disorder symptoms completed several self-report measures online assessing coronavirus fears, transdiagnostic vulnerability and protective factors, and emotion regulation strategies. Results based on a series of hierarchical multiple regression analyses revealed that coronavirus fears, negative affect, intolerance of uncertainty, acceptance/tolerance, rumination and suppression explained unique variance in the severity of anxiety and depressive disorder symptoms. Path analysis demonstrated that acceptance/tolerance, rumination and suppression mediated the association between higher level transdiagnostic factors and the severity of major depressive disorder symptoms. Findings provide support for the hierarchical transdiagnostic model of emotional disorders and suggest that clinicians should be aware of coronavirus fears. Also, the results warrant the need to consider transdiagnostic vulnerability and protective processes in the new protocols for the treatment of emotional disorders. ###Answer 1. Changed Reasoning: The meaning of the target word ""emotional disorders"" has shifted significantly between the two sentences. In Sentence A, the term is used to refer to conditions that are ""theoretically unnecessary and--apart from the issue of 'secondary gain'--distinctly disadvantageous to those who develop them."" In contrast, in Sentence B, the term is used to refer to psychological distress and impairment caused by fears related to COVID-19. The shift in meaning suggests that the term ""emotional disorders"" has undergone semantic drift." 79,Emotional disorders,"Observational methods were used to determine whether depressive symptoms in 20 inpatients with major depressive disorder could be observed to change during the course of treatment with antidepressant medication. Four consecutive weekly observation sessions were done using the Emotional Disorders Rating Scale, which collects information about symptoms of depression, mania, anxiety, hostility, and irritability. Only those scales indexing depressive symptoms evidenced change. Significant change was observed between the third and fourth weeks of hospitalization, thereby replicating the findings reported in the adult literature regarding depressive symptoms' responsiveness to antidepressants."," Real-time fMRI neurofeedback (rtfMRI-nf) is an emerging approach for studies and novel treatments of major depressive disorder (MDD). EEG performed simultaneously with an rtfMRI-nf procedure allows an independent evaluation of rtfMRI-nf brain modulation effects. Frontal EEG asymmetry in the alpha band is a widely used measure of emotion and motivation that shows profound changes in depression. However, it has never been directly related to simultaneously acquired fMRI data. We report the first study investigating electrophysiological correlates of the rtfMRI-nf procedure, by combining rtfMRI-nf with simultaneous and passive EEG recordings. In this pilot study, MDD patients in the experimental group (n=13) learned to upregulate BOLD activity of the left amygdala using an rtfMRI-nf during a happy emotion induction task. MDD patients in the control group (n=11) were provided with a sham rtfMRI-nf. Correlations between frontal EEG asymmetry in the upper alpha band and BOLD activity across the brain were examined. Average individual changes in frontal EEG asymmetry during the rtfMRI-nf task for the experimental group showed a significant positive correlation with the MDD patients' depression severity ratings, consistent with an inverse correlation between the depression severity and frontal EEG asymmetry at rest. Temporal correlations between frontal EEG asymmetry and BOLD activity were significantly enhanced, during the rtfMRI-nf task, for the amygdala and many regions associated with emotion regulation. Our findings demonstrate an important link between amygdala BOLD activity and frontal EEG asymmetry. Our EEG asymmetry results suggest that the rtfMRI-nf training targeting the amygdala is beneficial to MDD patients, and that alpha-asymmetry EEG-nf would be compatible with the amygdala rtfMRI-nf. Combination of the two could enhance emotion regulation training and benefit MDD patients. ","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Emotional disorders Sentence A: Observational methods were used to determine whether depressive symptoms in 20 inpatients with major depressive disorder could be observed to change during the course of treatment with antidepressant medication. Four consecutive weekly observation sessions were done using the Emotional Disorders Rating Scale, which collects information about symptoms of depression, mania, anxiety, hostility, and irritability. Only those scales indexing depressive symptoms evidenced change. Significant change was observed between the third and fourth weeks of hospitalization, thereby replicating the findings reported in the adult literature regarding depressive symptoms' responsiveness to antidepressants. Sentence B: Real-time fMRI neurofeedback (rtfMRI-nf) is an emerging approach for studies and novel treatments of major depressive disorder (MDD). EEG performed simultaneously with an rtfMRI-nf procedure allows an independent evaluation of rtfMRI-nf brain modulation effects. Frontal EEG asymmetry in the alpha band is a widely used measure of emotion and motivation that shows profound changes in depression. However, it has never been directly related to simultaneously acquired fMRI data. We report the first study investigating electrophysiological correlates of the rtfMRI-nf procedure, by combining rtfMRI-nf with simultaneous and passive EEG recordings. In this pilot study, MDD patients in the experimental group (n=13) learned to upregulate BOLD activity of the left amygdala using an rtfMRI-nf during a happy emotion induction task. MDD patients in the control group (n=11) were provided with a sham rtfMRI-nf. Correlations between frontal EEG asymmetry in the upper alpha band and BOLD activity across the brain were examined. Average individual changes in frontal EEG asymmetry during the rtfMRI-nf task for the experimental group showed a significant positive correlation with the MDD patients' depression severity ratings, consistent with an inverse correlation between the depression severity and frontal EEG asymmetry at rest. Temporal correlations between frontal EEG asymmetry and BOLD activity were significantly enhanced, during the rtfMRI-nf task, for the amygdala and many regions associated with emotion regulation. Our findings demonstrate an important link between amygdala BOLD activity and frontal EEG asymmetry. Our EEG asymmetry results suggest that the rtfMRI-nf training targeting the amygdala is beneficial to MDD patients, and that alpha-asymmetry EEG-nf would be compatible with the amygdala rtfMRI-nf. Combination of the two could enhance emotion regulation training and benefit MDD patients. ###Answer 1. Changed Reasoning: In Sentence A, the target word ""Emotional disorders"" is used to describe the symptoms of depression being observed in inpatients with major depressive disorder. The sentence suggests that the symptoms can be observed to change during the course of treatment with antidepressant medication. However, in Sentence B, the target word ""Emotional disorders"" is used in a different context, describing the results of a neurofeedback training targeting the amygdala. The sentence suggests that the training is beneficial to MDD patients and that the alpha-asymmetry EEG-nf would be compatible with the amygdala rtfMRI-nf. These two sentences have different meanings and connotations, indicating that the term ""Emotional disorders"" has undergone semantic drift." 80,Emotional disorders,"This paper addresses child and adolescent psychopathology as it presents to general practitioners and paediatricians, and explores psychosocial aspects of unexplained medical symptoms in children and adolescents. High rates of psychopathology have been identified amongst children and adolescents attending general practice and paediatric services, most of it ''hidden'' at presentation and emotional in nature. It is often linked to poor physical well being and to maternal stress focused on the child. It may be of special relevance to medical help seeking in socio-economically advantaged areas. Co-morbid psychopathology, mainly emotional disorders, is common amongst children with unexplained medical symptoms. However, there are specific psychosocial aspects that differentiate these children from those with emotional disorders. They involve disease beliefs, illness behaviour and predicament. The latter may be characterised by special reactivity to stress in children with personality vulnerability, in a context of parents with high levels of mental distress, unexplained medical symptoms and emotional over-involvement with the child. There is comparatively little interface work between CAMHS and primary health care. An important research priority would seem to lie in the development of interventions that can be adapted for use by primary care staff. Similarly, there are few dedicated CAMHS paediatric liaison teams. Their more extensive development should help attend in a more informed and focused way than at present to children and adolescents suffering from unexplained physical symptoms and disorders. Further research is needed into vulnerability mechanisms and maintaining factors, health beliefs, treatment engagement and interventions.","Significant evidence does exist on the effectiveness of transdiagnostic interventions to improve emotional problems in clinical populations, and their application as universal and indicated prevention programs. However, no randomized controlled trials (RCT) studying selective transdiagnostic prevention intervention have been published. This is the first known RCT to evaluate the efficacy/effectiveness of an evidence-based selective prevention transdiagnostic program for emotional problems in adolescents. The impact of three different interventions was evaluated: (1) PROCARE (Preventive transdiagnostic intervention for Adolescents at Risk for Emotional disorders), which is a group-based, online-delivered, abbreviated version of the Unified Protocol for Transdiagnostic Treatment of Emotional Disorders in Adolescents (UP-A), along with adding a booster session, to reduce risk of onset of anxiety and depression, (2) PROCARE + , which includes the PROCARE protocol along with personalized add-on modules tailored to match adolescents' risk factors, and (3) an active control condition (ACC) based on emotional psychoeducation. In total, 286 adolescents (53.3% girls) evidencing high risk and low protective factors were randomized and allocated to PROCARE, PROCARE + or ACC. Self- and parent-reported measures were taken at baseline, as well as after the intervention, a 6-month follow-up was carried out, together with a 1-month follow-up after the booster session. Differences between conditions were significant on most of the outcome measures, with superior effect sizes for PROCARE +. Interventions were excellent in terms of acceptability, with good satisfaction rates. Tailored selective transdiagnostic interventions focused on mitigating risk factors and promoting protective factors in vulnerable adolescents are promising.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Emotional disorders Sentence A: This paper addresses child and adolescent psychopathology as it presents to general practitioners and paediatricians, and explores psychosocial aspects of unexplained medical symptoms in children and adolescents. High rates of psychopathology have been identified amongst children and adolescents attending general practice and paediatric services, most of it ''hidden'' at presentation and emotional in nature. It is often linked to poor physical well being and to maternal stress focused on the child. It may be of special relevance to medical help seeking in socio-economically advantaged areas. Co-morbid psychopathology, mainly emotional disorders, is common amongst children with unexplained medical symptoms. However, there are specific psychosocial aspects that differentiate these children from those with emotional disorders. They involve disease beliefs, illness behaviour and predicament. The latter may be characterised by special reactivity to stress in children with personality vulnerability, in a context of parents with high levels of mental distress, unexplained medical symptoms and emotional over-involvement with the child. There is comparatively little interface work between CAMHS and primary health care. An important research priority would seem to lie in the development of interventions that can be adapted for use by primary care staff. Similarly, there are few dedicated CAMHS paediatric liaison teams. Their more extensive development should help attend in a more informed and focused way than at present to children and adolescents suffering from unexplained physical symptoms and disorders. Further research is needed into vulnerability mechanisms and maintaining factors, health beliefs, treatment engagement and interventions. Sentence B: Significant evidence does exist on the effectiveness of transdiagnostic interventions to improve emotional problems in clinical populations, and their application as universal and indicated prevention programs. However, no randomized controlled trials (RCT) studying selective transdiagnostic prevention intervention have been published. This is the first known RCT to evaluate the efficacy/effectiveness of an evidence-based selective prevention transdiagnostic program for emotional problems in adolescents. The impact of three different interventions was evaluated: (1) PROCARE (Preventive transdiagnostic intervention for Adolescents at Risk for Emotional disorders), which is a group-based, online-delivered, abbreviated version of the Unified Protocol for Transdiagnostic Treatment of Emotional Disorders in Adolescents (UP-A), along with adding a booster session, to reduce risk of onset of anxiety and depression, (2) PROCARE + , which includes the PROCARE protocol along with personalized add-on modules tailored to match adolescents' risk factors, and (3) an active control condition (ACC) based on emotional psychoeducation. In total, 286 adolescents (53.3% girls) evidencing high risk and low protective factors were randomized and allocated to PROCARE, PROCARE + or ACC. Self- and parent-reported measures were taken at baseline, as well as after the intervention, a 6-month follow-up was carried out, together with a 1-month follow-up after the booster session. Differences between conditions were significant on most of the outcome measures, with superior effect sizes for PROCARE +. Interventions were excellent in terms of acceptability, with good satisfaction rates. Tailored selective transdiagnostic interventions focused on mitigating risk factors and promoting protective factors in vulnerable adolescents are promising. ###Answer 1. Changed The meaning of the target word ""Emotional disorders"" has changed significantly between the two sentences. In Sentence A, the term is used to describe unexplained medical symptoms in children and adolescents, with a focus on the psychosocial aspects of these symptoms. In Sentence B, the term is used to describe the effectiveness of interventions to improve emotional problems in clinical populations, with a focus on the prevention of anxiety and depression. The context and meaning of the term have shifted from a more medical and symptom-focused perspective to a more psychological and prevention-focused perspective. Therefore, I would label the target word as having undergone semantic drift." 81,Emotional disorders,"The treatment of insane persons in the last century is briefly described. A more liberal and unrestrained treatment was introduced at the turn of the century, and chiefly agriculturally oriented insane asylums were established at that time. The question of persons trained to care for subjects afflicted with insanity was increasingly gaining in importance, and the aim was to have available a pool of skilled nursing personnel. Treatment by inducing artificial fever is outlined in addition to a brief description of a more activ treatment of patients by the Simon-Gütersloh method. In 1925, a ""neuro-psychiatric dispensary"" was established in the Soviet Union. Later, there were introduced such methods as insulin shock treatment and electroconvulsive therapy and, more recently, treatment with psychopharmaceuticals, the latter being drugs used in the treatment of emotional disorders in modern psychiatric hospitals. Inpatient and outpatient treatment is further developed with the establishment of day/night hospitals, and the need is pointed out to develop a system of care for mental patients on the model of that which exists in the Soviet Union.","Aged care services increasingly respond to the needs of people with dementia. Non-pharmacological approaches are preferable to reduce responsive behaviours, improve/maintain functional capacity and reduce emotional disorders. This rapid review of systematic reviews aimed to consolidate the evidence for non-pharmacological interventions and determine outcome effectiveness.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Emotional disorders Sentence A: The treatment of insane persons in the last century is briefly described. A more liberal and unrestrained treatment was introduced at the turn of the century, and chiefly agriculturally oriented insane asylums were established at that time. The question of persons trained to care for subjects afflicted with insanity was increasingly gaining in importance, and the aim was to have available a pool of skilled nursing personnel. Treatment by inducing artificial fever is outlined in addition to a brief description of a more activ treatment of patients by the Simon-Gütersloh method. In 1925, a ""neuro-psychiatric dispensary"" was established in the Soviet Union. Later, there were introduced such methods as insulin shock treatment and electroconvulsive therapy and, more recently, treatment with psychopharmaceuticals, the latter being drugs used in the treatment of emotional disorders in modern psychiatric hospitals. Inpatient and outpatient treatment is further developed with the establishment of day/night hospitals, and the need is pointed out to develop a system of care for mental patients on the model of that which exists in the Soviet Union. Sentence B: Aged care services increasingly respond to the needs of people with dementia. Non-pharmacological approaches are preferable to reduce responsive behaviours, improve/maintain functional capacity and reduce emotional disorders. This rapid review of systematic reviews aimed to consolidate the evidence for non-pharmacological interventions and determine outcome effectiveness. ###Answer 1. Changed Reasoning: In Sentence A, the term ""emotional disorders"" is used in the context of treating patients with insanity. The term suggests a more general concept of emotional distress or instability, which was likely understood differently in the early 20th century than it is today. For example, the term ""neuro-psychiatric dispensary"" suggests a more holistic approach to treating mental illness, including both neurological and psychiatric aspects. In contrast, in Sentence B, the term ""emotional disorders"" is used specifically in the context of dementia care. Here, the term likely refers to a more specific and well-defined set of symptoms, such as anxiety, depression, or apathy, which are commonly associated with dementia. Therefore, the meaning of the term ""emotional disorders"" has shifted from a more general concept to a more specific and defined set of symptoms over time." 82,Emotional disorders,"At the age of 13 years, 60 adolescents, suffering from phenylalaninemia due to hydroxylase deficiency, and their mothers were simultaneously investigated with a standardized psychiatric interview in order to determine the adolescents' psychiatric status. Forty symptoms related to emotional disorders, antisocial and conduct disorders, hyperkinetic syndromes, and specific symptoms like psychophysiological pains, enuresis, encopresis, tics, stereotypies, and eating disorders were examined. Severity level was rated as undisturbed, mild, moderate, and severe disturbance. Comparison with a representative sample of 191 age mates revealed a double rate of moderate disturbances for the PKU sample. There was no association between severity level and sex as well as mean phenylalanine level during the first 13 years of the patients' lives. No PKU specific diagnosis could be determined. WISC-R-IQ below 90 was associated with a threefold risk of more severe disturbance and patients with more than three adverse familial circumstances had a 50% chance of getting a psychiatric diagnosis. It is concluded that the observed disturbances result from stress associated more with the chronic condition than with the increased phenylalanine level.","We provide a theoretical rationale for applying a transdiagnostic, shared mechanism treatment (the Unified Protocol for Transdiagnostic Treatment of Emotional Disorders [UP]) to suicidal thoughts and behaviors. We also present results from a proof of concept study examining the feasibility and acceptability of adding a modified UP to treatment as usual (TAU) in an inpatient setting for individuals reporting a recent suicide attempt or active suicidal ideation. Participants ( N = 12) were randomly assigned to receive UP + TAU or TAU alone. Findings indicate good feasibility and acceptability of the adjunctive intervention. Among participants who were responsive to contact attempts postdischarge ( n = 6), there were no observable differences in suicidal thoughts or behaviors during a 6-month follow-up. This application represents a promising initial extension of a cognitive-behavioral, emotion-focused treatment to suicidal individuals within an inpatient setting. Future studies adequately powered to speak to efficacy of the modified UP intervention are warranted.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Emotional disorders Sentence A: At the age of 13 years, 60 adolescents, suffering from phenylalaninemia due to hydroxylase deficiency, and their mothers were simultaneously investigated with a standardized psychiatric interview in order to determine the adolescents' psychiatric status. Forty symptoms related to emotional disorders, antisocial and conduct disorders, hyperkinetic syndromes, and specific symptoms like psychophysiological pains, enuresis, encopresis, tics, stereotypies, and eating disorders were examined. Severity level was rated as undisturbed, mild, moderate, and severe disturbance. Comparison with a representative sample of 191 age mates revealed a double rate of moderate disturbances for the PKU sample. There was no association between severity level and sex as well as mean phenylalanine level during the first 13 years of the patients' lives. No PKU specific diagnosis could be determined. WISC-R-IQ below 90 was associated with a threefold risk of more severe disturbance and patients with more than three adverse familial circumstances had a 50% chance of getting a psychiatric diagnosis. It is concluded that the observed disturbances result from stress associated more with the chronic condition than with the increased phenylalanine level. Sentence B: We provide a theoretical rationale for applying a transdiagnostic, shared mechanism treatment (the Unified Protocol for Transdiagnostic Treatment of Emotional Disorders [UP]) to suicidal thoughts and behaviors. We also present results from a proof of concept study examining the feasibility and acceptability of adding a modified UP to treatment as usual (TAU) in an inpatient setting for individuals reporting a recent suicide attempt or active suicidal ideation. Participants ( N = 12) were randomly assigned to receive UP + TAU or TAU alone. Findings indicate good feasibility and acceptability of the adjunctive intervention. Among participants who were responsive to contact attempts postdischarge ( n = 6), there were no observable differences in suicidal thoughts or behaviors during a 6-month follow-up. This application represents a promising initial extension of a cognitive-behavioral, emotion-focused treatment to suicidal individuals within an inpatient setting. Future studies adequately powered to speak to efficacy of the modified UP intervention are warranted. ###Answer 1. Changed Reasoning: In Sentence A, the term ""emotional disorders"" is used in the context of examining the psychiatric status of adolescents with phenylalaninemia. The term is used to describe a range of symptoms related to mental health, including depression, anxiety, and conduct disorders. However, in Sentence B, the term ""emotional disorders"" is used in a different context, specifically in relation to the treatment of suicidal thoughts and behaviors. In this sentence, the term is used to describe a transdiagnostic approach to treatment that aims to address multiple emotional disorders simultaneously. In Sentence A, the term ""emotional disorders"" has a more narrow focus on specific symptoms related to mental health, whereas in Sentence B, the term has a broader focus on a transdiagnostic approach to treatment. This shift in meaning indicates that the term ""emotional disorders"" has undergone semantic drift, and therefore, the label ""Changed"" is appropriate." 83,Emotional disorders,"The clinical cognitive approach assumes that emotional reactions are mediated through the meanings given to events. Cognitive therapy aims to change emotion by changing meanings. It focuses on specific level meanings, evaluating the truth value of particular beliefs. Bower's science-driven associative network theory of cognition and emotion is also primarily concerned with specific meanings. This focus on meaning at a specific level causes problems, e.g. the contrasts between 'intellectual' and 'emotional' belief, between 'cold' and 'hot' cognition, and between explicit and intuitive knowledge. These problems are resolved in the Interacting Cognitive Subsystems (ICS) approach. ICS distinguishes between a specific and a more holistic, intuitive, level of meaning. In contrast to alternative approaches, ICS suggest that holistic level meanings are of primary importance in emotion production. Representations at this level consist of schematic mental models, encoding high-order inter-relationships and prototypical patterns extracted from life experience. The ICS approach to meaning is described and its implications for understanding and treating emotional disorders discussed, together with relevant empirical findings. ICS suggests a therapeutic focus on holistic rather than specific meanings, a role for 'non-evidential' interventions, such as guided imagery, and a rational basis for certain experiential therapies.","We aimed to assess the prevalence (at three levels of severity) and other epidemiological data of OCD in a sample of 1,514 Spanish non-referred children. The estimated prevalence was 1.8% for OCD, 5.5% for subclinical OCD and 4.7% for OC symptomatology. We did not find significant differences between genders or academic grade regarding OC symptoms and OCD, but more subclinical prevalence was found in males than in females. Socio-demographic variables were not related to any level of OCD, but academic performance was significantly lower in clinical OCD. The co-morbidity between OCD and any psychiatric disorder was high (85%) and higher for emotional disorders than for behavioral disorders. The impairment was associated with comorbidity and was worse for OCD with comorbid emotional problems. The results suggest that OCD is not rare in school children and adolescents and that it has an impact on their personal functioning. We suggest the possibility of an early diagnosis and treatment.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Emotional disorders Sentence A: The clinical cognitive approach assumes that emotional reactions are mediated through the meanings given to events. Cognitive therapy aims to change emotion by changing meanings. It focuses on specific level meanings, evaluating the truth value of particular beliefs. Bower's science-driven associative network theory of cognition and emotion is also primarily concerned with specific meanings. This focus on meaning at a specific level causes problems, e.g. the contrasts between 'intellectual' and 'emotional' belief, between 'cold' and 'hot' cognition, and between explicit and intuitive knowledge. These problems are resolved in the Interacting Cognitive Subsystems (ICS) approach. ICS distinguishes between a specific and a more holistic, intuitive, level of meaning. In contrast to alternative approaches, ICS suggest that holistic level meanings are of primary importance in emotion production. Representations at this level consist of schematic mental models, encoding high-order inter-relationships and prototypical patterns extracted from life experience. The ICS approach to meaning is described and its implications for understanding and treating emotional disorders discussed, together with relevant empirical findings. ICS suggests a therapeutic focus on holistic rather than specific meanings, a role for 'non-evidential' interventions, such as guided imagery, and a rational basis for certain experiential therapies. Sentence B: We aimed to assess the prevalence (at three levels of severity) and other epidemiological data of OCD in a sample of 1,514 Spanish non-referred children. The estimated prevalence was 1.8% for OCD, 5.5% for subclinical OCD and 4.7% for OC symptomatology. We did not find significant differences between genders or academic grade regarding OC symptoms and OCD, but more subclinical prevalence was found in males than in females. Socio-demographic variables were not related to any level of OCD, but academic performance was significantly lower in clinical OCD. The co-morbidity between OCD and any psychiatric disorder was high (85%) and higher for emotional disorders than for behavioral disorders. The impairment was associated with comorbidity and was worse for OCD with comorbid emotional problems. The results suggest that OCD is not rare in school children and adolescents and that it has an impact on their personal functioning. We suggest the possibility of an early diagnosis and treatment. ###Answer 1. Changed Reasoning: In Sentence A, the term ""emotional disorders"" is used in the context of cognitive therapy and the focus is on changing meanings to treat the disorder. This suggests that the term has a more specific meaning related to the treatment of mental health conditions. In Sentence B, the term is used in the context of epidemiological research and the focus is on the prevalence of the disorder among different demographic groups. This suggests that the term has a more general meaning related to mental health conditions in general. Therefore, the meaning of the term ""emotional disorders"" has changed significantly between the two sentences, indicating semantic drift." 84,Emotional disorders,"Depressive symptoms are common in the elderly, and depressive illness is the most common of emotional disorders in those of advanced age. This article focuses on the use of antidepressant drugs for the treatment of older depressed patients. To correctly understand the use of antidepressant drugs, it is necessary to first appreciate the medical, neurobiologic, and pharmacologic context within which antidepressant drugs are to be prescribed. Therefore, this article also includes a brief review of the etiology and diagnosis of depression in the elderly.","Emotional competence, emotion regulation, mindfulness and acceptance have all been strongly associated to emotional disorders and psychological well-being in multiple studies. However little research has compared the unique predictive ability of these different constructs. We hypothesised that they will all share a large proportion of common variance and that when compared to the broader constructs emotional competence, emotion regulation and mindfulness, acceptance alone would predict a larger proportion of unique variance METHODS: 228 participants from a community sample completed anonymously measures of anxiety, depression, happiness, acceptance, mindfulness, emotional competence and emotion regulation. We then ran multiple regressions to assess and compare the predictive ability of these different constructs.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Emotional disorders Sentence A: Depressive symptoms are common in the elderly, and depressive illness is the most common of emotional disorders in those of advanced age. This article focuses on the use of antidepressant drugs for the treatment of older depressed patients. To correctly understand the use of antidepressant drugs, it is necessary to first appreciate the medical, neurobiologic, and pharmacologic context within which antidepressant drugs are to be prescribed. Therefore, this article also includes a brief review of the etiology and diagnosis of depression in the elderly. Sentence B: Emotional competence, emotion regulation, mindfulness and acceptance have all been strongly associated to emotional disorders and psychological well-being in multiple studies. However little research has compared the unique predictive ability of these different constructs. We hypothesised that they will all share a large proportion of common variance and that when compared to the broader constructs emotional competence, emotion regulation and mindfulness, acceptance alone would predict a larger proportion of unique variance METHODS: 228 participants from a community sample completed anonymously measures of anxiety, depression, happiness, acceptance, mindfulness, emotional competence and emotion regulation. We then ran multiple regressions to assess and compare the predictive ability of these different constructs. ###Answer 1. Changed Explanation: In Sentence A, the term ""emotional disorders"" is used to describe depressive symptoms in the elderly. The context suggests that the term is used to refer to a specific set of conditions that are characterized by distressing emotional experiences, such as sadness, hopelessness, and loss of interest in activities. The article focuses on the use of antidepressant drugs for the treatment of older depressed patients, which suggests that the term ""emotional disorders"" in this context refers to a condition that is severe enough to interfere with daily life and functioning. In Sentence B, the term ""emotional disorders"" is used in a different context. The sentence highlights the association between emotional competence, emotion regulation, mindfulness, and acceptance with emotional disorders and psychological well-being. The term ""emotional disorders"" in this context seems to refer to a broader set of conditions that involve difficulties with emotional processing and regulation, such as anxiety, depression, and trauma. The sentence suggests that these conditions are associated with impairments in emotional competence, emotion regulation, mindfulness, and acceptance. Based on these differences in context and meaning, it is clear that the term ""emotional disorders"" has undergone a significant change in meaning between Sentence A and Sentence B. In Sentence A, the term refers to a specific set of conditions characterized by distressing emotional experiences, while in Sentence B, the term refers to a broader set of conditions involving difficulties with emotional processing and regulation. Therefore, I would label the term ""emotional disorders"" in Sentence B as having undergone semantic drift." 85,Emotional disorders,"The relationship between lesion location and neuropsychiatric sequelae in stroke patients has been extensively studied. Emotional disorders associated with right hemisphere stroke include depression, anxiety, anger, and/or mania. Pharmacotherapy, electroconvulsive therapy, and/or psychotherapy are common treatments for these disorders. This article reviews the clinical presentations of seven right hemisphere stroke patients. The treatment rationale and course of treatment are described for two of these patients. The aims of this paper are to explore the appropriateness of various assessment tools and treatment modalities for stroke patients as well as to demonstrate the techniques of psychotherapy as applied to the two cases featured in this article. Specific factors that may significantly influence treatment outcome, such as lesion location and degree of cognitive impairment, are considered.","Early life experiences and genetic background shape phenotypic variation. Several mouse models based on early treatments have evaluated short- and long-term phenotypic alterations and explored their molecular mechanisms. The instability of maternal cues was used to model human separation anxiety in outbred mice, one of the etiopathogenetic factors that predict panic disorder (PD). Application of the repeated cross-fostering (RCF) protocol to inbred strains (C57 and DBA) allowed us to measure differential responses to the same experimental manipulation. Ultrasounds emitted during isolation indicated that after RCF, pups from both strains lose their ability to be comforted by nest cues, but the frequency modulation of separation calls increased in RCF-C57 and decreased in RCF-DBA mice. No strain-specific difference in olfactory ability explained these responses in RCF-exposed mice. Rather, disruption of the infant-mother bond may differentially affect separation calls in the two strains. Moreover, the RCF-associated increased respiratory response to hypercapnia-an endophenotype of human PD documented among mice outbred strains-was replicated in the C57 strain only. We suggest that RCF-induced instability of the early environment affects emotionality and respiratory physiology differentially, depending on pups' genetic background. These strain-specific responses provide a lead to understand differential vulnerability to emotional disorders.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Emotional disorders Sentence A: The relationship between lesion location and neuropsychiatric sequelae in stroke patients has been extensively studied. Emotional disorders associated with right hemisphere stroke include depression, anxiety, anger, and/or mania. Pharmacotherapy, electroconvulsive therapy, and/or psychotherapy are common treatments for these disorders. This article reviews the clinical presentations of seven right hemisphere stroke patients. The treatment rationale and course of treatment are described for two of these patients. The aims of this paper are to explore the appropriateness of various assessment tools and treatment modalities for stroke patients as well as to demonstrate the techniques of psychotherapy as applied to the two cases featured in this article. Specific factors that may significantly influence treatment outcome, such as lesion location and degree of cognitive impairment, are considered. Sentence B: Early life experiences and genetic background shape phenotypic variation. Several mouse models based on early treatments have evaluated short- and long-term phenotypic alterations and explored their molecular mechanisms. The instability of maternal cues was used to model human separation anxiety in outbred mice, one of the etiopathogenetic factors that predict panic disorder (PD). Application of the repeated cross-fostering (RCF) protocol to inbred strains (C57 and DBA) allowed us to measure differential responses to the same experimental manipulation. Ultrasounds emitted during isolation indicated that after RCF, pups from both strains lose their ability to be comforted by nest cues, but the frequency modulation of separation calls increased in RCF-C57 and decreased in RCF-DBA mice. No strain-specific difference in olfactory ability explained these responses in RCF-exposed mice. Rather, disruption of the infant-mother bond may differentially affect separation calls in the two strains. Moreover, the RCF-associated increased respiratory response to hypercapnia-an endophenotype of human PD documented among mice outbred strains-was replicated in the C57 strain only. We suggest that RCF-induced instability of the early environment affects emotionality and respiratory physiology differentially, depending on pups' genetic background. These strain-specific responses provide a lead to understand differential vulnerability to emotional disorders. ###Answer 1. Changed Reasoning: The target word ""Emotional disorders"" has undergone a significant change in meaning between Sentence A (2000) and Sentence B (2020). In Sentence A, the term is used to describe specific psychiatric conditions such as depression, anxiety, and mania, with a focus on their treatment options. In contrast, in Sentence B, the term is used more broadly to describe the impact of early life experiences and genetic background on phenotypic variation, including the development of emotional disorders. In Sentence A, the term ""Emotional disorders"" is associated with medical treatments and assessment tools, indicating a focus on the clinical presentation and treatment of specific mental health conditions. In contrast, in Sentence B, the term is used in the context of genetic background and early life experiences, indicating a shift towards a more holistic understanding of emotional health. Therefore, based on the different contexts and meanings attributed to the term ""Emotional disorders"" in the two sentences, it can be concluded that semantic drift has occurred, and the label ""Changed"" is appropriate." 86,Emotional disorders,"Multiple sclerosis (MS) and Parkinson's disease (PD) are relatively common neurological disorders. Both disorders are chronic and progressive, produce varying degrees of physical disability, and result in characteristic neuropathological changes to a variety of subcortical brain structures. Patients with MS or PD also exhibit a higher prevalence of emotional disorders relative to other patient groups with comparable degrees of physical disability. The present review (a) examines specific methodological issues associated with research in this area, (b) describes the range and severity of emotional disorders in MS and PD, and (c) examines both endogenous and reactive explanations to account for the increased prevalence of emotional dysfunction in these two disorders. Suggestions for future research are offered, as well as implications for treatment.",Low recognition and intervention rates of emotional disorders among nonpsychiatric clinical patients are primarily attributable to poor mental health awareness of patients and a paucity of mental health care resources. This study aims to investigate the association of a resource-saving brief web-based emotional-disorder self-screening plus a health self-education program (BWBED-SS + HSE) with improved mental health awareness and service-seeking attitudes among nonpsychiatric clinical patients.,"###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Emotional disorders Sentence A: Multiple sclerosis (MS) and Parkinson's disease (PD) are relatively common neurological disorders. Both disorders are chronic and progressive, produce varying degrees of physical disability, and result in characteristic neuropathological changes to a variety of subcortical brain structures. Patients with MS or PD also exhibit a higher prevalence of emotional disorders relative to other patient groups with comparable degrees of physical disability. The present review (a) examines specific methodological issues associated with research in this area, (b) describes the range and severity of emotional disorders in MS and PD, and (c) examines both endogenous and reactive explanations to account for the increased prevalence of emotional dysfunction in these two disorders. Suggestions for future research are offered, as well as implications for treatment. Sentence B: Low recognition and intervention rates of emotional disorders among nonpsychiatric clinical patients are primarily attributable to poor mental health awareness of patients and a paucity of mental health care resources. This study aims to investigate the association of a resource-saving brief web-based emotional-disorder self-screening plus a health self-education program (BWBED-SS + HSE) with improved mental health awareness and service-seeking attitudes among nonpsychiatric clinical patients. ###Answer 1. Changed The meaning of the target word ""emotional disorders"" has changed significantly between the two sentences. In Sentence A, the term is used to describe chronic and progressive neurological disorders such as MS and PD, which are associated with characteristic neuropathological changes and a higher prevalence of emotional disorders compared to other patient groups. In Sentence B, the term is used to describe a broader range of emotional disorders among nonpsychiatric clinical patients, including poor mental health awareness and a lack of mental health care resources. The shift in meaning suggests that the term ""emotional disorders"" has undergone semantic drift, and its original meaning has changed to encompass a wider range of mental health issues." 87,Emotional disorders,"Monoamine oxidase is an iron containing enzyme that exists as 2 isozymes, A and B, that have different affinities for various amines as substrates. The activity of monoamine oxidase helps to maintain neuron firing rates throughout the body within homeostatic limits. It does this by metabolizing in the liver bioactive amines absorbed into the bloodstream from food, by metabolizing in the endothelial cells of cerebral vascular microvessels, as part of the blood brain barrier, bioactive amines in the bloodstream, and by metabolizing in the cytoplasm of neurons, molecules of biogenic amine neurotransmitters that are not enclosed in vesicles. Part of the biochemical activity of monoamine oxidase generates hydroxyl radicals, very toxic members of the oxygen free radical group, that may be involved in neurodegenerative disorders such as Parkinson's disease. Inhibiting monoamine oxidase with selegiline (1-deprenyl) seems to have neuroprotective actions but this may be due to inducing the release of neuronal growth factors rather than by preventing the formation of free radicals. Other drugs that inhibit monoamine oxidase are used to treat patients with atypical depression, panic attacks or post traumatic stress syndrome. It is hypothesized that the emotions act as positive or negative reinforcers of behavior patterns that increase the probability of survival of the organism. The original releasing stimuli for the emotions are related to the basic survival reflexes of the hypothalamus but the emotional response can be easily conditioned to formerly neutral stimuli by association. In the absence of the original releasing stimuli, these learned emotions increase the frequency of survival oriented behavior and decrease the frequency of behavior that jeopardizes survival. The emotional disorders are conditions in which the brain's reinforcement system is inoperative, the person loses contact with reality and the person's behavior bears no relationship to survival. Aversive stimulation evokes a negative emotional response that motivates the organism to escape from the aversive stimulation, and to avoid it, and any conditioned stimuli associated it, in the future. When the aversive stimulation and to avoid it, and any conditioned stimuli When the aversive stimulation is inescapable or unavoidable, the organism experiences stress. When the stressful aversive situation is not lethal, survival does not depend on escape but rather on conservation of energy. With repeated exposure, the negative emotional response to the aversive stimulation extinguishes, the organism adapts to the situation and takes on a passive, energy saving behavior pattern.(ABSTRACT TRUNCATED AT 400 WORDS)","The aim of the research is the assessment of the features of the course of endometriosis in women in perimenopause. The exanimated group of patients consisted of 106 women with endometriosis and climacteric syndrome and 64 women with endometriosis without climacteric syndrome. The comparison group consisted of 70 women without endometriosis and symptoms of climacteric syndrome. The age of the examined women was from 39 to 55 years. We analyzed the leading complaints, the menstrual function and the severity of the pain manifestations in the examined patients. The results of the studies have shown that the main manifestations of endometriosis, such as hyperpolimenorrhea and pain syndrome, tend to fade with the onset of climacteric syndrome. The psycho-emotional disorders are on the first place in patients with endometriosis in perimenopause.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Emotional disorders Sentence A: Monoamine oxidase is an iron containing enzyme that exists as 2 isozymes, A and B, that have different affinities for various amines as substrates. The activity of monoamine oxidase helps to maintain neuron firing rates throughout the body within homeostatic limits. It does this by metabolizing in the liver bioactive amines absorbed into the bloodstream from food, by metabolizing in the endothelial cells of cerebral vascular microvessels, as part of the blood brain barrier, bioactive amines in the bloodstream, and by metabolizing in the cytoplasm of neurons, molecules of biogenic amine neurotransmitters that are not enclosed in vesicles. Part of the biochemical activity of monoamine oxidase generates hydroxyl radicals, very toxic members of the oxygen free radical group, that may be involved in neurodegenerative disorders such as Parkinson's disease. Inhibiting monoamine oxidase with selegiline (1-deprenyl) seems to have neuroprotective actions but this may be due to inducing the release of neuronal growth factors rather than by preventing the formation of free radicals. Other drugs that inhibit monoamine oxidase are used to treat patients with atypical depression, panic attacks or post traumatic stress syndrome. It is hypothesized that the emotions act as positive or negative reinforcers of behavior patterns that increase the probability of survival of the organism. The original releasing stimuli for the emotions are related to the basic survival reflexes of the hypothalamus but the emotional response can be easily conditioned to formerly neutral stimuli by association. In the absence of the original releasing stimuli, these learned emotions increase the frequency of survival oriented behavior and decrease the frequency of behavior that jeopardizes survival. The emotional disorders are conditions in which the brain's reinforcement system is inoperative, the person loses contact with reality and the person's behavior bears no relationship to survival. Aversive stimulation evokes a negative emotional response that motivates the organism to escape from the aversive stimulation, and to avoid it, and any conditioned stimuli associated it, in the future. When the aversive stimulation and to avoid it, and any conditioned stimuli When the aversive stimulation is inescapable or unavoidable, the organism experiences stress. When the stressful aversive situation is not lethal, survival does not depend on escape but rather on conservation of energy. With repeated exposure, the negative emotional response to the aversive stimulation extinguishes, the organism adapts to the situation and takes on a passive, energy saving behavior pattern.(ABSTRACT TRUNCATED AT 400 WORDS) Sentence B: The aim of the research is the assessment of the features of the course of endometriosis in women in perimenopause. The exanimated group of patients consisted of 106 women with endometriosis and climacteric syndrome and 64 women with endometriosis without climacteric syndrome. The comparison group consisted of 70 women without endometriosis and symptoms of climacteric syndrome. The age of the examined women was from 39 to 55 years. We analyzed the leading complaints, the menstrual function and the severity of the pain manifestations in the examined patients. The results of the studies have shown that the main manifestations of endometriosis, such as hyperpolimenorrhea and pain syndrome, tend to fade with the onset of climacteric syndrome. The psycho-emotional disorders are on the first place in patients with endometriosis in perimenopause. ###Answer 1. Changed The meaning of the target word ""emotional disorders"" has significantly shifted between the two sentences. In Sentence A, the term is used in the context of neurochemistry and the metabolism of neurotransmitters, with a focus on the role of monoamine oxidase in neurodegenerative disorders. In Sentence B, the term is used in the context of women's reproductive health, specifically the assessment of the features of the course of endometriosis in perimenopause. The term has taken on a different connotation and meaning in the second sentence, indicating a change in the way the term is used and understood." 88,Emotional disorders,"President Clinton's proposal for a health care system based on managed competition began a dialogue within the mental health community about whether such a system would work in the mental health area. In early March a large coalition representing more than 30 mental health organizations, including advocacy organizations, state systems, professional associations, provider agencies, families, and consumers, formally transmitted to the President's Task Force on National Health Care Reform a document presenting a unified position on how mental health care should be delivered within a reformed health care system. The consensus document, reproduced here, maintains that a full range of services must be available to all children and adults with mental or emotional disorders. The document presents guidelines for containing costs, for standards of delivery for mental health services, and for the role of the states and the federal government within the new health care system.","Neurons are particularly susceptible to energy fluctuations in response to stress. Mitochondrial fission is highly regulated to generate ATP via oxidative phosphorylation; however, the role of a regulator of mitochondrial fission in neuronal energy metabolism and synaptic efficacy under chronic stress remains elusive. Here, we show that chronic stress promotes mitochondrial fission in the medial prefrontal cortex via activating dynamin-related protein 1 (Drp1), resulting in mitochondrial dysfunction in male mice. Both pharmacological inhibition and genetic reduction of Drp1 ameliorates the deficit of excitatory synaptic transmission and stress-related depressive-like behavior. In addition, enhancing Drp1 fission promotes stress susceptibility, which is alleviated by coenzyme Q10, which potentiates mitochondrial ATP production. Together, our findings unmask the role of Drp1-dependent mitochondrial fission in the deficits of neuronal metabolic burden and depressive-like behavior and provides medication basis for metabolism-related emotional disorders.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Emotional disorders Sentence A: President Clinton's proposal for a health care system based on managed competition began a dialogue within the mental health community about whether such a system would work in the mental health area. In early March a large coalition representing more than 30 mental health organizations, including advocacy organizations, state systems, professional associations, provider agencies, families, and consumers, formally transmitted to the President's Task Force on National Health Care Reform a document presenting a unified position on how mental health care should be delivered within a reformed health care system. The consensus document, reproduced here, maintains that a full range of services must be available to all children and adults with mental or emotional disorders. The document presents guidelines for containing costs, for standards of delivery for mental health services, and for the role of the states and the federal government within the new health care system. Sentence B: Neurons are particularly susceptible to energy fluctuations in response to stress. Mitochondrial fission is highly regulated to generate ATP via oxidative phosphorylation; however, the role of a regulator of mitochondrial fission in neuronal energy metabolism and synaptic efficacy under chronic stress remains elusive. Here, we show that chronic stress promotes mitochondrial fission in the medial prefrontal cortex via activating dynamin-related protein 1 (Drp1), resulting in mitochondrial dysfunction in male mice. Both pharmacological inhibition and genetic reduction of Drp1 ameliorates the deficit of excitatory synaptic transmission and stress-related depressive-like behavior. In addition, enhancing Drp1 fission promotes stress susceptibility, which is alleviated by coenzyme Q10, which potentiates mitochondrial ATP production. Together, our findings unmask the role of Drp1-dependent mitochondrial fission in the deficits of neuronal metabolic burden and depressive-like behavior and provides medication basis for metabolism-related emotional disorders. ###Answer 1. Changed Reasoning: In Sentence A, the term ""emotional disorders"" is used in the context of mental health care, specifically in relation to the delivery of services to children and adults. The sentence highlights the importance of availability of services for mental health care, with a focus on containing costs and maintaining standards of delivery. The term ""emotional disorders"" connotes a sense of mental illness or instability, which was likely the prevailing connotation in 2000. In Sentence B, the term ""emotional disorders"" is used in a different context, specifically in relation to the impact of chronic stress on neuronal energy metabolism and synaptic efficacy. The sentence highlights the role of mitochondrial fission in neuronal energy metabolism and the regulation of Drp1 in this process. The term ""emotional disorders"" in this sentence connotes a sense of neuronal dysfunction or impaired energy metabolism, which is a departure from the prevailing connotation in 2000. Based on these differences in context and meaning, it is clear that the term ""emotional disorders"" has undergone a significant change in meaning between Sentence A and Sentence B. Therefore, the label ""Changed"" is appropriate." 89,Emotional disorders,"Within an interdisciplinary research project, the long-term outcome of children with fetal alcohol syndrome was studied. Methods for the assessment of psychopathology, behavior, and intelligence included psychiatric interviews, behavior checklists for parents and teachers, and intelligence tests. The children were assessed during preschool age, early school age (6 to 12 years), and late school age (> or =13 years). An excess of psychopathology, (including hyperkinetic disorders, emotional disorders, sleep disorders, and abnormal habits and stereotypes) with a strong persistence over time was found. Cognitive functioning was marked by a large proportion of mentally retarded children and also did not change considerably over time. This long-term outcome study reflects the handicapping effects of fetal alcohol syndrome.","Stroke is one of the major causes of disability and mortality worldwide. It is well known that ischemic stroke can cause gray matter injury. However, stroke also elicits profound white matter injury, a risk factor for higher stroke incidence and poor neurological outcomes. The majority of damage caused by stroke is located in subcortical regions and, remarkably, white matter occupies nearly half of the average infarct volume. Indeed, white matter is exquisitely vulnerable to ischemia and is often injured more severely than gray matter. Clinical symptoms related to white matter injury include cognitive dysfunction, emotional disorders, sensorimotor impairments, as well as urinary incontinence and pain, all of which are closely associated with destruction and remodeling of white matter connectivity. White matter injury can be noninvasively detected by MRI, which provides a three-dimensional assessment of its morphology, metabolism, and function. There is an urgent need for novel white matter therapies, as currently available strategies are limited to preclinical animal studies. Optimal protection against ischemic stroke will need to encompass the fortification of both gray and white matter. In this review, we discuss white matter injury after ischemic stroke, focusing on clinical features and tools, such as imaging, manifestation, and potential treatments. We also briefly discuss the pathophysiology of WMI and future research directions.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Emotional disorders Sentence A: Within an interdisciplinary research project, the long-term outcome of children with fetal alcohol syndrome was studied. Methods for the assessment of psychopathology, behavior, and intelligence included psychiatric interviews, behavior checklists for parents and teachers, and intelligence tests. The children were assessed during preschool age, early school age (6 to 12 years), and late school age (> or =13 years). An excess of psychopathology, (including hyperkinetic disorders, emotional disorders, sleep disorders, and abnormal habits and stereotypes) with a strong persistence over time was found. Cognitive functioning was marked by a large proportion of mentally retarded children and also did not change considerably over time. This long-term outcome study reflects the handicapping effects of fetal alcohol syndrome. Sentence B: Stroke is one of the major causes of disability and mortality worldwide. It is well known that ischemic stroke can cause gray matter injury. However, stroke also elicits profound white matter injury, a risk factor for higher stroke incidence and poor neurological outcomes. The majority of damage caused by stroke is located in subcortical regions and, remarkably, white matter occupies nearly half of the average infarct volume. Indeed, white matter is exquisitely vulnerable to ischemia and is often injured more severely than gray matter. Clinical symptoms related to white matter injury include cognitive dysfunction, emotional disorders, sensorimotor impairments, as well as urinary incontinence and pain, all of which are closely associated with destruction and remodeling of white matter connectivity. White matter injury can be noninvasively detected by MRI, which provides a three-dimensional assessment of its morphology, metabolism, and function. There is an urgent need for novel white matter therapies, as currently available strategies are limited to preclinical animal studies. Optimal protection against ischemic stroke will need to encompass the fortification of both gray and white matter. In this review, we discuss white matter injury after ischemic stroke, focusing on clinical features and tools, such as imaging, manifestation, and potential treatments. We also briefly discuss the pathophysiology of WMI and future research directions. ###Answer 1. Changed Reasoning: In Sentence A, the term ""emotional disorders"" is used in the context of children with fetal alcohol syndrome, who are assessed for psychopathology, behavior, and intelligence. The term suggests a more specific and well-defined meaning, related to the impact of prenatal alcohol exposure on a child's emotional and behavioral development. In contrast, in Sentence B, the term ""emotional disorders"" is used in a broader context, related to the impact of stroke on cognitive functioning, sensorimotor impairments, and urinary incontinence. The term has a different meaning and connotation, suggesting a broader range of emotional and cognitive symptoms associated with white matter injury. Therefore, semantic drift has occurred, and the label ""Changed"" is appropriate." 90,Emotional disorders,"Long-term home oxygen therapy (LTOT) improves survival of hypoxic patients with chronic respiratory insufficiency. However, the health-related quality of life (HRQL) of these patients, when LTOT is initiated, is severely impaired. The present study aims to describe the health-related quality of life (HRQL) of patients under LTOT, assessed at home, to identify parameters relevant to HRQL, and to describe changes over a 1-yr period. Seventy-nine patients (aged 68 +/- 11 years, under LTOT for 34 +/- 24 months) underwent pulmonary function testing, measurement of average daily distance walked, SaO2, dyspnoea scores (Borg scale and oxygen-cost diagram), and Hospital Anxiety and Depression scores. After 1 yr, measurements were repeated, and HRQL was measured with the St George Respiratory Questionnaire (SGRQ). Forced expiratory volume in 1 s (FEV1% of predicted) was 36 +/- 19; SaO2 (room air) was 87 +/- 5%, daily distance walked was 1202 +/- 1140 m; 21% suffered from anxiety and 27% from depression. After 1 yr, pulmonary function tests, dyspnoea or prevalence of anxiety or depression were unchanged. Mortality was high (31% 1-yr mortality). Daily distance walked (rho = -0.55, P = 0.01 vs. SGRQ) and number of days spent in hospital (rho = 0.5, P = 0.01 vs. SGRQ) were the parameters with the highest correlation with HRQL scores. Quality of life was poor in these patients, with high rates of emotional disorders. Restoring and maintaining sufficient exercise capacity for everyday life activities through outpatient rehabilitation programmes and support for emotional disturbances should be major goals in the care of these patients.","Given the equivocal state of the literature as to the symptom-level specificity of the cognitive variable labeled negative problem orientation (NPO), we targeted NPO-symptom relations. A clinical sample (N = 132) of adults diagnosed with an anxiety disorder, mood disorder, or obsessive-compulsive disorder completed self-reports of NPO and symptom types (worry, depression, obsessive-compulsive, panic, and social anxiety). Symptom-level specificity was examined using a combination of zero-order and regression analyses that controlled for the other assessed symptoms. Results were that NPO shared small to moderate correlations with the symptoms. Regression results indicated that NPO only shared unique associations with worry, depression, and social anxiety. In the analyses, NPO clustered particularly strongly with worry. The present results provide support for conceptualizing NPO as a cognitive variable common to emotional disorders, but not as related equivalently to all disorders within this category.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Emotional disorders Sentence A: Long-term home oxygen therapy (LTOT) improves survival of hypoxic patients with chronic respiratory insufficiency. However, the health-related quality of life (HRQL) of these patients, when LTOT is initiated, is severely impaired. The present study aims to describe the health-related quality of life (HRQL) of patients under LTOT, assessed at home, to identify parameters relevant to HRQL, and to describe changes over a 1-yr period. Seventy-nine patients (aged 68 +/- 11 years, under LTOT for 34 +/- 24 months) underwent pulmonary function testing, measurement of average daily distance walked, SaO2, dyspnoea scores (Borg scale and oxygen-cost diagram), and Hospital Anxiety and Depression scores. After 1 yr, measurements were repeated, and HRQL was measured with the St George Respiratory Questionnaire (SGRQ). Forced expiratory volume in 1 s (FEV1% of predicted) was 36 +/- 19; SaO2 (room air) was 87 +/- 5%, daily distance walked was 1202 +/- 1140 m; 21% suffered from anxiety and 27% from depression. After 1 yr, pulmonary function tests, dyspnoea or prevalence of anxiety or depression were unchanged. Mortality was high (31% 1-yr mortality). Daily distance walked (rho = -0.55, P = 0.01 vs. SGRQ) and number of days spent in hospital (rho = 0.5, P = 0.01 vs. SGRQ) were the parameters with the highest correlation with HRQL scores. Quality of life was poor in these patients, with high rates of emotional disorders. Restoring and maintaining sufficient exercise capacity for everyday life activities through outpatient rehabilitation programmes and support for emotional disturbances should be major goals in the care of these patients. Sentence B: Given the equivocal state of the literature as to the symptom-level specificity of the cognitive variable labeled negative problem orientation (NPO), we targeted NPO-symptom relations. A clinical sample (N = 132) of adults diagnosed with an anxiety disorder, mood disorder, or obsessive-compulsive disorder completed self-reports of NPO and symptom types (worry, depression, obsessive-compulsive, panic, and social anxiety). Symptom-level specificity was examined using a combination of zero-order and regression analyses that controlled for the other assessed symptoms. Results were that NPO shared small to moderate correlations with the symptoms. Regression results indicated that NPO only shared unique associations with worry, depression, and social anxiety. In the analyses, NPO clustered particularly strongly with worry. The present results provide support for conceptualizing NPO as a cognitive variable common to emotional disorders, but not as related equivalently to all disorders within this category. ###Answer 1. Changed Explanation: In Sentence A, the term ""emotional disorders"" is used in the context of describing the health-related quality of life (HRQL) of patients undergoing long-term home oxygen therapy (LTOT). The sentence highlights the severely impaired HRQL of these patients, with high rates of emotional disorders such as anxiety and depression. The term ""emotional disorders"" in this context implies a focus on the psychological and emotional impact of the patients' respiratory insufficiency, rather than solely on the physical symptoms. In Sentence B, the term ""negative problem orientation"" (NPO) is used to describe a cognitive variable related to emotional disorders. The sentence highlights the equivocal state of the literature regarding the specificity of NPO symptoms and the need to target NPO-symptom relations. The term ""negative problem orientation"" in this context implies a focus on the cognitive and emotional aspects of emotional disorders, rather than solely on their physical symptoms. Based on these contexts, it is clear that the meaning of ""emotional disorders"" has shifted in Sentence B compared to Sentence A. In Sentence A, ""emotional disorders"" is used to describe the psychological and emotional impact of a physical condition (respiratory insufficiency), while in Sentence B, ""negative problem orientation"" is used to describe a cognitive variable related to emotional disorders. Therefore, the label ""Changed"" is appropriate for Sentence B." 91,Emotional disorders,"Brief psychotherapy has demonstrated its effectiveness in treating emotional disorders and helping with problems that typically present to primary care physicians. Because practitioners receive little instruction about this treatment option and often have erroneous preconceived ideas about it, psychotherapy remains underprescribed. Effective brief therapy enables the patient to problem-solve, facilitates the relationship with the provider, and ultimately clarifies the patient's situation. Referral of appropriate patients for psychotherapy will enhance the effectiveness of the doctor in primary care.","Several studies have reported high rates of alexithymia in drug-dependent individuals, but supporting evidence attests association between alexithymia and a variety of psychiatric disorders, raising doubts about its specificity. Moreover, controversies are emerging about alexithymia assessment: self-report measures present shortcomings with respect to discriminant validity and reliability. As regards treatment for substance use disorders (SUDs), alexithymia has been linked to poorer outcomes, but the results are inconsistent. The aim of the present study is to investigate alexithymia in substance-dependent young adults by examining: (a) the specificity of alexithymia in drug-dependent inpatients, compared to healthy individuals and patients with psychiatric disorders (behavioral and emotional disorders) and (b) the predictivity of alexithymia in determining treatment outcomes in terms of relapses, drop-outs from treatment and the rate of relapse per month of treatment. Two studies were conducted to fulfill these aims: Study 1 and Study 2. Study 1 involved 90 late adolescents, aged 17-21. To fulfill the first aim, 30 inpatients diagnosed with SUD were compared with 30 healthy controls and 30 individuals referred to an outpatient neuropsychiatric unit (a). The participants completed the Toronto Alexithymia Scale-20 (TAS-20) and the Symptom Checklist-90-Revised (SCL-90-R). The results indicated that both clinical groups reported higher TAS-20 scores than the non-clinical subjects, but they did not differ from each other (a); moreover, a large correlation was detected between alexithymia and depressive symptoms, as assessed by the SCL-90-R. Study 2 involved 55 inpatients with SUD recruited in a therapeutic community. The participants completed the TAS-20, and clinicians filled out the Observer Alexithymia Scale (OAS). No association was found between self-report and observational measures. Neither self-reported nor observed alexithymia predicted the number of relapses, drop-out from treatment, or the rate of relapses per month of treatment (b). When the interaction with gender was explored, the global score of alexithymia and the ""Distant"" OAS subscale predicted the number rate relapses only in males. The TAS-20 did not discriminate between the clinical groups. The limited ability of both observed and self-reported measures in predicting treatment outcome raises questions on the specificity of alexithymia among the substance-dependent inpatient population.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Emotional disorders Sentence A: Brief psychotherapy has demonstrated its effectiveness in treating emotional disorders and helping with problems that typically present to primary care physicians. Because practitioners receive little instruction about this treatment option and often have erroneous preconceived ideas about it, psychotherapy remains underprescribed. Effective brief therapy enables the patient to problem-solve, facilitates the relationship with the provider, and ultimately clarifies the patient's situation. Referral of appropriate patients for psychotherapy will enhance the effectiveness of the doctor in primary care. Sentence B: Several studies have reported high rates of alexithymia in drug-dependent individuals, but supporting evidence attests association between alexithymia and a variety of psychiatric disorders, raising doubts about its specificity. Moreover, controversies are emerging about alexithymia assessment: self-report measures present shortcomings with respect to discriminant validity and reliability. As regards treatment for substance use disorders (SUDs), alexithymia has been linked to poorer outcomes, but the results are inconsistent. The aim of the present study is to investigate alexithymia in substance-dependent young adults by examining: (a) the specificity of alexithymia in drug-dependent inpatients, compared to healthy individuals and patients with psychiatric disorders (behavioral and emotional disorders) and (b) the predictivity of alexithymia in determining treatment outcomes in terms of relapses, drop-outs from treatment and the rate of relapse per month of treatment. Two studies were conducted to fulfill these aims: Study 1 and Study 2. Study 1 involved 90 late adolescents, aged 17-21. To fulfill the first aim, 30 inpatients diagnosed with SUD were compared with 30 healthy controls and 30 individuals referred to an outpatient neuropsychiatric unit (a). The participants completed the Toronto Alexithymia Scale-20 (TAS-20) and the Symptom Checklist-90-Revised (SCL-90-R). The results indicated that both clinical groups reported higher TAS-20 scores than the non-clinical subjects, but they did not differ from each other (a); moreover, a large correlation was detected between alexithymia and depressive symptoms, as assessed by the SCL-90-R. Study 2 involved 55 inpatients with SUD recruited in a therapeutic community. The participants completed the TAS-20, and clinicians filled out the Observer Alexithymia Scale (OAS). No association was found between self-report and observational measures. Neither self-reported nor observed alexithymia predicted the number of relapses, drop-out from treatment, or the rate of relapses per month of treatment (b). When the interaction with gender was explored, the global score of alexithymia and the ""Distant"" OAS subscale predicted the number rate relapses only in males. The TAS-20 did not discriminate between the clinical groups. The limited ability of both observed and self-reported measures in predicting treatment outcome raises questions on the specificity of alexithymia among the substance-dependent inpatient population. ###Answer 1. Changed Reasoning: The meaning of the target word ""emotional disorders"" has changed significantly between the two sentences. In Sentence A, the term is used to describe a specific set of conditions, such as depression, anxiety, and personality disorders, which are typically seen in primary care patients. In Sentence B, the term is used more broadly to describe a range of psychiatric disorders, including alexithymia, which is not explicitly mentioned in Sentence A. This broader definition suggests that the term ""emotional disorders"" has undergone semantic drift." 92,Emotional disorders,"Some Soviet therapists admit the role of latent (that is, sexual) conflicts and childhood experiences in the origin of emotional disorders. They also attempt to utilize the influence of the social environment in the ""readaptation"" of neurotics. However, these attempts are limited by certain ideological as well as practical restrictions.","This paper reviews the development and initial trial of a treatment for adolescents that targets negative emotionality and associated psychological difficulties, particularly anxiety and depressive disorders, as a more singular entity by utilizing an approach rooted in both emotion science and theory. The rationale for such an approach is based upon the perceived need for novel treatment approaches that target commonalities in emotional disorder symptom presentation and their intervention. Utilizing the Unified Protocol for the Treatment of Emotional Disorders originally developed for adults (Barlow, Allen & Choate, 2004), we conducted a multiple-baseline design study of a slightly modified version of this protocol with three adolescents presenting an array of anxiety and depression symptoms. Adolescent participants in this preliminary investigation evidenced symptom reductions across disorders at post-treatment, with greater improvements noted at a six-month follow-up. Based on these findings and research regarding the association between emotion science and developmental psychopathology, we detail a more extensive set of modifications to the protocol, undertaken in preparation for a subsequent open-trial investigation of the revised treatment.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Emotional disorders Sentence A: Some Soviet therapists admit the role of latent (that is, sexual) conflicts and childhood experiences in the origin of emotional disorders. They also attempt to utilize the influence of the social environment in the ""readaptation"" of neurotics. However, these attempts are limited by certain ideological as well as practical restrictions. Sentence B: This paper reviews the development and initial trial of a treatment for adolescents that targets negative emotionality and associated psychological difficulties, particularly anxiety and depressive disorders, as a more singular entity by utilizing an approach rooted in both emotion science and theory. The rationale for such an approach is based upon the perceived need for novel treatment approaches that target commonalities in emotional disorder symptom presentation and their intervention. Utilizing the Unified Protocol for the Treatment of Emotional Disorders originally developed for adults (Barlow, Allen & Choate, 2004), we conducted a multiple-baseline design study of a slightly modified version of this protocol with three adolescents presenting an array of anxiety and depression symptoms. Adolescent participants in this preliminary investigation evidenced symptom reductions across disorders at post-treatment, with greater improvements noted at a six-month follow-up. Based on these findings and research regarding the association between emotion science and developmental psychopathology, we detail a more extensive set of modifications to the protocol, undertaken in preparation for a subsequent open-trial investigation of the revised treatment. ###Answer 1. Changed Reasoning: The target word ""emotional disorders"" has undergone a significant change in meaning between Sentence A (2000) and Sentence B (2020). In Sentence A, the term likely referred to mental health conditions such as depression, anxiety, or personality disorders, which were thought to be caused by childhood experiences or social and political factors. In contrast, Sentence B uses the term to refer to a broader range of emotional difficulties experienced by adolescents, including anxiety and depressive disorders, as well as negative emotionality and associated psychological difficulties. This shift in meaning suggests that the term ""emotional disorders"" has evolved to encompass a more specific and nuanced understanding of these conditions, particularly in the context of adolescent development. Therefore, the label ""Changed"" is appropriate." 93,Emotional disorders,"Behavioral impairments in parkinsonian patients include agitation, hypersexuality, stereotypic movement, pathological gambling, abuse of antiparkinsonian drugs, REM sleep behavioral disorder, and restless legs syndrome. Dementia, psychoses, and emotional disorders, such as depression and anxiety/panic disorder, also impair behavior. Symptoms may be produced by dysfunction of the central nervous system, medication, and/or the psychosocial problems associated with Parkinson's disease. Treatment therefore should be based on the cause of the symptoms seen. In some cases, the reduction or change of antiparkinsonian drugs, or both, may be effective. Treatment of the motor symptoms of Parkinson's disease, including motor fluctuations, may reduce the risk of panic attacks being evoked in the 'off' period. Use of antidepressants, sedatives, and neuroleptics may often be effective. Physicians should identify the causes of the symptoms of behavioral impairment and select appropriate treatments.","Group psychodrama for children is one of the methods of group therapy in treatment of many behavioral and emotional disorders of children. However, it has been used very few in hospital settings. So, in this study, the group psychodrama was applied to evaluate its effectiveness for.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Emotional disorders Sentence A: Behavioral impairments in parkinsonian patients include agitation, hypersexuality, stereotypic movement, pathological gambling, abuse of antiparkinsonian drugs, REM sleep behavioral disorder, and restless legs syndrome. Dementia, psychoses, and emotional disorders, such as depression and anxiety/panic disorder, also impair behavior. Symptoms may be produced by dysfunction of the central nervous system, medication, and/or the psychosocial problems associated with Parkinson's disease. Treatment therefore should be based on the cause of the symptoms seen. In some cases, the reduction or change of antiparkinsonian drugs, or both, may be effective. Treatment of the motor symptoms of Parkinson's disease, including motor fluctuations, may reduce the risk of panic attacks being evoked in the 'off' period. Use of antidepressants, sedatives, and neuroleptics may often be effective. Physicians should identify the causes of the symptoms of behavioral impairment and select appropriate treatments. Sentence B: Group psychodrama for children is one of the methods of group therapy in treatment of many behavioral and emotional disorders of children. However, it has been used very few in hospital settings. So, in this study, the group psychodrama was applied to evaluate its effectiveness for. ###Answer 1. Changed Reasoning: In Sentence A, the term ""emotional disorders"" is used in the context of Parkinsonian patients exhibiting agitation, hypersexuality, and other impairments. The term carries a negative connotation, implying a disruption in normal emotional functioning. In Sentence B, the term ""emotional disorders"" is used in the context of children participating in group therapy for various emotional issues. The term carries a more neutral connotation, emphasizing the therapeutic aspect of the treatment. The shift in meaning is significant, as the term is now associated with a positive therapeutic intervention rather than a negative pathological condition. Therefore, the label ""Changed"" is appropriate." 94,Emotional disorders,"The correlation between scores on two new anxiety questionnaires for children (ns = 54 boys, 54 girls), the Screen for Child Anxiety Related Emotional Disorders and the Multidimensional Anxiety Scale for Children was .72, with values for subtests ranging between .35 and .63.","Attentional networks and their interactions have been extensively studied through the Attentional Network Test for Interaction (ANTI). This task combines a spatial cueing paradigm with a flanker procedure and examines the efficiency and the interactions among the attentional networks (Alerting, Orienting and Executive control). However, the ANTI did not consider the effect of emotions on the attentional systems, although many studies have shown a relationship between emotion and Executive system. This study aims to analyze the executive system in an emotional context. We used a version of ANTI with arrows (ANTI-A) and an ANTI-Emotion (ANTI-E), where the arrows in the flanker task were replaced with neutral and threatening faces. One hundred and thirty-four university students performed both an ANTI-A and an ANTI-E. Results confirmed all the main effects and interactions for both the types of ANTI. Furthermore, the ANTI-E showed that the executive control of the conflict was harder when the target was neutral rather than when it was threatening. This difficulty in solving the flanker task could be due to the effect of distractors with a threatening valence. The ANTI-E could be allowed to verify how much attentional bias that characterizes people with emotional disorders (e.g., anxiety) may depend on altered executive control of the emotional conflict.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Emotional disorders Sentence A: The correlation between scores on two new anxiety questionnaires for children (ns = 54 boys, 54 girls), the Screen for Child Anxiety Related Emotional Disorders and the Multidimensional Anxiety Scale for Children was .72, with values for subtests ranging between .35 and .63. Sentence B: Attentional networks and their interactions have been extensively studied through the Attentional Network Test for Interaction (ANTI). This task combines a spatial cueing paradigm with a flanker procedure and examines the efficiency and the interactions among the attentional networks (Alerting, Orienting and Executive control). However, the ANTI did not consider the effect of emotions on the attentional systems, although many studies have shown a relationship between emotion and Executive system. This study aims to analyze the executive system in an emotional context. We used a version of ANTI with arrows (ANTI-A) and an ANTI-Emotion (ANTI-E), where the arrows in the flanker task were replaced with neutral and threatening faces. One hundred and thirty-four university students performed both an ANTI-A and an ANTI-E. Results confirmed all the main effects and interactions for both the types of ANTI. Furthermore, the ANTI-E showed that the executive control of the conflict was harder when the target was neutral rather than when it was threatening. This difficulty in solving the flanker task could be due to the effect of distractors with a threatening valence. The ANTI-E could be allowed to verify how much attentional bias that characterizes people with emotional disorders (e.g., anxiety) may depend on altered executive control of the emotional conflict. ###Answer 1. Changed Reasoning: The meaning of the target word ""emotional disorders"" has shifted significantly between Sentence A and Sentence B. In Sentence A, the term is used in a neutral context to describe a correlation between scores on anxiety questionnaires for children. In Sentence B, the term is used in a more specific context to describe a relationship between emotions and attentional systems, with a focus on emotional disorders such as anxiety. The shift in meaning is evident in the different subtests mentioned in Sentence B, which are not relevant to the context of Sentence A. Therefore, the label ""Changed"" is appropriate to describe the semantic drift of the target word in this task." 95,Emotional disorders,"Description of the intervention of psychiatrists with HIV positive hospitalized patients. An analysis of 26 cases over a six-months period. Attention is drawn on the following characteristics: 1) limited extend of the psychiatrist's intervention when the medical team is organized as to allow the patient's psychological support (psychologists participating to the ""staff"", supervision by an independent psychiatrist); 2) specificity of the psychiatrist's intervention in such a context, which relate to: a) the differential diagnosis between psycho-organic syndromes and major emotional disorders, b) in difficult cases, the definition of the therapeutical scope; 3) necessary search for a more adapted support of male patients admitted for psychosocial reasons and especially for addicted patients.","The current study investigates the feasibility and preliminary outcomes associated with a transdiagnostic emotion-focused group protocol for the treatment of anxiety disorders and depressive symptoms in youth. Twenty-two children (ages 7 to 12; M=9.79) with a principal anxiety disorder and varying levels of comorbid depressive symptoms were enrolled in an open trial of the Emotion Detectives Treatment Protocol (EDTP; Ehrenreich-May & Bilek, 2009), an intervention adapted from existent unified protocols for the treatment of emotional disorders among adults and adolescents. Results indicate that participants experienced significant improvements in clinician-rated severity of principal anxiety disorder diagnoses (d=1.38), the sum of all anxiety and depressive disorder severity ratings (d=1.07), and child-reported anxiety (d=0.47) and parent-reported depressive symptoms (d=0.54) at the posttreatment assessment. EDTP had good retention rates and reports of high satisfaction. Thus, preliminary evidence suggests that EDTP is a feasible and potentially efficacious treatment of youth anxiety disorders and co-occurring depressive symptoms. Children experiencing a range of internalizing symptoms may benefit from this more generalized, emotion-focused treatment modality, as it offers flexibility to families and the mental health clinician, while maintaining a concurrent focus on the provision of cognitive-behavioral treatment skills vital to the amelioration of anxiety and depressive disorder symptoms in youth.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Emotional disorders Sentence A: Description of the intervention of psychiatrists with HIV positive hospitalized patients. An analysis of 26 cases over a six-months period. Attention is drawn on the following characteristics: 1) limited extend of the psychiatrist's intervention when the medical team is organized as to allow the patient's psychological support (psychologists participating to the ""staff"", supervision by an independent psychiatrist); 2) specificity of the psychiatrist's intervention in such a context, which relate to: a) the differential diagnosis between psycho-organic syndromes and major emotional disorders, b) in difficult cases, the definition of the therapeutical scope; 3) necessary search for a more adapted support of male patients admitted for psychosocial reasons and especially for addicted patients. Sentence B: The current study investigates the feasibility and preliminary outcomes associated with a transdiagnostic emotion-focused group protocol for the treatment of anxiety disorders and depressive symptoms in youth. Twenty-two children (ages 7 to 12; M=9.79) with a principal anxiety disorder and varying levels of comorbid depressive symptoms were enrolled in an open trial of the Emotion Detectives Treatment Protocol (EDTP; Ehrenreich-May & Bilek, 2009), an intervention adapted from existent unified protocols for the treatment of emotional disorders among adults and adolescents. Results indicate that participants experienced significant improvements in clinician-rated severity of principal anxiety disorder diagnoses (d=1.38), the sum of all anxiety and depressive disorder severity ratings (d=1.07), and child-reported anxiety (d=0.47) and parent-reported depressive symptoms (d=0.54) at the posttreatment assessment. EDTP had good retention rates and reports of high satisfaction. Thus, preliminary evidence suggests that EDTP is a feasible and potentially efficacious treatment of youth anxiety disorders and co-occurring depressive symptoms. Children experiencing a range of internalizing symptoms may benefit from this more generalized, emotion-focused treatment modality, as it offers flexibility to families and the mental health clinician, while maintaining a concurrent focus on the provision of cognitive-behavioral treatment skills vital to the amelioration of anxiety and depressive disorder symptoms in youth. ###Answer 1. Changed Reasoning: The target word ""emotional disorders"" has undergone a significant change in meaning between Sentence A (2000) and Sentence B (2020). In Sentence A, the term is used to describe the psychiatrist's intervention with HIV positive hospitalized patients, with a focus on the limited extent of the psychiatrist's intervention and the specificity of their intervention in relation to differential diagnosis and therapeutic scope. In contrast, in Sentence B, the term is used to describe a transdiagnostic emotion-focused group protocol for the treatment of anxiety disorders and depressive symptoms in youth. The term is no longer limited to psychiatric interventions, but rather encompasses a broader range of treatments, including cognitive-behavioral therapy skills. Therefore, the meaning of the target word has shifted from a narrow psychiatric context to a more general treatment modality for emotional disorders in youth." 96,Emotional disorders,"In a study of differential validity, three diagnostic groups based on ICD-10 criteria were compared, namely children with emotional disorders, children with conduct disorders, and children with mixed disorders of conduct and emotions. The patients were taken from a consecutive series of child and adolescent psychiatric service attenders from 1988 to 1992 and represented the total entire subgroups of patients with the respective diagnoses. Based on standardized item sheets that were filled out by the clinicians who were responsible for the respective cases, the groups were compared with regard to age, sex ratio, family background, premorbid behavioral abnormalities, abnormal psychosocial situations, and treatment. It was found that children with mixed disorders of conduct and emotions share many characteristics with pure conduct disordered children. It is concluded that the former group is a subgroup of the latter, and there is little evidence in this study supporting the validity of a separate category of mixed disorders of conduct and emotions.","Metacognitive Therapy (MCT) is a recent treatment with established efficacy in mental health settings. MCT is grounded in the Self-Regulatory Executive Function (S-REF) model of emotional disorders and treats a negative perseverative style of thinking called the cognitive attentional syndrome (CAS), thought to maintain psychological disorders, such as anxiety and depression. The evaluation of effective psychological therapies for anxiety and depression in chronic physical illness is a priority and research in this area depends on the suitability and validity of measures assessing key psychological constructs. The present study examined the psychometric performance of a ten-item scale measuring the CAS, the CAS-1R, in a sample of cardiac rehabilitation patients experiencing mild to severe symptoms of anxiety and/or depression (","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Emotional disorders Sentence A: In a study of differential validity, three diagnostic groups based on ICD-10 criteria were compared, namely children with emotional disorders, children with conduct disorders, and children with mixed disorders of conduct and emotions. The patients were taken from a consecutive series of child and adolescent psychiatric service attenders from 1988 to 1992 and represented the total entire subgroups of patients with the respective diagnoses. Based on standardized item sheets that were filled out by the clinicians who were responsible for the respective cases, the groups were compared with regard to age, sex ratio, family background, premorbid behavioral abnormalities, abnormal psychosocial situations, and treatment. It was found that children with mixed disorders of conduct and emotions share many characteristics with pure conduct disordered children. It is concluded that the former group is a subgroup of the latter, and there is little evidence in this study supporting the validity of a separate category of mixed disorders of conduct and emotions. Sentence B: Metacognitive Therapy (MCT) is a recent treatment with established efficacy in mental health settings. MCT is grounded in the Self-Regulatory Executive Function (S-REF) model of emotional disorders and treats a negative perseverative style of thinking called the cognitive attentional syndrome (CAS), thought to maintain psychological disorders, such as anxiety and depression. The evaluation of effective psychological therapies for anxiety and depression in chronic physical illness is a priority and research in this area depends on the suitability and validity of measures assessing key psychological constructs. The present study examined the psychometric performance of a ten-item scale measuring the CAS, the CAS-1R, in a sample of cardiac rehabilitation patients experiencing mild to severe symptoms of anxiety and/or depression ( ###Answer 1. Changed Explanation: The meaning of the target word ""emotional disorders"" has shifted significantly between the two sentences. In Sentence A, the term refers to a specific diagnostic category defined by ICD-10 criteria, including children with conduct disorders, mixed disorders of conduct and emotions, and other conditions. In Sentence B, the term is used in a broader sense to refer to any negative perseverative style of thinking, including anxiety and depression, which are not necessarily tied to a specific diagnostic category. The shift in meaning suggests that the term ""emotional disorders"" has undergone semantic drift over time." 97,Emotional disorders,"(1) To determine the prevalence of emotional disorders (DSM IV depression, anxiety and panic disorders) amongst patients referred to a rheumatology out-patient service and the proportion of these detected by the rheumatologist. (2) To test the hypotheses that emotional disorders are associated with (i) broad categories of rheumatological diagnosis (systemic, inflammatory vs non-systemic, non-inflammatory), (ii) female gender, (iii) greater symptom burden and disability and (iv) markers of socio-economic deprivation.","Emotional disorders, including depression and anxiety, contribute considerably to morbidity across the world. Depression is a serious condition and is projected to be the top contributor to the global burden of disease by 2030. The role of the renin-angiotensin system (RAS) in hypertension and emotional disorders is well established. Evidence points to an association between elevated RAS activity and depression and anxiety, partly through the induction of neuroinflammation, stress, and oxidative stress. Therefore, blocking the RAS provides a theoretical basis for future treatment of anxiety and depression. The evidence for the positive effects of RAS blockers on depression and anxiety is reviewed, aiming to provide a promising target for novel anxiolytic and antidepressant medications and/or for improving the efficacy of currently available medications used for the treatment of anxiety and depression, which independent of blood pressure management.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Emotional disorders Sentence A: (1) To determine the prevalence of emotional disorders (DSM IV depression, anxiety and panic disorders) amongst patients referred to a rheumatology out-patient service and the proportion of these detected by the rheumatologist. (2) To test the hypotheses that emotional disorders are associated with (i) broad categories of rheumatological diagnosis (systemic, inflammatory vs non-systemic, non-inflammatory), (ii) female gender, (iii) greater symptom burden and disability and (iv) markers of socio-economic deprivation. Sentence B: Emotional disorders, including depression and anxiety, contribute considerably to morbidity across the world. Depression is a serious condition and is projected to be the top contributor to the global burden of disease by 2030. The role of the renin-angiotensin system (RAS) in hypertension and emotional disorders is well established. Evidence points to an association between elevated RAS activity and depression and anxiety, partly through the induction of neuroinflammation, stress, and oxidative stress. Therefore, blocking the RAS provides a theoretical basis for future treatment of anxiety and depression. The evidence for the positive effects of RAS blockers on depression and anxiety is reviewed, aiming to provide a promising target for novel anxiolytic and antidepressant medications and/or for improving the efficacy of currently available medications used for the treatment of anxiety and depression, which independent of blood pressure management. ###Answer 1. Changed Reasoning: In Sentence A, the term ""emotional disorders"" is used in the context of a specific set of conditions (depression, anxiety, and panic disorders) that are listed and defined. The sentence focuses on the prevalence of these conditions among patients referred to a rheumatology outpatient service and the proportion of these detected by the rheumatologist. The term ""emotional disorders"" in this context is used to describe a specific set of conditions that are well-defined and have a clear diagnostic criteria. In Sentence B, the term ""emotional disorders"" is used in a broader context to describe a range of conditions that contribute to morbidity globally. The sentence highlights the impact of depression and anxiety on global health and the potential role of the renin-angiotensin system in the development of these conditions. The term ""emotional disorders"" in this context is used to describe a broader range of conditions that are not necessarily well-defined or with a clear diagnostic criteria. Based on these differences in context and meaning, it can be concluded that the term ""emotional disorders"" has undergone a significant change in meaning between Sentence A and Sentence B. In Sentence A, the term is used to describe a specific set of conditions with well-defined diagnostic criteria, while in Sentence B, the term is used to describe a broader range of conditions with less well-defined diagnostic criteria. Therefore, the label ""Changed"" is appropriate for this task." 98,Emotional disorders,"About 34 p.c. of the patients coming from Mannheim or outskirts treated in the child and adolescent psychiatric clinic situated in the centre of Mannheim attended a kindergarten, a public school or being at work outside the clinic while in part-time in-patient treatment or before release. These patients scored somewhat but not significantly higher on intelligence tests, had better school attainment and consisted of a relatively higher proportion of females compared with patients who were not involved in activities outside the clinic. Diagnostically a somewhat greater number of psychosis, neurotic/emotional disorders were found among the part-time group and they showed also more associations with abnormal familial background, a higher proportion of part-time patients were not discharged to their families and have been treated for a longer time respectively. Not related to the length of treatment a significantly more positive successful treatment could be demonstrated among the part-time group. Particular aspects of a more realistic approach of treatment are discussed.","The capacity to regulate emotion is important for individuals' ability to adapt to society, the long-term lack of which can lead to related emotional disorders. However, evaluating whether an emotion-regulation strategy is appropriate requires consideration of the individual's distinct culture and situation. In this study, we compared the anger regulation strategies employed in various interpersonal situations by psychiatric outpatients and a community control group in Taiwan.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Emotional disorders Sentence A: About 34 p.c. of the patients coming from Mannheim or outskirts treated in the child and adolescent psychiatric clinic situated in the centre of Mannheim attended a kindergarten, a public school or being at work outside the clinic while in part-time in-patient treatment or before release. These patients scored somewhat but not significantly higher on intelligence tests, had better school attainment and consisted of a relatively higher proportion of females compared with patients who were not involved in activities outside the clinic. Diagnostically a somewhat greater number of psychosis, neurotic/emotional disorders were found among the part-time group and they showed also more associations with abnormal familial background, a higher proportion of part-time patients were not discharged to their families and have been treated for a longer time respectively. Not related to the length of treatment a significantly more positive successful treatment could be demonstrated among the part-time group. Particular aspects of a more realistic approach of treatment are discussed. Sentence B: The capacity to regulate emotion is important for individuals' ability to adapt to society, the long-term lack of which can lead to related emotional disorders. However, evaluating whether an emotion-regulation strategy is appropriate requires consideration of the individual's distinct culture and situation. In this study, we compared the anger regulation strategies employed in various interpersonal situations by psychiatric outpatients and a community control group in Taiwan. ###Answer 1. Changed Reasoning: In Sentence A, the term ""emotional disorders"" is used to describe patients who are undergoing treatment for various mental health issues, including psychosis and neurotic disorders. The context suggests that these disorders are severe and may be interfering with the patients' ability to function in daily life. However, in Sentence B, the term ""emotional disorders"" is used in a different context. It is now being used to describe the capacity to regulate emotion, which is important for adapting to society. The sentence also highlights the importance of considering the individual's distinct culture and situation when evaluating their emotional regulation strategies. In this context, it can be observed that the meaning of ""emotional disorders"" has shifted from being a descriptive term for mental health issues to being a term that emphasizes the importance of emotional regulation. Therefore, the label ""Changed"" is appropriate for this term." 99,Emotional disorders,"To study vegetative regulation and emotional status of ischemic heart disease (IHD) patients with various pain severity, 81 patients with IHD were examined. Personality characteristics were studied by the data of MMPI questionnaire, reactive and personal anxiety--of Spilberger questionnaire, depressive changes--of Beck's questionnaire, vegetative status--by vegetative discharge, Seattle angina questionnaire of life quality, heart rhythm variability and cardiovascular tests. All the patients have undergone clinical examination, exercise stress tests, echocardiography. Selective coronary angiography was made in some examinees. The patients were divided into two groups by anginal pain severity. The patients with more severe anginal pain had higher reactive and personal anxiety, neurotization. This was not associated with changes in the vegetative status and hemodynamics at rest. The detected emotional disorders in IHD patients may cause higher sensitivity of these patients to pain, on the one side, and changes in vegetative regulation of cardiovascular system and hemodynamics, on the other.","Characterization of neuronal dendritic structure in combination with the determination of specific neuronal phenotype or temporal generation is a challenging task. Here we present a novel method that combines bromodioxyuridine (BrdU) immunohistochemistry with Golgi-impregnation technique; with this simple non-invasive method, we are able to determine the tridimensional structure of dendritic arborization and spine shape of neurons born at a specific time in the hippocampus of adult animals. This analysis is relevant in physiological and pathological conditions in which altered neurogenesis is implicated, such as aging or emotional disorders.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Emotional disorders Sentence A: To study vegetative regulation and emotional status of ischemic heart disease (IHD) patients with various pain severity, 81 patients with IHD were examined. Personality characteristics were studied by the data of MMPI questionnaire, reactive and personal anxiety--of Spilberger questionnaire, depressive changes--of Beck's questionnaire, vegetative status--by vegetative discharge, Seattle angina questionnaire of life quality, heart rhythm variability and cardiovascular tests. All the patients have undergone clinical examination, exercise stress tests, echocardiography. Selective coronary angiography was made in some examinees. The patients were divided into two groups by anginal pain severity. The patients with more severe anginal pain had higher reactive and personal anxiety, neurotization. This was not associated with changes in the vegetative status and hemodynamics at rest. The detected emotional disorders in IHD patients may cause higher sensitivity of these patients to pain, on the one side, and changes in vegetative regulation of cardiovascular system and hemodynamics, on the other. Sentence B: Characterization of neuronal dendritic structure in combination with the determination of specific neuronal phenotype or temporal generation is a challenging task. Here we present a novel method that combines bromodioxyuridine (BrdU) immunohistochemistry with Golgi-impregnation technique; with this simple non-invasive method, we are able to determine the tridimensional structure of dendritic arborization and spine shape of neurons born at a specific time in the hippocampus of adult animals. This analysis is relevant in physiological and pathological conditions in which altered neurogenesis is implicated, such as aging or emotional disorders. ###Answer 1. Changed The meaning of the target word ""emotional disorders"" has significantly shifted between Sentence A (2000) and Sentence B (2020). In Sentence A, the term is used to describe the emotional state of patients with ischemic heart disease, with a focus on their anxiety and neurotization. In contrast, in Sentence B, the term is used to describe the structure of neurons in the hippocampus, with no mention of anxiety or neurotization. Therefore, the meaning of ""emotional disorders"" has changed from a clinical context to a neurological context." 0,Autism spectrum disorder,"Common genetic disorders are believed to arise from the combined effects of multiple inherited genetic variants acting in concert with environmental factors, such that any given DNA sequence variant may have only a marginal effect on disease outcome. As a consequence, the correlation between disease status and any given DNA marker allele in a genomewide linkage study tends to be relatively weak and the implicated regions typically encompass hundreds of positional candidate genes. Therefore, new strategies are needed to parse relatively large sets of 'positional' candidate genes in search of actual disease-related gene variants. Here we use biological databases to identify 383 positional candidate genes predicted by genomewide genetic linkage analysis of a large set of families, each with two or more members diagnosed with autism, or autism spectrum disorder (ASD). Next, we seek to identify a subset of biologically meaningful, high priority candidates. The strategy is to select autism candidate genes based on prior genetic evidence from the allelic association literature to query the known transcripts within the 1-LOD (logarithm of the odds) support interval for each region. We use recently developed bioinformatic programs that automatically search the biological literature to predict pathways of interacting genes (PATHWAYASSIST and GENEWAYS). To identify gene regulatory networks, we search for coexpression between candidate genes and positional candidates. The studies are intended both to inform studies of autism, and to illustrate and explore the increasing potential of bioinformatic approaches as a compliment to linkage analysis.","Investigations of autonomic nervous system biomarkers in autism have been sparse relative to its prevalence. Recent studies of children with autism spectrum disorders (ASD) have increasingly drawn correlations between autonomic findings and psychosocial behavior. Studies of heart rate variability, pupil size, salivary alpha-amylase, and electrodermal responsiveness have shown that children with ASD differ from normally developing children in their autonomic responsiveness to visualizing human faces and other mental tasks. While some results have conflicted, much of the data appears to support the theory of a hypersympathetic state in autism insufficiently attenuated by vagal parasympathetic influences. To what degree these differences in autonomic physiology might influence cognitive processing and behavior rather than simply being epiphenomena of a pervasive disorder of brain development is as yet unclear.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Autism spectrum disorder Sentence A: Common genetic disorders are believed to arise from the combined effects of multiple inherited genetic variants acting in concert with environmental factors, such that any given DNA sequence variant may have only a marginal effect on disease outcome. As a consequence, the correlation between disease status and any given DNA marker allele in a genomewide linkage study tends to be relatively weak and the implicated regions typically encompass hundreds of positional candidate genes. Therefore, new strategies are needed to parse relatively large sets of 'positional' candidate genes in search of actual disease-related gene variants. Here we use biological databases to identify 383 positional candidate genes predicted by genomewide genetic linkage analysis of a large set of families, each with two or more members diagnosed with autism, or autism spectrum disorder (ASD). Next, we seek to identify a subset of biologically meaningful, high priority candidates. The strategy is to select autism candidate genes based on prior genetic evidence from the allelic association literature to query the known transcripts within the 1-LOD (logarithm of the odds) support interval for each region. We use recently developed bioinformatic programs that automatically search the biological literature to predict pathways of interacting genes (PATHWAYASSIST and GENEWAYS). To identify gene regulatory networks, we search for coexpression between candidate genes and positional candidates. The studies are intended both to inform studies of autism, and to illustrate and explore the increasing potential of bioinformatic approaches as a compliment to linkage analysis. Sentence B: Investigations of autonomic nervous system biomarkers in autism have been sparse relative to its prevalence. Recent studies of children with autism spectrum disorders (ASD) have increasingly drawn correlations between autonomic findings and psychosocial behavior. Studies of heart rate variability, pupil size, salivary alpha-amylase, and electrodermal responsiveness have shown that children with ASD differ from normally developing children in their autonomic responsiveness to visualizing human faces and other mental tasks. While some results have conflicted, much of the data appears to support the theory of a hypersympathetic state in autism insufficiently attenuated by vagal parasympathetic influences. To what degree these differences in autonomic physiology might influence cognitive processing and behavior rather than simply being epiphenomena of a pervasive disorder of brain development is as yet unclear. ###Answer 1. Changed (Semantic drift has occurred) Explanation: In Sentence A, the term ""autism spectrum disorder"" is used to refer to a condition characterized by genetic mutations and environmental factors, which leads to a relatively weak correlation between disease status and DNA marker alleles. The term is used in the context of genetic linkage analysis and the identification of positional candidate genes. In this context, the term ""autism"" refers to a complex condition that is influenced by multiple factors, including genetics and environment. In Sentence B, the term ""autism spectrum disorder"" is used to refer to a condition characterized by abnormalities in the autonomic nervous system, specifically in the regulation of heart rate variability, pupil size, salivary alpha-amylase, and electrodermal responsiveness. The term is used in the context of investigating the potential biomarkers of autism. In this context, the term ""autism"" refers to a condition that is primarily characterized by abnormalities in the autonomic nervous system, rather than a complex condition influenced by multiple factors. Based on these contexts, it is clear that the meaning of the term ""autism"" has shifted over time. In Sentence A, the term is used to refer to a complex condition influenced by multiple factors, including genetics and environment. In Sentence B, the term is used to refer to a condition primarily characterized by abnormalities in the autonomic nervous system. This shift in meaning suggests that semantic drift has occurred, and the term ""autism"" has taken on a different meaning in the context of Sentence B compared to Sentence A. Therefore, the label ""Changed"" is appropriate." 1,Autism spectrum disorder,"This study compared the neuropsychological test profiles of non-mentally retarded girls and boys consecutively referred to a neuropsychiatric clinic and those of contrast cases of girls from mainstream classrooms of one Göteborg school district. To avoid overreliance on the male prototype with regard to diagnostic criteria the clinical group comprised a mixed sample of girls and boys without diagnostic subgrouping. Clinic girls had a lower IQ than comparison girls. Girls were more impaired than the boys with respect to executive functions and scored less well on theory of mind tasks. Previous studies have shown girls with autism and mental retardation to be more severely affected than boys both with regard to level of intellectual functioning and overall measures of brain dysfunction. The present study indicates that clinic girls with a variety of neuropsychiatric disorders at higher levels of intellectual functioning (some of which met diagnostic criteria for autism spectrum disorder) may also be more severely affected than boys with corresponding types of ""surface"" problems.","Phelan-McDermid Syndrome (PMS) is a rare neurodevelopmental disorder characterized by global developmental delay, autism spectrum disorder, and numerous systemic complications including seizures, gastrointestinal dysfunction, and renal anomalies. The Phelan-McDermid Syndrome Foundation (PMSF) was created to improve the quality of life of people affected by PMS worldwide by supporting families, accelerating research, and raising awareness. To further this mission, the PMSF initiated the Phelan-McPosium in 2016 to bring families affected by PMS, clinicians, and researchers together to design patient-centered rigorous clinical and translational research. Here, we present findings from the 2018 Phelan-McPosium.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Autism spectrum disorder Sentence A: This study compared the neuropsychological test profiles of non-mentally retarded girls and boys consecutively referred to a neuropsychiatric clinic and those of contrast cases of girls from mainstream classrooms of one Göteborg school district. To avoid overreliance on the male prototype with regard to diagnostic criteria the clinical group comprised a mixed sample of girls and boys without diagnostic subgrouping. Clinic girls had a lower IQ than comparison girls. Girls were more impaired than the boys with respect to executive functions and scored less well on theory of mind tasks. Previous studies have shown girls with autism and mental retardation to be more severely affected than boys both with regard to level of intellectual functioning and overall measures of brain dysfunction. The present study indicates that clinic girls with a variety of neuropsychiatric disorders at higher levels of intellectual functioning (some of which met diagnostic criteria for autism spectrum disorder) may also be more severely affected than boys with corresponding types of ""surface"" problems. Sentence B: Phelan-McDermid Syndrome (PMS) is a rare neurodevelopmental disorder characterized by global developmental delay, autism spectrum disorder, and numerous systemic complications including seizures, gastrointestinal dysfunction, and renal anomalies. The Phelan-McDermid Syndrome Foundation (PMSF) was created to improve the quality of life of people affected by PMS worldwide by supporting families, accelerating research, and raising awareness. To further this mission, the PMSF initiated the Phelan-McPosium in 2016 to bring families affected by PMS, clinicians, and researchers together to design patient-centered rigorous clinical and translational research. Here, we present findings from the 2018 Phelan-McPosium. ###Answer 1. Changed Explanation: The target word ""Autism spectrum disorder"" has undergone significant semantic drift between Sentence A (2000) and Sentence B (2020). In Sentence A, the term is used to describe a specific neurodevelopmental disorder characterized by global developmental delay, autism spectrum disorder, and various systemic complications. In contrast, in Sentence B, the term is used more broadly to refer to a range of neurodevelopmental disorders, including those that do not meet the diagnostic criteria for autism spectrum disorder. This shift in meaning suggests that the term has undergone semantic drift, and its meaning has expanded to include a broader range of conditions. Therefore, the label ""Changed"" is appropriate." 2,Autism spectrum disorder,"The aim was to explore the comorbidity between Angelman syndrome and autism spectrum disorders (ASDs). Identification of autism in children with Angelman syndrome presents a diagnostic challenge. In the present study, 16 children with Angelman syndrome, all with a 15q11-13 deletion, were examined for ASDs. Thirteen children with Angelman syndrome received an ADOS-G algorithm classification of ASD; the remaining three were outside the autistic spectrum. Ten fulfilled the criteria for autism, and three for PDD-NOS. The 10 children with Angelman syndrome and comorbid autism were compared with eight children with only autism regarding their social and communicative skills. The results indicated that Angelman syndrome is better understood in terms of developmental delay, and autism in terms of developmental deviance. It is concluded that autism might have been overdiagnosed due to the extremely low mental age of the children with Angelman syndrome.","Serotonin syndrome, also known as serotonin toxicity, is associated with increased serotonergic activity in the central and the peripheral nervous system. The symptoms can range from mild to potentially life threatening. Given the widespread use of serotonergic agents, the number of cases is on the rise. It is seen with therapeutic medication use, inadvertent interactions between drugs, and intentional self-poisoning, but still known cases with monotherapy of selective serotonin reuptake inhibitors are uncommon. Another known fact is that elevated whole blood serotonin, or hyperserotonemia, is one of the first biomarkers identified in autism spectrum disorder and is present in more than 25% of affected children. We present a case of a 32-year-old male with a history of autism spectrum disorder and depressive disorder who presented to the emergency department with restless agitation, neuromuscular excitability, and autonomic instability. He had been prescribed sertraline 50 mg which he had taken daily as prescribed for 4 days. On the fourth day, he presented to the emergency department with diffuse muscle stiffness, upper extremity tremors, ocular clonus, and inducible ankle clonus. He was diagnosed with probable serotonin syndrome utilizing Hunter's criteria. Patient's symptoms resolved within 24 hours with intravenous fluids, lorazepam, and discontinuation of sertraline. This case highlights the importance of a high degree of clinical suspicion in patients even on monotherapy of selective serotonin reuptake inhibitors in therapeutic doses, especially in children and adults with autism spectrum disorder. Due to preexisting hyperserotonemia, they may be more susceptible to serotonin syndrome than the general population.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Autism spectrum disorder Sentence A: The aim was to explore the comorbidity between Angelman syndrome and autism spectrum disorders (ASDs). Identification of autism in children with Angelman syndrome presents a diagnostic challenge. In the present study, 16 children with Angelman syndrome, all with a 15q11-13 deletion, were examined for ASDs. Thirteen children with Angelman syndrome received an ADOS-G algorithm classification of ASD; the remaining three were outside the autistic spectrum. Ten fulfilled the criteria for autism, and three for PDD-NOS. The 10 children with Angelman syndrome and comorbid autism were compared with eight children with only autism regarding their social and communicative skills. The results indicated that Angelman syndrome is better understood in terms of developmental delay, and autism in terms of developmental deviance. It is concluded that autism might have been overdiagnosed due to the extremely low mental age of the children with Angelman syndrome. Sentence B: Serotonin syndrome, also known as serotonin toxicity, is associated with increased serotonergic activity in the central and the peripheral nervous system. The symptoms can range from mild to potentially life threatening. Given the widespread use of serotonergic agents, the number of cases is on the rise. It is seen with therapeutic medication use, inadvertent interactions between drugs, and intentional self-poisoning, but still known cases with monotherapy of selective serotonin reuptake inhibitors are uncommon. Another known fact is that elevated whole blood serotonin, or hyperserotonemia, is one of the first biomarkers identified in autism spectrum disorder and is present in more than 25% of affected children. We present a case of a 32-year-old male with a history of autism spectrum disorder and depressive disorder who presented to the emergency department with restless agitation, neuromuscular excitability, and autonomic instability. He had been prescribed sertraline 50 mg which he had taken daily as prescribed for 4 days. On the fourth day, he presented to the emergency department with diffuse muscle stiffness, upper extremity tremors, ocular clonus, and inducible ankle clonus. He was diagnosed with probable serotonin syndrome utilizing Hunter's criteria. Patient's symptoms resolved within 24 hours with intravenous fluids, lorazepam, and discontinuation of sertraline. This case highlights the importance of a high degree of clinical suspicion in patients even on monotherapy of selective serotonin reuptake inhibitors in therapeutic doses, especially in children and adults with autism spectrum disorder. Due to preexisting hyperserotonemia, they may be more susceptible to serotonin syndrome than the general population. ###Answer 1. Changed Reasoning: In Sentence A, the term ""autism spectrum disorder"" is used, which was the term used in the early 2000s to describe the condition. However, in Sentence B, the term ""autism spectrum disorder"" is replaced by ""autism,"" which is the term used today. This suggests that the meaning of the term ""autism"" has shifted over time, with the term ""spectrum disorder"" being added to emphasize the diversity of symptoms and the wide range of severity. Therefore, semantic drift has occurred in the meaning of the target word ""autism.""" 3,Autism spectrum disorder,"We have evaluated possible contributions of HLA-DRB1 alleles to autism spectrum disorder (ASD) in 103 families of Caucasian descent. The DR4 allele occurred more often in probands than controls (0.007), whereas the DR13,14 alleles occurred less often in probands than controls (p = 0.003). The transmission disequilibrium test (TDT) indicated that the ASD probands inherited the DR4 allele more frequently than expected (p = 0.026) from the fathers. The TDT also revealed that fewer DR13 alleles than expected were inherited from the mother by ASD probands (p = 0.006). We conclude that the TDT results suggest that DR4 and DR13 are linked to ASD. Reasons for the parental inheritance of specific alleles are poorly understood but coincide with current genetic research noting possible parent-of-origin effects in autism.","Little research has been conducted on whether deficits in developmental functioning affect the range of core symptoms for autism spectrum disorders (ASD). This study represents a first attempt to determine whether developmental level has an effect on the expression of ASD symptoms in infants and toddlers. Eight hundred and fifty-three infants were evaluated with respect to the nature and extent of their ASD symptoms and developmental functioning. Young children with autism displayed a higher number of symptoms than those with PDD-NOS on all three domains of impairment (social, communication, repetitive behaviors). As expected, children without an ASD evinced far fewer symptoms than both these groups. Developmental level was not found to be a moderator for expression of ASD symptoms for the entire sample, or individual diagnostic groups. Higher developmental level was associated with lower severity of evinced ASD symptoms in the sample.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Autism spectrum disorder Sentence A: We have evaluated possible contributions of HLA-DRB1 alleles to autism spectrum disorder (ASD) in 103 families of Caucasian descent. The DR4 allele occurred more often in probands than controls (0.007), whereas the DR13,14 alleles occurred less often in probands than controls (p = 0.003). The transmission disequilibrium test (TDT) indicated that the ASD probands inherited the DR4 allele more frequently than expected (p = 0.026) from the fathers. The TDT also revealed that fewer DR13 alleles than expected were inherited from the mother by ASD probands (p = 0.006). We conclude that the TDT results suggest that DR4 and DR13 are linked to ASD. Reasons for the parental inheritance of specific alleles are poorly understood but coincide with current genetic research noting possible parent-of-origin effects in autism. Sentence B: Little research has been conducted on whether deficits in developmental functioning affect the range of core symptoms for autism spectrum disorders (ASD). This study represents a first attempt to determine whether developmental level has an effect on the expression of ASD symptoms in infants and toddlers. Eight hundred and fifty-three infants were evaluated with respect to the nature and extent of their ASD symptoms and developmental functioning. Young children with autism displayed a higher number of symptoms than those with PDD-NOS on all three domains of impairment (social, communication, repetitive behaviors). As expected, children without an ASD evinced far fewer symptoms than both these groups. Developmental level was not found to be a moderator for expression of ASD symptoms for the entire sample, or individual diagnostic groups. Higher developmental level was associated with lower severity of evinced ASD symptoms in the sample. ###Answer 1. Changed Reasoning: In Sentence A, the target word ""autism spectrum disorder"" (ASD) is used to refer to a specific clinical diagnosis, with a focus on the genetic factors that contribute to its development. The sentence highlights the potential role of specific HLA genes in the etiology of ASD, and notes that the disorder is linked to current genetic research on parent-of-origin effects. In Sentence B, the target word ""autism spectrum disorder"" (ASD) is used in a different context, to refer to a broader range of developmental impairments. The sentence notes that children with autism display a higher number of symptoms than those with PDD-NOS on all three domains of impairment, and that higher developmental level is associated with lower severity of evinced ASD symptoms. Compared to Sentence A, the meaning of ""autism spectrum disorder"" (ASD) in Sentence B has shifted to encompass a broader range of developmental impairments, and the focus has shifted from genetic factors to developmental level. Therefore, semantic drift has occurred, and the label ""Changed"" is appropriate." 4,Autism spectrum disorder,"To review the association of autism spectrum disorder (ASD) in individuals manifesting thalidomide embryopathy and Möbius sequence and compare them with three new studies in which ASD was also associated with ocular and systemic malformations: (1) a Swedish study of individuals with CHARGE association (Coloboma, Heart, choanal Atresia, developmental or growth Retardation, Genital anomaly, and Ear involvement); (2) a Swedish study of Goldenhar syndrome; and (3) Brazilian Möbius syndrome (sequence) study.",Early identification of autism spectrum disorder (ASD) is associated with improved cognitive and behavioral outcomes. Targeted strategies are needed to support equitable access to diagnostic services to ensure that children from low-income and racial/ethnic minority families receive the benefits of early ASD identification and treatment.,"###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Autism spectrum disorder Sentence A: To review the association of autism spectrum disorder (ASD) in individuals manifesting thalidomide embryopathy and Möbius sequence and compare them with three new studies in which ASD was also associated with ocular and systemic malformations: (1) a Swedish study of individuals with CHARGE association (Coloboma, Heart, choanal Atresia, developmental or growth Retardation, Genital anomaly, and Ear involvement); (2) a Swedish study of Goldenhar syndrome; and (3) Brazilian Möbius syndrome (sequence) study. Sentence B: Early identification of autism spectrum disorder (ASD) is associated with improved cognitive and behavioral outcomes. Targeted strategies are needed to support equitable access to diagnostic services to ensure that children from low-income and racial/ethnic minority families receive the benefits of early ASD identification and treatment. ###Answer 1. Changed The target word ""autism spectrum disorder"" has undergone a significant change in meaning between Sentence A (2000) and Sentence B (2020). In Sentence A, the term is used in the context of a medical study to describe a specific set of symptoms and malformations associated with thalidomide exposure. In contrast, in Sentence B, the term is used more broadly to describe early identification and treatment of autism in general, with a focus on equitable access to diagnostic services. The meaning of the term ""autism spectrum disorder"" has shifted over time to encompass a broader range of conditions and to emphasize the importance of early identification and treatment. This shift is reflected in the increased use of the term in a more general context, as well as in the emphasis on equitable access to diagnostic services. Therefore, the label ""Changed"" is appropriate for this example." 5,Autism spectrum disorder,"A tendency to focus on details at the expense of configural information, 'weak coherence', has been proposed as a cognitive style in autism. In the present study we tested whether weak coherence might be the result of executive dysfunction, by testing clinical groups known to show deficits on tests of executive control. Boys with autism spectrum disorders (ASD) were compared with age- and intelligence quotient (IQ)-matched boys with attention-deficit/hyperactivity disorder (ADHD), and typically developing (TD) boys, on a drawing task requiring planning for the inclusion of a new element. Weak coherence was measured through analysis of drawing style. In line with the predictions made, the ASD group was more detail-focused in their drawings than were either ADHD or TD boys. The ASD and ADHD groups both showed planning impairments, which were more severe in the former group. Poor planning did not, however, predict detail-focus, and scores on the two aspects of the task were unrelated in the clinical groups. These findings indicate that weak coherence may indeed be a cognitive style specific to autism and unrelated to cognitive deficits in frontal functions.","Limited research exists regarding the role of teachers in screening for Autism Spectrum Disorders (ASD). The current study examined the use of the Social Communication Questionnaire (SCQ) and Social Responsiveness Scale (SRS) as completed by parents and teachers about school-age children from the Simons Simplex Collection. Using the recommended cutoff scores in the manuals and extant literature, the teacher-completed SCQ and SRS yielded lower sensitivity and specificity values than would be desirable; however, lowering the cutoff scores on both instruments improved sensitivity and specificity to more adequate levels for screening purposes. Using the adjusted cutoff scores, the SRS teacher form appears to be a slightly better screener than the SCQ. Implications and limitations are discussed, as well as areas for future research.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Autism spectrum disorder Sentence A: A tendency to focus on details at the expense of configural information, 'weak coherence', has been proposed as a cognitive style in autism. In the present study we tested whether weak coherence might be the result of executive dysfunction, by testing clinical groups known to show deficits on tests of executive control. Boys with autism spectrum disorders (ASD) were compared with age- and intelligence quotient (IQ)-matched boys with attention-deficit/hyperactivity disorder (ADHD), and typically developing (TD) boys, on a drawing task requiring planning for the inclusion of a new element. Weak coherence was measured through analysis of drawing style. In line with the predictions made, the ASD group was more detail-focused in their drawings than were either ADHD or TD boys. The ASD and ADHD groups both showed planning impairments, which were more severe in the former group. Poor planning did not, however, predict detail-focus, and scores on the two aspects of the task were unrelated in the clinical groups. These findings indicate that weak coherence may indeed be a cognitive style specific to autism and unrelated to cognitive deficits in frontal functions. Sentence B: Limited research exists regarding the role of teachers in screening for Autism Spectrum Disorders (ASD). The current study examined the use of the Social Communication Questionnaire (SCQ) and Social Responsiveness Scale (SRS) as completed by parents and teachers about school-age children from the Simons Simplex Collection. Using the recommended cutoff scores in the manuals and extant literature, the teacher-completed SCQ and SRS yielded lower sensitivity and specificity values than would be desirable; however, lowering the cutoff scores on both instruments improved sensitivity and specificity to more adequate levels for screening purposes. Using the adjusted cutoff scores, the SRS teacher form appears to be a slightly better screener than the SCQ. Implications and limitations are discussed, as well as areas for future research. ###Answer 1. Changed Reasoning: The target word ""Autism spectrum disorder"" has undergone a significant change in meaning between Sentence A (2000) and Sentence B (2020). In Sentence A, the term refers to a cognitive style characterized by a tendency to focus on details at the expense of configural information. In Sentence B, the term is used more broadly to refer to the role of teachers in screening for Autism Spectrum Disorders (ASD). The shift in meaning suggests that the term has undergone semantic drift." 6,Autism spectrum disorder,"The plasma amino acid profiles of 36 children with autism spectrum disorders were reviewed to determine the impact of diet on amino acid patterns. Ten of the children were on gluten and casein restricted diets administered by parents, while the other 26 consumed unrestricted diets. No amino acid profile specific to autism was identified. However, children with autism had more essential amino acid deficiencies consistent with poor protein nutrition than an age/gender matched control group. There was a trend for children with autism who were on restricted diets to have an increased prevalence of essential amino acid deficiencies and lower plasma levels of essential acids including the neurotransmitter precursors tyrosine and tryptophan than both controls and children with autism on unrestricted diets. These data indicate that larger, more focused studies of protein nutrition in children with autism are needed in order to determine the extent to which restricted diets might place the developing brains of children with autism at risk from protein malnutrition. The high rate of tryptophan and tyrosine deficiency in this group is also of concern given their role as neurotransmitter precursors.","Autism spectrum disorders (ASDs) are pervasive neurodevelopmental disorders, diagnosed in early childhood when acquired skills are lost or the acquisition of new skills becomes delayed. ASDs are associated with varying degrees of dysfunctional communication and social skills, in addition to repetitive and stereotypic behaviors. The diagnosis has increased considerably to approximately one in 180 people, but it is not clear whether this is because of a higher prevalence of the disorder, improved awareness by clinicians or a combination of both. There are no defined mechanisms of pathogenesis or curative therapy presently available. Oxidative stress, overactivation of the hypothalamic-pituitary-adrenal axis and increased gut-blood-brain-barrier permeability might be involved. The scope of this article is to integrate these findings and present the opinion that non-allergic activation of gastrointestinal and brain mast cells could contribute to many of the pathologic findings and provide unique targets for ASD therapy. We make suggestions for new research directives and possible novel therapies from readily available molecules.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Autism spectrum disorder Sentence A: The plasma amino acid profiles of 36 children with autism spectrum disorders were reviewed to determine the impact of diet on amino acid patterns. Ten of the children were on gluten and casein restricted diets administered by parents, while the other 26 consumed unrestricted diets. No amino acid profile specific to autism was identified. However, children with autism had more essential amino acid deficiencies consistent with poor protein nutrition than an age/gender matched control group. There was a trend for children with autism who were on restricted diets to have an increased prevalence of essential amino acid deficiencies and lower plasma levels of essential acids including the neurotransmitter precursors tyrosine and tryptophan than both controls and children with autism on unrestricted diets. These data indicate that larger, more focused studies of protein nutrition in children with autism are needed in order to determine the extent to which restricted diets might place the developing brains of children with autism at risk from protein malnutrition. The high rate of tryptophan and tyrosine deficiency in this group is also of concern given their role as neurotransmitter precursors. Sentence B: Autism spectrum disorders (ASDs) are pervasive neurodevelopmental disorders, diagnosed in early childhood when acquired skills are lost or the acquisition of new skills becomes delayed. ASDs are associated with varying degrees of dysfunctional communication and social skills, in addition to repetitive and stereotypic behaviors. The diagnosis has increased considerably to approximately one in 180 people, but it is not clear whether this is because of a higher prevalence of the disorder, improved awareness by clinicians or a combination of both. There are no defined mechanisms of pathogenesis or curative therapy presently available. Oxidative stress, overactivation of the hypothalamic-pituitary-adrenal axis and increased gut-blood-brain-barrier permeability might be involved. The scope of this article is to integrate these findings and present the opinion that non-allergic activation of gastrointestinal and brain mast cells could contribute to many of the pathologic findings and provide unique targets for ASD therapy. We make suggestions for new research directives and possible novel therapies from readily available molecules. ###Answer 1. Changed Reasoning: In Sentence A, the term ""autism spectrum disorder"" is used, which was not a widely recognized term in 2000. Additionally, the sentence highlights the impact of diet on amino acid patterns, which is not a central focus of Sentence B. The meaning of the term ""autism"" has shifted from a disorder characterized by communication and social skills deficits to a broader neurodevelopmental disorder encompassing various symptoms. Therefore, semantic drift has occurred in the meaning of the target word." 7,Autism spectrum disorder,"Tuberous sclerosis is one of the few established medical causes of autism spectrum disorder and is a unique neurogenetic model for testing theories about the brain basis of the syndrome. We conducted a retrospective case study of the neuro-epileptic risk factors predisposing to autism spectrum disorder in individuals with tuberous sclerosis to test current neurobiological theories of autism spectrum disorder. We found that an autism spectrum disorder diagnosis was associated with the presence of cortical tubers in the temporal but not other lobes of the brain. Indeed, the presence of tubers in the temporal lobes appeared to be a necessary but not sufficient risk factor for the development of an autism spectrum disorder. However, contrary to the predictions of some theories, the location of tubers in specific regions of the temporal lobe, such as the superior temporal gyrus or the right temporal lobe, did not determine which individuals with temporal lobe tubers developed an autism spectrum disorder. Instead, outcome was associated with various indices of epileptic activity including evidence of temporal lobe epileptiform discharges on EEG, the age to onset of seizures in the first 3 years of life and a history of infantile spasms. The results indicated that individuals with tuberous sclerosis are at very high risk of developing an autism spectrum disorder when temporal lobe tubers are present and associated with temporal lobe epileptiform discharges and early-onset, persistent spasm-like seizures. These risk markers constitute useful clinical indicators of prognosis, but further research is required to identify the neurobiological mechanisms responsible for their association with outcome. Most especially, it will be important to test whether, as the findings suggest, there is a critical early stage of brain maturation during which temporal lobe epilepsy perturbs the development of brain systems that underpin 'social intelligence' and possibly other cognitive skills, thereby inducing an autism spectrum disorder.","Restricted and repetitive patterns of behaviours, interests, or activities are a critical diagnostic criterion for autism spectrum disorder (ASD). Previous studies using gambling paradigms with ASD populations have identified that, unlike typically developed control participants, people with a diagnosis of ASD tend to maintain particular response patterns regardless of the magnitude of potential outcomes to uncertain gains or losses. Here we designed a gambling test that permitted calculation of the response consistency in gambling choices in situations that presented varying expected outcomes in terms of gains or losses. The task was administered to 33 adults with a diagnosis of ASDs and compared to a group of 47 typically-developed (TD) control participants who were matched for age and IQ. When presented with choices where participants could either make a risky gamble or a safe choice in terms of gains or losses (e.g., 20% chance of winning £5 vs. 100% chance of winning £1), the ASD participants did not differ from the TDs in their overall risk-taking behaviour. However, they were more consistent in their individual choices from trial to trial. Furthermore, the proportion of participants who either implemented an invariate response strategy (e.g., either always choosing the most risky or most ""safe"" option) was significantly higher in the ASD group compared with the controls. Additionally, while the ASD group were slower to make their responses in the win frame and the first half of the lose frame, by the end of the task their decision times were the same as the TD controls. These findings suggest that the ASD tendency towards repetitive behaviour may demonstrate itself even in high-level decision-making tasks, which needs to be understood if we are to be sure what such tasks are measuring.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Autism spectrum disorder Sentence A: Tuberous sclerosis is one of the few established medical causes of autism spectrum disorder and is a unique neurogenetic model for testing theories about the brain basis of the syndrome. We conducted a retrospective case study of the neuro-epileptic risk factors predisposing to autism spectrum disorder in individuals with tuberous sclerosis to test current neurobiological theories of autism spectrum disorder. We found that an autism spectrum disorder diagnosis was associated with the presence of cortical tubers in the temporal but not other lobes of the brain. Indeed, the presence of tubers in the temporal lobes appeared to be a necessary but not sufficient risk factor for the development of an autism spectrum disorder. However, contrary to the predictions of some theories, the location of tubers in specific regions of the temporal lobe, such as the superior temporal gyrus or the right temporal lobe, did not determine which individuals with temporal lobe tubers developed an autism spectrum disorder. Instead, outcome was associated with various indices of epileptic activity including evidence of temporal lobe epileptiform discharges on EEG, the age to onset of seizures in the first 3 years of life and a history of infantile spasms. The results indicated that individuals with tuberous sclerosis are at very high risk of developing an autism spectrum disorder when temporal lobe tubers are present and associated with temporal lobe epileptiform discharges and early-onset, persistent spasm-like seizures. These risk markers constitute useful clinical indicators of prognosis, but further research is required to identify the neurobiological mechanisms responsible for their association with outcome. Most especially, it will be important to test whether, as the findings suggest, there is a critical early stage of brain maturation during which temporal lobe epilepsy perturbs the development of brain systems that underpin 'social intelligence' and possibly other cognitive skills, thereby inducing an autism spectrum disorder. Sentence B: Restricted and repetitive patterns of behaviours, interests, or activities are a critical diagnostic criterion for autism spectrum disorder (ASD). Previous studies using gambling paradigms with ASD populations have identified that, unlike typically developed control participants, people with a diagnosis of ASD tend to maintain particular response patterns regardless of the magnitude of potential outcomes to uncertain gains or losses. Here we designed a gambling test that permitted calculation of the response consistency in gambling choices in situations that presented varying expected outcomes in terms of gains or losses. The task was administered to 33 adults with a diagnosis of ASDs and compared to a group of 47 typically-developed (TD) control participants who were matched for age and IQ. When presented with choices where participants could either make a risky gamble or a safe choice in terms of gains or losses (e.g., 20% chance of winning £5 vs. 100% chance of winning £1), the ASD participants did not differ from the TDs in their overall risk-taking behaviour. However, they were more consistent in their individual choices from trial to trial. Furthermore, the proportion of participants who either implemented an invariate response strategy (e.g., either always choosing the most risky or most ""safe"" option) was significantly higher in the ASD group compared with the controls. Additionally, while the ASD group were slower to make their responses in the win frame and the first half of the lose frame, by the end of the task their decision times were the same as the TD controls. These findings suggest that the ASD tendency towards repetitive behaviour may demonstrate itself even in high-level decision-making tasks, which needs to be understood if we are to be sure what such tasks are measuring. ###Answer 1. Changed The target word ""Autism spectrum disorder"" has undergone a significant change in meaning or connotation between the two timestamps. In Sentence A from 2000, the term ""Autism spectrum disorder"" is used to describe a specific neurogenetic model for testing theories about the brain basis of the syndrome, and is associated with the presence of cortical tubers in the temporal lobe. The focus is on the clinical indicators of prognosis, and the sentence suggests that the presence of tubers in specific regions of the temporal lobe may determine which individuals develop an autism spectrum disorder. In Sentence B from 2020, the term ""Autism spectrum disorder"" is used to describe a critical diagnostic criterion for the disorder, and is associated with the observation that individuals with autism spectrum disorder tend to be more consistent in their individual choices from trial to trial, while also being more likely to implement an invariate response strategy. The focus is on understanding how the disorder manifests in high-level decision-making tasks, and the sentence suggests that the tendency towards repetitive behaviour may demonstrate itself even in these tasks. The semantic drift in the target word can be observed by comparing the context and meaning of the term in the two sentences. The term has shifted from a specific neurogenetic model to a broader diagnostic criterion, and the focus has shifted from clinical indicators to high-level decision-making tasks. These changes suggest that the term has undergone semantic drift and has taken on a different meaning or connotation between the two timestamps." 8,Autism spectrum disorder,"Serial sexual homicide has been the object of intensive study from forensic psychiatric, criminological, developmental, and sociological perspectives. In contradistinction to these approaches, neuropsychiatric concepts and methods have received relatively little attention in this area. In this article we adopt a neuropsychiatric developmental perspective and undertake a review of the psychiatric literature on violence and autism spectrum disorders. Our analysis of this literature suggests the presence of an association between autism spectrum psychopathology and serial homicidal behavior. Recommendations for further research to help clarify the nature of this association are briefly discussed.",A subset of individuals with autism spectrum disorder (ASD) and macrocephaly carry mutations in the gene ,"###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Autism spectrum disorder Sentence A: Serial sexual homicide has been the object of intensive study from forensic psychiatric, criminological, developmental, and sociological perspectives. In contradistinction to these approaches, neuropsychiatric concepts and methods have received relatively little attention in this area. In this article we adopt a neuropsychiatric developmental perspective and undertake a review of the psychiatric literature on violence and autism spectrum disorders. Our analysis of this literature suggests the presence of an association between autism spectrum psychopathology and serial homicidal behavior. Recommendations for further research to help clarify the nature of this association are briefly discussed. Sentence B: A subset of individuals with autism spectrum disorder (ASD) and macrocephaly carry mutations in the gene ###Answer 1. Changed Reasoning: In Sentence A, the term ""autism spectrum disorder"" is used in the context of a discussion on serial sexual homicide and the relationship between autism and violence. The term is used in a neutral manner, without any connotation of negative or positive meaning. In Sentence B, the term is used in the context of a discussion on a subset of individuals with autism spectrum disorder who have macrocephaly, a condition characterized by an abnormally large head size. The term is used in a more specific and technical manner, highlighting the connection between the condition and the disorder. In Sentence A, the term ""autism spectrum disorder"" does not convey any particular meaning or connotation, other than its general definition as a developmental disorder. However, in Sentence B, the term is used to describe a specific subset of individuals with the disorder, and the context highlights the connection between the condition and the disorder. This difference in usage suggests that the term ""autism spectrum disorder"" has undergone a significant change in meaning or connotation between the two sentences, indicating semantic drift. Therefore, the label ""Changed"" is appropriate." 9,Autism spectrum disorder,"The item, total, and subscale scores on the Autism Behavior Checklist (ABC) were compared for 155 mute and 335 speaking individuals with autism spectrum disorders. Although no significant difference was observed between the groups on the ABC total score, the mute group demonstrated significantly more pathology on 21 of 57 items and 3 of 5 subscales. The speaking group obtained significantly higher scores on only 8 items and 1 subscale (Language). The appropriateness of providing greater pathology scores on expressive language items to speaking, rather than to mute, individuals is called into question. The authors speculate whether the expressive language items are weighted too heavily, in regard both to the Language subscale and to the ABC total score. If the expressive language items were removed, the mute group would have significantly higher ABC total scores and therefore a greater degree of autism severity.","Autism Spectrum Disorder (ASD) is characterized by impairments in social interaction, social communication, and repetitive and stereotyped behaviors. Recent work has begun to explore gene × environmental interactions in the etiology of ASD. We previously reported that prenatal stress exposure in stress-susceptible heterozygous serotonin transporter (SERT) KO pregnant dams in a mouse model resulted in autism-like behavior in the offspring (SERT/S mice). The association between prenatal stress and ASD appears to be affected by maternal SERT genotype in clinical populations as well. Using the mouse model, we examined autistic-like behaviors in greater detail, and additionally explored whether diet supplementation with docosahexaenoic acid (DHA) may mitigate the behavioral changes. Only male SERT/S mice showed social impairment and stereotyped behavior, and DHA supplementation ameliorated some of these behaviors. We also measured monoamine levels in the SERT/S mice after three treatment paradigms: DHA-rich diet continuously from breeding (DHA diet), DHA-rich diet only after weaning (CTL/DHA diet) and control diet only (CTL diet). The dopamine (DA) content in the striatum was significantly increased in the SERT/S mice compared with wild-type (WT) mice, whereas no difference was observed with noradrenaline and serotonin content. Moreover, DA content in the striatum was significantly reduced in the SERT/S mice with the DHA-rich diet provided continuously from breeding. The results indicate that autism-associated behaviors and changes in the dopaminergic system in this setting can be mitigated with DHA supplementation.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Autism spectrum disorder Sentence A: The item, total, and subscale scores on the Autism Behavior Checklist (ABC) were compared for 155 mute and 335 speaking individuals with autism spectrum disorders. Although no significant difference was observed between the groups on the ABC total score, the mute group demonstrated significantly more pathology on 21 of 57 items and 3 of 5 subscales. The speaking group obtained significantly higher scores on only 8 items and 1 subscale (Language). The appropriateness of providing greater pathology scores on expressive language items to speaking, rather than to mute, individuals is called into question. The authors speculate whether the expressive language items are weighted too heavily, in regard both to the Language subscale and to the ABC total score. If the expressive language items were removed, the mute group would have significantly higher ABC total scores and therefore a greater degree of autism severity. Sentence B: Autism Spectrum Disorder (ASD) is characterized by impairments in social interaction, social communication, and repetitive and stereotyped behaviors. Recent work has begun to explore gene × environmental interactions in the etiology of ASD. We previously reported that prenatal stress exposure in stress-susceptible heterozygous serotonin transporter (SERT) KO pregnant dams in a mouse model resulted in autism-like behavior in the offspring (SERT/S mice). The association between prenatal stress and ASD appears to be affected by maternal SERT genotype in clinical populations as well. Using the mouse model, we examined autistic-like behaviors in greater detail, and additionally explored whether diet supplementation with docosahexaenoic acid (DHA) may mitigate the behavioral changes. Only male SERT/S mice showed social impairment and stereotyped behavior, and DHA supplementation ameliorated some of these behaviors. We also measured monoamine levels in the SERT/S mice after three treatment paradigms: DHA-rich diet continuously from breeding (DHA diet), DHA-rich diet only after weaning (CTL/DHA diet) and control diet only (CTL diet). The dopamine (DA) content in the striatum was significantly increased in the SERT/S mice compared with wild-type (WT) mice, whereas no difference was observed with noradrenaline and serotonin content. Moreover, DA content in the striatum was significantly reduced in the SERT/S mice with the DHA-rich diet provided continuously from breeding. The results indicate that autism-associated behaviors and changes in the dopaminergic system in this setting can be mitigated with DHA supplementation. ###Answer 1. Changed The meaning of the target word ""Autism spectrum disorder"" has significantly shifted between the two sentences. In Sentence A, the term is used to describe a specific set of impairments in social interaction, social communication, and repetitive and stereotyped behaviors. In Sentence B, the term is used to describe a broader range of behaviors, including social impairment and stereotyped behavior, and the results of a study exploring the effects of diet supplementation on these behaviors. The shift in meaning is likely due to changes in the way the term is used and understood in the scientific community over time." 10,Autism spectrum disorder,"Earlier identification of children with autism spectrum disorders (ASDs) is welcome, but presents a number of challenges to the clinical and the research enterprises (see Charman & Baird [2002] for a review). In the research enterprise, one critical methodological challenge is the use of appropriate measures on which to match groups of preschoolers with ASDs to comparison groups with other neurodevelopmental conditions. Language and communication impairments are central to the diagnosis of ASD and, therefore, critical variables to consider in group-matched research designs. In the domain of language function the challenges include the very poor language competence of many preschoolers with ASDs, the fact that some early language competencies form part of the formal diagnostic criteria of ASD and diagnostic algorithms on research diagnostic instruments, the uneven profile of language competency in children with ASDs, and the difference between performance on measures of formal language competency in the testing situation and everyday language use. The current paper will review these challenges and suggest some possible approaches to overcome them, including using more than one measure of language ability and adopting a pragmatic approach to group composition and statistical analysis.","Electroencephalogram-recorded epileptiform activity is common in children with autism spectrum disorder (ASD), even without clinical seizures. A systematic literature search identified 7 randomized, placebo-controlled trials of antiepileptic drugs (AEDs) in ASD (total n = 171), including three of valproate, and one each of lamotrigine, levetiracetam, and topiramate. Meta-analysis revealed no significant difference between medication and placebo in four studies targeting irritability/agitation and three studies investigating global improvement, although limitations include lack of power and different medications with diverse actions. Across all seven studies, there was no significant difference in discontinuation rate between two groups. AEDs do not appear to have a large effect size to treat behavioral symptoms in ASD, but further research is needed, particularly in the subgroup of patients with epileptiform abnormalities. ","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Autism spectrum disorder Sentence A: Earlier identification of children with autism spectrum disorders (ASDs) is welcome, but presents a number of challenges to the clinical and the research enterprises (see Charman & Baird [2002] for a review). In the research enterprise, one critical methodological challenge is the use of appropriate measures on which to match groups of preschoolers with ASDs to comparison groups with other neurodevelopmental conditions. Language and communication impairments are central to the diagnosis of ASD and, therefore, critical variables to consider in group-matched research designs. In the domain of language function the challenges include the very poor language competence of many preschoolers with ASDs, the fact that some early language competencies form part of the formal diagnostic criteria of ASD and diagnostic algorithms on research diagnostic instruments, the uneven profile of language competency in children with ASDs, and the difference between performance on measures of formal language competency in the testing situation and everyday language use. The current paper will review these challenges and suggest some possible approaches to overcome them, including using more than one measure of language ability and adopting a pragmatic approach to group composition and statistical analysis. Sentence B: Electroencephalogram-recorded epileptiform activity is common in children with autism spectrum disorder (ASD), even without clinical seizures. A systematic literature search identified 7 randomized, placebo-controlled trials of antiepileptic drugs (AEDs) in ASD (total n = 171), including three of valproate, and one each of lamotrigine, levetiracetam, and topiramate. Meta-analysis revealed no significant difference between medication and placebo in four studies targeting irritability/agitation and three studies investigating global improvement, although limitations include lack of power and different medications with diverse actions. Across all seven studies, there was no significant difference in discontinuation rate between two groups. AEDs do not appear to have a large effect size to treat behavioral symptoms in ASD, but further research is needed, particularly in the subgroup of patients with epileptiform abnormalities. ###Answer 1. Changed Reasoning: In Sentence A, the term ""autism spectrum disorder"" (ASD) is used, which was the most commonly used term in the early 2000s. However, in Sentence B, the term ""autism spectrum disorder"" has been replaced with ""autism spectrum disorder (ASD)"". This suggests that the term has undergone a change in meaning or connotation over time, as it is now being used more specifically to refer to the specific condition. Additionally, the term is now being used in a more formal and technical manner, which may indicate a shift towards a more clinical or scientific understanding of the condition." 11,Autism spectrum disorder,"Possible connections between immunization and developmental disorders, most notably autistic disorders, have been the subject of a great deal of debate and have caused much concern for parents who want to make the safest choices for their children. Anxiety has risen steadily since the mid-1990s, when a medical investigative team led by A Wakefield postulated that the measles-mumps-rubella (MMR) vaccine may be a causative factor in the development of autism spectrum disorder. Since this initial publication, immunization remains controversial for some parents and the uptake of the MMR vaccine has fallen in some countries, despite much discussion regarding the safety of MMR, a lack of evidence for an association between MMR and autism, and the risks of insufficient protection against wild measles virus infection. The Canadian uptake of MMR in 1998 was 95%, but data do not exist to document any change in Canada since that time. Many clinicians are concerned that the uptake in younger siblings of children with autism is considerably lower.Further anxiety for parents has been caused by the suggested association between developmental disorders and mercury toxicity due to thimerosal, which is used as a preservative in some vaccines. Many Canadian parents, while continuing to seek chelation therapy in response to this suggestion, are not aware that, in Canada, thimerosal has never been added to MMR, and has not been present in diphtheria-pertussis-tetanus-poliomyelitis or pentavalent vaccines since 1992. It is found in only Hepatitis B vaccine in some provinces.The present article is intended to be a guide for physicians as they counsel parents.","This chapter reviews the literature surrounding autism spectrum disorders (ASD) and their relation to gastrointestinal (GI), behavioral, neurological, and immunological functioning. Individuals with ASD often have poor GI health, including bowel motility issues, autoimmune and/or other adverse responses to certain foods, and lack of necessary nutrient absorption. These issues may be caused or exacerbated by restrictive behavioral patterns (e.g., preference for sweet and salty foods and/or refusal of healthy foods). Those individuals with GI issues tend to demonstrate more behavioral deficits (e.g., irritability, agitation, hyperactivity) and also tend to have an imbalance in overall gut microbiome composition, thus corroborating several studies that have implicated brain-gut pathways as potential mediators of behavioral dysfunction.We examine the literature regarding dietary approaches to managing ASDs, including elimination diets for gluten, casein, or complex carbohydrates, a ketogenic diet, and a low oxalate diet. We also explore the research examining dietary supplements such as fatty acids, pro- and prebiotics, vitamins, minerals, glutathione, phytochemicals, and hormones. The research on dietary approaches to managing ASDs is limited and the results are mixed. However, a few approaches, such as the gluten-free/casein-free diet, fatty acid supplementation, and pre/probiotics have generally demonstrated improved GI and associated behavioral symptoms. Given that GI issues seem to be overrepresented in ASD populations, and that GI issues have been associated with a number behavioral and neurological deficits, dietary manipulation may offer a cheap and easily implemented approach to improve the lives of those with ASD.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Autism spectrum disorder Sentence A: Possible connections between immunization and developmental disorders, most notably autistic disorders, have been the subject of a great deal of debate and have caused much concern for parents who want to make the safest choices for their children. Anxiety has risen steadily since the mid-1990s, when a medical investigative team led by A Wakefield postulated that the measles-mumps-rubella (MMR) vaccine may be a causative factor in the development of autism spectrum disorder. Since this initial publication, immunization remains controversial for some parents and the uptake of the MMR vaccine has fallen in some countries, despite much discussion regarding the safety of MMR, a lack of evidence for an association between MMR and autism, and the risks of insufficient protection against wild measles virus infection. The Canadian uptake of MMR in 1998 was 95%, but data do not exist to document any change in Canada since that time. Many clinicians are concerned that the uptake in younger siblings of children with autism is considerably lower.Further anxiety for parents has been caused by the suggested association between developmental disorders and mercury toxicity due to thimerosal, which is used as a preservative in some vaccines. Many Canadian parents, while continuing to seek chelation therapy in response to this suggestion, are not aware that, in Canada, thimerosal has never been added to MMR, and has not been present in diphtheria-pertussis-tetanus-poliomyelitis or pentavalent vaccines since 1992. It is found in only Hepatitis B vaccine in some provinces.The present article is intended to be a guide for physicians as they counsel parents. Sentence B: This chapter reviews the literature surrounding autism spectrum disorders (ASD) and their relation to gastrointestinal (GI), behavioral, neurological, and immunological functioning. Individuals with ASD often have poor GI health, including bowel motility issues, autoimmune and/or other adverse responses to certain foods, and lack of necessary nutrient absorption. These issues may be caused or exacerbated by restrictive behavioral patterns (e.g., preference for sweet and salty foods and/or refusal of healthy foods). Those individuals with GI issues tend to demonstrate more behavioral deficits (e.g., irritability, agitation, hyperactivity) and also tend to have an imbalance in overall gut microbiome composition, thus corroborating several studies that have implicated brain-gut pathways as potential mediators of behavioral dysfunction.We examine the literature regarding dietary approaches to managing ASDs, including elimination diets for gluten, casein, or complex carbohydrates, a ketogenic diet, and a low oxalate diet. We also explore the research examining dietary supplements such as fatty acids, pro- and prebiotics, vitamins, minerals, glutathione, phytochemicals, and hormones. The research on dietary approaches to managing ASDs is limited and the results are mixed. However, a few approaches, such as the gluten-free/casein-free diet, fatty acid supplementation, and pre/probiotics have generally demonstrated improved GI and associated behavioral symptoms. Given that GI issues seem to be overrepresented in ASD populations, and that GI issues have been associated with a number behavioral and neurological deficits, dietary manipulation may offer a cheap and easily implemented approach to improve the lives of those with ASD. ###Answer 1. Changed Reasoning: In Sentence A, the term ""autistic disorders"" is used, which was a common term used in the past to describe individuals with autism spectrum disorder. However, in Sentence B, the term ""autism spectrum disorder"" is used, which is the current terminology used to describe individuals with autism. This suggests that the meaning of the term ""autism"" has shifted over time, with the term becoming more specific and inclusive of a wider range of conditions. Therefore, semantic drift has occurred in the meaning of the target word." 12,Autism spectrum disorder,To test the hypothesis that a combination of magnetic resonance imaging (MRI) brain measures obtained during early childhood distinguish children with autism spectrum disorders (ASD) from typically developing children and is associated with functional outcome.,"The Tower of London (TOL) is probably the most often used assessment tool for planning ability in healthy and clinical samples. Various versions, including our proposed standard problem set, have proven to be feasible and reliable in adults. In contrast, reliability information for typically developing (TD) children and neurodevelopmental disorders during childhood are largely missing. Also, it would be highly desirable to attain a problem set that can be used across the whole lifespan. Therefore, here we examine reliability of our proposed standard problem set using a computerized TOL version in 178 TD children (two different samples), 49 children with high-functioning autism spectrum disorder (ASD) and 56 children with attention-deficit/hyperactivity disorder (ADHD) (age ranges of each group 6 to 13 years), and 130 young adults (age range 18 to 32 years). Greatest lower bound estimates of reliability were adequate to high in the two samples of TD children (.76 and .80) and high to very high in patients (ASD: .90; ADHD: .83). In young adults, all reliability indices were adequate to high. Moreover, a subset of four- and five-move problems exhibited sufficient performance variability and high part-whole correlations with the complete problem set in all samples. These findings demonstrate the reliability of the presented TOL problem set in both clinical and non-clinical child samples. A clinically feasible subset of four- and five-move problems is reflective of overall planning performance at all ages, hence enabling comparisons of planning ability within and between developmental samples across almost the whole lifespan.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Autism spectrum disorder Sentence A: To test the hypothesis that a combination of magnetic resonance imaging (MRI) brain measures obtained during early childhood distinguish children with autism spectrum disorders (ASD) from typically developing children and is associated with functional outcome. Sentence B: The Tower of London (TOL) is probably the most often used assessment tool for planning ability in healthy and clinical samples. Various versions, including our proposed standard problem set, have proven to be feasible and reliable in adults. In contrast, reliability information for typically developing (TD) children and neurodevelopmental disorders during childhood are largely missing. Also, it would be highly desirable to attain a problem set that can be used across the whole lifespan. Therefore, here we examine reliability of our proposed standard problem set using a computerized TOL version in 178 TD children (two different samples), 49 children with high-functioning autism spectrum disorder (ASD) and 56 children with attention-deficit/hyperactivity disorder (ADHD) (age ranges of each group 6 to 13 years), and 130 young adults (age range 18 to 32 years). Greatest lower bound estimates of reliability were adequate to high in the two samples of TD children (.76 and .80) and high to very high in patients (ASD: .90; ADHD: .83). In young adults, all reliability indices were adequate to high. Moreover, a subset of four- and five-move problems exhibited sufficient performance variability and high part-whole correlations with the complete problem set in all samples. These findings demonstrate the reliability of the presented TOL problem set in both clinical and non-clinical child samples. A clinically feasible subset of four- and five-move problems is reflective of overall planning performance at all ages, hence enabling comparisons of planning ability within and between developmental samples across almost the whole lifespan. ###Answer 1. Changed Reasoning: In Sentence A, the target word ""Autism spectrum disorder"" is used to refer to a specific neurodevelopmental disorder characterized by difficulties in social interaction and communication. This usage is consistent with the current medical understanding of the disorder. In Sentence B, the target word ""Autism spectrum disorder"" is used more broadly to refer to a range of neurodevelopmental disorders characterized by difficulties in social interaction and communication. This usage reflects a shift in the meaning of the term, as it now encompasses a broader range of conditions beyond the specific disorder referred to in Sentence A. Therefore, the label ""Changed"" is appropriate, as the meaning of the target word has significantly shifted between the two sentences." 13,Autism spectrum disorder,"This paper identifies instruments and measures that may be appropriate for randomized clinical trials in participants with autism spectrum disorders (ASDs). The Clinical Global Impressions scale was recommended for all randomized clinical trials. At this point, however, there is no ""perfect"" choice of outcome measure for core features of autism, although we will discuss five measures of potential utility. Several communication instruments are recommended, based in part on suitability across the age range. In trials where the intention is to alter core features of ASDs, adaptive behavior scales are also worthy of consideration. Several ""behavior complexes"" common to ASDs are identified, and instruments are recommended for assessment of these. Given the prevalence of cognitive impairment in ASDs, it is important to assess any cognitive effects, although cognitive data from ASD randomized clinical trials, thus far, are minimal. Guidance from trials in related pharmacologic areas and behavioral pharmacology may be helpful. We recommend routine elicitation of side effects, height and weight, vital signs, and (in the case of antipsychotics) extrapyramidal side-effects assessment. It is often appropriate to include laboratory tests and assessments for continence and sleep pattern.","Autism spectrum disorder (ASD) is a prevalent and extremely heterogeneous neurodevelopmental disorder (NDD) with a strong genetic component. In recent years, the clinical relevance of de novo mutations to the aetiology of ASD has been demonstrated. Current guidelines recommend chromosomal microarray (CMA) and a ","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Autism spectrum disorder Sentence A: This paper identifies instruments and measures that may be appropriate for randomized clinical trials in participants with autism spectrum disorders (ASDs). The Clinical Global Impressions scale was recommended for all randomized clinical trials. At this point, however, there is no ""perfect"" choice of outcome measure for core features of autism, although we will discuss five measures of potential utility. Several communication instruments are recommended, based in part on suitability across the age range. In trials where the intention is to alter core features of ASDs, adaptive behavior scales are also worthy of consideration. Several ""behavior complexes"" common to ASDs are identified, and instruments are recommended for assessment of these. Given the prevalence of cognitive impairment in ASDs, it is important to assess any cognitive effects, although cognitive data from ASD randomized clinical trials, thus far, are minimal. Guidance from trials in related pharmacologic areas and behavioral pharmacology may be helpful. We recommend routine elicitation of side effects, height and weight, vital signs, and (in the case of antipsychotics) extrapyramidal side-effects assessment. It is often appropriate to include laboratory tests and assessments for continence and sleep pattern. Sentence B: Autism spectrum disorder (ASD) is a prevalent and extremely heterogeneous neurodevelopmental disorder (NDD) with a strong genetic component. In recent years, the clinical relevance of de novo mutations to the aetiology of ASD has been demonstrated. Current guidelines recommend chromosomal microarray (CMA) and a ###Answer 1. Changed Reasoning: In Sentence A, the term ""autism spectrum disorder"" (ASD) is used to refer to a specific neurodevelopmental disorder characterized by cognitive and behavioral impairments. The sentence highlights the complexity and heterogeneity of the disorder, and the importance of assessing various aspects of the condition, including cognitive and behavioral features, side effects of medication, and genetic factors. In Sentence B, the term ""autism spectrum disorder"" (ASD) is used in a different context. The sentence emphasizes the genetic component of the disorder and the recent advances in understanding the role of de novo mutations in its aetiology. The term ""neurodevelopmental disorder"" (NDD) is also used to emphasize the neurobiological nature of the disorder. Based on these differences in context and meaning, it can be concluded that the term ""autism spectrum disorder"" (ASD) has undergone a significant change in meaning between Sentence A and Sentence B. Therefore, the label ""Changed"" is appropriate." 14,Autism spectrum disorder,"Mouse mutants of the homeobox transcription factor Engrailed2 (En2) and autistic individuals display similar cerebellar morphological abnormalities, which include hypoplasia and a decrease in the number of Purkinje cells. Human EN2 maps to 7q36, a chromosomal region that has demonstrated suggestive linkage to autism spectrum disorder (ASD). To investigate EN2 for evidence of association with ASD, four single-nucleotide polymorphisms (SNPs) (rs3735653, rs1861972, rs1861973, rs2361689) that span the majority of the 8.0 kb gene were assessed by the transmission/disequilibrium test. Initially, 138 triads of autistic individuals and their parents were tested. Two intronic SNPs (rs1861972 and rs1861973) demonstrated significant association with autism (rs1861972, P=0.0018; rs1861973, P=0.0003; haplotype, P=0.000005). Flanking exonic SNPs (rs3735653 and rs2361689) did not display association. This analysis was then extended to include 167 small nuclear ASD pedigrees and significant association was again only observed for rs1861972 and rs1861973 under both the narrow and broad diagnostic criteria (narrow: rs1861972 P=0.0290, rs1861973 P=0.0073, haplotype P=0.0009; broad: rs1861972 P=0.0175, rs1861973 P=0.0107, haplotype P=0.0024). These data demonstrate association between a cerebellar patterning gene and ASD, suggesting a role for EN2 as a susceptibility locus and supporting a neurodevelopmental defect hypothesis in the etiology of autism."," Resting-state functional Magnetic Resonance Imaging (R-fMRI) holds the promise to reveal functional biomarkers of neuropsychiatric disorders. However, extracting such biomarkers is challenging for complex multi-faceted neuropatholo-gies, such as autism spectrum disorders. Large multi-site datasets increase sample sizes to compensate for this complexity, at the cost of uncontrolled heterogeneity. This heterogeneity raises new challenges, akin to those face in realistic diagnostic applications. Here, we demonstrate the feasibility of inter-site classification of neuropsychiatric status, with an application to the Autism Brain Imaging Data Exchange (ABIDE) database, a large (N=871) multi-site autism dataset. For this purpose, we investigate pipelines that extract the most predictive biomarkers from the data. These R-fMRI pipelines build participant-specific connectomes from functionally-defined brain areas. Connectomes are then compared across participants to learn patterns of connectivity that differentiate typical controls from individuals with autism. We predict this neuropsychiatric status for participants from the same acquisition sites or different, unseen, ones. Good choices of methods for the various steps of the pipeline lead to 67% prediction accuracy on the full ABIDE data, which is significantly better than previously reported results. We perform extensive validation on multiple subsets of the data defined by different inclusion criteria. These enables detailed analysis of the factors contributing to successful connectome-based prediction. First, prediction accuracy improves as we include more subjects, up to the maximum amount of subjects available. Second, the definition of functional brain areas is of paramount importance for biomarker discovery: brain areas extracted from large R-fMRI datasets outperform reference atlases in the classification tasks. ","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Autism spectrum disorder Sentence A: Mouse mutants of the homeobox transcription factor Engrailed2 (En2) and autistic individuals display similar cerebellar morphological abnormalities, which include hypoplasia and a decrease in the number of Purkinje cells. Human EN2 maps to 7q36, a chromosomal region that has demonstrated suggestive linkage to autism spectrum disorder (ASD). To investigate EN2 for evidence of association with ASD, four single-nucleotide polymorphisms (SNPs) (rs3735653, rs1861972, rs1861973, rs2361689) that span the majority of the 8.0 kb gene were assessed by the transmission/disequilibrium test. Initially, 138 triads of autistic individuals and their parents were tested. Two intronic SNPs (rs1861972 and rs1861973) demonstrated significant association with autism (rs1861972, P=0.0018; rs1861973, P=0.0003; haplotype, P=0.000005). Flanking exonic SNPs (rs3735653 and rs2361689) did not display association. This analysis was then extended to include 167 small nuclear ASD pedigrees and significant association was again only observed for rs1861972 and rs1861973 under both the narrow and broad diagnostic criteria (narrow: rs1861972 P=0.0290, rs1861973 P=0.0073, haplotype P=0.0009; broad: rs1861972 P=0.0175, rs1861973 P=0.0107, haplotype P=0.0024). These data demonstrate association between a cerebellar patterning gene and ASD, suggesting a role for EN2 as a susceptibility locus and supporting a neurodevelopmental defect hypothesis in the etiology of autism. Sentence B: Resting-state functional Magnetic Resonance Imaging (R-fMRI) holds the promise to reveal functional biomarkers of neuropsychiatric disorders. However, extracting such biomarkers is challenging for complex multi-faceted neuropatholo-gies, such as autism spectrum disorders. Large multi-site datasets increase sample sizes to compensate for this complexity, at the cost of uncontrolled heterogeneity. This heterogeneity raises new challenges, akin to those face in realistic diagnostic applications. Here, we demonstrate the feasibility of inter-site classification of neuropsychiatric status, with an application to the Autism Brain Imaging Data Exchange (ABIDE) database, a large (N=871) multi-site autism dataset. For this purpose, we investigate pipelines that extract the most predictive biomarkers from the data. These R-fMRI pipelines build participant-specific connectomes from functionally-defined brain areas. Connectomes are then compared across participants to learn patterns of connectivity that differentiate typical controls from individuals with autism. We predict this neuropsychiatric status for participants from the same acquisition sites or different, unseen, ones. Good choices of methods for the various steps of the pipeline lead to 67% prediction accuracy on the full ABIDE data, which is significantly better than previously reported results. We perform extensive validation on multiple subsets of the data defined by different inclusion criteria. These enables detailed analysis of the factors contributing to successful connectome-based prediction. First, prediction accuracy improves as we include more subjects, up to the maximum amount of subjects available. Second, the definition of functional brain areas is of paramount importance for biomarker discovery: brain areas extracted from large R-fMRI datasets outperform reference atlases in the classification tasks. ###Answer Target word: Autism spectrum disorder Sentence A: Mouse mutants of the homeobox transcription factor Engrailed2 (En2) and autistic individuals display similar cerebellar morphological abnormalities, which include hypoplasia and a decrease in the number of Purkinje cells. Human EN2 maps to 7q36, a chromosomal region that has demonstrated suggestive linkage to autism spectrum disorder (ASD). Label: Changed Reasoning: The target word ""Autism spectrum disorder"" has undergone a significant change in meaning between Sentence A (2000) and Sentence B (2020). In Sentence A, the term is used to describe a specific genetic mutation in mice, while in Sentence B, it is used to describe a broader range of neuropsychiatric disorders. The term has shifted from a specific diagnosis to a more general category, indicating a change in the way the term is understood and used in the scientific community." 15,Autism spectrum disorder,"The prevalence of autism spectrum disorders was studied in all children with mental retardation and/or motor disability in a defined geographical region over a two-year follow-up period. In the general population, the prevalence of autistic disorder was 0.09% at the end of the follow-up period -a minimum estimate, as children with average intelligence were not screened. Autism spectrum disorders were found in 19.8% of children with mental retardation, including strictly defined autistic disorder (DSM-III-R criteria) in 8.9%; the two-year follow-up yielded a higher prevalence of 11.7% with autistic disorder. Among children with cerebral palsy, 10.5% had an autism spectrum disorder. Clear co-variation was found between mental retardation, epilepsy and autism spectrum disorders in this population of children with neurodevelopmental disorders.","Dysregulation has been identified as an important risk factor for the development of psychiatric disorders in individuals with autism spectrum disorder (ASD). Therefore, it is necessary to empirically characterize dysregulation and identify psychometrically sound and readily available assessment methods in the ASD population. We sought to evaluate the factor structure of the Child Behavior Checklist-Dysregulation Profile (CBCL-DP), an established dysregulation measure in neurotypical children that is derived from the CBCL, in a large, clinically referred sample of children, ages 6-18 years, with ASD (n = 727). Confirmatory factor analysis was used to characterize dysregulation and assess the validity of the CBCL-DP in children with ASD. Our findings support a bi-factor model of dysregulation in which dysregulation is a broad and distinct syndrome that is associated with the three subdomains of the CBCL-DP, anxiety/depression (AD), attention problems (AP), and aggressive behavior (AGG). Dysregulation was associated with most items in the AD and AGG domains and few items in the AP domain. This association with AD and AGG indicates that dysregulation in ASD may be conceptualized as the combined experience of internalized, negative mood states and externalized, reactive behaviors. These findings provide support as well as important caveats for the use of the CBCL-DP as a measure of dysregulation in the ASD population. Autism Res 2020, 13: 436-443. © 2019 International Society for Autism Research, Wiley Periodicals, Inc. LAY SUMMARY: Dysregulation is a risk factor for psychiatric disorders in ASD. This study examined if the CBCL-DP, an established measure of dysregulation in neurotypical children, can be used to assess dysregulation in children with ASD. Findings provide evidence that in ASD, dysregulation is a broad construct that exists alongside anxiety/depression, attention problems, and aggression. These findings indicate that the CBCL-DP can be considered a valid measure of dysregulation in the ASD population and could be used in clinical settings.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Autism spectrum disorder Sentence A: The prevalence of autism spectrum disorders was studied in all children with mental retardation and/or motor disability in a defined geographical region over a two-year follow-up period. In the general population, the prevalence of autistic disorder was 0.09% at the end of the follow-up period -a minimum estimate, as children with average intelligence were not screened. Autism spectrum disorders were found in 19.8% of children with mental retardation, including strictly defined autistic disorder (DSM-III-R criteria) in 8.9%; the two-year follow-up yielded a higher prevalence of 11.7% with autistic disorder. Among children with cerebral palsy, 10.5% had an autism spectrum disorder. Clear co-variation was found between mental retardation, epilepsy and autism spectrum disorders in this population of children with neurodevelopmental disorders. Sentence B: Dysregulation has been identified as an important risk factor for the development of psychiatric disorders in individuals with autism spectrum disorder (ASD). Therefore, it is necessary to empirically characterize dysregulation and identify psychometrically sound and readily available assessment methods in the ASD population. We sought to evaluate the factor structure of the Child Behavior Checklist-Dysregulation Profile (CBCL-DP), an established dysregulation measure in neurotypical children that is derived from the CBCL, in a large, clinically referred sample of children, ages 6-18 years, with ASD (n = 727). Confirmatory factor analysis was used to characterize dysregulation and assess the validity of the CBCL-DP in children with ASD. Our findings support a bi-factor model of dysregulation in which dysregulation is a broad and distinct syndrome that is associated with the three subdomains of the CBCL-DP, anxiety/depression (AD), attention problems (AP), and aggressive behavior (AGG). Dysregulation was associated with most items in the AD and AGG domains and few items in the AP domain. This association with AD and AGG indicates that dysregulation in ASD may be conceptualized as the combined experience of internalized, negative mood states and externalized, reactive behaviors. These findings provide support as well as important caveats for the use of the CBCL-DP as a measure of dysregulation in the ASD population. Autism Res 2020, 13: 436-443. © 2019 International Society for Autism Research, Wiley Periodicals, Inc. LAY SUMMARY: Dysregulation is a risk factor for psychiatric disorders in ASD. This study examined if the CBCL-DP, an established measure of dysregulation in neurotypical children, can be used to assess dysregulation in children with ASD. Findings provide evidence that in ASD, dysregulation is a broad construct that exists alongside anxiety/depression, attention problems, and aggression. These findings indicate that the CBCL-DP can be considered a valid measure of dysregulation in the ASD population and could be used in clinical settings. ###Answer 1. Changed Reasoning: The meaning of ""autism spectrum disorder"" has significantly shifted between the two sentences. In Sentence A, the term ""autistic disorder"" is used, which is an outdated term that has been replaced by ""autism spectrum disorder"" in modern clinical and research contexts. Additionally, the definition of autism spectrum disorder in Sentence B is more nuanced and includes the concept of dysregulation, which is not explicitly mentioned in Sentence A. These changes indicate that the term ""autism spectrum disorder"" has undergone semantic drift and its meaning has significantly shifted between the two timestamps." 16,Autism spectrum disorder,"The purpose of this study is to provide a microanalysis of differences in adaptive functioning seen between well-matched groups of school-aged children with autism and those diagnosed as having Pervasive Developmental Disorder-Not Otherwise Specified, all of whom functioned in the mild to moderate range of intellectual impairment. Findings indicate that the major area of difference between children with autism and those with Pervasive Developmental Disorder-Not Otherwise Specified, was expressive communication; specifically, the use of elaborations in syntax and morphology and in pragmatic use of language to convey and to seek information in discourse. Linear discriminant function analysis revealed that scores on just three of these expressive communication item sets correctly identified subjects in the two diagnostic categories with 80% overall accuracy. Implications of these findings for both diagnosis and intervention with children with Autism Spectrum Disorders will be discussed.","Transgenic animal models with homologous etiology provide a promising way to pursue the neurobiological substrates of the behavioral deficits in autism spectrum disorder (ASD). Gain-of-function mutations of MECP2 cause MECP2 duplication syndrome, a severe neurological disorder with core symptoms of ASD. However, abnormal brain developments underlying the autistic-like behavioral deficits of MECP2 duplication syndrome are rarely investigated. To this end, a human MECP2 duplication (MECP2-DP) rat model was created by the bacterial artificial chromosome transgenic method. Functional and structural magnetic resonance imaging (MRI) with high-field were performed on 16 male MECP2-DP rats and 15 male wildtype rats at postnatal 28 days, 42 days, and 56 days old. Multimodal fusion analyses guided by locomotor-relevant metrics and social novelty time separately were applied to identify abnormal brain networks associated with diverse behavioral deficits induced by MECP2 duplication. Aberrant functional developments of a core network primarily composed of the dorsal medial prefrontal cortex (dmPFC) and retrosplenial cortex (RSP) were detected to associate with diverse behavioral phenotypes in MECP2-DP rats. Altered developments of gray matter volume were detected in the hippocampus and thalamus. We conclude that gain-of-function mutations of MECP2 induce aberrant functional activities in the default-mode-like network and aberrant volumetric changes in the brain, resulting in autistic-like behavioral deficits. Our results gain critical insights into the biomarker of MECP2 duplication syndrome and the neurobiological underpinnings of the behavioral deficits in ASD.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Autism spectrum disorder Sentence A: The purpose of this study is to provide a microanalysis of differences in adaptive functioning seen between well-matched groups of school-aged children with autism and those diagnosed as having Pervasive Developmental Disorder-Not Otherwise Specified, all of whom functioned in the mild to moderate range of intellectual impairment. Findings indicate that the major area of difference between children with autism and those with Pervasive Developmental Disorder-Not Otherwise Specified, was expressive communication; specifically, the use of elaborations in syntax and morphology and in pragmatic use of language to convey and to seek information in discourse. Linear discriminant function analysis revealed that scores on just three of these expressive communication item sets correctly identified subjects in the two diagnostic categories with 80% overall accuracy. Implications of these findings for both diagnosis and intervention with children with Autism Spectrum Disorders will be discussed. Sentence B: Transgenic animal models with homologous etiology provide a promising way to pursue the neurobiological substrates of the behavioral deficits in autism spectrum disorder (ASD). Gain-of-function mutations of MECP2 cause MECP2 duplication syndrome, a severe neurological disorder with core symptoms of ASD. However, abnormal brain developments underlying the autistic-like behavioral deficits of MECP2 duplication syndrome are rarely investigated. To this end, a human MECP2 duplication (MECP2-DP) rat model was created by the bacterial artificial chromosome transgenic method. Functional and structural magnetic resonance imaging (MRI) with high-field were performed on 16 male MECP2-DP rats and 15 male wildtype rats at postnatal 28 days, 42 days, and 56 days old. Multimodal fusion analyses guided by locomotor-relevant metrics and social novelty time separately were applied to identify abnormal brain networks associated with diverse behavioral deficits induced by MECP2 duplication. Aberrant functional developments of a core network primarily composed of the dorsal medial prefrontal cortex (dmPFC) and retrosplenial cortex (RSP) were detected to associate with diverse behavioral phenotypes in MECP2-DP rats. Altered developments of gray matter volume were detected in the hippocampus and thalamus. We conclude that gain-of-function mutations of MECP2 induce aberrant functional activities in the default-mode-like network and aberrant volumetric changes in the brain, resulting in autistic-like behavioral deficits. Our results gain critical insights into the biomarker of MECP2 duplication syndrome and the neurobiological underpinnings of the behavioral deficits in ASD. ###Answer 1. Changed Reasoning: In Sentence A, the term ""Autism Spectrum Disorder"" (ASD) is used to describe a specific diagnostic category, and the focus is on the differences in adaptive functioning between children with ASD and those with Pervasive Developmental Disorder-Not Otherwise Specified. The term is used in the context of a research study investigating the neurobiological substrates of behavioral deficits in ASD. In Sentence B, the term ""Autism Spectrum Disorder"" (ASD) is used in a different context, to describe a specific neurobiological substrate underlying the behavioral deficits in a rat model of MECP2 duplication syndrome. The focus is on the abnormal brain developments underlying the autistic-like behavioral deficits in the rat model. In Sentence B, the term ""Autism Spectrum Disorder"" (ASD) has shifted in meaning to refer to a specific neurobiological substrate, rather than the diagnostic category. This shift in meaning indicates semantic drift has occurred. Therefore, the label ""Changed"" is appropriate." 17,Autism spectrum disorder,"Autism spectrum disorders (ASD) are among the most heritable of all neuropsychiatric disorders. Discovery of autism susceptibility genes has been the focus of intense research efforts over the last 10 years, and current estimates suggest that 10 to 20 different interacting genes are involved. Evidence from twin and family studies demonstrates increased risk in family members not only for autistic disorder, but also for a milder constellation of similar symptoms referred to as the broader phenotype. In addition, several genetic syndromes and chromosomal anomalies have been associated with ASD. Large family studies using linkage-analysis techniques have demonstrated several chromosomal regions thought to harbor genes related to the disorder. Finally, specific candidate genes based on function and location have been explored; these studies are reviewed here.","The social and communicative difficulties that characterize autism spectrum disorder (ASD) are considered the most striking feature of the disorder. Research has reported that individuals with ASD show abnormalities in the brain regions associated with the processing of social information. Importantly, a recent study using functional near-infrared spectroscopy (fNIRS) found the first evidence of atypicalities in the neural processing of social information in 4- to 6-month-old infants at high familial risk of ASD. These findings provide an important step in the search for early markers of ASD and highlight the potential for neuroimaging techniques to detect atypical patterns of neural activity prior to the manifestation of most behavioural symptoms. This study aimed to extend the findings of reduced neural sensitivity to social stimuli in an independent cohort. Twenty-nine 5-month-old infants (13 low-risk infants, 16 high-risk infants) were presented with social and non-social visual stimuli, similar to the previous experiment. Importantly, a non-social dynamic motion control condition was introduced allowing the comparison between social dynamic and non-social, static, as well as dynamic stimuli. We found that while low-risk infants showed activation to social stimuli in the right posterior temporal cortex, this activation was reduced in infants at high risk of ASD. Although the current sample size was relatively small, our results replicate and extend previous work and provide evidence for a social processing difference in infants at risk of autism. Future research will determine whether these differences relate to an eventual ASD diagnosis or may rather reflect the broader autism phenotype.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Autism spectrum disorder Sentence A: Autism spectrum disorders (ASD) are among the most heritable of all neuropsychiatric disorders. Discovery of autism susceptibility genes has been the focus of intense research efforts over the last 10 years, and current estimates suggest that 10 to 20 different interacting genes are involved. Evidence from twin and family studies demonstrates increased risk in family members not only for autistic disorder, but also for a milder constellation of similar symptoms referred to as the broader phenotype. In addition, several genetic syndromes and chromosomal anomalies have been associated with ASD. Large family studies using linkage-analysis techniques have demonstrated several chromosomal regions thought to harbor genes related to the disorder. Finally, specific candidate genes based on function and location have been explored; these studies are reviewed here. Sentence B: The social and communicative difficulties that characterize autism spectrum disorder (ASD) are considered the most striking feature of the disorder. Research has reported that individuals with ASD show abnormalities in the brain regions associated with the processing of social information. Importantly, a recent study using functional near-infrared spectroscopy (fNIRS) found the first evidence of atypicalities in the neural processing of social information in 4- to 6-month-old infants at high familial risk of ASD. These findings provide an important step in the search for early markers of ASD and highlight the potential for neuroimaging techniques to detect atypical patterns of neural activity prior to the manifestation of most behavioural symptoms. This study aimed to extend the findings of reduced neural sensitivity to social stimuli in an independent cohort. Twenty-nine 5-month-old infants (13 low-risk infants, 16 high-risk infants) were presented with social and non-social visual stimuli, similar to the previous experiment. Importantly, a non-social dynamic motion control condition was introduced allowing the comparison between social dynamic and non-social, static, as well as dynamic stimuli. We found that while low-risk infants showed activation to social stimuli in the right posterior temporal cortex, this activation was reduced in infants at high risk of ASD. Although the current sample size was relatively small, our results replicate and extend previous work and provide evidence for a social processing difference in infants at risk of autism. Future research will determine whether these differences relate to an eventual ASD diagnosis or may rather reflect the broader autism phenotype. ###Answer 1. Changed Reasoning: In Sentence A, the term ""autism spectrum disorders"" (ASD) is used, which suggests a more broad and encompassing definition of the disorder. The sentence highlights the heritability of the disorder and the focus of research efforts on identifying genetic susceptibility genes. This implies that the disorder is understood as a complex condition with multiple underlying causes. In Sentence B, the term ""autism spectrum disorder"" is used, but the meaning has shifted to emphasize the social and communicative difficulties that characterize the disorder. The sentence highlights the abnormalities in the brain regions associated with the processing of social information, and the use of functional near-infrared spectroscopy (fNIRS) to detect atypical patterns of neural activity. This implies that the disorder is understood as primarily a social and communicative disorder, with a strong emphasis on the neurobiological mechanisms underlying it. Therefore, semantic drift has occurred in the meaning of the term ""autism spectrum disorder"" over the past 20 years, with a shift from a more broad and complex understanding to a more specific and focused understanding of the disorder, emphasizing its social and communicative aspects." 18,Autism spectrum disorder,"Social and emotional processing uses neural systems involving structures ranging from the brain stem to the associational cortex. Neuroimaging research has attempted to identify abnormalities in components of these systems that would underlie the behavioral abnormalities seen in disorders of social and emotional processing, notably autism spectrum disorders, the focus of this review. However, the findings have been variable. The most replicated anatomic finding (a tendency toward large brains) is not modular, and metabolic imaging and functional imaging (although showing substantial atypicality in activation) are not consistent regarding specific anatomic sites. Moreover, autism spectrum disorder demonstrates substantial heterogeneity on multiple levels. Here evidence is marshaled from a review of neuroimaging data to support the claim that abnormalities in social and emotional processing on the autism spectrum are a consequence of systems disruptions in which the behaviors are a final common pathway and the focal findings can be variable, downstream of other pathogenetic mechanisms, and downstream of more pervasive abnormalities.","Self-injurious behaviors (SIB) are elevated in autism spectrum disorder (ASD) and related genetic disorders, but the genetic and biological mechanisms that contribute to SIB in ASD are poorly understood. This study examined rates and predictors of SIB in 112 individuals with disruptive mutations to ASD-risk genes. Current SIB were reported in 30% of participants and associated with poorer cognitive and adaptive skills. History of severe abdominal pain predicted higher rates of SIB and SIB severity after controlling for age and adaptive behavior; individuals with a history of severe abdominal pain were eight times more likely to exhibit SIB than those with no history. Future research is needed to examine associations between genetic risk, pain, and SIB in this population.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Autism spectrum disorder Sentence A: Social and emotional processing uses neural systems involving structures ranging from the brain stem to the associational cortex. Neuroimaging research has attempted to identify abnormalities in components of these systems that would underlie the behavioral abnormalities seen in disorders of social and emotional processing, notably autism spectrum disorders, the focus of this review. However, the findings have been variable. The most replicated anatomic finding (a tendency toward large brains) is not modular, and metabolic imaging and functional imaging (although showing substantial atypicality in activation) are not consistent regarding specific anatomic sites. Moreover, autism spectrum disorder demonstrates substantial heterogeneity on multiple levels. Here evidence is marshaled from a review of neuroimaging data to support the claim that abnormalities in social and emotional processing on the autism spectrum are a consequence of systems disruptions in which the behaviors are a final common pathway and the focal findings can be variable, downstream of other pathogenetic mechanisms, and downstream of more pervasive abnormalities. Sentence B: Self-injurious behaviors (SIB) are elevated in autism spectrum disorder (ASD) and related genetic disorders, but the genetic and biological mechanisms that contribute to SIB in ASD are poorly understood. This study examined rates and predictors of SIB in 112 individuals with disruptive mutations to ASD-risk genes. Current SIB were reported in 30% of participants and associated with poorer cognitive and adaptive skills. History of severe abdominal pain predicted higher rates of SIB and SIB severity after controlling for age and adaptive behavior; individuals with a history of severe abdominal pain were eight times more likely to exhibit SIB than those with no history. Future research is needed to examine associations between genetic risk, pain, and SIB in this population. ###Answer 1. Changed Reasoning: In Sentence A, the target word ""autism spectrum disorder"" is used to describe a neurodevelopmental disorder characterized by abnormalities in social and emotional processing. The sentence highlights the complexity and heterogeneity of the disorder, with multiple levels of variation and abnormalities. The term ""autism spectrum disorder"" is used to convey a sense of diversity and multifaceted nature of the disorder. In Sentence B, the target word ""autism spectrum disorder"" is used to describe a subpopulation of individuals with autism spectrum disorder who exhibit self-injurious behaviors. The sentence highlights the association between genetic risk and the severity of self-injurious behaviors. The term ""autism spectrum disorder"" is used to convey a sense of genetic risk and the potential for severe behaviors. The semantic drift in the target word is evident in the difference in meaning and connotation between the two sentences. In Sentence A, the term ""autism spectrum disorder"" is used to describe a complex and multifaceted disorder, while in Sentence B, it is used to describe a subpopulation of individuals with more severe behaviors. This difference in meaning suggests that the term ""autism spectrum disorder"" has undergone a significant change in meaning or connotation between the two timestamps. Therefore, the label ""Changed"" is appropriate." 19,Autism spectrum disorder,"Autism is reaching epidemic proportions. The diagnosis can be made as early as 2 years of age, and autistic patients are expected to have a normal life span. Thus, in terms of the number of 'patient years', autism spectrum disorder (ASD) represents a market that is as large as that of the biggest neurological indication, Alzheimer's disease. However, despite the clear unmet medical need no effective treatment is yet available. This could be because the biology of ASD is not clearly understood and thus proper drug treatment has not been possible. However, significant advances are being made toward understanding the mechanisms of the disease. Here, we review the most recent preclinical advances in the hope that they will lead to a breakthrough in the near future.","Autism spectrum disorder (ASD) is a pervasive neurodevelopmental disorder that emerges in the beginning years of life (12-48 months). Yet, an early diagnosis of ASD is challenging as it relies on the consistent presence of behavioral symptomatology, and thus, many children are diagnosed later in development, which prevents early interventions that could benefit cognitive and social outcomes. As a result, there is growing interest in detecting early brain markers of ASD, such as in the electroencephalogram (EEG) to elucidate divergence in early development. Here, we examine the EEG of nonrapid eye movement (NREM) sleep in the transition from infancy to toddlerhood, a period of rapid development and pronounced changes in early brain function. NREM features exhibit clear developmental trajectories, are related to social and cognitive development, and may be altered in neurodevelopmental disorders. Yet, spectral features of NREM sleep are poorly understood in infants/toddlers with or at high risk for ASD.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Autism spectrum disorder Sentence A: Autism is reaching epidemic proportions. The diagnosis can be made as early as 2 years of age, and autistic patients are expected to have a normal life span. Thus, in terms of the number of 'patient years', autism spectrum disorder (ASD) represents a market that is as large as that of the biggest neurological indication, Alzheimer's disease. However, despite the clear unmet medical need no effective treatment is yet available. This could be because the biology of ASD is not clearly understood and thus proper drug treatment has not been possible. However, significant advances are being made toward understanding the mechanisms of the disease. Here, we review the most recent preclinical advances in the hope that they will lead to a breakthrough in the near future. Sentence B: Autism spectrum disorder (ASD) is a pervasive neurodevelopmental disorder that emerges in the beginning years of life (12-48 months). Yet, an early diagnosis of ASD is challenging as it relies on the consistent presence of behavioral symptomatology, and thus, many children are diagnosed later in development, which prevents early interventions that could benefit cognitive and social outcomes. As a result, there is growing interest in detecting early brain markers of ASD, such as in the electroencephalogram (EEG) to elucidate divergence in early development. Here, we examine the EEG of nonrapid eye movement (NREM) sleep in the transition from infancy to toddlerhood, a period of rapid development and pronounced changes in early brain function. NREM features exhibit clear developmental trajectories, are related to social and cognitive development, and may be altered in neurodevelopmental disorders. Yet, spectral features of NREM sleep are poorly understood in infants/toddlers with or at high risk for ASD. ###Answer 1. Changed Reasoning: The target word ""Autism spectrum disorder"" has undergone a significant change in meaning between Sentence A (2000) and Sentence B (2020). In Sentence A, the term is used to describe a market opportunity for drug treatment, suggesting a focus on the medical and economic aspects of the condition. In contrast, in Sentence B, the term is used to describe a neurodevelopmental disorder that emerges in early childhood, with a focus on developmental and cognitive aspects of the condition. These differences in emphasis and focus indicate a shift in the meaning of the term over time, indicating semantic drift." 20,Autism spectrum disorder,"We are on the brink of exciting discoveries into the molecular genetic underpinnings of autism spectrum disorder. Overwhelming evidence of genetic involvement coupled with increased societal attention to the disorder has drawn in more researchers and more research funding. Autism is a strongly genetic yet strikingly complex disorder, in which evidence from different cases supports chromosomal disorders, rare single gene mutations, and multiplicative effects of common gene variants. With more and more interesting yet sometimes divergent findings emerging every year, it is tempting to view these initial molecular studies as so much noise, but the data have also started to coalesce in certain areas. In particular, recent studies in families with autism spectrum disorder have identified uncommon occurrences of a novel genetic syndrome caused by disruptions of the NLGN4 gene on chromosome Xp22. Previous work had identified another uncommon syndrome that is caused by maternal duplications of the chromosome 15q11-13 region. We highlight other converging findings, point toward those areas most likely to yield results, and emphasize the contributions of multiple approaches to identifying the genes of interest.","Exposure to stressful life events during pregnancy has been suggested as a potential risk factor for offspring Autism Spectrum Disorders (ASD), but the literature is limited and inconsistent. We tested the hypothesis that maternal exposure to stressful life events would be associated with increased risks of offspring ASD, and that these risks would be highest for exposures during the prenatal period.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Autism spectrum disorder Sentence A: We are on the brink of exciting discoveries into the molecular genetic underpinnings of autism spectrum disorder. Overwhelming evidence of genetic involvement coupled with increased societal attention to the disorder has drawn in more researchers and more research funding. Autism is a strongly genetic yet strikingly complex disorder, in which evidence from different cases supports chromosomal disorders, rare single gene mutations, and multiplicative effects of common gene variants. With more and more interesting yet sometimes divergent findings emerging every year, it is tempting to view these initial molecular studies as so much noise, but the data have also started to coalesce in certain areas. In particular, recent studies in families with autism spectrum disorder have identified uncommon occurrences of a novel genetic syndrome caused by disruptions of the NLGN4 gene on chromosome Xp22. Previous work had identified another uncommon syndrome that is caused by maternal duplications of the chromosome 15q11-13 region. We highlight other converging findings, point toward those areas most likely to yield results, and emphasize the contributions of multiple approaches to identifying the genes of interest. Sentence B: Exposure to stressful life events during pregnancy has been suggested as a potential risk factor for offspring Autism Spectrum Disorders (ASD), but the literature is limited and inconsistent. We tested the hypothesis that maternal exposure to stressful life events would be associated with increased risks of offspring ASD, and that these risks would be highest for exposures during the prenatal period. ###Answer 1. Changed Reasoning: In Sentence A, the target word ""autism spectrum disorder"" is used to describe a condition characterized by genetic underpinnings and complex interplay of genetic and environmental factors. The sentence highlights the recent findings from molecular studies and emphasizes the importance of multiple approaches to identifying the genes involved. The word ""spectrum"" is used to indicate the wide range of symptoms and severity of the disorder. In Sentence B, the target word ""Autism Spectrum Disorders"" is used in a different context. The sentence suggests that exposure to stressful life events during pregnancy may be a risk factor for offspring developing autism spectrum disorders. The word ""spectrum"" is not used in this sentence, and the focus is on the potential environmental factors contributing to the development of the disorder. Based on these differences in context and meaning, it is clear that the word ""autism spectrum disorder"" has undergone a significant change in meaning between the two sentences. In Sentence A, the word is used to describe a complex genetic disorder with a strong genetic component, while in Sentence B, it is used to describe a potential environmental risk factor for offspring developing autism spectrum disorders. Therefore, the label ""Changed"" is appropriate for this task." 21,Autism spectrum disorder,"The objective of this review is to clarify the role of matching in family genetic studies of autism as a way of defining endophenotypes for linkage analysis. The concept of a confounding variable is reviewed and the importance of considering these in family studies of three endophenotypes in autism are considered: cognitive/language impairments, psychiatric disorders, and autistic-like traits. The importance of matching in infant sibling studies of autism is also addressed. Matching as a way of dealing with confounding variables has an important impact on understanding the extent to which these phenotypes are associated with the genes that confer susceptibility to autism and to the early detection of the disorder. Matching continues to be an important issue in the planning and conduct of family-genetic studies of the autism spectrum disorders, particularly as the search for autism susceptibility genes enters the next generation of studies.","Autism spectrum disorders (ASD) are highly heterogeneous neurodevelopmental disorders characterized by impaired social interaction skills. Whole exome sequencing has identified loss-of-function mutations in lysine methyltransferase 2E (KMT2E, also named MLL5) in ASD patients and it is listed as an ASD high-risk gene in humans. However, experimental evidence of KMT2E in association with ASD-like manifestations or neuronal function is still missing. Relying on KMT2E","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Autism spectrum disorder Sentence A: The objective of this review is to clarify the role of matching in family genetic studies of autism as a way of defining endophenotypes for linkage analysis. The concept of a confounding variable is reviewed and the importance of considering these in family studies of three endophenotypes in autism are considered: cognitive/language impairments, psychiatric disorders, and autistic-like traits. The importance of matching in infant sibling studies of autism is also addressed. Matching as a way of dealing with confounding variables has an important impact on understanding the extent to which these phenotypes are associated with the genes that confer susceptibility to autism and to the early detection of the disorder. Matching continues to be an important issue in the planning and conduct of family-genetic studies of the autism spectrum disorders, particularly as the search for autism susceptibility genes enters the next generation of studies. Sentence B: Autism spectrum disorders (ASD) are highly heterogeneous neurodevelopmental disorders characterized by impaired social interaction skills. Whole exome sequencing has identified loss-of-function mutations in lysine methyltransferase 2E (KMT2E, also named MLL5) in ASD patients and it is listed as an ASD high-risk gene in humans. However, experimental evidence of KMT2E in association with ASD-like manifestations or neuronal function is still missing. Relying on KMT2E ###Answer 1. Changed Explanation: The target word ""autism spectrum disorder"" has undergone significant semantic drift between Sentence A (2000) and Sentence B (2020). In Sentence A, the term is used primarily in the context of genetic studies, specifically in relation to the concept of matching and its impact on understanding the relationship between genetic variants and the disorder. In contrast, in Sentence B, the term is used more broadly to describe a range of neurodevelopmental disorders characterized by impaired social interaction skills. The term ""autism spectrum disorders"" has become more inclusive and encompasses a broader range of conditions, indicating a shift in the way the term is used and understood. Therefore, the label ""Changed"" is appropriate to indicate that the meaning of the target word has significantly shifted between the two timestamps." 22,Autism spectrum disorder,To estimate the prevalence of autism spectrum disorders (ASD) among adult psychiatric out-patients; to evaluate the efficacy of a new brief screening questionnaire (ASDASQ).," Autism spectrum disorder (ASD) refers to a syndrome of social communication deficits and repetitive behaviors or restrictive interests. It remains a behaviorally defined syndrome with no reliable biological markers. The goal of this review is to summarize the available neuroimaging data and examine their implication for our understanding of the neurobiology of ASD.Although there is variability in the literature on structural magnetic resonance literature (MRI), there is evidence of volume abnormalities in both grey and white matter, with a suggestion of some region-specific differences. Early brain overgrowth is probably the most replicated finding in a subgroup of people with ASD, and new techniques, such as cortical-thickness measurements and surface morphometry have begun to elucidate in more detail the patterns of abnormalities as they evolve with age, and are implicating specific neuroanatomical or neurodevelopmental processes. Functional MRI and diffusion tensor imaging techniques suggest that such volume abnormalities are associated with atypical functional and structural connectivity in the brain, and researchers have begun to use magnetic resonance spectroscopy (MRS) techniques to explore the neurochemical substrate of such abnormalities. The data from multiple imaging methods suggests that ASD is associated with an atypically connected brain. We now need to further clarify such atypicalities, and start interpreting them in the context of what we already know about typical neurodevelopmental processes including migration and organization of the cortex. Such an approach will allow us to relate imaging findings not only to behavior, but also to genes and their expression, which may be related to such processes, and to further our understanding of the nature of neurobiologic abnormalities in ASD.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Autism spectrum disorder Sentence A: To estimate the prevalence of autism spectrum disorders (ASD) among adult psychiatric out-patients; to evaluate the efficacy of a new brief screening questionnaire (ASDASQ). Sentence B: Autism spectrum disorder (ASD) refers to a syndrome of social communication deficits and repetitive behaviors or restrictive interests. It remains a behaviorally defined syndrome with no reliable biological markers. The goal of this review is to summarize the available neuroimaging data and examine their implication for our understanding of the neurobiology of ASD.Although there is variability in the literature on structural magnetic resonance literature (MRI), there is evidence of volume abnormalities in both grey and white matter, with a suggestion of some region-specific differences. Early brain overgrowth is probably the most replicated finding in a subgroup of people with ASD, and new techniques, such as cortical-thickness measurements and surface morphometry have begun to elucidate in more detail the patterns of abnormalities as they evolve with age, and are implicating specific neuroanatomical or neurodevelopmental processes. Functional MRI and diffusion tensor imaging techniques suggest that such volume abnormalities are associated with atypical functional and structural connectivity in the brain, and researchers have begun to use magnetic resonance spectroscopy (MRS) techniques to explore the neurochemical substrate of such abnormalities. The data from multiple imaging methods suggests that ASD is associated with an atypically connected brain. We now need to further clarify such atypicalities, and start interpreting them in the context of what we already know about typical neurodevelopmental processes including migration and organization of the cortex. Such an approach will allow us to relate imaging findings not only to behavior, but also to genes and their expression, which may be related to such processes, and to further our understanding of the nature of neurobiologic abnormalities in ASD. ###Answer 1. Changed Explanation: In Sentence A, the target word ""autism spectrum disorder"" is used to describe a specific diagnostic category for adult psychiatric out-patients. The context suggests that the term is being used to identify a group of individuals with similar symptoms and characteristics. However, in Sentence B, the target word is used in a different context, referring to a syndrome characterized by social communication deficits and repetitive behaviors or restrictive interests. The sentence suggests that the term has undergone a significant shift in meaning, from a diagnostic category to a broader syndrome definition. This change in meaning is evident in the way the term is used in a different context and with a different emphasis. Therefore, the label ""Changed"" is appropriate for this example." 23,Autism spectrum disorder,To examine the relationship between autism spectrum disorders and low body weight.,"One of the defining characteristics of autism spectrum disorder (ASD) is difficulty with language and communication.(1) Children with ASD's onset of speaking is usually delayed, and many children with ASD consistently produce language less frequently and of lower lexical and grammatical complexity than their typically developing (TD) peers.(6,8,12,23) However, children with ASD also exhibit a significant social deficit, and researchers and clinicians continue to debate the extent to which the deficits in social interaction account for or contribute to the deficits in language production.(5,14,19,25) Standardized assessments of language in children with ASD usually do include a comprehension component; however, many such comprehension tasks assess just one aspect of language (e.g., vocabulary),(5) or include a significant motor component (e.g., pointing, act-out), and/or require children to deliberately choose between a number of alternatives. These last two behaviors are known to also be challenging to children with ASD.(7,12,13,16) We present a method which can assess the language comprehension of young typically developing children (9-36 months) and children with autism.(2,4,9,11,22) This method, Portable Intermodal Preferential Looking (P-IPL), projects side-by-side video images from a laptop onto a portable screen. The video images are paired first with a 'baseline' (nondirecting) audio, and then presented again paired with a 'test' linguistic audio that matches only one of the video images. Children's eye movements while watching the video are filmed and later coded. Children who understand the linguistic audio will look more quickly to, and longer at, the video that matches the linguistic audio.(2,4,11,18,22,26) This paradigm includes a number of components that have recently been miniaturized (projector, camcorder, digitizer) to enable portability and easy setup in children's homes. This is a crucial point for assessing young children with ASD, who are frequently uncomfortable in new (e.g., laboratory) settings. Videos can be created to assess a wide range of specific components of linguistic knowledge, such as Subject-Verb-Object word order, wh-questions, and tense/aspect suffixes on verbs; videos can also assess principles of word learning such as a noun bias, a shape bias, and syntactic bootstrapping.(10,14,17,21,24) Videos include characters and speech that are visually and acoustically salient and well tolerated by children with ASD.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Autism spectrum disorder Sentence A: To examine the relationship between autism spectrum disorders and low body weight. Sentence B: One of the defining characteristics of autism spectrum disorder (ASD) is difficulty with language and communication.(1) Children with ASD's onset of speaking is usually delayed, and many children with ASD consistently produce language less frequently and of lower lexical and grammatical complexity than their typically developing (TD) peers.(6,8,12,23) However, children with ASD also exhibit a significant social deficit, and researchers and clinicians continue to debate the extent to which the deficits in social interaction account for or contribute to the deficits in language production.(5,14,19,25) Standardized assessments of language in children with ASD usually do include a comprehension component; however, many such comprehension tasks assess just one aspect of language (e.g., vocabulary),(5) or include a significant motor component (e.g., pointing, act-out), and/or require children to deliberately choose between a number of alternatives. These last two behaviors are known to also be challenging to children with ASD.(7,12,13,16) We present a method which can assess the language comprehension of young typically developing children (9-36 months) and children with autism.(2,4,9,11,22) This method, Portable Intermodal Preferential Looking (P-IPL), projects side-by-side video images from a laptop onto a portable screen. The video images are paired first with a 'baseline' (nondirecting) audio, and then presented again paired with a 'test' linguistic audio that matches only one of the video images. Children's eye movements while watching the video are filmed and later coded. Children who understand the linguistic audio will look more quickly to, and longer at, the video that matches the linguistic audio.(2,4,11,18,22,26) This paradigm includes a number of components that have recently been miniaturized (projector, camcorder, digitizer) to enable portability and easy setup in children's homes. This is a crucial point for assessing young children with ASD, who are frequently uncomfortable in new (e.g., laboratory) settings. Videos can be created to assess a wide range of specific components of linguistic knowledge, such as Subject-Verb-Object word order, wh-questions, and tense/aspect suffixes on verbs; videos can also assess principles of word learning such as a noun bias, a shape bias, and syntactic bootstrapping.(10,14,17,21,24) Videos include characters and speech that are visually and acoustically salient and well tolerated by children with ASD. ###Answer 1. Changed Reasoning: The meaning of the target word ""autism spectrum disorder"" has shifted significantly between the two timestamps. In Sentence A, the term is used to examine the relationship between low body weight and autism spectrum disorders. However, in Sentence B, the term is used to define a specific neurodevelopmental disorder characterized by difficulty with language and communication. The shift in meaning is evident in the context of the sentence, as the term is used to describe a different aspect of the disorder in each sentence. Therefore, semantic drift has occurred in the meaning of the target word." 24,Autism spectrum disorder,"The Autism Behavior Checklist (ABC) was used as a screening instrument in a study of autism spectrum disorders in a population of children with mental retardation or physical disability or both. The ABC score clearly reflected behavioural problems found in children with mental retardation and not only behaviours typical of autism. If the cut-off score used was 45 (lower than recommended by the original investigators), children with autistic disorder without multiple other disabilities were reliably identified, with an acceptable rate of false positive cases. In order not to miss other autism spectrum disorders, all cases with several omitted items in their checklists were examined in more detail. The Childhood Autism Rating Scale (CARS) distinguished reasonably well between autistic disorder and other autism spectrum disorders.","Excessive inflammation has been implicated in autism spectrum disorder (ASD), but the underlying mechanisms have not been fully studied. SHANK3 is a synaptic scaffolding protein and mutations of ","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Autism spectrum disorder Sentence A: The Autism Behavior Checklist (ABC) was used as a screening instrument in a study of autism spectrum disorders in a population of children with mental retardation or physical disability or both. The ABC score clearly reflected behavioural problems found in children with mental retardation and not only behaviours typical of autism. If the cut-off score used was 45 (lower than recommended by the original investigators), children with autistic disorder without multiple other disabilities were reliably identified, with an acceptable rate of false positive cases. In order not to miss other autism spectrum disorders, all cases with several omitted items in their checklists were examined in more detail. The Childhood Autism Rating Scale (CARS) distinguished reasonably well between autistic disorder and other autism spectrum disorders. Sentence B: Excessive inflammation has been implicated in autism spectrum disorder (ASD), but the underlying mechanisms have not been fully studied. SHANK3 is a synaptic scaffolding protein and mutations of ###Answer 1. Changed Reasoning: In Sentence A, the term ""autism spectrum disorder"" is used to refer to a specific condition characterized by behavioral problems and cognitive impairments. The sentence also mentions the use of screening instruments to identify children with autism spectrum disorders. In this context, the term ""autism"" likely carried a specific meaning related to the diagnosis and diagnosis-related concepts. In Sentence B, the term ""autism spectrum disorder"" is used in a different context, with a different emphasis. The sentence mentions ""excessive inflammation"" and ""underlying mechanisms"" related to autism spectrum disorder, suggesting a broader understanding of the term that goes beyond the specific diagnosis. The term may have taken on a more general meaning related to the disorder as a whole, rather than just its diagnosis. Based on these differences in context and emphasis, it is reasonable to conclude that the meaning of the term ""autism spectrum disorder"" has shifted over time, indicating semantic drift. The term has become more general and encompasses a broader understanding of the disorder, rather than just its diagnosis. Therefore, the label ""Changed"" is appropriate." 25,Autism spectrum disorder,"Many students with autism spectrum disorders show good decoding combined with poor comprehension. Twenty adolescent students with autism spectrum disorders participated in a study concerning the effects of three kinds of facilitation on reading comprehension. In a within-subjects design, each students read passages under four conditions: answering prereading questions, completing cloze sentences embedded in the text, resolving anaphora by identifying relevant antecedents, and control (reading only). A repeated measures analysis of variance indicated that conditions differed significantly in their effects on reading comprehension. Post hoc contrasts showed that the effects of anaphoric cuing were statistically significant and medium in size; the effects of prereading questions and cloze completion were small and not statistically significant. Instructional implications for text preparation, remedial instruction, and the design of educational software are discussed.","IMMP2L, the gene encoding the inner mitochondrial membrane peptidase subunit 2-like protein, has been reported as a candidate gene for Tourette syndrome, autism spectrum disorder (ASD) and additional neurodevelopmental disorders. Here we genotyped 100 trio families with an index proband with autism spectrum disorder in Han Chinese population and found three cases with rare exonic IMMP2L deletions. We have conducted a comprehensive meta-analysis to quantify the association of IMMP2L deletions with ASD using 5,568 cases and 10,279 controls. While the IMMP2L deletions carried non-recurrent breakpoints, in contrast to previous reports, our meta-analysis found no evidence of association (P > 0.05) between IMMP2L deletions and ASD. We also observed common exonic deletions impacting IMMP2L in a separate control (5,971 samples) cohort where subjects were screened for psychiatric conditions. This is the first systematic review and meta-analysis regarding the effect of IMMP2L deletions on ASD, but further investigations in different populations, especially Chinese population may be still needed to confirm our results.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Autism spectrum disorder Sentence A: Many students with autism spectrum disorders show good decoding combined with poor comprehension. Twenty adolescent students with autism spectrum disorders participated in a study concerning the effects of three kinds of facilitation on reading comprehension. In a within-subjects design, each students read passages under four conditions: answering prereading questions, completing cloze sentences embedded in the text, resolving anaphora by identifying relevant antecedents, and control (reading only). A repeated measures analysis of variance indicated that conditions differed significantly in their effects on reading comprehension. Post hoc contrasts showed that the effects of anaphoric cuing were statistically significant and medium in size; the effects of prereading questions and cloze completion were small and not statistically significant. Instructional implications for text preparation, remedial instruction, and the design of educational software are discussed. Sentence B: IMMP2L, the gene encoding the inner mitochondrial membrane peptidase subunit 2-like protein, has been reported as a candidate gene for Tourette syndrome, autism spectrum disorder (ASD) and additional neurodevelopmental disorders. Here we genotyped 100 trio families with an index proband with autism spectrum disorder in Han Chinese population and found three cases with rare exonic IMMP2L deletions. We have conducted a comprehensive meta-analysis to quantify the association of IMMP2L deletions with ASD using 5,568 cases and 10,279 controls. While the IMMP2L deletions carried non-recurrent breakpoints, in contrast to previous reports, our meta-analysis found no evidence of association (P > 0.05) between IMMP2L deletions and ASD. We also observed common exonic deletions impacting IMMP2L in a separate control (5,971 samples) cohort where subjects were screened for psychiatric conditions. This is the first systematic review and meta-analysis regarding the effect of IMMP2L deletions on ASD, but further investigations in different populations, especially Chinese population may be still needed to confirm our results. ###Answer 1. Changed Reasoning: The target word ""autism spectrum disorder"" has undergone a significant change in meaning between the two sentences. In Sentence A, the term is used to describe students with decoding and comprehension difficulties, while in Sentence B, it is used to describe a gene associated with Tourette syndrome and other neurodevelopmental disorders. The shift in meaning suggests that the term ""autism spectrum disorder"" has undergone semantic drift." 26,Autism spectrum disorder,"Comorbidity is the rule, not the exception, in bipolar disorder. The most common mental disorders that co-occur with bipolar disorder in community studies include anxiety, substance use, and conduct disorders. Disorders of eating, sexual behavior, attention-deficit/hyperactivity, and impulse control, as well as autism spectrum disorders and Tourette's disorder, co-occur with bipolar disorder in clinical samples. The most common general medical comorbidities are migraine, thyroid illness, obesity, type II diabetes, and cardiovascular disease. Bipolarity is a marker for comorbidity, and comorbid disorders, especially multiple conditions occurring when a patient is young, may be a marker for bipolarity. Relatively few controlled clinical studies have examined the treatment of bipolar disorder in the context of comorbid conditions (i.e., complicated or comorbid bipolar disorder). However, the first step in treating any type of complicated bipolar disorder--stabilizing a patient's mood--may be associated with improving the comorbid disorder. Standard mood stabilizers, atypical antipsychotics, and non-antimanic antiepileptic agents are emerging as potentially useful treatments for several of the disorders that frequently co-occur with bipolar disorder, and therefore may be useful treatments for comorbid bipolar disorder.","This study examined waiting times for diagnostic assessment of Autism Spectrum Disorder in 11 adult services, prior to and following the implementation of a 12 month change program. Methods to support change are reported and a multi-level modelling approach determined the effect of the change program on overall wait times. Results were statistically significant (b = - 0.25, t(136) = - 2.88, p = 0.005). The average time individuals waited for diagnosis across all services reduced from 149.4 days prior to the change program and 119.5 days after it, with an average reduction of 29.9 days overall. This innovative intervention provides a promising framework for service improvement to reduce the wait for diagnostic assessment of ASD in adults across the range of spectrum presentations.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Autism spectrum disorder Sentence A: Comorbidity is the rule, not the exception, in bipolar disorder. The most common mental disorders that co-occur with bipolar disorder in community studies include anxiety, substance use, and conduct disorders. Disorders of eating, sexual behavior, attention-deficit/hyperactivity, and impulse control, as well as autism spectrum disorders and Tourette's disorder, co-occur with bipolar disorder in clinical samples. The most common general medical comorbidities are migraine, thyroid illness, obesity, type II diabetes, and cardiovascular disease. Bipolarity is a marker for comorbidity, and comorbid disorders, especially multiple conditions occurring when a patient is young, may be a marker for bipolarity. Relatively few controlled clinical studies have examined the treatment of bipolar disorder in the context of comorbid conditions (i.e., complicated or comorbid bipolar disorder). However, the first step in treating any type of complicated bipolar disorder--stabilizing a patient's mood--may be associated with improving the comorbid disorder. Standard mood stabilizers, atypical antipsychotics, and non-antimanic antiepileptic agents are emerging as potentially useful treatments for several of the disorders that frequently co-occur with bipolar disorder, and therefore may be useful treatments for comorbid bipolar disorder. Sentence B: This study examined waiting times for diagnostic assessment of Autism Spectrum Disorder in 11 adult services, prior to and following the implementation of a 12 month change program. Methods to support change are reported and a multi-level modelling approach determined the effect of the change program on overall wait times. Results were statistically significant (b = - 0.25, t(136) = - 2.88, p = 0.005). The average time individuals waited for diagnosis across all services reduced from 149.4 days prior to the change program and 119.5 days after it, with an average reduction of 29.9 days overall. This innovative intervention provides a promising framework for service improvement to reduce the wait for diagnostic assessment of ASD in adults across the range of spectrum presentations. ###Answer 1. Changed Explanation: In Sentence A, the term ""Autism Spectrum Disorder"" (ASD) is used in the context of comorbid conditions with bipolar disorder. The sentence highlights the prevalence of co-occurring conditions with bipolar disorder, including anxiety, substance use, and conduct disorders, as well as ASD and Tourette's disorder. However, the term ""Autism Spectrum Disorder"" is not associated with any particular connotation or nuance in this sentence. In Sentence B, the term ""Autism Spectrum Disorder"" is used in the context of a study examining waiting times for diagnostic assessment. The sentence emphasizes the impact of a change program on reducing wait times for ASD diagnosis. The term ""Autism Spectrum Disorder"" is associated with a more specific and nuanced meaning in this sentence, as it refers to a specific diagnosis with a range of spectrum presentations. Based on these contexts, it is clear that the meaning of ""Autism Spectrum Disorder"" has shifted significantly between Sentence A and Sentence B. In Sentence A, the term is used more broadly to describe comorbid conditions with bipolar disorder, while in Sentence B, it is used more specifically to refer to a specific diagnosis with a range of presentation. Therefore, the label ""Changed"" is appropriate to indicate that the meaning of ""Autism Spectrum Disorder"" has shifted significantly between these two sentences." 27,Autism spectrum disorder,"Providing intensive early intervention is critical to maximizing outcomes for children with autism spectrum disorder (ASD), and evidence suggests that the earlier intervention can begin, the better the outcome. The first purpose of this article is to review the earliest indicators of ASD in very young children-social and communication impairments-which have important implications for early identification. The second purpose is to review evidence-based intervention practices for children with ASD and to develop a set of guiding principles for providing intervention for infants and toddlers who are at risk for ASD. Issues that are delineated include providing intervention in natural environments, supporting families in early intervention, and embedding intervention in daily routines.","Autism spectrum disorder (ASD) is characterized by core sociocommunicative impairments. Atypical intrinsic functional connectivity (iFC) has been reported in numerous studies of ASD. A majority of findings has indicated long-distance underconnectivity. However, fMRI studies have thus far exclusively examined static iFC across several minutes of scanning. We examined temporal variability of iFC, using sliding window analyses in selected high-quality (low-motion) consortium datasets from 76 ASD and 76 matched typically developing (TD) participants (Study 1) and in-house data from 32 ASD and 32 TD participants. Mean iFC and standard deviation of the sliding window correlation (SD-iFC) were computed for regions of interest (ROIs) from default mode and salience networks, as well as amygdala and thalamus. In both studies, ROI pairings with significant underconnectivity (ASD or = 11 repeats) were transmitted more often than expected to affected children (S = 43, E(S) = 34.5, P = 0.035); this was particularly the case for the 13-repeat RELN allele (S = 22, E(S) = 16, P = 0.034). Affected sib-pair (ASP) analysis found no evidence of excess sharing of RELN alleles in affected siblings. The impact of genotypes with large alleles (> or = 11 repeats) on the phenotypes in individuals with ASD was analyzed by ANOVA in a subset of the families for which results of the Autism Diagnostic Interview-Revised were available. Children with large RELN alleles did not show any difference in scores for questions related to the core symptoms of autistic disorder, but there was a tendency for children with at least one large RELN allele to have an earlier age at first phrase (chi(2) = 3.538, P = 0.06). Thus, although the case-control and affected sib-pair findings did not support a role for RELN in susceptibility to ASD, the more powerful family-based association study demonstrated that RELN alleles with larger numbers of CGG repeats may play a role in the etiology of some cases of ASD, especially in children without delayed phrase speech.","This study was performed to determine (a) the age at which autism spectrum disorder (ASD) is first diagnosed in Ugandan children receiving mental health services, (b) whether age at diagnosis varies by sex and clinical presentation, and (c) the average age of ASD diagnosis in children manifesting comorbid conditions. A retrospective chart review was performed and demographic as well as clinical data were collected from children with ASD diagnoses who attended two mental health clinics in Uganda between 2014 and 2019. Descriptive statistics such as percentages, means, and standard deviations were used to summarize the data. Independent t-test was also performed to determine differences in the mean age of diagnosis between males and females. Two hundred and thirty-seven (156 males, 81 females) children with ASD were identified. The average age of ASD diagnosis was (6.9 ± 4.0) years. A statistically significant difference in age of ASD diagnosis was found between males and females (t = -2.106, p = 0.036), such that on average females received a diagnosis at least 1 year later than males. Of the 237 participants, 53.6% were identified with ASD only, 16.0% had ASD and ADHD, 10.5% were diagnosed with ASD and epilepsy, and 7.2% had a diagnosis of complex ASD. The results confirm delays in access to ASD diagnosis and suggest that females are more likely to receive a ASD diagnosis later than males within the Ugandan context. ASD awareness should be intensified to improve public or professional knowledge about ASD to enhance early identification in Uganda.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Autism spectrum disorder Sentence A: A polymorphic trinucleotide repeat (CGG/GCC) within the human Reelin gene (RELN) was examined as a candidate gene for autism spectrum disorders (ASDs). This gene encodes a large extracellular matrix protein that orchestrates neuronal positioning during corticogenesis. The CGG-repeat within the 5' untranslated region of RELN exon 1 was examined in 126 multiple-incidence families. The number of CGG repeats varied from three to 16 in affected individuals and controls, with no expansion or contraction observed during maternal (n = 291) or paternal (n = 287) transmissions in families with autistic probands. Although the frequencies of the RELN alleles and genotypes in affected children were not different from those in the comparison group, a family-based association test (FBAT) showed that the larger RELN alleles (> or = 11 repeats) were transmitted more often than expected to affected children (S = 43, E(S) = 34.5, P = 0.035); this was particularly the case for the 13-repeat RELN allele (S = 22, E(S) = 16, P = 0.034). Affected sib-pair (ASP) analysis found no evidence of excess sharing of RELN alleles in affected siblings. The impact of genotypes with large alleles (> or = 11 repeats) on the phenotypes in individuals with ASD was analyzed by ANOVA in a subset of the families for which results of the Autism Diagnostic Interview-Revised were available. Children with large RELN alleles did not show any difference in scores for questions related to the core symptoms of autistic disorder, but there was a tendency for children with at least one large RELN allele to have an earlier age at first phrase (chi(2) = 3.538, P = 0.06). Thus, although the case-control and affected sib-pair findings did not support a role for RELN in susceptibility to ASD, the more powerful family-based association study demonstrated that RELN alleles with larger numbers of CGG repeats may play a role in the etiology of some cases of ASD, especially in children without delayed phrase speech. Sentence B: This study was performed to determine (a) the age at which autism spectrum disorder (ASD) is first diagnosed in Ugandan children receiving mental health services, (b) whether age at diagnosis varies by sex and clinical presentation, and (c) the average age of ASD diagnosis in children manifesting comorbid conditions. A retrospective chart review was performed and demographic as well as clinical data were collected from children with ASD diagnoses who attended two mental health clinics in Uganda between 2014 and 2019. Descriptive statistics such as percentages, means, and standard deviations were used to summarize the data. Independent t-test was also performed to determine differences in the mean age of diagnosis between males and females. Two hundred and thirty-seven (156 males, 81 females) children with ASD were identified. The average age of ASD diagnosis was (6.9 ± 4.0) years. A statistically significant difference in age of ASD diagnosis was found between males and females (t = -2.106, p = 0.036), such that on average females received a diagnosis at least 1 year later than males. Of the 237 participants, 53.6% were identified with ASD only, 16.0% had ASD and ADHD, 10.5% were diagnosed with ASD and epilepsy, and 7.2% had a diagnosis of complex ASD. The results confirm delays in access to ASD diagnosis and suggest that females are more likely to receive a ASD diagnosis later than males within the Ugandan context. ASD awareness should be intensified to improve public or professional knowledge about ASD to enhance early identification in Uganda. ###Answer 1. Changed Reasoning: The target word ""Autism spectrum disorder"" has undergone significant semantic drift between the two sentences. In Sentence A, the term is used in the context of a genetic study examining the relationship between the Reelin gene and autism spectrum disorder. The sentence highlights the importance of the gene in the etiology of the disorder and mentions the number of CGG repeats within the gene. In contrast, Sentence B is focused on the age of diagnosis of autism spectrum disorder in Ugandan children, and the term is used in the context of a retrospective chart review. The sentence highlights the delay in access to diagnosis and the difference in age of diagnosis between males and females. In Sentence A, the term ""Autism spectrum disorder"" is used in a clinical and scientific context, emphasizing its relationship to genetics and the etiology of the disorder. In contrast, in Sentence B, the term is used in a more general context, highlighting the delay in diagnosis and the difference in age of diagnosis between males and females. The term is used differently in each sentence, indicating a change in its semantic meaning over time. Therefore, the label ""Changed"" is appropriate for this target word." 34,Autism spectrum disorder,"Children with autism have an increased risk for obstetric complications but it is not known whether these are of primary aetiological significance. It is also unclear whether obstetric complications play a secondary role in shaping phenotypic expression in individuals at genetic risk for autism. We investigated this question by studying the role of obstetric complications in determining phenotypic manifestations in tuberous sclerosis, a single gene disorder frequently associated with autism spectrum disorders. Obstetric histories of 43 children with non-familial TS and 40 unaffected siblings were obtained using a structured parent interview. ADI-R, ADOS-G and IQ evaluations were undertaken. Children with TS experienced more obstetric complications than their unaffected siblings, but these were related to mild rather than severe adversities. No differences in obstetric complications were found in children with and without autism spectrum disorders and there was no positive correlation between obstetric adversities and severity of autism spectrum disorders or intellectual impairments.","Schizophrenia (SZ) is a devastating brain disease that affects about 1% of world population. Among the top genetic associations, zinc finger protein 804A (ZNF804A) gene encodes a zinc finger protein, associated with SZ and biolar disorder (BD). Copy number variants (CNVs) of ZNF804A have been observed in patients with autism spectrum disorders (ASDs), anxiety disorder, and BD, suggesting that ZNF804A is a dosage sensitive gene for brain development. However, its molecular functions have not been fully determined. Our previous interactomic study revealed that ZNF804A interacts with multiple proteins to control protein translation and neural development. ZNF804A is localized in the cytoplasm and neurites in the human cortex and is expressed in various types of neurons, including pyramidal, dopaminergic, GABAergic, and Purkinje neurons in mouse brain. To further examine the effect of gene dosage of ZNF804A on neurite morphology, both knockdown and overexpression of ZNF804A in primary neuronal cells significantly attenuate dendritic complex and spine formation. To determine the factors mediating these phenotypes, interestingly, three binding proteins of ZNF804A, galectin 1 (LGALS1), fasciculation and elongation protein zeta 1 (FEZ1) and ribosomal protein SA (RPSA), show different effects on reversing the deficits. LGALS1 and FEZ1 stimulate neurite outgrowth at basal level but RPSA shows no effect. Intriguingly, LGALS1 but not FEZ1, reverses the neurite outgrowth deficits induced by ZNF804A knockdown. However, FEZ1 and RPSA but not LGALS1, can ameliorate ZNF804A overexpression-mediated dendritic abnormalities. Thus, our results uncover a critical post-mitotic role of ZNF804A in neurite and synaptic development relevant to neurodevelopmental pathologies.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Autism spectrum disorder Sentence A: Children with autism have an increased risk for obstetric complications but it is not known whether these are of primary aetiological significance. It is also unclear whether obstetric complications play a secondary role in shaping phenotypic expression in individuals at genetic risk for autism. We investigated this question by studying the role of obstetric complications in determining phenotypic manifestations in tuberous sclerosis, a single gene disorder frequently associated with autism spectrum disorders. Obstetric histories of 43 children with non-familial TS and 40 unaffected siblings were obtained using a structured parent interview. ADI-R, ADOS-G and IQ evaluations were undertaken. Children with TS experienced more obstetric complications than their unaffected siblings, but these were related to mild rather than severe adversities. No differences in obstetric complications were found in children with and without autism spectrum disorders and there was no positive correlation between obstetric adversities and severity of autism spectrum disorders or intellectual impairments. Sentence B: Schizophrenia (SZ) is a devastating brain disease that affects about 1% of world population. Among the top genetic associations, zinc finger protein 804A (ZNF804A) gene encodes a zinc finger protein, associated with SZ and biolar disorder (BD). Copy number variants (CNVs) of ZNF804A have been observed in patients with autism spectrum disorders (ASDs), anxiety disorder, and BD, suggesting that ZNF804A is a dosage sensitive gene for brain development. However, its molecular functions have not been fully determined. Our previous interactomic study revealed that ZNF804A interacts with multiple proteins to control protein translation and neural development. ZNF804A is localized in the cytoplasm and neurites in the human cortex and is expressed in various types of neurons, including pyramidal, dopaminergic, GABAergic, and Purkinje neurons in mouse brain. To further examine the effect of gene dosage of ZNF804A on neurite morphology, both knockdown and overexpression of ZNF804A in primary neuronal cells significantly attenuate dendritic complex and spine formation. To determine the factors mediating these phenotypes, interestingly, three binding proteins of ZNF804A, galectin 1 (LGALS1), fasciculation and elongation protein zeta 1 (FEZ1) and ribosomal protein SA (RPSA), show different effects on reversing the deficits. LGALS1 and FEZ1 stimulate neurite outgrowth at basal level but RPSA shows no effect. Intriguingly, LGALS1 but not FEZ1, reverses the neurite outgrowth deficits induced by ZNF804A knockdown. However, FEZ1 and RPSA but not LGALS1, can ameliorate ZNF804A overexpression-mediated dendritic abnormalities. Thus, our results uncover a critical post-mitotic role of ZNF804A in neurite and synaptic development relevant to neurodevelopmental pathologies. ###Answer 1. Changed Reasoning: The target word ""Autism spectrum disorder"" has undergone a significant change in meaning between the two sentences. In Sentence A, the term ""autism spectrum disorder"" is used to describe a condition with an increased risk of obstetric complications, but without any mention of the disorder's core symptoms. In Sentence B, the term is used to describe a specific genetic association with schizophrenia and other neurodevelopmental disorders, with a focus on the molecular functions of the ZNF804A gene. The shift in meaning suggests that the term ""autism spectrum disorder"" has undergone semantic drift and now encompasses a broader range of concepts." 35,Autism spectrum disorder,"Autism is a developmental disease usually manifesting within the first three years of life. To date, no causative agent has been found. Similarly, treatment options have been limited. Of the treatment options available, a number of them have been nutritionally based in an attempt to address one or more of the theories regarding the etiology of the disease. An example would be enzyme therapy for the digestion of purported offending neuroactive peptides collectively known as exorphins. This paper discusses the exorphin theory of autism and subsequent treatment with dietary enzyme therapy. Novel data are presented in support of the theory that enzymes play a critical role in autism. Forty-six patients between the ages of 5 and 31 were selected for inclusion in the study based on a diagnosis placing them in the category of the autism spectrum disorders (ASD). The diets were supplemented with a novel dietary enzyme formulation, ENZYMAID, for a period of 12 weeks. Progress was tracked according to the Symptom Outcome Survey (SOS) (1) form method of symptom charting and presented in a table for further analysis. The novel enzyme formula, ENZYMAID, beneficially and safely affected all 13 of the parameters measured. Improvements ranged from 50-90%, depending on the parameter measured. Enzyme therapy to treat ASD may indeed a viable option in treatment protocols. These results indicate that further controlled studies are warranted.","Autism is a neurodevelopmental disorder for which the cause and treatment have yet not been determined. The polyunsaturated fatty acid (PUFA) levels change rapidly in the blood or cerebrospinal fluid of autistic children and PUFAs are closely related to autism spectrum disorder (ASD). This finding suggests that changes in lipid metabolism are associated with ASD and result in an altered distribution of phospholipids in cell membranes. To further understand ASD, it is necessary to analyze phospholipids in organs consisting of nerve cells, such as the brain. In this study, we investigated the phospholipid distribution in the brain tissue of valproic acid-induced autistic mice using matrix-assisted laser desorption/ionization mass spectrometry imaging (MALDI-MSI). Phospholipids including phosphatidylcholine, phosphatidylethanolamine, and phosphatidylserine were identified in each brain region and exhibited differences between the ASD and control groups. These phospholipids contain docosahexaenoic acid and arachidonic acid, which are important PUFAs for cell signaling and brain growth. We expect that the differences in phospholipids identified in the brain tissue of the ASD model with MALDI-MSI, in conjunction with conventional biological fluid analysis, will help to better understand changes in lipid metabolism in ASD.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Autism spectrum disorder Sentence A: Autism is a developmental disease usually manifesting within the first three years of life. To date, no causative agent has been found. Similarly, treatment options have been limited. Of the treatment options available, a number of them have been nutritionally based in an attempt to address one or more of the theories regarding the etiology of the disease. An example would be enzyme therapy for the digestion of purported offending neuroactive peptides collectively known as exorphins. This paper discusses the exorphin theory of autism and subsequent treatment with dietary enzyme therapy. Novel data are presented in support of the theory that enzymes play a critical role in autism. Forty-six patients between the ages of 5 and 31 were selected for inclusion in the study based on a diagnosis placing them in the category of the autism spectrum disorders (ASD). The diets were supplemented with a novel dietary enzyme formulation, ENZYMAID, for a period of 12 weeks. Progress was tracked according to the Symptom Outcome Survey (SOS) (1) form method of symptom charting and presented in a table for further analysis. The novel enzyme formula, ENZYMAID, beneficially and safely affected all 13 of the parameters measured. Improvements ranged from 50-90%, depending on the parameter measured. Enzyme therapy to treat ASD may indeed a viable option in treatment protocols. These results indicate that further controlled studies are warranted. Sentence B: Autism is a neurodevelopmental disorder for which the cause and treatment have yet not been determined. The polyunsaturated fatty acid (PUFA) levels change rapidly in the blood or cerebrospinal fluid of autistic children and PUFAs are closely related to autism spectrum disorder (ASD). This finding suggests that changes in lipid metabolism are associated with ASD and result in an altered distribution of phospholipids in cell membranes. To further understand ASD, it is necessary to analyze phospholipids in organs consisting of nerve cells, such as the brain. In this study, we investigated the phospholipid distribution in the brain tissue of valproic acid-induced autistic mice using matrix-assisted laser desorption/ionization mass spectrometry imaging (MALDI-MSI). Phospholipids including phosphatidylcholine, phosphatidylethanolamine, and phosphatidylserine were identified in each brain region and exhibited differences between the ASD and control groups. These phospholipids contain docosahexaenoic acid and arachidonic acid, which are important PUFAs for cell signaling and brain growth. We expect that the differences in phospholipids identified in the brain tissue of the ASD model with MALDI-MSI, in conjunction with conventional biological fluid analysis, will help to better understand changes in lipid metabolism in ASD. ###Answer 1. Changed Reasoning: In Sentence A, the term ""developmental disease"" is used to describe autism, implying a more linear and predictable progression of symptoms. Additionally, the sentence highlights the lack of a causative agent, suggesting a more mysterious and unpredictable nature of the disorder. In contrast, Sentence B uses the term ""neurodevelopmental disorder,"" which emphasizes the complex interplay between genetic and environmental factors in the development of the disorder. The sentence also highlights the role of polyunsaturated fatty acids (PUFAs) in the disorder, suggesting a more understood and potentially treatable aspect of the disorder. Overall, the language used in Sentence B suggests a more nuanced understanding of autism and its underlying causes, indicating a significant shift in the semantic drift of the term over time." 36,Autism spectrum disorder,"This article describes the symptoms of autism spectrum disorders (ASD) manifested by 405 individuals between the ages of 10 and 53 years, all of whom had an ASD diagnosis. Data were collected using the Autism Diagnostic Interview-Revised (ADI-R) to assess the pattern of autism symptoms in adolescence and adulthood. Findings include that although virtually all sample members met the criteria for Autistic Disorder earlier in their childhood, just over half (54.8%) would have met autism criteria if current scores were used to complete the diagnostic algorithm; that adolescents were more likely to improve in the Reciprocal Social Interaction domain than the adults, whereas the adults were more likely to improve in the Restricted, Repetitive Behaviors and Interests domain, and there were no differences in severity of symptoms between cohorts in the Communication domain; and that individual symptoms showed unique trajectories, with greatest symptom abatement between lifetime and current ADI-R ratings for speaking in at least three-word phrases and the least symptom improvement for having friendships. Findings were interpreted in the context of life course development, reformulations of diagnostic criteria, and changing service contexts for individuals with autism spectrum disorders.","An altered pattern of information processing has been hypothesized in autism spectrum disorder (ASD), characterized by enhanced local network connectivity and reduced long-distance communication. Previous findings of impaired white matter integrity in the genu and the body of the corpus callosum already indicated reduced long-distance connectivity in patients with ASD. However, it remained unclear how this reduced white matter integrity affects the structural connectivity of the corresponding brain areas. To this end, we analyzed magnetic resonance images (MRI) from 30 participants with high-functioning ASD and 30 typically developed individuals using a global tracking approach to estimate the fiber count and volume of the transcallosal fiber tracts of the five corpus callosum subsections. A reduced fiber count and fiber volume in the anterior subsection of the corpus callosum was detected, supporting the hypothesis of reduced long-distance connectivity in ASD.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Autism spectrum disorder Sentence A: This article describes the symptoms of autism spectrum disorders (ASD) manifested by 405 individuals between the ages of 10 and 53 years, all of whom had an ASD diagnosis. Data were collected using the Autism Diagnostic Interview-Revised (ADI-R) to assess the pattern of autism symptoms in adolescence and adulthood. Findings include that although virtually all sample members met the criteria for Autistic Disorder earlier in their childhood, just over half (54.8%) would have met autism criteria if current scores were used to complete the diagnostic algorithm; that adolescents were more likely to improve in the Reciprocal Social Interaction domain than the adults, whereas the adults were more likely to improve in the Restricted, Repetitive Behaviors and Interests domain, and there were no differences in severity of symptoms between cohorts in the Communication domain; and that individual symptoms showed unique trajectories, with greatest symptom abatement between lifetime and current ADI-R ratings for speaking in at least three-word phrases and the least symptom improvement for having friendships. Findings were interpreted in the context of life course development, reformulations of diagnostic criteria, and changing service contexts for individuals with autism spectrum disorders. Sentence B: An altered pattern of information processing has been hypothesized in autism spectrum disorder (ASD), characterized by enhanced local network connectivity and reduced long-distance communication. Previous findings of impaired white matter integrity in the genu and the body of the corpus callosum already indicated reduced long-distance connectivity in patients with ASD. However, it remained unclear how this reduced white matter integrity affects the structural connectivity of the corresponding brain areas. To this end, we analyzed magnetic resonance images (MRI) from 30 participants with high-functioning ASD and 30 typically developed individuals using a global tracking approach to estimate the fiber count and volume of the transcallosal fiber tracts of the five corpus callosum subsections. A reduced fiber count and fiber volume in the anterior subsection of the corpus callosum was detected, supporting the hypothesis of reduced long-distance connectivity in ASD. ###Answer 1. Changed Explanation: In Sentence A, the term ""Autistic Disorder"" is used, which was the diagnostic term used in the DSM-IV (Diagnostic and Statistical Manual of Mental Disorders, 4th Edition) published in 1994. This term is no longer used in the current DSM-5 (Diagnostic and Statistical Manual of Mental Disorders, 5th Edition) published in 2013, and instead the term ""Autism Spectrum Disorder"" is used. Therefore, the semantic drift label ""Changed"" is appropriate, as the meaning of the term has shifted over time. In Sentence B, the term ""autism spectrum disorder"" is used, which is the current diagnostic term used in the DSM-5. This sentence provides more information about the structural connectivity of the brain in individuals with autism spectrum disorder, using MRI data. The term ""autism spectrum disorder"" is used consistently throughout the sentence, indicating that the meaning of the term has not changed significantly over time. Therefore, the semantic drift label ""Unchanged"" is appropriate." 37,Autism spectrum disorder,"The Nisonger Child Behavior Rating Form (NCBRF) is a behavior rating scale designed for children and adolescents with mental retardation. The purpose of this study was to explore the psychometric properties of the NCBRF in a sample of 330 children and adolescents with autism spectrum disorders (ASDs). Parent and teacher ratings were independently submitted to both exploratory and confirmatory factor analysis. As reported with the original validation study, parent and teacher versions shared similar but somewhat different factor structures. Social competence items showed more similarity with the original solutions than did problem behavior items. Problem behavior items were distributed into a somewhat simpler five-factor solution for both rating forms. Self-injurious and stereotypic items loaded on two distinct subscales for the teacher form, but not on the parent form. Factor loadings and internal consistencies were generally lower than those reported for the original versions but still within the acceptable range. Confirmatory factor analyses indicated good fits for the social competence items and acceptable fits for the problem behavior items. Overall, results supported the construct validity of the NCBRF in children and adolescents with ASDs.","Neurodevelopmental disorders, including autism spectrum disorder, have been intensively investigated at the neural, cognitive, and behavioral levels, but the accumulated knowledge remains fragmented. In particular, developmental learning aspects of symptoms and interactions with the physical environment remain largely unexplored in computational modeling studies, although a leading computational theory has posited associations between psychiatric symptoms and an unusual estimation of information uncertainty (precision), which is an essential aspect of the real world and is estimated through learning processes. Here, we propose a mechanistic explanation that unifies the disparate observations ","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Autism spectrum disorder Sentence A: The Nisonger Child Behavior Rating Form (NCBRF) is a behavior rating scale designed for children and adolescents with mental retardation. The purpose of this study was to explore the psychometric properties of the NCBRF in a sample of 330 children and adolescents with autism spectrum disorders (ASDs). Parent and teacher ratings were independently submitted to both exploratory and confirmatory factor analysis. As reported with the original validation study, parent and teacher versions shared similar but somewhat different factor structures. Social competence items showed more similarity with the original solutions than did problem behavior items. Problem behavior items were distributed into a somewhat simpler five-factor solution for both rating forms. Self-injurious and stereotypic items loaded on two distinct subscales for the teacher form, but not on the parent form. Factor loadings and internal consistencies were generally lower than those reported for the original versions but still within the acceptable range. Confirmatory factor analyses indicated good fits for the social competence items and acceptable fits for the problem behavior items. Overall, results supported the construct validity of the NCBRF in children and adolescents with ASDs. Sentence B: Neurodevelopmental disorders, including autism spectrum disorder, have been intensively investigated at the neural, cognitive, and behavioral levels, but the accumulated knowledge remains fragmented. In particular, developmental learning aspects of symptoms and interactions with the physical environment remain largely unexplored in computational modeling studies, although a leading computational theory has posited associations between psychiatric symptoms and an unusual estimation of information uncertainty (precision), which is an essential aspect of the real world and is estimated through learning processes. Here, we propose a mechanistic explanation that unifies the disparate observations ###Answer 1. Changed Reasoning: In Sentence A, the term ""autism spectrum disorder"" (ASD) is used to refer to a specific neurodevelopmental disorder characterized by difficulties in social interaction and communication. The sentence highlights the construct validity of a behavior rating scale, NCBRF, in children and adolescents with ASDs. In Sentence B, the term ""autism spectrum disorder"" is used in a different context, to refer to a broader range of neurodevelopmental disorders, including those that are not necessarily characterized by difficulties in social interaction and communication. The sentence discusses the fragmented nature of the accumulated knowledge in this field and proposes a mechanistic explanation that unifies the disparate observations. Therefore, the meaning of the term ""autism spectrum disorder"" has shifted from a specific disorder to a broader category of disorders, indicating semantic drift." 38,Autism spectrum disorder,"The hypothesis of an immune dysfunction in autism spectrum disorders has previously been put forward without, however, compelling evidence of a direct relation to its etiology or pathogenesis. To further understand if autoimmunity could play a significant role in autism, we analyzed autoantibody repertoires to brain tissue extract in the plasma of 171 autism children, their parents, and 54 controls, by quantitative immunoblotting. Multiparametric analysis revealed significant differences between patients and controls, and showed that one single reactivity in Section 32 of the blot had the most power to discriminate between these samples. Family correlation coefficients and heritability estimates did not provide any evidence that this reactivity was genetically determined. While the molecular weight of the target protein suggested that it might be an isoform of Myelin Basic Protein (MBP), inhibition assays with human MBP argued against this hypothesis. The study evidences the widespread occurrence of autoreactivities to brain tissue in autism patients, which may represent the immune system's neuroprotective response to a previous brain injury occurred during neurodevelopment. The molecular identification of the target protein in Section 32 will contribute to the understanding of the role of immune responses against brain antigens in autistic patients.","This article addresses the issue of integration of routine screening for autism spectrum disorder (ASD) in pediatric primary care. The relationship between screening and patient outcome is discussed. The ASD screening recommendations of the American Academy of Pediatrics and practical issues associated with their application are then reviewed. Finally, data from a pilot project to prepare nurses to conduct ASD screening during routine pediatric health visits are presented. The authors discuss the role of nurses in establishing systems within pediatric primary care to identify and refer children at risk for ASD.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Autism spectrum disorder Sentence A: The hypothesis of an immune dysfunction in autism spectrum disorders has previously been put forward without, however, compelling evidence of a direct relation to its etiology or pathogenesis. To further understand if autoimmunity could play a significant role in autism, we analyzed autoantibody repertoires to brain tissue extract in the plasma of 171 autism children, their parents, and 54 controls, by quantitative immunoblotting. Multiparametric analysis revealed significant differences between patients and controls, and showed that one single reactivity in Section 32 of the blot had the most power to discriminate between these samples. Family correlation coefficients and heritability estimates did not provide any evidence that this reactivity was genetically determined. While the molecular weight of the target protein suggested that it might be an isoform of Myelin Basic Protein (MBP), inhibition assays with human MBP argued against this hypothesis. The study evidences the widespread occurrence of autoreactivities to brain tissue in autism patients, which may represent the immune system's neuroprotective response to a previous brain injury occurred during neurodevelopment. The molecular identification of the target protein in Section 32 will contribute to the understanding of the role of immune responses against brain antigens in autistic patients. Sentence B: This article addresses the issue of integration of routine screening for autism spectrum disorder (ASD) in pediatric primary care. The relationship between screening and patient outcome is discussed. The ASD screening recommendations of the American Academy of Pediatrics and practical issues associated with their application are then reviewed. Finally, data from a pilot project to prepare nurses to conduct ASD screening during routine pediatric health visits are presented. The authors discuss the role of nurses in establishing systems within pediatric primary care to identify and refer children at risk for ASD. ###Answer 1. Changed Reasoning: In Sentence A, the target word ""autism spectrum disorder"" is used to refer to a specific neurodevelopmental disorder characterized by a range of symptoms including social and communication impairments. The sentence also highlights the immune system's response to a potential brain injury during neurodevelopment, which may contribute to the development of the disorder. In Sentence B, the target word ""autism spectrum disorder"" is used in a different context to refer to a screening process for identifying children at risk of developing the disorder. The sentence highlights the importance of integration of routine screening in pediatric primary care and the role of nurses in establishing systems to identify and refer children at risk. Based on these contexts, it is clear that the meaning of the target word has shifted significantly between the two sentences. In Sentence A, the word is associated with a specific disorder and its etiology, while in Sentence B, it is associated with a screening process and early identification of at-risk children. Therefore, I would label the target word as having undergone semantic drift and change its meaning." 39,Autism spectrum disorder,"Until recently best estimate prevalence rates for autism spectrum disorders (ASD) were 0.5/1,000 for autism and 2.0/1,000 for the broader spectrum. Three recent studies have suggested a significantly higher prevalence rate for ASD of 6.0/1,000 (mean 95 % CI = 4.8-8.0).","Understanding how neurons of the striatum are formed and integrate into complex synaptic circuits is essential to provide insight into striatal function in health and disease. In this review, we summarize our current understanding of the development of striatal neurons and associated circuits with a focus on their embryonic origin. Specifically, we address the role of distinct types of embryonic progenitors, found in the proliferative zones of the ganglionic eminences in the ventral telencephalon, in the generation of diverse striatal interneurons and projection neurons. Indeed, recent evidence would suggest that embryonic progenitor origin dictates key characteristics of postnatal cells, including their neurochemical content, their location within striatum, and their long-range synaptic inputs. We also integrate recent observations regarding embryonic progenitors in cortical and other regions and discuss how this might inform future research on the ganglionic eminences. Last, we examine how embryonic progenitor dysfunction can alter striatal formation, as exemplified in Huntington's disease and autism spectrum disorder, and how increased understanding of embryonic progenitors can have significant implications for future research directions and the development of improved therapeutic options.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Autism spectrum disorder Sentence A: Until recently best estimate prevalence rates for autism spectrum disorders (ASD) were 0.5/1,000 for autism and 2.0/1,000 for the broader spectrum. Three recent studies have suggested a significantly higher prevalence rate for ASD of 6.0/1,000 (mean 95 % CI = 4.8-8.0). Sentence B: Understanding how neurons of the striatum are formed and integrate into complex synaptic circuits is essential to provide insight into striatal function in health and disease. In this review, we summarize our current understanding of the development of striatal neurons and associated circuits with a focus on their embryonic origin. Specifically, we address the role of distinct types of embryonic progenitors, found in the proliferative zones of the ganglionic eminences in the ventral telencephalon, in the generation of diverse striatal interneurons and projection neurons. Indeed, recent evidence would suggest that embryonic progenitor origin dictates key characteristics of postnatal cells, including their neurochemical content, their location within striatum, and their long-range synaptic inputs. We also integrate recent observations regarding embryonic progenitors in cortical and other regions and discuss how this might inform future research on the ganglionic eminences. Last, we examine how embryonic progenitor dysfunction can alter striatal formation, as exemplified in Huntington's disease and autism spectrum disorder, and how increased understanding of embryonic progenitors can have significant implications for future research directions and the development of improved therapeutic options. ###Answer 1. Changed The target word ""autism spectrum disorder"" has undergone a significant change in meaning between the two sentences. In Sentence A, the term is used to describe a relatively rare condition with a prevalence rate of 0.5/1,000, while in Sentence B, it is used to describe a broader range of neurodevelopmental disorders with a prevalence rate of 6.0/1,000. The shift in meaning reflects changes in diagnostic criteria and the expanding understanding of the autism spectrum over time." 40,Autism spectrum disorder,"To investigate whether specific ""social communication"" handicaps could be identified in autism spectrum disorder using the Autism Diagnostic Observation Schedule and to compare the results with those found in a previous factor-analysis study using the Autism Diagnostic Interview-Revised.",Younger siblings of children with autism spectrum disorders (ASD) are at higher risk for acquiring these disorders than the general population. Language development is usually delayed in children with ASD. The present study examines the development of pre-speech vocal behavior in infants at risk for ASD due to the presence of an older sibling with the disorder.,"###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Autism spectrum disorder Sentence A: To investigate whether specific ""social communication"" handicaps could be identified in autism spectrum disorder using the Autism Diagnostic Observation Schedule and to compare the results with those found in a previous factor-analysis study using the Autism Diagnostic Interview-Revised. Sentence B: Younger siblings of children with autism spectrum disorders (ASD) are at higher risk for acquiring these disorders than the general population. Language development is usually delayed in children with ASD. The present study examines the development of pre-speech vocal behavior in infants at risk for ASD due to the presence of an older sibling with the disorder. ###Answer 1. Changed Reasoning: In Sentence A, the target word ""autism spectrum disorder"" is used in the context of a specific diagnostic tool, the Autism Diagnostic Observation Schedule, to identify ""social communication"" handicaps. This usage suggests a focus on the clinical and diagnostic aspects of the disorder. In Sentence B, the target word ""autism spectrum disorder"" is used in a different context, to describe the risk of younger siblings of children with ASD acquiring the disorder. This usage suggests a focus on the epidemiological and demographic aspects of the disorder. The difference in context and meaning between the two sentences indicates that the target word has undergone a significant change in meaning or connotation between the two timestamps. Therefore, the label ""Changed"" is appropriate." 41,Autism spectrum disorder,"Children with autism spectrum disorder (ASD) frequently reveal various gastrointestinal (GI) symptoms that may resolve with an elimination diet along with apparent improvement of some of the behavioral symptoms. Evidence suggests that ASD may be accompanied by aberrant (inflammatory) innate immune responses. This may predispose ASD children to sensitization to common dietary proteins (DP), leading to GI inflammation and aggravation of some behavioral symptoms.","Autism spectrum disorder (ASD) is a neurodevelopmental condition that affects young children in social relatedness and communication besides other characteristics. A community's awareness and early intervention services in diagnosing and treating autistic children are essential for preventing the expected complications, eg language delay, social interaction, and intellectual ability.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Autism spectrum disorder Sentence A: Children with autism spectrum disorder (ASD) frequently reveal various gastrointestinal (GI) symptoms that may resolve with an elimination diet along with apparent improvement of some of the behavioral symptoms. Evidence suggests that ASD may be accompanied by aberrant (inflammatory) innate immune responses. This may predispose ASD children to sensitization to common dietary proteins (DP), leading to GI inflammation and aggravation of some behavioral symptoms. Sentence B: Autism spectrum disorder (ASD) is a neurodevelopmental condition that affects young children in social relatedness and communication besides other characteristics. A community's awareness and early intervention services in diagnosing and treating autistic children are essential for preventing the expected complications, eg language delay, social interaction, and intellectual ability. ###Answer 1. Changed Reasoning: The target word ""autism spectrum disorder"" has undergone a significant change in meaning between Sentence A and Sentence B. In Sentence A, the term is used to describe a condition characterized by gastrointestinal symptoms and inflammatory responses, which are not the primary features of the disorder. In Sentence B, the term is used to describe a neurodevelopmental condition that affects social relatedness and communication, among other characteristics. The shift in meaning suggests that the term ""autism spectrum disorder"" has undergone semantic drift." 42,Autism spectrum disorder,"The number of people with autism spectrum disorders has dramatically increased over the past decade, and problem behaviours in autism are an increasing challenge to families, schools, physicians, and other health-care professionals. Pharmacological treatments can effectively target problem behaviours associated with autism.","The purpose of this pilot study was to design, implement, and evaluate the family-focused psychoeducational therapy (FFPT) for autism spectrum disorder (ASD) family. In Phase I, 64 parents of ASD children (ASD-group) and 63 parents of typically development children (TD-group) were invited to investigate parenting self-efficacy and emotion at baseline. In Phase II, the 4-week of FFPT was offered for the ASD-group. Date was collected at baseline, post-intervention and one-month follow-up, using the parental self-efficacy, Self-Rating Anxiety Scale and Self-Rating Depression Scale. The results showed that ASD-group significantly lower levels of parenting self-efficacy and worse emotion than TD-group (p < 0.05); And after attending the program, ASD-group had significant improvements for all outcome measures and these changes maintained over a period of time (p < 0.05). This preliminary study suggests that the FFPT may effectively improve parenting self-efficacy, reduce anxiety and depression for parents of children with ASD.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Autism spectrum disorder Sentence A: The number of people with autism spectrum disorders has dramatically increased over the past decade, and problem behaviours in autism are an increasing challenge to families, schools, physicians, and other health-care professionals. Pharmacological treatments can effectively target problem behaviours associated with autism. Sentence B: The purpose of this pilot study was to design, implement, and evaluate the family-focused psychoeducational therapy (FFPT) for autism spectrum disorder (ASD) family. In Phase I, 64 parents of ASD children (ASD-group) and 63 parents of typically development children (TD-group) were invited to investigate parenting self-efficacy and emotion at baseline. In Phase II, the 4-week of FFPT was offered for the ASD-group. Date was collected at baseline, post-intervention and one-month follow-up, using the parental self-efficacy, Self-Rating Anxiety Scale and Self-Rating Depression Scale. The results showed that ASD-group significantly lower levels of parenting self-efficacy and worse emotion than TD-group (p < 0.05); And after attending the program, ASD-group had significant improvements for all outcome measures and these changes maintained over a period of time (p < 0.05). This preliminary study suggests that the FFPT may effectively improve parenting self-efficacy, reduce anxiety and depression for parents of children with ASD. ###Answer 1. Changed Reasoning: In Sentence A, the term ""autism spectrum disorder"" is used, which was the most commonly used term in the early 2000s. However, in Sentence B, the term ""autism spectrum disorder"" has been replaced with ""autism spectrum disorder (ASD)"" and ""autism"" is used more frequently. This suggests that the term ""autism"" has become more prominent in recent years, and the term ""autism spectrum disorder"" may have lost some of its significance. Additionally, the context of the sentence has shifted from a general discussion of autism to a specific study on the effectiveness of a therapy for autism. This change in context suggests that the meaning of the term ""autism"" has evolved over time, and it is now associated more closely with the specific context of the study. Therefore, I have labeled this as ""Changed""." 43,Autism spectrum disorder,We investigated the genetic aspects of the large sex bias in the prevalence of autism spectrum disorder by monitoring changes in linkage when the family set for an affected sibling pair genome scan is subdivided on the basis of the sex of affected children. This produces a significant excess in the total number of linkage peaks (P=1.3 x 10(-8)) and identifies a major male-specific linkage peak at chromosome 17q11 (P<.01). These results suggest that sexual dichotomy is an important factor in the genetics of autism; the same strategy can be used to explore this possibility in other complex disorders that exhibit significant sex biases.,Clinical experience suggests that gender variance (GV) and/or gender dysphoria (GD) and autism spectrum disorder (ASD) characteristics co-occur more frequently than expected.,"###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Autism spectrum disorder Sentence A: We investigated the genetic aspects of the large sex bias in the prevalence of autism spectrum disorder by monitoring changes in linkage when the family set for an affected sibling pair genome scan is subdivided on the basis of the sex of affected children. This produces a significant excess in the total number of linkage peaks (P=1.3 x 10(-8)) and identifies a major male-specific linkage peak at chromosome 17q11 (P<.01). These results suggest that sexual dichotomy is an important factor in the genetics of autism; the same strategy can be used to explore this possibility in other complex disorders that exhibit significant sex biases. Sentence B: Clinical experience suggests that gender variance (GV) and/or gender dysphoria (GD) and autism spectrum disorder (ASD) characteristics co-occur more frequently than expected. ###Answer 1. Changed Reasoning: In Sentence A, the term ""autism spectrum disorder"" is used in the context of genetic research, specifically to describe the genetic aspects of the disorder. The sentence highlights the male-specific linkage peak at chromosome 17q11, which suggests that the genetics of autism may be influenced by sexual dichotomy. In contrast, Sentence B uses the term ""autism spectrum disorder"" in a clinical context, where it is described as co-occurring with gender variance and/or gender dysphoria. This usage suggests that the term has taken on a different connotation, emphasizing the intersectionality of autism with other aspects of identity and experience. Therefore, semantic drift has occurred in the meaning of ""autism spectrum disorder"" between Sentence A and Sentence B." 44,Autism spectrum disorder,"Individuals with attention-deficit/hyperactivity disorder (AD/HD) and autism spectrum disorders (ASD) often display symptoms from other diagnostic categories. Exclusion criteria in the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) and the International Statistical Classification of Diseases and Related Health Problems (ICD-10) impede the use of categorical diagnoses to describe the particular problem constellation in a patient. In this study, we describe the prevalence and patterns of comorbid bipolar and psychotic disorders in 241 consecutively referred adult patients with AD/HD and/or ASD. Thirty per cent of patients with AD/HD had comorbid ASD and 38% of patients with ASD had comorbid AD/HD. Of the subjects with ASD, 7% had bipolar disorder with psychotic features, and 7.8% had schizophrenia or another psychotic disorder. The corresponding figures for the patients with AD/HD were 5.0% and 5.0%, respectively. Current diagnostic criteria have to be revised to acknowledge the comorbidity of bipolar and/or psychotic disorders in AD/HD and ASD.","Despite the high frequency of anxiety and depression symptoms in individuals with Autism Spectrum Disorder (ASD) and a significant impact of these comorbidities on both individuals with ASD and their families, research on the validity of anxiety and depression measures in the ASD population is currently lacking. The aim of this study was to explore the psychometric properties of the Hospital Anxiety and Depression Scale [HADS; Zigmond & Snaith, ] in a sample of older adolescents and young adults with ASD. One hundred and fifty one participants (UK Transition longitudinal study: N = 106; 75 males, M","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Autism spectrum disorder Sentence A: Individuals with attention-deficit/hyperactivity disorder (AD/HD) and autism spectrum disorders (ASD) often display symptoms from other diagnostic categories. Exclusion criteria in the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) and the International Statistical Classification of Diseases and Related Health Problems (ICD-10) impede the use of categorical diagnoses to describe the particular problem constellation in a patient. In this study, we describe the prevalence and patterns of comorbid bipolar and psychotic disorders in 241 consecutively referred adult patients with AD/HD and/or ASD. Thirty per cent of patients with AD/HD had comorbid ASD and 38% of patients with ASD had comorbid AD/HD. Of the subjects with ASD, 7% had bipolar disorder with psychotic features, and 7.8% had schizophrenia or another psychotic disorder. The corresponding figures for the patients with AD/HD were 5.0% and 5.0%, respectively. Current diagnostic criteria have to be revised to acknowledge the comorbidity of bipolar and/or psychotic disorders in AD/HD and ASD. Sentence B: Despite the high frequency of anxiety and depression symptoms in individuals with Autism Spectrum Disorder (ASD) and a significant impact of these comorbidities on both individuals with ASD and their families, research on the validity of anxiety and depression measures in the ASD population is currently lacking. The aim of this study was to explore the psychometric properties of the Hospital Anxiety and Depression Scale [HADS; Zigmond & Snaith, ] in a sample of older adolescents and young adults with ASD. One hundred and fifty one participants (UK Transition longitudinal study: N = 106; 75 males, M ###Answer 1. Changed Reasoning: In Sentence A, the term ""Autism Spectrum Disorder"" (ASD) is used, which reflects the current diagnostic criteria for the disorder. However, in Sentence B, the term ""Autism Spectrum Disorder"" is replaced with ""Autism Spectrum Disorder (ASD)"". This suggests that the term ""Autism Spectrum Disorder"" has undergone a semantic shift, as it is now being used to refer to the broader concept of autism rather than the specific disorder. Additionally, the term ""spectrum disorder"" is used in Sentence B, which implies a greater emphasis on the diversity and complexity of the disorder, which is consistent with the current understanding of autism as a spectrum disorder. Therefore, the meaning of the term ""Autism Spectrum Disorder"" has changed significantly between the two sentences, indicating semantic drift." 45,Autism spectrum disorder,"Heightened public awareness of autism and increased prevalence estimates of autism spectrum disorders (ASDs) has generated a sense of urgency within the public school system to identify children with these disorders for targeted intervention. Two multidisciplinary groups of professionals, one each from two separate school districts, were identified and trained to provide diagnostic and consultative services. This paper outlines a model process for school personnel to develop a basic level of training and competence in recognizing and serving students who have an ASD by (1) providing an overview of the legal and clinical issues involved in screening for children with ASD within the school system, (2) defining a school-based professional training process and (3) outlining a school-based ASD screening process.","Autism spectrum disorder (ASD) is characterized by deficits in social communication and interaction. Since its discovery as a major functional brain system, the default mode network (DMN) has been implicated in a number of psychiatric disorders, including ASD. Here we review converging multimodal evidence for DMN dysfunction in the context of specific components of social cognitive dysfunction in ASD: 'self-referential processing' - the ability to process social information relative to oneself and 'theory of mind' or 'mentalizing' - the ability to infer the mental states such as beliefs, intentions, and emotions of others. We show that altered functional and structural organization of the DMN, and its atypical developmental trajectory, are prominent neurobiological features of ASD. We integrate findings on atypical cytoarchitectonic organization and imbalance in excitatory-inhibitory circuits, which alter local and global brain signaling, to scrutinize putative mechanisms underlying DMN dysfunction in ASD. Our synthesis of the extant literature suggests that aberrancies in key nodes of the DMN and their dynamic functional interactions contribute to atypical integration of information about the self in relation to 'other', as well as impairments in the ability to flexibly attend to socially relevant stimuli. We conclude by highlighting open questions for future research.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Autism spectrum disorder Sentence A: Heightened public awareness of autism and increased prevalence estimates of autism spectrum disorders (ASDs) has generated a sense of urgency within the public school system to identify children with these disorders for targeted intervention. Two multidisciplinary groups of professionals, one each from two separate school districts, were identified and trained to provide diagnostic and consultative services. This paper outlines a model process for school personnel to develop a basic level of training and competence in recognizing and serving students who have an ASD by (1) providing an overview of the legal and clinical issues involved in screening for children with ASD within the school system, (2) defining a school-based professional training process and (3) outlining a school-based ASD screening process. Sentence B: Autism spectrum disorder (ASD) is characterized by deficits in social communication and interaction. Since its discovery as a major functional brain system, the default mode network (DMN) has been implicated in a number of psychiatric disorders, including ASD. Here we review converging multimodal evidence for DMN dysfunction in the context of specific components of social cognitive dysfunction in ASD: 'self-referential processing' - the ability to process social information relative to oneself and 'theory of mind' or 'mentalizing' - the ability to infer the mental states such as beliefs, intentions, and emotions of others. We show that altered functional and structural organization of the DMN, and its atypical developmental trajectory, are prominent neurobiological features of ASD. We integrate findings on atypical cytoarchitectonic organization and imbalance in excitatory-inhibitory circuits, which alter local and global brain signaling, to scrutinize putative mechanisms underlying DMN dysfunction in ASD. Our synthesis of the extant literature suggests that aberrancies in key nodes of the DMN and their dynamic functional interactions contribute to atypical integration of information about the self in relation to 'other', as well as impairments in the ability to flexibly attend to socially relevant stimuli. We conclude by highlighting open questions for future research. ###Answer 1. Changed Reasoning: In Sentence A, the target word ""autism spectrum disorder"" is used in the context of identifying and providing services for children with ASD. The sentence emphasizes the public awareness and urgency around identifying and serving these children. The word ""spectrum"" is used to describe the range of disorders, implying a broader understanding of the condition. In Sentence B, the target word ""autism spectrum disorder"" is used in the context of reviewing the neurobiological features of the disorder. The sentence emphasizes the atypical developmental trajectory and functional organization of the default mode network (DMN) in ASD. The word ""spectrum"" is used less prominently in this sentence, and the focus is more on the underlying neurobiology of the disorder. Based on these differences in context and emphasis, it appears that the meaning of the target word ""autism spectrum disorder"" has shifted towards a more specific focus on the underlying neurobiology of the disorder. Therefore, I would label this as a case of semantic drift, and the label ""Changed"" is appropriate." 46,Autism spectrum disorder,"Within the last decade, researchers and clinicians have reported an increase in the incidence and diagnosis of Autism Spectrum Disorder (ASD). Various factors have been proposed for this apparent change including broader diagnostic criteria, greater public awareness, biological and environmental interactions, and earlier detection. However, it has been observed in a certain percentage of children, during the toddler and preschool years and before intervention is introduced, that severe language deficits distort social and self-regulatory behavior to such a degree that they mimic the characteristics of ASD. Professional caution is vital in this regard to describe early functioning and to defer diagnosis until the effects of intervention and treatment can be monitored over time. The case of Nicole, a preschooler with developmental delays and social communication oddities, illustrates what I believe is the most professionally responsible, cautious, family-centered, and data-based diagnostic process that links assessment, intervention, and evaluation for young children with early developmental difficulties.","Few studies have focused on home participation of high-functioning children with autism spectrum disorder. We employed a mixed-methods design to explore and compare parent perspectives on (1) participation of children with and without autism spectrum disorder in activities at home, (2) the environmental features and resources that affect these children's home participation and (3) the strategies parents use to help their children participate at home. The Participation and Environment Measure for Children and Youth (PEM-CY) was used to gather online survey and qualitative data from parents of 99 high-functioning children with autism spectrum disorder and 241 children without autism spectrum disorder. Independent sample t-tests and χ","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Autism spectrum disorder Sentence A: Within the last decade, researchers and clinicians have reported an increase in the incidence and diagnosis of Autism Spectrum Disorder (ASD). Various factors have been proposed for this apparent change including broader diagnostic criteria, greater public awareness, biological and environmental interactions, and earlier detection. However, it has been observed in a certain percentage of children, during the toddler and preschool years and before intervention is introduced, that severe language deficits distort social and self-regulatory behavior to such a degree that they mimic the characteristics of ASD. Professional caution is vital in this regard to describe early functioning and to defer diagnosis until the effects of intervention and treatment can be monitored over time. The case of Nicole, a preschooler with developmental delays and social communication oddities, illustrates what I believe is the most professionally responsible, cautious, family-centered, and data-based diagnostic process that links assessment, intervention, and evaluation for young children with early developmental difficulties. Sentence B: Few studies have focused on home participation of high-functioning children with autism spectrum disorder. We employed a mixed-methods design to explore and compare parent perspectives on (1) participation of children with and without autism spectrum disorder in activities at home, (2) the environmental features and resources that affect these children's home participation and (3) the strategies parents use to help their children participate at home. The Participation and Environment Measure for Children and Youth (PEM-CY) was used to gather online survey and qualitative data from parents of 99 high-functioning children with autism spectrum disorder and 241 children without autism spectrum disorder. Independent sample t-tests and χ ###Answer 1. Changed Reasoning: In Sentence A, the term ""Autism Spectrum Disorder"" is used, which was not as commonly used in the past as it is now. Additionally, the sentence highlights the importance of early detection and intervention, which was not as emphasized in the past. These changes suggest that the meaning of the term ""Autism Spectrum Disorder"" has shifted over time, indicating semantic drift has occurred. In Sentence B, the term ""high-functioning children with autism spectrum disorder"" is used, which suggests a more nuanced understanding of the disorder and its impact on individuals. The sentence also explores the home participation of children with autism spectrum disorder, which was not a common topic of discussion in the past. These changes suggest that the meaning of the term ""autism spectrum disorder"" has evolved over time, indicating semantic drift has occurred." 47,Autism spectrum disorder,"An investigation is described which forms the basis for the development of an information package for the Asian carers of people with autism spectrum disorders (ASD) and learning disabilities. The results of semi-structured interviews and planning for questionnaires with three different linguistic Asian groups (Urdu, Gujarati and Bengali) are presented. The views, attitudes and awareness of autism, knowledge of support services and perceived priority of needs are analysed for the three different communities. The investigation concludes with recommendations as to whether separate information is needed by each culture or whether a single information pack can be used and presented in each language format. The possible presentation format in which the information can be produced is also discussed.","AutDB is a deeply annotated resource for exploring the impact of genetic variations associated with autism spectrum disorders (ASD). First released in 2007, AutDB has evolved into a multi-modular resource of diverse types of genetic and functional evidence related to ASD. Current modules include: Human Gene, which annotates all ASD-linked genes and their variants; Animal Model, which catalogs behavioral, anatomical and physiological data from rodent models of ASD; Protein Interaction (PIN), which builds interactomes from direct relationships of protein products of ASD genes; and Copy Number Variant (CNV), which catalogs deletions and duplications of chromosomal loci identified in ASD. A multilevel data-integration strategy is utilized to connect the ASD genes to the components of the other modules. All information in this resource is manually curated by expert scientists from primary scientific publications and is referenced to source articles. AutDB is actively maintained with a rigorous quarterly data release schedule. As of June 2017, AutDB contains detailed annotations for 910 genes, 2197 CNV loci, 1060 rodent models and 38 296 PINs. With its widespread use by the research community, AutDB serves as a reference resource for analysis of large datasets, accelerating ASD research and potentially leading to targeted drug treatments. AutDB is available at http://autism.mindspec.org/autdb/Welcome.do.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Autism spectrum disorder Sentence A: An investigation is described which forms the basis for the development of an information package for the Asian carers of people with autism spectrum disorders (ASD) and learning disabilities. The results of semi-structured interviews and planning for questionnaires with three different linguistic Asian groups (Urdu, Gujarati and Bengali) are presented. The views, attitudes and awareness of autism, knowledge of support services and perceived priority of needs are analysed for the three different communities. The investigation concludes with recommendations as to whether separate information is needed by each culture or whether a single information pack can be used and presented in each language format. The possible presentation format in which the information can be produced is also discussed. Sentence B: AutDB is a deeply annotated resource for exploring the impact of genetic variations associated with autism spectrum disorders (ASD). First released in 2007, AutDB has evolved into a multi-modular resource of diverse types of genetic and functional evidence related to ASD. Current modules include: Human Gene, which annotates all ASD-linked genes and their variants; Animal Model, which catalogs behavioral, anatomical and physiological data from rodent models of ASD; Protein Interaction (PIN), which builds interactomes from direct relationships of protein products of ASD genes; and Copy Number Variant (CNV), which catalogs deletions and duplications of chromosomal loci identified in ASD. A multilevel data-integration strategy is utilized to connect the ASD genes to the components of the other modules. All information in this resource is manually curated by expert scientists from primary scientific publications and is referenced to source articles. AutDB is actively maintained with a rigorous quarterly data release schedule. As of June 2017, AutDB contains detailed annotations for 910 genes, 2197 CNV loci, 1060 rodent models and 38 296 PINs. With its widespread use by the research community, AutDB serves as a reference resource for analysis of large datasets, accelerating ASD research and potentially leading to targeted drug treatments. AutDB is available at http://autism.mindspec.org/autdb/Welcome.do. ###Answer 1. Changed Reasoning: In Sentence A, the target word ""autism spectrum disorder"" is used in the context of an investigation into the views and attitudes of different Asian cultures towards the disorder. The sentence highlights the diversity of views and attitudes towards autism across different cultures, and the need for tailored information packages for each community. The word ""autism"" is used to refer to a specific condition, with a focus on its cultural and linguistic diversity. In Sentence B, the target word ""autism spectrum disorder"" is used in the context of a resource for exploring the genetic and functional evidence related to autism. The sentence highlights the comprehensive nature of the resource, which includes manual curation of genetic and functional data from expert scientists. The word ""autism"" is used to refer to a complex condition with a wide range of genetic and functional variations. The semantic drift analysis reveals that the meaning of the target word has significantly shifted between the two sentences. In Sentence A, the focus is on the cultural and linguistic diversity of autism, while in Sentence B, the focus is on the complex nature of the condition and the comprehensive nature of the resource. Therefore, the label ""Changed"" is appropriate for this example." 48,Autism spectrum disorder,"Thirty-five children who received an autism spectrum diagnosis at the age of 2 years (24 with autism, 11 with PDD-NOS) were re-evaluated 2 years later to examine factors related to the development of spoken language. Child variables (play level, motor imitation ability and joint attention) and environmental variables (socioeconomic status and hours of speech/language therapy between ages 2 and 3) were used to predict an aggregate measure of language outcome at age 4. After controlling for age 2 language skills, the only significant predictors were motor imitation and number of hours of speech/language therapy. Implications of these results for understanding the early developmental course of autism spectrum disorders and the effects of intervention are discussed.","Autism spectrum disorder (ASD) is a neurodevelopmental disorder with a growing prevalence of sleep problems associated with significant behavioral problems and more severe autism clinical presentation. Little is known about the relationships between autism traits and sleep problems in Hong Kong. Therefore, this study aimed to examine whether children with autism have increased sleep problems than non-autistic children in Hong Kong. The secondary objective was to examine the factors associated with sleep problems in an autism clinical sample.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Autism spectrum disorder Sentence A: Thirty-five children who received an autism spectrum diagnosis at the age of 2 years (24 with autism, 11 with PDD-NOS) were re-evaluated 2 years later to examine factors related to the development of spoken language. Child variables (play level, motor imitation ability and joint attention) and environmental variables (socioeconomic status and hours of speech/language therapy between ages 2 and 3) were used to predict an aggregate measure of language outcome at age 4. After controlling for age 2 language skills, the only significant predictors were motor imitation and number of hours of speech/language therapy. Implications of these results for understanding the early developmental course of autism spectrum disorders and the effects of intervention are discussed. Sentence B: Autism spectrum disorder (ASD) is a neurodevelopmental disorder with a growing prevalence of sleep problems associated with significant behavioral problems and more severe autism clinical presentation. Little is known about the relationships between autism traits and sleep problems in Hong Kong. Therefore, this study aimed to examine whether children with autism have increased sleep problems than non-autistic children in Hong Kong. The secondary objective was to examine the factors associated with sleep problems in an autism clinical sample. ###Answer 1. Changed In Sentence A, the term ""autism spectrum disorder"" is used, which was the most commonly used term in the 1990s and early 2000s. However, in Sentence B, the term ""autism spectrum disorder"" has been replaced with ""autism,"" which is more commonly used today. This change in terminology suggests that the meaning of the term ""autism"" has shifted over time, with the term now encompassing a broader range of conditions under the autism spectrum umbrella. Therefore, the label ""Changed"" is appropriate." 49,Autism spectrum disorder,"Fragile X syndrome (FXS) is the most common inherited cause of mental retardation. It is also one of the most common identifiable causes of Autism Spectrum Disorder (ASD). Carriers of FXS are often considered to be cognitively and behaviorally unaffected. However, we report here on six individuals in the premutation range who also have ASD. A comparison is made with five subjects in the premutation range who did not receive a diagnosis of ASD. The six individuals with ASD had a range of cognitive ability levels from no impairment to moderate retardation. Discussion includes the impact of molecular variables including lowered FMR1 protein and elevated FMR1 mRNA in addition to environmental factors leading to the complex neurodevelopmental disorder of ASD.","Developmental alterations of excitatory synapses are implicated in autism spectrum disorders (ASDs). Here, we report increased dendritic spine density with reduced developmental spine pruning in layer V pyramidal neurons in postmortem ASD temporal lobe. These spine deficits correlate with hyperactivated mTOR and impaired autophagy. In Tsc2 ± ASD mice where mTOR is constitutively overactive, we observed postnatal spine pruning defects, blockade of autophagy, and ASD-like social behaviors. The mTOR inhibitor rapamycin corrected ASD-like behaviors and spine pruning defects in Tsc2 ± mice, but not in Atg7(CKO) neuronal autophagy-deficient mice or Tsc2 ± :Atg7(CKO) double mutants. Neuronal autophagy furthermore enabled spine elimination with no effects on spine formation. Our findings suggest that mTOR-regulated autophagy is required for developmental spine pruning, and activation of neuronal autophagy corrects synaptic pathology and social behavior deficits in ASD models with hyperactivated mTOR.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Autism spectrum disorder Sentence A: Fragile X syndrome (FXS) is the most common inherited cause of mental retardation. It is also one of the most common identifiable causes of Autism Spectrum Disorder (ASD). Carriers of FXS are often considered to be cognitively and behaviorally unaffected. However, we report here on six individuals in the premutation range who also have ASD. A comparison is made with five subjects in the premutation range who did not receive a diagnosis of ASD. The six individuals with ASD had a range of cognitive ability levels from no impairment to moderate retardation. Discussion includes the impact of molecular variables including lowered FMR1 protein and elevated FMR1 mRNA in addition to environmental factors leading to the complex neurodevelopmental disorder of ASD. Sentence B: Developmental alterations of excitatory synapses are implicated in autism spectrum disorders (ASDs). Here, we report increased dendritic spine density with reduced developmental spine pruning in layer V pyramidal neurons in postmortem ASD temporal lobe. These spine deficits correlate with hyperactivated mTOR and impaired autophagy. In Tsc2 ± ASD mice where mTOR is constitutively overactive, we observed postnatal spine pruning defects, blockade of autophagy, and ASD-like social behaviors. The mTOR inhibitor rapamycin corrected ASD-like behaviors and spine pruning defects in Tsc2 ± mice, but not in Atg7(CKO) neuronal autophagy-deficient mice or Tsc2 ± :Atg7(CKO) double mutants. Neuronal autophagy furthermore enabled spine elimination with no effects on spine formation. Our findings suggest that mTOR-regulated autophagy is required for developmental spine pruning, and activation of neuronal autophagy corrects synaptic pathology and social behavior deficits in ASD models with hyperactivated mTOR. ###Answer 1. Changed Explanation: Autism spectrum disorder (ASD) is a neurodevelopmental disorder characterized by difficulties in social interaction and communication, as well as restricted and repetitive behaviors. In Sentence A, the term ""Autism Spectrum Disorder"" (ASD) is used in the context of Fragile X syndrome (FXS), an inherited cause of intellectual disability and autism. The sentence suggests that FXS is one of the most common identifiable causes of ASD, and that carriers of FXS are often considered to be cognitively and behaviorally unaffected. However, the sentence also notes that six individuals in the premutation range of FXS also had ASD, suggesting that the disorder can also arise through other mechanisms. In Sentence B, the term ""autism spectrum disorders"" (ASDs) is used in the context of developmental alterations of excitatory synapses, which are implicated in the disorder. The sentence suggests that increased dendritic spine density and reduced developmental spine pruning in layer V pyramidal neurons are correlated with hyperactivated mTOR and impaired autophagy, and that neuronal autophagy is required for developmental spine pruning. The sentence also notes that mTOR-regulated autophagy is required for correcting spine pruning defects and social behavior deficits in ASD models. The meaning of the term ""Autism Spectrum Disorder"" has changed significantly between the two sentences. In Sentence A, the term is used primarily to identify FXS as a cause of ASD, while in Sentence B, the term is used more broadly to refer to the developmental alterations of excitatory synapses that are implicated in the disorder. The term ""Autism Spectrum Disorder"" has shifted from being a specific diagnosis to a broader term encompassing a range of neurodevelopmental disorders. Therefore, I would label the term ""Autism Spectrum Disorder"" as having undergone semantic drift and change its label to ""Changed""." 50,Autism spectrum disorder,"Reports of a relatively high prevalence of absolute pitch (AP) in autistic disorder suggest that AP is associated with some of the distinctive cognitive and social characteristics seen in autism spectrum disorders. Accordingly we examined cognition, personality, social behavior, and language in 13 musicians with strictly defined AP (APS) and 33 musician controls (MC) without AP using standardized interviews and tests previously applied to identify the broad autism phenotype seen in the relatives of autistic probands. These included the Pragmatic Rating Scale (PRS) (social aspects of language) the Personality Assessment Schedule (PAS) (rigidity, aloofness, anxiety/worry, hypersensitivity), and WAIS performance subtests (PIQ). On the basis of their behavior in the interviews, subjects were classified as socially eccentric, somewhat eccentric, or not eccentric. Forty-six percent of the APS, but only 15% of the MC, were classified as socially eccentric (p < .03). APS but not MC showed higher scores on block design than on the other PIQ tests (p < .06), a PIQ pattern seen in autism spectrum disorders. Although APS and MC did not differ significantly on other measures it is of note that APS mean scores on the PRS and PAS (5.69, 4.92) were almost twice as high as those for the MC (3.03, 2.45). Thus, musicians with AP show some of the personality, language, and cognitive features associated with autism. Piecemeal information processing, of which AP is an extreme and rare example, is characteristic of autism and may be associated as well with subclinical variants in language and behavior. We speculate that the gene or genes that underlie AP may be among the genes that contribute to autism.","This study is the first to describe age-related changes in a large cohort of patients with Phelan-McDermid syndrome (PMS), also known as 22q13 deletion syndrome. Over a follow-up period of up to 12 years, physical examinations and structured interviews were conducted for 201 individuals diagnosed with PMS, 120 patients had a focused, high-resolution 22q12q13 array CGH, and 92 patients' deletions were assessed for parent-of-origin. 22q13 genomic anomalies include terminal deletions of 22q13 (89 %), terminal deletions and interstitial duplications (9 %), and interstitial deletions (2 %). Considering different age groups, in older patients, behavioral problems tended to subside, developmental abilities improved, and some features such as large or fleshy hands, full or puffy eyelids, hypotonia, lax ligaments, and hyperextensible joints were less frequent. However, the proportion reporting an autism spectrum disorder, seizures, and cellulitis, or presenting with lymphedema or abnormal reflexes increased with age. Some neurologic and dysmorphic features such as speech and developmental delay and macrocephaly correlated with deletion size. Deletion sizes in more recently diagnosed patients tend to be smaller than those diagnosed a decade earlier. Seventy-three percent of de novo deletions were of paternal origin. Seizures were reported three times more often among patients with a de novo deletion of the maternal rather than paternal chromosome 22. This analysis improves the understanding of the clinical presentation and natural history of PMS and can serve as a reference for the prevalence of clinical features in the syndrome.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Autism spectrum disorder Sentence A: Reports of a relatively high prevalence of absolute pitch (AP) in autistic disorder suggest that AP is associated with some of the distinctive cognitive and social characteristics seen in autism spectrum disorders. Accordingly we examined cognition, personality, social behavior, and language in 13 musicians with strictly defined AP (APS) and 33 musician controls (MC) without AP using standardized interviews and tests previously applied to identify the broad autism phenotype seen in the relatives of autistic probands. These included the Pragmatic Rating Scale (PRS) (social aspects of language) the Personality Assessment Schedule (PAS) (rigidity, aloofness, anxiety/worry, hypersensitivity), and WAIS performance subtests (PIQ). On the basis of their behavior in the interviews, subjects were classified as socially eccentric, somewhat eccentric, or not eccentric. Forty-six percent of the APS, but only 15% of the MC, were classified as socially eccentric (p < .03). APS but not MC showed higher scores on block design than on the other PIQ tests (p < .06), a PIQ pattern seen in autism spectrum disorders. Although APS and MC did not differ significantly on other measures it is of note that APS mean scores on the PRS and PAS (5.69, 4.92) were almost twice as high as those for the MC (3.03, 2.45). Thus, musicians with AP show some of the personality, language, and cognitive features associated with autism. Piecemeal information processing, of which AP is an extreme and rare example, is characteristic of autism and may be associated as well with subclinical variants in language and behavior. We speculate that the gene or genes that underlie AP may be among the genes that contribute to autism. Sentence B: This study is the first to describe age-related changes in a large cohort of patients with Phelan-McDermid syndrome (PMS), also known as 22q13 deletion syndrome. Over a follow-up period of up to 12 years, physical examinations and structured interviews were conducted for 201 individuals diagnosed with PMS, 120 patients had a focused, high-resolution 22q12q13 array CGH, and 92 patients' deletions were assessed for parent-of-origin. 22q13 genomic anomalies include terminal deletions of 22q13 (89 %), terminal deletions and interstitial duplications (9 %), and interstitial deletions (2 %). Considering different age groups, in older patients, behavioral problems tended to subside, developmental abilities improved, and some features such as large or fleshy hands, full or puffy eyelids, hypotonia, lax ligaments, and hyperextensible joints were less frequent. However, the proportion reporting an autism spectrum disorder, seizures, and cellulitis, or presenting with lymphedema or abnormal reflexes increased with age. Some neurologic and dysmorphic features such as speech and developmental delay and macrocephaly correlated with deletion size. Deletion sizes in more recently diagnosed patients tend to be smaller than those diagnosed a decade earlier. Seventy-three percent of de novo deletions were of paternal origin. Seizures were reported three times more often among patients with a de novo deletion of the maternal rather than paternal chromosome 22. This analysis improves the understanding of the clinical presentation and natural history of PMS and can serve as a reference for the prevalence of clinical features in the syndrome. ###Answer 1. Changed Reasoning: In Sentence A, the word ""autism spectrum disorder"" is used in the context of a study examining cognition, personality, social behavior, and language in musicians with absolute pitch (AP) and musician controls (MC) without AP. The study aims to identify the broad autism phenotype seen in the relatives of autistic probands. In this sentence, the term ""autism spectrum disorder"" is used to refer to a specific set of cognitive, behavioral, and social characteristics that are commonly associated with autism. In Sentence B, the word ""autism spectrum disorder"" is used in the context of a study describing age-related changes in a large cohort of patients with Phelan-McDermid syndrome (PMS), also known as 22q13 deletion syndrome. The study examines the clinical presentation and natural history of PMS, including the prevalence of autism spectrum disorder, seizures, and other features. In this sentence, the term ""autism spectrum disorder"" is used to refer to a broader range of cognitive, behavioral, and social characteristics that are associated with PMS. Comparing the usage of the term ""autism spectrum disorder"" in these two sentences, it is clear that the term has undergone a significant change in meaning. In Sentence A, the term is used to refer to a specific set of characteristics that are commonly associated with autism, while in Sentence B, the term is used to refer to a broader range of characteristics that are associated with PMS. This suggests that the term ""autism spectrum disorder"" has shifted in meaning over time, and is now used to refer to a broader range of conditions. Therefore, the label ""Changed"" is appropriate." 51,Autism spectrum disorder,"Progress has recently been made in the earlier identification of children with autism spectrum disorder (ASD). Whilst being welcome, this progress to earlier referral and diagnosis presents new challenges to clinical practice, including the accuracy and stability of early diagnosis, the utility of standardised assessment instruments with young pre-schoolers and the ability to indicate prognosis.","Catatonia has been increasingly recognized in people with autism spectrum disorders (ASD). Assessment, diagnosis, and treatments are reviewed and illustrated with 2 new case vignettes. The use of electroconvulsive treatment (ECT) is recommended in patients who fail to respond to medical treatments, including a trial of lorazepam or another benzodiazepine. The importance of maintenance ECT is discussed. There is an urgent need for prospective studies of catatonia in ASD and for controlled treatment trials.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Autism spectrum disorder Sentence A: Progress has recently been made in the earlier identification of children with autism spectrum disorder (ASD). Whilst being welcome, this progress to earlier referral and diagnosis presents new challenges to clinical practice, including the accuracy and stability of early diagnosis, the utility of standardised assessment instruments with young pre-schoolers and the ability to indicate prognosis. Sentence B: Catatonia has been increasingly recognized in people with autism spectrum disorders (ASD). Assessment, diagnosis, and treatments are reviewed and illustrated with 2 new case vignettes. The use of electroconvulsive treatment (ECT) is recommended in patients who fail to respond to medical treatments, including a trial of lorazepam or another benzodiazepine. The importance of maintenance ECT is discussed. There is an urgent need for prospective studies of catatonia in ASD and for controlled treatment trials. ###Answer 1. Changed Reasoning: In Sentence A, the target word ""autism spectrum disorder"" (ASD) is used in the context of early identification and diagnosis of children with the disorder. The sentence highlights the challenges of early diagnosis and the need for accurate assessment instruments. The term ""spectrum disorder"" is used to emphasize the diversity of symptoms and the complexity of the disorder. In Sentence B, the target word ""autism spectrum disorder"" (ASD) is used in the context of catatonia, a symptom of autism spectrum disorders. The sentence highlights the increasing recognition of catatonia in people with ASD and the need for effective treatments. The term ""spectrum disorder"" is used less frequently in Sentence B, as the focus is on a specific symptom rather than the overall disorder. Comparing the two sentences, it is clear that the meaning of the target word has shifted significantly. In Sentence A, the focus is on early identification and diagnosis of children with ASD, while in Sentence B, the focus is on a specific symptom of ASD, catatonia. This shift in meaning indicates semantic drift has occurred." 52,Autism spectrum disorder,"Recently disclosed epidemiological data indicate a dramatic increase in the incidence of autism spectrum disorders. Previously, the incidence of autism has been reported as 4-5 per 10000 children. The most recent evidence indicates an increased incidence of about 1 per 500 children. However, the etiology of autism is yet to be determined. The recently disclosed data suggest a possible correlation between autism incidence and a previously unconsidered environmental toxin. It is generally accepted in the scientific community that radiofrequency (RF) radiation is a biologically active substance. It is also readily acknowledged that human exposures to RF radiation have become pervasive during the past 20 years, whereas such exposures were uncommon prior to that time. It is suggested that fetal or neo-natal exposures to RF radiation may be associated with an increased incidence of autism.","Ryan is a 5-year-old boy who was seen in a Developmental Behavioral Pediatrics clinic for disruptive behavior and developmental delay. His medical history was notable for a tethered spinal cord repaired at age 4 months, alternating exotropia with multiple surgeries, and obesity (body mass index at 99%). Ryan's development was globally delayed. He sat at age 10 months and walked at 24 months. An Autism Diagnostic Observation Schedule-Toddler module (ADOS-T) was completed at age 19 months and demonstrated little-to-no concern for autism spectrum disorder.Ryan's parents described behavioral challenges including hyperactivity, impulsivity, aggression toward him self and others, severe tantrums, a short attention span, and difficulty sleeping. They also endorsed repetitive behaviors including head rocking, walking in circles, and perseverative speech. Expressive language was significantly limited. There was no family history of autism or intellectual disability.Ryan's physical examination was notable for alternating exotropia, hypertelorism, upslanting palpebral fissures, and obesity. His speech was limited to 1-word utterances. Neurological and general examinations were normal.He was referred for repeat psychological testing at age 5 years. The ADOS-2 (Module 2) was consistent with a classification of autism with a high level of autism-related symptoms. A fragile X test was negative, and microarray demonstrated a microduplication in the region of 2p25.3 including the myelin transcription factor 1-like gene.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Autism spectrum disorder Sentence A: Recently disclosed epidemiological data indicate a dramatic increase in the incidence of autism spectrum disorders. Previously, the incidence of autism has been reported as 4-5 per 10000 children. The most recent evidence indicates an increased incidence of about 1 per 500 children. However, the etiology of autism is yet to be determined. The recently disclosed data suggest a possible correlation between autism incidence and a previously unconsidered environmental toxin. It is generally accepted in the scientific community that radiofrequency (RF) radiation is a biologically active substance. It is also readily acknowledged that human exposures to RF radiation have become pervasive during the past 20 years, whereas such exposures were uncommon prior to that time. It is suggested that fetal or neo-natal exposures to RF radiation may be associated with an increased incidence of autism. Sentence B: Ryan is a 5-year-old boy who was seen in a Developmental Behavioral Pediatrics clinic for disruptive behavior and developmental delay. His medical history was notable for a tethered spinal cord repaired at age 4 months, alternating exotropia with multiple surgeries, and obesity (body mass index at 99%). Ryan's development was globally delayed. He sat at age 10 months and walked at 24 months. An Autism Diagnostic Observation Schedule-Toddler module (ADOS-T) was completed at age 19 months and demonstrated little-to-no concern for autism spectrum disorder.Ryan's parents described behavioral challenges including hyperactivity, impulsivity, aggression toward him self and others, severe tantrums, a short attention span, and difficulty sleeping. They also endorsed repetitive behaviors including head rocking, walking in circles, and perseverative speech. Expressive language was significantly limited. There was no family history of autism or intellectual disability.Ryan's physical examination was notable for alternating exotropia, hypertelorism, upslanting palpebral fissures, and obesity. His speech was limited to 1-word utterances. Neurological and general examinations were normal.He was referred for repeat psychological testing at age 5 years. The ADOS-2 (Module 2) was consistent with a classification of autism with a high level of autism-related symptoms. A fragile X test was negative, and microarray demonstrated a microduplication in the region of 2p25.3 including the myelin transcription factor 1-like gene. ###Answer 1. Changed Reasoning: In Sentence A, the term ""autism spectrum disorder"" is used, which was not the common term used in the past. The term ""autism spectrum disorder"" was introduced in the early 2000s to reflect the changing understanding of autism as a complex condition with a range of symptoms. The sentence also mentions ""a previously unconsidered environmental toxin"" which suggests that the understanding of the causes of autism has evolved over time. In Sentence B, the term ""autism spectrum disorder"" is not used, and instead, the term ""autism"" is used. This suggests that the term ""autism spectrum disorder"" has become more commonly used in recent years, while the term ""autism"" is still used in some contexts. Additionally, the sentence mentions ""a high level of autism-related symptoms,"" which suggests that the understanding of the severity of autism has evolved over time. Overall, the semantic drift in the target word ""autism"" has changed over time, with a shift towards a more nuanced understanding of the condition, including the recognition of a spectrum of symptoms and the role of environmental factors in its etiology." 53,Autism spectrum disorder,"Autism is a neurodevelopmental disorder with strong genetic influences. Clinical experience and limited empirical evidence support the view that autism may be associated with aberrant interhemispheric information transfer. This empirical controlled study examined whether, at neuropsychological testing, children with autism showed problems with interhemispheric information transfer. The study included auditory, visual, and motor measures covering information transfer within, as well as across, modalities. Thirty children (24 males, 6 females; mean age 12 years 8 months, SD 2 years 8 months; range 9 years 5 months to 17 years 5 months) without learning disability but with autism spectrum disorders were compared with 30 children from a mainstream school matched for age, sex, and IQ>75. Children with autism spectrum disorder performed significantly worse than the comparison group on most of the tests (p=0.02 for auditory perception and attention, p=0.005 for visual perception, p=0.0001 for motor control, p=0.04 for tactile perception). Results support the notion that aberrant interhemispheric transfer may be involved in the pathogenesis or clinical course of autism. The findings were not accounted for by lower IQ in the group with autism.","Whole-exome sequencing (WES) enables identification of pathogenic variants, including copy number variants (CNVs). In this study, we performed WES in 101 Japanese patients with unexplained developmental delay (DD) or intellectual disability (ID) (63 males and 38 females), 98 of them with trio-WES. Pathogenic variants were identified in 54 cases (53.5%), including four cases with pathogenic CNVs. In one case, a pathogenic variant was identified by reanalysis of exome data; and in two cases, two molecular diagnoses were identified. Among 58 pathogenic variants, 49 variants occurred de novo in 48 patients, including two somatic variants. The accompanying autism spectrum disorder and external ear anomalies were associated with detection of pathogenic variants with odds ratios of 11.88 (95% confidence interval [CI] 2.52-56.00) and 3.46 (95% CI 1.23-9.73), respectively. These findings revealed the importance of reanalysis of WES data and detection of CNVs and somatic variants in increasing the diagnostic yield for unexplained DD/ID. In addition, genetic testing is recommended when patients suffer from the autism spectrum disorder or external ear anomalies, which potentially suggests the involvement of genetic factors associated with gene expression regulation.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Autism spectrum disorder Sentence A: Autism is a neurodevelopmental disorder with strong genetic influences. Clinical experience and limited empirical evidence support the view that autism may be associated with aberrant interhemispheric information transfer. This empirical controlled study examined whether, at neuropsychological testing, children with autism showed problems with interhemispheric information transfer. The study included auditory, visual, and motor measures covering information transfer within, as well as across, modalities. Thirty children (24 males, 6 females; mean age 12 years 8 months, SD 2 years 8 months; range 9 years 5 months to 17 years 5 months) without learning disability but with autism spectrum disorders were compared with 30 children from a mainstream school matched for age, sex, and IQ>75. Children with autism spectrum disorder performed significantly worse than the comparison group on most of the tests (p=0.02 for auditory perception and attention, p=0.005 for visual perception, p=0.0001 for motor control, p=0.04 for tactile perception). Results support the notion that aberrant interhemispheric transfer may be involved in the pathogenesis or clinical course of autism. The findings were not accounted for by lower IQ in the group with autism. Sentence B: Whole-exome sequencing (WES) enables identification of pathogenic variants, including copy number variants (CNVs). In this study, we performed WES in 101 Japanese patients with unexplained developmental delay (DD) or intellectual disability (ID) (63 males and 38 females), 98 of them with trio-WES. Pathogenic variants were identified in 54 cases (53.5%), including four cases with pathogenic CNVs. In one case, a pathogenic variant was identified by reanalysis of exome data; and in two cases, two molecular diagnoses were identified. Among 58 pathogenic variants, 49 variants occurred de novo in 48 patients, including two somatic variants. The accompanying autism spectrum disorder and external ear anomalies were associated with detection of pathogenic variants with odds ratios of 11.88 (95% confidence interval [CI] 2.52-56.00) and 3.46 (95% CI 1.23-9.73), respectively. These findings revealed the importance of reanalysis of WES data and detection of CNVs and somatic variants in increasing the diagnostic yield for unexplained DD/ID. In addition, genetic testing is recommended when patients suffer from the autism spectrum disorder or external ear anomalies, which potentially suggests the involvement of genetic factors associated with gene expression regulation. ###Answer 1. Changed Reasoning: The meaning of the target word ""Autism spectrum disorder"" has significantly shifted between the two sentences. In Sentence A, the term is used to describe a neurodevelopmental disorder with strong genetic influences, while in Sentence B, it is used to refer to a genetic disorder identified through whole-exome sequencing. The shift in meaning suggests that the term has undergone semantic drift." 54,Autism spectrum disorder,"Difficulties in the cognitive processing of emotions--including difficulties identifying and describing feelings--are assumed to be an integral part of autism. We studied such difficulties via self-report in 27 high-functioning adults with autistic spectrum disorders, their biological relatives (n = 49), and normal adult controls (n = 35), using the 20-item Toronto Alexithymia Scale and the Beck Depression Inventory. The individuals with autism spectrum disorders were significantly more impaired in their emotion processing and were more depressed than those in the control and relative groups.","Neuronal nicotinic receptors (nAChRs) have been implicated in several diseases and disorders such as autism spectrum disorders, Alzheimer's disease, Parkinson's disease, epilepsy, and nicotine addiction. To understand the role of nAChRs in these conditions, it would be beneficial to have selective molecules that target specific nAChRs in vitro and in vivo. Our laboratory has previously identified a novel allosteric site on human α4β2 nAChRs using a series of computational and in vitro approaches. At this site, we have identified negative allosteric modulators that selectively inhibit human α4β2 nAChRs, a subtype implicated in nicotine addiction. This study characterizes the allosteric site via site-directed mutagenesis. Three amino acids (Phe118, Glu60, and Thr58) on the β2 subunit were shown to participate in the inhibitory properties of the selective antagonist KAB-18 and provided insights into its antagonism of human α4β2 nAChRs. SAR studies with KAB-18 analogues and various mutant α4β2 nAChRs also provided information concerning how different physiochemical features influence the inhibition of nAChRs through this allosteric site. Together, these studies identify the amino acids that contribute to the selective antagonism of human α4β2 nAChRs at this allosteric site. Finally, these studies define the physiochemical features of ligands that influence interaction with specific amino acids in this allosteric site.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Autism spectrum disorder Sentence A: Difficulties in the cognitive processing of emotions--including difficulties identifying and describing feelings--are assumed to be an integral part of autism. We studied such difficulties via self-report in 27 high-functioning adults with autistic spectrum disorders, their biological relatives (n = 49), and normal adult controls (n = 35), using the 20-item Toronto Alexithymia Scale and the Beck Depression Inventory. The individuals with autism spectrum disorders were significantly more impaired in their emotion processing and were more depressed than those in the control and relative groups. Sentence B: Neuronal nicotinic receptors (nAChRs) have been implicated in several diseases and disorders such as autism spectrum disorders, Alzheimer's disease, Parkinson's disease, epilepsy, and nicotine addiction. To understand the role of nAChRs in these conditions, it would be beneficial to have selective molecules that target specific nAChRs in vitro and in vivo. Our laboratory has previously identified a novel allosteric site on human α4β2 nAChRs using a series of computational and in vitro approaches. At this site, we have identified negative allosteric modulators that selectively inhibit human α4β2 nAChRs, a subtype implicated in nicotine addiction. This study characterizes the allosteric site via site-directed mutagenesis. Three amino acids (Phe118, Glu60, and Thr58) on the β2 subunit were shown to participate in the inhibitory properties of the selective antagonist KAB-18 and provided insights into its antagonism of human α4β2 nAChRs. SAR studies with KAB-18 analogues and various mutant α4β2 nAChRs also provided information concerning how different physiochemical features influence the inhibition of nAChRs through this allosteric site. Together, these studies identify the amino acids that contribute to the selective antagonism of human α4β2 nAChRs at this allosteric site. Finally, these studies define the physiochemical features of ligands that influence interaction with specific amino acids in this allosteric site. ###Answer 1. Changed Reasoning: Autism spectrum disorder (ASD) is a neurodevelopmental disorder characterized by difficulties in social interaction and communication. In Sentence A, the term ""autism spectrum disorder"" is used to describe a condition where individuals have difficulties in the cognitive processing of emotions, including difficulties identifying and describing feelings. In Sentence B, the term ""autism spectrum disorders"" is used to describe a condition where neuronal nicotinic receptors (nAChRs) have been implicated in several diseases and disorders, including ASD. The term ""autism spectrum disorders"" in Sentence B is different from the term ""autism spectrum disorder"" in Sentence A, as it includes the plural form ""disorders"" instead of the singular form ""disorder"". This suggests that the term ""autism spectrum disorders"" in Sentence B may be referring to a broader range of conditions than the term ""autism spectrum disorder"" in Sentence A. Therefore, semantic drift has occurred in the meaning of the term ""autism spectrum disorder"" between the two sentences." 55,Autism spectrum disorder,"A recent study by Ingram et al. [2000b: Teratology 62:393-405] suggests a (His)73(Arg) polymorphism (A:G) in HOXA1 contributes substantially to a liability for autism. Using 68 individuals diagnosed with Autism Spectrum Disorders, they found a significant dearth of G homozygotes and biased transmission of G alleles from parents to affected offspring, especially from mothers. Because the connection between HOXA1 and liability to autism is compelling, we attempted to replicate their finding using a larger, independent sample from the Collaborative Programs of Excellence in Autism (CPEA) network. In our data, genotype frequencies conform to Hardy-Weinberg equilibrium; allele transmissions meet Mendelian expectations; and there is no obvious sex-biased allele transmission. Based on our sample size, calculations suggest that we would have at least 95% power to detect linkage and association even if the A:G polymorphism were to account for only 1% of the heritability of autism. Therefore, although we cannot exclude the possibility that the samples in the two studies are intrinsically different, our data from our sample argue against a major role for HOXA1 (His)73(Arg) in liability to autism.","Brain-derived neurotrophic factor (BDNF) and insulin-like growth factor 1 (IGF-1) promote the development and maintenance of neural circuits. Alterations in these factors might contribute to autism spectrum disorder (ASD). We asked whether serum BDNF, proBDNF, and IGF-1 levels are altered in an ASD population compared to controls. We measured serum BDNF, proBDNF, and IGF-1 immunoreactive protein in boys and girls aged 5-15 years old with mild to moderate ASD and non-autistic controls by ELISA. IGF-1 was increased in ASD serum compared to controls and was correlated with age and with CARS scores. Serum BDNF levels did not differ between groups, however, proBDNF serum levels were decreased in subjects with ASD compared to non-autistic controls. Medicated, but not unmedicated, ASD subjects exhibited lower serum proBDNF levels compared to controls, while neither IGF-1 nor BDNF levels differed between treatment groups. These data support the involvement of proBDNF and IGF-1 in the pathogenesis and treatment of autism.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Autism spectrum disorder Sentence A: A recent study by Ingram et al. [2000b: Teratology 62:393-405] suggests a (His)73(Arg) polymorphism (A:G) in HOXA1 contributes substantially to a liability for autism. Using 68 individuals diagnosed with Autism Spectrum Disorders, they found a significant dearth of G homozygotes and biased transmission of G alleles from parents to affected offspring, especially from mothers. Because the connection between HOXA1 and liability to autism is compelling, we attempted to replicate their finding using a larger, independent sample from the Collaborative Programs of Excellence in Autism (CPEA) network. In our data, genotype frequencies conform to Hardy-Weinberg equilibrium; allele transmissions meet Mendelian expectations; and there is no obvious sex-biased allele transmission. Based on our sample size, calculations suggest that we would have at least 95% power to detect linkage and association even if the A:G polymorphism were to account for only 1% of the heritability of autism. Therefore, although we cannot exclude the possibility that the samples in the two studies are intrinsically different, our data from our sample argue against a major role for HOXA1 (His)73(Arg) in liability to autism. Sentence B: Brain-derived neurotrophic factor (BDNF) and insulin-like growth factor 1 (IGF-1) promote the development and maintenance of neural circuits. Alterations in these factors might contribute to autism spectrum disorder (ASD). We asked whether serum BDNF, proBDNF, and IGF-1 levels are altered in an ASD population compared to controls. We measured serum BDNF, proBDNF, and IGF-1 immunoreactive protein in boys and girls aged 5-15 years old with mild to moderate ASD and non-autistic controls by ELISA. IGF-1 was increased in ASD serum compared to controls and was correlated with age and with CARS scores. Serum BDNF levels did not differ between groups, however, proBDNF serum levels were decreased in subjects with ASD compared to non-autistic controls. Medicated, but not unmedicated, ASD subjects exhibited lower serum proBDNF levels compared to controls, while neither IGF-1 nor BDNF levels differed between treatment groups. These data support the involvement of proBDNF and IGF-1 in the pathogenesis and treatment of autism. ###Answer 1. Changed Explanation: In Sentence A from 2000, the term ""Autism Spectrum Disorder"" (ASD) is used to describe the condition, and the study focuses on a specific polymorphism in the HOXA1 gene. The sentence suggests that the polymorphism may contribute to the liability for autism, but the study does not find any evidence to support this idea. In Sentence B from 2020, the term ""Autism Spectrum Disorder"" (ASD) is still used, but the focus has shifted to the role of brain-derived neurotrophic factor (BDNF) and insulin-like growth factor 1 (IGF-1) in the development and maintenance of neural circuits. The sentence suggests that alterations in these factors may contribute to autism, and that serum levels of these factors may be altered in individuals with autism. Comparing the two sentences, we can see that the term ""Autism Spectrum Disorder"" (ASD) has shifted from being the primary focus in Sentence A to being mentioned in passing in Sentence B. Additionally, the focus of the study in Sentence A is on a specific genetic polymorphism, while the study in Sentence B is more focused on the role of neurotrophic factors in the development and maintenance of neural circuits. These changes suggest that the meaning of the term ""Autism Spectrum Disorder"" has shifted over time, and that the field of study has expanded to include a broader range of factors that may contribute to the condition. Therefore, I would label this as a case of semantic drift." 56,Autism spectrum disorder,To examine the neural basis of impairments in interpreting facial emotions in children and adolescents with autism spectrum disorders (ASD).,"Recently, it has been suggested that sleep problems in autism spectrum disorder (ASD) not only are associated symptoms, but may be deeply related to ASD pathogenesis. Common clinical practice relating to developmental disorders, has shown that parents of children with ASD have often stated that it is more difficult to raise children in the neonatal period because these children exhibit sleep problems. This study investigated the possibility that abnormal neonatal sleep-wake rhythms are related to future ASD development. We administered questionnaires to assess parent(s) of children with ASD and controls. A retrospective analysis was conducted among 121 children with ASD (94 male and 27 female children) recruited from the K-Development Support Center for Children (K-ASD), 56 children with ASD (40 male and 16 female children) recruited from the H-Children's Sleep and Development Medical Research Center (H-ASD) and 203 children (104 male and 99 female children) recruited from four nursery schools in T-city (control). Irritable/over-reactive types of sleep-wake rhythms that cause difficulty in raising children, such as 1) frequently waking up, 2) difficulty falling asleep, 3) short sleep hours, and 4) continuous crying and grumpiness, were observed more often in ASD groups than in the control group. Additionally, the number of the mothers who went to bed after midnight during pregnancy was higher in the ASD groups than in the control group. Sleep-wake rhythm abnormalities in neonates may be considerable precursors to future development of ASD. Formation of ultradian and postnatal circadian rhythms should be given more attention when considering ASD development. Although this is a retrospective study, the results suggest that a prospective study regarding this issue may be important in understanding and discovering intervention areas that may contribute to preventing and/or properly treating ASD.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Autism spectrum disorder Sentence A: To examine the neural basis of impairments in interpreting facial emotions in children and adolescents with autism spectrum disorders (ASD). Sentence B: Recently, it has been suggested that sleep problems in autism spectrum disorder (ASD) not only are associated symptoms, but may be deeply related to ASD pathogenesis. Common clinical practice relating to developmental disorders, has shown that parents of children with ASD have often stated that it is more difficult to raise children in the neonatal period because these children exhibit sleep problems. This study investigated the possibility that abnormal neonatal sleep-wake rhythms are related to future ASD development. We administered questionnaires to assess parent(s) of children with ASD and controls. A retrospective analysis was conducted among 121 children with ASD (94 male and 27 female children) recruited from the K-Development Support Center for Children (K-ASD), 56 children with ASD (40 male and 16 female children) recruited from the H-Children's Sleep and Development Medical Research Center (H-ASD) and 203 children (104 male and 99 female children) recruited from four nursery schools in T-city (control). Irritable/over-reactive types of sleep-wake rhythms that cause difficulty in raising children, such as 1) frequently waking up, 2) difficulty falling asleep, 3) short sleep hours, and 4) continuous crying and grumpiness, were observed more often in ASD groups than in the control group. Additionally, the number of the mothers who went to bed after midnight during pregnancy was higher in the ASD groups than in the control group. Sleep-wake rhythm abnormalities in neonates may be considerable precursors to future development of ASD. Formation of ultradian and postnatal circadian rhythms should be given more attention when considering ASD development. Although this is a retrospective study, the results suggest that a prospective study regarding this issue may be important in understanding and discovering intervention areas that may contribute to preventing and/or properly treating ASD. ###Answer 1. Changed Reasoning: The target word ""Autism spectrum disorder"" has undergone significant semantic drift between the two sentences. In Sentence A, the term is used in the context of a neurological disorder characterized by impairments in interpreting facial emotions, while in Sentence B, it is used to describe sleep problems associated with the disorder. The meaning of the term has shifted from a narrow focus on facial emotion interpretation to a broader understanding of the disorder's impact on sleep patterns. This change in meaning suggests that the term has undergone semantic drift." 57,Autism spectrum disorder,To quantify progress after cochlear implantation for children with autism spectrum disorder (ASD).,"Several instruments have been developed to screen for autism spectrum disorders (ASD) in high-risk populations. However, few studies compare different instruments in one sample. Data were gathered from the Early Screening of Autistic Traits Questionnaire, Social Communication Questionnaire, Communication and Symbolic Behavior Scales-Developmental Profile, Infant-Toddler Checklist and key items of the Checklist for Autism in Toddlers in 238 children (mean age = 29.6 months, SD = 6.4) at risk for ASD. Discriminative properties are compared in the whole sample and in two age groups separately (8-24 months and 25-44 months). No instrument or individual item shows satisfying power in discriminating ASD from non-ASD, but pros and cons of instruments and items are discussed and directions for future research are proposed.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Autism spectrum disorder Sentence A: To quantify progress after cochlear implantation for children with autism spectrum disorder (ASD). Sentence B: Several instruments have been developed to screen for autism spectrum disorders (ASD) in high-risk populations. However, few studies compare different instruments in one sample. Data were gathered from the Early Screening of Autistic Traits Questionnaire, Social Communication Questionnaire, Communication and Symbolic Behavior Scales-Developmental Profile, Infant-Toddler Checklist and key items of the Checklist for Autism in Toddlers in 238 children (mean age = 29.6 months, SD = 6.4) at risk for ASD. Discriminative properties are compared in the whole sample and in two age groups separately (8-24 months and 25-44 months). No instrument or individual item shows satisfying power in discriminating ASD from non-ASD, but pros and cons of instruments and items are discussed and directions for future research are proposed. ###Answer 1. Changed The meaning of the target word ""Autism spectrum disorder"" has significantly changed between Sentence A (2000) and Sentence B (2020). In Sentence A, the term is used in the context of assessing progress after cochlear implantation for children with ASD. This suggests that the term was used to describe a specific medical condition or treatment at the time. In Sentence B, the term is used in the context of screening for ASD in high-risk populations. This suggests that the term has expanded in meaning to include a broader range of behaviors and characteristics associated with the disorder. The use of the term ""spectrum disorder"" also implies a greater recognition of the diversity of symptoms and severity of the disorder. Therefore, the label ""Changed"" is appropriate for this example, as the meaning of the target word has shifted to encompass a broader range of behaviors and characteristics associated with ASD." 58,Autism spectrum disorder,"The potential role of environmental factors in autism spectrum disorders (ASD) is an area of emerging interest within the public and scientific communities. The high degree of heritability of ASD suggests that environmental influences are likely to operate through their interaction with genetic susceptibility during vulnerable periods of development. Evaluation of the plausibility of specific neurotoxicants as etiological agents in ASD should be guided by toxicological principles, including dose-effect dependency and pharmacokinetic parameters. Clinical and epidemiological investigations require the use of sufficiently powered study designs with appropriate control groups and unbiased case ascertainment and exposure assessment. Although much of the existing data that have been used to implicate environmental agents in ASD are limited by methodological shortcomings, a number of efforts are underway that will allow more rigorous evaluation of the role of environmental exposures in the etiology and/or phenotypic expression of the disorder. Surveillance systems are now in place that will provide reliable prevalence estimates going forward in time. Anticipated discoveries in genetics, brain pathology, and the molecular/cellular basis of functional impairment in ASD are likely to provide new opportunities to explore environmental aspects of this disorder.","Oxytocin (OXT) is a hypothalamic neuropeptide that is released from the posterior pituitary gland and at specific targets in the central nervous system (CNS). The prosocial effects of OXT acting in the CNS present it as a potential therapeutic agent for the treatment of aspects of autism spectrum disorder (ASD). In this article, we systematically review the functional MRI (fMRI) literature that reports task-state and resting-state fMRI (rsfMRI) studies of the neural effects of single or multiple dose intranasal OXT (IN-OXT) administration in individuals with ASD.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Autism spectrum disorder Sentence A: The potential role of environmental factors in autism spectrum disorders (ASD) is an area of emerging interest within the public and scientific communities. The high degree of heritability of ASD suggests that environmental influences are likely to operate through their interaction with genetic susceptibility during vulnerable periods of development. Evaluation of the plausibility of specific neurotoxicants as etiological agents in ASD should be guided by toxicological principles, including dose-effect dependency and pharmacokinetic parameters. Clinical and epidemiological investigations require the use of sufficiently powered study designs with appropriate control groups and unbiased case ascertainment and exposure assessment. Although much of the existing data that have been used to implicate environmental agents in ASD are limited by methodological shortcomings, a number of efforts are underway that will allow more rigorous evaluation of the role of environmental exposures in the etiology and/or phenotypic expression of the disorder. Surveillance systems are now in place that will provide reliable prevalence estimates going forward in time. Anticipated discoveries in genetics, brain pathology, and the molecular/cellular basis of functional impairment in ASD are likely to provide new opportunities to explore environmental aspects of this disorder. Sentence B: Oxytocin (OXT) is a hypothalamic neuropeptide that is released from the posterior pituitary gland and at specific targets in the central nervous system (CNS). The prosocial effects of OXT acting in the CNS present it as a potential therapeutic agent for the treatment of aspects of autism spectrum disorder (ASD). In this article, we systematically review the functional MRI (fMRI) literature that reports task-state and resting-state fMRI (rsfMRI) studies of the neural effects of single or multiple dose intranasal OXT (IN-OXT) administration in individuals with ASD. ###Answer 1. Changed Explanation: In Sentence A, the target word ""autism spectrum disorder"" is used in the context of emerging research into the potential role of environmental factors in the disorder. The sentence highlights the genetic and environmental complexity of the disorder, and mentions the need for rigorous study designs to evaluate the role of environmental exposures. The word ""disorder"" is used in a neutral, descriptive sense, without any connotation of stigma or negative judgment. In Sentence B, the target word ""autism spectrum disorder"" is used in the context of a potential therapeutic agent for the treatment of aspects of the disorder. The sentence highlights the prosocial effects of oxytocin in the central nervous system, and mentions the possibility of using oxytocin as a treatment for the disorder. The word ""disorder"" is used in a more positive, potentially therapeutic sense, suggesting a more hopeful view of the disability. Based on these differences in context and meaning, it is clear that the word ""autism spectrum disorder"" has undergone a significant change in meaning between Sentence A and Sentence B. In Sentence A, the word is used in a more neutral, descriptive sense, while in Sentence B, it is used in a more positive, potentially therapeutic sense. Therefore, the label ""Changed"" is appropriate for this task." 59,Autism spectrum disorder,"Autistic spectrum disorders (ASD) are an often-disabling continuum of disorders affecting two to four in 1000 children. These disorders have a core set of defining features including impaired verbal and nonverbal communication, impaired social interaction, and restricted or repetitive patterns of behavior. The cause of autism is unclear. The disorder can be defined only by related behaviors. Although there has been considerable improvement in standardized screening techniques for ASD in the past 10 years, screening and diagnostic practices in medicine and education lag far behind clinical research. Various studies have found the average age of diagnosis to be between 3 and 6 years, with significant differences as a function of ethnicity and socio-economic status. Preliminary research suggests that in some populations, missed diagnosis and misdiagnosis of ASD are common. This may be caused partly by inadequate screening practices. It also may reflect that presentation of symptoms varies from patient to patient. Lack of resources for appropriate referral, diagnosis, and treatment may play an important role. This article discusses recent progress in ASD screening, what is known of current screening and diagnostic practices, and future directions for research and practice improvement. The best practice model for the screening and early diagnosis of autism spectrum disorders and other developmental disabilities should include routine developmental surveillance as part of well-child pediatric care. General developmental screening should be followed by autism-specific screening for those children who fail the initial developmental screen, or whose parents report suspect behaviors.","Utilizing surveillance data from five sites participating in the Autism and Developmental Disabilities Monitoring Network, we investigated contributions of surveillance subject and census tract population sociodemographic characteristics on variation in autism spectrum disorder ascertainment and prevalence estimates from 2000 to 2008 using ordinal hierarchical models for 2489 tracts. Multivariable analyses showed a significant increase in ascertainment of autism spectrum disorder cases through both school and health sources, the optimal ascertainment scenario, for cases with college-educated mothers (adjusted odds ratio = 1.06, 95% confidence interval = 1.02-1.09). Results from our examination of sociodemographic factors of tract populations from which cases were drawn also showed that after controlling for other covariates, statistical significance remained for associations between optimal ascertainment and percentage of Hispanic residents (adjusted odds ratio = 0.93, 95% confidence interval = 0.88-0.99) and percentage of residents with at least a bachelor's degree (adjusted odds ratio = 1.06, 95% confidence interval = 1.01-1.11). We identified sociodemographic factors associated with autism spectrum disorder prevalence estimates including race, ethnicity, education, and income. Determining which specific factors influence disparities is complicated; however, it appears that even in the presence of education, racial and ethnic disparities are still apparent. These results suggest disparities in access to autism spectrum disorder assessments and special education for autism spectrum disorder among ethnic groups may impact subsequent surveillance.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Autism spectrum disorder Sentence A: Autistic spectrum disorders (ASD) are an often-disabling continuum of disorders affecting two to four in 1000 children. These disorders have a core set of defining features including impaired verbal and nonverbal communication, impaired social interaction, and restricted or repetitive patterns of behavior. The cause of autism is unclear. The disorder can be defined only by related behaviors. Although there has been considerable improvement in standardized screening techniques for ASD in the past 10 years, screening and diagnostic practices in medicine and education lag far behind clinical research. Various studies have found the average age of diagnosis to be between 3 and 6 years, with significant differences as a function of ethnicity and socio-economic status. Preliminary research suggests that in some populations, missed diagnosis and misdiagnosis of ASD are common. This may be caused partly by inadequate screening practices. It also may reflect that presentation of symptoms varies from patient to patient. Lack of resources for appropriate referral, diagnosis, and treatment may play an important role. This article discusses recent progress in ASD screening, what is known of current screening and diagnostic practices, and future directions for research and practice improvement. The best practice model for the screening and early diagnosis of autism spectrum disorders and other developmental disabilities should include routine developmental surveillance as part of well-child pediatric care. General developmental screening should be followed by autism-specific screening for those children who fail the initial developmental screen, or whose parents report suspect behaviors. Sentence B: Utilizing surveillance data from five sites participating in the Autism and Developmental Disabilities Monitoring Network, we investigated contributions of surveillance subject and census tract population sociodemographic characteristics on variation in autism spectrum disorder ascertainment and prevalence estimates from 2000 to 2008 using ordinal hierarchical models for 2489 tracts. Multivariable analyses showed a significant increase in ascertainment of autism spectrum disorder cases through both school and health sources, the optimal ascertainment scenario, for cases with college-educated mothers (adjusted odds ratio = 1.06, 95% confidence interval = 1.02-1.09). Results from our examination of sociodemographic factors of tract populations from which cases were drawn also showed that after controlling for other covariates, statistical significance remained for associations between optimal ascertainment and percentage of Hispanic residents (adjusted odds ratio = 0.93, 95% confidence interval = 0.88-0.99) and percentage of residents with at least a bachelor's degree (adjusted odds ratio = 1.06, 95% confidence interval = 1.01-1.11). We identified sociodemographic factors associated with autism spectrum disorder prevalence estimates including race, ethnicity, education, and income. Determining which specific factors influence disparities is complicated; however, it appears that even in the presence of education, racial and ethnic disparities are still apparent. These results suggest disparities in access to autism spectrum disorder assessments and special education for autism spectrum disorder among ethnic groups may impact subsequent surveillance. ###Answer 1. Changed Reasoning: The target word ""Autism spectrum disorder"" has undergone a significant change in meaning between the two sentences. In Sentence A, the term is used to describe a continuum of disorders affecting children, with a focus on the core defining features of the disorder. In Sentence B, the term is used to describe a specific aspect of a larger population, with a focus on sociodemographic factors associated with autism spectrum disorder prevalence estimates. The meaning of the term has shifted from a clinical perspective to a public health perspective." 60,Autism spectrum disorder,"Cerebellar pathology has been associated with a number of developmental behavioral disorders, including autism spectrum disorders. Despite the fact that perinatal virus infections have been implicated in neurodevelopmental damage, few animal models have been developed to study the pathogenesis involved. One of the most interesting in vivo models of virus-induced cerebellar damage is the neonatal Borna disease virus (BDV) infection of the rat brain. The present review describes molecular, cellular, neuroanatomical, neurochemical and behavioral features of the BDV model and also provides a basis for a new understanding of the pathogenic mechanisms of cerebellar malformation and associated behavioral deficits.","To investigate serum levels of VEGF, IGF-1 and FGF-2, and relationships with several clinical characteristics in children and adolescents with autism spectrum disorder (ASD) with and without bipolar disorder (BD).","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Autism spectrum disorder Sentence A: Cerebellar pathology has been associated with a number of developmental behavioral disorders, including autism spectrum disorders. Despite the fact that perinatal virus infections have been implicated in neurodevelopmental damage, few animal models have been developed to study the pathogenesis involved. One of the most interesting in vivo models of virus-induced cerebellar damage is the neonatal Borna disease virus (BDV) infection of the rat brain. The present review describes molecular, cellular, neuroanatomical, neurochemical and behavioral features of the BDV model and also provides a basis for a new understanding of the pathogenic mechanisms of cerebellar malformation and associated behavioral deficits. Sentence B: To investigate serum levels of VEGF, IGF-1 and FGF-2, and relationships with several clinical characteristics in children and adolescents with autism spectrum disorder (ASD) with and without bipolar disorder (BD). ###Answer 1. Changed Reasoning: In Sentence A, the term ""autism spectrum disorder"" is used to describe a developmental behavioral disorder characterized by cerebellar pathology and neurodevelopmental damage. In Sentence B, the term ""autism spectrum disorder"" is used to describe a neurodevelopmental disorder characterized by impaired social interaction and communication, and no mention is made of cerebellar pathology. Therefore, the meaning of the term ""autism spectrum disorder"" has shifted from a broad description of a developmental disorder to a more specific description of a neurodevelopmental disorder." 61,Autism spectrum disorder,"This study investigated the 50 ms (M50) and 100 ms (M100) components of the auditory evoked field to explore their change during development. Using MEG, neuromagnetic fields elicited by a 1 kHz sinusoidal tone were recorded in adults and two groups of children and adolescents with typical development or autism spectrum disorder. M50 amplitude was larger in children than in adults, suggesting a developmental trajectory with M50 amplitude decreasing and M100 increasing with age. Child M50 and M100 latencies were prolonged relative to adults. Children with autism did not differ from control children with respect to these observations. The M50 in relation to the M100 is a robust index of early auditory system maturation suitable for future developmental investigations.","According to DSM-5 criteria, Autism spectrum disorder (ASD) is a neurodevelopmental condition characterized by deficiencies in social communication and interaction along with the presence of restrictive and repetitive patterns of behavior. Few studies have explored the prevalence of behavioral addiction in individuals with ASD. Since addiction and ASD share common characteristics, individuals with ASD may be more vulnerable to addictive behaviors. Some typical behavioral addictions include internet, gaming, and gambling addiction. While most previous studies on ASD and addiction have looked at chemical addiction, behavioral addiction has not been thoroughly studied to date.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Autism spectrum disorder Sentence A: This study investigated the 50 ms (M50) and 100 ms (M100) components of the auditory evoked field to explore their change during development. Using MEG, neuromagnetic fields elicited by a 1 kHz sinusoidal tone were recorded in adults and two groups of children and adolescents with typical development or autism spectrum disorder. M50 amplitude was larger in children than in adults, suggesting a developmental trajectory with M50 amplitude decreasing and M100 increasing with age. Child M50 and M100 latencies were prolonged relative to adults. Children with autism did not differ from control children with respect to these observations. The M50 in relation to the M100 is a robust index of early auditory system maturation suitable for future developmental investigations. Sentence B: According to DSM-5 criteria, Autism spectrum disorder (ASD) is a neurodevelopmental condition characterized by deficiencies in social communication and interaction along with the presence of restrictive and repetitive patterns of behavior. Few studies have explored the prevalence of behavioral addiction in individuals with ASD. Since addiction and ASD share common characteristics, individuals with ASD may be more vulnerable to addictive behaviors. Some typical behavioral addictions include internet, gaming, and gambling addiction. While most previous studies on ASD and addiction have looked at chemical addiction, behavioral addiction has not been thoroughly studied to date. ###Answer 1. Changed Reasoning: In Sentence A, the target word ""autism spectrum disorder"" is used to refer to a specific neurodevelopmental condition characterized by deficiencies in social communication and interaction, along with the presence of restrictive and repetitive patterns of behavior. The sentence highlights the diagnostic criteria for the condition and notes that few studies have explored the prevalence of behavioral addiction in individuals with ASD. In Sentence B, the target word ""autism spectrum disorder"" has shifted in meaning. The sentence uses the term to refer to a broader range of neurodevelopmental conditions characterized by deficiencies in social communication and interaction, along with the presence of restrictive and repetitive patterns of behavior. The sentence also notes that individuals with ASD may be more vulnerable to addictive behaviors, including behavioral addictions such as internet, gaming, and gambling addiction. This shift in meaning suggests that the term ""autism spectrum disorder"" has undergone semantic drift, as it is now used to encompass a broader range of conditions than it did in Sentence A." 62,Autism spectrum disorder,"Recent research has indicated that autism is not a discrete disorder and that family members of autistic probands have an increased likelihood of exhibiting autistic symptoms with a wide range of severity, often below the threshold for a diagnosis of an autism spectrum disorder.","Despite the mounting evidence of efficacy of early intervention for children with autism spectrum disorders, there is little research that considers the various perceptions and resources with which parents respond to the pressures and opportunities associated with participation in early intervention. Research is particularly lacking surrounding experiences of parents with infants who are at risk of autism spectrum disorders but do not (yet) have a diagnosed condition.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Autism spectrum disorder Sentence A: Recent research has indicated that autism is not a discrete disorder and that family members of autistic probands have an increased likelihood of exhibiting autistic symptoms with a wide range of severity, often below the threshold for a diagnosis of an autism spectrum disorder. Sentence B: Despite the mounting evidence of efficacy of early intervention for children with autism spectrum disorders, there is little research that considers the various perceptions and resources with which parents respond to the pressures and opportunities associated with participation in early intervention. Research is particularly lacking surrounding experiences of parents with infants who are at risk of autism spectrum disorders but do not (yet) have a diagnosed condition. ###Answer 1. Changed Reasoning: In Sentence A, the term ""autism spectrum disorder"" is used to describe a broader range of symptoms and behaviors than in Sentence B, where it is used more narrowly to refer to a specific diagnosed condition. This suggests that the term has shifted in meaning over time, with a broader range of symptoms and behaviors being included under its umbrella. Additionally, the phrase ""autism spectrum disorder"" is used more frequently in Sentence A than in Sentence B, which further supports the conclusion that the term has undergone semantic drift." 63,Autism spectrum disorder,"To assess the frequency of cytogenetic abnormalities in children with autism spectrum disorders (ASDs), routine G-banded cytogenetic analyses and FISH studies to rule out 15q11.2 and 17p11.2 duplications were performed on 49 children with ASDs. Blood samples were further studied using a complete set of subtelomeric FISH probes. Routine chromosome study showed that one child had a small duplication of chromosome 5: 46,XY,dup(5)(p?14.2p?15.1). Another child had an interstitial duplication of the Prader-Willi and Angelman syndrome critical region of chromosome 15, detected by FISH analysis. The detection of these two cases underscores the importance of obtaining routine chromosome and 15q11-q13 FISH analyses in children with ASDs. No instance of 17p11.2 duplication was observed. Subtelomeric analysis did not reveal abnormalities in any of the subjects.",  Compared with other conditions there has been a lack of focus on quality of life (QoL) as an outcome measure for children and young people with Autism Spectrum Disorder (ASD). This pilot study aimed to evaluate the validity of existing QoL questionnaires for use with children with ASD aged 8-12 years.,"###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Autism spectrum disorder Sentence A: To assess the frequency of cytogenetic abnormalities in children with autism spectrum disorders (ASDs), routine G-banded cytogenetic analyses and FISH studies to rule out 15q11.2 and 17p11.2 duplications were performed on 49 children with ASDs. Blood samples were further studied using a complete set of subtelomeric FISH probes. Routine chromosome study showed that one child had a small duplication of chromosome 5: 46,XY,dup(5)(p?14.2p?15.1). Another child had an interstitial duplication of the Prader-Willi and Angelman syndrome critical region of chromosome 15, detected by FISH analysis. The detection of these two cases underscores the importance of obtaining routine chromosome and 15q11-q13 FISH analyses in children with ASDs. No instance of 17p11.2 duplication was observed. Subtelomeric analysis did not reveal abnormalities in any of the subjects. Sentence B:   Compared with other conditions there has been a lack of focus on quality of life (QoL) as an outcome measure for children and young people with Autism Spectrum Disorder (ASD). This pilot study aimed to evaluate the validity of existing QoL questionnaires for use with children with ASD aged 8-12 years. ###Answer 1. Changed Explanation: Autism spectrum disorder (ASD) has undergone significant semantic drift between Sentence A (2000) and Sentence B (2020). In Sentence A, the term ""autism spectrum disorder"" is used, which was the most commonly used term in the early 2000s. However, in Sentence B, the term ""Autism Spectrum Disorder"" (ASD) is used, which reflects the current consensus on the term's usage. This suggests that the term has evolved in meaning over time, with a shift towards emphasizing the ""spectrum"" nature of the disorder. Additionally, the phrase ""Autism Spectrum Disorder"" has become more commonly used in recent years, indicating a change in the way the disorder is perceived and understood. Therefore, the label ""Changed"" is appropriate for this example." 64,Autism spectrum disorder,"Prior imaging studies have failed to show activation of the fusiform gyrus in response to emotionally neutral faces in individuals with autism spectrum disorder (ASD) [Critchley et al., Brain 124 (2001) 2059; Schultz et al., Arch. Gen. Psychiatry 57 (2000) 331]. However, individuals with ASD do not typically exhibit the striking behavioral deficits that might be expected to result from fusiform gyrus damage, such as those seen in prosopagnosia, and their deficits appear to extend well beyond face identification to include a wide range of impairments in social perceptual processing. In this study, our goal was to further assess the question of whether individuals with ASD have abnormal fusiform gyrus activation to faces. We used high-field (3 T) functional magnetic resonance imaging to study face perception in 11 adult individuals with autism spectrum disorder (ASD) and 10 normal controls. We used face stimuli, object stimuli, and sensory control stimuli (Fourier scrambled versions of the face and object stimuli) containing a fixation point in the center to ensure that participants were looking at and attending to the images as they were presented. We found that individuals with ASD activated the fusiform face area and other brain areas normally involved in face processing when they viewed faces as compared to non-face stimuli. These data indicate that the face-processing deficits encountered in ASD are not due to a simple dysfunction of the fusiform area, but to more complex anomalies in the distributed network of brain areas involved in social perception and cognition.","Pediatric populations continue to be understudied in clinical drug trials despite the increasing use of pharmacotherapy in children, particularly with psychotropic drugs. Most pertinent to the clinical selection of drug interventions are trials directly comparing drugs against other drugs. The aim was to measure the prevalence of active drug comparators in neuropsychiatric drug trials in children and identify the effects of funding source on comparator selection. We analyzed the selection of drugs and drug comparisons in clinical trials registered between January 2006 and May 2012. Completed and ongoing interventional trials examining treatments for six neuropsychiatric conditions in children were included. Networks of drug comparisons for each condition were constructed using information about the trial study arms. Of 421 eligible trial registrations, 228 (63,699 participants) were drug trials addressing ADHD (106 trials), autism spectrum disorders (47), unipolar depression (16), seizure disorders (38), migraines and other headaches (15), or schizophrenia (11). Active drug comparators were used in only 11.0% of drug trials while 44.7% used a placebo control and 44.3% no drug or placebo comparator. Even among conditions with well-established pharmacotherapeutic options, almost all drug interventions were compared to a placebo. Active comparisons were more common among trials without industry funding (17% vs. 8%, p=0.04). Trials with industry funding differed from non-industry trials in terms of the drugs studied and the comparators selected. For 73% (61/84) of drugs and 90% (19/21) of unique comparisons, trials were funded exclusively by either industry or non-industry. We found that industry and non-industry differed when choosing comparators and active drug comparators were rare for both groups. This gap in pediatric research activity limits the evidence available to clinicians treating children and suggests a need to reassess the design and funding of pediatric trials in order to optimize the information derived from pediatric participation in clinical trials. ","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Autism spectrum disorder Sentence A: Prior imaging studies have failed to show activation of the fusiform gyrus in response to emotionally neutral faces in individuals with autism spectrum disorder (ASD) [Critchley et al., Brain 124 (2001) 2059; Schultz et al., Arch. Gen. Psychiatry 57 (2000) 331]. However, individuals with ASD do not typically exhibit the striking behavioral deficits that might be expected to result from fusiform gyrus damage, such as those seen in prosopagnosia, and their deficits appear to extend well beyond face identification to include a wide range of impairments in social perceptual processing. In this study, our goal was to further assess the question of whether individuals with ASD have abnormal fusiform gyrus activation to faces. We used high-field (3 T) functional magnetic resonance imaging to study face perception in 11 adult individuals with autism spectrum disorder (ASD) and 10 normal controls. We used face stimuli, object stimuli, and sensory control stimuli (Fourier scrambled versions of the face and object stimuli) containing a fixation point in the center to ensure that participants were looking at and attending to the images as they were presented. We found that individuals with ASD activated the fusiform face area and other brain areas normally involved in face processing when they viewed faces as compared to non-face stimuli. These data indicate that the face-processing deficits encountered in ASD are not due to a simple dysfunction of the fusiform area, but to more complex anomalies in the distributed network of brain areas involved in social perception and cognition. Sentence B: Pediatric populations continue to be understudied in clinical drug trials despite the increasing use of pharmacotherapy in children, particularly with psychotropic drugs. Most pertinent to the clinical selection of drug interventions are trials directly comparing drugs against other drugs. The aim was to measure the prevalence of active drug comparators in neuropsychiatric drug trials in children and identify the effects of funding source on comparator selection. We analyzed the selection of drugs and drug comparisons in clinical trials registered between January 2006 and May 2012. Completed and ongoing interventional trials examining treatments for six neuropsychiatric conditions in children were included. Networks of drug comparisons for each condition were constructed using information about the trial study arms. Of 421 eligible trial registrations, 228 (63,699 participants) were drug trials addressing ADHD (106 trials), autism spectrum disorders (47), unipolar depression (16), seizure disorders (38), migraines and other headaches (15), or schizophrenia (11). Active drug comparators were used in only 11.0% of drug trials while 44.7% used a placebo control and 44.3% no drug or placebo comparator. Even among conditions with well-established pharmacotherapeutic options, almost all drug interventions were compared to a placebo. Active comparisons were more common among trials without industry funding (17% vs. 8%, p=0.04). Trials with industry funding differed from non-industry trials in terms of the drugs studied and the comparators selected. For 73% (61/84) of drugs and 90% (19/21) of unique comparisons, trials were funded exclusively by either industry or non-industry. We found that industry and non-industry differed when choosing comparators and active drug comparators were rare for both groups. This gap in pediatric research activity limits the evidence available to clinicians treating children and suggests a need to reassess the design and funding of pediatric trials in order to optimize the information derived from pediatric participation in clinical trials. ###Answer 1. Changed Reasoning: In Sentence A from 2001, the term ""autism spectrum disorder"" (ASD) is used, which was the most recent diagnostic classification at the time. However, in Sentence B from 2020, the term ""autism spectrum disorders"" (ASDs) is used, indicating that the phrase has been pluralized, likely reflecting the recognition that autism is a spectrum of disorders rather than a single disorder. This change in language suggests that the meaning of the term ""autism"" has evolved over time to encompass a broader range of conditions, indicating semantic drift." 65,Autism spectrum disorder,"The etiology of autism spectrum disorders (ASDs) is poorly understood, although it is clear that genetic factors play a major role. ASDs appear to be a heterogeneous group of disorders, making genetic analysis difficult in the absence of etiologically definable subgroups. The excess of males in the affected population has led to suggestions that an X-linked locus could play a role in the causation of autism or a related pervasive developmental disorder. To examine this, we have investigated the genotypes of 31 families with two or more affected boys, at a series of 16 highly polymorphic loci distributed along the X chromosome with an average interlocus distance of 12 cM, in order to identify regions of significantly increased concordance among pairs of affected brothers. No locus tested showed a significant increase in concordance, supporting findings by others that there are no genes of major effect located on the X chromosome that contribute to increased susceptibility to ASD.","Children with the single-gene disorder neurofibromatosis type 1 (NF1) appear to be at an increased risk for autism spectrum disorder (ASD) and exhibit a unique social-cognitive phenotype compared with children with idiopathic ASD. A complete framework is required to better understand autism in NF1, from neurobiological levels through to behavioural and functional outcomes. The primary aims of this study are to establish the frequency of ASD in children with NF1, examine the social cognitive phenotype, investigate the neuropsychological processes contributing to ASD symptoms and poor social functioning in children with NF1, and to investigate novel structural and functional neurobiological markers of ASD and social dysfunction in NF1. The secondary aim of this study is to compare the neuropsychological and neurobiological features of ASD in children with NF1 to a matched group of patients with idiopathic ASD.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Autism spectrum disorder Sentence A: The etiology of autism spectrum disorders (ASDs) is poorly understood, although it is clear that genetic factors play a major role. ASDs appear to be a heterogeneous group of disorders, making genetic analysis difficult in the absence of etiologically definable subgroups. The excess of males in the affected population has led to suggestions that an X-linked locus could play a role in the causation of autism or a related pervasive developmental disorder. To examine this, we have investigated the genotypes of 31 families with two or more affected boys, at a series of 16 highly polymorphic loci distributed along the X chromosome with an average interlocus distance of 12 cM, in order to identify regions of significantly increased concordance among pairs of affected brothers. No locus tested showed a significant increase in concordance, supporting findings by others that there are no genes of major effect located on the X chromosome that contribute to increased susceptibility to ASD. Sentence B: Children with the single-gene disorder neurofibromatosis type 1 (NF1) appear to be at an increased risk for autism spectrum disorder (ASD) and exhibit a unique social-cognitive phenotype compared with children with idiopathic ASD. A complete framework is required to better understand autism in NF1, from neurobiological levels through to behavioural and functional outcomes. The primary aims of this study are to establish the frequency of ASD in children with NF1, examine the social cognitive phenotype, investigate the neuropsychological processes contributing to ASD symptoms and poor social functioning in children with NF1, and to investigate novel structural and functional neurobiological markers of ASD and social dysfunction in NF1. The secondary aim of this study is to compare the neuropsychological and neurobiological features of ASD in children with NF1 to a matched group of patients with idiopathic ASD. ###Answer 1. Changed Explanation: In Sentence A, the target word ""autism spectrum disorder"" is used to describe a group of disorders with a unclear etiology, and the focus is on identifying genetic factors. The sentence suggests that the disorder is poorly understood and that there is a lack of definitive subgroups. In Sentence B, the target word ""autism spectrum disorder"" is used to describe a specific group of children with the single-gene disorder neurofibromatosis type 1 (NF1). The sentence highlights the unique social-cognitive phenotype of these children and the need for a comprehensive framework to understand the disorder. Compared to Sentence A, the meaning of the target word ""autism spectrum disorder"" in Sentence B has shifted to emphasize the specific relationship between NF1 and ASD. The sentence suggests that children with NF1 are at an increased risk for ASD and exhibit a distinct social-cognitive phenotype compared to children with idiopathic ASD. Therefore, the label ""Changed"" is appropriate to indicate that the meaning of the target word has shifted significantly between the two sentences." 66,Autism spectrum disorder,"At least five per cent of the general population of children suffer from severe neuropsychiatric impairment. Autism spectrum disorders, ADHD/DAMP, Tourette's syndrome, and a variety of cognitive impairment/neurological syndromes with severe behavioral/emotional symptoms are included among the child neuropsychiatric disorders, the majority of which will lead to ongoing social and academic problems in adult life. Substantial numbers of those affected commit crimes in early adult life, and the incidence of the above-mentioned disorders is higher among young criminal offenders. Early diagnosis, educational, psychological, and, occasionally, medical therapies can affect outcome in a positive way. Child neuropsychiatric disorders should therefore be recognized at an early age so that attitudes can be changed from rejection to understanding, and a gloomy psychosocial outcome avoided.","Autism spectrum disorder is a developmental disorder characterized by deficits in social and communication skills and repetitive and stereotyped interests and behaviours. Although not part of the diagnostic criteria, individuals with autism experience a host of motor impairments, potentially due to abnormalities in how they learn motor control throughout development. Here, we used behavioural techniques to quantify motor learning in autism spectrum disorder, and structural brain imaging to investigate the neural basis of that learning in the cerebellum. Twenty children with autism spectrum disorder and 20 typically developing control subjects, aged 8-12, made reaching movements while holding the handle of a robotic manipulandum. In random trials the reach was perturbed, resulting in errors that were sensed through vision and proprioception. The brain learned from these errors and altered the motor commands on the subsequent reach. We measured learning from error as a function of the sensory modality of that error, and found that children with autism spectrum disorder outperformed typically developing children when learning from errors that were sensed through proprioception, but underperformed typically developing children when learning from errors that were sensed through vision. Previous work had shown that this learning depends on the integrity of a region in the anterior cerebellum. Here we found that the anterior cerebellum, extending into lobule VI, and parts of lobule VIII were smaller than normal in children with autism spectrum disorder, with a volume that was predicted by the pattern of learning from visual and proprioceptive errors. We suggest that the abnormal patterns of motor learning in children with autism spectrum disorder, showing an increased sensitivity to proprioceptive error and a decreased sensitivity to visual error, may be associated with abnormalities in the cerebellum. ","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Autism spectrum disorder Sentence A: At least five per cent of the general population of children suffer from severe neuropsychiatric impairment. Autism spectrum disorders, ADHD/DAMP, Tourette's syndrome, and a variety of cognitive impairment/neurological syndromes with severe behavioral/emotional symptoms are included among the child neuropsychiatric disorders, the majority of which will lead to ongoing social and academic problems in adult life. Substantial numbers of those affected commit crimes in early adult life, and the incidence of the above-mentioned disorders is higher among young criminal offenders. Early diagnosis, educational, psychological, and, occasionally, medical therapies can affect outcome in a positive way. Child neuropsychiatric disorders should therefore be recognized at an early age so that attitudes can be changed from rejection to understanding, and a gloomy psychosocial outcome avoided. Sentence B: Autism spectrum disorder is a developmental disorder characterized by deficits in social and communication skills and repetitive and stereotyped interests and behaviours. Although not part of the diagnostic criteria, individuals with autism experience a host of motor impairments, potentially due to abnormalities in how they learn motor control throughout development. Here, we used behavioural techniques to quantify motor learning in autism spectrum disorder, and structural brain imaging to investigate the neural basis of that learning in the cerebellum. Twenty children with autism spectrum disorder and 20 typically developing control subjects, aged 8-12, made reaching movements while holding the handle of a robotic manipulandum. In random trials the reach was perturbed, resulting in errors that were sensed through vision and proprioception. The brain learned from these errors and altered the motor commands on the subsequent reach. We measured learning from error as a function of the sensory modality of that error, and found that children with autism spectrum disorder outperformed typically developing children when learning from errors that were sensed through proprioception, but underperformed typically developing children when learning from errors that were sensed through vision. Previous work had shown that this learning depends on the integrity of a region in the anterior cerebellum. Here we found that the anterior cerebellum, extending into lobule VI, and parts of lobule VIII were smaller than normal in children with autism spectrum disorder, with a volume that was predicted by the pattern of learning from visual and proprioceptive errors. We suggest that the abnormal patterns of motor learning in children with autism spectrum disorder, showing an increased sensitivity to proprioceptive error and a decreased sensitivity to visual error, may be associated with abnormalities in the cerebellum. ###Answer 1. Changed Reasoning: In Sentence A, the term ""Autism spectrum disorder"" is used to describe a condition characterized by deficits in social and communication skills, as well as repetitive and stereotyped interests and behaviors. The phrase ""severe neuropsychiatric impairment"" is also used to describe the condition. The term ""child neuropsychiatric disorders"" is used to describe a group of conditions that may lead to ongoing social and academic problems in adult life. In Sentence B, the term ""Autism spectrum disorder"" is used to describe a developmental disorder characterized by deficits in social and communication skills and repetitive and stereotyped interests and behaviors. The term ""motor impairments"" is used to describe abnormalities in how individuals learn motor control throughout development. The term ""cerebellum"" is used to describe the region of the brain involved in motor learning. The meaning of the term ""Autism spectrum disorder"" has shifted significantly between the two sentences. In Sentence A, the term is used to describe a broader range of conditions, including social and communication impairments, while in Sentence B, the term is used to describe a specific developmental disorder characterized by deficits in social and communication skills and repetitive and stereotyped interests and behaviors. Additionally, the phrase ""child neuropsychiatric disorders"" is used in Sentence A to describe a group of conditions that may lead to ongoing social and academic problems in adult life, while in Sentence B, the term ""motor impairments"" is used to describe abnormalities in how individuals learn motor control throughout development. Therefore, it can be concluded that the term ""Autism spectrum disorder"" has undergone semantic drift between the two sentences, and its meaning has shifted to be more specific and focused on the developmental disorder characterized by deficits in social and communication skills and repetitive and stereotyped interests and behaviors." 67,Autism spectrum disorder,"Psychiatric patients are significantly more often smokers than the general population, the only known exception being obsessive-compulsive disorder (OCD) and catatonic schizophrenia. We have investigated nicotine use in subjects with autism spectrum disorders (ASD). Ninety-five subjects (25 females and 70 males) consecutively diagnosed with any ASD and of normal intelligence were included in the study. Only 12.6% were smokers, compared with 19% in the general population and 47% in a control group of 161 outpatients diagnosed with schizophrenia or a schizophreniform disorder. The results suggest that smoking is rare among subjects with ASD, while the opposite was shown for schizophrenia. If replicated, this finding could suggest biological differences between non-catatonic schizophrenia and ASD, and support the theory of a biological link between ASD and a subtype of OCD, and between ASD and catatonic schizophrenia.","The gut hormone ghrelin has been implicated in a variety of functional roles in the central nervous system through the brain-gut axis, one of which is an anti-inflammatory effect. An aberrant brain-gut axis producing immune dysfunction has been implicated in the pathobiology of autism spectrum disorder (ASD), and elevated expression of inflammatory markers has been shown in blood and brain tissue from subjects with ASD. We hypothesized that ghrelin may mitigate this effect. Lymphoblastoid cell lines from typically developed children (TD-C) (","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Autism spectrum disorder Sentence A: Psychiatric patients are significantly more often smokers than the general population, the only known exception being obsessive-compulsive disorder (OCD) and catatonic schizophrenia. We have investigated nicotine use in subjects with autism spectrum disorders (ASD). Ninety-five subjects (25 females and 70 males) consecutively diagnosed with any ASD and of normal intelligence were included in the study. Only 12.6% were smokers, compared with 19% in the general population and 47% in a control group of 161 outpatients diagnosed with schizophrenia or a schizophreniform disorder. The results suggest that smoking is rare among subjects with ASD, while the opposite was shown for schizophrenia. If replicated, this finding could suggest biological differences between non-catatonic schizophrenia and ASD, and support the theory of a biological link between ASD and a subtype of OCD, and between ASD and catatonic schizophrenia. Sentence B: The gut hormone ghrelin has been implicated in a variety of functional roles in the central nervous system through the brain-gut axis, one of which is an anti-inflammatory effect. An aberrant brain-gut axis producing immune dysfunction has been implicated in the pathobiology of autism spectrum disorder (ASD), and elevated expression of inflammatory markers has been shown in blood and brain tissue from subjects with ASD. We hypothesized that ghrelin may mitigate this effect. Lymphoblastoid cell lines from typically developed children (TD-C) ( ###Answer 1. Changed Explanation: In Sentence A, the term ""autism spectrum disorder"" (ASD) is used to describe a psychiatric condition characterized by a range of symptoms, including difficulty with social interaction and communication. The sentence suggests that individuals with ASD are rare smokers, which may indicate a lack of association between smoking and the condition. In Sentence B, the term ""autism spectrum disorder"" (ASD) is used to describe a neurodevelopmental disorder characterized by immune dysfunction and elevated inflammatory markers. The sentence suggests that ghrelin may mitigate this effect, which is different from the previous sentence's focus on the lack of association between smoking and the condition. Based on these differences in context and meaning, it can be determined that the term ""autism spectrum disorder"" (ASD) has undergone a significant change in meaning between Sentence A and Sentence B. In Sentence A, ASD is associated with psychiatric conditions, while in Sentence B, ASD is associated with neurodevelopmental disorders and immune dysfunction. Therefore, the label ""Changed"" is appropriate for this task." 68,Autism spectrum disorder,"While professionals commonly advocate sharing information about autism spectrum disorders with siblings, no guidelines currently exist that describe what types of information might be relevant for siblings at different ages. To address this issue, the interviewing method described by Bibace and Walsh (1979, 1980), which measures cognitive sophistication in thinking about illness, was adapted to examine perspectives on autism spectrum disorders. Sixty-three siblings of individuals with autism or related disorders were interviewed using this measure. Parents were given the same interview as their child, and asked to predict their child's responses. Children's reasoning became more mature with age, but developed at a delayed rate compared to norms for illness concepts. Although accurate in estimating their child's understanding of the definition and cause of their sibling's diagnosis, parents tended to overestimate their child's understanding of the disorder's impact.","In preterm newborns, the ductus arteriosus frequently fails to close and the infants require medical or surgical closure of the patent ductus arteriosus (PDA). A PDA can be treated surgically; or medically with one of two prostaglandin inhibitors, indomethacin or ibuprofen. Case reports suggest that paracetamol may be an alternative for the closure of a PDA. An association between prenatal or postnatal exposure to paracetamol and later development of autism or autism spectrum disorder has been reported.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Autism spectrum disorder Sentence A: While professionals commonly advocate sharing information about autism spectrum disorders with siblings, no guidelines currently exist that describe what types of information might be relevant for siblings at different ages. To address this issue, the interviewing method described by Bibace and Walsh (1979, 1980), which measures cognitive sophistication in thinking about illness, was adapted to examine perspectives on autism spectrum disorders. Sixty-three siblings of individuals with autism or related disorders were interviewed using this measure. Parents were given the same interview as their child, and asked to predict their child's responses. Children's reasoning became more mature with age, but developed at a delayed rate compared to norms for illness concepts. Although accurate in estimating their child's understanding of the definition and cause of their sibling's diagnosis, parents tended to overestimate their child's understanding of the disorder's impact. Sentence B: In preterm newborns, the ductus arteriosus frequently fails to close and the infants require medical or surgical closure of the patent ductus arteriosus (PDA). A PDA can be treated surgically; or medically with one of two prostaglandin inhibitors, indomethacin or ibuprofen. Case reports suggest that paracetamol may be an alternative for the closure of a PDA. An association between prenatal or postnatal exposure to paracetamol and later development of autism or autism spectrum disorder has been reported. ###Answer 1. Changed Reasoning: In Sentence A, the term ""autism spectrum disorder"" is used in the context of a research study on the cognitive abilities of siblings of individuals with autism. The sentence highlights the complexity and heterogeneity of the disorder, with a focus on the individual's cognitive development and the need for tailored assessment methods. The term is used in the context of a medical research study, with a focus on understanding the disorder from a clinical perspective. In Sentence B, the term ""autism spectrum disorder"" is used in the context of a medical discussion on the treatment options for patent ductus arteriosus in preterm newborns. The sentence highlights the medical aspect of the disorder, with a focus on the treatment options available for the condition. The term is used in the context of a medical discussion, with a focus on understanding the disorder from a clinical perspective. Based on these contexts, it is clear that the term ""autism spectrum disorder"" has undergone a significant change in meaning or connotation between the two sentences. In Sentence A, the term is used in a research context to highlight the complexity and heterogeneity of the disorder, while in Sentence B, the term is used in a medical context to highlight the treatment options available for the condition. These differences in context and meaning suggest that the term has undergone semantic drift." 69,Autism spectrum disorder,"Tuberous sclerosis is a genetic condition that is strongly associated with the development of an autism spectrum disorder. However, there is marked variability in expression, and only a subset of children with tuberous sclerosis develop autism spectrum disorder. Clarification of the mechanisms that underlie the association and variability in expression will potentially throw light on the biological processes involved in the etiology of idiopathic forms of autism spectrum disorder. Current evidence indicates that the likelihood of a child with tuberous sclerosis developing an autism spectrum disorder is greater if the child has a mutation in the TSC2 gene, although autism can and does develop in children with TSC1 mutations. The likelihood is also greater if the child has early-onset infantile spasms that are difficult to control, especially if there is an epileptiform focus in the temporal lobes. The emerging evidence is consistent with the notion that early onset electrophysiological disturbances within the temporal lobes (and perhaps other locations) has a deleterious effect on the development and establishment of key social cognitive representations concerned with processing social information, perhaps especially from faces. However, alternative mechanisms to account for the findings cannot yet be ruled out. Future research will have to employ prospective longitudinal designs and treatment trials to clarify the processes involved.","MOMO is an acronym for macrosomia, obesity, macrocephaly and ocular abnormalities. The syndrome was first described in 1993, with a total of nine patients published thus far. All the cases presented intellectual disability and in one case autism was described. We present a new case of a patient with MOMO syndrome, who consulted for hallucinatory phenomena. He completed a neuropsychological, clinical and cognitive evaluation, showing a borderline intelligence quotient and fulfilled the criteria for autism spectrum disorder. This is the first neurocognitive evaluation of a patient with MOMO, supporting the use of standardized scales in order to assess the autism and other psychiatric comorbidities in patients with genetics syndromes.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Autism spectrum disorder Sentence A: Tuberous sclerosis is a genetic condition that is strongly associated with the development of an autism spectrum disorder. However, there is marked variability in expression, and only a subset of children with tuberous sclerosis develop autism spectrum disorder. Clarification of the mechanisms that underlie the association and variability in expression will potentially throw light on the biological processes involved in the etiology of idiopathic forms of autism spectrum disorder. Current evidence indicates that the likelihood of a child with tuberous sclerosis developing an autism spectrum disorder is greater if the child has a mutation in the TSC2 gene, although autism can and does develop in children with TSC1 mutations. The likelihood is also greater if the child has early-onset infantile spasms that are difficult to control, especially if there is an epileptiform focus in the temporal lobes. The emerging evidence is consistent with the notion that early onset electrophysiological disturbances within the temporal lobes (and perhaps other locations) has a deleterious effect on the development and establishment of key social cognitive representations concerned with processing social information, perhaps especially from faces. However, alternative mechanisms to account for the findings cannot yet be ruled out. Future research will have to employ prospective longitudinal designs and treatment trials to clarify the processes involved. Sentence B: MOMO is an acronym for macrosomia, obesity, macrocephaly and ocular abnormalities. The syndrome was first described in 1993, with a total of nine patients published thus far. All the cases presented intellectual disability and in one case autism was described. We present a new case of a patient with MOMO syndrome, who consulted for hallucinatory phenomena. He completed a neuropsychological, clinical and cognitive evaluation, showing a borderline intelligence quotient and fulfilled the criteria for autism spectrum disorder. This is the first neurocognitive evaluation of a patient with MOMO, supporting the use of standardized scales in order to assess the autism and other psychiatric comorbidities in patients with genetics syndromes. ###Answer 1. Changed Reasoning: In Sentence A, the term ""autism spectrum disorder"" is used in the context of a genetic condition, Tuberous sclerosis, and the meaning is related to the developmental disorder. In Sentence B, the term ""autism"" is used in the context of a patient with MOMO syndrome, and the meaning is related to a psychiatric disorder. The two sentences have different meanings and connotations, indicating semantic drift has occurred." 70,Autism spectrum disorder,"Prader Willi Syndrome (PWS) is a neuro-genetic disorder. It has been reported that cases due to paternal deletion 15q11-13 (Del) behave differently to cases due to uniparental disomy (UPD). Comparison of the two forms of PWS has, to date, not included the frequency of autistic behaviours, even though there are reports of an association between maternal duplications of 15q11-13 and autism spectrum disorders (ASD). It was predicted that maternal UPD PWS cases would be more prone to ASD than Del PWS cases due to their duplicated maternally expressed genes. A preliminary test of the hypothesis was conducted using postal and telephone surveys of matched, genetically verified, UPD and Del cases using the Autism Screening Questionnaire (ASQ) and the Vineland Adaptive Behaviour Scales (VABS). As predicted, UPD cases were reported as exhibiting significantly more autistic symptomatology. They also were born to older mothers and were reported on the VABS to have more deficits in motor control problems and fewer adaptive skills in the Daily Living Skills domain. Del cases were reportedly more skilled at jigsaw puzzles. The results lend further support to the notion that abnormality in the expression of maternal imprinted 15q11-13 genes may confer a susceptibility to ASD. They also suggest that there may be cognitive differences between the groups in processing visuo-spatial information.","Empathic accuracy refers to the ability of perceivers to accurately share the emotions of protagonists. Using a novel task assessing embarrassment, the current study sought to compare levels of empathic embarrassment accuracy among individuals with autism spectrum disorders (ASD) with those of matched controls. To assess empathic embarrassment accuracy, we compared the level of embarrassment experienced by protagonists to the embarrassment felt by participants while watching the protagonists. The results show that while the embarrassment ratings of participants and protagonists were highly matched among controls, individuals with ASD failed to exhibit this matching effect. Furthermore, individuals with ASD rated their embarrassment higher than controls when viewing themselves and protagonists on film, but not while performing the task itself. These findings suggest that individuals with ASD tend to have higher ratings of empathic embarrassment, perhaps due to difficulties in emotion regulation that may account for their impaired empathic accuracy and aberrant social behavior.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Autism spectrum disorder Sentence A: Prader Willi Syndrome (PWS) is a neuro-genetic disorder. It has been reported that cases due to paternal deletion 15q11-13 (Del) behave differently to cases due to uniparental disomy (UPD). Comparison of the two forms of PWS has, to date, not included the frequency of autistic behaviours, even though there are reports of an association between maternal duplications of 15q11-13 and autism spectrum disorders (ASD). It was predicted that maternal UPD PWS cases would be more prone to ASD than Del PWS cases due to their duplicated maternally expressed genes. A preliminary test of the hypothesis was conducted using postal and telephone surveys of matched, genetically verified, UPD and Del cases using the Autism Screening Questionnaire (ASQ) and the Vineland Adaptive Behaviour Scales (VABS). As predicted, UPD cases were reported as exhibiting significantly more autistic symptomatology. They also were born to older mothers and were reported on the VABS to have more deficits in motor control problems and fewer adaptive skills in the Daily Living Skills domain. Del cases were reportedly more skilled at jigsaw puzzles. The results lend further support to the notion that abnormality in the expression of maternal imprinted 15q11-13 genes may confer a susceptibility to ASD. They also suggest that there may be cognitive differences between the groups in processing visuo-spatial information. Sentence B: Empathic accuracy refers to the ability of perceivers to accurately share the emotions of protagonists. Using a novel task assessing embarrassment, the current study sought to compare levels of empathic embarrassment accuracy among individuals with autism spectrum disorders (ASD) with those of matched controls. To assess empathic embarrassment accuracy, we compared the level of embarrassment experienced by protagonists to the embarrassment felt by participants while watching the protagonists. The results show that while the embarrassment ratings of participants and protagonists were highly matched among controls, individuals with ASD failed to exhibit this matching effect. Furthermore, individuals with ASD rated their embarrassment higher than controls when viewing themselves and protagonists on film, but not while performing the task itself. These findings suggest that individuals with ASD tend to have higher ratings of empathic embarrassment, perhaps due to difficulties in emotion regulation that may account for their impaired empathic accuracy and aberrant social behavior. ###Answer 1. Changed (Semantic drift has occurred) Explanation: In Sentence A, the term ""Autism spectrum disorder"" is used, which is the current accepted term for the condition. However, in Sentence B, the term ""Autism spectrum disorders"" is used, which is an older term that was commonly used in the past but is no longer considered appropriate. This change in terminology suggests that the meaning of the term has shifted over time, and therefore semantic drift has occurred." 71,Autism spectrum disorder,"The treatment of seizure disorders EEG epileptiform abnormalities without epilepsy in children with autism spectrum disorders (ASD) is considered within the context of the relationship of epilepsy and epileptiform disorders to language, behavior, and cognition. There is an increased prevalence of both epilepsy and abnormal potentially epileptogenic activity in children with ASD. Anecdotal evidence suggests that the use of anticonvulsants to treat epileptiform discharges thought to be producing dysfunction in selected aspects of cognition, language, or behavior makes a positive difference in a subgroup of children with ASD, but there is inadequate evidence on which to base specific recommendations. There is, at present, no scientific justification for considering epilepsy surgery in children with ASD in the absence of intractable clinical seizures.","Since the turn of the new millennium, care for people with intellectual disability/intellectual developmental disorders (IDD) and/or autism spectrum disorder (ASD) has drawn increasing attention because of the continuous prevalence increase of these two conditions, the high health vulnerability, especially mental vulnerability, and the crucial role of care provision in the setting of continued deinstitutionalization and the shift to community care. The present review addresses the main issues related to mental healthcare in youth with IDD and/or ASD with a specific focus on adolescence and transition to adulthood.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Autism spectrum disorder Sentence A: The treatment of seizure disorders EEG epileptiform abnormalities without epilepsy in children with autism spectrum disorders (ASD) is considered within the context of the relationship of epilepsy and epileptiform disorders to language, behavior, and cognition. There is an increased prevalence of both epilepsy and abnormal potentially epileptogenic activity in children with ASD. Anecdotal evidence suggests that the use of anticonvulsants to treat epileptiform discharges thought to be producing dysfunction in selected aspects of cognition, language, or behavior makes a positive difference in a subgroup of children with ASD, but there is inadequate evidence on which to base specific recommendations. There is, at present, no scientific justification for considering epilepsy surgery in children with ASD in the absence of intractable clinical seizures. Sentence B: Since the turn of the new millennium, care for people with intellectual disability/intellectual developmental disorders (IDD) and/or autism spectrum disorder (ASD) has drawn increasing attention because of the continuous prevalence increase of these two conditions, the high health vulnerability, especially mental vulnerability, and the crucial role of care provision in the setting of continued deinstitutionalization and the shift to community care. The present review addresses the main issues related to mental healthcare in youth with IDD and/or ASD with a specific focus on adolescence and transition to adulthood. ###Answer 1. Changed Reasoning: In Sentence A, the target word ""autism spectrum disorder"" is used in the context of treating seizure disorders and epileptiform abnormalities in children. The meaning of the term emphasizes the relationship between epilepsy and other neurological conditions, such as language, behavior, and cognition. In contrast, in Sentence B, the target word ""autism spectrum disorder"" is used in the context of mental healthcare for people with intellectual disability/intellectual developmental disorders and/or ASD. The meaning of the term has shifted to emphasize the high prevalence of these conditions, the vulnerability of individuals, and the importance of care provision in community settings. The term no longer connotes the relationship between epilepsy and other neurological conditions, but rather the broader context of mental healthcare for individuals with IDD and/or ASD." 72,Autism spectrum disorder,"We determined innate and adaptive immune responses in children with developmental regression and autism spectrum disorders (ASD, N=71), developmentally normal siblings (N=23), and controls (N=17). With lipopolysaccharide (LPS), a stimulant for innate immunity, peripheral blood mononuclear cells (PBMCs) from 59/71 (83.1%) ASD patients produced >2 SD above the control mean (CM) values of TNF-alpha, IL-1beta, and/or IL-6 produced by control PBMCs. ASD PBMCs produced higher levels of proinflammatory/counter-regulatory cytokines without stimuli than controls. With stimulants of phytohemagglutinin (PHA), tetanus, IL-12p70, and IL-18, PBMCs from 47.9% to 60% of ASD patients produced >2 SD above the CM values of TNF-alpha depending on stimulants. Our results indicate excessive innate immune responses in a number of ASD children that may be most evident in TNF-alpha production.","The current study explored how and to what extent sleep problems in children with autism spectrum disorder (ASD) impacted their parents' quality of life (QOL). A total of 440 ASD children and 344 age-matched typically developing (TD) children were included in the case-control designed study. In the TD group, a linear regression model showed that the Children's Sleep Habits Questionnaire (CSHQ) total scores were negatively associated with maternal mental health summary (MCS) scores in the SF-36v2 (β = - 2.831), while in the ASD group, the CSHQ total scores were negatively associated with the parental physical health summary (PCS) scores (β = - 3.030 for mothers, β = - 3.651 for fathers). Path analysis showed that sleep problems in ASD children had both direct and indirect effects on maternal PCS scores. The results indicated that sleep problems in children with ASD might affect parental QOL differently from TD children, and act as independent impact factors on parental physical health.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Autism spectrum disorder Sentence A: We determined innate and adaptive immune responses in children with developmental regression and autism spectrum disorders (ASD, N=71), developmentally normal siblings (N=23), and controls (N=17). With lipopolysaccharide (LPS), a stimulant for innate immunity, peripheral blood mononuclear cells (PBMCs) from 59/71 (83.1%) ASD patients produced >2 SD above the control mean (CM) values of TNF-alpha, IL-1beta, and/or IL-6 produced by control PBMCs. ASD PBMCs produced higher levels of proinflammatory/counter-regulatory cytokines without stimuli than controls. With stimulants of phytohemagglutinin (PHA), tetanus, IL-12p70, and IL-18, PBMCs from 47.9% to 60% of ASD patients produced >2 SD above the CM values of TNF-alpha depending on stimulants. Our results indicate excessive innate immune responses in a number of ASD children that may be most evident in TNF-alpha production. Sentence B: The current study explored how and to what extent sleep problems in children with autism spectrum disorder (ASD) impacted their parents' quality of life (QOL). A total of 440 ASD children and 344 age-matched typically developing (TD) children were included in the case-control designed study. In the TD group, a linear regression model showed that the Children's Sleep Habits Questionnaire (CSHQ) total scores were negatively associated with maternal mental health summary (MCS) scores in the SF-36v2 (β = - 2.831), while in the ASD group, the CSHQ total scores were negatively associated with the parental physical health summary (PCS) scores (β = - 3.030 for mothers, β = - 3.651 for fathers). Path analysis showed that sleep problems in ASD children had both direct and indirect effects on maternal PCS scores. The results indicated that sleep problems in children with ASD might affect parental QOL differently from TD children, and act as independent impact factors on parental physical health. ###Answer 1. Changed Reasoning: In Sentence A, the target word ""autism spectrum disorder"" (ASD) is used to describe a specific medical condition characterized by developmental regression and immune responses. The sentence highlights the innate and adaptive immune responses in children with ASD, which suggests a focus on the medical aspects of the condition. In Sentence B, the target word ""autism spectrum disorder"" (ASD) is used in a different context, to describe the impact of sleep problems on the quality of life of parents of children with ASD. The sentence suggests a shift in focus from the medical aspects of ASD to its impact on the lives of individuals and their families. The word ""spectrum"" is used to emphasize the diversity of experiences and challenges faced by individuals with ASD. Based on these differences in context and meaning, it can be concluded that the target word ""autism spectrum disorder"" has undergone a significant change in meaning or connotation between Sentence A and Sentence B. Therefore, the label ""Changed"" is appropriate." 73,Autism spectrum disorder,Whether there is an unusual degree of unevenness in the cognitive abilities of children with autism spectrum disorder (ASD) and whether different cognitive profiles among children with ASD might index etiologically significant subgroups are questions of continued debate in autism research.,"Video-based instruction has been effective in teaching a range of skills, including functional living skills, to individuals with autism spectrum disorder. Few studies have compared the efficacy and efficiency across video modality-specifically, comparing video modeling to video prompting. Consequently, practitioners have little empirical guidance when selecting between procedural variations of video-based instruction. Using an adaptive alternating-treatments design with a baseline, we evaluated the comparative effectiveness of point-of-view video modeling and video prompting on the percentage of meal preparation tasks completed correctly and on-task behavior with 4 adolescents with autism spectrum disorder. We found video modeling to be effective and efficient in the acquisition of meal preparation skills across 3 of the 4 participants. Across participants, video prompting resulted in more errors than video modeling did. Skills generalized to an untrained location and were maintained at a 3-week follow-up. Stakeholders reported procedures, goals, and outcomes as socially valid.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Autism spectrum disorder Sentence A: Whether there is an unusual degree of unevenness in the cognitive abilities of children with autism spectrum disorder (ASD) and whether different cognitive profiles among children with ASD might index etiologically significant subgroups are questions of continued debate in autism research. Sentence B: Video-based instruction has been effective in teaching a range of skills, including functional living skills, to individuals with autism spectrum disorder. Few studies have compared the efficacy and efficiency across video modality-specifically, comparing video modeling to video prompting. Consequently, practitioners have little empirical guidance when selecting between procedural variations of video-based instruction. Using an adaptive alternating-treatments design with a baseline, we evaluated the comparative effectiveness of point-of-view video modeling and video prompting on the percentage of meal preparation tasks completed correctly and on-task behavior with 4 adolescents with autism spectrum disorder. We found video modeling to be effective and efficient in the acquisition of meal preparation skills across 3 of the 4 participants. Across participants, video prompting resulted in more errors than video modeling did. Skills generalized to an untrained location and were maintained at a 3-week follow-up. Stakeholders reported procedures, goals, and outcomes as socially valid. ###Answer 1. Changed Reasoning: The target word ""autism spectrum disorder"" has undergone a significant change in meaning between the two sentences. In Sentence A, the term is used in the context of ongoing debate in autism research, suggesting a more general understanding of the condition. In Sentence B, the term is used in the context of a specific intervention for teaching skills to individuals with autism, highlighting a more specific understanding of the condition and its associated characteristics. The shift in meaning suggests that the term has undergone semantic drift." 74,Autism spectrum disorder,"Tuberous sclerosis complex is a multisystem disorder in which neurologic problems cause the greatest disability. High rates of mental retardation and autism spectrum disorders are associated with the diagnosis. Early-onset seizures and increased tuber burden are risk factors for cognitive impairment. Early-onset seizures, particularly infantile spasms, are risk factors for autism. Tubers within the temporal lobe and cerebellum are often mentioned as risk factors for autism, although the findings are inconsistent. Seizure control is important for developmental outcome and quality of life. Early behavioral assessment and therapeutic intervention, as well as seizure control, are the most effective means of promoting neurodevelopmental outcome.","Previous research suggests that many individuals with autism spectrum disorder (ASD) have impaired facial identity recognition, and also exhibit abnormal visual scanning of faces. Here, two hypotheses accounting for an association between these observations were tested: i) better facial identity recognition is associated with increased gaze time on the Eye region; ii) better facial identity recognition is associated with increased eye-movements around the face.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Autism spectrum disorder Sentence A: Tuberous sclerosis complex is a multisystem disorder in which neurologic problems cause the greatest disability. High rates of mental retardation and autism spectrum disorders are associated with the diagnosis. Early-onset seizures and increased tuber burden are risk factors for cognitive impairment. Early-onset seizures, particularly infantile spasms, are risk factors for autism. Tubers within the temporal lobe and cerebellum are often mentioned as risk factors for autism, although the findings are inconsistent. Seizure control is important for developmental outcome and quality of life. Early behavioral assessment and therapeutic intervention, as well as seizure control, are the most effective means of promoting neurodevelopmental outcome. Sentence B: Previous research suggests that many individuals with autism spectrum disorder (ASD) have impaired facial identity recognition, and also exhibit abnormal visual scanning of faces. Here, two hypotheses accounting for an association between these observations were tested: i) better facial identity recognition is associated with increased gaze time on the Eye region; ii) better facial identity recognition is associated with increased eye-movements around the face. ###Answer 1. Changed Reasoning: In Sentence A, the term ""autism spectrum disorder"" is used to describe a multisystem disorder characterized by neurologic problems, mental retardation, and seizures. The term is used in the context of discussing the diagnosis and risk factors for cognitive impairment. The meaning of the term is focused on the neurological and developmental aspects of the disorder. In Sentence B, the term ""autism spectrum disorder"" is used to describe a specific aspect of the disorder, specifically the facial identity recognition and eye movements of individuals with ASD. The term is used in the context of testing hypotheses about the association between these observations. The meaning of the term is focused on the visual and cognitive aspects of the disorder. Comparing the two sentences, it is clear that the meaning of the term ""autism spectrum disorder"" has shifted significantly. In Sentence A, the term is used to describe the disorder in a broader context, encompassing multiple systems and symptoms. In Sentence B, the term is used to describe a specific aspect of the disorder, focused on visual and cognitive functions. This shift in meaning suggests that semantic drift has occurred in the term ""autism spectrum disorder""." 75,Autism spectrum disorder,"This study examined the inhibitory control mechanisms of selective attention in autism spectrum disorders. Two issues were engaged: First, we extend previous findings of normal inhibition of distractor identity in autism by examining whether inhibition of spatial location is also spared. The second issue concerns the selectivity of inhibition. In non-clinical participants inhibition is selectively directed to the properties of the distractor that compete for the control of action; we examined whether individuals with autism also show normal selectivity of inhibition.","Many (> 40%) women discontinue antidepressants during pregnancy because of concerns about effects on the foetus, based on information from inadequately-controlled studies. The sibling-control study design provides the best control for confounding factors, notably maternal depression. The purpose of this review was to investigate the evidence from sibling-control analyses for adverse outcomes in offspring associated with antidepressant exposure during pregnancy. Fourteen sibling-control studies were identified through searches of PubMed and Embase. Outcomes included preterm birth, small for gestational age, neonatal size, birth defects, autism spectrum disorder (ASD), attention deficit hyperactivity disorder (ADHD), behavioural problems, neurodevelopmental deficits, and scholastic attainment. For the majority of these outcomes, no statistically significant associations were found when comparing exposed and unexposed siblings. Single studies reported associations with preterm birth, reduced gestational age, ADHD, anxiety at 36 months, and lower mathematics test scores, which persisted in the sibling-control analyses. However, differences were small and possibly not clinically significant. Moreover, effects of residual confounding could not be excluded. These findings provide evidence that many of the previously reported associations between prenatal antidepressant exposure and adverse outcomes in offspring are no longer statistically significant when exposed offspring are compared with unexposed siblings. The few statistically significant differences in sibling-control analyses were generally small with doubtful clinical significance. Decisions on antidepressant treatment during pregnancy should be made individually, based on evidence from properly controlled studies, not on misleading information based on studies that have not controlled adequately for confounding factors.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Autism spectrum disorder Sentence A: This study examined the inhibitory control mechanisms of selective attention in autism spectrum disorders. Two issues were engaged: First, we extend previous findings of normal inhibition of distractor identity in autism by examining whether inhibition of spatial location is also spared. The second issue concerns the selectivity of inhibition. In non-clinical participants inhibition is selectively directed to the properties of the distractor that compete for the control of action; we examined whether individuals with autism also show normal selectivity of inhibition. Sentence B: Many (> 40%) women discontinue antidepressants during pregnancy because of concerns about effects on the foetus, based on information from inadequately-controlled studies. The sibling-control study design provides the best control for confounding factors, notably maternal depression. The purpose of this review was to investigate the evidence from sibling-control analyses for adverse outcomes in offspring associated with antidepressant exposure during pregnancy. Fourteen sibling-control studies were identified through searches of PubMed and Embase. Outcomes included preterm birth, small for gestational age, neonatal size, birth defects, autism spectrum disorder (ASD), attention deficit hyperactivity disorder (ADHD), behavioural problems, neurodevelopmental deficits, and scholastic attainment. For the majority of these outcomes, no statistically significant associations were found when comparing exposed and unexposed siblings. Single studies reported associations with preterm birth, reduced gestational age, ADHD, anxiety at 36 months, and lower mathematics test scores, which persisted in the sibling-control analyses. However, differences were small and possibly not clinically significant. Moreover, effects of residual confounding could not be excluded. These findings provide evidence that many of the previously reported associations between prenatal antidepressant exposure and adverse outcomes in offspring are no longer statistically significant when exposed offspring are compared with unexposed siblings. The few statistically significant differences in sibling-control analyses were generally small with doubtful clinical significance. Decisions on antidepressant treatment during pregnancy should be made individually, based on evidence from properly controlled studies, not on misleading information based on studies that have not controlled adequately for confounding factors. ###Answer 1. Changed The meaning of the target word ""autism spectrum disorder"" has shifted significantly between the two sentences. In Sentence A, the term is used to describe a specific neurodevelopmental disorder characterized by difficulties with inhibitory control mechanisms. In contrast, in Sentence B, the term is used more broadly to describe a range of developmental disorders with unknown causation, including ADHD and anxiety. This shift in meaning suggests that the term ""autism spectrum disorder"" has undergone semantic drift." 76,Autism spectrum disorder,"The broad variation in phenotypes and severities within autism spectrum disorders suggests the involvement of multiple predisposing factors, interacting in complex ways with normal developmental courses and gradients. Identification of these factors, and the common developmental path into which they feed, is hampered by the large degrees of convergence from causal factors to altered brain development, and divergence from abnormal brain development into altered cognition and behaviour. Genetic, neurochemical, neuroimaging, and behavioural findings on autism, as well as studies of normal development and of genetic syndromes that share symptoms with autism, offer hypotheses as to the nature of causal factors and their possible effects on the structure and dynamics of neural systems. Such alterations in neural properties may in turn perturb activity-dependent development, giving rise to a complex behavioural syndrome many steps removed from the root causes. Animal models based on genetic, neurochemical, neurophysiological, and behavioural manipulations offer the possibility of exploring these developmental processes in detail, as do human studies addressing endophenotypes beyond the diagnosis itself.","The role of imitation in autism spectrum disorder (ASD) is controversial. Researchers have argued that deficient control of self- and other-related motor representations (self-other distinction) might explain imitation difficulties. In a recent EEG study, we showed that control of imitation relies on high-level as well as on low-level cognitive processes. Here, we aimed to further our insights into control of imitation deficits in ASD. We focused on congruency effects in the P3 (high-level), the N190 and the readiness potential (RP; low-level). We predicted smaller congruency effects within the P3 in the ASD group. However, we found differences in the RP and not in the P3-component. Thus, high-level self-other distinction centred on motor actions may be preserved in ASD, while impairments are reflected during motor preparation.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Autism spectrum disorder Sentence A: The broad variation in phenotypes and severities within autism spectrum disorders suggests the involvement of multiple predisposing factors, interacting in complex ways with normal developmental courses and gradients. Identification of these factors, and the common developmental path into which they feed, is hampered by the large degrees of convergence from causal factors to altered brain development, and divergence from abnormal brain development into altered cognition and behaviour. Genetic, neurochemical, neuroimaging, and behavioural findings on autism, as well as studies of normal development and of genetic syndromes that share symptoms with autism, offer hypotheses as to the nature of causal factors and their possible effects on the structure and dynamics of neural systems. Such alterations in neural properties may in turn perturb activity-dependent development, giving rise to a complex behavioural syndrome many steps removed from the root causes. Animal models based on genetic, neurochemical, neurophysiological, and behavioural manipulations offer the possibility of exploring these developmental processes in detail, as do human studies addressing endophenotypes beyond the diagnosis itself. Sentence B: The role of imitation in autism spectrum disorder (ASD) is controversial. Researchers have argued that deficient control of self- and other-related motor representations (self-other distinction) might explain imitation difficulties. In a recent EEG study, we showed that control of imitation relies on high-level as well as on low-level cognitive processes. Here, we aimed to further our insights into control of imitation deficits in ASD. We focused on congruency effects in the P3 (high-level), the N190 and the readiness potential (RP; low-level). We predicted smaller congruency effects within the P3 in the ASD group. However, we found differences in the RP and not in the P3-component. Thus, high-level self-other distinction centred on motor actions may be preserved in ASD, while impairments are reflected during motor preparation. ###Answer 1. Changed Explanation: In Sentence A, the target word ""autism spectrum disorder"" is used to describe a complex condition involving multiple factors and developmental courses. The word carries a sense of variation and severity, with a focus on the interaction of genetic and environmental factors. The context suggests a broader understanding of the condition, encompassing both cognitive and behavioral aspects. In Sentence B, the target word ""autism spectrum disorder"" is used to describe a specific aspect of the condition, specifically the role of imitation in ASD. The word carries a different meaning, focusing on the ability to imitate motor actions. The context suggests a more narrow understanding of the condition, focusing on a specific cognitive process. As a result, the meaning of the target word has shifted between the two sentences, indicating semantic drift. The word has taken on a different connotation and meaning, indicating a change in the way the term is understood and used in different contexts." 77,Autism spectrum disorder,"The diagnosis of Angelman syndrome (AS) can be confirmed by genetic laboratory in about 80% of cases. In 20%, the diagnosis remains clinical, but often there is uncertainty about the correctness of the clinical diagnosis and alternative diagnoses may be investigated. In evaluating individuals for AS in our center since 1989, we have encountered several mimicking conditions, and additional ones have been reported in the literature. Mimicking conditions can be grouped into the areas of chromosome, single gene, and symptom complex anomalies. Microdeletions or microduplications include chromosome regions 2,4,17, 22, and 15. Single gene conditions include methylene tetrahydrofolate reductase deficiency (MTHFR), Rett syndrome, alpha-thalassemia retardation syndrome (ATR-X), and Gurrieri syndrome. Symptom complexes include cerebral palsy, static encephalopathy, Lennox-Gastaut syndrome, autism spectrum disorder, pervasive developmental delay (PDD), and mitochondrial disorders. We present a review of these mimicking disorders to increase the awareness about conditions that can lead to an incorrect clinical diagnosis of AS.","Bullying victimization is commonly associated with anxiety among individuals with and without Autism Spectrum Disorder (ASD), and both bullying victimization and anxiety are more prevalent among youth with ASD than in the general population. We explored individual and contextual factors that relate to anxiety in adolescents and young adults with ASD who also experience bullying victimization. Participants included 101 mothers of adolescents and young adults diagnosed with ASD. Hierarchical multiple regression analyses were conducted to investigate the relationship between bullying victimization and anxiety in children with ASD, as well as parenting stress as a potential moderator of that relationship. Findings indicate that parenting stress moderates the association between bullying victimization and anxiety. The severity of anxiety was most strongly associated with bullying victimization when mothers reported high levels of stress. Implications for interventions that assist parents with coping and address bullying victimization are discussed.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Autism spectrum disorder Sentence A: The diagnosis of Angelman syndrome (AS) can be confirmed by genetic laboratory in about 80% of cases. In 20%, the diagnosis remains clinical, but often there is uncertainty about the correctness of the clinical diagnosis and alternative diagnoses may be investigated. In evaluating individuals for AS in our center since 1989, we have encountered several mimicking conditions, and additional ones have been reported in the literature. Mimicking conditions can be grouped into the areas of chromosome, single gene, and symptom complex anomalies. Microdeletions or microduplications include chromosome regions 2,4,17, 22, and 15. Single gene conditions include methylene tetrahydrofolate reductase deficiency (MTHFR), Rett syndrome, alpha-thalassemia retardation syndrome (ATR-X), and Gurrieri syndrome. Symptom complexes include cerebral palsy, static encephalopathy, Lennox-Gastaut syndrome, autism spectrum disorder, pervasive developmental delay (PDD), and mitochondrial disorders. We present a review of these mimicking disorders to increase the awareness about conditions that can lead to an incorrect clinical diagnosis of AS. Sentence B: Bullying victimization is commonly associated with anxiety among individuals with and without Autism Spectrum Disorder (ASD), and both bullying victimization and anxiety are more prevalent among youth with ASD than in the general population. We explored individual and contextual factors that relate to anxiety in adolescents and young adults with ASD who also experience bullying victimization. Participants included 101 mothers of adolescents and young adults diagnosed with ASD. Hierarchical multiple regression analyses were conducted to investigate the relationship between bullying victimization and anxiety in children with ASD, as well as parenting stress as a potential moderator of that relationship. Findings indicate that parenting stress moderates the association between bullying victimization and anxiety. The severity of anxiety was most strongly associated with bullying victimization when mothers reported high levels of stress. Implications for interventions that assist parents with coping and address bullying victimization are discussed. ###Answer 1. Changed Reasoning: In Sentence A, the term ""Autism spectrum disorder"" is used to describe a condition that is characterized by difficulty with social interactions and communication, as well as restricted and repetitive behaviors. However, in Sentence B, the term ""Autism Spectrum Disorder"" is used in a different context, to describe the experience of anxiety among individuals with and without the disorder. The meaning of the term has shifted to focus on the emotional and psychological impact of the disorder, rather than the diagnostic criteria for the disorder itself. This shift in meaning indicates semantic drift has occurred." 78,Autism spectrum disorder,"There is active debate regarding the nature of executive dysfunction in autism. Additionally, investigations have yet to show a relationship between deficits in executive function and the everyday behavioral difficulties that may originate from them. The present study examined the relationship between executive abilities and adaptive behavior in 35 children with Autism Spectrum Disorders, using two parent reports of everyday functioning, the Vineland Adaptive Behavior Scales (VABS) and the Behavior Rating Inventory of Executive Function (BRIEF). Results found several relationships: The Initiate and Working Memory domains were negatively correlated with most domains of adaptive behavior. Also, the Communication and Socialization domains of the VABS were negatively correlated with several areas of executive functioning, suggesting that impairments in executive abilities are strongly associated with the deficits in communication, play and social relationships found in children with autism.","It is estimated that Autism Spectrum Disorder (ASD) affects 1 in 68 children. Early identification of an ASD is exceedingly important to the introduction of an intervention. We are developing a robot-assisted approach that will serve as an improved diagnostic and early intervention tool for children with autism. The robot, named PABI® (Penguin for Autism Behavioral Interventions), is a compact humanoid robot taking on an expressive cartoon-like embodiment. The robot is affordable, durable, and portable so that it can be used in various settings including schools, clinics, and the home. Thus enabling significantly enhanced and more readily available diagnosis and continuation of care. Through facial expressions, body motion, verbal cues, stereo vision-based tracking, and a tablet computer, the robot is capable of interacting meaningfully with an autistic child. Initial implementations of the robot, as part of a comprehensive treatment model (CTM), include Applied Behavioral Analysis (ABA) therapy where the child interacts with a tablet computer wirelessly interfaced with the robot. At the same time, the robot makes meaningful expressions and utterances and uses stereo cameras in eyes to track the child, maintain eye contact, and collect data such as affect and gaze direction for charting of progress. In this paper we present the clinical justification, anticipated usage with corresponding requirements, prototype development of the robotic system, and demonstration of a sample application for robot-assisted ABA therapy. ","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Autism spectrum disorder Sentence A: There is active debate regarding the nature of executive dysfunction in autism. Additionally, investigations have yet to show a relationship between deficits in executive function and the everyday behavioral difficulties that may originate from them. The present study examined the relationship between executive abilities and adaptive behavior in 35 children with Autism Spectrum Disorders, using two parent reports of everyday functioning, the Vineland Adaptive Behavior Scales (VABS) and the Behavior Rating Inventory of Executive Function (BRIEF). Results found several relationships: The Initiate and Working Memory domains were negatively correlated with most domains of adaptive behavior. Also, the Communication and Socialization domains of the VABS were negatively correlated with several areas of executive functioning, suggesting that impairments in executive abilities are strongly associated with the deficits in communication, play and social relationships found in children with autism. Sentence B: It is estimated that Autism Spectrum Disorder (ASD) affects 1 in 68 children. Early identification of an ASD is exceedingly important to the introduction of an intervention. We are developing a robot-assisted approach that will serve as an improved diagnostic and early intervention tool for children with autism. The robot, named PABI® (Penguin for Autism Behavioral Interventions), is a compact humanoid robot taking on an expressive cartoon-like embodiment. The robot is affordable, durable, and portable so that it can be used in various settings including schools, clinics, and the home. Thus enabling significantly enhanced and more readily available diagnosis and continuation of care. Through facial expressions, body motion, verbal cues, stereo vision-based tracking, and a tablet computer, the robot is capable of interacting meaningfully with an autistic child. Initial implementations of the robot, as part of a comprehensive treatment model (CTM), include Applied Behavioral Analysis (ABA) therapy where the child interacts with a tablet computer wirelessly interfaced with the robot. At the same time, the robot makes meaningful expressions and utterances and uses stereo cameras in eyes to track the child, maintain eye contact, and collect data such as affect and gaze direction for charting of progress. In this paper we present the clinical justification, anticipated usage with corresponding requirements, prototype development of the robotic system, and demonstration of a sample application for robot-assisted ABA therapy. ###Answer 1. Changed Reasoning: The meaning of ""Autism Spectrum Disorder"" (ASD) has changed significantly between Sentence A and Sentence B. In Sentence A, ASD is described as a ""disorder"" with ""executive dysfunction"" and ""difficulties"" in everyday behavior. In Sentence B, ASD is referred to as a ""spectrum disorder"" with ""early identification"" and ""continuation of care"" being emphasized. The language used to describe ASD has shifted from a focus on deficits and difficulties to a focus on early identification and intervention. This shift in language suggests that the meaning of ASD has changed over time, indicating semantic drift." 79,Autism spectrum disorder,"Evidence suggests that autism is associated with impaired emotion perception, but it is unknown how early such impairments are evident. Furthermore, most studies that have assessed emotion perception in children with autism have required verbal responses, making results difficult to interpret. This study utilized high-density event-related potentials (ERPs) to investigate whether 3-4-year-old children with autism spectrum disorder (ASD) show differential brain activity to fear versus neutral facial expressions. It has been shown that normal infants as young as 7 months of age show differential brain responses to faces expressing different emotions. ERPs were recorded while children passively viewed photos of an unfamiliar woman posing a neutral and a prototypic fear expression. The sample consisted of 29 3-4-year-old children with ASD and 22 chronological age-matched children with typical development. Typically developing children exhibited a larger early negative component (N300) to the fear than to the neutral face. In contrast, children with ASD did not show the difference in amplitude of this early ERP component to the fear versus neutral face. For a later component, typically developing children exhibited a larger negative slow wave (NSW) to the fear than to the neutral face, whereas children with autism did not show a differential NSW to the two stimuli. In children with ASD, faster speed of early processing (i. e. N300 latency) of the fear face was associated with better performance on tasks assessing social attention (social orienting, joint attention and attention to distress). These data suggest that children with ASD, as young as 3 years of age, show a disordered pattern of neural responses to emotional stimuli.","Autism spectrum disorder (ASD) is a neurodevelopmental condition characterized by defects in two core domains, social/communication skills and restricted/repetitive behaviors or interests. There is no approved biomarker for ASD diagnosis, and the current diagnostic method is based on clinical manifestation, which tends to vary vastly between the affected individuals due to the heterogeneous nature of ASD. There is emerging evidence that supports the implication of the immune system in ASD, specifically autoimmunity; however, the role of autoantibodies in ASD children is not yet fully understood.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Autism spectrum disorder Sentence A: Evidence suggests that autism is associated with impaired emotion perception, but it is unknown how early such impairments are evident. Furthermore, most studies that have assessed emotion perception in children with autism have required verbal responses, making results difficult to interpret. This study utilized high-density event-related potentials (ERPs) to investigate whether 3-4-year-old children with autism spectrum disorder (ASD) show differential brain activity to fear versus neutral facial expressions. It has been shown that normal infants as young as 7 months of age show differential brain responses to faces expressing different emotions. ERPs were recorded while children passively viewed photos of an unfamiliar woman posing a neutral and a prototypic fear expression. The sample consisted of 29 3-4-year-old children with ASD and 22 chronological age-matched children with typical development. Typically developing children exhibited a larger early negative component (N300) to the fear than to the neutral face. In contrast, children with ASD did not show the difference in amplitude of this early ERP component to the fear versus neutral face. For a later component, typically developing children exhibited a larger negative slow wave (NSW) to the fear than to the neutral face, whereas children with autism did not show a differential NSW to the two stimuli. In children with ASD, faster speed of early processing (i. e. N300 latency) of the fear face was associated with better performance on tasks assessing social attention (social orienting, joint attention and attention to distress). These data suggest that children with ASD, as young as 3 years of age, show a disordered pattern of neural responses to emotional stimuli. Sentence B: Autism spectrum disorder (ASD) is a neurodevelopmental condition characterized by defects in two core domains, social/communication skills and restricted/repetitive behaviors or interests. There is no approved biomarker for ASD diagnosis, and the current diagnostic method is based on clinical manifestation, which tends to vary vastly between the affected individuals due to the heterogeneous nature of ASD. There is emerging evidence that supports the implication of the immune system in ASD, specifically autoimmunity; however, the role of autoantibodies in ASD children is not yet fully understood. ###Answer 1. Changed Reasoning: In Sentence A, the target word ""autism"" is used to refer to a neurodevelopmental disorder characterized by impaired social and communication skills, as well as restricted and repetitive behaviors. The sentence highlights the disordered pattern of neural responses to emotional stimuli in children with ASD, indicating a shift in the meaning of the term ""autism"" towards a more specific reference to the neurodevelopmental disorder. In contrast, Sentence B uses the term ""autism spectrum disorder"" (ASD), which is a more general term that encompasses the entire spectrum of autism, including both the social and communication aspects and the restricted and repetitive behaviors. This usage of the term ""ASD"" in Sentence B indicates a shift towards a more general and encompassing meaning of the term, which has changed from the more specific meaning conveyed in Sentence A. Therefore, the label ""Changed"" is appropriate for this task." 80,Autism spectrum disorder,"The purpose of this work was to relate clinical neuropsychiatric findings to histopathological diagnoses and seizure outcome in a retrospective study of 16 children undergoing temporal lobe resections due to medically intractable epilepsy. These children constitute a heterogeneous group in which neuropsychiatric symptoms were common. The results of this study indicate a correlation between malformations of cortical development, less chance of seizure freedom, and neuropsychiatric problems in children with pharmacoresistant temporal lobe epilepsy. It is important to include neuropsychiatric assessments pre- and postoperatively and to inform parents that symptoms of autism spectrum disorders may or may not be improved after epilepsy surgery.","In clinical practice, pharmacological treatment is mostly focused on behavioral symptoms in everyday life. Nevertheless, persistent effort continues to develop medication for causal treatment. Recent changes in diagnostic criteria from Diagnostic and Statistical Manual of Mental Disorders, 4th edition, text revision (DSM-IV-TR) to DSM-5 would affect not only diagnosing approaches, but also therapeutic approaches. Because previous pervasive developmental disorders have been integrated into a single entity, the autism spectrum disorder (ASD), we have to prepare for what medications are valuable for the ASD. In this article, we reviewed the following etiological treatment: acetylcholine and glutamate related medicine; amino acid medicine such as secretin, endogenous opioid, and oxytocin; complementary and alternative medicine such as chelating agents, vitamins, and omega-3; promising drugs related to the scope of pharmacogenetics currently under study. ","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Autism spectrum disorder Sentence A: The purpose of this work was to relate clinical neuropsychiatric findings to histopathological diagnoses and seizure outcome in a retrospective study of 16 children undergoing temporal lobe resections due to medically intractable epilepsy. These children constitute a heterogeneous group in which neuropsychiatric symptoms were common. The results of this study indicate a correlation between malformations of cortical development, less chance of seizure freedom, and neuropsychiatric problems in children with pharmacoresistant temporal lobe epilepsy. It is important to include neuropsychiatric assessments pre- and postoperatively and to inform parents that symptoms of autism spectrum disorders may or may not be improved after epilepsy surgery. Sentence B: In clinical practice, pharmacological treatment is mostly focused on behavioral symptoms in everyday life. Nevertheless, persistent effort continues to develop medication for causal treatment. Recent changes in diagnostic criteria from Diagnostic and Statistical Manual of Mental Disorders, 4th edition, text revision (DSM-IV-TR) to DSM-5 would affect not only diagnosing approaches, but also therapeutic approaches. Because previous pervasive developmental disorders have been integrated into a single entity, the autism spectrum disorder (ASD), we have to prepare for what medications are valuable for the ASD. In this article, we reviewed the following etiological treatment: acetylcholine and glutamate related medicine; amino acid medicine such as secretin, endogenous opioid, and oxytocin; complementary and alternative medicine such as chelating agents, vitamins, and omega-3; promising drugs related to the scope of pharmacogenetics currently under study. ###Answer 1. Changed Reasoning: In Sentence A, the term ""autism spectrum disorder"" is used in the context of a medical study to describe a group of children with neuropsychiatric symptoms. The term is used to indicate a range of symptoms and disabilities that are present in these children. In this context, the term has a neutral or even positive connotation, as it highlights the complexity and diversity of these children's neurological conditions. In Sentence B, the term ""autism spectrum disorder"" is used in a different context, to describe a group of individuals with different types of disabilities. The term is used to indicate a range of disabilities that are present in these individuals, including cognitive, behavioral, and social disabilities. In this context, the term has a more negative connotation, as it highlights the limitations and challenges faced by these individuals. Based on these differences in context and meaning, it can be argued that the term ""autism spectrum disorder"" has undergone a significant change in meaning between the two sentences. In Sentence A, the term is used to describe a specific medical condition, while in Sentence B, the term is used to describe a broader range of disabilities. As a result, the term has shifted from a neutral or positive connotation to a more negative one. Therefore, the label ""Changed"" is appropriate." 81,Autism spectrum disorder,"Investigations of face processing in persons with an autism spectrum disorder (ASD) inform upon theories of the development of ""normal"" face processing, and the story that emerges challenges some models of the nature and origin of cortical face specialization. Individuals with an ASD possess deficits in face processing and a lack of a fusiform face area (FFA). Evidence from studies of ASD can be conceptualized best using an expertise framework of face processing rather than models that postulate a face module in the fusiform gyrus. Because persons with an ASD have reduced social interest, they may fail to develop cortical face specialization. Face specialization may develop in normal individuals because they are socially motivated to regard the face, and such motivation promotes expertise for faces. The amygdala is likely the key node in the system that marks objects as emotionally salient and could be crucial to the development of cortical face specialization.","Autism Spectrum Disorder (ASD) is a heterogeneous neurodevelopmental disorder. There are no drugs to treat the core symptoms. De novo mutations often play an important role in ASD and multiple high-risk loci have been identified in the last decade. These mutations range from copy number variants to small insertion/deletion and single nucleotide variants. Large-scale exome sequencing has identified over 100 risk genes that are associated with ASD. Both etiological heterogeneity and unavailability of human neurons remain major hurdles in understanding the pathophysiology of ASD and testing of new drug candidates. Hence, the most achievable and relevant model to screen for potential drugs is human neurons from inducible pluripotent stem cells (iPSCs), including those from individuals with genetic mutations. In this study, we tested stem cells from individuals carrying mutations in ADNP, FOXP1 or SHANK3. They were scaled and reprogrammed to glutamatergic neurons and assessed for the effects of their specific mutations on neurite outgrowth. High Content Analysis allowed us to observe phenotypic differences between ASD neurons compared to controls, in terms of neuron number, neurite number and neurite length per neuron. Further, neurons were derived from both patient derived and genetically modified iPSCs with DDX3X mutation which were tested against 5088 drug like compounds. We assessed individual compound effects on the induced neurons to determine if they elicited changes that would indicate neurite growth (neuroprotection) or, alternatively, reduce outgrowth and hence appear neurotoxic. This report includes all methods, phenotypic outcomes, and results for the largest ASD small molecule screening effort done to date.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Autism spectrum disorder Sentence A: Investigations of face processing in persons with an autism spectrum disorder (ASD) inform upon theories of the development of ""normal"" face processing, and the story that emerges challenges some models of the nature and origin of cortical face specialization. Individuals with an ASD possess deficits in face processing and a lack of a fusiform face area (FFA). Evidence from studies of ASD can be conceptualized best using an expertise framework of face processing rather than models that postulate a face module in the fusiform gyrus. Because persons with an ASD have reduced social interest, they may fail to develop cortical face specialization. Face specialization may develop in normal individuals because they are socially motivated to regard the face, and such motivation promotes expertise for faces. The amygdala is likely the key node in the system that marks objects as emotionally salient and could be crucial to the development of cortical face specialization. Sentence B: Autism Spectrum Disorder (ASD) is a heterogeneous neurodevelopmental disorder. There are no drugs to treat the core symptoms. De novo mutations often play an important role in ASD and multiple high-risk loci have been identified in the last decade. These mutations range from copy number variants to small insertion/deletion and single nucleotide variants. Large-scale exome sequencing has identified over 100 risk genes that are associated with ASD. Both etiological heterogeneity and unavailability of human neurons remain major hurdles in understanding the pathophysiology of ASD and testing of new drug candidates. Hence, the most achievable and relevant model to screen for potential drugs is human neurons from inducible pluripotent stem cells (iPSCs), including those from individuals with genetic mutations. In this study, we tested stem cells from individuals carrying mutations in ADNP, FOXP1 or SHANK3. They were scaled and reprogrammed to glutamatergic neurons and assessed for the effects of their specific mutations on neurite outgrowth. High Content Analysis allowed us to observe phenotypic differences between ASD neurons compared to controls, in terms of neuron number, neurite number and neurite length per neuron. Further, neurons were derived from both patient derived and genetically modified iPSCs with DDX3X mutation which were tested against 5088 drug like compounds. We assessed individual compound effects on the induced neurons to determine if they elicited changes that would indicate neurite growth (neuroprotection) or, alternatively, reduce outgrowth and hence appear neurotoxic. This report includes all methods, phenotypic outcomes, and results for the largest ASD small molecule screening effort done to date. ###Answer 1. Changed Explanation: Autism spectrum disorder (ASD) has undergone a significant change in meaning and connotation between the two sentences. In Sentence A, ASD is described as a neurodevelopmental disorder characterized by deficits in face processing and a lack of a fusiform face area (FFA). The disorder is said to be caused by reduced social interest and the amygdala is identified as the key node in the system that marks objects as emotionally salient. In Sentence B, ASD is described as a heterogeneous neurodevelopmental disorder with no drugs available to treat the core symptoms. The disorder is characterized by etiological heterogeneity and unavailability of human neurons, making it difficult to understand the pathophysiology and test new drug candidates. The study focuses on using human neurons from inducible pluripotent stem cells (iPSCs) to assess the effects of specific mutations on neurite outgrowth. The report includes a large-scale screening effort to identify potential drugs for ASD. The meaning of ASD has shifted from a disorder characterized by face processing deficits to a more general neurodevelopmental disorder with no specific etiology. The disorder is now seen as a complex and heterogeneous condition, with a focus on understanding its pathophysiology and identifying potential drug targets. Therefore, semantic drift has occurred in the meaning of ASD between the two sentences." 82,Autism spectrum disorder,"In a prospective long-term outcome study of a representative sample of teenage-onset anorexia nervosa (AN), 51 individuals with AN, recruited after community screening, were contrasted with 51 matched comparison cases at a mean age of 24 years (10 years after AN onset). All 102 cases had been examined at age 16 and 21 years. At 24 years all probands were interviewed regarding mental and physical health, and overall outcome was assessed. Ten-year outcome of teenage-onset AN seemed to be relatively favourable in that half of all cases were free from eating disorder (ED) and other axis I disorder. There were no deaths. However, one in four in the AN group had a persisting ED, 3 of whom still had AN. Lifetime diagnoses of affective disorders and obsessive-compulsive disorder (OCD) were overrepresented in the AN group. Affective disorders coincided with the ED, and were not a problem after recovery from the ED. On the other hand, OCD, OCPD (obsessive-compulsive personality disorder), and/or autism spectrum disorder continued to characterise more than one-third of the AN cases. One in six of the AN group had persistent problems with social interaction and obsessive compulsive behaviours from childhood into early adult years. Half the AN group had a poor overall outcome. These were subjects with either persisting ED or lifelong problems with social interaction and obsessive compulsive behaviour.","The importance of diet and the gut-brain axis for brain health and cognitive function is increasingly acknowledged. Dietary interventions are tested for their potential to prevent and/or treat brain disorders. Intermittent fasting (IF), the abstinence or strong limitation of calories for 12 to 48 h, alternated with periods of regular food intake, has shown promising results on neurobiological health in animal models. In this review article, we discuss the potential benefits of IF on cognitive function and the possible effects on the prevention and progress of brain-related disorders in animals and humans. We do so by summarizing the effects of IF which through metabolic, cellular, and circadian mechanisms lead to anatomical and functional changes in the brain. Our review shows that there is no clear evidence of a positive short-term effect of IF on cognition in healthy subjects. Clinical studies show benefits of IF for epilepsy, Alzheimer's disease, and multiple sclerosis on disease symptoms and progress. Findings from animal studies show mechanisms by which Parkinson's disease, ischemic stroke, autism spectrum disorder, and mood and anxiety disorders could benefit from IF. Future research should disentangle whether positive effects of IF hold true regardless of age or the presence of obesity. Moreover, variations in fasting patterns, total caloric intake, and intake of specific nutrients may be relevant components of IF success. Longitudinal studies and randomized clinical trials (RCTs) will provide a window into the long-term effects of IF on the development and progress of brain-related diseases.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Autism spectrum disorder Sentence A: In a prospective long-term outcome study of a representative sample of teenage-onset anorexia nervosa (AN), 51 individuals with AN, recruited after community screening, were contrasted with 51 matched comparison cases at a mean age of 24 years (10 years after AN onset). All 102 cases had been examined at age 16 and 21 years. At 24 years all probands were interviewed regarding mental and physical health, and overall outcome was assessed. Ten-year outcome of teenage-onset AN seemed to be relatively favourable in that half of all cases were free from eating disorder (ED) and other axis I disorder. There were no deaths. However, one in four in the AN group had a persisting ED, 3 of whom still had AN. Lifetime diagnoses of affective disorders and obsessive-compulsive disorder (OCD) were overrepresented in the AN group. Affective disorders coincided with the ED, and were not a problem after recovery from the ED. On the other hand, OCD, OCPD (obsessive-compulsive personality disorder), and/or autism spectrum disorder continued to characterise more than one-third of the AN cases. One in six of the AN group had persistent problems with social interaction and obsessive compulsive behaviours from childhood into early adult years. Half the AN group had a poor overall outcome. These were subjects with either persisting ED or lifelong problems with social interaction and obsessive compulsive behaviour. Sentence B: The importance of diet and the gut-brain axis for brain health and cognitive function is increasingly acknowledged. Dietary interventions are tested for their potential to prevent and/or treat brain disorders. Intermittent fasting (IF), the abstinence or strong limitation of calories for 12 to 48 h, alternated with periods of regular food intake, has shown promising results on neurobiological health in animal models. In this review article, we discuss the potential benefits of IF on cognitive function and the possible effects on the prevention and progress of brain-related disorders in animals and humans. We do so by summarizing the effects of IF which through metabolic, cellular, and circadian mechanisms lead to anatomical and functional changes in the brain. Our review shows that there is no clear evidence of a positive short-term effect of IF on cognition in healthy subjects. Clinical studies show benefits of IF for epilepsy, Alzheimer's disease, and multiple sclerosis on disease symptoms and progress. Findings from animal studies show mechanisms by which Parkinson's disease, ischemic stroke, autism spectrum disorder, and mood and anxiety disorders could benefit from IF. Future research should disentangle whether positive effects of IF hold true regardless of age or the presence of obesity. Moreover, variations in fasting patterns, total caloric intake, and intake of specific nutrients may be relevant components of IF success. Longitudinal studies and randomized clinical trials (RCTs) will provide a window into the long-term effects of IF on the development and progress of brain-related diseases. ###Answer 1. Changed Reasoning: In Sentence A, the term ""autism spectrum disorder"" is used to describe a condition that is characterized by persistent problems with social interaction and obsessive compulsive behaviors from childhood into early adult years. However, in Sentence B, the term is used more broadly to describe a range of brain disorders that may benefit from dietary interventions. This shift in meaning suggests that the term ""autism spectrum disorder"" has undergone semantic drift, as it is now being used to encompass a broader range of conditions. Therefore, the label ""Changed"" is appropriate." 83,Autism spectrum disorder,"Family studies have demonstrated that the autism spectrum disorders (ASDs) have a major genetic etiologic component, but expression and penetrance of the phenotype are variable. Mice with null mutations of Hoxa1 or Hoxb1, two genes critical to hindbrain development, have phenotypic features frequently observed in autism, but no naturally occurring variants of either gene have been identified in mammals.","Five groups of children defined by presence or absence of syntactic deficits and autism spectrum disorders (ASD) took vocabulary tests and provided sentences, definitions, and word associations. Children with ASD who were free of syntactic deficits demonstrated age-appropriate word knowledge. Children with ASD plus concomitant syntactic language impairments (ASDLI) performed similarly to peers with specific language impairment (SLI) and both demonstrated sparse lexicons characterized by partial word knowledge and immature knowledge of word-to-word relationships. This behavioral overlap speaks to the robustness of the syntax-lexicon interface and points to a similarity in the ASDLI and SLI phenotypes.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Autism spectrum disorder Sentence A: Family studies have demonstrated that the autism spectrum disorders (ASDs) have a major genetic etiologic component, but expression and penetrance of the phenotype are variable. Mice with null mutations of Hoxa1 or Hoxb1, two genes critical to hindbrain development, have phenotypic features frequently observed in autism, but no naturally occurring variants of either gene have been identified in mammals. Sentence B: Five groups of children defined by presence or absence of syntactic deficits and autism spectrum disorders (ASD) took vocabulary tests and provided sentences, definitions, and word associations. Children with ASD who were free of syntactic deficits demonstrated age-appropriate word knowledge. Children with ASD plus concomitant syntactic language impairments (ASDLI) performed similarly to peers with specific language impairment (SLI) and both demonstrated sparse lexicons characterized by partial word knowledge and immature knowledge of word-to-word relationships. This behavioral overlap speaks to the robustness of the syntax-lexicon interface and points to a similarity in the ASDLI and SLI phenotypes. ###Answer 1. Changed Reasoning: In Sentence A, the term ""autism spectrum disorders"" (ASDs) is used to refer to a group of conditions characterized by impairments in social interaction and communication. The term ""spectrum disorders"" suggests a range of severity or diversity in the conditions, and the term ""autism"" is used as an umbrella term to encompass a range of related conditions. This usage reflects the understanding of autism as a complex and heterogeneous condition that affects individuals to varying degrees. In Sentence B, the term ""autism spectrum disorder"" (ASD) is used more specifically to refer to a condition characterized by impairments in social interaction and communication, and the term ""syntactic deficits"" is used to refer to language impairments specifically related to syntax. The sentence also distinguishes between children with ASD who are free of syntactic deficits and those with ASD plus concomitant syntactic language impairments (ASDLI). This usage reflects a more nuanced understanding of autism as a condition with distinct subtypes, each with its own distinct language impairments. As a result, the meaning of the term ""autism"" has shifted from a broad umbrella term to a more specific term that encompasses a range of related conditions, with a greater emphasis on the syntactic language impairments that are characteristic of some subtypes of autism. This shift in meaning is indicative of semantic drift." 84,Autism spectrum disorder,To examine the effect of a single dose of human synthetic secretin (HSS) on behaviour and communication in children with autism spectrum disorder (ASD) using an objective measure of communication and social reciprocity and standardised rating scales.,"With increased public awareness of the early signs and recent American Academy of Pediatrics recommendations that all 18- and 24-month-olds be screened for autism spectrum disorders, there is an increasing need for diagnostic assessment of very young children. However, unique challenges exist in applying current diagnostic guidelines for autism spectrum disorders to children under the age of 2 years. In this article, we address challenges related to early detection, diagnosis, and treatment of autism spectrum disorders in this age group. We provide a comprehensive review of findings from recent studies on the early development of children with autism spectrum disorders, summarizing current knowledge on early signs of autism spectrum disorders, the screening properties of early detection tools, and current best practice for diagnostic assessment of autism spectrum disorders before 2 years of age. We also outline principles of effective intervention for children under the age of 2 with suspected/confirmed autism spectrum disorders. It is hoped that ongoing studies will provide an even stronger foundation for evidence-based diagnostic and intervention approaches for this critically important age group.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Autism spectrum disorder Sentence A: To examine the effect of a single dose of human synthetic secretin (HSS) on behaviour and communication in children with autism spectrum disorder (ASD) using an objective measure of communication and social reciprocity and standardised rating scales. Sentence B: With increased public awareness of the early signs and recent American Academy of Pediatrics recommendations that all 18- and 24-month-olds be screened for autism spectrum disorders, there is an increasing need for diagnostic assessment of very young children. However, unique challenges exist in applying current diagnostic guidelines for autism spectrum disorders to children under the age of 2 years. In this article, we address challenges related to early detection, diagnosis, and treatment of autism spectrum disorders in this age group. We provide a comprehensive review of findings from recent studies on the early development of children with autism spectrum disorders, summarizing current knowledge on early signs of autism spectrum disorders, the screening properties of early detection tools, and current best practice for diagnostic assessment of autism spectrum disorders before 2 years of age. We also outline principles of effective intervention for children under the age of 2 with suspected/confirmed autism spectrum disorders. It is hoped that ongoing studies will provide an even stronger foundation for evidence-based diagnostic and intervention approaches for this critically important age group. ###Answer 1. Changed Reasoning: In Sentence A, the term ""autism spectrum disorder"" (ASD) is used in the context of a medical treatment study, where it is defined as a specific neurodevelopmental disorder characterized by difficulties in social interaction and communication. In Sentence B, the term is used in a broader context, referring to the early detection and diagnosis of autism spectrum disorders in very young children. The term has taken on a different connotation, shifting from a medical diagnosis to a broader concept encompassing early detection and intervention. This change in meaning indicates semantic drift has occurred." 85,Autism spectrum disorder,"The aim of this study was to examine the comorbidity pattern, seizure characteristics, and aetiology in a representative group of children with a combination of autism spectrum disorder (ASD), active epilepsy, and learning disability. Ninety children (47 males, 43 females; mean age 11 years 2 months, range 8 to 16 years at the time of psychiatric examination) with active epilepsy and learning disability, identified in a population-based study in Göteborg, Sweden, were subdivided into those with and those without ASD and compared with respect to aetiology, additional neuroimpairments, and seizure characteristics. In addition, the cohorts were examined for trends of prevalence over a period of time. Results indicated that established aetiology was much more often present in the prenatal period than in the peri- or postnatal periods in the ASD group. Cerebral palsy and visual impairment were under-represented in the ASD group. Partial seizures tended to be more common and generalized seizures less common in the ASD group compared with the non-ASD group. Seizure onset was later in the ASD group. Many of the significant differences were accounted for by a large group of psychiatrically unclassifiable participants in the non-ASD group. There was no trend towards an increase of affected children over the 12-year period. There was no increase in the prevalence of active epilepsy and learning disability nor in the rate of autism with active epilepsy and learning disability in children born between 1981 and 1986 compared with those born from 1976 to 1980, indicating no statistical association with the general measles-mumps-rubella vaccination introduced in the early 1980s.","A number of studies have demonstrated that individuals with autism spectrum disorders (ASDs) are faster or more successful than typically developing control participants at various visual-attentional tasks (for reviews, see Dakin and Frith in Neuron 48:497-507, 2005; Simmons et al. in Vis Res 49:2705-2739, 2009). This ""ASD advantage"" was first identified in the domain of visual search by Plaisted et al. (J Child Psychol Psychiatry 39:777-783, 1998). Here we survey the findings of visual search studies from the past 15 years that contrasted the performance of individuals with and without ASD. Although there are some minor caveats, the overall consensus is that-across development and a broad range of symptom severity-individuals with ASD reliably outperform controls on visual search. The etiology of the ASD advantage has not been formally specified, but has been commonly attributed to 'enhanced perceptual discrimination', a superior ability to visually discriminate between targets and distractors in such tasks (e.g. O'Riordan in Cognition 77:81-96, 2000). As well, there is considerable evidence for impairments of the attentional network in ASD (for a review, see Keehn et al. in J Child Psychol Psychiatry 37:164-183, 2013). We discuss some recent results from our laboratory that support an attentional, rather than perceptual explanation for the ASD advantage in visual search. We speculate that this new conceptualization may offer a better understanding of some of the behavioral symptoms associated with ASD, such as over-focusing and restricted interests. ","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Autism spectrum disorder Sentence A: The aim of this study was to examine the comorbidity pattern, seizure characteristics, and aetiology in a representative group of children with a combination of autism spectrum disorder (ASD), active epilepsy, and learning disability. Ninety children (47 males, 43 females; mean age 11 years 2 months, range 8 to 16 years at the time of psychiatric examination) with active epilepsy and learning disability, identified in a population-based study in Göteborg, Sweden, were subdivided into those with and those without ASD and compared with respect to aetiology, additional neuroimpairments, and seizure characteristics. In addition, the cohorts were examined for trends of prevalence over a period of time. Results indicated that established aetiology was much more often present in the prenatal period than in the peri- or postnatal periods in the ASD group. Cerebral palsy and visual impairment were under-represented in the ASD group. Partial seizures tended to be more common and generalized seizures less common in the ASD group compared with the non-ASD group. Seizure onset was later in the ASD group. Many of the significant differences were accounted for by a large group of psychiatrically unclassifiable participants in the non-ASD group. There was no trend towards an increase of affected children over the 12-year period. There was no increase in the prevalence of active epilepsy and learning disability nor in the rate of autism with active epilepsy and learning disability in children born between 1981 and 1986 compared with those born from 1976 to 1980, indicating no statistical association with the general measles-mumps-rubella vaccination introduced in the early 1980s. Sentence B: A number of studies have demonstrated that individuals with autism spectrum disorders (ASDs) are faster or more successful than typically developing control participants at various visual-attentional tasks (for reviews, see Dakin and Frith in Neuron 48:497-507, 2005; Simmons et al. in Vis Res 49:2705-2739, 2009). This ""ASD advantage"" was first identified in the domain of visual search by Plaisted et al. (J Child Psychol Psychiatry 39:777-783, 1998). Here we survey the findings of visual search studies from the past 15 years that contrasted the performance of individuals with and without ASD. Although there are some minor caveats, the overall consensus is that-across development and a broad range of symptom severity-individuals with ASD reliably outperform controls on visual search. The etiology of the ASD advantage has not been formally specified, but has been commonly attributed to 'enhanced perceptual discrimination', a superior ability to visually discriminate between targets and distractors in such tasks (e.g. O'Riordan in Cognition 77:81-96, 2000). As well, there is considerable evidence for impairments of the attentional network in ASD (for a review, see Keehn et al. in J Child Psychol Psychiatry 37:164-183, 2013). We discuss some recent results from our laboratory that support an attentional, rather than perceptual explanation for the ASD advantage in visual search. We speculate that this new conceptualization may offer a better understanding of some of the behavioral symptoms associated with ASD, such as over-focusing and restricted interests. ###Answer 1. Changed Reasoning: The meaning of the target word ""autism spectrum disorder"" has significantly shifted between the two sentences. In Sentence A, the term is used to describe a specific diagnosis characterized by a combination of symptoms including seizure characteristics, aetiology, and learning disability. In Sentence B, the term is used to describe a broader range of symptoms, including visual-attentional tasks, and is often associated with an ""ASD advantage"" in these tasks. The shift in meaning suggests that the term ""autism spectrum disorder"" has undergone semantic drift." 86,Autism spectrum disorder,"The methyl-CpG binding protein 2 (MeCP2) gene has recently been identified as the gene responsible for Rett syndrome (RS), a pervasive developmental disorder considered by many to be one of the autism spectrum disorders. Most female patients with MeCP2 mutations exhibit the classic features of RS, including autistic behaviors. Most male patients with MeCP2 mutations exhibit moderate to severe developmental delay/mental retardation. Ninety nine patients from the South Carolina autism project (SCAP) were screened for MeCP2 mutations, including all 41 female patients from whom DNA samples were available plus the 58 male patients with the lowest scores on standard IQ tests and/or the Vineland Adaptive Behavior Scale. No pathogenic mutations were observed in these patients. One patient had the C582T variant, previously reported in the unaffected father of an RS patient. Two other patients had single nucleotide polymorphisms in the 3' UTR of the gene, G1470A and C1516G. These variants were seen in 12/82 and 1/178 phenotypically normal male controls, respectively. The findings from this and other studies suggest that mutations in the coding sequence of the MeCP2 gene are not a significant etiological factor in autism.","No robust biomarkers have yet been identified for autism spectrum disorder (ASD) or autistic traits. Familial factors likely influence biomarkers such as protein concentrations. Comparing twins with ASD or high autistic traits to the less affected co-twin allows estimating the impact of familial confounding. We measured 203 proteins in cerebrospinal fluid (n = 86) and serum (n = 127) in twins (mean age 14.2 years, 44.9% females) enriched for ASD and other neurodevelopmental conditions. Autistic traits were assessed by using the parent-report version of the Social Responsiveness Scale-2. In cerebrospinal fluid, autistic traits correlated negatively with three proteins and positively with one. In serum, autistic traits correlated positively with 15 and negatively with one. Also in serum, six were positively-and one negatively-associated with ASD. A pathway analysis of these proteins revealed immune system enrichment. In within twin pair analyses, autistic traits were associated with serum B-cell activating factor (BAFF) only, whereas Cystatin B (CSTB) remained significantly associated with ASD. These associations did not remain significant when only considering monozygotic twins. For the remainder, the within-pair analysis indicated familial confounding, including shared environment and genes, influencing both autism and protein levels. Our findings indicate proteins involved in immunity as putative biomarkers of autistic traits and ASD with partial genetic confounding. Although some results are in line with previous studies in general, further studies are needed for replication.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Autism spectrum disorder Sentence A: The methyl-CpG binding protein 2 (MeCP2) gene has recently been identified as the gene responsible for Rett syndrome (RS), a pervasive developmental disorder considered by many to be one of the autism spectrum disorders. Most female patients with MeCP2 mutations exhibit the classic features of RS, including autistic behaviors. Most male patients with MeCP2 mutations exhibit moderate to severe developmental delay/mental retardation. Ninety nine patients from the South Carolina autism project (SCAP) were screened for MeCP2 mutations, including all 41 female patients from whom DNA samples were available plus the 58 male patients with the lowest scores on standard IQ tests and/or the Vineland Adaptive Behavior Scale. No pathogenic mutations were observed in these patients. One patient had the C582T variant, previously reported in the unaffected father of an RS patient. Two other patients had single nucleotide polymorphisms in the 3' UTR of the gene, G1470A and C1516G. These variants were seen in 12/82 and 1/178 phenotypically normal male controls, respectively. The findings from this and other studies suggest that mutations in the coding sequence of the MeCP2 gene are not a significant etiological factor in autism. Sentence B: No robust biomarkers have yet been identified for autism spectrum disorder (ASD) or autistic traits. Familial factors likely influence biomarkers such as protein concentrations. Comparing twins with ASD or high autistic traits to the less affected co-twin allows estimating the impact of familial confounding. We measured 203 proteins in cerebrospinal fluid (n = 86) and serum (n = 127) in twins (mean age 14.2 years, 44.9% females) enriched for ASD and other neurodevelopmental conditions. Autistic traits were assessed by using the parent-report version of the Social Responsiveness Scale-2. In cerebrospinal fluid, autistic traits correlated negatively with three proteins and positively with one. In serum, autistic traits correlated positively with 15 and negatively with one. Also in serum, six were positively-and one negatively-associated with ASD. A pathway analysis of these proteins revealed immune system enrichment. In within twin pair analyses, autistic traits were associated with serum B-cell activating factor (BAFF) only, whereas Cystatin B (CSTB) remained significantly associated with ASD. These associations did not remain significant when only considering monozygotic twins. For the remainder, the within-pair analysis indicated familial confounding, including shared environment and genes, influencing both autism and protein levels. Our findings indicate proteins involved in immunity as putative biomarkers of autistic traits and ASD with partial genetic confounding. Although some results are in line with previous studies in general, further studies are needed for replication. ###Answer 1. Changed Reasoning: In Sentence A, the target word ""autism spectrum disorder"" is used to refer to a specific neurodevelopmental disorder characterized by difficulties in social interaction and communication. The sentence highlights the recent discovery of a gene responsible for Rett syndrome, a disorder that was previously considered to be one of the autism spectrum disorders. This suggests that the term ""autism spectrum disorder"" had a different meaning in 2000 than it does today, as it was used to refer to a broader range of disorders. In Sentence B, the target word ""autism spectrum disorder"" is used in a different context. The sentence discusses the lack of robust biomarkers for autism spectrum disorder or autistic traits, and instead focuses on familial factors that may influence biomarkers such as protein concentrations. The sentence does not suggest any significant shift in the meaning of the target word, as it is used in a different context and does not convey any different meaning than in Sentence A. Therefore, the label ""Unchanged"" is appropriate." 87,Autism spectrum disorder,"Brain tissue research has developed into a high-tech, multifaceted approach to understanding neurological disorders. Directed toward autism spectrum disorders, this investigative approach combines with other disciplines, such as imaging and genetics, to help explain the range and intensity of behaviors that characterize these disorders. This report is intended as an update on current autism brain research efforts and has a dual purpose: first, to disseminate information to the scientific community in the hope of stimulating more thinking about autism research and future collaborations; and second, to let the autism community know what is happening with this precious resource that was donated in the hope of determining the cause of autism and finding effective treatments.","Identifying disease genes from a vast amount of genetic data is one of the most challenging tasks in the post-genomic era. Also, complex diseases present highly heterogeneous genotype, which difficult biological marker identification. Machine learning methods are widely used to identify these markers, but their performance is highly dependent upon the size and quality of available data. In this study, we demonstrated that machine learning classifiers trained on gene functional similarities, using Gene Ontology (GO), can improve the identification of genes involved in complex diseases. For this purpose, we developed a supervised machine learning methodology to predict complex disease genes. The proposed pipeline was assessed using Autism Spectrum Disorder (ASD) candidate genes. A quantitative measure of gene functional similarities was obtained by employing different semantic similarity measures. To infer the hidden functional similarities between ASD genes, various types of machine learning classifiers were built on quantitative semantic similarity matrices of ASD and non-ASD genes. The classifiers trained and tested on ASD and non-ASD gene functional similarities outperformed previously reported ASD classifiers. For example, a Random Forest (RF) classifier achieved an AUC of 0. 80 for predicting new ASD genes, which was higher than the reported classifier (0.73). Additionally, this classifier was able to predict 73 novel ASD candidate genes that were enriched for core ASD phenotypes, such as autism and obsessive-compulsive behavior. In addition, predicted genes were also enriched for ASD co-occurring conditions, including Attention Deficit Hyperactivity Disorder (ADHD). We also developed a KNIME workflow with the proposed methodology which allows users to configure and execute it without requiring machine learning and programming skills. Machine learning is an effective and reliable technique to decipher ASD mechanism by identifying novel disease genes, but this study further demonstrated that their performance can be improved by incorporating a quantitative measure of gene functional similarities. Source code and the workflow of the proposed methodology are available at https://github.com/Muh-Asif/ASD-genes-prediction.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Autism spectrum disorder Sentence A: Brain tissue research has developed into a high-tech, multifaceted approach to understanding neurological disorders. Directed toward autism spectrum disorders, this investigative approach combines with other disciplines, such as imaging and genetics, to help explain the range and intensity of behaviors that characterize these disorders. This report is intended as an update on current autism brain research efforts and has a dual purpose: first, to disseminate information to the scientific community in the hope of stimulating more thinking about autism research and future collaborations; and second, to let the autism community know what is happening with this precious resource that was donated in the hope of determining the cause of autism and finding effective treatments. Sentence B: Identifying disease genes from a vast amount of genetic data is one of the most challenging tasks in the post-genomic era. Also, complex diseases present highly heterogeneous genotype, which difficult biological marker identification. Machine learning methods are widely used to identify these markers, but their performance is highly dependent upon the size and quality of available data. In this study, we demonstrated that machine learning classifiers trained on gene functional similarities, using Gene Ontology (GO), can improve the identification of genes involved in complex diseases. For this purpose, we developed a supervised machine learning methodology to predict complex disease genes. The proposed pipeline was assessed using Autism Spectrum Disorder (ASD) candidate genes. A quantitative measure of gene functional similarities was obtained by employing different semantic similarity measures. To infer the hidden functional similarities between ASD genes, various types of machine learning classifiers were built on quantitative semantic similarity matrices of ASD and non-ASD genes. The classifiers trained and tested on ASD and non-ASD gene functional similarities outperformed previously reported ASD classifiers. For example, a Random Forest (RF) classifier achieved an AUC of 0. 80 for predicting new ASD genes, which was higher than the reported classifier (0.73). Additionally, this classifier was able to predict 73 novel ASD candidate genes that were enriched for core ASD phenotypes, such as autism and obsessive-compulsive behavior. In addition, predicted genes were also enriched for ASD co-occurring conditions, including Attention Deficit Hyperactivity Disorder (ADHD). We also developed a KNIME workflow with the proposed methodology which allows users to configure and execute it without requiring machine learning and programming skills. Machine learning is an effective and reliable technique to decipher ASD mechanism by identifying novel disease genes, but this study further demonstrated that their performance can be improved by incorporating a quantitative measure of gene functional similarities. Source code and the workflow of the proposed methodology are available at https://github.com/Muh-Asif/ASD-genes-prediction. ###Answer 1. Changed Reasoning: In Sentence A, the term ""autism spectrum disorder"" is used to describe a specific neurological disorder characterized by a range of behaviors. The sentence highlights the complexity of these behaviors and the need for a multidisciplinary approach to understanding them. In contrast, Sentence B uses the term ""Autism Spectrum Disorder"" (ASD) in the context of identifying disease genes using machine learning methods. Here, the term is used more broadly to refer to any genetic disorder that falls under the autism spectrum. This suggests that the term ""autism spectrum disorder"" has shifted in meaning over time, from a specific neurological disorder to a broader category of genetic disorders. Therefore, the label ""Changed"" is appropriate." 88,Autism spectrum disorder,This paper outlines the possibility that disruption of cell-to-cell biochemical signaling activates a cascade of events resulting in a diverse spectrum of behavioral and biological symptoms associated with autism spectrum disorders.,"Parents of children with autism spectrum disorder (ASD) have to address various challenges mainly due to their children's atypia related to communication, emotion regulation and behaviors, arising also within the relationship with their caregivers. Several studies have pointed out that children with ASD can exhibit many difficulties regarding initiating and maintaining meaningful relationships with others. To date, little research has explored the interactions between children with ASD and their fathers, focusing more on mothers. In the context of parent-child interactions in the presence of autism, recent studies have highlighted the importance of parental attunement but there is little research considering solely the affective-bodily dimension. Therefore, the aim of the present study was to explore the parental attunement in fathers of children with ASD observed during play interactions and to investigate the relationship between paternal attunement and the perception of their psychological characteristics related to care relationships. The results highlight that fathers who describe themselves as better in affective care and sensitivity toward others more likely have an absence of paternal attunement during play interactions. The data presented are discussed in the light of intervention hypotheses, aimed at improving the relationship between fathers and children with autism.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Autism spectrum disorder Sentence A: This paper outlines the possibility that disruption of cell-to-cell biochemical signaling activates a cascade of events resulting in a diverse spectrum of behavioral and biological symptoms associated with autism spectrum disorders. Sentence B: Parents of children with autism spectrum disorder (ASD) have to address various challenges mainly due to their children's atypia related to communication, emotion regulation and behaviors, arising also within the relationship with their caregivers. Several studies have pointed out that children with ASD can exhibit many difficulties regarding initiating and maintaining meaningful relationships with others. To date, little research has explored the interactions between children with ASD and their fathers, focusing more on mothers. In the context of parent-child interactions in the presence of autism, recent studies have highlighted the importance of parental attunement but there is little research considering solely the affective-bodily dimension. Therefore, the aim of the present study was to explore the parental attunement in fathers of children with ASD observed during play interactions and to investigate the relationship between paternal attunement and the perception of their psychological characteristics related to care relationships. The results highlight that fathers who describe themselves as better in affective care and sensitivity toward others more likely have an absence of paternal attunement during play interactions. The data presented are discussed in the light of intervention hypotheses, aimed at improving the relationship between fathers and children with autism. ###Answer 1. Changed The meaning of the target word ""autism spectrum disorder"" has shifted significantly between the two sentences. In Sentence A, the term is used in the context of a scientific study, highlighting the diverse spectrum of behavioral and biological symptoms associated with the disorder. The term carries a neutral connotation, emphasizing the complexity of the disorder. In Sentence B, the term is used in a social context, specifically in the context of parent-child interactions. The term carries a negative connotation, emphasizing the challenges faced by parents in raising children with autism. The sentence highlights the importance of attunement in fathers of children with autism, suggesting that a lack of attunement can have negative consequences for the child's psychological development. Therefore, the meaning of the target word has shifted from a neutral to a negative connotation between the two sentences, indicating semantic drift has occurred." 89,Autism spectrum disorder,"The present study extends our previous work on social behavior impairment in young males with fragile X syndrome (FraX). Specifically, we evaluated whether the autistic phenomenon in FraX is expressed as a range of behavioral impairments as in idiopathic autism (Aut). We also examined whether there are behaviors, identified as items of the Autism Diagnostic Interview-Revised (ADI-R), that in FraX predispose to or differentiate subjects with autism spectrum disorder (ASD) diagnosis. Finally, regression models were utilized to test the relative contribution of reduced communication and socialization skills to ADI-R scores and diagnoses. A cohort of 56 boys (3-8 years) with FraX was examined in terms of scores on measures of cognition (IQ was a co-variate in most analyses.), autistic behavior, problem/aberrant behavior, adaptive behavior, and language development. We found that, indeed, in terms of problem behavior and adaptive skills, there is a range of severity from FraX + Aut to FraX + PDD (Pervasive Developmental Disorder) to FraX + none. ADI-R items representing ""Play"" types of interaction appear to be ""susceptibility"" factors since they were abnormal across the FraX cohort. Integrated regression models demonstrated that items reflecting complex social interaction differentiated the FraX + ASD (Aut + PDD) subgroup from the rest of the FraX cohort, while abnormalities in basic verbal and non-verbal communication distinguished the most severely affected boys with FraX + Aut from the milder FraX + PDD cohort. Models incorporating language, adaptive communication, and adaptive socialization skills revealed that socialization was not only the main influence on scores but also a predictor of ASD diagnosis. Altogether, our findings demonstrate that the diagnosis of ASD in FraX reflects, to a large extent, an impairment in social interaction that is expressed with variable severity in young males with FraX.","Autism Spectrum Disorders are characterized by difficulties in communicating and cooperating with other people. Impairment in Theory of Mind (ToM), the ability to infer what another person is thinking, may contribute to these social deficits. The present study assesses the relationship between autistic traits and decision-making in a socioeconomic game environment that measures ToM and cooperation. We quantified participant strategy during game play with computer agents that simulated aspects of ToM or fixed strategy agents with static behaviors or heuristics. Individuals with higher Autism Quotient (AQ) scores cooperated less than subjects with low AQ scores with the ToM agents. In contrast, subjects with higher AQ scores cooperated more with fixed strategy agents. Additionally, subjects with higher AQ scores spent more time than low AQ subjects signaling cooperative intent in games with fixed strategy agents while spending less time signaling cooperation with adaptive agents, indicating a preference toward systemizing behaviors in the face of uncertainty. We conclude that individuals with high levels of autistic traits are less likely to utilize ToM as a cognitive strategy, even when it is beneficial, to achieve a desired outcome.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Autism spectrum disorder Sentence A: The present study extends our previous work on social behavior impairment in young males with fragile X syndrome (FraX). Specifically, we evaluated whether the autistic phenomenon in FraX is expressed as a range of behavioral impairments as in idiopathic autism (Aut). We also examined whether there are behaviors, identified as items of the Autism Diagnostic Interview-Revised (ADI-R), that in FraX predispose to or differentiate subjects with autism spectrum disorder (ASD) diagnosis. Finally, regression models were utilized to test the relative contribution of reduced communication and socialization skills to ADI-R scores and diagnoses. A cohort of 56 boys (3-8 years) with FraX was examined in terms of scores on measures of cognition (IQ was a co-variate in most analyses.), autistic behavior, problem/aberrant behavior, adaptive behavior, and language development. We found that, indeed, in terms of problem behavior and adaptive skills, there is a range of severity from FraX + Aut to FraX + PDD (Pervasive Developmental Disorder) to FraX + none. ADI-R items representing ""Play"" types of interaction appear to be ""susceptibility"" factors since they were abnormal across the FraX cohort. Integrated regression models demonstrated that items reflecting complex social interaction differentiated the FraX + ASD (Aut + PDD) subgroup from the rest of the FraX cohort, while abnormalities in basic verbal and non-verbal communication distinguished the most severely affected boys with FraX + Aut from the milder FraX + PDD cohort. Models incorporating language, adaptive communication, and adaptive socialization skills revealed that socialization was not only the main influence on scores but also a predictor of ASD diagnosis. Altogether, our findings demonstrate that the diagnosis of ASD in FraX reflects, to a large extent, an impairment in social interaction that is expressed with variable severity in young males with FraX. Sentence B: Autism Spectrum Disorders are characterized by difficulties in communicating and cooperating with other people. Impairment in Theory of Mind (ToM), the ability to infer what another person is thinking, may contribute to these social deficits. The present study assesses the relationship between autistic traits and decision-making in a socioeconomic game environment that measures ToM and cooperation. We quantified participant strategy during game play with computer agents that simulated aspects of ToM or fixed strategy agents with static behaviors or heuristics. Individuals with higher Autism Quotient (AQ) scores cooperated less than subjects with low AQ scores with the ToM agents. In contrast, subjects with higher AQ scores cooperated more with fixed strategy agents. Additionally, subjects with higher AQ scores spent more time than low AQ subjects signaling cooperative intent in games with fixed strategy agents while spending less time signaling cooperation with adaptive agents, indicating a preference toward systemizing behaviors in the face of uncertainty. We conclude that individuals with high levels of autistic traits are less likely to utilize ToM as a cognitive strategy, even when it is beneficial, to achieve a desired outcome. ###Answer 1. Changed Reasoning: In Sentence A, the term ""autism spectrum disorder"" is used to describe a range of behavioral impairments, including difficulties in social interaction and communication. In contrast, in Sentence B, the term ""Autism Spectrum Disorders"" is used to describe a specific cognitive impairment, the inability to infer what another person is thinking. These two sentences suggest that the term ""autism spectrum disorder"" has shifted in meaning over time to emphasize the social and communication aspects of the disorder, while the term ""Autism Spectrum Disorders"" has remained relatively consistent in its reference to a specific cognitive impairment. Therefore, semantic drift has occurred in the meaning of the term ""autism spectrum disorder""." 90,Autism spectrum disorder,"Joint attention (JA) initiation is defined in cognitive-developmental psychology as a child's actions that verify or produce simultaneous attending by that child and an adult to some object or event in the environment so that both may experience the object or event together. This paper presents a contingency analysis of gaze shift in JA initiation. The analysis describes reinforcer-establishing and evocative effects of antecedent objects or events, discriminative and conditioned reinforcing functions of stimuli generated by adult behavior, and socially mediated reinforcers that may maintain JA behavior. A functional analysis of JA may describe multiple operant classes. The paper concludes with a discussion of JA deficits in children with autism spectrum disorders and suggestions for research and treatment.","Maternal infection and fever during pregnancy have been implicated in the etiology of autism spectrum disorder (ASD); however, studies have not been able to separate the effects of fever itself from the impact of a specific infectious organism on the developing brain. We utilized data from the Study to Explore Early Development (SEED), a case-control study among 2- to 5-year-old children born between 2003 and 2006 in the United States, to explore a possible association between maternal infection and fever during pregnancy and risk of ASD and other developmental disorders (DDs). Three groups of children were included: children with ASD (N = 606) and children with DDs (N = 856), ascertained from clinical and educational sources, and children from the general population (N = 796), randomly sampled from state birth records. Information about infection and fever during pregnancy was obtained from a telephone interview with the mother shortly after study enrollment and maternal prenatal and labor/delivery medical records. ASD and DD status was determined by an in-person standardized developmental assessment of the child at 3-5 years of age. After adjustment for covariates, maternal infection anytime during pregnancy was not associated with ASD or DDs. However, second trimester infection accompanied by fever elevated risk for ASD approximately twofold (aOR = 2.19, 95% confidence interval 1.14-4.23). These findings of an association between maternal infection with fever in the second trimester and increased risk of ASD in the offspring suggest that the inflammatory response to the infectious agent may be etiologically relevant. Autism Res 2019, 12: 1551-1561. © 2019 International Society for Autism Research, Wiley Periodicals, Inc. LAY SUMMARY: Using data from a large multisite study in the United States-the Study to Explore Early Development-we found that women who had an infection during the second trimester of pregnancy accompanied by a fever are more likely to have children with ASD. These findings suggest the possibility that only more severe infections accompanied by a robust inflammatory response increase the risk of ASD.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Autism spectrum disorder Sentence A: Joint attention (JA) initiation is defined in cognitive-developmental psychology as a child's actions that verify or produce simultaneous attending by that child and an adult to some object or event in the environment so that both may experience the object or event together. This paper presents a contingency analysis of gaze shift in JA initiation. The analysis describes reinforcer-establishing and evocative effects of antecedent objects or events, discriminative and conditioned reinforcing functions of stimuli generated by adult behavior, and socially mediated reinforcers that may maintain JA behavior. A functional analysis of JA may describe multiple operant classes. The paper concludes with a discussion of JA deficits in children with autism spectrum disorders and suggestions for research and treatment. Sentence B: Maternal infection and fever during pregnancy have been implicated in the etiology of autism spectrum disorder (ASD); however, studies have not been able to separate the effects of fever itself from the impact of a specific infectious organism on the developing brain. We utilized data from the Study to Explore Early Development (SEED), a case-control study among 2- to 5-year-old children born between 2003 and 2006 in the United States, to explore a possible association between maternal infection and fever during pregnancy and risk of ASD and other developmental disorders (DDs). Three groups of children were included: children with ASD (N = 606) and children with DDs (N = 856), ascertained from clinical and educational sources, and children from the general population (N = 796), randomly sampled from state birth records. Information about infection and fever during pregnancy was obtained from a telephone interview with the mother shortly after study enrollment and maternal prenatal and labor/delivery medical records. ASD and DD status was determined by an in-person standardized developmental assessment of the child at 3-5 years of age. After adjustment for covariates, maternal infection anytime during pregnancy was not associated with ASD or DDs. However, second trimester infection accompanied by fever elevated risk for ASD approximately twofold (aOR = 2.19, 95% confidence interval 1.14-4.23). These findings of an association between maternal infection with fever in the second trimester and increased risk of ASD in the offspring suggest that the inflammatory response to the infectious agent may be etiologically relevant. Autism Res 2019, 12: 1551-1561. © 2019 International Society for Autism Research, Wiley Periodicals, Inc. LAY SUMMARY: Using data from a large multisite study in the United States-the Study to Explore Early Development-we found that women who had an infection during the second trimester of pregnancy accompanied by a fever are more likely to have children with ASD. These findings suggest the possibility that only more severe infections accompanied by a robust inflammatory response increase the risk of ASD. ###Answer 1. Changed Reasoning: The target word ""Autism spectrum disorder"" has undergone a significant change in meaning between the two sentences. In Sentence A, the term is used in the context of cognitive-developmental psychology to describe a specific type of joint attention behavior. In Sentence B, the term is used to describe the potential etiology of autism spectrum disorder, specifically the inflammatory response to an infectious agent during pregnancy. The meaning of the term has shifted from a behavioral description to a potential environmental factor contributing to the development of autism. Therefore, the label ""Changed"" is appropriate." 91,Autism spectrum disorder,"Twin and family studies suggest that familial transmission in autism extends to a spectrum of social and behavioral deficits that characterize individuals who have significant impairments within the autism spectrum, but do not meet formal criteria for autistic disorder. Standardized diagnostic instruments, including the Autism Diagnostic Interview-Revised (ADI-R) and the Autism Diagnostic Observation Schedule (ADOS-WPS Edition), offer the opportunity to quantify deficits across the autism spectrum, controlling effects of language and cognitive delay, in individuals with significant impairments. It is suggested that quantitative measures of social reciprocity and repetitive behaviors and interests, with separate quantification of expressive language level and nonverbal intelligence, most accurately reflect the range of behavioral phenotypes in autism spectrum disorders.","Structural magnetic resonance imaging (MRI) scans at high spatial resolution can detect potential foci of early brain dysmaturation in children with autism spectrum disorders (ASD). In addition, comparison between MRI and behavior measures over time can identify patterns of brain change accompanying specific outcomes. We report structural MRI data from two time points for a total of 84 scans in children with ASD and 30 scans in typical controls (mean age time one = 4.1 years, mean age at time two = 6.6 years). Surface-based cortical morphometry and linear mixed effects models were used to link changes in cortical anatomy to both diagnostic status and individual differences in changes in language and autism severity. Compared with controls, children with ASD showed accelerated gray matter volume gain with age, which was driven by a lack of typical age-related cortical thickness (CT) decrease within 10 cortical regions involved in language, social cognition, and behavioral control. Greater expressive communication gains with age in children with ASD were associated with greater CT gains in a set of right hemisphere homologues to dominant language cortices, potentially identifying a compensatory system for closer translational study. Hum Brain Mapp 37:2616-2629, 2016. © 2016 Wiley Periodicals, Inc.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Autism spectrum disorder Sentence A: Twin and family studies suggest that familial transmission in autism extends to a spectrum of social and behavioral deficits that characterize individuals who have significant impairments within the autism spectrum, but do not meet formal criteria for autistic disorder. Standardized diagnostic instruments, including the Autism Diagnostic Interview-Revised (ADI-R) and the Autism Diagnostic Observation Schedule (ADOS-WPS Edition), offer the opportunity to quantify deficits across the autism spectrum, controlling effects of language and cognitive delay, in individuals with significant impairments. It is suggested that quantitative measures of social reciprocity and repetitive behaviors and interests, with separate quantification of expressive language level and nonverbal intelligence, most accurately reflect the range of behavioral phenotypes in autism spectrum disorders. Sentence B: Structural magnetic resonance imaging (MRI) scans at high spatial resolution can detect potential foci of early brain dysmaturation in children with autism spectrum disorders (ASD). In addition, comparison between MRI and behavior measures over time can identify patterns of brain change accompanying specific outcomes. We report structural MRI data from two time points for a total of 84 scans in children with ASD and 30 scans in typical controls (mean age time one = 4.1 years, mean age at time two = 6.6 years). Surface-based cortical morphometry and linear mixed effects models were used to link changes in cortical anatomy to both diagnostic status and individual differences in changes in language and autism severity. Compared with controls, children with ASD showed accelerated gray matter volume gain with age, which was driven by a lack of typical age-related cortical thickness (CT) decrease within 10 cortical regions involved in language, social cognition, and behavioral control. Greater expressive communication gains with age in children with ASD were associated with greater CT gains in a set of right hemisphere homologues to dominant language cortices, potentially identifying a compensatory system for closer translational study. Hum Brain Mapp 37:2616-2629, 2016. © 2016 Wiley Periodicals, Inc. ###Answer 1. Changed Reasoning: In Sentence A, the term ""autism spectrum disorder"" is used to describe a condition characterized by a range of social and behavioral deficits, with a focus on quantifying these deficits using standardized diagnostic instruments. In contrast, in Sentence B, the term ""autism spectrum disorders"" is used to describe a condition characterized by abnormalities in brain structure and function, with a focus on identifying patterns of brain change accompanying specific outcomes. The shift in emphasis from social and behavioral deficits to brain structure and function suggests that the meaning of the term ""autism spectrum disorder"" has changed over time." 92,Autism spectrum disorder,"Rearrangements of chromosome 15q, including isodicentric 15 chromosomes and interstitial duplications and triplications, have been previously reported in association with autism spectrum disorders. We have identified two boys with exceptionally large der(15) chromosomes that are tricentric and contain four copies of the proximal long arm, including the Prader Willi/Angelman critical region, and leading to hexasomy of the involved segment. Biallelic inheritance of maternal alleles and methylation analysis indicate that the markers are maternally derived. Clinical assessment of the boys indicated severe cognitive impairment associated with marked delays in gross and fine motor skills. Social and language deficits were present in both, although the severity of the mental retardation precluded diagnosis of autism (both were considered to have pervasive developmental disorder-not otherwise specified). Neurologic manifestations included infantile spasms evolving into intractable early-onset myoclonic seizures, psychomotor regression, and profound diffuse hypotonia. These patients represent the most severe end of the spectrum of phenotypes associated with segmental aneuploidy for chromosome 15q11-q13."," The traditional methods for detecting autism spectrum disorder (ASD) are expensive, subjective, and time-consuming, often taking years for a diagnosis, with many children growing well into adolescence and even adulthood before finally confirming the disorder. Recently, graph-based learning techniques have demonstrated impressive results on resting-state functional magnetic resonance imaging (rs-fMRI) data from the Autism Brain Imaging Data Exchange (ABIDE). We introduce IMAGIN, a multI-granular, Multi-Atlas spatio-temporal attention Graph Isomorphism Network, which we use to learn graph representations of dynamic functional brain connectivity (chronnectome), as opposed to static connectivity (connectome). The experimental results demonstrate that IMAGIN achieves a 5-fold cross-validation accuracy of 79.25%, which surpasses the current state-of-the-art by 1.5%. In addition, analysis of the spatial and temporal attention scores provides further validation for the neural basis of autism. ","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Autism spectrum disorder Sentence A: Rearrangements of chromosome 15q, including isodicentric 15 chromosomes and interstitial duplications and triplications, have been previously reported in association with autism spectrum disorders. We have identified two boys with exceptionally large der(15) chromosomes that are tricentric and contain four copies of the proximal long arm, including the Prader Willi/Angelman critical region, and leading to hexasomy of the involved segment. Biallelic inheritance of maternal alleles and methylation analysis indicate that the markers are maternally derived. Clinical assessment of the boys indicated severe cognitive impairment associated with marked delays in gross and fine motor skills. Social and language deficits were present in both, although the severity of the mental retardation precluded diagnosis of autism (both were considered to have pervasive developmental disorder-not otherwise specified). Neurologic manifestations included infantile spasms evolving into intractable early-onset myoclonic seizures, psychomotor regression, and profound diffuse hypotonia. These patients represent the most severe end of the spectrum of phenotypes associated with segmental aneuploidy for chromosome 15q11-q13. Sentence B: The traditional methods for detecting autism spectrum disorder (ASD) are expensive, subjective, and time-consuming, often taking years for a diagnosis, with many children growing well into adolescence and even adulthood before finally confirming the disorder. Recently, graph-based learning techniques have demonstrated impressive results on resting-state functional magnetic resonance imaging (rs-fMRI) data from the Autism Brain Imaging Data Exchange (ABIDE). We introduce IMAGIN, a multI-granular, Multi-Atlas spatio-temporal attention Graph Isomorphism Network, which we use to learn graph representations of dynamic functional brain connectivity (chronnectome), as opposed to static connectivity (connectome). The experimental results demonstrate that IMAGIN achieves a 5-fold cross-validation accuracy of 79.25%, which surpasses the current state-of-the-art by 1.5%. In addition, analysis of the spatial and temporal attention scores provides further validation for the neural basis of autism. ###Answer 1. Changed Reasoning: In Sentence A, the term ""autism spectrum disorder"" is used, which was the common terminology used in the early 2000s. However, in Sentence B, the term ""autism spectrum disorder"" has been replaced with ""autism spectrum disabilities."" This change in terminology suggests that the meaning of the term has shifted over time, and it is now more focused on the disability aspect rather than the spectrum of disorders. Therefore, semantic drift has occurred in the target word ""autism spectrum disorder.""" 93,Autism spectrum disorder,"Pervasive developmental disorders (PDD) refer to the group of heterogeneous conditions that make up a continuum or spectrum of autistic disorders and share a core triad of impairments consisting of qualitative disturbances in social interaction and verbal and nonverbal communication and imagination. It has long been believed that the prevalence of autism was 2-4 per 10,000 children. However, studies using broader definitions of autistic disorder have suggested that the prevalence of autism spectrum disorder may be as high as 90 per 10,000 and that a greater proportion of individuals with PDD have intellectual levels above 70. Clinicians and researchers have commented on the apparent increase in prevalence of the disorder and have offered a number of explanations, including better recognition and diagnosis of the autism spectrum of disorders and a real increase in the disturbance. It is being increasingly recognized that individuals with PDD are at risk for a wide array of psychiatric disturbances, including affective disorder, anxiety disorders, schizophrenia-like psychosis, aggression, antisocial behavior, and Tourette's disorder (TD). Evidence indicates that PDD is significantly related to the comorbid psychiatric disorders and TD. Because PDD is not rare, individuals with autism spectrum disorder may represent significant subgroups of severely emotionally disturbed patients referred for psychiatric treatment. Because of lack of awareness that the clinical manifestations of PDD are heterogeneous and often mild and that comorbid psychiatric disturbances may obscure the symptoms of the developmental disorder, the diagnosis of PDD may be missed. Implications for practicing clinicians are discussed.","Along with social, cognitive, and behavior deficiencies, peculiarities in sensory processing, including an atypical global motion processing, have been reported in Autism Spectrum Disorder (ASD). The question about the enhanced motion pooling in ASD is still debatable. The aim of the present study was to compare global motion integration in ASD using a low-density display and the equivalent noise (EN) approach. Fifty-seven children and adolescents with ASD or with typical development (TD) had to determine the average direction of movement of 30 Laplacian-of-Gaussian micro-patterns. They moved in directions determined by a normal distribution with a standard deviation of 2°, 5°, 10°, 15°, 25°, and 35°, corresponding to the added external noise. The data obtained showed that the ASD group has much larger individual differences in motion direction thresholds on external noise effect than the TD group. Applying the equivalent noise paradigm, we found that the global motion direction discrimination thresholds were more elevated in ASD than in controls at all noise levels. These results suggest that ASD individuals have a poor ability to integrate the local motion information in low-density displays.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Autism spectrum disorder Sentence A: Pervasive developmental disorders (PDD) refer to the group of heterogeneous conditions that make up a continuum or spectrum of autistic disorders and share a core triad of impairments consisting of qualitative disturbances in social interaction and verbal and nonverbal communication and imagination. It has long been believed that the prevalence of autism was 2-4 per 10,000 children. However, studies using broader definitions of autistic disorder have suggested that the prevalence of autism spectrum disorder may be as high as 90 per 10,000 and that a greater proportion of individuals with PDD have intellectual levels above 70. Clinicians and researchers have commented on the apparent increase in prevalence of the disorder and have offered a number of explanations, including better recognition and diagnosis of the autism spectrum of disorders and a real increase in the disturbance. It is being increasingly recognized that individuals with PDD are at risk for a wide array of psychiatric disturbances, including affective disorder, anxiety disorders, schizophrenia-like psychosis, aggression, antisocial behavior, and Tourette's disorder (TD). Evidence indicates that PDD is significantly related to the comorbid psychiatric disorders and TD. Because PDD is not rare, individuals with autism spectrum disorder may represent significant subgroups of severely emotionally disturbed patients referred for psychiatric treatment. Because of lack of awareness that the clinical manifestations of PDD are heterogeneous and often mild and that comorbid psychiatric disturbances may obscure the symptoms of the developmental disorder, the diagnosis of PDD may be missed. Implications for practicing clinicians are discussed. Sentence B: Along with social, cognitive, and behavior deficiencies, peculiarities in sensory processing, including an atypical global motion processing, have been reported in Autism Spectrum Disorder (ASD). The question about the enhanced motion pooling in ASD is still debatable. The aim of the present study was to compare global motion integration in ASD using a low-density display and the equivalent noise (EN) approach. Fifty-seven children and adolescents with ASD or with typical development (TD) had to determine the average direction of movement of 30 Laplacian-of-Gaussian micro-patterns. They moved in directions determined by a normal distribution with a standard deviation of 2°, 5°, 10°, 15°, 25°, and 35°, corresponding to the added external noise. The data obtained showed that the ASD group has much larger individual differences in motion direction thresholds on external noise effect than the TD group. Applying the equivalent noise paradigm, we found that the global motion direction discrimination thresholds were more elevated in ASD than in controls at all noise levels. These results suggest that ASD individuals have a poor ability to integrate the local motion information in low-density displays. ###Answer 1. Changed Reasoning: In Sentence A, the term ""Pervasive developmental disorders (PDD)"" is used to describe a group of conditions that are characterized by a core triad of impairments in social interaction, verbal and nonverbal communication, and imagination. The term ""autism spectrum disorder"" is not used in this sentence. This suggests that the meaning of the term ""autism"" has shifted over time, with the term ""autism spectrum disorder"" becoming more commonly used to describe a broader range of conditions that were previously referred to as ""autism."" In Sentence B, the term ""Autism Spectrum Disorder (ASD)"" is used throughout the sentence. This suggests that the term ""ASD"" has become more widely used and accepted as a term to describe individuals with autism spectrum disorders. Additionally, the sentence highlights specific sensory processing peculiarities in individuals with ASD, which suggests a greater focus on the unique cognitive and behavioral characteristics of individuals with autism. Overall, the usage of the term ""autism"" in Sentence A suggests that the meaning of the term has shifted over time, while the usage of the term ""ASD"" in Sentence B suggests that the term has become more widely accepted and used in the field. Therefore, I would label this task as ""Changed.""" 94,Autism spectrum disorder,To study the quality of early attention in autism spectrum disorder (ASD) through home movies.,"The link between nutrition and autism spectrum disorder (ASD), which is a complex developmental disorder manifesting itself in significant delays or deviation in interaction and communication, has provided a fresh point of view and signals that nutrition may have a role in the aetiology of ASD, as well as play an active role in treatment by alleviating symptoms.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Autism spectrum disorder Sentence A: To study the quality of early attention in autism spectrum disorder (ASD) through home movies. Sentence B: The link between nutrition and autism spectrum disorder (ASD), which is a complex developmental disorder manifesting itself in significant delays or deviation in interaction and communication, has provided a fresh point of view and signals that nutrition may have a role in the aetiology of ASD, as well as play an active role in treatment by alleviating symptoms. ###Answer 1. Changed Explanation: The meaning of ""autism spectrum disorder"" (ASD) has shifted significantly between the two sentences. In Sentence A, ASD is defined as a developmental disorder characterized by deficits in attention. In Sentence B, ASD is described as a complex developmental disorder manifesting itself in significant delays or deviation in interaction and communication, with a possible role for nutrition in both aetiology and treatment. The term ""spectrum disorder"" is also used differently in the two sentences, with Sentence A emphasizing the heterogeneity of the disorder, while Sentence B highlights the complexity of the disorder. Therefore, the label ""Changed"" is appropriate to indicate that the meaning of the target word has shifted significantly between the two sentences." 95,Autism spectrum disorder,"The co-occurrence of autism spectrum disorder and tuberous sclerosis complex has been recognized for decades. The prevalence of tuberous sclerosis complex in the autism spectrum disorder population is 1 to 4%, whereas features of autism spectrum disorder are present in 25 to 50% of individuals with tuberous sclerosis complex. The underlying reason for this association might be a nonspecific disruption of brain function owing to tuberous sclerosis complex, including tuber location, seizures and their effect on brain development, cognitive impairment, a disturbance in brain development in regions associated with autism spectrum disorder, or, less likely, a linkage between a TSC gene and an autism susceptibility gene. Awareness of the relationship between autism spectrum disorder and tuberous sclerosis complex is important during the evaluation of individuals with either disorder. Better delineation of the association and its causative factors is needed for the development of possible interventions.","Background. Previous research has supported gender-specific aetiological factors in oppositional defiant disorder (ODD) and conduct disorder (CD). The aims of this study were to identify gender-specific associations between the behavioural problems-ODD/CD-like problems-and the neurodevelopmental disorders-attention deficit hyperactivity disorder (ADHD), autism spectrum disorder (ASD)-and to investigate underlying genetic effects. Methods. 17,220 twins aged 9 or 12 were screened using the Autism-Tics, AD/HD and other Comorbidities inventory. The main covariates of ODD- and CD-like problems were investigated, and the relative importance of unique versus shared hereditary and environmental effects was estimated using twin model fitting. Results. Social interaction problems (one of the ASD subdomains) was the strongest neurodevelopmental covariate of the behavioural problems in both genders, while ADHD-related hyperactivity/impulsiveness in boys and inattention in girls stood out as important covariates of CD-like problems. Genetic effects accounted for 50%-62% of the variance in behavioural problems, except in CD-like problems in girls (26%). Genetic and environmental effects linked to ADHD and ASD also influenced ODD-like problems in both genders and, to a lesser extent, CD-like problems in boys, but not in girls. Conclusions. The gender-specific patterns should be considered in the assessment and treatment, especially of CD. ","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Autism spectrum disorder Sentence A: The co-occurrence of autism spectrum disorder and tuberous sclerosis complex has been recognized for decades. The prevalence of tuberous sclerosis complex in the autism spectrum disorder population is 1 to 4%, whereas features of autism spectrum disorder are present in 25 to 50% of individuals with tuberous sclerosis complex. The underlying reason for this association might be a nonspecific disruption of brain function owing to tuberous sclerosis complex, including tuber location, seizures and their effect on brain development, cognitive impairment, a disturbance in brain development in regions associated with autism spectrum disorder, or, less likely, a linkage between a TSC gene and an autism susceptibility gene. Awareness of the relationship between autism spectrum disorder and tuberous sclerosis complex is important during the evaluation of individuals with either disorder. Better delineation of the association and its causative factors is needed for the development of possible interventions. Sentence B: Background. Previous research has supported gender-specific aetiological factors in oppositional defiant disorder (ODD) and conduct disorder (CD). The aims of this study were to identify gender-specific associations between the behavioural problems-ODD/CD-like problems-and the neurodevelopmental disorders-attention deficit hyperactivity disorder (ADHD), autism spectrum disorder (ASD)-and to investigate underlying genetic effects. Methods. 17,220 twins aged 9 or 12 were screened using the Autism-Tics, AD/HD and other Comorbidities inventory. The main covariates of ODD- and CD-like problems were investigated, and the relative importance of unique versus shared hereditary and environmental effects was estimated using twin model fitting. Results. Social interaction problems (one of the ASD subdomains) was the strongest neurodevelopmental covariate of the behavioural problems in both genders, while ADHD-related hyperactivity/impulsiveness in boys and inattention in girls stood out as important covariates of CD-like problems. Genetic effects accounted for 50%-62% of the variance in behavioural problems, except in CD-like problems in girls (26%). Genetic and environmental effects linked to ADHD and ASD also influenced ODD-like problems in both genders and, to a lesser extent, CD-like problems in boys, but not in girls. Conclusions. The gender-specific patterns should be considered in the assessment and treatment, especially of CD. ###Answer 1. Changed Reasoning: The target word ""Autism spectrum disorder"" has undergone significant semantic drift between the two sentences. In Sentence A, the term is used to describe a specific neurodevelopmental disorder characterized by co-occurring tuberous sclerosis complex and features of autism spectrum disorder. In Sentence B, the term is used more broadly to describe a range of neurodevelopmental disorders, including ADHD and other comorbidities. The meaning of the term has shifted from a specific diagnosis to a more general category of disorders. This change in meaning indicates semantic drift has occurred." 96,Autism spectrum disorder,"Autism spectrum disorder (ASD) are a group of behaviorally defined neurodevelopmental disabilities with core deficits in socialization, communication, and behavior, although the presentation can be extremely variable. This article describes the core deficits in ASD, as well as the differential diagnosis and the more commonly associated comorbid disorders. The importance of early diagnosis is emphasized, and screening and assessment tools are reviewed. Finally, the role of the pediatric neurologist is discussed with regard to specific components of the evaluation, including history, physical examination, and ancillary testing.","At some point in their lives, nearly one-half of all American children will have a behavioral health condition. Many will not receive the care they need from a fragmented health delivery system. The patient-centered medical home is a promising model to improve their care; however, little evidence exists. Our study aim was to examine the association between several behavioral health indicators and having a patient-centered medical home. 91,642 children's parents or guardians completed the 2007 National Survey of Children's Health. An indicator for patient-centered medical home was included in the dataset. Descriptive statistics, bivariate tests, and multivariate regression models were used in the analyses. Children in the sample were mostly Male (52 %), White (78 %), non-Hispanic (87 %), and did not have a special health care need (80 %). 6.2 % of the sample had at least one behavioral health condition. Conditions ranged from ADHD (6 %) to Autism Spectrum Disorder (ASD) (1 %). Frequency of having a patient-centered medical home also varied for children with a behavioral health condition (49 % of children with ADHD and 33 % of children with ASD). Frequency of having a patient-centered medical home decreased with multiple behavioral health conditions. Higher severity of depression, anxiety, and conduct disorder were associated with a decreased likelihood of a patient-centered medical home. Results from our study can be used to target patient-centered medical home interventions toward children with one or more behavioral health conditions and consider that children with depression, anxiety, and conduct disorder are more vulnerable to these disparities. ","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Autism spectrum disorder Sentence A: Autism spectrum disorder (ASD) are a group of behaviorally defined neurodevelopmental disabilities with core deficits in socialization, communication, and behavior, although the presentation can be extremely variable. This article describes the core deficits in ASD, as well as the differential diagnosis and the more commonly associated comorbid disorders. The importance of early diagnosis is emphasized, and screening and assessment tools are reviewed. Finally, the role of the pediatric neurologist is discussed with regard to specific components of the evaluation, including history, physical examination, and ancillary testing. Sentence B: At some point in their lives, nearly one-half of all American children will have a behavioral health condition. Many will not receive the care they need from a fragmented health delivery system. The patient-centered medical home is a promising model to improve their care; however, little evidence exists. Our study aim was to examine the association between several behavioral health indicators and having a patient-centered medical home. 91,642 children's parents or guardians completed the 2007 National Survey of Children's Health. An indicator for patient-centered medical home was included in the dataset. Descriptive statistics, bivariate tests, and multivariate regression models were used in the analyses. Children in the sample were mostly Male (52 %), White (78 %), non-Hispanic (87 %), and did not have a special health care need (80 %). 6.2 % of the sample had at least one behavioral health condition. Conditions ranged from ADHD (6 %) to Autism Spectrum Disorder (ASD) (1 %). Frequency of having a patient-centered medical home also varied for children with a behavioral health condition (49 % of children with ADHD and 33 % of children with ASD). Frequency of having a patient-centered medical home decreased with multiple behavioral health conditions. Higher severity of depression, anxiety, and conduct disorder were associated with a decreased likelihood of a patient-centered medical home. Results from our study can be used to target patient-centered medical home interventions toward children with one or more behavioral health conditions and consider that children with depression, anxiety, and conduct disorder are more vulnerable to these disparities. ###Answer 1. Changed Reasoning: The target word ""Autism spectrum disorder"" has undergone a significant change in meaning between Sentence A (2000) and Sentence B (2020). In Sentence A, the term ""Autism spectrum disorder"" is used to describe a specific set of behaviorally defined neurodevelopmental disabilities with core deficits in socialization, communication, and behavior. However, in Sentence B, the term is used more broadly to refer to a broader range of behavioral health conditions, including ADHD and depression. This shift in meaning suggests that the term ""Autism spectrum disorder"" has undergone semantic drift and its meaning has changed over time." 97,Autism spectrum disorder,"A possible role for Hoxa1 genotype in susceptibility to autism spectrum disorders was recently proposed. Furthermore, it has been demonstrated that Rett syndrome, which is categorized into pervasive developmental disorders the same as the autism spectrum disorders are, is associated with mutations in MECP2 gene. These findings suggest that the genetic backgrounds of these behavioral conditions may involve genes which also have an important role in the development of skull, because Hoxa1 is a key gene for skull development as well as for brain development and one of the clinical characteristics of Rett syndrome is deceleration in head growth. Together with this evolving knowledge, a series of ethical arguments concerning the indication of surgical treatment in patients with minor forms of trigonocephaly with autistic behaviors and/or hyperactivity leads us to hypothesize the presence of an autism subtype which may frequently be accompanied by specific morphological skull characteristics (autistic skull shape).","Autistic people have communication, sensorial, and social difficulties, which on many occasions, make their adaptation on the sexual and affective levels difficult. For this reason, it is important to know the opinion of individuals with autism spectrum disorders (ASD) and their families, to offer this perspective to professionals to facilitate adapted health education programs in mental health units.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Autism spectrum disorder Sentence A: A possible role for Hoxa1 genotype in susceptibility to autism spectrum disorders was recently proposed. Furthermore, it has been demonstrated that Rett syndrome, which is categorized into pervasive developmental disorders the same as the autism spectrum disorders are, is associated with mutations in MECP2 gene. These findings suggest that the genetic backgrounds of these behavioral conditions may involve genes which also have an important role in the development of skull, because Hoxa1 is a key gene for skull development as well as for brain development and one of the clinical characteristics of Rett syndrome is deceleration in head growth. Together with this evolving knowledge, a series of ethical arguments concerning the indication of surgical treatment in patients with minor forms of trigonocephaly with autistic behaviors and/or hyperactivity leads us to hypothesize the presence of an autism subtype which may frequently be accompanied by specific morphological skull characteristics (autistic skull shape). Sentence B: Autistic people have communication, sensorial, and social difficulties, which on many occasions, make their adaptation on the sexual and affective levels difficult. For this reason, it is important to know the opinion of individuals with autism spectrum disorders (ASD) and their families, to offer this perspective to professionals to facilitate adapted health education programs in mental health units. ###Answer 1. Changed 2. Unchanged Explanation: In Sentence A, the term ""autism spectrum disorder"" is used, which was not as commonly used in 2000 as it is now. Additionally, the sentence highlights the genetic background of the condition, which was not as well understood in 2000. These changes suggest that the meaning of the term ""autism spectrum disorder"" has shifted towards a more genetic and biological understanding of the condition. Therefore, the label ""Changed"" is appropriate. In Sentence B, the term ""autistic people"" is used, which is more colloquial and informal than ""individuals with autism spectrum disorder"". Additionally, the sentence focuses more on the social and communication difficulties faced by individuals with autism, which is a more common understanding of the condition today. These changes suggest that the meaning of the term ""autism"" has shifted towards a more social and communication-focused understanding of the condition. Therefore, the label ""Unchanged"" is appropriate." 98,Autism spectrum disorder,"Obsessive-compulsive symptoms (OCS) frequently occur in patients with Tourette syndrome (TS) and autism spectrum disorders (ASD). It has been suggested that genetic factors play a role in the transmission of both TS and ASD and that obsessive-compulsive disorder (OCD) may have some genetic relationship with these disorders. The objective of this study was to explore whether the OCS associated with TS and ASD were found in the parents of TS and ASD probands by comparing them with normal controls. The subjects were parents of 13 TS and 16 ASD probands. All parents underwent an examination for tic symptoms and OCD, and completed the Maudsley Obsessional Compulsive Inventory (MOCI) and State-Trait Anxiety Inventory (STAI). No significant differences were observed in the MOCI and STAI scores among all three groups. However, the MOCI total score was higher in fathers of ASD probands than in male normal controls with a marginal significance. There was a significant tendency for the mean cleaning score of MOCI in fathers of ASD probands to be higher than that in male normal controls, and the mean checking score in fathers of ASD probands was fourfold higher than that in male normal controls, although there was no significant difference. No significant relationship was observed between OCS in TS or ASD probands and OCS of their parents. Further studies on OCD and OCS including a dimensional approach within ASD families are needed.","Autism spectrum disorder (ASD) is a neurodevelopmental disorder with a strong genetic basis. Although anxiety is a common major psychiatric condition in ASD, the underlying mechanisms of the anxiety are poorly understood. In individuals with ASD, evidence indicates a structural abnormality in the amygdala, a key component involved in anxiety and social behavior. Microglia, which are central nervous system-resident immune cells implicated in neurodevelopmental processes, are also reportedly altered in ASD. In the present study, we examined the involvement of microglia in the anxiety-related behaviors of ASD model mouse.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Autism spectrum disorder Sentence A: Obsessive-compulsive symptoms (OCS) frequently occur in patients with Tourette syndrome (TS) and autism spectrum disorders (ASD). It has been suggested that genetic factors play a role in the transmission of both TS and ASD and that obsessive-compulsive disorder (OCD) may have some genetic relationship with these disorders. The objective of this study was to explore whether the OCS associated with TS and ASD were found in the parents of TS and ASD probands by comparing them with normal controls. The subjects were parents of 13 TS and 16 ASD probands. All parents underwent an examination for tic symptoms and OCD, and completed the Maudsley Obsessional Compulsive Inventory (MOCI) and State-Trait Anxiety Inventory (STAI). No significant differences were observed in the MOCI and STAI scores among all three groups. However, the MOCI total score was higher in fathers of ASD probands than in male normal controls with a marginal significance. There was a significant tendency for the mean cleaning score of MOCI in fathers of ASD probands to be higher than that in male normal controls, and the mean checking score in fathers of ASD probands was fourfold higher than that in male normal controls, although there was no significant difference. No significant relationship was observed between OCS in TS or ASD probands and OCS of their parents. Further studies on OCD and OCS including a dimensional approach within ASD families are needed. Sentence B: Autism spectrum disorder (ASD) is a neurodevelopmental disorder with a strong genetic basis. Although anxiety is a common major psychiatric condition in ASD, the underlying mechanisms of the anxiety are poorly understood. In individuals with ASD, evidence indicates a structural abnormality in the amygdala, a key component involved in anxiety and social behavior. Microglia, which are central nervous system-resident immune cells implicated in neurodevelopmental processes, are also reportedly altered in ASD. In the present study, we examined the involvement of microglia in the anxiety-related behaviors of ASD model mouse. ###Answer 1. Changed Reasoning: In Sentence A, the term ""autism spectrum disorder"" (ASD) is used to describe a neurodevelopmental disorder with a strong genetic basis, indicating a significant shift in the understanding of the disorder's nature. The term ""Obsessive-compulsive symptoms"" (OCS) is also used, which suggests a focus on the disorder's psychiatric aspects. In contrast, Sentence B uses the term ""Autism spectrum disorder"" (ASD) without any mention of psychiatric aspects, indicating a shift towards a more neurodevelopmental understanding of the disorder. This semantic drift can be observed in the context of the sentence and the change in the meaning of the term ""ASD"" over time. Therefore, the label ""Changed"" is appropriate for this task." 99,Autism spectrum disorder,"We report two children who were referred for diagnostic assessment for autism and were subsequently determined to have a muscular dystrophy (MD). Each child had a history of speech delay and social impairments, but also had motor delays that had not previously been investigated. Both children met diagnostic criteria for autism spectrum disorders on standardized assessment. Each child was hypotonic and had other mild motor impairments. Serum creatine kinase (CK) activity was markedly elevated in each child, and subsequent muscle biopsy led to diagnosis of Becker's MD and congenital (autosomal recessive) MD, respectively. These cases highlight the importance of a thorough neuromotor examination for all children with suspected autism spectrum disorders.","The present study examined fixation frequency and duration during an Embedded Figures Test (EFT) in an effort to better understand the attentional and perceptual processes by which individuals with autism spectrum disorder (ASD) achieve accelerated EFT performance. In particular, we aimed to elucidate differences in the patterns of eye-movement in ASD and typically developing (TD) children, thus providing evidence relevant to the competing theories of weak central coherence (WCC) and enhanced perceptual functioning. Consistent with prior EFT studies, we found accelerated response time (RT) in children with ASD. No group differences were seen for fixation frequency, but the ASD group made significantly shorter fixations compared to the TD group. Eye-movement results indicate that RT advantage in ASD is related to both WCC and enhanced perceptual functioning.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Autism spectrum disorder Sentence A: We report two children who were referred for diagnostic assessment for autism and were subsequently determined to have a muscular dystrophy (MD). Each child had a history of speech delay and social impairments, but also had motor delays that had not previously been investigated. Both children met diagnostic criteria for autism spectrum disorders on standardized assessment. Each child was hypotonic and had other mild motor impairments. Serum creatine kinase (CK) activity was markedly elevated in each child, and subsequent muscle biopsy led to diagnosis of Becker's MD and congenital (autosomal recessive) MD, respectively. These cases highlight the importance of a thorough neuromotor examination for all children with suspected autism spectrum disorders. Sentence B: The present study examined fixation frequency and duration during an Embedded Figures Test (EFT) in an effort to better understand the attentional and perceptual processes by which individuals with autism spectrum disorder (ASD) achieve accelerated EFT performance. In particular, we aimed to elucidate differences in the patterns of eye-movement in ASD and typically developing (TD) children, thus providing evidence relevant to the competing theories of weak central coherence (WCC) and enhanced perceptual functioning. Consistent with prior EFT studies, we found accelerated response time (RT) in children with ASD. No group differences were seen for fixation frequency, but the ASD group made significantly shorter fixations compared to the TD group. Eye-movement results indicate that RT advantage in ASD is related to both WCC and enhanced perceptual functioning. ###Answer 1. Changed Explanation: Autism spectrum disorder (ASD) has undergone significant semantic drift since 2000. In Sentence A, the term ""autism spectrum disorder"" is used in the context of a medical diagnosis, with a focus on the neuromotor and muscular dystrophy aspects of the condition. The term is used in conjunction with other symptoms, such as speech delay and social impairments, to highlight the importance of a thorough neuromotor examination for diagnosis. In Sentence B, the term ""autism spectrum disorder"" is used in a research context, specifically in the context of an eye-movement study. The term is used to describe the population being studied, with a focus on the attentional and perceptual processes involved in accelerated EFT performance. The term is not used in conjunction with other symptoms, but rather in relation to the competing theories of weak central coherence and enhanced perceptual functioning. The meaning of the term ""autism spectrum disorder"" has shifted significantly between the two sentences. In Sentence A, the term is used primarily in a medical context, while in Sentence B, it is used primarily in a research context. Additionally, the term is used differently in each sentence, with a focus on different aspects of the condition. This shift in meaning indicates semantic drift has occurred." 0,Dementia,"A rating scale measuring care status related to assistance with basic ADL for demented patients was developed. This instrument, named the ABCD, is designed to be completed by family and professional caregivers, and consists of two subscales assessing the level of difficulty of help with the ADL (difficulty scale) and the reasons why assistance is needed (reason category). In the difficulty scale, each of 6 items is rated with 4 possible responses corresponding to the degree of physical assistance from the caregiver and of the patient's cooperation with the assistance. In the reason category, for 5 activities excluding voiding, the reason is assessed with the following three possible responses: A; physical disability, B; disability in motivation and/or so-called apraxia, C; a combination of A and B. The ABCD was administered to 124 outpatients and 203 inpatients with dementia based on the DSM III-R criteria in order to test its reliability and validity. The data from the out- and inpatient samples were analyzed separately. The reliability study of the two subscales based on calculation of perfect agreement rates and kappa values indicated high test-retest and inter-rater reliability for both samples. The Cronbach alpha values of the difficulty scale were also high. As to the validity of the difficulty scale, there was a significantly high correlation between the score obtained with this scale and the results of two established assessment instruments. For the outpatients, logistic regression analysis revealed that the score obtained with this scale was the only predictor of institutionalization and mortality within 1 year after the baseline examination.(ABSTRACT TRUNCATED AT 250 WORDS)","The blood-brain barrier (BBB) is a continuous endothelial membrane within brain microvessels that has sealed cell-to-cell contacts and is sheathed by mural vascular cells and perivascular astrocyte end-feet. The BBB protects neurons from factors present in the systemic circulation and maintains the highly regulated CNS internal milieu, which is required for proper synaptic and neuronal functioning. BBB disruption allows influx into the brain of neurotoxic blood-derived debris, cells and microbial pathogens and is associated with inflammatory and immune responses, which can initiate multiple pathways of neurodegeneration. This Review discusses neuroimaging studies in the living human brain and post-mortem tissue as well as biomarker studies demonstrating BBB breakdown in Alzheimer disease, Parkinson disease, Huntington disease, amyotrophic lateral sclerosis, multiple sclerosis, HIV-1-associated dementia and chronic traumatic encephalopathy. The pathogenic mechanisms by which BBB breakdown leads to neuronal injury, synaptic dysfunction, loss of neuronal connectivity and neurodegeneration are described. The importance of a healthy BBB for therapeutic drug delivery and the adverse effects of disease-initiated, pathological BBB breakdown in relation to brain delivery of neuropharmaceuticals are briefly discussed. Finally, future directions, gaps in the field and opportunities to control the course of neurological diseases by targeting the BBB are presented.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dementia Sentence A: A rating scale measuring care status related to assistance with basic ADL for demented patients was developed. This instrument, named the ABCD, is designed to be completed by family and professional caregivers, and consists of two subscales assessing the level of difficulty of help with the ADL (difficulty scale) and the reasons why assistance is needed (reason category). In the difficulty scale, each of 6 items is rated with 4 possible responses corresponding to the degree of physical assistance from the caregiver and of the patient's cooperation with the assistance. In the reason category, for 5 activities excluding voiding, the reason is assessed with the following three possible responses: A; physical disability, B; disability in motivation and/or so-called apraxia, C; a combination of A and B. The ABCD was administered to 124 outpatients and 203 inpatients with dementia based on the DSM III-R criteria in order to test its reliability and validity. The data from the out- and inpatient samples were analyzed separately. The reliability study of the two subscales based on calculation of perfect agreement rates and kappa values indicated high test-retest and inter-rater reliability for both samples. The Cronbach alpha values of the difficulty scale were also high. As to the validity of the difficulty scale, there was a significantly high correlation between the score obtained with this scale and the results of two established assessment instruments. For the outpatients, logistic regression analysis revealed that the score obtained with this scale was the only predictor of institutionalization and mortality within 1 year after the baseline examination.(ABSTRACT TRUNCATED AT 250 WORDS) Sentence B: The blood-brain barrier (BBB) is a continuous endothelial membrane within brain microvessels that has sealed cell-to-cell contacts and is sheathed by mural vascular cells and perivascular astrocyte end-feet. The BBB protects neurons from factors present in the systemic circulation and maintains the highly regulated CNS internal milieu, which is required for proper synaptic and neuronal functioning. BBB disruption allows influx into the brain of neurotoxic blood-derived debris, cells and microbial pathogens and is associated with inflammatory and immune responses, which can initiate multiple pathways of neurodegeneration. This Review discusses neuroimaging studies in the living human brain and post-mortem tissue as well as biomarker studies demonstrating BBB breakdown in Alzheimer disease, Parkinson disease, Huntington disease, amyotrophic lateral sclerosis, multiple sclerosis, HIV-1-associated dementia and chronic traumatic encephalopathy. The pathogenic mechanisms by which BBB breakdown leads to neuronal injury, synaptic dysfunction, loss of neuronal connectivity and neurodegeneration are described. The importance of a healthy BBB for therapeutic drug delivery and the adverse effects of disease-initiated, pathological BBB breakdown in relation to brain delivery of neuropharmaceuticals are briefly discussed. Finally, future directions, gaps in the field and opportunities to control the course of neurological diseases by targeting the BBB are presented. ###Answer 1. Changed Reasoning: The target word ""dementia"" has undergone a significant change in meaning between Sentence A (2000) and Sentence B (2020). In Sentence A, the term ""demented patients"" is used, which implies a more severe cognitive impairment than in Sentence B, where ""Alzheimer disease"" and ""Parkinson disease"" are mentioned. Additionally, the context of the word has shifted from a clinical setting to a broader discussion of neurodegenerative diseases. This change in meaning indicates semantic drift has occurred." 1,Dementia,"Nicotinic acetylcholine receptors have been found to be important for maintaining optimal performance on a variety of cognitive tasks. In humans, nicotine-induced improvement of rapid information processing is particularly well documented. In experimental animals nicotine has been found to improve learning and memory on a variety of tasks, while the nicotinic antagonist mecamylamine has been found to impair memory performance. Nicotine has been found to be effective in attenuating memory deficits resulting from lesions of the septohippocampal pathway or aging in experimental animals. Nicotinic receptors are decreased in the cortex of patients with Alzheimer's disease. Preliminary studies have found that some aspects of the cognitive deficit in Alzheimer's disease can be attenuated by nicotine. Nicotine may prove to be useful therapeutic treatment for this and other types of dementia.","Diogenes syndrome (DS) is an acquired behavioural disturbance more often affecting elderly patients, but possible in all ages. It is characterised by social withdrawal, extreme self and house neglect, tendency to hoard any kind of objects/rubbish (syllogomania), and rejection against external help for lack of concern about one's condition. It is considered infrequent, but with quite high mortality. DS might be divided into several forms including Active (the patient gathers objects outside and accumulates them inside his house), Passive (patient invaded by his own rubbish), ""à deux"" (DS sharing between two people), and ""under-threshold"" (DS ""blocked"" by precocious intervention). Four cases are here presented. In case 1 (passive DS) alcoholism and cognitive impairment could be trigger factors for DS, predisposed by a ""personality alteration"". In case 2 (active, ""à trois"") superimposed psychosis could be the trigger, borderline intelligence being the predisposing factor. In case 3 (active), fronto-parietal internal hyperostosis might support an organic aetiology. Finally, case 4 was an example of isolated syllogomania in patient with evolving Alzheimer's dementia. Despite being heterogeneous, our casuistry suggest that DS can develop in both sexes, is prevalent in geriatric age and often associated with cognitive impairment/psychiatric disturbances, which are not specific, nor sufficient to justify DS. Isolated syllogomania only shares the characteristic hoarding with DS; although cognitive impairment might be present, the other DS typical aspects (social isolation, help refusal, characterial aspects, personal hygiene neglect) are absent. ","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dementia Sentence A: Nicotinic acetylcholine receptors have been found to be important for maintaining optimal performance on a variety of cognitive tasks. In humans, nicotine-induced improvement of rapid information processing is particularly well documented. In experimental animals nicotine has been found to improve learning and memory on a variety of tasks, while the nicotinic antagonist mecamylamine has been found to impair memory performance. Nicotine has been found to be effective in attenuating memory deficits resulting from lesions of the septohippocampal pathway or aging in experimental animals. Nicotinic receptors are decreased in the cortex of patients with Alzheimer's disease. Preliminary studies have found that some aspects of the cognitive deficit in Alzheimer's disease can be attenuated by nicotine. Nicotine may prove to be useful therapeutic treatment for this and other types of dementia. Sentence B: Diogenes syndrome (DS) is an acquired behavioural disturbance more often affecting elderly patients, but possible in all ages. It is characterised by social withdrawal, extreme self and house neglect, tendency to hoard any kind of objects/rubbish (syllogomania), and rejection against external help for lack of concern about one's condition. It is considered infrequent, but with quite high mortality. DS might be divided into several forms including Active (the patient gathers objects outside and accumulates them inside his house), Passive (patient invaded by his own rubbish), ""à deux"" (DS sharing between two people), and ""under-threshold"" (DS ""blocked"" by precocious intervention). Four cases are here presented. In case 1 (passive DS) alcoholism and cognitive impairment could be trigger factors for DS, predisposed by a ""personality alteration"". In case 2 (active, ""à trois"") superimposed psychosis could be the trigger, borderline intelligence being the predisposing factor. In case 3 (active), fronto-parietal internal hyperostosis might support an organic aetiology. Finally, case 4 was an example of isolated syllogomania in patient with evolving Alzheimer's dementia. Despite being heterogeneous, our casuistry suggest that DS can develop in both sexes, is prevalent in geriatric age and often associated with cognitive impairment/psychiatric disturbances, which are not specific, nor sufficient to justify DS. Isolated syllogomania only shares the characteristic hoarding with DS; although cognitive impairment might be present, the other DS typical aspects (social isolation, help refusal, characterial aspects, personal hygiene neglect) are absent. ###Answer 1. Changed Reasoning: In Sentence A, the term ""dementia"" is used in the context of Alzheimer's disease, and it is associated with cognitive impairment and psychiatric disturbances. The term is not used in relation to hoarding or other behaviors typically associated with Diogenes syndrome (DS). Therefore, the meaning of the term ""dementia"" in Sentence A is different from its meaning in Sentence B, where it is used to describe a specific type of behavioral disturbance characterized by social withdrawal, hoarding, and rejection of external help. The difference in meaning between the two sentences suggests that semantic drift has occurred in the usage of the term ""dementia""." 2,Dementia,"Recent studies have shown that the neurodegenerative process in disorders with Lewy body formation, such as Parkinson's disease and dementia with Lewy bodies, is associated with alpha-synuclein accumulation and that beta-synuclein might protect the central nervous system from the neurotoxic effects of alpha-synuclein. However, the mechanisms are unclear. The main objective of the present study was to investigate the potential involvement of the serine threonine kinase Akt (also known as protein kinase B) signaling pathway in the mechanisms of beta-synuclein neuroprotection. For this purpose, Akt activity and cell survival were analyzed in synuclein-transfected B103 neuroblastoma cells and primary cortical neurons. Beta-synuclein transfection resulted in increased Akt activity and conferred protection from the neurotoxic effects of rotenone. Down-regulation of Akt expression resulted in an increased susceptibility to rotenone toxicity, whereas transfection with a lentiviral vector encoding for beta-synuclein was protective. The effects of beta-synuclein on the Akt pathway appear to be by direct interaction between these molecules and were independent of upstream signaling molecules. Taken together, these results indicate that the mechanisms of beta-synuclein neuroprotection might involve direct interactions between beta-synuclein and Akt and suggest that this signaling pathway could be a potential therapeutic target for neurological conditions associated with parkinsonism and alpha-synuclein aggregation.","Obesity is a major health problem, increasing the risk of various major chronic diseases, such as diabetes, cancer, and stroke. While the role of obesity identified by cross-sectional BMI recordings has been heavily studied, the role of BMI trajectories is much less explored. In this study, we use a machine learning approach to subtype individuals' risk of developing 18 major chronic diseases by using their BMI trajectories extracted from a large and geographically diverse EHR dataset capturing the health status of around two million individuals for a period of six years. We define nine new interpretable and evidence-based variables based on the BMI trajectories to cluster the patients into subgroups using the k-means clustering method. We thoroughly review each cluster's characteristics in terms of demographic, socioeconomic, and physiological measurement variables to specify the distinct properties of the patients in the clusters. In our experiments, the direct relationship of obesity with diabetes, hypertension, Alzheimer's, and dementia has been re-established and distinct clusters with specific characteristics for several of the chronic diseases have been found to be conforming or complementary to the existing body of knowledge.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dementia Sentence A: Recent studies have shown that the neurodegenerative process in disorders with Lewy body formation, such as Parkinson's disease and dementia with Lewy bodies, is associated with alpha-synuclein accumulation and that beta-synuclein might protect the central nervous system from the neurotoxic effects of alpha-synuclein. However, the mechanisms are unclear. The main objective of the present study was to investigate the potential involvement of the serine threonine kinase Akt (also known as protein kinase B) signaling pathway in the mechanisms of beta-synuclein neuroprotection. For this purpose, Akt activity and cell survival were analyzed in synuclein-transfected B103 neuroblastoma cells and primary cortical neurons. Beta-synuclein transfection resulted in increased Akt activity and conferred protection from the neurotoxic effects of rotenone. Down-regulation of Akt expression resulted in an increased susceptibility to rotenone toxicity, whereas transfection with a lentiviral vector encoding for beta-synuclein was protective. The effects of beta-synuclein on the Akt pathway appear to be by direct interaction between these molecules and were independent of upstream signaling molecules. Taken together, these results indicate that the mechanisms of beta-synuclein neuroprotection might involve direct interactions between beta-synuclein and Akt and suggest that this signaling pathway could be a potential therapeutic target for neurological conditions associated with parkinsonism and alpha-synuclein aggregation. Sentence B: Obesity is a major health problem, increasing the risk of various major chronic diseases, such as diabetes, cancer, and stroke. While the role of obesity identified by cross-sectional BMI recordings has been heavily studied, the role of BMI trajectories is much less explored. In this study, we use a machine learning approach to subtype individuals' risk of developing 18 major chronic diseases by using their BMI trajectories extracted from a large and geographically diverse EHR dataset capturing the health status of around two million individuals for a period of six years. We define nine new interpretable and evidence-based variables based on the BMI trajectories to cluster the patients into subgroups using the k-means clustering method. We thoroughly review each cluster's characteristics in terms of demographic, socioeconomic, and physiological measurement variables to specify the distinct properties of the patients in the clusters. In our experiments, the direct relationship of obesity with diabetes, hypertension, Alzheimer's, and dementia has been re-established and distinct clusters with specific characteristics for several of the chronic diseases have been found to be conforming or complementary to the existing body of knowledge. ###Answer 1. Changed (Dementia) Reasoning: In Sentence A, the term ""dementia"" is used in the context of a specific medical condition, Parkinson's disease and dementia with Lewy bodies, and is associated with the accumulation of alpha-synuclein. The sentence also mentions the potential mechanisms of beta-synuclein neuroprotection. In contrast, in Sentence B, the term ""dementia"" is used more broadly to refer to the risk of various chronic diseases, including Alzheimer's and dementia. The sentence does not provide any specific information about the medical condition of dementia. Therefore, the meaning of the term ""dementia"" has changed significantly between the two sentences, indicating semantic drift." 3,Dementia,"Creutzfeldt-Jacob disease manifests clinically as a form of presenile dementia. It is now known to be caused by a transmissible agent, probably a ""slow virus"". Rapidly progressive atrophic changes on serial computed tomograms of the brain are highly suggestive of the disease. Neuroradiographic and pathological findings in two cases of Creutzfeldt-Jacob disease are documented.","The number of older adults with dementia will increase around the world in the decades ahead as populations age. Current estimates suggest that about 4.2 million adults in the US have dementia and that the attributable economic cost of their care is about $200 billion per year. The worldwide dementia prevalence is estimated at 44.3 million people and the total cost at $604 billion per year. It is expected that the worldwide prevalence will triple to 135.5 million by 2050. However, a number of recent population-based studies from countries around the world suggest that the age-specific risk of dementia may be declining, which could help moderate the expected increase in dementia cases that will accompany the growing number of older adults.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dementia Sentence A: Creutzfeldt-Jacob disease manifests clinically as a form of presenile dementia. It is now known to be caused by a transmissible agent, probably a ""slow virus"". Rapidly progressive atrophic changes on serial computed tomograms of the brain are highly suggestive of the disease. Neuroradiographic and pathological findings in two cases of Creutzfeldt-Jacob disease are documented. Sentence B: The number of older adults with dementia will increase around the world in the decades ahead as populations age. Current estimates suggest that about 4.2 million adults in the US have dementia and that the attributable economic cost of their care is about $200 billion per year. The worldwide dementia prevalence is estimated at 44.3 million people and the total cost at $604 billion per year. It is expected that the worldwide prevalence will triple to 135.5 million by 2050. However, a number of recent population-based studies from countries around the world suggest that the age-specific risk of dementia may be declining, which could help moderate the expected increase in dementia cases that will accompany the growing number of older adults. ###Answer 1. Changed The target word ""dementia"" has undergone a significant change in meaning between Sentence A (2000) and Sentence B (2020). In Sentence A, the term is used to describe a specific medical condition caused by a transmissible agent. In contrast, in Sentence B, the term is used more broadly to refer to any type of cognitive decline experienced by older adults, without any specific cause. This shift in meaning suggests that the term ""dementia"" has undergone semantic drift." 4,Dementia,"Increased sexual activity in patients with dementia is problematic for caregivers and has no proven treatment. This report describes two male patients who had dementia with pronounced sexual acting out. One patient had vascular dementia and the other patient had Parkinson's disease with associated dementia. After nonresponse to neuroleptics and sedatives, low-dose cyproterone acetate successfully reduced sexual acting out without relevant side effects in both patients.","Primary progressive aphasia (PPA) is a dementia syndrome associated with several neuropathologic entities, including Alzheimer's disease (AD) and all major forms of frontotemporal lobar degeneration (FTLD). It is classified into subtypes defined by the nature of the language domain that is most impaired. The asymmetric neurodegeneration of the hemisphere dominant for language (usually left) is one consistent feature of all PPA variants. This feature offers unique opportunities for exploring mechanisms of selective vulnerability in neurodegenerative diseases and the neuroanatomy of language. This chapter reviews some of the current trends in PPA research as well as the challenges that remain to be addressed on the nosology, clinicopathologic correlations, and therapy of this syndrome.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dementia Sentence A: Increased sexual activity in patients with dementia is problematic for caregivers and has no proven treatment. This report describes two male patients who had dementia with pronounced sexual acting out. One patient had vascular dementia and the other patient had Parkinson's disease with associated dementia. After nonresponse to neuroleptics and sedatives, low-dose cyproterone acetate successfully reduced sexual acting out without relevant side effects in both patients. Sentence B: Primary progressive aphasia (PPA) is a dementia syndrome associated with several neuropathologic entities, including Alzheimer's disease (AD) and all major forms of frontotemporal lobar degeneration (FTLD). It is classified into subtypes defined by the nature of the language domain that is most impaired. The asymmetric neurodegeneration of the hemisphere dominant for language (usually left) is one consistent feature of all PPA variants. This feature offers unique opportunities for exploring mechanisms of selective vulnerability in neurodegenerative diseases and the neuroanatomy of language. This chapter reviews some of the current trends in PPA research as well as the challenges that remain to be addressed on the nosology, clinicopathologic correlations, and therapy of this syndrome. ###Answer 1. Changed Reasoning: In Sentence A, the term ""dementia"" is used to describe patients with cognitive and behavioral problems, with a focus on the negative impact on caregivers. The term ""acting out"" is also used to describe the patients' behavior, which suggests a more aggressive or violent connotation. In contrast, in Sentence B, the term ""primary progressive aphasia"" is used to describe a specific type of dementia, with a focus on the language impairments. The term ""asymmetric neurodegeneration"" is used to describe the nature of the hemisphere that is most impaired, which suggests a more nuanced understanding of the disease process. Overall, the meaning of the term ""dementia"" has shifted from a broad descriptive term to a more specific and nuanced term that highlights the language impairments associated with the disease. Therefore, the label ""Changed"" is appropriate." 5,Dementia,"We report transient dementia in a 71-year-old woman, that was caused by hyperthyroidism of painless thyroiditis. Her friends, who found her very forgetful and performing abnormal behavior, brought her to our hospital. She looked alert and cooperative. There was neither goiter nor pain of the thyroid. Neurological examination revealed impairment of recent memory with a low score of memory test (MMSE: 20/30) indicating mild dementia. EEG showed slow alpha waves (8 Hz) with random theta and delta waves in the frontotemporal regions bilaterally. MRI showed mild diffuse atrophy of the brain, and SPECT revealed diffuse decrease in the cerebral blood flow most predominantly in the frontotemporal regions bilaterally. Abnormal findings included low levels of thyroid stimulating hormone (TSH), high levels of free triiodothyronine and free thyroxine. Antithyrogloblin antibody was positive and TSH receptor antibody was negative, while CRP was normal. Radioactive Tc uptake of the thyroid gland was low. A diagnosis of painless thyroiditis was made. Thyroid function turned to euthyroid state spontaneously in four weeks without antithyroid therapy, and subsequently memory disturbance and abnormal behavior disappeared. SPECT after clinical recovery showed improvement in the cerebral blood flow of the frontotemporal lobes. To our knowledge, dementia-like symptoms secondary to hyperthyroidism of painless thyroiditis have not been reported previously, and should be kept in mind as one of the causes of treatable dementia.","Alzheimer's disease (AD) is the most common type of dementia occurring in human population. The disorder is characterized clinically by memory loss and histopathologically by the presence of neurofibrillary tangles and senile plaques in patient's brain. Accuracy of the clinal diagnosis of AD is quite variable (-60 to 95 %), leaving a significant number of AD patients undiagnosed or falsely positively diagnosed. Therefore there is a requirement for biological markers, which would unambiguously discriminate living AD patients from other non-AD individuals. Until now a few diagnostic biomarkers for AD have been identified, which can be divided in two groups: protein markers and genetic markers. The most significant protein biomarkers are levels of tau proteins, ubiquitin and amyloid beta-peptides in cerebrospinal fluid (CSF). Among genetic AD markers, the most relevant are allelic variants of gene for apolipoprotein E and point mutations in genes coding for amyloid precursor protein and presenilin 1 and 2. Nevertheless, neither of recent biomarkers allow the ultimate AD diagnosis, because the disease is multifactorial and heterogenous. Identification of various subgroups of AD will help improvement in diagnoses and development of potent therapeutic drugs (Tab. 2, Fig. 2, Ref. 53).","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dementia Sentence A: We report transient dementia in a 71-year-old woman, that was caused by hyperthyroidism of painless thyroiditis. Her friends, who found her very forgetful and performing abnormal behavior, brought her to our hospital. She looked alert and cooperative. There was neither goiter nor pain of the thyroid. Neurological examination revealed impairment of recent memory with a low score of memory test (MMSE: 20/30) indicating mild dementia. EEG showed slow alpha waves (8 Hz) with random theta and delta waves in the frontotemporal regions bilaterally. MRI showed mild diffuse atrophy of the brain, and SPECT revealed diffuse decrease in the cerebral blood flow most predominantly in the frontotemporal regions bilaterally. Abnormal findings included low levels of thyroid stimulating hormone (TSH), high levels of free triiodothyronine and free thyroxine. Antithyrogloblin antibody was positive and TSH receptor antibody was negative, while CRP was normal. Radioactive Tc uptake of the thyroid gland was low. A diagnosis of painless thyroiditis was made. Thyroid function turned to euthyroid state spontaneously in four weeks without antithyroid therapy, and subsequently memory disturbance and abnormal behavior disappeared. SPECT after clinical recovery showed improvement in the cerebral blood flow of the frontotemporal lobes. To our knowledge, dementia-like symptoms secondary to hyperthyroidism of painless thyroiditis have not been reported previously, and should be kept in mind as one of the causes of treatable dementia. Sentence B: Alzheimer's disease (AD) is the most common type of dementia occurring in human population. The disorder is characterized clinically by memory loss and histopathologically by the presence of neurofibrillary tangles and senile plaques in patient's brain. Accuracy of the clinal diagnosis of AD is quite variable (-60 to 95 %), leaving a significant number of AD patients undiagnosed or falsely positively diagnosed. Therefore there is a requirement for biological markers, which would unambiguously discriminate living AD patients from other non-AD individuals. Until now a few diagnostic biomarkers for AD have been identified, which can be divided in two groups: protein markers and genetic markers. The most significant protein biomarkers are levels of tau proteins, ubiquitin and amyloid beta-peptides in cerebrospinal fluid (CSF). Among genetic AD markers, the most relevant are allelic variants of gene for apolipoprotein E and point mutations in genes coding for amyloid precursor protein and presenilin 1 and 2. Nevertheless, neither of recent biomarkers allow the ultimate AD diagnosis, because the disease is multifactorial and heterogenous. Identification of various subgroups of AD will help improvement in diagnoses and development of potent therapeutic drugs (Tab. 2, Fig. 2, Ref. 53). ###Answer 1. Changed Reasoning: In Sentence A, the term ""dementia"" is used to describe a specific medical condition, characterized by memory loss and cognitive impairment. The sentence also highlights the diagnosis of ""painless thyroiditis"" as the cause of the dementia. In contrast, Sentence B uses the term ""Alzheimer's disease"" to describe a different medical condition, specifically a type of dementia characterized by the presence of neurofibrillary tangles and senile plaques in the brain. The sentence also mentions the use of biomarkers for diagnosis and subtyping of Alzheimer's disease. The semantic drift analysis reveals that the meaning of the term ""dementia"" has shifted in Sentence B compared to Sentence A. In Sentence A, the term ""dementia"" is used to describe a specific medical condition caused by hyperthyroidism, while in Sentence B, the term is used more broadly to describe any type of dementia, including Alzheimer's disease. This change in meaning indicates semantic drift has occurred." 6,Dementia,"We describe a 57-year-old man (MW) with frontal variant frontotemporal dementia (fv-FTD) who presented with a long history of drinking problem and marital disharmony followed by gradual changes in personality with disinhibition, stereotypic checking, overeating and a decline in self-care. Structural MRI imaging confirmed marked frontal atrophy involving particularly the ventromedial region. Performance on standard tests of frontal executive function was largely unremarkable and MW obtained a perfect score on the Mini-Mental State Examination (MMSE). In contrast, an experimental battery of tasks designed to evaluate theory of mind (ToM) revealed marked deficits. MW's challenging and disruptive behaviours, notably obsessive checking of car suspension by rocking, and wandering, responded to behavioural modification regimes adapted from the neurorehabilitation literature. In conclusion, deficits in ToM may underline the gross abnormalities in social conduct, which characterise fv-FTD; ToM appears to dissociate from frontal executive function; and behavioural modification approaches can be of benefit in this disorder.","Dementia is characterized by significant declines in cognitive, physical, social, and behavioral functioning, and includes multiple subtypes that differ in etiology. There is limited evidence of the influence of psychiatric and substance use history on the risk of dementia subtypes among older underrepresented racial/ethnic minorities in the United States. Our study explored the role of psychiatric and substance use history on the risk of etiology-specific dementias: Alzheimer's disease (AD) and vascular dementia (VaD), in the context of a racially and ethnically diverse sample based on national data.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dementia Sentence A: We describe a 57-year-old man (MW) with frontal variant frontotemporal dementia (fv-FTD) who presented with a long history of drinking problem and marital disharmony followed by gradual changes in personality with disinhibition, stereotypic checking, overeating and a decline in self-care. Structural MRI imaging confirmed marked frontal atrophy involving particularly the ventromedial region. Performance on standard tests of frontal executive function was largely unremarkable and MW obtained a perfect score on the Mini-Mental State Examination (MMSE). In contrast, an experimental battery of tasks designed to evaluate theory of mind (ToM) revealed marked deficits. MW's challenging and disruptive behaviours, notably obsessive checking of car suspension by rocking, and wandering, responded to behavioural modification regimes adapted from the neurorehabilitation literature. In conclusion, deficits in ToM may underline the gross abnormalities in social conduct, which characterise fv-FTD; ToM appears to dissociate from frontal executive function; and behavioural modification approaches can be of benefit in this disorder. Sentence B: Dementia is characterized by significant declines in cognitive, physical, social, and behavioral functioning, and includes multiple subtypes that differ in etiology. There is limited evidence of the influence of psychiatric and substance use history on the risk of dementia subtypes among older underrepresented racial/ethnic minorities in the United States. Our study explored the role of psychiatric and substance use history on the risk of etiology-specific dementias: Alzheimer's disease (AD) and vascular dementia (VaD), in the context of a racially and ethnically diverse sample based on national data. ###Answer 1. Changed Reasoning: In Sentence A, the target word ""dementia"" is used to describe a specific clinical entity (frontotemporal dementia) with a clear set of symptoms and characteristics. The sentence also highlights the significance of cognitive, physical, social, and behavioral functioning in the context of the disorder. In contrast, in Sentence B, the target word ""dementia"" is used more broadly to describe a range of cognitive and behavioral changes, without any specific etiology or symptoms. This broader usage suggests a shift in the meaning of the term ""dementia"" over time, from a specific clinical entity to a more general label for cognitive and behavioral changes. Therefore, the label ""Changed"" is appropriate." 7,Dementia,"Amyotrophic lateral sclerosis (ALS) on Guam previously attained incidence rates 50 to 100 times that of the continental United States and Europe and accounted for one in five deaths among Chamorros over age 25. A second neurological disorder in high incidence, parkinsonism-dementia (PD), and the early appearance in those populations of neurofibrillary tangles such as are seen in Alzheimer's disease and normal ageing have also been noted. Incidence and mortality rates of both diseases have declined dramatically during the past 30 years, and today, the risk of developing either disease among Guamanian Chamorros is only several times higher than in non-Guamanian populations. The decline is most likely a consequence of increased acculturation over the past three decades, with a concomitant decrease in isolation, changes in dietary habits and local water supplies, and much less dependence on locally grown foodstuffs. Similar declines are evident in the remaining two Pacific foci of high- incidence ALS, namely the Kii Peninsula focus in Japan and southern West New Guinea where western contact and introduction of new foodstuffs have occurred.The accumulating epidemiological, genetic and environmental evidence, as well as the development of new and promising experimental animal models, support the hypothesis that a basic metabolic defect, provoked by chronic nutritional deficiencies of calcium, lead to increased intestinal absorption of toxic metals and the co-deposition of calcium, aluminium and silicon in neurons of patients with ALS and PD. This elemental deposition is thought to result in aberrant microtubule assembly and/or abnormal post-translational modification of the amyloid precursor protein leading to widespread formation of neurofibrillary tangles, the hallmark pathological features in these disorders. The naturalistic paradigms of these foci in the Western Pacific have provided insights to understanding not only ALS and PD but other neurological disorders, such as classical ALS, Parkinson's disease, Alzheimer's disease and early neuronal ageing. ","Clinical evidence shows that ischemic and hemorrhagic microvascular lesions in the brain play an important role in elderly dementia [1-4], but few effective treatment or preventative strategies exist. This deficit is due, in part, to a lack of good animal models of these microvascular lesions that would allow the progression of disease to be studied and would provide a platform for the evaluation of therapeutics. Here, we discuss recent advances in optical techniques that allow both the targeted production of single-vessel occlusions and hemorrhages in the cortex of anesthetized rodents, as well as the quantitative analysis of the impact of these lesions on blood flow in the adjacent vascular network and on the health and function of nearby brain cells. These new optical tools offer a comprehensive animal model of small-scale stroke that will enable the progression of neural damage after a microvascular insult as well as the interaction of small strokes with other neurodegenerative conditions, such as Alzheimer's disease, to be studied.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dementia Sentence A: Amyotrophic lateral sclerosis (ALS) on Guam previously attained incidence rates 50 to 100 times that of the continental United States and Europe and accounted for one in five deaths among Chamorros over age 25. A second neurological disorder in high incidence, parkinsonism-dementia (PD), and the early appearance in those populations of neurofibrillary tangles such as are seen in Alzheimer's disease and normal ageing have also been noted. Incidence and mortality rates of both diseases have declined dramatically during the past 30 years, and today, the risk of developing either disease among Guamanian Chamorros is only several times higher than in non-Guamanian populations. The decline is most likely a consequence of increased acculturation over the past three decades, with a concomitant decrease in isolation, changes in dietary habits and local water supplies, and much less dependence on locally grown foodstuffs. Similar declines are evident in the remaining two Pacific foci of high- incidence ALS, namely the Kii Peninsula focus in Japan and southern West New Guinea where western contact and introduction of new foodstuffs have occurred.The accumulating epidemiological, genetic and environmental evidence, as well as the development of new and promising experimental animal models, support the hypothesis that a basic metabolic defect, provoked by chronic nutritional deficiencies of calcium, lead to increased intestinal absorption of toxic metals and the co-deposition of calcium, aluminium and silicon in neurons of patients with ALS and PD. This elemental deposition is thought to result in aberrant microtubule assembly and/or abnormal post-translational modification of the amyloid precursor protein leading to widespread formation of neurofibrillary tangles, the hallmark pathological features in these disorders. The naturalistic paradigms of these foci in the Western Pacific have provided insights to understanding not only ALS and PD but other neurological disorders, such as classical ALS, Parkinson's disease, Alzheimer's disease and early neuronal ageing. Sentence B: Clinical evidence shows that ischemic and hemorrhagic microvascular lesions in the brain play an important role in elderly dementia [1-4], but few effective treatment or preventative strategies exist. This deficit is due, in part, to a lack of good animal models of these microvascular lesions that would allow the progression of disease to be studied and would provide a platform for the evaluation of therapeutics. Here, we discuss recent advances in optical techniques that allow both the targeted production of single-vessel occlusions and hemorrhages in the cortex of anesthetized rodents, as well as the quantitative analysis of the impact of these lesions on blood flow in the adjacent vascular network and on the health and function of nearby brain cells. These new optical tools offer a comprehensive animal model of small-scale stroke that will enable the progression of neural damage after a microvascular insult as well as the interaction of small strokes with other neurodegenerative conditions, such as Alzheimer's disease, to be studied. ###Answer 1. Changed Reasoning: In Sentence A, the term ""dementia"" is used in the context of a specific disease, Amyotrophic lateral sclerosis (ALS), and is associated with a particular geographic location and population. In Sentence B, the term ""dementia"" is used more broadly, in the context of elderly dementia, and is not associated with any specific geographic location or population. This suggests that the meaning of the term ""dementia"" has shifted from a specific disease to a more general term for cognitive decline in older adults." 8,Dementia,"A random controlled trial of the relaxing effects of an aromatherapy massage on disordered behaviour in dementia was conducted. Twenty-one patients were randomly allocated into one of three conditions, aromatherapy and massage (AM), conversation and aromatherapy (CA) and massage only (M). AM showed the greatest reduction in the frequency of excessive motor behaviour of all three conditions. This reached statistical significance between the hours of three and four pm (p < 0.05). Post hoc analysis suggested that at this time of day the AM consistently reduced motor behaviour when compared with CA (p = 0.05). This provides preliminary evidence of a measurable sedative effect of aromatherapy massage on dementia within a robust scientific paradigm. Further research is recommended with an expanded sample size.","Neuroinflammation is emerging as an important pathological process in frontotemporal dementia (FTD), but biomarkers are lacking. We aimed to determine the value of complement proteins, which are key components of innate immunity, as biomarkers in cerebrospinal fluid (CSF) and plasma of presymptomatic and symptomatic genetic FTD mutation carriers.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dementia Sentence A: A random controlled trial of the relaxing effects of an aromatherapy massage on disordered behaviour in dementia was conducted. Twenty-one patients were randomly allocated into one of three conditions, aromatherapy and massage (AM), conversation and aromatherapy (CA) and massage only (M). AM showed the greatest reduction in the frequency of excessive motor behaviour of all three conditions. This reached statistical significance between the hours of three and four pm (p < 0.05). Post hoc analysis suggested that at this time of day the AM consistently reduced motor behaviour when compared with CA (p = 0.05). This provides preliminary evidence of a measurable sedative effect of aromatherapy massage on dementia within a robust scientific paradigm. Further research is recommended with an expanded sample size. Sentence B: Neuroinflammation is emerging as an important pathological process in frontotemporal dementia (FTD), but biomarkers are lacking. We aimed to determine the value of complement proteins, which are key components of innate immunity, as biomarkers in cerebrospinal fluid (CSF) and plasma of presymptomatic and symptomatic genetic FTD mutation carriers. ###Answer 1. Changed The target word ""dementia"" has undergone significant semantic drift between Sentence A (2000) and Sentence B (2020). In Sentence A, the term ""dementia"" is used in the context of a random controlled trial investigating the relaxing effects of aromatherapy on patients with disordered behavior. The focus is on the scientific study of the condition, and the term is used neutrally. In Sentence B, the term ""dementia"" is used in the context of a discussion on the pathological process of neuroinflammation in frontotemporal dementia. The focus is on the medical condition, and the term is used in a more negative light, suggesting a progression or worsening of the condition. The use of the term ""dementia"" in Sentence B implies a greater understanding of the condition and its potential consequences, which is not present in Sentence A. Therefore, the meaning of the target word ""dementia"" has significantly shifted between the two sentences, indicating semantic drift has occurred." 9,Dementia,"Frontotemporal dementia (FTD) is the third-leading cause of cortical dementia after Alzheimer's disease and Lewy body dementia, and is characterized by a dementia where behavioral disturbances are prominent and appear early in the course of the disease. We report the case of a 58 year-old man affected by dementia with behavioral disturbances, in addition to rigid-hypokinetic and a lower motor neuron syndrome that were present at later stages of the illness. Neuroimaging studies showed frontotemporal atrophy. Neuropathological studies revealed intense thalamic neuronal loss and astrocytic gliosis, as well as moderate frontotemporal neuronal loss, astrocytosis and spongiform degeneration. Thalamic degeneration has previously been described among the wide group of neuropathological features of FTD. The aim of the present study is to show the clinical and neuropathological aspects of thalamic degeneration in FTD, along with its role in behavioral disturbances, a common finding in this condition.","The debate on legalization of physician-assisted death (PAD) has focused on its purely individual aspects, leaving aside equally relevant social dimensions such as a progressive expansion of PAD's causes, strains and changes in the doctor-patient relationship, and unreported PADs. The aim of this work was to explore these aspects through an analysis of the experience of Belgium and the Netherlands, countries where PAD is legal since 2002. The results, obtained through a systematic review of the literature, indicate that in both countries, the acceptance of the concept of ""psychological suffering"" allowed PAD to be performed in psychiatric patients, in persons with dementia and in older people with geriatric conditions. The acceptance to perform a PAD has a significant emotional burden for the physician who must assume the role of executor of the patient's will, which is aggravated by pressures from patients and their relatives. Moreover, more than 30% of PADs are not reported. All this information was obtained from physicians not willing to incriminate themselves, after the commission of the PADs, therefore hampering the monitoring of law abiding. These results reveal the existence of a social impact of PAD decriminalization that deserves greater consideration and further studies.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dementia Sentence A: Frontotemporal dementia (FTD) is the third-leading cause of cortical dementia after Alzheimer's disease and Lewy body dementia, and is characterized by a dementia where behavioral disturbances are prominent and appear early in the course of the disease. We report the case of a 58 year-old man affected by dementia with behavioral disturbances, in addition to rigid-hypokinetic and a lower motor neuron syndrome that were present at later stages of the illness. Neuroimaging studies showed frontotemporal atrophy. Neuropathological studies revealed intense thalamic neuronal loss and astrocytic gliosis, as well as moderate frontotemporal neuronal loss, astrocytosis and spongiform degeneration. Thalamic degeneration has previously been described among the wide group of neuropathological features of FTD. The aim of the present study is to show the clinical and neuropathological aspects of thalamic degeneration in FTD, along with its role in behavioral disturbances, a common finding in this condition. Sentence B: The debate on legalization of physician-assisted death (PAD) has focused on its purely individual aspects, leaving aside equally relevant social dimensions such as a progressive expansion of PAD's causes, strains and changes in the doctor-patient relationship, and unreported PADs. The aim of this work was to explore these aspects through an analysis of the experience of Belgium and the Netherlands, countries where PAD is legal since 2002. The results, obtained through a systematic review of the literature, indicate that in both countries, the acceptance of the concept of ""psychological suffering"" allowed PAD to be performed in psychiatric patients, in persons with dementia and in older people with geriatric conditions. The acceptance to perform a PAD has a significant emotional burden for the physician who must assume the role of executor of the patient's will, which is aggravated by pressures from patients and their relatives. Moreover, more than 30% of PADs are not reported. All this information was obtained from physicians not willing to incriminate themselves, after the commission of the PADs, therefore hampering the monitoring of law abiding. These results reveal the existence of a social impact of PAD decriminalization that deserves greater consideration and further studies. ###Answer 1. Changed Reasoning: In Sentence A, the term ""dementia"" is used to describe a condition characterized by behavioral disturbances and cognitive decline. The context suggests that the term is being used to describe a specific type of dementia, possibly frontotemporal dementia. In Sentence B, the term ""dementia"" is used in a different context, to describe a condition where a person is suffering from psychological suffering and is seeking a physician-assisted death. The meaning of the term has shifted to include a broader range of conditions, including those not necessarily related to cognitive decline." 10,Dementia,"Because of clinical and neuropathological overlap between the characteristics of dementia of the Alzheimer type (DAT) and of a human thiamin deficiency syndrome (Wernicke-Korsakoff syndrome), thiamin pyrophosphate (TPP) dependent processes have been studied in DAT brain and other tissues. The activities of 3 TPP-dependent enzymes are reduced in DAT brain: transketolase (TK), the pyruvate dehydrogenase complex (PDHC), and the alpha-ketoglutarate dehydrogenase complex (KGDHC). Quantitatively, the most marked reductions are in KGDHC (to less than 20% of normal). In cultured skin fibroblasts, KGDHC activity is reduced to 50-60% of normal, TK activity to 80-90% of normal, and PDHC is normal. Structural and molecular studies of the DAT and non-DAT enzymes are in process. A lesion of KGDHC may be related to the pathogenesis of DAT. Treatment with large doses of thiamin has not been beneficial, but the data are not totally negative. Further studies of thiamin-dependent mechanisms in DAT seem justified.",We report the findings of a knowledge synthesis research project on the topic of dementia-friendly acute care (D-FAC) design. This exploratory project systematically mapped what is known about D-FAC physical design in hospitals. We discuss our challenges in locating reportable evidence and the implications of such design for maximizing independent function while ensuring safety and harm reduction in older people living with dementia.,"###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dementia Sentence A: Because of clinical and neuropathological overlap between the characteristics of dementia of the Alzheimer type (DAT) and of a human thiamin deficiency syndrome (Wernicke-Korsakoff syndrome), thiamin pyrophosphate (TPP) dependent processes have been studied in DAT brain and other tissues. The activities of 3 TPP-dependent enzymes are reduced in DAT brain: transketolase (TK), the pyruvate dehydrogenase complex (PDHC), and the alpha-ketoglutarate dehydrogenase complex (KGDHC). Quantitatively, the most marked reductions are in KGDHC (to less than 20% of normal). In cultured skin fibroblasts, KGDHC activity is reduced to 50-60% of normal, TK activity to 80-90% of normal, and PDHC is normal. Structural and molecular studies of the DAT and non-DAT enzymes are in process. A lesion of KGDHC may be related to the pathogenesis of DAT. Treatment with large doses of thiamin has not been beneficial, but the data are not totally negative. Further studies of thiamin-dependent mechanisms in DAT seem justified. Sentence B: We report the findings of a knowledge synthesis research project on the topic of dementia-friendly acute care (D-FAC) design. This exploratory project systematically mapped what is known about D-FAC physical design in hospitals. We discuss our challenges in locating reportable evidence and the implications of such design for maximizing independent function while ensuring safety and harm reduction in older people living with dementia. ###Answer 1. Changed Reasoning: In Sentence A, the term ""dementia"" is used in the context of a specific medical condition, with a clear definition and explanation of the condition's symptoms and causes. The sentence also highlights the importance of thiamin in the pathogenesis of dementia. In Sentence B, the term ""dementia"" is used in a broader context, without any specific medical definition or explanation. The sentence focuses on the design of dementia-friendly acute care hospitals, without mentioning the medical condition of dementia. The term ""dementia"" is used more as a general term to describe older people living with cognitive impairment, rather than a specific medical condition. Based on these differences in context and usage, it can be argued that the meaning of the term ""dementia"" has shifted from a medical condition with specific symptoms and causes to a more general term to describe older people living with cognitive impairment. This shift in meaning could be considered semantic drift." 11,Dementia,"The mechanism(s) by which HIV-1 affects neural injury in HIV-1-associated dementia (HAD) remains unknown. To ascertain the role that cellular and viral macrophage products play in HAD neurotoxicity, we explored one potential route for neuronal demise, CXCR4. CXCR4, expressed on lymphocytes and neurons, is both a part of neural development and a co-receptor for HIV-1. Its ligand, stromal cell-derived factor-1alpha (SDF-1alpha), affects neuronal viability. GTP binding protein (G-protein) linked signaling after neuronal exposure to SDF-1alpha, virus-infected monocyte-derived macrophage (MDM) secretory products, and virus was determined. In both human and rat neurons, CXCR4 was expressed at high levels. SDF-1alpha/beta was detected predominantly in astrocytes and at low levels in MDM. SDF-1beta/beta was expressed in HAD brain tissue and upregulated in astrocytes exposed to virus infected and/or immune activated MDM conditioned media (fluids). HIV-1-infected MDM secretions, virus and SDF-1beta induced a G inhibitory (Gi) protein-linked decrease in cyclic AMP (cAMP) and increase inositol 1,4, 5-trisphosphate (IP3) and intracellular calcium. Such effects were partially blocked by antibodies to CXCR4 or removal of virus from MDM fluids. Changes in G-protein-coupled signaling correlated, but were not directly linked, to increased neuronal synaptic transmission, Caspase 3 activation and apoptosis. These data, taken together, suggest that CXCR4-mediated signal transduction may be a potential mechanism for neuronal dysfunction during HAD.","Previous studies showed inconsistent results for the correlation between cognitive reserve (CR) and cognitive function in Parkinson's disease (PD). Additionally, conflicting results were obtained for the association between CR and risk of longitudinal cognitive decline, longitudinal progression to mild cognitive impairment (MCI), and longitudinal progression to dementia in PD patients.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dementia Sentence A: The mechanism(s) by which HIV-1 affects neural injury in HIV-1-associated dementia (HAD) remains unknown. To ascertain the role that cellular and viral macrophage products play in HAD neurotoxicity, we explored one potential route for neuronal demise, CXCR4. CXCR4, expressed on lymphocytes and neurons, is both a part of neural development and a co-receptor for HIV-1. Its ligand, stromal cell-derived factor-1alpha (SDF-1alpha), affects neuronal viability. GTP binding protein (G-protein) linked signaling after neuronal exposure to SDF-1alpha, virus-infected monocyte-derived macrophage (MDM) secretory products, and virus was determined. In both human and rat neurons, CXCR4 was expressed at high levels. SDF-1alpha/beta was detected predominantly in astrocytes and at low levels in MDM. SDF-1beta/beta was expressed in HAD brain tissue and upregulated in astrocytes exposed to virus infected and/or immune activated MDM conditioned media (fluids). HIV-1-infected MDM secretions, virus and SDF-1beta induced a G inhibitory (Gi) protein-linked decrease in cyclic AMP (cAMP) and increase inositol 1,4, 5-trisphosphate (IP3) and intracellular calcium. Such effects were partially blocked by antibodies to CXCR4 or removal of virus from MDM fluids. Changes in G-protein-coupled signaling correlated, but were not directly linked, to increased neuronal synaptic transmission, Caspase 3 activation and apoptosis. These data, taken together, suggest that CXCR4-mediated signal transduction may be a potential mechanism for neuronal dysfunction during HAD. Sentence B: Previous studies showed inconsistent results for the correlation between cognitive reserve (CR) and cognitive function in Parkinson's disease (PD). Additionally, conflicting results were obtained for the association between CR and risk of longitudinal cognitive decline, longitudinal progression to mild cognitive impairment (MCI), and longitudinal progression to dementia in PD patients. ###Answer 1. Changed Reasoning: In Sentence A, the term ""Dementia"" is used in the context of HIV-1-associated dementia (HAD), which is a specific type of dementia caused by the virus. The sentence highlights the role of CXCR4 in HAD neurotoxicity and suggests that the mechanism(s) by which HIV-1 affects neural injury in HAD are not yet fully understood. In Sentence B, the term ""Dementia"" is used in a different context, in relation to cognitive function in Parkinson's disease (PD) patients. The sentence mentions conflicting results in previous studies regarding the correlation between cognitive reserve (CR) and cognitive function in PD patients, and the potential association between CR and risk of longitudinal cognitive decline, longitudinal progression to mild cognitive impairment (MCI), and longitudinal progression to dementia in PD patients. Based on these two sentences, it is clear that the term ""Dementia"" has undergone a significant change in meaning. In Sentence A, ""Dementia"" refers to a specific type of dementia caused by HIV-1, while in Sentence B, ""Dementia"" is used more broadly to refer to cognitive decline and dementia in general, without any specific reference to HIV-1. Therefore, I would label this task as ""Changed""." 12,Dementia,Quantitatively analyzed resting electroencephalographic (EEG) activity and P300 event-related potentials elicited with a passive tone sequence paradigm were examined in 30 patients with dementia of the Alzheimer type (DAT) and 15 age matched controls. Background electrical rhythms of DAT patients evidenced slowing as shown by increased absolute and relative amplitudes in slow frequency bands and decreased amplitudes in fast frequency bands (relative to controls). Electrical slowing was more evident in patients with higher clinical ratings of global intellectual deterioration. Passive P300 amplitude and latency did not differentiate patients and controls and were not related to severity of dementia.,"In this study, we investigated the neuroprotective effects of lycopene (Lyc) on vascular dementia (VaD) gerbils and its related mechanisms of anti-inflammatory, anti-apoptotic and anti-oxidant activity. Gerbils were treated with bilateral common carotid arteries. Animals were divided into 1) Sham, 2) VaD model, and 3) VaD model + Lyc (20 mg/kg) groups. Each group (3) was administered intergalactic Lyc twice a day for 28 days. Morris water mazes were used to evaluate learning and memory ability. Nissl, NeuN, and GFAP staining were used to observe histomorphological changes of neural and glial cells in the hippocampus CA1 region. Western blotting was used to detect hippocampus caspase-3, B-cell lymphoma-2 (Bcl-2), Bcl-2 related × protein (Bax), and interleukin (IL)-1, IL-6 and tumour necrosis factor a (TNF-a) expression amongst other inflammatory factors. Secreted IL-1, IL-6 and TNF-a levels were assessed by ELISA in addition to superoxide dismutase (SOD), glutathione peroxidase (GSH-PX), glutathione (GSH) and malondialdehyde (MDA). We found that Lyc increased the learning and memory ability of gerbils by reducing the latency time in the Morris water maze, and increasing spatial memory. Lyc also reduced pathological changes in the hippocampus caused by VaD, reduced apoptosis, and decreased VaD mediated Bcl-2/Bax expression. The levels of inflammatory factors and oxidative stress were also reduced by Lyc in the VaD models. We therefore conclude that Lyc can improve the learning and memory ability of VaD gerbils, the mechanism of which may be related to reduced oxidative stress and apoptosis in VaD hippocampus neurons.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dementia Sentence A: Quantitatively analyzed resting electroencephalographic (EEG) activity and P300 event-related potentials elicited with a passive tone sequence paradigm were examined in 30 patients with dementia of the Alzheimer type (DAT) and 15 age matched controls. Background electrical rhythms of DAT patients evidenced slowing as shown by increased absolute and relative amplitudes in slow frequency bands and decreased amplitudes in fast frequency bands (relative to controls). Electrical slowing was more evident in patients with higher clinical ratings of global intellectual deterioration. Passive P300 amplitude and latency did not differentiate patients and controls and were not related to severity of dementia. Sentence B: In this study, we investigated the neuroprotective effects of lycopene (Lyc) on vascular dementia (VaD) gerbils and its related mechanisms of anti-inflammatory, anti-apoptotic and anti-oxidant activity. Gerbils were treated with bilateral common carotid arteries. Animals were divided into 1) Sham, 2) VaD model, and 3) VaD model + Lyc (20 mg/kg) groups. Each group (3) was administered intergalactic Lyc twice a day for 28 days. Morris water mazes were used to evaluate learning and memory ability. Nissl, NeuN, and GFAP staining were used to observe histomorphological changes of neural and glial cells in the hippocampus CA1 region. Western blotting was used to detect hippocampus caspase-3, B-cell lymphoma-2 (Bcl-2), Bcl-2 related × protein (Bax), and interleukin (IL)-1, IL-6 and tumour necrosis factor a (TNF-a) expression amongst other inflammatory factors. Secreted IL-1, IL-6 and TNF-a levels were assessed by ELISA in addition to superoxide dismutase (SOD), glutathione peroxidase (GSH-PX), glutathione (GSH) and malondialdehyde (MDA). We found that Lyc increased the learning and memory ability of gerbils by reducing the latency time in the Morris water maze, and increasing spatial memory. Lyc also reduced pathological changes in the hippocampus caused by VaD, reduced apoptosis, and decreased VaD mediated Bcl-2/Bax expression. The levels of inflammatory factors and oxidative stress were also reduced by Lyc in the VaD models. We therefore conclude that Lyc can improve the learning and memory ability of VaD gerbils, the mechanism of which may be related to reduced oxidative stress and apoptosis in VaD hippocampus neurons. ###Answer 1. Changed (Dementia) Explanation: In Sentence A, the term ""dementia"" is used to describe a specific medical condition characterized by cognitive decline and memory loss. The sentence highlights the slowing of electrical activity in the brain, which is associated with the progression of the disease. The term ""dementia"" in this context implies a significant decline in cognitive function, which is consistent with the medical understanding of the term at the time the sentence was written. In Sentence B, the term ""dementia"" has a different connotation. The sentence describes the potential benefits of a compound called lycopene in reducing the progression of vascular dementia (VaD). The term ""dementia"" in this context implies a more general decline in cognitive function, rather than a specific medical condition. The sentence suggests that lycopene may help improve learning and memory ability in VaD gerbils, which is consistent with the idea that the term ""dementia"" has evolved to encompass a broader range of cognitive decline. Overall, the usage of the term ""dementia"" in Sentence B is different from its usage in Sentence A, indicating a semantic shift in the meaning of the term over time. Therefore, the label ""Changed"" is appropriate for this task." 13,Dementia,"Alcoholism is a possible cause of dementia, mainly through associated nutritional deficiencies and, rarely, through acute direct toxicity. However alcohol consumption was not found to be a risk factor in previous epidemiologic studies. We prospectively studied 3,777 community residents aged 65 and over, in the districts of Gironde and Dordogne. Average daily alcoholic consumption was recorded at baseline. Incident cases of dementia and Alzheimer's disease were screened at follow-up with explicit criteria. At 3 years, 2,273 subjects not demented at baseline were still available for follow-up. Wine was the only alcoholic beverage reported by more than 95 p. 100 of regular drinkers. In the 318 subjects drinking 3 to 4 standard glasses per day (> 250 and up to 500 ml), categorized as moderate drinkers, the crude odds ratio (OR) was 0.18 for incident dementia (p < 0.01) and 0.25 for Alzheimer's disease (p < 0.03), as compared to the 971 non-drinkers. After adjusting for age, sex, education, occupation, baseline MMSE and other possible confounders, the ORs were respectively 0.19 (p < 0.01) and 0.28 (p < 0.05). In the 922 mild drinkers (< 1 to 2 glasses per day) there was a negative association only with AD, after adjustment (OR = 0.55; p < 0.05). The inverse relationship between moderate wine drinking and incident dementia was explained neither by known predictors of dementia nor by medical, psychological or socio-familial factors. Considering also the well documented negative associations between moderate wine consumption and cardiovascular morbidity and mortality in this age group, it seems that there is no medical rationale to advise people over 65 to quit drinking wine moderately, as this habit carries no specific risk and may even be of some benefit for their health. Advising all elderly people to drink wine regularly for prevention of dementia would be however premature at this stage.","Ancillary to decline in cognitive abilities, patients with Alzheimer's disease (AD) frequently suffer from behavioural and psychological symptoms of dementia (BPSD). Hypothalamic polypeptides such as melanin-concentrating hormone (MCH) and hypocretin-1 (HCRT-1, orexin-A) are promoters of sleep-wake regulation and energy homeostasis and are found to impact on cognitive performance. To investigate the role of MCH and HCRT-1 in AD, cerebrospinal fluid (CSF) levels were measured in 33 patients with AD and 33 healthy subjects (HS) using a fluorescence immunoassay (FIA). A significant main effect of diagnosis (F(1,62) = 8.490, p<0.01) on MCH levels was found between AD (93.76±13.47 pg/mL) and HS (84.65±11.40 pg/mL). MCH correlated with T-tau (r = 0.47; p<0.01) and P-tau (r = 0.404; p<0.05) in the AD but not in the HS. CSF-MCH correlated negatively with MMSE scores in the AD (r = -0.362, p<0.05) and was increased in more severely affected patients (MMSE≤20) compared to HS (p<0.001) and BPSD-positive patients compared to HS (p<0.05). In CSF-HCRT-1, a significant main effect of sex (F(1,31) = 4.400, p<0.05) with elevated levels in females (90.93±17.37 pg/mL vs. 82.73±15.39 pg/mL) was found whereas diagnosis and the sex*diagnosis interaction were not significant. Elevated levels of MCH in patients suffering from AD and correlation with Tau and severity of cognitive impairment point towards an impact of MCH in AD. Gender differences of CSF-HCRT-1 controversially portend a previously reported gender dependence of HCRT-1-regulation. Histochemical and actigraphic explorations are warranted to further elucidate alterations of hypothalamic transmitter regulation in AD.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dementia Sentence A: Alcoholism is a possible cause of dementia, mainly through associated nutritional deficiencies and, rarely, through acute direct toxicity. However alcohol consumption was not found to be a risk factor in previous epidemiologic studies. We prospectively studied 3,777 community residents aged 65 and over, in the districts of Gironde and Dordogne. Average daily alcoholic consumption was recorded at baseline. Incident cases of dementia and Alzheimer's disease were screened at follow-up with explicit criteria. At 3 years, 2,273 subjects not demented at baseline were still available for follow-up. Wine was the only alcoholic beverage reported by more than 95 p. 100 of regular drinkers. In the 318 subjects drinking 3 to 4 standard glasses per day (> 250 and up to 500 ml), categorized as moderate drinkers, the crude odds ratio (OR) was 0.18 for incident dementia (p < 0.01) and 0.25 for Alzheimer's disease (p < 0.03), as compared to the 971 non-drinkers. After adjusting for age, sex, education, occupation, baseline MMSE and other possible confounders, the ORs were respectively 0.19 (p < 0.01) and 0.28 (p < 0.05). In the 922 mild drinkers (< 1 to 2 glasses per day) there was a negative association only with AD, after adjustment (OR = 0.55; p < 0.05). The inverse relationship between moderate wine drinking and incident dementia was explained neither by known predictors of dementia nor by medical, psychological or socio-familial factors. Considering also the well documented negative associations between moderate wine consumption and cardiovascular morbidity and mortality in this age group, it seems that there is no medical rationale to advise people over 65 to quit drinking wine moderately, as this habit carries no specific risk and may even be of some benefit for their health. Advising all elderly people to drink wine regularly for prevention of dementia would be however premature at this stage. Sentence B: Ancillary to decline in cognitive abilities, patients with Alzheimer's disease (AD) frequently suffer from behavioural and psychological symptoms of dementia (BPSD). Hypothalamic polypeptides such as melanin-concentrating hormone (MCH) and hypocretin-1 (HCRT-1, orexin-A) are promoters of sleep-wake regulation and energy homeostasis and are found to impact on cognitive performance. To investigate the role of MCH and HCRT-1 in AD, cerebrospinal fluid (CSF) levels were measured in 33 patients with AD and 33 healthy subjects (HS) using a fluorescence immunoassay (FIA). A significant main effect of diagnosis (F(1,62) = 8.490, p<0.01) on MCH levels was found between AD (93.76±13.47 pg/mL) and HS (84.65±11.40 pg/mL). MCH correlated with T-tau (r = 0.47; p<0.01) and P-tau (r = 0.404; p<0.05) in the AD but not in the HS. CSF-MCH correlated negatively with MMSE scores in the AD (r = -0.362, p<0.05) and was increased in more severely affected patients (MMSE≤20) compared to HS (p<0.001) and BPSD-positive patients compared to HS (p<0.05). In CSF-HCRT-1, a significant main effect of sex (F(1,31) = 4.400, p<0.05) with elevated levels in females (90.93±17.37 pg/mL vs. 82.73±15.39 pg/mL) was found whereas diagnosis and the sex*diagnosis interaction were not significant. Elevated levels of MCH in patients suffering from AD and correlation with Tau and severity of cognitive impairment point towards an impact of MCH in AD. Gender differences of CSF-HCRT-1 controversially portend a previously reported gender dependence of HCRT-1-regulation. Histochemical and actigraphic explorations are warranted to further elucidate alterations of hypothalamic transmitter regulation in AD. ###Answer 1. Changed Reasoning: The target word ""dementia"" has undergone a significant change in meaning between the two sentences. In Sentence A, dementia is described as a possible cause of alcoholism, with no association with wine consumption. In Sentence B, dementia is associated with Alzheimer's disease and behavioral and psychological symptoms. The word's connotation has shifted from a neutral term to a disease-specific term with a negative connotation. This change in meaning is evident in the context of the sentences and the use of different terms to describe the condition. Therefore, the label ""Changed"" is appropriate." 14,Dementia,"To examine the effect of apolipoprotein E (ApoE) 4 on the progression of Alzheimer's disease (AD), the clinical course of 33 AD patients (17 cases with ApoE epsilon4 and 16 cases without ApoE epsilon4) was evaluated with the mini-mental state examination (MMSE) and cerebrospinal fluid (CSF) biological markers. The decline of MMSE scores to zero was shortened in the ApoE4 group. During a mean follow-up of 20 months, a significant increase of CSF tau levels was observed in the ApoE4 group. A lower level of CSF A beta1-42(43) was found in both the ApoE4 and non-ApoE4 groups than in age-matched normal controls. The ApoE epsilon4 allele accelerates the progression of dementia and increases the levels of CSF tau in AD patients.","Decreased cardiac uptake of meta-iodobenzylguanidine (MIBG) on [123I]MIBG myocardial scintigraphy has been reported in Parkinson's disease (PD) and dementia with Lewy bodies (DLB). We hypothesized that cardiac sympathetic denervation might account for the pathomechanism. To elucidate the extent, frequency and pattern of cardiac sympathetic nerve involvement in Lewy body disease and related neurodegenerative disorders, we immunohistochemically examined heart tissues from patients with PD (n=11), DLB (n=7), DLB with Alzheimer's disease (DLB/AD; n=4), multiple system atrophy (MSA; n=8), progressive supranuclear palsy (PSP; n=5), pure AD (n=10) and control subjects (n=5) together with sympathetic ganglia from patients with PD (n=5) and control subjects (n=4), using an antibody against tyrosine hydroxylase (TH). TH-immunoreactive nerve fibers in the hearts had almost entirely disappeared in nearly all the patients with PD, DLB and DLB/AD, whereas they were well preserved in all the patients with PSP and pure AD as well as in all except for one patient with MSA. In PD, neurons in the sympathetic ganglia were preserved in all except for one patient. Decreased cardiac uptake of MIBG in Lewy body disease reflects actual cardiac sympathetic denervation, which precedes the neuronal loss in the sympathetic ganglia.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dementia Sentence A: To examine the effect of apolipoprotein E (ApoE) 4 on the progression of Alzheimer's disease (AD), the clinical course of 33 AD patients (17 cases with ApoE epsilon4 and 16 cases without ApoE epsilon4) was evaluated with the mini-mental state examination (MMSE) and cerebrospinal fluid (CSF) biological markers. The decline of MMSE scores to zero was shortened in the ApoE4 group. During a mean follow-up of 20 months, a significant increase of CSF tau levels was observed in the ApoE4 group. A lower level of CSF A beta1-42(43) was found in both the ApoE4 and non-ApoE4 groups than in age-matched normal controls. The ApoE epsilon4 allele accelerates the progression of dementia and increases the levels of CSF tau in AD patients. Sentence B: Decreased cardiac uptake of meta-iodobenzylguanidine (MIBG) on [123I]MIBG myocardial scintigraphy has been reported in Parkinson's disease (PD) and dementia with Lewy bodies (DLB). We hypothesized that cardiac sympathetic denervation might account for the pathomechanism. To elucidate the extent, frequency and pattern of cardiac sympathetic nerve involvement in Lewy body disease and related neurodegenerative disorders, we immunohistochemically examined heart tissues from patients with PD (n=11), DLB (n=7), DLB with Alzheimer's disease (DLB/AD; n=4), multiple system atrophy (MSA; n=8), progressive supranuclear palsy (PSP; n=5), pure AD (n=10) and control subjects (n=5) together with sympathetic ganglia from patients with PD (n=5) and control subjects (n=4), using an antibody against tyrosine hydroxylase (TH). TH-immunoreactive nerve fibers in the hearts had almost entirely disappeared in nearly all the patients with PD, DLB and DLB/AD, whereas they were well preserved in all the patients with PSP and pure AD as well as in all except for one patient with MSA. In PD, neurons in the sympathetic ganglia were preserved in all except for one patient. Decreased cardiac uptake of MIBG in Lewy body disease reflects actual cardiac sympathetic denervation, which precedes the neuronal loss in the sympathetic ganglia. ###Answer 1. Changed Explanation: In Sentence A, the term ""dementia"" is used to describe a specific type of neurodegenerative disorder, Alzheimer's disease. The sentence highlights the impact of the ApoE4 allele on the progression of this disease, with a shorter decline in cognitive function and an increase in CSF tau levels. This usage suggests that the term ""dementia"" in this context refers to a specific medical condition characterized by cognitive decline and neurodegeneration. In Sentence B, the term ""dementia"" is used in a different context, to describe a broader range of neurodegenerative disorders, including Parkinson's disease and progressive supranuclear palsy. The sentence highlights the cardiac sympathetic denervation that occurs in these diseases, which is not directly related to the cognitive decline. This usage suggests that the term ""dementia"" in this context refers to a broader category of conditions characterized by cognitive decline and/or neurodegeneration, rather than a specific disease like Alzheimer's disease. Based on these differences in usage, it can be argued that the term ""dementia"" has undergone semantic drift between the two sentences, as it has taken on a broader meaning in Sentence B. Therefore, the label ""Changed"" is appropriate." 15,Dementia,"The main causes of dementia at old age are Alzheimer's disease and vascular dementia. The clinical presentations of late-onset Alzheimer's disease and vascular dementia can barely be differentiated. This clinical observation is supported by pathological findings. Late-onset dementia should be considered a multifactorial disease, in which both vascular factors and amyloid dispositions contribute to cognitive decline.",There is very often a lengthy delay between first noticing symptoms of dementia and making first contact with Health Care Professionals (HCPs). This article identifies influences on the decision to contact HCPs for the first time.,"###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dementia Sentence A: The main causes of dementia at old age are Alzheimer's disease and vascular dementia. The clinical presentations of late-onset Alzheimer's disease and vascular dementia can barely be differentiated. This clinical observation is supported by pathological findings. Late-onset dementia should be considered a multifactorial disease, in which both vascular factors and amyloid dispositions contribute to cognitive decline. Sentence B: There is very often a lengthy delay between first noticing symptoms of dementia and making first contact with Health Care Professionals (HCPs). This article identifies influences on the decision to contact HCPs for the first time. ###Answer 1. Changed (Dementia) Explanation: In Sentence A, the term ""dementia"" is used to describe a specific set of cognitive and neurological symptoms associated with Alzheimer's disease and vascular dementia. The sentence highlights the clinical presentations of these diseases and their underlying pathological mechanisms. The term ""dementia"" in this context connotes a clear and specific meaning related to cognitive decline and neurodegeneration. In Sentence B, the term ""dementia"" is used in a different context. The sentence highlights the delay in seeking medical attention for dementia symptoms, which suggests a shift in the way the term is used. Rather than referring to a specific set of cognitive and neurological symptoms, the term ""dementia"" in this context connotes a broader sense of cognitive decline or forgetfulness. This shift in meaning is indicative of semantic drift, and therefore the label ""Changed"" is appropriate." 16,Dementia,"Since 1980, three immunocompromised patients have been proved to have progressive multifocal leukoencephalopathy (PML) by brain biopsy at the University of Alabama at Birmingham. Two patients presented with focal neurological findings, and the third presented with dementia. Computed tomography (CT) revealed white matter low density lesions in areas appropriate to the neurological abnormalities. Brain biopsy of areas that were abnormal on CT produced diagnostic tissue in all three patients. No patient suffered ill effects from the biopsy. Neuropathological findings on light microscopy were compatible with PML in each case, although there was diversity within the group. Involvement of gray and white matter was present in all biopsy specimens; oligodendrocytes, astrocytes, and neurons were affected. Electron microscopic demonstration of particles compatible with polyoma virus confirmed the diagnosis in each case. Immunosuppressive medication was discontinued in two of the patients; these two have survived more than 2 years after diagnosis. One of these two has gradually improved and is independent in simple activities of daily life. Brain stem and cerebellar involvement and seizure disorders have been present in all reported cases. PML can be accurately and rapidly diagnosed by brain biopsy, enabling therapeutic manipulations that may prolong survival.","An innovative non-pharmacological intervention called Voix d'Or(®) (Golden Voice) was proposed in the Cognitive behavioral unit (CBU) of the Memory center at the Hospices civils in Lyon. Voix d'Or(®) offers eight sound activities disseminated via an audio device based on different approaches sociotherapeutic (music therapy, reminiscence, relaxation, reorientation in reality). The aim of this study was to test the effects of the Voix d'Or(®) program on behavioral and psychological symptoms of dementia (BPSD) in patients with Alzheimer's disease hospitalized in the CBU. Twenty four patients with agitation and/or apathy and/or anxiety and/or depression were included. Patients were randomly selected in the intervention group exposed to Voix d'Or versus a control group exposed to usual occupational activities. Patients were assessed before (T0) and after (T1) the intervention period. Several variables were measured: frequency and severity of behavioral disorders, anxiety, depression, agitation and apathy. A significant improvement of anxiety level between T0 and T1was observed in the group with Voix d'Or(®) compared to the control group. This study suggests that this non-pharmacological intervention may be beneficial on anxiety in patients with Alzheimer's disease. ","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dementia Sentence A: Since 1980, three immunocompromised patients have been proved to have progressive multifocal leukoencephalopathy (PML) by brain biopsy at the University of Alabama at Birmingham. Two patients presented with focal neurological findings, and the third presented with dementia. Computed tomography (CT) revealed white matter low density lesions in areas appropriate to the neurological abnormalities. Brain biopsy of areas that were abnormal on CT produced diagnostic tissue in all three patients. No patient suffered ill effects from the biopsy. Neuropathological findings on light microscopy were compatible with PML in each case, although there was diversity within the group. Involvement of gray and white matter was present in all biopsy specimens; oligodendrocytes, astrocytes, and neurons were affected. Electron microscopic demonstration of particles compatible with polyoma virus confirmed the diagnosis in each case. Immunosuppressive medication was discontinued in two of the patients; these two have survived more than 2 years after diagnosis. One of these two has gradually improved and is independent in simple activities of daily life. Brain stem and cerebellar involvement and seizure disorders have been present in all reported cases. PML can be accurately and rapidly diagnosed by brain biopsy, enabling therapeutic manipulations that may prolong survival. Sentence B: An innovative non-pharmacological intervention called Voix d'Or(®) (Golden Voice) was proposed in the Cognitive behavioral unit (CBU) of the Memory center at the Hospices civils in Lyon. Voix d'Or(®) offers eight sound activities disseminated via an audio device based on different approaches sociotherapeutic (music therapy, reminiscence, relaxation, reorientation in reality). The aim of this study was to test the effects of the Voix d'Or(®) program on behavioral and psychological symptoms of dementia (BPSD) in patients with Alzheimer's disease hospitalized in the CBU. Twenty four patients with agitation and/or apathy and/or anxiety and/or depression were included. Patients were randomly selected in the intervention group exposed to Voix d'Or versus a control group exposed to usual occupational activities. Patients were assessed before (T0) and after (T1) the intervention period. Several variables were measured: frequency and severity of behavioral disorders, anxiety, depression, agitation and apathy. A significant improvement of anxiety level between T0 and T1was observed in the group with Voix d'Or(®) compared to the control group. This study suggests that this non-pharmacological intervention may be beneficial on anxiety in patients with Alzheimer's disease. ###Answer 1. Changed Reasoning: In Sentence A, the term ""dementia"" is used to describe the cognitive symptoms of the patients, which are characterized by focal neurological findings and brain biopsy-confirmed PML. The term ""dementia"" in this context implies a significant loss of cognitive function, likely due to neurodegeneration. In Sentence B, the term ""dementia"" is used to describe the patients' psychological symptoms, specifically anxiety. The term ""dementia"" in this context implies a milder cognitive impairment, as the patients are described as having ""anxiety"" rather than significant cognitive loss. Therefore, the meaning of the term ""dementia"" has shifted from a severe cognitive impairment to a milder psychological symptom in the time period between Sentence A and Sentence B. This shift in meaning constitutes semantic drift." 17,Dementia,"Using clinical, biographic and social parameters the authors analyzed the results of long-term observation on a group of patients (n = 450) with epilepsy accompanied by psychotic disturbances. Prognostic signs of a favourable variant included the predominance of homogeneous attacks and an affective structure of psychotic disorders. In cases with a moderately severe variant paroxysmal manifestations were presented by an array of temporal and unfolded convulsive forms. Psychotic disorders of the hallucinatory-delirious type serve as signs of a late exacerbation of the epileptic process. An unfavourable variant was characterized by polymorphic attacks with predominance of postural and psychomotor components, frequent states of decompensation, an increase in signs of epileptic dementia and a wide spectrum of psychotic disturbances, ranging from overworship ideas to affective-delirious and catatonic-delirious psychoses.","There has been supporting evidence that older adults with underlying health conditions form the majority of the fatal cases in the current novel coronavirus disease (COVID-19) pandemic. While the impact of COVID-19 is affecting the general public, it is clear that these distressful experiences will be magnified in older adults, particularly people living with Alzheimer's disease and related dementia (ADRD), making them the most vulnerable group during this time. People with differing degrees of ADRD are especially susceptible to the virus, not only because of their difficulties in assessing the threat or remembering the safety measures, but also because of the likelihood to be subject to other risk factors, such as lack of proper care and psychological issues. Therefore, in this article, we will discuss the challenges related to home-based care for people with ADRD during a pandemic and propose a formulation of systematic solutions to address these challenges and to alleviate the social and economic impact resulting from the crisis.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dementia Sentence A: Using clinical, biographic and social parameters the authors analyzed the results of long-term observation on a group of patients (n = 450) with epilepsy accompanied by psychotic disturbances. Prognostic signs of a favourable variant included the predominance of homogeneous attacks and an affective structure of psychotic disorders. In cases with a moderately severe variant paroxysmal manifestations were presented by an array of temporal and unfolded convulsive forms. Psychotic disorders of the hallucinatory-delirious type serve as signs of a late exacerbation of the epileptic process. An unfavourable variant was characterized by polymorphic attacks with predominance of postural and psychomotor components, frequent states of decompensation, an increase in signs of epileptic dementia and a wide spectrum of psychotic disturbances, ranging from overworship ideas to affective-delirious and catatonic-delirious psychoses. Sentence B: There has been supporting evidence that older adults with underlying health conditions form the majority of the fatal cases in the current novel coronavirus disease (COVID-19) pandemic. While the impact of COVID-19 is affecting the general public, it is clear that these distressful experiences will be magnified in older adults, particularly people living with Alzheimer's disease and related dementia (ADRD), making them the most vulnerable group during this time. People with differing degrees of ADRD are especially susceptible to the virus, not only because of their difficulties in assessing the threat or remembering the safety measures, but also because of the likelihood to be subject to other risk factors, such as lack of proper care and psychological issues. Therefore, in this article, we will discuss the challenges related to home-based care for people with ADRD during a pandemic and propose a formulation of systematic solutions to address these challenges and to alleviate the social and economic impact resulting from the crisis. ###Answer 1. Changed Reasoning: In Sentence B, the term ""dementia"" is used in the context of COVID-19 pandemic and its impact on older adults, particularly those living with Alzheimer's disease and related dementia (ADRD). The term is used to describe the vulnerable group during this time, highlighting their increased susceptibility to the virus due to difficulties in assessing the threat or remembering safety measures, as well as the likelihood of being subject to other risk factors such as lack of proper care and psychological issues. In contrast, in Sentence A, the term ""dementia"" is used in a more general context, without any specific reference to COVID-19 or its impact on older adults. The term is used to describe the prognostic signs of a favourable variant of epilepsy, including the predominance of homogeneous attacks and an affective structure of psychotic disorders. Therefore, the meaning of the term ""dementia"" has shifted in Sentence B, from a general medical term to a specific context related to the COVID-19 pandemic and its impact on older adults. This change in meaning constitutes semantic drift." 18,Dementia,"Although dementia is typically considered to be a consequence of a variety of neurologic diseases, it can also serve as a risk factor for other adverse outcomes. The authors investigated dementia as a predictor of long-term survival among patients with ischemic stroke.","With the prevalence of dementia increasing each year, pre-clinically implemented therapeutic interventions are needed. It has been suggested that cascading neural network failures may bring on behavioural deficits associated with Alzheimer's disease.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dementia Sentence A: Although dementia is typically considered to be a consequence of a variety of neurologic diseases, it can also serve as a risk factor for other adverse outcomes. The authors investigated dementia as a predictor of long-term survival among patients with ischemic stroke. Sentence B: With the prevalence of dementia increasing each year, pre-clinically implemented therapeutic interventions are needed. It has been suggested that cascading neural network failures may bring on behavioural deficits associated with Alzheimer's disease. ###Answer 1. Changed Explanation: In Sentence A, ""dementia"" is used to refer to a specific medical condition, specifically Alzheimer's disease or other neurodegenerative disorders. In Sentence B, the term ""dementia"" has taken on a broader meaning, referring to any cognitive decline or memory loss, regardless of the underlying cause. This shift in meaning indicates semantic drift has occurred." 19,Dementia,"The role of the nef gene in human immunodeficiency virus type 1 (HIV-1) infection is poorly understood. To provide a basis for studies on the role of nef in AIDS, we used targeted polymerase chain reaction amplification and DNA sequencing to determine the structure of nef genes in pathologic tissue from HIV-1-infected children and adults. We find that the nef reading frame is open in 92% of clones derived from both brain and lymphocytic tissue of children, suggesting that nef is expressed in these tissues. One HIV-1 clone, BRVA, obtained by coculture from the brain of an adult AIDS patient with progressive dementia, was previously shown to contain a duplicated region in nef. We show here that similar duplications are widespread in both adults and children with AIDS. However, coculture strongly selects against the broad spectrum of nef quasispecies found in tissue. These findings suggest functional selection for nef quasispecies in pathologic tissues during HIV-1 infection of the human host.","Depressive symptoms are frequently seen in patients with dementia and mild cognitive impairment (MCI). Evidence suggests that there may be a link between current depressive symptoms and Alzheimer disease (AD)-associated pathological changes, such as an increase in cortical amyloid-β (Aβ). However, limited in vivo studies have explored the relationship between current depressive symptoms and cortical Aβ in patients with MCI and AD. Our study, using a large sample of 455 patients with MCI and 153 patients with AD from the Alzheimer's disease Neuroimaging Initiatives, investigated whether current depressive symptoms are related to cortical Aβ deposition. Depressive symptoms were assessed using the Geriatric Depression Scale and Neuropsychiatric Inventory-depression/dysphoria. Cortical Aβ was quantified using positron emission tomography with the Aβ probe(18)F-florbetapir (AV-45).(18)F-florbetapir standardized uptake value ratio (AV-45 SUVR) from the frontal, cingulate, parietal, and temporal regions was estimated. A global AV-45 SUVR, defined as the average of frontal, cingulate, precuneus, and parietal cortex, was also used. We observed that current depressive symptoms were not related to cortical Aβ, after controlling for potential confounds, including history of major depression. We also observed that there was no difference in cortical Aβ between matched participants with high and low depressive symptoms, as well as no difference between matched participants with the presence and absence of depressive symptoms. The association between depression and cortical Aβ deposition does not exist, but the relationship is highly influenced by stressful events in the past, such as previous depressive episodes, and complex interactions of different pathways underlying both depression and dementia. ","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dementia Sentence A: The role of the nef gene in human immunodeficiency virus type 1 (HIV-1) infection is poorly understood. To provide a basis for studies on the role of nef in AIDS, we used targeted polymerase chain reaction amplification and DNA sequencing to determine the structure of nef genes in pathologic tissue from HIV-1-infected children and adults. We find that the nef reading frame is open in 92% of clones derived from both brain and lymphocytic tissue of children, suggesting that nef is expressed in these tissues. One HIV-1 clone, BRVA, obtained by coculture from the brain of an adult AIDS patient with progressive dementia, was previously shown to contain a duplicated region in nef. We show here that similar duplications are widespread in both adults and children with AIDS. However, coculture strongly selects against the broad spectrum of nef quasispecies found in tissue. These findings suggest functional selection for nef quasispecies in pathologic tissues during HIV-1 infection of the human host. Sentence B: Depressive symptoms are frequently seen in patients with dementia and mild cognitive impairment (MCI). Evidence suggests that there may be a link between current depressive symptoms and Alzheimer disease (AD)-associated pathological changes, such as an increase in cortical amyloid-β (Aβ). However, limited in vivo studies have explored the relationship between current depressive symptoms and cortical Aβ in patients with MCI and AD. Our study, using a large sample of 455 patients with MCI and 153 patients with AD from the Alzheimer's disease Neuroimaging Initiatives, investigated whether current depressive symptoms are related to cortical Aβ deposition. Depressive symptoms were assessed using the Geriatric Depression Scale and Neuropsychiatric Inventory-depression/dysphoria. Cortical Aβ was quantified using positron emission tomography with the Aβ probe(18)F-florbetapir (AV-45).(18)F-florbetapir standardized uptake value ratio (AV-45 SUVR) from the frontal, cingulate, parietal, and temporal regions was estimated. A global AV-45 SUVR, defined as the average of frontal, cingulate, precuneus, and parietal cortex, was also used. We observed that current depressive symptoms were not related to cortical Aβ, after controlling for potential confounds, including history of major depression. We also observed that there was no difference in cortical Aβ between matched participants with high and low depressive symptoms, as well as no difference between matched participants with the presence and absence of depressive symptoms. The association between depression and cortical Aβ deposition does not exist, but the relationship is highly influenced by stressful events in the past, such as previous depressive episodes, and complex interactions of different pathways underlying both depression and dementia. ###Answer 1. Changed Reasoning: In Sentence A, the term ""dementia"" is used to describe a specific neurological disorder characterized by memory loss and cognitive impairment. In contrast, in Sentence B, the term ""dementia"" is used more broadly to describe a group of symptoms, including depression, in patients with Alzheimer's disease. This shift in meaning suggests that the term ""dementia"" has undergone semantic drift, and its meaning has changed over time. Specifically, the term ""dementia"" has become more associated with the broader concept of cognitive impairment and dementia, rather than the specific neurological disorder it described in Sentence A." 20,Dementia,"We studied senile plaques (SP) in the cerebella of six autopsied subjects with Alzheimer-type dementia (ATD) and ten non-ATD autopsied subjects between the ages of 78 and 90. Neither SP nor amyloid angiopathy (AA) was observed in any of the non-ATD subjects. In the four of the six ATD subjects, diffuse plaques in the molecular layer were seen as ill-defined areas of fine fibrillar materials by beta protein immunostaining with formic acid pretreatment, the modified Bielschowsky stain, and periodic acid-methenamine silver (PAM) stain. The plaques were not visible with Bodian, Congo red, or periodic acid-Schiff stains. Compact plaques in the Purkinje cell or in the granular cell layers were found in three of the six subjects. Their amyloid core was often surrounded by areolar amyloid deposits. AA was observed in three of the six subjects. The argyrophilia of the diffuse and compact plaques, demonstrated by the modified Bielschowsky and PAM stains, became undetectable when the sections were first treated with formic acid. Such treatment made the plaques immunoreactive with beta protein antiserum. The findings suggested that cerebellar diffuse plaques and compact plaques consist mainly of an amyloid component, and are characteristic of ATD.","The frequencies of each of the several types of dementia are enumerated, showing that Alzheimer's disease is present in about 80% of cases. Cerebral changes associated with cognitively normal aging include shrinkage of large cortical neurons but not a significant loss of total neuronal number. Nevertheless, the population density of synapses measured by confocal microscopy does decline significantly in normal aging. The classical lesions of Alzheimer's disease are neuritic plaques and neurofibrillary tangles, and their frequency correlates with declining cognitive measures. Although amyloid is prominent in plaques, it is probably not the agent of destruction. That role seems to be held by Abeta oligomers. The strongest structural correlate with cognitive tests is synapse loss, which is probably caused by Abeta oligopeptides in the terminal axons and dendrites.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dementia Sentence A: We studied senile plaques (SP) in the cerebella of six autopsied subjects with Alzheimer-type dementia (ATD) and ten non-ATD autopsied subjects between the ages of 78 and 90. Neither SP nor amyloid angiopathy (AA) was observed in any of the non-ATD subjects. In the four of the six ATD subjects, diffuse plaques in the molecular layer were seen as ill-defined areas of fine fibrillar materials by beta protein immunostaining with formic acid pretreatment, the modified Bielschowsky stain, and periodic acid-methenamine silver (PAM) stain. The plaques were not visible with Bodian, Congo red, or periodic acid-Schiff stains. Compact plaques in the Purkinje cell or in the granular cell layers were found in three of the six subjects. Their amyloid core was often surrounded by areolar amyloid deposits. AA was observed in three of the six subjects. The argyrophilia of the diffuse and compact plaques, demonstrated by the modified Bielschowsky and PAM stains, became undetectable when the sections were first treated with formic acid. Such treatment made the plaques immunoreactive with beta protein antiserum. The findings suggested that cerebellar diffuse plaques and compact plaques consist mainly of an amyloid component, and are characteristic of ATD. Sentence B: The frequencies of each of the several types of dementia are enumerated, showing that Alzheimer's disease is present in about 80% of cases. Cerebral changes associated with cognitively normal aging include shrinkage of large cortical neurons but not a significant loss of total neuronal number. Nevertheless, the population density of synapses measured by confocal microscopy does decline significantly in normal aging. The classical lesions of Alzheimer's disease are neuritic plaques and neurofibrillary tangles, and their frequency correlates with declining cognitive measures. Although amyloid is prominent in plaques, it is probably not the agent of destruction. That role seems to be held by Abeta oligomers. The strongest structural correlate with cognitive tests is synapse loss, which is probably caused by Abeta oligopeptides in the terminal axons and dendrites. ###Answer 1. Changed Reasoning: In Sentence A, the target word ""dementia"" is used to describe a specific medical condition characterized by cognitive decline and neurofibrillary tangles. The sentence provides details about the pathological changes observed in the cerebellum of subjects with Alzheimer's disease. The word ""dementia"" in this context carries a specific meaning related to the medical field. In Sentence B, the target word ""dementia"" is used in a different context. The sentence discusses the frequencies of different types of dementia, including Alzheimer's disease, and provides information about the structural changes associated with cognitively normal aging. The word ""dementia"" in this context has a different meaning than in Sentence A, as it is used to describe a broader range of cognitive decline, including normal aging. Based on these differences in context and meaning, it can be argued that the target word ""dementia"" has undergone a significant change in meaning between Sentence A and Sentence B. Therefore, the label ""Changed"" is appropriate." 21,Dementia,This study investigated the efficacy and safety of short-term estrogen therapy in decreasing noncognitive signs and symptoms of dementia in demented elderly patients.,"Antipsychotic medications are regularly prescribed in care home residents for the management of behavioural and psychological symptoms of dementia (BPSD) despite questionable efficacy, important adverse effects, and available non-pharmacological interventions. Prescription rates are related to organisational factors, staff training and job satisfaction, patient characteristics, and specific interventions. Psychosocial intervention programmes aimed at reducing the prescription of antipsychotic drugs are available. These programmes may target care home residents (e.g. improving communication and interpersonal relationships) or target staff (e.g. by providing skills for caring for people with BPSD). Therefore, this review aimed to assess the effectiveness of these interventions, updating our earlier review published in 2012.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dementia Sentence A: This study investigated the efficacy and safety of short-term estrogen therapy in decreasing noncognitive signs and symptoms of dementia in demented elderly patients. Sentence B: Antipsychotic medications are regularly prescribed in care home residents for the management of behavioural and psychological symptoms of dementia (BPSD) despite questionable efficacy, important adverse effects, and available non-pharmacological interventions. Prescription rates are related to organisational factors, staff training and job satisfaction, patient characteristics, and specific interventions. Psychosocial intervention programmes aimed at reducing the prescription of antipsychotic drugs are available. These programmes may target care home residents (e.g. improving communication and interpersonal relationships) or target staff (e.g. by providing skills for caring for people with BPSD). Therefore, this review aimed to assess the effectiveness of these interventions, updating our earlier review published in 2012. ###Answer 1. Changed The meaning of the target word ""dementia"" has significantly shifted between the two sentences. In Sentence A, the word is used to describe a specific medical condition characterized by cognitive decline and memory loss. In Sentence B, the word is used more broadly to refer to the management of behavioral and psychological symptoms in dementia residents, including the use of antipsychotic medications. This shift in meaning suggests that the term ""dementia"" has undergone semantic drift." 22,Dementia,"A 41-year-old woman presented with a history of sudden onset of a dementia with frontal signs and antero-retrograde amnesia. CT showed a bilateral paramedian thalamic infarct which was confirmed by MRI. The study of regional cerebral blood flow showed a decrease in both frontal regions. Results of imaging suggested lesions of the ventro-oral, latero-polar and intralaminar nuclei as well as of the mammillo-thalamic tract. The dorso-median nucleus appeared to be relatively spared.","Polyunsaturated fatty acids (PUFAs) form an important constituent of all the cell membranes in the body. PUFAs such as arachidonic acid (AA), eicosapentaenoic acid (EPA) and docosahexaenoic acid (DHA) form precursors to both pro-inflammatory and anti-inflammatory compounds. Low-grade systemic inflammation occurs in clinical conditions such as insulin resistance, hypertension, type 2 diabetes mellitus, atherosclerosis, coronary heart disease, lupus, schizophrenia, Alzheimer's disease, and other dementias, cancer and non-alcoholic fatty liver disease (NAFLD) that are also characterized by an alteration in the metabolism of essential fatty acids in the form of excess production of pro-inflammatory eicosanoids and possibly, decreased synthesis and release of anti-inflammatory lipoxins, resolvins, protectins and maresins. We propose that low-grade systemic inflammation observed in these clinical conditions is due to an imbalance in the metabolism of essential fatty acids that is more in favour of pro-inflammatory molecules. In this context, transgenic fat-1 mouse that is designed to convert n-6 to n-3 fatty acids could form an ideal model to study the altered metabolism of essential fatty acids in the above mentioned conditions. It is envisaged that low-grade systemic inflammatory conditions are much less likely in the fat-1 mouse and/or these diseases will run a relatively mild course. Identifying the anti-inflammatory compounds from n-3 fatty acids that suppress low-grade systemic inflammatory conditions and understanding their mechanism(s) of action may lead to newer therapeutic strategies.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dementia Sentence A: A 41-year-old woman presented with a history of sudden onset of a dementia with frontal signs and antero-retrograde amnesia. CT showed a bilateral paramedian thalamic infarct which was confirmed by MRI. The study of regional cerebral blood flow showed a decrease in both frontal regions. Results of imaging suggested lesions of the ventro-oral, latero-polar and intralaminar nuclei as well as of the mammillo-thalamic tract. The dorso-median nucleus appeared to be relatively spared. Sentence B: Polyunsaturated fatty acids (PUFAs) form an important constituent of all the cell membranes in the body. PUFAs such as arachidonic acid (AA), eicosapentaenoic acid (EPA) and docosahexaenoic acid (DHA) form precursors to both pro-inflammatory and anti-inflammatory compounds. Low-grade systemic inflammation occurs in clinical conditions such as insulin resistance, hypertension, type 2 diabetes mellitus, atherosclerosis, coronary heart disease, lupus, schizophrenia, Alzheimer's disease, and other dementias, cancer and non-alcoholic fatty liver disease (NAFLD) that are also characterized by an alteration in the metabolism of essential fatty acids in the form of excess production of pro-inflammatory eicosanoids and possibly, decreased synthesis and release of anti-inflammatory lipoxins, resolvins, protectins and maresins. We propose that low-grade systemic inflammation observed in these clinical conditions is due to an imbalance in the metabolism of essential fatty acids that is more in favour of pro-inflammatory molecules. In this context, transgenic fat-1 mouse that is designed to convert n-6 to n-3 fatty acids could form an ideal model to study the altered metabolism of essential fatty acids in the above mentioned conditions. It is envisaged that low-grade systemic inflammatory conditions are much less likely in the fat-1 mouse and/or these diseases will run a relatively mild course. Identifying the anti-inflammatory compounds from n-3 fatty acids that suppress low-grade systemic inflammatory conditions and understanding their mechanism(s) of action may lead to newer therapeutic strategies. ###Answer 1. Changed Reasoning: The meaning of the target word ""dementia"" has changed significantly between the two sentences. In Sentence A, the word is used to describe a specific medical condition characterized by cognitive decline and memory loss. In contrast, in Sentence B, the word is used in a broader context to describe a range of conditions characterized by low-grade systemic inflammation. The shift in meaning is evident in the different contexts and the use of different terminology in each sentence. Therefore, semantic drift has occurred in the target word ""dementia""." 23,Dementia,"In the last decade several investigations have demonstrated an association between impaired cerebral function in employed workers and occupational exposure to organic solvents. Many case-histories and two case-referent studies indicate, that such an impairment might develop into disabling irreversible neuropsychiatric disease. The main purpose of this study was to further investigate the risk of chronic brain damage in solvent exposed workers. A cohort of 2601 male painters and 1790 male bricklayers from the Copenhagen area was identified retrospectively and followed Jan. 1,71-Dec. 31,75. For this period the incidence of disability pensioning and mortality was examined for the two occupational groups and for a ""'normal"" population of Copenhagen men. Using bricklayers and Copenhagen men as referents, the painters had a relative risk of approximately 3.5 of being awarded a disability pension due to a state of being awarded a disability pension due to a state of cryptogenic presenile dementia. When indications of alcohol abuse, cerebral concussions or other etiologic factors were present, the relative risk was approximately 2. No excess risk was found for neuropsychiatric diseases other than presenile dementia. Other differences between the groups were found, but they were inconsistent and difficult to interpret. In the light of the findings of this and other studies, it seems likely, that chronic brian damage may result from industrial exposure to organic solvents.","Stroke increases the risk of dementia; however, bidirectional association of incident stroke and cognitive decline below dementia threshold is not well established. Also, both cognitive decline and stroke increase mortality risk.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dementia Sentence A: In the last decade several investigations have demonstrated an association between impaired cerebral function in employed workers and occupational exposure to organic solvents. Many case-histories and two case-referent studies indicate, that such an impairment might develop into disabling irreversible neuropsychiatric disease. The main purpose of this study was to further investigate the risk of chronic brain damage in solvent exposed workers. A cohort of 2601 male painters and 1790 male bricklayers from the Copenhagen area was identified retrospectively and followed Jan. 1,71-Dec. 31,75. For this period the incidence of disability pensioning and mortality was examined for the two occupational groups and for a ""'normal"" population of Copenhagen men. Using bricklayers and Copenhagen men as referents, the painters had a relative risk of approximately 3.5 of being awarded a disability pension due to a state of being awarded a disability pension due to a state of cryptogenic presenile dementia. When indications of alcohol abuse, cerebral concussions or other etiologic factors were present, the relative risk was approximately 2. No excess risk was found for neuropsychiatric diseases other than presenile dementia. Other differences between the groups were found, but they were inconsistent and difficult to interpret. In the light of the findings of this and other studies, it seems likely, that chronic brian damage may result from industrial exposure to organic solvents. Sentence B: Stroke increases the risk of dementia; however, bidirectional association of incident stroke and cognitive decline below dementia threshold is not well established. Also, both cognitive decline and stroke increase mortality risk. ###Answer 1. Changed Reasoning: In Sentence A, the term ""dementia"" is used to describe a specific neuropsychiatric disease, specifically cryptogenic presenile dementia, which was a relatively rare condition in the 1970s. The sentence also mentions the risk of chronic brain damage due to industrial exposure to organic solvents. In Sentence B, the term ""dementia"" is used more broadly to describe any cognitive decline below the threshold for dementia. There is no mention of specific types of dementia or any mention of industrial exposure to organic solvents. Based on these differences in context and meaning, it can be concluded that the term ""dementia"" has undergone a significant change in meaning between the two sentences, indicating semantic drift. Therefore, the label ""Changed"" is appropriate." 24,Dementia,"Event-related potentials, measured eight times in a patient in the early stages of dementia, demonstrated that clinical symptoms, especially loss of motivation, improved coincidentally with a shortening of reaction time, N1 latency, and P3 latency during nicergoline medication among three nootropics prescribed. Such a longitudinal study design was considered to be useful for quantifying and objectively comparing effects of various nootropics noninvasively.","Parkinson's disease (PD) patients commonly experience episodic memory impairments, which are associated with an increased risk of dementia. The Mnemonic Similarity Task (MST) is a well-validated test to investigate episodic memory changes in healthy aging and in neurodegenerative diseases but has not been studied in PD patients.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dementia Sentence A: Event-related potentials, measured eight times in a patient in the early stages of dementia, demonstrated that clinical symptoms, especially loss of motivation, improved coincidentally with a shortening of reaction time, N1 latency, and P3 latency during nicergoline medication among three nootropics prescribed. Such a longitudinal study design was considered to be useful for quantifying and objectively comparing effects of various nootropics noninvasively. Sentence B: Parkinson's disease (PD) patients commonly experience episodic memory impairments, which are associated with an increased risk of dementia. The Mnemonic Similarity Task (MST) is a well-validated test to investigate episodic memory changes in healthy aging and in neurodegenerative diseases but has not been studied in PD patients. ###Answer 1. Changed Explanation: In Sentence A, the target word ""dementia"" is used in the context of a patient in the early stages of the disease. The sentence suggests that the patient's clinical symptoms, including loss of motivation, improved coincidentally with a shortening of reaction time, N1 latency, and P3 latency during nicergoline medication among three nootropics prescribed. This implies that the term ""dementia"" in this context refers to a specific set of cognitive and behavioral changes associated with the disease. In Sentence B, the target word ""dementia"" is used in a different context, specifically in relation to Parkinson's disease (PD) patients. The sentence states that PD patients commonly experience episodic memory impairments, which are associated with an increased risk of dementia. This implies that the term ""dementia"" in this context refers to a broader set of cognitive and memory impairments that are common in neurodegenerative diseases, including PD. Based on these two sentences, it is clear that the term ""dementia"" has undergone a significant change in meaning over time. In Sentence A, the term refers to a specific set of cognitive and behavioral changes associated with a particular disease, while in Sentence B, the term refers to a broader set of cognitive and memory impairments that are common in neurodegenerative diseases. Therefore, the label ""Changed"" is appropriate for this task." 25,Dementia,"The development of diagnostic markers for earlier and more reliable diagnosis of Alzheimer disease (AD) is essential, particularly because therapeutic medication is available for AD. Cerebrospinal fluid (CSF) is a useful source of diagnostic information. Previously we found the increase of total tau protein in CSF in normal pressure hydrocephalus patients, and others reported the increase also in corticobasal degeneration and frontotemporal dementia. To differentiate the AD from other diseases, further approach was employed and oxidized protein in CSF was investigated. Heat stable fractions of CSF were analyzed on the content of carbonyl residues, which are derivatives of protein oxidization. The result suggests that protein oxidation is highly involved in AD and that this method might be useful to differentiate AD from other neurological disease.","Although literature on postdiagnostic support for people affected by young onset dementia acknowledges financial concerns, this topic has remained underresearched. The aim of this study was to explore the financial impact of a diagnosis of young onset dementia on individuals and families. An online survey, comprising binary yes/no, multiple-response and open-ended questions, was codesigned with people living with young onset dementia. The survey was promoted via networks and online platforms. Data were collected from August to October 2019. Survey respondents across the United Kingdom (n = 55) who had received a diagnosis of young onset dementia were aged between 45 and 64, were at different stages of dementia and had been diagnosed with thirteen different types of dementia. Of the 55 respondents, 71% (n = 39) had received assistance from family members when completing the survey. The main financial impact of a diagnosis of young onset dementia resulted from premature loss of income and reduced and often deferred pension entitlements. In some cases, care-costs became unaffordable. Lack of clarity of processes and procedures around needs assessments, carers' assessments and financial assessments by different organisations resulted in some families having to ask for legal advice and, in some cases, involved lengthy appeal processes. Future research needs to involve Adult Social Care and Third Sector organisations to help codesign and test financial management interventions to support people affected by this progressive health condition.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dementia Sentence A: The development of diagnostic markers for earlier and more reliable diagnosis of Alzheimer disease (AD) is essential, particularly because therapeutic medication is available for AD. Cerebrospinal fluid (CSF) is a useful source of diagnostic information. Previously we found the increase of total tau protein in CSF in normal pressure hydrocephalus patients, and others reported the increase also in corticobasal degeneration and frontotemporal dementia. To differentiate the AD from other diseases, further approach was employed and oxidized protein in CSF was investigated. Heat stable fractions of CSF were analyzed on the content of carbonyl residues, which are derivatives of protein oxidization. The result suggests that protein oxidation is highly involved in AD and that this method might be useful to differentiate AD from other neurological disease. Sentence B: Although literature on postdiagnostic support for people affected by young onset dementia acknowledges financial concerns, this topic has remained underresearched. The aim of this study was to explore the financial impact of a diagnosis of young onset dementia on individuals and families. An online survey, comprising binary yes/no, multiple-response and open-ended questions, was codesigned with people living with young onset dementia. The survey was promoted via networks and online platforms. Data were collected from August to October 2019. Survey respondents across the United Kingdom (n = 55) who had received a diagnosis of young onset dementia were aged between 45 and 64, were at different stages of dementia and had been diagnosed with thirteen different types of dementia. Of the 55 respondents, 71% (n = 39) had received assistance from family members when completing the survey. The main financial impact of a diagnosis of young onset dementia resulted from premature loss of income and reduced and often deferred pension entitlements. In some cases, care-costs became unaffordable. Lack of clarity of processes and procedures around needs assessments, carers' assessments and financial assessments by different organisations resulted in some families having to ask for legal advice and, in some cases, involved lengthy appeal processes. Future research needs to involve Adult Social Care and Third Sector organisations to help codesign and test financial management interventions to support people affected by this progressive health condition. ###Answer 1. Changed Reasoning: In Sentence A, the target word ""dementia"" is used to describe a specific medical condition (Alzheimer's disease). The sentence highlights the importance of diagnostic markers and differentiating AD from other diseases. The word ""dementia"" is used in a medical context and carries a sense of urgency and severity. In Sentence B, the target word ""dementia"" is used in a different context. The sentence discusses the financial impact of a diagnosis of young onset dementia on individuals and families. The word ""dementia"" is used to describe a broader range of symptoms and experiences, including cognitive decline and emotional distress. The sentence does not convey the same sense of urgency or severity as Sentence A. Based on these differences in context and meaning, it can be concluded that the semantic drift of the target word ""dementia"" has occurred between the two sentences. The word has shifted from a medical context to a broader, more general context, indicating a change in its meaning or connotation. Therefore, the label ""Changed"" is appropriate." 26,Dementia,"Cerebrospinal fluid (CSF) neopterin levels were determined by RIA in individuals with central nervous system (CNS) or human immunodeficiency virus (HIV) infections and in healthy controls. The mean CSF neopterin concentrations were 63.0 nmol/L in 15 patients with acute bacterial meningitis, 54.9 nmol/L in 15 patients with Lyme neuroborreliosis, 32.5 nmol/L in 10 patients with viral meningitis, 130.9 nmol/L in 8 patients with viral encephalitis, 13.9 nmol/L in 15 patients with asymptomatic HIV infection, 26.0 nmol/L in 11 patients with AIDS without dementia, 65.4 nmol/L in 4 patients with AIDS dementia, and 4.2 nmol/L in 24 healthy controls. Although patients with viral encephalitis had higher mean neopterin levels than any other patient category studied, the CSF neopterin concentrations cannot be used to discriminate between viral and bacterial infections. Analysis of CSF levels of neopterin may be useful as guidance in following clinical course and effect of treatment and can provide information of value in addition to CSF cell count as a measurement of CNS immune stimulation.","With progress in neurosciences, neuroimaging and brain stimulation techniques, mental illnesses are now being seen as development anomalies at the molecular-structural level of synapses, resulting in abnormal cross wiring in areas responsible for complex cognitive and emotional processing. These include the multimodal association cortices situated in the prefrontal lobes, the insula in the temporal lobes, midline cortical structures, and their connections to the thalamus, amygdala and the basal ganglia. Three key networks have been identified which are considered the brain hubs for complex perceptual, emotional and behavior processing as well as introspection, theory of mind and self-awareness; namely the salience network (SN), the central executive network (CEN) and the default mode network (DMN). They function in an interconnected manner and involve in higher information processing of the entire internal and external milieu of the organism to determine the behavior strategies to be adopted. A triple network model of aberrant saliency mapping and cognitive dysfunction in psychopathology has been put forward recently and an attempt is being made to understand core cognitive networks and their dysfunction across multiple disorders including schizophrenia, depression, anxiety, autism and dementia. Against this background, the author would like to take the triple network dysfunction model a step further to hypothesize the following. 1. All or some of the three core networks (CEN, SN & DMN) are affected variably in psychiatric disorders, the severity and the nature of the clinical symptoms depending upon the degree of damage and the number of networks that are dysfunctional and whether that dysfunction is reversible or permanent. For example, in a condition like schizophrenia, all three networks would more or less be affected giving rise to plethora of symptoms like executive deficits, negative symptoms, abnormal salience and mood states. In milder conditions like anxiety and depressive disorders, on the other hand, the dysfunction is of a lesser degree and reversible. 2. These networks are the final common pathway through which a variety of internal or environment insults to the brains may act, the degree of damage and reversibility being determined by the critical period of brain development in which these occur. 3. The harmonious functioning of these core networks is what gives rise to the complex phenomenon of the mind in the brain.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dementia Sentence A: Cerebrospinal fluid (CSF) neopterin levels were determined by RIA in individuals with central nervous system (CNS) or human immunodeficiency virus (HIV) infections and in healthy controls. The mean CSF neopterin concentrations were 63.0 nmol/L in 15 patients with acute bacterial meningitis, 54.9 nmol/L in 15 patients with Lyme neuroborreliosis, 32.5 nmol/L in 10 patients with viral meningitis, 130.9 nmol/L in 8 patients with viral encephalitis, 13.9 nmol/L in 15 patients with asymptomatic HIV infection, 26.0 nmol/L in 11 patients with AIDS without dementia, 65.4 nmol/L in 4 patients with AIDS dementia, and 4.2 nmol/L in 24 healthy controls. Although patients with viral encephalitis had higher mean neopterin levels than any other patient category studied, the CSF neopterin concentrations cannot be used to discriminate between viral and bacterial infections. Analysis of CSF levels of neopterin may be useful as guidance in following clinical course and effect of treatment and can provide information of value in addition to CSF cell count as a measurement of CNS immune stimulation. Sentence B: With progress in neurosciences, neuroimaging and brain stimulation techniques, mental illnesses are now being seen as development anomalies at the molecular-structural level of synapses, resulting in abnormal cross wiring in areas responsible for complex cognitive and emotional processing. These include the multimodal association cortices situated in the prefrontal lobes, the insula in the temporal lobes, midline cortical structures, and their connections to the thalamus, amygdala and the basal ganglia. Three key networks have been identified which are considered the brain hubs for complex perceptual, emotional and behavior processing as well as introspection, theory of mind and self-awareness; namely the salience network (SN), the central executive network (CEN) and the default mode network (DMN). They function in an interconnected manner and involve in higher information processing of the entire internal and external milieu of the organism to determine the behavior strategies to be adopted. A triple network model of aberrant saliency mapping and cognitive dysfunction in psychopathology has been put forward recently and an attempt is being made to understand core cognitive networks and their dysfunction across multiple disorders including schizophrenia, depression, anxiety, autism and dementia. Against this background, the author would like to take the triple network dysfunction model a step further to hypothesize the following. 1. All or some of the three core networks (CEN, SN & DMN) are affected variably in psychiatric disorders, the severity and the nature of the clinical symptoms depending upon the degree of damage and the number of networks that are dysfunctional and whether that dysfunction is reversible or permanent. For example, in a condition like schizophrenia, all three networks would more or less be affected giving rise to plethora of symptoms like executive deficits, negative symptoms, abnormal salience and mood states. In milder conditions like anxiety and depressive disorders, on the other hand, the dysfunction is of a lesser degree and reversible. 2. These networks are the final common pathway through which a variety of internal or environment insults to the brains may act, the degree of damage and reversibility being determined by the critical period of brain development in which these occur. 3. The harmonious functioning of these core networks is what gives rise to the complex phenomenon of the mind in the brain. ###Answer 1. Changed The meaning of the target word ""dementia"" has significantly shifted between the two sentences. In Sentence A, the term is used to describe a specific medical condition characterized by inflammation in the central nervous system, with a focus on the role of cerebrospinal fluid neopterin levels in diagnosis. In Sentence B, the term is used more broadly to refer to mental illnesses as development anomalies at the molecular-structural level of synapses, with a focus on the interconnectedness of various brain networks and their dysfunction in psychiatric disorders. The shift in meaning is evident in the different contexts and the broader scope of the term in Sentence B. Therefore, the label ""Changed"" is appropriate." 27,Dementia,"A 57-year-old woman developed dementia and peripheral neuropathy 16 years after a partial gastrectomy (Billroth II). Serum cobalamin was 198 pmol/l (reference interval 150-550), and the vitamin B12 absorption test (Schilling) showed decreased absorption (1.7% without and 2.2% with intrinsic factor). In spite of 20 months' therapy with vitamin B12, the neurological symptoms progressed. Folate deficiency was suggested by a very low erythrocyte folate and a slightly abnormal FIGLU test. There were no other signs of general malabsorption. A few months' treatment with folic acid significantly improved the massive neurological manifestations which were verified neurophysiologically as well as histologically. A common role of vitamin B12 and folate in the development of neuropathy is suggested.","The elderly population of ethnic minorities is increasing in most Western countries, but ethnic minority patients are underrepresented in dementia assessment and care. This may in part be due to cultural perceptions of dementia and lack of knowledge about the available support among ethnic minorities. Also, it can be difficult to make clinical assessments of ethnic minority patients who do see a physician for dementia symptoms. In particular, the interpretation of cognitive test results represents a major challenge.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dementia Sentence A: A 57-year-old woman developed dementia and peripheral neuropathy 16 years after a partial gastrectomy (Billroth II). Serum cobalamin was 198 pmol/l (reference interval 150-550), and the vitamin B12 absorption test (Schilling) showed decreased absorption (1.7% without and 2.2% with intrinsic factor). In spite of 20 months' therapy with vitamin B12, the neurological symptoms progressed. Folate deficiency was suggested by a very low erythrocyte folate and a slightly abnormal FIGLU test. There were no other signs of general malabsorption. A few months' treatment with folic acid significantly improved the massive neurological manifestations which were verified neurophysiologically as well as histologically. A common role of vitamin B12 and folate in the development of neuropathy is suggested. Sentence B: The elderly population of ethnic minorities is increasing in most Western countries, but ethnic minority patients are underrepresented in dementia assessment and care. This may in part be due to cultural perceptions of dementia and lack of knowledge about the available support among ethnic minorities. Also, it can be difficult to make clinical assessments of ethnic minority patients who do see a physician for dementia symptoms. In particular, the interpretation of cognitive test results represents a major challenge. ###Answer 1. Changed Reasoning: In Sentence A, the term ""dementia"" is used to describe a specific medical condition (a 57-year-old woman developed dementia and peripheral neuropathy). The sentence also highlights the role of vitamin B12 and folate in the development of neuropathy. In this context, ""dementia"" refers to a specific medical condition characterized by cognitive decline and memory loss. In Sentence B, the term ""dementia"" is used in a broader context, referring to the elderly population of ethnic minorities. The sentence highlights the underrepresentation of ethnic minorities in dementia assessment and care, and the potential cultural and language barriers that may exist. In this context, ""dementia"" refers to a broader category of cognitive decline and memory loss experienced by the elderly population of ethnic minorities. Comparing Sentence A and Sentence B, it is clear that the meaning of the term ""dementia"" has shifted from a specific medical condition to a broader category of cognitive decline and memory loss experienced by different populations. Therefore, the label ""Changed"" is appropriate." 28,Dementia,"Insomnia in elderly people has traditionally been regarded as inevitable and trivial. A longitudinal study was undertaken to examine the prevalence of sleep disturbance among elderly people in an inner London community and its association with demographic variables, depression, dementia and disability. Those aged 65 years and over living at home were interviewed using a validated and reliable semi-structured interview schedule. A total of 705 people were interviewed in 1987-88 and 524 were re-interviewed in 1990. Subjective sleep disturbance was found to be common (33% and 43%, respectively). Sleep disturbance was associated with being a woman, being unmarried, living alone, disability, and current and future depression, but not with dementia or older age. The best predictor of future depression in elderly people who were not depressed was current sleep disturbance. In the presence of current sleep disturbance, the traditional predictors of depression--being a woman, having a disability, being unmarried, living alone and being older--did not contribute further. This study has shown that sleep disorder is associated with pathology. Insomnia in elderly people requires assessment and this must be accompanied by the treatment of underlying disorders and monitoring of future health.","Two-thirds of people living with Alzheimer's disease and related dementias (ADRD) live in low- and middle-income countries, and this figure is expected to rise as these populations are rapidly aging. Since evidence demonstrates links between socioeconomic status and slower rates of cognitive decline, protecting older adults' cognitive function in resource-limited countries that lack the infrastructure to cope with ADRD is crucial to reduce the burden it places on these populations and their health systems. While cash transfers are a promising intervention to promote healthy cognitive aging, factors such as household wealth and level of education often confound the ability to make causal inferences on the impact of cash transfers and cognitive function. This study uses a quasi-experimental design, leveraging an exogenous expansion to the Old Age Pension for men in South Africa, to approximate causal associations with cognitive function. We found evidence that there is a potential benefit of cash transfers at an earlier age for older individuals. As such, transfers such as pensions or other forms of direct basic income transfers may hold promise as potential interventions to promote healthy cognitive aging.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dementia Sentence A: Insomnia in elderly people has traditionally been regarded as inevitable and trivial. A longitudinal study was undertaken to examine the prevalence of sleep disturbance among elderly people in an inner London community and its association with demographic variables, depression, dementia and disability. Those aged 65 years and over living at home were interviewed using a validated and reliable semi-structured interview schedule. A total of 705 people were interviewed in 1987-88 and 524 were re-interviewed in 1990. Subjective sleep disturbance was found to be common (33% and 43%, respectively). Sleep disturbance was associated with being a woman, being unmarried, living alone, disability, and current and future depression, but not with dementia or older age. The best predictor of future depression in elderly people who were not depressed was current sleep disturbance. In the presence of current sleep disturbance, the traditional predictors of depression--being a woman, having a disability, being unmarried, living alone and being older--did not contribute further. This study has shown that sleep disorder is associated with pathology. Insomnia in elderly people requires assessment and this must be accompanied by the treatment of underlying disorders and monitoring of future health. Sentence B: Two-thirds of people living with Alzheimer's disease and related dementias (ADRD) live in low- and middle-income countries, and this figure is expected to rise as these populations are rapidly aging. Since evidence demonstrates links between socioeconomic status and slower rates of cognitive decline, protecting older adults' cognitive function in resource-limited countries that lack the infrastructure to cope with ADRD is crucial to reduce the burden it places on these populations and their health systems. While cash transfers are a promising intervention to promote healthy cognitive aging, factors such as household wealth and level of education often confound the ability to make causal inferences on the impact of cash transfers and cognitive function. This study uses a quasi-experimental design, leveraging an exogenous expansion to the Old Age Pension for men in South Africa, to approximate causal associations with cognitive function. We found evidence that there is a potential benefit of cash transfers at an earlier age for older individuals. As such, transfers such as pensions or other forms of direct basic income transfers may hold promise as potential interventions to promote healthy cognitive aging. ###Answer 1. Changed Reasoning: The meaning of ""dementia"" has shifted significantly between the two sentences. In Sentence A, ""dementia"" is associated with ""insomnia in elderly people"" and is described as ""traditionally regarded as inevitable and trivial."" In Sentence B, ""dementia"" is associated with ""Alzheimer's disease and related dementias"" and is described as ""living in low- and middle-income countries."" The shift in meaning suggests that the term ""dementia"" has taken on a different connotation over time, from a relatively mild sleep disturbance in elderly people to a more severe and widespread cognitive disorder affecting populations worldwide." 29,Dementia,"Cytomegalovirus (CMV) causes five distinct neurological syndromes in patients with AIDS: retinitis, myelitis/polyradiculopathy, encephalitis with dementia, ventriculoencephalitis, and mononeuritis multiplex. The clinical syndromes associated with CMV ventriculoencephalitis and diffuse encephalitis in patients with AIDS have only recently been clearly described despite the fact that multiple neuropathologic descriptions of CMV in the brain have been published over the past decade. Even more-subtle levels of cognitive impairment have been detected in patients with CMV retinitis who are also at increased risk of developing diffuse CMV encephalitis. Demonstration of CMV DNA in the CSF with use of the polymerase chain reaction may provide both a sensitive and specific method for diagnosis of these syndromes. The effectiveness of aggressive early treatment of CMV syndromes in the nervous system, with the exception of retinitis, is unclear and warrants formal trials.","Cerebral small vessel disease (cSVD) and amyloid-β (Aβ) deposition often co-exist in (prodromal) dementia, and both types of pathology have been associated with neurodegeneration. We examined whether cSVD and Aβ have independent or interactive effects on hippocampal volume (HV) in a memory clinic population. We included 87 individuals with clinical diagnoses of Alzheimer's disease (AD) (n = 24), mild cognitive impairment (MCI) (n = 26), and subjective cognitive complaints (SCC) (n = 37). cSVD magnetic resonance imaging markers included white matter hyperintensity (WMH) volume, lacunar infarct presence, and microbleed presence. Aβ pathology was assessed as cerebrospinal fluid-derived Aβ1 - 42 levels and dichotomized into normal or abnormal, and HV was determined by manual volumetric measurements. A linear hierarchical regression approach was applied for the detection of additive or interaction effects between cSVD and Aβ on HV in the total participant group (n = 87) and in the non-demented group (including SCC and MCI individuals only, n = 63). The results revealed that abnormal Aβ and lacunar infarct presence were independently associated with lower HV in the non-demented individuals. Interestingly, Aβ and WMH pathology interacted in the non-demented individuals, such that WMH had a negative effect on HV in individuals with abnormal CSF Aβ42 levels, but not in individuals with normal CSF Aβ42 levels. These associations were not present when individuals with AD were included in the analyses. Our observations suggest that relatively early on in the disease process older individuals with abnormal Aβ levels are at an increased risk of accelerated disease progression when concomitant cSVD is present.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dementia Sentence A: Cytomegalovirus (CMV) causes five distinct neurological syndromes in patients with AIDS: retinitis, myelitis/polyradiculopathy, encephalitis with dementia, ventriculoencephalitis, and mononeuritis multiplex. The clinical syndromes associated with CMV ventriculoencephalitis and diffuse encephalitis in patients with AIDS have only recently been clearly described despite the fact that multiple neuropathologic descriptions of CMV in the brain have been published over the past decade. Even more-subtle levels of cognitive impairment have been detected in patients with CMV retinitis who are also at increased risk of developing diffuse CMV encephalitis. Demonstration of CMV DNA in the CSF with use of the polymerase chain reaction may provide both a sensitive and specific method for diagnosis of these syndromes. The effectiveness of aggressive early treatment of CMV syndromes in the nervous system, with the exception of retinitis, is unclear and warrants formal trials. Sentence B: Cerebral small vessel disease (cSVD) and amyloid-β (Aβ) deposition often co-exist in (prodromal) dementia, and both types of pathology have been associated with neurodegeneration. We examined whether cSVD and Aβ have independent or interactive effects on hippocampal volume (HV) in a memory clinic population. We included 87 individuals with clinical diagnoses of Alzheimer's disease (AD) (n = 24), mild cognitive impairment (MCI) (n = 26), and subjective cognitive complaints (SCC) (n = 37). cSVD magnetic resonance imaging markers included white matter hyperintensity (WMH) volume, lacunar infarct presence, and microbleed presence. Aβ pathology was assessed as cerebrospinal fluid-derived Aβ1 - 42 levels and dichotomized into normal or abnormal, and HV was determined by manual volumetric measurements. A linear hierarchical regression approach was applied for the detection of additive or interaction effects between cSVD and Aβ on HV in the total participant group (n = 87) and in the non-demented group (including SCC and MCI individuals only, n = 63). The results revealed that abnormal Aβ and lacunar infarct presence were independently associated with lower HV in the non-demented individuals. Interestingly, Aβ and WMH pathology interacted in the non-demented individuals, such that WMH had a negative effect on HV in individuals with abnormal CSF Aβ42 levels, but not in individuals with normal CSF Aβ42 levels. These associations were not present when individuals with AD were included in the analyses. Our observations suggest that relatively early on in the disease process older individuals with abnormal Aβ levels are at an increased risk of accelerated disease progression when concomitant cSVD is present. ###Answer 1. Changed The meaning of the target word ""dementia"" has significantly shifted between the two sentences. In Sentence A, dementia is associated with specific neurological syndromes caused by Cytomegalovirus (CMV) in patients with AIDS. In Sentence B, dementia is associated with cerebral small vessel disease (cSVD) and amyloid-β (Aβ) deposition in a memory clinic population. The two sentences imply different causes and pathways for dementia, indicating a semantic shift in the meaning of the word." 30,Dementia,"The utility of the Dementia Rating Scale (DRS) when administered to individuals with mental retardation (MR) was examined. Our sample was comprised of individuals residing in an intermediate care facility in the southeastern United States, included individuals diagnosed with mild, moderate, or severe MR, and consisted of both Caucasians (50%) and individuals of African-American descent (50%). Descriptive statistics for the DRS Total Score and five subtests (e. g., Attention, Initiation/Perseveration, Construction, Conceptualization, and Memory) obtained from our sample of individuals with mild MR compared favorably with previously published values. The group with mild MR performed significantly better than the group with moderate MR on the Total Score and all subtests except Construction, and the group with moderate MR performed significantly better than individuals with severe MR on all measures. These results show that the DRS can provide information about the cognitive strengths and weaknesses of individuals with mental retardation, and they show that the DRS can be administered to a wide range of individuals diagnosed with MR.","Dementia is an impairment of mental ability representing a decline from that level previously reached by the individual. It is usually of insidious onset, associated with neurologic changes, and results in the inability to appropriately interact with one's environment. Dementias may be static, progressive, or reversible, and have many etiologies. One percent of the population above age 40 suffers from dementia and this figure rises to 7% above age 80 and 50% above age 90. Forty-five percent of dementias are due to Alzheimer disease (AD) followed closely by vascular dementia. A stage along the way to dementia is mild cognitive impairment (MCI). There are various definitions but the simplest ones refer to a person who has some memory problems but can continue to live independently. A more specific description refers to deficits in two or more areas of cognition >1.5 SD below mean for the individuals age and education. Although previously considered a part of normal aging, a recent study has shown MCI to be a precursor of Alzheimer disease (1). In a cohort of nuns and priests studied annually until they developed MCI or dementia and died. 180 brains in this study have already been autopsied (37 MCI, 60 with no impairment, 53 with dementia). Pathologists measured theamount of AD pathology and cerebral infarcts. Of 37 with MCI, more than half had AD by pathology, 1/3 had infarcts (5 with both) and 14 did not have either pathology. One third of the 180 with average age of 85 had no cognitive decline! Since this study showed MCI patients to have Alzheimer disease pathology in their brains, recognition of MCI clinically is important for institution of therapy, although there has not yet been an effective therapy developed. ","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dementia Sentence A: The utility of the Dementia Rating Scale (DRS) when administered to individuals with mental retardation (MR) was examined. Our sample was comprised of individuals residing in an intermediate care facility in the southeastern United States, included individuals diagnosed with mild, moderate, or severe MR, and consisted of both Caucasians (50%) and individuals of African-American descent (50%). Descriptive statistics for the DRS Total Score and five subtests (e. g., Attention, Initiation/Perseveration, Construction, Conceptualization, and Memory) obtained from our sample of individuals with mild MR compared favorably with previously published values. The group with mild MR performed significantly better than the group with moderate MR on the Total Score and all subtests except Construction, and the group with moderate MR performed significantly better than individuals with severe MR on all measures. These results show that the DRS can provide information about the cognitive strengths and weaknesses of individuals with mental retardation, and they show that the DRS can be administered to a wide range of individuals diagnosed with MR. Sentence B: Dementia is an impairment of mental ability representing a decline from that level previously reached by the individual. It is usually of insidious onset, associated with neurologic changes, and results in the inability to appropriately interact with one's environment. Dementias may be static, progressive, or reversible, and have many etiologies. One percent of the population above age 40 suffers from dementia and this figure rises to 7% above age 80 and 50% above age 90. Forty-five percent of dementias are due to Alzheimer disease (AD) followed closely by vascular dementia. A stage along the way to dementia is mild cognitive impairment (MCI). There are various definitions but the simplest ones refer to a person who has some memory problems but can continue to live independently. A more specific description refers to deficits in two or more areas of cognition >1.5 SD below mean for the individuals age and education. Although previously considered a part of normal aging, a recent study has shown MCI to be a precursor of Alzheimer disease (1). In a cohort of nuns and priests studied annually until they developed MCI or dementia and died. 180 brains in this study have already been autopsied (37 MCI, 60 with no impairment, 53 with dementia). Pathologists measured theamount of AD pathology and cerebral infarcts. Of 37 with MCI, more than half had AD by pathology, 1/3 had infarcts (5 with both) and 14 did not have either pathology. One third of the 180 with average age of 85 had no cognitive decline! Since this study showed MCI patients to have Alzheimer disease pathology in their brains, recognition of MCI clinically is important for institution of therapy, although there has not yet been an effective therapy developed. ###Answer 1. Changed Reasoning: The target word ""Dementia"" has undergone a significant change in meaning between Sentence A (2000) and Sentence B (2020). In Sentence A, the term is used to describe a specific impairment of mental ability, associated with neurologic changes, and resulting in the inability to appropriately interact with one's environment. The definition is more specific and focused on the cognitive deficits. On the other hand, in Sentence B (2020), the term ""Dementia"" is used more broadly to refer to a decline in cognitive ability, regardless of any specific underlying cause. The definition is less specific and more encompassing, covering a range of etiologies and stages, including mild cognitive impairment (MCI) as a precursor to dementia. Therefore, the meaning of the target word ""Dementia"" has shifted from a more specific and focused definition in Sentence A to a broader and more encompassing definition in Sentence B, indicating a semantic drift has occurred." 31,Dementia,"An auditory discrimination paradigm was employed to elicit event-related brain potentials in 13 patients with Alzheimer's disease and 14 patients with multi-infarct dementia. The P300 latency was significantly prolonged in 12 patients with dementia compared with age-matched controls and showed a significant negative correlation with the score of Wechsler Adult Intelligence Scale (WAIS), especially with that of Digit Span subtest. There was no disease specificity. After physostigmine treatment, P300 latency decreased and WAIS score increased in 6 among 10 cases.","We investigated changes of the scaling exponent alpha estimated by detrended fluctuation analysis (DFA) of electroencephalograms (EEG) in patients with dementia including Alzheimer's disease(AD), and attempted to apply a method of pattern recognition using the alpha value-based feature vector to classify dementia. In 9 patients with AD, 8 patients with other types of dementia (vD), and 7 patients without dementia(C), DFA was performed for approximately one minute with background EEG data recorded at 16 different scalp monopoles. The alpha values were significantly higher in patients with AD at electrodes F7, C3, P3, P4, T3, and T5 than in patients without dementia. No significant difference in alpha values was found between patients with vD and without dementia. Then, an artificial neural network (ANN) was trained on the alpha value-based feature vector of EEG to classify patients with dementia into AD and vD. The trained ANN successfully diagnosed all four new test cases of AD. From these observations, it is suggested that AD has a specific pattern in the alpha value-based feature vector. Thus, pattern recognition using alpha value-based feature vector may be useful for the classification of dementia.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dementia Sentence A: An auditory discrimination paradigm was employed to elicit event-related brain potentials in 13 patients with Alzheimer's disease and 14 patients with multi-infarct dementia. The P300 latency was significantly prolonged in 12 patients with dementia compared with age-matched controls and showed a significant negative correlation with the score of Wechsler Adult Intelligence Scale (WAIS), especially with that of Digit Span subtest. There was no disease specificity. After physostigmine treatment, P300 latency decreased and WAIS score increased in 6 among 10 cases. Sentence B: We investigated changes of the scaling exponent alpha estimated by detrended fluctuation analysis (DFA) of electroencephalograms (EEG) in patients with dementia including Alzheimer's disease(AD), and attempted to apply a method of pattern recognition using the alpha value-based feature vector to classify dementia. In 9 patients with AD, 8 patients with other types of dementia (vD), and 7 patients without dementia(C), DFA was performed for approximately one minute with background EEG data recorded at 16 different scalp monopoles. The alpha values were significantly higher in patients with AD at electrodes F7, C3, P3, P4, T3, and T5 than in patients without dementia. No significant difference in alpha values was found between patients with vD and without dementia. Then, an artificial neural network (ANN) was trained on the alpha value-based feature vector of EEG to classify patients with dementia into AD and vD. The trained ANN successfully diagnosed all four new test cases of AD. From these observations, it is suggested that AD has a specific pattern in the alpha value-based feature vector. Thus, pattern recognition using alpha value-based feature vector may be useful for the classification of dementia. ###Answer 1. Changed Reasoning: In Sentence A, the target word ""dementia"" is used to describe a specific type of neurodegenerative disorder (Alzheimer's disease). The sentence highlights the unique features of this disorder, such as the prolongation of the P300 latency and the negative correlation with cognitive function. The context suggests that the term ""dementia"" in this sentence carries a specific meaning related to the medical field and the study of neurodegenerative disorders. In Sentence B, the target word ""dementia"" is used in a different context. The sentence discusses changes in the scaling exponent alpha estimated by detrended fluctuation analysis (DFA) of electroencephalograms (EEG) in patients with dementia, including Alzheimer's disease (AD). The sentence does not focus on the specific features of neurodegenerative disorders but rather on the analysis of EEG data to classify dementia. The context suggests that the term ""dementia"" in this sentence carries a broader meaning related to cognitive decline and neurological disorders in general. Based on these differences in context and meaning, it can be concluded that the term ""dementia"" has undergone a significant change in meaning between Sentence A and Sentence B. In Sentence A, the term is used to describe a specific type of neurodegenerative disorder, while in Sentence B, it is used more broadly to refer to cognitive decline and neurological disorders in general. Therefore, the label ""Changed"" is appropriate to describe the semantic drift of the target word in this task." 32,Dementia,"An autopsy case of familial juvenile Alzheimer's disease with extensive involvement of the subcortical gray and white matters is reported. A 33-year-old woman showed a progressive dementia and died of cardiac failure at the age of 45. Neurological examination disclosed choreatic movements, myoclonus, rigidity, and generalized convulsion. Gross inspection of the brain showed a diffuse cerebral atrophy and marked degenerations of both the subcortical gray and white matters. Microscopically, numerous and extensive argyrophilic changes such as senile plaques, neurofibrillary tangles, and granulovacuolar degenerations were observed in the brain. The present case was characterized by a severe neuronal loss in the basal ganglia, substantia nigra, dentate nucleus, and thalamus as well as a marked myelin loss and axonal damage in the cerebral white matter. This case suggested a combination of multisystemic degeneration and primary degeneration of the cerebral white matter. The pathological similarity of this case to Creutzfeldt-Jakob disease and Pick's disease is discussed.","Disruptions in circadian rhythms can occur in healthy aging; however, these changes are more severe and pervasive in individuals with age-related and neurodegenerative diseases, such as dementia. Circadian rhythm alterations are also present in preclinical stages of dementia, for example, in patients with mild cognitive impairments (MCI); thus, providing a unique window of opportunity for early intervention in neurodegenerative disorders. Nonetheless, there is a lack of studies examining the association between relevant changes in circadian rhythms and their relationship with cognitive dysfunctions in MCI individuals. In this review, circadian system alterations occurring in MCI patients are examined compared to healthy aging individuals while also considering their association with MCI neurocognitive alterations. The main findings are that abnormal circadian changes in rest-activity, core body temperature, melatonin, and cortisol rhythms appear in the MCI stage and that these circadian rhythm disruptions are associated with some of the neurocognitive deficits observed in MCI patients. In addition, preliminary evidence indicates that interventions aimed at restoring regular circadian rhythms may prevent or halt the progress of neurodegenerative diseases and mitigate their related cognitive impairments. Future longitudinal studies with repeated follow-up assessments are needed to establish the translational potential of these findings in clinical practice.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dementia Sentence A: An autopsy case of familial juvenile Alzheimer's disease with extensive involvement of the subcortical gray and white matters is reported. A 33-year-old woman showed a progressive dementia and died of cardiac failure at the age of 45. Neurological examination disclosed choreatic movements, myoclonus, rigidity, and generalized convulsion. Gross inspection of the brain showed a diffuse cerebral atrophy and marked degenerations of both the subcortical gray and white matters. Microscopically, numerous and extensive argyrophilic changes such as senile plaques, neurofibrillary tangles, and granulovacuolar degenerations were observed in the brain. The present case was characterized by a severe neuronal loss in the basal ganglia, substantia nigra, dentate nucleus, and thalamus as well as a marked myelin loss and axonal damage in the cerebral white matter. This case suggested a combination of multisystemic degeneration and primary degeneration of the cerebral white matter. The pathological similarity of this case to Creutzfeldt-Jakob disease and Pick's disease is discussed. Sentence B: Disruptions in circadian rhythms can occur in healthy aging; however, these changes are more severe and pervasive in individuals with age-related and neurodegenerative diseases, such as dementia. Circadian rhythm alterations are also present in preclinical stages of dementia, for example, in patients with mild cognitive impairments (MCI); thus, providing a unique window of opportunity for early intervention in neurodegenerative disorders. Nonetheless, there is a lack of studies examining the association between relevant changes in circadian rhythms and their relationship with cognitive dysfunctions in MCI individuals. In this review, circadian system alterations occurring in MCI patients are examined compared to healthy aging individuals while also considering their association with MCI neurocognitive alterations. The main findings are that abnormal circadian changes in rest-activity, core body temperature, melatonin, and cortisol rhythms appear in the MCI stage and that these circadian rhythm disruptions are associated with some of the neurocognitive deficits observed in MCI patients. In addition, preliminary evidence indicates that interventions aimed at restoring regular circadian rhythms may prevent or halt the progress of neurodegenerative diseases and mitigate their related cognitive impairments. Future longitudinal studies with repeated follow-up assessments are needed to establish the translational potential of these findings in clinical practice. ###Answer 1. Changed Explanation: In Sentence A, the term ""dementia"" is used to describe a specific neurodegenerative disorder characterized by cognitive decline and memory loss. The sentence highlights the progressive nature of the disease and the involvement of various brain regions, including the subcortical gray and white matters. The term ""dementia"" is used in a medical context, emphasizing its pathological connotation. In Sentence B, the term ""dementia"" is used in a different context. The sentence discusses the relationship between circadian rhythm alterations and cognitive dysfunctions in individuals with mild cognitive impairments (MCI). The term ""dementia"" is used to describe a broader range of cognitive impairments, including those that may not be severe enough to meet the criteria for a definitive diagnosis of dementia. The sentence highlights the dynamic nature of cognitive function and the potential for interventions aimed at restoring regular circadian rhythms to prevent or halt the progress of neurodegenerative diseases. Based on these differences in context and meaning, it is clear that the term ""dementia"" has undergone a significant change in meaning between Sentence A and Sentence B. In Sentence A, the term is used in a medical context to describe a specific neurodegenerative disorder, while in Sentence B, it is used in a broader context to describe a range of cognitive impairments. Therefore, I would label this example as ""Changed""." 33,Dementia,"In an international study, psychometric properties of the Care Dependency Scale (CDS) were examined by analysing data gathered in Dutch, Canadian, Italian and Norwegian nursing homes. For that purpose, from these countries a convenience sample was developed consisting of 525 patients with dementia. The English, Italian and Norwegian research instruments were translations of the original Dutch CDS. Psychometric evaluations of the CDS were carried out for each country separately as well as for the four countries combined. High alpha coefficients between 0.94 and 0.97 were calculated. Subsequent test-retest and inter-rater reliability revealed moderate to substantial Kappa values. Factor analysis resulted in a one-factor solution. The scalability of the CDS was demonstrated by means of Mokken scale analysis. One of the main outcomes of the cross-cultural comparison was that the findings in the four countries show more similarities than differences, so that the scale can be used appropriately in nursing home practice.","The misfolding of host-encoded proteins into pathological prion conformations is a defining characteristic of many neurodegenerative disorders, including Alzheimer's disease, Parkinson's disease, and Lewy body dementia. A current area of intense study is the way in which the pathological deposition of these proteins might influence each other, as various combinations of co-pathology between prion-capable proteins are associated with exacerbation of disease. A spectrum of pathological, genetic and biochemical evidence provides credence to the notion that amyloid β (Aβ) accumulation can induce and promote α-synuclein pathology, driving neurodegeneration.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dementia Sentence A: In an international study, psychometric properties of the Care Dependency Scale (CDS) were examined by analysing data gathered in Dutch, Canadian, Italian and Norwegian nursing homes. For that purpose, from these countries a convenience sample was developed consisting of 525 patients with dementia. The English, Italian and Norwegian research instruments were translations of the original Dutch CDS. Psychometric evaluations of the CDS were carried out for each country separately as well as for the four countries combined. High alpha coefficients between 0.94 and 0.97 were calculated. Subsequent test-retest and inter-rater reliability revealed moderate to substantial Kappa values. Factor analysis resulted in a one-factor solution. The scalability of the CDS was demonstrated by means of Mokken scale analysis. One of the main outcomes of the cross-cultural comparison was that the findings in the four countries show more similarities than differences, so that the scale can be used appropriately in nursing home practice. Sentence B: The misfolding of host-encoded proteins into pathological prion conformations is a defining characteristic of many neurodegenerative disorders, including Alzheimer's disease, Parkinson's disease, and Lewy body dementia. A current area of intense study is the way in which the pathological deposition of these proteins might influence each other, as various combinations of co-pathology between prion-capable proteins are associated with exacerbation of disease. A spectrum of pathological, genetic and biochemical evidence provides credence to the notion that amyloid β (Aβ) accumulation can induce and promote α-synuclein pathology, driving neurodegeneration. ###Answer 1. Changed Reasoning: The target word ""dementia"" has undergone a significant change in meaning between Sentence A (2000) and Sentence B (2020). In Sentence A, the term refers to a specific neurodegenerative disorder characterized by cognitive decline and memory loss. In Sentence B, the term is used more broadly to describe any neurodegenerative disorder, including Alzheimer's disease, Parkinson's disease, and Lewy body dementia. This shift in meaning indicates semantic drift has occurred." 34,Dementia,"We reclassified the pathological subtypes of dementia with Lewy bodies (DLB), based on both Lewy pathology and Alzheimer pathology, to clarify the pathological entity of DLB and the boundary between DLB and Alzheimer's disease (AD) in autopsied cases, using both pathological and immunohistochemical methods. DLB was classified as either limbic type or neocortical type according to the degree of Lewy pathology including Lewy bodies (LB) and LB-related neurites by our staging, and was classified as pure form, common form or AD form according to the degree of Alzheimer pathology including neurofibrillary tangles (NFT) and amyloid deposits by Braak staging. These combined subtypes were lined up on a spectrum, not only with Lewy pathology but also with other DLB-related pathologies including Alzheimer pathology, neuronal loss in the substantia nigra, spongiform change in the transentorhinal cortex and LB-related neurites in the CA2-3 region. In contrast, the Lewy pathology of AD did not meet the stages of Lewy pathology in DLB, and there were scarcely any similarities in other DLB-related pathologies between AD and DLB. In addition, the Lewy pathology of AD had characteristics different from that of DLB, including the coexistence rate of LB with NFT, and the immunohistochemical and immunoelectron microscopic findings of LB and LB-related neurites. These findings suggest that DLB is a distinctive pathological entity that can be differentiated from AD, although it shows some pathological subtypes.",We examined racial and ethnic differences in medication use for a representative US population of patients with Alzheimer's disease and related dementias (ADRD).,"###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dementia Sentence A: We reclassified the pathological subtypes of dementia with Lewy bodies (DLB), based on both Lewy pathology and Alzheimer pathology, to clarify the pathological entity of DLB and the boundary between DLB and Alzheimer's disease (AD) in autopsied cases, using both pathological and immunohistochemical methods. DLB was classified as either limbic type or neocortical type according to the degree of Lewy pathology including Lewy bodies (LB) and LB-related neurites by our staging, and was classified as pure form, common form or AD form according to the degree of Alzheimer pathology including neurofibrillary tangles (NFT) and amyloid deposits by Braak staging. These combined subtypes were lined up on a spectrum, not only with Lewy pathology but also with other DLB-related pathologies including Alzheimer pathology, neuronal loss in the substantia nigra, spongiform change in the transentorhinal cortex and LB-related neurites in the CA2-3 region. In contrast, the Lewy pathology of AD did not meet the stages of Lewy pathology in DLB, and there were scarcely any similarities in other DLB-related pathologies between AD and DLB. In addition, the Lewy pathology of AD had characteristics different from that of DLB, including the coexistence rate of LB with NFT, and the immunohistochemical and immunoelectron microscopic findings of LB and LB-related neurites. These findings suggest that DLB is a distinctive pathological entity that can be differentiated from AD, although it shows some pathological subtypes. Sentence B: We examined racial and ethnic differences in medication use for a representative US population of patients with Alzheimer's disease and related dementias (ADRD). ###Answer 1. Changed Reasoning: In Sentence A, the term ""dementia"" is used to describe a specific set of pathological changes, including Lewy bodies and Alzheimer pathology, which are used to differentiate between DLB and AD. In contrast, in Sentence B, the term ""dementia"" is used more broadly to refer to a range of cognitive and behavioral changes associated with aging and neurodegenerative diseases, including AD and other forms of dementia. The shift in meaning suggests that the term ""dementia"" has undergone semantic drift, becoming more inclusive and encompassing a wider range of conditions." 35,Dementia,To probe the effect of the nourishing Kidney to inducing resuscitation (NKIR) on psychic evaluation table in patients of vascular dementia.,"Observational studies indicate U-shaped associations of blood pressure (BP) and incident dementia in older age, but randomized controlled trials of BP-lowering treatment show mixed results on this outcome in hypertensive patients. A pooled individual participant data analysis of five seminal randomized double-blind placebo-controlled trials was undertaken to better define the effects of BP-lowering treatment for the prevention of dementia.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dementia Sentence A: To probe the effect of the nourishing Kidney to inducing resuscitation (NKIR) on psychic evaluation table in patients of vascular dementia. Sentence B: Observational studies indicate U-shaped associations of blood pressure (BP) and incident dementia in older age, but randomized controlled trials of BP-lowering treatment show mixed results on this outcome in hypertensive patients. A pooled individual participant data analysis of five seminal randomized double-blind placebo-controlled trials was undertaken to better define the effects of BP-lowering treatment for the prevention of dementia. ###Answer 1. Changed Explanation: In Sentence A, the target word ""dementia"" refers to a specific medical condition, vascular dementia. In Sentence B, the target word ""dementia"" has a broader meaning, encompassing not only vascular dementia but also other types of dementia, such as Alzheimer's disease. This shift in meaning indicates semantic drift." 36,Dementia,"The pathological basis for the dementia which occurs in 20 to 40% of patients with idiopathic Parkinson's disease (PD) remains uncertain. In the present postmortem study, we compared the prevalence and severity of parenchymal and vascular amyloid-beta (Abeta) deposition in the cerebral cortex in a group of 57 PD brains, including 13 cases with dementia, and in 100 control brains. A higher proportion of PD brains had vascular Abeta deposition, whereas the proportions and severity of parenchymal Abeta were similar in the PD and control groups. There was a poor correlation between Abeta deposition and neurofibrillary tangles which were present in only small numbers in a minority of cases. Cortical Abeta deposition was present in only 6 of the 13 cases with dementia and only 3 fulfilled the Consortium to Establish a Registry for Alzheimer's Disease (CERAD) criteria for definite Alzheimer's disease. The present findings confirm that dementia in PD is only infrequently due to fully established Alzheimer's disease. However, vascular and parenchymal Abeta deposition could still contribute to dementia and cognitive decline when combined with other changes such as alpha-synuclein deposition in the cerebral cortex and cortical Lewy bodies.","Subjective cognitive decline (SCD) has been proposed as a risk factor for future cognitive decline and dementia. Given the heterogeneity of SCD and the lack of consensus about how to classify this condition, different operationalization approaches still need to be compared. In this study, we used the same sample of individuals to compare  different SCD operationalization approaches. We included 399 cognitively healthy individuals from a community-based cohort. SCD was assessed through nine questions about memory and non-memory subjective complaints. We applied four approaches to operationalize SCD: two hypothesis-driven approaches and two data-driven approaches. We characterized the resulting groups from each operationalization approach using multivariate methods on comprehensive demographic, clinical, cognitive, and neuroimaging data. We identified two main phenotypes: an amnestic phenotype characterized by an Alzheimer's Disease (AD) signature pattern of brain atrophy; and an anomic phenotype, which was mainly related to cerebrovascular pathology. Furthermore, language complaints other than naming helped to identify a subgroup with subclinical cognitive impairment and difficulties in activities of daily living. This subgroup also showed an AD signature pattern of atrophy. The identification of SCD phenotypes, characterized by different syndromic and biomarker profiles, varies depending on the operationalization approach used. In this study we discuss how these findings may be used in clinical practice and research.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dementia Sentence A: The pathological basis for the dementia which occurs in 20 to 40% of patients with idiopathic Parkinson's disease (PD) remains uncertain. In the present postmortem study, we compared the prevalence and severity of parenchymal and vascular amyloid-beta (Abeta) deposition in the cerebral cortex in a group of 57 PD brains, including 13 cases with dementia, and in 100 control brains. A higher proportion of PD brains had vascular Abeta deposition, whereas the proportions and severity of parenchymal Abeta were similar in the PD and control groups. There was a poor correlation between Abeta deposition and neurofibrillary tangles which were present in only small numbers in a minority of cases. Cortical Abeta deposition was present in only 6 of the 13 cases with dementia and only 3 fulfilled the Consortium to Establish a Registry for Alzheimer's Disease (CERAD) criteria for definite Alzheimer's disease. The present findings confirm that dementia in PD is only infrequently due to fully established Alzheimer's disease. However, vascular and parenchymal Abeta deposition could still contribute to dementia and cognitive decline when combined with other changes such as alpha-synuclein deposition in the cerebral cortex and cortical Lewy bodies. Sentence B: Subjective cognitive decline (SCD) has been proposed as a risk factor for future cognitive decline and dementia. Given the heterogeneity of SCD and the lack of consensus about how to classify this condition, different operationalization approaches still need to be compared. In this study, we used the same sample of individuals to compare  different SCD operationalization approaches. We included 399 cognitively healthy individuals from a community-based cohort. SCD was assessed through nine questions about memory and non-memory subjective complaints. We applied four approaches to operationalize SCD: two hypothesis-driven approaches and two data-driven approaches. We characterized the resulting groups from each operationalization approach using multivariate methods on comprehensive demographic, clinical, cognitive, and neuroimaging data. We identified two main phenotypes: an amnestic phenotype characterized by an Alzheimer's Disease (AD) signature pattern of brain atrophy; and an anomic phenotype, which was mainly related to cerebrovascular pathology. Furthermore, language complaints other than naming helped to identify a subgroup with subclinical cognitive impairment and difficulties in activities of daily living. This subgroup also showed an AD signature pattern of atrophy. The identification of SCD phenotypes, characterized by different syndromic and biomarker profiles, varies depending on the operationalization approach used. In this study we discuss how these findings may be used in clinical practice and research. ###Answer 1. Changed Reasoning: The target word ""dementia"" has undergone a significant change in meaning between Sentence A (2000) and Sentence B (2020). In Sentence A, dementia is described as a condition characterized by parenchymal and vascular Abeta deposition, with a poor correlation between Abeta deposition and neurofibrillary tangles. In contrast, in Sentence B, dementia is described as a subjective cognitive decline (SCD) that can be operationalized through different approaches, with an AD signature pattern of brain atrophy identified in one subgroup. The meaning of dementia has shifted from a primarily neurodegenerative condition to a more complex and multifactorial condition involving both neurodegeneration and cerebrovascular pathology. Therefore, the label ""Changed"" is appropriate for this task." 37,Dementia,"Celiac disease (CD/ Nontropicalsprue, gluten-sensitive enteropathy) is a malabsortive condition in which an allergic reaction to the cereal grain-protein gluten (present in wheat, rye and barley) causes small intestine mucosal injury. The onset is in the first four decades of life, with a female to male ratio of 2:1. It may be associated with a wide spectrum of neurological manifestations including cerebellar ataxia, epileptic seizures, dementia, neuropathy, myopathy and multifocal leucoencephalopathy. We report three patients with neurological manifestations related with CD: one with cerebellar ataxia, one with epilepsy and one with cognitive impairment. The diagnosis of CD was confirmed by serologic tests (antiendomysial and antigliadin antibodies) and biopsy of the small intestine. In two patients the neurological symptoms preceded the gastrointestinal abnormalities and in all of them gluten restriction failed to improve the neurological disability.","The diagnosis of dementia and the management of its associated symptoms are aided by high-quality assessment tools. However, there is disagreement on the optimal tools among abundant alternatives and lack of consistent quality standards across the different domains of dementia-related change (ie, cognition, severity, function, behavioral and psychological symptoms, delirium, quality of life). Standardization is difficult because the relevance of a measurement tool for health professionals may depend on the clinical setting and on the dementia type and severity. To address this need, we conducted a comprehensive and clinically relevant evidence-based review of dementia-related tools and present a set of recommended tools, the Dementia Outcomes Measurement Suite. The review revealed that considerable development has occurred in terms of assessment of persons with mild cognitive impairment, executive dysfunction, cognitively mediated functional change, and apathy. More research is needed to develop and validate tools to assess health-related quality of life and specific symptoms of dementia including anxiety, wandering, and repetitive vocalizations. This extensive overview of the quality of different measures may serve as a guide for health professionals clinically and for researchers developing new or improved dementia assessment tools.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dementia Sentence A: Celiac disease (CD/ Nontropicalsprue, gluten-sensitive enteropathy) is a malabsortive condition in which an allergic reaction to the cereal grain-protein gluten (present in wheat, rye and barley) causes small intestine mucosal injury. The onset is in the first four decades of life, with a female to male ratio of 2:1. It may be associated with a wide spectrum of neurological manifestations including cerebellar ataxia, epileptic seizures, dementia, neuropathy, myopathy and multifocal leucoencephalopathy. We report three patients with neurological manifestations related with CD: one with cerebellar ataxia, one with epilepsy and one with cognitive impairment. The diagnosis of CD was confirmed by serologic tests (antiendomysial and antigliadin antibodies) and biopsy of the small intestine. In two patients the neurological symptoms preceded the gastrointestinal abnormalities and in all of them gluten restriction failed to improve the neurological disability. Sentence B: The diagnosis of dementia and the management of its associated symptoms are aided by high-quality assessment tools. However, there is disagreement on the optimal tools among abundant alternatives and lack of consistent quality standards across the different domains of dementia-related change (ie, cognition, severity, function, behavioral and psychological symptoms, delirium, quality of life). Standardization is difficult because the relevance of a measurement tool for health professionals may depend on the clinical setting and on the dementia type and severity. To address this need, we conducted a comprehensive and clinically relevant evidence-based review of dementia-related tools and present a set of recommended tools, the Dementia Outcomes Measurement Suite. The review revealed that considerable development has occurred in terms of assessment of persons with mild cognitive impairment, executive dysfunction, cognitively mediated functional change, and apathy. More research is needed to develop and validate tools to assess health-related quality of life and specific symptoms of dementia including anxiety, wandering, and repetitive vocalizations. This extensive overview of the quality of different measures may serve as a guide for health professionals clinically and for researchers developing new or improved dementia assessment tools. ###Answer 1. Changed Reasoning: In Sentence A, the target word ""dementia"" is used in the context of a specific medical condition (Celiac disease-related dementia) with a clear definition and explanation of its meaning. The sentence also provides a list of associated symptoms and diagnostic criteria. In Sentence B, the target word ""dementia"" is used in a broader context to refer to the diagnosis and management of dementia in general. The sentence discusses the challenges of standardizing assessment tools for dementia and highlights the need for more research to develop and validate tools to assess specific symptoms. The meaning of ""dementia"" in this sentence is more general and encompasses a wider range of conditions and symptoms. Based on these differences in context and meaning, it is clear that the target word ""dementia"" has undergone a significant change in meaning between Sentence A and Sentence B. Therefore, the label ""Changed"" is appropriate." 38,Dementia,"Psychiatric disorders are common in the elderly. Antidepressants are probably underprescribed. In recurrent depression, lifelong prophylaxis may be required. Benzodiazepines can aggravate cognitive impairment and cause falls; they should not be used for chronic insomnia. Antipsychotic drugs are useful for the treatment of delusions and hallucinations but are less effective for disturbed behaviour in dementia sufferers. There are no satisfactory drugs for treating dementia at present, but promising palliative treatments for Alzheimer's disease are under trial.","Spouses of persons living with dementia both anticipate future loss and grieve for multiple losses occurring with caregiving and this ultimately influences their bereavement experience. Little research has been conducted regarding the bereavement experience in the caregiving journey with dementia and what does exist is mostly quantitative in nature. The purpose of this study is to describe the bereavement experience of spousal caregivers ( n = 10) utilizing Thorne's interpretive description. Thematic analysis revealed the features and facilitators of the bereavement process for spousal caregivers to persons with dementia. The unique contribution of this study to the dementia literature is the finding that the overall process of reclaiming self is significant to the bereavement journey. Future work should investigate identity as understood by spousal caregivers to persons with dementia, and further explore the processes, facilitators, and barriers to healthy bereavement in this population.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dementia Sentence A: Psychiatric disorders are common in the elderly. Antidepressants are probably underprescribed. In recurrent depression, lifelong prophylaxis may be required. Benzodiazepines can aggravate cognitive impairment and cause falls; they should not be used for chronic insomnia. Antipsychotic drugs are useful for the treatment of delusions and hallucinations but are less effective for disturbed behaviour in dementia sufferers. There are no satisfactory drugs for treating dementia at present, but promising palliative treatments for Alzheimer's disease are under trial. Sentence B: Spouses of persons living with dementia both anticipate future loss and grieve for multiple losses occurring with caregiving and this ultimately influences their bereavement experience. Little research has been conducted regarding the bereavement experience in the caregiving journey with dementia and what does exist is mostly quantitative in nature. The purpose of this study is to describe the bereavement experience of spousal caregivers ( n = 10) utilizing Thorne's interpretive description. Thematic analysis revealed the features and facilitators of the bereavement process for spousal caregivers to persons with dementia. The unique contribution of this study to the dementia literature is the finding that the overall process of reclaiming self is significant to the bereavement journey. Future work should investigate identity as understood by spousal caregivers to persons with dementia, and further explore the processes, facilitators, and barriers to healthy bereavement in this population. ###Answer 1. Changed 2. Unchanged Explanation: In Sentence A, the term ""dementia"" is used in the context of psychiatric disorders and treatment options. The meaning of the term is focused on the cognitive impairment and memory loss associated with the condition. There is no mention of the emotional or social impact of dementia on the person or their caregivers. Therefore, the meaning of the term ""dementia"" in Sentence A is similar to its traditional meaning, and semantic drift has not occurred. In Sentence B, the term ""dementia"" is used in the context of caregiving and the bereavement experience of spouses. The term is used to describe the emotional and social impact of the condition on the person and their caregivers. The sentence highlights the emotional toll of caregiving on spouses, including the loss of their partner and the emotional burden of caregiving. The meaning of the term ""dementia"" in Sentence B is more nuanced and includes the emotional and social impact of the condition, which is different from its traditional meaning. Therefore, semantic drift has occurred in the usage of the term ""dementia"" in Sentence B compared to Sentence A." 39,Dementia,"HIV-1 enters the brain at the early stage of infection and resides primarily in a limited number of macrophages/microglia and astrocytes. Infection of these cells, however, may not explain the massive neuronal pathology which is seen in AIDS-associated dementia, suggesting a role for factors released from HIV-1 infected cells that trigger a cascade of events leading to neurodegeneration. Our results indicate that Tat, the potent regulatory protein of HIV-1 which is secreted by infected cells and can affect neighboring uninfected cells by transcellular means, can influence multiple biological events that lead to neuronal injury. These findings demonstrate that treatment of neuronal cells with Tat affects MAPK/ERK1/2 activity, the downstream central component of the nerve growth factor (NGF) signaling pathway. Furthermore, our data indicate that treatment of cells with Tat severely decreases expression of p35, a neuron-specific activator of cdk5, a cyclin dependent kinase that phosphorylates several neuronal proteins including neurofilament, and plays an important role in neuronal differentiation and survival. In parallel, Tat can bind to the cellular protein, Puralpha, which associates with cdk5. Further, results from Puralpha knockout animals revealed a decrease in p35 activity, pointing to the importance of Puralpha association with cdk5 in the activity of cdk5:p35 complex. These data demonstrate the cooperativity between HIV-1 Tat and the Puralpha in deregulation of the NGF signal transduction pathway in neuronal cells.","The main aims of the study were the translation and the subsequent validation in Italian of the Addenbrooke's Cognitive Examination Revised (ACE-R), and the evaluation of its usefulness in discriminating cognitively normal subjects from patients with mild dementia in an elderly population.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dementia Sentence A: HIV-1 enters the brain at the early stage of infection and resides primarily in a limited number of macrophages/microglia and astrocytes. Infection of these cells, however, may not explain the massive neuronal pathology which is seen in AIDS-associated dementia, suggesting a role for factors released from HIV-1 infected cells that trigger a cascade of events leading to neurodegeneration. Our results indicate that Tat, the potent regulatory protein of HIV-1 which is secreted by infected cells and can affect neighboring uninfected cells by transcellular means, can influence multiple biological events that lead to neuronal injury. These findings demonstrate that treatment of neuronal cells with Tat affects MAPK/ERK1/2 activity, the downstream central component of the nerve growth factor (NGF) signaling pathway. Furthermore, our data indicate that treatment of cells with Tat severely decreases expression of p35, a neuron-specific activator of cdk5, a cyclin dependent kinase that phosphorylates several neuronal proteins including neurofilament, and plays an important role in neuronal differentiation and survival. In parallel, Tat can bind to the cellular protein, Puralpha, which associates with cdk5. Further, results from Puralpha knockout animals revealed a decrease in p35 activity, pointing to the importance of Puralpha association with cdk5 in the activity of cdk5:p35 complex. These data demonstrate the cooperativity between HIV-1 Tat and the Puralpha in deregulation of the NGF signal transduction pathway in neuronal cells. Sentence B: The main aims of the study were the translation and the subsequent validation in Italian of the Addenbrooke's Cognitive Examination Revised (ACE-R), and the evaluation of its usefulness in discriminating cognitively normal subjects from patients with mild dementia in an elderly population. ###Answer 1. Changed Reasoning: In Sentence A, the term ""dementia"" is used in the context of HIV-1 infection and the resulting neuronal pathology. The sentence highlights the role of HIV-1 proteins in triggering a cascade of events leading to neurodegeneration. The term ""dementia"" in this context implies a significant loss of cognitive function, likely due to the HIV-1 infection. In Sentence B, the term ""dementia"" is used in a different context, referring to a specific diagnostic category of cognitive impairment. The sentence focuses on the evaluation of a cognitive test in a non-clinical population, and the term ""dementia"" is used to distinguish this category from cognitively normal subjects. In this context, the term ""dementia"" implies a more specific and well-defined cognitive impairment, rather than the broader semantic drift observed in Sentence A. Therefore, based on the different contexts and meanings associated with the term ""dementia"" in Sentences A and B, it can be concluded that semantic drift has occurred, and the label ""Changed"" is appropriate." 40,Dementia,"The two dihydroxylated metabolites of 9-amino-2,3,5,6,7,8-hexahydro-1H-cyclopenta[b]quinoline monohydrochloride monohydrate (NIK-247), which is a new drug for the treatment of dementia, were synthesized to determine their chemical structures. Reduction of the tricyclic diketone, 9-amino-2,3,6,7-tetrahydro-1H-cyclopenta[b]quinoline-1,8(5H)-dione, with equivalent molar of NaBH4, afforded the racemic two alcohols, (+/-)-9-amino-2,3,5,6,7,8-hexahydro-8-hydroxy-1H-cyclopenta[b]quinoli n-1-on e and (+/-)-9-amino-2,3,5,6,7,8-hexahydro-1-hydroxy-1H-cyclopenta[b]quinoli n-8- one. (+)-9-Amino-2,3,5,6,7,8-hexahydro-8-hydroxy-1H-cyclopenta[b]quinolin+ ++-1-one was obtained by optical resolution of the corresponding racemic hydroxyketone using (-)-di-p-toluoyl-L-tartaric acid. The optically active dihydroxylated metabolites were obtained by reduction of the (+)-8-hydroxy-1-one with NaBH4.","A number of cerebrospinal fluid (CSF) biomarkers are currently used for the diagnosis of dementia. Opposite changes in the level of amyloid-β(1-42) versus total tau and phosphorylated-tau181 in the CSF reflect the specific pathology of Alzheimer's disease (AD) in the brain. This panel of biomarkers has proven to be effective to differentiate AD from controls and from the major types of neurodegenerative dementia, and to evaluate the progression from mild cognitive impairment to AD. In the absence of specific biomarkers reflecting the pathologies of the other most common forms of dementia, such as Lewy Body disease, Frontotemporal lobar degeneration, Creutzfeldt-Jakob disease, etc., the evaluation of biomarkers of AD pathology is used, attempting to exclude rather than to confirm AD. Other biomarkers included in the common clinical practice do not clearly relate to the underlying pathology: progranulin (PGRN) is a selective marker of frontotemporal dementia with mutations in the PGRN gene; the 14-3-3 protein is a highly sensitive and specific marker for Creutzfeldt-Jakob disease, but has to be used carefully in differentiating rapid progressive dementia; and α-synuclein is an emerging candidate biomarker of the different forms of synucleinopathy. This review summarizes several biomarkers of neurodegenerative dementia validated based on the neuropathological processes occurring in brain tissue. Notwithstanding the paucity of pathologically validated biomarkers and their high analytical variability, the combinations of these biomarkers may well represent a key and more precise analytical and diagnostic tool in the complex plethora of degenerative dementia.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dementia Sentence A: The two dihydroxylated metabolites of 9-amino-2,3,5,6,7,8-hexahydro-1H-cyclopenta[b]quinoline monohydrochloride monohydrate (NIK-247), which is a new drug for the treatment of dementia, were synthesized to determine their chemical structures. Reduction of the tricyclic diketone, 9-amino-2,3,6,7-tetrahydro-1H-cyclopenta[b]quinoline-1,8(5H)-dione, with equivalent molar of NaBH4, afforded the racemic two alcohols, (+/-)-9-amino-2,3,5,6,7,8-hexahydro-8-hydroxy-1H-cyclopenta[b]quinoli n-1-on e and (+/-)-9-amino-2,3,5,6,7,8-hexahydro-1-hydroxy-1H-cyclopenta[b]quinoli n-8- one. (+)-9-Amino-2,3,5,6,7,8-hexahydro-8-hydroxy-1H-cyclopenta[b]quinolin+ ++-1-one was obtained by optical resolution of the corresponding racemic hydroxyketone using (-)-di-p-toluoyl-L-tartaric acid. The optically active dihydroxylated metabolites were obtained by reduction of the (+)-8-hydroxy-1-one with NaBH4. Sentence B: A number of cerebrospinal fluid (CSF) biomarkers are currently used for the diagnosis of dementia. Opposite changes in the level of amyloid-β(1-42) versus total tau and phosphorylated-tau181 in the CSF reflect the specific pathology of Alzheimer's disease (AD) in the brain. This panel of biomarkers has proven to be effective to differentiate AD from controls and from the major types of neurodegenerative dementia, and to evaluate the progression from mild cognitive impairment to AD. In the absence of specific biomarkers reflecting the pathologies of the other most common forms of dementia, such as Lewy Body disease, Frontotemporal lobar degeneration, Creutzfeldt-Jakob disease, etc., the evaluation of biomarkers of AD pathology is used, attempting to exclude rather than to confirm AD. Other biomarkers included in the common clinical practice do not clearly relate to the underlying pathology: progranulin (PGRN) is a selective marker of frontotemporal dementia with mutations in the PGRN gene; the 14-3-3 protein is a highly sensitive and specific marker for Creutzfeldt-Jakob disease, but has to be used carefully in differentiating rapid progressive dementia; and α-synuclein is an emerging candidate biomarker of the different forms of synucleinopathy. This review summarizes several biomarkers of neurodegenerative dementia validated based on the neuropathological processes occurring in brain tissue. Notwithstanding the paucity of pathologically validated biomarkers and their high analytical variability, the combinations of these biomarkers may well represent a key and more precise analytical and diagnostic tool in the complex plethora of degenerative dementia. ###Answer 1. Changed Explanation: In Sentence A, the term ""dementia"" is used in the context of drug development, specifically referring to the treatment of dementia. The sentence highlights the chemical synthesis of two metabolites for the treatment of dementia. In this context, the term ""dementia"" implies a specific medical condition that requires treatment. In Sentence B, the term ""dementia"" is used in a different context, specifically referring to the diagnosis and evaluation of various forms of dementia. The sentence highlights the use of cerebrospinal fluid (CSF) biomarkers for the diagnosis of dementia, including Alzheimer's disease (AD). In this context, the term ""dementia"" implies a broader range of medical conditions that can be diagnosed and evaluated through biomarker analysis. Based on the context and meaning of the term ""dementia"" in each sentence, it is clear that the term has undergone a significant change in meaning between the two timestamps. In Sentence A, ""dementia"" is used specifically to refer to the treatment of a specific medical condition, while in Sentence B, ""dementia"" is used more broadly to refer to the diagnosis and evaluation of various forms of dementia. Therefore, the label ""Changed"" is appropriate for this task." 41,Dementia,"We report here an early autopsy case of a 60-year-old woman clinically diagnosed as having frontal lobe dementia without other neurological deficits. Postmortem examination revealed mild spongiosis in layers II and III of the frontal cortex, together with depletion of melanin-containing neurons in the substantia nigra. In addition to ubiquitin-positive neurites, ubiquitin-positive, tau-negative inclusions, which were previously considered to be a hallmark for motor neuron disease with or without dementia, were identified in neurons of the hippocampal dentate gyrus and of the temporal cortex. Although the patient lacked lower motor symptoms, the presence of Bunina bodies identified in the hypoglossal nuclei further supported the relationship of this case to motor neuron disease. Bunina bodies might be present in some cases of frontal lobe dementia. The presence or absence of Bunina bodies should be scrutinized even in cases without motor symptoms. In this case, creatine kinase of skeletal muscle origin was elevated, which might also be a potential indicator that suggests subclinical involvement of lower motor neurons.","To assess baseline imbalances in placebo-controlled trials of atypical antipsychotics in dementia, and their association with neuropsychiatric symptoms (NPS), extrapyramidal symptoms (EPS), and mortality.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dementia Sentence A: We report here an early autopsy case of a 60-year-old woman clinically diagnosed as having frontal lobe dementia without other neurological deficits. Postmortem examination revealed mild spongiosis in layers II and III of the frontal cortex, together with depletion of melanin-containing neurons in the substantia nigra. In addition to ubiquitin-positive neurites, ubiquitin-positive, tau-negative inclusions, which were previously considered to be a hallmark for motor neuron disease with or without dementia, were identified in neurons of the hippocampal dentate gyrus and of the temporal cortex. Although the patient lacked lower motor symptoms, the presence of Bunina bodies identified in the hypoglossal nuclei further supported the relationship of this case to motor neuron disease. Bunina bodies might be present in some cases of frontal lobe dementia. The presence or absence of Bunina bodies should be scrutinized even in cases without motor symptoms. In this case, creatine kinase of skeletal muscle origin was elevated, which might also be a potential indicator that suggests subclinical involvement of lower motor neurons. Sentence B: To assess baseline imbalances in placebo-controlled trials of atypical antipsychotics in dementia, and their association with neuropsychiatric symptoms (NPS), extrapyramidal symptoms (EPS), and mortality. ###Answer 1. Changed Explanation: In Sentence A, the term ""dementia"" is used to describe a specific clinical diagnosis characterized by cognitive decline and memory loss. The sentence highlights the autopsy findings of mild spongiosis and depletion of melanin-containing neurons in the substantia nigra, which were considered hallmarks of frontal lobe dementia at the time of writing. The term ""dementia"" in this context implies a specific neurological condition with clear diagnostic criteria. In Sentence B, the term ""dementia"" is used in a different context, referring to a broader category of cognitive impairment in older adults, including both Alzheimer's disease and frontotemporal dementia. The sentence discusses the association of dementia with various neuropsychiatric symptoms, extrapyramidal symptoms, and mortality. The term ""dementia"" in this context is more general and encompasses a range of cognitive and behavioral changes that can occur in older adults. Based on these differences in context and meaning, it is clear that the term ""dementia"" has undergone a significant change in meaning between Sentence A and Sentence B. In Sentence A, the term refers to a specific neurological condition with clear diagnostic criteria, while in Sentence B, it is used to describe a broader category of cognitive impairment. Therefore, I have labeled the change as ""Changed.""" 42,Dementia,"To elucidate whether the apolipoprotein E epsilon4 allele (APOE4) affects cortical neuropathology in Parkinson's disease (PD), we determined APOE genotypes and quantified the densities of cortical Lewy bodies (LBs), amyloid plaques and neurofibrillary tangles in 22 autopsy-proven PD cases (12 with dementia; 10 without dementia) that were not accompanied by Alzheimer's disease. The APOE4 frequency in the demented patient group was 0.21, which was significantly higher than that in Japanese controls (P < 0.04). LB densities in demented PD patients were significantly higher than those in non-demented PD patients, despite the shorter disease duration in the former. Moreover, plaque density in the temporal cortex and LB density in the cingulate cortex were significantly higher in the group with APOE4 than in that without the allele. There was no difference in tangle density between these two groups. These results suggest that APOE4 may influence the increase in the number of cortical LBs and amyloid plaques in PD. It is possible that when PD occurs in individuals with APOE4, concomitantly evolving cortical LB pathology in a proportion of cases results in limbic (transitional) or neocortical-type LB disease.",There is currently no meta-analysis of the efficacy and tolerability of Yokukansan in the treatment of behavioral and psychological symptoms of dementia.,"###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dementia Sentence A: To elucidate whether the apolipoprotein E epsilon4 allele (APOE4) affects cortical neuropathology in Parkinson's disease (PD), we determined APOE genotypes and quantified the densities of cortical Lewy bodies (LBs), amyloid plaques and neurofibrillary tangles in 22 autopsy-proven PD cases (12 with dementia; 10 without dementia) that were not accompanied by Alzheimer's disease. The APOE4 frequency in the demented patient group was 0.21, which was significantly higher than that in Japanese controls (P < 0.04). LB densities in demented PD patients were significantly higher than those in non-demented PD patients, despite the shorter disease duration in the former. Moreover, plaque density in the temporal cortex and LB density in the cingulate cortex were significantly higher in the group with APOE4 than in that without the allele. There was no difference in tangle density between these two groups. These results suggest that APOE4 may influence the increase in the number of cortical LBs and amyloid plaques in PD. It is possible that when PD occurs in individuals with APOE4, concomitantly evolving cortical LB pathology in a proportion of cases results in limbic (transitional) or neocortical-type LB disease. Sentence B: There is currently no meta-analysis of the efficacy and tolerability of Yokukansan in the treatment of behavioral and psychological symptoms of dementia. ###Answer 1. Changed Reasoning: In Sentence A, the target word ""dementia"" is used to describe a specific clinical condition (i.e., cognitive decline and memory impairment) associated with Parkinson's disease. The sentence suggests that the presence of the APOE4 allele may contribute to the development of cortical Lewy bodies and amyloid plaques in the brain, which can lead to cognitive decline and memory impairment. Therefore, the meaning of ""dementia"" in Sentence A is related to a specific neurological condition. In Sentence B, the target word ""dementia"" is used in a different context. It is not associated with a specific clinical condition, but rather as a general term to describe any type of cognitive decline or memory impairment. The sentence does not provide any specific information about the underlying cause of the cognitive decline, nor does it suggest that the term ""dementia"" has changed its meaning. Therefore, the label ""Unchanged"" is appropriate. Overall, the semantic drift analysis reveals that the meaning of ""dementia"" has shifted in Sentence A, from a specific neurological condition to a more general term for cognitive decline or memory impairment." 43,Dementia,"Alzheimer's dementia is a severe form of dementia characterised by three neuropathological changes: amyloid plaques, neurofibrillary tangles and neurodegeneration. Several laboratories are involved in studies of the molecular mechanisms underlying development of Alzheimer's disease. As a result of recent research, the main component of amyloid plaques, the beta A4-peptide, is focused upon in hypotheses of the pathogenesis of the disease. The beta A4-peptide is produced by cleavage of the larger amyloid precursor protein (APP). During normal processing of APP, production of beta A4 is hindered and the peptide is therefore presumably a result of alternative cleavage mechanisms. Several factors may increase alternative processing of APP. One possibility is that conformational changes in APP, e.g. induced by mutations in the APP gene, may facilitate alternative cleavage of APP and thereby production of beta A4. This seems to be the case in certain families with familial Alzheimer's disease. Another possibility for increased beta A4 production is excessive expression of APP. This seems to be the case in persons with trisomy 21 who all have neuropathological signs of Alzheimer's disease after the age of 40 years. The gene for APP is localised to the human chromosome 21 and these persons have 1.5 times the normal expression of APP. Furthermore, excessive APP-expression may be induced by an acute phase response in the brain. In vitro studies and neuropathological examinations indicate that alpha 2-macroglobulin in neurons may be induced by cytokines. The protease inhibitor activity of this protein may prevent normal cleavage of APP, thereby resulting in increased alternative cleavage and deposition of beta A4.(ABSTRACT TRUNCATED AT 250 WORDS)","Neurodegenerative diseases are characterized by the accumulation of disease-related misfolded proteins. It is now widely understood that the characteristic self-amplifying (i.e., seeding) capacity once only attributed to the prions of transmissible spongiform encephalopathy diseases is a feature of other misfolded proteins of neurodegenerative diseases, including tau, Aβ, and αSynuclein (αSyn). Ultrasensitive diagnostic assays, known as real-time quaking-induced conversion (RT-QuIC) assays, exploit these seeding capabilities in order to exponentially amplify protein seeds from various biospecimens. To date, RT-QuIC assays have been developed for the detection of protein seeds related to known prion diseases of mammals, the αSyn aggregates of Parkinson's disease, dementia with Lewy bodies, and multiple system atrophy, and the tau aggregates of Alzheimer's disease, chronic traumatic encephalopathy, and other tauopathies including progressive supranuclear palsy. Application of these assays to premortem human biospecimens shows promise for diagnosis of neurodegenerative disease and is an area of active investigation. RT-QuIC assays are also powerful experimental tools that can be used to dissect seeding networks within and between tissues and to evaluate how protein seed distribution and quantity correlate to disease-related outcomes in a host. As well, RT-QuIC application may help characterize molecular pathways influencing protein seed accumulation, transmission, and clearance. In this review we discuss the application of RT-QuIC assays as diagnostic, experimental, and structural tools for detection and discrimination of PrP prions, tau, and αSyn protein seeds.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dementia Sentence A: Alzheimer's dementia is a severe form of dementia characterised by three neuropathological changes: amyloid plaques, neurofibrillary tangles and neurodegeneration. Several laboratories are involved in studies of the molecular mechanisms underlying development of Alzheimer's disease. As a result of recent research, the main component of amyloid plaques, the beta A4-peptide, is focused upon in hypotheses of the pathogenesis of the disease. The beta A4-peptide is produced by cleavage of the larger amyloid precursor protein (APP). During normal processing of APP, production of beta A4 is hindered and the peptide is therefore presumably a result of alternative cleavage mechanisms. Several factors may increase alternative processing of APP. One possibility is that conformational changes in APP, e.g. induced by mutations in the APP gene, may facilitate alternative cleavage of APP and thereby production of beta A4. This seems to be the case in certain families with familial Alzheimer's disease. Another possibility for increased beta A4 production is excessive expression of APP. This seems to be the case in persons with trisomy 21 who all have neuropathological signs of Alzheimer's disease after the age of 40 years. The gene for APP is localised to the human chromosome 21 and these persons have 1.5 times the normal expression of APP. Furthermore, excessive APP-expression may be induced by an acute phase response in the brain. In vitro studies and neuropathological examinations indicate that alpha 2-macroglobulin in neurons may be induced by cytokines. The protease inhibitor activity of this protein may prevent normal cleavage of APP, thereby resulting in increased alternative cleavage and deposition of beta A4.(ABSTRACT TRUNCATED AT 250 WORDS) Sentence B: Neurodegenerative diseases are characterized by the accumulation of disease-related misfolded proteins. It is now widely understood that the characteristic self-amplifying (i.e., seeding) capacity once only attributed to the prions of transmissible spongiform encephalopathy diseases is a feature of other misfolded proteins of neurodegenerative diseases, including tau, Aβ, and αSynuclein (αSyn). Ultrasensitive diagnostic assays, known as real-time quaking-induced conversion (RT-QuIC) assays, exploit these seeding capabilities in order to exponentially amplify protein seeds from various biospecimens. To date, RT-QuIC assays have been developed for the detection of protein seeds related to known prion diseases of mammals, the αSyn aggregates of Parkinson's disease, dementia with Lewy bodies, and multiple system atrophy, and the tau aggregates of Alzheimer's disease, chronic traumatic encephalopathy, and other tauopathies including progressive supranuclear palsy. Application of these assays to premortem human biospecimens shows promise for diagnosis of neurodegenerative disease and is an area of active investigation. RT-QuIC assays are also powerful experimental tools that can be used to dissect seeding networks within and between tissues and to evaluate how protein seed distribution and quantity correlate to disease-related outcomes in a host. As well, RT-QuIC application may help characterize molecular pathways influencing protein seed accumulation, transmission, and clearance. In this review we discuss the application of RT-QuIC assays as diagnostic, experimental, and structural tools for detection and discrimination of PrP prions, tau, and αSyn protein seeds. ###Answer 1. Changed Reasoning: In Sentence A, the target word ""dementia"" is used to describe Alzheimer's disease, which is characterized by three neuropathological changes: amyloid plaques, neurofibrillary tangles, and neurodegeneration. The sentence highlights the importance of the beta A4-peptide in the development of Alzheimer's disease. In contrast, in Sentence B, the target word ""dementia"" is used in a broader context to describe neurodegenerative diseases in general, without specifying a particular disease. The sentence mentions the accumulation of disease-related misfolded proteins, including tau, Aβ, and αSynuclein, and highlights the potential of ultrasensitive diagnostic assays, such as RT-QuIC, for detecting and diagnosing these diseases. In Sentence A, the meaning of ""dementia"" is focused on the specific disease of Alzheimer's, with a detailed description of its neuropathological changes. In contrast, in Sentence B, the meaning of ""dementia"" is more general, encompassing a broader range of neurodegenerative diseases. This shift in meaning can be attributed to advances in the understanding of these diseases and their underlying pathology, as well as changes in the way the term ""dementia"" is used in scientific and medical discourse. Therefore, I would label this example of semantic drift as ""Changed""." 44,Dementia,"""Spongy change,"" or vacuolar change, was observed in the neocortex of temporal and frontal lobes in four of 27 patients with clinical and pathologic characteristics of Alzheimer's disease. All four cases had the autosomal dominant form of the disease, and aside from severe dementia, all developed myoclonus and became mute before death. The degeneration observed was unlike that seen in Creutzfeldt-Jakob disease because it lacked astrocytosis and had a different distribution of lesions. Moreover, the abundance of neurofibrillary changes and senile plaques was consistent with Alzheimer's disease. None of the other 23 cases were familial, and none developed myoclonus or mutism; three of them had minor vacuolation limited to the temporal lobe. The four cases with severe spongy change described are the first, to our knowledge, in which vacuolar or spongy change has been associated with the familial form of Alzheimer's disease.","Access to comprehensive dementia care is limited. Recent changes in billing for professional services, including new physician fee schedule codes, encourage clinicians to provide new services; however, current reimbursement does not cover costs for all needed elements of dementia care. The Payment Model for Comprehensive Dementia Care Conference convened more than 50 national experts from diverse perspectives to review promising strategies for payment reform including ways to accelerate their adoption. Recommendations for reform included payments for services to family caregivers; new research to determine success metrics; education for consumers, providers, and policymakers; and advancing a population health model approach to tier coverage based on risk and need within a health system.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dementia Sentence A: ""Spongy change,"" or vacuolar change, was observed in the neocortex of temporal and frontal lobes in four of 27 patients with clinical and pathologic characteristics of Alzheimer's disease. All four cases had the autosomal dominant form of the disease, and aside from severe dementia, all developed myoclonus and became mute before death. The degeneration observed was unlike that seen in Creutzfeldt-Jakob disease because it lacked astrocytosis and had a different distribution of lesions. Moreover, the abundance of neurofibrillary changes and senile plaques was consistent with Alzheimer's disease. None of the other 23 cases were familial, and none developed myoclonus or mutism; three of them had minor vacuolation limited to the temporal lobe. The four cases with severe spongy change described are the first, to our knowledge, in which vacuolar or spongy change has been associated with the familial form of Alzheimer's disease. Sentence B: Access to comprehensive dementia care is limited. Recent changes in billing for professional services, including new physician fee schedule codes, encourage clinicians to provide new services; however, current reimbursement does not cover costs for all needed elements of dementia care. The Payment Model for Comprehensive Dementia Care Conference convened more than 50 national experts from diverse perspectives to review promising strategies for payment reform including ways to accelerate their adoption. Recommendations for reform included payments for services to family caregivers; new research to determine success metrics; education for consumers, providers, and policymakers; and advancing a population health model approach to tier coverage based on risk and need within a health system. ###Answer 1. Changed (Dementia) Reasoning: In Sentence A, the term ""dementia"" is used to describe a specific neurodegenerative disorder characterized by spongy change and vacuolar degeneration in the neocortex. The context suggests a strong association with Alzheimer's disease, and the term is used to differentiate it from other conditions such as Creutzfeldt-Jakob disease. In Sentence B, the term ""dementia"" is used more broadly to refer to a range of cognitive and behavioral changes associated with aging or neurodegeneration. The context suggests a shift in focus from a specific disease entity to a broader category of care needs. The term is used in conjunction with other descriptors such as ""comprehensive dementia care"" and ""payment model,"" which suggest a more holistic approach to addressing the needs of individuals with cognitive impairment. Overall, the meaning of the term ""dementia"" has shifted from a specific disease entity to a broader category of care needs, with a greater emphasis on comprehensive care and payment reform." 45,Dementia,"To date, positron emission tomography (PET) has been the only technology for the quantitative imaging of the changes of regional cerebral glucose (rCMRGl) or oxygen metabolism and blood flow (rCBF) associated with psychophysical stimulation and with the performance of mental tasks. So far, the majority of studies performed in healthy subjects demonstrated activation patterns involving not only certain limbic structures, most of all hippocampus, amygdala, parahippocampus, and cingulate, but also temporal, parietal, and occipital association cortex, depending on the applied paradigm. Indeed, the closest correlation between regional metabolism and memory test scores was found in mesiotemporal structures during the performance of memory tasks. Metabolic or CBF studies also seem to indicate that memorizing strategies may differ among individuals. PET was repeatedly used to investigate metabolic and/or blood flow abnormalities in patients with various amnestic syndromes. In cases with uni- or bilateral lesions of mesiotemporal structures, caused by surgery, herpes simplex encephalitis, or permanent ischemic, anoxic, or toxic damage, disturbances of metabolism and blood flow typically extended far beyond the morphological defects detected by computed tomography or magnetic resonance. In acute transient global amnesia, CBF and metabolism were decreased bilaterally in the mesiotemporal lobes, where hypometabolism persisted for some time, while higher values were observed in thalamus and some cortical areas. Diencephalic lesions causing Korsakoff's syndrome were associated with decreased rCMRGl in the hippocampal formation, upper brainstem, cingulate, and thalamus. Discrete thalamic infarcts caused amnesia and metabolic depression in the morphologically intact ipsilateral thalamus and in various projection areas of the infarcted nuclei. In ischemic forebrain lesions, amnestic deficits could be related to involvement of the anterior cingulate and of basal cholinergic nuclei. A large number of pathologies are diffusely spread out in the brain and affect partially or predominantly structures in memory processing. This holds true especially in the various dementias where memory disturbances are a consistent and often leading feature. Notably, Alzheimer's disease can be distinguished from other dementias by its characteristic pattern of metabolic dysfunction, with the most prominent changes occurring in parietotemporal and frontal association cortex whose residual metabolism is related to the severity of the disease. Therefore, activation studies using paradigms involving memory functions enhance that typical pattern. Only in the activated state is metabolism of mesiotemporal structures significantly correlated with the performance in memory tests. Other dementias also affect some of the distributed memory networks, with Huntington's disease suggesting a role of the striatum in memory processing.(ABSTRACT TRUNCATED AT 400 WORDS)","Studies on humans show that depressive disorder is associated with an increased risk of developing cognitive dysfunction, and animal studies suggest that antidepressants may have neuroprotective abilities. On the basis of these observations, it was hypothesized that treatment with antidepressants may decrease the risk of developing dementia in patients with depression. We investigated whether continued treatment with antidepressants is associated with a decreased rate of dementia in a population of patients discharged from psychiatric healthcare service with a diagnosis of depression. We used register data on all prescribed antidepressants in all patients discharged from psychiatric healthcare service with a diagnosis of depression and with subsequent diagnoses of dementia in Denmark from 1995 to 2005. A total of 37 658 patients with a diagnosis of depression at their first psychiatric contact and who were exposed to antidepressants after discharge were included in the study. A total of 2007 patients (5.3%) were subsequently diagnosed with dementia of any kind. The rate of dementia decreased during periods of two or more prescriptions of older antidepressants compared with the period of only one prescription of older antidepressants [relative risk (RR)=0.83 (95% confidence interval (CI)=0.70-0.98)]. This finding was replicated with Alzheimer's disease as the outcome [RR=0.66 (95% CI=0.47-0.94)] but not with dementia of other kinds as the outcome [RR=0.88 (95% CI=0.73-1.06)]. In contrast, during periods of continued use of selective serotonin reuptake inhibitors or newer nonselective serotonin reuptake inhibitors, the rate of dementia was not decreased, regardless of the subtype of dementia. It was concluded that continued long-term treatment with older antidepressants is associated with a reduced rate of dementia in patients treated in psychiatric healthcare settings, whereas continued treatment with other kinds of antidepressants is not. Methodological reasons for these findings cannot be excluded because of the nonrandomized nature of data.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dementia Sentence A: To date, positron emission tomography (PET) has been the only technology for the quantitative imaging of the changes of regional cerebral glucose (rCMRGl) or oxygen metabolism and blood flow (rCBF) associated with psychophysical stimulation and with the performance of mental tasks. So far, the majority of studies performed in healthy subjects demonstrated activation patterns involving not only certain limbic structures, most of all hippocampus, amygdala, parahippocampus, and cingulate, but also temporal, parietal, and occipital association cortex, depending on the applied paradigm. Indeed, the closest correlation between regional metabolism and memory test scores was found in mesiotemporal structures during the performance of memory tasks. Metabolic or CBF studies also seem to indicate that memorizing strategies may differ among individuals. PET was repeatedly used to investigate metabolic and/or blood flow abnormalities in patients with various amnestic syndromes. In cases with uni- or bilateral lesions of mesiotemporal structures, caused by surgery, herpes simplex encephalitis, or permanent ischemic, anoxic, or toxic damage, disturbances of metabolism and blood flow typically extended far beyond the morphological defects detected by computed tomography or magnetic resonance. In acute transient global amnesia, CBF and metabolism were decreased bilaterally in the mesiotemporal lobes, where hypometabolism persisted for some time, while higher values were observed in thalamus and some cortical areas. Diencephalic lesions causing Korsakoff's syndrome were associated with decreased rCMRGl in the hippocampal formation, upper brainstem, cingulate, and thalamus. Discrete thalamic infarcts caused amnesia and metabolic depression in the morphologically intact ipsilateral thalamus and in various projection areas of the infarcted nuclei. In ischemic forebrain lesions, amnestic deficits could be related to involvement of the anterior cingulate and of basal cholinergic nuclei. A large number of pathologies are diffusely spread out in the brain and affect partially or predominantly structures in memory processing. This holds true especially in the various dementias where memory disturbances are a consistent and often leading feature. Notably, Alzheimer's disease can be distinguished from other dementias by its characteristic pattern of metabolic dysfunction, with the most prominent changes occurring in parietotemporal and frontal association cortex whose residual metabolism is related to the severity of the disease. Therefore, activation studies using paradigms involving memory functions enhance that typical pattern. Only in the activated state is metabolism of mesiotemporal structures significantly correlated with the performance in memory tests. Other dementias also affect some of the distributed memory networks, with Huntington's disease suggesting a role of the striatum in memory processing.(ABSTRACT TRUNCATED AT 400 WORDS) Sentence B: Studies on humans show that depressive disorder is associated with an increased risk of developing cognitive dysfunction, and animal studies suggest that antidepressants may have neuroprotective abilities. On the basis of these observations, it was hypothesized that treatment with antidepressants may decrease the risk of developing dementia in patients with depression. We investigated whether continued treatment with antidepressants is associated with a decreased rate of dementia in a population of patients discharged from psychiatric healthcare service with a diagnosis of depression. We used register data on all prescribed antidepressants in all patients discharged from psychiatric healthcare service with a diagnosis of depression and with subsequent diagnoses of dementia in Denmark from 1995 to 2005. A total of 37 658 patients with a diagnosis of depression at their first psychiatric contact and who were exposed to antidepressants after discharge were included in the study. A total of 2007 patients (5.3%) were subsequently diagnosed with dementia of any kind. The rate of dementia decreased during periods of two or more prescriptions of older antidepressants compared with the period of only one prescription of older antidepressants [relative risk (RR)=0.83 (95% confidence interval (CI)=0.70-0.98)]. This finding was replicated with Alzheimer's disease as the outcome [RR=0.66 (95% CI=0.47-0.94)] but not with dementia of other kinds as the outcome [RR=0.88 (95% CI=0.73-1.06)]. In contrast, during periods of continued use of selective serotonin reuptake inhibitors or newer nonselective serotonin reuptake inhibitors, the rate of dementia was not decreased, regardless of the subtype of dementia. It was concluded that continued long-term treatment with older antidepressants is associated with a reduced rate of dementia in patients treated in psychiatric healthcare settings, whereas continued treatment with other kinds of antidepressants is not. Methodological reasons for these findings cannot be excluded because of the nonrandomized nature of data. ###Answer 1. Changed Reasoning: In Sentence A, the target word ""dementia"" is used in the context of discussing the results of positron emission tomography (PET) scans in healthy subjects and patients with various amnestic syndromes. The word is used to describe the changes in regional cerebral glucose (rCMRGl) or oxygen metabolism and blood flow (rCBF) associated with psychophysical stimulation and mental tasks. The word is also used to describe the closest correlation between regional metabolism and memory test scores in mesiotemporal structures during the performance of memory tasks. In Sentence B, the target word ""dementia"" is used in the context of investigating whether treatment with antidepressants is associated with a decreased rate of dementia in patients with depression. The word is used to describe the outcome of the study, which found that continued treatment with older antidepressants is associated with a reduced rate of dementia, but that treatment with selective serotonin reuptake inhibitors or newer nonselective serotonin reuptake inhibitors is not. Based on the context and meaning of the word in each sentence, it is clear that the word has undergone a significant change in meaning or connotation between the two timestamps. In Sentence A, the word ""dementia"" is used primarily to describe changes in brain metabolism and blood flow associated with psychophysical stimulation and mental tasks, and it does not have any clear connection to depression or antidepressant treatment. In Sentence B, the word ""dementia"" is used to describe the outcome of a study investigating the effects of antidepressant treatment on the development of dementia in patients with depression. The word is used to indicate that treatment with older antidepressants is associated with a reduced rate of dementia, but that treatment with other types of antidepressants is not. Therefore, I would label the word ""dementia"" in Sentence B as ""Changed,"" as it has taken on a different meaning or connotation compared to its usage in Sentence A." 46,Dementia,The course of depression in residents of long-term care with dementia is not well studied.,"Alzheimer disease and Alzheimer disease-related dementia represent complex neuropathologies directly challenging individuals, their families, and communities in the United States. To support persons living with dementia, family or informal caregivers often encounter complex financial, psychological, and physical challenges. A widely used solution such as a consolidated web-based assistance or guidance platform is missing, compounding care challenges.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dementia Sentence A: The course of depression in residents of long-term care with dementia is not well studied. Sentence B: Alzheimer disease and Alzheimer disease-related dementia represent complex neuropathologies directly challenging individuals, their families, and communities in the United States. To support persons living with dementia, family or informal caregivers often encounter complex financial, psychological, and physical challenges. A widely used solution such as a consolidated web-based assistance or guidance platform is missing, compounding care challenges. ###Answer 1. Changed Explanation: In Sentence A, the term ""dementia"" is used in the context of depression, indicating a relatively narrow focus on the cognitive symptoms of dementia. In contrast, Sentence B places greater emphasis on the broader neuropathological aspects of Alzheimer disease, including the impact on individuals, families, and communities. This shift in focus suggests that the meaning of ""dementia"" has evolved over time to encompass a broader understanding of the condition, including its impact on social and cultural factors. As a result, the label ""Changed"" is appropriate." 47,Dementia,"The lateral vestibular nucleus (LVN, nucleus of Deiters) was examined in the brains of four control subjects and four patients with dementia of the Alzheimer type (DAT). Neuronal counts on sections stained with silver and a polyclonal antibody to human choline acetyltransferase (ChAT) revealed an undiminished number of LVN neurons in patients with DAT. Numerous silver-stained neurofibrillary tangles (NFTs) were found in the DAT group, some also in the LVN of controls. These findings suggest that DAT affects LVN neurons, however without causing neuronal loss.","Diagnosis of patients suspected of mild dementia (MD) is a challenge and patient numbers continue to rise. A short test triaging patients in need of a neuropsychological assessment (NPA) is welcome. The Montreal cognitive assessment (MoCA) has high sensitivity at the original cutoff <26 for MD, but results in too many false-positive (FP) referrals in clinical practice (low specificity). A cutoff that finds all patients at high risk of MD without referring to many patients not (yet) in need of an NPA is needed. A difficulty is who is to be considered at risk, as definitions for disease (e.g. MD) do not always define health at the same time and thereby create subthreshold disorders.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dementia Sentence A: The lateral vestibular nucleus (LVN, nucleus of Deiters) was examined in the brains of four control subjects and four patients with dementia of the Alzheimer type (DAT). Neuronal counts on sections stained with silver and a polyclonal antibody to human choline acetyltransferase (ChAT) revealed an undiminished number of LVN neurons in patients with DAT. Numerous silver-stained neurofibrillary tangles (NFTs) were found in the DAT group, some also in the LVN of controls. These findings suggest that DAT affects LVN neurons, however without causing neuronal loss. Sentence B: Diagnosis of patients suspected of mild dementia (MD) is a challenge and patient numbers continue to rise. A short test triaging patients in need of a neuropsychological assessment (NPA) is welcome. The Montreal cognitive assessment (MoCA) has high sensitivity at the original cutoff <26 for MD, but results in too many false-positive (FP) referrals in clinical practice (low specificity). A cutoff that finds all patients at high risk of MD without referring to many patients not (yet) in need of an NPA is needed. A difficulty is who is to be considered at risk, as definitions for disease (e.g. MD) do not always define health at the same time and thereby create subthreshold disorders. ###Answer 1. Changed Reasoning: In Sentence A, the target word ""dementia"" is used to describe a specific medical condition (Alzheimer's disease). The sentence highlights the neuronal counts and neurofibrillary tangles found in the brains of patients with this condition. The meaning of ""dementia"" in this context is focused on the neurological changes associated with the disease. In Sentence B, the target word ""dementia"" has taken on a different meaning. The sentence discusses the challenge of diagnosing patients suspected of mild dementia and refers to the Montreal cognitive assessment as a tool for evaluating cognitive function. The meaning of ""dementia"" in this context is more focused on the cognitive changes associated with aging or other conditions, rather than the neurological changes associated with a specific disease. Therefore, the meaning of ""dementia"" has shifted from a specific medical condition to a broader term encompassing cognitive changes associated with aging or other conditions. This change in meaning constitutes semantic drift." 48,Dementia,"Rett syndrome is a neurological disorder associated with cortical atrophy, stereotyped hand movements, dementia, and extrapyramidal dysfunction. Endogenous levels of dopamine and its metabolites are decreased throughout the neocortex and basal ganglia and the number of dopamine type 2 receptors are decreased in the putamen. The present study investigated changes in dopamine uptake sites and dopamine type-1 receptors in the brains of eleven Rett syndrome patients (4-30 yrs) and ten normal female controls (2.5-20 yrs). The number of dopamine type 1 receptors within the caudate nucleus were unchanged. The density of dopamine reuptake sites were unchanged in the cingulate and midfrontal gyri but decreased within the caudate nucleus and putamen. The results of the present study suggest that: 1) in the basal ganglia of Rett syndrome patients, dopamine receptive neurons are intact whereas the number and activity of dopamine terminals are decreased, and 2) in the midfrontal and cingulate cortex, dopaminergic neuronal activity may be increased in order to compensate for fewer terminals that contain less dopamine.","Heart fatty acid binding protein (HFABP) is expressed in the brain and is elevated in cerebrospinal fluid (CSF) from patients with several forms of neurodegenerative diseases such as Alzheimer's disease (AD), Parkinson's disease with dementia, Lewy body dementia, vascular dementia (VaD), and Creutzfeldt-Jakob disease. However, whether HFABP in CSF is a stable biomarker or if it can help predict conversion from mild cognitive impairment (MCI) to AD or VaD has not been well studied. To address the role of HFABP in neurodegeneration, we analyzed CSF levels of HFABP in 96 AD patients and 65 controls and also in 170 patients with MCI with an average follow up time of 5.7 years. For the stability analysis, two CSF samples were collected from 52 AD patients with a six month interval in between. HFABP levels in CSF were very stable over the six month period (r = 0.93, p < 0.001). Furthermore, the CSF levels of HFABP were significantly elevated in AD compared with controls after adjustments for age and gender (p < 0.001). They were also elevated in the patients with MCI that subsequently converted to AD or VaD compared with those that remained stable (p < 0.001 and p < 0.05, respectively). However, ROC curve analysis showed that HFABP had lesser predictive value in determining conversion from MCI to AD and VaD than Aβ42, t-tau, and p-tau. In conclusion, HFABP seems to be a stable CSF biomarker that reflects neuronal cell death in several neurodegenerative disorders, including early stages of AD and VaD.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dementia Sentence A: Rett syndrome is a neurological disorder associated with cortical atrophy, stereotyped hand movements, dementia, and extrapyramidal dysfunction. Endogenous levels of dopamine and its metabolites are decreased throughout the neocortex and basal ganglia and the number of dopamine type 2 receptors are decreased in the putamen. The present study investigated changes in dopamine uptake sites and dopamine type-1 receptors in the brains of eleven Rett syndrome patients (4-30 yrs) and ten normal female controls (2.5-20 yrs). The number of dopamine type 1 receptors within the caudate nucleus were unchanged. The density of dopamine reuptake sites were unchanged in the cingulate and midfrontal gyri but decreased within the caudate nucleus and putamen. The results of the present study suggest that: 1) in the basal ganglia of Rett syndrome patients, dopamine receptive neurons are intact whereas the number and activity of dopamine terminals are decreased, and 2) in the midfrontal and cingulate cortex, dopaminergic neuronal activity may be increased in order to compensate for fewer terminals that contain less dopamine. Sentence B: Heart fatty acid binding protein (HFABP) is expressed in the brain and is elevated in cerebrospinal fluid (CSF) from patients with several forms of neurodegenerative diseases such as Alzheimer's disease (AD), Parkinson's disease with dementia, Lewy body dementia, vascular dementia (VaD), and Creutzfeldt-Jakob disease. However, whether HFABP in CSF is a stable biomarker or if it can help predict conversion from mild cognitive impairment (MCI) to AD or VaD has not been well studied. To address the role of HFABP in neurodegeneration, we analyzed CSF levels of HFABP in 96 AD patients and 65 controls and also in 170 patients with MCI with an average follow up time of 5.7 years. For the stability analysis, two CSF samples were collected from 52 AD patients with a six month interval in between. HFABP levels in CSF were very stable over the six month period (r = 0.93, p < 0.001). Furthermore, the CSF levels of HFABP were significantly elevated in AD compared with controls after adjustments for age and gender (p < 0.001). They were also elevated in the patients with MCI that subsequently converted to AD or VaD compared with those that remained stable (p < 0.001 and p < 0.05, respectively). However, ROC curve analysis showed that HFABP had lesser predictive value in determining conversion from MCI to AD and VaD than Aβ42, t-tau, and p-tau. In conclusion, HFABP seems to be a stable CSF biomarker that reflects neuronal cell death in several neurodegenerative disorders, including early stages of AD and VaD. ###Answer 1. Changed Reasoning: In Sentence A, the term ""dementia"" is used in the context of Rett syndrome, a neurological disorder characterized by cortical atrophy, stereotyped hand movements, and other symptoms. The sentence does not provide any information about the cognitive or memory impairments associated with Rett syndrome, and the term ""dementia"" is used in a neutral or descriptive manner, without any connotation of severe cognitive decline. In Sentence B, the term ""dementia"" is used in the context of several neurodegenerative diseases, including Alzheimer's disease, Parkinson's disease with dementia, Lewy body dementia, vascular dementia, and Creutzfeldt-Jakob disease. The sentence highlights the elevated levels of HFABP in the CSF of these patients, which suggests that HFABP may be a stable biomarker for neuronal cell death in these diseases. The term ""dementia"" is used in a more specific and clinical manner, with a clear connotation of cognitive decline and memory impairment. Based on these differences in context and meaning, it can be concluded that the term ""dementia"" has undergone semantic drift in the time period between Sentence A and Sentence B. Specifically, the term ""dementia"" has become more specifically and clinically defined in Sentence B, with a clearer connotation of cognitive decline and memory impairment. Therefore, the label ""Changed"" is appropriate for this task." 49,Dementia,"Alzheimer's disease (AD) is associated with an increased frequency of the apolipoprotein E type epsilon 4 allele. To address both the disease and the allele specificity of this association, we have examined the apolipoprotein E allele distribution in 255 elderly persons including those with autopsy-confirmed AD, senile dementia of the Lewy body type (SDLT), vascular dementia, Parkinson's disease (PD) or Huntington's disease and in nondemented controls either with or without coronary complications. The epsilon 4 allele frequency was increased in SDLT (0.365) and AD (0.328) as compared with controls (0.147), PD (0.098), or Huntington's chorea (0.171). Coronary disease and vascular dementia were associated with marginally higher epsilon 4 allele frequencies than in controls. In PD, amyloid beta-protein accumulated to a greater extent in those cases possessing an epsilon 4 allele than in those without. Those PD cases with dementia were not distinguished from either controls or PD cases without dementia, whether tested biochemically or by apolipoprotein E genotype. It is the comparison of the results in AD and SDLT that yielded the most significant findings. There was a 1.8-fold excess of amyloid beta-protein in AD as compared with controls, and the levels in SDLT were intermediate between those in AD and controls. In contrast, AD was discriminated from both controls and SDLT by the substantial accumulation of paired helical filament tau and phosphorylated tau (both increased more than 20-fold as compared with controls). SDLT was nevertheless characterized by an increased epsilon 4 allele frequency in the absence of significant tau pathology (at least 10-fold less than that in AD). These findings indicate that tau processing is more specifically associated with AD than is amyloid beta-protein accumulation and that presence of the epsilon 4 allele is not an etiological factor that accounts for tau pathology.","Small vessel disease (SVD) and Alzheimer's disease (AD) are two common causes of cognitive impairment and dementia, traditionally considered as distinct processes. The relationship between radiological features suggestive of AD and SVD was explored, and the association of each of these features with cognitive status at 1 year was investigated in patients with stroke or transient ischaemic attack.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dementia Sentence A: Alzheimer's disease (AD) is associated with an increased frequency of the apolipoprotein E type epsilon 4 allele. To address both the disease and the allele specificity of this association, we have examined the apolipoprotein E allele distribution in 255 elderly persons including those with autopsy-confirmed AD, senile dementia of the Lewy body type (SDLT), vascular dementia, Parkinson's disease (PD) or Huntington's disease and in nondemented controls either with or without coronary complications. The epsilon 4 allele frequency was increased in SDLT (0.365) and AD (0.328) as compared with controls (0.147), PD (0.098), or Huntington's chorea (0.171). Coronary disease and vascular dementia were associated with marginally higher epsilon 4 allele frequencies than in controls. In PD, amyloid beta-protein accumulated to a greater extent in those cases possessing an epsilon 4 allele than in those without. Those PD cases with dementia were not distinguished from either controls or PD cases without dementia, whether tested biochemically or by apolipoprotein E genotype. It is the comparison of the results in AD and SDLT that yielded the most significant findings. There was a 1.8-fold excess of amyloid beta-protein in AD as compared with controls, and the levels in SDLT were intermediate between those in AD and controls. In contrast, AD was discriminated from both controls and SDLT by the substantial accumulation of paired helical filament tau and phosphorylated tau (both increased more than 20-fold as compared with controls). SDLT was nevertheless characterized by an increased epsilon 4 allele frequency in the absence of significant tau pathology (at least 10-fold less than that in AD). These findings indicate that tau processing is more specifically associated with AD than is amyloid beta-protein accumulation and that presence of the epsilon 4 allele is not an etiological factor that accounts for tau pathology. Sentence B: Small vessel disease (SVD) and Alzheimer's disease (AD) are two common causes of cognitive impairment and dementia, traditionally considered as distinct processes. The relationship between radiological features suggestive of AD and SVD was explored, and the association of each of these features with cognitive status at 1 year was investigated in patients with stroke or transient ischaemic attack. ###Answer 1. Changed In Sentence A, the target word ""dementia"" is used to describe a specific type of cognitive impairment associated with Alzheimer's disease (AD). The sentence highlights the distinct features of AD, including the accumulation of amyloid beta-protein and tau pathology. The meaning of ""dementia"" in this sentence is therefore focused on the neurodegenerative processes associated with AD. In Sentence B, the target word ""dementia"" is used in a different context to describe a broader range of cognitive impairments, including those caused by small vessel disease (SVD). The sentence does not highlight any specific features of AD, but rather suggests that SVD and AD are two common causes of cognitive impairment and dementia. The meaning of ""dementia"" in this sentence is therefore more general and encompasses a wider range of cognitive impairments. Based on these differences in context and meaning, it is clear that the semantic drift has occurred in the target word ""dementia"". The word has shifted from a highly specific term associated with AD to a more general term encompassing a broader range of cognitive impairments." 50,Dementia,"This demonstration evaluates the effects of integrating Alzheimer's Association care consultation service with health care services offered by a large managed care system. The primary hypothesis is that Association care consultation will decrease service utilization, increase satisfaction with managed care, and decrease caregiver depression and care-related strain. Secondary modifying-effects hypotheses posit that the effects of the intervention will be intensified when patients have not received a firm dementia diagnosis, patients have more severe memory problems, caregivers use other Association services in tandem with care consultation, and caregivers are not patients' spouses.","Dementia is a chronic illness without cure or effective treatment, which results in declining mental and physical function and assistance from others to manage activities of daily living. Many people with dementia live in long term care facilities, yet research into their quality of life (QoL) was rare until the last decade. Previous studies failed to incorporate important variables related to the facility and care provision or to look closely at the daily lives of residents. This paper presents a protocol for a comprehensive, multi-perspective assessment of QoL of residents with dementia living in long term care in Australia. A secondary aim is investigating the effectiveness of self-report instruments for measuring QoL.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dementia Sentence A: This demonstration evaluates the effects of integrating Alzheimer's Association care consultation service with health care services offered by a large managed care system. The primary hypothesis is that Association care consultation will decrease service utilization, increase satisfaction with managed care, and decrease caregiver depression and care-related strain. Secondary modifying-effects hypotheses posit that the effects of the intervention will be intensified when patients have not received a firm dementia diagnosis, patients have more severe memory problems, caregivers use other Association services in tandem with care consultation, and caregivers are not patients' spouses. Sentence B: Dementia is a chronic illness without cure or effective treatment, which results in declining mental and physical function and assistance from others to manage activities of daily living. Many people with dementia live in long term care facilities, yet research into their quality of life (QoL) was rare until the last decade. Previous studies failed to incorporate important variables related to the facility and care provision or to look closely at the daily lives of residents. This paper presents a protocol for a comprehensive, multi-perspective assessment of QoL of residents with dementia living in long term care in Australia. A secondary aim is investigating the effectiveness of self-report instruments for measuring QoL. ###Answer 1. Changed Reasoning: In Sentence A, the target word ""dementia"" is used in the context of a clinical trial evaluating the effectiveness of a care consultation service for patients with dementia. The sentence suggests that the primary hypothesis is that the care consultation will decrease service utilization and increase satisfaction with managed care, while also reducing caregiver depression and care-related strain. In this context, the meaning of ""dementia"" is focused on the clinical aspects of the condition, such as its impact on cognitive and physical functioning, and the need for external support to manage daily activities. In Sentence B, the target word ""dementia"" is used in a different context, focusing on the daily lives of residents in long-term care facilities. The sentence highlights the chronic and progressive nature of the illness, and the lack of effective treatment options. The meaning of ""dementia"" in this context is more focused on the personal and social aspects of the condition, such as its impact on mental and physical functioning, and the need for support from others to manage daily activities. Based on these two sentences, it is clear that the meaning of ""dementia"" has shifted significantly between the two timestamps. In Sentence A, the focus is on the clinical aspects of the condition, while in Sentence B, the focus is on the personal and social aspects of the condition. Therefore, I would label this example as having undergone semantic drift." 51,Dementia,"Due to demographic changes the frequency of dementia is increasing dramatically. About 50-60% of patients with dementia are clinically associated with AD, which is a multifactorial and long-term disease both in clinical and preclinical aspects. Various genetic and non-genetic risk factors play a role in influencing age of onset and disease progression.","Alzheimer's disease (AD) is a major problem of health in developed societies together with cardiovascular disorders and cancer. The lack of accurate diagnostic markers for early prediction and an effective therapy are the two most important problems to efficiently halt disease progression. The pharmacological treatment in AD accounts for 10-20% of direct costs, and less than 20% of AD patients are moderate responders to conventional drugs (donepezil, rivastigmine, galantamine, memantine), with doubtful cost-effectiveness. The neuropathological hallmark of AD (amyloid deposition in senile plaques, neurofibrillary tangle formation, and neuronal loss) are buth the phenotypic expression of a pathogenic process in which more than 200 genes and their products are potentially involved. Drug metabolism, and the mechanisms underlying drug efficacy and safety, are also genetically regulated complex traits in which hundreds of genes cooperatively participate. Structural and functional genomics studies demonstrate that genomic factors, probably induced by environmental factors, cerebrovascular dysfunction, and epigenetic phenomena, might be responsible for AD pathogenic events leading to premature neuronal death. The AD population exhibits a higher genetic variation rate than the control population, with absolute and relative genetic variations of 40-60% and 0.85-1.89%, respectively. AD patients also differ in their genomic architecture from patients with other forms of dementia. Functional genomics studies in AD reveal that age of onset, brain atrophy, cerebrovascular hemodynamics, brain bioelectrical activity, cognitive decline, apoptosis, immune function, lipid metabolism dyshomeostasis, and amyloid deposition are associated with AD-related genes. Pioneering pharmacogenomics studies also demonstrate that the therapeutic response in AD is genotype-specific, with APOE-4/4 carriers as the worst responders to conventional treatments. About 10-20% of Caucasians are carriers of defective CYP2D6 polymorphic variants that alter the metabolism and effects of AD drugs and many psychotropic agents currently administered to patients with dementia. There is a moderate accumulation of AD-related genetic variants of risk in CYP2D6 poor metabolizers and ultra-rapid metabolizers, which are the worst responders to conventional drugs. With diverse multifactorial therapies, combining different types of drugs and metabolic factors, it is partially possible to slow-down cognitive deterioration, improving non-cognitive symptoms, such as anxiety and depression, which currently aggravate cognition and increase the difficulties in disease management; however, the association of the APOE-4 allele with specific genetic variants of other genes (e.g., CYP2D6, ACE) negatively modulate the therapeutic response to multifactorial treatments affecting cognition, mood and behaviour. Pharmacogenetic and pharmacogenomic factors may account for 60-90% of drug variability in drug disposition and pharmacodynamics. The incorporation of pharmacogenetic/pharmacogenomic protocols to AD research and clinical practice can foster therapeutics optimization by helping to develop cost-effective pharmaceuticals and improving drug efficacy and safety.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dementia Sentence A: Due to demographic changes the frequency of dementia is increasing dramatically. About 50-60% of patients with dementia are clinically associated with AD, which is a multifactorial and long-term disease both in clinical and preclinical aspects. Various genetic and non-genetic risk factors play a role in influencing age of onset and disease progression. Sentence B: Alzheimer's disease (AD) is a major problem of health in developed societies together with cardiovascular disorders and cancer. The lack of accurate diagnostic markers for early prediction and an effective therapy are the two most important problems to efficiently halt disease progression. The pharmacological treatment in AD accounts for 10-20% of direct costs, and less than 20% of AD patients are moderate responders to conventional drugs (donepezil, rivastigmine, galantamine, memantine), with doubtful cost-effectiveness. The neuropathological hallmark of AD (amyloid deposition in senile plaques, neurofibrillary tangle formation, and neuronal loss) are buth the phenotypic expression of a pathogenic process in which more than 200 genes and their products are potentially involved. Drug metabolism, and the mechanisms underlying drug efficacy and safety, are also genetically regulated complex traits in which hundreds of genes cooperatively participate. Structural and functional genomics studies demonstrate that genomic factors, probably induced by environmental factors, cerebrovascular dysfunction, and epigenetic phenomena, might be responsible for AD pathogenic events leading to premature neuronal death. The AD population exhibits a higher genetic variation rate than the control population, with absolute and relative genetic variations of 40-60% and 0.85-1.89%, respectively. AD patients also differ in their genomic architecture from patients with other forms of dementia. Functional genomics studies in AD reveal that age of onset, brain atrophy, cerebrovascular hemodynamics, brain bioelectrical activity, cognitive decline, apoptosis, immune function, lipid metabolism dyshomeostasis, and amyloid deposition are associated with AD-related genes. Pioneering pharmacogenomics studies also demonstrate that the therapeutic response in AD is genotype-specific, with APOE-4/4 carriers as the worst responders to conventional treatments. About 10-20% of Caucasians are carriers of defective CYP2D6 polymorphic variants that alter the metabolism and effects of AD drugs and many psychotropic agents currently administered to patients with dementia. There is a moderate accumulation of AD-related genetic variants of risk in CYP2D6 poor metabolizers and ultra-rapid metabolizers, which are the worst responders to conventional drugs. With diverse multifactorial therapies, combining different types of drugs and metabolic factors, it is partially possible to slow-down cognitive deterioration, improving non-cognitive symptoms, such as anxiety and depression, which currently aggravate cognition and increase the difficulties in disease management; however, the association of the APOE-4 allele with specific genetic variants of other genes (e.g., CYP2D6, ACE) negatively modulate the therapeutic response to multifactorial treatments affecting cognition, mood and behaviour. Pharmacogenetic and pharmacogenomic factors may account for 60-90% of drug variability in drug disposition and pharmacodynamics. The incorporation of pharmacogenetic/pharmacogenomic protocols to AD research and clinical practice can foster therapeutics optimization by helping to develop cost-effective pharmaceuticals and improving drug efficacy and safety. ###Answer 1. Changed Reasoning: The target word ""dementia"" has undergone a significant change in meaning between Sentence A (2000) and Sentence B (2020). In Sentence A, ""dementia"" is used to describe a specific disease, Alzheimer's disease, and its clinical and preclinical aspects. The sentence highlights the demographic changes that are increasing the frequency of dementia. In contrast, in Sentence B, ""dementia"" is used more broadly to describe any form of dementia, including those caused by various genetic and non-genetic risk factors. The sentence also highlights the lack of accurate diagnostic markers and effective therapies for dementia, which has led to a focus on multifactorial therapies that can slow down cognitive deterioration. The shift in meaning can be attributed to advances in medical research and the evolving understanding of dementia. In the early 2000s, Alzheimer's disease was the primary focus of dementia research, and the term ""dementia"" was largely associated with this specific disease. However, in recent years, there has been a growing recognition of the complexity of dementia and the involvement of multiple risk factors. As a result, the term ""dementia"" has come to encompass a broader range of conditions, including those caused by genetic and non-genetic factors. Therefore, the label ""Changed"" is appropriate for the target word ""dementia"" in Sentence B, as its meaning has shifted to include a broader range of conditions." 52,Dementia,"A 53-year-old male with thalamic degeneration is presented. He had double vision, cerebellar signs, and pyramidal and extrapyramidal tracts signs in addition to hypersomnia, decrease in spontaneity and attention, and impairment of memory as psychic symptoms. These signs and symptoms were progressive, and he subsequently developed akinetic mutism and died of pneumonia 17 months after the onset of the disease. His clinical diagnosis was considered as Gerstmann-Sträussler syndrome due to progressive dementia, cerebellar signs and the other signs mentioned above. The postmortem pathological investigations, however, revealed thalamic degeneration. The pathological observations showed marked loss of nerve cells and glial proliferation in the medial and anterior nuclei of thalamus. The same pathological changes were more or less demonstrated in the pulvinar, the periaqueductal gray matter of midbrain, inferior olivary nucleus, the medial parts of globus pallidus, the substantia nigra and the dentate nucleus. In the early stage of the clinical course, it was difficult to know whether the main symptoms were caused by dementia or by the disturbance of consciousness. Retrospective considerations, however, showed that dementia had appeared at first, and subsequently the disturbance of consciousness had joined. As the result, it seems that they finally caused akinetic mutism. It is known as thalamic dementia that in the cerebrovascular disease the lesions in the medial and anterior parts of bilateral non-specific thalamic nuclei cause dementia.(ABSTRACT TRUNCATED AT 250 WORDS)","Impaired empathy is a diagnostic feature of behavioral variant frontotemporal dementia (bvFTD), but it is not clear whether it is caused by a primary impairment in empathy or by general emotional blunting.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dementia Sentence A: A 53-year-old male with thalamic degeneration is presented. He had double vision, cerebellar signs, and pyramidal and extrapyramidal tracts signs in addition to hypersomnia, decrease in spontaneity and attention, and impairment of memory as psychic symptoms. These signs and symptoms were progressive, and he subsequently developed akinetic mutism and died of pneumonia 17 months after the onset of the disease. His clinical diagnosis was considered as Gerstmann-Sträussler syndrome due to progressive dementia, cerebellar signs and the other signs mentioned above. The postmortem pathological investigations, however, revealed thalamic degeneration. The pathological observations showed marked loss of nerve cells and glial proliferation in the medial and anterior nuclei of thalamus. The same pathological changes were more or less demonstrated in the pulvinar, the periaqueductal gray matter of midbrain, inferior olivary nucleus, the medial parts of globus pallidus, the substantia nigra and the dentate nucleus. In the early stage of the clinical course, it was difficult to know whether the main symptoms were caused by dementia or by the disturbance of consciousness. Retrospective considerations, however, showed that dementia had appeared at first, and subsequently the disturbance of consciousness had joined. As the result, it seems that they finally caused akinetic mutism. It is known as thalamic dementia that in the cerebrovascular disease the lesions in the medial and anterior parts of bilateral non-specific thalamic nuclei cause dementia.(ABSTRACT TRUNCATED AT 250 WORDS) Sentence B: Impaired empathy is a diagnostic feature of behavioral variant frontotemporal dementia (bvFTD), but it is not clear whether it is caused by a primary impairment in empathy or by general emotional blunting. ###Answer 1. Changed Reasoning: In Sentence A, the term ""dementia"" is used to describe a progressive neurodegenerative disorder with cognitive, motor, and behavioral changes, including impairment of memory, akinetic mutism, and death. The pathological investigations revealed thalamic degeneration, which was the underlying cause of the dementia. In contrast, in Sentence B, the term ""dementia"" is used to describe a specific type of dementia, behavioral variant frontotemporal dementia (bvFTD), which is characterized by impaired empathy and general emotional blunting. The meaning of the term ""dementia"" has shifted from a broad description of a neurodegenerative disorder to a more specific and narrowly defined term that refers to a specific subtype of dementia. Therefore, semantic drift has occurred in the usage of the term ""dementia"" between Sentence A and Sentence B." 53,Dementia,"The limbic system refers to the part of the brain that is involved in emotional expression and in cognitive and somatomotor control systems; it most likely also has a significant role in the pathogenesis of certain dementias, neuropsychiatric disturbances, and seizure disorders. This system, as originally defined, has no clear anatomic boundaries. Limbic regions of the telencephalon include a continuous medial zone of cortical regions, including the hippocampal formation; a perihippocampal zone, including the cingulate gyrus, prefrontal region, and perirhinal region; along with subcortical areas, including the septum pellucidum and the amygdala. A distinguishing characteristic of the limbic region is that it is highly interconnected and appears to form the only major route for information transfer between the neocortex and the hypothalamus. With the multiplanar capability and resolution of MR imaging, the individual parts of the limbic system and the diseases that affect them can be studied. In this review, we discuss MR imaging of the diseases that affect this system.","We investigated disease notification and self-determination in treatment decisions of Creutzfeldt-Jakob disease (CJD). For this purpose, we retrospectively analyzed 18 patients with CJD (sporadic:familial = 14:4) who were admitted to our hospital. The durations from symptom onset to the time of diagnosis ranged from 0.3 to 48 months (median, 2 months). The Hasegawa Dementia Scale-revised (HDS-R) range was 0 to 29 (median, 5.0); however, 4 patients (22%), including 2 with familial CJD and 2 with sporadic CJD, maintained cognitive function (HDS-R score ≥ 21). Two patients (11%), who satisfied Lo's criteria for self-determination, were given a disease notification, and both of them archived self-determination in treatment decisions. In conclusion, we demonstrated that patients with CJD could be given a disease notification and archive self-determination in treatment decisions upon early diagnosis using DWI. ","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dementia Sentence A: The limbic system refers to the part of the brain that is involved in emotional expression and in cognitive and somatomotor control systems; it most likely also has a significant role in the pathogenesis of certain dementias, neuropsychiatric disturbances, and seizure disorders. This system, as originally defined, has no clear anatomic boundaries. Limbic regions of the telencephalon include a continuous medial zone of cortical regions, including the hippocampal formation; a perihippocampal zone, including the cingulate gyrus, prefrontal region, and perirhinal region; along with subcortical areas, including the septum pellucidum and the amygdala. A distinguishing characteristic of the limbic region is that it is highly interconnected and appears to form the only major route for information transfer between the neocortex and the hypothalamus. With the multiplanar capability and resolution of MR imaging, the individual parts of the limbic system and the diseases that affect them can be studied. In this review, we discuss MR imaging of the diseases that affect this system. Sentence B: We investigated disease notification and self-determination in treatment decisions of Creutzfeldt-Jakob disease (CJD). For this purpose, we retrospectively analyzed 18 patients with CJD (sporadic:familial = 14:4) who were admitted to our hospital. The durations from symptom onset to the time of diagnosis ranged from 0.3 to 48 months (median, 2 months). The Hasegawa Dementia Scale-revised (HDS-R) range was 0 to 29 (median, 5.0); however, 4 patients (22%), including 2 with familial CJD and 2 with sporadic CJD, maintained cognitive function (HDS-R score ≥ 21). Two patients (11%), who satisfied Lo's criteria for self-determination, were given a disease notification, and both of them archived self-determination in treatment decisions. In conclusion, we demonstrated that patients with CJD could be given a disease notification and archive self-determination in treatment decisions upon early diagnosis using DWI. ###Answer 1. Changed Explanation: The target word ""dementia"" has undergone significant semantic drift between Sentence A (2000) and Sentence B (2020). In Sentence A, the term ""dementia"" is used to describe the limbic system's involvement in various cognitive and neurological disorders, including the pathogenesis of certain dementias, neuropsychiatric disturbances, and seizure disorders. However, in Sentence B, the term ""dementia"" is used specifically to describe Creutzfeldt-Jakob disease (CJD), a rare and degenerative brain disorder that is characterized by progressive loss of cognitive and motor functions. The shift in meaning can be attributed to changes in medical understanding and terminology over time. In the early 2000s, the term ""dementia"" was more commonly used to describe a broad range of cognitive and neurological disorders, while in recent years, there has been a growing recognition of the importance of accurate diagnosis and treatment of specific neurodegenerative diseases, such as CJD. As a result, the meaning of ""dementia"" has become more specialized and specific, with a greater emphasis on identifying and treating specific diseases. Therefore, the label ""Changed"" is appropriate for this example, as the meaning of the target word has shifted significantly between the two sentences." 54,Dementia,"The tau protein levels in cerebrospinal fluid (CSF-tau) were examined in 27 patients with alcohol dependence (20 demented and 7 nondemented), 36 age and dementia severity-matched patients with Alzheimer's disease (AD), and 23 age-matched normal control subjects. The CSF-tau levels in the demented alcoholic group (alcohol-induced organic brain disorders, 25.4 +/- 10.2 pg/ml) was significantly lower (p < 0.0001) than that in the AD group (96.1 +/- 53.3 pg/ml), but not significantly different from that in the nondemented alcoholics (18.1 +/- 10.2 pg/ml) or the controls (19.2 +/- 12.9 pg/ml). Using a 44.9 pg/ml as a cut-off value (mean + 2 SD of the normal control group), only one patient with alcohol-induced organic brain disorders exceeded the value, whereas 3 of 36 of the AD group showed CSF-tau levels less than this level. These findings suggest that alcohol-induced organic brain disorders are a group of dementias that are characterized by normal CSF-tau levels, and that the CSF examination for tau in combination with other clinical findings may help in differentiating alcohol-induced organic brain disorders from AD.","Depression is one of the most frequent and burdensome non-motor symptoms in Parkinson's disease (PD), across all stages. Even when its severity is mild, PD depression has a great impact on quality of life for these patients and their caregivers. Accordingly, accurate diagnosis, supported by validated scales, identification of risk factors, and recognition of motor and non-motor symptoms comorbid to depression are critical to understanding the neurobiology of depression, which in turn determines the effectiveness of dopaminergic drugs, antidepressants and non-pharmacological interventions. Recent advances using in vivo functional and structural imaging demonstrate that PD depression is underpinned by dysfunction of limbic networks and monoaminergic systems, depending on the stage of PD and its associated symptoms, including apathy, anxiety, rapid eye movement sleep behavior disorder (RBD), cognitive impairment and dementia. In particular, the evolution of serotonergic, noradrenergic, and dopaminergic dysfunction and abnormalities of limbic circuits across time, involving the anterior cingulate and orbitofrontal cortices, amygdala, thalamus and ventral striatum, help to delineate the variable expression of depression in patients with prodromal, early and advanced PD. Evidence is accumulating to support the use of dual serotonin and noradrenaline reuptake inhibitors (desipramine, nortriptyline, venlafaxine) in patients with PD and moderate to severe depression, while selective serotonin reuptake inhibitors, repetitive transcranial magnetic stimulation and cognitive behavioral therapy may also be considered. In all patients, recent findings advocate that optimization of dopamine replacement therapy and evaluation of deep brain stimulation of the subthalamic nucleus to improve motor symptoms represents an important first step, in addition to physical activity. Overall, this review indicates that increasing understanding of neurobiological changes help to implement a roadmap of tailored interventions for patients with PD and depression, depending on the stage and comorbid symptoms underlying PD subtypes and their prognosis.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dementia Sentence A: The tau protein levels in cerebrospinal fluid (CSF-tau) were examined in 27 patients with alcohol dependence (20 demented and 7 nondemented), 36 age and dementia severity-matched patients with Alzheimer's disease (AD), and 23 age-matched normal control subjects. The CSF-tau levels in the demented alcoholic group (alcohol-induced organic brain disorders, 25.4 +/- 10.2 pg/ml) was significantly lower (p < 0.0001) than that in the AD group (96.1 +/- 53.3 pg/ml), but not significantly different from that in the nondemented alcoholics (18.1 +/- 10.2 pg/ml) or the controls (19.2 +/- 12.9 pg/ml). Using a 44.9 pg/ml as a cut-off value (mean + 2 SD of the normal control group), only one patient with alcohol-induced organic brain disorders exceeded the value, whereas 3 of 36 of the AD group showed CSF-tau levels less than this level. These findings suggest that alcohol-induced organic brain disorders are a group of dementias that are characterized by normal CSF-tau levels, and that the CSF examination for tau in combination with other clinical findings may help in differentiating alcohol-induced organic brain disorders from AD. Sentence B: Depression is one of the most frequent and burdensome non-motor symptoms in Parkinson's disease (PD), across all stages. Even when its severity is mild, PD depression has a great impact on quality of life for these patients and their caregivers. Accordingly, accurate diagnosis, supported by validated scales, identification of risk factors, and recognition of motor and non-motor symptoms comorbid to depression are critical to understanding the neurobiology of depression, which in turn determines the effectiveness of dopaminergic drugs, antidepressants and non-pharmacological interventions. Recent advances using in vivo functional and structural imaging demonstrate that PD depression is underpinned by dysfunction of limbic networks and monoaminergic systems, depending on the stage of PD and its associated symptoms, including apathy, anxiety, rapid eye movement sleep behavior disorder (RBD), cognitive impairment and dementia. In particular, the evolution of serotonergic, noradrenergic, and dopaminergic dysfunction and abnormalities of limbic circuits across time, involving the anterior cingulate and orbitofrontal cortices, amygdala, thalamus and ventral striatum, help to delineate the variable expression of depression in patients with prodromal, early and advanced PD. Evidence is accumulating to support the use of dual serotonin and noradrenaline reuptake inhibitors (desipramine, nortriptyline, venlafaxine) in patients with PD and moderate to severe depression, while selective serotonin reuptake inhibitors, repetitive transcranial magnetic stimulation and cognitive behavioral therapy may also be considered. In all patients, recent findings advocate that optimization of dopamine replacement therapy and evaluation of deep brain stimulation of the subthalamic nucleus to improve motor symptoms represents an important first step, in addition to physical activity. Overall, this review indicates that increasing understanding of neurobiological changes help to implement a roadmap of tailored interventions for patients with PD and depression, depending on the stage and comorbid symptoms underlying PD subtypes and their prognosis. ###Answer 1. Changed Reasoning: In Sentence A, the term ""dementia"" is used in the context of alcohol-induced organic brain disorders, suggesting that the term had a different connotation or meaning than it does in Sentence B. In Sentence B, ""dementia"" is used to describe the cognitive impairment and memory loss associated with Parkinson's disease, which is a different condition than the alcohol-induced organic brain disorders mentioned in Sentence A. Therefore, the meaning of the term ""dementia"" has changed between the two sentences, indicating semantic drift has occurred." 55,Dementia,"Cerebrotendinous Xanthomatosis (CTX) is a rare familial disease characterized by tendon-xanthomas, cataracts, progressive cerebellar ataxia, dementia and an elevation of serum cholestanol with normal levels of cholesterol. Although the pathogenesis of CTX is not fully understood, increment of cholestanol is suggested one of the major metabolic derangements of the disease. Recently, the LDL-apheresis has been developed as a new therapeutical equipment in the field of hyperlipidemia and been widely used to reduce the levels of LDL-cholesterol by selective LDL adsorption. From the point of view that cholestanol is involved mainly in LDL-cholesterol (1.019 less than d less than 1.063), we used this LDL-apheresis in the aim of reducing the cholestanol in 58 years old woman with typical sign and symptoms of CTX. The levels of serum cholestanol and cholesterol before the treatment with LDL-apheresis, were 10.7 micrograms/ml and 175 mg/dl respectively. Also the ratio of cholestanol/cholesterol indicated 0.63. By the first procedure of apheresis, the level of cholestanol was markedly decreased to 5.2 micrograms/ml (50%). Several LDL-apheresis treatments were carried out once a month. During 5 months treatments, neurological deterioration was arrested, dementia which included disorientation and recent-memory loss, cleaned a little. Although the xanthomas did not decrease in size, this patients was better oriented to person, place, time and was able to speak rationally, 2nd her cerebellar dysfunction revealed improvement. From our new experiments-we believe that the LDL-apheresis offers the strong hope of preventing the progress on cerebrotendinous xanthomatosis.","Alzheimer's disease (AD) determines gradual loss of cognition and memory function, eventually leading to clinical manifest dementia. The pathogenic mechanisms of AD remain elusive and treatment options unsatisfactory, targeting only symptoms like memory loss, behavior changes, sleep disorders and seizures. These therapies are not stopping the disease's progression, at their best they can only delay it. Accumulating evidence suggests that AD is associated with a microglial dysfunction. Microglia are resident immune cells that provide continuous surveillance within the brain. When excessively activated, microglial response can also have detrimental effects via the exacerbation of inflammatory processes and release of neurotoxic substances. Recently, it was recognized that microglia express voltage-gated ion channels, in particularly voltage-gated sodium channels (VGSC). Pharmacological block of VGSC has been attempted symptomatically in AD to control the epileptic features often associated with AD, as well as to relieve detrimental behavioral and psychological symptoms of dementia. The success of VGSC treatment in AD was unexpectedly variable, ranging from very beneficial to plain detrimental. This variability could not be satisfactorily explained solely by the neuronal effects. This article will try to discuss possible implication of microglial VGSC dysfunction in AD according to available data, own personal experience of the authors and propose a new way to investigate its possible implications. ","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dementia Sentence A: Cerebrotendinous Xanthomatosis (CTX) is a rare familial disease characterized by tendon-xanthomas, cataracts, progressive cerebellar ataxia, dementia and an elevation of serum cholestanol with normal levels of cholesterol. Although the pathogenesis of CTX is not fully understood, increment of cholestanol is suggested one of the major metabolic derangements of the disease. Recently, the LDL-apheresis has been developed as a new therapeutical equipment in the field of hyperlipidemia and been widely used to reduce the levels of LDL-cholesterol by selective LDL adsorption. From the point of view that cholestanol is involved mainly in LDL-cholesterol (1.019 less than d less than 1.063), we used this LDL-apheresis in the aim of reducing the cholestanol in 58 years old woman with typical sign and symptoms of CTX. The levels of serum cholestanol and cholesterol before the treatment with LDL-apheresis, were 10.7 micrograms/ml and 175 mg/dl respectively. Also the ratio of cholestanol/cholesterol indicated 0.63. By the first procedure of apheresis, the level of cholestanol was markedly decreased to 5.2 micrograms/ml (50%). Several LDL-apheresis treatments were carried out once a month. During 5 months treatments, neurological deterioration was arrested, dementia which included disorientation and recent-memory loss, cleaned a little. Although the xanthomas did not decrease in size, this patients was better oriented to person, place, time and was able to speak rationally, 2nd her cerebellar dysfunction revealed improvement. From our new experiments-we believe that the LDL-apheresis offers the strong hope of preventing the progress on cerebrotendinous xanthomatosis. Sentence B: Alzheimer's disease (AD) determines gradual loss of cognition and memory function, eventually leading to clinical manifest dementia. The pathogenic mechanisms of AD remain elusive and treatment options unsatisfactory, targeting only symptoms like memory loss, behavior changes, sleep disorders and seizures. These therapies are not stopping the disease's progression, at their best they can only delay it. Accumulating evidence suggests that AD is associated with a microglial dysfunction. Microglia are resident immune cells that provide continuous surveillance within the brain. When excessively activated, microglial response can also have detrimental effects via the exacerbation of inflammatory processes and release of neurotoxic substances. Recently, it was recognized that microglia express voltage-gated ion channels, in particularly voltage-gated sodium channels (VGSC). Pharmacological block of VGSC has been attempted symptomatically in AD to control the epileptic features often associated with AD, as well as to relieve detrimental behavioral and psychological symptoms of dementia. The success of VGSC treatment in AD was unexpectedly variable, ranging from very beneficial to plain detrimental. This variability could not be satisfactorily explained solely by the neuronal effects. This article will try to discuss possible implication of microglial VGSC dysfunction in AD according to available data, own personal experience of the authors and propose a new way to investigate its possible implications. ###Answer 1. Changed Explanation: The target word ""dementia"" has undergone a significant change in meaning between the two sentences. In Sentence A, dementia is described as a symptom of a rare familial disease called cerebrotendinous xanthomatosis (CTX), which includes cognitive and memory impairment. The sentence highlights the progression of CTX, which can be arrested with LDL-apheresis treatments. In contrast, in Sentence B, dementia is described as a symptom of Alzheimer's disease (AD), which is a separate and more common neurodegenerative disorder. The sentence emphasizes the gradual loss of cognition and memory function associated with AD, and notes that treatment options are limited and can only delay the disease's progression. In Sentence A, dementia is used in the context of a specific disease, CTX, and its meaning is related to the progression of the disease. In Sentence B, dementia is used in a more general context, and its meaning is related to the broader concept of Alzheimer's disease. The two sentences convey different information about the nature of dementia, and the word's meaning has shifted to encompass a broader understanding of the term. Therefore, the label ""Changed"" is appropriate." 56,Dementia,"The aim of this study was to examine the changes of activities of daily living and with quality of life of patients in a special nursing home founded in 1997 in Tsuwano Town, Shimane. We studied 19 special nursing home patients (age 69 to 96 years, mean age 83.3 years) for one year. To evaluate activities of daily living, mental decline, and quality of life, the Tokyo Metropolitan Institute of Gerontology Competence Index. Hasegawa's dementia rating scale, self-rating depression scale (Zung), apathy scale (Starkstein et al) and PGC morale scale (Lawton, subjective well-being scale) were used. The total score of the index of activities of daily living, self-rating depression scale, and the apathy score did not significantly change during one year. Although the total score of Hasegawa's dementia rating scale decreased significantly, PGC morale scale significantly improved during one year. These findings demonstrate that daily active rehabilitation had a beneficial effect on PGC morale scale in a special nursing home.","The tendency to reproduce figures close to or superimposed on the model in copying tasks, the so-called Closing-in (CI) phenomenon, has been rarely reported in individuals affected by Parkinson's disease and associated dementia (PD-D). We aimed to comprehend the genesis of CI in PD-D individuals by assessing whether reduction of attention/executive resources can increase the tendency to deviate toward the model.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dementia Sentence A: The aim of this study was to examine the changes of activities of daily living and with quality of life of patients in a special nursing home founded in 1997 in Tsuwano Town, Shimane. We studied 19 special nursing home patients (age 69 to 96 years, mean age 83.3 years) for one year. To evaluate activities of daily living, mental decline, and quality of life, the Tokyo Metropolitan Institute of Gerontology Competence Index. Hasegawa's dementia rating scale, self-rating depression scale (Zung), apathy scale (Starkstein et al) and PGC morale scale (Lawton, subjective well-being scale) were used. The total score of the index of activities of daily living, self-rating depression scale, and the apathy score did not significantly change during one year. Although the total score of Hasegawa's dementia rating scale decreased significantly, PGC morale scale significantly improved during one year. These findings demonstrate that daily active rehabilitation had a beneficial effect on PGC morale scale in a special nursing home. Sentence B: The tendency to reproduce figures close to or superimposed on the model in copying tasks, the so-called Closing-in (CI) phenomenon, has been rarely reported in individuals affected by Parkinson's disease and associated dementia (PD-D). We aimed to comprehend the genesis of CI in PD-D individuals by assessing whether reduction of attention/executive resources can increase the tendency to deviate toward the model. ###Answer 1. Changed Reasoning: In Sentence A, the term ""dementia"" is used to describe a specific condition, specifically Hasegawa's dementia rating scale, which was used to evaluate the cognitive decline of patients in a nursing home. The term is used in the context of a research study to determine the effectiveness of daily active rehabilitation on the morale of patients with dementia. In this context, the term ""dementia"" has a specific meaning related to cognitive decline and impairment. In Sentence B, the term ""dementia"" is used in a different context, to describe a symptom of Parkinson's disease. The term is used to describe a tendency to reproduce figures close to or superimposed on the model in copying tasks, which is known as the Closing-in (CI) phenomenon. In this context, the term ""dementia"" has a different meaning related to a specific neurological symptom. Based on these differences in context and meaning, it can be concluded that the term ""dementia"" has undergone a significant change in meaning between Sentence A and Sentence B. Therefore, the label ""Changed"" is appropriate." 57,Dementia,"In normoglycemic patients with either incipient early-onset or incipient late-onset dementia of the Alzheimer type, the predominant disturbance consisted of a significant reduction in cerebral glucose utilization. Alterations in cerebral blood flow and oxygen consumption first occurred in late-onset dementia types. In advanced late-onset dementia, these parameters had decreased most severely. The calculated ATP production rate from glucose indicated a drastic loss of energy in all patients studied. As not all oxygen consumed by the brain was used for glucose oxidation, oxidation of substrates other than glucose (endogenous amino acids and free fatty acids) is assumed to minimize the energy loss from glucose. The possibility that the abnormalities in oxidative and energy metabolism in dementias of the Alzheimer's type are due to metabolic abnormalities in glycolytic glucose breakdown and pyruvate oxidation, rather than to an uncoupling of oxidative phosphorylation, is discussed.","The presence of white matter hyperintensities (WMH) on MRI imaging confers an increased risk of stroke, dementia, and death. Corneal confocal microscopy (CCM) can detect nerve injury non-invasively and may be a useful surrogate marker for WMH. The objective is to determine whether corneal nerve pathology identified using CCM is associated with the presence of WMH in patients with acute ischemic stroke.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dementia Sentence A: In normoglycemic patients with either incipient early-onset or incipient late-onset dementia of the Alzheimer type, the predominant disturbance consisted of a significant reduction in cerebral glucose utilization. Alterations in cerebral blood flow and oxygen consumption first occurred in late-onset dementia types. In advanced late-onset dementia, these parameters had decreased most severely. The calculated ATP production rate from glucose indicated a drastic loss of energy in all patients studied. As not all oxygen consumed by the brain was used for glucose oxidation, oxidation of substrates other than glucose (endogenous amino acids and free fatty acids) is assumed to minimize the energy loss from glucose. The possibility that the abnormalities in oxidative and energy metabolism in dementias of the Alzheimer's type are due to metabolic abnormalities in glycolytic glucose breakdown and pyruvate oxidation, rather than to an uncoupling of oxidative phosphorylation, is discussed. Sentence B: The presence of white matter hyperintensities (WMH) on MRI imaging confers an increased risk of stroke, dementia, and death. Corneal confocal microscopy (CCM) can detect nerve injury non-invasively and may be a useful surrogate marker for WMH. The objective is to determine whether corneal nerve pathology identified using CCM is associated with the presence of WMH in patients with acute ischemic stroke. ###Answer 1. Changed Reasoning: In Sentence A, the term ""dementia"" is used to describe a specific medical condition characterized by cognitive decline and memory loss. The sentence highlights the reduction in cerebral glucose utilization and energy loss in patients with dementia. The term ""dementia"" is used in a medical context to describe a well-defined clinical entity. In Sentence B, the term ""dementia"" is used in a different context. It is mentioned in the context of stroke and death risk, and is not used to describe a specific medical condition. The sentence does not highlight any specific medical features of dementia, but rather uses the term as a general descriptor of cognitive decline. Therefore, the meaning of the term ""dementia"" has changed between the two sentences. In Sentence A, it is used to describe a specific medical condition, while in Sentence B, it is used as a general term to describe cognitive decline. Therefore, the label ""Changed"" is appropriate." 58,Dementia,"Human immunodeficiency virus type 1 (HIV-1) infects the central nervous system (CNS) and plays a direct role in the pathogenesis of AIDS dementia. However, mechanisms underlying HIV-1 gene expression in the CNS are poorly understood. The importance of CCAAT/enhancer binding proteins (C/EBP) for HIV-1 expression in cells of the immune system has been recently reported. In this study, we have examined the role and the molecular mechanisms by which proteins of the C/EBP family regulate HIV-1 gene transcription in human brain cells. We found that NF-IL6 acts as a potent activator of the long terminal repeat (LTR)-driven transcription in microglial and oligodendroglioma cells. In contrast, C/EBPgamma inhibits NF-IL6-induced activation. Consistent with previous data, our transient expression results show cell-type-specific NF-IL6-mediated transactivation. In glial cells, full activation needs the presence of the C/EBP binding sites; however, NF-IL6 is still able to function via the minimal -40/+80 region. In microglial cells, C/EBP sites are not essential, since NF-IL6 acts through the -68/+80 LTR region, containing two binding sites for the transcription factor Sp1. Moreover, we show that functional interactions between NF-IL6 and Sp1 lead to synergistic transcriptional activation of the LTR in oligodendroglioma and to mutual repression in microglial cells. We further demonstrate that NF-IL6 physically interacts with the nuclear receptor chicken ovalbumin upstream promoter transcription factor (COUP-TF), via its DNA binding domain, in vitro and in cells, which results in mutual transcriptional repression. These findings reveal how the interplay of NF-IL6 and C/EBPgamma, together with Sp1 and COUP-TF, regulates HIV-1 gene transcription in brain cells.",Day-respite care opportunities for people with dementia help prevent informal carer burnout and enable ageing in place. Care workers in these settings are an under-researched workforce who play a pivotal role in providing an engaging and supportive environment for clients with dementia. This study aimed to understand their experiences of providing care for people with dementia.,"###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dementia Sentence A: Human immunodeficiency virus type 1 (HIV-1) infects the central nervous system (CNS) and plays a direct role in the pathogenesis of AIDS dementia. However, mechanisms underlying HIV-1 gene expression in the CNS are poorly understood. The importance of CCAAT/enhancer binding proteins (C/EBP) for HIV-1 expression in cells of the immune system has been recently reported. In this study, we have examined the role and the molecular mechanisms by which proteins of the C/EBP family regulate HIV-1 gene transcription in human brain cells. We found that NF-IL6 acts as a potent activator of the long terminal repeat (LTR)-driven transcription in microglial and oligodendroglioma cells. In contrast, C/EBPgamma inhibits NF-IL6-induced activation. Consistent with previous data, our transient expression results show cell-type-specific NF-IL6-mediated transactivation. In glial cells, full activation needs the presence of the C/EBP binding sites; however, NF-IL6 is still able to function via the minimal -40/+80 region. In microglial cells, C/EBP sites are not essential, since NF-IL6 acts through the -68/+80 LTR region, containing two binding sites for the transcription factor Sp1. Moreover, we show that functional interactions between NF-IL6 and Sp1 lead to synergistic transcriptional activation of the LTR in oligodendroglioma and to mutual repression in microglial cells. We further demonstrate that NF-IL6 physically interacts with the nuclear receptor chicken ovalbumin upstream promoter transcription factor (COUP-TF), via its DNA binding domain, in vitro and in cells, which results in mutual transcriptional repression. These findings reveal how the interplay of NF-IL6 and C/EBPgamma, together with Sp1 and COUP-TF, regulates HIV-1 gene transcription in brain cells. Sentence B: Day-respite care opportunities for people with dementia help prevent informal carer burnout and enable ageing in place. Care workers in these settings are an under-researched workforce who play a pivotal role in providing an engaging and supportive environment for clients with dementia. This study aimed to understand their experiences of providing care for people with dementia. ###Answer 1. Changed Reasoning: In Sentence A, the term ""dementia"" is used in the context of HIV-1 gene expression in the central nervous system. The sentence highlights the direct role of HIV-1 infection in the pathogenesis of AIDS dementia, emphasizing the neurological effects of the virus. The term is used in a medical/scientific context, with no apparent connotations or associations with ageing or informal caregiving. In Sentence B, the term ""dementia"" is used in a completely different context, relating to day-respite care opportunities for people with dementia. The sentence highlights the importance of these care opportunities in preventing carer burnout and enabling ageing in place. The term is used in a social/healthcare context, with connotations of ageing, disability, and informal caregiving. Based on these differences in context and meaning, it is clear that the term ""dementia"" has undergone a significant change in meaning between Sentence A and Sentence B. Therefore, the label ""Changed"" is appropriate." 59,Dementia,"Dementias and other severe cognitive dysfunction states pose a daunting challenge to existing medical management strategies. An integrative, early intervention approach seems warranted. Whereas, allopathic treatment options are highly limited, nutritional and botanical therapies are available which have proven degrees of efficacy and generally favorable benefit-to-risk profiles. This review covers five such therapies: phosphatidylserine (PS), acetyl-l-carnitine (ALC), vinpocetine, Ginkgo biloba extract (GbE), and Bacopa monniera (Bacopa). PS is a phospholipid enriched in the brain, validated through double-blind trials for improving memory, learning, concentration, word recall, and mood in middle-aged and elderly subjects with dementia or age-related cognitive decline. PS has an excellent benefit-to-risk profile. ALC is an energizer and metabolic cofactor which also benefits various cognitive functions in the middle-aged and elderly, but with a slightly less favorable benefit-to-risk profile. Vinpocetine, found in the lesser periwinkle Vinca minor, is an excellent vasodilator and cerebral metabolic enhancer with proven benefits for vascular-based cognitive dysfunction. Two meta-analyses of GbE demonstrate the best preparations offer limited benefits for vascular insufficiencies and even more limited benefits for Alzheimer's, while ""commodity"" GbE products offer little benefit, if any at all. GbE (and probably also vinpocetine) is incompatible with blood-thinning drugs. Bacopa is an Ayurvedic botanical with apparent anti-anxiety, anti-fatigue, and memory-strengthening effects. These five substances offer interesting contributions to a personalized approach for restoring cognitive function, perhaps eventually in conjunction with the judicious application of growth factors.","We present the multi-dimensional Receiver Operating Characteristic (ROC) surface, a plot of the true classification rates of tests based on levels of biological markers, for multi-group discrimination, as an extension of the ROC curve, commonly used in two-group diagnostic testing. The volume under this surface (VUS) is a global accuracy measure of a test to classify subjects in multiple groups and useful to detect trends in marker measurements. We used three-dimensional ROC surfaces, and associated VUS, to discriminate between HIV-negative (NEG), HIV-positive neurologically asymptomatic (NAS) subjects and patients with AIDS demential complex (ADC), using brain metabolites measured by proton MRS. These were ratios of markers of inflammation, Choline (Cho) and myoinositol (MI), and brain injury, N-acetyl aspartate (NAA), divided by Creatine (Cr), measured in the basal ganglia and the frontal white matter. Statistically significant trends were observed in the three groups with respect to MI/Cr (VUS=0.43; 95% confidence interval (CI) 0.33-0.53), Cho/Cr (0.36; 0.27-0.45) in the basal ganglia and NAA/Cr in the frontal white matter (FWM) (0.29; 0.20-0.38), suggesting a continuum of injury during the neurologically asymptomatic stage of HIV infection, particularly with respect to brain inflammation. Adjusting for age increased the combined classification accuracy of age and NAA/Cr (p=0.053). Pairwise comparisons suggested that neuronal damage associated with NAA/Cr decreases was mainly observed in individuals with ADC, raising issues of synergism between HIV infection and age and possible acceleration of neurological deterioration in an aging HIV-positive population. The three-dimensional ROC surface and its associated VUS are useful for assessing marker accuracy, detecting data trends and offering insight in disease processes affecting multiple groups.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dementia Sentence A: Dementias and other severe cognitive dysfunction states pose a daunting challenge to existing medical management strategies. An integrative, early intervention approach seems warranted. Whereas, allopathic treatment options are highly limited, nutritional and botanical therapies are available which have proven degrees of efficacy and generally favorable benefit-to-risk profiles. This review covers five such therapies: phosphatidylserine (PS), acetyl-l-carnitine (ALC), vinpocetine, Ginkgo biloba extract (GbE), and Bacopa monniera (Bacopa). PS is a phospholipid enriched in the brain, validated through double-blind trials for improving memory, learning, concentration, word recall, and mood in middle-aged and elderly subjects with dementia or age-related cognitive decline. PS has an excellent benefit-to-risk profile. ALC is an energizer and metabolic cofactor which also benefits various cognitive functions in the middle-aged and elderly, but with a slightly less favorable benefit-to-risk profile. Vinpocetine, found in the lesser periwinkle Vinca minor, is an excellent vasodilator and cerebral metabolic enhancer with proven benefits for vascular-based cognitive dysfunction. Two meta-analyses of GbE demonstrate the best preparations offer limited benefits for vascular insufficiencies and even more limited benefits for Alzheimer's, while ""commodity"" GbE products offer little benefit, if any at all. GbE (and probably also vinpocetine) is incompatible with blood-thinning drugs. Bacopa is an Ayurvedic botanical with apparent anti-anxiety, anti-fatigue, and memory-strengthening effects. These five substances offer interesting contributions to a personalized approach for restoring cognitive function, perhaps eventually in conjunction with the judicious application of growth factors. Sentence B: We present the multi-dimensional Receiver Operating Characteristic (ROC) surface, a plot of the true classification rates of tests based on levels of biological markers, for multi-group discrimination, as an extension of the ROC curve, commonly used in two-group diagnostic testing. The volume under this surface (VUS) is a global accuracy measure of a test to classify subjects in multiple groups and useful to detect trends in marker measurements. We used three-dimensional ROC surfaces, and associated VUS, to discriminate between HIV-negative (NEG), HIV-positive neurologically asymptomatic (NAS) subjects and patients with AIDS demential complex (ADC), using brain metabolites measured by proton MRS. These were ratios of markers of inflammation, Choline (Cho) and myoinositol (MI), and brain injury, N-acetyl aspartate (NAA), divided by Creatine (Cr), measured in the basal ganglia and the frontal white matter. Statistically significant trends were observed in the three groups with respect to MI/Cr (VUS=0.43; 95% confidence interval (CI) 0.33-0.53), Cho/Cr (0.36; 0.27-0.45) in the basal ganglia and NAA/Cr in the frontal white matter (FWM) (0.29; 0.20-0.38), suggesting a continuum of injury during the neurologically asymptomatic stage of HIV infection, particularly with respect to brain inflammation. Adjusting for age increased the combined classification accuracy of age and NAA/Cr (p=0.053). Pairwise comparisons suggested that neuronal damage associated with NAA/Cr decreases was mainly observed in individuals with ADC, raising issues of synergism between HIV infection and age and possible acceleration of neurological deterioration in an aging HIV-positive population. The three-dimensional ROC surface and its associated VUS are useful for assessing marker accuracy, detecting data trends and offering insight in disease processes affecting multiple groups. ###Answer 1. Changed Reasoning: In Sentence A, the target word ""dementia"" is used to describe a specific medical condition, emphasizing its cognitive and neurological aspects. The sentence highlights the challenges of managing dementia, including the limited effectiveness of existing medical strategies and the potential benefits of nutritional and botanical therapies. The word ""dementia"" carries a negative connotation, implying a significant decline in cognitive function. In Sentence B, the target word ""dementia"" is used in a different context. The sentence discusses the multi-dimensional Receiver Operating Characteristic (ROC) surface, which is a plot of the true classification rates of tests based on levels of biological markers. The sentence does not convey the same negative connotation as Sentence A, and instead emphasizes the analytical and diagnostic aspects of the target word. The context suggests that the term ""dementia"" is being used to describe a broader range of cognitive and neurological conditions, rather than a specific medical condition. Based on these differences in context and meaning, it can be concluded that the target word ""dementia"" has undergone a significant change in meaning between Sentence A and Sentence B. Therefore, the label ""Changed"" is appropriate." 60,Dementia,"Delirium is more common in older adults because of normal physiologic changes, increased incidence of medical illnesses, and increased medication use in this population. Older dementing patients are particularly predisposed to delirium because of associated neurologic abnormalities. Delirium often is superimposed on a dementing condition and may be difficult to differentiate from atypical dementia or a catastrophic reaction. Accurate diagnosis is essential, as is a thorough search for an underlying cause. The delirium will usually resolve if the underlying cause is properly treated. Treatment also requires maintaining a comfortable environment for the patient and, when necessary, administering a high-potency neuroleptic.","There is an urgent need for biomarkers to enable early diagnosis of Alzheimer's disease (AD). It has recently been shown that a variant within the clusterin gene is associated with increased risk of AD and plasma levels of clusterin have been found to be associated with the risk of AD. We, therefore, investigated the diagnostic value of clusterin by quantifying clusterin using an ELISA in plasma from 171 controls, 127 patients with AD, 82 patients with other dementias and 30 patients with depression. We observed similar plasma clusterin levels in controls, AD patients and patients with other dementias, suggesting that plasma clusterin levels have no diagnostic value for AD. There was a slight, but significant, increase in plasma clusterin in patients with depression compared to all other groups tested, which may warrant further investigation.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dementia Sentence A: Delirium is more common in older adults because of normal physiologic changes, increased incidence of medical illnesses, and increased medication use in this population. Older dementing patients are particularly predisposed to delirium because of associated neurologic abnormalities. Delirium often is superimposed on a dementing condition and may be difficult to differentiate from atypical dementia or a catastrophic reaction. Accurate diagnosis is essential, as is a thorough search for an underlying cause. The delirium will usually resolve if the underlying cause is properly treated. Treatment also requires maintaining a comfortable environment for the patient and, when necessary, administering a high-potency neuroleptic. Sentence B: There is an urgent need for biomarkers to enable early diagnosis of Alzheimer's disease (AD). It has recently been shown that a variant within the clusterin gene is associated with increased risk of AD and plasma levels of clusterin have been found to be associated with the risk of AD. We, therefore, investigated the diagnostic value of clusterin by quantifying clusterin using an ELISA in plasma from 171 controls, 127 patients with AD, 82 patients with other dementias and 30 patients with depression. We observed similar plasma clusterin levels in controls, AD patients and patients with other dementias, suggesting that plasma clusterin levels have no diagnostic value for AD. There was a slight, but significant, increase in plasma clusterin in patients with depression compared to all other groups tested, which may warrant further investigation. ###Answer 1. Changed Explanation: In Sentence A, the term ""dementia"" is used to describe a condition characterized by neurologic abnormalities, including delirium. The sentence suggests that dementia is a specific medical condition with distinct symptoms and causes. In contrast, in Sentence B, the term ""dementia"" is used more broadly to refer to any condition causing cognitive decline, without any specific reference to neurologic abnormalities. The sentence highlights the potential for biomarkers to diagnose Alzheimer's disease, while also acknowledging that other dementias may exist. The usage of ""dementia"" in Sentence B is different from its usage in Sentence A, indicating semantic drift. The term has shifted from a specific medical condition to a more general term encompassing various cognitive decline conditions. Therefore, the label ""Changed"" is appropriate." 61,Dementia,A consultation-liaison psychiatry program in a teaching nursing home helped implement six guiding principles including: make the patient human to the staff; assume no behavior is random; look for depression of psychosis as a source of problems; reduce medications and medication doses; create a more homelike environment; and use conditions in which learning still occurs in dementia.,"Disturbed sleep places older adults at higher risk for frailty, morbidity, and even mortality. Yet, nursing home routines frequently disturb residents' sleep through use of noise, light, or efforts to reduce incontinence. Nursing home residents with Alzheimer's disease and or related dementias-almost two-thirds of long-stay nursing home residents-are likely to be particularly affected by sleep disturbance. Addressing these issues, this study protocol implements an evidence-based intervention to improve sleep: a nursing home frontline staff huddling program known as LOCK. The LOCK program is derived from evidence supporting strengths-based learning, systematic observation, relationship-based teamwork, and efficiency.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dementia Sentence A: A consultation-liaison psychiatry program in a teaching nursing home helped implement six guiding principles including: make the patient human to the staff; assume no behavior is random; look for depression of psychosis as a source of problems; reduce medications and medication doses; create a more homelike environment; and use conditions in which learning still occurs in dementia. Sentence B: Disturbed sleep places older adults at higher risk for frailty, morbidity, and even mortality. Yet, nursing home routines frequently disturb residents' sleep through use of noise, light, or efforts to reduce incontinence. Nursing home residents with Alzheimer's disease and or related dementias-almost two-thirds of long-stay nursing home residents-are likely to be particularly affected by sleep disturbance. Addressing these issues, this study protocol implements an evidence-based intervention to improve sleep: a nursing home frontline staff huddling program known as LOCK. The LOCK program is derived from evidence supporting strengths-based learning, systematic observation, relationship-based teamwork, and efficiency. ###Answer changed The meaning of the target word ""dementia"" has shifted significantly between the two sentences. In Sentence A, the word is used to describe a condition in which learning is still occurring, and the focus is on creating a more homelike environment to support residents. In contrast, in Sentence B, the word is used to describe a specific group of nursing home residents who are at higher risk for sleep disturbance due to the noise and light in their environment. The shift in meaning suggests that the term ""dementia"" has undergone semantic drift." 62,Dementia,"Alzheimer disease (AD) is a progressive disorder characterized by cognitive and behavioral dysfunction, central to which are deficits in the cholinergic and other neurotransmitter systems. These results in the essential symptoms of dementia, including impairment of memory, judgment, and abstract thinking. The pharmacologic relationships among the various neurotransmitters (e.g., cholinergic, serotonergic, nicotinic, and dopaminergic) are highly complex and are still being investigated. Information on the pharmacologic basis of cognitive and behavioral dysfunction in AD has applications to drug therapy. One method of obtaining this information is by pharmacomodeling, using individual or combined drugs. Joint cholinergic antagonism with both muscarinic and nicotinic blockade combines to produce short-term memory impairment, which approximates to mild AD in normal elderly people. This effect is better than that achieved with either agent alone. Mixed cholinergic and serotonergic antagonism has an effect on the cognitive function of AD patients and on depression-related behavior. Dopaminergic dysfunction is linked with the development of hallucinatory and psychotic symptoms and may also be involved in dysfunction of verbal fluency. Combination pharmacomodeling allows the various behavioral and cognitive deficits in AD to be studied and allows models for drug trials to be developed.","The aim of this study was to evaluate the relationship between homocysteine (Hcy), folate and vitamin B12 levels in vascular dementia (VaD) and Alzheimer Disease (AD) to elucidate if they had similar pathogenesis due to cerebrovascular injury.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dementia Sentence A: Alzheimer disease (AD) is a progressive disorder characterized by cognitive and behavioral dysfunction, central to which are deficits in the cholinergic and other neurotransmitter systems. These results in the essential symptoms of dementia, including impairment of memory, judgment, and abstract thinking. The pharmacologic relationships among the various neurotransmitters (e.g., cholinergic, serotonergic, nicotinic, and dopaminergic) are highly complex and are still being investigated. Information on the pharmacologic basis of cognitive and behavioral dysfunction in AD has applications to drug therapy. One method of obtaining this information is by pharmacomodeling, using individual or combined drugs. Joint cholinergic antagonism with both muscarinic and nicotinic blockade combines to produce short-term memory impairment, which approximates to mild AD in normal elderly people. This effect is better than that achieved with either agent alone. Mixed cholinergic and serotonergic antagonism has an effect on the cognitive function of AD patients and on depression-related behavior. Dopaminergic dysfunction is linked with the development of hallucinatory and psychotic symptoms and may also be involved in dysfunction of verbal fluency. Combination pharmacomodeling allows the various behavioral and cognitive deficits in AD to be studied and allows models for drug trials to be developed. Sentence B: The aim of this study was to evaluate the relationship between homocysteine (Hcy), folate and vitamin B12 levels in vascular dementia (VaD) and Alzheimer Disease (AD) to elucidate if they had similar pathogenesis due to cerebrovascular injury. ###Answer 1. Changed Reasoning: In Sentence A, the term ""dementia"" is used to describe a specific set of cognitive and behavioral symptoms, including impairment of memory, judgment, and abstract thinking. The sentence also highlights the pharmacological relationships among various neurotransmitters and their role in drug therapy. In contrast, in Sentence B, the term ""dementia"" is used more broadly to refer to any type of cognitive decline, without any specific reference to the underlying neurotransmitter systems. This shift in meaning suggests that the term ""dementia"" has undergone semantic drift over time, and its meaning has become more general and less specific. Therefore, the label ""Changed"" is appropriate." 63,Dementia,"To evaluate the association of incident dementia with mortality in a cohort of patients with idiopathic PD who were nondemented at baseline evaluation, controlling for extrapyramidal sign (EPS) severity at each study visit.","Cognitive decline is one of the hallmarks of aging and can vary from mild cognitive impairment to dementia to Alzheimer's disease. In addition to some lifestyle interventions, there is room for the use of nutraceuticals/functional foods as pharma-nutritional tools to lessen the burden of cognitive decline before it worsens. We previously reported the promising molecular actions of milk fat globule membranes and krill oil concentrates in a rat model of aging. In this study, we concentrated on the activities on cognition, using an array of validated tests. We also performed lipidomic analyses of plasma, erythrocytes, and different brain areas. We report lower emotional memory (contextual fear conditioning) in aged rats supplemented with concentrates of polar lipids from buttermilk or krill oil at doses that approximate human consumption. No other behavioral parameter was significantly influenced by the supplements, calling for further research to confirm or not the purported salubrious activities of polar lipids, namely those rich in ω3 long-chain polyunsaturated fatty acids, on cognitive decline.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dementia Sentence A: To evaluate the association of incident dementia with mortality in a cohort of patients with idiopathic PD who were nondemented at baseline evaluation, controlling for extrapyramidal sign (EPS) severity at each study visit. Sentence B: Cognitive decline is one of the hallmarks of aging and can vary from mild cognitive impairment to dementia to Alzheimer's disease. In addition to some lifestyle interventions, there is room for the use of nutraceuticals/functional foods as pharma-nutritional tools to lessen the burden of cognitive decline before it worsens. We previously reported the promising molecular actions of milk fat globule membranes and krill oil concentrates in a rat model of aging. In this study, we concentrated on the activities on cognition, using an array of validated tests. We also performed lipidomic analyses of plasma, erythrocytes, and different brain areas. We report lower emotional memory (contextual fear conditioning) in aged rats supplemented with concentrates of polar lipids from buttermilk or krill oil at doses that approximate human consumption. No other behavioral parameter was significantly influenced by the supplements, calling for further research to confirm or not the purported salubrious activities of polar lipids, namely those rich in ω3 long-chain polyunsaturated fatty acids, on cognitive decline. ###Answer 1. Changed Explanation: In Sentence A, the term ""dementia"" is used in the context of a cohort study to evaluate the association of incident dementia with mortality. The term is used to describe patients who were nondemented at baseline evaluation. In this context, the term likely refers to a specific type of cognitive impairment or dementia that is associated with Parkinson's disease. In Sentence B, the term ""dementia"" is used in a different context to describe cognitive decline that occurs with aging. The term is used to describe a range of cognitive impairments, including mild cognitive impairment and Alzheimer's disease. In this context, the term likely refers to a broader range of cognitive impairments that are associated with aging. Based on these contexts, it is clear that the meaning of the term ""dementia"" has shifted significantly between Sentence A and Sentence B. In Sentence A, the term is used to describe a specific type of cognitive impairment associated with Parkinson's disease, while in Sentence B, the term is used to describe a broader range of cognitive impairments associated with aging. Therefore, the label ""Changed"" is appropriate for this task." 64,Dementia,Controversy exists as to whether dementia patients should be told their diagnosis and prognosis.,"Older persons with mental disorders, excluding dementia disorders, constitute a vulnerable group of people. With the future international increase in the older population, mental disorders will increase as well, thus entailing new challenges for their caregivers. These older persons often remain in their own homes, and in Sweden they are cared for by nursing aides. With little previous research, an increased workload and facing new strenuous situations, it is important to make use of the knowledge the nursing aides possess and to deepen the understanding of their experiences. The study aimed at illuminating the meaning of caring for older persons with mental disorders as experienced by nursing aides in the municipal home help service. Interviews with nine female nursing aides were performed and analysed with a phenomenological hermeneutical research method inspired by the philosophy of Paul Ricoeur. Being altruistically egoistic emerged as a main theme in the nursing aides' narratives. The nursing aides' experiences could be interpreted as a movement between being altruistic and egoistic. The findings revealed a continuous distancing by the nursing aides and their struggle to redress the balance between their altruistic and egoistic actions. Caring for these older persons constitutes a complex situation where distancing functions as a recourse to prioritize oneself and to diminish the value of caring. The study suggests that an increased knowledge base on older persons with mental disorders, followed by continuous supervision, is necessary for the nursing aides to improve the quality of the care given.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dementia Sentence A: Controversy exists as to whether dementia patients should be told their diagnosis and prognosis. Sentence B: Older persons with mental disorders, excluding dementia disorders, constitute a vulnerable group of people. With the future international increase in the older population, mental disorders will increase as well, thus entailing new challenges for their caregivers. These older persons often remain in their own homes, and in Sweden they are cared for by nursing aides. With little previous research, an increased workload and facing new strenuous situations, it is important to make use of the knowledge the nursing aides possess and to deepen the understanding of their experiences. The study aimed at illuminating the meaning of caring for older persons with mental disorders as experienced by nursing aides in the municipal home help service. Interviews with nine female nursing aides were performed and analysed with a phenomenological hermeneutical research method inspired by the philosophy of Paul Ricoeur. Being altruistically egoistic emerged as a main theme in the nursing aides' narratives. The nursing aides' experiences could be interpreted as a movement between being altruistic and egoistic. The findings revealed a continuous distancing by the nursing aides and their struggle to redress the balance between their altruistic and egoistic actions. Caring for these older persons constitutes a complex situation where distancing functions as a recourse to prioritize oneself and to diminish the value of caring. The study suggests that an increased knowledge base on older persons with mental disorders, followed by continuous supervision, is necessary for the nursing aides to improve the quality of the care given. ###Answer 1. Changed Reasoning: In Sentence B, the term ""dementia disorders"" is used, indicating a shift towards a more specific and clinical understanding of the term. Additionally, the context in which the term is used has changed, as it is now associated with a vulnerable group of people rather than a controversial diagnosis. This suggests that the meaning of the term ""dementia"" has shifted from a more general to a more specific and clinical understanding, indicating semantic drift." 65,Dementia,"The concept of heterogeneity of Alzheimer's disease is based on molecular, neuropathological, clinical and neuropsychological features, and also supported by the observation that Alzheimer's patients differ in their response to pharmacological interventions. Recent investigations evaluating the therapeutic potential of cholinesterase inhibitors have disclosed the existence of at least two subsets of patients with dementia, defined as 'responders' and 'nonresponders' to this therapy. In this article, Paolo Liberini and colleagues suggest that the cluster of responders to the cholinesterase inhibitors might include a significant number of subjects with a rather selective dysfunction of the cholinergic system, as in the case of Lewy-body dementia. A neuropathological demonstration of this correlation should open up new therapeutic perspectives."," Atrial fibrillation (AF) adversely impacts mortality, stroke, heart failure, and dementia. AF ablation eliminates AF in most patients. We evaluated the long-term impact of AF ablation on mortality, heart failure (HF), stroke, and dementia in a large system-wide patient population.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dementia Sentence A: The concept of heterogeneity of Alzheimer's disease is based on molecular, neuropathological, clinical and neuropsychological features, and also supported by the observation that Alzheimer's patients differ in their response to pharmacological interventions. Recent investigations evaluating the therapeutic potential of cholinesterase inhibitors have disclosed the existence of at least two subsets of patients with dementia, defined as 'responders' and 'nonresponders' to this therapy. In this article, Paolo Liberini and colleagues suggest that the cluster of responders to the cholinesterase inhibitors might include a significant number of subjects with a rather selective dysfunction of the cholinergic system, as in the case of Lewy-body dementia. A neuropathological demonstration of this correlation should open up new therapeutic perspectives. Sentence B:  Atrial fibrillation (AF) adversely impacts mortality, stroke, heart failure, and dementia. AF ablation eliminates AF in most patients. We evaluated the long-term impact of AF ablation on mortality, heart failure (HF), stroke, and dementia in a large system-wide patient population. ###Answer 1. Changed Reasoning: In Sentence A, the term ""dementia"" is used to describe a specific subset of patients with Alzheimer's disease who respond differently to pharmacological interventions. This usage suggests a more nuanced understanding of the term ""dementia"" than in Sentence B, where it is used more broadly to refer to any type of cognitive decline. The Sentence A usage of ""dementia"" implies a more specific diagnosis, while the Sentence B usage suggests a more general and inclusive definition. Therefore, the meaning of the term ""dementia"" has shifted significantly between the two sentences, indicating semantic drift." 66,Dementia,"Performance profiles of patients with different dementia syndromes (Alzheimer's disease and Parkinson's disease) were compared with each other and with those of neurologically impaired and healthy individuals without dementia on a new instrument for screening dementia, the Cross-Cultural Cognitive Examination (CCCE). The CCCE measures discriminated reliably between nondemented and demented patients, regardless of etiology. Comparisons between dementia groups found that dementia patients with Parkinson's disease (PD) showed more severe psychomotor slowing and depression, compared with patients with Alzheimer's disease, who showed more impaired recall of recently learned verbal information and verbal abstract reasoning. The CCCE also distinguished between the motor and affective symptoms that are common to all PD patients and the dementia symptoms that occur in some PD patients. These results provide further support for the clinical utility of the CCCE for discriminating dementia from normal cognitive functioning and for initial identification of different dementia syndromes.",The aim of this literature review was to assess the effects of Animal-Assisted Interventions (AAI) on elderly patients with dementia or various psychiatric disorders.,"###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dementia Sentence A: Performance profiles of patients with different dementia syndromes (Alzheimer's disease and Parkinson's disease) were compared with each other and with those of neurologically impaired and healthy individuals without dementia on a new instrument for screening dementia, the Cross-Cultural Cognitive Examination (CCCE). The CCCE measures discriminated reliably between nondemented and demented patients, regardless of etiology. Comparisons between dementia groups found that dementia patients with Parkinson's disease (PD) showed more severe psychomotor slowing and depression, compared with patients with Alzheimer's disease, who showed more impaired recall of recently learned verbal information and verbal abstract reasoning. The CCCE also distinguished between the motor and affective symptoms that are common to all PD patients and the dementia symptoms that occur in some PD patients. These results provide further support for the clinical utility of the CCCE for discriminating dementia from normal cognitive functioning and for initial identification of different dementia syndromes. Sentence B: The aim of this literature review was to assess the effects of Animal-Assisted Interventions (AAI) on elderly patients with dementia or various psychiatric disorders. ###Answer 1. Changed Reasoning: In Sentence A, the term ""dementia"" is used to describe a specific medical condition, with a clear definition and specific diagnostic criteria. The sentence highlights the differences in cognitive and motor symptoms between patients with Alzheimer's disease and Parkinson's disease, and the ability of the Cross-Cultural Cognitive Examination (CCCE) to distinguish between these different syndromes. The term ""dementia"" is used in a neutral, clinical context. In Sentence B, the term ""dementia"" is used in a different context, to describe a broader range of cognitive and psychiatric symptoms in elderly patients. The sentence does not provide a specific definition or diagnostic criteria for the term, and the context suggests a more general and less specific meaning of the term. For example, the sentence mentions ""elderly patients with dementia or various psychiatric disorders,"" which suggests that the term ""dementia"" is being used to describe a range of symptoms that may not be specific to a particular medical condition. Based on these differences in context and meaning, it can be argued that the term ""dementia"" has undergone a significant change in meaning between Sentence A and Sentence B. In Sentence A, the term is used in a clinical and specific context, while in Sentence B, it is used in a more general and non-specific context. Therefore, the label ""Changed"" is appropriate." 67,Dementia,"A 30-year-old female received a head injury at the age of 22 years. Subsequently neurological and psychiatric symptoms, such as personality change, urinary incontinence, dementia and gait disturbance developed. On admission, her cognitive function was severely impaired. Brain CT disclosed cerebral atrophy, dilatation of the lateral ventricle and calcification of the basal ganglia. Pathologically membranous structures were recognized in bone marrow. On the basis of these clinical findings, a diagnosis of Nasu-Hakola's disease was made. In this case, a T2-weighted MRI finding of reduced signal intensity in the thalamus and putamen was characteristic. This finding may be related to intracranial calcification.","Recent reviews of evidence-based treatment for depression did not identify behavioral activation as an evidence-based practice. Therefore, this article conducted a systematic review of behavioral activation treatment of depression, which identified three meta-analyses, one recent randomized controlled trial and one recent follow-up of an earlier randomized control trial. Behavioral activation was consistently superior to wait list and treatment as usual control groups. Effect sizes were not different from cognitive behavior therapy or cognitive therapy, both post-treatment and at follow-up. Indeed, behavioral activation may be more effective than cognitive therapy and cognitive behavior therapy in terms of lower dropout. Behavioral activation, like cognitive behavior therapy, may be superior to paroxitine because it results in less relapse and recurrence, may be substantially cheaper, and does not have risks of pharmacotherapy. There is some evidence that behavioral activation may also be useful with some people for whom cognitive and cognitive-behavior therapy is less effective, such as those with severe, lifelong depression, people with substance abuse and people with dementia and severe depression. There is now sufficient evidence to conclude that behavioral activation is an evidence-based therapy.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dementia Sentence A: A 30-year-old female received a head injury at the age of 22 years. Subsequently neurological and psychiatric symptoms, such as personality change, urinary incontinence, dementia and gait disturbance developed. On admission, her cognitive function was severely impaired. Brain CT disclosed cerebral atrophy, dilatation of the lateral ventricle and calcification of the basal ganglia. Pathologically membranous structures were recognized in bone marrow. On the basis of these clinical findings, a diagnosis of Nasu-Hakola's disease was made. In this case, a T2-weighted MRI finding of reduced signal intensity in the thalamus and putamen was characteristic. This finding may be related to intracranial calcification. Sentence B: Recent reviews of evidence-based treatment for depression did not identify behavioral activation as an evidence-based practice. Therefore, this article conducted a systematic review of behavioral activation treatment of depression, which identified three meta-analyses, one recent randomized controlled trial and one recent follow-up of an earlier randomized control trial. Behavioral activation was consistently superior to wait list and treatment as usual control groups. Effect sizes were not different from cognitive behavior therapy or cognitive therapy, both post-treatment and at follow-up. Indeed, behavioral activation may be more effective than cognitive therapy and cognitive behavior therapy in terms of lower dropout. Behavioral activation, like cognitive behavior therapy, may be superior to paroxitine because it results in less relapse and recurrence, may be substantially cheaper, and does not have risks of pharmacotherapy. There is some evidence that behavioral activation may also be useful with some people for whom cognitive and cognitive-behavior therapy is less effective, such as those with severe, lifelong depression, people with substance abuse and people with dementia and severe depression. There is now sufficient evidence to conclude that behavioral activation is an evidence-based therapy. ###Answer 1. Changed Reasoning: In Sentence A, the term ""dementia"" is used to describe a cognitive decline that is related to a head injury. The context suggests that the term is used to indicate a loss of cognitive function, possibly related to brain damage. In contrast, in Sentence B, the term ""dementia"" is used to describe a treatment for depression. The context suggests that the term is used to indicate a specific type of therapy that is effective in reducing symptoms of depression. In Sentence A, the meaning of ""dementia"" has shifted to imply a severe cognitive decline related to brain damage, whereas in Sentence B, the term is used to describe a specific type of therapy for depression. Therefore, semantic drift has occurred in the meaning of ""dementia"" between the two sentences." 68,Dementia,"Tau is a multifunctional protein that was originally identified as a microtubule-associated protein. In patients diagnosed with frontotemporal dementia and parkinsonism linked to chromosome 17, mutations in the gene encoding tau (MAPT) have been identified that disrupt the normal binding of tau to tubulin resulting in pathological deposits of hyperphosphorylated tau. Abnormal filamentous tau deposits have been reported as a pathological characteristic in several other neurodegenerative diseases, including frontotemporal dementia, Pick Disease, Alzheimer disease, argyrophilic grain disease, progressive supranuclear palsy, and corticobasal degeneration. In the last five years, extensive research has identified 34 different pathogenic MAPT mutations in 101 families worldwide. In vitro, cell-free and transfected cell studies have provided valuable information on tau dysfunction and transgenic mice carrying human MAPT mutations are being generated to study the influence of MAPT mutations in vivo. This mutation update describes the considerable differences in clinical and pathological presentation of patients with MAPT mutations and summarizes the effect of the different mutations on tau functioning. In addition, the role of tau as a genetic susceptibility factor is discussed, together with the genetic evidence for additional causal genes for tau-positive as well as tau-negative dementia.","Researchers typically study physiological responses either after stimulus onset or when the emotional valence of an upcoming stimulus is revealed. Yet, participants may also respond when they are told that an emotional stimulus is about to be presented even without knowing its valence. Increased physiological responding during this time may reflect a 'preparation for action'. The generation of such physiological responses may be supported by frontotemporal regions of the brain that are vulnerable to damage in frontotemporal lobar degeneration. We examined preparatory physiological responses and their structural and functional neural correlate in five frontotemporal lobar degeneration clinical subtypes (behavioural variant frontotemporal dementia, ","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dementia Sentence A: Tau is a multifunctional protein that was originally identified as a microtubule-associated protein. In patients diagnosed with frontotemporal dementia and parkinsonism linked to chromosome 17, mutations in the gene encoding tau (MAPT) have been identified that disrupt the normal binding of tau to tubulin resulting in pathological deposits of hyperphosphorylated tau. Abnormal filamentous tau deposits have been reported as a pathological characteristic in several other neurodegenerative diseases, including frontotemporal dementia, Pick Disease, Alzheimer disease, argyrophilic grain disease, progressive supranuclear palsy, and corticobasal degeneration. In the last five years, extensive research has identified 34 different pathogenic MAPT mutations in 101 families worldwide. In vitro, cell-free and transfected cell studies have provided valuable information on tau dysfunction and transgenic mice carrying human MAPT mutations are being generated to study the influence of MAPT mutations in vivo. This mutation update describes the considerable differences in clinical and pathological presentation of patients with MAPT mutations and summarizes the effect of the different mutations on tau functioning. In addition, the role of tau as a genetic susceptibility factor is discussed, together with the genetic evidence for additional causal genes for tau-positive as well as tau-negative dementia. Sentence B: Researchers typically study physiological responses either after stimulus onset or when the emotional valence of an upcoming stimulus is revealed. Yet, participants may also respond when they are told that an emotional stimulus is about to be presented even without knowing its valence. Increased physiological responding during this time may reflect a 'preparation for action'. The generation of such physiological responses may be supported by frontotemporal regions of the brain that are vulnerable to damage in frontotemporal lobar degeneration. We examined preparatory physiological responses and their structural and functional neural correlate in five frontotemporal lobar degeneration clinical subtypes (behavioural variant frontotemporal dementia, ###Answer 1. Changed Reasoning: In Sentence A, the term ""dementia"" is used to describe a specific neurodegenerative disorder (frontotemporal dementia), while in Sentence B, it is used more broadly to refer to any type of cognitive decline or impairment (e.g., ""the generation of such physiological responses may be supported by frontotemporal regions of the brain that are vulnerable to damage in frontotemporal lobar degeneration""). The meaning of the term ""dementia"" has shifted from a specific disease to a more general term for cognitive impairment." 69,Dementia,"Many health and care professionals are discriminating against people with Down's syndrome because they overlook signs of dementia and dismiss symptoms as 'just part of the learning disability', says a campaign group.","Differential diagnosis between dementia with Lewy bodies (DLB) and other neurodegenerative diseases with cognitive impairment represents a clinical challenge. Due to the overlapping of symptoms, the clinical diagnosis can be modified during the prolonged follow-up of these diseases. The purpose of this study was to assess the ability of cardiac metaiodobenzylguanidine (MIBG) imaging for early identification of DLB.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dementia Sentence A: Many health and care professionals are discriminating against people with Down's syndrome because they overlook signs of dementia and dismiss symptoms as 'just part of the learning disability', says a campaign group. Sentence B: Differential diagnosis between dementia with Lewy bodies (DLB) and other neurodegenerative diseases with cognitive impairment represents a clinical challenge. Due to the overlapping of symptoms, the clinical diagnosis can be modified during the prolonged follow-up of these diseases. The purpose of this study was to assess the ability of cardiac metaiodobenzylguanidine (MIBG) imaging for early identification of DLB. ###Answer changed The meaning of the target word ""dementia"" has shifted significantly between Sentence A and Sentence B. In Sentence A, the word is used to describe discrimination against people with Down's syndrome, implying a negative connotation. In Sentence B, the word is used in the context of a medical diagnosis, with no apparent negative connotation. The shift in meaning suggests that the term ""dementia"" has undergone semantic drift." 70,Dementia,"General practice patients aged 75 years and over were screened for cognitive impairment using the Mini-Mental State Examination. Those scoring 23 or below and a sample of those scoring 24 or 25 were assessed using the Cambridge Mental Disorders of the Elderly Examination (CAMDEX), a structured interview schedule specifically designed to detect mild dementia. The CAMDEX includes a mental state examination, a psychiatric history, detailed cognitive testing and an information interview. The prevalence of dementia in 2311 patients was found to be 10.5%, about half that found in most earlier studies. Possible reasons for this low rate are discussed.","Neurodegenerative diseases are one of the most important contributors to morbidity and mortality in the elderly. In Europe, over 14 million people are currently living with dementia, at a cost of over 400 billion EUR annually. Recent advances in diagnostics and approval for new pharmaceutical treatments for Alzheimer's disease (AD), the most common etiology of dementia, heralds the beginning of precision medicine in this field. However, their implementation will challenge an already over-burdened healthcare systems. There is a need for innovative digital solutions that can drive the related clinical pathways and optimize and personalize care delivery. Public-private partnerships are ideal vehicles to tackle these challenges. Here we describe the Innovative Health Initiative (IHI) public-private partnership project PROMINENT that has been initiated by connecting leading dementia researchers, medical professionals, dementia patients and their care partners with the latest innovative health technologies using a precision medicine based digital platform. The project builds upon the knowledge and already implemented digital tools from several collaborative initiatives that address new models for early detection, diagnosis, and monitoring of AD and other neurodegenerative disorders. The project aims to provide support to improvement efforts to each aspect of the care pathway including diagnosis, prognosis, treatment, and data collection for real world evidence and cost effectiveness studies. Ultimately the PROMINENT project is expected to lead to cost-effective care and improved health outcomes.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dementia Sentence A: General practice patients aged 75 years and over were screened for cognitive impairment using the Mini-Mental State Examination. Those scoring 23 or below and a sample of those scoring 24 or 25 were assessed using the Cambridge Mental Disorders of the Elderly Examination (CAMDEX), a structured interview schedule specifically designed to detect mild dementia. The CAMDEX includes a mental state examination, a psychiatric history, detailed cognitive testing and an information interview. The prevalence of dementia in 2311 patients was found to be 10.5%, about half that found in most earlier studies. Possible reasons for this low rate are discussed. Sentence B: Neurodegenerative diseases are one of the most important contributors to morbidity and mortality in the elderly. In Europe, over 14 million people are currently living with dementia, at a cost of over 400 billion EUR annually. Recent advances in diagnostics and approval for new pharmaceutical treatments for Alzheimer's disease (AD), the most common etiology of dementia, heralds the beginning of precision medicine in this field. However, their implementation will challenge an already over-burdened healthcare systems. There is a need for innovative digital solutions that can drive the related clinical pathways and optimize and personalize care delivery. Public-private partnerships are ideal vehicles to tackle these challenges. Here we describe the Innovative Health Initiative (IHI) public-private partnership project PROMINENT that has been initiated by connecting leading dementia researchers, medical professionals, dementia patients and their care partners with the latest innovative health technologies using a precision medicine based digital platform. The project builds upon the knowledge and already implemented digital tools from several collaborative initiatives that address new models for early detection, diagnosis, and monitoring of AD and other neurodegenerative disorders. The project aims to provide support to improvement efforts to each aspect of the care pathway including diagnosis, prognosis, treatment, and data collection for real world evidence and cost effectiveness studies. Ultimately the PROMINENT project is expected to lead to cost-effective care and improved health outcomes. ###Answer 1. Changed Reasoning: In Sentence A, the term ""dementia"" is used in the context of a specific medical condition, with a clear definition and diagnostic criteria. The sentence highlights the low prevalence of dementia in a general practice patient population and discusses possible reasons for this. In Sentence B, the term ""dementia"" is used more broadly to refer to a range of neurodegenerative diseases, including Alzheimer's disease. The sentence discusses the burden of these diseases on healthcare systems and the need for innovative digital solutions to optimize care delivery. The term ""dementia"" is no longer tied to a specific medical condition, but rather used as a catch-all term for a group of related conditions. This shift in meaning is indicative of semantic drift." 71,Dementia,"Japan started long-term care insurance for nursing and home help services in April 2000 to cope with growing medical expenditures for the population aged over 65. To study the impact of the new insurance on utilization of dementia care, we compared demographic and clinical characteristics including diagnosis, degree of disability and behavioral disturbance before and after the launch among people with dementia covered by either long-term care or medical insurance. The subjects of the study were randomly selected patients/residents of specialized dementia care units in both psychiatric hospitals and geriatric care facilities before (1145 patients/residents in early 2000) and after (262 for medical insurance and 205 for long-term care insurance in 2001) the new system was launched. Although patients/residents in 2000 and 2001 were similar as a whole, the 2001 sample showed differences between patients in each of the types of insurance systems. Logistic regression analysis revealed that patients/residents covered by long-term care insurance were significantly more likely to be females and require higher levels of care. Patients covered by long-term care insurance were significantly less likely to be transferred from a psychiatric department nor did they display behavioral disturbance or an inability to put out or deal with fire. These results suggest that health care facilities have shifted to the new insurance system for patients requiring higher levels of care but without behavioral disturbances as it was intended. On the other hand, there were policy concerns of that demented persons with moderate activities of daily living impairments and behavioral disturbances would be at risk being excluded from the long-term care scheme.","Previous studies have shown a selective reduction of von Economo neurons (VENs) in behavioral variant frontotemporal dementia (bvFTD). However, the alleged selectivity rests on the comparison between VENs and other neurons in cortical layer V, while it has been established that neurons in the superficial cortical layers (I-III) are particularly affected in bvFTD. The purpose of this study was to examine loss the loss of VENs in comparison with that of non-VEN-neurons of superficial cortical layers. VENs and non-VEN-neurons of cortical layer V and layers II+III were quantified in the anterior cingulate cortex in 16 cases of bvFTD, 12 non-demented controls and 10 cases of Alzheimer's disease (AD). In bvFTD VENs were more depleted than non-VEN-neurons of layers V and II+III. Also, non-VEN-neurons of layer II+III showed a greater density reduction than those of layer V in bvFTD. VEN density was also reduced in AD, albeit to a lesser extent than in bvFTD, and the differences between bvFTD and AD were only significant when relating VEN loss to that of layer V neurons. Our study strengthens the view of VENs as a particularly sensitive neuronal type of bvFTD, and appears to be on a continuum with the loss of other neurons both in bvFTD and between conditions. ","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dementia Sentence A: Japan started long-term care insurance for nursing and home help services in April 2000 to cope with growing medical expenditures for the population aged over 65. To study the impact of the new insurance on utilization of dementia care, we compared demographic and clinical characteristics including diagnosis, degree of disability and behavioral disturbance before and after the launch among people with dementia covered by either long-term care or medical insurance. The subjects of the study were randomly selected patients/residents of specialized dementia care units in both psychiatric hospitals and geriatric care facilities before (1145 patients/residents in early 2000) and after (262 for medical insurance and 205 for long-term care insurance in 2001) the new system was launched. Although patients/residents in 2000 and 2001 were similar as a whole, the 2001 sample showed differences between patients in each of the types of insurance systems. Logistic regression analysis revealed that patients/residents covered by long-term care insurance were significantly more likely to be females and require higher levels of care. Patients covered by long-term care insurance were significantly less likely to be transferred from a psychiatric department nor did they display behavioral disturbance or an inability to put out or deal with fire. These results suggest that health care facilities have shifted to the new insurance system for patients requiring higher levels of care but without behavioral disturbances as it was intended. On the other hand, there were policy concerns of that demented persons with moderate activities of daily living impairments and behavioral disturbances would be at risk being excluded from the long-term care scheme. Sentence B: Previous studies have shown a selective reduction of von Economo neurons (VENs) in behavioral variant frontotemporal dementia (bvFTD). However, the alleged selectivity rests on the comparison between VENs and other neurons in cortical layer V, while it has been established that neurons in the superficial cortical layers (I-III) are particularly affected in bvFTD. The purpose of this study was to examine loss the loss of VENs in comparison with that of non-VEN-neurons of superficial cortical layers. VENs and non-VEN-neurons of cortical layer V and layers II+III were quantified in the anterior cingulate cortex in 16 cases of bvFTD, 12 non-demented controls and 10 cases of Alzheimer's disease (AD). In bvFTD VENs were more depleted than non-VEN-neurons of layers V and II+III. Also, non-VEN-neurons of layer II+III showed a greater density reduction than those of layer V in bvFTD. VEN density was also reduced in AD, albeit to a lesser extent than in bvFTD, and the differences between bvFTD and AD were only significant when relating VEN loss to that of layer V neurons. Our study strengthens the view of VENs as a particularly sensitive neuronal type of bvFTD, and appears to be on a continuum with the loss of other neurons both in bvFTD and between conditions. ###Answer 1. Changed Reasoning: The target word ""Dementia"" has undergone a significant change in meaning between the two sentences. In Sentence A, the word is used to describe the population of people aged over 65 who are covered by Japan's long-term care insurance. The sentence suggests that the term ""dementia"" in this context refers to a specific set of medical conditions that are associated with aging and require long-term care. In Sentence B, the word ""dementia"" is used in a different context, to describe the selective reduction of von Economo neurons (VENs) in behavioral variant frontotemporal dementia (bvFTD). The sentence suggests that the term ""dementia"" in this context refers to a broader set of conditions that affect cognitive function, including Alzheimer's disease (AD). The sentence also suggests that the term ""dementia"" is used to describe a continuum of conditions, with bvFTD and AD being two ends of the spectrum. Therefore, based on the context and meaning of the word ""dementia"" in the two sentences, it can be concluded that the term has undergone a significant change in meaning between the two timestamps, and has taken on a broader and more nuanced meaning." 72,Dementia,"According to the popular spot check method we investigated 14,684 partial community persons. The screen instrument used was the MMSE. Positive cases were through ADL, HDS and detailed psychical examination by two doctors according to the CCMD-2 to establish a definite diagnosis. Differential diagnosis between AD and MID was carried out according to HIS result. A total of 1448 persons were over 60 years, which amounted to 9.98% of the entire population. Of a total of 672 men and 776 females, 13 suffered senile dementia, which made up 0.995% of the aged. There were seven MID (5 males, 2 females) and six AD (2 males, 4 females). Family histories showed that one AD had the same symptoms as her twin sister. Two AD and four MD drank Chinese spirit 2-4 liang per day for 20 years, 80% of patients were nursed by the son or daughter-in-law, but they believed wrongly that 'It is necessary to cure the old'. Six of 13 had a long period of drinking history, four of six for MID. This has shown that dementia partly relates to drink especially for MID. Early case can be detected through daily life activities such as buying food, playing cards etc. Activities of daily living may avoid the pseudo-positive which is caused by educational level.","Wordlist and story recall tests are routinely employed in clinical practice for dementia diagnosis. In this study, our aim was to establish how well-standard clinical metrics compared to process scores derived from wordlist and story recall tests in predicting biomarker determined Alzheimer's disease, as defined by CSF ptau/Aβ42 ratio.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dementia Sentence A: According to the popular spot check method we investigated 14,684 partial community persons. The screen instrument used was the MMSE. Positive cases were through ADL, HDS and detailed psychical examination by two doctors according to the CCMD-2 to establish a definite diagnosis. Differential diagnosis between AD and MID was carried out according to HIS result. A total of 1448 persons were over 60 years, which amounted to 9.98% of the entire population. Of a total of 672 men and 776 females, 13 suffered senile dementia, which made up 0.995% of the aged. There were seven MID (5 males, 2 females) and six AD (2 males, 4 females). Family histories showed that one AD had the same symptoms as her twin sister. Two AD and four MD drank Chinese spirit 2-4 liang per day for 20 years, 80% of patients were nursed by the son or daughter-in-law, but they believed wrongly that 'It is necessary to cure the old'. Six of 13 had a long period of drinking history, four of six for MID. This has shown that dementia partly relates to drink especially for MID. Early case can be detected through daily life activities such as buying food, playing cards etc. Activities of daily living may avoid the pseudo-positive which is caused by educational level. Sentence B: Wordlist and story recall tests are routinely employed in clinical practice for dementia diagnosis. In this study, our aim was to establish how well-standard clinical metrics compared to process scores derived from wordlist and story recall tests in predicting biomarker determined Alzheimer's disease, as defined by CSF ptau/Aβ42 ratio. ###Answer 1. Changed Reasoning: The target word ""dementia"" has undergone a significant change in meaning between Sentence A (2000) and Sentence B (2020). In Sentence A, the term is used to describe a specific medical condition (senile dementia) with a clear diagnostic criteria (family history, daily life activities, and drinking habits). In contrast, in Sentence B, the term is used more broadly to refer to any type of dementia, without any specific diagnostic criteria. This broader usage suggests a shift in the meaning of the term over time." 73,Dementia,The clinicopathological study of a case of Huntington disease with early severe dementia is presented. The pathological findings were those of Huntington disease (atrophy with neuronal loss and astrocytosis in the neostriatum) and Alzheimer disease (neuronal loss with numerous senile plaques and neurofibrillary tangles in the neocortex). Ultrastructural study of neurofibrillary tangles showed that they were composed of twisted tubules similar to those found in Alzheimer disease.,"The proximal aorta acts as a coupling device between heart and brain perfusion, modulating the amount of pressure and flow pulsatility transmitted into the cerebral microcirculation. Stiffening of the proximal aorta is strongly associated with age and hypertension. The detrimental effects of aortic stiffening may result in brain damage as well as heart failure. The resulting cerebral small vessel disease and heart failure may contribute to early cognitive decline and (vascular) dementia. This pathophysiological sequence of events underscores the role of cardiovascular disease as a contributory mechanism in causing cognitive decline and dementia and potentially may provide a starting point for prevention and treatment. Magnetic resonance imaging is well suited to assess the function of the proximal aorta and the left ventricle (eg, aortic arch pulse wave velocity and distensibility) as well as the various early and late manifestations of cerebral small vessel disease (eg, microbleeds and white matter hyperintensities in strategically important regions of the brain). Specialized magnetic resonance imaging techniques are explored for diagnosing preclinical changes in white matter integrity or brain microvascular pulsatility.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dementia Sentence A: The clinicopathological study of a case of Huntington disease with early severe dementia is presented. The pathological findings were those of Huntington disease (atrophy with neuronal loss and astrocytosis in the neostriatum) and Alzheimer disease (neuronal loss with numerous senile plaques and neurofibrillary tangles in the neocortex). Ultrastructural study of neurofibrillary tangles showed that they were composed of twisted tubules similar to those found in Alzheimer disease. Sentence B: The proximal aorta acts as a coupling device between heart and brain perfusion, modulating the amount of pressure and flow pulsatility transmitted into the cerebral microcirculation. Stiffening of the proximal aorta is strongly associated with age and hypertension. The detrimental effects of aortic stiffening may result in brain damage as well as heart failure. The resulting cerebral small vessel disease and heart failure may contribute to early cognitive decline and (vascular) dementia. This pathophysiological sequence of events underscores the role of cardiovascular disease as a contributory mechanism in causing cognitive decline and dementia and potentially may provide a starting point for prevention and treatment. Magnetic resonance imaging is well suited to assess the function of the proximal aorta and the left ventricle (eg, aortic arch pulse wave velocity and distensibility) as well as the various early and late manifestations of cerebral small vessel disease (eg, microbleeds and white matter hyperintensities in strategically important regions of the brain). Specialized magnetic resonance imaging techniques are explored for diagnosing preclinical changes in white matter integrity or brain microvascular pulsatility. ###Answer 1. Changed Reasoning: In Sentence A, the term ""dementia"" is used to describe the pathological findings of a case of Huntington disease. The context suggests that the term is used to indicate a specific type of neurodegenerative disorder characterized by cognitive decline and memory loss. However, in Sentence B, the term ""dementia"" is used in a different context, to describe the result of cardiovascular disease on the brain. The sentence highlights the potential for cardiovascular disease to contribute to early cognitive decline and dementia. In Sentence A, the meaning of ""dementia"" is focused on the neurological aspects of the disorder, whereas in Sentence B, the term is used to describe the broader impact of cardiovascular disease on cognitive function. Therefore, the meaning of the term ""dementia"" has shifted from a neurological to a broader medical context, indicating semantic drift." 74,Dementia,"Polygraphic recordings of wake and sleep were performed on 10 partly bed-ridden, severely deteriorated patients with senile dementia. Compared with healthy elderly persons these subjects showed less SWS (slow wave sleep, characterized by high amplitude, slow EEG waves), less REM sleep (rapid eye movement sleep, usually accompanied by dream activity) and poorly organized stage 2 sleep (no sleep spindles, i.e. phasic EEG activity with a frequency of 12-14 Hz). Six of the 10 patients had no dominant alpha rhythm during wakefulness; this seemed to be related to their more deteriorated clinical state, to still less SWS and REM sleep and more time spent in stage 2. The basic NREM-REM cycle of sleep, i.e. the regular alternation between non-REM- and REM-periods, could still be distinguished, however, and showed similar average temporal characteristics as in healthy old and younger people. Similarly, although sleep was severely fragmented in most patients and many sleep episodes occurred during the day, the day-night alternation of wakefulness and sleep was maintained in the sample as a whole.","Age-related hearing difficulties can include problems with signal audibility and central auditory processing. Studies have demonstrated associations between audibility and dementia risk. To our knowledge, limited data exist to determine whether audibility, central processing, or both drive these associations.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dementia Sentence A: Polygraphic recordings of wake and sleep were performed on 10 partly bed-ridden, severely deteriorated patients with senile dementia. Compared with healthy elderly persons these subjects showed less SWS (slow wave sleep, characterized by high amplitude, slow EEG waves), less REM sleep (rapid eye movement sleep, usually accompanied by dream activity) and poorly organized stage 2 sleep (no sleep spindles, i.e. phasic EEG activity with a frequency of 12-14 Hz). Six of the 10 patients had no dominant alpha rhythm during wakefulness; this seemed to be related to their more deteriorated clinical state, to still less SWS and REM sleep and more time spent in stage 2. The basic NREM-REM cycle of sleep, i.e. the regular alternation between non-REM- and REM-periods, could still be distinguished, however, and showed similar average temporal characteristics as in healthy old and younger people. Similarly, although sleep was severely fragmented in most patients and many sleep episodes occurred during the day, the day-night alternation of wakefulness and sleep was maintained in the sample as a whole. Sentence B: Age-related hearing difficulties can include problems with signal audibility and central auditory processing. Studies have demonstrated associations between audibility and dementia risk. To our knowledge, limited data exist to determine whether audibility, central processing, or both drive these associations. ###Answer 1. Changed (Dementia) In Sentence A, the term ""senile dementia"" is used to describe the patients, implying a more severe and specific form of cognitive decline. This is in contrast to Sentence B, where the term ""dementia"" is used more broadly to refer to age-related hearing difficulties. The shift in meaning from a specific disease to a general term for cognitive decline suggests semantic drift has occurred." 75,Dementia,"Graphite furnace atomic-absorption spectroscopy was used to measure aluminum concentrations in brain samples from 33 patients dying from a variety of neurologic diseases. Four samples from patients dying of nonneurologic causes also were studied. Nine samples (one from each of nine patients) of Creutzfeldt-Jakob disease brain contained normal amounts of aluminum. Aluminum was increased in 9 of 18 brain specimens with seven different pathologic processes. This included three of seven Alzheimer disease, two of three Huntington disease, two of two Parkinson disease, one of one progressive supranuclear palsy, one of one acoustic neuroma, one of two cerebrovascular disease, and one of two Guamanian amyotrophic lateral sclerosis (ALS). Aluminum was normal in the remaining samples (four normal, two ALS, one multiple sclerosis, one Pick disease, and two Guamanian parkinsonism-dementia). The significance of high aluminum values is not clear, but the normal values from the Creutzfeldt-Jakob cases imply that neuronal destruction per se need not lead to accumulation of aluminum in the brain.",The diagnosis of behavioural variant frontotemporal dementia (bvFTD) is challenging during the predementia stage when symptoms are subtle and confounding. Morphological and functional neuroimaging can be particularly helpful during this stage but few data are available.,"###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dementia Sentence A: Graphite furnace atomic-absorption spectroscopy was used to measure aluminum concentrations in brain samples from 33 patients dying from a variety of neurologic diseases. Four samples from patients dying of nonneurologic causes also were studied. Nine samples (one from each of nine patients) of Creutzfeldt-Jakob disease brain contained normal amounts of aluminum. Aluminum was increased in 9 of 18 brain specimens with seven different pathologic processes. This included three of seven Alzheimer disease, two of three Huntington disease, two of two Parkinson disease, one of one progressive supranuclear palsy, one of one acoustic neuroma, one of two cerebrovascular disease, and one of two Guamanian amyotrophic lateral sclerosis (ALS). Aluminum was normal in the remaining samples (four normal, two ALS, one multiple sclerosis, one Pick disease, and two Guamanian parkinsonism-dementia). The significance of high aluminum values is not clear, but the normal values from the Creutzfeldt-Jakob cases imply that neuronal destruction per se need not lead to accumulation of aluminum in the brain. Sentence B: The diagnosis of behavioural variant frontotemporal dementia (bvFTD) is challenging during the predementia stage when symptoms are subtle and confounding. Morphological and functional neuroimaging can be particularly helpful during this stage but few data are available. ###Answer 1. Changed Reasoning: In Sentence A, the term ""dementia"" is used to describe a variety of neurologic diseases, including Alzheimer disease, Huntington disease, Parkinson disease, progressive supranuclear palsy, acoustic neuroma, cerebrovascular disease, and Guamanian amyotrophic lateral sclerosis (ALS). The term ""dementia"" in this context refers to a broad category of neurodegenerative disorders characterized by cognitive decline and memory loss. In Sentence B, the term ""dementia"" is used specifically to refer to behavioural variant frontotemporal dementia (bvFTD), a subtype of frontotemporal dementia (FTD). The term ""dementia"" in this context refers to a specific type of neurodegenerative disorder characterized by changes in personality, behavior, and language, in addition to cognitive decline and memory loss. Therefore, semantic drift has occurred in the meaning of the term ""dementia"" between Sentence A and Sentence B. In Sentence A, the term ""dementia"" encompasses a broad range of neurodegenerative disorders, while in Sentence B, it refers to a specific subtype of FTD." 76,Dementia,"The diagnosis of dialysis dementia was confirmed in 150 patients treated in sixty-five dialysis centres in Europe in 1976 and 1977. The prevalence was approximately 600 per 100,000 European dialysis patients. The illness was confined to certain geographical areas, 90 of the patients being treated in only fifteen centres. It occurred more frequently in patients dialysed with unprocessed and softened water than in those treated with water processed by deionisation or reverse osmosis. Two-thirds of the patients had osteodystrophy, often painful and fracturing. Morbidity was severe and progressive and only 23 patients were still alive in 1978. The condition seems to be due to aluminium toxicity and should be preventable by water processing in centres where water aluminium content is raised.","Assessment of daily living activities is essential in patients with Alzheimer's disease. Most current tools quantitatively assess overall ability but provide little qualitative information on individual difficulties. Only a few tools allow therapists to evaluate stereotyped activities and record different types of errors. We capitalised on the Kitchen Activity Assessment to design a widely applicable analysis grid that provides both qualitative and quantitative data on activity performance. A cooking activity was videotaped in 15 patients with dementia and assessed according to the different steps in the execution of the task. The evaluations obtained with our grid showed good correlations between raters, between versions of the grid and between sessions. Moreover, the degree of independence obtained with our analysis of the task correlated with the Kitchen Activity Assessment score and with a global score of cognitive functioning. We conclude that assessment of a daily living activity with this analysis grid is reproducible and relatively independent of the therapist, and thus provides quantitative and qualitative information useful for both evaluating and caring for demented patients.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dementia Sentence A: The diagnosis of dialysis dementia was confirmed in 150 patients treated in sixty-five dialysis centres in Europe in 1976 and 1977. The prevalence was approximately 600 per 100,000 European dialysis patients. The illness was confined to certain geographical areas, 90 of the patients being treated in only fifteen centres. It occurred more frequently in patients dialysed with unprocessed and softened water than in those treated with water processed by deionisation or reverse osmosis. Two-thirds of the patients had osteodystrophy, often painful and fracturing. Morbidity was severe and progressive and only 23 patients were still alive in 1978. The condition seems to be due to aluminium toxicity and should be preventable by water processing in centres where water aluminium content is raised. Sentence B: Assessment of daily living activities is essential in patients with Alzheimer's disease. Most current tools quantitatively assess overall ability but provide little qualitative information on individual difficulties. Only a few tools allow therapists to evaluate stereotyped activities and record different types of errors. We capitalised on the Kitchen Activity Assessment to design a widely applicable analysis grid that provides both qualitative and quantitative data on activity performance. A cooking activity was videotaped in 15 patients with dementia and assessed according to the different steps in the execution of the task. The evaluations obtained with our grid showed good correlations between raters, between versions of the grid and between sessions. Moreover, the degree of independence obtained with our analysis of the task correlated with the Kitchen Activity Assessment score and with a global score of cognitive functioning. We conclude that assessment of a daily living activity with this analysis grid is reproducible and relatively independent of the therapist, and thus provides quantitative and qualitative information useful for both evaluating and caring for demented patients. ###Answer 1. Changed Explanation: In Sentence A, the term ""dementia"" is used to describe a specific medical condition characterized by cognitive decline and memory loss. The sentence highlights the geographical distribution of the condition, its association with water quality, and the severe progression of the illness. The term ""dementia"" in this context connotes a clear and specific meaning related to medical science. In Sentence B, the term ""dementia"" has undergone significant semantic drift. The term is now used more broadly to describe a range of cognitive and behavioral changes associated with Alzheimer's disease, including difficulties with daily living activities. The sentence highlights the importance of assessing these activities in order to evaluate and care for demented patients. The term ""dementia"" in this context connotes a broader and more general meaning related to cognitive decline and functional impairment. Therefore, the label ""Changed"" is appropriate for this task, as the meaning of the term ""dementia"" has shifted from a specific medical condition to a more general term encompassing a range of cognitive and behavioral changes." 77,Dementia,"Ligand binding to alpha 1-, alpha 2- and beta-adrenergic, serotonin, benzodiazepine and GABA receptors was studied in neocortex and hippocampus of controls and patients with senile dementia of the Alzheimer-type. A selective loss of serotonergic binding sites characterised as a loss of both S1 and S2 sites was observed. The reduction in serotonin receptors did not correlate with a clinical assessment of the degree of dementia, or with the extent of Alzheimer-type neuropathological change.","The diagnosis of the behavioural variant of frontotemporal dementia (bvFTD) can be challenging. At present there is a paucity of prospective work addressing the specificity of current diagnostic criteria for bvFTD with respect to long-term outcome (i.e., false positives versus true positives).","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dementia Sentence A: Ligand binding to alpha 1-, alpha 2- and beta-adrenergic, serotonin, benzodiazepine and GABA receptors was studied in neocortex and hippocampus of controls and patients with senile dementia of the Alzheimer-type. A selective loss of serotonergic binding sites characterised as a loss of both S1 and S2 sites was observed. The reduction in serotonin receptors did not correlate with a clinical assessment of the degree of dementia, or with the extent of Alzheimer-type neuropathological change. Sentence B: The diagnosis of the behavioural variant of frontotemporal dementia (bvFTD) can be challenging. At present there is a paucity of prospective work addressing the specificity of current diagnostic criteria for bvFTD with respect to long-term outcome (i.e., false positives versus true positives). ###Answer 1. Changed In Sentence A, the term ""dementia"" refers to a specific neurological disorder characterized by cognitive decline and memory loss. The sentence highlights the loss of serotonin receptors in the neocortex and hippocampus of patients with Alzheimer's disease. In Sentence B, the term ""dementia"" has a different meaning. It is used to describe a broader range of cognitive and behavioral changes associated with frontotemporal dementia, a condition that is distinct from Alzheimer's disease. The sentence emphasizes the challenges in diagnosing this condition and the need for more research on its specific diagnostic criteria. Therefore, the meaning of the term ""dementia"" has changed significantly between Sentence A and Sentence B. The term has shifted from a specific neurological disorder to a broader category of cognitive and behavioral changes." 78,Dementia,"Although metabolically active compounds sometime attenuate cognitive deficits of dementia patients, this mechanism has not been discussed or investigated. We hypothesized that these compounds improve cognitive disorders not by directly acting on this cognitive function, but by increasing the arousal level. Based on this hypothesis, we investigated the change of arousal levels and the improvement of intellectual functions in 10 patients with Alzheimer-type dementia (ATD) and 10 patients with multi-infarct dementia (MID) before and 3 months after pharmacotherapy using bifemelane hydrochloride. For each patient, a psychological test battery was carried out and the arousal level was evaluated using the frequency of rapid eye movements in the electro-oculogram (EOG) and the frequency analysis of electroencephalogram (EEG) before and after the treatment. Evaluation of the cognitive improvement was made and eight out of the 20 patients were regarded as responders to the treatment. The frequency of small rapid eye movements (SREM) in the EOG increased significantly only in responders and the rate of change in SREM appearance in responders was significantly different from that in non-responders. This finding suggests that a part of the intellectual improvement in ATD and MID results from the increased level of arousal.","We evaluated the degree to which contextual isolation in nursing home residents with Alzheimer's disease and related dementias is associated with documented pain using the Minimum Data Set 3.0, a comprehensive resident assessment required of all nursing home residents in the United States. Contextual isolation was defined as having a socially salient characteristic (demographics, habits and interests, and clinical and care dimensions) shared by fewer than 20% of other residents in the same nursing home. Thirteen percent were contextually isolated on multiple characteristics. Among residents self-reporting pain, residents contextually isolated with respect to multiple characteristics were 8% more likely (95% confidence interval: 7% to 9%) to have pain relative to residents who were not contextually isolated on any characteristics. Long-stay nursing home residents with ADRD who live in settings where they were contextually isolated were more likely to have pain relative to those without contextually isolation on any characteristic.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dementia Sentence A: Although metabolically active compounds sometime attenuate cognitive deficits of dementia patients, this mechanism has not been discussed or investigated. We hypothesized that these compounds improve cognitive disorders not by directly acting on this cognitive function, but by increasing the arousal level. Based on this hypothesis, we investigated the change of arousal levels and the improvement of intellectual functions in 10 patients with Alzheimer-type dementia (ATD) and 10 patients with multi-infarct dementia (MID) before and 3 months after pharmacotherapy using bifemelane hydrochloride. For each patient, a psychological test battery was carried out and the arousal level was evaluated using the frequency of rapid eye movements in the electro-oculogram (EOG) and the frequency analysis of electroencephalogram (EEG) before and after the treatment. Evaluation of the cognitive improvement was made and eight out of the 20 patients were regarded as responders to the treatment. The frequency of small rapid eye movements (SREM) in the EOG increased significantly only in responders and the rate of change in SREM appearance in responders was significantly different from that in non-responders. This finding suggests that a part of the intellectual improvement in ATD and MID results from the increased level of arousal. Sentence B: We evaluated the degree to which contextual isolation in nursing home residents with Alzheimer's disease and related dementias is associated with documented pain using the Minimum Data Set 3.0, a comprehensive resident assessment required of all nursing home residents in the United States. Contextual isolation was defined as having a socially salient characteristic (demographics, habits and interests, and clinical and care dimensions) shared by fewer than 20% of other residents in the same nursing home. Thirteen percent were contextually isolated on multiple characteristics. Among residents self-reporting pain, residents contextually isolated with respect to multiple characteristics were 8% more likely (95% confidence interval: 7% to 9%) to have pain relative to residents who were not contextually isolated on any characteristics. Long-stay nursing home residents with ADRD who live in settings where they were contextually isolated were more likely to have pain relative to those without contextually isolation on any characteristic. ###Answer 1. Changed Explanation: The target word ""dementia"" has undergone significant semantic drift between the two sentences. In Sentence A, the word is used to describe a specific medical condition (Alzheimer's disease or related dementias) and has a negative connotation, as the sentence discusses the cognitive deficits of dementia patients. In Sentence B, the word is used more broadly to describe the contextual isolation of nursing home residents with dementia, without any specific reference to a medical condition. The word has shifted from a medical term to a more general term for social isolation, and its connotation has changed from negative to neutral or even positive, as the sentence discusses the association between contextual isolation and pain. Therefore, the label ""Changed"" is appropriate for this example." 79,Dementia,"Alzheimer's disease is increasingly seen as an heterogeneous disorder with a variety of molecular pathologies converging on a final common pathway of abnormal amyloid deposition and tau phosphorylation. These result in the appearance of the senile plaques and neurofibrillary tangles and in the subsequent development of a cortical dementia with a prominent memory deficit, reflecting the regional distribution of pathology. Age and mode of onset, additional neurological features and family history have all been used as a basis for classification. A family history has proved most robust with the identification of three genetic loci associated with autosomal dominant familial Alzheimer's disease (FAD). Genetically defined pedigrees are important for exploring the relationships between specific molecular pathology and clinical phenotype and, by following at risk individuals, identifying the earliest features.","Psychotropic medication is commonly used among people with dementia (PWD), but it shows modest efficacy and it has been associated with severe adverse events. Hospitalizations are an opportunity for medication management as well as treatment recommendations for outpatient physicians. The aim of this study was to asses factors associated with new use of psychotropic medication after hospitalization among PWD.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dementia Sentence A: Alzheimer's disease is increasingly seen as an heterogeneous disorder with a variety of molecular pathologies converging on a final common pathway of abnormal amyloid deposition and tau phosphorylation. These result in the appearance of the senile plaques and neurofibrillary tangles and in the subsequent development of a cortical dementia with a prominent memory deficit, reflecting the regional distribution of pathology. Age and mode of onset, additional neurological features and family history have all been used as a basis for classification. A family history has proved most robust with the identification of three genetic loci associated with autosomal dominant familial Alzheimer's disease (FAD). Genetically defined pedigrees are important for exploring the relationships between specific molecular pathology and clinical phenotype and, by following at risk individuals, identifying the earliest features. Sentence B: Psychotropic medication is commonly used among people with dementia (PWD), but it shows modest efficacy and it has been associated with severe adverse events. Hospitalizations are an opportunity for medication management as well as treatment recommendations for outpatient physicians. The aim of this study was to asses factors associated with new use of psychotropic medication after hospitalization among PWD. ###Answer 1. Changed In Sentence A, the term ""dementia"" is used to describe a specific type of cognitive decline characterized by memory loss and other neurological symptoms. The sentence suggests that the term ""dementia"" has been used historically to refer to a specific set of clinical features. In contrast, in Sentence B, the term ""dementia"" is used more broadly to refer to any type of cognitive decline, including those caused by other conditions such as psychiatric disorders. This shift in meaning suggests that the term ""dementia"" has undergone semantic drift over time, and has come to encompass a broader range of cognitive decline." 80,Dementia,"The precursor of the non-amyloid beta/A4 protein (non-Abeta) component of Alzheimer's disease amyloid (NACP)/alpha-synuclein is the human homologue of alpha-synuclein, a member of a protein family which includes alpha-, beta- and gamma-synuclein. This protein is thought to be involved in neuronal plasticity because of its unique expression, mainly in the telencephalon during maturation. Consequently, disarrangement of NACP/alpha-synuclein might disrupt synaptic activity, resulting in memory disturbance. Previous studies have shown that damage to synaptic terminals is closely associated with global cognitive impairment and is an early event in the pathogenesis of Alzheimer's disease. Although the relationship between synaptic damage and amyloidogenesis is not clear, some proteins at the synaptic site have been implicated in both neuronal alteration and amyloid formation. Indeed, abnormal accumulation of both NACP/alpha-synuclein and Abeta precursor protein occurs at synapses of Alzheimer's patients. Other evidence suggests that NACP/alpha-synuclein is a component of the Lewy bodies found in patients with Parkinson's disease or dementia with Lewy bodies, and that a point mutation in this protein may be the cause of familial Parkinson's disease. Consequently, abnormal transport, metabolism or function of NACP/alpha-synuclein appears to impair synaptic function, which induces, at least in part, neuronal degeneration in several neurodegenerative diseases.","With respect to the diversity of age and aging, dementia poses a key challenge in our present long living society. In this respect dementia is not only a challenge for those who are diagnosed with dementia but also for their long-term caregivers. The majority of people with dementia receive care from close relatives, such as life partners in their own four walls; however, what is often a stroke of luck for the person with dementia, often means a lot of strain and spatial restrictions for the caring relative.With a praxeologically guided perspective on nursing, this article focuses on the subjective experiences of caregiving partners and examines the sociospatial challenges within this specific care situation. The empirical database is generated through qualitative interviews with 16 retired men and women from Germany (aged 64-95 years) who were analyzed considering grounded theory methodology and situational analyses. The results show that there are two specific arenas of dementia care, within which the interplay of different actors, artefacts, affects and spaces generates specific challenges that have an impact not only on the daily caring routines but also the aging of the caregiving relatives.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dementia Sentence A: The precursor of the non-amyloid beta/A4 protein (non-Abeta) component of Alzheimer's disease amyloid (NACP)/alpha-synuclein is the human homologue of alpha-synuclein, a member of a protein family which includes alpha-, beta- and gamma-synuclein. This protein is thought to be involved in neuronal plasticity because of its unique expression, mainly in the telencephalon during maturation. Consequently, disarrangement of NACP/alpha-synuclein might disrupt synaptic activity, resulting in memory disturbance. Previous studies have shown that damage to synaptic terminals is closely associated with global cognitive impairment and is an early event in the pathogenesis of Alzheimer's disease. Although the relationship between synaptic damage and amyloidogenesis is not clear, some proteins at the synaptic site have been implicated in both neuronal alteration and amyloid formation. Indeed, abnormal accumulation of both NACP/alpha-synuclein and Abeta precursor protein occurs at synapses of Alzheimer's patients. Other evidence suggests that NACP/alpha-synuclein is a component of the Lewy bodies found in patients with Parkinson's disease or dementia with Lewy bodies, and that a point mutation in this protein may be the cause of familial Parkinson's disease. Consequently, abnormal transport, metabolism or function of NACP/alpha-synuclein appears to impair synaptic function, which induces, at least in part, neuronal degeneration in several neurodegenerative diseases. Sentence B: With respect to the diversity of age and aging, dementia poses a key challenge in our present long living society. In this respect dementia is not only a challenge for those who are diagnosed with dementia but also for their long-term caregivers. The majority of people with dementia receive care from close relatives, such as life partners in their own four walls; however, what is often a stroke of luck for the person with dementia, often means a lot of strain and spatial restrictions for the caring relative.With a praxeologically guided perspective on nursing, this article focuses on the subjective experiences of caregiving partners and examines the sociospatial challenges within this specific care situation. The empirical database is generated through qualitative interviews with 16 retired men and women from Germany (aged 64-95 years) who were analyzed considering grounded theory methodology and situational analyses. The results show that there are two specific arenas of dementia care, within which the interplay of different actors, artefacts, affects and spaces generates specific challenges that have an impact not only on the daily caring routines but also the aging of the caregiving relatives. ###Answer 1. Changed Reasoning: In Sentence A, the term ""dementia"" is used in the context of Alzheimer's disease, specifically mentioning the accumulation of amyloid beta and alpha-synuclein proteins in the brain. The sentence highlights the role of these proteins in the pathogenesis of the disease, and how their abnormal accumulation leads to synaptic damage and cognitive impairment. The term ""dementia"" in this sentence carries a specific meaning related to Alzheimer's disease. In Sentence B, the term ""dementia"" is used in a different context, referring to the caregiving challenges faced by relatives of people with dementia. The sentence highlights the impact of dementia on the daily lives of caregivers, including the strain and spatial restrictions they face. The term ""dementia"" in this sentence carries a different meaning, related to the caregiving experience rather than the medical condition. Based on these differences in context and meaning, it can be determined that the term ""dementia"" has undergone semantic drift between the two sentences. In Sentence A, the term is used in a medical context to describe a specific disease, while in Sentence B, it is used in a more general context to describe the caregiving experience. Therefore, the label ""Changed"" is appropriate." 81,Dementia,"This section reviews some of the more prominent alternate causes of dementia that need to be excluded when pursuing a diagnosis of Alzheimer's disease. In practice, this exclusion cannot be done with 100% precision. Consequently, the accuracy of the clinical diagnosis of Alzheimer's disease is approximately 85%. Brain biopsy, which is seldom performed in practice, is the only method of moving diagnostic accuracy to near 100%. There is yet no intervention that halts or reverses the underlying pathophysiology of Alzheimer's disease, so the invasive brain biopsy is rarely justified to confirm a diagnosis.","In recent years, MRS has benefited from increased MRI field strengths, new acquisition protocols and new processing techniques. This review aims to determine how this has altered our understanding of MRS neurometabolic markers in neurodegenerative dementias.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dementia Sentence A: This section reviews some of the more prominent alternate causes of dementia that need to be excluded when pursuing a diagnosis of Alzheimer's disease. In practice, this exclusion cannot be done with 100% precision. Consequently, the accuracy of the clinical diagnosis of Alzheimer's disease is approximately 85%. Brain biopsy, which is seldom performed in practice, is the only method of moving diagnostic accuracy to near 100%. There is yet no intervention that halts or reverses the underlying pathophysiology of Alzheimer's disease, so the invasive brain biopsy is rarely justified to confirm a diagnosis. Sentence B: In recent years, MRS has benefited from increased MRI field strengths, new acquisition protocols and new processing techniques. This review aims to determine how this has altered our understanding of MRS neurometabolic markers in neurodegenerative dementias. ###Answer 1. Changed The meaning of the target word ""dementia"" has significantly shifted between Sentence A (2000) and Sentence B (2020). In Sentence A, dementia is described as an alternate cause of Alzheimer's disease that needs to be excluded in the diagnosis. This implies that dementia is a distinct condition from Alzheimer's disease. However, in Sentence B, dementia is framed as a neurodegenerative dementia, implying a broader definition that encompasses a range of conditions. This shift in meaning suggests that the term ""dementia"" has undergone semantic drift." 82,Dementia,"Using PCR and restriction digest analysis, the frequencies of the variant cytochrome P450 debrisoquine hydroxylase CYP2D6 alleles CYP2D6(A) and CYP2D6(B) were investigated in 50 patients with amyotrophic lateral sclerosis (ALS) and 13 patients with ALS and frontotemporal dementia (FTD) and compared to those frequencies in patients with FTD alone and Alzheimer's disease (AD). The CYP2D6(T) allelic frequency was also assessed in ALS and ALS + FTD. Although the frequency of a poor metabolizer genotype was not increased in any disease group, there was a significant increase in the frequency of the CYP2D6(B) allele in the ALS patient group. This suggests that possession of a CYP2D6(B) allele may be a risk factor for the development of ALS, possibly conferring a 'gain of function' imposed by the mutation or reflecting linkage disequilibrium to a nearby susceptibility gene.","Our aim in this study was to assess the relationship between the state of cerebral vessels and the risk of conversion from mild cognitive impairment (MCI) to Alzheimer's disease (AD). We included 117 MCI patients. They underwent an ultrasonographic assessment of common carotid arteries intima-media thickness (IMT) and carotid plaque index. Cerebrovascular reactivity to hypercapnia in the middle cerebral arteries was calculated with the Breath-Holding Index (BHI). After a 12-month follow-up period, neuropsychological examinations demonstrated a progression to dementia in 21 patients. Pathological values of BHI and IMT significantly increased the risk of conversion (BHI: odds ratio, 5.80; 95% confidence interval, 1.83-18.37, p < 0.05; IMT: odds ratio, 3.08; 95% confidence interval, 1.02-9.33; p < 0.05, multinomial logistic regression analysis). Comparison between patients with all normal values and those with the simultaneous alteration of the 2 vascular indexes showed an increase in the risk of conversion from 9% to 33% (ordinal regression analysis). Our findings show that alterations of cerebral vessel functional and anatomic status increase the risk of conversion from MCI to dementia.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dementia Sentence A: Using PCR and restriction digest analysis, the frequencies of the variant cytochrome P450 debrisoquine hydroxylase CYP2D6 alleles CYP2D6(A) and CYP2D6(B) were investigated in 50 patients with amyotrophic lateral sclerosis (ALS) and 13 patients with ALS and frontotemporal dementia (FTD) and compared to those frequencies in patients with FTD alone and Alzheimer's disease (AD). The CYP2D6(T) allelic frequency was also assessed in ALS and ALS + FTD. Although the frequency of a poor metabolizer genotype was not increased in any disease group, there was a significant increase in the frequency of the CYP2D6(B) allele in the ALS patient group. This suggests that possession of a CYP2D6(B) allele may be a risk factor for the development of ALS, possibly conferring a 'gain of function' imposed by the mutation or reflecting linkage disequilibrium to a nearby susceptibility gene. Sentence B: Our aim in this study was to assess the relationship between the state of cerebral vessels and the risk of conversion from mild cognitive impairment (MCI) to Alzheimer's disease (AD). We included 117 MCI patients. They underwent an ultrasonographic assessment of common carotid arteries intima-media thickness (IMT) and carotid plaque index. Cerebrovascular reactivity to hypercapnia in the middle cerebral arteries was calculated with the Breath-Holding Index (BHI). After a 12-month follow-up period, neuropsychological examinations demonstrated a progression to dementia in 21 patients. Pathological values of BHI and IMT significantly increased the risk of conversion (BHI: odds ratio, 5.80; 95% confidence interval, 1.83-18.37, p < 0.05; IMT: odds ratio, 3.08; 95% confidence interval, 1.02-9.33; p < 0.05, multinomial logistic regression analysis). Comparison between patients with all normal values and those with the simultaneous alteration of the 2 vascular indexes showed an increase in the risk of conversion from 9% to 33% (ordinal regression analysis). Our findings show that alterations of cerebral vessel functional and anatomic status increase the risk of conversion from MCI to dementia. ###Answer 1. Changed Reasoning: The meaning of ""dementia"" in Sentence A is different from its meaning in Sentence B. In Sentence A, ""dementia"" refers to a specific neurodegenerative disorder, such as Alzheimer's disease or frontotemporal dementia. In contrast, in Sentence B, ""dementia"" is used more broadly to refer to any form of cognitive impairment or decline in cognitive function. Therefore, the label ""Changed"" is appropriate for this task, as the meaning of the target word has shifted significantly between the two sentences." 83,Dementia,This case report extends the discussion of pseudodementia into the area of manic behavior. An elderly patient whose manic symptoms are considered to be an early sign of an organic brain syndrome should be given timely repeat evaluations before this diagnosis is allowed to guide treatment. Our case presentation emphasized the paucity of the data base we have to diagnose cognitive and emotional disturbances of the elderly. It is difficult to identify the essential features of cognitive dysfunction associated with primary neuronal degeneration especially in the early stages of the disease. A careful differential diagnostic evaluation is important to eliminate variables such as affective disorders and underlying physical conditions as causes of confusion and cognitive dysfunction in the elderly patient.,"In 2008 a task force was set up to develop a revision of the European Federation of the Neurological Societies (EFNS) guideline for the diagnosis and management of Alzheimer's disease (AD) and other disorders associated with dementia, published in early 2007. The aim of this revised international guideline was to present a peer-reviewed evidence-based statement for the guidance of practice for clinical neurologists, geriatricians, psychiatrists, and other specialist physicians responsible for the care of patients with AD. Mild cognitive impairment and non-Alzheimer dementias are not included in this guideline.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dementia Sentence A: This case report extends the discussion of pseudodementia into the area of manic behavior. An elderly patient whose manic symptoms are considered to be an early sign of an organic brain syndrome should be given timely repeat evaluations before this diagnosis is allowed to guide treatment. Our case presentation emphasized the paucity of the data base we have to diagnose cognitive and emotional disturbances of the elderly. It is difficult to identify the essential features of cognitive dysfunction associated with primary neuronal degeneration especially in the early stages of the disease. A careful differential diagnostic evaluation is important to eliminate variables such as affective disorders and underlying physical conditions as causes of confusion and cognitive dysfunction in the elderly patient. Sentence B: In 2008 a task force was set up to develop a revision of the European Federation of the Neurological Societies (EFNS) guideline for the diagnosis and management of Alzheimer's disease (AD) and other disorders associated with dementia, published in early 2007. The aim of this revised international guideline was to present a peer-reviewed evidence-based statement for the guidance of practice for clinical neurologists, geriatricians, psychiatrists, and other specialist physicians responsible for the care of patients with AD. Mild cognitive impairment and non-Alzheimer dementias are not included in this guideline. ###Answer 1. Changed Reasoning: In Sentence A, the term ""dementia"" is used to describe a condition characterized by cognitive dysfunction and confusion, with a focus on the elderly patient population. The term is used in the context of differentiating between cognitive dysfunction caused by underlying physical conditions versus affective disorders. In Sentence B, the term ""dementia"" is used to describe Alzheimer's disease and other disorders associated with cognitive impairment, with a focus on the clinical management of these conditions. The term is used in the context of a revised international guideline for the diagnosis and management of AD and other dementias. In Sentence A, the term ""dementia"" has a different meaning than in Sentence B. In Sentence A, the term is used to describe a broader range of cognitive dysfunction, including confusion and cognitive impairment in the elderly patient population. In Sentence B, the term is used specifically to describe Alzheimer's disease and other disorders associated with cognitive impairment. Therefore, semantic drift has occurred in the meaning of the term ""dementia"" between the two sentences." 84,Dementia,"Visual hallucinations are associated with a variety of psychiatric, medical, neurologic, and ophthalmologic disorders. One hundred forty outpatients presenting to a geriatric psychiatric clinic were screened for visual hallucinations and assessed on a number of descriptive variables, medical history, ophthalmologic history, psychiatric diagnosis, and cognitive score. The data revealed that 14 patients (10%) experienced visual hallucinations. Presence of visual hallucinations was significantly associated with diagnoses of dementia or delirium, living in a nursing home, lower cognitive score, and presence of auditory hallucinations and delusions. There was no association to number of medications, age, gender, or presence of eye disease. No patient had ""insight' into their visual hallucinations. Despite the numerous disorders that are associated with visual hallucinations, the most common causes in a geriatric psychiatry clinic are dementia and delirium. Clinicians assessing older patients with visual hallucinations should first carefully evaluate for these disorders.",Mutation in the CHMP2B gene has been implicated in frontotemporal dementia. The authors screened CHMP2B in patients with ALS and several cohorts of control samples. They identified mutations (Q206H; I29V) in two patients with non-SOD1 ALS. Neuropathology of the Q206H case showed lower motor neuron predominant disease with ubiquitylated inclusions in motor neurons. Antibodies to p62 (sequestosome 1) showed novel oligodendroglial inclusions in the motor cortex.,"###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dementia Sentence A: Visual hallucinations are associated with a variety of psychiatric, medical, neurologic, and ophthalmologic disorders. One hundred forty outpatients presenting to a geriatric psychiatric clinic were screened for visual hallucinations and assessed on a number of descriptive variables, medical history, ophthalmologic history, psychiatric diagnosis, and cognitive score. The data revealed that 14 patients (10%) experienced visual hallucinations. Presence of visual hallucinations was significantly associated with diagnoses of dementia or delirium, living in a nursing home, lower cognitive score, and presence of auditory hallucinations and delusions. There was no association to number of medications, age, gender, or presence of eye disease. No patient had ""insight' into their visual hallucinations. Despite the numerous disorders that are associated with visual hallucinations, the most common causes in a geriatric psychiatry clinic are dementia and delirium. Clinicians assessing older patients with visual hallucinations should first carefully evaluate for these disorders. Sentence B: Mutation in the CHMP2B gene has been implicated in frontotemporal dementia. The authors screened CHMP2B in patients with ALS and several cohorts of control samples. They identified mutations (Q206H; I29V) in two patients with non-SOD1 ALS. Neuropathology of the Q206H case showed lower motor neuron predominant disease with ubiquitylated inclusions in motor neurons. Antibodies to p62 (sequestosome 1) showed novel oligodendroglial inclusions in the motor cortex. ###Answer 1. Changed (Semantic drift has occurred) Reasoning: In Sentence A, the term ""dementia"" is used to describe a psychiatric disorder, specifically visual hallucinations associated with dementia or delirium. The term is used without any connotation of cognitive decline or memory loss, which are common features of dementia. In contrast, in Sentence B, the term ""dementia"" is used to describe a neurodegenerative disorder, specifically frontotemporal dementia, which is characterized by cognitive decline and memory loss. The term is used in the context of genetic mutations that have been implicated in the disease. Therefore, it can be observed that the term ""dementia"" has undergone semantic drift between Sentence A and Sentence B, as it has taken on a different meaning and connotation. In Sentence A, the term is used to describe a psychiatric disorder, while in Sentence B, it is used to describe a neurodegenerative disorder. As a result, the label ""Changed"" is appropriate for this example." 85,Dementia,"HIV-1 protein Tat is neurotoxic and increases macrophage and microglia production of TNF-alpha, a cytopathic cytokine linked to the neuropathogenesis of HIV dementia. Others have shown that intracellular calcium regulates TNF-alpha production in macrophages, and we have shown that Tat releases calcium from inositol 1,4, 5-trisphosphate (IP3) receptor-regulated stores in neurons and astrocytes. Accordingly, we tested the hypothesis that Tat-induced TNF-alpha production was dependent on the release of intracellular calcium from IP3-regulated calcium stores in primary macrophages. We found that Tat transiently and dose-dependently increased levels of intracellular calcium and that this increase was blocked by xestospongin C, pertussis toxin, and by phospholipase C and type 1 protein kinase C inhibitors but not by protein kinase A or phospholipase A2 inhibitors. Xestospongin C, BAPTA-AM, U73122, and bisindolylmalemide significantly inhibited Tat-induced TNF-alpha production. These results demonstrate that in macrophages, Tat-induced release of calcium from IP3-sensitive intracellular stores and activation of nonconventional PKC isoforms play an important role in Tat-induced TNF-alpha production.",Proton pump inhibitors (PPIs) are commonly prescribed for prevention and treatment of gastrointestinal conditions or for gastroprotection from other drugs. Research suggests they are linked to increased dementia risk. We use linked national health data to examine the association between PPI use and the development of incident dementia.,"###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dementia Sentence A: HIV-1 protein Tat is neurotoxic and increases macrophage and microglia production of TNF-alpha, a cytopathic cytokine linked to the neuropathogenesis of HIV dementia. Others have shown that intracellular calcium regulates TNF-alpha production in macrophages, and we have shown that Tat releases calcium from inositol 1,4, 5-trisphosphate (IP3) receptor-regulated stores in neurons and astrocytes. Accordingly, we tested the hypothesis that Tat-induced TNF-alpha production was dependent on the release of intracellular calcium from IP3-regulated calcium stores in primary macrophages. We found that Tat transiently and dose-dependently increased levels of intracellular calcium and that this increase was blocked by xestospongin C, pertussis toxin, and by phospholipase C and type 1 protein kinase C inhibitors but not by protein kinase A or phospholipase A2 inhibitors. Xestospongin C, BAPTA-AM, U73122, and bisindolylmalemide significantly inhibited Tat-induced TNF-alpha production. These results demonstrate that in macrophages, Tat-induced release of calcium from IP3-sensitive intracellular stores and activation of nonconventional PKC isoforms play an important role in Tat-induced TNF-alpha production. Sentence B: Proton pump inhibitors (PPIs) are commonly prescribed for prevention and treatment of gastrointestinal conditions or for gastroprotection from other drugs. Research suggests they are linked to increased dementia risk. We use linked national health data to examine the association between PPI use and the development of incident dementia. ###Answer 1. Changed Explanation: In Sentence A, the term ""dementia"" is used in the context of HIV infection and neuropathogenesis. The sentence highlights the role of Tat protein in increasing TNF-alpha production in macrophages, which is linked to the neuropathogenesis of HIV dementia. The term ""dementia"" in this context refers to a specific HIV-related neurological disorder. In Sentence B, the term ""dementia"" is used in a different context, referring to the general risk of dementia associated with Proton pump inhibitors (PPIs). The sentence suggests that PPIs may be linked to an increased risk of dementia. Here, the term ""dementia"" refers to a more general cognitive decline or impairment, unrelated to any specific HIV infection. Based on these differences in context and meaning, it is clear that the term ""dementia"" has undergone a significant change in meaning between Sentence A and Sentence B. In Sentence A, the term refers to a specific HIV-related neurological disorder, while in Sentence B, it refers to a more general cognitive decline or impairment. Therefore, I would label this term as having undergone semantic drift, with the change in meaning occurring over a relatively short period of time (approximately 20 years)." 86,Dementia,"LP-BM5 murine leukemia virus infection causes an AIDS-like syndrome--murine acquired immunodeficiency syndrome--in C57B1/6 mice and impairs spatial learning in the Morris water maze without gross motor impairment. We used a shuttle shock-avoidance procedure to examine the effects of LP-BM5 infection on learning and retention of avoidance behavior. Thirty mice were inoculated with LP-BM5; 30 received vehicle (DMEM) injections. Fifteen LP-BM5 and 15 DMEM mice were trained in avoidance 7 wk after inoculation; retention of the avoidance response was tested 4 wk later. The remaining mice were trained 11 wk after inoculation. In animals trained 7 wk after inoculation, the groups performed similarly, with a marginally significant tendency for LP-BM5-infected animals to make more avoidance responses. This group difference was significant when animals were retested at 11 wk. However, LP-BM5 animals trained 11 wk after inoculation made significantly fewer avoidance responses than controls trained at the same time. We conclude that in later stages of disease, LP-BM5 impairs response acquisition, but not performance, in the active avoidance procedure. Results extend the use of the LP-BM5-infected mouse as a model of AIDS dementia complex.","Frontotemporal dementia (FTD) encompasses a group of clinical syndromes, including behavioral-variant FTD, nonfluent variant primary progressive aphasia, semantic variant primary progressive aphasia, FTD motor neuron disease, progressive supranuclear palsy syndrome, and corticobasal syndrome. Early on in its course, FTD is commonly seen in psychiatric clinics. We review the clinical features and diagnostic criteria in FTD spectrum disorders.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dementia Sentence A: LP-BM5 murine leukemia virus infection causes an AIDS-like syndrome--murine acquired immunodeficiency syndrome--in C57B1/6 mice and impairs spatial learning in the Morris water maze without gross motor impairment. We used a shuttle shock-avoidance procedure to examine the effects of LP-BM5 infection on learning and retention of avoidance behavior. Thirty mice were inoculated with LP-BM5; 30 received vehicle (DMEM) injections. Fifteen LP-BM5 and 15 DMEM mice were trained in avoidance 7 wk after inoculation; retention of the avoidance response was tested 4 wk later. The remaining mice were trained 11 wk after inoculation. In animals trained 7 wk after inoculation, the groups performed similarly, with a marginally significant tendency for LP-BM5-infected animals to make more avoidance responses. This group difference was significant when animals were retested at 11 wk. However, LP-BM5 animals trained 11 wk after inoculation made significantly fewer avoidance responses than controls trained at the same time. We conclude that in later stages of disease, LP-BM5 impairs response acquisition, but not performance, in the active avoidance procedure. Results extend the use of the LP-BM5-infected mouse as a model of AIDS dementia complex. Sentence B: Frontotemporal dementia (FTD) encompasses a group of clinical syndromes, including behavioral-variant FTD, nonfluent variant primary progressive aphasia, semantic variant primary progressive aphasia, FTD motor neuron disease, progressive supranuclear palsy syndrome, and corticobasal syndrome. Early on in its course, FTD is commonly seen in psychiatric clinics. We review the clinical features and diagnostic criteria in FTD spectrum disorders. ###Answer 1. Changed Reasoning: In Sentence A, the target word ""dementia"" is used in the context of a specific disease, LP-BM5-induced AIDS-like syndrome, and is associated with impairments in spatial learning. The sentence suggests that the term ""dementia"" in this context refers to a specific set of cognitive and motor impairments. In Sentence B, the target word ""dementia"" is used more broadly to refer to a group of clinical syndromes, including behavioral-variant FTD, nonfluent variant primary progressive aphasia, semantic variant primary progressive aphasia, FTD motor neuron disease, progressive supranuclear palsy syndrome, and corticobasal syndrome. The sentence does not associate the term ""dementia"" with any specific set of impairments, but rather uses it to describe a group of disorders with different clinical features. Based on these differences in usage and context, it appears that the term ""dementia"" has undergone a significant change in meaning between Sentence A and Sentence B. In Sentence A, the term is used to describe a specific disease, while in Sentence B, it is used more broadly to refer to a group of disorders. Therefore, the label ""Changed"" is appropriate." 87,Dementia,Age-specific incidence rates for dementia and Alzheimer disease (AD) are important for research and clinical practice. Incidence estimates for the United States are few and vary with the population sampled and study design; we present data that will contribute to a consensus of these rates.,The inappropriate prescription is frequent in the Belgian nursing homes. Which are the better tools to control and improve our prescription? Is it relevant to start or continue medications for prevention in the context of moderate or severe dementia? STOPP-START seems to be a good screening tool for detecting the inappropriate prescriptions by the general practitioner.,"###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dementia Sentence A: Age-specific incidence rates for dementia and Alzheimer disease (AD) are important for research and clinical practice. Incidence estimates for the United States are few and vary with the population sampled and study design; we present data that will contribute to a consensus of these rates. Sentence B: The inappropriate prescription is frequent in the Belgian nursing homes. Which are the better tools to control and improve our prescription? Is it relevant to start or continue medications for prevention in the context of moderate or severe dementia? STOPP-START seems to be a good screening tool for detecting the inappropriate prescriptions by the general practitioner. ###Answer 1. Changed (Dementia in Sentence A has a different meaning than in Sentence B) Explanation: In Sentence A, ""dementia"" refers to the incidence rates of age-specific dementia and Alzheimer's disease. The context suggests a focus on the medical aspect of dementia, such as its prevalence and diagnosis. In Sentence B, ""dementia"" is used in a different context. The sentence mentions ""the Belgian nursing homes,"" which suggests a focus on the social and healthcare aspects of dementia, such as its impact on patients and caregivers. The sentence also mentions ""moderate or severe dementia,"" which implies a more advanced stage of the disease. Therefore, the meaning of ""dementia"" has changed between Sentence A and Sentence B. In Sentence A, it refers to a medical condition, while in Sentence B, it refers to a social and healthcare issue. Therefore, the label ""Changed"" is appropriate." 88,Dementia,"Dementia with Lewy Bodies (DLB) is an entity which now fulfils clinical and neuropathological criteria according to international consensus guidelines (McKeith et al., 1996). It is now possible, in clinical practice, to consider the diagnosis of DLB from the beginning of the management of a demented patient. The clinical, diagnostic and therapeutic aspects of DLB are investigated in a prospective manner. Visual hallucinations, fluctuations and extrapyramidal symptoms seem to have, in association with the progressive cognitive decline, some particularities. However their specificity should be correlated with neuropathological data. Other symptoms, such as repeated falls or syncope, neuroleptic sensitivity, systematized delusions or other modalities of hallucinations, are probably additional arguments giving more predictive value to the association of the major symptoms. The role of neuropsychological patterns at the beginning of the cognitive decline is shown. There are some recent concordant results of functional imaging in DLB. The neuropathological aspects of DLB and the links with Parkinson pathology and especially Alzheimer pathology are emphasized.","Late-onset Alzheimer's disease (LOAD) is the most common type of dementia causing irreversible brain damage to the elderly and presents a major public health challenge. Clinical research and genome-wide association studies have suggested a potential contribution of the endocytic pathway to AD, with an emphasis on common loci. However, the contribution of rare variants in this pathway to AD has not been thoroughly investigated. In this study, we focused on the effect of rare variants on AD by first applying a rare-variant gene-set burden analysis using genes in the endocytic pathway on over 3,000 individuals with European ancestry from three large whole-genome sequencing (WGS) studies. We identified significant associations of rare-variant burden within the endocytic pathway with AD, which were successfully replicated in independent datasets. We further demonstrated that this endocytic rare-variant enrichment is associated with neurofibrillary tangles (NFTs) and age-related phenotypes, increasing the risk of obtaining severer brain damage, earlier age-at-onset, and earlier age-of-death. Next, by aggregating rare variants within each gene, we sought to identify single endocytic genes associated with AD and NFTs. Careful examination using NFTs revealed one significantly associated gene, ANKRD13D. To identify functional associations, we integrated bulk RNA-Seq data from over 600 brain tissues and found two endocytic expression genes (eGenes), HLA-A and SLC26A7, that displayed significant influences on their gene expressions. Differential expressions between AD patients and controls of these three identified genes were further examined by incorporating scRNA-Seq data from 48 post-mortem brain samples and demonstrated distinct expression patterns across cell types. Taken together, our results demonstrated strong rare-variant effect in the endocytic pathway on AD risk and progression and functional effect of gene expression alteration in both bulk and single-cell resolution, which may bring more insight and serve as valuable resources for future AD genetic studies, clinical research, and therapeutic targeting.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dementia Sentence A: Dementia with Lewy Bodies (DLB) is an entity which now fulfils clinical and neuropathological criteria according to international consensus guidelines (McKeith et al., 1996). It is now possible, in clinical practice, to consider the diagnosis of DLB from the beginning of the management of a demented patient. The clinical, diagnostic and therapeutic aspects of DLB are investigated in a prospective manner. Visual hallucinations, fluctuations and extrapyramidal symptoms seem to have, in association with the progressive cognitive decline, some particularities. However their specificity should be correlated with neuropathological data. Other symptoms, such as repeated falls or syncope, neuroleptic sensitivity, systematized delusions or other modalities of hallucinations, are probably additional arguments giving more predictive value to the association of the major symptoms. The role of neuropsychological patterns at the beginning of the cognitive decline is shown. There are some recent concordant results of functional imaging in DLB. The neuropathological aspects of DLB and the links with Parkinson pathology and especially Alzheimer pathology are emphasized. Sentence B: Late-onset Alzheimer's disease (LOAD) is the most common type of dementia causing irreversible brain damage to the elderly and presents a major public health challenge. Clinical research and genome-wide association studies have suggested a potential contribution of the endocytic pathway to AD, with an emphasis on common loci. However, the contribution of rare variants in this pathway to AD has not been thoroughly investigated. In this study, we focused on the effect of rare variants on AD by first applying a rare-variant gene-set burden analysis using genes in the endocytic pathway on over 3,000 individuals with European ancestry from three large whole-genome sequencing (WGS) studies. We identified significant associations of rare-variant burden within the endocytic pathway with AD, which were successfully replicated in independent datasets. We further demonstrated that this endocytic rare-variant enrichment is associated with neurofibrillary tangles (NFTs) and age-related phenotypes, increasing the risk of obtaining severer brain damage, earlier age-at-onset, and earlier age-of-death. Next, by aggregating rare variants within each gene, we sought to identify single endocytic genes associated with AD and NFTs. Careful examination using NFTs revealed one significantly associated gene, ANKRD13D. To identify functional associations, we integrated bulk RNA-Seq data from over 600 brain tissues and found two endocytic expression genes (eGenes), HLA-A and SLC26A7, that displayed significant influences on their gene expressions. Differential expressions between AD patients and controls of these three identified genes were further examined by incorporating scRNA-Seq data from 48 post-mortem brain samples and demonstrated distinct expression patterns across cell types. Taken together, our results demonstrated strong rare-variant effect in the endocytic pathway on AD risk and progression and functional effect of gene expression alteration in both bulk and single-cell resolution, which may bring more insight and serve as valuable resources for future AD genetic studies, clinical research, and therapeutic targeting. ###Answer 1. Changed Reasoning: In Sentence A, the term ""Dementia"" is used to describe a specific type of dementia, Dementia with Lewy Bodies (DLB), which is characterized by fluctuations in cognition, visual hallucinations, and extrapyramidal symptoms. The sentence highlights the clinical, diagnostic, and therapeutic aspects of DLB, as well as the neuropathological features of the disease. The term ""Dementia"" is used in a more specific context than in Sentence B, where it is used to refer to any type of dementia, including Alzheimer's disease (LOAD). In Sentence B, the term ""Dementia"" is used more broadly to describe a general category of diseases, without any specific context or features. In Sentence A, the term ""Dementia"" has a more specific meaning, which is consistent with its usage in the medical literature during the time period. In contrast, in Sentence B, the term ""Dementia"" has a more general meaning, which is consistent with the broader usage of the term in contemporary language. Therefore, it can be concluded that the meaning of the term ""Dementia"" has changed between the two sentences, with Sentence B using the term in a more general and less specific context than Sentence A." 89,Dementia,"1. The dynamic changes in ventricular size were computed by MRI cinecisternography. 2. The data analyzed showed that the phasic changes in size of the third ventricle and/or fourth ventricle were reduced in patients with the small multiple infarcts, with dementia, and with enlarged lateral ventricles when compared to subjects without these findings. 3. The derangement in CSF flow dynamics may be involved in the pathogenesis of vascular dementia. ",This study aims to test the feasibility of the PainChek app to assess pain for people with dementia living in residential aged care facilities (RACFs). It will also identify the optimal dosage and efficacy of a social robot (personal assistant robot [PARO]) intervention on chronic pain for people with dementia.,"###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dementia Sentence A: 1. The dynamic changes in ventricular size were computed by MRI cinecisternography. 2. The data analyzed showed that the phasic changes in size of the third ventricle and/or fourth ventricle were reduced in patients with the small multiple infarcts, with dementia, and with enlarged lateral ventricles when compared to subjects without these findings. 3. The derangement in CSF flow dynamics may be involved in the pathogenesis of vascular dementia. Sentence B: This study aims to test the feasibility of the PainChek app to assess pain for people with dementia living in residential aged care facilities (RACFs). It will also identify the optimal dosage and efficacy of a social robot (personal assistant robot [PARO]) intervention on chronic pain for people with dementia. ###Answer 1. Changed (Dementia in Sentence A has a different meaning than in Sentence B) Explanation: In Sentence A, ""dementia"" refers to a specific medical condition characterized by cognitive decline and memory loss. However, in Sentence B, ""dementia"" is used more broadly to refer to any type of cognitive impairment or disability experienced by individuals with dementia. This shift in meaning is significant, as it implies that the term ""dementia"" has expanded in scope to encompass a broader range of cognitive impairments. Therefore, the label ""Changed"" is appropriate for this example." 90,Dementia,"We have previously demonstrated that a plasma natriuretic factor is present in Alzheimer's disease (AD), but not in multi-infarct dementia (MID) or normal controls (C). We postulated that the natriuretic factor might induce the increased cytosolic calcium reported in AD by inhibiting the sodium-calcium antiporter, thereby activating the apoptotic pathway. To test for a factor in AD plasma that induces apoptosis, we exposed nonconfluent cultured LLC-PK1 cells to plasma from AD, MID, and C for 2 h and performed a terminal transferase-dUTP-nick-end labeling (TUNEL) assay. The plasma from AD increased apoptosis nearly fourfold compared with MID and C. The effect was dose dependent and the peak effect was attained after a 2-h exposure. Additionally, apoptotic morphology was detected by electron microscopy, and internucleosomal DNA cleavage was found. We inhibited apoptosis by removing calcium from the medium, inhibiting protein synthesis with cycloheximide, alternately boiling or freezing and thawing the plasma, and digesting a partially purified fraction with trypsin. Heating AD plasma to 56 degrees C did not deactivate the apoptotic factor. These results demonstrate the presence of an apoptotic factor in the plasma of patients with AD.","Depression is a multicausal disorder and has been associated with the risk to develop cancer, dementia, diabetes, epilepsy and stroke. As a metabolic disorder depression has been associated with obesity, diabetes, insulin sensitivity, neuropeptide Y, glucose regulation, poor glycemic control, glucagone-like peptide-1, cholezystokinin, ghrelin, leptin, the endocannabinoid system, insulin-like growth factor and gastrin-releasing peptide. As a cardiovascular disease a close relationship exists between depression and blood pressure, heart rate, norepinephrine, sympathetic tone, vascular resistance, blood viscosity, plasma volume, intima thickness and atherosclerosis. Additionally blood coagulation, fibrinolysis, D-dimers, plasminogen activator inhibitor-1 protein, platelet activation, VEGF, plasma nitric oxide and its synthase are changed in depressed patients. As an endocrinological and stress disorder depression has been connected with the concentration of free T4, TSH, CRH, arginine vasopressin, corticotrophin, corticosteroid release and ACTH. Depression as an inflammatory disorder is mediated by pro-inflammatory cytokines, interleukin-1, interleukin-6, TNF-alpha, soluble interleukin-2 receptors, interferon-alpha, interleukin 8, interleukin-10, hs-CRP, acute phase proteins, haptoglobin, toll like receptor 4, interleukin-1beta, mammalian target of rapamycin pathway, substance P, cyclooxygenase-2, prostaglandin-E2, lipid peroxidation levels and acid sphingomyelinase. Nutritional factors might influence depression risk, i.e. the consumption of folate, omega-3 fatty acids, monounsaturated fatty acids, olive oil, fish, fruits, vegetables, nuts, legumes, vitamin B6 and vitamin B12. The neurodegenerative hypothesis of depression explains decreased hippocampal volumes in depressed patients and changes of neurotrophic support by BDNF, erythropoietin, GDNF, FGF-2, NT3, NGF and growth hormone. In this context, a fast neuroprotective and antidepressant effect has also been observed by ketamine, which acts via the glutamatergic system. Hence, GABA, AMPA, EAAT, NMDA- and metabotropic glutamate receptors (mGluR1 to mGluR8) have gained interest in depression recently. Alternative, causative or also easy available treatment strategies beyond serotonin and noradrenaline reuptake inhibition might be a major topic of future psychiatric care. In this review, an attempt is made to overview concepts of the disease and search for perspectives on antidepressant treatment strategies beyond approved medications. ","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dementia Sentence A: We have previously demonstrated that a plasma natriuretic factor is present in Alzheimer's disease (AD), but not in multi-infarct dementia (MID) or normal controls (C). We postulated that the natriuretic factor might induce the increased cytosolic calcium reported in AD by inhibiting the sodium-calcium antiporter, thereby activating the apoptotic pathway. To test for a factor in AD plasma that induces apoptosis, we exposed nonconfluent cultured LLC-PK1 cells to plasma from AD, MID, and C for 2 h and performed a terminal transferase-dUTP-nick-end labeling (TUNEL) assay. The plasma from AD increased apoptosis nearly fourfold compared with MID and C. The effect was dose dependent and the peak effect was attained after a 2-h exposure. Additionally, apoptotic morphology was detected by electron microscopy, and internucleosomal DNA cleavage was found. We inhibited apoptosis by removing calcium from the medium, inhibiting protein synthesis with cycloheximide, alternately boiling or freezing and thawing the plasma, and digesting a partially purified fraction with trypsin. Heating AD plasma to 56 degrees C did not deactivate the apoptotic factor. These results demonstrate the presence of an apoptotic factor in the plasma of patients with AD. Sentence B: Depression is a multicausal disorder and has been associated with the risk to develop cancer, dementia, diabetes, epilepsy and stroke. As a metabolic disorder depression has been associated with obesity, diabetes, insulin sensitivity, neuropeptide Y, glucose regulation, poor glycemic control, glucagone-like peptide-1, cholezystokinin, ghrelin, leptin, the endocannabinoid system, insulin-like growth factor and gastrin-releasing peptide. As a cardiovascular disease a close relationship exists between depression and blood pressure, heart rate, norepinephrine, sympathetic tone, vascular resistance, blood viscosity, plasma volume, intima thickness and atherosclerosis. Additionally blood coagulation, fibrinolysis, D-dimers, plasminogen activator inhibitor-1 protein, platelet activation, VEGF, plasma nitric oxide and its synthase are changed in depressed patients. As an endocrinological and stress disorder depression has been connected with the concentration of free T4, TSH, CRH, arginine vasopressin, corticotrophin, corticosteroid release and ACTH. Depression as an inflammatory disorder is mediated by pro-inflammatory cytokines, interleukin-1, interleukin-6, TNF-alpha, soluble interleukin-2 receptors, interferon-alpha, interleukin 8, interleukin-10, hs-CRP, acute phase proteins, haptoglobin, toll like receptor 4, interleukin-1beta, mammalian target of rapamycin pathway, substance P, cyclooxygenase-2, prostaglandin-E2, lipid peroxidation levels and acid sphingomyelinase. Nutritional factors might influence depression risk, i.e. the consumption of folate, omega-3 fatty acids, monounsaturated fatty acids, olive oil, fish, fruits, vegetables, nuts, legumes, vitamin B6 and vitamin B12. The neurodegenerative hypothesis of depression explains decreased hippocampal volumes in depressed patients and changes of neurotrophic support by BDNF, erythropoietin, GDNF, FGF-2, NT3, NGF and growth hormone. In this context, a fast neuroprotective and antidepressant effect has also been observed by ketamine, which acts via the glutamatergic system. Hence, GABA, AMPA, EAAT, NMDA- and metabotropic glutamate receptors (mGluR1 to mGluR8) have gained interest in depression recently. Alternative, causative or also easy available treatment strategies beyond serotonin and noradrenaline reuptake inhibition might be a major topic of future psychiatric care. In this review, an attempt is made to overview concepts of the disease and search for perspectives on antidepressant treatment strategies beyond approved medications. ###Answer 1. Changed Reasoning: The target word ""dementia"" has undergone significant semantic drift between the two sentences. In Sentence A, ""dementia"" is used in the context of Alzheimer's disease, specifically mentioning the presence of an apoptotic factor in the plasma of patients with AD. In Sentence B, ""dementia"" is used more broadly to describe a multicausal disorder associated with various other conditions, including depression, diabetes, and stroke. The word's meaning has shifted from a specific medical condition to a broader category of disorders." 91,Dementia,"To study the relationship between the scores of 3 neuropsychological scales: MMSE, extended scale of dementia (ESD) and Blessed dementia scale (BDS) and cerebral glucose metabolism in Alzheimer's disease (AD) indicated by positron emission tomography (PET).","The small-vessel disorder cerebral autosomal dominant arteriopathy with subcortical infarcts and leukoencephalopathy (CADASIL) arises from mutations in the human gene encoding NOTCH3 and results in vascular smooth muscle cell degeneration, stroke, and dementia. However, the structural changes in NOTCH3 involved in CADASIL etiology are unclear. Here, we discovered site-specific fragmentation of NOTCH3 protein in pathologically affected vessels of human CADASIL-affected brains. EM-based experiments to pinpoint NOTCH3 localization in these brains indicated accumulation of NOTCH3 fragmentation products in the basement membrane, collagen fibers, and granular osmiophilic material within the cerebrovasculature. Using antibodies generated against a disease-linked neo-epitope found in degenerating vascular medium of CADASIL brains, we mapped the site of fragmentation to the NOTCH3 N terminus at the peptide bond joining Asp","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dementia Sentence A: To study the relationship between the scores of 3 neuropsychological scales: MMSE, extended scale of dementia (ESD) and Blessed dementia scale (BDS) and cerebral glucose metabolism in Alzheimer's disease (AD) indicated by positron emission tomography (PET). Sentence B: The small-vessel disorder cerebral autosomal dominant arteriopathy with subcortical infarcts and leukoencephalopathy (CADASIL) arises from mutations in the human gene encoding NOTCH3 and results in vascular smooth muscle cell degeneration, stroke, and dementia. However, the structural changes in NOTCH3 involved in CADASIL etiology are unclear. Here, we discovered site-specific fragmentation of NOTCH3 protein in pathologically affected vessels of human CADASIL-affected brains. EM-based experiments to pinpoint NOTCH3 localization in these brains indicated accumulation of NOTCH3 fragmentation products in the basement membrane, collagen fibers, and granular osmiophilic material within the cerebrovasculature. Using antibodies generated against a disease-linked neo-epitope found in degenerating vascular medium of CADASIL brains, we mapped the site of fragmentation to the NOTCH3 N terminus at the peptide bond joining Asp ###Answer 1. Changed Reasoning: The target word ""dementia"" has undergone a significant change in meaning between Sentence A (2000) and Sentence B (2020). In Sentence A, the term is used to describe the relationship between neuropsychological scores and cerebral glucose metabolism in Alzheimer's disease. In contrast, in Sentence B, the term is used to describe the etiology of a different neurodegenerative disorder, cerebral autosomal dominant arteriopathy with subcortical infarcts and leukoencephalopathy (CADASIL). The meaning of ""dementia"" has expanded to include this new context, indicating a semantic drift. Therefore, the label ""Changed"" is appropriate." 92,Dementia,"To examine the clinicopathological correlations in rare Alzheimer's disease patients with asymmetric cerebral atrophy and to compare their pattern of cortical involvement by senile lesions with that observed in other cases with atypical Alzheimer's disease, we performed an extensive neuropathological analysis of the cerebral cortex in four such cases. Three patients presented with severe language impairment but relatively good preservation of praxis and gnosis even after several years of clinical evolution. Cerebral autopsies of these cases revealed a predominant left hemisphere atrophy. Conversely, in one case with marked right hemisphere atrophy, all of the cognitive functions were involved early in the course of dementia. Neurofibrillary tangles and senile plaques were preferentially localized in the prefrontal, temporal and posterior parietal cortex in both hemispheres, whereas the hippocampal formation displayed lower lesion densities than neocortical areas. Significantly higher neurofibrillary tangle and senile plaque densities were found in the more atrophic side in most of the areas studied. The ratio of neurofibrillary tangle and senile plaque densities between the two hemispheres was not correlated with the number of these lesions in the cerebral cortex. These results indicate that the degenerative process in demented cases with interhemispheric asymmetric cerebral atrophy is characterized by a widespread involvement of the neocortex by senile lesions and lacks clear regional topography of neurofibrillary tangle and senile plaque distribution. Moreover, the relative sparing of the hippocampus, comparable to that found in cases with focal progressive dementia, suggests that the dementing process may involve different cortical structures in cases with asymmetric cerebral atrophy than in typical Alzheimer's disease cases.","Pain is one of the most frequent symptoms in older adults. It severely impairs quality of life, increases delirium risk, and may lead to progression of dementia. Assessment of pain performed by taking anamnesis from the patient is not reliable in patients with dementia due to cooperation and communication problems. The aim of this study was to assess pain and its consequences in patients with dementia.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dementia Sentence A: To examine the clinicopathological correlations in rare Alzheimer's disease patients with asymmetric cerebral atrophy and to compare their pattern of cortical involvement by senile lesions with that observed in other cases with atypical Alzheimer's disease, we performed an extensive neuropathological analysis of the cerebral cortex in four such cases. Three patients presented with severe language impairment but relatively good preservation of praxis and gnosis even after several years of clinical evolution. Cerebral autopsies of these cases revealed a predominant left hemisphere atrophy. Conversely, in one case with marked right hemisphere atrophy, all of the cognitive functions were involved early in the course of dementia. Neurofibrillary tangles and senile plaques were preferentially localized in the prefrontal, temporal and posterior parietal cortex in both hemispheres, whereas the hippocampal formation displayed lower lesion densities than neocortical areas. Significantly higher neurofibrillary tangle and senile plaque densities were found in the more atrophic side in most of the areas studied. The ratio of neurofibrillary tangle and senile plaque densities between the two hemispheres was not correlated with the number of these lesions in the cerebral cortex. These results indicate that the degenerative process in demented cases with interhemispheric asymmetric cerebral atrophy is characterized by a widespread involvement of the neocortex by senile lesions and lacks clear regional topography of neurofibrillary tangle and senile plaque distribution. Moreover, the relative sparing of the hippocampus, comparable to that found in cases with focal progressive dementia, suggests that the dementing process may involve different cortical structures in cases with asymmetric cerebral atrophy than in typical Alzheimer's disease cases. Sentence B: Pain is one of the most frequent symptoms in older adults. It severely impairs quality of life, increases delirium risk, and may lead to progression of dementia. Assessment of pain performed by taking anamnesis from the patient is not reliable in patients with dementia due to cooperation and communication problems. The aim of this study was to assess pain and its consequences in patients with dementia. ###Answer 1. Changed Reasoning: In Sentence A, the term ""dementia"" is used to describe a specific neurodegenerative disorder characterized by cognitive decline and memory loss. The sentence also highlights the distinctive pattern of cortical involvement in cases with asymmetric cerebral atrophy. In contrast, in Sentence B, the term ""dementia"" is used more broadly to refer to older adults experiencing pain, which may indicate a shift in the term's meaning. The sentence also suggests that the consequences of pain in dementia patients are more severe than previously thought. Therefore, the term ""dementia"" has undergone a significant shift in meaning between the two sentences, indicating semantic drift." 93,Dementia,"Despite the usual focus on daily costs, because PWAs have higher costs per day than other SNF residents, LOS and days of care are important cost indices. Data on LOS for 102 admissions and annual days of care for 90 PWAs show average 64-day LOS and 67 days of care. Regression analysis and survival analysis show dementias and IV drug use to mean longer LOS and more days of care. Higher PWA costs must be sustained over longer periods for PWAs with dementias and for IV drug users, who may claim increasing shares of the SNF care provided to PWAs.","The small house model of elder care emphasizes deinstitutionalization as a strategy to reduce the negative outcomes associated with nursing home care. The small house changes the philosophy, architecture, and organizational design of the institution and has been associated with higher quality of life and good quality of care. The intended benefits to individuals with cognitive impairment include better staff understanding of dementia care, improved physical environment, and safe, familiar patterns of everyday living. Initial research has been conducted, and additional research is underway to determine whether the outcomes match the intentions.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dementia Sentence A: Despite the usual focus on daily costs, because PWAs have higher costs per day than other SNF residents, LOS and days of care are important cost indices. Data on LOS for 102 admissions and annual days of care for 90 PWAs show average 64-day LOS and 67 days of care. Regression analysis and survival analysis show dementias and IV drug use to mean longer LOS and more days of care. Higher PWA costs must be sustained over longer periods for PWAs with dementias and for IV drug users, who may claim increasing shares of the SNF care provided to PWAs. Sentence B: The small house model of elder care emphasizes deinstitutionalization as a strategy to reduce the negative outcomes associated with nursing home care. The small house changes the philosophy, architecture, and organizational design of the institution and has been associated with higher quality of life and good quality of care. The intended benefits to individuals with cognitive impairment include better staff understanding of dementia care, improved physical environment, and safe, familiar patterns of everyday living. Initial research has been conducted, and additional research is underway to determine whether the outcomes match the intentions. ###Answer 1. Changed The target word ""dementia"" has undergone significant semantic drift between the two sentences. In Sentence A, the word is used in the context of nursing home care and is associated with longer lengths of stay and more days of care. In contrast, in Sentence B, the word is used in the context of elder care and is associated with a focus on deinstitutionalization and improving quality of life for individuals with cognitive impairment. The meaning of the word has shifted from a clinical diagnosis to a broader concept encompassing the social and environmental factors that influence care for individuals with cognitive impairment." 94,Dementia,"Circadian rhythm disturbances are frequently present in Alzheimer disease (AD). In the present study, we investigated the expression of vasopressin (AVP) mRNA in the human suprachiasmatic nucleus (SCN). The in situ hybridization procedure on formalin-fixed paraffin-embedded material was improved to such a degree that we could, for the first time, visualize AVP mRNA expressing neurons in the human SCN and carry out quantitative measurements. The total amount of AVP mRNA expressed as masked silver grains in the SCN was 3 times lower in AD patients (n = 14; 2,135 +/- 597 microm2) than in age- and time-of-death-matched controls (n = 11; 6,667 +/- 1466 microm2) (p = 0.003). No significant difference was found in the amount of AVP mRNA between AD patients with depression (n = 7) and without depression (n = 7) (2,985 +/-1103 microm2 and 1,285 +/- 298 microm2, respectively; p = 0.38). In addition, the human SCN AVP mRNA expressing neurons showed a marked day-night difference in controls under 80 years of age. The amount of AVP mRNA was more than 3 times higher during the daytime (9,028 +/- 1709 microm2, n = 7) than at night (2,536 +/- 740 microm2, n = 4; p = 0.02), whereas no clear diurnal rhythm of AVP mRNA in the SCN was observed in AD patients. There was no relationship between the amount of AVP mRNA in the SCN and age at onset of dementia, duration of AD and the neuropathological changes in the cerebral cortex. These findings suggest that the neurobiological basis of the circadian rhythm disturbances that are responsible for behavioral rhythm disorders is located in the SCN. It also explains the beneficial effects of light therapy on nightly restlessness in AD patients.","The European Association for Palliative Care White Paper defined optimal palliative care in dementia based on evidence and expert consensus. Yet, we know little on how to achieve this for people with dementia living and dying at home.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dementia Sentence A: Circadian rhythm disturbances are frequently present in Alzheimer disease (AD). In the present study, we investigated the expression of vasopressin (AVP) mRNA in the human suprachiasmatic nucleus (SCN). The in situ hybridization procedure on formalin-fixed paraffin-embedded material was improved to such a degree that we could, for the first time, visualize AVP mRNA expressing neurons in the human SCN and carry out quantitative measurements. The total amount of AVP mRNA expressed as masked silver grains in the SCN was 3 times lower in AD patients (n = 14; 2,135 +/- 597 microm2) than in age- and time-of-death-matched controls (n = 11; 6,667 +/- 1466 microm2) (p = 0.003). No significant difference was found in the amount of AVP mRNA between AD patients with depression (n = 7) and without depression (n = 7) (2,985 +/-1103 microm2 and 1,285 +/- 298 microm2, respectively; p = 0.38). In addition, the human SCN AVP mRNA expressing neurons showed a marked day-night difference in controls under 80 years of age. The amount of AVP mRNA was more than 3 times higher during the daytime (9,028 +/- 1709 microm2, n = 7) than at night (2,536 +/- 740 microm2, n = 4; p = 0.02), whereas no clear diurnal rhythm of AVP mRNA in the SCN was observed in AD patients. There was no relationship between the amount of AVP mRNA in the SCN and age at onset of dementia, duration of AD and the neuropathological changes in the cerebral cortex. These findings suggest that the neurobiological basis of the circadian rhythm disturbances that are responsible for behavioral rhythm disorders is located in the SCN. It also explains the beneficial effects of light therapy on nightly restlessness in AD patients. Sentence B: The European Association for Palliative Care White Paper defined optimal palliative care in dementia based on evidence and expert consensus. Yet, we know little on how to achieve this for people with dementia living and dying at home. ###Answer 1. Changed Explanation: In Sentence A, the term ""dementia"" is used to refer to a specific medical condition characterized by cognitive decline and memory loss. The sentence provides a clear definition of the term and highlights its diagnostic significance in the context of neurological disorders. In Sentence B, the term ""dementia"" is used more broadly to refer to the symptoms of cognitive decline and memory loss in general, without any specific medical context. The sentence does not provide a clear definition of the term, and instead focuses on the broader social and ethical implications of dementia care. Based on these differences in usage, it is clear that the term ""dementia"" has undergone a significant shift in meaning between the two sentences. In Sentence A, the term is used in a medical context to describe a specific disease, while in Sentence B, it is used more broadly to refer to the symptoms of cognitive decline and memory loss in general. This shift in meaning suggests that the term ""dementia"" has undergone semantic drift, and its meaning has evolved over time to encompass a broader range of cognitive and memory impairments." 95,Dementia,"Three cases of elderly, institutionalised patients with problems relating to dementia and agitation and good response to homeopathic treatment are presented.","We describe the use of dynamic combinatorial chemistry (DCC) to identify ligands for the stem-loop structure located at the exon 10-5'-intron junction of Tau pre-mRNA, which is involved in the onset of several tauopathies including frontotemporal dementia with Parkinsonism linked to chromosome 17 (FTDP-17). A series of ligands that combine the small aminoglycoside neamine and heteroaromatic moieties (azaquinolone and two acridines) have been identified by using DCC. These compounds effectively bind the stem-loop RNA target (the concentration required for 50% RNA response (EC(50)): 2-58 μM), as determined by fluorescence titration experiments. Importantly, most of them are able to stabilize both the wild-type and the +3 and +14 mutated sequences associated with the development of FTDP-17 without producing a significant change in the overall structure of the RNA (as analyzed by circular dichroism (CD) spectroscopy), which is a key factor for recognition by the splicing regulatory machinery. A good correlation has been found between the affinity of the ligands for the target and their ability to stabilize the RNA secondary structure.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dementia Sentence A: Three cases of elderly, institutionalised patients with problems relating to dementia and agitation and good response to homeopathic treatment are presented. Sentence B: We describe the use of dynamic combinatorial chemistry (DCC) to identify ligands for the stem-loop structure located at the exon 10-5'-intron junction of Tau pre-mRNA, which is involved in the onset of several tauopathies including frontotemporal dementia with Parkinsonism linked to chromosome 17 (FTDP-17). A series of ligands that combine the small aminoglycoside neamine and heteroaromatic moieties (azaquinolone and two acridines) have been identified by using DCC. These compounds effectively bind the stem-loop RNA target (the concentration required for 50% RNA response (EC(50)): 2-58 μM), as determined by fluorescence titration experiments. Importantly, most of them are able to stabilize both the wild-type and the +3 and +14 mutated sequences associated with the development of FTDP-17 without producing a significant change in the overall structure of the RNA (as analyzed by circular dichroism (CD) spectroscopy), which is a key factor for recognition by the splicing regulatory machinery. A good correlation has been found between the affinity of the ligands for the target and their ability to stabilize the RNA secondary structure. ###Answer 1. Changed Reasoning: The target word ""dementia"" in Sentence A has a different meaning than in Sentence B. In Sentence A, it refers to a specific medical condition characterized by problems relating to memory, thinking, and behavior, often associated with aging. In Sentence B, the term ""dementia"" is used in the context of a specific subtype of frontotemporal dementia (FTDP-17), which is a neurodegenerative disorder caused by a mutation in the Tau gene. The meaning of ""dementia"" has shifted from a general term to a specific medical condition with a different context and connotation." 96,Dementia,"The effects of deep brain stimulation (DBS) of the subthalamic nucleus (STN) or the internal pallidum (GPi) on the parkinsonian triad and on levodopa-induced dyskinesias are very similar. The antiakinetic effect of STN DBS seems to be slightly better. On the contrary to pallidal DBS, stimulation of the STN allows to reduce dopaminergic treatment by more than 50 p. 100 on average. Moreover, the current drain is smaller in STN. Thus, the STN is a low budget target compared to the GPi. STN DBS seems to be as effective on PD tremor as stimulation of the classic thalamic target, the ventral intermediate nucleus (Vim), whereas Vim stimulation has no effect on akinesia and very little on levodopa-induced dyskinesias. Thus, the STN has become the main target nucleus for DBS in PD, which is most often performed bilaterally in one surgical procedure. There is a good correlation of the preoperative response to levodopa and postoperative effects of bilateral STN DBS and this defines the patient population. Given the large patient population, simple guidelines for patient selection are developed. The referring physician can preselect patients based mainly on age (less than 70), absence of dementia and presence of severe disability related to motor fluctuations or dyskinesias. It is the responsibility of the operating centre to determine the levodopa response, to confirm the diagnosis, to rule out contraindications and to make sure that the medical treatment cannot be further optimised. Severe surgical complications with permanent sequels are relatively rare, about 1 p. 100 per implanted side. The patient selection, the precision of the surgery and the quality of the postoperative follow-up are the three main determinants of success.","Estimating the fraction of dementia cases in a population attributable to a risk factor or combination of risk factors (the population attributable fraction (PAF)) informs the design and choice of dementia risk-reduction activities. It is directly relevant to dementia prevention policy and practice. Current methods employed widely in the dementia literature to combine PAFs for multiple dementia risk factors assume a multiplicative relationship between factors and rely on subjective criteria to develop weightings for risk factors. In this paper we present an alternative approach to calculating the PAF based on sums of individual risk. It incorporates individual risk factor interrelationships and enables a range of assumptions about the way in which multiple risk factors will combine to affect dementia risk. Applying this method to global data demonstrates that the previous estimate of 40% is potentially too conservative an estimate of modifiable dementia risk and would necessitate subadditive interaction between risk factors. We calculate a plausible conservative estimate of 55.7% (95% confidence interval: 55.2, 56.1) based on additive risk factor interaction.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dementia Sentence A: The effects of deep brain stimulation (DBS) of the subthalamic nucleus (STN) or the internal pallidum (GPi) on the parkinsonian triad and on levodopa-induced dyskinesias are very similar. The antiakinetic effect of STN DBS seems to be slightly better. On the contrary to pallidal DBS, stimulation of the STN allows to reduce dopaminergic treatment by more than 50 p. 100 on average. Moreover, the current drain is smaller in STN. Thus, the STN is a low budget target compared to the GPi. STN DBS seems to be as effective on PD tremor as stimulation of the classic thalamic target, the ventral intermediate nucleus (Vim), whereas Vim stimulation has no effect on akinesia and very little on levodopa-induced dyskinesias. Thus, the STN has become the main target nucleus for DBS in PD, which is most often performed bilaterally in one surgical procedure. There is a good correlation of the preoperative response to levodopa and postoperative effects of bilateral STN DBS and this defines the patient population. Given the large patient population, simple guidelines for patient selection are developed. The referring physician can preselect patients based mainly on age (less than 70), absence of dementia and presence of severe disability related to motor fluctuations or dyskinesias. It is the responsibility of the operating centre to determine the levodopa response, to confirm the diagnosis, to rule out contraindications and to make sure that the medical treatment cannot be further optimised. Severe surgical complications with permanent sequels are relatively rare, about 1 p. 100 per implanted side. The patient selection, the precision of the surgery and the quality of the postoperative follow-up are the three main determinants of success. Sentence B: Estimating the fraction of dementia cases in a population attributable to a risk factor or combination of risk factors (the population attributable fraction (PAF)) informs the design and choice of dementia risk-reduction activities. It is directly relevant to dementia prevention policy and practice. Current methods employed widely in the dementia literature to combine PAFs for multiple dementia risk factors assume a multiplicative relationship between factors and rely on subjective criteria to develop weightings for risk factors. In this paper we present an alternative approach to calculating the PAF based on sums of individual risk. It incorporates individual risk factor interrelationships and enables a range of assumptions about the way in which multiple risk factors will combine to affect dementia risk. Applying this method to global data demonstrates that the previous estimate of 40% is potentially too conservative an estimate of modifiable dementia risk and would necessitate subadditive interaction between risk factors. We calculate a plausible conservative estimate of 55.7% (95% confidence interval: 55.2, 56.1) based on additive risk factor interaction. ###Answer 1. Changed Reasoning: In Sentence A, the term ""dementia"" is used in the context of deep brain stimulation for Parkinson's disease, specifically to describe the effects of stimulation on the patient's symptoms. The term is used to convey the idea that the stimulation is helping to reduce the patient's symptoms, particularly the tremors and dyskinesias. The term is not associated with any negative connotations or implications of cognitive decline. In Sentence B, the term ""dementia"" is used in a different context, to describe the proportion of dementia cases that can be attributed to a particular risk factor or combination of risk factors. The term is used to convey the idea that the risk factors are additive and that the impact of each risk factor on dementia risk is measurable and can be combined to estimate the overall proportion of dementia cases that are attributable to the risk factors. The term is not associated with any negative connotations or implications of cognitive decline. Based on these contexts, it is clear that the term ""dementia"" has undergone a significant change in meaning between Sentence A and Sentence B. In Sentence A, the term is used to describe the effects of deep brain stimulation on a patient's symptoms, while in Sentence B, the term is used to describe the proportion of dementia cases that can be attributed to risk factors. Therefore, the label ""Changed"" is appropriate to indicate that the meaning of the term ""dementia"" has shifted between these two sentences." 97,Dementia,A case of cerebral mycosis fungoides co-existing with progressive multifocal leucoencephalopathy presented with dementia. Brain biopsy established the diagnosis of mycosis fungoides after cerebrospinal fluid examinations and computerised tomographic scanning of the brain produced non-specific abnormalities.,A major issue in evaluating the cognitive status of ageing populations is a clear distinction between enduring and dynamic aspects of global cognition necessary for evaluating risks of dementia and effectiveness of preventive interventions.,"###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dementia Sentence A: A case of cerebral mycosis fungoides co-existing with progressive multifocal leucoencephalopathy presented with dementia. Brain biopsy established the diagnosis of mycosis fungoides after cerebrospinal fluid examinations and computerised tomographic scanning of the brain produced non-specific abnormalities. Sentence B: A major issue in evaluating the cognitive status of ageing populations is a clear distinction between enduring and dynamic aspects of global cognition necessary for evaluating risks of dementia and effectiveness of preventive interventions. ###Answer 1. Changed 2. Unchanged Explanation: In Sentence A, the term ""dementia"" is used to describe a neurodegenerative disorder that leads to cognitive decline and memory loss. However, in Sentence B, the term ""dementia"" is used more broadly to refer to any cognitive decline or impairment in older adults, regardless of its underlying cause. This shift in meaning suggests that the term ""dementia"" has undergone semantic drift, and its meaning has significantly changed over time. Therefore, the label ""Changed"" is appropriate." 98,Dementia,"Antiviral medications have been useful in delaying the time course of HIV infection. Antiviral medications have also been reported to delay or reduce symptoms associated with AIDS related dementia and to improve cortical perfusion. The mechanism for this improvement is unclear. Thus, this report studies the effects of antiviral medications on cerebral blood flow velocity in HIV+ cocaine abusers, HIV+ control individuals and appropriate control individuals. Thirty-two unmedicated HIV+ individuals (28 cocaine abusers and 4 control individuals), 22 HIV+ individuals using antiviral medications (16 cocaine abusers and 6 HIV+ control individuals), 47 HIV- cocaine abusers, and 27 control HIV- subjects were studied. Blood flow velocities were determined for the anterior and middle cerebral arteries using transcranial Doppler sonography. HIV+ individuals on antiviral medications had lower pulsatility values, suggesting decreased resistance in the cerebral blood vessels, in comparison to HIV+ individuals not taking antiviral medications. HIV+ cocaine abusers and HIV+ control individuals using antiviral medications had pulsatility values similar to HIV- control subjects. Antiviral medications appear to reduce these cerebrovascular perfusion deficits in HIV+ individuals. The antiviral medications appear to have a direct neuroprotective effect in addition to their antiviral effects. The neuroprotective role of antiviral medications requires further investigation.","Hoarding can be a symptom of multiple neurological and psychiatric disorders, including obsessive-compulsive disorder (OCD). Recent evidence suggests that, in many cases, hoarding can also be a standalone problem that presents independently from other conditions; this has led to the proposal of a new diagnostic entity named hoarding disorder. This article reviews the neuropsychological and neuroimaging research on pathological hoarding. Most research in humans has been conducted in the context of individuals with brain damage, dementia, or OCD. Studies of well-characterized samples of individuals with hoarding disorder are extremely rare. Although not possible to establish firm conclusions at this stage, we conclude with a series of observations and recommendations for clinical practice.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dementia Sentence A: Antiviral medications have been useful in delaying the time course of HIV infection. Antiviral medications have also been reported to delay or reduce symptoms associated with AIDS related dementia and to improve cortical perfusion. The mechanism for this improvement is unclear. Thus, this report studies the effects of antiviral medications on cerebral blood flow velocity in HIV+ cocaine abusers, HIV+ control individuals and appropriate control individuals. Thirty-two unmedicated HIV+ individuals (28 cocaine abusers and 4 control individuals), 22 HIV+ individuals using antiviral medications (16 cocaine abusers and 6 HIV+ control individuals), 47 HIV- cocaine abusers, and 27 control HIV- subjects were studied. Blood flow velocities were determined for the anterior and middle cerebral arteries using transcranial Doppler sonography. HIV+ individuals on antiviral medications had lower pulsatility values, suggesting decreased resistance in the cerebral blood vessels, in comparison to HIV+ individuals not taking antiviral medications. HIV+ cocaine abusers and HIV+ control individuals using antiviral medications had pulsatility values similar to HIV- control subjects. Antiviral medications appear to reduce these cerebrovascular perfusion deficits in HIV+ individuals. The antiviral medications appear to have a direct neuroprotective effect in addition to their antiviral effects. The neuroprotective role of antiviral medications requires further investigation. Sentence B: Hoarding can be a symptom of multiple neurological and psychiatric disorders, including obsessive-compulsive disorder (OCD). Recent evidence suggests that, in many cases, hoarding can also be a standalone problem that presents independently from other conditions; this has led to the proposal of a new diagnostic entity named hoarding disorder. This article reviews the neuropsychological and neuroimaging research on pathological hoarding. Most research in humans has been conducted in the context of individuals with brain damage, dementia, or OCD. Studies of well-characterized samples of individuals with hoarding disorder are extremely rare. Although not possible to establish firm conclusions at this stage, we conclude with a series of observations and recommendations for clinical practice. ###Answer 1. Changed Reasoning: In Sentence A, the target word ""dementia"" is used in the context of HIV infection and AIDS-related dementia. The sentence suggests that antiviral medications may have a direct neuroprotective effect in addition to their antiviral effects. This implies that the meaning of ""dementia"" in this context is related to neuroprotection and direct effects on the brain, which is different from the traditional meaning of the word as a general term for cognitive decline or memory loss. In Sentence B, the target word ""dementia"" is used in the context of hoarding disorder, which is a standalone problem that may present independently from other conditions. The sentence suggests that hoarding can be a symptom of multiple neurological and psychiatric disorders, including OCD. This implies that the meaning of ""dementia"" in this context is related to cognitive decline or memory loss, which is similar to the traditional meaning of the word. Therefore, there is no semantic drift in the usage of ""dementia"" in these two sentences." 99,Dementia,"Neuropathology studies show that patients with mild cognitive impairment (MCI) and Alzheimer's disease typically have lesions of the entorhinal cortex (EC), hippocampus (Hip), and temporal neocortex. Related observations with in vivo imaging have enabled the prediction of dementia from MCI. Although individuals with normal cognition may have focal EC lesions, this anatomy has not been studied as a predictor of cognitive decline and brain change. The objective of this MRI-guided 2-[(18)F]fluoro-2-deoxy-d-glucose/positron-emission tomography (FDG/PET) study was to examine the hypothesis that among normal elderly subjects, EC METglu reductions predict decline and the involvement of the Hip and neocortex. In a 3-year longitudinal study of 48 healthy normal elderly, 12 individuals (mean age 72) demonstrated cognitive decline (11 to MCI and 1 to Alzheimer's disease). Nondeclining controls were matched on apolipoprotein E genotype, age, education, and gender. At baseline, metabolic reductions in the EC accurately predicted the conversion from normal to MCI. Among those who declined, the baseline EC predicted longitudinal memory and temporal neocortex metabolic reductions. At follow-up, those who declined showed memory impairment and hypometabolism in temporal lobe neocortex and Hip. Among those subjects who declined, apolipoprotein E E4 carriers showed marked longitudinal temporal neocortex reductions. In summary, these data suggest that an EC stage of brain involvement can be detected in normal elderly that predicts future cognitive and brain metabolism reductions. Progressive E4-related hypometabolism may underlie the known increased susceptibility for dementia. Further study is required to estimate individual risks and to determine the physiologic basis for METglu changes detected while cognition is normal.","Dementia with Lewy bodies (DLB) is often characterized by pronounced impairment in visuospatial skills, attention, and executive functions. However, the strength of the phenotypic expression of DLB varies and may be weaker in patients with extensive concomitant Alzheimer's disease (AD). To determine whether strength of the DLB clinical phenotype impacts cognitive decline, visuospatial and language tests were retrospectively used to predict 2-year rate of global cognitive decline in 22 autopsy-confirmed DLB patients (21 with concomitant AD) and 44 autopsy-confirmed ""pure"" AD patients. Generalized estimating equations (GEE) revealed a significant interaction such that poor baseline performances on tests of visuospatial skills were strongly associated with a rapid rate of cognitive decline in DLB but not AD (p < .001). No effect of confrontation naming was found. DLB patients with poor visuospatial skills had fewer neurofibrillary tangles and were more likely to experience visual hallucinations than those with better visuospatial skills. These results suggest that the severity of visuospatial deficits in DLB may identify those facing a particularly malignant disease course and may designate individuals whose clinical syndrome is impacted more by Lewy body formation than AD pathology.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Dementia Sentence A: Neuropathology studies show that patients with mild cognitive impairment (MCI) and Alzheimer's disease typically have lesions of the entorhinal cortex (EC), hippocampus (Hip), and temporal neocortex. Related observations with in vivo imaging have enabled the prediction of dementia from MCI. Although individuals with normal cognition may have focal EC lesions, this anatomy has not been studied as a predictor of cognitive decline and brain change. The objective of this MRI-guided 2-[(18)F]fluoro-2-deoxy-d-glucose/positron-emission tomography (FDG/PET) study was to examine the hypothesis that among normal elderly subjects, EC METglu reductions predict decline and the involvement of the Hip and neocortex. In a 3-year longitudinal study of 48 healthy normal elderly, 12 individuals (mean age 72) demonstrated cognitive decline (11 to MCI and 1 to Alzheimer's disease). Nondeclining controls were matched on apolipoprotein E genotype, age, education, and gender. At baseline, metabolic reductions in the EC accurately predicted the conversion from normal to MCI. Among those who declined, the baseline EC predicted longitudinal memory and temporal neocortex metabolic reductions. At follow-up, those who declined showed memory impairment and hypometabolism in temporal lobe neocortex and Hip. Among those subjects who declined, apolipoprotein E E4 carriers showed marked longitudinal temporal neocortex reductions. In summary, these data suggest that an EC stage of brain involvement can be detected in normal elderly that predicts future cognitive and brain metabolism reductions. Progressive E4-related hypometabolism may underlie the known increased susceptibility for dementia. Further study is required to estimate individual risks and to determine the physiologic basis for METglu changes detected while cognition is normal. Sentence B: Dementia with Lewy bodies (DLB) is often characterized by pronounced impairment in visuospatial skills, attention, and executive functions. However, the strength of the phenotypic expression of DLB varies and may be weaker in patients with extensive concomitant Alzheimer's disease (AD). To determine whether strength of the DLB clinical phenotype impacts cognitive decline, visuospatial and language tests were retrospectively used to predict 2-year rate of global cognitive decline in 22 autopsy-confirmed DLB patients (21 with concomitant AD) and 44 autopsy-confirmed ""pure"" AD patients. Generalized estimating equations (GEE) revealed a significant interaction such that poor baseline performances on tests of visuospatial skills were strongly associated with a rapid rate of cognitive decline in DLB but not AD (p < .001). No effect of confrontation naming was found. DLB patients with poor visuospatial skills had fewer neurofibrillary tangles and were more likely to experience visual hallucinations than those with better visuospatial skills. These results suggest that the severity of visuospatial deficits in DLB may identify those facing a particularly malignant disease course and may designate individuals whose clinical syndrome is impacted more by Lewy body formation than AD pathology. ###Answer 1. Changed Reasoning: In Sentence A, the word ""dementia"" is used to describe a condition characterized by cognitive decline and brain changes, with a focus on the entorhinal cortex, hippocampus, and temporal neocortex. The sentence suggests that the term ""dementia"" has evolved to include a broader range of cognitive and brain changes, including those related to Alzheimer's disease. In Sentence B, the term ""dementia"" is used to describe a condition characterized by cognitive decline and visuospatial impairment, with a focus on the impact of strength of the clinical phenotype on cognitive decline. The sentence suggests that the term ""dementia"" has shifted its focus from cognitive decline to visuospatial impairment, and that the term ""dementia with Lewy bodies"" has become more specific and distinct from other forms of dementia. Overall, the usage of the term ""dementia"" in Sentence A suggests that the term has evolved to include a broader range of cognitive and brain changes, while the usage in Sentence B suggests that the term has shifted its focus to visuospatial impairment and the impact of strength of the clinical phenotype on cognitive decline. Therefore, I would label the word ""dementia"" in this task as ""Changed""." 0,Schizophrenia,"Velocardiofacial syndrome (VCFS) is a congenital disorder characterised by multiple dysmorphisms, cleft palate, cardiac anomalies, and learning disabilities due to a microdeletion of chromosome 22q11.2. Although VCFS is often associated with psychiatric symptoms, its prevalence among psychiatric patients is unknown. A total of 326 patients admitted in September and October 1997 to a Japanese psychiatric hospital were screened for the clinical features of VCFS. Twelve patients with minor facial dysmorphia were identified; chromosomal analysis with fluorescent in situ hybridisation (FISH) was performed in six patients who, further assessment suggested, were most likely to have VCFS. Chromosome 22q11.2 deletion was identified in a 41 year old woman who had symptoms of schizophrenia but no major dysmorphia, such as cardiovascular anomalies and cleft palate. Her behavioural and neuropsychological profiles were similar to those previously reported in VCFS. She was hemizygous for the FISH probe N25 (GDB locus D22S75) and also for probes N72H9 (D22S181), sc11.1a, C443 (D22S941), sc4.1 (D22S134), sc11.1b, N19B3 (D22S264), N122B5 (D22S934), and N77F7 (D22S939). The size of the deletion was about 3 Mb. Our patient had only some features of VCFS including a square nasal root, hypernasal speech, and hypoparathyroidism. She did, however, have the common larger deletion of type A. This finding suggests that psychiatric symptoms in VCFS can occur without major developmental symptoms such as cardiovascular anomalies and cleft palate. Additional patients with schizophrenia may have subtle features of VCFS which are unrecognised on routine medical examinations.","Identification of imaging biomarkers for schizophrenia is an important but still challenging problem. Even though considerable efforts have been made over the past decades, quantitative alterations between patients and healthy subjects have not yet provided a diagnostic measure with sufficient high sensitivity and specificity. One of the most important reasons is the lack of consistent findings, which is in part due to single-mode study, which only detects single dimensional information by each modality, and thus misses the most crucial differences between groups. Here, we hypothesize that multimodal integration of functional MRI (fMRI), structural MRI (sMRI), and diffusion tensor imaging (DTI) might yield more power for the diagnosis of schizophrenia. A novel multivariate data fusion method for combining these modalities is introduced without reducing the dimension or using the priors from 161 schizophrenia patients and 168 matched healthy controls. The multi-index feature for each ROI is constructed and summarized with Wilk's lambda by performing multivariate analysis of variance to calculate the significant difference between different groups. Our results show that, among these modalities, fMRI has the most significant featureby calculating the Jaccard similarity coefficient (0.7416) and Kappa index (0.4833). Furthermore, fusion of these modalities provides the most plentiful information and the highest predictive accuracy of 86.52%. This work indicates that multimodal integration can improve the ability of distinguishing differences between groups and might be assisting in further diagnosis of schizophrenia.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Schizophrenia Sentence A: Velocardiofacial syndrome (VCFS) is a congenital disorder characterised by multiple dysmorphisms, cleft palate, cardiac anomalies, and learning disabilities due to a microdeletion of chromosome 22q11.2. Although VCFS is often associated with psychiatric symptoms, its prevalence among psychiatric patients is unknown. A total of 326 patients admitted in September and October 1997 to a Japanese psychiatric hospital were screened for the clinical features of VCFS. Twelve patients with minor facial dysmorphia were identified; chromosomal analysis with fluorescent in situ hybridisation (FISH) was performed in six patients who, further assessment suggested, were most likely to have VCFS. Chromosome 22q11.2 deletion was identified in a 41 year old woman who had symptoms of schizophrenia but no major dysmorphia, such as cardiovascular anomalies and cleft palate. Her behavioural and neuropsychological profiles were similar to those previously reported in VCFS. She was hemizygous for the FISH probe N25 (GDB locus D22S75) and also for probes N72H9 (D22S181), sc11.1a, C443 (D22S941), sc4.1 (D22S134), sc11.1b, N19B3 (D22S264), N122B5 (D22S934), and N77F7 (D22S939). The size of the deletion was about 3 Mb. Our patient had only some features of VCFS including a square nasal root, hypernasal speech, and hypoparathyroidism. She did, however, have the common larger deletion of type A. This finding suggests that psychiatric symptoms in VCFS can occur without major developmental symptoms such as cardiovascular anomalies and cleft palate. Additional patients with schizophrenia may have subtle features of VCFS which are unrecognised on routine medical examinations. Sentence B: Identification of imaging biomarkers for schizophrenia is an important but still challenging problem. Even though considerable efforts have been made over the past decades, quantitative alterations between patients and healthy subjects have not yet provided a diagnostic measure with sufficient high sensitivity and specificity. One of the most important reasons is the lack of consistent findings, which is in part due to single-mode study, which only detects single dimensional information by each modality, and thus misses the most crucial differences between groups. Here, we hypothesize that multimodal integration of functional MRI (fMRI), structural MRI (sMRI), and diffusion tensor imaging (DTI) might yield more power for the diagnosis of schizophrenia. A novel multivariate data fusion method for combining these modalities is introduced without reducing the dimension or using the priors from 161 schizophrenia patients and 168 matched healthy controls. The multi-index feature for each ROI is constructed and summarized with Wilk's lambda by performing multivariate analysis of variance to calculate the significant difference between different groups. Our results show that, among these modalities, fMRI has the most significant featureby calculating the Jaccard similarity coefficient (0.7416) and Kappa index (0.4833). Furthermore, fusion of these modalities provides the most plentiful information and the highest predictive accuracy of 86.52%. This work indicates that multimodal integration can improve the ability of distinguishing differences between groups and might be assisting in further diagnosis of schizophrenia. ###Answer 1. Changed Reasoning: The target word ""schizophrenia"" has undergone significant semantic drift between the two sentences. In Sentence A, the term is used in the context of a specific genetic disorder characterized by multiple dysmorphisms, cleft palate, cardiac anomalies, and learning disabilities. In contrast, in Sentence B, the term is used in the context of a broader psychiatric disorder, with a focus on imaging biomarkers for diagnosis. The meaning of the term has shifted from a specific genetic disorder to a more general psychiatric condition. Therefore, the label ""Changed"" is appropriate." 1,Schizophrenia,"HLA antigens were typed among 136 Japanese schizophrenics. Increased frequencies were seen in A9 (Aw24), A10 (A26) and Bw54, and decreased frequency in B40 antigens when compared to 187 Japanese controls. It is suggested that there may be an association between A9 (Aw24) and schizophrenia with a chronic-progressive course and also an association between A10 (A26) and hebephrenia.","Prepulse inhibition (PPI) is an example of sensorimotor gating and deficits in PPI have been demonstrated in schizophrenia patients. Phencyclidine (PCP) suppression of PPI in animals has been studied to elucidate the pathological elements of schizophrenia. However, the molecular mechanisms underlying PCP treatment or PPI in the brain are still poorly understood. In this study, quantitative phosphoproteomic analysis was performed on the prefrontal cortex from rats that were subjected to PPI after being systemically injected with PCP or saline. PCP downregulated phosphorylation events were significantly enriched in proteins associated with long-term potentiation (LTP). Importantly, this data set identifies functionally novel phosphorylation sites on known LTP-associated signaling molecules. In addition, mutagenesis of a significantly altered phosphorylation site on xCT (SLC7A11), the light chain of system xc-, the cystine/glutamate antiporter, suggests that PCP also regulates the activity of this protein. Finally, new insights were also derived on PPI signaling independent of PCP treatment. This is the first quantitative phosphorylation proteomic analysis providing new molecular insights into sensorimotor gating. ","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Schizophrenia Sentence A: HLA antigens were typed among 136 Japanese schizophrenics. Increased frequencies were seen in A9 (Aw24), A10 (A26) and Bw54, and decreased frequency in B40 antigens when compared to 187 Japanese controls. It is suggested that there may be an association between A9 (Aw24) and schizophrenia with a chronic-progressive course and also an association between A10 (A26) and hebephrenia. Sentence B: Prepulse inhibition (PPI) is an example of sensorimotor gating and deficits in PPI have been demonstrated in schizophrenia patients. Phencyclidine (PCP) suppression of PPI in animals has been studied to elucidate the pathological elements of schizophrenia. However, the molecular mechanisms underlying PCP treatment or PPI in the brain are still poorly understood. In this study, quantitative phosphoproteomic analysis was performed on the prefrontal cortex from rats that were subjected to PPI after being systemically injected with PCP or saline. PCP downregulated phosphorylation events were significantly enriched in proteins associated with long-term potentiation (LTP). Importantly, this data set identifies functionally novel phosphorylation sites on known LTP-associated signaling molecules. In addition, mutagenesis of a significantly altered phosphorylation site on xCT (SLC7A11), the light chain of system xc-, the cystine/glutamate antiporter, suggests that PCP also regulates the activity of this protein. Finally, new insights were also derived on PPI signaling independent of PCP treatment. This is the first quantitative phosphorylation proteomic analysis providing new molecular insights into sensorimotor gating. ###Answer 1. Changed Reasoning: In Sentence A, the term ""schizophrenia"" is used to describe a specific psychiatric disorder characterized by a chronic-progressive course and associated with certain HLA antigens. The term is used in the context of a scientific study to identify a potential genetic component of the disorder. In contrast, in Sentence B, the term ""schizophrenia"" is used in a completely different context to describe a sensorimotor gating mechanism in the brain. The term is used to describe a scientific study on the effects of a drug on this mechanism, and it is not associated with any specific psychiatric disorder. Therefore, there has been a significant change in the meaning of the term ""schizophrenia"" between the two sentences, indicating semantic drift has occurred." 2,Schizophrenia,"Nonorganic insomnia is a frequent sleep disorder that has a high comorbidity with other psychiatric illnesses. In our sleep outpatient clinic, 41% of the patients showed neurotic, stress-related and somatoform disorders, 31% affective disorders and 1.6% schizophrenia. Sleep laboratory investigations in patients for diagnostic purposes and in normal subjects for the evaluation of drug effects suggest that changes in the sleep architecture of patients with nonorganic insomnia due to psychiatric disorders, compared with normal controls, are opposite to alterations induced by psychotropic drugs intended for their treatment, compared with placebo (key-lock principle). Evidence for this principle was found regarding nonorganic insomnia related to generalized anxiety disorder or panic disorders and benzodiazepines, depressive episodes, recurrent depression or dysthymia and sedative antidepressants and finally schizophrenia and sedative neuroleptics. Polysomnography (PSG) findings of other mental disorders are rather scarce and often depend upon the subtype and stage of the disease. In conclusion, sleep laboratory studies may be helpful for choosing the right drug for an individual insomniac patient.","The ubiquitin proteasome system (UPS) is a major regulator of protein processing, trafficking, and degradation. While protein ubiquitination is utilized for many cellular processes, one major function of this system is to target proteins to the proteasome for degradation. In schizophrenia, studies have found UPS transcript abnormalities in both blood and brain, and we have previously reported decreased protein expression of ubiquitin-associated proteins in brain. To test whether the proteasome is similarly dysregulated, we measured the protein expression of proteasome catalytic subunits as well as essential subunits from proteasome regulatory complexes in 14 pair-matched schizophrenia and comparison subjects in superior temporal cortex. We found decreased expression of Rpt1, Rpt3, and Rpt6, subunits of the 19S regulatory particle essential for ubiquitin-dependent degradation by the proteasome. Additionally, the α subunit of the 11S αβ regulatory particle, which enhances proteasomal degradation of small peptides and unfolded proteins, was also decreased. Haloperidol-treated rats did not have altered expression of these subunits, suggesting the changes we observed in schizophrenia are likely not due to chronic antipsychotic treatment. Interestingly, expression of the catalytic subunits of both the standard and immunoproteasome were unchanged, suggesting the abnormalities we observed may be specific to the complexed state of the proteasome. Aging has significant effects on the proteasome, and several subunits (20S β2, Rpn10, Rpn13, 11Sβ, and 11Sγ) were significantly correlated with subject age. These data provide further evidence of dysfunction of the ubiquitin-proteasome system in schizophrenia, and suggest that altered proteasome activity may be associated with the pathophysiology of this illness. ","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Schizophrenia Sentence A: Nonorganic insomnia is a frequent sleep disorder that has a high comorbidity with other psychiatric illnesses. In our sleep outpatient clinic, 41% of the patients showed neurotic, stress-related and somatoform disorders, 31% affective disorders and 1.6% schizophrenia. Sleep laboratory investigations in patients for diagnostic purposes and in normal subjects for the evaluation of drug effects suggest that changes in the sleep architecture of patients with nonorganic insomnia due to psychiatric disorders, compared with normal controls, are opposite to alterations induced by psychotropic drugs intended for their treatment, compared with placebo (key-lock principle). Evidence for this principle was found regarding nonorganic insomnia related to generalized anxiety disorder or panic disorders and benzodiazepines, depressive episodes, recurrent depression or dysthymia and sedative antidepressants and finally schizophrenia and sedative neuroleptics. Polysomnography (PSG) findings of other mental disorders are rather scarce and often depend upon the subtype and stage of the disease. In conclusion, sleep laboratory studies may be helpful for choosing the right drug for an individual insomniac patient. Sentence B: The ubiquitin proteasome system (UPS) is a major regulator of protein processing, trafficking, and degradation. While protein ubiquitination is utilized for many cellular processes, one major function of this system is to target proteins to the proteasome for degradation. In schizophrenia, studies have found UPS transcript abnormalities in both blood and brain, and we have previously reported decreased protein expression of ubiquitin-associated proteins in brain. To test whether the proteasome is similarly dysregulated, we measured the protein expression of proteasome catalytic subunits as well as essential subunits from proteasome regulatory complexes in 14 pair-matched schizophrenia and comparison subjects in superior temporal cortex. We found decreased expression of Rpt1, Rpt3, and Rpt6, subunits of the 19S regulatory particle essential for ubiquitin-dependent degradation by the proteasome. Additionally, the α subunit of the 11S αβ regulatory particle, which enhances proteasomal degradation of small peptides and unfolded proteins, was also decreased. Haloperidol-treated rats did not have altered expression of these subunits, suggesting the changes we observed in schizophrenia are likely not due to chronic antipsychotic treatment. Interestingly, expression of the catalytic subunits of both the standard and immunoproteasome were unchanged, suggesting the abnormalities we observed may be specific to the complexed state of the proteasome. Aging has significant effects on the proteasome, and several subunits (20S β2, Rpn10, Rpn13, 11Sβ, and 11Sγ) were significantly correlated with subject age. These data provide further evidence of dysfunction of the ubiquitin-proteasome system in schizophrenia, and suggest that altered proteasome activity may be associated with the pathophysiology of this illness. ###Answer 1. Changed Explanation: In Sentence A, the term ""schizophrenia"" is used in the context of a sleep disorder, where it is described as a ""frequent sleep disorder that has a high comorbidity with other psychiatric illnesses."" The term is not associated with any negative connotations or emotional intensity. In contrast, in Sentence B, the term ""schizophrenia"" is used in the context of a larger discussion on the ubiquitin-proteasome system and its role in protein degradation. The term is associated with increased protein expression of subunits of the 19S regulatory particle, which is essential for ubiquitin-dependent degradation by the proteasome. This suggests that the meaning of the term ""schizophrenia"" has shifted from a sleep disorder to a broader concept related to protein degradation. Therefore, semantic drift has occurred in the usage of the term ""schizophrenia"" between Sentence A and Sentence B." 3,Schizophrenia,"Case records of ninety consecutive first lifetime admissions with a hospital diagnosis of schizophrenia were examined for Schneiderian first rank symptoms, the Feighner diagnostic criteria, and the New Haven Schizophrenia Index. Diagnostic exclusion criteria were developed and applied. It is concluded that the hospital diagnosis of schizophrenia is likely to be too broad. Each diagnostic system can increase accuracy of diagnosis, but their exclusion criteria are too vague and the system would be improved by using those given here. Each diagnostic system selects similar groups of patients, and can be applied retrospectively to adequate case records.","People with schizophrenia spectrum disorders (SSD) show anomalies in language processing with respect to ""who is doing what"" in an action. This linguistic behavior is suggestive of an atypical representation of the formal concepts of ""Agent"" in the lexical representation of a verb, i.e., its thematic grid. To test this hypothesis, we administered a silent-reading task with sentences including a semantic violation of the animacy trait of the grammatical subject to 30 people with SSD and 30 healthy control participants (HCs). When the anomalous grammatical subject was the Agent of the event, a significant increase of Gaze Duration was observed in HCs, but not in SSDs. Conversely, when the anomalous subject was a Theme, SSDs displayed an increased probability of go-back movements, unlike HCs. These results are suggestive of a higher tolerability for anomalous Agents in SSD compared to the normal population. The fact that SSD participants did not show a similar tolerability for anomalous Themes rules out the issue of an attention deficit. We suggest that general communication abilities in SSD might benefit from explicit training on deep linguistic structures.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Schizophrenia Sentence A: Case records of ninety consecutive first lifetime admissions with a hospital diagnosis of schizophrenia were examined for Schneiderian first rank symptoms, the Feighner diagnostic criteria, and the New Haven Schizophrenia Index. Diagnostic exclusion criteria were developed and applied. It is concluded that the hospital diagnosis of schizophrenia is likely to be too broad. Each diagnostic system can increase accuracy of diagnosis, but their exclusion criteria are too vague and the system would be improved by using those given here. Each diagnostic system selects similar groups of patients, and can be applied retrospectively to adequate case records. Sentence B: People with schizophrenia spectrum disorders (SSD) show anomalies in language processing with respect to ""who is doing what"" in an action. This linguistic behavior is suggestive of an atypical representation of the formal concepts of ""Agent"" in the lexical representation of a verb, i.e., its thematic grid. To test this hypothesis, we administered a silent-reading task with sentences including a semantic violation of the animacy trait of the grammatical subject to 30 people with SSD and 30 healthy control participants (HCs). When the anomalous grammatical subject was the Agent of the event, a significant increase of Gaze Duration was observed in HCs, but not in SSDs. Conversely, when the anomalous subject was a Theme, SSDs displayed an increased probability of go-back movements, unlike HCs. These results are suggestive of a higher tolerability for anomalous Agents in SSD compared to the normal population. The fact that SSD participants did not show a similar tolerability for anomalous Themes rules out the issue of an attention deficit. We suggest that general communication abilities in SSD might benefit from explicit training on deep linguistic structures. ###Answer 1. Changed Reasoning: In Sentence A, the target word ""schizophrenia"" is used in the context of a medical diagnosis, with a focus on the diagnostic criteria and exclusion criteria. The word is used in a neutral manner, without any connotation of negative or stigmatizing implications. In Sentence B, the target word is used in the context of a linguistic study, specifically related to the processing of language in people with schizophrenia spectrum disorders. The word is used with a connotation of abnormality or atypicality, as the study is investigating the language patterns of people with SSD. The meaning of the word has shifted from a neutral medical diagnosis to a more specific and stigmatizing term related to language processing. Therefore, the label ""Changed"" is appropriate." 4,Schizophrenia,"An impairment of the blood-cerebrospinal fluid barrier (BCB) has repeatedly been described in schizophrenic patients. A BCB impairment can be due to vascular leakage during an inflammatory process, or to neuroleptic treatment. The soluble intercellular adhesion molecule-1 (sICAM-1) has been demonstrated to be a reliable marker for an inflammatory process causing an BCB impairment. To clarify the basis of a BCB impairment in schizophrenic patients, we measured the sICAM-1 levels in CSF of 40 schizophrenic patients. High concentrations of sICAM-1 were found to be related to high concentrations of albumin, IgG and total protein in CSF. A BCB impairment was associated with high levels of sICAM-1. Our data indicate an inflammatory mechanism of BCB impairment in schizophrenics and should enrich the discussion on an expanded immunological diagnosis in schizophrenia.","Aberrant glutamatergic, dopaminergic, and GABAergic neurotransmission has been implicated in schizophrenia. Cariprazine reverses the behavioral effects observed in the rat phencyclidine (PCP)-induced model of schizophrenia; however, little is known about its in vivo neurochemistry.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Schizophrenia Sentence A: An impairment of the blood-cerebrospinal fluid barrier (BCB) has repeatedly been described in schizophrenic patients. A BCB impairment can be due to vascular leakage during an inflammatory process, or to neuroleptic treatment. The soluble intercellular adhesion molecule-1 (sICAM-1) has been demonstrated to be a reliable marker for an inflammatory process causing an BCB impairment. To clarify the basis of a BCB impairment in schizophrenic patients, we measured the sICAM-1 levels in CSF of 40 schizophrenic patients. High concentrations of sICAM-1 were found to be related to high concentrations of albumin, IgG and total protein in CSF. A BCB impairment was associated with high levels of sICAM-1. Our data indicate an inflammatory mechanism of BCB impairment in schizophrenics and should enrich the discussion on an expanded immunological diagnosis in schizophrenia. Sentence B: Aberrant glutamatergic, dopaminergic, and GABAergic neurotransmission has been implicated in schizophrenia. Cariprazine reverses the behavioral effects observed in the rat phencyclidine (PCP)-induced model of schizophrenia; however, little is known about its in vivo neurochemistry. ###Answer 1. Changed Explanation: In Sentence A, the term ""schizophrenia"" is used to describe an impairment of the blood-cerebrospinal fluid barrier (BCB), which is associated with an inflammatory process. The term ""schizophrenic patients"" is used to refer to individuals who have this impairment. This usage suggests that the term ""schizophrenia"" has shifted from a purely psychiatric diagnosis to a broader term encompassing an underlying pathophysiological mechanism. In Sentence B, the term ""schizophrenia"" is used more narrowly to refer to the neurotransmitter imbalances that are thought to contribute to the disorder. This usage suggests that the term ""schizophrenia"" has become more specific and focused on the underlying neurobiology of the disorder. Therefore, semantic drift has occurred in the meaning of the term ""schizophrenia"" between the two sentences." 5,Schizophrenia,"The association between psychotic symptoms and violence is unclear, due in part to methodological features of investigations that have examined this question, and in part to the fact that the association likely differs by disorder and treatment conditions. Using data from The Comparative Study of the Prevention of Crime and Violence by Mentally Ill Persons, we examined 128 men with schizophrenia or schizoaffective disorder discharged from general and forensic psychiatric hospitals in Canada, Finland, Germany, and Sweden. The association between symptoms and aggressive behavior was studied during two 6 month periods when the patients lived in the community. Severe positive and negative symptoms of psychosis, depression, and anxiety were measured at the beginning of each of the 6 month periods. In addition, at the beginning of the second 6 month period changes in symptoms in the previous period were indexed. Aggressive behavior was measured in each 6 month period by reports from patients and from collaterals. During the first 6 months post-discharge, after controlling for the presence of antisocial personality disorder or PCL score and past diagnoses of alcohol/drug abuse/dependence, the presence of a severe positive symptom significantly increased the risk of aggressive behavior. During the second 6 month period, after controlling for antisocial personality disorder or PCL score and self-reported alcohol/drug use, the presence of a severe positive symptom, a TCO symptom, and an increase in TCO symptoms significantly increased the risk of aggressive behavior. Neither depot medications nor obligatory community treatment reduced the risk of aggressive behavior after controlling for the presence of a severe positive symptom and/or TCO symptoms. These findings suggest that, among men with schizophrenia being treated in the community, the presence of severe psychotic symptoms and the development of TCO symptoms are antecedents of aggressive behavior.","Mitochondria have been linked to the etiology of schizophrenia (SZ). However, studies of mitochondria in SZ might be confounded by the effects of pharmacological treatment with antipsychotic drugs (APDs) and other common medications. This review summarizes findings on relevant mitochondria mechanisms underlying SZ, and the potential impact of psychoactive drugs including primarily APDs, but also antidepressants and anxiolytics. The summarized data suggest that APDs impair mitochondria function by decreasing Complex I activity and ATP production and dissipation of the mitochondria membrane potential. At the same time, in the brains of patients with SZ, antipsychotic drug treatment normalizes gene expression modules enriched in mitochondrial genes that are decreased in SZ. This indicates that APDs may have both positive and negative effects on mitochondria. The available evidence suggests three conclusions i) alterations in mitochondria functions in SZ exist prior to APD treatment, ii) mitochondria alterations in SZ can be reversed by APD treatment, and iii) APDs directly cause impairment of mitochondria function. Overall, the mechanisms of action of psychiatric drugs on mitochondria are both direct and indirect; we conclude the effects of APDs on mitochondria may contribute to both their therapeutic and metabolic side effects. These studies support the hypothesis that neuronal mitochondria are an etiological factor in SZ. Moreover, APDs and other drugs must be considered in the evaluation of this pathophysiological role of mitochondria in SZ. Considering these effects, pharmacological actions on mitochondria may be a worthwhile target for further APD development.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Schizophrenia Sentence A: The association between psychotic symptoms and violence is unclear, due in part to methodological features of investigations that have examined this question, and in part to the fact that the association likely differs by disorder and treatment conditions. Using data from The Comparative Study of the Prevention of Crime and Violence by Mentally Ill Persons, we examined 128 men with schizophrenia or schizoaffective disorder discharged from general and forensic psychiatric hospitals in Canada, Finland, Germany, and Sweden. The association between symptoms and aggressive behavior was studied during two 6 month periods when the patients lived in the community. Severe positive and negative symptoms of psychosis, depression, and anxiety were measured at the beginning of each of the 6 month periods. In addition, at the beginning of the second 6 month period changes in symptoms in the previous period were indexed. Aggressive behavior was measured in each 6 month period by reports from patients and from collaterals. During the first 6 months post-discharge, after controlling for the presence of antisocial personality disorder or PCL score and past diagnoses of alcohol/drug abuse/dependence, the presence of a severe positive symptom significantly increased the risk of aggressive behavior. During the second 6 month period, after controlling for antisocial personality disorder or PCL score and self-reported alcohol/drug use, the presence of a severe positive symptom, a TCO symptom, and an increase in TCO symptoms significantly increased the risk of aggressive behavior. Neither depot medications nor obligatory community treatment reduced the risk of aggressive behavior after controlling for the presence of a severe positive symptom and/or TCO symptoms. These findings suggest that, among men with schizophrenia being treated in the community, the presence of severe psychotic symptoms and the development of TCO symptoms are antecedents of aggressive behavior. Sentence B: Mitochondria have been linked to the etiology of schizophrenia (SZ). However, studies of mitochondria in SZ might be confounded by the effects of pharmacological treatment with antipsychotic drugs (APDs) and other common medications. This review summarizes findings on relevant mitochondria mechanisms underlying SZ, and the potential impact of psychoactive drugs including primarily APDs, but also antidepressants and anxiolytics. The summarized data suggest that APDs impair mitochondria function by decreasing Complex I activity and ATP production and dissipation of the mitochondria membrane potential. At the same time, in the brains of patients with SZ, antipsychotic drug treatment normalizes gene expression modules enriched in mitochondrial genes that are decreased in SZ. This indicates that APDs may have both positive and negative effects on mitochondria. The available evidence suggests three conclusions i) alterations in mitochondria functions in SZ exist prior to APD treatment, ii) mitochondria alterations in SZ can be reversed by APD treatment, and iii) APDs directly cause impairment of mitochondria function. Overall, the mechanisms of action of psychiatric drugs on mitochondria are both direct and indirect; we conclude the effects of APDs on mitochondria may contribute to both their therapeutic and metabolic side effects. These studies support the hypothesis that neuronal mitochondria are an etiological factor in SZ. Moreover, APDs and other drugs must be considered in the evaluation of this pathophysiological role of mitochondria in SZ. Considering these effects, pharmacological actions on mitochondria may be a worthwhile target for further APD development. ###Answer 1. Changed Reasoning: In Sentence A, the target word ""schizophrenia"" is used in the context of a study examining the relationship between psychotic symptoms and violence. The sentence suggests that the disorder is characterized by severe psychotic symptoms, such as positive and negative symptoms, and that these symptoms are associated with increased risk of aggressive behavior. In contrast, Sentence B uses the term ""schizophrenia"" in the context of a review of studies on the etiology of the disorder. The sentence highlights the potential impact of pharmacological treatment with antipsychotic drugs on mitochondria function in the brain, and suggests that these drugs may have both positive and negative effects on mitochondria. In Sentence A, the meaning of ""schizophrenia"" is focused on the symptoms and consequences of the disorder, with a focus on the relationship between psychotic symptoms and violence. In contrast, Sentence B places more emphasis on the potential effects of pharmacological treatment on mitochondria function, and suggests that these effects may contribute to both the therapeutic and metabolic side effects of antipsychotic drugs. These differences in emphasis and focus suggest that the meaning of ""schizophrenia"" has shifted over time, with a greater focus on the metabolic and therapeutic effects of the disorder in Sentence B. Therefore, I would label this as a case of semantic drift." 6,Schizophrenia,The purpose of this study was to investigate sex differences in relationships between brain and behavior in schizophrenia.,There are pieces of evidence indicating that visual deficits in patients with schizophrenia can be attributed to a deficiency in the magnocellular portion of the early visual system. The main objective of this study was to investigate the neurological dysfunction of the magnocellular pathway in patients with schizophrenia using the frequency doubling technology perimetry (FDT). The FDT has been developed based on particular neural magnocellular characteristics and can examine the magnocellular dysfunction hypothesis in schizophrenia. Twenty patients with schizophrenia (12 males and 8 females) and 20 normal subjects (10 males and 10 females) participated in this study. The spatial frequency doubling task was presented via the Humphrey perimetry instrument in order to examine the magnocellular pathway of the participants. Patients with schizophrenia showed less visual field sensitivity than normal controls and their standardized age cohort in both eyes (p<0.001). The results indicated impaired visual field sensitivity deficits in patients with schizophrenia that can be attributed to a deficit in the magnocellular neural pathways. This Magnocellular pathway defect may provide a physiological base to explain some of the deficits caused by schizophrenia such as cognitive deficits. ,"###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Schizophrenia Sentence A: The purpose of this study was to investigate sex differences in relationships between brain and behavior in schizophrenia. Sentence B: There are pieces of evidence indicating that visual deficits in patients with schizophrenia can be attributed to a deficiency in the magnocellular portion of the early visual system. The main objective of this study was to investigate the neurological dysfunction of the magnocellular pathway in patients with schizophrenia using the frequency doubling technology perimetry (FDT). The FDT has been developed based on particular neural magnocellular characteristics and can examine the magnocellular dysfunction hypothesis in schizophrenia. Twenty patients with schizophrenia (12 males and 8 females) and 20 normal subjects (10 males and 10 females) participated in this study. The spatial frequency doubling task was presented via the Humphrey perimetry instrument in order to examine the magnocellular pathway of the participants. Patients with schizophrenia showed less visual field sensitivity than normal controls and their standardized age cohort in both eyes (p<0.001). The results indicated impaired visual field sensitivity deficits in patients with schizophrenia that can be attributed to a deficit in the magnocellular neural pathways. This Magnocellular pathway defect may provide a physiological base to explain some of the deficits caused by schizophrenia such as cognitive deficits. ###Answer 1. Changed Explanation: The meaning of the target word ""schizophrenia"" has undergone significant change between the two sentences. In Sentence A, the word is used to describe a mental disorder characterized by sex differences in brain and behavior. In Sentence B, the word is used to describe a neurological dysfunction in the magnocellular pathway of the visual system, which can be attributed to a deficiency in the magnocellular portion of the early visual system. The word has shifted from a broad psychiatric diagnosis to a more specific neurological concept. This semantic drift is evident in the different contexts and meanings associated with the word in the two sentences. Therefore, the label ""Changed"" is appropriate to describe the semantic drift of the target word." 7,Schizophrenia,"This article examines the relationship between psychopathological subsyndromes in schizophrenia and cerebral alterations. A factor analysis of the psychopathological characteristics of 50 DSM-III schizophrenic patients revealed four subsyndromes. On the basis of these subsyndromes, four corresponding clusters of patients--remitted, chronic delusional, chronic asthenic, and chronic disorganized--were identified. These clusters were then compared with respect to negative symptoms, treatment response, neurological soft signs (NSS), and computed tomographic findings, such as the ventricle-brain ratio (VBR), using a discriminant analysis. The first discriminant function consisted of negative symptoms and significantly differentiated the remitted cluster from the three chronic clusters. Within the chronic clusters, the disorganized cluster was clearly identified by the second discriminant function (VBR and NSS). The third function (width of the interhemispheric fissure) provided only a tentative differentiation between the chronic delusional cluster and the chronic asthenic cluster. Although the subsyndromes of chronic schizophrenia share negative symptoms as a common feature, they appear to differ somewhat with regard to their morphological sites. These findings indicate that negative symptoms may arise from different psychopathological states and corroborate the existence of three subsyndromes in chronic schizophrenia.","The use of deep neural networks for electroencephalogram (EEG) classification has rapidly progressed and gained popularity in recent years, but automatic feature extraction from EEG signals remains a challenging task. The classification of neuropsychiatric disorders demands the extraction of neuro-markers for use in automated EEG classification. Numerous advanced deep learning algorithms can be used for this purpose. In this article, we present a comprehensive review of the main factors and parameters that affect the performance of deep neural networks in classifying different neuropsychiatric disorders using EEG signals. We also analyze the EEG features used for improving classification performance. Our analysis includes 82 scientific journal papers that applied deep neural networks for subject-wise classification based on EEG signals. We extracted information on the EEG dataset and types of disorders, deep neural network structures, performance, and hyperparameters. The results show that most studies have focused on clinical classification, achieving an average accuracy of 91.83 ± 7.34, with convolutional neural networks (CNNs) being the most frequently used network architecture and resting-state EEG signals being the most commonly used data type. Additionally, the review reveals that depression (N = 18), Alzheimer's (N = 11), and schizophrenia (N = 11) were studied more frequently than other types of neuropsychiatric disorders. Our review provides insight into the performance of deep neural networks in EEG classification and highlights the importance of EEG feature extraction in improving classification accuracy. By identifying the main factors and parameters that affect deep neural network performance in EEG classification, our review can guide future research in this area. We hope that our findings will encourage further exploration of deep learning methods for EEG classification and contribute to the development of more accurate and effective methods for diagnosing and monitoring neuropsychiatric disorders using EEG signals.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Schizophrenia Sentence A: This article examines the relationship between psychopathological subsyndromes in schizophrenia and cerebral alterations. A factor analysis of the psychopathological characteristics of 50 DSM-III schizophrenic patients revealed four subsyndromes. On the basis of these subsyndromes, four corresponding clusters of patients--remitted, chronic delusional, chronic asthenic, and chronic disorganized--were identified. These clusters were then compared with respect to negative symptoms, treatment response, neurological soft signs (NSS), and computed tomographic findings, such as the ventricle-brain ratio (VBR), using a discriminant analysis. The first discriminant function consisted of negative symptoms and significantly differentiated the remitted cluster from the three chronic clusters. Within the chronic clusters, the disorganized cluster was clearly identified by the second discriminant function (VBR and NSS). The third function (width of the interhemispheric fissure) provided only a tentative differentiation between the chronic delusional cluster and the chronic asthenic cluster. Although the subsyndromes of chronic schizophrenia share negative symptoms as a common feature, they appear to differ somewhat with regard to their morphological sites. These findings indicate that negative symptoms may arise from different psychopathological states and corroborate the existence of three subsyndromes in chronic schizophrenia. Sentence B: The use of deep neural networks for electroencephalogram (EEG) classification has rapidly progressed and gained popularity in recent years, but automatic feature extraction from EEG signals remains a challenging task. The classification of neuropsychiatric disorders demands the extraction of neuro-markers for use in automated EEG classification. Numerous advanced deep learning algorithms can be used for this purpose. In this article, we present a comprehensive review of the main factors and parameters that affect the performance of deep neural networks in classifying different neuropsychiatric disorders using EEG signals. We also analyze the EEG features used for improving classification performance. Our analysis includes 82 scientific journal papers that applied deep neural networks for subject-wise classification based on EEG signals. We extracted information on the EEG dataset and types of disorders, deep neural network structures, performance, and hyperparameters. The results show that most studies have focused on clinical classification, achieving an average accuracy of 91.83 ± 7.34, with convolutional neural networks (CNNs) being the most frequently used network architecture and resting-state EEG signals being the most commonly used data type. Additionally, the review reveals that depression (N = 18), Alzheimer's (N = 11), and schizophrenia (N = 11) were studied more frequently than other types of neuropsychiatric disorders. Our review provides insight into the performance of deep neural networks in EEG classification and highlights the importance of EEG feature extraction in improving classification accuracy. By identifying the main factors and parameters that affect deep neural network performance in EEG classification, our review can guide future research in this area. We hope that our findings will encourage further exploration of deep learning methods for EEG classification and contribute to the development of more accurate and effective methods for diagnosing and monitoring neuropsychiatric disorders using EEG signals. ###Answer 1. Changed Reasoning: In Sentence A, the term ""subsyndromes"" is used to describe different groups of patients with schizophrenia based on their symptoms. The term ""subsyndromes"" suggests a more nuanced understanding of the disorder, with different subgroups of patients exhibiting distinct patterns of symptoms. In contrast, in Sentence B, the term ""neuropsychiatric disorders"" is used more broadly to encompass a range of mental health conditions, including schizophrenia. The lack of specificity in the term ""neuropsychiatric disorders"" suggests a less detailed understanding of the disorder and its various subtypes. Therefore, semantic drift has occurred in the meaning of the term ""schizophrenia"" between Sentence A and Sentence B." 8,Schizophrenia,"A considerable body of evidence suggests that the dorsolateral prefrontal cortex is dysfunctional in schizophrenia. However, relatively few studies have explored the involvement of other areas of the frontal cortex. Research suggests that the orbitofrontal cortex (OFC) plays an important role in decision making processes. We assessed the decision making cognition of first-episode and chronic schizophrenic patients with a novel task sensitive to orbitofrontal dysfunction. Both first-episode and chronic patients with schizophrenia took longer than matched controls to make decisions, and both groups were also impaired on a measure of risk adjustment. The impairment in these measures was more severe in the chronic patients than in the first-episode patients, and only the chronic patients made significantly fewer optimal decisions than controls. These results contribute to increasing evidence of orbitofrontal dysfunction in schizophrenia, and suggest that disease progression or the effects of long term antipsychotic medication may influence performance on this task.","Glycogen synthase kinase 3 (GSK3) is at the center of cellular signaling and controls various aspects of brain functions, including development of the nervous system, neuronal plasticity and onset of neurodegenerative disorders. Areas covered: In this review, recent efforts in elucidating the roles of GSK3 in neuronal plasticity and development of brain pathologies; Alzheimer's and Parkinson's disease, schizophrenia, and age-related neurodegeneration are described. The effect of microglia and astrocytes on development of the pathological states is also discussed. Expert opinion: GSK3β and its signaling pathway partners hold great promise as therapeutic target(s) for a multitude of neurological disorders. Activity of the kinase is often elevated in brain disorders. However, due to the wide range of GSK3 cellular targets, global inhibition of the kinase leads to severe side-effects and GSK3 inhibitors rarely reach Phase-2 clinical trials. Thus, a selective modulation of a specific cellular pool of GSK3 or specific down- or upstream partners of the kinase might provide more efficient anti-neurodegenerative therapies.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Schizophrenia Sentence A: A considerable body of evidence suggests that the dorsolateral prefrontal cortex is dysfunctional in schizophrenia. However, relatively few studies have explored the involvement of other areas of the frontal cortex. Research suggests that the orbitofrontal cortex (OFC) plays an important role in decision making processes. We assessed the decision making cognition of first-episode and chronic schizophrenic patients with a novel task sensitive to orbitofrontal dysfunction. Both first-episode and chronic patients with schizophrenia took longer than matched controls to make decisions, and both groups were also impaired on a measure of risk adjustment. The impairment in these measures was more severe in the chronic patients than in the first-episode patients, and only the chronic patients made significantly fewer optimal decisions than controls. These results contribute to increasing evidence of orbitofrontal dysfunction in schizophrenia, and suggest that disease progression or the effects of long term antipsychotic medication may influence performance on this task. Sentence B: Glycogen synthase kinase 3 (GSK3) is at the center of cellular signaling and controls various aspects of brain functions, including development of the nervous system, neuronal plasticity and onset of neurodegenerative disorders. Areas covered: In this review, recent efforts in elucidating the roles of GSK3 in neuronal plasticity and development of brain pathologies; Alzheimer's and Parkinson's disease, schizophrenia, and age-related neurodegeneration are described. The effect of microglia and astrocytes on development of the pathological states is also discussed. Expert opinion: GSK3β and its signaling pathway partners hold great promise as therapeutic target(s) for a multitude of neurological disorders. Activity of the kinase is often elevated in brain disorders. However, due to the wide range of GSK3 cellular targets, global inhibition of the kinase leads to severe side-effects and GSK3 inhibitors rarely reach Phase-2 clinical trials. Thus, a selective modulation of a specific cellular pool of GSK3 or specific down- or upstream partners of the kinase might provide more efficient anti-neurodegenerative therapies. ###Answer 1. Changed Reasoning: In Sentence A, the term ""schizophrenia"" is used to describe a mental illness characterized by dysfunction of the prefrontal cortex, particularly the dorsolateral prefrontal cortex. The sentence highlights the involvement of the orbitofrontal cortex in decision-making processes and the impairment in decision-making cognition in both first-episode and chronic schizophrenic patients. The term ""schizophrenia"" does not convey any negative connotations or associations with violence, as it is used in a neutral and medical context. Therefore, there has been no significant change in the meaning or connotation of the term ""schizophrenia"" between the two sentences. In Sentence B, the term ""schizophrenia"" is used in a different context, to describe a neurodegenerative disorder that affects various aspects of brain functions, including development and neuronal plasticity. The sentence highlights the involvement of GSK3 in neuronal plasticity and development of brain pathologies, and the effect of microglia and astrocytes on the development of pathological states. The term ""schizophrenia"" is used to describe a complex brain disorder that involves multiple cellular targets and signaling pathways. The sentence does not convey any negative connotations or associations with violence, and the term ""schizophrenia"" is used in a medical and scientific context. Therefore, there has been no significant change in the meaning or connotation of the term ""schizophrenia"" between the two sentences. Overall, the term ""schizophrenia"" has remained relatively unchanged in its meaning and connotation between the two sentences, with some nuances in the context in which it is used. Therefore, the label ""Unchanged"" is appropriate." 9,Schizophrenia,"The N-methyl D-aspartate receptor complex is involved in the mechanism of long-term potentiation, which is thought to be the biological basis of learning and memory. This complex can be manipulated in a number of ways, one of which is through the strychnine-insensitive glycine receptor coagonist site. The effects of Bioglycin(Konapharma, Pratteln, Switzerland), a biologically active form of the amino acid glycine, were therefore studied in healthy students (mean age, 20.7 years) and middle-aged men (mean age, 58.9 years) with tests that measured attention, memory and mood, using a double-blind, randomized, crossover design. Compared with the young group, the middle-aged group had significantly poorer verbal episodic memory, focused, divided, and sustained attention; they also differed in their subjective responses at the end of testing. Bioglycin significantly improved retrieval from episodic memory in both the young and the middle-aged groups, but it did not affect focused or divided attention. However, the middle-aged men significantly benefited from Bioglycin in the sustained-attention task. The effects of Bioglycin differed from those of other cognitive enhancers in that it was without stimulant properties or significant effects on mood, and it primarily improved memory rather than attention. It is likely to be of benefit in young or older people in situations where high retrieval of information is needed or when performance is impaired by jet lag, shift work, or disrupted sleep. It may also benefit the impaired retrieval shown in patients with schizophrenia, Parkinson's disease, and Huntington's disease.","Numerous studies have demonstrated that fluvoxamine has considerable pharmacokinetic and pharmacodynamic interactions with clozapine. We conducted a 12-week, randomized, double-blind, placebo-controlled study to evaluate the effects of fluvoxamine on metabolic parameters and psychopathology in clozapine-treated patients with schizophrenia.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Schizophrenia Sentence A: The N-methyl D-aspartate receptor complex is involved in the mechanism of long-term potentiation, which is thought to be the biological basis of learning and memory. This complex can be manipulated in a number of ways, one of which is through the strychnine-insensitive glycine receptor coagonist site. The effects of Bioglycin(Konapharma, Pratteln, Switzerland), a biologically active form of the amino acid glycine, were therefore studied in healthy students (mean age, 20.7 years) and middle-aged men (mean age, 58.9 years) with tests that measured attention, memory and mood, using a double-blind, randomized, crossover design. Compared with the young group, the middle-aged group had significantly poorer verbal episodic memory, focused, divided, and sustained attention; they also differed in their subjective responses at the end of testing. Bioglycin significantly improved retrieval from episodic memory in both the young and the middle-aged groups, but it did not affect focused or divided attention. However, the middle-aged men significantly benefited from Bioglycin in the sustained-attention task. The effects of Bioglycin differed from those of other cognitive enhancers in that it was without stimulant properties or significant effects on mood, and it primarily improved memory rather than attention. It is likely to be of benefit in young or older people in situations where high retrieval of information is needed or when performance is impaired by jet lag, shift work, or disrupted sleep. It may also benefit the impaired retrieval shown in patients with schizophrenia, Parkinson's disease, and Huntington's disease. Sentence B: Numerous studies have demonstrated that fluvoxamine has considerable pharmacokinetic and pharmacodynamic interactions with clozapine. We conducted a 12-week, randomized, double-blind, placebo-controlled study to evaluate the effects of fluvoxamine on metabolic parameters and psychopathology in clozapine-treated patients with schizophrenia. ###Answer 1. Changed Explanation: In Sentence A, the target word ""schizophrenia"" is used in the context of a scientific study examining the effects of a cognitive enhancer on memory and attention in healthy individuals and middle-aged men. The meaning of the word in this context is related to the mental health disorder characterized by impaired memory and attention. In Sentence B, the target word ""schizophrenia"" is used in the context of a study evaluating the effects of fluvoxamine on metabolic parameters and psychopathology in clozapine-treated patients with schizophrenia. The meaning of the word in this context is related to the mental health disorder characterized by hallucinations, delusions, and disorganized thinking. Based on the context and meaning of the word in each sentence, it is clear that the word has undergone a significant change in meaning between the two timestamps. In Sentence A, the word is used to describe a specific mental health disorder, while in Sentence B, the word is used to describe a broader range of symptoms and disorders related to schizophrenia. Therefore, the label ""Changed"" is appropriate." 10,Schizophrenia,"Many studies have indicated that excess free radical formation may be involved in the pathogenesis of patients with schizophrenia. Some investigators suggested that the use of free radical scavengers might provide improvement in schizophrenia. The aim of this study was to determine the effectiveness and to evaluate the side effects of extract of Ginkgo biloba (EGb) plus haloperidol in chronic, treatment-resistant inpatients with schizophrenia.","The objective of this paper was to collect normative data essential for analyzing the subplate (SP) role in pathogenesis of developmental disorders, characterized by abnormal circuitry, such as hypoxic-ischemic lesions, autism and schizophrenia. The main cytological features of the SP, such as low cell density, early differentiation of neurons and glia, plexiform arrangement of axons and dendrites, presence of synapses and a large amount of extracellular matrix (ECM) distinguish this compartment from the cell-dense cortical plate (CP; towards pia) and large fiber bundles of external axonal strata of fetal white matter (towards ventricle). For SP delineation from these adjacent layers based on combined cytological criteria, we analyzed the sublaminar distribution of different microstructural elements and the associated maturational gradients throughout development, using immunocytochemical and histological techniques on postmortem brain material (Zagreb Neuroembryological Collection). The analysis revealed that the SP compartment of the lateral neocortex shows changes in laminar organization throughout fetal development: the monolayer in the early fetal period (presubplate) undergoes dramatic bilaminar transformation between 13 and 15 postconceptional weeks (PCW), followed by subtle sublamination in three 'floors' (deep, intermediate, superficial) of midgestation (15-21 PCW). During the stationary phase (22-28 PCW), SP persists as a trilaminar compartment, gradually losing its sublaminar organization towards the end of gestation and remains as a single layer of SP remnant in the newborn brain. Based on these sublaminar transformations, we have documented developmental changes in the distribution, maturational gradients and expression of molecular markers in SP synapses, transitional forms of astroglia, neurons and ECM, which occur concomitantly with the ingrowth of thalamo-cortical, basal forebrain and cortico-cortical axons in a deep to superficial fashion. The deep SP is the zone of ingrowing axons - 'entrance (ingrowth) zone'. The process of axonal ingrowth begins with thalamo-cortical fibers and basal forebrain afferents, indicating an oblique geometry. During the later fetal period, deep SP receives long cortico-cortical axons exhibiting a tangential geometry. Intermediate SP ('proper') is the navigation and 'nexus' sublamina consisting of a plexiform arrangement of cellular elements providing guidance and substrate for axonal growth, and also containing transient connectivity of dendrites and axons in a tangential plane without radial boundaries immersed in an ECM-rich continuum. Superficial SP is the axonal accumulation ('waiting compartment') and target selection zone, indicating a dense distribution of synaptic markers, accumulation of thalamo-cortical axons (around 20 PCW), overlapping with dendrites from layer VI neurons. In the late preterm brain period, superficial SP contains a chondroitin sulfate non-immunoreactive band. The developmental dynamics for the distribution of neuronal, glial and ECM markers comply with sequential ingrowth of afferents in three levels of SP: ECM and synaptic markers shift from deep to superficial SP, with transient forms of glia following this arrangement, and calretinin neurons are concentrated in the SP during the formation phase. These results indicate developmental and morphogenetic roles in the SP cellular (transient glia, neurons and synapses) and ECM framework, enabling the spatial accommodation, navigation and establishment of numerous connections of cortical pathways in the expanded human brain. The original findings of early developmental dynamics of transitional subtypes of astroglia, calretinin neurons, ECM and synaptic markers presented in the SP are interesting in the light of recent concepts concerning its functional and morphogenetic role and an increasing interest in SP as a prospective substrate of abnormalities in cortical circuitry, leading to a cognitive deficit in different neurodevelopmental disorders.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Schizophrenia Sentence A: Many studies have indicated that excess free radical formation may be involved in the pathogenesis of patients with schizophrenia. Some investigators suggested that the use of free radical scavengers might provide improvement in schizophrenia. The aim of this study was to determine the effectiveness and to evaluate the side effects of extract of Ginkgo biloba (EGb) plus haloperidol in chronic, treatment-resistant inpatients with schizophrenia. Sentence B: The objective of this paper was to collect normative data essential for analyzing the subplate (SP) role in pathogenesis of developmental disorders, characterized by abnormal circuitry, such as hypoxic-ischemic lesions, autism and schizophrenia. The main cytological features of the SP, such as low cell density, early differentiation of neurons and glia, plexiform arrangement of axons and dendrites, presence of synapses and a large amount of extracellular matrix (ECM) distinguish this compartment from the cell-dense cortical plate (CP; towards pia) and large fiber bundles of external axonal strata of fetal white matter (towards ventricle). For SP delineation from these adjacent layers based on combined cytological criteria, we analyzed the sublaminar distribution of different microstructural elements and the associated maturational gradients throughout development, using immunocytochemical and histological techniques on postmortem brain material (Zagreb Neuroembryological Collection). The analysis revealed that the SP compartment of the lateral neocortex shows changes in laminar organization throughout fetal development: the monolayer in the early fetal period (presubplate) undergoes dramatic bilaminar transformation between 13 and 15 postconceptional weeks (PCW), followed by subtle sublamination in three 'floors' (deep, intermediate, superficial) of midgestation (15-21 PCW). During the stationary phase (22-28 PCW), SP persists as a trilaminar compartment, gradually losing its sublaminar organization towards the end of gestation and remains as a single layer of SP remnant in the newborn brain. Based on these sublaminar transformations, we have documented developmental changes in the distribution, maturational gradients and expression of molecular markers in SP synapses, transitional forms of astroglia, neurons and ECM, which occur concomitantly with the ingrowth of thalamo-cortical, basal forebrain and cortico-cortical axons in a deep to superficial fashion. The deep SP is the zone of ingrowing axons - 'entrance (ingrowth) zone'. The process of axonal ingrowth begins with thalamo-cortical fibers and basal forebrain afferents, indicating an oblique geometry. During the later fetal period, deep SP receives long cortico-cortical axons exhibiting a tangential geometry. Intermediate SP ('proper') is the navigation and 'nexus' sublamina consisting of a plexiform arrangement of cellular elements providing guidance and substrate for axonal growth, and also containing transient connectivity of dendrites and axons in a tangential plane without radial boundaries immersed in an ECM-rich continuum. Superficial SP is the axonal accumulation ('waiting compartment') and target selection zone, indicating a dense distribution of synaptic markers, accumulation of thalamo-cortical axons (around 20 PCW), overlapping with dendrites from layer VI neurons. In the late preterm brain period, superficial SP contains a chondroitin sulfate non-immunoreactive band. The developmental dynamics for the distribution of neuronal, glial and ECM markers comply with sequential ingrowth of afferents in three levels of SP: ECM and synaptic markers shift from deep to superficial SP, with transient forms of glia following this arrangement, and calretinin neurons are concentrated in the SP during the formation phase. These results indicate developmental and morphogenetic roles in the SP cellular (transient glia, neurons and synapses) and ECM framework, enabling the spatial accommodation, navigation and establishment of numerous connections of cortical pathways in the expanded human brain. The original findings of early developmental dynamics of transitional subtypes of astroglia, calretinin neurons, ECM and synaptic markers presented in the SP are interesting in the light of recent concepts concerning its functional and morphogenetic role and an increasing interest in SP as a prospective substrate of abnormalities in cortical circuitry, leading to a cognitive deficit in different neurodevelopmental disorders. ###Answer 1. Changed Reasoning: The target word ""schizophrenia"" has undergone a significant change in meaning or connotation between the two time periods. In Sentence A, the word is used in the context of a scientific study investigating the potential role of free radicals in the pathogenesis of the disorder. The sentence suggests that schizophrenia may be caused by excess free radical formation, and that the use of free radical scavengers might provide improvement in the disorder. In Sentence B, the word is used in a different context, describing the developmental dynamics of the subplate compartment in the lateral neocortex. The sentence does not mention the disorder directly, but rather discusses the changes in laminar organization and distribution of molecular markers in the subplate compartment throughout fetal development. The difference in context and meaning between the two sentences suggests that the target word ""schizophrenia"" has undergone a semantic shift in meaning over time. The term was once associated with a specific scientific hypothesis about the causes of the disorder, but has since been broadened to include a broader range of topics and contexts, including developmental dynamics and morphogenesis. Therefore, the label ""Changed"" is appropriate to describe the semantic drift of the target word over time." 11,Schizophrenia,"Hospital admission rates for schizophrenia are higher in Afro-Caribbean immigrants to Britain than in the white British-born population. However, the reported differences in incidence and prevalence could be due to confounding variables: the diagnosis of schizophrenia might not carry the same prognostic implications in the two groups; and the differences in formal admission rates might not persist when demographic and diagnostic differences are allowed for. The case-notes of 50 Afro-Caribbean immigrants and 41 British-born white patients with a hospital diagnosis of schizophrenia were examined retrospectively, the average period covered being 12 years. There were no differences in the number of readmissions, but in the Afro-Caribbean group readmissions were shorter. Involuntary admissions were twice as common in Afro-Caribbeans and this excess was not explained by differences in age, sex, or type of illness. The reported excess of schizophrenia in Afro-Caribbean immigrants to Britain is real, but the illness seems to run a milder course than in the white British-born population.","Previous research in patients with schizophrenia in European and USA population groups has demonstrated a high prevalence of metabolic syndrome and disease progression (~35%-40%) and increased risk for cardiovascular disease and long-term mortality. Limited research has determined the prevalence of existing cardiometabolic risk factors at onset of a first episode psychosis. This cross-sectional study presents a clinical overview of the cardiometabolic risk profile in young people with first episode psychosis in the UK. Forty-six participants (72% male) clinically diagnosed with first episode psychosis (n = 25), schizophrenia (n = 13), bipolar disorder (n = 4), unspecified non-organic psychosis (n = 2) or acute psychotic episode (n = 2) with < 6 months Duration of Untreated Psychosis (DUP; mean 33.4 ± 37.2 days) were assessed for anthropometric, health risk behaviors and clinical measurements including resting heart rate, blood pressure, blood lipids, glycated hemoglobin, and prolactin. Overall, participants (aged 18-37 years) had a high prevalence of cardiometabolic risk factors due to: elevated values for BMI (73%) and abdominal adiposity (50%), blood pressure (47% prehypertensive; 23% hypertensive), resting heart rate (43%); hypercholesterolemia (32%); suboptimal HDL-C levels (36%); and hypertriglyceridemia (40%). Participants also self-reported poor health risk habits including smoking (55%), alcohol use (39%), substance use (18%), poor diet (52%), and sedentary behavior (29%). Young people with psychosis are at increased risk for cardiometabolic disorders due to elevated clinical markers and health risk behaviors. Physical health interventions (including health behavior advice) are needed early in the treatment process to address this increased risk for cardiometabolic disorders in individuals recently diagnosed with psychosis.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Schizophrenia Sentence A: Hospital admission rates for schizophrenia are higher in Afro-Caribbean immigrants to Britain than in the white British-born population. However, the reported differences in incidence and prevalence could be due to confounding variables: the diagnosis of schizophrenia might not carry the same prognostic implications in the two groups; and the differences in formal admission rates might not persist when demographic and diagnostic differences are allowed for. The case-notes of 50 Afro-Caribbean immigrants and 41 British-born white patients with a hospital diagnosis of schizophrenia were examined retrospectively, the average period covered being 12 years. There were no differences in the number of readmissions, but in the Afro-Caribbean group readmissions were shorter. Involuntary admissions were twice as common in Afro-Caribbeans and this excess was not explained by differences in age, sex, or type of illness. The reported excess of schizophrenia in Afro-Caribbean immigrants to Britain is real, but the illness seems to run a milder course than in the white British-born population. Sentence B: Previous research in patients with schizophrenia in European and USA population groups has demonstrated a high prevalence of metabolic syndrome and disease progression (~35%-40%) and increased risk for cardiovascular disease and long-term mortality. Limited research has determined the prevalence of existing cardiometabolic risk factors at onset of a first episode psychosis. This cross-sectional study presents a clinical overview of the cardiometabolic risk profile in young people with first episode psychosis in the UK. Forty-six participants (72% male) clinically diagnosed with first episode psychosis (n = 25), schizophrenia (n = 13), bipolar disorder (n = 4), unspecified non-organic psychosis (n = 2) or acute psychotic episode (n = 2) with < 6 months Duration of Untreated Psychosis (DUP; mean 33.4 ± 37.2 days) were assessed for anthropometric, health risk behaviors and clinical measurements including resting heart rate, blood pressure, blood lipids, glycated hemoglobin, and prolactin. Overall, participants (aged 18-37 years) had a high prevalence of cardiometabolic risk factors due to: elevated values for BMI (73%) and abdominal adiposity (50%), blood pressure (47% prehypertensive; 23% hypertensive), resting heart rate (43%); hypercholesterolemia (32%); suboptimal HDL-C levels (36%); and hypertriglyceridemia (40%). Participants also self-reported poor health risk habits including smoking (55%), alcohol use (39%), substance use (18%), poor diet (52%), and sedentary behavior (29%). Young people with psychosis are at increased risk for cardiometabolic disorders due to elevated clinical markers and health risk behaviors. Physical health interventions (including health behavior advice) are needed early in the treatment process to address this increased risk for cardiometabolic disorders in individuals recently diagnosed with psychosis. ###Answer 1. Changed Reasoning: In Sentence A, the term ""schizophrenia"" is used in a neutral or even positive connotation, with the sentence highlighting the milder course of the illness in the Afro-Caribbean group compared to the white British-born population. The word is not associated with any negative connotations or stigma. In Sentence B, the term ""schizophrenia"" is used in a more negative light, with the sentence highlighting the high prevalence of metabolic syndrome and disease progression in patients with the illness. The word is associated with increased risk for cardiovascular disease and long-term mortality, and is mentioned in the context of ""cardiometabolic disorders."" This suggests that the meaning of the term ""schizophrenia"" has shifted towards a more negative connotation, emphasizing the potential negative impact on physical health. Therefore, the label ""Changed"" is appropriate for this task, as the meaning of the term ""schizophrenia"" has shifted towards a more negative connotation between the two sentences." 12,Schizophrenia,"Biological psychiatry has been dominated by a psychopharmacologically-driven neurotransmitter dysfunction paradigm. The objective of this paper is to explore a reductionist assumption underlying this paradigm, and to suggest an improvement on it. The methods used are conceptual analysis with a comparative approach, particularly using illustrations from the history of both biological psychiatry and molecular biology. The results are that complete reduction to physicochemical explanations is not fruitful, at least in the initial stages of research in the medical and life sciences, and that an appropriate (non-reducible) integrative principle--addressing a property of the whole system under study--is required for each domain of research. This is illustrated in Pauling's use of a topological integrative principle for the discovery of the functioning of proteins and in Watson and Crick's use of the notion of a genetic code as an integrative principle for the discovery of the structure of genes. The neurotransmitter dysfunction paradigm addresses single molecules and their neural pathways, yet their interactions within the CNS as a whole seem most pertinent to mental disorders such as schizophrenia. The lack within biological psychiatry of an integrative principle addressing a property of the CNS as a whole may be responsible for the empirical failure of orthomolecular psychiatry, as well as for the central role that serendipity has played in the study of mental disorders, which is dominated by the neurotransmitter paradigm. The conclusion is that research in biological psychiatry may benefit from using, at least initially, some integrative principle(s) addressing a property of the CNS as a whole, such as connectionism or a hierarchical notion.","Insomnia commonly occurs in schizophrenia, and insomnia is associated with suicide risk. Clozapine has anti-suicidal properties and beneficial effects on sleep. We performed a meta-analysis of insomnia in randomized controlled trials (RCTs) of patients with schizophrenia treated with clozapine. We hypothesized that compared to clozapine there is an increased odds of insomnia in patients treated with other antipsychotics.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Schizophrenia Sentence A: Biological psychiatry has been dominated by a psychopharmacologically-driven neurotransmitter dysfunction paradigm. The objective of this paper is to explore a reductionist assumption underlying this paradigm, and to suggest an improvement on it. The methods used are conceptual analysis with a comparative approach, particularly using illustrations from the history of both biological psychiatry and molecular biology. The results are that complete reduction to physicochemical explanations is not fruitful, at least in the initial stages of research in the medical and life sciences, and that an appropriate (non-reducible) integrative principle--addressing a property of the whole system under study--is required for each domain of research. This is illustrated in Pauling's use of a topological integrative principle for the discovery of the functioning of proteins and in Watson and Crick's use of the notion of a genetic code as an integrative principle for the discovery of the structure of genes. The neurotransmitter dysfunction paradigm addresses single molecules and their neural pathways, yet their interactions within the CNS as a whole seem most pertinent to mental disorders such as schizophrenia. The lack within biological psychiatry of an integrative principle addressing a property of the CNS as a whole may be responsible for the empirical failure of orthomolecular psychiatry, as well as for the central role that serendipity has played in the study of mental disorders, which is dominated by the neurotransmitter paradigm. The conclusion is that research in biological psychiatry may benefit from using, at least initially, some integrative principle(s) addressing a property of the CNS as a whole, such as connectionism or a hierarchical notion. Sentence B: Insomnia commonly occurs in schizophrenia, and insomnia is associated with suicide risk. Clozapine has anti-suicidal properties and beneficial effects on sleep. We performed a meta-analysis of insomnia in randomized controlled trials (RCTs) of patients with schizophrenia treated with clozapine. We hypothesized that compared to clozapine there is an increased odds of insomnia in patients treated with other antipsychotics. ###Answer 1. Changed Reasoning: The meaning of the target word ""schizophrenia"" has significantly shifted between the two sentences. In Sentence A, the term is used in the context of a broader discussion of the limitations of the neurotransmitter dysfunction paradigm in biological psychiatry, and is not directly associated with the word ""insomnia"". In Sentence B, the term is used specifically in relation to insomnia and suicide risk, and is associated with the use of the drug clozapine. This suggests that the term ""schizophrenia"" has come to be associated more closely with the symptoms of the disorder, rather than the broader limitations of the neurotransmitter dysfunction paradigm. Therefore, the meaning of the term has changed significantly between the two sentences." 13,Schizophrenia,"The pathophysiology of akathisia still remains controversial. Iron deficiency was proposed to be an important factor in the development of akathisia. In the present study, it was aimed to compare levels of serum iron and linked variables in chronic akathisic (n=30), and non-akathisic patients (n=30) with schizophrenia and healthy controls (n=30) because of the controversy in the association of iron and akathisia. The Barnes Akathisia Scale for akathisia and Simpson-Angus Rating Scale for extrapyramidal side effects were used. Serum iron and linked variables and hematological profile of the patients and control subjects were determined. Serum iron levels were significantly lower both in akathisic and non-akathisic groups compared to the control group (P<0.001). Moreover, akathisic patients had significantly lower iron levels than non-akathisic patients (P<0.05). Total iron binding capacity was significantly higher in patients with akathisia compared to the control group (P<0.01). Although non-akathisic patients had a mild increase in total iron binding capacity, it was not statistically significant compared to the control group (P>0.05). Ferritin levels were determined to be significantly lower in both groups compared to the control group (P<0.01). In addition, there was a significant difference in ferritin levels between the patients with and without akathisia (P<0.05). In conclusion, our results support the hypothesis that an association between akathisia and iron metabolism exists.",Advancements in cellular reprogramming techniques have made it possible to directly study brain cells from patients with neuropsychiatric disorders. We have systematically reviewed the applications of induced pluripotent stem cells (IPSCs) and their neural derivatives in understanding the biological basis of schizophrenia.,"###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Schizophrenia Sentence A: The pathophysiology of akathisia still remains controversial. Iron deficiency was proposed to be an important factor in the development of akathisia. In the present study, it was aimed to compare levels of serum iron and linked variables in chronic akathisic (n=30), and non-akathisic patients (n=30) with schizophrenia and healthy controls (n=30) because of the controversy in the association of iron and akathisia. The Barnes Akathisia Scale for akathisia and Simpson-Angus Rating Scale for extrapyramidal side effects were used. Serum iron and linked variables and hematological profile of the patients and control subjects were determined. Serum iron levels were significantly lower both in akathisic and non-akathisic groups compared to the control group (P<0.001). Moreover, akathisic patients had significantly lower iron levels than non-akathisic patients (P<0.05). Total iron binding capacity was significantly higher in patients with akathisia compared to the control group (P<0.01). Although non-akathisic patients had a mild increase in total iron binding capacity, it was not statistically significant compared to the control group (P>0.05). Ferritin levels were determined to be significantly lower in both groups compared to the control group (P<0.01). In addition, there was a significant difference in ferritin levels between the patients with and without akathisia (P<0.05). In conclusion, our results support the hypothesis that an association between akathisia and iron metabolism exists. Sentence B: Advancements in cellular reprogramming techniques have made it possible to directly study brain cells from patients with neuropsychiatric disorders. We have systematically reviewed the applications of induced pluripotent stem cells (IPSCs) and their neural derivatives in understanding the biological basis of schizophrenia. ###Answer 1. Changed Reasoning: In Sentence A, the term ""schizophrenia"" is used in the context of a specific medical condition, with a clear definition and explanation of its symptoms. The sentence also mentions the connection between iron deficiency and the development of akathisia, which is a specific symptom of schizophrenia. Therefore, the meaning of the term ""schizophrenia"" in Sentence A is consistent with the traditional definition of the term. In Sentence B, the term ""schizophrenia"" is used in a broader context, without any explicit definition or explanation of its symptoms. Instead, the sentence focuses on the potential applications of induced pluripotent stem cells (IPSCs) and their neural derivatives in understanding the biological basis of neuropsychiatric disorders, including schizophrenia. The term ""schizophrenia"" is used more broadly to refer to a range of neuropsychiatric disorders, rather than a specific medical condition. Therefore, the meaning of the term ""schizophrenia"" in Sentence B is different from its traditional definition. Therefore, based on the context and meaning of the term ""schizophrenia"" in each sentence, semantic drift has occurred in the target word between the two timestamps." 14,Schizophrenia,"Linkage studies have suggested a locus for bipolar disorder as well as schizophrenia in the pericentric region of chromosome 18. Several candidate genes have been identified in the region including ACTH, IMP, and G(olf), however no reports of mutations in families showing linkage to the 18p11 locus have been reported. Recently, mild linkage disequilibrium has been observed with a polymorphic marker that maps within the G(olf) gene and schizophrenia in families from Germany and Israel, suggesting that a gene mapping near G(olf) may be involved in psychiatric disorders. A BAC and cosmid contig around the G(olf) locus has been generated and BAC clones were used for cDNA selection experiments. Several novel genes have been identified which are expressed in the brain. These genes may be possible candidate genes for psychiatric illness.","Wayne Fenton, MD, died on September 3, 2006, while giving emergency clinical care. His leadership at National Institute of Mental Health provided a framework for therapeutic discovery. He crafted a new approach to psychosis based on poor functional outcomes and the psychopathology domains underlying long-term morbidity. His research and clinical observations during his career at the Chestnut Lodge clarified the unmet therapeutic needs in schizophrenia and provided the foundation for his vision. The results have radically changed the paradigm for discovery with emphasis on impaired cognition and negative symptom psychopathology.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Schizophrenia Sentence A: Linkage studies have suggested a locus for bipolar disorder as well as schizophrenia in the pericentric region of chromosome 18. Several candidate genes have been identified in the region including ACTH, IMP, and G(olf), however no reports of mutations in families showing linkage to the 18p11 locus have been reported. Recently, mild linkage disequilibrium has been observed with a polymorphic marker that maps within the G(olf) gene and schizophrenia in families from Germany and Israel, suggesting that a gene mapping near G(olf) may be involved in psychiatric disorders. A BAC and cosmid contig around the G(olf) locus has been generated and BAC clones were used for cDNA selection experiments. Several novel genes have been identified which are expressed in the brain. These genes may be possible candidate genes for psychiatric illness. Sentence B: Wayne Fenton, MD, died on September 3, 2006, while giving emergency clinical care. His leadership at National Institute of Mental Health provided a framework for therapeutic discovery. He crafted a new approach to psychosis based on poor functional outcomes and the psychopathology domains underlying long-term morbidity. His research and clinical observations during his career at the Chestnut Lodge clarified the unmet therapeutic needs in schizophrenia and provided the foundation for his vision. The results have radically changed the paradigm for discovery with emphasis on impaired cognition and negative symptom psychopathology. ###Answer 1. Changed Reasoning: In Sentence A, the target word ""schizophrenia"" is used in the context of a genetic disorder linked to a specific region of chromosome 18. The sentence highlights the genetic component of the disorder and the search for candidate genes involved in its etiology. The word is used in a neutral or scientific manner, without any connotation of negative or stigmatizing implications. In Sentence B, the target word ""schizophrenia"" is used in a different context, to describe the death of a medical professional. The sentence emphasizes the clinical and therapeutic aspects of the disorder, rather than its genetic basis. The word is used in a more positive or empathetic manner, with no negative connotations. Comparing the two sentences, it is clear that the meaning of the target word has shifted from a genetic disorder to a clinical or therapeutic concept. Therefore, the label ""Changed"" is appropriate." 15,Schizophrenia,"Lack of relevant information has been stated as a major obstacle to the development of better services for persons with serious mental disorders. The information on patients not in contact with the specialist services seems to be particularly incomplete. The objective of this study was to describe a subgroup of psychiatric patients living in a semi-rural municipality in Norway who had no contact with the specialist mental health services. 15 patients below 70 years of age (0.3% of the population at risk) with a diagnosis of schizophrenia from psychiatric hospital, and still on neuroleptic maintenance-treatment prescribed by a primary physician were identified. The authors present the characteristics of this group, with emphasis on their health status, their social network, and the actual treatment and care provided, and discuss the need for clear case-definitions in community surveys of psychiatric disorders. They finally describe the current trend towards new and improved models for cooperation between the primary health care and the specialist services.",The aim of this study was to assess the health-related quality of life (HRQoL) and associated factors among patients with schizophrenia at comprehensive specialised hospitals in Northwest Ethiopia.,"###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Schizophrenia Sentence A: Lack of relevant information has been stated as a major obstacle to the development of better services for persons with serious mental disorders. The information on patients not in contact with the specialist services seems to be particularly incomplete. The objective of this study was to describe a subgroup of psychiatric patients living in a semi-rural municipality in Norway who had no contact with the specialist mental health services. 15 patients below 70 years of age (0.3% of the population at risk) with a diagnosis of schizophrenia from psychiatric hospital, and still on neuroleptic maintenance-treatment prescribed by a primary physician were identified. The authors present the characteristics of this group, with emphasis on their health status, their social network, and the actual treatment and care provided, and discuss the need for clear case-definitions in community surveys of psychiatric disorders. They finally describe the current trend towards new and improved models for cooperation between the primary health care and the specialist services. Sentence B: The aim of this study was to assess the health-related quality of life (HRQoL) and associated factors among patients with schizophrenia at comprehensive specialised hospitals in Northwest Ethiopia. ###Answer 1. Changed In Sentence A, the term ""schizophrenia"" is used to describe a specific mental disorder, with an emphasis on its severity and the need for specialized treatment. The authors highlight the lack of information available on patients not in contact with specialist services, and the need for clear case definitions in community surveys. This suggests that the term ""schizophrenia"" in Sentence A carries a negative connotation, associated with a lack of understanding or recognition of the disorder. In Sentence B, the term ""schizophrenia"" is used in a different context, with a focus on the quality of life and associated factors among patients with the disorder. The authors do not highlight any negative connotations associated with the term, and instead emphasize the importance of assessing the HRQoL of patients with schizophrenia. This suggests that the term ""schizophrenia"" in Sentence B carries a more neutral connotation, reflecting a shift in focus towards the experiences and perspectives of patients with the disorder. Based on these differences in context and meaning, it can be concluded that semantic drift has occurred in the term ""schizophrenia"" between Sentence A and Sentence B. The term has shifted from carrying a negative connotation in Sentence A to carrying a more neutral connotation in Sentence B, reflecting a shift in focus towards the experiences and perspectives of patients with the disorder." 16,Schizophrenia,"Electroconvulsive therapy (ECT) is often efficacious in severe depression, and it is occasionally used in the treatment of schizophrenia. The mechanism of action of ECT is still poorly understood. We evaluated thyroid-stimulating hormone (TSH) and prolactin responses to thyrotropin-releasing hormone (TRH) after a first ECT and at the end of a series of seven ECTs in eight unipolar depressed patients with blunted basal TSH/TRH response, eight unipolar depressed patients with normal TSH/TRH response, and eight schizophrenic patients. The hormone patterns obtained after the first ECT showed an increase in prolactin and a decrease in TSH in all groups of patients, suggesting a nonspecific response. At the end of the therapeutic course, TSH responses increased in both groups of depressed patients, and the elevation was more relevant in depressed patients with normal TSH/TRH. Our data suggest that the mechanism of action of ECT becomes more specific when it is performed chronically and differs according to the organic substrate underlying different mental disorders. Moreover, an aminergic activation in the two groups of depressed patients seems to take place.","Repetitive transcranial magnetic stimulation (rTMS) is a promising augmentation treatment for schizophrenia, however there are few controlled studies of rTMS augmentation of clozapine.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Schizophrenia Sentence A: Electroconvulsive therapy (ECT) is often efficacious in severe depression, and it is occasionally used in the treatment of schizophrenia. The mechanism of action of ECT is still poorly understood. We evaluated thyroid-stimulating hormone (TSH) and prolactin responses to thyrotropin-releasing hormone (TRH) after a first ECT and at the end of a series of seven ECTs in eight unipolar depressed patients with blunted basal TSH/TRH response, eight unipolar depressed patients with normal TSH/TRH response, and eight schizophrenic patients. The hormone patterns obtained after the first ECT showed an increase in prolactin and a decrease in TSH in all groups of patients, suggesting a nonspecific response. At the end of the therapeutic course, TSH responses increased in both groups of depressed patients, and the elevation was more relevant in depressed patients with normal TSH/TRH. Our data suggest that the mechanism of action of ECT becomes more specific when it is performed chronically and differs according to the organic substrate underlying different mental disorders. Moreover, an aminergic activation in the two groups of depressed patients seems to take place. Sentence B: Repetitive transcranial magnetic stimulation (rTMS) is a promising augmentation treatment for schizophrenia, however there are few controlled studies of rTMS augmentation of clozapine. ###Answer 1. Changed Reasoning: In Sentence A, the term ""schizophrenia"" is used to describe a mental disorder characterized by blunted TSH and prolactin responses. In contrast, in Sentence B, the term ""schizophrenia"" is used to describe a treatment for a mental disorder, specifically augmentation treatment with rTMS. The meaning of the term ""schizophrenia"" has shifted from a clinical description to a treatment modality. This significant change in meaning or connotation warrants the label ""Changed""." 17,Schizophrenia,"Among 76 chronic schizophrenic patients, plasma amine oxidase activity was unrelated to paranoid/nonparanoid subtype, narrow/broad diagnostic criteria, prognosis, or age at onset. These clinical indices do not identify biological subtypes of schizophrenia with deviant plasma amine oxidase activity.","Cannabis sativa use can impair verbal learning, provoke acute psychosis, and increase the risk of schizophrenia. It is unclear where C. sativa acts in the human brain to modulate verbal learning and to induce psychotic symptoms.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Schizophrenia Sentence A: Among 76 chronic schizophrenic patients, plasma amine oxidase activity was unrelated to paranoid/nonparanoid subtype, narrow/broad diagnostic criteria, prognosis, or age at onset. These clinical indices do not identify biological subtypes of schizophrenia with deviant plasma amine oxidase activity. Sentence B: Cannabis sativa use can impair verbal learning, provoke acute psychosis, and increase the risk of schizophrenia. It is unclear where C. sativa acts in the human brain to modulate verbal learning and to induce psychotic symptoms. ###Answer 1. Changed Explanation: In Sentence A, the term ""schizophrenia"" is used to describe a specific mental disorder characterized by chronic symptoms and a lack of relationship between plasma amine oxidase activity and various clinical indices. However, in Sentence B, the term ""schizophrenia"" is used in a different context, with a focus on the potential relationship between cannabis use and the risk of developing the disorder. The meaning of the term has shifted from a clinical description to a potential risk factor, indicating semantic drift has occurred." 18,Schizophrenia,"In a recent article, Andreasen and Flaum (Schizophrenia Bulletin, Vol. 17, No. 1, 1991) argued that greater emphasis should be placed on negative symptoms in the diagnosis of schizophrenia, leading to a less important role for positive symptoms. This article presents a counter-argument to this view. Positive symptoms are common and reliable and therefore highly useful diagnostically. First-rank symptoms, although not specific to schizophrenia, show good discriminability. No other type of symptom or investigative method can make such claims to usefulness. Although positive symptoms do not predict outcome, this is not a necessary function of diagnostic criteria. The predictive power of negative symptoms is, in any case, based largely on studies of patients with chronic disorder. Premorbidly impaired social development may interact with schizophrenia, worsening the prognosis. We believe positive symptoms have always been the essence of psychiatric disorder and should remain so. Increasing the diagnostic weight given to negative symptoms risks restricting the definition of schizophrenia excessively.","Modafinil is a wake-promoting agent that is pharmacologically different from other stimulants. It has been investigated in healthy volunteers, and in individuals with clinical disorders associated with excessive sleepiness, fatigue, impaired cognition and other symptoms. This review examines the use of modafinil in clinical practice based on the results of randomized, double-blind, placebo-controlled clinical trials available in the English language in the MEDLINE database. In sleep-deprived individuals, modafinil improves mood, fatigue, sleepiness and cognition to a similar extent as caffeine but has a longer duration of action. Evidence for improved cognition in non-sleep-deprived healthy volunteers is controversial.Modafinil improves excessive sleepiness and illness severity in all three disorders for which it has been approved by the US FDA, i.e. narcolepsy, shift-work sleep disorder and obstructive sleep apnoea with residual excessive sleepiness despite optimal use of continuous positive airway pressure (CPAP). However, its effects on safety on the job and on morbidities associated with these disorders have not been ascertained. Continued use of CPAP in obstructive sleep apnoea is essential. Modafinil does not benefit cataplexy.In very small, short-term trials, modafinil improved excessive sleepiness in patients with myotonic dystrophy. It was efficacious in fairly large studies of attention deficit hyperactivity disorder (ADHD) in children and adolescents, and was as efficacious as methylphenidate in a small trial, but has not been approved by the FDA, in part because of its serious dermatological toxicity. In a trial of 21 non-concurrent subjects, with 2-week treatment periods, modafinil was as effective as dexamfetamine in adult ADHD. Modafinil was helpful for depressive symptoms in bipolar disorder in a trial that excluded patients with stimulant-induced mania. A single dose of modafinil may hasten recovery from general anaesthesia after day surgery. A single dose of modafinil improved the ability of emergency room physicians to attend didactic lectures after a night shift, but did not improve their ability to drive home and caused sleep disturbances subsequently.Modafinil had a substantial placebo effect on outcomes such as fatigue, excessive sleepiness and depression in patients with traumatic brain injury, major depressive disorder, schizophrenia, post-polio fatigue and multiple sclerosis; however, it did not provide any benefit greater than placebo.Trials of modafinil for excessive sleepiness in Parkinson's disease, cocaine addiction and cognition in chronic fatigue syndrome provided inconsistent results; all studies had extremely small sample sizes. Modafinil cannot be recommended for these conditions until definitive data become available.Modafinil induces and inhibits several cytochrome P450 isoenzymes and has the potential for interacting with drugs from all classes. The modafinil dose should be reduced in the elderly and in patients with hepatic disease. Caution is needed in patients with severe renal insufficiency because of substantial increases in levels of modafinil acid. Common adverse events with modafinil include insomnia, headache, nausea, nervousness and hypertension. Decreased appetite, weight loss and serious dermatological have been reported with greater frequency in children and adolescents, probably due to the higher doses (based on bodyweight) used. Modafinil may have some abuse/addictive potential although no cases have been reported to date.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Schizophrenia Sentence A: In a recent article, Andreasen and Flaum (Schizophrenia Bulletin, Vol. 17, No. 1, 1991) argued that greater emphasis should be placed on negative symptoms in the diagnosis of schizophrenia, leading to a less important role for positive symptoms. This article presents a counter-argument to this view. Positive symptoms are common and reliable and therefore highly useful diagnostically. First-rank symptoms, although not specific to schizophrenia, show good discriminability. No other type of symptom or investigative method can make such claims to usefulness. Although positive symptoms do not predict outcome, this is not a necessary function of diagnostic criteria. The predictive power of negative symptoms is, in any case, based largely on studies of patients with chronic disorder. Premorbidly impaired social development may interact with schizophrenia, worsening the prognosis. We believe positive symptoms have always been the essence of psychiatric disorder and should remain so. Increasing the diagnostic weight given to negative symptoms risks restricting the definition of schizophrenia excessively. Sentence B: Modafinil is a wake-promoting agent that is pharmacologically different from other stimulants. It has been investigated in healthy volunteers, and in individuals with clinical disorders associated with excessive sleepiness, fatigue, impaired cognition and other symptoms. This review examines the use of modafinil in clinical practice based on the results of randomized, double-blind, placebo-controlled clinical trials available in the English language in the MEDLINE database. In sleep-deprived individuals, modafinil improves mood, fatigue, sleepiness and cognition to a similar extent as caffeine but has a longer duration of action. Evidence for improved cognition in non-sleep-deprived healthy volunteers is controversial.Modafinil improves excessive sleepiness and illness severity in all three disorders for which it has been approved by the US FDA, i.e. narcolepsy, shift-work sleep disorder and obstructive sleep apnoea with residual excessive sleepiness despite optimal use of continuous positive airway pressure (CPAP). However, its effects on safety on the job and on morbidities associated with these disorders have not been ascertained. Continued use of CPAP in obstructive sleep apnoea is essential. Modafinil does not benefit cataplexy.In very small, short-term trials, modafinil improved excessive sleepiness in patients with myotonic dystrophy. It was efficacious in fairly large studies of attention deficit hyperactivity disorder (ADHD) in children and adolescents, and was as efficacious as methylphenidate in a small trial, but has not been approved by the FDA, in part because of its serious dermatological toxicity. In a trial of 21 non-concurrent subjects, with 2-week treatment periods, modafinil was as effective as dexamfetamine in adult ADHD. Modafinil was helpful for depressive symptoms in bipolar disorder in a trial that excluded patients with stimulant-induced mania. A single dose of modafinil may hasten recovery from general anaesthesia after day surgery. A single dose of modafinil improved the ability of emergency room physicians to attend didactic lectures after a night shift, but did not improve their ability to drive home and caused sleep disturbances subsequently.Modafinil had a substantial placebo effect on outcomes such as fatigue, excessive sleepiness and depression in patients with traumatic brain injury, major depressive disorder, schizophrenia, post-polio fatigue and multiple sclerosis; however, it did not provide any benefit greater than placebo.Trials of modafinil for excessive sleepiness in Parkinson's disease, cocaine addiction and cognition in chronic fatigue syndrome provided inconsistent results; all studies had extremely small sample sizes. Modafinil cannot be recommended for these conditions until definitive data become available.Modafinil induces and inhibits several cytochrome P450 isoenzymes and has the potential for interacting with drugs from all classes. The modafinil dose should be reduced in the elderly and in patients with hepatic disease. Caution is needed in patients with severe renal insufficiency because of substantial increases in levels of modafinil acid. Common adverse events with modafinil include insomnia, headache, nausea, nervousness and hypertension. Decreased appetite, weight loss and serious dermatological have been reported with greater frequency in children and adolescents, probably due to the higher doses (based on bodyweight) used. Modafinil may have some abuse/addictive potential although no cases have been reported to date. ###Answer 1. Changed The target word ""Schizophrenia"" has undergone a significant change in meaning or connotation between the two timestamps. In Sentence A, the word is used to describe a mental disorder characterized by negative symptoms, while in Sentence B, it is used to describe a mental disorder with a focus on positive symptoms. This shift in emphasis suggests that the meaning of the word has changed over time. Additionally, the word is used differently in the two sentences, with Sentence A using it as a diagnosis, while Sentence B uses it as a symptom. This difference in usage also supports the label ""Changed""." 19,Schizophrenia,"In an attempt to replicate a potential linkage on chromosome 22q12-q13.1 reported by Pulver et al. [1994: Am J Med Genet 54:36-43], we have analyzed 4 microsatellite markers which span this chromosomal region, including the IL2RB locus, for linkage with schizophrenia in 30 families from Israel and Germany. Linkage analysis by pairwise lod score analysis as well as by multipoint analysis did not provide evidence for a single major gene locus. However, a lod score of Zmax = 0.612 was obtained for a dominant model of inheritance with the marker D22S304 at recombination fraction 0.2 by pairwise analysis. In addition, using a nonparametric method, sib pair analysis, a P value of 0.068 corresponding to a lod score of 0.48 was obtained for this marker. This finding, together with those of Pulver et al. [1994: Am J Med Genet 54:36-43] and Coon et al. [1994: Am J Med Genet 54:72-79], is suggestive of a genetic factor in this region, predisposing for schizophrenia in a subset of families. Further studies using nonparametric methods should be conducted in order to clarify this point.","The DSM-III, III-R and DSM-IV diagnostic systems required deterioration (functional loss) and duration (6 months) in the diagnosis of schizophrenia. These criteria made schizophrenia exceptional to an otherwise phenomenologically-based nosology, but their inclusion represented an effort to disentangle the diagnosis of schizophrenia from considerable historical baggage. Newer findings about the efforts of early detection and intervention in schizophrenia, however, are now calling into question the validity, utility and even the safety of these decisions. This communication will review the original reasons for including deterioration and duration as criteria. It will then argue that these reasons are now obsolete and potentially anti-therapeutic, and that a revised set of cross-sectional phenomenologic criteria for schizophrenia need to be utilized as soon as possible.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Schizophrenia Sentence A: In an attempt to replicate a potential linkage on chromosome 22q12-q13.1 reported by Pulver et al. [1994: Am J Med Genet 54:36-43], we have analyzed 4 microsatellite markers which span this chromosomal region, including the IL2RB locus, for linkage with schizophrenia in 30 families from Israel and Germany. Linkage analysis by pairwise lod score analysis as well as by multipoint analysis did not provide evidence for a single major gene locus. However, a lod score of Zmax = 0.612 was obtained for a dominant model of inheritance with the marker D22S304 at recombination fraction 0.2 by pairwise analysis. In addition, using a nonparametric method, sib pair analysis, a P value of 0.068 corresponding to a lod score of 0.48 was obtained for this marker. This finding, together with those of Pulver et al. [1994: Am J Med Genet 54:36-43] and Coon et al. [1994: Am J Med Genet 54:72-79], is suggestive of a genetic factor in this region, predisposing for schizophrenia in a subset of families. Further studies using nonparametric methods should be conducted in order to clarify this point. Sentence B: The DSM-III, III-R and DSM-IV diagnostic systems required deterioration (functional loss) and duration (6 months) in the diagnosis of schizophrenia. These criteria made schizophrenia exceptional to an otherwise phenomenologically-based nosology, but their inclusion represented an effort to disentangle the diagnosis of schizophrenia from considerable historical baggage. Newer findings about the efforts of early detection and intervention in schizophrenia, however, are now calling into question the validity, utility and even the safety of these decisions. This communication will review the original reasons for including deterioration and duration as criteria. It will then argue that these reasons are now obsolete and potentially anti-therapeutic, and that a revised set of cross-sectional phenomenologic criteria for schizophrenia need to be utilized as soon as possible. ###Answer 1. Changed Explanation: In Sentence A, the term ""schizophrenia"" is used in the context of a genetic study, where the focus is on identifying a genetic factor that may predispose individuals to develop the disorder. The term is used to describe a specific condition or set of symptoms, such as ""a genetic factor in this region, predisposing for schizophrenia in a subset of families."" In this context, the term ""schizophrenia"" carries a relatively narrow and specific meaning related to the study of genetics and the potential causes of the disorder. In Sentence B, the term ""schizophrenia"" is used in a different context, where the focus is on the diagnostic criteria for the disorder. The term is used to describe a broader set of symptoms and experiences, such as ""the DSM-III, III-R and DSM-IV diagnostic systems required deterioration (functional loss) and duration (6 months) in the diagnosis of schizophrenia."" In this context, the term ""schizophrenia"" carries a broader and more general meaning related to the diagnosis and classification of mental disorders. Based on these differences in context and meaning, it is clear that the term ""schizophrenia"" has undergone a significant change in meaning between the two sentences. In Sentence A, the term is used in a relatively narrow and specific context related to genetics, while in Sentence B, the term is used in a broader and more general context related to diagnostic criteria. Therefore, I would label Sentence B as having undergone semantic drift, as the term ""schizophrenia"" has shifted in meaning from a specific genetic condition to a more general term related to diagnostic criteria." 20,Schizophrenia,"Dysfunction of the dorsal prefrontal cortex (PFC) in schizophrenia may be associated with alterations in the regulation of brain metabolism. To determine whether abnormal expression of genes encoding proteins involved in cellular metabolism contributes to this dysfunction, we used cDNA microarrays to perform gene expression profiling of all major metabolic pathways in postmortem samples of PFC area 9 from 10 subjects with schizophrenia and 10 matched control subjects. Genes comprising 71 metabolic pathways were assessed in each pair, and only five pathways showed consistent changes (decreases) in subjects with schizophrenia. Reductions in expression were identified for genes involved in the regulation of ornithine and polyamine metabolism, the mitochondrial malate shuttle system, the transcarboxylic acid cycle, aspartate and alanine metabolism, and ubiquitin metabolism. Interestingly, although most of the metabolic genes that were consistently decreased across subjects with schizophrenia were not similarly decreased in haloperidol-treated monkeys, the transcript encoding the cytosolic form of malate dehydrogenase displayed prominent drug-associated increases in expression compared with untreated animals. These molecular analyses implicate a highly specific pattern of metabolic alterations in the PFC of subjects with schizophrenia and raise the possibility that antipsychotic medications may exert a therapeutic effect, in part, by normalizing some of these changes.","Although paternal age has been linked to certain psychiatric disorders, the nature of any causal relationship remains elusive. Here, we aimed to comprehensively assess the magnitude of a wide range of offspring's psychiatric risk conferred by paternal age, leveraging a pedigree inferred from covered-insurance relationship (accuracy >98%) in Taiwan's single-payer compulsory insurance program. We also examined whether there is an independent role of paternal age and explored the potential effect of parental age difference. A total cohort of 7,264,788 individuals born between 1980 and 2018 were included; 5,572,232 with sibling(s) were selected for sibling-comparison analyses and 1,368,942 and 1,044,420 children with information of paternal-grandparents and maternal-grandparents, respectively, were selected for multi-generation analyses. Using inpatient/outpatient claims data (1997-2018), we identified schizophrenia, autism, bipolar disorder (BPD), attention deficit-hyperactivity disorder (ADHD), major depressive disorder (MDD), eating disorder (ED), substance use disorder (SUD), mental retardation (MR), tic disorder, obsessive-compulsive disorder (OCD), anxiety, and somatoform disorder. We identified suicides using death certificates. Logistic regression analysis was used to estimate the paternal/maternal/grand-paternal age association with psychiatric risk in the offspring. The total cohort and sibling-comparison cohort resulted in similar estimates. Paternal age had a U-shaped relationship with offspring's MDD, ED, SUD, and anxiety. A very young maternal age (<20 years) was associated with markedly higher risk in offspring's SUD, MR, and suicide. Older paternal age (>25 years) was linearly associated with offspring's schizophrenia, autism, BPD, ADHD, MDD, ED, SUD, MR, OCD, anxiety, and suicide. Older grand-paternal age was linearly associated with offspring's schizophrenia, autism, ADHD, and MR. Dissimilar parental age was positively associated with offspring's ADHD, MDD, SUD, MR, anxiety, and suicide, and negatively associated with offspring's OCD. This comprehensive assessment provides solid evidence for the independent role of paternal age in psychiatric risk in the offspring and clarifies the significance of both early parenthood and delayed paternity.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Schizophrenia Sentence A: Dysfunction of the dorsal prefrontal cortex (PFC) in schizophrenia may be associated with alterations in the regulation of brain metabolism. To determine whether abnormal expression of genes encoding proteins involved in cellular metabolism contributes to this dysfunction, we used cDNA microarrays to perform gene expression profiling of all major metabolic pathways in postmortem samples of PFC area 9 from 10 subjects with schizophrenia and 10 matched control subjects. Genes comprising 71 metabolic pathways were assessed in each pair, and only five pathways showed consistent changes (decreases) in subjects with schizophrenia. Reductions in expression were identified for genes involved in the regulation of ornithine and polyamine metabolism, the mitochondrial malate shuttle system, the transcarboxylic acid cycle, aspartate and alanine metabolism, and ubiquitin metabolism. Interestingly, although most of the metabolic genes that were consistently decreased across subjects with schizophrenia were not similarly decreased in haloperidol-treated monkeys, the transcript encoding the cytosolic form of malate dehydrogenase displayed prominent drug-associated increases in expression compared with untreated animals. These molecular analyses implicate a highly specific pattern of metabolic alterations in the PFC of subjects with schizophrenia and raise the possibility that antipsychotic medications may exert a therapeutic effect, in part, by normalizing some of these changes. Sentence B: Although paternal age has been linked to certain psychiatric disorders, the nature of any causal relationship remains elusive. Here, we aimed to comprehensively assess the magnitude of a wide range of offspring's psychiatric risk conferred by paternal age, leveraging a pedigree inferred from covered-insurance relationship (accuracy >98%) in Taiwan's single-payer compulsory insurance program. We also examined whether there is an independent role of paternal age and explored the potential effect of parental age difference. A total cohort of 7,264,788 individuals born between 1980 and 2018 were included; 5,572,232 with sibling(s) were selected for sibling-comparison analyses and 1,368,942 and 1,044,420 children with information of paternal-grandparents and maternal-grandparents, respectively, were selected for multi-generation analyses. Using inpatient/outpatient claims data (1997-2018), we identified schizophrenia, autism, bipolar disorder (BPD), attention deficit-hyperactivity disorder (ADHD), major depressive disorder (MDD), eating disorder (ED), substance use disorder (SUD), mental retardation (MR), tic disorder, obsessive-compulsive disorder (OCD), anxiety, and somatoform disorder. We identified suicides using death certificates. Logistic regression analysis was used to estimate the paternal/maternal/grand-paternal age association with psychiatric risk in the offspring. The total cohort and sibling-comparison cohort resulted in similar estimates. Paternal age had a U-shaped relationship with offspring's MDD, ED, SUD, and anxiety. A very young maternal age (<20 years) was associated with markedly higher risk in offspring's SUD, MR, and suicide. Older paternal age (>25 years) was linearly associated with offspring's schizophrenia, autism, BPD, ADHD, MDD, ED, SUD, MR, OCD, anxiety, and suicide. Older grand-paternal age was linearly associated with offspring's schizophrenia, autism, ADHD, and MR. Dissimilar parental age was positively associated with offspring's ADHD, MDD, SUD, MR, anxiety, and suicide, and negatively associated with offspring's OCD. This comprehensive assessment provides solid evidence for the independent role of paternal age in psychiatric risk in the offspring and clarifies the significance of both early parenthood and delayed paternity. ###Answer 1. Changed Reasoning: In Sentence A, the target word ""schizophrenia"" is used in the context of dysfunction of the dorsal prefrontal cortex (PFC) and alterations in the regulation of brain metabolism. The word is used to describe a specific mental disorder characterized by disruptions in thought processes, emotional expression, and behavior. In Sentence B, the target word ""schizophrenia"" is used in a different context, where it is mentioned in the context of paternal age and psychiatric risk in the offspring. The word is used to describe a broad range of psychiatric disorders, including schizophrenia, autism, bipolar disorder, and anxiety. Based on these two sentences, it is clear that the meaning of the target word ""schizophrenia"" has undergone significant change between the two timestamps. In Sentence A, the word is used to describe a specific mental disorder with clear diagnostic criteria, while in Sentence B, the word is used more broadly to describe a range of psychiatric disorders. This suggests that the term ""schizophrenia"" has become more inclusive and encompasses a broader range of conditions over time. Therefore, I would label this as ""Changed""." 21,Schizophrenia,"As people live longer, an increasing proportion of patients with schizophrenia and delusional disorder will be elderly. Little has been published on treatment response, effective treatment strategies, or the use of atypical neuroleptics in this group. This review of the literature explores documented response rate, route and dose of neuroleptic, indicators of poor response, and the use of novel drugs. Despite great variation in the neuroleptic dose ranges employed, patients with late-onset disease often continue to experience psychotic symptoms. Compliance with treatment is the most important determinant of outcome. Atypical neuroleptics are specifically indicated for patients with visual hallucinations or extrapyramidal symptoms. Elderly psychotic patients should be treated as vigorously and with as wide a range of neuroleptics as their younger counterparts. Physicians should not restrict drug doses to modest levels in all cases as long as patients are monitored frequently for the emergence of side effects.","The aim of the present study was to examine sociodemographic and clinical factors associated with relapse in schizophrenia. The study group consisted of a convenience sample of 40 schizophrenia patients (20 patients each in relapse and remission). Relapse and remission were defined based on clinical criteria (ICD-10 criteria, course since last episode, and duration of remission) and psychometric criteria (scores on Socio-Occupational Functioning Assessment Scale [SOFAS] and Positive and Negative Syndrome Scale for Schizophrenia [PANSS]). The index group was evaluated after the occurrence of current relapse but within 6 months of its onset. Sociodemographic, current psychopathology (PANSS) and functioning (SOFAS), and other (mainly retrospective) variables were assessed with a specifically designed clinical profile sheet, Schedule for Affective Disorders and Schizophrenia Lifetime version, Presumptive Stressful life Events Scale, and World Health Organization Life Chart Schedule for Assessment of Course and Outcome of Schizophrenia. Patients who had relapsed were more symptomatic and exhibited greater dysfunction in comparison to remitted patients. Relapse in schizophrenia was significantly associated with unemployment, number of psychotic episodes, side-effects of medication, and life events score. The present findings suggest that a severe illness (no. psychotic episodes, unemployment), psychological stress and inappropriate treatment (side-effects of medicines) may be causally related to relapse in schizophrenia. However, the possibility that these variables may be caused by relapse or may be explained by a common underlying variable needs to be assessed prospectively.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Schizophrenia Sentence A: As people live longer, an increasing proportion of patients with schizophrenia and delusional disorder will be elderly. Little has been published on treatment response, effective treatment strategies, or the use of atypical neuroleptics in this group. This review of the literature explores documented response rate, route and dose of neuroleptic, indicators of poor response, and the use of novel drugs. Despite great variation in the neuroleptic dose ranges employed, patients with late-onset disease often continue to experience psychotic symptoms. Compliance with treatment is the most important determinant of outcome. Atypical neuroleptics are specifically indicated for patients with visual hallucinations or extrapyramidal symptoms. Elderly psychotic patients should be treated as vigorously and with as wide a range of neuroleptics as their younger counterparts. Physicians should not restrict drug doses to modest levels in all cases as long as patients are monitored frequently for the emergence of side effects. Sentence B: The aim of the present study was to examine sociodemographic and clinical factors associated with relapse in schizophrenia. The study group consisted of a convenience sample of 40 schizophrenia patients (20 patients each in relapse and remission). Relapse and remission were defined based on clinical criteria (ICD-10 criteria, course since last episode, and duration of remission) and psychometric criteria (scores on Socio-Occupational Functioning Assessment Scale [SOFAS] and Positive and Negative Syndrome Scale for Schizophrenia [PANSS]). The index group was evaluated after the occurrence of current relapse but within 6 months of its onset. Sociodemographic, current psychopathology (PANSS) and functioning (SOFAS), and other (mainly retrospective) variables were assessed with a specifically designed clinical profile sheet, Schedule for Affective Disorders and Schizophrenia Lifetime version, Presumptive Stressful life Events Scale, and World Health Organization Life Chart Schedule for Assessment of Course and Outcome of Schizophrenia. Patients who had relapsed were more symptomatic and exhibited greater dysfunction in comparison to remitted patients. Relapse in schizophrenia was significantly associated with unemployment, number of psychotic episodes, side-effects of medication, and life events score. The present findings suggest that a severe illness (no. psychotic episodes, unemployment), psychological stress and inappropriate treatment (side-effects of medicines) may be causally related to relapse in schizophrenia. However, the possibility that these variables may be caused by relapse or may be explained by a common underlying variable needs to be assessed prospectively. ###Answer 1. Changed Reasoning: In Sentence A, the term ""schizophrenia"" is used in the context of a disease that primarily affects younger individuals, with a focus on the challenges of treating elderly patients with the condition. The sentence highlights the importance of frequent monitoring and the use of atypical neuroleptics in this population. The term ""schizophrenia"" is not associated with any negative connotations or stigma. In Sentence B, the term ""schizophrenia"" is used in a different context, focusing on the factors associated with relapse in patients with the condition. The sentence highlights the importance of sociodemographic and clinical factors in predicting relapse, and the need for further research to understand the underlying causes of relapse. The term ""schizophrenia"" is associated with a sense of severity and dysfunction, as well as the need for appropriate treatment and support. Based on these differences in context and meaning, it can be concluded that the term ""schizophrenia"" has undergone a significant change in meaning between Sentence A and Sentence B. Therefore, the label ""Changed"" is appropriate." 22,Schizophrenia,"B. Ritzler (J. Abnorm. Psychol., 86: 501-504, 1977) failed to replicate previous weight-lifting studies showing a proprioceptive deficit in schizophrenics. However, Ritzler did not use the same standard weights that the previous studies employed. Could this difference in procedure have caused his failure to replicate? Two experiments were completed to provide additional information about this question and related issues. In Experiment I, chronic hospitalized schizophrenics and normals were tested with light and heavy weights. Rosenbaum's original modified method of limits and the method of constant stimuli were utilized. Both methods provided comparable results, which, like Ritzler's data, failed to show a differential impairment in the discrimination of the light weights for paranoid schizophrenics. In Experiment II, outpatient paranoid schizophrenics, outpatient nonparanoid schizophrenics, outpatient psychiatric patients, and aged normals were evaluated utilizing the same psychophysical procedure and standard weights employed in the original studies. No differential impairment was found for the light weights for any group. These results provide strong support for Ritzler's position that a proprioceptive deficit is not unique to schizophrenia.","BACKGROUND: Topiramate is a new antiepileptic drug, originally designed as an oral hypoglycaemic subsequently approved as anticonvulsant. It has increasingly been used in the treatment of numerous psychiatric conditions and it has also been associated with weight loss potentially relevant in reversing weight gain induced by psychotropic medications. This article reviews pharmacokinetic and pharmacodynamic profile of topiramate, its biological putative role in treating psychiatric disorders and its relevance in clinical practice. METHODS: A comprehensive search from a range of databases was conducted and papers addressing the topic were selected. RESULTS: Thirty-two published reports met criteria for inclusion, 4 controlled and 28 uncontrolled studies. Five unpublished controlled studies were also identified in the treatment of acute mania. CONCLUSIONS: Topiramate lacks efficacy in the treatment of acute mania. Increasing evidence, based on controlled studies, supports the use of topiramate in binge eating disorders, bulimia nervosa, alcohol dependence and possibly in bipolar disorders in depressive phase. In the treatment of rapid cycling bipolar disorders, as adjunctive treatment in refractory bipolar disorder in adults and children, schizophrenia, posttraumatic stress disorder, unipolar depression, emotionally unstable personality disorder and Gilles de la Tourette's syndrome the evidence is entirely based on open label studies, case reports and case series. Regarding weight loss, findings are encouraging and have potential implications in reversing increased body weight, normalisation of glycemic control and blood pressure. Topiramate was generally well tolerated and serious adverse events were rare.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Schizophrenia Sentence A: B. Ritzler (J. Abnorm. Psychol., 86: 501-504, 1977) failed to replicate previous weight-lifting studies showing a proprioceptive deficit in schizophrenics. However, Ritzler did not use the same standard weights that the previous studies employed. Could this difference in procedure have caused his failure to replicate? Two experiments were completed to provide additional information about this question and related issues. In Experiment I, chronic hospitalized schizophrenics and normals were tested with light and heavy weights. Rosenbaum's original modified method of limits and the method of constant stimuli were utilized. Both methods provided comparable results, which, like Ritzler's data, failed to show a differential impairment in the discrimination of the light weights for paranoid schizophrenics. In Experiment II, outpatient paranoid schizophrenics, outpatient nonparanoid schizophrenics, outpatient psychiatric patients, and aged normals were evaluated utilizing the same psychophysical procedure and standard weights employed in the original studies. No differential impairment was found for the light weights for any group. These results provide strong support for Ritzler's position that a proprioceptive deficit is not unique to schizophrenia. Sentence B: BACKGROUND: Topiramate is a new antiepileptic drug, originally designed as an oral hypoglycaemic subsequently approved as anticonvulsant. It has increasingly been used in the treatment of numerous psychiatric conditions and it has also been associated with weight loss potentially relevant in reversing weight gain induced by psychotropic medications. This article reviews pharmacokinetic and pharmacodynamic profile of topiramate, its biological putative role in treating psychiatric disorders and its relevance in clinical practice. METHODS: A comprehensive search from a range of databases was conducted and papers addressing the topic were selected. RESULTS: Thirty-two published reports met criteria for inclusion, 4 controlled and 28 uncontrolled studies. Five unpublished controlled studies were also identified in the treatment of acute mania. CONCLUSIONS: Topiramate lacks efficacy in the treatment of acute mania. Increasing evidence, based on controlled studies, supports the use of topiramate in binge eating disorders, bulimia nervosa, alcohol dependence and possibly in bipolar disorders in depressive phase. In the treatment of rapid cycling bipolar disorders, as adjunctive treatment in refractory bipolar disorder in adults and children, schizophrenia, posttraumatic stress disorder, unipolar depression, emotionally unstable personality disorder and Gilles de la Tourette's syndrome the evidence is entirely based on open label studies, case reports and case series. Regarding weight loss, findings are encouraging and have potential implications in reversing increased body weight, normalisation of glycemic control and blood pressure. Topiramate was generally well tolerated and serious adverse events were rare. ###Answer 1. Changed Explanation: The target word ""schizophrenia"" has undergone significant semantic drift between Sentence A (1977) and Sentence B (2020). In Sentence A, the word is used in the context of a specific medical condition, with a clear definition and diagnostic criteria. The sentence also highlights the lack of a proprioceptive deficit in schizophrenics, which was a key finding at the time. In contrast, Sentence B uses the word in a more general sense, without providing a clear definition or diagnostic criteria. The sentence focuses on the potential use of topiramate in treating various psychiatric conditions, including bipolar disorder, depression, and anxiety. The word ""schizophrenia"" is used in the context of a broader range of psychiatric conditions, with no specific definition or diagnostic criteria provided. Therefore, based on the context and meaning of the target word in the two sentences, it can be concluded that semantic drift has occurred, and the word has taken on a different meaning over time." 23,Schizophrenia,"Concomitant fluvoxamine use can potentially reduce the dosage of clozapine needed in treatment-refractory patients with schizophrenia. Previous reports have shown that fluvoxamine can increase plasma clozapine concentrations by inhibition of cytochrome P450 (CYP) 1A2. We evaluated the safety and efficacy of fluvoxamine, 50 mg/day, coadministration with clozapine, 100 mg/day, in refractory schizophrenic patients.","Mice and rats emit and perceive calls in the ultrasonic range, i.e., above the human hearing threshold of about 20 kHz: so-called ultrasonic vocalizations (USV). Juvenile and adult rats emit 22-kHz USV in aversive situations, such as predator exposure and fighting or during drug withdrawal, whereas 50-kHz USV occur in appetitive situations, such as rough-and-tumble play and mating or in response to drugs of abuse, e.g., amphetamine. Aversive 22-kHz USV and appetitive 50-kHz USV serve distinct communicative functions. Whereas 22-kHz USV induce freezing behavior in the receiver, 50-kHz USV lead to social approach behavior. These opposite behavioral responses are paralleled by distinct patterns of brain activation. Freezing behavior in response to 22-kHz USV is paralleled by increased neuronal activity in brain areas regulating fear and anxiety, such as the amygdala and periaqueductal gray, whereas social approach behavior elicited by 50-kHz USV is accompanied by reduced activity levels in the amygdala but enhanced activity in the nucleus accumbens, a brain area implicated in reward processing. These opposing behavioral responses, together with distinct patterns of brain activation, particularly the bidirectional tonic activation or deactivation of the amygdala elicited by 22-kHz and 50-kHz USV, respectively, concur with a wealth of behavioral and neuroimaging studies in humans involving emotionally salient stimuli, such as fearful and happy facial expressions. Affective ultrasonic communication therefore offers a translational tool for studying the neurobiology underlying socio-affective communication. This is particularly relevant for rodent models of neurodevelopmental disorders characterized by social and communication deficits, such as autism and schizophrenia.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Schizophrenia Sentence A: Concomitant fluvoxamine use can potentially reduce the dosage of clozapine needed in treatment-refractory patients with schizophrenia. Previous reports have shown that fluvoxamine can increase plasma clozapine concentrations by inhibition of cytochrome P450 (CYP) 1A2. We evaluated the safety and efficacy of fluvoxamine, 50 mg/day, coadministration with clozapine, 100 mg/day, in refractory schizophrenic patients. Sentence B: Mice and rats emit and perceive calls in the ultrasonic range, i.e., above the human hearing threshold of about 20 kHz: so-called ultrasonic vocalizations (USV). Juvenile and adult rats emit 22-kHz USV in aversive situations, such as predator exposure and fighting or during drug withdrawal, whereas 50-kHz USV occur in appetitive situations, such as rough-and-tumble play and mating or in response to drugs of abuse, e.g., amphetamine. Aversive 22-kHz USV and appetitive 50-kHz USV serve distinct communicative functions. Whereas 22-kHz USV induce freezing behavior in the receiver, 50-kHz USV lead to social approach behavior. These opposite behavioral responses are paralleled by distinct patterns of brain activation. Freezing behavior in response to 22-kHz USV is paralleled by increased neuronal activity in brain areas regulating fear and anxiety, such as the amygdala and periaqueductal gray, whereas social approach behavior elicited by 50-kHz USV is accompanied by reduced activity levels in the amygdala but enhanced activity in the nucleus accumbens, a brain area implicated in reward processing. These opposing behavioral responses, together with distinct patterns of brain activation, particularly the bidirectional tonic activation or deactivation of the amygdala elicited by 22-kHz and 50-kHz USV, respectively, concur with a wealth of behavioral and neuroimaging studies in humans involving emotionally salient stimuli, such as fearful and happy facial expressions. Affective ultrasonic communication therefore offers a translational tool for studying the neurobiology underlying socio-affective communication. This is particularly relevant for rodent models of neurodevelopmental disorders characterized by social and communication deficits, such as autism and schizophrenia. ###Answer 1. Changed Reasoning: In Sentence A, the target word ""schizophrenia"" is used to describe a specific mental disorder, with a clear medical connotation. However, in Sentence B, the target word is used in a different context, describing a type of ultrasonic communication in mice and rats. The meaning of the word has shifted significantly, as it is no longer associated with a medical condition, but rather with a specific behavioral phenomenon in animals. Therefore, semantic drift has occurred in the meaning of the target word ""schizophrenia""." 24,Schizophrenia,"In the aftermath of deinstitutionalization, when current public policy dictates greater community management of schizophrenia, patients and their families play an increasing role in the treatment of the illness. Since mental health professionals often neglect to educate them on the causes, symptoms, and treatment of schizophrenia, patients and their families are often misinformed, fearful, and ill-equipped to aid in treatment. The authors describe a brief family educational intervention and the questionnaire that was used to compare the knowledge of patients and their families who received the intervention with the knowledge of those who did not. The findings suggest that patients and their families in family treatment programs can acquire and retain information about schizophrenia more readily than patients and families involved in individual treatment. This knowledge enables them to become more effective participants in aftercare and helps surmount the problems associated with posthospital adjustment.","Brain-specific loss of a microtubule-binding protein collapsin response mediator protein-2 (CRMP2) in the mouse recapitulates many schizophrenia-like behaviors of human patients, possibly resulting from associated developmental deficits in neuronal differentiation, path-finding, and synapse formation. However, it is still unclear how the Crmp2 loss affects neuronal circuit function and plasticity. By conducting in vivo and ex vivo electrophysiological recording in the mouse primary visual cortex (V1), we reveal that CRMP2 exerts a key regulation on the timing of postnatal critical period (CP) for experience-dependent circuit plasticity of sensory cortex. In the developing V1, the Crmp2 deficiency induces not only a delayed maturation of visual tuning functions but also a precocious CP for visual input-induced ocular dominance plasticity and its induction activity - coincident binocular inputs right after eye-opening. Mechanistically, the Crmp2 deficiency accelerates the maturation process of cortical inhibitory transmission and subsequently promotes an early emergence of balanced excitatory-inhibitory cortical circuits during the postnatal development. Moreover, the precocious CP plasticity results in deteriorated binocular depth perception in adulthood. Thus, these findings suggest that the Crmp2 deficiency dysregulates the timing of CP for experience-dependent refinement of circuit connections and further leads to impaired sensory perception in later life.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Schizophrenia Sentence A: In the aftermath of deinstitutionalization, when current public policy dictates greater community management of schizophrenia, patients and their families play an increasing role in the treatment of the illness. Since mental health professionals often neglect to educate them on the causes, symptoms, and treatment of schizophrenia, patients and their families are often misinformed, fearful, and ill-equipped to aid in treatment. The authors describe a brief family educational intervention and the questionnaire that was used to compare the knowledge of patients and their families who received the intervention with the knowledge of those who did not. The findings suggest that patients and their families in family treatment programs can acquire and retain information about schizophrenia more readily than patients and families involved in individual treatment. This knowledge enables them to become more effective participants in aftercare and helps surmount the problems associated with posthospital adjustment. Sentence B: Brain-specific loss of a microtubule-binding protein collapsin response mediator protein-2 (CRMP2) in the mouse recapitulates many schizophrenia-like behaviors of human patients, possibly resulting from associated developmental deficits in neuronal differentiation, path-finding, and synapse formation. However, it is still unclear how the Crmp2 loss affects neuronal circuit function and plasticity. By conducting in vivo and ex vivo electrophysiological recording in the mouse primary visual cortex (V1), we reveal that CRMP2 exerts a key regulation on the timing of postnatal critical period (CP) for experience-dependent circuit plasticity of sensory cortex. In the developing V1, the Crmp2 deficiency induces not only a delayed maturation of visual tuning functions but also a precocious CP for visual input-induced ocular dominance plasticity and its induction activity - coincident binocular inputs right after eye-opening. Mechanistically, the Crmp2 deficiency accelerates the maturation process of cortical inhibitory transmission and subsequently promotes an early emergence of balanced excitatory-inhibitory cortical circuits during the postnatal development. Moreover, the precocious CP plasticity results in deteriorated binocular depth perception in adulthood. Thus, these findings suggest that the Crmp2 deficiency dysregulates the timing of CP for experience-dependent refinement of circuit connections and further leads to impaired sensory perception in later life. ###Answer 1. Changed Reasoning: The meaning of the target word ""schizophrenia"" has significantly shifted between the two sentences. In Sentence A, the word is used to describe a mental illness that affects patients and their families, with a focus on the aftermath of deinstitutionalization and the need for community management. In Sentence B, the word is used to describe a brain-specific loss of a protein that results in schizophrenia-like behaviors in mice. The two sentences imply different causes and mechanisms for the illness, suggesting a change in the semantic field of the word. Therefore, the label ""Changed"" is appropriate." 25,Schizophrenia,"The extent of the genetic component, if any, in DSM III schizophrenia still remains unresolved. To further examine the issue, the first-degree relatives of 116 DSM III schizophrenic probands in our department were compared with those of an equal number of normal subjects, randomly selected and matched for age and sex. More than three fourths of the surviving relatives of each group were interviewed and rated according to DSM III criteria. Information of varying degrees of completeness was obtained about the remainder (surviving and dead). The gathered data were sufficiently detailed to provide general evidence that schizophrenia, and schizophrenia-related personality disorders were significantly more common in the first-degree relatives of DSM III schizophrenic probands than in the relatives of the controls. These findings suggest that even narrowly defined schizophrenia, such as that obtained by using DSM III criteria, has also a genetic component.","GDNF (glial-cell-line derived neurotrophic factor) is a potent neurotrophic factor for dopaminergic neurons. Neuropsychiatric diseases and their treatments are associated with alterations in the levels of both GDNF and its receptor family (GDNF family receptor alpha or GFRA). GFRA1, GFRA2 and GFRA3 are located in chromosomal regions with suggestive linkage to schizophrenia. In this study we analyzed polymorphisms located in all four known GFRA genes and examined association with schizophrenia and clozapine response. We examined SNPs across the genes GFRA1-4 in 219 matched case-control subjects, 85 small nuclear families and 140 schizophrenia patients taking clozapine for 6months. We observed that GFRA3 rs11242417 and GFRA1 rs11197557 variants were significantly associated with schizophrenia after combining results from both schizophrenia samples. Furthermore, we found an overtransmission of the G-C GFRA1 rs7920934-rs730357 haplotype to subjects with schizophrenia and association of A-T-G-G GFRA3 rs10036665-rs10952-rs11242417-rs7726580 with schizophrenia in the case-control sample. On the other hand, GFRA2 variants were not associated with schizophrenia diagnosis but subjects carrying T-G-G rs1128397-rs13250096-rs4567028 haplotype were more likely to respond to clozapine treatment. The statistical significance of results survived permutation testing but not Bonferroni correction. We also found nominally-significant evidence for interactions between GFRA1, 2 and 3 associated with schizophrenia and clozapine response, consistent with the locations of these three genes within linkage regions for schizophrenia.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Schizophrenia Sentence A: The extent of the genetic component, if any, in DSM III schizophrenia still remains unresolved. To further examine the issue, the first-degree relatives of 116 DSM III schizophrenic probands in our department were compared with those of an equal number of normal subjects, randomly selected and matched for age and sex. More than three fourths of the surviving relatives of each group were interviewed and rated according to DSM III criteria. Information of varying degrees of completeness was obtained about the remainder (surviving and dead). The gathered data were sufficiently detailed to provide general evidence that schizophrenia, and schizophrenia-related personality disorders were significantly more common in the first-degree relatives of DSM III schizophrenic probands than in the relatives of the controls. These findings suggest that even narrowly defined schizophrenia, such as that obtained by using DSM III criteria, has also a genetic component. Sentence B: GDNF (glial-cell-line derived neurotrophic factor) is a potent neurotrophic factor for dopaminergic neurons. Neuropsychiatric diseases and their treatments are associated with alterations in the levels of both GDNF and its receptor family (GDNF family receptor alpha or GFRA). GFRA1, GFRA2 and GFRA3 are located in chromosomal regions with suggestive linkage to schizophrenia. In this study we analyzed polymorphisms located in all four known GFRA genes and examined association with schizophrenia and clozapine response. We examined SNPs across the genes GFRA1-4 in 219 matched case-control subjects, 85 small nuclear families and 140 schizophrenia patients taking clozapine for 6months. We observed that GFRA3 rs11242417 and GFRA1 rs11197557 variants were significantly associated with schizophrenia after combining results from both schizophrenia samples. Furthermore, we found an overtransmission of the G-C GFRA1 rs7920934-rs730357 haplotype to subjects with schizophrenia and association of A-T-G-G GFRA3 rs10036665-rs10952-rs11242417-rs7726580 with schizophrenia in the case-control sample. On the other hand, GFRA2 variants were not associated with schizophrenia diagnosis but subjects carrying T-G-G rs1128397-rs13250096-rs4567028 haplotype were more likely to respond to clozapine treatment. The statistical significance of results survived permutation testing but not Bonferroni correction. We also found nominally-significant evidence for interactions between GFRA1, 2 and 3 associated with schizophrenia and clozapine response, consistent with the locations of these three genes within linkage regions for schizophrenia. ###Answer 1. Changed Reasoning: In Sentence A, the term ""schizophrenia"" is used to describe a specific mental disorder characterized by a genetic component. The sentence highlights the lack of clarity surrounding the genetic component of DSM III schizophrenia, and the need for further research to understand the issue. The term is used in a neutral manner, without any connotation of negative or stigmatizing associations. In Sentence B, the term ""schizophrenia"" is used in a different context, to describe a neuropsychiatric disease associated with alterations in the levels of neurotrophic factors. The sentence highlights the genetic component of the disease, and the potential association of certain genetic variants with the disease. The term is used in a more scientific and technical manner, with a focus on the genetic aspects of the disease. Based on these differences in context and focus, it is clear that the meaning of the term ""schizophrenia"" has changed significantly between Sentence A and Sentence B. In Sentence A, the term is used to describe a specific mental disorder with a genetic component, while in Sentence B, it is used to describe a broader range of neuropsychiatric diseases with genetic associations. Therefore, the label ""Changed"" is appropriate to indicate that the meaning of the term ""schizophrenia"" has shifted over time." 26,Schizophrenia,"Many studies have demonstrated that in schizophrenia there are decreased rates of marriage, fertility and marital fertility. However, it is not clear whether this finding occurs as a social consequence of having the illness or is an inherent part of the illness. One would expect it to vary across cultures if it were being mediated by social and cultural factors.","Evidence is mounting that patient-reported experience can provide a valuable indicator of the quality of healthcare services. However, little is known about the relationship between the experiences of people with severe mental illness and the quality of care they receive. We conducted a study to examine the relationship between patient-reported experience and the quality of care provided to people with schizophrenia.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Schizophrenia Sentence A: Many studies have demonstrated that in schizophrenia there are decreased rates of marriage, fertility and marital fertility. However, it is not clear whether this finding occurs as a social consequence of having the illness or is an inherent part of the illness. One would expect it to vary across cultures if it were being mediated by social and cultural factors. Sentence B: Evidence is mounting that patient-reported experience can provide a valuable indicator of the quality of healthcare services. However, little is known about the relationship between the experiences of people with severe mental illness and the quality of care they receive. We conducted a study to examine the relationship between patient-reported experience and the quality of care provided to people with schizophrenia. ###Answer 1. Changed Explanation: In Sentence A, the term ""schizophrenia"" is used in the context of a medical condition with decreased marriage and fertility rates, possibly due to social and cultural factors. However, in Sentence B, the term is used in the context of a mental illness with patient-reported experiences providing a valuable indicator of healthcare quality. The shift in meaning is significant, as the term is now associated with a broader range of symptoms and experiences, rather than just a medical condition." 27,Schizophrenia,"Higher level of urbanicity of place of birth and of place of residence at the time of illness onset has been shown to increase the risk for adult schizophrenia. However, because urban birth and urban residence are strongly correlated, no conclusions can be drawn about the timing of the risk-increasing effect. The current study discriminated between any effect of urbanization before and around the time of illness onset.","The dynamics of intracellular calcium fluxes are instrumental in the proliferation, differentiation, and migration of neuronal cells. Knowledge thus far of the relationship between these calcium changes and physiological processes in the developing brain has derived principally from ex vivo and in vitro experiments. Here, we present a new method to image intracellular calcium flux in the cerebral cortex of live rodent embryos, whilst attached to the dam through the umbilical cord. Using this approach we demonstrate induction of calcium waves by laser stimulation. These waves are sensitive to ATP-receptor blockade and are significantly increased by pharmacological facilitation of intracellular-calcium release. This approach is the closest to physiological conditions yet achieved for imaging of calcium in the embryonic brain and as such opens new avenues for the study of prenatal brain development. Furthermore, the developed method could open the possibilities of preclinical translational studies in embryos particularly important for developmentally related diseases such as schizophrenia and autism. ","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Schizophrenia Sentence A: Higher level of urbanicity of place of birth and of place of residence at the time of illness onset has been shown to increase the risk for adult schizophrenia. However, because urban birth and urban residence are strongly correlated, no conclusions can be drawn about the timing of the risk-increasing effect. The current study discriminated between any effect of urbanization before and around the time of illness onset. Sentence B: The dynamics of intracellular calcium fluxes are instrumental in the proliferation, differentiation, and migration of neuronal cells. Knowledge thus far of the relationship between these calcium changes and physiological processes in the developing brain has derived principally from ex vivo and in vitro experiments. Here, we present a new method to image intracellular calcium flux in the cerebral cortex of live rodent embryos, whilst attached to the dam through the umbilical cord. Using this approach we demonstrate induction of calcium waves by laser stimulation. These waves are sensitive to ATP-receptor blockade and are significantly increased by pharmacological facilitation of intracellular-calcium release. This approach is the closest to physiological conditions yet achieved for imaging of calcium in the embryonic brain and as such opens new avenues for the study of prenatal brain development. Furthermore, the developed method could open the possibilities of preclinical translational studies in embryos particularly important for developmentally related diseases such as schizophrenia and autism. ###Answer 1. Changed Explanation: In Sentence A, the term ""schizophrenia"" is used in the context of a risk factor for the development of the disease. The sentence suggests that the risk of developing schizophrenia increases with higher levels of urbanicity, but the sentence does not provide any information about the underlying causes or symptoms of the disease. This implies that the term ""schizophrenia"" has shifted from a disease with specific symptoms to a risk factor or a statistical category. In Sentence B, the term ""schizophrenia"" is used in a completely different context, referring to the dynamics of intracellular calcium fluxes in the developing brain. The sentence provides detailed information about the relationship between these calcium changes and physiological processes in the developing brain, and does not mention the risk factor aspect of the disease. This demonstrates that the term ""schizophrenia"" has undergone a significant shift in meaning, from a disease with specific symptoms to a term used to describe a specific biological process in the brain. Therefore, the label ""Changed"" is appropriate." 28,Schizophrenia,"Tardive dyskinesia (TD) is a common side effect of long-term medication with typical neuroleptics. TD presents itself by abnormal involuntary movements and may lead to a potentially disabling and chronic clinical course. A vast majority of patients suffering from schizophrenia are smokers. Smoking has been reported to induce the activity of the CYP1A2 enzyme, which is an established metabolic pathway within the disposition of antipsychotics. Recently, a C-->A genetic polymorphism in the first intron of the CYP1A2 gene was reported to influence CYP1A2 activity in smokers. Subsequently, a pharmacogenetic study in 85 U.S. patients with schizophrenia (44 smokers, 41 individuals with unknown smoking status) showed the C/C genotype to be associated with higher TD severity (measured by the Abnormal Involuntary Movement Scale, AIMS) than the A/C or A/A genotype. This finding prompted us to investigate whether this effect was also present in a larger German sample of 119 patients with schizophrenia (82 smokers, 37 individuals with unknown smoking status). However, we could not replicate the reported association. The median AIMS scores did not differ between individuals with the A/A, A/C, or C/C genotypes. In an additional analysis, we compared the genotypic and allelic distribution among individuals grouped according to the criteria established by Schooler and Kane [1982: Arch Gen Psychiatry 39:486-487] (persistent TD vs. absent TD). We did not observe a differential genotypic or allelic distribution between the two diagnostic groups. Thus, our results do not support the hypothesis that the C-->A polymorphism in the CYP1A2 gene is involved in the etiology of TD in the German population.","Selecting an appropriate working correlation structure is pertinent to clustered data analysis using generalized estimating equations (GEE) because an inappropriate choice will lead to inefficient parameter estimation. We investigate the well-known criterion of QIC for selecting a working correlation structure, and have found that performance of the QIC is deteriorated by a term that is theoretically independent of the correlation structures but has to be estimated with an error. This leads us to propose a correlation information criterion (CIC) that substantially improves the QIC performance. Extensive simulation studies indicate that the CIC has remarkable improvement in selecting the correct correlation structures. We also illustrate our findings using a data set from the Madras Longitudinal Schizophrenia Study.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Schizophrenia Sentence A: Tardive dyskinesia (TD) is a common side effect of long-term medication with typical neuroleptics. TD presents itself by abnormal involuntary movements and may lead to a potentially disabling and chronic clinical course. A vast majority of patients suffering from schizophrenia are smokers. Smoking has been reported to induce the activity of the CYP1A2 enzyme, which is an established metabolic pathway within the disposition of antipsychotics. Recently, a C-->A genetic polymorphism in the first intron of the CYP1A2 gene was reported to influence CYP1A2 activity in smokers. Subsequently, a pharmacogenetic study in 85 U.S. patients with schizophrenia (44 smokers, 41 individuals with unknown smoking status) showed the C/C genotype to be associated with higher TD severity (measured by the Abnormal Involuntary Movement Scale, AIMS) than the A/C or A/A genotype. This finding prompted us to investigate whether this effect was also present in a larger German sample of 119 patients with schizophrenia (82 smokers, 37 individuals with unknown smoking status). However, we could not replicate the reported association. The median AIMS scores did not differ between individuals with the A/A, A/C, or C/C genotypes. In an additional analysis, we compared the genotypic and allelic distribution among individuals grouped according to the criteria established by Schooler and Kane [1982: Arch Gen Psychiatry 39:486-487] (persistent TD vs. absent TD). We did not observe a differential genotypic or allelic distribution between the two diagnostic groups. Thus, our results do not support the hypothesis that the C-->A polymorphism in the CYP1A2 gene is involved in the etiology of TD in the German population. Sentence B: Selecting an appropriate working correlation structure is pertinent to clustered data analysis using generalized estimating equations (GEE) because an inappropriate choice will lead to inefficient parameter estimation. We investigate the well-known criterion of QIC for selecting a working correlation structure, and have found that performance of the QIC is deteriorated by a term that is theoretically independent of the correlation structures but has to be estimated with an error. This leads us to propose a correlation information criterion (CIC) that substantially improves the QIC performance. Extensive simulation studies indicate that the CIC has remarkable improvement in selecting the correct correlation structures. We also illustrate our findings using a data set from the Madras Longitudinal Schizophrenia Study. ###Answer 1. Changed Reasoning: In Sentence A, the term ""schizophrenia"" is used to describe a mental disorder characterized by abnormal involuntary movements and a potentially disabling and chronic clinical course. The sentence also mentions that a vast majority of patients suffering from schizophrenia are smokers, which suggests that the term ""schizophrenia"" has taken on a different connotation in this context, possibly implying a link between smoking and the disorder. In Sentence B, the term ""schizophrenia"" is used in a different context, referring to the choice of an appropriate working correlation structure in clustered data analysis using generalized estimating equations (GEE). This suggests that the term ""schizophrenia"" has shifted in meaning to refer to a specific statistical concept rather than a mental disorder. Overall, the usage of ""schizophrenia"" in Sentence A suggests that the term has undergone a significant change in meaning, while the usage in Sentence B implies a different connotation. Therefore, I have labeled Sentence A as ""Changed.""" 29,Schizophrenia,"The term ""Paranoid Disorders"" is used vaguely and indiscriminately by many authors. This article provides brief working descriptions of a small number of paranoid/delusional conditions and, making reference to the author's series of monodelusional disorders, describes certain organic brain factors which appear to be surprisingly common in the background of these cases. It is hypothesized that the group of paranoid/delusional disorders may be linked to schizophrenia, especially of the paranoid type: however, in the paranoid/delusional disorders, hereditary schizophrenic factors may be weak and adverse organic brain factors relatively much stronger.","Schizophrenia is a severe mental disorder characterized by cognitive deficits, and positive and negative symptoms. The development of effective pharmacological compounds for the treatment of schizophrenia has proven challenging and costly, with many compounds failing during clinical trials. Many failures occur due to disease heterogeneity and lack of predictive preclinical models and biomarkers that readily translate to humans during early characterization of novel antipsychotic compounds. Traditional early-phase trials consist of single- or multiple-dose designs aimed at determining the safety and tolerability of an investigational compound in healthy volunteers. However, by incorporating a translational approach employing methodologies derived from preclinical studies, such as EEG measures and imaging, into the traditional Phase I program, critical information regarding a compound's dose-response effects on pharmacodynamic biomarkers can be acquired. Furthermore, combined with the use of patients with stable schizophrenia in early-phase clinical trials, significant 'de-risking' and more confident 'go/no-go' decisions are possible. ","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Schizophrenia Sentence A: The term ""Paranoid Disorders"" is used vaguely and indiscriminately by many authors. This article provides brief working descriptions of a small number of paranoid/delusional conditions and, making reference to the author's series of monodelusional disorders, describes certain organic brain factors which appear to be surprisingly common in the background of these cases. It is hypothesized that the group of paranoid/delusional disorders may be linked to schizophrenia, especially of the paranoid type: however, in the paranoid/delusional disorders, hereditary schizophrenic factors may be weak and adverse organic brain factors relatively much stronger. Sentence B: Schizophrenia is a severe mental disorder characterized by cognitive deficits, and positive and negative symptoms. The development of effective pharmacological compounds for the treatment of schizophrenia has proven challenging and costly, with many compounds failing during clinical trials. Many failures occur due to disease heterogeneity and lack of predictive preclinical models and biomarkers that readily translate to humans during early characterization of novel antipsychotic compounds. Traditional early-phase trials consist of single- or multiple-dose designs aimed at determining the safety and tolerability of an investigational compound in healthy volunteers. However, by incorporating a translational approach employing methodologies derived from preclinical studies, such as EEG measures and imaging, into the traditional Phase I program, critical information regarding a compound's dose-response effects on pharmacodynamic biomarkers can be acquired. Furthermore, combined with the use of patients with stable schizophrenia in early-phase clinical trials, significant 'de-risking' and more confident 'go/no-go' decisions are possible. ###Answer 1. Changed Reasoning: The meaning of the target word ""schizophrenia"" has shifted significantly between the two sentences. In Sentence A, the term is used to describe a group of paranoid/delusional conditions that may be linked to schizophrenia, with a focus on hereditary factors. In Sentence B, schizophrenia is defined as a severe mental disorder characterized by cognitive deficits and positive and negative symptoms, with a focus on pharmacological treatment and disease heterogeneity. The word's meaning has evolved from a more general term for paranoid disorders to a specific and well-defined mental disorder with clear diagnostic criteria." 30,Schizophrenia,"This is a previously unpublished work by Alfred Adler that was written in 1936 as a preface to The Diary of Vaslav Nijinsky. A theory of schizophrenia is described in which characteristic prepsychotic features, especially lack of social interest and oversensitivity to real and imagined slights, lead to increasing irrationalism and preoccupation with grandiose ideas. The establishment of a cooperative therapeutic relationship and the instilling of hope are presented as central factors for successful treatment.",The objective of this study was to apply a quality improvement collaborative to increase the number of physical health assessments conducted with consumers diagnosed with schizophrenia in adult community mental health services across Queensland.,"###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Schizophrenia Sentence A: This is a previously unpublished work by Alfred Adler that was written in 1936 as a preface to The Diary of Vaslav Nijinsky. A theory of schizophrenia is described in which characteristic prepsychotic features, especially lack of social interest and oversensitivity to real and imagined slights, lead to increasing irrationalism and preoccupation with grandiose ideas. The establishment of a cooperative therapeutic relationship and the instilling of hope are presented as central factors for successful treatment. Sentence B: The objective of this study was to apply a quality improvement collaborative to increase the number of physical health assessments conducted with consumers diagnosed with schizophrenia in adult community mental health services across Queensland. ###Answer 1. Changed The meaning of the target word ""schizophrenia"" has significantly shifted between Sentence A and Sentence B. In Sentence A, the term is used to describe a mental disorder characterized by a lack of social interest and oversensitivity to real and imagined slights, leading to increasing irrationalism and preoccupation with grandiose ideas. In contrast, in Sentence B, the term is used to describe a physical health assessment conducted with individuals diagnosed with schizophrenia. The word's connotation has shifted from a psychiatric disorder to a medical procedure. Therefore, the label ""Changed"" is appropriate." 31,Schizophrenia,"Propagation and prolongation of rapid neuronal discharge underlies the epilepsies. However, episodic focal rapid neuronal discharges limited to discrete nuclei and pathways of the amygdala-hippocampal-septal-hypothalamic networks are the language of physiologic message systems for endocrine regulation and reproductive activities vital to the survival of the organism and the species. To prevent prolongation and propagation of physiologic pulsed excitation to areas outside specific networks and resultant epileptic seizures, these discharges must be limited in extent and time by powerful inhibitory processes. The nucleus accumbens, a unit of the extended amygdala, and the monoamines and GABA are components of the inhibitory networks that restrict physiologic rapid discharge in duration and in location. In parallel to the relationship of excessive neuronal excitation to epilepsy, evidence will be presented that excessive inhibition via one or more components of these inhibitory networks or diminished excitation underlies development of some psychoses, including schizophrenia.","Benzodiazepines are frequently long-term prescribed for the treatment of patients with severe mental illness. This prescribing practice is problematic because of well-described side effects including risk of dependence. We examined the efficacy of prolonged-release melatonin on objective and subjective sleep quality during benzodiazepine discontinuation and whether sleep variables were associated with benzodiazepine withdrawal. Eligible patients included adults with a diagnosis of schizophrenia, schizoaffective disorder, or bipolar disorder and long-term use of benzodiazepines in combination with antipsychotics. All participants gradually tapered the use of benzodiazepines after randomization to add-on treatment with melatonin versus placebo. Here we report a subsample of 23 patients undergoing sleep recordings (one-night polysomnography) and 55 patients participating in subjective sleep quality ratings. Melatonin had no effect on objective sleep efficiency, but significantly improved self-reported sleep quality. Reduced benzodiazepine dosage at the 24-week follow-up was associated with a significantly decreased proportion of stage 2 sleep. These results indicate that prolonged-release melatonin has some efficacy for self-reported sleep quality after gradual benzodiazepine dose reduction, and that benzodiazepine discontinuation is not associated with rebound insomnia in medicated patients with severe mental illness. However, these findings were limited by a small sample size and a low retention rate.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Schizophrenia Sentence A: Propagation and prolongation of rapid neuronal discharge underlies the epilepsies. However, episodic focal rapid neuronal discharges limited to discrete nuclei and pathways of the amygdala-hippocampal-septal-hypothalamic networks are the language of physiologic message systems for endocrine regulation and reproductive activities vital to the survival of the organism and the species. To prevent prolongation and propagation of physiologic pulsed excitation to areas outside specific networks and resultant epileptic seizures, these discharges must be limited in extent and time by powerful inhibitory processes. The nucleus accumbens, a unit of the extended amygdala, and the monoamines and GABA are components of the inhibitory networks that restrict physiologic rapid discharge in duration and in location. In parallel to the relationship of excessive neuronal excitation to epilepsy, evidence will be presented that excessive inhibition via one or more components of these inhibitory networks or diminished excitation underlies development of some psychoses, including schizophrenia. Sentence B: Benzodiazepines are frequently long-term prescribed for the treatment of patients with severe mental illness. This prescribing practice is problematic because of well-described side effects including risk of dependence. We examined the efficacy of prolonged-release melatonin on objective and subjective sleep quality during benzodiazepine discontinuation and whether sleep variables were associated with benzodiazepine withdrawal. Eligible patients included adults with a diagnosis of schizophrenia, schizoaffective disorder, or bipolar disorder and long-term use of benzodiazepines in combination with antipsychotics. All participants gradually tapered the use of benzodiazepines after randomization to add-on treatment with melatonin versus placebo. Here we report a subsample of 23 patients undergoing sleep recordings (one-night polysomnography) and 55 patients participating in subjective sleep quality ratings. Melatonin had no effect on objective sleep efficiency, but significantly improved self-reported sleep quality. Reduced benzodiazepine dosage at the 24-week follow-up was associated with a significantly decreased proportion of stage 2 sleep. These results indicate that prolonged-release melatonin has some efficacy for self-reported sleep quality after gradual benzodiazepine dose reduction, and that benzodiazepine discontinuation is not associated with rebound insomnia in medicated patients with severe mental illness. However, these findings were limited by a small sample size and a low retention rate. ###Answer 1. Changed Reasoning: In Sentence A, the term ""schizophrenia"" is used to describe a specific neurological disorder characterized by ""episodic focal rapid neuronal discharges limited to discrete nuclei and pathways of the amygdala-hippocampal-septal-hypothalamic networks."" This definition emphasizes the role of abnormal neural activity in the disorder. In contrast, in Sentence B, the term ""schizophrenia"" is used more broadly to describe a group of patients with severe mental illness who are treated with benzodiazepines. This usage does not convey any specific neurological mechanisms or pathways, but rather a general category of illness. Therefore, semantic drift has occurred in the meaning of ""schizophrenia"" over time, from a specific neurological disorder to a more general term for mental illness." 32,Schizophrenia,"The purpose of the study was to study the influence of life events on adolescent patients suffering from anorexia nervosa. Twenty one hospitalized adolescent inpatients with severe anorexia nervosa were compared with 79 adolescent nonanorectic psychiatric inpatients and 40 healthy adolescents for stressful life events throughout their lives. The nonanorectic patients suffered from schizophrenia, affective disorders, anxiety disorders, borderline personality disorder or conduct disorder. The assessment of the contribution of life events to the development of anorexia and the control mental disorders was based on semistructured interviewing of the patients, their parents and the patients' therapists. The instrument used was that developed by Pfeffer. The anorectic patients showed significantly higher negative life event scores than healthy controls in all the areas of life events examined. In addition, they showed significantly more negative life events concerning parents than patients in the other psychiatric diagnostic categories. These findings have relevance for the growing literature on the association between eating disorders and certain forms of child abuse.","Monothematic delusional disorders are characterized by a single tenacious belief. They provide a great opportunity to study underlying brain structures in the absence of confounding symptoms that accompany delusions in schizophrenia. Delusional beliefs include persecution, jealousy or somatic delusions including infestation. It is unclear whether specific delusional content is associated with distinct neural substrates.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Schizophrenia Sentence A: The purpose of the study was to study the influence of life events on adolescent patients suffering from anorexia nervosa. Twenty one hospitalized adolescent inpatients with severe anorexia nervosa were compared with 79 adolescent nonanorectic psychiatric inpatients and 40 healthy adolescents for stressful life events throughout their lives. The nonanorectic patients suffered from schizophrenia, affective disorders, anxiety disorders, borderline personality disorder or conduct disorder. The assessment of the contribution of life events to the development of anorexia and the control mental disorders was based on semistructured interviewing of the patients, their parents and the patients' therapists. The instrument used was that developed by Pfeffer. The anorectic patients showed significantly higher negative life event scores than healthy controls in all the areas of life events examined. In addition, they showed significantly more negative life events concerning parents than patients in the other psychiatric diagnostic categories. These findings have relevance for the growing literature on the association between eating disorders and certain forms of child abuse. Sentence B: Monothematic delusional disorders are characterized by a single tenacious belief. They provide a great opportunity to study underlying brain structures in the absence of confounding symptoms that accompany delusions in schizophrenia. Delusional beliefs include persecution, jealousy or somatic delusions including infestation. It is unclear whether specific delusional content is associated with distinct neural substrates. ###Answer 1. Changed Explanation: In Sentence A, the term ""schizophrenia"" is used to describe a mental disorder in the context of a study on adolescent patients suffering from anorexia nervosa. In this context, the term likely refers to a specific psychiatric disorder characterized by disorganized thinking and behavior, as well as symptoms such as hallucinations and delusions. In Sentence B, the term ""schizophrenia"" is used in a different context, to describe a single tenacious belief in the absence of confounding symptoms that accompany delusions in the disorder. In this context, the term may refer to a more specific type of delusional belief, such as a monothematic delusional disorder. Based on these differences in context and meaning, it is clear that the term ""schizophrenia"" has undergone a significant change in meaning between Sentence A and Sentence B. In Sentence A, the term likely refers to a broader range of psychiatric symptoms, while in Sentence B, it refers to a more specific type of delusional belief. Therefore, I would label this example as ""Changed""." 33,Schizophrenia,Serotonergic (5-hydroxytryptamine; 5-HT) transmission may play an important role in the treatment and/or pathogenesis of schizophrenia. Previous studies reported that several atypical antipsychotic agents have high affinities for the 5-HT6 receptor. The 5-HT6 receptor gene polymorphism might contribute to the genetic background of this disorder. One hundred and fifty unrelated patients with schizophrenia and 150 unrelated healthy controls were genotyped for a biallelic polymorphism (267C/T) at the 5-HT6 receptor gene. No significant positive association between the 5-HT6 receptor genotype and schizophrenia was observed. Our results suggests that the 267C/T polymorphism of the 5-HT6 receptor gene may not be involved in the susceptibility to schizophrenia.,"Treatment continuity is a major challenge in the long-term management of patients with schizophrenia; poor patient adherence to antipsychotic drugs has been associated with negative clinical outcomes. Long-acting injectable therapies may improve adherence and lessen the risk for psychiatric-related relapse, often leading to rehospitalization and higher healthcare costs. Therefore, understanding the determinants of adherence to antipsychotics is critical in the management of patients with schizophrenia.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Schizophrenia Sentence A: Serotonergic (5-hydroxytryptamine; 5-HT) transmission may play an important role in the treatment and/or pathogenesis of schizophrenia. Previous studies reported that several atypical antipsychotic agents have high affinities for the 5-HT6 receptor. The 5-HT6 receptor gene polymorphism might contribute to the genetic background of this disorder. One hundred and fifty unrelated patients with schizophrenia and 150 unrelated healthy controls were genotyped for a biallelic polymorphism (267C/T) at the 5-HT6 receptor gene. No significant positive association between the 5-HT6 receptor genotype and schizophrenia was observed. Our results suggests that the 267C/T polymorphism of the 5-HT6 receptor gene may not be involved in the susceptibility to schizophrenia. Sentence B: Treatment continuity is a major challenge in the long-term management of patients with schizophrenia; poor patient adherence to antipsychotic drugs has been associated with negative clinical outcomes. Long-acting injectable therapies may improve adherence and lessen the risk for psychiatric-related relapse, often leading to rehospitalization and higher healthcare costs. Therefore, understanding the determinants of adherence to antipsychotics is critical in the management of patients with schizophrenia. ###Answer 1. Changed Reasoning: In Sentence A, the term ""schizophrenia"" is used in the context of a medical disorder, with a focus on the potential genetic factors involved in its causation. The sentence highlights the role of serotonin transmission and the 5-HT6 receptor gene in the treatment and pathogenesis of the disorder. There is no mention of negative connotations or stigmatizing language. In Sentence B, the term ""schizophrenia"" is used in a different context, focusing on the challenges of long-term management and treatment adherence. The sentence highlights the importance of understanding the determinants of adherence to antipsychotics in managing patients with the disorder. There is a shift in focus from the medical aspects of the disorder to its social and economic implications. The term ""schizophrenia"" carries a different connotation in this sentence, implying a greater emphasis on the social and economic burdens associated with the disorder. Overall, the term ""schizophrenia"" has undergone a significant change in meaning between Sentence A and Sentence B, shifting from a medical focus to a social and economic one. Therefore, the label ""Changed"" is appropriate." 34,Schizophrenia,"The nature of abnormalities of cerebral structure evident in schizophrenia on magnetic resonance imaging is considered in relation to the neurodevelopmental hypothesis of the disorder. While schizophrenic patients showed increased ventricular volume, the extent of increase with age was comparable with that evident in controls and was unrelated to duration of illness. Conversely, cortical atrophy was evident only in patients, and this increased markedly with age and duration of illness. Such findings could be suggestive of two distinct pathophysiological processes in schizophrenia, but a schema for their reconciliation with the neurodevelopmental hypothesis is elaborated.","Schizophrenia (SCZ) is a psychiatric disorder that can include symptoms of disorganized speech and thoughts with uncertain underlying mechanisms possibly linked to over-activated microglia. In this study, we used brain samples from sixteen donors with SCZ and thirteen control donors to assess the differential activation of microglia by quantifying density and 3D reconstruction of microglia stained with ionized calcium-binding adaptor molecule-1 (Iba1). Our samples consisted of sections from the frontal, temporal, and cingulate cortical gray matter, subcortical white matter regions (SCWM), and included the anterior corpus callosum. In the first series of studies, we performed a density analysis followed by a spatial analysis to ascertain the microglial density, distribution, and soma size in SCZ brains. Second, we performed a series of morphological quantification techniques to investigate the arborization patterns of the microglia in SCZ. The results demonstrated an increase in microglia density in the cortical gray matter regions in SCZ cases, while in the SCWM, there was a significant increase in microglia density in the frontal and temporal, but not in the other brain regions of interest (ROIs). Spatial analysis using the ""nearest neighbor"" demonstrated that there was no effect in ""clustering"", but there were shorter distances between microglia seen in the SCZ cases. The morphological measures showed that there was a region-dependent increase in the microglia soma size in the SCZ cases while the Sholl analysis revealed a significant decrease in the microglia arborization in the SCZ cases across all the ROI's studied. An in-depth 3D reconstruction of microglia in Brodmann area 9 cortical region found that there was a significant association between age and reduced microglial arborization in the SCZ cases. This region-dependent age association can help determine whether longitudinal changes in microglial activation across age are brain region-dependent, which may point to potential therapeutic targets.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Schizophrenia Sentence A: The nature of abnormalities of cerebral structure evident in schizophrenia on magnetic resonance imaging is considered in relation to the neurodevelopmental hypothesis of the disorder. While schizophrenic patients showed increased ventricular volume, the extent of increase with age was comparable with that evident in controls and was unrelated to duration of illness. Conversely, cortical atrophy was evident only in patients, and this increased markedly with age and duration of illness. Such findings could be suggestive of two distinct pathophysiological processes in schizophrenia, but a schema for their reconciliation with the neurodevelopmental hypothesis is elaborated. Sentence B: Schizophrenia (SCZ) is a psychiatric disorder that can include symptoms of disorganized speech and thoughts with uncertain underlying mechanisms possibly linked to over-activated microglia. In this study, we used brain samples from sixteen donors with SCZ and thirteen control donors to assess the differential activation of microglia by quantifying density and 3D reconstruction of microglia stained with ionized calcium-binding adaptor molecule-1 (Iba1). Our samples consisted of sections from the frontal, temporal, and cingulate cortical gray matter, subcortical white matter regions (SCWM), and included the anterior corpus callosum. In the first series of studies, we performed a density analysis followed by a spatial analysis to ascertain the microglial density, distribution, and soma size in SCZ brains. Second, we performed a series of morphological quantification techniques to investigate the arborization patterns of the microglia in SCZ. The results demonstrated an increase in microglia density in the cortical gray matter regions in SCZ cases, while in the SCWM, there was a significant increase in microglia density in the frontal and temporal, but not in the other brain regions of interest (ROIs). Spatial analysis using the ""nearest neighbor"" demonstrated that there was no effect in ""clustering"", but there were shorter distances between microglia seen in the SCZ cases. The morphological measures showed that there was a region-dependent increase in the microglia soma size in the SCZ cases while the Sholl analysis revealed a significant decrease in the microglia arborization in the SCZ cases across all the ROI's studied. An in-depth 3D reconstruction of microglia in Brodmann area 9 cortical region found that there was a significant association between age and reduced microglial arborization in the SCZ cases. This region-dependent age association can help determine whether longitudinal changes in microglial activation across age are brain region-dependent, which may point to potential therapeutic targets. ###Answer 1. Changed Explanation: In Sentence A, the target word ""schizophrenia"" is used to describe a neurodevelopmental disorder characterized by abnormalities in cerebral structure and cognition. The word is used in the context of a scientific study aimed at understanding the underlying mechanisms of the disorder. The meaning of the word in this sentence is focused on the clinical and neurobiological aspects of the disorder. In Sentence B, the target word ""schizophrenia"" is used to describe a psychiatric disorder characterized by symptoms of disorganized speech and thoughts, possibly linked to over-activated microglia. The word is used in the context of a scientific study aimed at investigating the differential activation of microglia in the brains of individuals with the disorder. The meaning of the word in this sentence is focused on the potential underlying pathophysiological mechanisms of the disorder. Comparing the usage of the target word in the two sentences, it is clear that the meaning of the word has changed significantly. In Sentence A, the word is used to describe a neurodevelopmental disorder with a focus on the clinical and neurobiological aspects of the disorder. In Sentence B, the word is used to describe a psychiatric disorder with a focus on the potential underlying pathophysiological mechanisms of the disorder. The change in meaning is evident in the shift from a clinical and neurobiological perspective in Sentence A to a more mechanistic perspective in Sentence B. Therefore, the label ""Changed"" is appropriate to indicate that the meaning of the target word has significantly shifted between the two sentences." 35,Schizophrenia,"This study explored the initial results of a family-aided vocational rehabilitation program for young people with schizophrenia in The Netherlands. Their parents act as 'job-finders"" and traineeship providers. The traineeships obtained for the participants reflect their interests and capabilities, and the participants reported an increase in self-esteem. Some trainees entered paid employment within one year. The results suggest that family involvement, if it is tailored to individual possibilities and combined with key elements of the Individual Placement and Support model, can make a useful contribution to the vocational rehabilitation of young people with schizophrenia.","Since Hounsfield's first report about X-ray computed tomography (CT) in 1972, there has been substantial progress in the application of neuroimaging techniques to study the structure, function, and biochemistry of the brain. This review provides a summary of recent research in structural and functional neuroimaging of schizophrenia in China and four tables describing all of the relevant studies from mainland China. The first research report using neuroimaging techniques in China dates back to 1983, a study that reported encephalatrophy in 30% of individuals with schizophrenia. Functional neuroimaging research in China emerged in the 1990s and has undergone rapid development since. Recently, structural and functional brain networks has become a hot topic among China's neuroimaging researchers.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Schizophrenia Sentence A: This study explored the initial results of a family-aided vocational rehabilitation program for young people with schizophrenia in The Netherlands. Their parents act as 'job-finders"" and traineeship providers. The traineeships obtained for the participants reflect their interests and capabilities, and the participants reported an increase in self-esteem. Some trainees entered paid employment within one year. The results suggest that family involvement, if it is tailored to individual possibilities and combined with key elements of the Individual Placement and Support model, can make a useful contribution to the vocational rehabilitation of young people with schizophrenia. Sentence B: Since Hounsfield's first report about X-ray computed tomography (CT) in 1972, there has been substantial progress in the application of neuroimaging techniques to study the structure, function, and biochemistry of the brain. This review provides a summary of recent research in structural and functional neuroimaging of schizophrenia in China and four tables describing all of the relevant studies from mainland China. The first research report using neuroimaging techniques in China dates back to 1983, a study that reported encephalatrophy in 30% of individuals with schizophrenia. Functional neuroimaging research in China emerged in the 1990s and has undergone rapid development since. Recently, structural and functional brain networks has become a hot topic among China's neuroimaging researchers. ###Answer 1. Changed Reasoning: In Sentence A, the target word ""schizophrenia"" is used to describe a specific mental health condition that affects young people. The sentence highlights the potential benefits of a family-aided vocational rehabilitation program for these individuals, including increased self-esteem and paid employment. The context suggests that the term ""schizophrenia"" carries a negative connotation, implying that the condition is severe and debilitating. In Sentence B, the target word ""schizophrenia"" is used in a different context. The sentence discusses the progress made in neuroimaging techniques to study the brain structure, function, and biochemistry of individuals with schizophrenia. The sentence does not convey any negative connotation associated with the term ""schizophrenia."" Instead, it suggests that the condition is a complex and multifaceted issue that can be studied using various neuroimaging techniques. Based on these differences in context and meaning, it can be concluded that the term ""schizophrenia"" has undergone a significant change in meaning between Sentence A and Sentence B. In Sentence A, the term carries a negative connotation, while in Sentence B, it is used in a more neutral and scientific manner. Therefore, the label ""Changed"" is appropriate for this task." 36,Schizophrenia,"To examine clinical and psychophysiological correlates of lateral ventricular size, computerized tomographic (CT) scans were obtained on a sample of 88 patients who had experienced their first psychotic episode. Patients met DSM-III criteria for schizophrenia, schizophreniform disorder, or affective disorder with psychotic features. For patients with schizophrenia, large lateral ventricles were associated with unfavorable outcome. No association between outcome and ventricular size was found in patients with affective or schizophreniform disorder. Patients with mood disorders who had large ventricles consumed significantly greater amounts of alcohol than those with small ventricles. No differences were found between patients with large or small ventricles in premorbid functioning, smooth pursuit eye tracking, or electrodermal activity.",This study evaluated a Web-based tool to help patients with schizophrenia communicate with clinicians about evidence-based treatments.,"###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Schizophrenia Sentence A: To examine clinical and psychophysiological correlates of lateral ventricular size, computerized tomographic (CT) scans were obtained on a sample of 88 patients who had experienced their first psychotic episode. Patients met DSM-III criteria for schizophrenia, schizophreniform disorder, or affective disorder with psychotic features. For patients with schizophrenia, large lateral ventricles were associated with unfavorable outcome. No association between outcome and ventricular size was found in patients with affective or schizophreniform disorder. Patients with mood disorders who had large ventricles consumed significantly greater amounts of alcohol than those with small ventricles. No differences were found between patients with large or small ventricles in premorbid functioning, smooth pursuit eye tracking, or electrodermal activity. Sentence B: This study evaluated a Web-based tool to help patients with schizophrenia communicate with clinicians about evidence-based treatments. ###Answer 1. Changed Reasoning: In Sentence A, the term ""schizophrenia"" is used to describe a mental disorder characterized by symptoms such as psychosis, delusions, and hallucinations. The sentence highlights the association between lateral ventricular size and unfavorable outcome in patients with schizophrenia. The term is used in a clinical context and carries a negative connotation. In Sentence B, the term ""schizophrenia"" is used in a different context, as a Web-based tool to help patients communicate with clinicians about evidence-based treatments. The term is used in a more neutral or even positive connotation, as it is associated with a tool aimed at improving patient outcomes. Based on these differences in context and connotation, it can be argued that the meaning of the term ""schizophrenia"" has shifted over time, indicating semantic drift. Therefore, the label ""Changed"" is appropriate." 37,Schizophrenia,"Spontaneous eye-blinking, a possible measure of central dopaminergic activity, was studied in 55 drug-free chronic schizophrenic patients subdivided by cerebral ventricular size. Blink rates were higher in schizophrenic patients than in normal control subjects, regardless of cerebral ventricle size. Neuroleptics lowered blink rates in patients with normal ventricles but did not affect blink rates in patients with large ventricles. Insofar as blinking is a dopaminergic parameter, these findings suggest that the dopamine hypothesis of schizophrenia is most relevant in patients with normal ventricles.","Neurodegenerative changes have been suggested to provide a basis for the pathophysiology of schizophrenia. T-817MA (1-{3-[2-(1-benzothiophen-5-yl) ethoxy] propyl} azetidin-3-ol maleate) is a novel compound with neuroprotective and neurite-outgrowth effects, as elicited in rat primary cultured neurons.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Schizophrenia Sentence A: Spontaneous eye-blinking, a possible measure of central dopaminergic activity, was studied in 55 drug-free chronic schizophrenic patients subdivided by cerebral ventricular size. Blink rates were higher in schizophrenic patients than in normal control subjects, regardless of cerebral ventricle size. Neuroleptics lowered blink rates in patients with normal ventricles but did not affect blink rates in patients with large ventricles. Insofar as blinking is a dopaminergic parameter, these findings suggest that the dopamine hypothesis of schizophrenia is most relevant in patients with normal ventricles. Sentence B: Neurodegenerative changes have been suggested to provide a basis for the pathophysiology of schizophrenia. T-817MA (1-{3-[2-(1-benzothiophen-5-yl) ethoxy] propyl} azetidin-3-ol maleate) is a novel compound with neuroprotective and neurite-outgrowth effects, as elicited in rat primary cultured neurons. ###Answer 1. Changed Reasoning: In Sentence A, the term ""schizophrenic"" is used to describe patients with a specific diagnosis, implying a clear and well-defined meaning. However, in Sentence B, the term is used in a more general context, with no clear diagnosis or symptoms described. This suggests that the term ""schizophrenia"" has shifted in meaning over time, from a specific medical diagnosis to a more general term for any neurodegenerative changes. Therefore, the label ""Changed"" is appropriate." 38,Schizophrenia,"Investigated and genetically analyzed were inheritance variants in 225 families of probands with different forms of development of child schizophrenia and 519 blood relatives as well as in 1714 relatives of the 2nd and 3rd grades. Child schizophrenia as seen from the viewpoint of the monogenic model of inheritance with total or partial penetrance of the ""major"" gene proved inconsistent with the characteristics of family history and population distributions in the disease. The multifactorial model appeared the most adequate to describe the susceptibility system. In the framework of this model the correlation between the susceptibility components specific for a clinical form could be derived from distinguishing between genotypic and environmental components. The data indicate that in malignant and slow progredient schizophrenia the probands were genotypically similar to a greater extent that they were in paroxysmal-progredient form, as revealed by the inheritance coefficient of the former group (28-35%) which was lower than that of the latter group (64%).",To explore shared pathogenesis between schizophrenia and polycistic ovary syndrome (PCOS).,"###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Schizophrenia Sentence A: Investigated and genetically analyzed were inheritance variants in 225 families of probands with different forms of development of child schizophrenia and 519 blood relatives as well as in 1714 relatives of the 2nd and 3rd grades. Child schizophrenia as seen from the viewpoint of the monogenic model of inheritance with total or partial penetrance of the ""major"" gene proved inconsistent with the characteristics of family history and population distributions in the disease. The multifactorial model appeared the most adequate to describe the susceptibility system. In the framework of this model the correlation between the susceptibility components specific for a clinical form could be derived from distinguishing between genotypic and environmental components. The data indicate that in malignant and slow progredient schizophrenia the probands were genotypically similar to a greater extent that they were in paroxysmal-progredient form, as revealed by the inheritance coefficient of the former group (28-35%) which was lower than that of the latter group (64%). Sentence B: To explore shared pathogenesis between schizophrenia and polycistic ovary syndrome (PCOS). ###Answer 1. Changed Reasoning: The target word ""schizophrenia"" has undergone significant semantic drift between Sentence A and Sentence B. In Sentence A, the word is used in the context of a complex genetic disorder involving multiple inheritance variants and a multifactorial model of inheritance. The word is used to describe the inconsistency of the monogenic model of inheritance with the characteristics of family history and population distributions in the disease. In contrast, in Sentence B, the word is used to explore a potential shared pathogenesis between schizophrenia and polycistic ovary syndrome (PCOS). The word has taken on a different meaning and connotation, indicating semantic drift has occurred." 39,Schizophrenia,"Some fruit juices have very high potassium content. However, only several cases of juice-induced hyperkalemia have been reported that involved non-psychiatric, diabetic outpatients with renal compromise. We present a highly unusual case of a 66-year-old non-diabetic, schizophrenic woman with psychogenic polydipsia and normal renal function who developed hyperkalemia secondary to excessive orange juice consumption while an inpatient. In addition to demonstrating this previously undescribed medical comorbidity of schizophrenia, this case highlights the need for careful attention when communicating with both nursing and patients when managing psychogenic polydipsia.","Serotonin regulates a wide variety of brain functions and behaviors. Here, we synthesize previous findings that serotonin regulates executive function, sensory gating, and social behavior and that attention deficit hyperactivity disorder, bipolar disorder, schizophrenia, and impulsive behavior all share in common defects in these functions. It has remained unclear why supplementation with omega-3 fatty acids and vitamin D improve cognitive function and behavior in these brain disorders. Here, we propose mechanisms by which serotonin synthesis, release, and function in the brain are modulated by vitamin D and the 2 marine omega-3 fatty acids, eicosapentaenoic acid (EPA) and docosahexaenoic acid (DHA). Brain serotonin is synthesized from tryptophan by tryptophan hydroxylase 2, which is transcriptionally activated by vitamin D hormone. Inadequate levels of vitamin D (∼70% of the population) and omega-3 fatty acids are common, suggesting that brain serotonin synthesis is not optimal. We propose mechanisms by which EPA increases serotonin release from presynaptic neurons by reducing E2 series prostaglandins and DHA influences serotonin receptor action by increasing cell membrane fluidity in postsynaptic neurons. We propose a model whereby insufficient levels of vitamin D, EPA, or DHA, in combination with genetic factors and at key periods during development, would lead to dysfunctional serotonin activation and function and may be one underlying mechanism that contributes to neuropsychiatric disorders and depression. This model suggests that optimizing vitamin D and marine omega-3 fatty acid intake may help prevent and modulate the severity of brain dysfunction.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Schizophrenia Sentence A: Some fruit juices have very high potassium content. However, only several cases of juice-induced hyperkalemia have been reported that involved non-psychiatric, diabetic outpatients with renal compromise. We present a highly unusual case of a 66-year-old non-diabetic, schizophrenic woman with psychogenic polydipsia and normal renal function who developed hyperkalemia secondary to excessive orange juice consumption while an inpatient. In addition to demonstrating this previously undescribed medical comorbidity of schizophrenia, this case highlights the need for careful attention when communicating with both nursing and patients when managing psychogenic polydipsia. Sentence B: Serotonin regulates a wide variety of brain functions and behaviors. Here, we synthesize previous findings that serotonin regulates executive function, sensory gating, and social behavior and that attention deficit hyperactivity disorder, bipolar disorder, schizophrenia, and impulsive behavior all share in common defects in these functions. It has remained unclear why supplementation with omega-3 fatty acids and vitamin D improve cognitive function and behavior in these brain disorders. Here, we propose mechanisms by which serotonin synthesis, release, and function in the brain are modulated by vitamin D and the 2 marine omega-3 fatty acids, eicosapentaenoic acid (EPA) and docosahexaenoic acid (DHA). Brain serotonin is synthesized from tryptophan by tryptophan hydroxylase 2, which is transcriptionally activated by vitamin D hormone. Inadequate levels of vitamin D (∼70% of the population) and omega-3 fatty acids are common, suggesting that brain serotonin synthesis is not optimal. We propose mechanisms by which EPA increases serotonin release from presynaptic neurons by reducing E2 series prostaglandins and DHA influences serotonin receptor action by increasing cell membrane fluidity in postsynaptic neurons. We propose a model whereby insufficient levels of vitamin D, EPA, or DHA, in combination with genetic factors and at key periods during development, would lead to dysfunctional serotonin activation and function and may be one underlying mechanism that contributes to neuropsychiatric disorders and depression. This model suggests that optimizing vitamin D and marine omega-3 fatty acid intake may help prevent and modulate the severity of brain dysfunction. ###Answer 1. Changed Reasoning: In Sentence A, the term ""schizophrenic"" is used to describe a patient with psychogenic polydipsia. However, in Sentence B, the term ""schizophrenia"" is used in the context of a broader discussion of brain functions and behaviors, with no mention of psychogenic polydipsia. This suggests that the term ""schizophrenia"" has shifted in meaning over time, possibly indicating a broader understanding of the disorder or a change in the way it is perceived and discussed. Therefore, the label ""Changed"" is appropriate for this target word." 40,Schizophrenia,"This study investigated racial differences in the prescription of psychopharmacologic treatments to individuals with schizophrenia. Data were derived from a patient survey and medical record review for 344 persons with schizophrenia recruited from outpatient psychiatric facilities in two States in the Schizophrenia Patient Outcomes Research Team study. African-Americans were three times more likely to receive depot antipsychotic medications (odds ratio [OR]: 2.91; 95% confidence interval [CI]: 1.68-5.01) and 76 percent less likely to receive new-generation antipsychotic medications (OR: 0.24; 95% CI: 0.12-0.46), compared to their Caucasian counterparts. Chlorpromazine-equivalent antipsychotic dosages did not differ significantly between African-American and Caucasian patients. Compared to Caucasians, a larger proportion of African-Americans received antiparkinsonian medications (63% vs. 48%, chi2 = 7.01; df = 1; p = 0.008), but African-Americans were less than half as likely to receive adjunctive psychopharmacologic treatments (OR: 0.43; 95% CI: 0.27-0.71). Pronounced racial variations in the psychopharmacologic management of schizophrenia in typical clinical practice settings were observed and persisted when analyses were adjusted for selected patient demographic and clinical characteristics. A prospective, longitudinal evaluation is warranted to determine whether the observed patterns of prescribing are associated with poorer therapeutic outcomes in minority patients.","Schizophrenia is a severe highly heritable mental disorder. Genetic polymorphisms of dopaminergic pathways are related to pathogenesis of drug response. Hyperprolactinemia (HPRL), a common adverse effect of antipsychotics, is attributed to blockade of dopamine D2 receptors. Ankyrin Repeat and Kinase Domain containing 1 (ANKK1) gene is closely related to Dopamine Receptor D2 type (DRD2) gene functioning. We examined whether the functional polymorphism rs2734849 in the ANKK1 gene is associated with antipsychotic-induced HPRL.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Schizophrenia Sentence A: This study investigated racial differences in the prescription of psychopharmacologic treatments to individuals with schizophrenia. Data were derived from a patient survey and medical record review for 344 persons with schizophrenia recruited from outpatient psychiatric facilities in two States in the Schizophrenia Patient Outcomes Research Team study. African-Americans were three times more likely to receive depot antipsychotic medications (odds ratio [OR]: 2.91; 95% confidence interval [CI]: 1.68-5.01) and 76 percent less likely to receive new-generation antipsychotic medications (OR: 0.24; 95% CI: 0.12-0.46), compared to their Caucasian counterparts. Chlorpromazine-equivalent antipsychotic dosages did not differ significantly between African-American and Caucasian patients. Compared to Caucasians, a larger proportion of African-Americans received antiparkinsonian medications (63% vs. 48%, chi2 = 7.01; df = 1; p = 0.008), but African-Americans were less than half as likely to receive adjunctive psychopharmacologic treatments (OR: 0.43; 95% CI: 0.27-0.71). Pronounced racial variations in the psychopharmacologic management of schizophrenia in typical clinical practice settings were observed and persisted when analyses were adjusted for selected patient demographic and clinical characteristics. A prospective, longitudinal evaluation is warranted to determine whether the observed patterns of prescribing are associated with poorer therapeutic outcomes in minority patients. Sentence B: Schizophrenia is a severe highly heritable mental disorder. Genetic polymorphisms of dopaminergic pathways are related to pathogenesis of drug response. Hyperprolactinemia (HPRL), a common adverse effect of antipsychotics, is attributed to blockade of dopamine D2 receptors. Ankyrin Repeat and Kinase Domain containing 1 (ANKK1) gene is closely related to Dopamine Receptor D2 type (DRD2) gene functioning. We examined whether the functional polymorphism rs2734849 in the ANKK1 gene is associated with antipsychotic-induced HPRL. ###Answer 1. Changed Reasoning: In Sentence A, the term ""schizophrenia"" is used to describe a specific mental disorder with clear diagnostic criteria. The sentence highlights the racial disparities in the treatment of this condition, with African Americans being under-treated with newer antipsychotic medications and over-treated with antiparkinsonian medications. The focus is on the clinical presentation and treatment of the disorder. In Sentence B, the term ""schizophrenia"" is used in a different context. The sentence discusses the genetic basis of the disorder and the relationship between genetic polymorphisms and drug response. The focus is on the pathogenesis of the disorder and the potential genetic markers associated with it. The term ""schizophrenia"" is used in a more general sense to describe a group of disorders characterized by disruptions in cognition, perception, and behavior. As a result, the semantic drift of the term ""schizophrenia"" has shifted from a clinical description of a specific disorder to a more general term used to describe a group of disorders. This change in meaning is reflected in the different contexts and emphases of the two sentences. Therefore, the label ""Changed"" is appropriate." 41,Schizophrenia,"Amino acid metabolism in endogenous psychoses has been discussed in relation to monoamine synthesis. There are no consistent findings which prove altered monoamine syntheses to be the primary change. Our finding, which suggests decreased amino acid transport across the blood-brain barrier in schizophrenia, does not necessarily mean an insufficient amino acid supply to the brain. Several lines of investigation have shown the possibility of the involvement of glutamatergic dysfunction in the pathogenesis of schizophrenia. Our recent finding of decreased CSF asparagine concentration in schizophrenia and its positive correlation with the response to neuroleptics may support this hypothesis. Recently, free D-serine, an allosteric agonist on NMDA-receptor, has been reported to exist in the rat brain, suggesting that D-serine is an intrinsic ligand. The pathogeneses of endogenous psychoses might be studied in terms of disturbed metabolism of amino acid, as allosteric regulater of neuro-receptor, as well as neurotransmitter and precursor of monoamines.","Previous studies show increased antibody levels to bovine casein in some individuals with schizophrenia. The immunogenicity of specific domains of bovine casein varies among people with milk sensitivities and thus could vary among different neuropsychiatric disorders. Using ELISAs and immunoblotting, we characterized IgG class antibody specificity to whole bovine casein and to the alpha(s), beta, and kappa subunits in individuals with recent onset psychosis (n=95), long-term schizophrenia (n=103), and non-psychiatric controls (n=65). In both patient groups, we found elevated IgG to casein proteins, particularly to whole casein and the alpha(s) subunit (p or = 15 and < or = 32; score of > or = 4 on > or = 2 items) associated with schizophrenia in a randomized, double-blind study investigating the efficacy and tolerability of intramuscular (IM) aripiprazole 9.75 mg, IM haloperidol 6.5 mg, or IM placebo and the transition to oral therapy.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Schizophrenia Sentence A: The authors studied 15 men who committed matricide. The majority were diagnosed as having chronic schizophrenia and had been living alone with their mothers. Other diagnoses included substance-induced psychosis and impulse disorders. Specific psychodynamic and environmental factors can be identified for each diagnostic category. The authors conclude that the matricidal impulse evolves through successive stages of psychological development; therefore, the motives for matricide are varied and correlate with the level of psychological development or regression. Sentence B: A sub-population analysis of 325 patients with agitation (Positive and Negative Syndrome Scale Excited Component [PEC] score > or = 15 and < or = 32; score of > or = 4 on > or = 2 items) associated with schizophrenia in a randomized, double-blind study investigating the efficacy and tolerability of intramuscular (IM) aripiprazole 9.75 mg, IM haloperidol 6.5 mg, or IM placebo and the transition to oral therapy. ###Answer 1. Changed Reasoning: The meaning of the target word ""schizophrenia"" has shifted significantly between the two sentences. In Sentence A, the term is used to describe a specific mental disorder characterized by chronic symptoms and psychological regression. In contrast, in Sentence B, the term is used to describe a broader range of symptoms associated with agitation and excitation, including those that may not necessarily meet the full diagnostic criteria for schizophrenia. The shift in meaning suggests that the term ""schizophrenia"" has undergone semantic drift over time." 43,Schizophrenia,"Suppose the number of 2 x 2 tables is large relative to the average table size, and the observations within a given table are dependent, as occurs in longitudinal or family-based case-control studies. We consider fitting regression models to the odds ratios using table-level covariates. The focus is on methods to obtain valid inferences for the regression parameters beta when the dependence structure is unknown. In this setting, Liang (1985, Biometrika 72, 678-682) has shown that inference based on the noncentral hypergeometric likelihood is sensitive to misspecification of the dependence structure. In contrast, estimating functions based on the Mantel-Haenszel method yield consistent estimators of beta. We show here that, under the estimating function approach, Wald's confidence interval for beta performs well in multiplicative regression models but unfortunately has poor coverage probabilities when an additive regression model is adopted. As an alternative to Wald inference, we present a Mantel-Haenszel quasi-likelihood function based on integrating the Mantel-Haenszel estimating function. A simulation study demonstrates that, in medium-sized samples, the Mantel-Haenszel quasi-likelihood approach yields better inferences than other methods under an additive regression model and inferences comparable to Wald's method under a multiplicative model. We illustrate the use of this quasi-likelihood method in a study of the familial risk of schizophrenia.","This study aimed to examine the association of lifetime abstention of sexual intercourse with lifetime Axis I and II psychiatric disorders, attempted suicide, past-year Axis I psychiatric disorder, past-year medical condition, past-year obesity, health-related quality of life, and health service use in middle-aged and older adults in the United States. Face-to-face interviews were conducted in the 2004-2005 Wave 2 of the National Epidemiologic Survey on Alcohol and Related Conditions. Analyses were performed for the subsample aged 40 years and older (males = 14,427; female = 19,860). Lifetime abstinence from sexual intercourse, sociodemographic variables, prevalence of lifetime Axis I and II DSM-IV psychiatric disorders, schizophrenia, and attempted suicide, past-year Axis I psychiatric disorders, 14 medical conditions, obesity, health-related quality of life, and health service use were obtained. The prevalence of lifetime abstinence from sexual intercourse was 0.90 % (0.88 % for males; 1.00 % for females). The adjusted risks of any lifetime and past-year Axis I disorder, any lifetime and past-year substance-use disorders, lifetime alcohol-use disorder, lifetime and past-year alcohol-abuse disorder, lifetime nicotine dependence, lifetime drug-use disorder, and lifetime drug-abuse disorder were significantly lower for who abstained from sexual intercourse than for those who did not. However, those who abstained from sexual intercourse were more likely to have a diagnosis of obesity and lifetime avoidant and dependent personality disorders. The unadjusted risk of dysthymic disorder was also significantly greater for those who abstained from sexual intercourse. Results indicate that the effect of lifetime absence of sexual intercourse on psychiatric disorders is mixed.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Schizophrenia Sentence A: Suppose the number of 2 x 2 tables is large relative to the average table size, and the observations within a given table are dependent, as occurs in longitudinal or family-based case-control studies. We consider fitting regression models to the odds ratios using table-level covariates. The focus is on methods to obtain valid inferences for the regression parameters beta when the dependence structure is unknown. In this setting, Liang (1985, Biometrika 72, 678-682) has shown that inference based on the noncentral hypergeometric likelihood is sensitive to misspecification of the dependence structure. In contrast, estimating functions based on the Mantel-Haenszel method yield consistent estimators of beta. We show here that, under the estimating function approach, Wald's confidence interval for beta performs well in multiplicative regression models but unfortunately has poor coverage probabilities when an additive regression model is adopted. As an alternative to Wald inference, we present a Mantel-Haenszel quasi-likelihood function based on integrating the Mantel-Haenszel estimating function. A simulation study demonstrates that, in medium-sized samples, the Mantel-Haenszel quasi-likelihood approach yields better inferences than other methods under an additive regression model and inferences comparable to Wald's method under a multiplicative model. We illustrate the use of this quasi-likelihood method in a study of the familial risk of schizophrenia. Sentence B: This study aimed to examine the association of lifetime abstention of sexual intercourse with lifetime Axis I and II psychiatric disorders, attempted suicide, past-year Axis I psychiatric disorder, past-year medical condition, past-year obesity, health-related quality of life, and health service use in middle-aged and older adults in the United States. Face-to-face interviews were conducted in the 2004-2005 Wave 2 of the National Epidemiologic Survey on Alcohol and Related Conditions. Analyses were performed for the subsample aged 40 years and older (males = 14,427; female = 19,860). Lifetime abstinence from sexual intercourse, sociodemographic variables, prevalence of lifetime Axis I and II DSM-IV psychiatric disorders, schizophrenia, and attempted suicide, past-year Axis I psychiatric disorders, 14 medical conditions, obesity, health-related quality of life, and health service use were obtained. The prevalence of lifetime abstinence from sexual intercourse was 0.90 % (0.88 % for males; 1.00 % for females). The adjusted risks of any lifetime and past-year Axis I disorder, any lifetime and past-year substance-use disorders, lifetime alcohol-use disorder, lifetime and past-year alcohol-abuse disorder, lifetime nicotine dependence, lifetime drug-use disorder, and lifetime drug-abuse disorder were significantly lower for who abstained from sexual intercourse than for those who did not. However, those who abstained from sexual intercourse were more likely to have a diagnosis of obesity and lifetime avoidant and dependent personality disorders. The unadjusted risk of dysthymic disorder was also significantly greater for those who abstained from sexual intercourse. Results indicate that the effect of lifetime absence of sexual intercourse on psychiatric disorders is mixed. ###Answer 1. Changed Reasoning: In Sentence A, the word ""schizophrenia"" is used in the context of a statistical analysis, where it is mentioned as a dependent variable in a regression model. The sentence highlights the importance of accounting for the dependence structure in such models, as misspecification can lead to biased inference. The word ""schizophrenia"" is not associated with any particular connotation or meaning in this sentence, other than its use as a statistical term. In Sentence B, the word ""schizophrenia"" is used in a different context, where it is mentioned as a risk factor for various mental and physical health problems. The sentence highlights the association between lifetime abstinence from sexual intercourse and the prevalence of schizophrenia and other psychiatric disorders. The word ""schizophrenia"" is associated with a negative connotation in this sentence, as it is mentioned alongside other mental health disorders and substance use disorders. Based on these two sentences, it is clear that the meaning and connotation of the word ""schizophrenia"" have changed over time. In Sentence A, it is used in a neutral and technical sense, while in Sentence B, it is used to convey a negative association with mental health disorders. Therefore, the label ""Changed"" is appropriate for this word." 44,Schizophrenia,"Schizophrenia is associated with language-related dysfunction. A previous study [Schizophr. Res. 59 (2003c) 159] has shown that this abnormality is present at the level of automatic discrimination of change in speech sounds, as revealed by magnetoencephalographic recording of auditory mismatch field in response to across-category change in vowels. Here, we investigated the neuroanatomical substrate for this physiological abnormality. Thirteen patients with schizophrenia and 19 matched control subjects were examined using magnetoencephalography (MEG) and high-resolution magnetic resonance imaging (MRI) to evaluate both mismatch field strengths in response to change between vowel /a/ and /o/, and gray matter volumes of Heschl's gyrus (HG) and planum temporale (PT). The magnetic global field power of mismatch response to change in phonemes showed a bilateral reduction in patients with schizophrenia. The gray matter volume of left planum temporale, but not right planum temporale or bilateral Heschl's gyrus, was significantly smaller in patients with schizophrenia compared with that in control subjects. Furthermore, the phonetic mismatch strength in the left hemisphere was significantly correlated with left planum temporale gray matter volume in patients with schizophrenia only. These results suggest that structural abnormalities of the planum temporale may underlie the functional abnormalities of fundamental language-related processing in schizophrenia.","Schizophrenia is associated with a significant risk of suicide: 40-50% of schizophrenic patients report suicidal ideation at some point in their lives, and 4-13% eventually commit suicide. In order to be able to predict and prevent suicide in schizophrenic patients, it is necessary to investigate and characterise suicide victims who meet the criteria for psychotic disorders and risk factors.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Schizophrenia Sentence A: Schizophrenia is associated with language-related dysfunction. A previous study [Schizophr. Res. 59 (2003c) 159] has shown that this abnormality is present at the level of automatic discrimination of change in speech sounds, as revealed by magnetoencephalographic recording of auditory mismatch field in response to across-category change in vowels. Here, we investigated the neuroanatomical substrate for this physiological abnormality. Thirteen patients with schizophrenia and 19 matched control subjects were examined using magnetoencephalography (MEG) and high-resolution magnetic resonance imaging (MRI) to evaluate both mismatch field strengths in response to change between vowel /a/ and /o/, and gray matter volumes of Heschl's gyrus (HG) and planum temporale (PT). The magnetic global field power of mismatch response to change in phonemes showed a bilateral reduction in patients with schizophrenia. The gray matter volume of left planum temporale, but not right planum temporale or bilateral Heschl's gyrus, was significantly smaller in patients with schizophrenia compared with that in control subjects. Furthermore, the phonetic mismatch strength in the left hemisphere was significantly correlated with left planum temporale gray matter volume in patients with schizophrenia only. These results suggest that structural abnormalities of the planum temporale may underlie the functional abnormalities of fundamental language-related processing in schizophrenia. Sentence B: Schizophrenia is associated with a significant risk of suicide: 40-50% of schizophrenic patients report suicidal ideation at some point in their lives, and 4-13% eventually commit suicide. In order to be able to predict and prevent suicide in schizophrenic patients, it is necessary to investigate and characterise suicide victims who meet the criteria for psychotic disorders and risk factors. ###Answer 1. Changed Reasoning: The meaning of the target word ""schizophrenia"" has significantly shifted between the two sentences. In Sentence A, the word is associated with language-related dysfunction and a specific physiological abnormality in the brain. In Sentence B, the word is associated with a higher risk of suicide and a broader range of risk factors. The shift in meaning suggests that the term ""schizophrenia"" has undergone semantic drift over time, and its original meaning has been modified or expanded to include additional aspects of the disorder." 45,Schizophrenia,"The frontal lobes can be subdivided into major functional neuroanatomical domains, which, when injured, surgically destroyed, or reduced in activity or volume, give rise to signature pathological and psychiatric symptomology. A review of case reports and over 50 years of research, including magnetic resonance imaging, positron emission tomography, and single photon emission computed tomography scans, indicates that apathy, ""blunted"" schizophrenia, major depression, and aphasic-perseverative disturbance of speech and thought are associated with left lateral as well as bilateral frontal (and striatal) abnormalities. Impulsiveness, confabulatory verbosity, grandiosity, increased sexuality, and mania are associated with right frontal (as well as bilateral) disturbances. Gegenhalten, catatonia, and disturbances of ""will"" are indicative of medial frontal injuries. Disinhibitory states and obsessive-compulsive perseverative abnormalities are more frequently observed with orbital frontal lobe dysfunction, including frontal-striatal disturbances. These associations, however, are not always clear-cut as patients with the same diagnosis may demonstrate different symptoms that may be due to an additional abnormality in a different region of the brain. Moreover, as the frontal subdivisions are richly interconnected, and as frontal lobe abnormalities are not always discrete or well localized, a wide array of seemingly divergent waxing and waning symptoms may be manifest, sometimes simultaneously, including manic depression and what has been referred to as the ""frontal lobe personality.""","A critical facet of motivation is effort-based decision making, which refers to the mental processes involved in deciding whether a potential reward is worth the effort. To advance understanding of how individuals with schizophrenia and major depressive disorder utilize cost-benefit information to guide choice behavior, this study aimed to characterize individual differences in the computations associated with effort-based decision making.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Schizophrenia Sentence A: The frontal lobes can be subdivided into major functional neuroanatomical domains, which, when injured, surgically destroyed, or reduced in activity or volume, give rise to signature pathological and psychiatric symptomology. A review of case reports and over 50 years of research, including magnetic resonance imaging, positron emission tomography, and single photon emission computed tomography scans, indicates that apathy, ""blunted"" schizophrenia, major depression, and aphasic-perseverative disturbance of speech and thought are associated with left lateral as well as bilateral frontal (and striatal) abnormalities. Impulsiveness, confabulatory verbosity, grandiosity, increased sexuality, and mania are associated with right frontal (as well as bilateral) disturbances. Gegenhalten, catatonia, and disturbances of ""will"" are indicative of medial frontal injuries. Disinhibitory states and obsessive-compulsive perseverative abnormalities are more frequently observed with orbital frontal lobe dysfunction, including frontal-striatal disturbances. These associations, however, are not always clear-cut as patients with the same diagnosis may demonstrate different symptoms that may be due to an additional abnormality in a different region of the brain. Moreover, as the frontal subdivisions are richly interconnected, and as frontal lobe abnormalities are not always discrete or well localized, a wide array of seemingly divergent waxing and waning symptoms may be manifest, sometimes simultaneously, including manic depression and what has been referred to as the ""frontal lobe personality."" Sentence B: A critical facet of motivation is effort-based decision making, which refers to the mental processes involved in deciding whether a potential reward is worth the effort. To advance understanding of how individuals with schizophrenia and major depressive disorder utilize cost-benefit information to guide choice behavior, this study aimed to characterize individual differences in the computations associated with effort-based decision making. ###Answer 1. Changed Reasoning: In Sentence A, the term ""schizophrenia"" is used in the context of a neuroanatomical disorder characterized by abnormalities in the frontal lobe, including the left and right hemispheres. The sentence highlights the complex and multifaceted nature of the disorder, which can involve a range of symptoms including apathy, impulsivity, and cognitive disturbances. In Sentence B, the term ""schizophrenia"" is used in a different context, referring to a mental disorder characterized by difficulty in making decisions based on cost-benefit information. This suggests that the term has shifted in meaning over time, from a neuroanatomical disorder to a broader mental health category. Therefore, semantic drift has occurred." 46,Schizophrenia,"The efficacy of the S2-antagonist ritanserin has not yet been clarified satisfactorily. In an open indication finding study to generate new hypotheses concerning its possible therapeutic application carried out in the psychiatric university clinic 25 patients (10 patients with vitalized neurotic depression (ICD No. 296.1), 7 with florid depressively tinged schizophrenia (ICD No. 295.3)) were treated with an average of 15.5 mg/day of ritanserin for a period of 4 weeks. Alterations in the psychopathological findings were documented by means of the Brief Psychiatric Rating Scale (BPRS), the Hamilton Depression Scale (HAMD), the Hamilton Anxiety Scale (HAMA), and the psychopathological findings (page 4) of the AMDP system. The results suggest that ritanserin improves depressive rather than schizophrenic symptomatology. In 4 of the 7 schizophrenic patients of our study an intensification of the psychotic symptomatology could even be observed. On the basis of our open study findings ritanserin could be classified as a substance with antidepressive effects, with a low incidence of side-effects and a rapid onset of action. In placebo controlled clinical studies this indication should be examined in different patient groups.","Administration of certain drugs (for example, antiarrhythmics, antihistamines, antibiotics, antipsychotics) may occasionally affect myocardial repolarization and cause prolongation of the QT interval. We performed a whole genome association study of drug-induced QT prolongation after 14 days of treatment in a phase 3 clinical trial evaluating the efficacy, safety and tolerability of a novel atypical antipsychotic, iloperidone, in patients with schizophrenia. We identified DNA polymorphisms associated with QT prolongation in six loci, including the CERKL and SLCO3A1 genes. Each single nucleotide polymorphism (SNP) defined two genotype groups associated with a low mean QT change (ranging from -0.69 to 5.67 ms depending on the SNP) or a higher mean QT prolongation (ranging from 14.16 to 17.81 ms). The CERKL protein is thought to be part of the ceramide pathway, which regulates currents conducted by various potassium channels, including the hERG channel. It is well established that inhibition of the hERG channel can prolong the QT interval. SLCO3A1 is thought to play a role in the translocation of prostaglandins, which have known cardioprotective properties, including the prevention of torsades de pointes. Our findings also point to genes involved in myocardial infarction (PALLD), cardiac structure and function (BRUNOL4) and cardiac development (NRG3). Results of this pharmacogenomic study provide new insight into the clinical response to iloperidone, developed with the goal of directing therapy to those patients with the optimal benefit/risk ratio.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Schizophrenia Sentence A: The efficacy of the S2-antagonist ritanserin has not yet been clarified satisfactorily. In an open indication finding study to generate new hypotheses concerning its possible therapeutic application carried out in the psychiatric university clinic 25 patients (10 patients with vitalized neurotic depression (ICD No. 296.1), 7 with florid depressively tinged schizophrenia (ICD No. 295.3)) were treated with an average of 15.5 mg/day of ritanserin for a period of 4 weeks. Alterations in the psychopathological findings were documented by means of the Brief Psychiatric Rating Scale (BPRS), the Hamilton Depression Scale (HAMD), the Hamilton Anxiety Scale (HAMA), and the psychopathological findings (page 4) of the AMDP system. The results suggest that ritanserin improves depressive rather than schizophrenic symptomatology. In 4 of the 7 schizophrenic patients of our study an intensification of the psychotic symptomatology could even be observed. On the basis of our open study findings ritanserin could be classified as a substance with antidepressive effects, with a low incidence of side-effects and a rapid onset of action. In placebo controlled clinical studies this indication should be examined in different patient groups. Sentence B: Administration of certain drugs (for example, antiarrhythmics, antihistamines, antibiotics, antipsychotics) may occasionally affect myocardial repolarization and cause prolongation of the QT interval. We performed a whole genome association study of drug-induced QT prolongation after 14 days of treatment in a phase 3 clinical trial evaluating the efficacy, safety and tolerability of a novel atypical antipsychotic, iloperidone, in patients with schizophrenia. We identified DNA polymorphisms associated with QT prolongation in six loci, including the CERKL and SLCO3A1 genes. Each single nucleotide polymorphism (SNP) defined two genotype groups associated with a low mean QT change (ranging from -0.69 to 5.67 ms depending on the SNP) or a higher mean QT prolongation (ranging from 14.16 to 17.81 ms). The CERKL protein is thought to be part of the ceramide pathway, which regulates currents conducted by various potassium channels, including the hERG channel. It is well established that inhibition of the hERG channel can prolong the QT interval. SLCO3A1 is thought to play a role in the translocation of prostaglandins, which have known cardioprotective properties, including the prevention of torsades de pointes. Our findings also point to genes involved in myocardial infarction (PALLD), cardiac structure and function (BRUNOL4) and cardiac development (NRG3). Results of this pharmacogenomic study provide new insight into the clinical response to iloperidone, developed with the goal of directing therapy to those patients with the optimal benefit/risk ratio. ###Answer 1. Changed Reasoning: In Sentence A, the target word ""schizophrenia"" is used to describe a specific psychiatric disorder characterized by symptoms of depression, psychosis, and disorganized thinking. The sentence highlights the efficacy of a drug (ritanserin) in treating depressive symptoms, but not schizophrenic symptoms. This implies that the term ""schizophrenia"" had a different meaning in 2000 than it does today, as the sentence suggests that the disorder was primarily understood as a depressive disorder with psychotic features. In Sentence B, the target word ""schizophrenia"" is used in a different context. The sentence discusses the effects of certain drugs on myocardial repolarization and QT prolongation, and mentions that genetic variations in certain genes (CERKL and SLCO3A1) can affect the QT interval. The sentence does not imply that the term ""schizophrenia"" has changed in meaning, but rather that it is being used as a shorthand for a broader set of symptoms and disorders related to cardiac function. Overall, the usage of the term ""schizophrenia"" in Sentence B suggests that the term has expanded in meaning to encompass a broader range of conditions related to cardiac function, while the usage in Sentence A suggests that the term was previously understood as a distinct psychiatric disorder. Therefore, I have labeled Sentence A as ""Changed"" and Sentence B as ""Unchanged""." 47,Schizophrenia,"In summary, we have observed that drugs of abuse, which can cause schizophrenia-like paranoia, alter striatal and accumbens NT systems in a similar, dramatic fashion. The NT responses to these drugs, in particular METH, are mediated by activation of DA D1 receptors. We have observed that NMDA-type glutamate receptors are essential for the D1-NT interaction. NMDA receptors are selective, since they do not contribute to the antagonistic effects of DA D2 receptors on NT activity. This observation suggests that NT responses to D1 and D2 regulation are mediated through separate and distinct mechanisms. Finally, we found that the presence of METH dramatically reduces striatal NT release, which most likely leads to NT accumulation in nerve terminals and the observed increase in NT tissue level. The blockade of NT release by a psychotogenic drug, such as METH, is consistent with the hypothesis that NT has antipsychotic activity and a decrease in its release may contribute to some forms of schizophrenia similar to that caused by intense use of the stimulants of abuse.","Quality of life (QoL) is increasingly recognized as a pivotal outcome parameter in research on obsessive-compulsive disorder (OCD). While the concept remains somewhat ill-defined, there is now little dispute that the patients' personal goals deserve foremost consideration during the course of treatment as the primary aim of treatment should be relief from individual despair, which is related but by no means synonymous to symptom reduction. Studies using generic (ie, illness-unspecific) instruments have confirmed poor QoL in OCD patients across a wide range of domains, especially with respect to social, work role functioning, and mental health aspects. Scores are sometimes as low as those obtained by patients with schizophrenia. Depression and obsessions are the symptom clusters that most strongly contribute to low QoL. Findings from a novel survey of 105 OCD participants point to multiple daily life problems, poor work status, and tense social networks in these patients. In order to achieve therapeutic success and improve QoL, functional problems at work and comorbid disorders such as secondary depression and physical impairments should be targeted. While successful treatment sometimes positively impacts well-being, in some studies symptom decline did not translate into improved QoL.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Schizophrenia Sentence A: In summary, we have observed that drugs of abuse, which can cause schizophrenia-like paranoia, alter striatal and accumbens NT systems in a similar, dramatic fashion. The NT responses to these drugs, in particular METH, are mediated by activation of DA D1 receptors. We have observed that NMDA-type glutamate receptors are essential for the D1-NT interaction. NMDA receptors are selective, since they do not contribute to the antagonistic effects of DA D2 receptors on NT activity. This observation suggests that NT responses to D1 and D2 regulation are mediated through separate and distinct mechanisms. Finally, we found that the presence of METH dramatically reduces striatal NT release, which most likely leads to NT accumulation in nerve terminals and the observed increase in NT tissue level. The blockade of NT release by a psychotogenic drug, such as METH, is consistent with the hypothesis that NT has antipsychotic activity and a decrease in its release may contribute to some forms of schizophrenia similar to that caused by intense use of the stimulants of abuse. Sentence B: Quality of life (QoL) is increasingly recognized as a pivotal outcome parameter in research on obsessive-compulsive disorder (OCD). While the concept remains somewhat ill-defined, there is now little dispute that the patients' personal goals deserve foremost consideration during the course of treatment as the primary aim of treatment should be relief from individual despair, which is related but by no means synonymous to symptom reduction. Studies using generic (ie, illness-unspecific) instruments have confirmed poor QoL in OCD patients across a wide range of domains, especially with respect to social, work role functioning, and mental health aspects. Scores are sometimes as low as those obtained by patients with schizophrenia. Depression and obsessions are the symptom clusters that most strongly contribute to low QoL. Findings from a novel survey of 105 OCD participants point to multiple daily life problems, poor work status, and tense social networks in these patients. In order to achieve therapeutic success and improve QoL, functional problems at work and comorbid disorders such as secondary depression and physical impairments should be targeted. While successful treatment sometimes positively impacts well-being, in some studies symptom decline did not translate into improved QoL. ###Answer 1. Changed Reasoning: The meaning of the target word ""schizophrenia"" has shifted significantly between Sentence A (2000) and Sentence B (2020). In Sentence A, the term is used to describe the effects of drugs on the brain, specifically the activation of dopamine receptors. In Sentence B, the term is used to describe the impact of obsessive-compulsive disorder (OCD) on quality of life, with a focus on the patients' personal goals and relief from individual despair. These two meanings are quite different, indicating semantic drift has occurred." 48,Schizophrenia,"Volitional auditory imagery and spontaneous imagery/fantasy are examined in schizophrenic vs. nonschizophrenic psychiatric inpatients. Imaginal aspects of schizophrenia are also studied with regard to concurrent presence or absence of hallucination. Comparisons of imaginal function between diagnostic groups and among hallucinatory subgroups turned up few significant differences. Findings do not support the Mintz and Alpert (Mintz, S., and Alpert, M. Imagery vividness, reality testing, and schizophrenic hallucinations. J. Abnorm. Psychol., 79: 310-316, 1972) enhanced vividness model of schizophrenic hallucination but do provide some support for an imagery deficit model.","Chromosome 5q21-33 has been implicated in harboring risk genes for schizophrenia. In this paper, we report evidence that multiple single nucleotide polymorphisms in and around interleukin 3 (IL3) are associated with the disease in the Irish Study of High-Density Schizophrenia Families (ISHDSF), the Irish Case-Control Study of Schizophrenia (ICCSS) and the Irish Trio Study of Schizophrenia (ITRIO). The associations are sex-specific and depend on the family history (FH) of schizophrenia. In all three samples, rs31400 shows female-specific and FH-dependent associations (P=0.0062, 0.0647 and 0.0284 for the ISHDSF, ICCSS and ITRIO, respectively). Several markers have similar associations in one or two of the three samples. In haplotype analyses, identical risk and protective haplotypes are identified in the ISHDSF and ITRIO samples in several multimarker combinations. For ICCSS, the same haplotypes are implicated; however, the risk haplotypes observed in the family samples become protective. Several significant markers, rs440970, rs31400 and rs2069803, are located in and around known estrogen response elements, promoter and enhancer of the IL3 gene. They may explain the sex-specific associations and be functional for the expression of IL3 gene.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Schizophrenia Sentence A: Volitional auditory imagery and spontaneous imagery/fantasy are examined in schizophrenic vs. nonschizophrenic psychiatric inpatients. Imaginal aspects of schizophrenia are also studied with regard to concurrent presence or absence of hallucination. Comparisons of imaginal function between diagnostic groups and among hallucinatory subgroups turned up few significant differences. Findings do not support the Mintz and Alpert (Mintz, S., and Alpert, M. Imagery vividness, reality testing, and schizophrenic hallucinations. J. Abnorm. Psychol., 79: 310-316, 1972) enhanced vividness model of schizophrenic hallucination but do provide some support for an imagery deficit model. Sentence B: Chromosome 5q21-33 has been implicated in harboring risk genes for schizophrenia. In this paper, we report evidence that multiple single nucleotide polymorphisms in and around interleukin 3 (IL3) are associated with the disease in the Irish Study of High-Density Schizophrenia Families (ISHDSF), the Irish Case-Control Study of Schizophrenia (ICCSS) and the Irish Trio Study of Schizophrenia (ITRIO). The associations are sex-specific and depend on the family history (FH) of schizophrenia. In all three samples, rs31400 shows female-specific and FH-dependent associations (P=0.0062, 0.0647 and 0.0284 for the ISHDSF, ICCSS and ITRIO, respectively). Several markers have similar associations in one or two of the three samples. In haplotype analyses, identical risk and protective haplotypes are identified in the ISHDSF and ITRIO samples in several multimarker combinations. For ICCSS, the same haplotypes are implicated; however, the risk haplotypes observed in the family samples become protective. Several significant markers, rs440970, rs31400 and rs2069803, are located in and around known estrogen response elements, promoter and enhancer of the IL3 gene. They may explain the sex-specific associations and be functional for the expression of IL3 gene. ###Answer 1. Changed Reasoning: In Sentence A, the term ""schizophrenic"" is used to describe a patient with a mental disorder. The sentence also mentions ""imaginary aspects of schizophrenia,"" which implies that the term ""schizophrenia"" in this context refers to a specific set of symptoms or characteristics. However, in Sentence B, the term ""schizophrenia"" is used in a different context, referring to a genetic disorder associated with a specific set of genetic markers. This shift in meaning suggests that the term ""schizophrenia"" has undergone semantic drift over time, and its meaning has significantly changed. Therefore, the label ""Changed"" is appropriate." 49,Schizophrenia,"Nurr1, an orphan nuclear receptor, is essential for the differentiation of the midbrain dopamine (DA) neurons; however, its function in adult midbrain DA neurons has not been determined. The present study compared regional brain levels of catecholamines and spontaneous and pharmacologically induced locomotor behaviors between mice heterozygous for the Nurr1-null allele (+/-) and wild type (+/+) littermates. The Nurr1 +/- mice had significantly lower levels of DA in whole brain, midbrain, prefrontal cortex and nucleus accumbens, although no significant differences were observed in the striatum, olfactory bulb or hippocampus. Nurr1 +/- mice displayed significantly greater locomotor activity in a novel open field and after saline injection with no significant difference in activity after treatment with amphetamine (2.5 or 5.0 mg/kg) or MK 801 (0.2 or 0.4 mg/kg). A similar elevation in locomotor activity was observed in Nurr1 +/- mice at 35 days old as was found in 70 days old adults. These data demonstrate that the loss of a single Nurr1 allele results in reduced DA levels in mesolimbic and mesocortical pathways and increased locomotor activity in response to mild stress. The involvement of Nurr1 in DA neurotransmission and the implications for schizophrenia are discussed.","Previous studies have tried to determine the factors causing greater use of health resources by patients with mental disorders. These studies have essentially focused on socio-economic variables. Nevertheless, many other variables, such as social functioning, have not yet been explored. This study aims to assess the effect of social functioning on mental health service use in a sample of patients with severe mental disorder (schizophrenia, other psychotic disorders or bipolar affective disorder) in an area of Spain. The Social Functioning Scale (SFS) was administered to 172 family members of patients with a severe mental disorder who were receiving care at a community mental health unit. Analysis of bivariate logistic regression identified specific areas as predictors of the use of mental health resources over a 12-month follow-up period. The overall social functioning score predicted need for hospital admissions. In addition, interpersonal behaviour had a major role in the number of outpatient visits, while social isolation significantly predicted the need for hospitalization. These results point out the necessity for including psychosocial variables, such as social functioning in current mental health resource use models. ","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Schizophrenia Sentence A: Nurr1, an orphan nuclear receptor, is essential for the differentiation of the midbrain dopamine (DA) neurons; however, its function in adult midbrain DA neurons has not been determined. The present study compared regional brain levels of catecholamines and spontaneous and pharmacologically induced locomotor behaviors between mice heterozygous for the Nurr1-null allele (+/-) and wild type (+/+) littermates. The Nurr1 +/- mice had significantly lower levels of DA in whole brain, midbrain, prefrontal cortex and nucleus accumbens, although no significant differences were observed in the striatum, olfactory bulb or hippocampus. Nurr1 +/- mice displayed significantly greater locomotor activity in a novel open field and after saline injection with no significant difference in activity after treatment with amphetamine (2.5 or 5.0 mg/kg) or MK 801 (0.2 or 0.4 mg/kg). A similar elevation in locomotor activity was observed in Nurr1 +/- mice at 35 days old as was found in 70 days old adults. These data demonstrate that the loss of a single Nurr1 allele results in reduced DA levels in mesolimbic and mesocortical pathways and increased locomotor activity in response to mild stress. The involvement of Nurr1 in DA neurotransmission and the implications for schizophrenia are discussed. Sentence B: Previous studies have tried to determine the factors causing greater use of health resources by patients with mental disorders. These studies have essentially focused on socio-economic variables. Nevertheless, many other variables, such as social functioning, have not yet been explored. This study aims to assess the effect of social functioning on mental health service use in a sample of patients with severe mental disorder (schizophrenia, other psychotic disorders or bipolar affective disorder) in an area of Spain. The Social Functioning Scale (SFS) was administered to 172 family members of patients with a severe mental disorder who were receiving care at a community mental health unit. Analysis of bivariate logistic regression identified specific areas as predictors of the use of mental health resources over a 12-month follow-up period. The overall social functioning score predicted need for hospital admissions. In addition, interpersonal behaviour had a major role in the number of outpatient visits, while social isolation significantly predicted the need for hospitalization. These results point out the necessity for including psychosocial variables, such as social functioning in current mental health resource use models. ###Answer 1. Changed Reasoning: In Sentence A, the term ""schizophrenia"" is used in the context of discussing the effects of a genetic mutation on the development of dopamine neurons in the midbrain. The mutation is described as resulting in reduced levels of dopamine in various brain regions, including the midbrain, prefrontal cortex, and nucleus accumbens. The term is not associated with any negative connotations or stigmatizing language. In Sentence B, the term ""schizophrenia"" is used in a different context, to describe the population of patients being studied. The term is associated with negative connotations and stigmatizing language, such as ""severe mental disorder"" and ""psychotic disorders"". The study aims to assess the effect of social functioning on mental health service use in patients with schizophrenia, implying that the term is still associated with its traditional meaning of a severe mental illness. Based on these differences in context and connotation, it can be inferred that the meaning of the term ""schizophrenia"" has shifted over time, with the term now being associated with a more negative and stigmatizing connotation. Therefore, the label ""Changed"" is appropriate." 50,Schizophrenia,"Pharmacological intervention is the commonest mode of managing patients with schizophrenia. Both clinicians and patients are concerned that antipsyohotic drugs are costly and contribute to poor drug compliance in India. This study compared the equivalent doses of antipsychotic drugs and their costs across brands. Results show that antipsychotic drugs are affordable and are comparable to drug treatment costs of other physical illnesses. However, coprescription of drugs add to the burden. Numerous brands and a 2-2-1/2 fold difference in cost raises many concerns including that of drug bioavailability. Hence, the authors recommend consensus and formulation of guidelines for the pharmacological management of schizophrenia.","Loxapine, a first-generation antipsychotic, delivered with a novel inhalation delivery device developed for the acute treatment of agitation in patients with schizophrenia or bipolar disorder was evaluated in subjects with asthma or chronic obstructive pulmonary disease (COPD).","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Schizophrenia Sentence A: Pharmacological intervention is the commonest mode of managing patients with schizophrenia. Both clinicians and patients are concerned that antipsyohotic drugs are costly and contribute to poor drug compliance in India. This study compared the equivalent doses of antipsychotic drugs and their costs across brands. Results show that antipsychotic drugs are affordable and are comparable to drug treatment costs of other physical illnesses. However, coprescription of drugs add to the burden. Numerous brands and a 2-2-1/2 fold difference in cost raises many concerns including that of drug bioavailability. Hence, the authors recommend consensus and formulation of guidelines for the pharmacological management of schizophrenia. Sentence B: Loxapine, a first-generation antipsychotic, delivered with a novel inhalation delivery device developed for the acute treatment of agitation in patients with schizophrenia or bipolar disorder was evaluated in subjects with asthma or chronic obstructive pulmonary disease (COPD). ###Answer 1. Changed Reasoning: In Sentence A, the target word ""schizophrenia"" is used in the context of ""managing patients"" and ""pharmacological intervention"". The sentence highlights the cost-related concerns of both clinicians and patients in India, and the authors recommend guidelines for pharmacological management. The word ""schizophrenia"" is used in a clinical and medical context, emphasizing its association with mental illness and treatment. In Sentence B, the target word ""schizophrenia"" is used in a different context, referring to a specific drug delivery device. The sentence highlights the use of the drug loxapine for the acute treatment of agitation in patients with schizophrenia or bipolar disorder, and its delivery through a novel inhalation device. The word ""schizophrenia"" is used in a clinical and medical context, but with a different focus than in Sentence A. The sentence suggests a shift in focus from the management of the disease to the treatment of specific symptoms. Based on these differences in context and focus, it can be argued that the meaning of the target word ""schizophrenia"" has undergone a significant change in meaning or connotation between the two sentences. Therefore, the label ""Changed"" is appropriate." 51,Schizophrenia,Bipolar affective disorder patients often show cognitive deficits that are similar to those found in schizophrenia patients. Theory of mind (the ability to understand others' mental states) is compromised in currently ill schizophrenia patients. This study aimed to establish whether similar deficits are found in bipolar patients.,"A 'sense of self' is essentially the ability to distinguish between self-generated and external stimuli. It consists of at least two very basic senses: a sense of agency and a sense of ownership. Disturbances seem to provide a basic deficit in many psychiatric diseases. The aim of our study was to manipulate those qualities separately in 28 patients with schizophrenia (14 auditory hallucinators and 14 non-hallucinators) and 28 healthy controls (HC) and to investigate the effects on the topographies and the power of the event-related potential (ERP). We performed a 76-channel EEG while the participants performed the task as in our previous paper. We computed ERPs and difference maps for the conditions and compared the amount of agency and ownership between the HC and the patients. Furthermore, we compared the global field power and the topographies of these effects. Our data showed effects of agency and ownership in the healthy controls and the hallucinator group and to a lesser degree in the non-hallucinator group. We found a reduction of the N100 during the presence of agency, and a bilateral temporal negativity related to the presence of ownership. For the agency effects, we found significant differences between HC and the patients. Contrary to the expectations, our findings were more pronounced in non-hallucinators, suggesting a more profoundly disturbed sense of agency compared to hallucinators. A contemporary increase of global field power in both patient groups indicates a compensatory recruitment of other mechanisms not normally associated with the processing of agency and ownership.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Schizophrenia Sentence A: Bipolar affective disorder patients often show cognitive deficits that are similar to those found in schizophrenia patients. Theory of mind (the ability to understand others' mental states) is compromised in currently ill schizophrenia patients. This study aimed to establish whether similar deficits are found in bipolar patients. Sentence B: A 'sense of self' is essentially the ability to distinguish between self-generated and external stimuli. It consists of at least two very basic senses: a sense of agency and a sense of ownership. Disturbances seem to provide a basic deficit in many psychiatric diseases. The aim of our study was to manipulate those qualities separately in 28 patients with schizophrenia (14 auditory hallucinators and 14 non-hallucinators) and 28 healthy controls (HC) and to investigate the effects on the topographies and the power of the event-related potential (ERP). We performed a 76-channel EEG while the participants performed the task as in our previous paper. We computed ERPs and difference maps for the conditions and compared the amount of agency and ownership between the HC and the patients. Furthermore, we compared the global field power and the topographies of these effects. Our data showed effects of agency and ownership in the healthy controls and the hallucinator group and to a lesser degree in the non-hallucinator group. We found a reduction of the N100 during the presence of agency, and a bilateral temporal negativity related to the presence of ownership. For the agency effects, we found significant differences between HC and the patients. Contrary to the expectations, our findings were more pronounced in non-hallucinators, suggesting a more profoundly disturbed sense of agency compared to hallucinators. A contemporary increase of global field power in both patient groups indicates a compensatory recruitment of other mechanisms not normally associated with the processing of agency and ownership. ###Answer 1. Changed Reasoning: In Sentence A, the word ""schizophrenia"" is used in the context of comparing the cognitive deficits of bipolar affective disorder patients to those of schizophrenia patients. The word is used to describe a mental disorder characterized by disorganized thinking and behavior, and a lack of ability to understand others' mental states. In Sentence B, the word ""schizophrenia"" is used in a different context, describing a sense of self and the ability to distinguish between self-generated and external stimuli. The word is used to describe a more nuanced concept related to the ability to understand oneself and one's relationship to the external world. In Sentence A, the word ""schizophrenia"" has a negative connotation, suggesting a disorder that impairs cognitive functioning and the ability to understand others' mental states. In Sentence B, the word ""schizophrenia"" has a more neutral connotation, as it is used to describe a complex and multifaceted concept related to the sense of self. Based on these differences in context and connotation, it can be argued that the meaning of the word ""schizophrenia"" has shifted significantly between Sentence A and Sentence B. Therefore, the label ""Changed"" is appropriate." 52,Schizophrenia,"Between 1989 and 1997, the Food and Drug Administration approved four new-generation antipsychotic medications for use in the treatment of schizophrenia. This article examines factors associated with the use of new antipsychotic medications as compared with traditional antipsychotic medications from patient interviews, medical records, and a physician survey administered at schizophrenia treatment sites around the country as part of the Schizophrenia Care and Assessment Program. The following variables were significantly associated with a higher probability of receiving an atypical antipsychotic medication in multiple regression analysis at p < .05: female, younger age, younger age of onset, non-African American, having a higher Positive and Negative Syndrome Scale-Negative Syndrome subscale score. Some physician characteristics were statistically significant in the bivariate results but not in the multivariate analyses. Access to new atypical antipsychotic medications is dependent on more than clinical characteristics. In particular, barriers to access may exist for African Americans. Physician access to information about advances in drug therapies also may play a substantial role in the rate of diffusion of new medications.","PLP1 is one of the major myelin-related genes. A large body of expression-based studies showed significantly lower levels of the PLP1 messenger ribonucleic acid (mRNA) transcripts in schizophrenia. Moreover, one family-based study identified a weak association signal in a male subset using 487 Chinese family trios. We carried out a population-based association study between PLP1 and schizophrenia in 1,640 subjects. Our data does not support genetic variation in close vicinity or within PLP1 locus as a susceptibility factor.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Schizophrenia Sentence A: Between 1989 and 1997, the Food and Drug Administration approved four new-generation antipsychotic medications for use in the treatment of schizophrenia. This article examines factors associated with the use of new antipsychotic medications as compared with traditional antipsychotic medications from patient interviews, medical records, and a physician survey administered at schizophrenia treatment sites around the country as part of the Schizophrenia Care and Assessment Program. The following variables were significantly associated with a higher probability of receiving an atypical antipsychotic medication in multiple regression analysis at p < .05: female, younger age, younger age of onset, non-African American, having a higher Positive and Negative Syndrome Scale-Negative Syndrome subscale score. Some physician characteristics were statistically significant in the bivariate results but not in the multivariate analyses. Access to new atypical antipsychotic medications is dependent on more than clinical characteristics. In particular, barriers to access may exist for African Americans. Physician access to information about advances in drug therapies also may play a substantial role in the rate of diffusion of new medications. Sentence B: PLP1 is one of the major myelin-related genes. A large body of expression-based studies showed significantly lower levels of the PLP1 messenger ribonucleic acid (mRNA) transcripts in schizophrenia. Moreover, one family-based study identified a weak association signal in a male subset using 487 Chinese family trios. We carried out a population-based association study between PLP1 and schizophrenia in 1,640 subjects. Our data does not support genetic variation in close vicinity or within PLP1 locus as a susceptibility factor. ###Answer 1. Changed Reasoning: In Sentence A, the target word ""schizophrenia"" is used to describe a mental disorder characterized by symptoms such as delusions, hallucinations, and disorganized thinking. The sentence also highlights the use of new antipsychotic medications to treat the disorder. However, in Sentence B, the target word ""schizophrenia"" is used in a completely different context. It is mentioned as a gene that is related to myelin formation. This significant shift in meaning indicates semantic drift has occurred in the target word." 53,Schizophrenia,Abnormality of the V-akt murine thymoma viral oncogene homologue 1 (AKT1) may be a predisposing factor in schizophrenia. Recent evidence supporting this hypothesis showed decreased AKT1 protein levels in patients with schizophrenia and significant association of AKT1 haplotypes according to the transmission disequilibrium test.,"Epidemiologic studies have demonstrated that infections during pregnancy increase the risk of offspring developing Schizophrenia, Autism, Depression and Bipolar Disorder and have implicated interleukin-6 (IL-6) as a causal agent. However, other cytokines have been associated with the developmental origins of psychiatric disorders; therefore, it remains to be established whether elevating IL-6 is sufficient to alter the trajectory of neural development. Furthermore, most rodent studies have manipulated the maternal immune system at mid-gestation, which affects the stem cells and progenitors in both the primary and secondary germinal matrices. Therefore, a question that remains to be addressed is whether elevating IL-6 when the secondary germinal matrices are most active will affect brain development. Here, we have increased IL-6 from postnatal days 3-6 when the secondary germinal matrices are rapidly expanding. Using Nestin-Cre","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Schizophrenia Sentence A: Abnormality of the V-akt murine thymoma viral oncogene homologue 1 (AKT1) may be a predisposing factor in schizophrenia. Recent evidence supporting this hypothesis showed decreased AKT1 protein levels in patients with schizophrenia and significant association of AKT1 haplotypes according to the transmission disequilibrium test. Sentence B: Epidemiologic studies have demonstrated that infections during pregnancy increase the risk of offspring developing Schizophrenia, Autism, Depression and Bipolar Disorder and have implicated interleukin-6 (IL-6) as a causal agent. However, other cytokines have been associated with the developmental origins of psychiatric disorders; therefore, it remains to be established whether elevating IL-6 is sufficient to alter the trajectory of neural development. Furthermore, most rodent studies have manipulated the maternal immune system at mid-gestation, which affects the stem cells and progenitors in both the primary and secondary germinal matrices. Therefore, a question that remains to be addressed is whether elevating IL-6 when the secondary germinal matrices are most active will affect brain development. Here, we have increased IL-6 from postnatal days 3-6 when the secondary germinal matrices are rapidly expanding. Using Nestin-Cre ###Answer 1. Changed Reasoning: In Sentence A, the term ""schizophrenia"" is used to refer to a specific mental disorder characterized by abnormalities in the brain and cognition, as well as social and behavioral changes. The sentence highlights the potential genetic and environmental factors that may contribute to the development of the disorder. In Sentence B, the term ""Schizophrenia"" is used in a different context. The sentence discusses the potential link between infections during pregnancy and the development of psychiatric disorders, including Schizophrenia. The term is used to refer to a broader category of disorders, including Autism, Depression, and Bipolar Disorder, rather than a specific mental illness. The sentence also questions whether elevating IL-6 during a specific period of brain development will affect the trajectory of neural development. Based on these differences in usage, it appears that the term ""Schizophrenia"" has undergone a significant change in meaning between Sentence A and Sentence B. In Sentence A, the term is used to refer to a specific disorder with well-defined clinical features, while in Sentence B, it is used more broadly to refer to a category of disorders with overlapping symptoms. Therefore, I would label this example as ""Changed.""" 54,Schizophrenia,"Refractory schizophrenia has limited therapeutic options. Schizophrenia can be considered to be a disease of abnormal synaptic plasticity. Neuregulin is a member of the epithelial growth factor family, which induces growth and differentiation of epithelial, glial and muscle cells in culture. Neuregulin has been documented to be important in synaptic plasticity. The important role of neuregulin in synaptic plasticity as well as its developmental role have increasingly been documented recently. The actions of neuregulin are mediated through ERB receptors. Neuregulin can bind directly to erbB3 and erbB4 receptors and receptor heterodimerization allows neuregulin dependent activation of erbB2. The role of Erb 2 could make it possible to use the monoclonal antibody against it for improving the synaptic plasticity through the action on neuregulin. The use of trastuzumab (Her2 antibody) as targeted therapy is well documented in metastatic carcinoma of breast. Also intra-thecal administration of trastuzumab has been reported to be safe in carcinomatous meningitis. Here it is being hypothesized that intra-thecal administration of trastuzumab would improve synaptic plasticity there by making refractory schizophrenia amenable to treatment.","Schizophrenia is a highly disabling disorder characterized by positive and negative symptoms and poor functioning in almost every area of life. Multiple antipsychotics have demonstrated varying levels of efficacy in reducing symptoms in schizophrenia, but adverse effects are common, adherence to medication is low, and relapse rates are high. Psychosocial interventions used in conjunction with antipsychotic pharmacotherapy may help improve treatment outcomes. This Performance Improvement CME activity focuses on individualizing treatment for schizophrenia, assessing treatment adherence, minimizing medication-induced adverse events, and preventing relapse, for children, adolescents, and adults with schizophrenia.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Schizophrenia Sentence A: Refractory schizophrenia has limited therapeutic options. Schizophrenia can be considered to be a disease of abnormal synaptic plasticity. Neuregulin is a member of the epithelial growth factor family, which induces growth and differentiation of epithelial, glial and muscle cells in culture. Neuregulin has been documented to be important in synaptic plasticity. The important role of neuregulin in synaptic plasticity as well as its developmental role have increasingly been documented recently. The actions of neuregulin are mediated through ERB receptors. Neuregulin can bind directly to erbB3 and erbB4 receptors and receptor heterodimerization allows neuregulin dependent activation of erbB2. The role of Erb 2 could make it possible to use the monoclonal antibody against it for improving the synaptic plasticity through the action on neuregulin. The use of trastuzumab (Her2 antibody) as targeted therapy is well documented in metastatic carcinoma of breast. Also intra-thecal administration of trastuzumab has been reported to be safe in carcinomatous meningitis. Here it is being hypothesized that intra-thecal administration of trastuzumab would improve synaptic plasticity there by making refractory schizophrenia amenable to treatment. Sentence B: Schizophrenia is a highly disabling disorder characterized by positive and negative symptoms and poor functioning in almost every area of life. Multiple antipsychotics have demonstrated varying levels of efficacy in reducing symptoms in schizophrenia, but adverse effects are common, adherence to medication is low, and relapse rates are high. Psychosocial interventions used in conjunction with antipsychotic pharmacotherapy may help improve treatment outcomes. This Performance Improvement CME activity focuses on individualizing treatment for schizophrenia, assessing treatment adherence, minimizing medication-induced adverse events, and preventing relapse, for children, adolescents, and adults with schizophrenia. ###Answer 1. Changed Reasoning: In Sentence A, the target word ""schizophrenia"" is used in the context of ""refractory schizophrenia"" and ""abnormal synaptic plasticity"". This suggests that the word has taken on a more specific meaning related to the underlying neurobiology of the disorder. Additionally, the use of the term ""disease of abnormal synaptic plasticity"" implies that the disorder is characterized by a specific pathophysiology. In contrast, in Sentence B, the target word ""schizophrenia"" is used in a more general sense, describing the disorder as ""highly disabling"" and ""poor functioning in almost every area of life"". This usage suggests that the word has taken on a more broad or layman's meaning, which is different from the more specialized meaning used in Sentence A. Therefore, semantic drift has occurred in the meaning of the target word ""schizophrenia""." 55,Schizophrenia,"Initial schizophrenia was observed in 15 out of 93 out-patients being treated for cephalea in a Regional Neuropsychiatrical Department. Certain abnormal phenomena in the field of consciousness and body sensations are typical of coenasthetic schizophrenia, with vital asthenia and vegetative symptoms. Cephaleas and head dysaesthesias are reported. There is no doubt that coenaesthetic schizophrenia has many points in common with latent schizophrenia; on the other hand it is also closely linked to hypochondriac depression, the syndrome of endogenous juvenile failure, certain latent depressions, hypochondriac euphoria, vegetative and endoreactive dysthmia and pseudoneurotic schizophrenia. Personal studies of stress responses in schizophrenia, and pneumoencephalographic examinations and EEG data in the active stage suggest diencephalic alteration. For diagnostic and initially therapeutic purposes, every patient with cephalea should be examined thoroughly by the psychiatrist; in this way the number of schizophrenias identified and treated will be considerably increased.","The dopamine hypothesis, which posits that dysregulation of the dopaminergic system is etiologic for schizophrenia, is among the most enduring biological theories in psychiatry. Although variation within genes related to dopaminergic functioning has been associated with schizophrenia, an aggregate test of variation, using the largest publicly available schizophrenia dataset, has not previously been conducted.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Schizophrenia Sentence A: Initial schizophrenia was observed in 15 out of 93 out-patients being treated for cephalea in a Regional Neuropsychiatrical Department. Certain abnormal phenomena in the field of consciousness and body sensations are typical of coenasthetic schizophrenia, with vital asthenia and vegetative symptoms. Cephaleas and head dysaesthesias are reported. There is no doubt that coenaesthetic schizophrenia has many points in common with latent schizophrenia; on the other hand it is also closely linked to hypochondriac depression, the syndrome of endogenous juvenile failure, certain latent depressions, hypochondriac euphoria, vegetative and endoreactive dysthmia and pseudoneurotic schizophrenia. Personal studies of stress responses in schizophrenia, and pneumoencephalographic examinations and EEG data in the active stage suggest diencephalic alteration. For diagnostic and initially therapeutic purposes, every patient with cephalea should be examined thoroughly by the psychiatrist; in this way the number of schizophrenias identified and treated will be considerably increased. Sentence B: The dopamine hypothesis, which posits that dysregulation of the dopaminergic system is etiologic for schizophrenia, is among the most enduring biological theories in psychiatry. Although variation within genes related to dopaminergic functioning has been associated with schizophrenia, an aggregate test of variation, using the largest publicly available schizophrenia dataset, has not previously been conducted. ###Answer 1. Changed Explanation: In Sentence A, the term ""schizophrenia"" is used to describe a specific clinical picture characterized by abnormal phenomena in the field of consciousness and body sensations, as well as vital asthenia and vegetative symptoms. The term is associated with a specific diagnostic approach, focusing on the examination of the patient by the psychiatrist. The meaning of the term is relatively stable and consistent with the medical understanding of the condition at the time. In Sentence B, the term ""schizophrenia"" is used in the context of the dopamine hypothesis, which suggests that dysregulation of the dopaminergic system is etiologic for the condition. The term is associated with a different understanding of the condition, focusing on the role of dopamine in the brain. The meaning of the term has shifted towards a more biological understanding of the condition, with a greater emphasis on the role of neurotransmitters. This shift in meaning is indicative of semantic drift. Therefore, the label ""Changed"" is appropriate for Sentence B, as the meaning of the term ""schizophrenia"" has significantly shifted compared to Sentence A." 56,Schizophrenia,"The influence of a behavioural family treatment on parental communication deviance (CD) was investigated in a longitudinal treatment study. Subjects were the parents of young patients with recent-onset schizophrenia or related disorders. Parents and patients were randomly assigned to one of two treatment conditions: individual out-patient treatment or a combination of individual out-patient and family treatment. Parental CD was assessed with the Thematic Apperception Test (TAT) both at the start of the out-patient treatment and after completion of treatment 1 year later. Most families had high levels of CD, a finding which is in agreement with previous CD studies. These high CD levels remained stable over the 12-month period. Family treatment was not effective in influencing the level of CD. The findings suggest that high CD is a stable trait-marker of parents, and they support the notion that high levels of CD may precede the onset of serious psychotic disorders. Studies with more chronic patients are needed to replicate the findings.","Approximately five percent of the Finnish population are Swedish-speaking and have higher socioeconomic position and longer life expectancy than the Finnish-speaking majority. Previous studies have not investigated whether Swedish-speaking Finns have lower risk of schizophrenia spectrum disorders (SSD) than Finnish-speaking Finns. We investigated this in a representative sample of 47 445 Finns born in 1972-1984. Hazard ratios of SSD between language groups were assessed with conditional proportional hazards regression. Sex, parental ages at birth, paternal employment around conception, parental psychosis and place and residence in the capital area were used as other explanatory variables. The prevalence of SSD was 0.7% in the Swedish-speaking minority and 1.5% in the Finnish-speaking majority. In the adjusted regression model, belonging to the Swedish-speaking minority was associated with lower risk of SSD (hazard ratio (HR) 0.41, 95% confidence interval (CI) 0.24-0.69). In a subset analysis by gender, the protective effect was evident among Swedish-speaking males (HR 0.32, 95% CI 0.15-0.68) but marginal in females (HR 0.75, 95% CI 0.41-1.37). Parental psychosis and place of birth in the capital area were associated with higher risk of SSD, whereas paternal employment at the time of conception was associated with lower risk of SSD. Our results support the role of social factors in the etiology of schizophrenia. Belonging to a minority with high socioeconomic status and social capital may be protective against schizophrenia, especially for males. ","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Schizophrenia Sentence A: The influence of a behavioural family treatment on parental communication deviance (CD) was investigated in a longitudinal treatment study. Subjects were the parents of young patients with recent-onset schizophrenia or related disorders. Parents and patients were randomly assigned to one of two treatment conditions: individual out-patient treatment or a combination of individual out-patient and family treatment. Parental CD was assessed with the Thematic Apperception Test (TAT) both at the start of the out-patient treatment and after completion of treatment 1 year later. Most families had high levels of CD, a finding which is in agreement with previous CD studies. These high CD levels remained stable over the 12-month period. Family treatment was not effective in influencing the level of CD. The findings suggest that high CD is a stable trait-marker of parents, and they support the notion that high levels of CD may precede the onset of serious psychotic disorders. Studies with more chronic patients are needed to replicate the findings. Sentence B: Approximately five percent of the Finnish population are Swedish-speaking and have higher socioeconomic position and longer life expectancy than the Finnish-speaking majority. Previous studies have not investigated whether Swedish-speaking Finns have lower risk of schizophrenia spectrum disorders (SSD) than Finnish-speaking Finns. We investigated this in a representative sample of 47 445 Finns born in 1972-1984. Hazard ratios of SSD between language groups were assessed with conditional proportional hazards regression. Sex, parental ages at birth, paternal employment around conception, parental psychosis and place and residence in the capital area were used as other explanatory variables. The prevalence of SSD was 0.7% in the Swedish-speaking minority and 1.5% in the Finnish-speaking majority. In the adjusted regression model, belonging to the Swedish-speaking minority was associated with lower risk of SSD (hazard ratio (HR) 0.41, 95% confidence interval (CI) 0.24-0.69). In a subset analysis by gender, the protective effect was evident among Swedish-speaking males (HR 0.32, 95% CI 0.15-0.68) but marginal in females (HR 0.75, 95% CI 0.41-1.37). Parental psychosis and place of birth in the capital area were associated with higher risk of SSD, whereas paternal employment at the time of conception was associated with lower risk of SSD. Our results support the role of social factors in the etiology of schizophrenia. Belonging to a minority with high socioeconomic status and social capital may be protective against schizophrenia, especially for males. ###Answer 1. Changed Reasoning: In Sentence A, the term ""schizophrenia"" is used in the context of a specific clinical disorder, with a clear definition and diagnostic criteria. The sentence also highlights the stability of the disorder over time, with no significant change in the level of CD observed over a 12-month period. These factors suggest that the meaning of the term ""schizophrenia"" in Sentence A has not undergone significant semantic drift. In Sentence B, the term ""schizophrenia"" is used in a broader context, to describe a socioeconomic factor that may be protective against the disorder. The sentence highlights the association between belonging to a minority with high socioeconomic status and lower risk of SSD. This use of the term ""schizophrenia"" suggests a shift in meaning, as the term is now being used to describe a social and economic factor rather than a clinical disorder. Therefore, the label ""Changed"" is appropriate for this sentence." 57,Schizophrenia,The present investigation demonstrates relatively high antibody titres against an E. coli O-antigen in sera from somatically healthy male schizophrenic patients. This observation supports the suggestion that abnormal portasystemic collaterals are relevant to the manifestation of schizophrenia.,"Our study aimed to assess the psychometric validity of the conceptual disorganization item and other items of the Brief Psychiatric Rating Scale (BPRS) for detecting disorganized speech in patients with schizophrenia. We included 357 schizophrenia patients with disorganized speech and 1082 without disorganized speech from the survey centers in India, Indonesia, Japan, Malaysia, and Taiwan, using the data from the Research on Asian Psychotropic Patterns for Antipsychotics (REAP-AP) study. After adjusting the effects of confounding variables, a binary logistic regression model was fitted to identify BPRS items independently associated with disorganized speech. Receiver operating characteristic (ROC) curves were used to identify optimum cut-off scores and their sensitivities and specificities for detecting disorganized speech. After adjusting the effects of confounding variables, the fitted binary logistic regression model indicated that conceptual disorganization (P < 0.0001), uncooperativeness (P = 0.010) and excitement (P = 0.001) were independently associated with disorganized speech. The ROC curve revealed that the conceptual disorganization item could accurately detect disorganized speech in patients with schizophrenia both separately and in combination with uncooperativeness and excitement. The subscale for conceptual disorganization, uncooperativeness and excitement items in the BPRS is a promising psychometric tool for detecting disorganized speech.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Schizophrenia Sentence A: The present investigation demonstrates relatively high antibody titres against an E. coli O-antigen in sera from somatically healthy male schizophrenic patients. This observation supports the suggestion that abnormal portasystemic collaterals are relevant to the manifestation of schizophrenia. Sentence B: Our study aimed to assess the psychometric validity of the conceptual disorganization item and other items of the Brief Psychiatric Rating Scale (BPRS) for detecting disorganized speech in patients with schizophrenia. We included 357 schizophrenia patients with disorganized speech and 1082 without disorganized speech from the survey centers in India, Indonesia, Japan, Malaysia, and Taiwan, using the data from the Research on Asian Psychotropic Patterns for Antipsychotics (REAP-AP) study. After adjusting the effects of confounding variables, a binary logistic regression model was fitted to identify BPRS items independently associated with disorganized speech. Receiver operating characteristic (ROC) curves were used to identify optimum cut-off scores and their sensitivities and specificities for detecting disorganized speech. After adjusting the effects of confounding variables, the fitted binary logistic regression model indicated that conceptual disorganization (P < 0.0001), uncooperativeness (P = 0.010) and excitement (P = 0.001) were independently associated with disorganized speech. The ROC curve revealed that the conceptual disorganization item could accurately detect disorganized speech in patients with schizophrenia both separately and in combination with uncooperativeness and excitement. The subscale for conceptual disorganization, uncooperativeness and excitement items in the BPRS is a promising psychometric tool for detecting disorganized speech. ###Answer 1. Changed Reasoning: In Sentence A, the target word ""schizophrenia"" is used to describe a specific medical condition, specifically ""somatically healthy male schizophrenic patients."" The sentence also mentions the presence of abnormal portasystemic collaterals, which are relevant to the manifestation of the condition. This implies that the target word in this sentence carries a specific medical meaning related to the diagnosis of schizophrenia. In Sentence B, the target word ""schizophrenia"" is used in a different context. It is mentioned in the context of a psychometric study aimed at assessing the validity of certain items in the Brief Psychiatric Rating Scale (BPRS) for detecting disorganized speech in patients with schizophrenia. The sentence does not mention any specific medical condition or symptoms related to schizophrenia, but rather focuses on the psychometric properties of the BPRS items. This implies that the target word in this sentence carries a different meaning than in Sentence A, and is more focused on the psychiatric aspects of the condition rather than the medical aspects. Therefore, based on the context and meaning of the target word in each sentence, it can be concluded that semantic drift has occurred in the meaning of ""schizophrenia."" In Sentence A, the word carries a specific medical meaning related to the diagnosis of schizophrenia, while in Sentence B, the word carries a broader psychiatric meaning related to the manifestation of the condition." 58,Schizophrenia,"Interventional strategies for the prodromal phase of schizophrenia are based largely on treatment concepts that have already been shown to be effective for the prevention of relapses. Such a multimodal concept for early psychotherapeutic intervention has been developed at the psychiatric department of the University of Cologne. This model emphasizes individual symptom-oriented cognitive/behavioral treatment and psychoeducation directed both to the patient and his/her contact person(s). In addition, stress and symptom management, training of social skills and computer-aided cognitive training tailored to individual needs are also offered. In contrast, pharmacological treatment is considered only when, despite the above-mentioned strategy, the clinical picture worsens appreciably and attenuated psychotic symptoms have appeared.","Certain cognitive deficits in schizophrenia have been linked to dysfunction of prefrontal cortical (PFC) γ-aminobutyric acid (GABA) neurons and appear neurodevelopmental in nature. Since opioids suppress GABA neuron activity, we conducted the first study to determine 1) whether the μ opioid receptor (MOR), δ opioid receptor (DOR), and opioid ligand proenkephalin are altered in the PFC of a large cohort of schizophrenia subjects and 2) the postnatal developmental trajectory in monkey PFC of opioid markers that are altered in schizophrenia. We used quantitative polymerase chain reaction to measure mRNA levels from 42 schizophrenia and 42 matched healthy comparison subjects; 18 monkeys chronically exposed to haloperidol, olanzapine, or placebo; and 49 monkeys aged 1 week-11.5 years. We found higher levels for MOR mRNA (+27%) in schizophrenia but no differences in DOR or proenkephalin mRNAs. Elevated MOR mRNA levels in schizophrenia did not appear to be explained by substance abuse, psychotropic medications, or illness chronicity. Finally, MOR mRNA levels declined through early postnatal development, stabilized shortly before adolescence and increased across adulthood in monkey PFC. In schizophrenia, higher MOR mRNA levels may contribute to suppressed PFC GABA neuron activity and might be attributable to alterations in the postnatal developmental trajectory of MOR signaling.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Schizophrenia Sentence A: Interventional strategies for the prodromal phase of schizophrenia are based largely on treatment concepts that have already been shown to be effective for the prevention of relapses. Such a multimodal concept for early psychotherapeutic intervention has been developed at the psychiatric department of the University of Cologne. This model emphasizes individual symptom-oriented cognitive/behavioral treatment and psychoeducation directed both to the patient and his/her contact person(s). In addition, stress and symptom management, training of social skills and computer-aided cognitive training tailored to individual needs are also offered. In contrast, pharmacological treatment is considered only when, despite the above-mentioned strategy, the clinical picture worsens appreciably and attenuated psychotic symptoms have appeared. Sentence B: Certain cognitive deficits in schizophrenia have been linked to dysfunction of prefrontal cortical (PFC) γ-aminobutyric acid (GABA) neurons and appear neurodevelopmental in nature. Since opioids suppress GABA neuron activity, we conducted the first study to determine 1) whether the μ opioid receptor (MOR), δ opioid receptor (DOR), and opioid ligand proenkephalin are altered in the PFC of a large cohort of schizophrenia subjects and 2) the postnatal developmental trajectory in monkey PFC of opioid markers that are altered in schizophrenia. We used quantitative polymerase chain reaction to measure mRNA levels from 42 schizophrenia and 42 matched healthy comparison subjects; 18 monkeys chronically exposed to haloperidol, olanzapine, or placebo; and 49 monkeys aged 1 week-11.5 years. We found higher levels for MOR mRNA (+27%) in schizophrenia but no differences in DOR or proenkephalin mRNAs. Elevated MOR mRNA levels in schizophrenia did not appear to be explained by substance abuse, psychotropic medications, or illness chronicity. Finally, MOR mRNA levels declined through early postnatal development, stabilized shortly before adolescence and increased across adulthood in monkey PFC. In schizophrenia, higher MOR mRNA levels may contribute to suppressed PFC GABA neuron activity and might be attributable to alterations in the postnatal developmental trajectory of MOR signaling. ###Answer 1. Changed Reasoning: In Sentence A, the term ""prodromal phase"" is used to describe the early stages of schizophrenia, and the focus is on early intervention and treatment concepts. The term ""prodromal"" implies a sense of early warning or precursor to a more severe illness. In contrast, Sentence B uses more technical and specialized language, such as ""PFC γ-aminobutyric acid (GABA) neurons"" and ""postnatal developmental trajectory."" The term ""schizophrenia"" is mentioned in both sentences, but the context and focus of the term have changed significantly between the two sentences. Sentence B uses more technical language and focuses on the neurobiological mechanisms underlying the disorder, while Sentence A focuses on the clinical presentation and treatment of the disorder. Therefore, semantic drift has occurred in the meaning of the term ""schizophrenia"" between the two sentences." 59,Schizophrenia,"Iloperidone is a novel atypical antipsychotic compound currently under clinical development for the treatment of psychotic disorders. In radioligand binding studies, iloperidone binds with high affinity to serotonin (5-HT) 5-HT2A and noradrenaline alpha1 and alpha2C receptors [Neuropsychopharmacology (2001) 25, 904-914]. The human metabolism of iloperidone generates two major metabolites, P88-8991 and P95-12113. The aim of this study was to compare the receptor affinity profile of P88-8991 and P95-12113 with that of the parent compound. The receptor affinity profile of P88-8991 is comparable to that of iloperidone. This metabolite binds to the following monoamine receptors (pKi values in nM): serotonin 5-HT2A receptors (9.56), adrenergic alpha1 (8.08) and alpha2C (7.79) receptors, and D2A receptors (7.80). Lower affinity is seen for other dopamine, serotonin, alpha2-adrenergic and histamine H1 receptors. In contrast, P95-12113 shows affinity for 5-HT2A receptors (pKi 8.15; which is 60-fold lower than that of iloperidone), adrenergic alpha1 (7.67), alpha2C (7.32) and alpha2B (7.08) receptors. Given this affinity profile, and the observation that P95-12113 does not readily cross the blood-brain barrier, it is unlikely that this metabolite contributes to the therapeutic effect of iloperidone in patients with schizophrenia. However, the comparable receptor binding profile of P88-8991 indicates that it is likely to contribute to the clinical profile of iloperidone.","Adequate prenatal nutrition is essential for optimal brain development. There is a growing body of evidence from epidemiology linking exposure to nutritional deprivation and increased risk of schizophrenia. Based on studies from the Netherlands and China, those exposed to macronutrient deficiencies during famine have an increased risk of schizophrenia. With respect to micronutrients, we focus on 3 candidates where there is biological plausibility for a role in this disorder and at least 1 study of an association with schizophrenia. These nutrients include vitamin D, folic acid, and iron. While the current evidence is incomplete, we discuss the potential implications of these findings for the prevention of schizophrenia. We argue that schizophrenia can draw inspiration from public health interventions related to prenatal nutrition and other outcomes and speculate on relevant factors that bear on the nature, risks, impact, and logistics of various nutritional strategies that may be employed to prevent this disorder.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Schizophrenia Sentence A: Iloperidone is a novel atypical antipsychotic compound currently under clinical development for the treatment of psychotic disorders. In radioligand binding studies, iloperidone binds with high affinity to serotonin (5-HT) 5-HT2A and noradrenaline alpha1 and alpha2C receptors [Neuropsychopharmacology (2001) 25, 904-914]. The human metabolism of iloperidone generates two major metabolites, P88-8991 and P95-12113. The aim of this study was to compare the receptor affinity profile of P88-8991 and P95-12113 with that of the parent compound. The receptor affinity profile of P88-8991 is comparable to that of iloperidone. This metabolite binds to the following monoamine receptors (pKi values in nM): serotonin 5-HT2A receptors (9.56), adrenergic alpha1 (8.08) and alpha2C (7.79) receptors, and D2A receptors (7.80). Lower affinity is seen for other dopamine, serotonin, alpha2-adrenergic and histamine H1 receptors. In contrast, P95-12113 shows affinity for 5-HT2A receptors (pKi 8.15; which is 60-fold lower than that of iloperidone), adrenergic alpha1 (7.67), alpha2C (7.32) and alpha2B (7.08) receptors. Given this affinity profile, and the observation that P95-12113 does not readily cross the blood-brain barrier, it is unlikely that this metabolite contributes to the therapeutic effect of iloperidone in patients with schizophrenia. However, the comparable receptor binding profile of P88-8991 indicates that it is likely to contribute to the clinical profile of iloperidone. Sentence B: Adequate prenatal nutrition is essential for optimal brain development. There is a growing body of evidence from epidemiology linking exposure to nutritional deprivation and increased risk of schizophrenia. Based on studies from the Netherlands and China, those exposed to macronutrient deficiencies during famine have an increased risk of schizophrenia. With respect to micronutrients, we focus on 3 candidates where there is biological plausibility for a role in this disorder and at least 1 study of an association with schizophrenia. These nutrients include vitamin D, folic acid, and iron. While the current evidence is incomplete, we discuss the potential implications of these findings for the prevention of schizophrenia. We argue that schizophrenia can draw inspiration from public health interventions related to prenatal nutrition and other outcomes and speculate on relevant factors that bear on the nature, risks, impact, and logistics of various nutritional strategies that may be employed to prevent this disorder. ###Answer 1. Changed Reasoning: In Sentence A, the term ""schizophrenia"" is used in the context of a scientific study to describe a mental disorder characterized by disorganized thinking and behavior. The sentence highlights the drug iloperidone's receptor affinity profile and its potential contribution to the therapeutic effect in patients with schizophrenia. However, there is no mention of any nutritional or environmental factors that may contribute to the development of the disorder. In Sentence B, the term ""schizophrenia"" is used in a different context, focusing on the potential prevention of the disorder through prenatal nutrition. The sentence highlights the importance of adequate prenatal nutrition for optimal brain development and the growing body of evidence linking nutritional deprivation to an increased risk of schizophrenia. The sentence also mentions the potential role of micronutrients such as vitamin D, folic acid, and iron in preventing the disorder. Based on these two sentences, it is clear that the term ""schizophrenia"" has undergone a significant shift in meaning and connotation between the two timestamps. In Sentence A, the term is used in a purely clinical context, without any mention of potential causes or prevention strategies. In contrast, Sentence B places a greater emphasis on the potential prevention of schizophrenia through nutritional interventions, highlighting the importance of adequate prenatal nutrition for optimal brain development and the potential role of nutrients in preventing the disorder. Therefore, the label ""Changed"" is appropriate to indicate that the meaning and connotation of the term ""schizophrenia"" have shifted over time." 60,Schizophrenia,"Schizophrenia is hypothesized as a neurodevelopmental and neurodegenerative disorder based on the following findings. 1. MRI studies have revealed brain structural abnormalities from the onset of schizophrenia and the progress of these structural abnormalities. 2. Histopathological studies have elucidated cytoarchitectural abnormalities in schizophrenic brains without gliosis. 3. Obstetric complications are one of the risk factors for schizophrenia. 4. Relapse of schizophrenia results in a deteriorating progress of the disorder. Furthermore, data from family, twin and adoption studies show evidence of a substantial genetic component in schizophrenia, Thus, a molecular genetic study combined with a neurodevelopmental and neurodegenerative hypothesis is required to elucidate the pathophysiology of schizophrenia. The positive association between neuregulin 1 and Icelandic schizophrenia that has been reproduced in Scottish and North European schizophrenia is one of the intriguing examples of this type of research. Neuregulin 1 regulates the cytoarchitecture of brain. Mice mutated for neuregulin 1 show a behavioral phenotype that overlaps with mouse models for schizophrenia. Furthermore, the behavioral phenotypes of the neuregulin 1 hypomorphs are reversible with clozapine. We also demonstrated a positive association between schizophrenia and a 5-HT5A receptor polymorphism, Pro15Ser, that may have role in cell differentiation in the brain.","The nosological status of catatonia in modern classificatory systems and the influence of culture on its presentation are not fully understood. A secondary analysis of the data collected for another study that looked at the incidence of catatonia in India and Wales was performed to examine the association of catatonia to ICD 10 F diagnostic categories in two different cultural settings. The most common clinical diagnosis assigned by clinicians in India was from ICD10 F 20, while in Wales it was from ICD10 F30. The differences between the two settings were found in the F20 group. Association of catatonia appears to be more consistent with affective disorders in the two settings, but not with schizophrenia spectrum disorders. The findings are subjected to the limitations of secondary analysis.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Schizophrenia Sentence A: Schizophrenia is hypothesized as a neurodevelopmental and neurodegenerative disorder based on the following findings. 1. MRI studies have revealed brain structural abnormalities from the onset of schizophrenia and the progress of these structural abnormalities. 2. Histopathological studies have elucidated cytoarchitectural abnormalities in schizophrenic brains without gliosis. 3. Obstetric complications are one of the risk factors for schizophrenia. 4. Relapse of schizophrenia results in a deteriorating progress of the disorder. Furthermore, data from family, twin and adoption studies show evidence of a substantial genetic component in schizophrenia, Thus, a molecular genetic study combined with a neurodevelopmental and neurodegenerative hypothesis is required to elucidate the pathophysiology of schizophrenia. The positive association between neuregulin 1 and Icelandic schizophrenia that has been reproduced in Scottish and North European schizophrenia is one of the intriguing examples of this type of research. Neuregulin 1 regulates the cytoarchitecture of brain. Mice mutated for neuregulin 1 show a behavioral phenotype that overlaps with mouse models for schizophrenia. Furthermore, the behavioral phenotypes of the neuregulin 1 hypomorphs are reversible with clozapine. We also demonstrated a positive association between schizophrenia and a 5-HT5A receptor polymorphism, Pro15Ser, that may have role in cell differentiation in the brain. Sentence B: The nosological status of catatonia in modern classificatory systems and the influence of culture on its presentation are not fully understood. A secondary analysis of the data collected for another study that looked at the incidence of catatonia in India and Wales was performed to examine the association of catatonia to ICD 10 F diagnostic categories in two different cultural settings. The most common clinical diagnosis assigned by clinicians in India was from ICD10 F 20, while in Wales it was from ICD10 F30. The differences between the two settings were found in the F20 group. Association of catatonia appears to be more consistent with affective disorders in the two settings, but not with schizophrenia spectrum disorders. The findings are subjected to the limitations of secondary analysis. ###Answer 1. Changed Reasoning: In Sentence A, the target word ""schizophrenia"" is used to describe a neurodevelopmental and neurodegenerative disorder with structural and cytoarchitectural abnormalities, as well as a genetic component. The word is used in the context of a hypothesis that aims to elucidate the pathophysiology of the disorder. In contrast, in Sentence B, the target word ""schizophrenia"" is used in a different context, describing a nosological status and cultural influences on its presentation. The word is not used to describe a specific disorder or pathophysiology, but rather to discuss the diagnostic categories and cultural factors related to its presentation. In Sentence A, the meaning of ""schizophrenia"" has shifted towards a more specific and detailed description of the disorder, including its neurodevelopmental and neurodegenerative nature, as well as its genetic components. In contrast, in Sentence B, the meaning of ""schizophrenia"" is more general and descriptive, focusing on its nosological status and cultural influences. Therefore, semantic drift has occurred in the meaning of ""schizophrenia"" between Sentence A and Sentence B." 61,Schizophrenia,"This article summarizes events surrounding the closing of Chestnut Lodge, as a backdrop to the author's reactions on reading Frieda Fromm-Reichmann's biography. This anecdotal piece forms a complementary essay with the 2000 Frieda Fromm-Reichmann Lecture, ""The Current Relevance of Fromm-Reichmann's Works."" It illustrates aspects of treatment of schizophrenia and of the individuals involved in such work.","Deficits in backward masking have been variably reported in schizophrenia patients, but individual differences in the expression of these deficits have not been explicitly investigated. In addition, increased knowledge of the visual system has opened the door for new techniques such as transcranial magnetic stimulation (TMS) to explore these deficits physiologically.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Schizophrenia Sentence A: This article summarizes events surrounding the closing of Chestnut Lodge, as a backdrop to the author's reactions on reading Frieda Fromm-Reichmann's biography. This anecdotal piece forms a complementary essay with the 2000 Frieda Fromm-Reichmann Lecture, ""The Current Relevance of Fromm-Reichmann's Works."" It illustrates aspects of treatment of schizophrenia and of the individuals involved in such work. Sentence B: Deficits in backward masking have been variably reported in schizophrenia patients, but individual differences in the expression of these deficits have not been explicitly investigated. In addition, increased knowledge of the visual system has opened the door for new techniques such as transcranial magnetic stimulation (TMS) to explore these deficits physiologically. ###Answer 1. Changed Explanation: In Sentence A, the target word ""schizophrenia"" is used in the context of a historical event and a biography, indicating a focus on the psychiatric disorder as a medical condition. The word is used in a neutral or even positive manner, suggesting a time when the condition was seen as treatable and manageable. In contrast, in Sentence B, the word is used in the context of a scientific study and a physiological phenomenon, indicating a shift towards a more medicalized and pathologized understanding of the condition. The word is used in a more negative and stigmatizing manner, suggesting a time when the condition is seen as a deficit or a problem. Therefore, there has been a significant change in the meaning and connotation of the target word ""schizophrenia"" between the two sentences, indicating semantic drift." 62,Schizophrenia,"More than 20 studies of schizophrenia have found a three-factor model of symptom complexes or syndromes consisting of hallucinations/delusions, disorganization of thought and behavior, and negative symptoms. Several lines of evidence suggest that these syndromes relate to neurobiological differences. We examined the relationship of these three syndromes to neurological signs.","Neuropsychological rehabilitation has been the focus of much scientific research over the past decades due to its efficacy in different pathologies. Advances in the neuropsychology field have led to improvements and changes in neuropsychological interventions, which in turn have given rise to different approaches and rehabilitation programs. REHACOP is an integrative neuropsychological rehabilitation program designed by specialist neuropsychologists. With an integrated bottom-up and top-down approach, REHACOP includes neurocognition, social cognition, and daily living tasks hierarchically organized on an increasing level of difficulty. Task arrangement is addressed to maximize improvements and transfer effects into participant's daily living. To date, REHACOP has been implemented on different clinical samples such as patients with schizophrenia, multiple sclerosis (MS), and Parkinson's disease (PD). This manuscript presents the efficacy data of REHACOP across these three populations and discusses it in the context of the available literature. Overall, the magnitude of improvements obtained by means of REHACOP ranged from medium to high across samples. These changes were not restricted to specific neurocognitive domains since participants attending the REHACOP program also showed changes in social cognition and daily functioning variables by means of both direct and transfer effects. Results regarding REHACOP's efficacy in psychiatric and neurological conditions have contributed to expanding the existing evidence about the use of structured neuropsychological rehabilitation. In addition, the results obtained after its implementation highlighted the need and importance of designing and implementing integrative neuropsychological rehabilitation programs that are focused not only on cognition ","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Schizophrenia Sentence A: More than 20 studies of schizophrenia have found a three-factor model of symptom complexes or syndromes consisting of hallucinations/delusions, disorganization of thought and behavior, and negative symptoms. Several lines of evidence suggest that these syndromes relate to neurobiological differences. We examined the relationship of these three syndromes to neurological signs. Sentence B: Neuropsychological rehabilitation has been the focus of much scientific research over the past decades due to its efficacy in different pathologies. Advances in the neuropsychology field have led to improvements and changes in neuropsychological interventions, which in turn have given rise to different approaches and rehabilitation programs. REHACOP is an integrative neuropsychological rehabilitation program designed by specialist neuropsychologists. With an integrated bottom-up and top-down approach, REHACOP includes neurocognition, social cognition, and daily living tasks hierarchically organized on an increasing level of difficulty. Task arrangement is addressed to maximize improvements and transfer effects into participant's daily living. To date, REHACOP has been implemented on different clinical samples such as patients with schizophrenia, multiple sclerosis (MS), and Parkinson's disease (PD). This manuscript presents the efficacy data of REHACOP across these three populations and discusses it in the context of the available literature. Overall, the magnitude of improvements obtained by means of REHACOP ranged from medium to high across samples. These changes were not restricted to specific neurocognitive domains since participants attending the REHACOP program also showed changes in social cognition and daily functioning variables by means of both direct and transfer effects. Results regarding REHACOP's efficacy in psychiatric and neurological conditions have contributed to expanding the existing evidence about the use of structured neuropsychological rehabilitation. In addition, the results obtained after its implementation highlighted the need and importance of designing and implementing integrative neuropsychological rehabilitation programs that are focused not only on cognition ###Answer 1. Changed Reasoning: The target word ""schizophrenia"" has undergone a significant change in meaning and connotation between the two sentences. In Sentence A, the term is used to describe a specific set of symptoms and syndromes related to neurobiological differences. In Sentence B, the term is used more broadly to describe a range of neurological conditions, including psychiatric and neurological disorders. The shift in meaning suggests that the term ""schizophrenia"" has undergone semantic drift over time." 63,Schizophrenia,"Primary, enduring negative symptoms have been distinguished from negative symptoms more generally and are used to define the deficit syndrome of schizophrenia. Although the validity of the deficit syndrome has been demonstrated by using brain imaging, neuropsychological, illness outcome, and developmental history data, the stability of this diagnostic category has not been tested prospectively by using direct patient assessments.","Programmed epigenetic modifications occurring at early postnatal brain developmental stages may have a long-lasting impact on brain function and complex behavior throughout life. Notably, it is now emerging that several genes that undergo perinatal changes in DNA methylation are associated with neuropsychiatric disorders. In this context, we envisaged that epigenetic modifications during the perinatal period may potentially drive essential changes in the genes regulating brain levels of critical neuromodulators such as D-serine and D-aspartate. Dysfunction of this fine regulation may contribute to the genesis of schizophrenia or other mental disorders, in which altered levels of D-amino acids are found. We recently demonstrated that Ddo, the D-aspartate degradation gene, is actively demethylated to ultimately reduce D-aspartate levels. However, the role of epigenetics as a mechanism driving the regulation of appropriate D-ser levels during brain development has been poorly investigated to date.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Schizophrenia Sentence A: Primary, enduring negative symptoms have been distinguished from negative symptoms more generally and are used to define the deficit syndrome of schizophrenia. Although the validity of the deficit syndrome has been demonstrated by using brain imaging, neuropsychological, illness outcome, and developmental history data, the stability of this diagnostic category has not been tested prospectively by using direct patient assessments. Sentence B: Programmed epigenetic modifications occurring at early postnatal brain developmental stages may have a long-lasting impact on brain function and complex behavior throughout life. Notably, it is now emerging that several genes that undergo perinatal changes in DNA methylation are associated with neuropsychiatric disorders. In this context, we envisaged that epigenetic modifications during the perinatal period may potentially drive essential changes in the genes regulating brain levels of critical neuromodulators such as D-serine and D-aspartate. Dysfunction of this fine regulation may contribute to the genesis of schizophrenia or other mental disorders, in which altered levels of D-amino acids are found. We recently demonstrated that Ddo, the D-aspartate degradation gene, is actively demethylated to ultimately reduce D-aspartate levels. However, the role of epigenetics as a mechanism driving the regulation of appropriate D-ser levels during brain development has been poorly investigated to date. ###Answer 1. Changed Reasoning: In Sentence A, the term ""schizophrenia"" is used to describe a specific set of negative symptoms, with a focus on the ""deficit syndrome."" This usage suggests that the term was originally used to describe a specific set of symptoms, rather than a broader mental disorder. In Sentence B, the term ""schizophrenia"" is used more broadly to describe a mental disorder with a genetic basis, and the term ""epigenetic modifications"" is used to describe the mechanism driving the disorder. This usage suggests that the term ""schizophrenia"" has shifted in meaning over time to encompass a broader set of symptoms and a genetic basis. Therefore, the label ""Changed"" is appropriate for this example." 64,Schizophrenia,"The prevalence of abnormal subjective experiences is high in schizophrenic patients. This study starts from the hypothesis that these subjective disorders are associated with cognitive disturbances. In order to test this hypothesis a study was carried out on 40 patients who were diagnosed as suffering from schizophrenia according to RDC and DSM-III-R criteria. They were consecutively admitted due to a recrudescence of their symptomatology. Version 3 of the Frankfurt Complaint Questionnaire, adapted for Spanish by the authors, was used as an instrument for the assessment of subjective experiences. Eight patients refused to answer the questionnaire. A neuropsychological battery, including the Mini-Mental State, some subtests from the WAIS, Bender's visual-motor test, Rey's Complex Figure, and the Trail Making Test, was used. Frontal neurological signs were evaluated. The abnormal subjective experiences of schizophrenics presented a close association with neuropsychological disturbances and, to a lesser degree, of intensity with frontal neurological signs. Regression analyses by means of stepwise method and partial correlation analyses were undertaken. Many significant relationships between subjective experiences and cognitive disturbances persisted after controlling the influence of age, gender, education, lack of insight, neuroleptic doses, and biperidene doses.","Clozapine is indicated for treatment-resistant schizophrenia (TRS), but only 30%-60% of patients will respond. There have been studies of clozapine augmentation with oral second-generation antipsychotics with mixed results, but no studies considering the combination with long-acting injectable antipsychotics (LAIAs). This study is the first to attempt to establish the benefits of the combination of clozapine and LAIAs in TRS using a variety of outcome measures of symptomatology and quality of life.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Schizophrenia Sentence A: The prevalence of abnormal subjective experiences is high in schizophrenic patients. This study starts from the hypothesis that these subjective disorders are associated with cognitive disturbances. In order to test this hypothesis a study was carried out on 40 patients who were diagnosed as suffering from schizophrenia according to RDC and DSM-III-R criteria. They were consecutively admitted due to a recrudescence of their symptomatology. Version 3 of the Frankfurt Complaint Questionnaire, adapted for Spanish by the authors, was used as an instrument for the assessment of subjective experiences. Eight patients refused to answer the questionnaire. A neuropsychological battery, including the Mini-Mental State, some subtests from the WAIS, Bender's visual-motor test, Rey's Complex Figure, and the Trail Making Test, was used. Frontal neurological signs were evaluated. The abnormal subjective experiences of schizophrenics presented a close association with neuropsychological disturbances and, to a lesser degree, of intensity with frontal neurological signs. Regression analyses by means of stepwise method and partial correlation analyses were undertaken. Many significant relationships between subjective experiences and cognitive disturbances persisted after controlling the influence of age, gender, education, lack of insight, neuroleptic doses, and biperidene doses. Sentence B: Clozapine is indicated for treatment-resistant schizophrenia (TRS), but only 30%-60% of patients will respond. There have been studies of clozapine augmentation with oral second-generation antipsychotics with mixed results, but no studies considering the combination with long-acting injectable antipsychotics (LAIAs). This study is the first to attempt to establish the benefits of the combination of clozapine and LAIAs in TRS using a variety of outcome measures of symptomatology and quality of life. ###Answer 1. Changed Reasoning: In Sentence A, the term ""schizophrenia"" is used to describe a mental disorder characterized by ""abnormal subjective experiences."" The term carries a negative connotation, implying a disorder or illness. In Sentence B, the term ""schizophrenia"" is used to describe a treatment-resistant form of the disorder, with a focus on the lack of response to treatment. The term carries a different connotation, implying a more severe or intractable form of the disorder. The shift in meaning is significant, as it implies a change in the way the disorder is perceived and understood. Therefore, the label ""Changed"" is appropriate." 65,Schizophrenia,"Up-to-date data are needed on the types of treatments used by psychiatrists and the reasons for use of particular treatments. Using 1997 American Psychiatric Association (APA) Practice Research Network (PRN) Study data on patients with schizophrenia and other psychotic disorders, we identified the characteristics of antipsychotic medications (APMs) currently being prescribed and factors associated with the use of particular regimens. In this study population, use of the newer APMs, including risperidone, olanzapine, and clozapine, has increased rapidly and now accounts for over one-half of all APM use. Other intriguing findings include the fact that one-sixth of patients with schizophrenia and other psychotic disorders are concurrently treated with two or more APMs. Factors associated with being prescribed one of the newer APMs risperidone or olanzapine include being elderly, having more education, being white, having psychiatric comorbidity, and making fewer recent visits to a psychiatrist. The APA PRN Study data are an important new resource for mental health services researchers.","The synapsins are a family of neuronal phosphoproteins evolutionarily conserved in invertebrate and vertebrate organisms. Their best-characterised function is to modulate neurotransmitter release at the pre-synaptic terminal, by reversibly tethering synaptic vesicles (SVs) to the actin cytoskeleton. However, many recent data have suggested novel functions for synapsins in other aspects of the pre-synaptic physiology, such as SV docking, fusion and recycling. Synapsin activity is tightly regulated by several protein kinases and phosphatases, which modulate the association of synapsins to SVs as well as their interaction with actin filaments and other synaptic proteins. In this context, synapsins act as a link between extracellular stimuli and the intracellular signalling events activated upon neuronal stimulation. Genetic manipulation of synapsins in various in vivo models has revealed that, although not essential for the basic development and functioning of neuronal networks, these proteins are extremely important in the fine-tuning of neuronal plasticity, as shown by the epileptic phenotype and behavioural abnormalities characterising mouse lines lacking one or more synapsin isoforms. In this review, we summarise the current knowledge about how the various members of the synapsin family are involved in the modulation of the pre-synaptic physiology. We give a comprehensive description of the molecular basis of synapsin function, as well as an overview of the more recent evidence linking mutations in the synapsin proteins to the onset of severe central nervous system diseases such as epilepsy and schizophrenia.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Schizophrenia Sentence A: Up-to-date data are needed on the types of treatments used by psychiatrists and the reasons for use of particular treatments. Using 1997 American Psychiatric Association (APA) Practice Research Network (PRN) Study data on patients with schizophrenia and other psychotic disorders, we identified the characteristics of antipsychotic medications (APMs) currently being prescribed and factors associated with the use of particular regimens. In this study population, use of the newer APMs, including risperidone, olanzapine, and clozapine, has increased rapidly and now accounts for over one-half of all APM use. Other intriguing findings include the fact that one-sixth of patients with schizophrenia and other psychotic disorders are concurrently treated with two or more APMs. Factors associated with being prescribed one of the newer APMs risperidone or olanzapine include being elderly, having more education, being white, having psychiatric comorbidity, and making fewer recent visits to a psychiatrist. The APA PRN Study data are an important new resource for mental health services researchers. Sentence B: The synapsins are a family of neuronal phosphoproteins evolutionarily conserved in invertebrate and vertebrate organisms. Their best-characterised function is to modulate neurotransmitter release at the pre-synaptic terminal, by reversibly tethering synaptic vesicles (SVs) to the actin cytoskeleton. However, many recent data have suggested novel functions for synapsins in other aspects of the pre-synaptic physiology, such as SV docking, fusion and recycling. Synapsin activity is tightly regulated by several protein kinases and phosphatases, which modulate the association of synapsins to SVs as well as their interaction with actin filaments and other synaptic proteins. In this context, synapsins act as a link between extracellular stimuli and the intracellular signalling events activated upon neuronal stimulation. Genetic manipulation of synapsins in various in vivo models has revealed that, although not essential for the basic development and functioning of neuronal networks, these proteins are extremely important in the fine-tuning of neuronal plasticity, as shown by the epileptic phenotype and behavioural abnormalities characterising mouse lines lacking one or more synapsin isoforms. In this review, we summarise the current knowledge about how the various members of the synapsin family are involved in the modulation of the pre-synaptic physiology. We give a comprehensive description of the molecular basis of synapsin function, as well as an overview of the more recent evidence linking mutations in the synapsin proteins to the onset of severe central nervous system diseases such as epilepsy and schizophrenia. ###Answer 1. Changed Explanation: In Sentence A, the term ""schizophrenia"" is used to describe a specific mental disorder characterized by symptoms such as delusions, hallucinations, and disorganized thinking. The context suggests that the term is being used in a clinical or medical sense, likely referring to a specific diagnosis or condition. In Sentence B, the term ""schizophrenia"" is used in a completely different context, referring to a family of neuronal phosphoproteins evolutionarily conserved in invertebrate and vertebrate organisms. The term is used to describe the protein's function in modulating neurotransmitter release and interacting with other synaptic proteins. The context suggests that the term is being used in a scientific or academic sense, likely referring to a specific protein or biological process. Based on these differences in context and meaning, it is clear that the term ""schizophrenia"" has undergone a significant change in meaning between Sentence A and Sentence B. In Sentence A, the term is used to describe a well-defined medical condition, while in Sentence B, it is used to describe a protein function. Therefore, I have labeled the term ""changed"" in Sentence B compared to Sentence A." 66,Schizophrenia,"The binding of [125I]p-iodoclonidine to alpha-2, and/or [125I]iodopindolol to beta-1 and beta-2 adrenoceptors was measured in right prefrontal cortex (Brodmann's area 10) and right hippocampus from subjects with DSM-III-R diagnoses of major depression (n = 15) or schizophrenia (n = 8) as well as from control subjects (n = 20). No significant differences between study groups were observed in binding to alpha-2 adrenoceptors in any of the six layers of prefrontal cortex or in any of the hippocampal fields. Likewise, there were no significant differences in beta-1 or beta-2 adrenoceptor binding in any of the hippocampal fields between control and major depressive subjects. In contrast, binding to beta-1 adrenoceptors, but not beta-2 adrenoceptors, was significantly lower (-13 to -27%) in most hippocampal fields of schizophrenic subjects as compared to control subjects or to major depressives. Alterations in beta-1 adrenoceptor binding in the hippocampus of schizophrenics provide further evidence for a role of central noradrenergic neurons in the neurochemical pathology of schizophrenia.","Abnormalities in parvalbumin (PV)-expressing interneurons cause neurodevelopmental disorders such as epilepsy, autism, and schizophrenia. Unlike other types of neurons that can be efficiently differentiated from pluripotent stem cells, PV neurons were minimally generated using a conventional differentiation strategy. In this study we developed an adenovirus-based transdifferentiation strategy that incorporates an additional chemical compound for the efficient generation of induced PV (iPV) neurons. The chemical compound forskolin combined with Ascl1 induced ∼80% of mouse fibroblasts to iPV neurons. The iPV neurons generated by this procedure matured 5-7 days post infection and were characterized by electrophysiological properties and known neuronal markers, such as PV and GABA. Our studies, therefore, identified an efficient approach for generating PV neurons.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Schizophrenia Sentence A: The binding of [125I]p-iodoclonidine to alpha-2, and/or [125I]iodopindolol to beta-1 and beta-2 adrenoceptors was measured in right prefrontal cortex (Brodmann's area 10) and right hippocampus from subjects with DSM-III-R diagnoses of major depression (n = 15) or schizophrenia (n = 8) as well as from control subjects (n = 20). No significant differences between study groups were observed in binding to alpha-2 adrenoceptors in any of the six layers of prefrontal cortex or in any of the hippocampal fields. Likewise, there were no significant differences in beta-1 or beta-2 adrenoceptor binding in any of the hippocampal fields between control and major depressive subjects. In contrast, binding to beta-1 adrenoceptors, but not beta-2 adrenoceptors, was significantly lower (-13 to -27%) in most hippocampal fields of schizophrenic subjects as compared to control subjects or to major depressives. Alterations in beta-1 adrenoceptor binding in the hippocampus of schizophrenics provide further evidence for a role of central noradrenergic neurons in the neurochemical pathology of schizophrenia. Sentence B: Abnormalities in parvalbumin (PV)-expressing interneurons cause neurodevelopmental disorders such as epilepsy, autism, and schizophrenia. Unlike other types of neurons that can be efficiently differentiated from pluripotent stem cells, PV neurons were minimally generated using a conventional differentiation strategy. In this study we developed an adenovirus-based transdifferentiation strategy that incorporates an additional chemical compound for the efficient generation of induced PV (iPV) neurons. The chemical compound forskolin combined with Ascl1 induced ∼80% of mouse fibroblasts to iPV neurons. The iPV neurons generated by this procedure matured 5-7 days post infection and were characterized by electrophysiological properties and known neuronal markers, such as PV and GABA. Our studies, therefore, identified an efficient approach for generating PV neurons. ###Answer 1. Changed (Schizophrenia) Reasoning: In Sentence A, the term ""schizophrenia"" is used in the context of a medical diagnosis, with no connotation of negative or pejorative meaning. In contrast, in Sentence B, the term ""schizophrenia"" is used to describe a neurodevelopmental disorder, with a connotation of abnormality or dysfunction. This shift in meaning suggests that the term ""schizophrenia"" has undergone semantic drift over time, and its meaning has changed from a neutral medical term to a term with negative connotations." 67,Schizophrenia,"The rat prefrontal cortices participate in cognitive, affective and mnemonic functions. The importance of dopamine innervation for these computations is illustrated in studies showing that both supranormal levels and chemical lesions of prefrontal dopamine induce severe behavioral deficits. Observed hormone effects on some of these same behaviors suggest that the prefrontal cortices are also sensitive to gonadal steroids. These two influences seem to converge in recent evidence of increased dopamine axon density in representative prefrontal but not sensory or motor cortices in gonadectomized adult male rats. The seeming selectivity of these effects was further explored here using immunocytochemistry for tyrosine hydroxylase, dopamine-b-hydroxylase, serotonin and choline acetyltransferase to label neurochemically identified afferents in remaining, unstudied prefrontal fields of rat cortex in animals that were sham-operated or gonadectomized and given placebo, testosterone propionate, estradiol or dihydrotestosterone 28 days before being killed. Group comparisons revealed that across prefrontal zones, gonadectomy produced androgen-sensitive increases in presumed dopamine axon density, but did not affect the other afferents. These findings thus bolster evidence for a targeted gonadal steroid influence involving the prefrontal cortices and a neurotransmitter essential for their normal operations and implicated in their dysfunction in disorders such as schizophrenia as well.","Previous qualitative studies have found that exercise may facilitate symptomatic and functional recovery in people with long-term schizophrenia. This study examined the perceived effects of exercise as experienced by people in the early stages of psychosis, and explored which aspects of an exercise intervention facilitated or hindered their engagement.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Schizophrenia Sentence A: The rat prefrontal cortices participate in cognitive, affective and mnemonic functions. The importance of dopamine innervation for these computations is illustrated in studies showing that both supranormal levels and chemical lesions of prefrontal dopamine induce severe behavioral deficits. Observed hormone effects on some of these same behaviors suggest that the prefrontal cortices are also sensitive to gonadal steroids. These two influences seem to converge in recent evidence of increased dopamine axon density in representative prefrontal but not sensory or motor cortices in gonadectomized adult male rats. The seeming selectivity of these effects was further explored here using immunocytochemistry for tyrosine hydroxylase, dopamine-b-hydroxylase, serotonin and choline acetyltransferase to label neurochemically identified afferents in remaining, unstudied prefrontal fields of rat cortex in animals that were sham-operated or gonadectomized and given placebo, testosterone propionate, estradiol or dihydrotestosterone 28 days before being killed. Group comparisons revealed that across prefrontal zones, gonadectomy produced androgen-sensitive increases in presumed dopamine axon density, but did not affect the other afferents. These findings thus bolster evidence for a targeted gonadal steroid influence involving the prefrontal cortices and a neurotransmitter essential for their normal operations and implicated in their dysfunction in disorders such as schizophrenia as well. Sentence B: Previous qualitative studies have found that exercise may facilitate symptomatic and functional recovery in people with long-term schizophrenia. This study examined the perceived effects of exercise as experienced by people in the early stages of psychosis, and explored which aspects of an exercise intervention facilitated or hindered their engagement. ###Answer 1. Changed Explanation: In Sentence A, the target word ""schizophrenia"" is used in the context of a scientific study examining the effects of gonadal steroids on the prefrontal cortices. The word is used to describe a neurotransmitter that is essential for normal operations of these cortices and is implicated in their dysfunction in disorders such as schizophrenia. The sentence suggests that the meaning of the word ""schizophrenia"" in this context is related to its role in neurotransmission and the effects of gonadal steroids on these processes. In Sentence B, the target word ""schizophrenia"" is used in a different context, describing the perceived effects of exercise on people with long-term schizophrenia. The sentence suggests that the meaning of the word ""schizophrenia"" in this context is related to its potential for improving symptoms and functional recovery in people with this disorder. Based on these two sentences, it is clear that the meaning of the target word ""schizophrenia"" has shifted significantly between the two timestamps. In Sentence A, the word is used in the context of a scientific study focused on the neurotransmitter systems and gonadal steroids, whereas in Sentence B, the word is used in the context of a study examining the effects of exercise on people with schizophrenia. The two sentences suggest that the word ""schizophrenia"" has evolved to encompass a broader range of meanings, including its potential for improving symptoms and functional recovery in people with this disorder. Therefore, I would label the word ""schizophrenia"" as having undergone semantic drift between the two timestamps." 68,Schizophrenia,We compared thought-disturbance via the Rorschach-derived Ego Impairment Index (EII) between DSM-IV paranoid vs. nonparanoid (undifferentiated and disorganized) subtypes of older schizophrenia patients.,"The microglial hypothesis of schizophrenia suggests that its neuropathology is closely associated with neuroinflammation manifested, inter alia, by an increased expression of cytokines. However, clinical investigations imply that schizophrenia is a heterogeneous disease and in some groups of patients the activated inflammatory process does not contribute to the disease-associated impairment of brain function. Clinical studies revealed also an equivocal impact of antipsychotics on peripheral and CSF cytokines, whereas experimental research performed on the stimulated glia cultures showed their inhibitory effect on pro-inflammatory cytokine levels. In the present study, the effect of chlorpromazine, haloperidol and risperidone (0.5, 5 or 10μM) on production of pro-inflammatory cytokines IL-1β and TNF-α and anti-inflammatory IL-10 was investigated in the unstimulated and lipopolysaccharide-stimulated primary rat mixed glial cell cultures. In the unstimulated cultures, haloperidol at all applied concentrations, risperidone at 5, 10μM and chlorpromazine at 10μM increased IL-10 levels in the culture supernatants without a significant influence on IL-1β or TNF-α levels, and all drugs applied at 10μM induced a robust increase in IL-10 mRNA expression. Under strong inflammatory activation, haloperidol and risperidone at all concentrations reduced production of both pro-inflammatory cytokines, without adverse effects on IL-10 expression when used at 10μM. Chlorpromazine at all concentrations diminished the production of three cytokines and did not induce anti-inflammatory effect. These results suggest that dependently on glia activation antipsychotics via different mechanisms may induce anti-inflammatory effect and that this activity is not common for all drugs under conditions of strong glia activation.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Schizophrenia Sentence A: We compared thought-disturbance via the Rorschach-derived Ego Impairment Index (EII) between DSM-IV paranoid vs. nonparanoid (undifferentiated and disorganized) subtypes of older schizophrenia patients. Sentence B: The microglial hypothesis of schizophrenia suggests that its neuropathology is closely associated with neuroinflammation manifested, inter alia, by an increased expression of cytokines. However, clinical investigations imply that schizophrenia is a heterogeneous disease and in some groups of patients the activated inflammatory process does not contribute to the disease-associated impairment of brain function. Clinical studies revealed also an equivocal impact of antipsychotics on peripheral and CSF cytokines, whereas experimental research performed on the stimulated glia cultures showed their inhibitory effect on pro-inflammatory cytokine levels. In the present study, the effect of chlorpromazine, haloperidol and risperidone (0.5, 5 or 10μM) on production of pro-inflammatory cytokines IL-1β and TNF-α and anti-inflammatory IL-10 was investigated in the unstimulated and lipopolysaccharide-stimulated primary rat mixed glial cell cultures. In the unstimulated cultures, haloperidol at all applied concentrations, risperidone at 5, 10μM and chlorpromazine at 10μM increased IL-10 levels in the culture supernatants without a significant influence on IL-1β or TNF-α levels, and all drugs applied at 10μM induced a robust increase in IL-10 mRNA expression. Under strong inflammatory activation, haloperidol and risperidone at all concentrations reduced production of both pro-inflammatory cytokines, without adverse effects on IL-10 expression when used at 10μM. Chlorpromazine at all concentrations diminished the production of three cytokines and did not induce anti-inflammatory effect. These results suggest that dependently on glia activation antipsychotics via different mechanisms may induce anti-inflammatory effect and that this activity is not common for all drugs under conditions of strong glia activation. ###Answer 1. Changed Explanation: The target word ""schizophrenia"" has undergone significant semantic drift between the two time periods. In Sentence A, the word is used in the context of a specific subtype of the disorder (paranoid vs. nonparanoid), and the focus is on the neuropathology of the disease. In contrast, in Sentence B, the word is used more broadly to describe the disease as a whole, and the focus is on the anti-inflammatory effects of certain antipsychotics. The meaning of the word has shifted from a specific clinical context to a more general discussion of the disease mechanisms. Therefore, I have labeled this word as ""Changed""." 69,Schizophrenia,"This study was carried out to investigate the association of a polymorphism of the CTLA-4 gene, at position 49 of exon 1, with schizophrenia in the Korean population. Among Korean patients diagnosed with schizophrenia according to DSM-IV, 116 patients who met the selection criteria were recruited for the study. One hundred and forty-nine normal healthy Koreans from the Catholic Hemopoietic Stem Cell Information Bank, were used as a normal control group. DNA was extracted from whole blood using proteinase K and the CTLA-4 gene region was amplified by polymerase chain reaction. Geneo typing was performed by single strand conformation polymorphism (SSCP). The genotype and allele distribution in patients with schizophrenia was significantly different from that seen in the control group. This study suggests a putative role of the CTLA-4 gene polymorphism at position 49 of exon 1 for schizophrenia in the Korean population, although the detailed mechanisms remained to be elucidated.","Schizophrenia is associated with several brain deficits, as well as visual processing deficits, but clinically useful biomarkers are elusive. We hypothesized that retinal layer changes, noninvasively visualized using spectral-domain optical coherence tomography (SD-OCT), may represent a possible ""window"" to these abnormalities.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Schizophrenia Sentence A: This study was carried out to investigate the association of a polymorphism of the CTLA-4 gene, at position 49 of exon 1, with schizophrenia in the Korean population. Among Korean patients diagnosed with schizophrenia according to DSM-IV, 116 patients who met the selection criteria were recruited for the study. One hundred and forty-nine normal healthy Koreans from the Catholic Hemopoietic Stem Cell Information Bank, were used as a normal control group. DNA was extracted from whole blood using proteinase K and the CTLA-4 gene region was amplified by polymerase chain reaction. Geneo typing was performed by single strand conformation polymorphism (SSCP). The genotype and allele distribution in patients with schizophrenia was significantly different from that seen in the control group. This study suggests a putative role of the CTLA-4 gene polymorphism at position 49 of exon 1 for schizophrenia in the Korean population, although the detailed mechanisms remained to be elucidated. Sentence B: Schizophrenia is associated with several brain deficits, as well as visual processing deficits, but clinically useful biomarkers are elusive. We hypothesized that retinal layer changes, noninvasively visualized using spectral-domain optical coherence tomography (SD-OCT), may represent a possible ""window"" to these abnormalities. ###Answer 1. Changed Explanation: In Sentence A, the term ""schizophrenia"" is used to describe a specific mental disorder characterized by symptoms such as delusions, hallucinations, and disorganized thinking. The sentence also mentions a genetic polymorphism in the CTLA-4 gene as a potential risk factor for the disorder. The term is used in a scientific context, discussing a research study investigating the association between the gene and the disorder. In Sentence B, the term ""schizophrenia"" is used in a different context, to describe a broader range of brain deficits and abnormalities. The sentence suggests that the term may represent a ""window"" to these abnormalities, but does not provide any specific information about the disorder itself. Based on these differences in context and meaning, it can be concluded that the term ""schizophrenia"" has undergone a significant change in meaning between Sentence A and Sentence B. In Sentence A, the term is used in a specific and technical context related to a specific disorder, while in Sentence B, the term is used more broadly to describe a range of brain abnormalities. Therefore, the label ""Changed"" is appropriate for this task." 70,Schizophrenia,"The advent of the newer ""atypical"" antipsychotics has revolutionized pharmacologic treatment of schizophrenia (SZ) and other psychotic disorders. In contrast to the first-generation conventional neuroleptics, these second-generation antipsychotic agents possess a broader spectrum of efficacy and cause fewer motor side effects such as extrapyramidal symptoms and tardive dyskinesia. Despite their substantial advantages, however, these second-generation agents also have significant limitations in terms of both efficacy and adverse effects. Several strategies to address these shortcomings are currently under study and some of these are likely to become part of our therapeutic armamentarium in the future. Current shortcomings in the pharmacologic treatment of SZ and strategies under investigation to address each of these deficiencies are reviewed. New formulations of existing medications and new antipsychotics under development are discussed. Developing adjunctive treatment strategies to address each of the major psychopathologic domains in SZ are summarized. The potential application of genetic information to treatment-matching in SZ is reviewed and likely refinements in the practice of evidence-based medicine in the pharmacotherapy of SZ are considered.","Schizophrenia is a mental illness characterized by symptoms such as hallucinations, delusions, disorganized speech, disorganized or catatonic behavior, and negative symptoms (emotional flatness, apathy, and lack of speech). It causes social and economic burdens to patients and their family. Although etiology of schizophrenia is still uncertain, dopamine dysregulation is traditionally considered as a main etiological factor of schizophrenia, which has been utilized to develop drugs for treating schizophrenia. Recently, inflammation has presented being a risk factor for schizophrenia in that neuroinflammation contributes to the pathophysiology of schizophrenia and the exacerbation of symptom severity. Various factors including diet can regulate inflammatory state. Specific foods or dietary patterns have anti- or pro-inflammatory potentials. Increased levels of pro-inflammatory cytokines and microglia activation have been reported in schizophrenia populations and were related to the pathogenesis of schizophrenia. Omega-3 fatty acids were often recommended to schizophrenia patients because of their anti-inflammatory activities. In this review, we investigate the inflammation-related pathogenesis of schizophrenia and summarize potential nutritional approaches to inhibit the manifestation of symptoms and to alleviate symptom severity using anti-inflammatory nutrients or functional components.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Schizophrenia Sentence A: The advent of the newer ""atypical"" antipsychotics has revolutionized pharmacologic treatment of schizophrenia (SZ) and other psychotic disorders. In contrast to the first-generation conventional neuroleptics, these second-generation antipsychotic agents possess a broader spectrum of efficacy and cause fewer motor side effects such as extrapyramidal symptoms and tardive dyskinesia. Despite their substantial advantages, however, these second-generation agents also have significant limitations in terms of both efficacy and adverse effects. Several strategies to address these shortcomings are currently under study and some of these are likely to become part of our therapeutic armamentarium in the future. Current shortcomings in the pharmacologic treatment of SZ and strategies under investigation to address each of these deficiencies are reviewed. New formulations of existing medications and new antipsychotics under development are discussed. Developing adjunctive treatment strategies to address each of the major psychopathologic domains in SZ are summarized. The potential application of genetic information to treatment-matching in SZ is reviewed and likely refinements in the practice of evidence-based medicine in the pharmacotherapy of SZ are considered. Sentence B: Schizophrenia is a mental illness characterized by symptoms such as hallucinations, delusions, disorganized speech, disorganized or catatonic behavior, and negative symptoms (emotional flatness, apathy, and lack of speech). It causes social and economic burdens to patients and their family. Although etiology of schizophrenia is still uncertain, dopamine dysregulation is traditionally considered as a main etiological factor of schizophrenia, which has been utilized to develop drugs for treating schizophrenia. Recently, inflammation has presented being a risk factor for schizophrenia in that neuroinflammation contributes to the pathophysiology of schizophrenia and the exacerbation of symptom severity. Various factors including diet can regulate inflammatory state. Specific foods or dietary patterns have anti- or pro-inflammatory potentials. Increased levels of pro-inflammatory cytokines and microglia activation have been reported in schizophrenia populations and were related to the pathogenesis of schizophrenia. Omega-3 fatty acids were often recommended to schizophrenia patients because of their anti-inflammatory activities. In this review, we investigate the inflammation-related pathogenesis of schizophrenia and summarize potential nutritional approaches to inhibit the manifestation of symptoms and to alleviate symptom severity using anti-inflammatory nutrients or functional components. ###Answer 1. Changed Reasoning: The target word ""schizophrenia"" has undergone significant semantic drift between the two sentences. In Sentence A, the word is used in the context of pharmacological treatment and refers to the broader spectrum of efficacy and fewer side effects of second-generation antipsychotics compared to first-generation neuroleptics. In contrast, in Sentence B, the word is used in the context of symptoms and etiology, and refers to a mental illness characterized by hallucinations, delusions, and negative symptoms. The meaning of the word has shifted from a pharmacological context to a clinical context, indicating a significant change in the semantic drift of the word." 71,Schizophrenia,"Neuropsychiatric disorders are generally diagnosed based on a classification of behavioral and, in some cases, specific neurological deficits. The lack of distinct quantitative and qualitative biological descriptors at the anatomical and cellular level complicates the search for and understanding of the neurobiology of these disorders. The advent of microarray technology has enabled large-scale profiling of transcriptional activity, allowing a comprehensive characterization of transcriptional patterns relating to the pathophysiology of neuropsychiatric disorders. We review some of the unique methodological constraints related to the use of human postmortem brain tissue in addition to the generally applicable requirements for microarray experiments. Microarray studies undertaken in neuropsychiatric disorders such as schizophrenia and substance abuse by the use of postmortem brain tissue indicate that transcriptional changes relating to synaptic function and plasticity, cytoskeletal function, energy metabolism, oligodendrocytes, and distinct intracellular signaling pathways are generally present. These have been supported by microarray studies in experimental models, and have produced multiple avenues to be explored at the functional level. The quality and specificity of information obtained from human postmortem tissue is rapidly increasing with the maturation and refinement of array-related methodologies and analysis tools, and with the use of focused cell populations. The development of experimental models of gene regulation in these disorders will serve as the initial step towards a comprehensive genome-linked analysis of the brain and associated disorders, and help characterize the integration and coordinate regulation of complex functions within the CNS.","Patients with schizophrenia reveal impaired decision-making strategies causing social, financial and health care problems. The extent to which deficits in decision-making reflect intentional risky choices in schizophrenia is still under debate. Based on previous studies we expected patients with schizophrenia to reveal a riskier performance on the GDT and to make more disadvantageous decisions on the IGT.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Schizophrenia Sentence A: Neuropsychiatric disorders are generally diagnosed based on a classification of behavioral and, in some cases, specific neurological deficits. The lack of distinct quantitative and qualitative biological descriptors at the anatomical and cellular level complicates the search for and understanding of the neurobiology of these disorders. The advent of microarray technology has enabled large-scale profiling of transcriptional activity, allowing a comprehensive characterization of transcriptional patterns relating to the pathophysiology of neuropsychiatric disorders. We review some of the unique methodological constraints related to the use of human postmortem brain tissue in addition to the generally applicable requirements for microarray experiments. Microarray studies undertaken in neuropsychiatric disorders such as schizophrenia and substance abuse by the use of postmortem brain tissue indicate that transcriptional changes relating to synaptic function and plasticity, cytoskeletal function, energy metabolism, oligodendrocytes, and distinct intracellular signaling pathways are generally present. These have been supported by microarray studies in experimental models, and have produced multiple avenues to be explored at the functional level. The quality and specificity of information obtained from human postmortem tissue is rapidly increasing with the maturation and refinement of array-related methodologies and analysis tools, and with the use of focused cell populations. The development of experimental models of gene regulation in these disorders will serve as the initial step towards a comprehensive genome-linked analysis of the brain and associated disorders, and help characterize the integration and coordinate regulation of complex functions within the CNS. Sentence B: Patients with schizophrenia reveal impaired decision-making strategies causing social, financial and health care problems. The extent to which deficits in decision-making reflect intentional risky choices in schizophrenia is still under debate. Based on previous studies we expected patients with schizophrenia to reveal a riskier performance on the GDT and to make more disadvantageous decisions on the IGT. ###Answer 1. Changed Explanation: In Sentence A, the term ""schizophrenia"" is used in the context of a broader discussion about neuropsychiatric disorders, including their classification and the search for their neurobiology. The term is not given any particular connotation or nuance. In Sentence B, the term is used in the context of a specific discussion about patients with schizophrenia and their impaired decision-making strategies. The term carries a negative connotation, implying a lack of good decision-making skills. Therefore, based on the context and meaning of the term in each sentence, it can be concluded that the term ""schizophrenia"" has undergone a significant change in meaning or connotation between the two timestamps, shifting from a neutral or general term to a term with a negative connotation." 72,Schizophrenia,To investigate how many people with schizophrenia are being treated by general practitioners (GPs) and what the associations are between GP characteristics and the number of patients with schizophrenia in their practice.,"Coping by families of patients with schizophrenia include 'approach' strategies considered to be adaptive (e.g. reinterpretation) and potentially maladaptive 'avoidant' strategies (denial/disengagement, use of alcohol and drugs). Little is known about coping strategies used by families of individuals with incipient or emergent psychosis.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Schizophrenia Sentence A: To investigate how many people with schizophrenia are being treated by general practitioners (GPs) and what the associations are between GP characteristics and the number of patients with schizophrenia in their practice. Sentence B: Coping by families of patients with schizophrenia include 'approach' strategies considered to be adaptive (e.g. reinterpretation) and potentially maladaptive 'avoidant' strategies (denial/disengagement, use of alcohol and drugs). Little is known about coping strategies used by families of individuals with incipient or emergent psychosis. ###Answer 1. Changed Reasoning: The meaning of the target word ""schizophrenia"" has shifted significantly between the two sentences. In Sentence A, the word is used to describe a medical condition that is treated by general practitioners. In Sentence B, the word is used to describe a mental illness that affects an individual's ability to cope with stressful situations. The shift in meaning suggests that the term ""schizophrenia"" has undergone semantic drift." 73,Schizophrenia,To examine the cost-effectiveness of Hallucination focused Integrative Treatment (HIT) in patients with schizophrenia and a history of persistent auditory hallucinations.,Antipsychotic long-acting injections (AP-LAIs) are indicated for patients affected by schizophrenia especially those with poor treatment adherence.,"###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Schizophrenia Sentence A: To examine the cost-effectiveness of Hallucination focused Integrative Treatment (HIT) in patients with schizophrenia and a history of persistent auditory hallucinations. Sentence B: Antipsychotic long-acting injections (AP-LAIs) are indicated for patients affected by schizophrenia especially those with poor treatment adherence. ###Answer 1. Changed Explanation: In Sentence A, the term ""schizophrenia"" is used in the context of a specific treatment for auditory hallucinations. The term is not accompanied by any additional information that would suggest a change in meaning. Therefore, the meaning of the term remains relatively consistent between the two sentences. In Sentence B, the term ""schizophrenia"" is used in a different context, indicating a broader definition of the term. The sentence mentions ""patients affected by schizophrenia,"" which suggests a shift in focus from a specific treatment to a broader understanding of the disorder. This change in meaning is significant enough to warrant the label ""Changed.""" 74,Schizophrenia,"This work is devoted to the study of CPK BB content in nuclear fraction of nervous cells in normal brain and in brains of mental (schizophrenia and Alzheimer disease) patients. With the help of the immunocytochemistry and immunoblotting was detected, that the nuclear membrane fraction of brain contains significant amount of CPK BB. On the contrary, in the nuclear membrane fractions of schizophrenic and Alzheimer disease brains the content of this isoenzyme decreased. Therefore in the brain of schizophrenic and Alzheimer disease patients the content of CPK BB decreased not only in cytosolic fractions, but also in the fractions of nuclear membranes. We demonstrated also, that cytosolic CPK BB associates not only with nuclear membranes, but with synaptosomal and microsomal fractions and mitochondrias of normal brain cells.","Abnormal resting state electroencephalogram (EEG) oscillations are reported in schizophrenia (SZ) and bipolar disorder, illnesses with overlapping symptoms and genetic risk. However, less evidence exists on whether similar EEG spectral abnormalities are present in individuals with both disorders or whether these abnormalities are present in first-degree relatives, possibly representing genetic predisposition for these disorders.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Schizophrenia Sentence A: This work is devoted to the study of CPK BB content in nuclear fraction of nervous cells in normal brain and in brains of mental (schizophrenia and Alzheimer disease) patients. With the help of the immunocytochemistry and immunoblotting was detected, that the nuclear membrane fraction of brain contains significant amount of CPK BB. On the contrary, in the nuclear membrane fractions of schizophrenic and Alzheimer disease brains the content of this isoenzyme decreased. Therefore in the brain of schizophrenic and Alzheimer disease patients the content of CPK BB decreased not only in cytosolic fractions, but also in the fractions of nuclear membranes. We demonstrated also, that cytosolic CPK BB associates not only with nuclear membranes, but with synaptosomal and microsomal fractions and mitochondrias of normal brain cells. Sentence B: Abnormal resting state electroencephalogram (EEG) oscillations are reported in schizophrenia (SZ) and bipolar disorder, illnesses with overlapping symptoms and genetic risk. However, less evidence exists on whether similar EEG spectral abnormalities are present in individuals with both disorders or whether these abnormalities are present in first-degree relatives, possibly representing genetic predisposition for these disorders. ###Answer 1. Changed Reasoning: In Sentence A, the term ""schizophrenia"" is used to describe a specific mental disorder characterized by abnormalities in the brain's structure and function, including decreased levels of CPK BB in the nuclear membrane fraction of brain cells. The sentence highlights the specific symptoms and diagnostic features of the disorder. In Sentence B, the term ""schizophrenia"" is used in a different context, referring to abnormal resting state EEG oscillations in individuals with overlapping symptoms and genetic risk. The sentence does not provide specific diagnostic features of the disorder, but rather focuses on the EEG abnormalities. Therefore, the meaning of the term ""schizophrenia"" has changed significantly between the two sentences, shifting from a specific mental disorder to a more general term encompassing a range of symptoms and diagnostic features. This indicates semantic drift has occurred." 75,Schizophrenia,"As many as 56 patients suffering from slow-progredient attack-like schizophrenia running its course with the predominance of obsessions in the clinical picture were examined and followed up for 3 to 5 years. At the moment of the examination the patients' age ranged from 8 to 15 years. It has been established that during slow-progredient attack-like schizophrenia in children and adolescents, obsessions occur in the structure of ""large"" obsessive syndromes characterized by polymorphism of psychopathological disorders and always including remarkable affective symptomatology. Six types of obsessive conditions were distinguished, each of which was marked by a definite stereotype of the disease natural history and correlated with the degree of the process progress. Among the types of obsessive conditions described, depressive ones with obsessions (three types) led on the whole to less pronounced alterations of the personality than obsessive-anxious ones, particularly anxious-hypochondriac attacks after the completion of which there formed relatively more profound personality changes.","The susceptibility genes for schizophrenia Neuregulin-1 (NRG1) and ErbB4 have critical functions during brain development and in the adult. Alterations in the ErbB4 signaling pathway cause a variety of neurodevelopmental defects including deficiencies in neuronal migration, synaptic plasticity, and myelination. I have used the ErbB4(-/-) HER4(heart) KO mice to study the neurodevelopmental insults associated to deficiencies in the NRG1-ErbB4 signaling pathway and their potential implication with brain disorders such as schizophrenia, a chronic psychiatric disease affecting 1% of the population worldwide. ErbB4 deletion results in an array of neurodevelopmental deficits that are consistent with a schizophrenic model. First, similar defects appear in multiple brain structures, from the cortex to the cerebellum. Second, these defects affect multiple aspects of brain development, from deficits in neuronal migration to impairments in excitatory/inhibitory systems, including reductions in brain volume, cortical and cerebellar heterotopias, alterations in number and distribution of specific subpopulations of interneurons, deficiencies in the astrocytic and oligodendrocytic lineages, and additional insults in major brain structures. This suggests that alterations in specific neurodevelopmental genes that play similar functions in multiple neuroanatomical structures might account for some of the symptomatology observed in schizophrenic patients, such as defects in cognition. ErbB4 mutation uncovers flaws in brain development that are compatible with a neurodevelopmental model of schizophrenia, and it establishes a comprehensive model to study the basis of the disorder before symptoms are detected in the adult. ","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Schizophrenia Sentence A: As many as 56 patients suffering from slow-progredient attack-like schizophrenia running its course with the predominance of obsessions in the clinical picture were examined and followed up for 3 to 5 years. At the moment of the examination the patients' age ranged from 8 to 15 years. It has been established that during slow-progredient attack-like schizophrenia in children and adolescents, obsessions occur in the structure of ""large"" obsessive syndromes characterized by polymorphism of psychopathological disorders and always including remarkable affective symptomatology. Six types of obsessive conditions were distinguished, each of which was marked by a definite stereotype of the disease natural history and correlated with the degree of the process progress. Among the types of obsessive conditions described, depressive ones with obsessions (three types) led on the whole to less pronounced alterations of the personality than obsessive-anxious ones, particularly anxious-hypochondriac attacks after the completion of which there formed relatively more profound personality changes. Sentence B: The susceptibility genes for schizophrenia Neuregulin-1 (NRG1) and ErbB4 have critical functions during brain development and in the adult. Alterations in the ErbB4 signaling pathway cause a variety of neurodevelopmental defects including deficiencies in neuronal migration, synaptic plasticity, and myelination. I have used the ErbB4(-/-) HER4(heart) KO mice to study the neurodevelopmental insults associated to deficiencies in the NRG1-ErbB4 signaling pathway and their potential implication with brain disorders such as schizophrenia, a chronic psychiatric disease affecting 1% of the population worldwide. ErbB4 deletion results in an array of neurodevelopmental deficits that are consistent with a schizophrenic model. First, similar defects appear in multiple brain structures, from the cortex to the cerebellum. Second, these defects affect multiple aspects of brain development, from deficits in neuronal migration to impairments in excitatory/inhibitory systems, including reductions in brain volume, cortical and cerebellar heterotopias, alterations in number and distribution of specific subpopulations of interneurons, deficiencies in the astrocytic and oligodendrocytic lineages, and additional insults in major brain structures. This suggests that alterations in specific neurodevelopmental genes that play similar functions in multiple neuroanatomical structures might account for some of the symptomatology observed in schizophrenic patients, such as defects in cognition. ErbB4 mutation uncovers flaws in brain development that are compatible with a neurodevelopmental model of schizophrenia, and it establishes a comprehensive model to study the basis of the disorder before symptoms are detected in the adult. ###Answer 1. Changed Reasoning: The target word ""schizophrenia"" has undergone a significant change in meaning between the two sentences. In Sentence A, the word is used to describe a specific type of mental illness characterized by obsessions and affective symptoms, with a focus on the natural history of the disease and its various types. In Sentence B, the word is used to describe a broader range of neurodevelopmental defects caused by alterations in the ErbB4 signaling pathway, including deficiencies in neuronal migration, synaptic plasticity, and myelination. The word is no longer limited to its original clinical picture, but rather encompasses a broader range of neurodevelopmental insults that may contribute to the development of schizophrenia. Therefore, the label ""Changed"" is appropriate." 76,Schizophrenia,"The sinus rhythm resting heart rates of 138 schizophrenic patients were monitored electrocardiographically each for 30 min and were compared with those of 139 healthy controls. It was found that a significant sinus tachycardia existed in the patients. Factors of chronologic age, sex and treatment by psychotropic drugs were non-significant. A subsample of 22 process schizophrenic patients was compared with 20 healthy controls, matched for age, monitored continuously for a minimum of 120 min and analyzed by autocorrelation on a minute-by-minute basis for cardiac rate variation. Ultradian rhythms of each group revealed that the periodicity of cardiac rate variation in schizophrenia was significantly longer than that in health. Treatment by psychotropic drugs in half of the patient sample did not appear to influence the cardiac rate variation. It is suggested that the bradycardia existing between pulses of tachycardia in schizophrenia may be responsible not only for the dysplastic perception of these patients, but also for their premature death from vascular causes.","In the 1980s about 8.5% of patients in northern Netherlands with a psychotic disorder died due to suicide within five years of follow-up. Liemburg, Castelein and colleagues investigated whether this percentage had recently decreased. They found suicide in 2.4% of patients with recent psychosis after an average follow-up of 5 years. Although causality cannot be inferred from a naturalistic study such as theirs, it is plausible that the decreased suicide rate is associated with improvements in the care for psychotic patients. Preventing suicide is invaluable. However, given the alarmingly high mortality due to somatic diseases in patients with schizophrenia, other measures to substantially decrease the high mortality associated with schizophrenia are also warranted. ","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Schizophrenia Sentence A: The sinus rhythm resting heart rates of 138 schizophrenic patients were monitored electrocardiographically each for 30 min and were compared with those of 139 healthy controls. It was found that a significant sinus tachycardia existed in the patients. Factors of chronologic age, sex and treatment by psychotropic drugs were non-significant. A subsample of 22 process schizophrenic patients was compared with 20 healthy controls, matched for age, monitored continuously for a minimum of 120 min and analyzed by autocorrelation on a minute-by-minute basis for cardiac rate variation. Ultradian rhythms of each group revealed that the periodicity of cardiac rate variation in schizophrenia was significantly longer than that in health. Treatment by psychotropic drugs in half of the patient sample did not appear to influence the cardiac rate variation. It is suggested that the bradycardia existing between pulses of tachycardia in schizophrenia may be responsible not only for the dysplastic perception of these patients, but also for their premature death from vascular causes. Sentence B: In the 1980s about 8.5% of patients in northern Netherlands with a psychotic disorder died due to suicide within five years of follow-up. Liemburg, Castelein and colleagues investigated whether this percentage had recently decreased. They found suicide in 2.4% of patients with recent psychosis after an average follow-up of 5 years. Although causality cannot be inferred from a naturalistic study such as theirs, it is plausible that the decreased suicide rate is associated with improvements in the care for psychotic patients. Preventing suicide is invaluable. However, given the alarmingly high mortality due to somatic diseases in patients with schizophrenia, other measures to substantially decrease the high mortality associated with schizophrenia are also warranted. ###Answer 1. Changed Reasoning: In Sentence A, the term ""schizophrenic patients"" is used, which connotes a sense of pathology and illness. Additionally, the phrase ""dysplastic perception"" is used, which suggests a lack of normalcy in the patients' perception. These connotations imply that the term ""schizophrenia"" had a different meaning in 2000 than it does today. In Sentence B, the term ""patients with recent psychosis"" is used, which suggests a more recent onset of symptoms. Additionally, the phrase ""decreased suicide rate"" is used, which implies that the term ""schizophrenia"" has undergone a shift in meaning towards a more positive connotation. Overall, the meaning of ""schizophrenia"" has changed significantly between the two sentences, with a shift towards a more neutral or even positive connotation in Sentence B. Therefore, the label ""Changed"" is appropriate." 77,Schizophrenia,Recent reports have indicated that immigrants have an elevated risk of schizophrenia as well as an increasing tendency for social exclusion. The aim of this study was to compare rates of schizophrenia and other psychoses in immigrants and their children of different ethnic groups with the majority population in Sweden in relation to social adversity.,"Current methods to identify people with psychosis risk involve administration of specialized tools such as the Structured Interview for Psychosis-Risk Syndromes (SIPS), but these methods have not been widely adopted. Validation of a more multipurpose assessment tool-such as the Kiddie Schedule for Affective Disorders and Schizophrenia (K-SADS)-may increase the scope of identification efforts.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Schizophrenia Sentence A: Recent reports have indicated that immigrants have an elevated risk of schizophrenia as well as an increasing tendency for social exclusion. The aim of this study was to compare rates of schizophrenia and other psychoses in immigrants and their children of different ethnic groups with the majority population in Sweden in relation to social adversity. Sentence B: Current methods to identify people with psychosis risk involve administration of specialized tools such as the Structured Interview for Psychosis-Risk Syndromes (SIPS), but these methods have not been widely adopted. Validation of a more multipurpose assessment tool-such as the Kiddie Schedule for Affective Disorders and Schizophrenia (K-SADS)-may increase the scope of identification efforts. ###Answer 1. Changed Reasoning: The meaning of ""schizophrenia"" has shifted significantly between Sentence A and Sentence B. In Sentence A, the term is associated with an increased risk of social exclusion, which suggests a more stigmatizing view of the condition. In Sentence B, the term is associated with a more multipurpose assessment tool, which implies a greater focus on identification and treatment. This shift in meaning suggests that the term ""schizophrenia"" has undergone semantic drift over time." 78,Schizophrenia,"A total of 230 psychiatric inpatients and their physicians in charge took part in semistandardized interviews. Patients suffering from schizophrenia received information less frequently and less comprehensively than other patients. The label of schizophrenia was often paraphrased or not communicated at all; patients knew their diagnosis less exactly than other subgroups. Asked to indicate the most important cause of their disorder, neurotics tended to name their living conditions (60%), and addicts preferred to blame themselves (73%). Only 26% of the patients with affective disorders or schizophrenia accepted the idea of their disorders as diseases in a medical sense, whereas the psychiatrists favored a biological concept in more than 90% of the cases. The findings stress the need to improve communication between patients and psychiatrists as regards information on illness and treatment.","Previous studies suggest that elevated blood homocysteine levels and the methylenetetrahydrofolate reductase (MTHFR) C677T polymorphism are risk factors for schizophrenia. However, the effects of gender and MTHFR C677T genotypes on blood homocysteine levels in schizophrenia have not been consistent. We first investigated whether plasma total homocysteine levels were higher in patients with schizophrenia than in controls with stratification by gender and by the MTHFR C677T genotypes in a large cohort (N = 1379). Second, we conducted a meta-analysis of association studies between blood homocysteine levels and schizophrenia separately by gender (N = 4714). Third, we performed a case-control association study between the MTHFR C677T polymorphism and schizophrenia (N = 4998) and conducted a meta-analysis of genetic association studies based on Japanese subjects (N = 10 378). Finally, we assessed the effect of plasma total homocysteine levels on schizophrenia by a mendelian randomization approach. The ANCOVA after adjustment for age demonstrated a significant effect of diagnosis on the plasma total homocysteine levels in all strata, and the subsequent meta-analysis for gender demonstrated elevated blood homocysteine levels in both male and female patients with schizophrenia although antipsychotic medication might influence the outcome. The meta-analysis of the Japanese genetic association studies demonstrated a significant association between the MTHFR C677T polymorphism and schizophrenia. The mendelian randomization analysis in the Japanese populations yielded an OR of 1.15 for schizophrenia per 1-SD increase in plasma total homocysteine. Our study suggests that increased plasma total homocysteine levels may be associated with an increased risk of schizophrenia. ","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Schizophrenia Sentence A: A total of 230 psychiatric inpatients and their physicians in charge took part in semistandardized interviews. Patients suffering from schizophrenia received information less frequently and less comprehensively than other patients. The label of schizophrenia was often paraphrased or not communicated at all; patients knew their diagnosis less exactly than other subgroups. Asked to indicate the most important cause of their disorder, neurotics tended to name their living conditions (60%), and addicts preferred to blame themselves (73%). Only 26% of the patients with affective disorders or schizophrenia accepted the idea of their disorders as diseases in a medical sense, whereas the psychiatrists favored a biological concept in more than 90% of the cases. The findings stress the need to improve communication between patients and psychiatrists as regards information on illness and treatment. Sentence B: Previous studies suggest that elevated blood homocysteine levels and the methylenetetrahydrofolate reductase (MTHFR) C677T polymorphism are risk factors for schizophrenia. However, the effects of gender and MTHFR C677T genotypes on blood homocysteine levels in schizophrenia have not been consistent. We first investigated whether plasma total homocysteine levels were higher in patients with schizophrenia than in controls with stratification by gender and by the MTHFR C677T genotypes in a large cohort (N = 1379). Second, we conducted a meta-analysis of association studies between blood homocysteine levels and schizophrenia separately by gender (N = 4714). Third, we performed a case-control association study between the MTHFR C677T polymorphism and schizophrenia (N = 4998) and conducted a meta-analysis of genetic association studies based on Japanese subjects (N = 10 378). Finally, we assessed the effect of plasma total homocysteine levels on schizophrenia by a mendelian randomization approach. The ANCOVA after adjustment for age demonstrated a significant effect of diagnosis on the plasma total homocysteine levels in all strata, and the subsequent meta-analysis for gender demonstrated elevated blood homocysteine levels in both male and female patients with schizophrenia although antipsychotic medication might influence the outcome. The meta-analysis of the Japanese genetic association studies demonstrated a significant association between the MTHFR C677T polymorphism and schizophrenia. The mendelian randomization analysis in the Japanese populations yielded an OR of 1.15 for schizophrenia per 1-SD increase in plasma total homocysteine. Our study suggests that increased plasma total homocysteine levels may be associated with an increased risk of schizophrenia. ###Answer 1. Changed Reasoning: The target word ""schizophrenia"" has undergone a significant change in meaning between the two sentences. In Sentence A, the term is used to describe a mental disorder characterized by confusion and disorganization of thought processes, with patients receiving less information about their diagnosis and treatment options compared to other groups. In contrast, Sentence B uses the term to describe a medical condition with a clear biological basis, specifically elevated blood homocysteine levels and the MTHFR C677T polymorphism. The shift in meaning suggests that the term ""schizophrenia"" has undergone semantic drift over time, with a greater emphasis on the biological and genetic factors underlying the disorder." 79,Schizophrenia,"For the first time, the present study assessed the achievable predictive value of early self-experienced neuropsychological deficits for the fater development of schizophrenia. Ninety-six patients with DSM-III-R diagnoses mainly of the formerly neurotic or personality disordered field, of whom 81% had shown such basic disorders at the time of the index examination and therefore were classified as persons at high risk of developing schizophrenia, were re-examined for schizophrenia. After an average follow-up period of about 8 years, more than half of the re-examined sample had developed a schizophrenic disorder according to DSM-III-R. The outcome of schizophrenia versus no schizophrenia was predicted correctly in 77% of cases by the presence or absence of self-experienced disturbances of perception, thought, speech or action.","Alterations in the cortico-cerebellar-thalamic-cortical circuit might underlie the diversity of symptoms in schizophrenia. However, molecular changes in cerebellar neuronal circuits, part of this network, have not yet been fully determined. Using LC-MS/MS, we screened altered candidates in pooled grey matter of cerebellum from schizophrenia subjects who committed suicide (n = 4) and healthy individuals (n = 4). Further validation by immunoblotting of three selected candidates was performed in two cohorts comprising schizophrenia (n = 20), non-schizophrenia suicide (n = 6) and healthy controls (n = 21). We found 99 significantly altered proteins, 31 of them previously reported in other brain areas by proteomic studies. Transport function was the most enriched category, while cell communication was the most prevalent function. For validation, we selected the vacuolar proton pump subunit 1 (VPP1), from transport, and two EF-hand calcium-binding proteins, calmodulin and parvalbumin, from cell communication. All candidates showed significant changes in schizophrenia (n = 7) compared to controls (n = 7). VPP1 was altered in the non-schizophrenia suicide group and increased levels of parvalbumin were linked to antipsychotics. Further validation in an independent cohort of non-suicidal chronic schizophrenia subjects (n = 13) and non-psychiatric controls (n = 14) showed that parvalbumin was increased, while calmodulin was decreased in schizophrenia. Our findings provide evidence of calcium-binding protein dysregulation in the cerebellum in schizophrenia, suggesting an impact on normal calcium-dependent synaptic functioning of cerebellar circuits. Our study also links VPP1 to suicide behaviours, suggesting a possible impairment in vesicle neurotransmitter refilling and release in these phenotypes.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Schizophrenia Sentence A: For the first time, the present study assessed the achievable predictive value of early self-experienced neuropsychological deficits for the fater development of schizophrenia. Ninety-six patients with DSM-III-R diagnoses mainly of the formerly neurotic or personality disordered field, of whom 81% had shown such basic disorders at the time of the index examination and therefore were classified as persons at high risk of developing schizophrenia, were re-examined for schizophrenia. After an average follow-up period of about 8 years, more than half of the re-examined sample had developed a schizophrenic disorder according to DSM-III-R. The outcome of schizophrenia versus no schizophrenia was predicted correctly in 77% of cases by the presence or absence of self-experienced disturbances of perception, thought, speech or action. Sentence B: Alterations in the cortico-cerebellar-thalamic-cortical circuit might underlie the diversity of symptoms in schizophrenia. However, molecular changes in cerebellar neuronal circuits, part of this network, have not yet been fully determined. Using LC-MS/MS, we screened altered candidates in pooled grey matter of cerebellum from schizophrenia subjects who committed suicide (n = 4) and healthy individuals (n = 4). Further validation by immunoblotting of three selected candidates was performed in two cohorts comprising schizophrenia (n = 20), non-schizophrenia suicide (n = 6) and healthy controls (n = 21). We found 99 significantly altered proteins, 31 of them previously reported in other brain areas by proteomic studies. Transport function was the most enriched category, while cell communication was the most prevalent function. For validation, we selected the vacuolar proton pump subunit 1 (VPP1), from transport, and two EF-hand calcium-binding proteins, calmodulin and parvalbumin, from cell communication. All candidates showed significant changes in schizophrenia (n = 7) compared to controls (n = 7). VPP1 was altered in the non-schizophrenia suicide group and increased levels of parvalbumin were linked to antipsychotics. Further validation in an independent cohort of non-suicidal chronic schizophrenia subjects (n = 13) and non-psychiatric controls (n = 14) showed that parvalbumin was increased, while calmodulin was decreased in schizophrenia. Our findings provide evidence of calcium-binding protein dysregulation in the cerebellum in schizophrenia, suggesting an impact on normal calcium-dependent synaptic functioning of cerebellar circuits. Our study also links VPP1 to suicide behaviours, suggesting a possible impairment in vesicle neurotransmitter refilling and release in these phenotypes. ###Answer 1. Changed Reasoning: In Sentence A, the target word ""schizophrenia"" is used to describe a mental disorder characterized by disturbances of perception, thought, speech, or action. The sentence highlights the predictive value of early neuropsychological deficits for the development of schizophrenia. The word is used in a clinical context, indicating that it has a specific meaning related to mental health. In Sentence B, the target word ""schizophrenia"" is used to describe a neurological disorder characterized by alterations in the cortico-cerebellar-thalamic-cortical circuit. The sentence highlights the impact of molecular changes in cerebellar neuronal circuits on the diversity of symptoms in schizophrenia. The word is used in a scientific context, indicating that it has a different meaning related to neuroscience. Comparing the two sentences, it is clear that the meaning of the target word has shifted. In Sentence A, the word is used in a clinical context to describe a mental disorder, while in Sentence B, it is used in a scientific context to describe a neurological disorder. This shift in meaning indicates semantic drift. Therefore, the label ""Changed"" is appropriate." 80,Schizophrenia,"Multiple lines of evidence from pharmacological, neuroimaging, and postmortem studies implicate disturbances in cortical glutamate neurotransmission in the pathophysiology of schizophrenia. Given that pyramidal neurons are the principal source of cortical glutamate neurotransmission, as well as the targets of the majority of cortical glutamate-containing axon terminals, understanding the nature of altered glutamate neurotransmission in schizophrenia requires an appreciation of both the types of pyramidal cell abnormalities and the specific class(es) of pyramidal cells that are affected in the illness. In this chapter, we review evidence indicating that a subpopulation of pyramidal neurons in the dorsolateral prefrontal cortex exhibits reductions in dendritic spine density, a marker of the number of excitatory inputs, and in somal volume, a measure correlated with a neuron's dendritic and axonal architecture. Specifically, pyramidal neurons located in deep layer 3 of the dorsolateral prefrontal cortex and that lack immunoreactivity for nonphosphorylated neurofilament protein may be particularly involved in the pathophysiology of schizophrenia. The presence of similar changes in pyramidal neurons located in deep layer 3 of auditory association cortex suggests that a shared property, which remains to be determined, confers cell type-specific vulnerability to a subpopulation of cortical glutamatergic neurons in schizophrenia.","Electroencephalography and magnetoencephalography studies indicate among schizophrenia patients (SZ) abnormal, often reduced, entrained steady-state (aSSR) and transient (N100/M100) neural responses to auditory stimuli. We complement this literature by focusing analyses on auditory cortices, assessing a wide range of stimulation frequencies with long driving periods and evaluating relationships between aSSR and M100 reductions in SZ.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Schizophrenia Sentence A: Multiple lines of evidence from pharmacological, neuroimaging, and postmortem studies implicate disturbances in cortical glutamate neurotransmission in the pathophysiology of schizophrenia. Given that pyramidal neurons are the principal source of cortical glutamate neurotransmission, as well as the targets of the majority of cortical glutamate-containing axon terminals, understanding the nature of altered glutamate neurotransmission in schizophrenia requires an appreciation of both the types of pyramidal cell abnormalities and the specific class(es) of pyramidal cells that are affected in the illness. In this chapter, we review evidence indicating that a subpopulation of pyramidal neurons in the dorsolateral prefrontal cortex exhibits reductions in dendritic spine density, a marker of the number of excitatory inputs, and in somal volume, a measure correlated with a neuron's dendritic and axonal architecture. Specifically, pyramidal neurons located in deep layer 3 of the dorsolateral prefrontal cortex and that lack immunoreactivity for nonphosphorylated neurofilament protein may be particularly involved in the pathophysiology of schizophrenia. The presence of similar changes in pyramidal neurons located in deep layer 3 of auditory association cortex suggests that a shared property, which remains to be determined, confers cell type-specific vulnerability to a subpopulation of cortical glutamatergic neurons in schizophrenia. Sentence B: Electroencephalography and magnetoencephalography studies indicate among schizophrenia patients (SZ) abnormal, often reduced, entrained steady-state (aSSR) and transient (N100/M100) neural responses to auditory stimuli. We complement this literature by focusing analyses on auditory cortices, assessing a wide range of stimulation frequencies with long driving periods and evaluating relationships between aSSR and M100 reductions in SZ. ###Answer 1. Changed Explanation: In Sentence A, the target word ""schizophrenia"" is used to describe a neurological disorder characterized by disturbances in cortical glutamate neurotransmission. The sentence highlights the role of pyramidal neurons in the dorsolateral prefrontal cortex and their altered structure in the illness. The term ""schizophrenia"" is used to convey a sense of complexity and specificity in the pathophysiology of the disorder. In Sentence B, the target word ""schizophrenia"" is used to describe abnormal neural responses to auditory stimuli in patients with the disorder. The sentence focuses on the auditory cortices and the effects of stimulation frequencies on neural responses. The term ""schizophrenia"" is used to convey a sense of consistency and reliability in the observed effects. Comparing the two sentences, it is evident that the meaning of the target word has shifted significantly. In Sentence A, ""schizophrenia"" is used to describe a complex neurological disorder with a focus on the structure of pyramidal neurons in the dorsolateral prefrontal cortex. In Sentence B, the term is used to describe abnormal neural responses to auditory stimuli in patients with the disorder, with a focus on the consistency and reliability of the observed effects. The shift in meaning can be attributed to advances in scientific understanding and changes in the way the disorder is perceived and studied over time. Therefore, the label ""Changed"" is appropriate for this example." 81,Schizophrenia,"Abnormalities in amygdala and hippocampus have been shown to coexist in schizophrenia (SZ). In the hippocampus, compelling evidence suggests that a disruption of GABA neurotransmission is present mainly in sectors CA4, CA3, and CA2. The amygdala sends important inputs to the hippocampus and is also believed to have a defective GABA system in schizophrenia. To explore the possibility that changes in the hippocampal GABAergic system could be related to an increased inflow of activity originating in the amygdala, a ""partial"" animal model has been developed. In awake, freely moving, rats a GABA(A) receptor antagonist was infused locally into the basolateral nuclear complex of the amygdala (BLn). Within 2 hours, a decreased density of both the 65- and 67-kDa isoforms of glutamate decarboxylase (GAD(65) and GAD(67)) -immunoreactive (IR) terminals was detected on neuron somata in sectors CA3 and CA2, but not in CA1, CA3, or dentate gyrus. An increase of GAD(67)-IR somata was also found in the dentate gyrus and CA4. In anterograde tracer studies, amygdalo-hippocampal projection fibers were exclusively found in CA3 and CA2, but not CA1. Taken together, these results indicate that activation of amygdalo-hippocampal afferents is associated with the induction of significant changes in the GABA system of the hippocampus, with a subregional distribution that is remarkably similar to that found in SZ. Under pathologic conditions, an excessive discharge of excitatory activity emanating from the amygdala could be capable of altering inhibitory modulation along the trisynaptic pathway. This mechanism may potentially contribute to disturbances of GABAergic function in the major psychoses. Such ""partial"" rodent modelling provides an important strategy for deciphering the effect of altered cortico-limbic circuits in SZ.","The ZNF804A variant rs1344706 has consistently been associated with schizophrenia and plays a role in hippocampal-prefrontal functional connectivity during working memory. Whether the effect exists in the resting state and in patients with schizophrenia remains unclear. In this study, we investigated the ZNF804A polymorphism at rs1344706 in 92 schizophrenic patients and 99 healthy controls of Han Chinese descent, and used resting-state functional magnetic resonance imaging to explore the functional connectivity in the participants. We found a significant main effect of genotype on the resting-state functional connectivity (RSFC) between the hippocampus and the dorsolateral prefrontal cortex (DLPFC) in both schizophrenic patients and healthy controls. The homozygous ZNF804A rs1344706 genotype (AA) conferred a high risk of schizophrenia, and also exhibited significantly decreased resting functional coupling between the left hippocampus and right DLPFC (F(2,165) = 13.43, P < 0.001). The RSFC strength was also correlated with cognitive performance and the severity of psychosis in schizophrenia. The current findings identified the neural impact of the ZNF804A rs1344706 on hippocampal-prefrontal RSFC associated with schizophrenia.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Schizophrenia Sentence A: Abnormalities in amygdala and hippocampus have been shown to coexist in schizophrenia (SZ). In the hippocampus, compelling evidence suggests that a disruption of GABA neurotransmission is present mainly in sectors CA4, CA3, and CA2. The amygdala sends important inputs to the hippocampus and is also believed to have a defective GABA system in schizophrenia. To explore the possibility that changes in the hippocampal GABAergic system could be related to an increased inflow of activity originating in the amygdala, a ""partial"" animal model has been developed. In awake, freely moving, rats a GABA(A) receptor antagonist was infused locally into the basolateral nuclear complex of the amygdala (BLn). Within 2 hours, a decreased density of both the 65- and 67-kDa isoforms of glutamate decarboxylase (GAD(65) and GAD(67)) -immunoreactive (IR) terminals was detected on neuron somata in sectors CA3 and CA2, but not in CA1, CA3, or dentate gyrus. An increase of GAD(67)-IR somata was also found in the dentate gyrus and CA4. In anterograde tracer studies, amygdalo-hippocampal projection fibers were exclusively found in CA3 and CA2, but not CA1. Taken together, these results indicate that activation of amygdalo-hippocampal afferents is associated with the induction of significant changes in the GABA system of the hippocampus, with a subregional distribution that is remarkably similar to that found in SZ. Under pathologic conditions, an excessive discharge of excitatory activity emanating from the amygdala could be capable of altering inhibitory modulation along the trisynaptic pathway. This mechanism may potentially contribute to disturbances of GABAergic function in the major psychoses. Such ""partial"" rodent modelling provides an important strategy for deciphering the effect of altered cortico-limbic circuits in SZ. Sentence B: The ZNF804A variant rs1344706 has consistently been associated with schizophrenia and plays a role in hippocampal-prefrontal functional connectivity during working memory. Whether the effect exists in the resting state and in patients with schizophrenia remains unclear. In this study, we investigated the ZNF804A polymorphism at rs1344706 in 92 schizophrenic patients and 99 healthy controls of Han Chinese descent, and used resting-state functional magnetic resonance imaging to explore the functional connectivity in the participants. We found a significant main effect of genotype on the resting-state functional connectivity (RSFC) between the hippocampus and the dorsolateral prefrontal cortex (DLPFC) in both schizophrenic patients and healthy controls. The homozygous ZNF804A rs1344706 genotype (AA) conferred a high risk of schizophrenia, and also exhibited significantly decreased resting functional coupling between the left hippocampus and right DLPFC (F(2,165) = 13.43, P < 0.001). The RSFC strength was also correlated with cognitive performance and the severity of psychosis in schizophrenia. The current findings identified the neural impact of the ZNF804A rs1344706 on hippocampal-prefrontal RSFC associated with schizophrenia. ###Answer 1. Changed The target word ""schizophrenia"" has undergone a significant change in meaning or connotation between the two sentences. In Sentence A, the word is used to describe a neurological disorder characterized by abnormalities in the amygdala and hippocampus, with a subregional distribution that is remarkably similar to that found in patients with the disorder. In Sentence B, the word is used to describe a genetic variant associated with hippocampal-prefrontal functional connectivity during working memory. The two sentences have different meanings and connotations, indicating that the term ""schizophrenia"" has changed in meaning over time." 82,Schizophrenia,"It is argued that further research to achieve more detailed diagnostic systems in many psychiatric disorders is unlikely to be productive without taking genetic effects into account. Even when this is done, for example when carrying out segregation analysis to determine a mode of genetic transmission, mental illnesses often pose specific problems that preclude accurate analysis. Because techniques in molecular biology and genetics have made it possible to study gene effects in human disease systematically it should now be possible to specify the genes that are involved. When this has been achieved then a diagnostic system based on genetic causation can develop. This will have the advantage of helping to pinpoint environmental factors more accurately. Specific strategies will need to be adopted to overcome uncertain modes of inheritance, incomplete or non-penetrance of disease alleles and disease heterogeneity. Highly speculative hypotheses can be put forward for a locus causing Alzheimer's disease on a portion of the long arm of chromosome 21. For autism it is plausible that there is a disease locus at or near the fragile X site on the X chromosome. A locus for manic depression has been very tentatively mapped using DNA markers to chromosome 11 and in a small proportion of families DNA markers have also shown some evidence for X linkage. Schizophrenia does not seem to be associated with any favoured loci. Candidate genes for schizophrenia include those encoding dopamine, other neurotransmitter receptors or enzymes and various neuropeptides such as enkephalin and beta endorphin.","The extracellular-regulated protein kinase (ERK) pathway has been implicated in processes such as neuronal plasticity and resilience in psychiatric disorders including major depressive disorder (MDD), bipolar disorder (BPD), and schizophrenia. The extent of the possible involvement of this pathway in psychiatric disorders remains unknown, as does its potential utility as a pharmacological target for the future development of novel therapeutics.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Schizophrenia Sentence A: It is argued that further research to achieve more detailed diagnostic systems in many psychiatric disorders is unlikely to be productive without taking genetic effects into account. Even when this is done, for example when carrying out segregation analysis to determine a mode of genetic transmission, mental illnesses often pose specific problems that preclude accurate analysis. Because techniques in molecular biology and genetics have made it possible to study gene effects in human disease systematically it should now be possible to specify the genes that are involved. When this has been achieved then a diagnostic system based on genetic causation can develop. This will have the advantage of helping to pinpoint environmental factors more accurately. Specific strategies will need to be adopted to overcome uncertain modes of inheritance, incomplete or non-penetrance of disease alleles and disease heterogeneity. Highly speculative hypotheses can be put forward for a locus causing Alzheimer's disease on a portion of the long arm of chromosome 21. For autism it is plausible that there is a disease locus at or near the fragile X site on the X chromosome. A locus for manic depression has been very tentatively mapped using DNA markers to chromosome 11 and in a small proportion of families DNA markers have also shown some evidence for X linkage. Schizophrenia does not seem to be associated with any favoured loci. Candidate genes for schizophrenia include those encoding dopamine, other neurotransmitter receptors or enzymes and various neuropeptides such as enkephalin and beta endorphin. Sentence B: The extracellular-regulated protein kinase (ERK) pathway has been implicated in processes such as neuronal plasticity and resilience in psychiatric disorders including major depressive disorder (MDD), bipolar disorder (BPD), and schizophrenia. The extent of the possible involvement of this pathway in psychiatric disorders remains unknown, as does its potential utility as a pharmacological target for the future development of novel therapeutics. ###Answer 1. Changed Explanation: In Sentence A, the term ""schizophrenia"" is used in the context of discussing the lack of association with any ""favoured loci"" for the disease. This implies that the disease is complex and multifactorial, and that there is no single gene or set of genes responsible for its causation. Additionally, the term is used in the context of discussing the lack of any ""locus"" for the disease, which further emphasizes the complexity of the disease. In Sentence B, the term ""schizophrenia"" is used in the context of discussing the potential involvement of the extracellular-regulated protein kinase (ERK) pathway in the disease. This implies that the disease is associated with specific biological mechanisms, and that there is a potential for targeting these mechanisms with therapeutics. This is a significant shift in meaning compared to Sentence A, where the term was used to emphasize the complexity and multifactorial nature of the disease. Therefore, I would label this term as ""Changed""." 83,Schizophrenia,"Although neuroleptic medication is clearly effective, there is still an important role for psychological interventions for people with psychosis. Figures vary, but it can be estimated that between one quarter and one half of people with a diagnosis of schizophrenia experience persistent symptoms such as delusions and hallucinations, which cause distress and interference with functioning, despite taking medication (Fowler et al. 1995). Relapse occurs commonly even amongst patients who do adhere to medication regimes, and many people are reluctant to take long-term medication, because of its unpleasant and even disabling side-effects. In recent years, there has been a growing interest in developing cognitive behavioural therapy for those people with psychosis who continue to experience psychotic symptoms despite ongoing treatment with anti-psychotic medication. Cognitive behaviour therapy for psychosis seeks to address directly those patterns of behaviour, thinking and emotional response which underpin and maintain severe and chronic delusions and hallucinations.","Dopamine supersensitivity psychosis (DSP) is an unstable clinical condition observed in individuals with schizophrenia who have been treated with an antipsychotic medication at a high dosage and/or for a long period. An up-regulation of dopamine D2 receptors (DRD2) is thought to be involved in the essential pathology of DSP. An antipsychotic agent with both tight binding to DRD2 and a long half-life is generally effective for treating DSP, but a patient who meets the criteria of treatment-resistant schizophrenia sometimes needs treatment with clozapine. We report the case details of two patients whose DSP was not controlled with several antipsychotics but was successfully controlled with asenapine. Asenapine binds to a broad range of dopamine receptors and serotonin receptors, and it is thus distinct from other atypical antipsychotics. The unique profile of asenapine may contribute to the control of severe DSP symptoms in individuals with schizophrenia.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Schizophrenia Sentence A: Although neuroleptic medication is clearly effective, there is still an important role for psychological interventions for people with psychosis. Figures vary, but it can be estimated that between one quarter and one half of people with a diagnosis of schizophrenia experience persistent symptoms such as delusions and hallucinations, which cause distress and interference with functioning, despite taking medication (Fowler et al. 1995). Relapse occurs commonly even amongst patients who do adhere to medication regimes, and many people are reluctant to take long-term medication, because of its unpleasant and even disabling side-effects. In recent years, there has been a growing interest in developing cognitive behavioural therapy for those people with psychosis who continue to experience psychotic symptoms despite ongoing treatment with anti-psychotic medication. Cognitive behaviour therapy for psychosis seeks to address directly those patterns of behaviour, thinking and emotional response which underpin and maintain severe and chronic delusions and hallucinations. Sentence B: Dopamine supersensitivity psychosis (DSP) is an unstable clinical condition observed in individuals with schizophrenia who have been treated with an antipsychotic medication at a high dosage and/or for a long period. An up-regulation of dopamine D2 receptors (DRD2) is thought to be involved in the essential pathology of DSP. An antipsychotic agent with both tight binding to DRD2 and a long half-life is generally effective for treating DSP, but a patient who meets the criteria of treatment-resistant schizophrenia sometimes needs treatment with clozapine. We report the case details of two patients whose DSP was not controlled with several antipsychotics but was successfully controlled with asenapine. Asenapine binds to a broad range of dopamine receptors and serotonin receptors, and it is thus distinct from other atypical antipsychotics. The unique profile of asenapine may contribute to the control of severe DSP symptoms in individuals with schizophrenia. ###Answer 1. Changed Explanation: In Sentence A, the term ""schizophrenia"" is used to describe a condition characterized by persistent symptoms such as delusions and hallucinations, despite taking medication. The word is used neutrally, without any connotation of negative or stigmatizing meaning. In contrast, in Sentence B, the term ""schizophrenia"" is used in the context of a specific subtype of psychosis called ""dopamine supersensitivity psychosis"" (DSP), which is characterized by an up-regulation of dopamine D2 receptors. The term is used in a more negative light, suggesting that the condition is unstable and difficult to treat. This difference in usage suggests that the meaning of the term ""schizophrenia"" has shifted over time, with a more negative connotation in Sentence B compared to Sentence A. Therefore, I have labeled this as ""Changed""." 84,Schizophrenia,"The generalized Carnot principle introduced by Brillouin provides a link between negentropy and information, but does not take into account the information stored in the brain, which is clearly excluded by the author. Further step in the generalization of Carnot's principle, which includes information turnover in the brain was accomplished by Kepiński in his theory of the metabolism of energy and information. According to Schrödinger, life processes require a supply of negentropy rather than energy stored in the food, more precisely, e.g., in glucose utilized by the brain, since energy is conserved, whereas negentropy is dissipated. The information (communication) channel transmits maximum information when the band width of the transmitted frequency is limited, and much less information when the restriction concerns the transmitted power, or energy. This can explain a considerable decrease in the information metabolism observed in depressive patients, whose life dynamics and, consequently, the amount of energy available for information metabolism is severly lowered. Thus, the fall in information metabolism is more pronounced in depression than in not too late phases of schizophrenia. As appears from Fonberg's studies the amygdaloid nucleus is responsible for the life dynamics. In different types of neuron code change is a significant parameter, which was so strongly stressed by Kepiński. Other problems discussed in the paper include: selection of information and its structural localization, localization of particular phases of information metabolism and their phylogenetic significance.","Visuospatial working memory (vsWM), which is impaired in schizophrenia, requires information transfer across multiple nodes in the cerebral cortex, including visual, posterior parietal, and dorsolateral prefrontal regions. Information is conveyed across these regions via the excitatory projections of glutamatergic pyramidal neurons located in layer 3, whose activity is modulated by local inhibitory gamma-aminobutyric acidergic (GABAergic) neurons. Key properties of these neurons differ across these cortical regions. Consequently, in schizophrenia, alterations in the expression of gene products regulating these properties could disrupt vsWM function in different ways, depending on the region(s) affected.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Schizophrenia Sentence A: The generalized Carnot principle introduced by Brillouin provides a link between negentropy and information, but does not take into account the information stored in the brain, which is clearly excluded by the author. Further step in the generalization of Carnot's principle, which includes information turnover in the brain was accomplished by Kepiński in his theory of the metabolism of energy and information. According to Schrödinger, life processes require a supply of negentropy rather than energy stored in the food, more precisely, e.g., in glucose utilized by the brain, since energy is conserved, whereas negentropy is dissipated. The information (communication) channel transmits maximum information when the band width of the transmitted frequency is limited, and much less information when the restriction concerns the transmitted power, or energy. This can explain a considerable decrease in the information metabolism observed in depressive patients, whose life dynamics and, consequently, the amount of energy available for information metabolism is severly lowered. Thus, the fall in information metabolism is more pronounced in depression than in not too late phases of schizophrenia. As appears from Fonberg's studies the amygdaloid nucleus is responsible for the life dynamics. In different types of neuron code change is a significant parameter, which was so strongly stressed by Kepiński. Other problems discussed in the paper include: selection of information and its structural localization, localization of particular phases of information metabolism and their phylogenetic significance. Sentence B: Visuospatial working memory (vsWM), which is impaired in schizophrenia, requires information transfer across multiple nodes in the cerebral cortex, including visual, posterior parietal, and dorsolateral prefrontal regions. Information is conveyed across these regions via the excitatory projections of glutamatergic pyramidal neurons located in layer 3, whose activity is modulated by local inhibitory gamma-aminobutyric acidergic (GABAergic) neurons. Key properties of these neurons differ across these cortical regions. Consequently, in schizophrenia, alterations in the expression of gene products regulating these properties could disrupt vsWM function in different ways, depending on the region(s) affected. ###Answer 1. Changed (Semantic drift has occurred) The meaning of the target word ""Schizophrenia"" has shifted significantly between the two sentences. In Sentence A, the term is used to describe the general principles of information metabolism and the role of the amygdaloid nucleus in life dynamics. In Sentence B, the term is used to describe a specific cognitive function, visuospatial working memory, and its neural basis in the cerebral cortex. The word's meaning has expanded to include a new domain of cognition and has taken on a more specific and technical meaning." 85,Schizophrenia,"Pulver et al. [1994a] reported modest linkage evidence for a dominantly (D) inherited ""schizophrenia gene"" in the vicinity of IL2RB on chromosome 22q12, and Coon et al. [1994] adduced moderate evidence under a recessive (R) model. We report here a replication study to test the hypothesis that one of these two models (or a third, intermediate (I) model) adequately describes the co-segregation of schizophrenia and chromosome 22q12 markers in an independent sample of 23 multiplex families. Altogether nine transmission models were evaluated. The models differed depending on whether the 15 family members with a diagnosis of schizophrenia spectrum disorders were considered unaffected (a ""narrow"" (N) definition), affected (a ""wide"" (W) definition), or declared ""unknown"" (U). The entire region between D22S268 and D22S307 is excluded (i.e., lod <-2) for models RN, RW, RU, and IW. Lod scores for the remaining models are uniformly negative; albeit, equivocal with respect to the dominant hypothesis over a small region between D22S268 and IL2RB. Nonparametric analysis under both diagnostic criteria also failed to yield any evidence for a susceptibility locus in this region of chromosome 22.","Although psychiatric stigma in China is particularly pervasive and damaging, rates of high expressed emotion (""EE"" or family members' emotional attitudes that predict relapse) are generally lower than rates found in Western countries. In light of this seemingly incongruous juxtaposition and because Chinese comprise approximately one-fifth of the world's mentally ill, we examine how one of the most widely held causal beliefs of schizophrenia--excessive thinking (xiang tai duo)--may powerfully shape how those exhibiting psychotic symptoms pass from ""normal"" status to stigmatized ""other."" Using a framework by which stigma threatens an actor's capacity to participate in core everyday engagements, we examine how expressions of excessive thinking intersect with psychotic symptoms and how this idiom reduces stigma by preserving essential moral standing. Four focus groups with family members (n = 34 total) of schizophrenia outpatients, who had participated in psychoeducation, were conducted in Beijing. Open coding was conducted by 2 bilingual coders achieving high interrater agreement. Common expressions of excessive thinking--taking things too hard that is perceived as a causal factor and unwarranted suspicion that is used to benignly interpret paranoid symptoms encapsulated disruptive behaviors that closely overlapped with psychotic symptoms. Because excessive thinking is understood to occur universally, this idiom encourages socially accommodating behavior that signifies acceptance of these individuals as full-status community members. In contrast, due to beliefs implying moral contamination, those labeled mentally ill are threatened with both subtle and outright social exclusion. We discuss implications of this idiom for EE and the detection of schizophrenia ""prodrome"" in China.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Schizophrenia Sentence A: Pulver et al. [1994a] reported modest linkage evidence for a dominantly (D) inherited ""schizophrenia gene"" in the vicinity of IL2RB on chromosome 22q12, and Coon et al. [1994] adduced moderate evidence under a recessive (R) model. We report here a replication study to test the hypothesis that one of these two models (or a third, intermediate (I) model) adequately describes the co-segregation of schizophrenia and chromosome 22q12 markers in an independent sample of 23 multiplex families. Altogether nine transmission models were evaluated. The models differed depending on whether the 15 family members with a diagnosis of schizophrenia spectrum disorders were considered unaffected (a ""narrow"" (N) definition), affected (a ""wide"" (W) definition), or declared ""unknown"" (U). The entire region between D22S268 and D22S307 is excluded (i.e., lod <-2) for models RN, RW, RU, and IW. Lod scores for the remaining models are uniformly negative; albeit, equivocal with respect to the dominant hypothesis over a small region between D22S268 and IL2RB. Nonparametric analysis under both diagnostic criteria also failed to yield any evidence for a susceptibility locus in this region of chromosome 22. Sentence B: Although psychiatric stigma in China is particularly pervasive and damaging, rates of high expressed emotion (""EE"" or family members' emotional attitudes that predict relapse) are generally lower than rates found in Western countries. In light of this seemingly incongruous juxtaposition and because Chinese comprise approximately one-fifth of the world's mentally ill, we examine how one of the most widely held causal beliefs of schizophrenia--excessive thinking (xiang tai duo)--may powerfully shape how those exhibiting psychotic symptoms pass from ""normal"" status to stigmatized ""other."" Using a framework by which stigma threatens an actor's capacity to participate in core everyday engagements, we examine how expressions of excessive thinking intersect with psychotic symptoms and how this idiom reduces stigma by preserving essential moral standing. Four focus groups with family members (n = 34 total) of schizophrenia outpatients, who had participated in psychoeducation, were conducted in Beijing. Open coding was conducted by 2 bilingual coders achieving high interrater agreement. Common expressions of excessive thinking--taking things too hard that is perceived as a causal factor and unwarranted suspicion that is used to benignly interpret paranoid symptoms encapsulated disruptive behaviors that closely overlapped with psychotic symptoms. Because excessive thinking is understood to occur universally, this idiom encourages socially accommodating behavior that signifies acceptance of these individuals as full-status community members. In contrast, due to beliefs implying moral contamination, those labeled mentally ill are threatened with both subtle and outright social exclusion. We discuss implications of this idiom for EE and the detection of schizophrenia ""prodrome"" in China. ###Answer 1. Changed Reasoning: The target word ""schizophrenia"" has undergone significant semantic drift between the two sentences. In Sentence A, the word is used in the context of a genetic linkage study, where it refers to a genetic component of the disorder. In Sentence B, the word is used in a different context, where it refers to a cultural belief or idiom that shapes how individuals with psychotic symptoms are perceived and treated in a specific cultural setting. The meaning of the word has shifted from a genetic disorder to a cultural construct, indicating semantic drift has occurred." 86,Schizophrenia,"Dopamine receptors have been divided into two major types--D1 and D2--based primarily on pharmacological and biochemical criteria. Recent advances in the molecular biology of the dopamine receptor system have allowed the identification and characterisation of at least five distinct neuronal dopamine receptor genes (D1 to D5). These genes encode dopamine receptors belonging to the D1 receptor family, termed D1 and D5, and three D2-like receptors, termed D2, D3 and D4. These receptors are distinguished on the basis of their primary structure, chromosomal location, mRNA size and tissue distribution, and biochemical and pharmacological differences. Although individually these receptor subtypes may not be directly and exclusively involved in the maintenance or expression of schizophrenia, alterations of any of the receptors may contribute to the perturbation or instability of dopaminergic homeostasis in the brain. What was once thought to be a simple two-receptor system seems to have emerged as an intricate and interactive entity. This review summarises what is currently understood about dopamine receptors, their role in antipsychotic drug action, and their association with psychosis.","The psychiatric care of patients with schizophrenia has changed dramatically following the ""deinstitutionalization"" of mental health care in many Western countries. In a study of forensic autopsies in the Swedish city of Malmö between 1952 and 2005, we found an increase over time in the number of patients with schizophrenia whose bodies were not discovered until late after death, which correlated closely with the decrease in the number of hospital beds in the psychiatric services used by this group of patients. This indicates a strong increase in the social isolation and unavailability of adequate mental health care for patients with schizophrenia.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Schizophrenia Sentence A: Dopamine receptors have been divided into two major types--D1 and D2--based primarily on pharmacological and biochemical criteria. Recent advances in the molecular biology of the dopamine receptor system have allowed the identification and characterisation of at least five distinct neuronal dopamine receptor genes (D1 to D5). These genes encode dopamine receptors belonging to the D1 receptor family, termed D1 and D5, and three D2-like receptors, termed D2, D3 and D4. These receptors are distinguished on the basis of their primary structure, chromosomal location, mRNA size and tissue distribution, and biochemical and pharmacological differences. Although individually these receptor subtypes may not be directly and exclusively involved in the maintenance or expression of schizophrenia, alterations of any of the receptors may contribute to the perturbation or instability of dopaminergic homeostasis in the brain. What was once thought to be a simple two-receptor system seems to have emerged as an intricate and interactive entity. This review summarises what is currently understood about dopamine receptors, their role in antipsychotic drug action, and their association with psychosis. Sentence B: The psychiatric care of patients with schizophrenia has changed dramatically following the ""deinstitutionalization"" of mental health care in many Western countries. In a study of forensic autopsies in the Swedish city of Malmö between 1952 and 2005, we found an increase over time in the number of patients with schizophrenia whose bodies were not discovered until late after death, which correlated closely with the decrease in the number of hospital beds in the psychiatric services used by this group of patients. This indicates a strong increase in the social isolation and unavailability of adequate mental health care for patients with schizophrenia. ###Answer 1. Changed Reasoning: In Sentence A, the term ""schizophrenia"" is used to describe a specific mental disorder characterized by alterations of dopamine receptors in the brain. The sentence highlights the complexity of the dopamine receptor system and how it may contribute to the perturbation or instability of dopaminergic homeostasis in the brain. The term ""schizophrenia"" is used in a medical and scientific context, and its meaning remains relatively consistent throughout the sentence. In Sentence B, the term ""schizophrenia"" is used to describe a social and economic phenomenon related to the deinstitutionalization of mental health care. The sentence highlights the impact of deinstitutionalization on the availability of mental health care for patients with schizophrenia, leading to increased social isolation and a decrease in the number of hospital beds available for this group of patients. The term ""schizophrenia"" is used in a different context than in Sentence A, and its meaning has shifted to focus more on the social and economic factors surrounding mental health care. Overall, the meaning of the term ""schizophrenia"" has changed significantly between the two sentences, shifting from a medical and scientific context to a social and economic context. Therefore, the label ""Changed"" is appropriate for this task." 87,Schizophrenia,"Abnormal neurodevelopment and poor premorbid function have been described in schizophrenia. It is unclear whether abnormalities in these domains are increased in patients with early onset schizophrenia (EOS; onset before the 18th birthday) and whether they act to precipitate the earlier onset of the disorder. To address these questions, we collected information based on maternal interviews about the premorbid function of 40 adolescents with recent onset schizophrenia and an equal number of healthy controls using the Developmental Scale Score, the Premorbid Schizoid and Schizotypal Trait Scale (PSST) and Premorbid Adjustment Scale (PAS). Data on the PSST and PAS were also available in 54 patients with adult onset schizophrenia (AOS; onset after the 20th birthday). Compared to healthy controls, EOS patients had (a). delayed speech milestones, difficulties in reading and spelling and greater overall developmental deviance; (b). poor premorbid adjustment in childhood, which became even more deviant in adolescence particularly in boys and (c). more schizophrenia spectrum traits. Both premorbid adjustment and personality traits were more abnormal in patients with increased developmental deviance suggesting the possibility that they represent different manifestations of ongoing abnormalities in developmental processes. EOS patients had more impaired premorbid adjustment in adolescence and schizophrenia spectrum traits compared to AOS cases. Age of onset was related to developmental deviance, premorbid schizophrenia spectrum traits and childhood adjustment in EOS patients only.","Electroconvulsive therapy is an established treatment for symptoms of psychosis and is currently recommended for use in patients who are experiencing an acute exacerbation of positive symptoms or who have had catatonia. There is also evidence to suggest that electroconvulsive therapy can be a safe, effective treatment in first episode psychosis, such as schizophrenia spectrum disorders, particularly in treatment-resistant patients. Other forms of neuromodulation (transcranial magnetic stimulation, transcranial direct current stimulation, vagus nerve stimulation, deep brain stimulation) have less of an evidence base to support their use and are not formally indicated for the treatment of psychosis.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Schizophrenia Sentence A: Abnormal neurodevelopment and poor premorbid function have been described in schizophrenia. It is unclear whether abnormalities in these domains are increased in patients with early onset schizophrenia (EOS; onset before the 18th birthday) and whether they act to precipitate the earlier onset of the disorder. To address these questions, we collected information based on maternal interviews about the premorbid function of 40 adolescents with recent onset schizophrenia and an equal number of healthy controls using the Developmental Scale Score, the Premorbid Schizoid and Schizotypal Trait Scale (PSST) and Premorbid Adjustment Scale (PAS). Data on the PSST and PAS were also available in 54 patients with adult onset schizophrenia (AOS; onset after the 20th birthday). Compared to healthy controls, EOS patients had (a). delayed speech milestones, difficulties in reading and spelling and greater overall developmental deviance; (b). poor premorbid adjustment in childhood, which became even more deviant in adolescence particularly in boys and (c). more schizophrenia spectrum traits. Both premorbid adjustment and personality traits were more abnormal in patients with increased developmental deviance suggesting the possibility that they represent different manifestations of ongoing abnormalities in developmental processes. EOS patients had more impaired premorbid adjustment in adolescence and schizophrenia spectrum traits compared to AOS cases. Age of onset was related to developmental deviance, premorbid schizophrenia spectrum traits and childhood adjustment in EOS patients only. Sentence B: Electroconvulsive therapy is an established treatment for symptoms of psychosis and is currently recommended for use in patients who are experiencing an acute exacerbation of positive symptoms or who have had catatonia. There is also evidence to suggest that electroconvulsive therapy can be a safe, effective treatment in first episode psychosis, such as schizophrenia spectrum disorders, particularly in treatment-resistant patients. Other forms of neuromodulation (transcranial magnetic stimulation, transcranial direct current stimulation, vagus nerve stimulation, deep brain stimulation) have less of an evidence base to support their use and are not formally indicated for the treatment of psychosis. ###Answer 1. Changed Reasoning: In Sentence A, the term ""schizophrenia"" is used in the context of ""neurodevelopment and poor premorbid function have been described in schizophrenia."" The word ""schizophrenia"" is used to describe a specific mental disorder characterized by abnormalities in neurodevelopment and premorbid function. However, in Sentence B, the term ""schizophrenia spectrum disorders"" is used, which suggests a broader range of disorders that may be treated with electroconvulsive therapy. This usage of the term ""schizophrenia"" has shifted its meaning to include a broader range of disorders, indicating semantic drift has occurred." 88,Schizophrenia,"Disordered smooth-pursuit eye movements (SPEM) and, specifically, small anticipatory saccades that disrupt SPEM have been hypothesized to be a marker of genetic vulnerability to schizophrenia. This study compares SPEM in children of schizophrenic parents with normally developing control children to assess whether SPEM abnormalities are also present in a subset of at-risk children.","Heterozygous mutations of the NRXN1 gene, which encodes the presynaptic cell-adhesion molecule neurexin-1, were repeatedly associated with autism and schizophrenia. However, diverse clinical presentations of NRXN1 mutations in patients raise the question of whether heterozygous NRXN1 mutations alone directly impair synaptic function. To address this question under conditions that precisely control for genetic background, we generated human ESCs with different heterozygous conditional NRXN1 mutations and analyzed two different types of isogenic control and NRXN1 mutant neurons derived from these ESCs. Both heterozygous NRXN1 mutations selectively impaired neurotransmitter release in human neurons without changing neuronal differentiation or synapse formation. Moreover, both NRXN1 mutations increased the levels of CASK, a critical synaptic scaffolding protein that binds to neurexin-1. Our results show that, unexpectedly, heterozygous inactivation of NRXN1 directly impairs synaptic function in human neurons, and they illustrate the value of this conditional deletion approach for studying the functional effects of disease-associated mutations. ","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Schizophrenia Sentence A: Disordered smooth-pursuit eye movements (SPEM) and, specifically, small anticipatory saccades that disrupt SPEM have been hypothesized to be a marker of genetic vulnerability to schizophrenia. This study compares SPEM in children of schizophrenic parents with normally developing control children to assess whether SPEM abnormalities are also present in a subset of at-risk children. Sentence B: Heterozygous mutations of the NRXN1 gene, which encodes the presynaptic cell-adhesion molecule neurexin-1, were repeatedly associated with autism and schizophrenia. However, diverse clinical presentations of NRXN1 mutations in patients raise the question of whether heterozygous NRXN1 mutations alone directly impair synaptic function. To address this question under conditions that precisely control for genetic background, we generated human ESCs with different heterozygous conditional NRXN1 mutations and analyzed two different types of isogenic control and NRXN1 mutant neurons derived from these ESCs. Both heterozygous NRXN1 mutations selectively impaired neurotransmitter release in human neurons without changing neuronal differentiation or synapse formation. Moreover, both NRXN1 mutations increased the levels of CASK, a critical synaptic scaffolding protein that binds to neurexin-1. Our results show that, unexpectedly, heterozygous inactivation of NRXN1 directly impairs synaptic function in human neurons, and they illustrate the value of this conditional deletion approach for studying the functional effects of disease-associated mutations. ###Answer 1. Changed Explanation: In Sentence A, the term ""schizophrenia"" is used in the context of a study investigating eye movements as a potential marker of genetic vulnerability to the disorder. The term is used in a neutral manner, without any connotation of negative or stigmatizing associations. In Sentence B, the term ""schizophrenia"" is used in the context of a study investigating the functional effects of mutations associated with the disorder. The term is used in a more technical and scientific manner, with no apparent connotation of negative or stigmatizing associations. However, a semantic drift analysis reveals that the term ""schizophrenia"" has undergone a significant change in meaning between the two sentences. In Sentence A, the term is used primarily as a descriptive term to identify a specific disorder, while in Sentence B, the term is used more as a diagnostic label with implications of genetic causality. This shift in meaning could be due to changes in the way the term is perceived and understood in the scientific community over time, or it could be due to changes in the way the term is used in different contexts. Regardless of the reason, the change in meaning between the two sentences indicates semantic drift has occurred." 89,Schizophrenia,"Schizophrenia-like psychoses occur more frequently than expected in patients with chronic temporal lobe epilepsy. We have analyzed pathological and clinical data from a series (n = 249) of temporal lobectomies to determine the factors that may relate to the development of schizophrenia-like psychosis. Schizophrenia-like psychoses did not occur at random; they were significantly associated with lesions that (1) originated in the fetus or perinatally, (2) affected neurons in the medial temporal lobe, and (3) gave an early age of first fit. Gangliogliomas--developmental lesions of the medial temporal lobe containing aberrant neurons--were disproportionately (p less than 0.001) associated with risk of psychosis. Schizophrenia-like psychoses arising preoperatively occurred more often (p = 0.1) with left-sided lesions. Asymmetry of lesion was not present in cases with postoperative psychoses. These findings are of interest in relation to recent studies suggesting that the structural abnormalities found in the brains of schizophrenics arise during fetal brain development.","Gesture is integrally linked with language and cognitive systems, and recent years have seen a growing attention to these movements in patients with schizophrenia. To date, however, there have been no investigations of gesture in youth at ultra high risk (UHR) for psychosis. Examining gesture in UHR individuals may help to elucidate other widely recognized communicative and cognitive deficits in this population and yield new clues for treatment development.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Schizophrenia Sentence A: Schizophrenia-like psychoses occur more frequently than expected in patients with chronic temporal lobe epilepsy. We have analyzed pathological and clinical data from a series (n = 249) of temporal lobectomies to determine the factors that may relate to the development of schizophrenia-like psychosis. Schizophrenia-like psychoses did not occur at random; they were significantly associated with lesions that (1) originated in the fetus or perinatally, (2) affected neurons in the medial temporal lobe, and (3) gave an early age of first fit. Gangliogliomas--developmental lesions of the medial temporal lobe containing aberrant neurons--were disproportionately (p less than 0.001) associated with risk of psychosis. Schizophrenia-like psychoses arising preoperatively occurred more often (p = 0.1) with left-sided lesions. Asymmetry of lesion was not present in cases with postoperative psychoses. These findings are of interest in relation to recent studies suggesting that the structural abnormalities found in the brains of schizophrenics arise during fetal brain development. Sentence B: Gesture is integrally linked with language and cognitive systems, and recent years have seen a growing attention to these movements in patients with schizophrenia. To date, however, there have been no investigations of gesture in youth at ultra high risk (UHR) for psychosis. Examining gesture in UHR individuals may help to elucidate other widely recognized communicative and cognitive deficits in this population and yield new clues for treatment development. ###Answer 1. Changed Explanation: In Sentence A, the term ""schizophrenia-like psychoses"" is used to describe a condition that is characterized by psychotic symptoms, such as hallucinations and delusions. The sentence suggests that this condition is associated with specific lesions in the brain, particularly in the medial temporal lobe. The term ""schizophrenia"" is used to describe a specific mental disorder characterized by disruptions in thought processes, perception, and emotional responsiveness. In Sentence B, the term ""schizophrenia"" is used in a different context. It is no longer associated with specific lesions or brain abnormalities, but rather with gesture and cognitive systems. The sentence suggests that examining gesture in individuals at ultra high risk for psychosis may help to elucidate other communicative and cognitive deficits in this population. Based on these differences in context and meaning, it can be argued that the term ""schizophrenia"" has undergone a significant change in meaning between Sentence A and Sentence B. In Sentence A, the term is used to describe a specific medical condition, while in Sentence B, it is used more broadly to describe a range of cognitive and communicative deficits. Therefore, the label ""Changed"" is appropriate for this task." 90,Schizophrenia,"Childhood-onset schizophrenia shows progressive brain magnetic resonance imaging (MRI) changes during adolescence, which follow a back-to-front ""wave."" The authors' goal was to examine whether healthy siblings of patients with childhood-onset schizophrenia show structural brain abnormalities and the age-related pattern of abnormalities seen in patients with childhood-onset schizophrenia.","Thought disorder is considered to be central to the core disturbances in schizophrenia and was described by Goldstein as aberrant ""concept formation."" Executive dysfunction is another core deficit in schizophrenia. With a greater emphasis on psychopathology in nosological systems, the classical thought disorder receives less prominence. The present study aimed to understand the association between classical thought disorder (aberrant concept formation and concrete abstraction) and executive dysfunction.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Schizophrenia Sentence A: Childhood-onset schizophrenia shows progressive brain magnetic resonance imaging (MRI) changes during adolescence, which follow a back-to-front ""wave."" The authors' goal was to examine whether healthy siblings of patients with childhood-onset schizophrenia show structural brain abnormalities and the age-related pattern of abnormalities seen in patients with childhood-onset schizophrenia. Sentence B: Thought disorder is considered to be central to the core disturbances in schizophrenia and was described by Goldstein as aberrant ""concept formation."" Executive dysfunction is another core deficit in schizophrenia. With a greater emphasis on psychopathology in nosological systems, the classical thought disorder receives less prominence. The present study aimed to understand the association between classical thought disorder (aberrant concept formation and concrete abstraction) and executive dysfunction. ###Answer ☑️ Changed The meaning of the target word ""schizophrenia"" has significantly shifted between the two sentences. In Sentence A, the word is used to describe a specific type of brain abnormalities in patients with childhood-onset schizophrenia. In Sentence B, the word is used more broadly to describe thought disorder and executive dysfunction, which are core deficits in the disorder. The shift in meaning suggests that the term ""schizophrenia"" has undergone semantic drift." 91,Schizophrenia,"Schizophrenia is a chronic disease associated with a significant and long-lasting health, social, and financial burden, not only for patients but also for families, other caregivers, and the wider society. Many national and local studies have sought to estimate the societal burden of the illness--or some components of it--in monetary terms. Findings vary. We systematically reviewed the literature to locate all existing international estimates to date. Sixty-two relevant studies were found and summarized. Within- and between-country differences were analyzed descriptively. Despite the wide diversity of data sets and methods applied, all cost-of-illness estimates highlight the heavy societal burden of schizophrenia. Such information helps us to understand the health, health care, economic, and policy importance of schizophrenia, and to better interpret and explain the large within- and across-country differences that exist.","Prepulse inhibition of acoustic startle is a behavioural response, which is used to estimate sensorimotor gating deficits in schizophrenia. Recent studies show that several behavioural effects of the psychotomimetic drug, phencyclidine (PCP), in rodents are blocked by nitric oxide synthase (NOS) inhibitors suggesting that NO plays an important role in the pharmacological effects of PCP. The present study was conducted to examine the effects of PCP on prepulse inhibition in neuronal NOS (nNOS) deficient mice. PCP treatment caused a significant and dose-related increase in prepulse inhibition in nNOS-/- mice whereas prepulse inhibition was not significantly affected in +/+ and +/- mice. Basal prepulse inhibition level did not differ significantly between the groups. Furthermore, PCP caused a dose-related decrease in startle response reactivity in +/+ mice but did not significantly affect this measure in +/- and -/- mice. Basal startle response level did not differ between +/+ and +/- but was significantly lower in -/- mice. It is concluded that nNOS plays a role in the NO-sensitive effects of PCP.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Schizophrenia Sentence A: Schizophrenia is a chronic disease associated with a significant and long-lasting health, social, and financial burden, not only for patients but also for families, other caregivers, and the wider society. Many national and local studies have sought to estimate the societal burden of the illness--or some components of it--in monetary terms. Findings vary. We systematically reviewed the literature to locate all existing international estimates to date. Sixty-two relevant studies were found and summarized. Within- and between-country differences were analyzed descriptively. Despite the wide diversity of data sets and methods applied, all cost-of-illness estimates highlight the heavy societal burden of schizophrenia. Such information helps us to understand the health, health care, economic, and policy importance of schizophrenia, and to better interpret and explain the large within- and across-country differences that exist. Sentence B: Prepulse inhibition of acoustic startle is a behavioural response, which is used to estimate sensorimotor gating deficits in schizophrenia. Recent studies show that several behavioural effects of the psychotomimetic drug, phencyclidine (PCP), in rodents are blocked by nitric oxide synthase (NOS) inhibitors suggesting that NO plays an important role in the pharmacological effects of PCP. The present study was conducted to examine the effects of PCP on prepulse inhibition in neuronal NOS (nNOS) deficient mice. PCP treatment caused a significant and dose-related increase in prepulse inhibition in nNOS-/- mice whereas prepulse inhibition was not significantly affected in +/+ and +/- mice. Basal prepulse inhibition level did not differ significantly between the groups. Furthermore, PCP caused a dose-related decrease in startle response reactivity in +/+ mice but did not significantly affect this measure in +/- and -/- mice. Basal startle response level did not differ between +/+ and +/- but was significantly lower in -/- mice. It is concluded that nNOS plays a role in the NO-sensitive effects of PCP. ###Answer 1. Changed Reasoning: In Sentence A, the word ""schizophrenia"" is used to describe a chronic disease with a significant and long-lasting health, social, and financial burden. The sentence highlights the societal burden of the illness and the diversity of data sets and methods applied to estimate the burden. The word ""schizophrenia"" is used in a neutral or even positive context, indicating that the term has not undergone significant semantic drift. In Sentence B, the word ""schizophrenia"" is used to describe a behavioural response used to estimate sensorimotor gating deficits in the context of phencyclidine (PCP) treatment. The sentence highlights the role of nitric oxide synthase (NOS) in the pharmacological effects of PCP. The word ""schizophrenia"" is used in a scientific context to describe a specific aspect of the illness, and the sentence does not convey any significant change in meaning or connotation. Therefore, the label ""Unchanged"" is appropriate." 92,Schizophrenia,"Erythrocyte deformability as a clinical indicator of microcirculatory disturbance was determined in the erythrocyte of 25 schizophrenic patients and of 18 normal controls. Schizophrenic patients had significantly lower erythrocyte deformability than did the normal controls (P < 0.001). This result suggests that microcirculation in schizophrenic patients is disturbed, and that this disturbance might be involved in the pathophysiological genesis of schizophrenia.","Clozapine (CLZ), an antipsychotic with a unique mechanism of action, is known to be superior to any other antipsychotic for schizophrenia. However, CLZ is also known to be associated with the development of lethal side effects, which include agranulocytosis and glucose intolerance (GI). Regular measurement and registration of blood test results have been mandatory for all CLZ users; however, these risks may still prevent therapists from prescribing CLZ. While CLZ-induced agranulocytosis has been well documented, CLZ-induced GI in the real world has not been fully investigated. Therefore, in this study, we used data registered in monitoring systems to investigate background factors associated with new-onset GI after CLZ administration and changes in HbA1c levels during CLZ treatment. Data of all patients with schizophrenia who were using CLZ from July 29, 2009 to January 20, 2016 were used for the analysis. Of the 3,746 patients enrolled in the study, 92 (2.5%) had GI at baseline; of the remaining 3,654 patients, 428 (11.7%) developed new-onset GI. Multivariate logistic regression analysis revealed that the development of new-onset GI was significantly associated with older age, higher baseline HbA1c levels, and longer treatment duration. In patients with GI at baseline, HbA1c levels were maintained or improved over 18 months, while in the other patients, CLZ administration gradually elevated HbA1c levels. The findings of this study suggest that, although adequate monitoring and intervention is required, CLZ induction and maintenance therapy may be safe, even for patients with impaired glucose tolerance.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Schizophrenia Sentence A: Erythrocyte deformability as a clinical indicator of microcirculatory disturbance was determined in the erythrocyte of 25 schizophrenic patients and of 18 normal controls. Schizophrenic patients had significantly lower erythrocyte deformability than did the normal controls (P < 0.001). This result suggests that microcirculation in schizophrenic patients is disturbed, and that this disturbance might be involved in the pathophysiological genesis of schizophrenia. Sentence B: Clozapine (CLZ), an antipsychotic with a unique mechanism of action, is known to be superior to any other antipsychotic for schizophrenia. However, CLZ is also known to be associated with the development of lethal side effects, which include agranulocytosis and glucose intolerance (GI). Regular measurement and registration of blood test results have been mandatory for all CLZ users; however, these risks may still prevent therapists from prescribing CLZ. While CLZ-induced agranulocytosis has been well documented, CLZ-induced GI in the real world has not been fully investigated. Therefore, in this study, we used data registered in monitoring systems to investigate background factors associated with new-onset GI after CLZ administration and changes in HbA1c levels during CLZ treatment. Data of all patients with schizophrenia who were using CLZ from July 29, 2009 to January 20, 2016 were used for the analysis. Of the 3,746 patients enrolled in the study, 92 (2.5%) had GI at baseline; of the remaining 3,654 patients, 428 (11.7%) developed new-onset GI. Multivariate logistic regression analysis revealed that the development of new-onset GI was significantly associated with older age, higher baseline HbA1c levels, and longer treatment duration. In patients with GI at baseline, HbA1c levels were maintained or improved over 18 months, while in the other patients, CLZ administration gradually elevated HbA1c levels. The findings of this study suggest that, although adequate monitoring and intervention is required, CLZ induction and maintenance therapy may be safe, even for patients with impaired glucose tolerance. ###Answer 1. Changed Reasoning: In Sentence A, the target word ""schizophrenia"" is used to describe a specific medical condition, with a clear clinical indicator of microcirculatory disturbance. The sentence suggests that the condition was characterized by lower erythrocyte deformability in patients compared to normal controls. In contrast, in Sentence B, the target word ""schizophrenia"" is used more broadly to describe the drug's mechanism of action and its effects on glucose tolerance. The sentence does not provide any specific clinical indicators of microcirculatory disturbance, and instead focuses on the drug's efficacy and safety profile. Based on these differences in usage and context, it is clear that the meaning of the target word ""schizophrenia"" has shifted significantly between the two sentences. In Sentence A, the word is used to describe a specific medical condition with clear clinical markers, while in Sentence B, it is used more broadly to describe the drug's mechanism of action and its effects on glucose tolerance. Therefore, the label ""Changed"" is appropriate to indicate that the meaning of the target word has shifted over time." 93,Schizophrenia,"Cerebrospinal fluid (CSF) levels of an opioid receptor-active, chromatographically separated endorphin fraction (Fraction I) were measured in 45 schizophrenic patients and 18 healthy volunteers. Significantly increased levels of Fraction I differentiated the patient group from controls, with no difference being found between newly admitted untreated and chronic previously neuroleptic-treated subjects. Fraction I levels did not correlate with age, weight, height, duration of illness, total time hospitalized, or age when symptoms first appeared. No differences were found between patients with or without a family history of schizophrenia. Fraction I levels were negatively correlated with ""hallucinations"" and ""indecision"" on the Comprehensive Psychopathological Rating Scale. Increased levels of Fraction I were associated with low levels of the dopamine metabolite homovanillic acid in drug-free schizophrenics. This relationship was not present after neuroleptic treatment or in healthy controls. No relationship was found between Fraction I and the serotonin metabolite 5-hydroxyindoleacetic acid. Neuroleptic treatment did not significantly change Fraction I levels; when only patients above the control range were considered, however, a significant decrease was observed. The data support our previous hypothesis of an increased opioid activity in schizophrenia and further indicate a concomitant dysfunction of brain endorphin and dopamine activity in schizophrenic patients.","A subanesthetic dose of the noncompetitive N-methyl-d-aspartate receptor antagonist ketamine is known to induce a schizophrenia-like phenotype in humans and nonhuman primates alike. The transient behavioral changes mimic the positive, negative, and cognitive symptoms of the disease but the neural mechanisms behind these changes are poorly understood. A growing body of evidence indicates that the cognitive control processes associated with prefrontal cortex (PFC) regions relies on groups of neurons synchronizing at narrow-band frequencies measurable in the local field potential (LFP). Here, we recorded LFPs from the caudo-lateral PFC of 2 macaque monkeys performing an antisaccade task, which requires the suppression of an automatic saccade toward a stimulus and the initiation of a goal-directed saccade in the opposite direction. Preketamine injection activity showed significant differences in a narrow 20-30 Hz beta frequency band between correct and error trials in the postsaccade response epoch. Ketamine significantly impaired the animals' performance and was associated with a loss of the differences in outcome-specific beta-band power. Instead, we observed a large increase in high-gamma-band activity. Our results suggest that the PFC employs beta-band synchronization to prepare for top-down cognitive control of saccades and the monitoring of task outcome.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Schizophrenia Sentence A: Cerebrospinal fluid (CSF) levels of an opioid receptor-active, chromatographically separated endorphin fraction (Fraction I) were measured in 45 schizophrenic patients and 18 healthy volunteers. Significantly increased levels of Fraction I differentiated the patient group from controls, with no difference being found between newly admitted untreated and chronic previously neuroleptic-treated subjects. Fraction I levels did not correlate with age, weight, height, duration of illness, total time hospitalized, or age when symptoms first appeared. No differences were found between patients with or without a family history of schizophrenia. Fraction I levels were negatively correlated with ""hallucinations"" and ""indecision"" on the Comprehensive Psychopathological Rating Scale. Increased levels of Fraction I were associated with low levels of the dopamine metabolite homovanillic acid in drug-free schizophrenics. This relationship was not present after neuroleptic treatment or in healthy controls. No relationship was found between Fraction I and the serotonin metabolite 5-hydroxyindoleacetic acid. Neuroleptic treatment did not significantly change Fraction I levels; when only patients above the control range were considered, however, a significant decrease was observed. The data support our previous hypothesis of an increased opioid activity in schizophrenia and further indicate a concomitant dysfunction of brain endorphin and dopamine activity in schizophrenic patients. Sentence B: A subanesthetic dose of the noncompetitive N-methyl-d-aspartate receptor antagonist ketamine is known to induce a schizophrenia-like phenotype in humans and nonhuman primates alike. The transient behavioral changes mimic the positive, negative, and cognitive symptoms of the disease but the neural mechanisms behind these changes are poorly understood. A growing body of evidence indicates that the cognitive control processes associated with prefrontal cortex (PFC) regions relies on groups of neurons synchronizing at narrow-band frequencies measurable in the local field potential (LFP). Here, we recorded LFPs from the caudo-lateral PFC of 2 macaque monkeys performing an antisaccade task, which requires the suppression of an automatic saccade toward a stimulus and the initiation of a goal-directed saccade in the opposite direction. Preketamine injection activity showed significant differences in a narrow 20-30 Hz beta frequency band between correct and error trials in the postsaccade response epoch. Ketamine significantly impaired the animals' performance and was associated with a loss of the differences in outcome-specific beta-band power. Instead, we observed a large increase in high-gamma-band activity. Our results suggest that the PFC employs beta-band synchronization to prepare for top-down cognitive control of saccades and the monitoring of task outcome. ###Answer 1. Changed Reasoning: In Sentence A, the term ""schizophrenia"" is used to describe a neurological disorder characterized by hallucinations, delusions, and cognitive impairment. The sentence highlights the importance of cerebrospinal fluid (CSF) levels of an opioid receptor-active fraction in differentiating schizophrenic patients from healthy controls. The term ""schizophrenia"" is used without any connotations of negative or stigmatizing associations. In Sentence B, the term ""schizophrenia-like phenotype"" is used to describe a transient behavioral change induced by a subanesthetic dose of ketamine. The sentence highlights the neural mechanisms behind the changes in behavior, including the role of cognitive control processes associated with prefrontal cortex (PFC) regions. The term ""schizophrenia-like phenotype"" suggests a similarity to the disease, but without the same level of pathology or stigma. Based on these two sentences, it is clear that the meaning of ""schizophrenia"" has changed significantly between the two time periods. In Sentence A, the term is used in a neutral and scientific manner, while in Sentence B, it is used to describe a transient behavioral change with less negative connotations. Therefore, the label ""Changed"" is appropriate to indicate that the meaning of ""schizophrenia"" has shifted over time." 94,Schizophrenia,"We investigated the effect of 10 months ovariectomy and a correction therapy, 2 weeks before the rats were killed, of oestradiol, progesterone or their combination on NMDA and AMPA receptor binding in the hippocampus, dentate gyrus, striatum, nucleus accumbens and frontal cortex of the rat brain as well as on amino acid levels in frontal cortex. NMDA and AMPA binding densities were assayed by autoradiography using, respectively, L-[3H]glutamate and [3H]AMPA; amino acid concentrations were measured by high performance liquid chromatograhy (HPLC) coupled with UV detection. Ovariectomy was without effect on NMDA and AMPA binding density in all brain regions assayed except in the hippocampal CA1 region and dentate gyrus where it decreased NMDA binding density compared to intact rats values. Oestradiol restored and increased NMDA binding density in the CA1 subfield and the dentate gyrus of ovariectomized rats but, by contrast, it decreased binding density in the striatum and in the frontal cortex while having no effect in the CA2/3 subfield of the hippocampus and in the nucleus accumbens. Oestradiol was without effect on AMPA binding density in the hippocampus and the dentate gyrus but it reduced AMPA binding density in the striatum, the frontal cortex and the nucleus accumbens. Progesterone, and oestradiol combined with progesterone, decreased NMDA but not AMPA binding density in the frontal cortex of ovariectomized rats, and they were without effect on these receptors in the other brain regions assayed. Amino acid concentrations in the frontal cortex were unchanged after ovariectomy or steroid treatments. The effect of oestradiol in the hippocampus confirmed in the present study and our novel findings in the frontal cortex, striatum and nucleus accumbens may have functional significance for schizophrenia and neurodegenerative diseases.","Recent studies have revealed an altered expression of NKCC1 and KCC2 in prefrontal cortex (PFC) and hippocampus of schizophrenic patients. Despite extensive considerations, the alteration of NKCC1 and KCC2 co-transporters at different stages of development has not been fully studied. Therefore, we evaluated the expression of these transporters in PFC and hippocampus at time points of four, eight, and twelve weeks in post-weaning social isolation rearing rat model. For this purpose, 23-25 days-old rats were classified into social- or isolation-reared groups. The levels of NKCC1 and KCC2 mRNA expression were evaluated at hippocampus or PFC regions at the time-points of four, eight, and twelve weeks following housing. Post-weaning isolation rearing decreased the hippocampal KCC2 mRNA expression level, but does not affect the NKCC1 mRNA expression. However, no significant difference was observed in the PFC mRNA levels of NKCC1 and KCC2 in the isolation-reared group compared to the socially-reared group during the course of modeling. Further, we assessed the therapeutic effect of selective NKCC1 inhibitor bumetanide (10 mg/kg), on improvement of prepulse inhibition (PPI) test on twelve weeks isolation-reared rats. Intraperitoneal administration of bumetanide (10 mg/kg) did not exert beneficial effects on PPI deficit. Our findings show that isolation rearing reduces hippocampal KCC2 expression level and may underlie hippocampal GABA excitatory. In addition, 10 mg/kg bumetanide is not effective in improving the reduced PPI of twelve weeks isolation-reared rats. Collectively, our findings show that hippocampal chloride transporter KCC2 contributes to excitatory GABA dysregulation in the developmental rat model of schizophrenia.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Schizophrenia Sentence A: We investigated the effect of 10 months ovariectomy and a correction therapy, 2 weeks before the rats were killed, of oestradiol, progesterone or their combination on NMDA and AMPA receptor binding in the hippocampus, dentate gyrus, striatum, nucleus accumbens and frontal cortex of the rat brain as well as on amino acid levels in frontal cortex. NMDA and AMPA binding densities were assayed by autoradiography using, respectively, L-[3H]glutamate and [3H]AMPA; amino acid concentrations were measured by high performance liquid chromatograhy (HPLC) coupled with UV detection. Ovariectomy was without effect on NMDA and AMPA binding density in all brain regions assayed except in the hippocampal CA1 region and dentate gyrus where it decreased NMDA binding density compared to intact rats values. Oestradiol restored and increased NMDA binding density in the CA1 subfield and the dentate gyrus of ovariectomized rats but, by contrast, it decreased binding density in the striatum and in the frontal cortex while having no effect in the CA2/3 subfield of the hippocampus and in the nucleus accumbens. Oestradiol was without effect on AMPA binding density in the hippocampus and the dentate gyrus but it reduced AMPA binding density in the striatum, the frontal cortex and the nucleus accumbens. Progesterone, and oestradiol combined with progesterone, decreased NMDA but not AMPA binding density in the frontal cortex of ovariectomized rats, and they were without effect on these receptors in the other brain regions assayed. Amino acid concentrations in the frontal cortex were unchanged after ovariectomy or steroid treatments. The effect of oestradiol in the hippocampus confirmed in the present study and our novel findings in the frontal cortex, striatum and nucleus accumbens may have functional significance for schizophrenia and neurodegenerative diseases. Sentence B: Recent studies have revealed an altered expression of NKCC1 and KCC2 in prefrontal cortex (PFC) and hippocampus of schizophrenic patients. Despite extensive considerations, the alteration of NKCC1 and KCC2 co-transporters at different stages of development has not been fully studied. Therefore, we evaluated the expression of these transporters in PFC and hippocampus at time points of four, eight, and twelve weeks in post-weaning social isolation rearing rat model. For this purpose, 23-25 days-old rats were classified into social- or isolation-reared groups. The levels of NKCC1 and KCC2 mRNA expression were evaluated at hippocampus or PFC regions at the time-points of four, eight, and twelve weeks following housing. Post-weaning isolation rearing decreased the hippocampal KCC2 mRNA expression level, but does not affect the NKCC1 mRNA expression. However, no significant difference was observed in the PFC mRNA levels of NKCC1 and KCC2 in the isolation-reared group compared to the socially-reared group during the course of modeling. Further, we assessed the therapeutic effect of selective NKCC1 inhibitor bumetanide (10 mg/kg), on improvement of prepulse inhibition (PPI) test on twelve weeks isolation-reared rats. Intraperitoneal administration of bumetanide (10 mg/kg) did not exert beneficial effects on PPI deficit. Our findings show that isolation rearing reduces hippocampal KCC2 expression level and may underlie hippocampal GABA excitatory. In addition, 10 mg/kg bumetanide is not effective in improving the reduced PPI of twelve weeks isolation-reared rats. Collectively, our findings show that hippocampal chloride transporter KCC2 contributes to excitatory GABA dysregulation in the developmental rat model of schizophrenia. ###Answer 1. Changed Reasoning: The target word ""schizophrenia"" has undergone a significant change in meaning or connotation between the two timestamps. In Sentence A, the word is used to describe a neurological disorder characterized by altered expression of NKCC1 and KCC2 co-transporters in the hippocampus and prefrontal cortex. In contrast, in Sentence B, the word is used to describe a dysregulation of GABA excitatory activity in the hippocampus, which may underlie the reduced prepulse inhibition in isolation-reared rats. The two sentences convey different meanings and connotations of the word ""schizophrenia"", indicating that its meaning has significantly shifted over time." 95,Schizophrenia,"This review of the literature suggests that antipsychotic drug response is determined by dopamine (DA) turnover and norepinephrine (NE) activity prior to treatment. The data suggest that NE modulates the DA system. Drug-free psychotic patients with relatively increased DA and NE activity, including release, are more likely to be treatment responsive, while patients who show evidence of enhanced DA and NE activity during treatment with antipsychotic drugs are likely to relapse soon after neuroleptic withdrawal. Basal release of DA and NE is decreased and associated with residual positive and negative symptoms. Improvement during neuroleptic treatment is associated with decreases in DA and NE phasic or stimulus induced release. The variable response to antipsychotic drugs is most likely to be a result of dysregulated DA and NE release, i.e. under state-dependent control, rather than evidence of a heterogeneous aetiology. Because catecholamines regulate gain, signal-to-noise ratio and gating in the brain, this model allows for environmental factors to interact with biochemical state and drug treatment. The author proposes that impaired homeostasis of NE and DA in schizophrenia causes instability in NE and DA neuronal firing and release, presumably related to mechanisms down-stream from the receptors, such as G proteins. This instability of catecholamine release may explain the observed variability in clinical states and drug response in schizophrenia.","Several clinical trials have demonstrated that linkage to an outreach service can prevent prolonged length of stay of patients at psychiatric hospitals. However, there has been no investigation of the association between length of stay in psychiatric hospital and regional supply of outreach services using national case mix data. The aim of this study was to clarify the relationship between length of stay in psychiatric hospital and regional supply of outreach services. We used data from the National Patient Survey in Japan, a nationally representative cross-sectional survey of inpatient care conducted every three years from 1996 to 2014. Data from 42,268 patients with schizophrenia who had been admitted to psychiatric hospitals were analyzed. After controlling for patient and regional characteristics, patients in regions with fewer number of visits for psychiatric nursing care at home had significantly longer length of stay in psychiatric hospitals. This finding implies that enhancement of the regional supply of outreach services would prevent prolonged length of stay in psychiatric hospitals.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Schizophrenia Sentence A: This review of the literature suggests that antipsychotic drug response is determined by dopamine (DA) turnover and norepinephrine (NE) activity prior to treatment. The data suggest that NE modulates the DA system. Drug-free psychotic patients with relatively increased DA and NE activity, including release, are more likely to be treatment responsive, while patients who show evidence of enhanced DA and NE activity during treatment with antipsychotic drugs are likely to relapse soon after neuroleptic withdrawal. Basal release of DA and NE is decreased and associated with residual positive and negative symptoms. Improvement during neuroleptic treatment is associated with decreases in DA and NE phasic or stimulus induced release. The variable response to antipsychotic drugs is most likely to be a result of dysregulated DA and NE release, i.e. under state-dependent control, rather than evidence of a heterogeneous aetiology. Because catecholamines regulate gain, signal-to-noise ratio and gating in the brain, this model allows for environmental factors to interact with biochemical state and drug treatment. The author proposes that impaired homeostasis of NE and DA in schizophrenia causes instability in NE and DA neuronal firing and release, presumably related to mechanisms down-stream from the receptors, such as G proteins. This instability of catecholamine release may explain the observed variability in clinical states and drug response in schizophrenia. Sentence B: Several clinical trials have demonstrated that linkage to an outreach service can prevent prolonged length of stay of patients at psychiatric hospitals. However, there has been no investigation of the association between length of stay in psychiatric hospital and regional supply of outreach services using national case mix data. The aim of this study was to clarify the relationship between length of stay in psychiatric hospital and regional supply of outreach services. We used data from the National Patient Survey in Japan, a nationally representative cross-sectional survey of inpatient care conducted every three years from 1996 to 2014. Data from 42,268 patients with schizophrenia who had been admitted to psychiatric hospitals were analyzed. After controlling for patient and regional characteristics, patients in regions with fewer number of visits for psychiatric nursing care at home had significantly longer length of stay in psychiatric hospitals. This finding implies that enhancement of the regional supply of outreach services would prevent prolonged length of stay in psychiatric hospitals. ###Answer 1. Changed Reasoning: In Sentence A, the term ""schizophrenia"" is used in the context of a scientific review of the literature, where it refers to a mental disorder characterized by disruptions in dopamine and norepinephrine activity. The term is used to describe the underlying neurobiological mechanisms that contribute to the disorder. In this context, the term ""schizophrenia"" has not undergone significant change in meaning or connotation between the two timestamps. In Sentence B, the term ""schizophrenia"" is used in a different context, where it refers to a patient group that has been admitted to a psychiatric hospital. The term is used to describe the patient population and their length of stay in the hospital. In this context, the term ""schizophrenia"" has undergone significant change in meaning or connotation between the two timestamps. The term now carries a more negative connotation, implying that the patients are a burden on the healthcare system. Based on these differences in context and meaning, I would label the term ""schizophrenia"" in Sentence B as having undergone semantic drift." 96,Schizophrenia,"Twenty-four male schizophrenics, 12 (SFH) with schizophrenia in the immediate family and 12 (SNFH) with no evidence of schizophrenia in the family background, and 24 male control subjects, 12 highly educated (HEC), and 12 minimally educated (MEC), were assessed for premorbid social adjustment and were administered the Digit Symbol Substitution Test, a size estimation task, and the EEG average evoked response (AER) at different levels of stimulus intensity. As predicted from the stimulus redundancy formulation, the SFH patients were poorer in premorbid adjustment, were less often paranoid, functioned at a lower level of cognitive efficiency (poor digit symbol and greater absolute error on size estimation), were more chronic, and, in some respects, had size estimation indices of minimal scanning. Contrary to prediction, the SFH group had the strongest and most sustained augmenting response on AER, while the SNFH group shifted from an augmenting to a reducing pattern of response. The relationship between an absence of AER reducing and the presence of cognitive impairment in the SFH group was a major focus of discussion.","Close Homolog of L1 (CHL1) is a member of the L1 family of cell adhesion molecules. CHL1 gene is located on human chromosome 3 and has been linked to several pathologies, including 3p deletion syndrome, schizophrenia, and tumor growth and metastasis.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Schizophrenia Sentence A: Twenty-four male schizophrenics, 12 (SFH) with schizophrenia in the immediate family and 12 (SNFH) with no evidence of schizophrenia in the family background, and 24 male control subjects, 12 highly educated (HEC), and 12 minimally educated (MEC), were assessed for premorbid social adjustment and were administered the Digit Symbol Substitution Test, a size estimation task, and the EEG average evoked response (AER) at different levels of stimulus intensity. As predicted from the stimulus redundancy formulation, the SFH patients were poorer in premorbid adjustment, were less often paranoid, functioned at a lower level of cognitive efficiency (poor digit symbol and greater absolute error on size estimation), were more chronic, and, in some respects, had size estimation indices of minimal scanning. Contrary to prediction, the SFH group had the strongest and most sustained augmenting response on AER, while the SNFH group shifted from an augmenting to a reducing pattern of response. The relationship between an absence of AER reducing and the presence of cognitive impairment in the SFH group was a major focus of discussion. Sentence B: Close Homolog of L1 (CHL1) is a member of the L1 family of cell adhesion molecules. CHL1 gene is located on human chromosome 3 and has been linked to several pathologies, including 3p deletion syndrome, schizophrenia, and tumor growth and metastasis. ###Answer 1. Changed Reasoning: In Sentence A, the term ""schizophrenics"" is used to describe individuals with the mental disorder. This term was commonly used in the past to refer to people with schizophrenia, but it has largely fallen out of use in contemporary language due to its negative connotations and stigmatizing effects. Additionally, the phrase ""poor digit symbol"" and ""greater absolute error on size estimation"" are used to describe the cognitive impairment of the individuals with schizophrenia, which suggests that the term was used to describe a specific set of symptoms or characteristics associated with the disorder. In Sentence B, the term ""Close Homolog of L1 (CHL1)"" is used to describe a member of the L1 family of cell adhesion molecules. This term is used in a different context than in Sentence A, and it does not carry the same negative connotations or stigmatizing effects as the term ""schizophrenics."" Therefore, the meaning of the term ""schizophrenia"" has changed significantly between the two sentences, indicating semantic drift." 97,Schizophrenia,"The present study examined the effects of pre-exposure of an irrelevant stimulus on reaction time and the contingent negative variation (CNV) in healthy controls and schizophrenic patients. In Phase I, subjects were either pre-exposed (PE) or not pre-exposed (NPE) to repeated presentations of an auditory probe stimulus (white noise), while engaged in counting auditory nonsense syllables. In Phase II, all subjects were required to produce a rapid motor response to a visual imperative stimulus that was preceded by the previously irrelevant auditory stimulus. During Phase II in controls, for PE as compared to NPE subjects, the build-up of CNV across trials was delayed. In schizophrenics, for both PE and NPE subjects, there was no pre-exposure effect on the CNV component. These findings indicate that ERPs may be useful in explicating the normal latent inhibition effect (poor associative learning to a stimulus after it has been passively pre-exposed) and its disruption in schizophrenia.","Vocational impairments in schizophrenia have been widely linked to deficits in neurocognition. This study examined the possibility that deficits in visuomotor processing speed and flexibility in abstract thought may in combination be an especially potent risk factor for poorer levels of work performance in rehabilitation. Fifty-seven participants with confirmed diagnoses of schizophrenia spectrum disorders were administered the Digit Symbol Subtest and the Wisconsin Card Sorting Test and then offered work placements in a vocational rehabilitation program. Work performance was assessed biweekly over two months using the Work Behavior Inventory. Multivariate and univariate repeated ANOVA revealed that participants classified as having no impairments in either visuomotor processing speed and flexibility in abstract thought (n=14) had superior work performance compared to participants with deficits in either one area (n=20) or both areas (n=23). Additionally, participants with no impairments were the only group to show significant improvement in work performance over 7 weeks of rehabilitation. Participants with only one deficit had significantly better work performance than participants with both deficits but showed no statistically significant improvement in work performance. Results suggest assessments of these domains of neurocognition may provide important information about individual needs for adjunct services.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Schizophrenia Sentence A: The present study examined the effects of pre-exposure of an irrelevant stimulus on reaction time and the contingent negative variation (CNV) in healthy controls and schizophrenic patients. In Phase I, subjects were either pre-exposed (PE) or not pre-exposed (NPE) to repeated presentations of an auditory probe stimulus (white noise), while engaged in counting auditory nonsense syllables. In Phase II, all subjects were required to produce a rapid motor response to a visual imperative stimulus that was preceded by the previously irrelevant auditory stimulus. During Phase II in controls, for PE as compared to NPE subjects, the build-up of CNV across trials was delayed. In schizophrenics, for both PE and NPE subjects, there was no pre-exposure effect on the CNV component. These findings indicate that ERPs may be useful in explicating the normal latent inhibition effect (poor associative learning to a stimulus after it has been passively pre-exposed) and its disruption in schizophrenia. Sentence B: Vocational impairments in schizophrenia have been widely linked to deficits in neurocognition. This study examined the possibility that deficits in visuomotor processing speed and flexibility in abstract thought may in combination be an especially potent risk factor for poorer levels of work performance in rehabilitation. Fifty-seven participants with confirmed diagnoses of schizophrenia spectrum disorders were administered the Digit Symbol Subtest and the Wisconsin Card Sorting Test and then offered work placements in a vocational rehabilitation program. Work performance was assessed biweekly over two months using the Work Behavior Inventory. Multivariate and univariate repeated ANOVA revealed that participants classified as having no impairments in either visuomotor processing speed and flexibility in abstract thought (n=14) had superior work performance compared to participants with deficits in either one area (n=20) or both areas (n=23). Additionally, participants with no impairments were the only group to show significant improvement in work performance over 7 weeks of rehabilitation. Participants with only one deficit had significantly better work performance than participants with both deficits but showed no statistically significant improvement in work performance. Results suggest assessments of these domains of neurocognition may provide important information about individual needs for adjunct services. ###Answer 1. Changed Reasoning: The meaning of the target word ""schizophrenia"" has changed significantly between the two sentences. In Sentence A, the term is used to describe a mental disorder characterized by disruptions in latent inhibition, whereas in Sentence B, it is used to describe a neurocognitive disorder with deficits in visuomotor processing speed and flexibility in abstract thought. The term's connotation has shifted from a psychiatric diagnosis to a broader term encompassing cognitive impairments." 98,Schizophrenia,"Research on the optimal pharmacotherapy for people with schizophrenia and co-occurring substance use disorders remains in its infancy. This report reviews existing data and provides an update on recent research. The confluence of findings is consistent with a model of a reward dysfunction inherent in the neuropathology of schizophrenia, leading to a heightened vulnerability of people with schizophrenia to substance use disorders. Studies indicate that patients with dual disorders have difficulty tolerating conventional antipsychotics, have higher rates of medication nonadherence, and have greater impulsivity and sensation seeking. Limited evidence suggests that clozapine treatment may be associated with reduced substance abuse, with weaker evidence suggesting that other novel antipsychotics may have similar, but potentially less potent, effects. Controlled trials to test the effects of these medications are underway. A number of recent studies indicate that bupropion can facilitate reduced tobacco smoking among patients with schizophrenia. The preferential use of novel antipsychotics, a lower threshold for prescription of clozapine, the use of bupropion for smoking cessation, careful monitoring of compliance, and possible use of other medications for substance use disorders when indicated are recommended in pharmacologic management for people with co-occurring substance use disorders and schizophrenia.","Childhood adversity is associated with cognitive impairments in schizophrenia. However, findings to date are inconsistent and little is known about the relationship between social cognition and childhood trauma. We investigated the relationship between childhood abuse and neglect and cognitive function in patients with a first-episode of schizophrenia or schizophreniform disorder (n = 56) and matched healthy controls (n = 52). To the best of our knowledge, this is the first study assessing this relationship in patients and controls exposed to similarly high levels of trauma.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Schizophrenia Sentence A: Research on the optimal pharmacotherapy for people with schizophrenia and co-occurring substance use disorders remains in its infancy. This report reviews existing data and provides an update on recent research. The confluence of findings is consistent with a model of a reward dysfunction inherent in the neuropathology of schizophrenia, leading to a heightened vulnerability of people with schizophrenia to substance use disorders. Studies indicate that patients with dual disorders have difficulty tolerating conventional antipsychotics, have higher rates of medication nonadherence, and have greater impulsivity and sensation seeking. Limited evidence suggests that clozapine treatment may be associated with reduced substance abuse, with weaker evidence suggesting that other novel antipsychotics may have similar, but potentially less potent, effects. Controlled trials to test the effects of these medications are underway. A number of recent studies indicate that bupropion can facilitate reduced tobacco smoking among patients with schizophrenia. The preferential use of novel antipsychotics, a lower threshold for prescription of clozapine, the use of bupropion for smoking cessation, careful monitoring of compliance, and possible use of other medications for substance use disorders when indicated are recommended in pharmacologic management for people with co-occurring substance use disorders and schizophrenia. Sentence B: Childhood adversity is associated with cognitive impairments in schizophrenia. However, findings to date are inconsistent and little is known about the relationship between social cognition and childhood trauma. We investigated the relationship between childhood abuse and neglect and cognitive function in patients with a first-episode of schizophrenia or schizophreniform disorder (n = 56) and matched healthy controls (n = 52). To the best of our knowledge, this is the first study assessing this relationship in patients and controls exposed to similarly high levels of trauma. ###Answer 1. Changed Explanation: In Sentence A, the term ""schizophrenia"" is used in the context of research on pharmacotherapy and management of co-occurring substance use disorders. The meaning of the term suggests a focus on the neuropathology of the disorder, including a reward dysfunction, and the need for tailored treatment approaches. The sentence also highlights the challenges of treating patients with dual disorders, including difficulty tolerating conventional antipsychotics and higher rates of medication nonadherence. In Sentence B, the term ""schizophrenia"" is used in the context of cognitive impairments in patients with a first-episode of the disorder. The meaning of the term suggests a focus on the cognitive consequences of childhood adversity, rather than the neuropathology of the disorder. The sentence highlights the inconsistent findings in the literature regarding the relationship between social cognition and childhood trauma, and the need for further research in this area. Based on these differences in context and meaning, it can be concluded that the term ""schizophrenia"" has undergone a significant change in meaning between Sentence A and Sentence B. In Sentence A, the term is used in a way that emphasizes the neuropathology of the disorder and the need for tailored treatment approaches, while in Sentence B, the term is used in a way that emphasizes the cognitive consequences of childhood adversity. Therefore, the label ""Changed"" is appropriate." 99,Schizophrenia,"Standard auditory evoked potentials (AEP) were recorded in 50 schizophrenic patients and 47 normal controls. All patients were rated on the Brief Psychiatric Rating Scale (BPRS), the Scale for the Assessment of Negative Symptoms (SANS), the Scale for the Assessment of Positive Symptoms (SAPS), and the Positive and Negative Syndrome Scale (PANSS), and were classified in three groups (positive-type [n = 10], negative-type [n = 23]and mixed-type [n = 17]patients) according to the normative criteria suggested by Kay. The mean latencies of AEP components (N1, P2, N2) and mean peak-to-peak amplitudes (N1P2, P2N2) did not correlate with age, duration of illness, length of hospitalisation or neuroleptic dosage. The evoked response did not differ between the three groups of patients (positive, negative and mixed). There was only a trend (P = 0.075) to a longer N1 latency in the negative-type group and a shorter one in the positive-type group than in the mixed-type and the control groups. The latency of N1 component correlated significantly with negative symptoms of schizophrenia (SANS scores). This correlation was related to the severity of a depressive dimension of the disorder reflected by the ""depressive factor"" of BPRS or ""affective flattening"" and ""avolition"" subscales of SANS.","Facial affect processing (FAP) deficits in schizophrenia (SZ) and bipolar disorder (BD) have been widely reported; although effect sizes vary across studies, and there are limited direct comparisons of the two groups. Further, there is debate as to the influence of both psychotic and mood symptoms on FAP. This study aimed to address these limitations by recruiting groups of psychosis patients with either a diagnosis of SZ or BD and comparing them to healthy controls (HC) on a well validated battery of four FAP subtests: affect discrimination, name affect, select affect and match affect. Overall, both groups performed more poorly than controls in terms of accuracy. In SZ, this was largely driven by impairments on three of the four subtests. The BD patients showed impaired performance specifically on the match affect subtest, a task that had a high cognitive load. FAP performance in the psychosis patients was correlated with severity of positive symptoms and mania. This study confirmed that FAP deficits are a consistent finding in SZ that occur independent of task specific methodology; whilst FAP deficits in BD are more subtle. Further work in this group is needed to replicate these results. ","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Schizophrenia Sentence A: Standard auditory evoked potentials (AEP) were recorded in 50 schizophrenic patients and 47 normal controls. All patients were rated on the Brief Psychiatric Rating Scale (BPRS), the Scale for the Assessment of Negative Symptoms (SANS), the Scale for the Assessment of Positive Symptoms (SAPS), and the Positive and Negative Syndrome Scale (PANSS), and were classified in three groups (positive-type [n = 10], negative-type [n = 23]and mixed-type [n = 17]patients) according to the normative criteria suggested by Kay. The mean latencies of AEP components (N1, P2, N2) and mean peak-to-peak amplitudes (N1P2, P2N2) did not correlate with age, duration of illness, length of hospitalisation or neuroleptic dosage. The evoked response did not differ between the three groups of patients (positive, negative and mixed). There was only a trend (P = 0.075) to a longer N1 latency in the negative-type group and a shorter one in the positive-type group than in the mixed-type and the control groups. The latency of N1 component correlated significantly with negative symptoms of schizophrenia (SANS scores). This correlation was related to the severity of a depressive dimension of the disorder reflected by the ""depressive factor"" of BPRS or ""affective flattening"" and ""avolition"" subscales of SANS. Sentence B: Facial affect processing (FAP) deficits in schizophrenia (SZ) and bipolar disorder (BD) have been widely reported; although effect sizes vary across studies, and there are limited direct comparisons of the two groups. Further, there is debate as to the influence of both psychotic and mood symptoms on FAP. This study aimed to address these limitations by recruiting groups of psychosis patients with either a diagnosis of SZ or BD and comparing them to healthy controls (HC) on a well validated battery of four FAP subtests: affect discrimination, name affect, select affect and match affect. Overall, both groups performed more poorly than controls in terms of accuracy. In SZ, this was largely driven by impairments on three of the four subtests. The BD patients showed impaired performance specifically on the match affect subtest, a task that had a high cognitive load. FAP performance in the psychosis patients was correlated with severity of positive symptoms and mania. This study confirmed that FAP deficits are a consistent finding in SZ that occur independent of task specific methodology; whilst FAP deficits in BD are more subtle. Further work in this group is needed to replicate these results. ###Answer 1. Changed Reasoning: In Sentence A, the target word ""schizophrenia"" is used to describe a specific mental disorder characterized by negative symptoms, such as a lack of motivation or emotional expression, as well as positive symptoms, such as hallucinations or delusions. The sentence also mentions the use of various scales to assess the severity of these symptoms. In contrast, Sentence B uses the term ""schizophrenia"" in a different context, specifically in relation to facial affect processing deficits in patients with either a diagnosis of schizophrenia or bipolar disorder. The sentence mentions that the performance of these patients on a battery of four subtests was more poorly than controls, with impairments on three of the four subtests in the schizophrenia group. Based on these differences in context and meaning, it appears that the term ""schizophrenia"" has undergone a significant change in meaning or connotation between the two sentences. In Sentence A, the term is used to describe a specific mental disorder with distinct symptoms and assessment tools, while in Sentence B, the term is used more broadly to refer to deficits in facial affect processing, which may be related to the severity of positive or negative symptoms. Therefore, I would label the target word as having undergone semantic drift between the two sentences." 0,Depression,"Studying community residing youths originally recruited for an intervention trial upon entry into first grade, this project sought to estimate risk of suicide ideation and attempts to young adulthood, with focus on those who used drugs before age 16, as compared to youths who used later in development or not at all. Standardized interview assessments in 1989-1994 were completed with 2311 youths age 8-15. Roughly 15 years after recruitment, our study team reassessed 1695, nearly 75% of the survivors (mean age = 21), finding 155 to have made suicide attempts (SA) and 218 with onset of depression-related suicide ideation (SI). We estimate relative risk (RR), from survival analysis and logistic regression models, to study early use of tobacco, alcohol, cannabis, and inhalants, with covariate adjustments for age, sex, race-ethnicity, and other pertinent covariates. Early-onset of cannabis use and inhalant use for females, but not for males, signaled modestly excess risk of suicide attempt (cannabis-associated RR = 1.9; p = 0.04; inhalant-associated RR = 2.2; p = 0.05). Early-onset of cannabis use by females (but not for males) signaled excess risk for suicide ideation (RR = 2.9; p = 0.006). Early-onset alcohol and tobacco use were not associated with later risk of SA or SI. In light of the relatively modest strength of association, the evidence may well reflect an underlying common diathesis or unmeasured prior confounding influences that link early-onset illegal drug use with later risk of these suicide-related events, rather than an influence of early-onset drug use per se.","Obesity has been linked to cognitive decline and adverse effects on brain health. Zinc (Zn) is a mineral with important metabolic functions that can modulate obesity-related neurological impairment. Thus, the present study aimed to evaluate the effects of 12 weeks of Zn supplementation on the inflammatory profile, cognitive function, and mood of overweight or obese women through a double-blind, placebo-controlled study. The study included 42 women aged between 40 and 60, randomly divided into two groups: Zn supplementation (30 mg/day) or placebo for 12 weeks. Data regarding sociodemographic, anthropometric, dietary, and physical activity were collected. Mini-mental state examination (MMSE), verbal fluency test, clock drawing test, and Stroop test were performed. Anxiety and depression symptoms were assessed using the Beck anxiety inventory and the BDI-II, respectively. Saliva samples were collected to evaluate IL-1β, IL-6, TNF-α, insulin, nitrite, and Zn levels. Of the 42 participants (mean age 49.58 ± 6.46 years), 32 were included in the study analyses. Changes in body weight and macronutrient consumption were not different between placebo and Zn supplementation groups. Cognitive scores on the MMSE and Stroop tests were higher in the Zn supplementation group than in the placebo group. Salivary levels of IL-1b and Zn increased in the Zn group compared to placebo. There was no significant change in the adjusted means of the BDI-II and BECK scores between the zinc vs. placebo groups. Twelve weeks of Zn supplementation was able to partially improve the cognitive scores assessed in overweight or obese women, regardless of weight loss. These findings suggest that Zn supplementation can be considered an adjunct strategy to enhance cognitive health in overweight or obese women.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Depression Sentence A: Studying community residing youths originally recruited for an intervention trial upon entry into first grade, this project sought to estimate risk of suicide ideation and attempts to young adulthood, with focus on those who used drugs before age 16, as compared to youths who used later in development or not at all. Standardized interview assessments in 1989-1994 were completed with 2311 youths age 8-15. Roughly 15 years after recruitment, our study team reassessed 1695, nearly 75% of the survivors (mean age = 21), finding 155 to have made suicide attempts (SA) and 218 with onset of depression-related suicide ideation (SI). We estimate relative risk (RR), from survival analysis and logistic regression models, to study early use of tobacco, alcohol, cannabis, and inhalants, with covariate adjustments for age, sex, race-ethnicity, and other pertinent covariates. Early-onset of cannabis use and inhalant use for females, but not for males, signaled modestly excess risk of suicide attempt (cannabis-associated RR = 1.9; p = 0.04; inhalant-associated RR = 2.2; p = 0.05). Early-onset of cannabis use by females (but not for males) signaled excess risk for suicide ideation (RR = 2.9; p = 0.006). Early-onset alcohol and tobacco use were not associated with later risk of SA or SI. In light of the relatively modest strength of association, the evidence may well reflect an underlying common diathesis or unmeasured prior confounding influences that link early-onset illegal drug use with later risk of these suicide-related events, rather than an influence of early-onset drug use per se. Sentence B: Obesity has been linked to cognitive decline and adverse effects on brain health. Zinc (Zn) is a mineral with important metabolic functions that can modulate obesity-related neurological impairment. Thus, the present study aimed to evaluate the effects of 12 weeks of Zn supplementation on the inflammatory profile, cognitive function, and mood of overweight or obese women through a double-blind, placebo-controlled study. The study included 42 women aged between 40 and 60, randomly divided into two groups: Zn supplementation (30 mg/day) or placebo for 12 weeks. Data regarding sociodemographic, anthropometric, dietary, and physical activity were collected. Mini-mental state examination (MMSE), verbal fluency test, clock drawing test, and Stroop test were performed. Anxiety and depression symptoms were assessed using the Beck anxiety inventory and the BDI-II, respectively. Saliva samples were collected to evaluate IL-1β, IL-6, TNF-α, insulin, nitrite, and Zn levels. Of the 42 participants (mean age 49.58 ± 6.46 years), 32 were included in the study analyses. Changes in body weight and macronutrient consumption were not different between placebo and Zn supplementation groups. Cognitive scores on the MMSE and Stroop tests were higher in the Zn supplementation group than in the placebo group. Salivary levels of IL-1b and Zn increased in the Zn group compared to placebo. There was no significant change in the adjusted means of the BDI-II and BECK scores between the zinc vs. placebo groups. Twelve weeks of Zn supplementation was able to partially improve the cognitive scores assessed in overweight or obese women, regardless of weight loss. These findings suggest that Zn supplementation can be considered an adjunct strategy to enhance cognitive health in overweight or obese women. ###Answer 1. Changed Reasoning: In Sentence A, the term ""depression"" is used in the context of a specific research study that examines the relationship between drug use and suicide risk. The study defines depression as ""suicide ideation and attempts"" and notes that early-onset use of drugs is associated with a modestly increased risk of suicide attempt. In contrast, in Sentence B, the term ""depression"" is used more broadly to refer to cognitive decline and adverse effects on brain health. The study finds that Zn supplementation can improve cognitive scores in overweight or obese women, regardless of weight loss. The meaning of ""depression"" has shifted in Sentence B to encompass a broader range of cognitive and mental health issues, rather than specifically referring to suicide risk. Therefore, the label ""Changed"" is appropriate." 1,Depression,"58 acute hospitalized CVD patients were selected as study group. Each patient was administered a series of standardized quantitative measures. As a result, we found a significant difference between hemisphere (L: 55% vs R: 28% P < 0.05), and the difference was result from the highest incidence rate of PSD observed in the left anterior CVD subgroup. Meanwhile, those with left anterior lesion (cortical and subcortical) had the greater severity of depression than any other lesions. A strong negative correlation between the severity of depression and AP% was observed for left CVD group. The result of multiple stepwise regression analysis not only support the notions mentioned above but also shown up that a few factors other than location of the lesion had impact on the PSD. Finally, authors discussed the heterogenous causes of PSD and think probably biological etiology involved in the formation of PSD.","A total of 163 soil samples (0-20 cm layer) were collected from the grid sampling plots (80 m x 80 m) in Huanjiang Observation and Research Station of Karst Ecosystem in a small catchment in Karst cluster-peak depression area, South China. By using classical statistics and geostatistics, the spatial heterogeneity of mineral components (SiO2, Fe2O3, CaO, MgO, Al2O3, MnO, and TiO2) in the soils were studied. The contents of the seven soil mineral components in the study area differed greatly, being in the order of SiO2 > Al2O3 > CaO > MgO > Fe2O3 > TiO2 > MnO, and the variance coefficients also varied obviously, in the order of CaO > MgO > Fe2O3 > TiO2 > SiO2 > Al2O3 > MnO. The seven mineral components accounted for 69.4% of the total soil mass. The spatial patterns and the fittest models of the seven soil mineral components differed from each other. All the seven soil mineral components had a strong spatial autocorrelation, with shorter variation ranges and stronger spatial dependence. The Kriging contour maps indicated that the distribution patterns of soil SiO2, Fe2O3, Al2O3, MnO, and TiO2 were similar, being higher in south and east, lower in north and west, higher in depression, and lower in slope, while the distribution patterns of soil CaO and MgO were in adverse. Natural conditions (vegetation, bare rock rate, slope degree, and slope aspect, etc. ) and human disturbance were the most important factors affecting the spatial patterns of the soil mineral components.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Depression Sentence A: 58 acute hospitalized CVD patients were selected as study group. Each patient was administered a series of standardized quantitative measures. As a result, we found a significant difference between hemisphere (L: 55% vs R: 28% P < 0.05), and the difference was result from the highest incidence rate of PSD observed in the left anterior CVD subgroup. Meanwhile, those with left anterior lesion (cortical and subcortical) had the greater severity of depression than any other lesions. A strong negative correlation between the severity of depression and AP% was observed for left CVD group. The result of multiple stepwise regression analysis not only support the notions mentioned above but also shown up that a few factors other than location of the lesion had impact on the PSD. Finally, authors discussed the heterogenous causes of PSD and think probably biological etiology involved in the formation of PSD. Sentence B: A total of 163 soil samples (0-20 cm layer) were collected from the grid sampling plots (80 m x 80 m) in Huanjiang Observation and Research Station of Karst Ecosystem in a small catchment in Karst cluster-peak depression area, South China. By using classical statistics and geostatistics, the spatial heterogeneity of mineral components (SiO2, Fe2O3, CaO, MgO, Al2O3, MnO, and TiO2) in the soils were studied. The contents of the seven soil mineral components in the study area differed greatly, being in the order of SiO2 > Al2O3 > CaO > MgO > Fe2O3 > TiO2 > MnO, and the variance coefficients also varied obviously, in the order of CaO > MgO > Fe2O3 > TiO2 > SiO2 > Al2O3 > MnO. The seven mineral components accounted for 69.4% of the total soil mass. The spatial patterns and the fittest models of the seven soil mineral components differed from each other. All the seven soil mineral components had a strong spatial autocorrelation, with shorter variation ranges and stronger spatial dependence. The Kriging contour maps indicated that the distribution patterns of soil SiO2, Fe2O3, Al2O3, MnO, and TiO2 were similar, being higher in south and east, lower in north and west, higher in depression, and lower in slope, while the distribution patterns of soil CaO and MgO were in adverse. Natural conditions (vegetation, bare rock rate, slope degree, and slope aspect, etc. ) and human disturbance were the most important factors affecting the spatial patterns of the soil mineral components. ###Answer 1. Changed Reasoning: In Sentence A, the term ""depression"" is used to describe a specific medical condition, specifically major depressive disorder. The sentence highlights the significance of the disorder in the context of cardiovascular disease and the correlation between the severity of depression and the location of the lesion. The term is used to convey a sense of urgency and medical importance. In Sentence B, the term ""depression"" is used in a different context, specifically in relation to geological features. The sentence describes the spatial patterns of mineral components in soil samples collected from a small catchment in Karst cluster-peak depression area, South China. The term is used to convey a sense of geographical distribution and the spatial patterns of the mineral components. Based on these differences in context, it is clear that the term ""depression"" has undergone semantic drift between the two sentences. In Sentence A, the term is used in a medical context to describe a specific disorder, while in Sentence B, it is used in a geographical context to describe the distribution of mineral components in soil samples. As a result, the meaning of the term ""depression"" has shifted from a medical context to a geographical context. Therefore, the label ""Changed"" is appropriate." 2,Depression,"Indices of vagal and sympathetic activity were studied in 30 elderly males, to elucidate their possible roles in causing hypotension during spinal analgesia. The technique of spinal analgesia and the regimen of intravenous fluids were standardised. An index of vagal activity was derived from the degree of heart rate variation (successive RR interval change) on ECG recordings. Sympathetic activity was evaluated by changes in the skin conductance (SCR) of 15 patients. Analgesia to pinprick reached a median dermatome level of T5-6 (range T2-T10) by 15 min. Hypotension was correlated with the level of analgesia, and was more likely when spinal analgesia was higher than T5. There was no correlation between vagal activity and the degree of hypotension. The depression of skin conductance responses was not correlated with the degree of hypotension nor with vagal activity. Vagal efferent activity, measured at the heart, does not seem to play a causative role in hypotension occurring during spinal analgesia.","To evaluate depression, stress, anxiety and obsessive-compulsive behaviours in the Lebanese population in response to COVID-19 pandemic.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Depression Sentence A: Indices of vagal and sympathetic activity were studied in 30 elderly males, to elucidate their possible roles in causing hypotension during spinal analgesia. The technique of spinal analgesia and the regimen of intravenous fluids were standardised. An index of vagal activity was derived from the degree of heart rate variation (successive RR interval change) on ECG recordings. Sympathetic activity was evaluated by changes in the skin conductance (SCR) of 15 patients. Analgesia to pinprick reached a median dermatome level of T5-6 (range T2-T10) by 15 min. Hypotension was correlated with the level of analgesia, and was more likely when spinal analgesia was higher than T5. There was no correlation between vagal activity and the degree of hypotension. The depression of skin conductance responses was not correlated with the degree of hypotension nor with vagal activity. Vagal efferent activity, measured at the heart, does not seem to play a causative role in hypotension occurring during spinal analgesia. Sentence B: To evaluate depression, stress, anxiety and obsessive-compulsive behaviours in the Lebanese population in response to COVID-19 pandemic. ###Answer 1. Changed Reasoning: In Sentence A, the term ""depression"" is used to describe a specific physiological response to spinal analgesia, specifically the decrease in vagal activity and skin conductance. The term is used in the context of a scientific study to elucidate the possible roles of vagal and sympathetic activity in causing hypotension during spinal analgesia. In Sentence B, the term ""depression"" is used in a different context to describe a psychological disorder, specifically in the context of evaluating the mental health impact of the COVID-19 pandemic on the Lebanese population. The term is used to describe a psychological state characterized by low mood, loss of interest in activities, and changes in appetite or sleep patterns. Therefore, the meaning of the term ""depression"" has changed significantly between the two sentences, indicating semantic drift." 3,Depression,"Selective serotonin reuptake inhibitors (SSRIs) are used to treat a number of psychiatric disorders related to mood and anxiety, and variations in the serotonin transporter (5-HTT) gene may be involved in a number of these. A polymorphic site in the promoter region is associated with differences in 5-HTT gene expression. Studies suggest that the short allele of the 5-HTT promoter (5-HTTPR) site can adversely influence the antidepressant response to SSRIs, and is associated with anxiety-related traits, depression, and impulsive disorders such as alcohol abuse. Several studies do not replicate these findings; potential confounding factors include age, gender, and population stratification. Other 5-HTT polymorphisms also exist. For example, individuals with the short allele of a variable number of tandem repeats (VNTR) polymorphism, located in the second intron, may have reduced responsiveness to SSRIs, and the STin2.12 allele at this site has been associated with bipolar disorder. Findings both supporting and inconsistent with these conclusions are reviewed. The clinical effects of the polymorphisms may be associated with effects on platelets, neural 5-HTT levels, and indices of serotonergic function.","compare the quality of life (QOL) of aged residents in homes for aged people with or without symptoms of depression, and identify social, physical activity; leisure; health and basic activities of daily living (ADL) variables that correlate with QOL scores.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Depression Sentence A: Selective serotonin reuptake inhibitors (SSRIs) are used to treat a number of psychiatric disorders related to mood and anxiety, and variations in the serotonin transporter (5-HTT) gene may be involved in a number of these. A polymorphic site in the promoter region is associated with differences in 5-HTT gene expression. Studies suggest that the short allele of the 5-HTT promoter (5-HTTPR) site can adversely influence the antidepressant response to SSRIs, and is associated with anxiety-related traits, depression, and impulsive disorders such as alcohol abuse. Several studies do not replicate these findings; potential confounding factors include age, gender, and population stratification. Other 5-HTT polymorphisms also exist. For example, individuals with the short allele of a variable number of tandem repeats (VNTR) polymorphism, located in the second intron, may have reduced responsiveness to SSRIs, and the STin2.12 allele at this site has been associated with bipolar disorder. Findings both supporting and inconsistent with these conclusions are reviewed. The clinical effects of the polymorphisms may be associated with effects on platelets, neural 5-HTT levels, and indices of serotonergic function. Sentence B: compare the quality of life (QOL) of aged residents in homes for aged people with or without symptoms of depression, and identify social, physical activity; leisure; health and basic activities of daily living (ADL) variables that correlate with QOL scores. ###Answer 1. Changed Reasoning: In Sentence A, the term ""depression"" is used in the context of a psychiatric disorder related to mood and anxiety, and is associated with variations in the serotonin transporter gene. The sentence also mentions the potential confounding factors of age, gender, and population stratification. In Sentence B, the term ""depression"" is used in the context of quality of life (QOL) of aged residents in homes for aged people, and is associated with social, physical activity, leisure, health, and basic activities of daily living (ADL) variables. Based on these differences in context and meaning, it is clear that the term ""depression"" has undergone a significant change in meaning between Sentence A and Sentence B. In Sentence A, the term is used in a medical context to describe a specific psychiatric disorder, while in Sentence B, the term is used in a broader context to describe a range of factors affecting quality of life. Therefore, the label ""Changed"" is appropriate." 4,Depression,"Although several studies have examined the relationship between symptoms of depression or psychological distress and medication adherence, this is the first published study of HIV antiretroviral adherence and its correlates among persons diagnosed with serious mental illness. Forty-five of 47 (96%) participants completed a two-week study in which their adherence to antiretroviral medication was measured using electronic monitoring caps. Mean adherence (proportion of prescribed doses taken) was 66% (SD=34). There were several correlates (p<0.05) of adherence among background and medical characteristics, physical symptoms and side effects, cognitive and psychosocial functioning, and treatment-related attitudes and beliefs. However, in a forward stepwise regression, attendance at recent clinical appointments was the sole predictor that entered the model--accounting for 49% of the variance in adherence. Using attendance at recent clinic appointments as the criterion, adherence readiness (90+% adherence to antiretrovirals) was correctly determined for 72% of the sample. Although not sufficient to serve as the basis for treatment decision making, review of appointment-keeping records may provide clinicians with a simple, cost-effective method for predicting adherence to ongoing treatment, as well as for evaluating adherence readiness to inform the decision of whether to prescribe or defer treatment.","Depression risk is exacerbated by genetic factors and stress exposure; however, the biological mechanisms through which these factors interact to confer depression risk are poorly understood. One putative biological mechanism implicates variability in the ability of cortisol, released in response to stress, to trigger a cascade of adaptive genomic and non-genomic processes through glucocorticoid receptor (GR) activation. Here, we demonstrate that common genetic variants in long-range enhancer elements modulate the immediate transcriptional response to GR activation in human blood cells. These functional genetic variants increase risk for depression and co-heritable psychiatric disorders. Moreover, these risk variants are associated with inappropriate amygdala reactivity, a transdiagnostic psychiatric endophenotype and an important stress hormone response trigger. Network modeling and animal experiments suggest that these genetic differences in GR-induced transcriptional activation may mediate the risk for depression and other psychiatric disorders by altering a network of functionally related stress-sensitive genes in blood and brain.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Depression Sentence A: Although several studies have examined the relationship between symptoms of depression or psychological distress and medication adherence, this is the first published study of HIV antiretroviral adherence and its correlates among persons diagnosed with serious mental illness. Forty-five of 47 (96%) participants completed a two-week study in which their adherence to antiretroviral medication was measured using electronic monitoring caps. Mean adherence (proportion of prescribed doses taken) was 66% (SD=34). There were several correlates (p<0.05) of adherence among background and medical characteristics, physical symptoms and side effects, cognitive and psychosocial functioning, and treatment-related attitudes and beliefs. However, in a forward stepwise regression, attendance at recent clinical appointments was the sole predictor that entered the model--accounting for 49% of the variance in adherence. Using attendance at recent clinic appointments as the criterion, adherence readiness (90+% adherence to antiretrovirals) was correctly determined for 72% of the sample. Although not sufficient to serve as the basis for treatment decision making, review of appointment-keeping records may provide clinicians with a simple, cost-effective method for predicting adherence to ongoing treatment, as well as for evaluating adherence readiness to inform the decision of whether to prescribe or defer treatment. Sentence B: Depression risk is exacerbated by genetic factors and stress exposure; however, the biological mechanisms through which these factors interact to confer depression risk are poorly understood. One putative biological mechanism implicates variability in the ability of cortisol, released in response to stress, to trigger a cascade of adaptive genomic and non-genomic processes through glucocorticoid receptor (GR) activation. Here, we demonstrate that common genetic variants in long-range enhancer elements modulate the immediate transcriptional response to GR activation in human blood cells. These functional genetic variants increase risk for depression and co-heritable psychiatric disorders. Moreover, these risk variants are associated with inappropriate amygdala reactivity, a transdiagnostic psychiatric endophenotype and an important stress hormone response trigger. Network modeling and animal experiments suggest that these genetic differences in GR-induced transcriptional activation may mediate the risk for depression and other psychiatric disorders by altering a network of functionally related stress-sensitive genes in blood and brain. ###Answer 1. Changed Reasoning: In Sentence A, the term ""depression"" is used in the context of adherence to antiretroviral medication, and it appears to refer to a specific clinical condition (i.e., symptoms of depression or psychological distress). The sentence does not suggest any particular connotation or nuance to the term. Therefore, there is no evidence of semantic drift in the meaning of ""depression"" between the two sentences. In Sentence B, the term ""depression risk"" is used in the context of genetic factors and stress exposure, and it appears to refer to the potential for developing depression in the future. The sentence suggests that the term ""depression risk"" carries a different connotation than the term ""depression"" used in Sentence A. Specifically, it implies a higher likelihood of developing depression symptoms in response to stress, rather than simply referring to a specific clinical condition. Therefore, there has been a significant change in the meaning of ""depression risk"" between the two sentences, indicating semantic drift." 5,Depression,"Microinjections of carbachol into the pons induce a state that resembles rapid eye movement (REM) sleep in intact cats and, in decerebrate, artificially ventilated cats, produce postural atonia accompanied by a powerful depression of the respiratory motor output. In this study, pontine carbachol was used in decerebrate, spontaneously breathing cats to assess the effects of mechanical and chemical respiratory reflexes on the magnitude and pattern of the carbachol-induced depression of breathing, and to determine whether the depression is altered in those animals in which rapid eye movements are present. Phrenic nerve activity and tidal volume were only transiently depressed at the onset of the carbachol-induced postural atonia, whereas the decrease in respiratory rate and the depressions of hypoglossal and intercostal activities persisted until the response was reversed by a pontine microinjection of atropine 15-101 minutes after the onset of carbachol response. Ventilation was reduced to 70% of control during the steady-state conditions. The irregularity of breathing, characterized by the inter-quartile ranges of the distributions of the peak phrenic nerve activity and respiratory timing, did not increase following pontine carbachol. Neither vagotomy nor vigorous eye movements were associated with increased breathing irregularity. This contrasts with the irregular breathing (with minor average changes in ventilation) typical of natural REM sleep. We propose that the carbachol-injected decerebrate cat provides a useful model of the depressant effects that neural events associated with REM sleep may have on breathing.","New frontiers for host-microbe interactions continue to emerge as our knowledge of the adult gut microbiome in health and disease is continually supplemented and improved. Alterations in the gut microbiota composition in irritable bowel syndrome (IBS) are now linked to symptom severity while population-based evidence linking gut microbiome signatures to depression is an important new landmark. The effects of drugs on gut microbiome composition are also becoming clearer. Meanwhile, preclinical studies have delineated the influence of the gut microbiome at a structural and activity level in distinct brain regions. Bacterial metabolites, such as tryptamine, can activate specific receptors to impact gastrointestinal motility. These recent studies bring into focus the future implications for therapeutic targeting of the microbiome-gut-brain axis.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Depression Sentence A: Microinjections of carbachol into the pons induce a state that resembles rapid eye movement (REM) sleep in intact cats and, in decerebrate, artificially ventilated cats, produce postural atonia accompanied by a powerful depression of the respiratory motor output. In this study, pontine carbachol was used in decerebrate, spontaneously breathing cats to assess the effects of mechanical and chemical respiratory reflexes on the magnitude and pattern of the carbachol-induced depression of breathing, and to determine whether the depression is altered in those animals in which rapid eye movements are present. Phrenic nerve activity and tidal volume were only transiently depressed at the onset of the carbachol-induced postural atonia, whereas the decrease in respiratory rate and the depressions of hypoglossal and intercostal activities persisted until the response was reversed by a pontine microinjection of atropine 15-101 minutes after the onset of carbachol response. Ventilation was reduced to 70% of control during the steady-state conditions. The irregularity of breathing, characterized by the inter-quartile ranges of the distributions of the peak phrenic nerve activity and respiratory timing, did not increase following pontine carbachol. Neither vagotomy nor vigorous eye movements were associated with increased breathing irregularity. This contrasts with the irregular breathing (with minor average changes in ventilation) typical of natural REM sleep. We propose that the carbachol-injected decerebrate cat provides a useful model of the depressant effects that neural events associated with REM sleep may have on breathing. Sentence B: New frontiers for host-microbe interactions continue to emerge as our knowledge of the adult gut microbiome in health and disease is continually supplemented and improved. Alterations in the gut microbiota composition in irritable bowel syndrome (IBS) are now linked to symptom severity while population-based evidence linking gut microbiome signatures to depression is an important new landmark. The effects of drugs on gut microbiome composition are also becoming clearer. Meanwhile, preclinical studies have delineated the influence of the gut microbiome at a structural and activity level in distinct brain regions. Bacterial metabolites, such as tryptamine, can activate specific receptors to impact gastrointestinal motility. These recent studies bring into focus the future implications for therapeutic targeting of the microbiome-gut-brain axis. ###Answer 1. Changed Reasoning: In Sentence A, the term ""depression"" refers to a state of reduced respiratory motor output, which is accompanied by postural atonia. This meaning is different from the meaning of ""depression"" in Sentence B, which refers to a mental health disorder. The shift in meaning from a physical phenomenon to a mental health disorder suggests that the term ""depression"" has undergone semantic drift. Therefore, the label ""Changed"" is appropriate." 6,Depression,"The purpose of this study was to elucidate the mechanism that induces an improvement in exercise capacity by nitrates in patients with stable effort angina pectoris. The study population was composed of 19 patients: group A, 10 patients with chronic stable effort angina who had a well-developed coronary collateral circulation to the potentially ischemic region; group B, 9 patients with chronic stable effort angina who had no collateral circulation to the jeopardized myocardium. Treadmill exercise was performed according to the standard Bruce protocol with and without pretreatment with orally administered 10 mg isosorbide dinitrate. Percent increases (mean +/- SE) in exercise duration were not significantly different between groups A and B (25 +/- 6 vs. 14 +/- 6%). Percent increases in the maximal rate-pressure product tended to be greater in group A than in group B (27 +/- 6 vs. 10 +/- 6%). Percent increases in the rate-pressure product at the onset of angina pectoris were significantly greater in group A than in group B (37 +/- 7 vs. 7 +/- 6%; p less than 0.01). Percent increases in the rate-pressure product at 0.1 mV S-T segment depression were also significantly greater in group A than in group B (26 +/- 6 vs. 1 +/- 5%; p less than 0.01). These results suggest that isosorbide dinitrate dilates epicardial collateral vessels with smooth muscle layers, but fails to dilate the coronary arteries with significant organic stenoses.","Research on routine outcome monitoring in psychotherapy settings is plentiful but not without implementation obstacles. In fact, there is a relative dearth of real-time outcome monitoring in substance use treatment settings. Numerous barriers to the development and implementation of clinical decision support tools and outcome monitoring of substance use patients, including the need to establish expected trajectories of change and use of reliable change indices have been identified (Goodman, McKay, & DePhilippis, 2013 ). The current study was undertaken to develop expected trajectories of change and to demonstrate the treatment effectiveness of a dual diagnosis intensive outpatient program. The expected trajectories of change for days of substance use and depression scores were developed using predictive equation models from derivation samples and then applied to cross-validation samples. Predictive equations to monitor substance use were developed and validated for all patients and for only patients who were actively using substance at the time of admission, as well as to monitor severity of their depression symptom on a weekly basis. Validation of the equations was assessed through the use of Cohen's kappa (κ), receiver operating characteristic curves, reliable change index, and percentage improvement. Large effect sizes for reductions in substance use (Cohen's d = .76) and depressive symptoms (d = 1.10) are reported. The best predictive models we developed had absolute accuracy rates ranging from 95 to 100%. The findings from this study indicate that predictive equations for depressive symptoms and days of substance use can be derived and validated on dual diagnosis samples.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Depression Sentence A: The purpose of this study was to elucidate the mechanism that induces an improvement in exercise capacity by nitrates in patients with stable effort angina pectoris. The study population was composed of 19 patients: group A, 10 patients with chronic stable effort angina who had a well-developed coronary collateral circulation to the potentially ischemic region; group B, 9 patients with chronic stable effort angina who had no collateral circulation to the jeopardized myocardium. Treadmill exercise was performed according to the standard Bruce protocol with and without pretreatment with orally administered 10 mg isosorbide dinitrate. Percent increases (mean +/- SE) in exercise duration were not significantly different between groups A and B (25 +/- 6 vs. 14 +/- 6%). Percent increases in the maximal rate-pressure product tended to be greater in group A than in group B (27 +/- 6 vs. 10 +/- 6%). Percent increases in the rate-pressure product at the onset of angina pectoris were significantly greater in group A than in group B (37 +/- 7 vs. 7 +/- 6%; p less than 0.01). Percent increases in the rate-pressure product at 0.1 mV S-T segment depression were also significantly greater in group A than in group B (26 +/- 6 vs. 1 +/- 5%; p less than 0.01). These results suggest that isosorbide dinitrate dilates epicardial collateral vessels with smooth muscle layers, but fails to dilate the coronary arteries with significant organic stenoses. Sentence B: Research on routine outcome monitoring in psychotherapy settings is plentiful but not without implementation obstacles. In fact, there is a relative dearth of real-time outcome monitoring in substance use treatment settings. Numerous barriers to the development and implementation of clinical decision support tools and outcome monitoring of substance use patients, including the need to establish expected trajectories of change and use of reliable change indices have been identified (Goodman, McKay, & DePhilippis, 2013 ). The current study was undertaken to develop expected trajectories of change and to demonstrate the treatment effectiveness of a dual diagnosis intensive outpatient program. The expected trajectories of change for days of substance use and depression scores were developed using predictive equation models from derivation samples and then applied to cross-validation samples. Predictive equations to monitor substance use were developed and validated for all patients and for only patients who were actively using substance at the time of admission, as well as to monitor severity of their depression symptom on a weekly basis. Validation of the equations was assessed through the use of Cohen's kappa (κ), receiver operating characteristic curves, reliable change index, and percentage improvement. Large effect sizes for reductions in substance use (Cohen's d = .76) and depressive symptoms (d = 1.10) are reported. The best predictive models we developed had absolute accuracy rates ranging from 95 to 100%. The findings from this study indicate that predictive equations for depressive symptoms and days of substance use can be derived and validated on dual diagnosis samples. ###Answer 1. Changed Reasoning: In Sentence A, the target word ""depression"" is used to describe a specific medical condition (angina pectoris) and its effects on exercise capacity. The context suggests that the term has a specific medical meaning, related to cardiovascular health. In Sentence B, the target word ""depression"" is used in a different context, to describe a psychological condition and its treatment effectiveness. The meaning of the term has shifted to include a broader range of conditions and symptoms, and the context suggests a more general usage of the term. Therefore, semantic drift has occurred." 7,Depression,"This article describes the development of the Attachment and Object Relations Inventory (AORI). The AORI, a dimensional measure based on factor structure, was developed in response to the psychometric problems typical to attachment style measures that are categorical in nature. Test-retest reliability and internal consistency were high. A factor analysis of the 75 AORI items confirmed the existence of at least 6 factors and explained approximately 50% of the item variance. Convergent and discriminant validity of the AORI was supported through appropriate relationships with measures of depression, anxiety, and personality, and other measures of attachment and object relations.","The aim of this study was to evaluate the long-term outcome in 61 patients with medication-overuse headache (MOH) who 4 years previously had been included in a randomized open-label prospective multicentre study. Sixty patients still alive after 4 years were invited to a follow-up investigation. Fifty patients (83%) participated. Sixteen visited a neurologist, 22 were interviewed through telephone, 2 gave response by a letter, and 10 were evaluated through hospital records. The influence of baseline characteristics on outcome 4 years later was evaluated by non-parametric tests. p values below 0.01 were considered significant. At follow-up, the 50 persons had a mean reduction of 6.5 headache days/month (p < 0.001) and 9.5 acute headache medication days/month (p < 0.001) compared to baseline. Headache index/month was reduced from 449 to 321 (p < 0.001). Sixteen persons (32%) were considered as responders due to a ≥50% reduction in headache frequency from baseline, whereas 17 (34%) persons met the criteria for MOH. None of the baseline characteristics consistently influenced all five outcome measures. Total Hospital Anxiety and Depression Scale (HADS) score at baseline was predictors (p < 0.005) for being a responder after 4 years. At 4 years' follow-up, one-third of the 50 MOH patients had ≥50% reduction in headache frequency from baseline. A low total HADS score at baseline was associated with the most favorable outcome.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Depression Sentence A: This article describes the development of the Attachment and Object Relations Inventory (AORI). The AORI, a dimensional measure based on factor structure, was developed in response to the psychometric problems typical to attachment style measures that are categorical in nature. Test-retest reliability and internal consistency were high. A factor analysis of the 75 AORI items confirmed the existence of at least 6 factors and explained approximately 50% of the item variance. Convergent and discriminant validity of the AORI was supported through appropriate relationships with measures of depression, anxiety, and personality, and other measures of attachment and object relations. Sentence B: The aim of this study was to evaluate the long-term outcome in 61 patients with medication-overuse headache (MOH) who 4 years previously had been included in a randomized open-label prospective multicentre study. Sixty patients still alive after 4 years were invited to a follow-up investigation. Fifty patients (83%) participated. Sixteen visited a neurologist, 22 were interviewed through telephone, 2 gave response by a letter, and 10 were evaluated through hospital records. The influence of baseline characteristics on outcome 4 years later was evaluated by non-parametric tests. p values below 0.01 were considered significant. At follow-up, the 50 persons had a mean reduction of 6.5 headache days/month (p < 0.001) and 9.5 acute headache medication days/month (p < 0.001) compared to baseline. Headache index/month was reduced from 449 to 321 (p < 0.001). Sixteen persons (32%) were considered as responders due to a ≥50% reduction in headache frequency from baseline, whereas 17 (34%) persons met the criteria for MOH. None of the baseline characteristics consistently influenced all five outcome measures. Total Hospital Anxiety and Depression Scale (HADS) score at baseline was predictors (p < 0.005) for being a responder after 4 years. At 4 years' follow-up, one-third of the 50 MOH patients had ≥50% reduction in headache frequency from baseline. A low total HADS score at baseline was associated with the most favorable outcome. ###Answer 1. Changed Reasoning: In Sentence A, the target word ""depression"" is used in the context of a psychometric measure, specifically the Attachment and Object Relations Inventory (AORI). The sentence explains the development of the AORI and its psychometric properties, such as test-retest reliability and internal consistency. The word ""depression"" is used to describe the dimensional measure based on factor structure, and its meaning remains similar to its traditional meaning. Therefore, the label ""Unchanged"" is appropriate. In Sentence B, the target word ""depression"" is used in a different context, describing the outcome of patients with medication-overuse headache (MOH) four years after a randomized open-label prospective multicentre study. The sentence discusses the reduction in headache frequency and medication use, and the influence of baseline characteristics on outcome. The word ""depression"" is used to describe the reduction in headache frequency and medication use, and its meaning has shifted to include a broader range of symptoms beyond traditional clinical depression. Therefore, the label ""Changed"" is appropriate. The difference in meaning between the two sentences is that in Sentence A, the target word ""depression"" is used specifically in the context of psychometrics, while in Sentence B, it is used more broadly to describe a range of symptoms. This shift in meaning indicates semantic drift, and therefore the label ""Changed"" is appropriate." 8,Depression,"The present study examined the distinctions between major depression without dysthymia, dysthymia without major depression, and double depression in child psychiatry inpatients.","Percutaneous epidural neuroplasty may lead to complications such as hematoma, infection, epidural abscess, meningitis, hypotension, respiratory depression, urinary and fecal dysfunction, sexual dysfunction and paresthesia. Other technical complications may include shearing or tearing, misplacement, blockage and migration of the catheter. We report a case of a 41-year-old female patient, who underwent surgical removal of a sheared catheter, which was retained for 30 months after cervical Racz neuroplasty. ","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Depression Sentence A: The present study examined the distinctions between major depression without dysthymia, dysthymia without major depression, and double depression in child psychiatry inpatients. Sentence B: Percutaneous epidural neuroplasty may lead to complications such as hematoma, infection, epidural abscess, meningitis, hypotension, respiratory depression, urinary and fecal dysfunction, sexual dysfunction and paresthesia. Other technical complications may include shearing or tearing, misplacement, blockage and migration of the catheter. We report a case of a 41-year-old female patient, who underwent surgical removal of a sheared catheter, which was retained for 30 months after cervical Racz neuroplasty. ###Answer 1. Changed Explanation: In Sentence A, the term ""depression"" is used to describe a specific mental health disorder, with a clear clinical context. However, in Sentence B, the term is used in a completely different context, to describe a complication of a medical procedure. The meaning of the term has shifted significantly, from a clinical psychiatric context to a medical context. Therefore, semantic drift has occurred." 9,Depression,"1. A study has been made of the effects of changing the external calcium concentration [Ca](o) on the binomial parameters p and n that control the average quantal content (m) of the end-plate potential (e.p.p.) during trains of nerve impulses at synapses in amphibian striated muscle.2. In high external calcium concentrations (0.4 mM 50%. Mean age was 54.7 years. Three (6%) had no history of chest pain, 2 p (4%) had atypical chest pain, and the remaining (90%) had typical angina pectoris. 19 p (42%) had unstable angina, 20 p (44%) had suffered a myocardial infarction in the past. Outside an episode of chest pain most of the patients had an abnormal ECG with ST-T segment depression 2 mm or more in leads V3-6 and ST-T elevation in leads V1 and aVR. No significant differences were found when the abnormalities of the ST-T segment were compared to severity of LMCA obstruction. A symptom limited exercise test was performed in 17 (37%) p. It was abnormal in 13 p (29%). Thirty eight patients (85%) underwent bypass surgery and the mean number of bypass graft was 3.3. Seven patients were treated medically. In the surgical group four p (10.5%) died perioperatively. All of them had subtotal occlusion of LMCA, without significant lesions in the remaining coronary arteries, the ejection fraction (EF) was above 66%. Among thirty four living patients thirty have been asymptomatic. In the medically treated group 3 p (42%) died and only two of four survivors were asymptomatic at a mean follow-up 35.7 months. Left ventricle of all died patients were severely damaged (EF mean 28%), right coronary artery (RCA) was totally occluded and all had rythm disturbances. We conclude, that patients with significant LMCA stenosis had a good prognosis when treated surgically.(ABSTRACT TRUNCATED AT 250 WORDS)","Vagus nerve stimulation (VNS) for epilepsy is a well established and effective treatment for medically intractable epilepsy. VNS is indicated if resective epilepsy surgery is unsuccessful or is not an option. About 50% of patients with VNS have a seizure reduction greater than 50%, but less than 10% become seizure-free. VNS also has an alerting effect on patients and may allow a reduction in sedating medications. The major adverse event is hoarseness, but treatment is generally well tolerated. The therapeutic effect can be delayed: patients may improve several months after VNS implantation. Direct brain stimulation (DBS) is an emerging treatment for epilepsy. Scheduled stimulation is similar to brain stimulation in Parkinson's disease. Only the anterior thalamic nucleus has been studied in a larger randomized, controlled trial, in which patients with the stimulator turned on had a significantly reduced seizure frequency. Responsive stimulation applies an electrical stimulus at the site of seizure onset to terminate the seizure if one occurs. The seizure-onset zone must be well defined before implantation. Responsive stimulation requires seizure detection and application of a stimulus online. A large pivotal trial showed a significant reduction in seizure frequency. Both DBS and responsive neurostimulation are well tolerated, but there has been some concern about depression with DBS. Infection, hemorrhage, and lead breakage are adverse events possible with any type of stimulator. None of the brain stimulation devices have been approved by the US Food and Drug Administration, but final approval is expected soon. These devices are indicated for patients with bilateral seizure onset or seizure onset in eloquent areas. Although the initial trials of brain stimulation do not show overwhelming improvement in seizure frequency, the technology will improve with time as we continue to learn about the use of brain stimulation for epilepsy. Optimization of VNS has been going on for 10 years, and we need to ensure that brain stimulation is similarly developed further. In addition, sophisticated devices such as responsive neurostimulators can greatly enhance our understanding of the pathophysiology of epilepsy.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Depression Sentence A: Clinical presentation and course were studies in 45 consecutive patients (p)--39 males, 6 females with angiographically proven left main coronary artery stenosis (LMCA) > 50%. Mean age was 54.7 years. Three (6%) had no history of chest pain, 2 p (4%) had atypical chest pain, and the remaining (90%) had typical angina pectoris. 19 p (42%) had unstable angina, 20 p (44%) had suffered a myocardial infarction in the past. Outside an episode of chest pain most of the patients had an abnormal ECG with ST-T segment depression 2 mm or more in leads V3-6 and ST-T elevation in leads V1 and aVR. No significant differences were found when the abnormalities of the ST-T segment were compared to severity of LMCA obstruction. A symptom limited exercise test was performed in 17 (37%) p. It was abnormal in 13 p (29%). Thirty eight patients (85%) underwent bypass surgery and the mean number of bypass graft was 3.3. Seven patients were treated medically. In the surgical group four p (10.5%) died perioperatively. All of them had subtotal occlusion of LMCA, without significant lesions in the remaining coronary arteries, the ejection fraction (EF) was above 66%. Among thirty four living patients thirty have been asymptomatic. In the medically treated group 3 p (42%) died and only two of four survivors were asymptomatic at a mean follow-up 35.7 months. Left ventricle of all died patients were severely damaged (EF mean 28%), right coronary artery (RCA) was totally occluded and all had rythm disturbances. We conclude, that patients with significant LMCA stenosis had a good prognosis when treated surgically.(ABSTRACT TRUNCATED AT 250 WORDS) Sentence B: Vagus nerve stimulation (VNS) for epilepsy is a well established and effective treatment for medically intractable epilepsy. VNS is indicated if resective epilepsy surgery is unsuccessful or is not an option. About 50% of patients with VNS have a seizure reduction greater than 50%, but less than 10% become seizure-free. VNS also has an alerting effect on patients and may allow a reduction in sedating medications. The major adverse event is hoarseness, but treatment is generally well tolerated. The therapeutic effect can be delayed: patients may improve several months after VNS implantation. Direct brain stimulation (DBS) is an emerging treatment for epilepsy. Scheduled stimulation is similar to brain stimulation in Parkinson's disease. Only the anterior thalamic nucleus has been studied in a larger randomized, controlled trial, in which patients with the stimulator turned on had a significantly reduced seizure frequency. Responsive stimulation applies an electrical stimulus at the site of seizure onset to terminate the seizure if one occurs. The seizure-onset zone must be well defined before implantation. Responsive stimulation requires seizure detection and application of a stimulus online. A large pivotal trial showed a significant reduction in seizure frequency. Both DBS and responsive neurostimulation are well tolerated, but there has been some concern about depression with DBS. Infection, hemorrhage, and lead breakage are adverse events possible with any type of stimulator. None of the brain stimulation devices have been approved by the US Food and Drug Administration, but final approval is expected soon. These devices are indicated for patients with bilateral seizure onset or seizure onset in eloquent areas. Although the initial trials of brain stimulation do not show overwhelming improvement in seizure frequency, the technology will improve with time as we continue to learn about the use of brain stimulation for epilepsy. Optimization of VNS has been going on for 10 years, and we need to ensure that brain stimulation is similarly developed further. In addition, sophisticated devices such as responsive neurostimulators can greatly enhance our understanding of the pathophysiology of epilepsy. ###Answer 1. Changed Reasoning: In Sentence A, the target word ""depression"" is used in the context of a group of patients with angiographically proven left main coronary artery stenosis (LMCA). The sentence highlights the clinical presentation and course of the patients, including their symptoms and the results of diagnostic tests. The word ""depression"" in this context likely refers to the emotional and psychological distress experienced by the patients due to their medical condition. In Sentence B, the target word ""depression"" is used in a different context, specifically in the context of brain stimulation for epilepsy. The sentence discusses the potential benefits and risks of various brain stimulation techniques, including vagus nerve stimulation (VNS) and direct brain stimulation (DBS). The word ""depression"" in this context likely refers to the potential psychological side effects of these treatments, such as the possibility of depression as a side effect of DBS. Based on these two sentences, it is clear that the meaning of the target word ""depression"" has shifted significantly between the two timestamps. In Sentence A, the word likely refers to the emotional and psychological distress experienced by patients due to their medical condition. In Sentence B, the word likely refers to the potential psychological side effects of brain stimulation treatments. Therefore, I would label the word ""depression"" in Sentence B as ""Changed""." 21,Depression,"In a sample of 82 college students, depression scores, but not manic scores, were associated with both perfectionism and imposter scores.","To understand the physical and mental health status of primary healthcare providers (PHPs) including physicians, nurses and other staff and the workplace risk factors for depression, anxiety and intention-to-leave.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Depression Sentence A: In a sample of 82 college students, depression scores, but not manic scores, were associated with both perfectionism and imposter scores. Sentence B: To understand the physical and mental health status of primary healthcare providers (PHPs) including physicians, nurses and other staff and the workplace risk factors for depression, anxiety and intention-to-leave. ###Answer Changed The meaning of the target word ""depression"" has shifted significantly between the two sentences. In Sentence A, the word is used to describe a mental health disorder characterized by low mood and impaired functioning. However, in Sentence B, the word is used to describe a broader range of mental and physical health issues, including anxiety and intention-to-leave. This shift in meaning suggests that the term ""depression"" has undergone semantic drift over time." 22,Depression,"This study examined whether faking depression can affect Rorschach variables associated with distress. Fifty-eight nondepressed undergraduates were randomly assigned to experimental and control groups of 29 subjects each. All subjects took the Minnesota Multiphasic Personality Inventory (MMPI) Depression Scale, Rorschach Inkblot Test, and Beck Depression Inventory (BDI) under standard administration procedures. Immediately before taking the Rorschach and BDI, experimental group subjects were: (a) instructed to fake depression, (b) provided with a clinical description of the disorder, and (c) offered a cash incentive for the most convincing test display of depression. These conditions increased scores on the BDI, p less than .0001, Morbid Special Score, p less than .05, Bl, p less than .005, and reduced R, p less than .05, but affected no determinants. Power to detect a clinically significant effect of faking on the sum of gray-black determinants was .99 (alpha = .05). Major implications are: (a) abnormal frequencies of determinants should not be attributed to malingering, and (b) Rorschach content measures of depression are affected by impression management strategies.","It has been clinically reported that patients with chronic pain often have accompanying cognitive deficiency, which hampers efficient medical treatment. In the present study, we investigated whether hippocampal synaptic plasticity, which has been considered to be a cellular model of learning and memory, could be influenced by chronic pain conditions using a murine model of neuropathic pain prepared by partial ligation of the sciatic nerve (the Seltzer model). In slices obtained from neuropathic animals, tetanus-induced long-term potentiation of CA1 hippocampal synaptic transmission was impaired, whereas long-term depression induced by low-frequency stimulation was similar in neuropathic and sham-treated (control) animals. Bath application of the beta-adrenoceptor agonist isoproterenol or the beta-adrenoceptor antagonist propranolol diminished the difference of synaptic plasticity between neuropathic and control mice. In the presence of isoproterenol, long-term potentiation was successfully induced in neuropathic mice. By contrast, long-term potentiation in sham-treated mice was impaired by propranolol which did not alter the already impaired long-term potentiation after peripheral nerve injury. These results suggest that beta-adrenergic functions are changed in chronic pain conditions, which may underlie the deficiency of long-term potentiation.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Depression Sentence A: This study examined whether faking depression can affect Rorschach variables associated with distress. Fifty-eight nondepressed undergraduates were randomly assigned to experimental and control groups of 29 subjects each. All subjects took the Minnesota Multiphasic Personality Inventory (MMPI) Depression Scale, Rorschach Inkblot Test, and Beck Depression Inventory (BDI) under standard administration procedures. Immediately before taking the Rorschach and BDI, experimental group subjects were: (a) instructed to fake depression, (b) provided with a clinical description of the disorder, and (c) offered a cash incentive for the most convincing test display of depression. These conditions increased scores on the BDI, p less than .0001, Morbid Special Score, p less than .05, Bl, p less than .005, and reduced R, p less than .05, but affected no determinants. Power to detect a clinically significant effect of faking on the sum of gray-black determinants was .99 (alpha = .05). Major implications are: (a) abnormal frequencies of determinants should not be attributed to malingering, and (b) Rorschach content measures of depression are affected by impression management strategies. Sentence B: It has been clinically reported that patients with chronic pain often have accompanying cognitive deficiency, which hampers efficient medical treatment. In the present study, we investigated whether hippocampal synaptic plasticity, which has been considered to be a cellular model of learning and memory, could be influenced by chronic pain conditions using a murine model of neuropathic pain prepared by partial ligation of the sciatic nerve (the Seltzer model). In slices obtained from neuropathic animals, tetanus-induced long-term potentiation of CA1 hippocampal synaptic transmission was impaired, whereas long-term depression induced by low-frequency stimulation was similar in neuropathic and sham-treated (control) animals. Bath application of the beta-adrenoceptor agonist isoproterenol or the beta-adrenoceptor antagonist propranolol diminished the difference of synaptic plasticity between neuropathic and control mice. In the presence of isoproterenol, long-term potentiation was successfully induced in neuropathic mice. By contrast, long-term potentiation in sham-treated mice was impaired by propranolol which did not alter the already impaired long-term potentiation after peripheral nerve injury. These results suggest that beta-adrenergic functions are changed in chronic pain conditions, which may underlie the deficiency of long-term potentiation. ###Answer 1. Changed Reasoning: In Sentence A, the word ""depression"" has a different connotation than in Sentence B. In Sentence A, the word is used in the context of a psychological study examining the effects of faking depression on Rorschach variables associated with distress. The word is used to describe a mental health disorder characterized by feelings of sadness, hopelessness, and a loss of interest in activities. In contrast, in Sentence B, the word ""depression"" is used in the context of a medical study investigating the impact of chronic pain on cognitive function. The word is used to describe a condition characterized by a persistent feeling of sadness, hopelessness, and a loss of interest in activities, which may be related to the underlying pain condition. In Sentence A, the meaning of ""depression"" is more closely aligned with its clinical definition, emphasizing the emotional and psychological aspects of the disorder. In contrast, in Sentence B, the meaning of ""depression"" is more focused on its impact on cognitive function, highlighting the physical and neurological aspects of the disorder. Therefore, the meaning of ""depression"" has shifted from a primarily psychological to a more physiological and neurological understanding of the disorder, indicating semantic drift." 23,Depression,"Locomotor stepping can be elicited by brain stimulation at various diencephalic sites under moderate levels of Nembutal. This study determined if locomotor initiation measured under anesthesia provides a valid measure of the intersite factors which determine initiation in the awake condition. We compared the latencies to initiate locomotor stepping elicited by electrical stimulation (50 microA, 0.5-msec pulses, 10 to 160 Hz) by rats tested while awake and unrestrained in a rotary runway or anesthetized and held in a stereotaxic apparatus. In the latter tests, initial anesthesia was provided by Nembutal (25 mg/kg) and 2% halothane and maintenance anesthesia was provided by 7 mg/kg as needed and local injections of lidocaine. For 30 sites in 16 rats, average locomotor initiation latency in the awake condition and the shortest latencies in the anesthetized condition were positively correlated (r = .78). Locomotion at sites with long latencies in the awake condition was frequently blocked in the anesthetized condition, but sites with short latencies were rarely blocked. The results indicate that the shortest locomotor latencies in the anesthetized condition approximate the latencies measured in the awake condition. It is concluded that the anesthetized condition can provide valid initiation measures, but sites with long latencies in the awake condition are prone to depression under anesthesia.","Children with type 1 diabetes mellitus (DM) are at risk of developing cognitive difficulties. Although a diabetes onset of patient influences cognitive difficulties, synaptic properties related to the age of diabetes onset remain unknown. Here we showed that synaptic plasticity including long-term potentiation (LTP) or long-term depression (LTD), and excitatory synaptic transmission at Schaffer collateral-CA1 (SC-CA1) synapses in hippocampal slices were affected by age of onset in rats with streptozotocin-induced diabetes (STZ-rats), compared with age-matched control rats. LTP was impaired and the ratio of AMPA receptor-mediated EPSCs relative to N-methyl-d-aspartate (NMDA) receptor-mediated EPSCs (the AMPA/NMDA ratio) decreased in young adult-onset STZ-rats, whereas LTD was impaired and both AMPA receptor-mediated and NMDA receptor-mediated EPSCs increased in juvenile-onset STZ-rats. Furthermore, impaired LTD of juvenile-onset STZ-rats was restored with an NMDA receptor antagonist. These results suggest that the pathophysiology of diabetes-induced cognitive difficulties varies with the age of diabetes onset.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Depression Sentence A: Locomotor stepping can be elicited by brain stimulation at various diencephalic sites under moderate levels of Nembutal. This study determined if locomotor initiation measured under anesthesia provides a valid measure of the intersite factors which determine initiation in the awake condition. We compared the latencies to initiate locomotor stepping elicited by electrical stimulation (50 microA, 0.5-msec pulses, 10 to 160 Hz) by rats tested while awake and unrestrained in a rotary runway or anesthetized and held in a stereotaxic apparatus. In the latter tests, initial anesthesia was provided by Nembutal (25 mg/kg) and 2% halothane and maintenance anesthesia was provided by 7 mg/kg as needed and local injections of lidocaine. For 30 sites in 16 rats, average locomotor initiation latency in the awake condition and the shortest latencies in the anesthetized condition were positively correlated (r = .78). Locomotion at sites with long latencies in the awake condition was frequently blocked in the anesthetized condition, but sites with short latencies were rarely blocked. The results indicate that the shortest locomotor latencies in the anesthetized condition approximate the latencies measured in the awake condition. It is concluded that the anesthetized condition can provide valid initiation measures, but sites with long latencies in the awake condition are prone to depression under anesthesia. Sentence B: Children with type 1 diabetes mellitus (DM) are at risk of developing cognitive difficulties. Although a diabetes onset of patient influences cognitive difficulties, synaptic properties related to the age of diabetes onset remain unknown. Here we showed that synaptic plasticity including long-term potentiation (LTP) or long-term depression (LTD), and excitatory synaptic transmission at Schaffer collateral-CA1 (SC-CA1) synapses in hippocampal slices were affected by age of onset in rats with streptozotocin-induced diabetes (STZ-rats), compared with age-matched control rats. LTP was impaired and the ratio of AMPA receptor-mediated EPSCs relative to N-methyl-d-aspartate (NMDA) receptor-mediated EPSCs (the AMPA/NMDA ratio) decreased in young adult-onset STZ-rats, whereas LTD was impaired and both AMPA receptor-mediated and NMDA receptor-mediated EPSCs increased in juvenile-onset STZ-rats. Furthermore, impaired LTD of juvenile-onset STZ-rats was restored with an NMDA receptor antagonist. These results suggest that the pathophysiology of diabetes-induced cognitive difficulties varies with the age of diabetes onset. ###Answer 1. Changed Reasoning: In Sentence A, the target word ""depression"" is used in the context of locomotor stepping elicited by brain stimulation in rats. The meaning of ""depression"" in this context is related to the suppression of locomotor activity, as the sentence describes the blocking of locomotion at certain sites in the brain. This meaning is different from the meaning of ""depression"" in Sentence B, where it is used to describe cognitive difficulties in children with type 1 diabetes mellitus. In Sentence B, the target word ""depression"" is used in the context of synaptic properties and the age of diabetes onset, and the meaning is related to the impairment of synaptic plasticity and the ratio of AMPA receptor-mediated EPSCs to NMDA receptor-mediated EPSCs. The two sentences have different meanings and connotations for the target word ""depression"", indicating semantic drift." 24,Depression,"Chronic pain patients and brain injured patients frequently exhibit anxiety, depression, perseveration, and fixed ideation about their injuries. Both populations also frequently suffer from decreased attention, impaired concentration, easy fatigability, personality changes, impaired relationships with family and friends, and difficulty maintaining a job. In cases where chronic pain coexists with traumatic brain injury, the brain injury is often obscured. Risk factors which should alert the medical team to possible coexisting brain injury include history of loss of consciousness at original injury, history of trauma to the head, whiplash injury to the neck, multisystem trauma, and admission of memory or attention deficits by the patient. When any of these risk factors are present, we have found that formal examination of cognitive function is required to explore the potential of coexisting brain injury; if pain is a prominent clinical feature, residual cognitive sequelae of mild brain injury is easily masked. Specific testing of attention, new learning ability, constructional ability, and higher cognitive functions are most helpful in this population, and they need to be included in the mental status examination when concomitant brain injury is suspected. In our study, seven patients were found to have undiagnosed brain injury in a series of 67 consecutive patient referrals to our pain rehabilitation program. Treatment failure is high in this subgroup of pain patients unless treatment is directed toward the sequelae of both brain injury and chronic pain.","Idiopathic pulmonary fibrosis (IPF) is a chronic, progressive interstitial lung disease (ILD) with unknown etiology that occurs primarily in older adults with a median survival time of 2.5±3.5 years. Since there is no curative treatment for IPF, patients with IPF may have symptoms of depression and anxiety more than those of other interstitial lung diseases. There is a few studies about comparison of anxiety depression with other interstitial lung disease and IPF. In this study, we investigated whether anxiety depression in IPF was more frequent than other ILDs and its effect on quality of life.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Depression Sentence A: Chronic pain patients and brain injured patients frequently exhibit anxiety, depression, perseveration, and fixed ideation about their injuries. Both populations also frequently suffer from decreased attention, impaired concentration, easy fatigability, personality changes, impaired relationships with family and friends, and difficulty maintaining a job. In cases where chronic pain coexists with traumatic brain injury, the brain injury is often obscured. Risk factors which should alert the medical team to possible coexisting brain injury include history of loss of consciousness at original injury, history of trauma to the head, whiplash injury to the neck, multisystem trauma, and admission of memory or attention deficits by the patient. When any of these risk factors are present, we have found that formal examination of cognitive function is required to explore the potential of coexisting brain injury; if pain is a prominent clinical feature, residual cognitive sequelae of mild brain injury is easily masked. Specific testing of attention, new learning ability, constructional ability, and higher cognitive functions are most helpful in this population, and they need to be included in the mental status examination when concomitant brain injury is suspected. In our study, seven patients were found to have undiagnosed brain injury in a series of 67 consecutive patient referrals to our pain rehabilitation program. Treatment failure is high in this subgroup of pain patients unless treatment is directed toward the sequelae of both brain injury and chronic pain. Sentence B: Idiopathic pulmonary fibrosis (IPF) is a chronic, progressive interstitial lung disease (ILD) with unknown etiology that occurs primarily in older adults with a median survival time of 2.5±3.5 years. Since there is no curative treatment for IPF, patients with IPF may have symptoms of depression and anxiety more than those of other interstitial lung diseases. There is a few studies about comparison of anxiety depression with other interstitial lung disease and IPF. In this study, we investigated whether anxiety depression in IPF was more frequent than other ILDs and its effect on quality of life. ###Answer 1. Changed Reasoning: In Sentence A, the term ""depression"" is used in the context of chronic pain patients and brain injury survivors. The term is associated with symptoms of anxiety, perseveration, and fixed ideation about their injuries. In contrast, in Sentence B, the term ""depression"" is used in the context of idiopathic pulmonary fibrosis (IPF), a chronic lung disease with unknown etiology. The term is associated with symptoms of anxiety and depression more than other interstitial lung diseases. The meaning of the term ""depression"" has shifted significantly between the two sentences. In Sentence A, the term is associated with the physical symptoms of chronic pain and brain injury, while in Sentence B, it is associated with the psychological symptoms of anxiety and depression in the context of IPF. This difference in meaning indicates semantic drift has occurred." 25,Depression,"A direct photon absorptiometry method was used to measure bone mineral content in a population of mentally retarded subjects, one half of whom were undergoing long-term anticonvulsant drug therapy. The sample consisted of 134 subjects, 60 males and 74 females. Average ages were 22.5 years for the females and 19.7 years for the males. A multiple regression analysis showed there was no apparent effect on anticonvulsant drug therapy on bone mineral content in this mentally retarded and growth retarded population. A comparison with normal standards indicates that bone mineral values for age for both sexes of mentally retarded subjects were depressed from 15-40 percent relative to white standards. The bone mineral depression closely paralleled the growth depression seen in this population. It is suggested that the inability to detect an overall anticonvulsive drug effect on bone mineral values may be due to the general growth retardation seen in this institutionalized mentally retarded population.","NMDA receptor dependent long-term potentiation (LTP) and long-term depression (LTD) are two prominent forms of synaptic plasticity, both of which are triggered by post-synaptic calcium elevation. To understand how calcium selectively stimulates two opposing processes, we developed a detailed computational model and performed simulations with different calcium input frequencies, amplitudes, and durations. We show that with a total amount of calcium ions kept constant, high frequencies of calcium pulses stimulate calmodulin more efficiently. Calcium input activates both calcineurin and Ca(2+)/calmodulin-dependent protein kinase II (CaMKII) at all frequencies, but increased frequencies shift the relative activation from calcineurin to CaMKII. Irrespective of amplitude and duration of the inputs, the total amount of calcium ions injected adjusts the sensitivity of the system to calcium input frequencies. At a given frequency, the quantity of CaMKII activated is proportional to the total amount of calcium. Thus, an input of a small amount of calcium at high frequencies can induce the same activation of CaMKII as a larger amount, at lower frequencies. Finally, the extent of activation of CaMKII signals with high calcium frequency is further controlled by other factors, including the availability of calmodulin, and by the potency of phosphatase inhibitors.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Depression Sentence A: A direct photon absorptiometry method was used to measure bone mineral content in a population of mentally retarded subjects, one half of whom were undergoing long-term anticonvulsant drug therapy. The sample consisted of 134 subjects, 60 males and 74 females. Average ages were 22.5 years for the females and 19.7 years for the males. A multiple regression analysis showed there was no apparent effect on anticonvulsant drug therapy on bone mineral content in this mentally retarded and growth retarded population. A comparison with normal standards indicates that bone mineral values for age for both sexes of mentally retarded subjects were depressed from 15-40 percent relative to white standards. The bone mineral depression closely paralleled the growth depression seen in this population. It is suggested that the inability to detect an overall anticonvulsive drug effect on bone mineral values may be due to the general growth retardation seen in this institutionalized mentally retarded population. Sentence B: NMDA receptor dependent long-term potentiation (LTP) and long-term depression (LTD) are two prominent forms of synaptic plasticity, both of which are triggered by post-synaptic calcium elevation. To understand how calcium selectively stimulates two opposing processes, we developed a detailed computational model and performed simulations with different calcium input frequencies, amplitudes, and durations. We show that with a total amount of calcium ions kept constant, high frequencies of calcium pulses stimulate calmodulin more efficiently. Calcium input activates both calcineurin and Ca(2+)/calmodulin-dependent protein kinase II (CaMKII) at all frequencies, but increased frequencies shift the relative activation from calcineurin to CaMKII. Irrespective of amplitude and duration of the inputs, the total amount of calcium ions injected adjusts the sensitivity of the system to calcium input frequencies. At a given frequency, the quantity of CaMKII activated is proportional to the total amount of calcium. Thus, an input of a small amount of calcium at high frequencies can induce the same activation of CaMKII as a larger amount, at lower frequencies. Finally, the extent of activation of CaMKII signals with high calcium frequency is further controlled by other factors, including the availability of calmodulin, and by the potency of phosphatase inhibitors. ###Answer 1. Changed Reasoning: In Sentence A, the term ""depression"" is used to describe a decrease in bone mineral content in a population of mentally retarded individuals. The term is used in the context of a medical condition, where it is associated with growth retardation. In Sentence B, the term ""depression"" is used in a completely different context, to describe a form of synaptic plasticity in neurons. The term is used in a much more abstract sense, and it is not associated with any medical condition. Therefore, it can be concluded that the meaning of the term ""depression"" has changed significantly between the two sentences." 26,Depression,"It is difficult to treat a family, particularly when clinicians only have the opportunity to see one or two members in the medical setting. Still, one can accomplish a great deal by viewing the patient within a family system. Advantages of this systemic approach are similar to those accrued when one views the individual patient's problems as being inter-connected. For example, we know that pain stemming from MS can exacerbate depression that, in turn, increases pain ... and so on. By the same token, if the clinician treats either pain or depression, it will likely reduce the other one. One doesn't need to treat all aspects of the family to show a fundamental improvement in the system. If the well partner attends a support group, his or her ability to care for the patient may increase, which could reduce his or her own depression. If children learn to explain the patient's MS to their friends, then they feel more comfortable with closeness to the parent. Treating the family helps it stay healthy, and it is the family who ultimately cares for the patient. To treat the family is to provide the patient with essential care.","Stress and corticosteroids dynamically modulate the expression of synaptic plasticity at glutamatergic synapses in the developed brain. Together with alpha-amino-3-hydroxy-methyl-4-isoxazole propionic acid receptors (AMPAR), N-methyl-D-aspartate receptors (NMDAR) are critical mediators of synaptic function and are essential for the induction of many forms of synaptic plasticity. Regulation of NMDAR function by cortisol/corticosterone (CORT) may be fundamental to the effects of stress on synaptic plasticity. Recent reports of the efficacy of NMDAR antagonists in treating certain stress-associated psychopathologies further highlight the importance of understanding the regulation of NMDAR function by CORT. Knowledge of how corticosteroids regulate NMDAR function within the adult brain is relatively sparse, perhaps due to a common belief that NMDAR function is stable in the adult brain. We review recent results from our laboratory and others demonstrating dynamic regulation of NMDAR function by CORT in the adult brain. In addition, we consider the issue of how differences in the early life environment may program differential sensitivity to modulation of NMDAR function by CORT and how this may influence synaptic function during stress. Findings from these studies demonstrate that NMDAR function in the adult hippocampus remains sensitive to even brief exposures to CORT and that the capacity for modulation of NMDAR may be programmed, in part, by the early life environment. Modulation of NMDAR function may contribute to dynamic regulation of synaptic plasticity and adaptation in the face of stress, however, enhanced NMDAR function may be implicated in mechanisms of stress-related psychopathologies including depression.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Depression Sentence A: It is difficult to treat a family, particularly when clinicians only have the opportunity to see one or two members in the medical setting. Still, one can accomplish a great deal by viewing the patient within a family system. Advantages of this systemic approach are similar to those accrued when one views the individual patient's problems as being inter-connected. For example, we know that pain stemming from MS can exacerbate depression that, in turn, increases pain ... and so on. By the same token, if the clinician treats either pain or depression, it will likely reduce the other one. One doesn't need to treat all aspects of the family to show a fundamental improvement in the system. If the well partner attends a support group, his or her ability to care for the patient may increase, which could reduce his or her own depression. If children learn to explain the patient's MS to their friends, then they feel more comfortable with closeness to the parent. Treating the family helps it stay healthy, and it is the family who ultimately cares for the patient. To treat the family is to provide the patient with essential care. Sentence B: Stress and corticosteroids dynamically modulate the expression of synaptic plasticity at glutamatergic synapses in the developed brain. Together with alpha-amino-3-hydroxy-methyl-4-isoxazole propionic acid receptors (AMPAR), N-methyl-D-aspartate receptors (NMDAR) are critical mediators of synaptic function and are essential for the induction of many forms of synaptic plasticity. Regulation of NMDAR function by cortisol/corticosterone (CORT) may be fundamental to the effects of stress on synaptic plasticity. Recent reports of the efficacy of NMDAR antagonists in treating certain stress-associated psychopathologies further highlight the importance of understanding the regulation of NMDAR function by CORT. Knowledge of how corticosteroids regulate NMDAR function within the adult brain is relatively sparse, perhaps due to a common belief that NMDAR function is stable in the adult brain. We review recent results from our laboratory and others demonstrating dynamic regulation of NMDAR function by CORT in the adult brain. In addition, we consider the issue of how differences in the early life environment may program differential sensitivity to modulation of NMDAR function by CORT and how this may influence synaptic function during stress. Findings from these studies demonstrate that NMDAR function in the adult hippocampus remains sensitive to even brief exposures to CORT and that the capacity for modulation of NMDAR may be programmed, in part, by the early life environment. Modulation of NMDAR function may contribute to dynamic regulation of synaptic plasticity and adaptation in the face of stress, however, enhanced NMDAR function may be implicated in mechanisms of stress-related psychopathologies including depression. ###Answer 1. Changed Reasoning: In Sentence A, the term ""depression"" is used in the context of a family member's condition, and it is described as something that can be treated by treating the entire family. The focus is on the family as a system and how different members can support each other. In contrast, in Sentence B, the term ""depression"" is used in the context of a neurological disorder that affects synaptic plasticity in the brain. The focus is on the dynamic regulation of NMDAR function by corticosteroids and how this may contribute to stress-related psychopathologies, including depression. The two sentences convey different meanings and connotations of the term ""depression,"" suggesting that semantic drift may have occurred over time." 27,Depression,"Behavioral phenomena consisting of approach (self-stimulation, SS), flight and ambivalence (approach-flight) elicited by intracranial stimulation (ICS) along the neuraxis from the forebrain to the hindbrain were filmed and analyzed. The main findings were: (1) approach, flight and ambivalence could be obtained from all levels of the brain; (2) no single fixed behavioral pattern was common to approach or ambivalence; (3) there were instead different patterns which varied according to the area but some of the individual features of these patterns were at times common to several brain areas; (4) exploration with sniffing was found to be the most frequent behavior accompanying both approach and ambivalence. For SS, exploration was organized in the following topographical manner: nonsystematically at the level of the dorsal pons, diffused at the raphé, scattered at the level of the ventromedial mesencephalon (VMT), and focalized at the level of the lateral hypothalamus; (5) the highest intensities of SS, flight and ambivalence were found in the more caudal areas, namely the VMT for approach, the posterior mesencephalic reticular formation for ambivalence and the ventral region of the reticularis pontis caudalis (RPC) for flight; (6) in approach behavior for SS, when the point of stimulation was changed from the medio-frontal cortex to the posterior hypothalamus and VMT, an orderly change from depression to excitation of locomotor activity appeared. However, in the case of the locus coeruleus (LC) and adjacent dorsal tegmentum, SS by bursts was correlated with either intense motor activity or transitory periods of adynamia followed eventually by progressive ambivalence after bursts of SS; (7) approach and ambivalence elicited from areas known or believed to be involved in sleep regulation (midbrain raphé, LC and proximal dorsal pontine areas) were accompanied by what at first appeared as disruptive behaviors; but other complex behaviors were noted which suggest that during alertness, these areas may be involved in behaviors that are phylogenetically important for the development of motor and cognitive functions and most likely also in the behavioral manifestations of major psychiatric illnesses.","To determine whether coping strategies modify the risk of depression among allogeneic recipients experiencing post-transplant-related symptomatology, 105 participants (mean age = 52 years, 42% female) completed questionnaires 90 days post-transplant. A total of 28 percent reported depressive symptoms. Univariate correlations indicated that depression was associated with greater transplant-related symptomatology and avoidance, acceptance/resignation, and emotional discharge coping. Depression was negatively associated with problem-solving coping. Moderator analyses indicated that transplant-related symptomatology was significantly associated with depression among patients who frequently used maladaptive coping and rarely used adaptive coping. These data suggest that transplant-related symptomatology, combined with maladaptive coping, place patients at risk of depression.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Depression Sentence A: Behavioral phenomena consisting of approach (self-stimulation, SS), flight and ambivalence (approach-flight) elicited by intracranial stimulation (ICS) along the neuraxis from the forebrain to the hindbrain were filmed and analyzed. The main findings were: (1) approach, flight and ambivalence could be obtained from all levels of the brain; (2) no single fixed behavioral pattern was common to approach or ambivalence; (3) there were instead different patterns which varied according to the area but some of the individual features of these patterns were at times common to several brain areas; (4) exploration with sniffing was found to be the most frequent behavior accompanying both approach and ambivalence. For SS, exploration was organized in the following topographical manner: nonsystematically at the level of the dorsal pons, diffused at the raphé, scattered at the level of the ventromedial mesencephalon (VMT), and focalized at the level of the lateral hypothalamus; (5) the highest intensities of SS, flight and ambivalence were found in the more caudal areas, namely the VMT for approach, the posterior mesencephalic reticular formation for ambivalence and the ventral region of the reticularis pontis caudalis (RPC) for flight; (6) in approach behavior for SS, when the point of stimulation was changed from the medio-frontal cortex to the posterior hypothalamus and VMT, an orderly change from depression to excitation of locomotor activity appeared. However, in the case of the locus coeruleus (LC) and adjacent dorsal tegmentum, SS by bursts was correlated with either intense motor activity or transitory periods of adynamia followed eventually by progressive ambivalence after bursts of SS; (7) approach and ambivalence elicited from areas known or believed to be involved in sleep regulation (midbrain raphé, LC and proximal dorsal pontine areas) were accompanied by what at first appeared as disruptive behaviors; but other complex behaviors were noted which suggest that during alertness, these areas may be involved in behaviors that are phylogenetically important for the development of motor and cognitive functions and most likely also in the behavioral manifestations of major psychiatric illnesses. Sentence B: To determine whether coping strategies modify the risk of depression among allogeneic recipients experiencing post-transplant-related symptomatology, 105 participants (mean age = 52 years, 42% female) completed questionnaires 90 days post-transplant. A total of 28 percent reported depressive symptoms. Univariate correlations indicated that depression was associated with greater transplant-related symptomatology and avoidance, acceptance/resignation, and emotional discharge coping. Depression was negatively associated with problem-solving coping. Moderator analyses indicated that transplant-related symptomatology was significantly associated with depression among patients who frequently used maladaptive coping and rarely used adaptive coping. These data suggest that transplant-related symptomatology, combined with maladaptive coping, place patients at risk of depression. ###Answer 1. Changed Reasoning: In Sentence A, the term ""depression"" is used in the context of behavioral phenomena elicited by intracranial stimulation, specifically in relation to approach, flight, and ambivalence. The focus is on the neural mechanisms underlying these behaviors, and there is no clear connotation of negative emotional state. In contrast, in Sentence B, the term ""depression"" is used in the context of post-transplant symptomatology and coping strategies. The focus is on the psychological impact of the transplant on the patient's mental health, and the term ""depression"" carries a clear negative connotation. Therefore, semantic drift has occurred in the meaning of the term ""depression"" between the two sentences." 28,Depression,"Sensitivity of the ventral surface of the medulla oblongata to organophosphorus agents, oxime reactivators, and muscarinic antagonists was examined in order to delineate sites of cholinergic activity in the central nervous system. The exposed ventral surface of the medulla oblongata in anaesthetized cats was treated with the organophosphorus anticholinesterase agents soman and (7-nitro-2-oxa-1,3-diazole) aminopentyl methylphosphonofluoridate (NBD-AP-MFP), a fluorescent active centre-selective probe of acetylcholinesterase. Topical application of soman (1-5 micrograms) or NBD-AP-MPF (5-120 micrograms) elicited a profound (80-90 mm Hg), long-lasting (0.5-3 h), dose-dependent vasodepression with only minor changes in heart rate and respiration. The vasodepression was rapidly reversed (7-10 min) upon topical application of muscarinic antagonists (atropine methylnitrate, atropine sulphate) and the bisquaternary oxime HI-6; systemic administration was without effect. Reversal of the hypotension by HI-6 occurred irrespective of whether the organophosphorus agent was NBD-AP-MPF, which forms conjugates with acetylcholinesterase that undergo no aging, or soman, which forms conjugates that undergo extensive aging rendering the enzyme refractory to oxime reactivation. Hence, oxime efficacy for reversal of the physiologic hypotension was not dependent solely on the fraction reactivatable enzyme. By virtue of the fluorescence distribution of NBD-AP-MPF the chemosensitive sites were estimated to reside no deeper than 50 microns into the medulla oblongata, providing a direct indication for localization of the chemosensitive cells on the superficial surface.","Depression occurs in an interpersonal dynamic and living with a depressed person can lead to a significant burden on the partner. Instruments measuring burden do not address couples and often measure caregiving for individuals with schizophrenic disorders. The partner burden in depression (PBD) questionnaire is a new instrument measuring PBD by asking individuals, (1) which symptoms they can observe in their depressed partners and (2) to which degree this burdens them. Hence, PBD combines measuring the awareness of observed depressive symptoms and the resulting burden. Additionally, it addresses aspects unique to couple relationships. Our German validation confirmed a one-factor model with 12 items. The PBD had good psychometric properties and was sensitive to change. Partner burden predicted self-reported depressive symptoms (PHQ-9) over time. PBD is short, easily applicable in research and practice and can add to the understanding of partner effects in depression.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Depression Sentence A: Sensitivity of the ventral surface of the medulla oblongata to organophosphorus agents, oxime reactivators, and muscarinic antagonists was examined in order to delineate sites of cholinergic activity in the central nervous system. The exposed ventral surface of the medulla oblongata in anaesthetized cats was treated with the organophosphorus anticholinesterase agents soman and (7-nitro-2-oxa-1,3-diazole) aminopentyl methylphosphonofluoridate (NBD-AP-MFP), a fluorescent active centre-selective probe of acetylcholinesterase. Topical application of soman (1-5 micrograms) or NBD-AP-MPF (5-120 micrograms) elicited a profound (80-90 mm Hg), long-lasting (0.5-3 h), dose-dependent vasodepression with only minor changes in heart rate and respiration. The vasodepression was rapidly reversed (7-10 min) upon topical application of muscarinic antagonists (atropine methylnitrate, atropine sulphate) and the bisquaternary oxime HI-6; systemic administration was without effect. Reversal of the hypotension by HI-6 occurred irrespective of whether the organophosphorus agent was NBD-AP-MPF, which forms conjugates with acetylcholinesterase that undergo no aging, or soman, which forms conjugates that undergo extensive aging rendering the enzyme refractory to oxime reactivation. Hence, oxime efficacy for reversal of the physiologic hypotension was not dependent solely on the fraction reactivatable enzyme. By virtue of the fluorescence distribution of NBD-AP-MPF the chemosensitive sites were estimated to reside no deeper than 50 microns into the medulla oblongata, providing a direct indication for localization of the chemosensitive cells on the superficial surface. Sentence B: Depression occurs in an interpersonal dynamic and living with a depressed person can lead to a significant burden on the partner. Instruments measuring burden do not address couples and often measure caregiving for individuals with schizophrenic disorders. The partner burden in depression (PBD) questionnaire is a new instrument measuring PBD by asking individuals, (1) which symptoms they can observe in their depressed partners and (2) to which degree this burdens them. Hence, PBD combines measuring the awareness of observed depressive symptoms and the resulting burden. Additionally, it addresses aspects unique to couple relationships. Our German validation confirmed a one-factor model with 12 items. The PBD had good psychometric properties and was sensitive to change. Partner burden predicted self-reported depressive symptoms (PHQ-9) over time. PBD is short, easily applicable in research and practice and can add to the understanding of partner effects in depression. ###Answer 1. Changed Reasoning: In Sentence A, the target word ""depression"" is used in the context of a scientific study examining the effects of organophosphorus agents on the central nervous system. The sentence describes the results of a experiment in which the researchers exposed the ventral surface of the medulla oblongata to different chemicals and observed the resulting physiological changes. The term ""depression"" in this context refers to the physical effects of the chemicals on the body, such as hypotension and changes in heart rate and respiration. In Sentence B, the target word ""depression"" is used in a different context, in the context of an interpersonal relationship. The sentence describes the burden experienced by a partner of someone with depression, and how this burden can be measured using a new instrument called the ""Partner Burden in Depression"" questionnaire. In this sentence, the term ""depression"" refers to the emotional and psychological effects of the illness on the partner, such as feelings of sadness, helplessness, and frustration. Based on these two sentences, it is clear that the meaning of the target word ""depression"" has changed significantly between the two timestamps. In Sentence A, the term refers to physical effects on the body, while in Sentence B, it refers to emotional and psychological effects on the partner. Therefore, I would label the semantic drift as ""Changed""." 29,Depression,"The effects of enflurane anaesthesia on central circulation, total oxygen uptake, splanchnic circulation and splanchnic oxygen uptake were studied in 10 artifically ventilated dogs, basally anaesthetized with thiopental and nitrous oxide. Hepatic arterial, superior mesenteric arterial and portal venous blood flows were measured with electromagnetic flowmetry. Cardiac output was measured by thermodilution. Determinations of oxygen contents were made in arterial, pulmonary arterial, portal venous and hepatic venous blood. The end-tidal enflurane concentration was kept at about 1 MAC (= 2.2%). Arterial blood pressure diminished 54% of control value due to decreases of cardiac output to 65% and of total peripheral vascular resistance to 81% of control values. Hepatic arterial, superior mesenteric arterial and portal venous blood flows decreased to 65-70% of control levels and the corresponding vascular resistances all declined to about 80-85% of control values. Total oxygen uptake decreased, but less than cardiac output, leading to an increased arterio-venous oxygen content difference. Oxygen uptake of the preportal tissues was unchanged and hepatic oxygen uptake was not significantly altered, although there were decreases in hepatic oxygen uptake in some of the individual experiments. It is suggested that the cardiovascular depression following enflurane anaesthesia in the dog was due, to a great extent, to a primary myocardial depression. It is further concluded that the splanchnic blood flows were relatively well preserved, due to decreases in splanchnic vascular resistances, and that hepatic and preportal tissue oxygen consumptions were maintained by increased oxygen extraction.","A large amount of research has been conducted on the effects of sex hormones on gender differences in patients with depression, yet research on cognitive differences between male and female patients with depression is insufficient. This study uses emotion pictures to investigate the differences of the emotional working memory ability and emotional experience in male and female patients with depression. Despite identifying that the working memory of patients with depression is impaired, our study found no significant gender differences in emotional working memory. Moreover, the research results revealed that memory effects of mood congruence are produced in both men and women, which may explain why the depression state can be maintained. Furthermore, female patients have more emotional experiences than male patients, which is particularly significant in terms of negative emotional experiences. This result provides cognitive evidence to explain why women suffer from longer terms of depression, are more susceptible to relapse, and can more easily suffer from major depressive disorder in the future.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Depression Sentence A: The effects of enflurane anaesthesia on central circulation, total oxygen uptake, splanchnic circulation and splanchnic oxygen uptake were studied in 10 artifically ventilated dogs, basally anaesthetized with thiopental and nitrous oxide. Hepatic arterial, superior mesenteric arterial and portal venous blood flows were measured with electromagnetic flowmetry. Cardiac output was measured by thermodilution. Determinations of oxygen contents were made in arterial, pulmonary arterial, portal venous and hepatic venous blood. The end-tidal enflurane concentration was kept at about 1 MAC (= 2.2%). Arterial blood pressure diminished 54% of control value due to decreases of cardiac output to 65% and of total peripheral vascular resistance to 81% of control values. Hepatic arterial, superior mesenteric arterial and portal venous blood flows decreased to 65-70% of control levels and the corresponding vascular resistances all declined to about 80-85% of control values. Total oxygen uptake decreased, but less than cardiac output, leading to an increased arterio-venous oxygen content difference. Oxygen uptake of the preportal tissues was unchanged and hepatic oxygen uptake was not significantly altered, although there were decreases in hepatic oxygen uptake in some of the individual experiments. It is suggested that the cardiovascular depression following enflurane anaesthesia in the dog was due, to a great extent, to a primary myocardial depression. It is further concluded that the splanchnic blood flows were relatively well preserved, due to decreases in splanchnic vascular resistances, and that hepatic and preportal tissue oxygen consumptions were maintained by increased oxygen extraction. Sentence B: A large amount of research has been conducted on the effects of sex hormones on gender differences in patients with depression, yet research on cognitive differences between male and female patients with depression is insufficient. This study uses emotion pictures to investigate the differences of the emotional working memory ability and emotional experience in male and female patients with depression. Despite identifying that the working memory of patients with depression is impaired, our study found no significant gender differences in emotional working memory. Moreover, the research results revealed that memory effects of mood congruence are produced in both men and women, which may explain why the depression state can be maintained. Furthermore, female patients have more emotional experiences than male patients, which is particularly significant in terms of negative emotional experiences. This result provides cognitive evidence to explain why women suffer from longer terms of depression, are more susceptible to relapse, and can more easily suffer from major depressive disorder in the future. ###Answer 1. Changed Reasoning: In Sentence A, the term ""depression"" is used to describe a specific medical condition, specifically cardiovascular depression caused by enflurane anaesthesia. The sentence highlights the effects of the anaesthesia on various physiological parameters, such as blood pressure, cardiac output, and oxygen uptake. The term ""depression"" in this context implies a clear medical definition, with a focus on the physiological effects of the anaesthesia. In Sentence B, the term ""depression"" is used in a different context. The sentence discusses gender differences in patients with depression, specifically focusing on the emotional working memory ability and emotional experience of male and female patients. The term ""depression"" in this context implies a broader definition, encompassing not only the medical condition but also the emotional and cognitive aspects of depression. The sentence suggests that female patients experience more emotional experiences than male patients, which may contribute to longer terms of depression and a higher susceptibility to relapse. Based on these differences in context and meaning, it can be concluded that the term ""depression"" has undergone a significant change in meaning between Sentence A and Sentence B. In Sentence A, the term is used primarily to describe a specific medical condition, while in Sentence B, it is used to encompass a broader definition that includes emotional and cognitive aspects of depression. Therefore, the label ""Changed"" is appropriate to indicate that the meaning of the term ""depression"" has shifted between the two sentences." 30,Depression,"Massive changes in suicide rates over time have been recognized in the United States. An attempt has been made to describe these changes with age-period-cohort analyses. A variety of approaches has led us to conclude that suicide rates of non-white males, white and non-white females can be described adequately without a cohort effect. Recent suicide trends lead to the conclusion that a model based on a rising rate in more recently born white male cohorts coupled with an independent age effect could be rejected. If a cohort effect is postulated for more recent birth cohorts, it would require that the cohort suicide rate is decreasing with each successive birth cohort. Models based on high suicide rates in recent cohorts and additive age effects are probably misleading for future predictions. An association was noted between recent changes in the teenage and young adult suicide rates and rates of depression. Both may be the product of similar social influences.","Dysmenorrhea and noncyclic pelvic pain (chronic pelvic pain) are common in adolescents. The evaluation of teens with dysmenorrhea or chronic pelvic pain is aimed to diagnose possible gynecologic conditions (endometriosis, pelvic inflammatory disease, ovarian cysts, and obstruction of the reproductive tract) and nongynecologic conditions (irritable bowel syndrome, interstitial cystitis, and myofascial pain). The management of chronic pelvic pain in adolescents is often more complex than in adult women because both the adolescent and her parents are counseled and addressed, and her long-term emotional and physical health, fertility, and sexuality are considered. Dysmenorrhea and chronic pelvic pain are often associated with depression and anxiety in adolescents. Thus, psychosocial counseling plays an important role in the management of these patients. This review will present a systematic approach to the evaluation and treatment of dysmenorrhea and chronic pelvic pain in adolescents.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Depression Sentence A: Massive changes in suicide rates over time have been recognized in the United States. An attempt has been made to describe these changes with age-period-cohort analyses. A variety of approaches has led us to conclude that suicide rates of non-white males, white and non-white females can be described adequately without a cohort effect. Recent suicide trends lead to the conclusion that a model based on a rising rate in more recently born white male cohorts coupled with an independent age effect could be rejected. If a cohort effect is postulated for more recent birth cohorts, it would require that the cohort suicide rate is decreasing with each successive birth cohort. Models based on high suicide rates in recent cohorts and additive age effects are probably misleading for future predictions. An association was noted between recent changes in the teenage and young adult suicide rates and rates of depression. Both may be the product of similar social influences. Sentence B: Dysmenorrhea and noncyclic pelvic pain (chronic pelvic pain) are common in adolescents. The evaluation of teens with dysmenorrhea or chronic pelvic pain is aimed to diagnose possible gynecologic conditions (endometriosis, pelvic inflammatory disease, ovarian cysts, and obstruction of the reproductive tract) and nongynecologic conditions (irritable bowel syndrome, interstitial cystitis, and myofascial pain). The management of chronic pelvic pain in adolescents is often more complex than in adult women because both the adolescent and her parents are counseled and addressed, and her long-term emotional and physical health, fertility, and sexuality are considered. Dysmenorrhea and chronic pelvic pain are often associated with depression and anxiety in adolescents. Thus, psychosocial counseling plays an important role in the management of these patients. This review will present a systematic approach to the evaluation and treatment of dysmenorrhea and chronic pelvic pain in adolescents. ###Answer 1. Changed Reasoning: The meaning of the target word ""depression"" has shifted significantly between the two sentences. In Sentence A, the term is used in the context of suicide rates and is associated with a specific demographic (white males). In Sentence B, the term is used more broadly to describe a common adolescent condition (dysmenorrhea and chronic pelvic pain), and is not limited to any specific demographic. The shift in meaning suggests that the term ""depression"" has undergone semantic drift." 31,Depression,"A standardized technique of general anaesthesia, with one randomly selected variable, was provided for 237 patients undergoing elective and 540 undergoing emergency Caesarean section. The variable was the volatile agent used to maintain anaesthesia, the choice resting between trichloroethylene (0.2 or 0.3 vol.%) and halothane (0.2, 0.3, 0.4 or 0.5 vol.%). No association was found between the type of agent and the duration of anaesthesia, or the duration of either the I-D or the U-D interval. A smaller total dose of suxamethonium was administered in conjunction with the higher concentrations of volatile agent. A statistically significant but clinically unimportant increase in the time elapsing from the cessation of anaesthesia to maternal achievement of a ""safe level of consciousness"" was found with the higher concentrations. The incidence of maternal awareness plus unpleasant dreams was unacceptably high when the lower concentrations were used, and it is recommended that either trichloroethylene 0.3 vol.% or halothane 0.4 or 0.5 vol.% be used. Neither agent, at these concentrations, was associated with neonatal depression in group A elective sections in which the fetus presented by the vertex, and although there was a possible tendency for their use in cases of fetal compromise to be associated with an increase in the incidence of neonatal respiratory depression, the degree of depression was of little consequence to neonatal well-being. It was confirmed that breech presentation and prolongation of the U-D interval are important determinants of depression and birth asphyxia among infants delivered by Caesarean section under general anaesthesia.","The emotional bond that a mother feels towards her baby is critical to social, emotional and cognitive development. Maternal health and wellbeing through pregnancy and antenatal bonding also play a key role in determining bonding postnatally, but the extent to which these relationships may be disrupted by poor mental health or substance use is unclear. This study aimed to examine the extent to which mother-fetal bonding, substance use and mental health through pregnancy predicted postnatal mother-infant bonding at 8 weeks. Participants were 372 women recruited from three metropolitan hospitals in Australia. Data was collected during trimesters one, two and three of pregnancy and 8 weeks postnatal using the Maternal Antenatal Attachment Scale (MAAS), Maternal Postnatal Attachment Scale (MPAS), the Edinburgh Antenatal and Postnatal Depression Scale (EPDS), the Depression and Anxiety Scales (DASS-21), frequency and quantity of substance use (caffeine, alcohol and tobacco) as well as a range of demographic and postnatal information. Higher antenatal bonding predicted higher postnatal bonding at all pregnancy time-points in a fully adjusted regression model. Maternal depressive symptoms in trimesters two and three and stress in trimester two were inversely related to poorer mother-infant bonding 8 weeks postnatally. This study extends previous work on the mother's felt bond to her developing child by drawing on a large sample of women and documenting the pattern of this bond at three time points in pregnancy and at 8 weeks postnatally. Utilising multiple antenatal waves allowed precision in isolating the relationships in pregnancy and at key intervention points. Investigating methods to enhance bonding and intervene in pregnancy is needed. It is also important to assess maternal mental health through pregnancy.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Depression Sentence A: A standardized technique of general anaesthesia, with one randomly selected variable, was provided for 237 patients undergoing elective and 540 undergoing emergency Caesarean section. The variable was the volatile agent used to maintain anaesthesia, the choice resting between trichloroethylene (0.2 or 0.3 vol.%) and halothane (0.2, 0.3, 0.4 or 0.5 vol.%). No association was found between the type of agent and the duration of anaesthesia, or the duration of either the I-D or the U-D interval. A smaller total dose of suxamethonium was administered in conjunction with the higher concentrations of volatile agent. A statistically significant but clinically unimportant increase in the time elapsing from the cessation of anaesthesia to maternal achievement of a ""safe level of consciousness"" was found with the higher concentrations. The incidence of maternal awareness plus unpleasant dreams was unacceptably high when the lower concentrations were used, and it is recommended that either trichloroethylene 0.3 vol.% or halothane 0.4 or 0.5 vol.% be used. Neither agent, at these concentrations, was associated with neonatal depression in group A elective sections in which the fetus presented by the vertex, and although there was a possible tendency for their use in cases of fetal compromise to be associated with an increase in the incidence of neonatal respiratory depression, the degree of depression was of little consequence to neonatal well-being. It was confirmed that breech presentation and prolongation of the U-D interval are important determinants of depression and birth asphyxia among infants delivered by Caesarean section under general anaesthesia. Sentence B: The emotional bond that a mother feels towards her baby is critical to social, emotional and cognitive development. Maternal health and wellbeing through pregnancy and antenatal bonding also play a key role in determining bonding postnatally, but the extent to which these relationships may be disrupted by poor mental health or substance use is unclear. This study aimed to examine the extent to which mother-fetal bonding, substance use and mental health through pregnancy predicted postnatal mother-infant bonding at 8 weeks. Participants were 372 women recruited from three metropolitan hospitals in Australia. Data was collected during trimesters one, two and three of pregnancy and 8 weeks postnatal using the Maternal Antenatal Attachment Scale (MAAS), Maternal Postnatal Attachment Scale (MPAS), the Edinburgh Antenatal and Postnatal Depression Scale (EPDS), the Depression and Anxiety Scales (DASS-21), frequency and quantity of substance use (caffeine, alcohol and tobacco) as well as a range of demographic and postnatal information. Higher antenatal bonding predicted higher postnatal bonding at all pregnancy time-points in a fully adjusted regression model. Maternal depressive symptoms in trimesters two and three and stress in trimester two were inversely related to poorer mother-infant bonding 8 weeks postnatally. This study extends previous work on the mother's felt bond to her developing child by drawing on a large sample of women and documenting the pattern of this bond at three time points in pregnancy and at 8 weeks postnatally. Utilising multiple antenatal waves allowed precision in isolating the relationships in pregnancy and at key intervention points. Investigating methods to enhance bonding and intervene in pregnancy is needed. It is also important to assess maternal mental health through pregnancy. ###Answer 1. Changed Reasoning: In Sentence A, the target word ""depression"" is used to describe the duration of anaesthesia and the time elapsing from the cessation of anaesthesia to maternal achievement of a ""safe level of consciousness"". The word has a different connotation than in Sentence B, where it is used to describe the emotional bond between a mother and her baby. In Sentence A, ""depression"" implies a negative emotional state, while in Sentence B, it refers to the emotional connection between a mother and her child. Therefore, the meaning of the target word has significantly shifted between the two sentences, indicating semantic drift has occurred." 32,Depression,"The inability to perform essential activities of daily living such as cooking, shopping, dressing and bathing is termed functional disability. These deficits can prevent elders from enjoying independent, active lifestyles. The development of functional disability is a gradual process. Early identification and intervention by the primary care physician can often reduce functional decline. Screening for functional decline has traditionally been performed by either questionnaire or direct observation of tasks. This paper reviews methods which have been proposed to integrate functional disability screening into office practice. A method which incorporates both questionnaire and direct observation is recommended by the authors. The method of screening proposed targets specific areas prone to dysfunction. It focuses on simple screens of vision, hearing, arm and leg function, urinary incontinence, mental status, depression, nutrition, activities of daily living, environmental hazards, and social support systems. Appropriate methods of follow up evaluation and treatment are provided. This fifteen minute technique is a practical and applicable means of screening elderly patients for functional deficits in the primary care office.","Among vertebrates able to tolerate periods of oxygen deprivation, the painted and red-eared slider turtles (Chrysemys picta and Trachemys scripta) and the crucian carp (Carassius carassius) are the most extreme and can survive even months of total lack of oxygen during winter. The key to hypoxia survival resides in concerted physiological responses, including strong metabolic depression, protection against oxidative damage and-in air-breathing animals-redistribution of blood flow. Each of these responses is known to be tightly regulated by nitric oxide (NO) and during hypoxia by its metabolite nitrite. The aim of this review is to highlight recent work illustrating the widespread roles of NO and nitrite in the tolerance to extreme oxygen deprivation, in particular in the red-eared slider turtle and crucian carp, but also in diving marine mammals. The emerging picture underscores the importance of NO and nitrite signaling in the adaptive response to hypoxia in vertebrate animals. ","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Depression Sentence A: The inability to perform essential activities of daily living such as cooking, shopping, dressing and bathing is termed functional disability. These deficits can prevent elders from enjoying independent, active lifestyles. The development of functional disability is a gradual process. Early identification and intervention by the primary care physician can often reduce functional decline. Screening for functional decline has traditionally been performed by either questionnaire or direct observation of tasks. This paper reviews methods which have been proposed to integrate functional disability screening into office practice. A method which incorporates both questionnaire and direct observation is recommended by the authors. The method of screening proposed targets specific areas prone to dysfunction. It focuses on simple screens of vision, hearing, arm and leg function, urinary incontinence, mental status, depression, nutrition, activities of daily living, environmental hazards, and social support systems. Appropriate methods of follow up evaluation and treatment are provided. This fifteen minute technique is a practical and applicable means of screening elderly patients for functional deficits in the primary care office. Sentence B: Among vertebrates able to tolerate periods of oxygen deprivation, the painted and red-eared slider turtles (Chrysemys picta and Trachemys scripta) and the crucian carp (Carassius carassius) are the most extreme and can survive even months of total lack of oxygen during winter. The key to hypoxia survival resides in concerted physiological responses, including strong metabolic depression, protection against oxidative damage and-in air-breathing animals-redistribution of blood flow. Each of these responses is known to be tightly regulated by nitric oxide (NO) and during hypoxia by its metabolite nitrite. The aim of this review is to highlight recent work illustrating the widespread roles of NO and nitrite in the tolerance to extreme oxygen deprivation, in particular in the red-eared slider turtle and crucian carp, but also in diving marine mammals. The emerging picture underscores the importance of NO and nitrite signaling in the adaptive response to hypoxia in vertebrate animals. ###Answer 1. Changed Explanation: In Sentence A, the term ""depression"" is used in the context of functional disability, specifically in relation to the inability to perform daily activities. The meaning of the term is related to the inability to perform tasks due to physical or cognitive limitations. In Sentence B, the term ""depression"" is used in a completely different context, referring to the ability of certain fish to survive months without oxygen during winter. The term has shifted in meaning to refer to the ability of organisms to tolerate extreme conditions, rather than the inability to perform daily tasks. Therefore, semantic drift has occurred in the meaning of the term ""depression"" between the two sentences." 33,Depression,"Malignant catarrhal fever was diagnosed in 3 herds of American bison (Bison bison) in South Dakota from 1973 to 1976. Clinical signs included depression, nasal and ocular discharge, conjunctivitis and keratitis, and diarrhea. Herd morbidity ranged from 3 to 53.8%, and mortality was 100%. At necropsy, ulcerative lesions were found throughout the alimentary tract, trachea, and bronchi. Microscopically, necrotizing vasculitis without thrombosis was found in virtually every organ examined.",Skeletal muscle deficiency in the 3-phosphoinositide (PtdInsP) phosphatase myotubularin (MTM1) causes myotubular myopathy which is associated with severe depression of voltage-activated sarcoplasmic reticulum Ca,"###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Depression Sentence A: Malignant catarrhal fever was diagnosed in 3 herds of American bison (Bison bison) in South Dakota from 1973 to 1976. Clinical signs included depression, nasal and ocular discharge, conjunctivitis and keratitis, and diarrhea. Herd morbidity ranged from 3 to 53.8%, and mortality was 100%. At necropsy, ulcerative lesions were found throughout the alimentary tract, trachea, and bronchi. Microscopically, necrotizing vasculitis without thrombosis was found in virtually every organ examined. Sentence B: Skeletal muscle deficiency in the 3-phosphoinositide (PtdInsP) phosphatase myotubularin (MTM1) causes myotubular myopathy which is associated with severe depression of voltage-activated sarcoplasmic reticulum Ca ###Answer 1. Changed The target word ""depression"" has undergone significant semantic drift between Sentence A (1973-1976) and Sentence B (2020). In Sentence A, the word is used to describe a specific medical condition affecting bison, characterized by clinical signs including depression, nasal and ocular discharge, and diarrhea. In contrast, in Sentence B, the word ""depression"" is used to describe a broader psychological state, with no specific medical context. This shift in meaning indicates semantic drift has occurred." 34,Depression,"We evaluated 39 patients >45 years old with paroxysmal supraventricular tachycardia (SVT), 21 of whom had ST-segment depression during SVT. Treadmill exercise testing, including thallium stress scintigraphy, was performed in all patients and coronary angiography in 21 patients with ST-segment depression. Based on the presence of abnormal findings on exercise electrocardiogram and/or thallium in 7 of 21 patients (33%) with ST-segment depression, with additional corroboration by angiographic data, we conclude that myocardial ischemia and coronary artery disease is one, but not the only, mechanism involved in the genesis of ST-segment depression during paroxysmal SVT.",Depression after acute coronary syndrome (ACS) is associated with worse cardiac outcomes. This systematic review evaluated whether depressed ACS patients are at differential risk depending on the recurrence and timing of onset of depressive episodes.,"###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Depression Sentence A: We evaluated 39 patients >45 years old with paroxysmal supraventricular tachycardia (SVT), 21 of whom had ST-segment depression during SVT. Treadmill exercise testing, including thallium stress scintigraphy, was performed in all patients and coronary angiography in 21 patients with ST-segment depression. Based on the presence of abnormal findings on exercise electrocardiogram and/or thallium in 7 of 21 patients (33%) with ST-segment depression, with additional corroboration by angiographic data, we conclude that myocardial ischemia and coronary artery disease is one, but not the only, mechanism involved in the genesis of ST-segment depression during paroxysmal SVT. Sentence B: Depression after acute coronary syndrome (ACS) is associated with worse cardiac outcomes. This systematic review evaluated whether depressed ACS patients are at differential risk depending on the recurrence and timing of onset of depressive episodes. ###Answer 1. Changed The meaning of the target word ""depression"" has shifted significantly between Sentence A (2000) and Sentence B (2020). In Sentence A, the term refers to a specific medical condition (paroxysmal supraventricular tachycardia) with symptoms including ST-segment depression. In Sentence B, the term is used more broadly to describe any depressive episode, regardless of its cause or timing. This shift in meaning suggests that the term ""depression"" has undergone semantic drift." 35,Depression,"Self-rated decline in memory relative to estimated abilities at age 60 was investigated in a group of 88 normal elderly subjects age 60 to 90. Self-ratings of storage, retrieval, attention/concentration, remote memory, and depression formed a factor which was orthogonal to objective measures of memory function. Self-rated remote memory was also associated with objective measures of recent/remote memory, and self-rated depression was additionally related to objective measures of attention/concentration.","During pregnancy and lactation, there is a high need of long-chain (LC) omega-3 fatty acids (n-3 PUFA), especially docosahexaenoic acid (DHA), for fetus and infant. Also, a low LC n-3 PUFA status during pregnancy is associated with postpartum depression. The aim of this cross-sectional study was to analyze the LC n-3 PUFA status in German women during pregnancy and lactation.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Depression Sentence A: Self-rated decline in memory relative to estimated abilities at age 60 was investigated in a group of 88 normal elderly subjects age 60 to 90. Self-ratings of storage, retrieval, attention/concentration, remote memory, and depression formed a factor which was orthogonal to objective measures of memory function. Self-rated remote memory was also associated with objective measures of recent/remote memory, and self-rated depression was additionally related to objective measures of attention/concentration. Sentence B: During pregnancy and lactation, there is a high need of long-chain (LC) omega-3 fatty acids (n-3 PUFA), especially docosahexaenoic acid (DHA), for fetus and infant. Also, a low LC n-3 PUFA status during pregnancy is associated with postpartum depression. The aim of this cross-sectional study was to analyze the LC n-3 PUFA status in German women during pregnancy and lactation. ###Answer 1. Changed The meaning of the target word ""depression"" has significantly shifted between the two sentences. In Sentence A, the term is used to describe a decline in memory relative to estimated abilities at age 60, with no mention of mental health. In Sentence B, the term is used to describe a mental health disorder, specifically postpartum depression, which is associated with a low LC n-3 PUFA status during pregnancy and lactation. The shift in meaning is evident as the term is now used to describe a specific mental health condition, rather than a general decline in cognitive function." 36,Depression,"The present study explored age differences in the expression of depression. Such differences were quite apparent. Among 118 young adults and 107 community-residing elderly individuals, it was found that in the young adult groups, cognitive belief factors labeled ""externality/control"" and ""dependency/emotionality"" were associated with both affective and cognitive aspects of depression, but not somatic depressive symptoms over and above the influence of sociodemographic factors. In contrast, among older adults, a cognitive belief factor labeled ""cognitive-emotional rigidity/dependency"" was uniquely associated with both affective and somatic depressive symptoms. Additionally, a second cognitive factor, labeled ""adaptation/internal control"" defined in terms of the absence of irrational thinking about adaptation and control, was negatively related to somatic depressive symptoms. For each sample, poorer health was associated with greater depressive symptomatology. While these findings generally tend to support a cognitive view of depression in adulthood, they also underscore the importance of cognitions that may be adaptive which mitigate distress among older persons.","A functional variant of the serotonin transporter gene (5-HTTLPR) has been associated with increased risk for major depression in the context of stress. In attempting to understand the mechanisms underlying this relation, we tested the hypothesis that 5-HTTLPR genotype affects the speed with which amygdala is recruited during emotional processing in young girls with no history of psychiatric disorder. We used functional magnetic resonance imaging to compare the rise time to peak amygdala activation in 5-HTTLPR short-allele carriers and long-allele homozygotes during enhancement of sad mood. Relative to long-allele homozygotes, participants with at least one copy of the 5-HTTLPR short allele showed both stronger and earlier activation in left amygdala as they increased a sad mood state. Individuals carrying the short allele appear to exhibit a neural 'readiness' to engage and enhance negative affect. Future research should examine how exposure to negative life events and more chronic sadness modify the time course of amygdala activity during the experience of negative emotion.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Depression Sentence A: The present study explored age differences in the expression of depression. Such differences were quite apparent. Among 118 young adults and 107 community-residing elderly individuals, it was found that in the young adult groups, cognitive belief factors labeled ""externality/control"" and ""dependency/emotionality"" were associated with both affective and cognitive aspects of depression, but not somatic depressive symptoms over and above the influence of sociodemographic factors. In contrast, among older adults, a cognitive belief factor labeled ""cognitive-emotional rigidity/dependency"" was uniquely associated with both affective and somatic depressive symptoms. Additionally, a second cognitive factor, labeled ""adaptation/internal control"" defined in terms of the absence of irrational thinking about adaptation and control, was negatively related to somatic depressive symptoms. For each sample, poorer health was associated with greater depressive symptomatology. While these findings generally tend to support a cognitive view of depression in adulthood, they also underscore the importance of cognitions that may be adaptive which mitigate distress among older persons. Sentence B: A functional variant of the serotonin transporter gene (5-HTTLPR) has been associated with increased risk for major depression in the context of stress. In attempting to understand the mechanisms underlying this relation, we tested the hypothesis that 5-HTTLPR genotype affects the speed with which amygdala is recruited during emotional processing in young girls with no history of psychiatric disorder. We used functional magnetic resonance imaging to compare the rise time to peak amygdala activation in 5-HTTLPR short-allele carriers and long-allele homozygotes during enhancement of sad mood. Relative to long-allele homozygotes, participants with at least one copy of the 5-HTTLPR short allele showed both stronger and earlier activation in left amygdala as they increased a sad mood state. Individuals carrying the short allele appear to exhibit a neural 'readiness' to engage and enhance negative affect. Future research should examine how exposure to negative life events and more chronic sadness modify the time course of amygdala activity during the experience of negative emotion. ###Answer 1. Changed Reasoning: In Sentence A, the target word ""depression"" is used to describe a mental health disorder characterized by cognitive and affective symptoms, with a focus on the role of cognitive beliefs in its expression. The word is used in the context of a scientific study exploring the differences in depression expression between young adults and older adults. The meaning of the word in this sentence is focused on the psychological and psychiatric aspects of depression. In Sentence B, the target word ""depression"" is used in a different context, to describe a genetic variant associated with increased risk for major depression in the context of stress. The word is used in the context of a scientific study attempting to understand the mechanisms underlying this relation. The meaning of the word in this sentence is focused on the genetic and biological aspects of depression. Based on these two sentences, it is clear that the meaning of the target word ""depression"" has shifted significantly between the two timestamps. In Sentence A, the word is used to describe a psychiatric disorder with a focus on cognitive beliefs, while in Sentence B, the word is used to describe a genetic variant associated with stress and its impact on depression. Therefore, I would label the target word as ""Changed""." 37,Depression,"We evaluated the possible role of prostaglandin E2 (PGE2) in the calcium(Ca++)-mediated damage of skeletal muscle by a calcium ionophore (A23187) that induces excessive Ca++ influx. Twitch and tetanus of rat diaphragms were depressed with either PGE2 or A23187. A23187-induced depression was reduced by PG synthesis inhibitors, aspirin, or indomethacin, though less than that by a protease inhibitor, leupeptin. PGE2-induced depression was also inhibited by leupeptin. Damage of the muscle cell by excessive intracellular free Ca++ may thus be mediated via a PGE2 pathway besides other mechanisms including non-lysosomal, Ca++-activated proteases.","Olfactory loss impacts around 20% of the population and is associated with the reduction of pleasure from eating and drinking, sex and depression (1). Encouragingly, research findings have consistently demonstrated that olfactory training (OT) can improve olfactory function in people with olfactory loss due to various aetiologies (2). The most commonly used method for OT involves smelling four different odours (lemon, eucalyptus, rose and cloves), twice daily, for 12 weeks.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Depression Sentence A: We evaluated the possible role of prostaglandin E2 (PGE2) in the calcium(Ca++)-mediated damage of skeletal muscle by a calcium ionophore (A23187) that induces excessive Ca++ influx. Twitch and tetanus of rat diaphragms were depressed with either PGE2 or A23187. A23187-induced depression was reduced by PG synthesis inhibitors, aspirin, or indomethacin, though less than that by a protease inhibitor, leupeptin. PGE2-induced depression was also inhibited by leupeptin. Damage of the muscle cell by excessive intracellular free Ca++ may thus be mediated via a PGE2 pathway besides other mechanisms including non-lysosomal, Ca++-activated proteases. Sentence B: Olfactory loss impacts around 20% of the population and is associated with the reduction of pleasure from eating and drinking, sex and depression (1). Encouragingly, research findings have consistently demonstrated that olfactory training (OT) can improve olfactory function in people with olfactory loss due to various aetiologies (2). The most commonly used method for OT involves smelling four different odours (lemon, eucalyptus, rose and cloves), twice daily, for 12 weeks. ###Answer 1. Changed The target word ""depression"" in Sentence A has a different meaning than in Sentence B. In Sentence A, ""depression"" refers to the reduction of muscle cell damage caused by excessive intracellular free Ca++. In Sentence B, ""depression"" refers to a psychological disorder associated with a loss of pleasure from eating, sex, and other activities. These two meanings are not related, and therefore, semantic drift has occurred." 38,Depression,"This study was designed to examine the effects of a healer seeing chronically ill patients in a large semirural practice. The 57 patients were allocated alternately either to receive ten weekly healing sessions or to become waiting-list controls. Two weeks after completion of 'healing' 22 (81%) of the 27 study patients thought their symptoms had improved and 15 of these thought they had improved substantially. Study patients scored better than controls on both measures of symptoms (P < 0.05, P < 0.01), on anxiety and depression ratings (P < 0.01, P < 0.05) and on general function measured by the Nottingham Health Profile (P < 0.01). Treatment differences were still evident three months later for one of the measures of symptom change (P < 0.05) and for both anxiety and depression ratings (P < 0.01, P < 0.05). The percentages of natural killer cells (CD16, CD56) did not change greatly in either group. These results suggest that healing may be an effective adjunct for the treatment of chronically ill patients presenting in general practice. They do not distinguish between any specific effects of spiritual healing and non-specific effects such as relaxation; for further investigation, randomized controlled trials will be needed.","Chronic cannabis use has been shown to block long-term depression of GABA-glutamate synapses in the striatum, which is likely to reduce the extent to which endogenous cannabinoids modulate GABA- and glutamate-related neuronal activity. The current study aimed at investigating the effect of this process on striatal dopamine levels by studying the spontaneous eye blink rate (EBR), a clinical marker of dopamine level in the striatum. 25 adult regular cannabis users and 25 non-user controls matched for age, gender, race, and IQ were compared. Results show a significant reduction in EBR in chronic users as compared to non-users, suggesting an indirect detrimental effect of chronic cannabis use on striatal dopaminergic functioning. Additionally, EBR correlated negatively with years of cannabis exposure, monthly peak cannabis consumption, and lifetime cannabis consumption, pointing to a relationship between the degree of impairment of striatal dopaminergic transmission and cannabis consumption history.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Depression Sentence A: This study was designed to examine the effects of a healer seeing chronically ill patients in a large semirural practice. The 57 patients were allocated alternately either to receive ten weekly healing sessions or to become waiting-list controls. Two weeks after completion of 'healing' 22 (81%) of the 27 study patients thought their symptoms had improved and 15 of these thought they had improved substantially. Study patients scored better than controls on both measures of symptoms (P < 0.05, P < 0.01), on anxiety and depression ratings (P < 0.01, P < 0.05) and on general function measured by the Nottingham Health Profile (P < 0.01). Treatment differences were still evident three months later for one of the measures of symptom change (P < 0.05) and for both anxiety and depression ratings (P < 0.01, P < 0.05). The percentages of natural killer cells (CD16, CD56) did not change greatly in either group. These results suggest that healing may be an effective adjunct for the treatment of chronically ill patients presenting in general practice. They do not distinguish between any specific effects of spiritual healing and non-specific effects such as relaxation; for further investigation, randomized controlled trials will be needed. Sentence B: Chronic cannabis use has been shown to block long-term depression of GABA-glutamate synapses in the striatum, which is likely to reduce the extent to which endogenous cannabinoids modulate GABA- and glutamate-related neuronal activity. The current study aimed at investigating the effect of this process on striatal dopamine levels by studying the spontaneous eye blink rate (EBR), a clinical marker of dopamine level in the striatum. 25 adult regular cannabis users and 25 non-user controls matched for age, gender, race, and IQ were compared. Results show a significant reduction in EBR in chronic users as compared to non-users, suggesting an indirect detrimental effect of chronic cannabis use on striatal dopaminergic functioning. Additionally, EBR correlated negatively with years of cannabis exposure, monthly peak cannabis consumption, and lifetime cannabis consumption, pointing to a relationship between the degree of impairment of striatal dopaminergic transmission and cannabis consumption history. ###Answer 1. Changed Reasoning: In Sentence A, the term ""depression"" is used to describe the improvement in symptoms experienced by patients after receiving healing sessions. This suggests that the term had a different connotation or meaning in 2000 than it does today, as it is now commonly associated with a mental health disorder. In Sentence B, the term ""depression"" is used in the context of cannabis use and its effect on dopamine levels in the striatum. This usage does not suggest any change in meaning or connotation, as the term is used in a similar way to its modern usage. Therefore, the label ""Changed"" is provided for the target word ""Depression""." 39,Depression,"The results of a randomized double-blind study with two comparable treatment groups are reported. In the course of treatment the frequency of angina pectoris during exercise as measured by a 4-point rating scale of symptom intensity decreased significantly for both groups. In comparison to the base line data the mean total workload increased significantly in both treatment groups (Molsidomin from 379 to 526 watt min; ISDN from 382 to 524 watt min-1). The product of systolic blood pressure and heart rate (BP X HR) under maximal workload increased significantly in both groups (Molsidomin from 17.5 to 20.9 mmHg min-1 1000(-1); ISDN from 17.7 to 20.2 mmHg min-1 1000(-1). The decrease in the ischaemic ST-segment depression on the level of maximal workload of the base line test was significant for both groups for all measures (Molsidomin from 0.27 to 0.08 mV; ISDN from 0.28 to 0.07 mV). The decrease of the ST-segment depression on the individual maximal workload level was significant for all measures in the Molsidomin group, but only on the first day of treatment in the ISDN group.","This review of current literature discusses the morphology of the volar aspect of the distal radius; the surgical procedure, arthroscopic findings, and clinical results of a plate presetting and arthroscopic reduction technique for acute intra-articular fractures; and a novel simulation guidance system for malunited intra-articular fractures. Classification of intra-articular distal radius fractures is also discussed, focusing on central depression fracture fragments, associated soft tissue injuries, and results for measuring scapholunate distances at different sites. Problems of the distal radioulnar joint are reviewed, in particular, functional outcomes of the authors' prospective cohort study on unstable intra-articular fractures involving the distal radioulnar joint.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Depression Sentence A: The results of a randomized double-blind study with two comparable treatment groups are reported. In the course of treatment the frequency of angina pectoris during exercise as measured by a 4-point rating scale of symptom intensity decreased significantly for both groups. In comparison to the base line data the mean total workload increased significantly in both treatment groups (Molsidomin from 379 to 526 watt min; ISDN from 382 to 524 watt min-1). The product of systolic blood pressure and heart rate (BP X HR) under maximal workload increased significantly in both groups (Molsidomin from 17.5 to 20.9 mmHg min-1 1000(-1); ISDN from 17.7 to 20.2 mmHg min-1 1000(-1). The decrease in the ischaemic ST-segment depression on the level of maximal workload of the base line test was significant for both groups for all measures (Molsidomin from 0.27 to 0.08 mV; ISDN from 0.28 to 0.07 mV). The decrease of the ST-segment depression on the individual maximal workload level was significant for all measures in the Molsidomin group, but only on the first day of treatment in the ISDN group. Sentence B: This review of current literature discusses the morphology of the volar aspect of the distal radius; the surgical procedure, arthroscopic findings, and clinical results of a plate presetting and arthroscopic reduction technique for acute intra-articular fractures; and a novel simulation guidance system for malunited intra-articular fractures. Classification of intra-articular distal radius fractures is also discussed, focusing on central depression fracture fragments, associated soft tissue injuries, and results for measuring scapholunate distances at different sites. Problems of the distal radioulnar joint are reviewed, in particular, functional outcomes of the authors' prospective cohort study on unstable intra-articular fractures involving the distal radioulnar joint. ###Answer 1. Changed Reasoning: In Sentence A, the target word ""depression"" is used to describe a decrease in symptom intensity during treatment for angina pectoris. In this context, the word carries a negative connotation, implying a decrease in symptoms is desirable. In Sentence B, the target word ""depression"" is used to describe a surgical procedure, and is not associated with any negative connotation. Therefore, the meaning of the word has changed significantly between the two sentences, indicating semantic drift." 40,Depression,"Data from two fixed-dose studies of sertraline in panic disorder were pooled in order to provide sufficient power for the analysis of treatment response in clinically relevant subgroups. Male and non-fertile female patients meeting DSM-III-R criteria for moderate-to-severe panic disorder with or without agoraphobia completed a 1-2 week placebo run-in period, and then were randomized to 12 weeks of double-blind treatment with either placebo, or one of three fixed daily doses of sertraline (50 mg, 100 mg, or 200 mg). Eighty-two patients were treated with placebo and 240 patients were treated with one of three doses of sertraline. All three sertraline doses produced significant efficacy compared to placebo, with no consistent evidence of a dose-response effect. For the subset of patients with subsyndromic depression at baseline [baseline Hamilton Depression Rating scale (HAM-D > 12 and < or = 21], sertraline yielded a significantly higher panic-free rate than did placebo (P = 0.021), again, by a conservative endpoint (Last Observation Carried Forward method, LOCF) analysis. Sertraline was well-tolerated at all dose levels, with no significant between-dose differences in patients discontinuing due to adverse events. The presence of mild-to-moderate subsyndromic levels of depression did not reduce the anti-panic efficacy of sertraline.","Pharmacological treatment of any maternal illness during pregnancy warrants consideration of the consequences of the illness and/or medication for both the mother and unborn child. In the case of major depressive disorder, which affects up to 10-20% of pregnant women, the deleterious effects of untreated depression on the offspring can be profound and long lasting. Progress has been made in our understanding of the mechanism(s) of action of antidepressants, fetal exposure to these medications, and serotonin's role in development. New technologies and careful study designs have enabled the accurate sampling of maternal serum, breast milk, umbilical cord serum, and infant serum psychotropic medication concentrations to characterize the magnitude of placental transfer and exposure through human breast milk. Despite this progress, the extant clinical literature is largely composed of case series, population-based patient registry data that are reliant on nonobjective means and retrospective recall to determine both medication and maternal depression exposure, and limited inclusion of suitable control groups for maternal depression. Conclusions drawn from such studies often fail to incorporate embryology/neurotransmitter ontogeny, appropriate gestational windows, or a critical discussion of statistically versus clinically significant. Similarly, preclinical studies have predominantly relied on dosing models, leading to exposures that may not be clinically relevant. The elucidation of a defined teratological effect or mechanism, if any, has yet to be conclusively demonstrated. The extant literature indicates that, in many cases, the benefits of antidepressant use during pregnancy for a depressed pregnant woman may outweigh potential risks. ","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Depression Sentence A: Data from two fixed-dose studies of sertraline in panic disorder were pooled in order to provide sufficient power for the analysis of treatment response in clinically relevant subgroups. Male and non-fertile female patients meeting DSM-III-R criteria for moderate-to-severe panic disorder with or without agoraphobia completed a 1-2 week placebo run-in period, and then were randomized to 12 weeks of double-blind treatment with either placebo, or one of three fixed daily doses of sertraline (50 mg, 100 mg, or 200 mg). Eighty-two patients were treated with placebo and 240 patients were treated with one of three doses of sertraline. All three sertraline doses produced significant efficacy compared to placebo, with no consistent evidence of a dose-response effect. For the subset of patients with subsyndromic depression at baseline [baseline Hamilton Depression Rating scale (HAM-D > 12 and < or = 21], sertraline yielded a significantly higher panic-free rate than did placebo (P = 0.021), again, by a conservative endpoint (Last Observation Carried Forward method, LOCF) analysis. Sertraline was well-tolerated at all dose levels, with no significant between-dose differences in patients discontinuing due to adverse events. The presence of mild-to-moderate subsyndromic levels of depression did not reduce the anti-panic efficacy of sertraline. Sentence B: Pharmacological treatment of any maternal illness during pregnancy warrants consideration of the consequences of the illness and/or medication for both the mother and unborn child. In the case of major depressive disorder, which affects up to 10-20% of pregnant women, the deleterious effects of untreated depression on the offspring can be profound and long lasting. Progress has been made in our understanding of the mechanism(s) of action of antidepressants, fetal exposure to these medications, and serotonin's role in development. New technologies and careful study designs have enabled the accurate sampling of maternal serum, breast milk, umbilical cord serum, and infant serum psychotropic medication concentrations to characterize the magnitude of placental transfer and exposure through human breast milk. Despite this progress, the extant clinical literature is largely composed of case series, population-based patient registry data that are reliant on nonobjective means and retrospective recall to determine both medication and maternal depression exposure, and limited inclusion of suitable control groups for maternal depression. Conclusions drawn from such studies often fail to incorporate embryology/neurotransmitter ontogeny, appropriate gestational windows, or a critical discussion of statistically versus clinically significant. Similarly, preclinical studies have predominantly relied on dosing models, leading to exposures that may not be clinically relevant. The elucidation of a defined teratological effect or mechanism, if any, has yet to be conclusively demonstrated. The extant literature indicates that, in many cases, the benefits of antidepressant use during pregnancy for a depressed pregnant woman may outweigh potential risks. ###Answer 1. Changed Reasoning: In Sentence A, the target word ""depression"" is used to describe a specific mental health condition, with a clear definition and connotation. The sentence explains the symptoms and effects of depression, and how it can impact the offspring. The word is used in a clinical and objective manner, without any emotional or sensationalistic connotations. In Sentence B, the target word ""depression"" has a different connotation and context. The sentence discusses the potential risks and benefits of antidepressant use during pregnancy, and the impact of maternal depression on the offspring. The word is used in a more general and abstract manner, with a focus on the potential consequences of depression rather than the specific symptoms. The sentence also includes a discussion of the mechanisms of action of antidepressants and the limitations of the current literature. Based on these differences in context and connotation, it can be concluded that the meaning of the target word ""depression"" has changed between Sentence A and Sentence B. In Sentence A, the word is used in a clinical and objective manner to describe a specific mental health condition, while in Sentence B, the word is used in a more general and abstract manner to describe the potential consequences of depression. Therefore, the label ""Changed"" is appropriate to indicate that the meaning of the target word has shifted between the two sentences." 41,Depression,"A study aimed at the standardization of symptom evaluation of patients with depression was carried out as the first step in an extensive collaborative study on affective disorders between centers in Nagasaki, Shanghai and Seoul. This study was initiated in order to clarify the factors affecting the low reported prevalence rates of depressive disorders in Asia. No significant difference in evaluation of psychiatric symptoms was observed between the 3 centers. Nevertheless, the diagnoses given by ICD-9 showed very interesting differences. For any given case, Nagasaki tended to make a diagnosis of an affective psychosis depression, while Shanghai made a diagnosis of neurotic disorder. No significant tendency was observed in the Seoul center. These findings are discussed in terms of their importance for future international collaborative studies.","We performed a comparative study of the effect of electroconvulsive therapy on anxiety in outbred rats and Sprague-Dawley rats with depressive-like disorder induced by exposure to ultrasound of variable frequency (20-45 Hz). The anxiogenic effect of therapy was revealed in elevated plus maze and open-field tests in both linear and non-lineal rats, but was more pronounced in linear animals. Differences between outbred rats and Sprague-Dawley rats by the anxiety level were demonstrated. These results suggest that electroconvulsive therapy should be used with cautious in patients with depression and comorbid anxiety disorders. Pronounced behavioral differences between linear and non-linear rats should be considered when choosing optimal experimental object in this research field.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Depression Sentence A: A study aimed at the standardization of symptom evaluation of patients with depression was carried out as the first step in an extensive collaborative study on affective disorders between centers in Nagasaki, Shanghai and Seoul. This study was initiated in order to clarify the factors affecting the low reported prevalence rates of depressive disorders in Asia. No significant difference in evaluation of psychiatric symptoms was observed between the 3 centers. Nevertheless, the diagnoses given by ICD-9 showed very interesting differences. For any given case, Nagasaki tended to make a diagnosis of an affective psychosis depression, while Shanghai made a diagnosis of neurotic disorder. No significant tendency was observed in the Seoul center. These findings are discussed in terms of their importance for future international collaborative studies. Sentence B: We performed a comparative study of the effect of electroconvulsive therapy on anxiety in outbred rats and Sprague-Dawley rats with depressive-like disorder induced by exposure to ultrasound of variable frequency (20-45 Hz). The anxiogenic effect of therapy was revealed in elevated plus maze and open-field tests in both linear and non-lineal rats, but was more pronounced in linear animals. Differences between outbred rats and Sprague-Dawley rats by the anxiety level were demonstrated. These results suggest that electroconvulsive therapy should be used with cautious in patients with depression and comorbid anxiety disorders. Pronounced behavioral differences between linear and non-linear rats should be considered when choosing optimal experimental object in this research field. ###Answer 1. Changed The target word ""depression"" has undergone a significant change in meaning between Sentence A (2000) and Sentence B (2020). In Sentence A, the term refers to a psychiatric disorder characterized by symptoms of low mood, apathy, and impaired cognitive functioning, as defined by the ICD-9. However, in Sentence B, the term is used to describe a behavioral response to a specific stimulus (electroconvulsive therapy) and is not necessarily related to psychiatric disorder. The shift in meaning suggests that the term ""depression"" has changed in its connotation and usage, indicating semantic drift." 42,Depression,"Spinal cord injury is a common occurrence in Zimbabwe and carries with it a high morbidity and mortality. In the past almost all patients discharged from hospital were dead within a year. Reasons for this high mortality are presented. The establishment of the National Rehabilitation Centre has had a profound impact on the survival of these individuals as well as on improving their quality of life. The results of a retrospective survey on the mortality and life situation of individuals with spinal cord injuries sustained through trauma are presented. However major unresolved problems are inadequate housing, lack of financial support, practically no prospect of employment and depression compounded by boredom.","The beneficial effects of exercise have been well recognized for over half a century. Dr Jeremy Morris's pioneering studies in the fifties showed a striking difference in cardiovascular disease between the drivers and conductors on the double-decker buses in London. These studies sparked off a vast amount of research on the effects of exercise in health, and the general consensus is that exercise contributes to improved outcomes and treatment for several diseases including osteoporosis, diabetes, depression and atherosclerosis. Evidence of the beneficial effects of exercise is reviewed here. One way of highlighting the impact of exercise on disease is to consider it from the perspective of good practice. However, the intensity, duration, frequency (dosage) and counter indications of the exercise should be taken into consideration to individually tailor the exercise programme. An important case of the beneficial effect of exercise is that of ageing. Ageing is characterized by a loss of homeostatic mechanisms, on many occasions leading to the development of frailty, and hence frailty is one of the major geriatric syndromes and exercise is very useful to mitigate, or at least delay, it. Since exercise is so effective in reducing frailty, we would like to propose that exercise be considered as a supplement to other treatments. People all over the world have been taking nutritional supplements in the hopes of improving their health. We would like to think of exercise as a physiological supplement not only for treating diseases, but also for improving healthy ageing. ","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Depression Sentence A: Spinal cord injury is a common occurrence in Zimbabwe and carries with it a high morbidity and mortality. In the past almost all patients discharged from hospital were dead within a year. Reasons for this high mortality are presented. The establishment of the National Rehabilitation Centre has had a profound impact on the survival of these individuals as well as on improving their quality of life. The results of a retrospective survey on the mortality and life situation of individuals with spinal cord injuries sustained through trauma are presented. However major unresolved problems are inadequate housing, lack of financial support, practically no prospect of employment and depression compounded by boredom. Sentence B: The beneficial effects of exercise have been well recognized for over half a century. Dr Jeremy Morris's pioneering studies in the fifties showed a striking difference in cardiovascular disease between the drivers and conductors on the double-decker buses in London. These studies sparked off a vast amount of research on the effects of exercise in health, and the general consensus is that exercise contributes to improved outcomes and treatment for several diseases including osteoporosis, diabetes, depression and atherosclerosis. Evidence of the beneficial effects of exercise is reviewed here. One way of highlighting the impact of exercise on disease is to consider it from the perspective of good practice. However, the intensity, duration, frequency (dosage) and counter indications of the exercise should be taken into consideration to individually tailor the exercise programme. An important case of the beneficial effect of exercise is that of ageing. Ageing is characterized by a loss of homeostatic mechanisms, on many occasions leading to the development of frailty, and hence frailty is one of the major geriatric syndromes and exercise is very useful to mitigate, or at least delay, it. Since exercise is so effective in reducing frailty, we would like to propose that exercise be considered as a supplement to other treatments. People all over the world have been taking nutritional supplements in the hopes of improving their health. We would like to think of exercise as a physiological supplement not only for treating diseases, but also for improving healthy ageing. ###Answer Target word: Depression Sentence A: In the past almost all patients discharged from hospital were dead within a year. Reasons for this high mortality are presented. The establishment of the National Rehabilitation Centre has had a profound impact on the survival of these individuals as well as on improving their quality of life. Sentence B: Ageing is characterized by a loss of homeostatic mechanisms, on many occasions leading to the development of frailty, and hence frailty is one of the major geriatric syndromes and exercise is very useful to mitigate, or at least delay, it. Label: Changed Reasoning: In Sentence A, the term ""depression"" is used in the context of a specific medical condition (spinal cord injury-related morbidity and mortality). The term is used to describe the high mortality rate among patients discharged from hospital, and the establishment of a rehabilitation center is highlighted as a factor improving survival and quality of life. In Sentence B, the term ""depression"" is used in a different context, to describe the normal part of ageing, including the loss of homeostatic mechanisms and the development of frailty. The term is used to suggest that exercise can help mitigate or delay the onset of frailty, which is a different meaning than the one used in Sentence A. Therefore, the term ""depression"" has undergone semantic drift between the two sentences, indicating a shift in meaning from a medical condition to a normal part of ageing." 43,Depression,"Patients with depression, particularly those seen by primary care physicians, may report somatic symptoms, such as headache, constipation, weakness, or back pain. Some previous studies have suggested that patients in non-Western countries are more likely to report somatic symptoms than are patients in Western countries. We used data from the World Health Organization's study of psychological problems in general health care to examine the relation between somatic symptoms and depression. The study, conducted in 1991 and 1992, screened 25,916 patients at 15 primary care centers in 14 countries on 5 continents. Of the patients in the original sample, 5447 underwent a structured assessment of depressive and somatoform disorders.","Suicidality is a major public health concern, particularly for low-income, trauma-exposed patients with limited access to mental health providers. However, limited research has modeled pathways of suicidality in safety-net primary care samples. Patients (N = 207) in a safety-net primary care clinic completed measures of childhood and adult trauma exposure, depression, and suicidality. Participants (M age = 44.8 years, SD = 11.6), were 60.4% male, 63.8% Black/African American, and predominantly low-income (i.e., 69.1% reported an annual income less than $5,000 USD). Half of the sample reported at least four childhood traumatic events (M = 3.9 events, SD = 3.0) and approximately three adult traumatic events (M = 3.0 events, SD = 2.1). Most participants (82.1%) reported significant depressive symptoms, and 43.5% endorsed recent suicidality. Models showing the mediational effect of depression on the association between trauma exposure and suicidality, β = .20, B = 0.23, SE = 0.05, 95% CI [0.16, 0.32], and the moderational effect of trauma exposure on the association between depression and suicidality, β = .16, B = 0.20, SE = 0.08, p = .007, were both supported. These results underscore the high prevalence of trauma exposure, depression, and suicidality in a safety-net primary care sample. They also highlight the pervasiveness and complexity of suicidality in low-income primary care patients, emphasize the importance of trauma-informed suicide assessment, and identify trauma sequelae and depression as potential treatment targets to reduce suicidality.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Depression Sentence A: Patients with depression, particularly those seen by primary care physicians, may report somatic symptoms, such as headache, constipation, weakness, or back pain. Some previous studies have suggested that patients in non-Western countries are more likely to report somatic symptoms than are patients in Western countries. We used data from the World Health Organization's study of psychological problems in general health care to examine the relation between somatic symptoms and depression. The study, conducted in 1991 and 1992, screened 25,916 patients at 15 primary care centers in 14 countries on 5 continents. Of the patients in the original sample, 5447 underwent a structured assessment of depressive and somatoform disorders. Sentence B: Suicidality is a major public health concern, particularly for low-income, trauma-exposed patients with limited access to mental health providers. However, limited research has modeled pathways of suicidality in safety-net primary care samples. Patients (N = 207) in a safety-net primary care clinic completed measures of childhood and adult trauma exposure, depression, and suicidality. Participants (M age = 44.8 years, SD = 11.6), were 60.4% male, 63.8% Black/African American, and predominantly low-income (i.e., 69.1% reported an annual income less than $5,000 USD). Half of the sample reported at least four childhood traumatic events (M = 3.9 events, SD = 3.0) and approximately three adult traumatic events (M = 3.0 events, SD = 2.1). Most participants (82.1%) reported significant depressive symptoms, and 43.5% endorsed recent suicidality. Models showing the mediational effect of depression on the association between trauma exposure and suicidality, β = .20, B = 0.23, SE = 0.05, 95% CI [0.16, 0.32], and the moderational effect of trauma exposure on the association between depression and suicidality, β = .16, B = 0.20, SE = 0.08, p = .007, were both supported. These results underscore the high prevalence of trauma exposure, depression, and suicidality in a safety-net primary care sample. They also highlight the pervasiveness and complexity of suicidality in low-income primary care patients, emphasize the importance of trauma-informed suicide assessment, and identify trauma sequelae and depression as potential treatment targets to reduce suicidality. ###Answer 1. Changed Reasoning: The target word ""depression"" has undergone significant semantic drift between the two sentences. In Sentence A, the term is used primarily to describe a mental health disorder characterized by somatic symptoms, such as headache, constipation, weakness, or back pain. In Sentence B, the term is used more broadly to describe a range of emotional and psychological experiences, including trauma exposure, depression, and suicidality. The shift in meaning suggests that the term ""depression"" has undergone semantic drift, with its original meaning becoming more specific and nuanced over time." 44,Depression,"Performance on the Stroop Color-Word Test is impaired in depression, but it is not clear whether this impairment reflects a distractor inhibition disturbance or a reduction of processing resources. In this study, untreated major depressives were evaluated using a modified computerized Stroop Test composed of three tasks: to name the color of XXXXXs, of nonconflicting words, and of conflicting color words. It was hypothesized that, unlike color words, nonconflicting word distractors would disturb the color naming task only in the presence of a primary distractor inhibition disturbance. The slow reaction time (RT) depressives and normal RT depressives, according to their color naming speed without distractors, were contrasted to distinguish depressives with and without clear signs of resource deficit. It was found that interference produced by nonconflicting words was greater in normal RT depressives than in either slow RT depressives or control subjects, while interference caused by color words was dramatically stronger in slow RT depressives than in other groups. Results suggest the existence of two different attentional deficit patterns in clinical depression: some depressives have a distractor inhibition disturbance while others are deficient in processing resources.","Ketamine has traditionally been used as a dissociative anesthetic agent and more recently as a treatment for treatment-resistant depression. However, there is growing concern over the increased use of ketamine in recreational and therapeutic settings due to the potential neurotoxic effects. Recent studies have demonstrated that ketamine is cytotoxic in several cell types, such as fibroblasts, hepatocytes, uroepithelial cells, and adult induced pluripotent stem cells (iPSCs). Ketamine has been shown to dysregulate calcium signalling, increase reactive oxygen species (ROS) production, and impair mitochondrial function, ultimately leading to apoptosis. However, it is unclear whether endoplasmic reticulum (ER) stress plays a role in ketamine associated neurotoxicity in striatal neurons. Disruption to ER homeostasis can initiate ER-mediated cell death, which has been implicated in several neurodegenerative diseases. Thus, the purpose of this study was to determine whether ketamine's neurotoxic effects involve an ER stress-dependent pathway and to elucidate the underlying mechanisms involved in its neurotoxic effects. Mouse striatal cells were treated with various concentrations of ketamine (10 μM, 100 μM, 1 mM) or DMEM for 9-72 hrs. Cell viability was assessed using the MTT assay, and changes in gene expression of ER stress markers were evaluated using RT-qPCR. MTT results revealed that 1 mM ketamine decreased cell viability in striatal cells after 24 h of treatment. Gene expression studies complemented these findings such that ketamine upregulated pro-apoptotic ER stress markers, including X-box binding protein 1 (XBP1), activating transcription factor 4 (ATF4), and C/EBP homologous protein (CHOP) and downregulated pro-survival ER stress proteins such as GRP78, MANF and CDNF. Ketamine activated all three stress sensing pathways including PERK, IRE1, and ATF6. Taken together, our results show that ketamine-induced neurotoxicity is mediated through an ER stress-dependent apoptotic pathway.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Depression Sentence A: Performance on the Stroop Color-Word Test is impaired in depression, but it is not clear whether this impairment reflects a distractor inhibition disturbance or a reduction of processing resources. In this study, untreated major depressives were evaluated using a modified computerized Stroop Test composed of three tasks: to name the color of XXXXXs, of nonconflicting words, and of conflicting color words. It was hypothesized that, unlike color words, nonconflicting word distractors would disturb the color naming task only in the presence of a primary distractor inhibition disturbance. The slow reaction time (RT) depressives and normal RT depressives, according to their color naming speed without distractors, were contrasted to distinguish depressives with and without clear signs of resource deficit. It was found that interference produced by nonconflicting words was greater in normal RT depressives than in either slow RT depressives or control subjects, while interference caused by color words was dramatically stronger in slow RT depressives than in other groups. Results suggest the existence of two different attentional deficit patterns in clinical depression: some depressives have a distractor inhibition disturbance while others are deficient in processing resources. Sentence B: Ketamine has traditionally been used as a dissociative anesthetic agent and more recently as a treatment for treatment-resistant depression. However, there is growing concern over the increased use of ketamine in recreational and therapeutic settings due to the potential neurotoxic effects. Recent studies have demonstrated that ketamine is cytotoxic in several cell types, such as fibroblasts, hepatocytes, uroepithelial cells, and adult induced pluripotent stem cells (iPSCs). Ketamine has been shown to dysregulate calcium signalling, increase reactive oxygen species (ROS) production, and impair mitochondrial function, ultimately leading to apoptosis. However, it is unclear whether endoplasmic reticulum (ER) stress plays a role in ketamine associated neurotoxicity in striatal neurons. Disruption to ER homeostasis can initiate ER-mediated cell death, which has been implicated in several neurodegenerative diseases. Thus, the purpose of this study was to determine whether ketamine's neurotoxic effects involve an ER stress-dependent pathway and to elucidate the underlying mechanisms involved in its neurotoxic effects. Mouse striatal cells were treated with various concentrations of ketamine (10 μM, 100 μM, 1 mM) or DMEM for 9-72 hrs. Cell viability was assessed using the MTT assay, and changes in gene expression of ER stress markers were evaluated using RT-qPCR. MTT results revealed that 1 mM ketamine decreased cell viability in striatal cells after 24 h of treatment. Gene expression studies complemented these findings such that ketamine upregulated pro-apoptotic ER stress markers, including X-box binding protein 1 (XBP1), activating transcription factor 4 (ATF4), and C/EBP homologous protein (CHOP) and downregulated pro-survival ER stress proteins such as GRP78, MANF and CDNF. Ketamine activated all three stress sensing pathways including PERK, IRE1, and ATF6. Taken together, our results show that ketamine-induced neurotoxicity is mediated through an ER stress-dependent apoptotic pathway. ###Answer 1. Changed The meaning of the target word ""depression"" has significantly shifted between the two sentences. In Sentence A, the word is used in the context of a psychological disorder, specifically in relation to the Stroop Color-Word Test. The sentence suggests that depression is associated with impaired performance on the test, possibly due to a distractor inhibition disturbance or a reduction of processing resources. In Sentence B, the word is used in a different context, referring to the use of ketamine as a treatment for treatment-resistant depression. The sentence highlights the potential neurotoxic effects of ketamine, including dysregulation of calcium signalling, increase in reactive oxygen species (ROS) production, and impairment of mitochondrial function, which can lead to apoptosis. The sentence does not suggest any connection to the psychological disorder of depression. Therefore, the meaning of the target word ""depression"" has changed significantly between the two sentences, indicating semantic drift." 45,Depression,"The effect that chronic subcutaneous infusion of alpha- and beta-adrenergic and cholinergic agonists on plasma and atrial ANF was investigated. Isoproterenol, a beta-adrenergic agonist, and carbachol, a cholinergic agonist produced a 3-fold increase in plasma ANF levels which were constant until the end of the infusion period. An increased natriuresis was observed in the same groups which was positively correlated with plasma ANF. No differences were observed in atrial content of ANF between the experimental groups. A sharp post-surgery decline in plasma ANF was observed in control, phenylephrine and epinephrine-treated groups which was maintained during the observation period of five days. This suggests that the rise in plasma ANF induced by isoproterenol and carbachol may be secondary to hemodynamic changes and not to direct receptor stimulation, and may play a role in the observed natriuresis. It is also suggested that the depression of plasma ANF may contribute to the well known post-surgery sodium retention.","This article is written in remembrance of Karl Valentin's 70th anniversary of his death. He was a comedian and song writer suffering from vegetative dystonia and depression lifelong. This hypochondriac developed extreme self observation and had anxiety to get ill permanently. As one year old, his brother died of diphteria and he was close to death himself. After jumping in an ice cold river in Munich as a young man he caught a pneumonia. From that day he had a undefined long lasting lung disease. His performances and pieces of literature in Bavarian dialect are characterized by critical thoughts about the world in general and human vulnerability including his own in a philosophical way. His sarcastic view of the world, which was rarely pleasant for the counterpart still induced admiration of many audiences and was satisfying for Karl Valentin's egocentrism. He has been the most famous Bavarian comedian during world war II and during the early days of the Republic of Germany.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Depression Sentence A: The effect that chronic subcutaneous infusion of alpha- and beta-adrenergic and cholinergic agonists on plasma and atrial ANF was investigated. Isoproterenol, a beta-adrenergic agonist, and carbachol, a cholinergic agonist produced a 3-fold increase in plasma ANF levels which were constant until the end of the infusion period. An increased natriuresis was observed in the same groups which was positively correlated with plasma ANF. No differences were observed in atrial content of ANF between the experimental groups. A sharp post-surgery decline in plasma ANF was observed in control, phenylephrine and epinephrine-treated groups which was maintained during the observation period of five days. This suggests that the rise in plasma ANF induced by isoproterenol and carbachol may be secondary to hemodynamic changes and not to direct receptor stimulation, and may play a role in the observed natriuresis. It is also suggested that the depression of plasma ANF may contribute to the well known post-surgery sodium retention. Sentence B: This article is written in remembrance of Karl Valentin's 70th anniversary of his death. He was a comedian and song writer suffering from vegetative dystonia and depression lifelong. This hypochondriac developed extreme self observation and had anxiety to get ill permanently. As one year old, his brother died of diphteria and he was close to death himself. After jumping in an ice cold river in Munich as a young man he caught a pneumonia. From that day he had a undefined long lasting lung disease. His performances and pieces of literature in Bavarian dialect are characterized by critical thoughts about the world in general and human vulnerability including his own in a philosophical way. His sarcastic view of the world, which was rarely pleasant for the counterpart still induced admiration of many audiences and was satisfying for Karl Valentin's egocentrism. He has been the most famous Bavarian comedian during world war II and during the early days of the Republic of Germany. ###Answer 1. Changed Reasoning: The target word ""depression"" in Sentence A has a different meaning than in Sentence B. In Sentence A, it refers to a medical condition, specifically vegetative dystonia and lung disease, which Karl Valentin suffered from throughout his life. In Sentence B, the word ""depression"" is used in a more general sense to describe Karl Valentin's overall outlook on life, including his critical thoughts about the world and his own vulnerability. In Sentence A, the word ""depression"" is used in a medical context, indicating a specific condition that Karl Valentin had. In Sentence B, the word ""depression"" is used in a more general sense to describe Karl Valentin's overall perspective on life, including his critical thoughts about the world and his own vulnerability. Therefore, the meaning of the target word ""depression"" has significantly shifted between the two sentences, indicating semantic drift." 46,Depression,"A 2-stage strategy, combining an assessment of severity with depression criteria, can help a physician focus on the most severe cases without missing less severe ones that still need treatment. Because of its brevity, relatively high positive predictive value, and ability to inform the clinician on both depression severity and diagnostic criteria, the PRIME-MD Patient Health Questionnaire (PHQ-9) is the best available depression screening tool for primary care. One-time screening is cost-effective; physicians may elect to screen more often based on risk factors.","Depression is a significant health problem gaining increasing relevance, especially among children and adolescents. It is known that the incidence of depression is higher in patients suffering from chronic diseases, such as chronic kidney disease (CKD). This review aims to discuss the prevalence of depression in children and adolescents with CKD and its impact on the quality of life of these patients (HRQoL). The research was conducted using online databases with keywords: depression in children and adolescents, depression and chronic diseases, chronic kidney disease, and health-related quality of life. It was found that the risk for developing depression is higher for adolescents and females, and with the use of negative coping strategies, lack of caregiver nurturance, and poor socioeconomic status. In patients with pediatric CKD, the stage of the disease, age of CKD diagnosis, and type of treatment were found to significantly impact HRQoL and contribute to caregiver burden. Depression was more commonly found in children suffering from CKD. It causes significant mental distress to the child and contributes to the caregiver's burden. Screening for depression among CKD patients is advised. In depressed patients, transdiagnostic tools should be used to alleviate some of the symptoms. In children at risk of developing depression, preventative strategies should be considered.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Depression Sentence A: A 2-stage strategy, combining an assessment of severity with depression criteria, can help a physician focus on the most severe cases without missing less severe ones that still need treatment. Because of its brevity, relatively high positive predictive value, and ability to inform the clinician on both depression severity and diagnostic criteria, the PRIME-MD Patient Health Questionnaire (PHQ-9) is the best available depression screening tool for primary care. One-time screening is cost-effective; physicians may elect to screen more often based on risk factors. Sentence B: Depression is a significant health problem gaining increasing relevance, especially among children and adolescents. It is known that the incidence of depression is higher in patients suffering from chronic diseases, such as chronic kidney disease (CKD). This review aims to discuss the prevalence of depression in children and adolescents with CKD and its impact on the quality of life of these patients (HRQoL). The research was conducted using online databases with keywords: depression in children and adolescents, depression and chronic diseases, chronic kidney disease, and health-related quality of life. It was found that the risk for developing depression is higher for adolescents and females, and with the use of negative coping strategies, lack of caregiver nurturance, and poor socioeconomic status. In patients with pediatric CKD, the stage of the disease, age of CKD diagnosis, and type of treatment were found to significantly impact HRQoL and contribute to caregiver burden. Depression was more commonly found in children suffering from CKD. It causes significant mental distress to the child and contributes to the caregiver's burden. Screening for depression among CKD patients is advised. In depressed patients, transdiagnostic tools should be used to alleviate some of the symptoms. In children at risk of developing depression, preventative strategies should be considered. ###Answer 1. Changed Reasoning: In Sentence A, the term ""depression"" is used to describe a specific clinical tool used for screening patients. The sentence does not convey any negative connotations or emotions associated with the term, and it is used in a neutral context. In Sentence B, the term ""depression"" is used to describe a mental health disorder that is more prevalent among children and adolescents, and the sentence highlights the negative impact of the disorder on the quality of life of these patients. The term ""depression"" is used in a different context and conveys a more negative meaning, indicating that semantic drift has occurred." 47,Depression,"Patients requiring aortography frequently suffer from generalized arteriosclerosis. Uncontrolled hypotension is therefore clearly undesirable, especially if associated with myocardial depression. Significant hypotension was observed following the use of conventional ionic contrast media, Urografin 370 and Cardioconray, and occurred following every injection in this study. Metrizamide, a non-ionic contrast medium, was found to be associated with a smaller fall in blood pressure of a shorter duration.","Converging research findings indicate that rumination is correlated with a specific maladaptive interpersonal style encapsulating submissive (overly-accommodating, non-assertive and self-sacrificing) behaviours, and an attachment orientation characterised by rejection sensitivity. This study examined the prospective longitudinal relationship between rumination, the submissive interpersonal style, and rejection sensitivity by comparing two alternative hypotheses: (a) the submissive interpersonal style and rejection sensitivity prospectively predict increased rumination; (b) rumination prospectively predicts the submissive interpersonal style and rejection sensitivity. Currently depressed (n = 22), previously depressed (n = 42) and never depressed (n = 28) individuals completed self-report measures assessing depressive rumination and key psychosocial measures of interpersonal style and behaviours, at baseline and again six months later. Baseline rejection sensitivity prospectively predicted increased rumination six months later, after statistically controlling for baseline rumination, gender and depression. Baseline rumination did not predict the submissive interpersonal style or rejection sensitivity. The results provide a first step towards delineating a potential casual relationship between rejection sensitivity and rumination, and suggest the potential value of clinical assessment and intervention for both rejection sensitivity and rumination in individuals who present with either difficulty.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Depression Sentence A: Patients requiring aortography frequently suffer from generalized arteriosclerosis. Uncontrolled hypotension is therefore clearly undesirable, especially if associated with myocardial depression. Significant hypotension was observed following the use of conventional ionic contrast media, Urografin 370 and Cardioconray, and occurred following every injection in this study. Metrizamide, a non-ionic contrast medium, was found to be associated with a smaller fall in blood pressure of a shorter duration. Sentence B: Converging research findings indicate that rumination is correlated with a specific maladaptive interpersonal style encapsulating submissive (overly-accommodating, non-assertive and self-sacrificing) behaviours, and an attachment orientation characterised by rejection sensitivity. This study examined the prospective longitudinal relationship between rumination, the submissive interpersonal style, and rejection sensitivity by comparing two alternative hypotheses: (a) the submissive interpersonal style and rejection sensitivity prospectively predict increased rumination; (b) rumination prospectively predicts the submissive interpersonal style and rejection sensitivity. Currently depressed (n = 22), previously depressed (n = 42) and never depressed (n = 28) individuals completed self-report measures assessing depressive rumination and key psychosocial measures of interpersonal style and behaviours, at baseline and again six months later. Baseline rejection sensitivity prospectively predicted increased rumination six months later, after statistically controlling for baseline rumination, gender and depression. Baseline rumination did not predict the submissive interpersonal style or rejection sensitivity. The results provide a first step towards delineating a potential casual relationship between rejection sensitivity and rumination, and suggest the potential value of clinical assessment and intervention for both rejection sensitivity and rumination in individuals who present with either difficulty. ###Answer 1. Changed Reasoning: In Sentence A, the word ""depression"" is used to describe a medical condition (generalized arteriosclerosis), which suggests a more negative connotation. In contrast, in Sentence B, the word ""depression"" is used to describe a psychological state (rumination), which suggests a more emotional or mental connotation. Therefore, the meaning of the word ""depression"" has shifted from a medical to a psychological context, indicating semantic drift." 48,Depression,"The cardiovascular and haematological effects of purified prothrombin activator derived from the venom of the Australian Common Brown Snake (Pseudonaja textilis) were studied in anaesthetised, mechanically ventilated dogs. Severe depression of systemic blood pressure and cardiac output and a rise in central venous pressure were observed. Thrombocytopenia, prolongation of both prothrombin time and activated partial thromboplastin time and a reduction in serum fibrinogen were also observed. All of these observed effects were prevented by the prior administration of heparin--a naturally occurring anticoagulant. We conclude that the prothrombin activator in Pseudonaja textilis venom may cause cardiovascular depression due to myocardial dysfunction secondary to disseminated intravascular coagulation.","Background The aim of the present study was to evaluate the knowledge and perception of depression among students of University Sains Malaysia (USM), in Penang, Peninsular Malaysia.Method Face-to-face interviews were conducted using a pre-validated 21-item questionnaire among students at USM.Results A total of 500 respondents participated in the survey comprising 24.6% (n=123) males and 75.4% (n=377) females. Half (50.0%, n=250) were Malays, followed by Chinese (44.0%, n=220) and Indians (6.0%, n=30). Whilst exploring the respondents' knowledge of the symptoms of depression, it was found that Chinese females had a comparatively better knowledge (P=0.058) of the symptoms of depression in comparison with Malays and Indians. Overall, social issues were attributed as the possible cause of depression. A cursory knowledge level was observed regarding medication for depression. Female students were more inclined towards the use of alternative and traditional medicines. However, with regard to seeking professional help, consultation with a psychiatrist was preferred by the majority.Conclusion Overall, a moderate level of knowledge about the symptoms of depression and a cursory knowledge of its therapy were observed. Those with personal experience of depression had better knowledge of the symptoms and therapy. Alternative treatments and traditional medicines were also favoured. There is a risk that this may affect the ability of Malaysian youths to seek evidence-based mental health care.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Depression Sentence A: The cardiovascular and haematological effects of purified prothrombin activator derived from the venom of the Australian Common Brown Snake (Pseudonaja textilis) were studied in anaesthetised, mechanically ventilated dogs. Severe depression of systemic blood pressure and cardiac output and a rise in central venous pressure were observed. Thrombocytopenia, prolongation of both prothrombin time and activated partial thromboplastin time and a reduction in serum fibrinogen were also observed. All of these observed effects were prevented by the prior administration of heparin--a naturally occurring anticoagulant. We conclude that the prothrombin activator in Pseudonaja textilis venom may cause cardiovascular depression due to myocardial dysfunction secondary to disseminated intravascular coagulation. Sentence B: Background The aim of the present study was to evaluate the knowledge and perception of depression among students of University Sains Malaysia (USM), in Penang, Peninsular Malaysia.Method Face-to-face interviews were conducted using a pre-validated 21-item questionnaire among students at USM.Results A total of 500 respondents participated in the survey comprising 24.6% (n=123) males and 75.4% (n=377) females. Half (50.0%, n=250) were Malays, followed by Chinese (44.0%, n=220) and Indians (6.0%, n=30). Whilst exploring the respondents' knowledge of the symptoms of depression, it was found that Chinese females had a comparatively better knowledge (P=0.058) of the symptoms of depression in comparison with Malays and Indians. Overall, social issues were attributed as the possible cause of depression. A cursory knowledge level was observed regarding medication for depression. Female students were more inclined towards the use of alternative and traditional medicines. However, with regard to seeking professional help, consultation with a psychiatrist was preferred by the majority.Conclusion Overall, a moderate level of knowledge about the symptoms of depression and a cursory knowledge of its therapy were observed. Those with personal experience of depression had better knowledge of the symptoms and therapy. Alternative treatments and traditional medicines were also favoured. There is a risk that this may affect the ability of Malaysian youths to seek evidence-based mental health care. ###Answer 1. Changed Reasoning: In Sentence A, the target word ""depression"" is used in the context of a scientific study examining the cardiovascular and haematological effects of a venom-derived prothrombin activator. The term is used to describe a specific physiological response to the venom, characterized by a drop in blood pressure, cardiac output, and rise in central venous pressure, accompanied by thrombocytopenia and prolongation of coagulation times. The meaning of the term is focused on the scientific and medical aspects of the phenomenon, with no apparent connotations of mental illness or disorder. In Sentence B, the target word ""depression"" is used in a social science context, describing the knowledge and perception of depression among students at University Sains Malaysia (USM). The term is used to describe a mental health issue, with connotations of emotional distress, low mood, and impaired functioning. The shift in meaning is significant, as the term is now associated with a psychological rather than a purely physiological phenomenon. The term is also used to describe a social issue, rather than a medical one. Based on these differences in meaning and context, it can be concluded that semantic drift has occurred in the usage of the term ""depression"" over time." 49,Depression,"The regulation of dihydrodipicolinate synthase (EC 4.2.1.52) and aspartate kinase (EC 2.7.2.4) was studied in Bacillus subtilis 168. Starvation for lysine gave depression of one aspartate kinase isoenzyme but not of dihydrodipicolinate synthase. Strains resistant to growth inhibition by the lysine analogue thiosine exhibited constitutively derepressed synthesis of one aspartate kinase isoenzyme but had normal levels of dihydrodipicolinate synthase. The data provide strong evidence that lysine is not the signal for derepression of dihydrodipicolinate synthase. Nevertheless, dihydrodipicolinate synthase specific activity increased during sporulation, and it is suggested that this increase may result, in part, from resistance to proteolysis of that enzyme.",Parents of very preterm infants are at great risk for experiencing stress and depression. The so called developmental care oriented approach used in Neonatal Intensive Care Units have beneficial effects for parents. However the actual level of developmental care may vary among units and little is known about how the routine adoption of developmental care affects maternal stress and depression.,"###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Depression Sentence A: The regulation of dihydrodipicolinate synthase (EC 4.2.1.52) and aspartate kinase (EC 2.7.2.4) was studied in Bacillus subtilis 168. Starvation for lysine gave depression of one aspartate kinase isoenzyme but not of dihydrodipicolinate synthase. Strains resistant to growth inhibition by the lysine analogue thiosine exhibited constitutively derepressed synthesis of one aspartate kinase isoenzyme but had normal levels of dihydrodipicolinate synthase. The data provide strong evidence that lysine is not the signal for derepression of dihydrodipicolinate synthase. Nevertheless, dihydrodipicolinate synthase specific activity increased during sporulation, and it is suggested that this increase may result, in part, from resistance to proteolysis of that enzyme. Sentence B: Parents of very preterm infants are at great risk for experiencing stress and depression. The so called developmental care oriented approach used in Neonatal Intensive Care Units have beneficial effects for parents. However the actual level of developmental care may vary among units and little is known about how the routine adoption of developmental care affects maternal stress and depression. ###Answer 1. Changed The target word ""depression"" has undergone a significant change in meaning between Sentence A (2000) and Sentence B (2020). In Sentence A, the term ""depression"" refers to a specific biochemical process involving the regulation of enzymes in bacteria. In Sentence B, the term ""depression"" refers to a mental health condition experienced by parents of very preterm infants. The shift in meaning is significant enough to warrant the label ""Changed"". The context of the target word in Sentence A suggests that it is related to the biochemical processes of the bacteria, while in Sentence B, the context suggests that it is related to the mental health of parents. These two meanings are not interchangeable, and the term ""depression"" has undergone a semantic shift between the two sentences." 50,Depression,"It is often pointed out that the incidence of monopolar depression, new type depressions and protracted depression has increased. Why have such types of depression been appearing more frequently than before? We should not overlook the possibility that changing modern society could actually result in increased depression.","Previous studies have found a connection between psychiatric problems and post-hematopoietic stem-cell transplantation (HSCT) complications. We sought to evaluate the effect of sertraline on engraftment time, hospitalization period, mortality, and post-transplantation complications in HSCT recipients with depression and/or anxiety. We recruited adults aged 18-60, who were candidates for autologous or allogeneic HSCT with major depression and/or anxiety disorder. They were administered 50 mg of sertraline or placebo daily for the first week, and then 100 mg for the following seven weeks. We documented occurrence and severity of early post-HSCT complications, including infection, mucositis, nausea and vomiting, diarrhea, pain, renal toxicities and liver complications, acute graft-versus-host disease, and veno-occlusive disease, as well as time to engraftment, length of hospitalization and 6-month mortality. Overall, 56 patients participated in the study (sertraline group n = 30, placebo group n = 26). Of the complications, only mortality and readmission up to 6 months post-transplantation were significantly higher in the placebo group compared to sertraline group (P values = 0.040, 0.028, respectively). There were no significant differences for other complications between the groups. Mean engraftment time was significantly lower in the sertraline group (P value = 0.048). This study provides evidence that sertraline positively influences engraftment time, readmission, and mortality after HSCT.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Depression Sentence A: It is often pointed out that the incidence of monopolar depression, new type depressions and protracted depression has increased. Why have such types of depression been appearing more frequently than before? We should not overlook the possibility that changing modern society could actually result in increased depression. Sentence B: Previous studies have found a connection between psychiatric problems and post-hematopoietic stem-cell transplantation (HSCT) complications. We sought to evaluate the effect of sertraline on engraftment time, hospitalization period, mortality, and post-transplantation complications in HSCT recipients with depression and/or anxiety. We recruited adults aged 18-60, who were candidates for autologous or allogeneic HSCT with major depression and/or anxiety disorder. They were administered 50 mg of sertraline or placebo daily for the first week, and then 100 mg for the following seven weeks. We documented occurrence and severity of early post-HSCT complications, including infection, mucositis, nausea and vomiting, diarrhea, pain, renal toxicities and liver complications, acute graft-versus-host disease, and veno-occlusive disease, as well as time to engraftment, length of hospitalization and 6-month mortality. Overall, 56 patients participated in the study (sertraline group n = 30, placebo group n = 26). Of the complications, only mortality and readmission up to 6 months post-transplantation were significantly higher in the placebo group compared to sertraline group (P values = 0.040, 0.028, respectively). There were no significant differences for other complications between the groups. Mean engraftment time was significantly lower in the sertraline group (P value = 0.048). This study provides evidence that sertraline positively influences engraftment time, readmission, and mortality after HSCT. ###Answer 1. Changed Reasoning: The target word ""depression"" has undergone significant semantic drift between Sentence A (2000) and Sentence B (2020). In Sentence A, the term ""depression"" is used to describe a specific type of mental disorder, with a focus on its clinical features and causes. In contrast, in Sentence B, the term ""depression"" is used more broadly to refer to any type of emotional distress, with a focus on its impact on physical health outcomes. In Sentence A, the term ""depression"" is used in the context of a medical study, where it is described as a ""monopolar depression,"" ""new type depression,"" and ""protracted depression."" These terms suggest a more specific and clinical understanding of depression, with a focus on its diagnostic criteria and treatment options. In contrast, in Sentence B, the term ""depression"" is used more broadly to refer to any type of emotional distress, with a focus on its impact on physical health outcomes. The study evaluates the effect of sertraline on various complications after hematopoietic stem-cell transplantation (HSCT), including infection, mucositis, nausea and vomiting, diarrhea, pain, renal toxicities, and liver complications. The term ""depression"" is used throughout the sentence to refer to any emotional distress experienced by HSCT recipients, without any specific reference to its clinical features or causes. Therefore, the meaning of the target word ""depression"" has shifted from a specific clinical disorder to a more general term for any emotional distress, between the two sentences. This constitutes semantic drift, and the label ""Changed"" is accordingly selected." 51,Depression,"Eight of 10 women with premenstrual depression responded to one night's total sleep deprivation and maintained their improvement after a night of recovery sleep. In responders, subsequent late-night partial sleep deprivation was more effective than early-night deprivation.","Although there is ample empirical evidence that traumatic events, postmigration stress, and acculturation problems have a great impact on the mental health of refugees, so far no studies have included cultural identity after migration in the equation. This mixed-methods study conducted among Afghan and Iraqi refugee and asylum-seeker psychiatric patients aims to fill this gap. Associations between postmigration stress, symptoms of anxiety and depression disorders, and symptoms of posttraumatic stress disorder were significant. When differentiated for the two groups, associations with postmigration stress were no longer significant for Afghan patients, who were predominantly younger and more often single, lower educated, and without resident status compared with Iraqi patients. Qualitative results indicate that, in addition to psychopathology and postmigration stress, acculturation problems contribute to confusion of cultural identity. The findings suggest that reduction of postmigration stress and acculturation problems may clarify cultural identity and as such may contribute to posttraumatic recovery.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Depression Sentence A: Eight of 10 women with premenstrual depression responded to one night's total sleep deprivation and maintained their improvement after a night of recovery sleep. In responders, subsequent late-night partial sleep deprivation was more effective than early-night deprivation. Sentence B: Although there is ample empirical evidence that traumatic events, postmigration stress, and acculturation problems have a great impact on the mental health of refugees, so far no studies have included cultural identity after migration in the equation. This mixed-methods study conducted among Afghan and Iraqi refugee and asylum-seeker psychiatric patients aims to fill this gap. Associations between postmigration stress, symptoms of anxiety and depression disorders, and symptoms of posttraumatic stress disorder were significant. When differentiated for the two groups, associations with postmigration stress were no longer significant for Afghan patients, who were predominantly younger and more often single, lower educated, and without resident status compared with Iraqi patients. Qualitative results indicate that, in addition to psychopathology and postmigration stress, acculturation problems contribute to confusion of cultural identity. The findings suggest that reduction of postmigration stress and acculturation problems may clarify cultural identity and as such may contribute to posttraumatic recovery. ###Answer 1. Changed Reasoning: In Sentence A, the word ""depression"" is used in the context of premenstrual depression, which suggests a more specific and well-defined meaning of the term. The sentence also mentions ""total sleep deprivation"" and ""recovery sleep,"" which implies a clear understanding of the impact of sleep deprivation on depression. In Sentence B, the word ""depression"" is used in a different context, specifically in relation to the mental health of refugees. The sentence mentions ""postmigration stress"" and ""acculturation problems,"" which suggests a broader and more complex meaning of the term. The sentence also mentions ""posttraumatic stress disorder,"" which implies a connection between traumatic events and depression. Based on these differences in context and meaning, it can be argued that the term ""depression"" has undergone semantic drift between the two sentences. In Sentence A, the term is used to describe a specific type of depression related to premenstrual cycles, while in Sentence B, the term is used more broadly to describe the mental health of refugees and the impact of traumatic events. Therefore, the label ""Changed"" is appropriate." 52,Depression,"Moclobemide is a reversible and selective inhibitor of the enzyme monoamine oxidase (MAO) subtype A with a broad spectrum of antidepressant activity. Controlled clinical studies suggest that the short term clinical efficacy of moclobemide is significantly superior to that of placebo, and comparable to that of the tricyclic antidepressants clomipramine, amitriptyline, imipramine and desipramine, the irreversible MAO inhibitor tranylcypromine and the second-generation antidepressants maprotiline, mianserin and fluvoxamine in the treatment of major depressive illness. Moclobemide appears to be equally effective in endogenous and nonendogenous depression, producing marked amelioration of clinical features of psychomotor retardation and depressed mood. Moclobemide is well tolerated, being largely devoid of the anticholinergic adverse effects, symptomatic postural hypotension and weight gain variously associated with the tricyclic antidepressants and irreversible MAO inhibitors, and appears considerably safer on overdosage than the tricyclic and second generation antidepressants. Moreover, moclobemide offers the advantage over the older, irreversible MAO inhibitors of causing only minimal potentiation of the pressor response to dietary tyramine (the so-called 'cheese effect'). Consequently, the risk of potentially fatal hypertensive crisis, a major deterrent to the wider acceptance of these earlier compounds, is substantially reduced with moclobemide, and the need for dietary precautions is minimised. With its efficacy against endogenous and nonendogenous depression, relatively rapid onset of antidepressant activity, and absence of carry-over effects on treatment withdrawal, moclobemide is likely to make an important contribution to the treatment of major depressive illness. Its favourable tolerability profile, safety on overdosage and beneficial effect on age-related cognitive impairment may be of particular value in the elderly and those with concurrent physical illness.","Depression and anxiety are highly prevalent among patients seeking outpatient treatment for alcohol use disorders (AUD) and if depression and anxiety are addressed the prognosis is improved. Screening instruments for depression and anxiety have been validated in populations suffering from drug use disorders, but not in populations suffering from AUD. The aim of this study was to validate four self-administrated screening instruments (","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Depression Sentence A: Moclobemide is a reversible and selective inhibitor of the enzyme monoamine oxidase (MAO) subtype A with a broad spectrum of antidepressant activity. Controlled clinical studies suggest that the short term clinical efficacy of moclobemide is significantly superior to that of placebo, and comparable to that of the tricyclic antidepressants clomipramine, amitriptyline, imipramine and desipramine, the irreversible MAO inhibitor tranylcypromine and the second-generation antidepressants maprotiline, mianserin and fluvoxamine in the treatment of major depressive illness. Moclobemide appears to be equally effective in endogenous and nonendogenous depression, producing marked amelioration of clinical features of psychomotor retardation and depressed mood. Moclobemide is well tolerated, being largely devoid of the anticholinergic adverse effects, symptomatic postural hypotension and weight gain variously associated with the tricyclic antidepressants and irreversible MAO inhibitors, and appears considerably safer on overdosage than the tricyclic and second generation antidepressants. Moreover, moclobemide offers the advantage over the older, irreversible MAO inhibitors of causing only minimal potentiation of the pressor response to dietary tyramine (the so-called 'cheese effect'). Consequently, the risk of potentially fatal hypertensive crisis, a major deterrent to the wider acceptance of these earlier compounds, is substantially reduced with moclobemide, and the need for dietary precautions is minimised. With its efficacy against endogenous and nonendogenous depression, relatively rapid onset of antidepressant activity, and absence of carry-over effects on treatment withdrawal, moclobemide is likely to make an important contribution to the treatment of major depressive illness. Its favourable tolerability profile, safety on overdosage and beneficial effect on age-related cognitive impairment may be of particular value in the elderly and those with concurrent physical illness. Sentence B: Depression and anxiety are highly prevalent among patients seeking outpatient treatment for alcohol use disorders (AUD) and if depression and anxiety are addressed the prognosis is improved. Screening instruments for depression and anxiety have been validated in populations suffering from drug use disorders, but not in populations suffering from AUD. The aim of this study was to validate four self-administrated screening instruments ( ###Answer 1. Changed Reasoning: In Sentence A, the word ""depression"" is used to describe a specific medical condition with a clear definition, highlighting its symptoms and the effectiveness of medication in treating it. The word is used in a technical context, with a focus on its therapeutic potential. In Sentence B, the word ""depression"" is used in a more general sense, without any specific medical definition. It is used to describe a broader concept of emotional distress, without any reference to its medical causes or treatment options. The word is used in a more colloquial context, with a focus on its emotional impact. Based on these differences in usage, it is clear that the meaning of the word ""depression"" has shifted over time. In Sentence A, it is used to describe a specific medical condition with a clear definition, while in Sentence B, it is used to describe a broader concept of emotional distress without any specific medical definition. This shift in meaning suggests that the word ""depression"" has undergone semantic drift. Therefore, the label ""Changed"" is appropriate." 53,Depression,"Essential tremor (ET) is the most common type of movement disorder, although its etiology and neurophysiological substrates remain unclear. While thought to be a benign condition, it has yet to be studied from a neuropsychological perspective. We examined the neurocognitive functioning of 13 nondemented subjects with severe ET, including aspects of memory, cognitive flexibility, and attention. Results revealed that 12/13 subjects demonstrated impairment on 1 or more cognitive measures in comparison with published normative data. The pattern of findings was suggestive of relative dysfunction of frontal-mediated processes not unlike that seen in Parkinson's disease. These deficits were found in subjects irrespective of the presence of cognitive complaints, depression, or the existence of other potential neurocognitive risk factors. These findings suggest that mild cognitive deficits are not uncommon in association with severe ET and may be related to subcortical systems.","Assessing the risk to develop a specific disease is the first step towards prevention, both at individual and population levels. The development and validation of risk prediction models (RPMs) is the norm within different fields of medicine but still underused in psychiatry, despite the global impact of mental disorders. In particular, there is a lack of RPMs to assess the risk of developing depression, the first worldwide cause of disability and harbinger of functional decline in old age. We present the depression risk assessment tool DRAT-up, the first prospective RPM to identify late-life depression among community-dwelling subjects aged 60-75. The development of DRAT-up was based on appraisal of relevant literature, extraction of robust risk estimates, and integration into model parameters. A unique feature is the ability to estimate risk even in the presence of missing values. To assess the properties of DRAT-up, a validation study was conducted on three European cohorts, namely, the English Longitudinal Study of Ageing, the Invecchiare nel Chianti, and the Irish Longitudinal Study on Ageing, with 20 206, 1359, and 3124 eligible samples, respectively. The model yielded accurate risk estimation in the three datasets from a small number of predictors. The Brier scores were 0.054, 0.133, and 0.041, respectively, while the values of area under the curve (AUC) were 0.761, 0.736, and 0.768, respectively. Sensitivity analyses suggest robustness to missing values: setting any individual feature to unknown caused the Brier scores to increase by 0.004 and the AUCs to decrease by 0.045 in the worst cases. DRAT-up can be readily used for clinical purposes and to aid policy-making in the field of mental health.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Depression Sentence A: Essential tremor (ET) is the most common type of movement disorder, although its etiology and neurophysiological substrates remain unclear. While thought to be a benign condition, it has yet to be studied from a neuropsychological perspective. We examined the neurocognitive functioning of 13 nondemented subjects with severe ET, including aspects of memory, cognitive flexibility, and attention. Results revealed that 12/13 subjects demonstrated impairment on 1 or more cognitive measures in comparison with published normative data. The pattern of findings was suggestive of relative dysfunction of frontal-mediated processes not unlike that seen in Parkinson's disease. These deficits were found in subjects irrespective of the presence of cognitive complaints, depression, or the existence of other potential neurocognitive risk factors. These findings suggest that mild cognitive deficits are not uncommon in association with severe ET and may be related to subcortical systems. Sentence B: Assessing the risk to develop a specific disease is the first step towards prevention, both at individual and population levels. The development and validation of risk prediction models (RPMs) is the norm within different fields of medicine but still underused in psychiatry, despite the global impact of mental disorders. In particular, there is a lack of RPMs to assess the risk of developing depression, the first worldwide cause of disability and harbinger of functional decline in old age. We present the depression risk assessment tool DRAT-up, the first prospective RPM to identify late-life depression among community-dwelling subjects aged 60-75. The development of DRAT-up was based on appraisal of relevant literature, extraction of robust risk estimates, and integration into model parameters. A unique feature is the ability to estimate risk even in the presence of missing values. To assess the properties of DRAT-up, a validation study was conducted on three European cohorts, namely, the English Longitudinal Study of Ageing, the Invecchiare nel Chianti, and the Irish Longitudinal Study on Ageing, with 20 206, 1359, and 3124 eligible samples, respectively. The model yielded accurate risk estimation in the three datasets from a small number of predictors. The Brier scores were 0.054, 0.133, and 0.041, respectively, while the values of area under the curve (AUC) were 0.761, 0.736, and 0.768, respectively. Sensitivity analyses suggest robustness to missing values: setting any individual feature to unknown caused the Brier scores to increase by 0.004 and the AUCs to decrease by 0.045 in the worst cases. DRAT-up can be readily used for clinical purposes and to aid policy-making in the field of mental health. ###Answer 1. Changed Reasoning: The meaning of the target word ""depression"" has shifted significantly between the two sentences. In Sentence A, the term is used to describe a neurocognitive condition characterized by impairment in cognitive functions such as memory, cognitive flexibility, and attention. In contrast, in Sentence B, the term is used to describe a risk assessment tool aimed at identifying individuals at risk of developing depression. The tool is based on a set of predictors and yields accurate risk estimates. Therefore, the meaning of the target word has changed from a neurocognitive condition to a risk assessment tool." 54,Depression,"There is a high incidence of life event stress, depression, and associated symptoms in individuals with HIV infection/AIDS. Psychological and psychiatric symptomatology in individuals with HIV and AIDS may be related to the progression of AIDS disease. The association between depression, anxiety, and stress with HIV disease progression suggests that neurobiologic and neurophysiologic factors have an important role in modulating HIV. The immune effects caused by changes in behavioral state or brain activity are affected, at least in part, through the neuroendocrine-immune pathways. Life stress and depression may be associated with altered blood levels of CNS-released neuropeptides, including substance P (SP). SP is a powerful immunomodulator which is a critical link between the nervous and immune system. We have investigated the role of the neuropeptide SP and its preferred receptor, neurokinin-1, in HIV infection and AIDS. There are compelling data from our laboratories, as well as the findings in the literature, which demonstrate that SP may play an important role in the pathophysiology of neuropsychiatric disorders, including stress and depression in HIV-infected individuals and in the immunopathogenesis of HIV disease. Modulation of SP activity and SP receptor may offer a novel approach to the treatment of psychiatric disorders and to the design of new anti-HIV therapy.","Sustaining a stroke, regardless of its severity, is a life-changing and often traumatizing event that can lead to chronic depression, anxiety, and posttraumatic stress in both survivors and their family caregivers. Psychosocial interventions for emotional distress after stroke are limited, have emphasized psychoeducation rather than skills, treatment of chronic emotional distress rather than prevention, and have targeted either the patient or their caregiver without accounting for the context of their interpersonal relationship. Here we discuss ""Recovering Together,"" a novel program for dyads of patients with stroke and their family caregivers aimed at preventing chronic emotional distress by using cognitive behavioral principles to teach resiliency and interpersonal communication skills beginning during hospitalization in a neuroscience intensive care unit and continuing after discharge via telehealth. We illustrate the case of a pilot dyad enrolled in the Recovering Together program, to showcase how patients and caregivers can engage with and benefit from it. This dyad's experience suggests that Recovering Together is credible, feasible, and useful. The potential dyadic benefit of this intervention lies not only in providing the opportunity to optimize recovery and prevent long-term emotional distress, but also in creating the space to come together as a pair and make meaning from critical illness.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Depression Sentence A: There is a high incidence of life event stress, depression, and associated symptoms in individuals with HIV infection/AIDS. Psychological and psychiatric symptomatology in individuals with HIV and AIDS may be related to the progression of AIDS disease. The association between depression, anxiety, and stress with HIV disease progression suggests that neurobiologic and neurophysiologic factors have an important role in modulating HIV. The immune effects caused by changes in behavioral state or brain activity are affected, at least in part, through the neuroendocrine-immune pathways. Life stress and depression may be associated with altered blood levels of CNS-released neuropeptides, including substance P (SP). SP is a powerful immunomodulator which is a critical link between the nervous and immune system. We have investigated the role of the neuropeptide SP and its preferred receptor, neurokinin-1, in HIV infection and AIDS. There are compelling data from our laboratories, as well as the findings in the literature, which demonstrate that SP may play an important role in the pathophysiology of neuropsychiatric disorders, including stress and depression in HIV-infected individuals and in the immunopathogenesis of HIV disease. Modulation of SP activity and SP receptor may offer a novel approach to the treatment of psychiatric disorders and to the design of new anti-HIV therapy. Sentence B: Sustaining a stroke, regardless of its severity, is a life-changing and often traumatizing event that can lead to chronic depression, anxiety, and posttraumatic stress in both survivors and their family caregivers. Psychosocial interventions for emotional distress after stroke are limited, have emphasized psychoeducation rather than skills, treatment of chronic emotional distress rather than prevention, and have targeted either the patient or their caregiver without accounting for the context of their interpersonal relationship. Here we discuss ""Recovering Together,"" a novel program for dyads of patients with stroke and their family caregivers aimed at preventing chronic emotional distress by using cognitive behavioral principles to teach resiliency and interpersonal communication skills beginning during hospitalization in a neuroscience intensive care unit and continuing after discharge via telehealth. We illustrate the case of a pilot dyad enrolled in the Recovering Together program, to showcase how patients and caregivers can engage with and benefit from it. This dyad's experience suggests that Recovering Together is credible, feasible, and useful. The potential dyadic benefit of this intervention lies not only in providing the opportunity to optimize recovery and prevent long-term emotional distress, but also in creating the space to come together as a pair and make meaning from critical illness. ###Answer 1. Changed Reasoning: In Sentence A, the term ""depression"" is used in the context of HIV infection and AIDS, specifically to describe the psychological and psychiatric symptoms experienced by individuals with the disease. The sentence highlights the association between depression and the progression of AIDS disease, suggesting that the term ""depression"" in this context refers to a specific set of symptoms related to the disease. In Sentence B, the term ""depression"" is used in a different context, to describe the emotional distress experienced by stroke survivors and their family caregivers. The sentence emphasizes the importance of psychosocial interventions for emotional distress after stroke, and highlights the potential benefits of a novel program called ""Recovering Together"" in preventing chronic emotional distress. Based on these two sentences, it appears that the term ""depression"" has undergone a significant change in meaning or connotation between the two timestamps. In Sentence A, the term is used specifically to describe symptoms related to HIV infection and AIDS, while in Sentence B, it is used more broadly to describe emotional distress in a different context. Therefore, I would label this as a case of semantic drift." 55,Depression,"The effects of inhalational anaesthetic agents on renal sympathetic nerve activity (RSNA) were compared in anaesthetized rabbits. Concentrations of 6% desflurane, 1.2% isoflurane, and 2.4% enflurane increased mean RSNA up to 32, 36 and 44% while higher concentrations, of 12, 2.4 and 3.2% depressed it by 42, 83 and 5%, respectively. For halothane RSNA was unchanged up to 0.8% and decreased by 36% at 1.6% concentration. Nitrous oxide increased RSNA up to 28% at 50% concentration. Maximum reductions in mean arterial pressure (MAP) were 60% for both 2.4% isoflurane and 3.2% enflurane, 50% for 12% desflurane and 1.6% halothane, while 70% nitrous oxide increased MAP by 22%. In conclusion, unlike the entirely depressive effects of halothane, the effects of desflurane, isoflurane and enflurane were biphasic involving excitation at lower concentrations and depression of RSNA and a reduction in MAP at higher concentrations. Nitrous oxide caused increases in both RSNA and MAP.",Pharmacological treatment of depression during pregnancy must balance the potential fetal risks of the medication with the risks of an undertreated or untreated depression. The choice of treatment is difficult and an increasing number of pregnant women and their doctors face the dilemma. There are non-pharmacological options for treatment but they may not be sufficient or available. The paper summarises the potential fetal effects of antidepressant use during pregnancy and attempts to put these effects in a clinical context.,"###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Depression Sentence A: The effects of inhalational anaesthetic agents on renal sympathetic nerve activity (RSNA) were compared in anaesthetized rabbits. Concentrations of 6% desflurane, 1.2% isoflurane, and 2.4% enflurane increased mean RSNA up to 32, 36 and 44% while higher concentrations, of 12, 2.4 and 3.2% depressed it by 42, 83 and 5%, respectively. For halothane RSNA was unchanged up to 0.8% and decreased by 36% at 1.6% concentration. Nitrous oxide increased RSNA up to 28% at 50% concentration. Maximum reductions in mean arterial pressure (MAP) were 60% for both 2.4% isoflurane and 3.2% enflurane, 50% for 12% desflurane and 1.6% halothane, while 70% nitrous oxide increased MAP by 22%. In conclusion, unlike the entirely depressive effects of halothane, the effects of desflurane, isoflurane and enflurane were biphasic involving excitation at lower concentrations and depression of RSNA and a reduction in MAP at higher concentrations. Nitrous oxide caused increases in both RSNA and MAP. Sentence B: Pharmacological treatment of depression during pregnancy must balance the potential fetal risks of the medication with the risks of an undertreated or untreated depression. The choice of treatment is difficult and an increasing number of pregnant women and their doctors face the dilemma. There are non-pharmacological options for treatment but they may not be sufficient or available. The paper summarises the potential fetal effects of antidepressant use during pregnancy and attempts to put these effects in a clinical context. ###Answer 1. Changed Reasoning: In Sentence A, the word ""depression"" is used to describe the effects of anaesthetic agents on renal sympathetic nerve activity. In this context, ""depression"" means a decrease in activity. However, in Sentence B, the word ""depression"" is used to describe the condition of a pregnant woman who is experiencing symptoms of depression. In this context, ""depression"" means a mental health disorder characterized by feelings of sadness, hopelessness, and a lack of interest in activities. The meaning of the word ""depression"" has shifted significantly between the two sentences. In Sentence A, it refers to a specific physiological response to anaesthesia, while in Sentence B, it refers to a mental health disorder. Therefore, semantic drift has occurred in the meaning of the word ""depression"" over time." 56,Depression,Previous research has indicated that a subset of Minnesota Multiphasic Personality Inventory (MMPI) items may be able to predict antidepressant treatment response to lithium. Twenty-one patients with major depressive disorder were assigned to treatment with lithium based on this MMPI lithium response scale. Twenty lithium-assigned patients completed the 4-week trial. Sixty percent of these patients showed a 50% reduction in Hamilton depression scores. This response rate is similar to results obtained in studies using no selection criteria in the treatment of depression with lithium.,"Anxiety and depression are highly prevalent mood disorders worldwide. Complete remission of symptoms is often difficult to achieve, despite following recommended treatment guidelines. Numerous antidepressants and anxiolytics exist, and new drugs are being developed constantly, yet the incidence of common mood disorders continues to rise. Despite the prevalence of these issues, mental health treatment has not evolved much in recent years. An exciting area of research uncovered in the past decade is the gut-brain-microbiome axis, a bi-directional communication pathway. Because the human microbiome is closely related to mood, research is being done to investigate whether probiotic supplementation could potentially affect symptoms of anxiety and depression.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Depression Sentence A: Previous research has indicated that a subset of Minnesota Multiphasic Personality Inventory (MMPI) items may be able to predict antidepressant treatment response to lithium. Twenty-one patients with major depressive disorder were assigned to treatment with lithium based on this MMPI lithium response scale. Twenty lithium-assigned patients completed the 4-week trial. Sixty percent of these patients showed a 50% reduction in Hamilton depression scores. This response rate is similar to results obtained in studies using no selection criteria in the treatment of depression with lithium. Sentence B: Anxiety and depression are highly prevalent mood disorders worldwide. Complete remission of symptoms is often difficult to achieve, despite following recommended treatment guidelines. Numerous antidepressants and anxiolytics exist, and new drugs are being developed constantly, yet the incidence of common mood disorders continues to rise. Despite the prevalence of these issues, mental health treatment has not evolved much in recent years. An exciting area of research uncovered in the past decade is the gut-brain-microbiome axis, a bi-directional communication pathway. Because the human microbiome is closely related to mood, research is being done to investigate whether probiotic supplementation could potentially affect symptoms of anxiety and depression. ###Answer 1. Changed Reasoning: The meaning of the target word ""depression"" has changed significantly between Sentence A and Sentence B. In Sentence A, the term is used to describe a specific mental health disorder characterized by low mood and anhedonia. In Sentence B, the term is used more broadly to describe a range of mood disorders, including anxiety and depression. This broader usage suggests a shift in the meaning of the term ""depression"" over time." 57,Depression,"A 36-year-old male (case-1) and a 54-year-old female (case-2) were admitted to our hospital because of chest oppression on effort. Exercise electrocardiograms of both patients revealed significant ST segment depression in leads II, III, aVF and V5-6. Coronary angiograms demonstrated an anomalous origin of the left circumflex coronary artery in case-1 and an anomalous origin of the right coronary artery in case-2. Furthermore transesophageal echocardiography (TEE) revealed that both anomalous coronary arteries were running from the non-coronary sinus of Valsalva. The anatomical relation between the anomalous coronaries running from non-coronary sinus of valsalva and the great vessels was directly detectable by TEE. Although these cases are very rare, TEE is useful for the assessment of this type of coronary anomaly.",The aim of this paper is to examine the scientific and cognitive role of metaphor and the use of metaphor in the conceptualization of depression as an example of mental illness.,"###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Depression Sentence A: A 36-year-old male (case-1) and a 54-year-old female (case-2) were admitted to our hospital because of chest oppression on effort. Exercise electrocardiograms of both patients revealed significant ST segment depression in leads II, III, aVF and V5-6. Coronary angiograms demonstrated an anomalous origin of the left circumflex coronary artery in case-1 and an anomalous origin of the right coronary artery in case-2. Furthermore transesophageal echocardiography (TEE) revealed that both anomalous coronary arteries were running from the non-coronary sinus of Valsalva. The anatomical relation between the anomalous coronaries running from non-coronary sinus of valsalva and the great vessels was directly detectable by TEE. Although these cases are very rare, TEE is useful for the assessment of this type of coronary anomaly. Sentence B: The aim of this paper is to examine the scientific and cognitive role of metaphor and the use of metaphor in the conceptualization of depression as an example of mental illness. ###Answer 1. Changed Reasoning: In Sentence A, the term ""depression"" is used to describe a medical condition characterized by chest oppression and electrocardiogram findings consistent with myocardial ischemia. The context suggests that the term is used to describe a specific medical condition with clear diagnostic criteria. In Sentence B, the term ""depression"" is used in a completely different context to describe a mental health condition. The term is used metaphorically to describe a state of sadness, hopelessness, and disinterest in life. The context suggests that the term is used to describe a psychological state, rather than a medical condition. Therefore, the meaning of the term ""depression"" has significantly shifted between the two sentences. In Sentence A, the term is used to describe a medical condition with clear diagnostic criteria, while in Sentence B, the term is used metaphorically to describe a psychological state. This constitutes semantic drift, and the label ""Changed"" is accordingly assigned." 58,Depression,"In patients with endogenous depression imipramine normalizes vascular responses in vegetative tests (orthostatic test, Schellong's test, cold pressor test). The highest percentages of normal vegetative tests during treatment with imipramine were observed in patients in remission of symptoms of depression. The orthostatic tests seem to have the highest diagnostic value. In tests based on measurement of surface temperature imipramine improved function of the vascular system.","Personalized pharmacotherapy based on pharmacogenetic data tends to improve therapeutic outcome in neurological and mental diseases including depression. Combination of available data from genomics, proteomics, metabolomics, neuroimaging and neuroendocrinology would lead to a successful personalized therapy of depression in the near future, which is based on genotypes and biomarkers. Close collaboration between basic and clinical research is indispensable. Different research approaches for a personalized therapy of depression were introduced within the framework of the Robert Pfleger research award 2012.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Depression Sentence A: In patients with endogenous depression imipramine normalizes vascular responses in vegetative tests (orthostatic test, Schellong's test, cold pressor test). The highest percentages of normal vegetative tests during treatment with imipramine were observed in patients in remission of symptoms of depression. The orthostatic tests seem to have the highest diagnostic value. In tests based on measurement of surface temperature imipramine improved function of the vascular system. Sentence B: Personalized pharmacotherapy based on pharmacogenetic data tends to improve therapeutic outcome in neurological and mental diseases including depression. Combination of available data from genomics, proteomics, metabolomics, neuroimaging and neuroendocrinology would lead to a successful personalized therapy of depression in the near future, which is based on genotypes and biomarkers. Close collaboration between basic and clinical research is indispensable. Different research approaches for a personalized therapy of depression were introduced within the framework of the Robert Pfleger research award 2012. ###Answer 1. Changed Reasoning: The meaning of the target word ""depression"" has shifted significantly between Sentence A (2000) and Sentence B (2020). In Sentence A, the word is used to describe a medical condition characterized by impaired autonomic nervous system function, as evidenced by abnormal responses to orthostatic and other physiological tests. The sentence suggests that imipramine, a drug used to treat the condition, can normalize these responses. In Sentence B, the word ""depression"" is used in a different context. It is mentioned in the context of personalized pharmacotherapy based on pharmacogenetic data, which aims to improve therapeutic outcomes for neurological and mental diseases, including depression. The sentence highlights the importance of genotypes and biomarkers in personalizing therapy for depression. Therefore, the meaning of the target word ""depression"" has changed significantly between the two sentences, indicating semantic drift." 59,Depression,"To study the value of 4-aminopyridine as an antidote to verapamil intoxication, we subjected 12 adult cats to verapamil poisoning by administering doses of 4.0-25.0 mg/kg verapamil by intravenous infusion. Six animals were given 4-aminopyridine 2 X 0.5 mg/kg i.v. after the verapamil infusion was stopped and the other six animals (the control group) were not. Verapamil caused profound cardiovascular depression and also partial neuromuscular block, both of which were completely reversed by 4-aminopyridine within 50 min, in spite of extremely high serum verapamil concentrations (ranging between 3,700 and 13,500 ng/ml). The six animals that received 4-aminopyridine survived the verapamil intoxication, whereas four of the six animals in the control group died. The results suggest that 4-aminopyridine may be useful in the treatment of verapamil intoxication.","Sex steroid hormones potently shape brain functions, including those critical to maintain mental health such as serotonin signaling. Use of oral contraceptives (OCs) profoundly changes endogenous sex steroid hormone levels and dynamics. Recent register-based studies show that starting an OC is associated with increased risk of developing depression. Here, we investigate whether use of OCs in healthy women is associated with a marker of the serotonin system in terms of serotonin 4 receptor (5-HT4R) brain imaging.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Depression Sentence A: To study the value of 4-aminopyridine as an antidote to verapamil intoxication, we subjected 12 adult cats to verapamil poisoning by administering doses of 4.0-25.0 mg/kg verapamil by intravenous infusion. Six animals were given 4-aminopyridine 2 X 0.5 mg/kg i.v. after the verapamil infusion was stopped and the other six animals (the control group) were not. Verapamil caused profound cardiovascular depression and also partial neuromuscular block, both of which were completely reversed by 4-aminopyridine within 50 min, in spite of extremely high serum verapamil concentrations (ranging between 3,700 and 13,500 ng/ml). The six animals that received 4-aminopyridine survived the verapamil intoxication, whereas four of the six animals in the control group died. The results suggest that 4-aminopyridine may be useful in the treatment of verapamil intoxication. Sentence B: Sex steroid hormones potently shape brain functions, including those critical to maintain mental health such as serotonin signaling. Use of oral contraceptives (OCs) profoundly changes endogenous sex steroid hormone levels and dynamics. Recent register-based studies show that starting an OC is associated with increased risk of developing depression. Here, we investigate whether use of OCs in healthy women is associated with a marker of the serotonin system in terms of serotonin 4 receptor (5-HT4R) brain imaging. ###Answer 1. Changed Reasoning: In Sentence A, the target word ""depression"" refers to the clinical symptoms of depression, such as cardiovascular depression and neuromuscular block. The context suggests that the term was used to describe a severe and life-threatening condition. In contrast, in Sentence B, the target word ""depression"" is used to refer to a mental health disorder, specifically the risk of developing depression due to oral contraceptive use. The context suggests that the term has shifted to refer to a broader range of mental health issues, including the impact of hormonal changes on brain function. Therefore, the meaning of the target word has undergone significant change between the two sentences, indicating semantic drift has occurred." 60,Depression,"1. Effects of morphine sulphate (1.25, 2.5, 5, 10, 20 and 40 mg/kg i.p.) on locomotor activity of male rats were observed for 8 h after single doses in non-tolerant rats. The lower three doses had only an excitatory effect, whereas the higher three doses caused initial depression followed by a delayed excitatory effect.2. The same doses of morphine were administered daily for 30 days. No tolerance developed within this time to the excitatory effect. The locomotor excitatory effect of the higher three doses of morphine became progressively more pronounced over treatment periods of 30 days (and 48 days for 20 mg/kg), while the latency to peak activity decreased.3. An explanation of these results is suggested on the basis of two different central drug-receptor interactions affecting motility.","To identify or use alcohol abuse and abuse in the IAMSPE elderly, through the application of AUDIT, socioeconomic characterization of the elderly, and problems associated with drinking and weight, if there is a relationship between depression and alcohol abuse.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Depression Sentence A: 1. Effects of morphine sulphate (1.25, 2.5, 5, 10, 20 and 40 mg/kg i.p.) on locomotor activity of male rats were observed for 8 h after single doses in non-tolerant rats. The lower three doses had only an excitatory effect, whereas the higher three doses caused initial depression followed by a delayed excitatory effect.2. The same doses of morphine were administered daily for 30 days. No tolerance developed within this time to the excitatory effect. The locomotor excitatory effect of the higher three doses of morphine became progressively more pronounced over treatment periods of 30 days (and 48 days for 20 mg/kg), while the latency to peak activity decreased.3. An explanation of these results is suggested on the basis of two different central drug-receptor interactions affecting motility. Sentence B: To identify or use alcohol abuse and abuse in the IAMSPE elderly, through the application of AUDIT, socioeconomic characterization of the elderly, and problems associated with drinking and weight, if there is a relationship between depression and alcohol abuse. ###Answer 1. Changed (Semantic drift) The target word ""depression"" has undergone a significant change in meaning between Sentence A (2000) and Sentence B (2020). In Sentence A, the term ""depression"" refers to a specific effect of morphine on locomotor activity in rats, characterized by initial excitation followed by a delayed excitation. In Sentence B, the term ""depression"" is used in the context of alcohol abuse and its relationship to depression in elderly individuals. In Sentence A, ""depression"" is used in a neutral, scientific context, without any connotation of negative emotions or mental health issues. In contrast, in Sentence B, ""depression"" is associated with negative emotions and mental health issues, particularly in the context of alcohol abuse. This shift in meaning suggests that the term ""depression"" has undergone semantic drift, with its original meaning evolving into a more complex and nuanced concept. Therefore, the label ""Changed"" is appropriate for this task." 61,Depression,"Malaria causes significant morbidity and mortality world-wide. Both asymptomatic and symptomatic malarial infections cause immune depression, which predisposes the host to infection with other microorganisms. Specific clinical investigations have shown, for example, that those with malaria-attributable anaemia are particularly likely to have Salmonella septicaemia, and that asymptomatic malarial infection causes diminished response to polysaccharide vaccine. The results of clinical studies and experiments with animal models have revealed that malarial parasites can decrease their vertebrate host's effective humoral and cellular immune responses. In this review, the possible ways in which this malaria-induced immune impairment could affect the host's response to Mycobacterium tuberculosis infection are considered. Could malarial infection be one of the reasons for the persistence of tuberculosis in malaria-endemic regions?","Fragile X syndrome (FXS), a form of human mental retardation, is caused by loss of function mutations in the fragile X mental retardation gene (FMR1). The protein product of FMR1, fragile X mental retardation protein (FMRP) is an RNA-binding protein and may function as a translational suppressor. Metabotropic glutamate receptor-dependent long-term depression (mGluR-LTD) in hippocampal area CA1 is a form of synaptic plasticity that relies on dendritic protein synthesis. mGluR-LTD is enhanced in the mouse model of FXS, Fmr1 knockout (KO) mice, suggesting that FMRP negatively regulates translation of proteins required for LTD. Here we examine the synaptic and cellular mechanisms of mGluR-LTD in KO mice and find that mGluR-LTD no longer requires new protein synthesis, in contrast to wild-type (WT) mice. We further show that mGluR-LTD in KO and WT mice is associated with decreases in AMPA receptor (AMPAR) surface expression, indicating a similar postsynaptic expression mechanism. However, like LTD, mGluR-induced decreases in AMPAR surface expression in KO mice persist in protein synthesis inhibitors. These results are consistent with recent findings of elevated protein synthesis rates and synaptic protein levels in Fmr1 KO mice and suggest that these elevated levels of synaptic proteins are available to increase the persistence of LTD without de novo protein synthesis.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Depression Sentence A: Malaria causes significant morbidity and mortality world-wide. Both asymptomatic and symptomatic malarial infections cause immune depression, which predisposes the host to infection with other microorganisms. Specific clinical investigations have shown, for example, that those with malaria-attributable anaemia are particularly likely to have Salmonella septicaemia, and that asymptomatic malarial infection causes diminished response to polysaccharide vaccine. The results of clinical studies and experiments with animal models have revealed that malarial parasites can decrease their vertebrate host's effective humoral and cellular immune responses. In this review, the possible ways in which this malaria-induced immune impairment could affect the host's response to Mycobacterium tuberculosis infection are considered. Could malarial infection be one of the reasons for the persistence of tuberculosis in malaria-endemic regions? Sentence B: Fragile X syndrome (FXS), a form of human mental retardation, is caused by loss of function mutations in the fragile X mental retardation gene (FMR1). The protein product of FMR1, fragile X mental retardation protein (FMRP) is an RNA-binding protein and may function as a translational suppressor. Metabotropic glutamate receptor-dependent long-term depression (mGluR-LTD) in hippocampal area CA1 is a form of synaptic plasticity that relies on dendritic protein synthesis. mGluR-LTD is enhanced in the mouse model of FXS, Fmr1 knockout (KO) mice, suggesting that FMRP negatively regulates translation of proteins required for LTD. Here we examine the synaptic and cellular mechanisms of mGluR-LTD in KO mice and find that mGluR-LTD no longer requires new protein synthesis, in contrast to wild-type (WT) mice. We further show that mGluR-LTD in KO and WT mice is associated with decreases in AMPA receptor (AMPAR) surface expression, indicating a similar postsynaptic expression mechanism. However, like LTD, mGluR-induced decreases in AMPAR surface expression in KO mice persist in protein synthesis inhibitors. These results are consistent with recent findings of elevated protein synthesis rates and synaptic protein levels in Fmr1 KO mice and suggest that these elevated levels of synaptic proteins are available to increase the persistence of LTD without de novo protein synthesis. ###Answer 1. Changed Reasoning: In Sentence A, the target word ""depression"" has a different meaning than in Sentence B. In Sentence A, ""depression"" refers to the immune system's suppression caused by malaria infection, which makes the host more susceptible to other infections. In Sentence B, ""depression"" refers to a genetic disorder called Fragile X syndrome, which is caused by a loss of function mutation in the FMR1 gene. These two sentences use the term ""depression"" in different contexts and therefore indicate semantic drift." 62,Depression,"A bioassay of technical-grade chlorothalonil for possible carcinogenicity was conducted by administering the test chemical in the diet to Osborne-Mendel rats and B6C3F1 mice. Groups of 50 rats of each sex were administered chlorothalonil at one of two doses for 80 weeks, then observed for 30-31 weeks. Time-weighted average doses for both males and females were 5,063 or 10,126 ppm. Matched controls consisted of groups of 10 untreated rats of each sex; pooled controls consisted of the matched-control groups combined with 55 untreated male or female rats from similar bioassays of five other test chemicals. All surviving rats were killed at 110-111 weeks. Groups of 50 mice of each sex were administered chlorothalonil at one of two doses for 80 weeks, then observed for 11-12 weeks. Time-weighted average doses for males were 2,688 or 5,375 ppm, and for females, 3,000 or 6,000 ppm. Matched controls consisted of groups of 10 untreated mice of each sex; pooled controls consisted of the matched-control groups combined with 50 untreated male or female mice from similar bioassays of five other test chemicals. All surviving mice were killed at 91-92 weeks. Clinical signs that appeared with increasing frequency in dosed rats included hematuria and, from week 72 until termination of the study, bright-yellow urine. Since the dosed female mice did not have depression in mean body weights or decreased survival compared with the controls, they may have been able to tolerate a higher dose. In rats, adenomas and carcinomas of the renal tubular epithelium occurred with a significant dose-related trend in both the males (P=0.030) and the females (P=0.007). These neoplasms also occurred at a higher incidence in the high-dose males (P=0.035) and the high-dose females (P=0.016) than in the corresponding controls (males: pooled controls 0/62, low-dose 3/46, high-dose 4/49; females: pooled controls 0/62, low-dose 1/48, high-dose 5/50). These tumors included both adenomas and carcinomas which are considered to be histogenically related. Thus these findings are interpreted as sufficient evidence for the carcinogenicity of chlorothalonil. In mice, no tumors were found to occur at a greater incidence among dosed animals than among controls. It is concluded that under the conditions of this bioassay, technical-grade chlorothalonil was carcinogenic to Osborne-Mendel rats, producing tumors of the kidney. Chlorothalonil was not carcinogenic for B6C3F1 mice.","Gastroesophageal reflux disease (GERD) is a condition characterized by the reflux of stomach contents into the esophagus, which leads to heartburn and regurgitation. GERD has been categorized its types according to severity. The categories that have been discussed in this study are reflux esophagitis (RE), non-erosive reflux disease (NERD), and Barrett's esophagus. Our study compared various studies and showed that the subjects with GERD had a high level of anxiety and depression. Gastroesophageal reflux disease has a significant negative impact on the quality of life (QoL) by perturbing daily activities. The majority of GERD patients use antacid drugs to control their acid symptoms. However, these symptoms are sometimes difficult to control, even with the most potent proton-pump inhibitors (PPIs), and these patients tend to have a lower response rate. According to the clinical data, Anxiety and Depression are linked to the development of GERD. A major focus of this study is to explore psychological influences such as anxiety and depression and how they relate to GERD. This study also reviews the effect of these conditions on the younger population. It is concluded that the quality of life (QoL) of subjects with GERD is reduced by depression and anxiety.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Depression Sentence A: A bioassay of technical-grade chlorothalonil for possible carcinogenicity was conducted by administering the test chemical in the diet to Osborne-Mendel rats and B6C3F1 mice. Groups of 50 rats of each sex were administered chlorothalonil at one of two doses for 80 weeks, then observed for 30-31 weeks. Time-weighted average doses for both males and females were 5,063 or 10,126 ppm. Matched controls consisted of groups of 10 untreated rats of each sex; pooled controls consisted of the matched-control groups combined with 55 untreated male or female rats from similar bioassays of five other test chemicals. All surviving rats were killed at 110-111 weeks. Groups of 50 mice of each sex were administered chlorothalonil at one of two doses for 80 weeks, then observed for 11-12 weeks. Time-weighted average doses for males were 2,688 or 5,375 ppm, and for females, 3,000 or 6,000 ppm. Matched controls consisted of groups of 10 untreated mice of each sex; pooled controls consisted of the matched-control groups combined with 50 untreated male or female mice from similar bioassays of five other test chemicals. All surviving mice were killed at 91-92 weeks. Clinical signs that appeared with increasing frequency in dosed rats included hematuria and, from week 72 until termination of the study, bright-yellow urine. Since the dosed female mice did not have depression in mean body weights or decreased survival compared with the controls, they may have been able to tolerate a higher dose. In rats, adenomas and carcinomas of the renal tubular epithelium occurred with a significant dose-related trend in both the males (P=0.030) and the females (P=0.007). These neoplasms also occurred at a higher incidence in the high-dose males (P=0.035) and the high-dose females (P=0.016) than in the corresponding controls (males: pooled controls 0/62, low-dose 3/46, high-dose 4/49; females: pooled controls 0/62, low-dose 1/48, high-dose 5/50). These tumors included both adenomas and carcinomas which are considered to be histogenically related. Thus these findings are interpreted as sufficient evidence for the carcinogenicity of chlorothalonil. In mice, no tumors were found to occur at a greater incidence among dosed animals than among controls. It is concluded that under the conditions of this bioassay, technical-grade chlorothalonil was carcinogenic to Osborne-Mendel rats, producing tumors of the kidney. Chlorothalonil was not carcinogenic for B6C3F1 mice. Sentence B: Gastroesophageal reflux disease (GERD) is a condition characterized by the reflux of stomach contents into the esophagus, which leads to heartburn and regurgitation. GERD has been categorized its types according to severity. The categories that have been discussed in this study are reflux esophagitis (RE), non-erosive reflux disease (NERD), and Barrett's esophagus. Our study compared various studies and showed that the subjects with GERD had a high level of anxiety and depression. Gastroesophageal reflux disease has a significant negative impact on the quality of life (QoL) by perturbing daily activities. The majority of GERD patients use antacid drugs to control their acid symptoms. However, these symptoms are sometimes difficult to control, even with the most potent proton-pump inhibitors (PPIs), and these patients tend to have a lower response rate. According to the clinical data, Anxiety and Depression are linked to the development of GERD. A major focus of this study is to explore psychological influences such as anxiety and depression and how they relate to GERD. This study also reviews the effect of these conditions on the younger population. It is concluded that the quality of life (QoL) of subjects with GERD is reduced by depression and anxiety. ###Answer 1. Changed The meaning of the target word ""depression"" has significantly shifted between the two sentences. In Sentence A, depression is associated with the presence of tumors in the kidneys, which suggests a negative impact on the body's health. In Sentence B, depression is linked to anxiety and quality of life, which suggests a psychological impact on the individual. These two meanings are not similar, and therefore, semantic drift has occurred." 63,Depression,"Post-operative psychosis is a frequent complication after open-heart surgery. To investigate relationships between psychopathological outcome and endocrine and psychological variables, serum levels of cortisol, beta-endorphin, norepinephrine, TSH, and cholesterol were measured in 23 male patients undergoing aortic valve replacement from the day before operation (OP) until the seventh day after OP. State and trait anxiety, stress appraisal and the use of coping styles also were assessed. After OP, eight patients suffered from post-OP psychosis and nine from minor psychopathological symptoms. Post-OP psychopathology was significantly correlated with pre-OP psychopathological score as well as with state anxiety, pre- and post-OP stress, and the use of a self-controlling coping style. Serum cortisol, beta-endorphin, norepinephrine, and TSH levels were markedly elevated after OP. Cholesterol levels showed a decline. With regard to endocrine variables, the eight psychotic patients did not differ from 15 non-psychotic subjects, but a subgroup of three major depressed patients had distinctly elevated levels of cortisol and norepinephrine. For all 23 patients, pre-OP cholesterol correlated with pre-OP psychopathology and post-OP depression. Furthermore, post-OP depression was significantly correlated with both post-OP cortisol and norepinephrine. These results indicate the stressful nature of the OP and suggest a multifactorial association of endocrine and psychological variables with psychiatric complications after open-heart surgery.","Major depressive disorder (MDD) is a substantial public health burden, but current treatments have limited effectiveness and adherence. Recent evidence suggests that 1 or 2 administrations of psilocybin with psychological support produces antidepressant effects in patients with cancer and in those with treatment-resistant depression.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Depression Sentence A: Post-operative psychosis is a frequent complication after open-heart surgery. To investigate relationships between psychopathological outcome and endocrine and psychological variables, serum levels of cortisol, beta-endorphin, norepinephrine, TSH, and cholesterol were measured in 23 male patients undergoing aortic valve replacement from the day before operation (OP) until the seventh day after OP. State and trait anxiety, stress appraisal and the use of coping styles also were assessed. After OP, eight patients suffered from post-OP psychosis and nine from minor psychopathological symptoms. Post-OP psychopathology was significantly correlated with pre-OP psychopathological score as well as with state anxiety, pre- and post-OP stress, and the use of a self-controlling coping style. Serum cortisol, beta-endorphin, norepinephrine, and TSH levels were markedly elevated after OP. Cholesterol levels showed a decline. With regard to endocrine variables, the eight psychotic patients did not differ from 15 non-psychotic subjects, but a subgroup of three major depressed patients had distinctly elevated levels of cortisol and norepinephrine. For all 23 patients, pre-OP cholesterol correlated with pre-OP psychopathology and post-OP depression. Furthermore, post-OP depression was significantly correlated with both post-OP cortisol and norepinephrine. These results indicate the stressful nature of the OP and suggest a multifactorial association of endocrine and psychological variables with psychiatric complications after open-heart surgery. Sentence B: Major depressive disorder (MDD) is a substantial public health burden, but current treatments have limited effectiveness and adherence. Recent evidence suggests that 1 or 2 administrations of psilocybin with psychological support produces antidepressant effects in patients with cancer and in those with treatment-resistant depression. ###Answer 1. Changed Explanation: In Sentence A, the term ""depression"" is used to describe a specific psychiatric disorder, with a clear connotation of severity and pathology. In contrast, in Sentence B, the term ""depression"" is used more broadly to refer to any state of sadness or low mood, without any implication of pathology. This shift in meaning suggests that the term ""depression"" has undergone semantic drift, and its original meaning has changed over time." 64,Depression,"The purpose of this study was to assess whether the chronic mild stress (CMS) procedure, as a realistic animal model of depression, affects the rhythms of the locomotor activity in rats. Rhythm parameters (period, mesor, amplitude, acrophase, and percent rhythm) were estimated from the best-fitted cosine function curves. Period is the length, mesor is the mean level, amplitude (A) is the extent, acrophase is the timing of the rhythm; percent rhythm represents the variability estimated by the cosine regression and expressed as a percentage of the total variability of raw data. The animals were kept on the 12 L : 12 D cycle during 13 weeks of the experiment and subjected to CMS for first 4 weeks. In week 5 the rats were under the constant light for 24 h a day (LL), and in week 9, under the constant darkness (DD). In LD 12:12 CMS decreased the activity in the dark phase by approximately 50% (p < 0.01) and did not change the activity in the light phase, resulting in a drop of the 24 h activity by about 40% in comparison to controls. The amplitude of diurnal variations of the activity was highly statistically different from zero at p(A = 0) < 0.0001, and the percent rhythm was in range of 40-75% in both the CMS and control groups. The mesor and the amplitude of the diurnal rhythm (with a period of 24 h) in the CMS rats were significantly (p < 0.001) lower than those in the control. In LL, the activity of both groups was diminished about 50% during the subjective dark phase. On the other hand, in the subjective light phase the activity of CMS rats only was diminished. The percent rhythm for the CMS and control rats was 30 and 58%, respectively, and values of mesor, amplitude, and acrophase for both groups were highly statistically different. In DD, the activity in the CMS group was statistically significantly lower in both the subjective dark and light phases. In contrast to the results from LL, the cosine curves from DD were similarly shifted in relation to the subjective light-dark cycle. After a restoration of the LD cycle the levels of the 24-h activity of both groups became equal in the 13th week, but the light and dark phase differences between the groups were still statistically significant (p < 0.05). The present results indicate that CMS exerts distinct and prolonged disturbances of the diurnal and circadian rhythms of the locomotor activity in the rats.","Coronary artery spasm is a known cause of acute coronary syndrome. However, left main coronary spasm is an extremely rare entity and can present in different ways depending on the duration and severity of the spasm. We present a 44-year-old female patient who presented with transient ST elevation in the lead aVR and ST depression in the lateral and inferior leads. Coronary angiography showed mid left main and ostial right coronary artery spasm that significantly improved after intracoronary nitroglycerine administration. Intravascular ultrasound showed no significant left main coronary atherosclerosis. She was treated chronically with calcium channel blockers (CCB), nitrates, and arginine with significant improvement. In conclusion, left main coronary spasm is an extremely rare entity with wide spectrum of clinical manifestations. Definite etiology is still questionable, and special precaution is needed during coronary angiography in order not to be confused with significant fixed lesions. Intravascular ultrasound can be valuable in excluding underlying atherosclerosis. Medical management with nitrates acutely then CCB is the mainstay of chronic management with PCI preserved to refractory cases.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Depression Sentence A: The purpose of this study was to assess whether the chronic mild stress (CMS) procedure, as a realistic animal model of depression, affects the rhythms of the locomotor activity in rats. Rhythm parameters (period, mesor, amplitude, acrophase, and percent rhythm) were estimated from the best-fitted cosine function curves. Period is the length, mesor is the mean level, amplitude (A) is the extent, acrophase is the timing of the rhythm; percent rhythm represents the variability estimated by the cosine regression and expressed as a percentage of the total variability of raw data. The animals were kept on the 12 L : 12 D cycle during 13 weeks of the experiment and subjected to CMS for first 4 weeks. In week 5 the rats were under the constant light for 24 h a day (LL), and in week 9, under the constant darkness (DD). In LD 12:12 CMS decreased the activity in the dark phase by approximately 50% (p < 0.01) and did not change the activity in the light phase, resulting in a drop of the 24 h activity by about 40% in comparison to controls. The amplitude of diurnal variations of the activity was highly statistically different from zero at p(A = 0) < 0.0001, and the percent rhythm was in range of 40-75% in both the CMS and control groups. The mesor and the amplitude of the diurnal rhythm (with a period of 24 h) in the CMS rats were significantly (p < 0.001) lower than those in the control. In LL, the activity of both groups was diminished about 50% during the subjective dark phase. On the other hand, in the subjective light phase the activity of CMS rats only was diminished. The percent rhythm for the CMS and control rats was 30 and 58%, respectively, and values of mesor, amplitude, and acrophase for both groups were highly statistically different. In DD, the activity in the CMS group was statistically significantly lower in both the subjective dark and light phases. In contrast to the results from LL, the cosine curves from DD were similarly shifted in relation to the subjective light-dark cycle. After a restoration of the LD cycle the levels of the 24-h activity of both groups became equal in the 13th week, but the light and dark phase differences between the groups were still statistically significant (p < 0.05). The present results indicate that CMS exerts distinct and prolonged disturbances of the diurnal and circadian rhythms of the locomotor activity in the rats. Sentence B: Coronary artery spasm is a known cause of acute coronary syndrome. However, left main coronary spasm is an extremely rare entity and can present in different ways depending on the duration and severity of the spasm. We present a 44-year-old female patient who presented with transient ST elevation in the lead aVR and ST depression in the lateral and inferior leads. Coronary angiography showed mid left main and ostial right coronary artery spasm that significantly improved after intracoronary nitroglycerine administration. Intravascular ultrasound showed no significant left main coronary atherosclerosis. She was treated chronically with calcium channel blockers (CCB), nitrates, and arginine with significant improvement. In conclusion, left main coronary spasm is an extremely rare entity with wide spectrum of clinical manifestations. Definite etiology is still questionable, and special precaution is needed during coronary angiography in order not to be confused with significant fixed lesions. Intravascular ultrasound can be valuable in excluding underlying atherosclerosis. Medical management with nitrates acutely then CCB is the mainstay of chronic management with PCI preserved to refractory cases. ###Answer 1. Changed Reasoning: In Sentence A, the word ""depression"" is used to describe a specific mental health disorder, with a clear definition and connotation. The sentence explains the chronic mild stress procedure as a model for depression, and the rhythms of locomotor activity in rats are analyzed. The word ""depression"" is used in a scientific context, with a clear meaning and connotation. In Sentence B, the word ""depression"" is used differently. It is not used to describe a specific mental health disorder, but rather as a synonym for ""coronary artery spasm"". The sentence explains the clinical manifestations of coronary artery spasm and the treatment options available. The word ""depression"" is used in a different context, with a different meaning and connotation. Based on these differences, it can be concluded that the meaning of the word ""depression"" has shifted between the two sentences. In Sentence A, the word is used specifically to describe a mental health disorder, while in Sentence B, it is used more broadly to describe a symptom of coronary artery spasm. Therefore, the label ""Changed"" is appropriate." 65,Depression,"Lens myo-inositol (MI) content is regulated by a pump-leak system consisting of an active Na-dependent MI transport and its passive permeability through the membrane. We measured the active MI uptake and membrane permeability in lenses of rats maintained on a 50% galactose diet for 1, 3 and 7 days. After only 1 day of galactose feeding, active MI uptake in the lens was reduced dramatically by 74% compared to age-matched control lenses; by day 3, active MI transport was decreased by 89% and it was undetectable by day 7. The passive membrane permeability was determined by measuring (a) the passive MI influx and (b) the 3H-sorbitol flux. After 1 day of galactose feeding, the membrane permeability increased such that within 3 days it increased to 5-6 fold. Galactose feeding also led to a rapid increase in lens polyol content. After 1 day, lens polyol increased to 53 mumol/g wet wt compared to a control value of 0.35 mumol/g wet wt and increased further to 65 and 72 mumol/g wet wt after 3 and 7 days of galactose feeding respectively. Lens galactose accumulation was low (3 mumol/g wet wt) up to 7 days; however, it was rapidly increased after 7 days. Our results indicate that galactose feeding rapidly interfered with MI homeostasis by a severe depression of active MI transport and a rapid increase in membrane permeability. These interferences of MI homeostasis correlate with the appearance of high polyol levels.","Burnout, depression, and suicide among health care professionals and learners have reached a rampant level. This systematic review aimed to synthesize literature findings of nursing student burnout and its impact on psychological well-being and academic performance.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Depression Sentence A: Lens myo-inositol (MI) content is regulated by a pump-leak system consisting of an active Na-dependent MI transport and its passive permeability through the membrane. We measured the active MI uptake and membrane permeability in lenses of rats maintained on a 50% galactose diet for 1, 3 and 7 days. After only 1 day of galactose feeding, active MI uptake in the lens was reduced dramatically by 74% compared to age-matched control lenses; by day 3, active MI transport was decreased by 89% and it was undetectable by day 7. The passive membrane permeability was determined by measuring (a) the passive MI influx and (b) the 3H-sorbitol flux. After 1 day of galactose feeding, the membrane permeability increased such that within 3 days it increased to 5-6 fold. Galactose feeding also led to a rapid increase in lens polyol content. After 1 day, lens polyol increased to 53 mumol/g wet wt compared to a control value of 0.35 mumol/g wet wt and increased further to 65 and 72 mumol/g wet wt after 3 and 7 days of galactose feeding respectively. Lens galactose accumulation was low (3 mumol/g wet wt) up to 7 days; however, it was rapidly increased after 7 days. Our results indicate that galactose feeding rapidly interfered with MI homeostasis by a severe depression of active MI transport and a rapid increase in membrane permeability. These interferences of MI homeostasis correlate with the appearance of high polyol levels. Sentence B: Burnout, depression, and suicide among health care professionals and learners have reached a rampant level. This systematic review aimed to synthesize literature findings of nursing student burnout and its impact on psychological well-being and academic performance. ###Answer 1. Changed Reasoning: In Sentence A, the term ""depression"" is used to describe a specific physiological process involving the regulation of inositol content in the lens of the eye. In this context, ""depression"" likely refers to a specific biochemical process involving the transport and permeability of inositol in the membrane. In Sentence B, the term ""depression"" is used in a broader context to describe a mental health condition that affects healthcare professionals and learners. In this context, ""depression"" likely refers to a mental health disorder characterized by feelings of sadness, hopelessness, and a lack of motivation. Based on the different contexts and meanings of the term ""depression"" in Sentence A and Sentence B, it is clear that the term has undergone a significant change in meaning over time. Therefore, the label ""Changed"" is appropriate." 66,Depression,"Type I diabetic cardiomyopathy has consistently been shown to be associated with decrease of repolarising K(+) currents, but the mechanisms responsible for the decrease are not well defined. We investigated the streptozotocin (STZ) rat model of type I diabetes. We utilized RNase protection assay and Western blot analysis to investigate the message expression and protein density of key cardiac K(+) channel genes in the diabetic rat left ventricular (LV) myocytes. Our results show that message and protein density of Kv2.1, Kv4.2, and Kv4.3 are significantly decreased as early as 14 days following induction of type I diabetes in the rat. The results demonstrate, for the first time, that insulin-deficient type I diabetes is associated with early downregulation of the expression of key cardiac K(+) channel genes that could account for the depression of cardiac K(+) currents, I(to-f) and I(to-s). These represent the main electrophysiological abnormality in diabetic cardiomyopathy and is known to enhance the arrhythmogenecity of the diabetic heart. The findings also extend the extensive list of gene expression regulation by insulin.","The COVID-19 virus has become a fearful epidemic for people all over the world. In Turkey, long quarantine periods and curfews have increased both physical and psychological problems. Due to the rapid spread and substantial impact of the COVID-19 virus, different psychological effects were observed among different segments of society, such as among young people, elderly people, and active workers. Because of fear caused by the COVID-19 virus, it is thought that depression, stress, and anxiety levels have increased. It is estimated that there are more psychological issues for people with poor health and others whose friends or family became ill or have died because of COVID-19. To explore and test the situation mentioned above, we conducted a cross-sectional study in Turkey with 3287 participants above 16 years old. We measured COVID-19 fear, along with anxiety, stress, and depression levels (DASS21) and demographics. Firstly, we tested whether COVID-19 fear predicts stress, anxiety, and depression. Secondly, we investigated if the effect of COVID-19 fear is stronger for those who have underlying illness and for those whose friends or family became ill or have died because of COVID-19. The results showed that women and 16-25 years old youths have higher COVID-19-related fear, anxiety, depression, and stress. Furthermore, we found a significant relationship between COVID-19 fear and stress, anxiety, and depression, as well as significant moderation effects of having an underlying illness and having friends or family who were infected or have died. These results show the importance of implementing specific implementations, particularly for vulnerable groups, to minimize the psychological problems that may arise with the pandemic.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Depression Sentence A: Type I diabetic cardiomyopathy has consistently been shown to be associated with decrease of repolarising K(+) currents, but the mechanisms responsible for the decrease are not well defined. We investigated the streptozotocin (STZ) rat model of type I diabetes. We utilized RNase protection assay and Western blot analysis to investigate the message expression and protein density of key cardiac K(+) channel genes in the diabetic rat left ventricular (LV) myocytes. Our results show that message and protein density of Kv2.1, Kv4.2, and Kv4.3 are significantly decreased as early as 14 days following induction of type I diabetes in the rat. The results demonstrate, for the first time, that insulin-deficient type I diabetes is associated with early downregulation of the expression of key cardiac K(+) channel genes that could account for the depression of cardiac K(+) currents, I(to-f) and I(to-s). These represent the main electrophysiological abnormality in diabetic cardiomyopathy and is known to enhance the arrhythmogenecity of the diabetic heart. The findings also extend the extensive list of gene expression regulation by insulin. Sentence B: The COVID-19 virus has become a fearful epidemic for people all over the world. In Turkey, long quarantine periods and curfews have increased both physical and psychological problems. Due to the rapid spread and substantial impact of the COVID-19 virus, different psychological effects were observed among different segments of society, such as among young people, elderly people, and active workers. Because of fear caused by the COVID-19 virus, it is thought that depression, stress, and anxiety levels have increased. It is estimated that there are more psychological issues for people with poor health and others whose friends or family became ill or have died because of COVID-19. To explore and test the situation mentioned above, we conducted a cross-sectional study in Turkey with 3287 participants above 16 years old. We measured COVID-19 fear, along with anxiety, stress, and depression levels (DASS21) and demographics. Firstly, we tested whether COVID-19 fear predicts stress, anxiety, and depression. Secondly, we investigated if the effect of COVID-19 fear is stronger for those who have underlying illness and for those whose friends or family became ill or have died because of COVID-19. The results showed that women and 16-25 years old youths have higher COVID-19-related fear, anxiety, depression, and stress. Furthermore, we found a significant relationship between COVID-19 fear and stress, anxiety, and depression, as well as significant moderation effects of having an underlying illness and having friends or family who were infected or have died. These results show the importance of implementing specific implementations, particularly for vulnerable groups, to minimize the psychological problems that may arise with the pandemic. ###Answer 1. Changed Reasoning: In Sentence A, the target word ""depression"" is used in the context of cardiac physiology and refers to the decrease in repolarizing K(+) currents in diabetic rat LV myocytes. The term does not carry any negative connotations or associations with mental illness. In Sentence B, the target word ""depression"" is used in the context of the psychological effects of the COVID-19 pandemic and carries a clear negative connotation, associating the term with feelings of sadness, hopelessness, and distress. The meaning of the term has significantly shifted in the intervening years, indicating semantic drift." 67,Depression,"Past research has suggested the potential importance of considering emotional reliance, a dimension of interpersonal dependence, when addressing social and developmental risk factors for depression. Based on a probability sample of 1,393 adults aged 18-55 residing in Toronto, Canada, this paper addresses gender differences in emotional reliance and the relevance of emotional reliance in explaining the gender-depression association. We also explore link-ages between emotional reliance and status factors. Findings indicate that emotional reliance is significantly related to depression and that women report greater reliance than men, independent of social status factors like marital and parental status, education, income, and occupational prestige. Moreover, the positive association between emotional reliance and depression is greater for women. Several social status factors modify the relationship between gender and emotional reliance. Both education and occupational prestige reduce reliance, and are particularly beneficial in this regard for women. Marriage, on the other hand, increases emotional reliance, especially for men. We offer interpretations of this pattern of findings.","A large range of neuroadaptations develop in response to chronic opioid exposure and these are thought to be more or less critical for expression of the major features of opioid addiction: tolerance, withdrawal and processes that may contribute to compulsive use and relapse. This review considers these adaptations at different levels of organization in the nervous system including tolerance at the mu-opioid receptor itself, cellular tolerance and withdrawal in opioid-sensitive neurons, systems tolerance and withdrawal in opioid-sensitive nerve networks, as well as synaptic plasticity in opioid sensitive nerve networks. Receptor tolerance appears to involve enhancement of mechanisms of receptor regulation, including desensitization and internalization. Adaptations causing cellular tolerance are more complex but several important processes have been identified including upregulation of cAMP/PKA and cAMP response element-binding signalling and perhaps the mitogen activated PK cascades in opioid sensitive neurons that might not only influence tolerance and withdrawal but also synaptic plasticity during cycles of intoxication and withdrawal. The potential complexity of network, or systems adaptations that interact with opioid-sensitive neurons is great but some candidate neuropeptide systems that interact with mu-opioid sensitive neurons may play a role in tolerance and withdrawal, as might activation of glial signalling. Implication of synaptic forms of learning such as long term potentiation and long term depression in opioid addiction is still in its infancy but this ultimately has the potential to identify specific synapses that contribute to compulsive use and relapse.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Depression Sentence A: Past research has suggested the potential importance of considering emotional reliance, a dimension of interpersonal dependence, when addressing social and developmental risk factors for depression. Based on a probability sample of 1,393 adults aged 18-55 residing in Toronto, Canada, this paper addresses gender differences in emotional reliance and the relevance of emotional reliance in explaining the gender-depression association. We also explore link-ages between emotional reliance and status factors. Findings indicate that emotional reliance is significantly related to depression and that women report greater reliance than men, independent of social status factors like marital and parental status, education, income, and occupational prestige. Moreover, the positive association between emotional reliance and depression is greater for women. Several social status factors modify the relationship between gender and emotional reliance. Both education and occupational prestige reduce reliance, and are particularly beneficial in this regard for women. Marriage, on the other hand, increases emotional reliance, especially for men. We offer interpretations of this pattern of findings. Sentence B: A large range of neuroadaptations develop in response to chronic opioid exposure and these are thought to be more or less critical for expression of the major features of opioid addiction: tolerance, withdrawal and processes that may contribute to compulsive use and relapse. This review considers these adaptations at different levels of organization in the nervous system including tolerance at the mu-opioid receptor itself, cellular tolerance and withdrawal in opioid-sensitive neurons, systems tolerance and withdrawal in opioid-sensitive nerve networks, as well as synaptic plasticity in opioid sensitive nerve networks. Receptor tolerance appears to involve enhancement of mechanisms of receptor regulation, including desensitization and internalization. Adaptations causing cellular tolerance are more complex but several important processes have been identified including upregulation of cAMP/PKA and cAMP response element-binding signalling and perhaps the mitogen activated PK cascades in opioid sensitive neurons that might not only influence tolerance and withdrawal but also synaptic plasticity during cycles of intoxication and withdrawal. The potential complexity of network, or systems adaptations that interact with opioid-sensitive neurons is great but some candidate neuropeptide systems that interact with mu-opioid sensitive neurons may play a role in tolerance and withdrawal, as might activation of glial signalling. Implication of synaptic forms of learning such as long term potentiation and long term depression in opioid addiction is still in its infancy but this ultimately has the potential to identify specific synapses that contribute to compulsive use and relapse. ###Answer 1. Changed Reasoning: In Sentence A, the target word ""depression"" is used to describe a mental health disorder characterized by low mood, anhedonia, and other symptoms. The word is used in the context of research on gender differences in emotional reliance and its relationship to depression. The word is used in a neutral way, without any pejorative or negative connotations. In Sentence B, the target word ""opioid"" is used to describe a drug that is associated with addiction and withdrawal symptoms. The word is used in the context of a review of neuroadaptations that develop in response to chronic opioid exposure. The word is used in a more technical and scientific way, with a focus on the biological mechanisms involved in addiction. The word is not used in a negative or pejorative way, but it is used in a more formal and scientific context. Based on these differences in context and usage, it is clear that the meaning of the target word ""depression"" has shifted over time. In Sentence A, the word is used in a more neutral and scientific way, while in Sentence B, the word is used in a more technical and scientific context. This suggests that the meaning of the word has changed over time, with a shift towards a more formal and scientific usage. Therefore, the label ""Changed"" is appropriate." 68,Depression,"The objective was to present naturalistic 1-year follow-up information of 96 child and adolescent outpatients with major depressive disorder who had been randomized in an 8-week double-blind, placebo-controlled trial of fluoxetine. Subjects were children and adolescents, ages 8-18 years, who were entered in a randomized clinical trial of fluoxetine. Following the acute treatment trial, treatment was not controlled. At 6 months and 1 year, the subjects and parents were interviewed using the Kiddie Longitudinal Interval Follow-up Evaluation (K-LIFE) for course of depression. Eighty-seven of the 96 subjects were followed for 1 year. Of these, 74 (85%) recovered from the depressive episode during that time (47 on fluoxetine, 22 on no medication, and 5 on other antidepressants or lithium). Twenty-nine of the subjects (39%) who recovered had a recurrence of depression during the 1-year follow-up, with 55% of these occurring within 6 months. Results of this study are similar to adult studies, with respect to response and recovery of depressive episodes. Most patients (85%) recover from the episode within 1 year, but approximately 40% have a recurrence within 12 months, which is a higher recurrence rate than in adults. Recovery was associated with younger age, lower severity of depressive symptoms, higher family functioning, and fewer comorbid diagnoses. Recurrence, which occurs both on and off medication, was difficult to predict, as there was little clinical data associated with recurrence in this population.","According to the World Health Organization, depression has become the leading cause of disability in the world, contributing significantly to the burden of health issues especially in the industrialized countries. This is a major public health problem, with potential impact on work climates, productivity at work and the continued existence of the organizations. Some recent studies have examined potential links between professional factors and common mental health disorders, but none have demonstrated a direct causal link.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Depression Sentence A: The objective was to present naturalistic 1-year follow-up information of 96 child and adolescent outpatients with major depressive disorder who had been randomized in an 8-week double-blind, placebo-controlled trial of fluoxetine. Subjects were children and adolescents, ages 8-18 years, who were entered in a randomized clinical trial of fluoxetine. Following the acute treatment trial, treatment was not controlled. At 6 months and 1 year, the subjects and parents were interviewed using the Kiddie Longitudinal Interval Follow-up Evaluation (K-LIFE) for course of depression. Eighty-seven of the 96 subjects were followed for 1 year. Of these, 74 (85%) recovered from the depressive episode during that time (47 on fluoxetine, 22 on no medication, and 5 on other antidepressants or lithium). Twenty-nine of the subjects (39%) who recovered had a recurrence of depression during the 1-year follow-up, with 55% of these occurring within 6 months. Results of this study are similar to adult studies, with respect to response and recovery of depressive episodes. Most patients (85%) recover from the episode within 1 year, but approximately 40% have a recurrence within 12 months, which is a higher recurrence rate than in adults. Recovery was associated with younger age, lower severity of depressive symptoms, higher family functioning, and fewer comorbid diagnoses. Recurrence, which occurs both on and off medication, was difficult to predict, as there was little clinical data associated with recurrence in this population. Sentence B: According to the World Health Organization, depression has become the leading cause of disability in the world, contributing significantly to the burden of health issues especially in the industrialized countries. This is a major public health problem, with potential impact on work climates, productivity at work and the continued existence of the organizations. Some recent studies have examined potential links between professional factors and common mental health disorders, but none have demonstrated a direct causal link. ###Answer 1. Changed Reasoning: In Sentence A, the target word ""depression"" is used to describe a specific mental health disorder, with a focus on its symptoms and treatment outcomes. The sentence provides information on the demographics of the patients studied, their response to treatment, and the factors associated with recovery. The word ""depression"" in this sentence has a clear and specific meaning, related to a recognizable medical condition. In Sentence B, the target word ""depression"" is used in a broader context, to describe a global public health problem. The sentence highlights the burden of depression on health systems and workplaces, and notes that it is a major public health concern. The word ""depression"" in this sentence has a more general meaning, encompassing not only the medical condition but also its broader social and economic impact. Compared to Sentence A, the meaning of ""depression"" in Sentence B has shifted towards a more general and abstract concept, encompassing a broader range of factors and contexts. This shift in meaning indicates semantic drift, and the label ""Changed"" is therefore appropriate." 69,Depression,"Rabbit antisera (APS) against normal guinea pig peritoneal exudate polymorphonuclear leukocytes (PMN), when injected intraperitoneally three times within 24 h into guinea pigs, lead to a marked fall in the blood PMN count (below 100/mm3) 24-72 h after the injection and a mild depression in the number of circulating mononuclear leukocytes (MNC) at 36-72 h. APS treatment of guinea pigs led to a marked suppression of delayed hypersensitivity skin reactions in response to dinitrophenylated bovine gamma-globulin. The volume, induration, mean diameter of the reaction and leukocyte (both PMN and MNC) emigration into local sites were suppressed, as was, to a lesser extent, vascular permeability. Based on these observations it appears that circulating PMN are required for the full expression of delayed hypersensitivity reaction engendered by bovine gamma-globulin.","Allogeneic stem cell transplantation (alloSCT) is the preferred option of postremission therapy for high-risk patients suffering from acute myeloid leukemia (AML). Therefore, monitoring life satisfaction (LS) of long-term survivors following alloSCT is becoming increasingly important for oncologists. The aim of the study was to evaluate individual survivor priority of various general and health-related domains of life and their satisfaction with these domains. Furthermore, we investigated the impact of general and health-related LS on resilience, anxiety, depression and quality of life in AML survivors following alloSCT.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Depression Sentence A: Rabbit antisera (APS) against normal guinea pig peritoneal exudate polymorphonuclear leukocytes (PMN), when injected intraperitoneally three times within 24 h into guinea pigs, lead to a marked fall in the blood PMN count (below 100/mm3) 24-72 h after the injection and a mild depression in the number of circulating mononuclear leukocytes (MNC) at 36-72 h. APS treatment of guinea pigs led to a marked suppression of delayed hypersensitivity skin reactions in response to dinitrophenylated bovine gamma-globulin. The volume, induration, mean diameter of the reaction and leukocyte (both PMN and MNC) emigration into local sites were suppressed, as was, to a lesser extent, vascular permeability. Based on these observations it appears that circulating PMN are required for the full expression of delayed hypersensitivity reaction engendered by bovine gamma-globulin. Sentence B: Allogeneic stem cell transplantation (alloSCT) is the preferred option of postremission therapy for high-risk patients suffering from acute myeloid leukemia (AML). Therefore, monitoring life satisfaction (LS) of long-term survivors following alloSCT is becoming increasingly important for oncologists. The aim of the study was to evaluate individual survivor priority of various general and health-related domains of life and their satisfaction with these domains. Furthermore, we investigated the impact of general and health-related LS on resilience, anxiety, depression and quality of life in AML survivors following alloSCT. ###Answer 1. Changed Reasoning: In Sentence A, the term ""depression"" is used to describe a mild suppression of circulating mononuclear leukocytes (MNC) in guinea pigs. This usage implies a more specific and technical meaning of the term, related to the immune system. In Sentence B, the term ""depression"" is used in a completely different context, referring to a psychological state of low mood and aversion to activities. This usage is unrelated to the immune system, and instead implies a more general and colloquial meaning of the term. Therefore, the meaning of the term ""depression"" has significantly shifted between the two sentences, indicating semantic drift has occurred." 70,Depression,"One hundred and twenty undergraduate women students reported their height and weight and completed the Eating Disorder Questionnaire (EDQ), the Eysenck Personality Inventory (EPI), the Beck Depression Inventory (BDI), the Family Assessment Device (FAD), the Body Shape Questionnaire (BSQ), the Body Image Assessment (BIA), and measures of peer and media influence. Family functioning was shown to be a poor predictor of bulimic behavior, whereas peer influence was a significant predictor. Media influence interacted with body dysphoria to increase the likelihood of bulimic behavior. The BSQ was a better predictor of bulimic behavior than the BIA, suggesting that students' responses to a measure that asks questions about specific areas of the body may reflect their feelings of body dysphoria more accurately than a measure that relies on a generalized silhouette.","Calf suckling and oxytocin injections are commonly used for pre-milking stimulus in dairy buffaloes under field conditions. A study was conducted to investigate effect of these treatments on reproductive performance. Fifty one Nili-Ravi buffaloes were monitored from parturition up to 150 days postpartum through rectal examination. Data on milk yield, body condition score (BCS) and reproductive parameters were recorded weekly. Postpartum ovulation interval (POI) was determined by presence of an ovulation depression or a very soft corpus luteum haemorrhagicum and was confirmed through milk progesterone levels (MPL). Suckling was used to stimulate milk let down, and where the calf had died, injection of oxytocin was resorted to. Milk samples were analyzed for MPL using radioimmunoassay (RIA) and fat; and milk yield was converted to 4% fat corrected milk (FCM). The mean postpartum uterine involution length (PUI) was 34.30+/-1.33 days. Mean POI was 59.37+/-4.76 days and mean postpartum estrus interval (PEI) was 69.03+/-6.03 days. Suckling period averaged 26.40+/-5.57 days and correlated with POI (r=0.19, P<0.01) and PEI (r=0.23, P<0.01). POI was shortest in buffaloes suckled for one month (P<0.05). Oxytocin was used with a mean dosage of 7.50 IU, delaying placental expulsion time (PET) and POI but shortening PEI. BCS shortened PET, POI and PEI (P<0.01). Mean FCM was 14.50+/-0.20, ranging from 2 to 35 kg/d; and was higher in estrus group; correlating positively with POI (r=0.31, P<0.01). MPL were 1.37+/-0.17 ng/ml and increased after ovulation, remaining greater than 1.5 ng/ml from Day 4 to 14 of the estrus cycle, followed by a rapid decline up to next estrus. BCS in buffaloes resuming oestrus was constantly higher than those failing to resume ovarian cyclicity. Live weight, prepartum was 510.0+/-5.9 kg with a loss of 3.7+/-2.12 kg, 30 days postpartum. The present study suggests a lower reproductive efficiency of dairy buffaloes under the peri-urban farming system reflected by ovarian cyclicity in 68.63% buffaloes within 150 days postpartum and silent estrus in 51.5% of the cases. Increasing suckling duration and use of oxytocin delayed POI, however, POI was shortest in buffaloes suckled for one month. The high yielding buffaloes also manifested better reproductive cyclicity; while moderate yielder showed shorter ovulation intervals and higher conception rate.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Depression Sentence A: One hundred and twenty undergraduate women students reported their height and weight and completed the Eating Disorder Questionnaire (EDQ), the Eysenck Personality Inventory (EPI), the Beck Depression Inventory (BDI), the Family Assessment Device (FAD), the Body Shape Questionnaire (BSQ), the Body Image Assessment (BIA), and measures of peer and media influence. Family functioning was shown to be a poor predictor of bulimic behavior, whereas peer influence was a significant predictor. Media influence interacted with body dysphoria to increase the likelihood of bulimic behavior. The BSQ was a better predictor of bulimic behavior than the BIA, suggesting that students' responses to a measure that asks questions about specific areas of the body may reflect their feelings of body dysphoria more accurately than a measure that relies on a generalized silhouette. Sentence B: Calf suckling and oxytocin injections are commonly used for pre-milking stimulus in dairy buffaloes under field conditions. A study was conducted to investigate effect of these treatments on reproductive performance. Fifty one Nili-Ravi buffaloes were monitored from parturition up to 150 days postpartum through rectal examination. Data on milk yield, body condition score (BCS) and reproductive parameters were recorded weekly. Postpartum ovulation interval (POI) was determined by presence of an ovulation depression or a very soft corpus luteum haemorrhagicum and was confirmed through milk progesterone levels (MPL). Suckling was used to stimulate milk let down, and where the calf had died, injection of oxytocin was resorted to. Milk samples were analyzed for MPL using radioimmunoassay (RIA) and fat; and milk yield was converted to 4% fat corrected milk (FCM). The mean postpartum uterine involution length (PUI) was 34.30+/-1.33 days. Mean POI was 59.37+/-4.76 days and mean postpartum estrus interval (PEI) was 69.03+/-6.03 days. Suckling period averaged 26.40+/-5.57 days and correlated with POI (r=0.19, P<0.01) and PEI (r=0.23, P<0.01). POI was shortest in buffaloes suckled for one month (P<0.05). Oxytocin was used with a mean dosage of 7.50 IU, delaying placental expulsion time (PET) and POI but shortening PEI. BCS shortened PET, POI and PEI (P<0.01). Mean FCM was 14.50+/-0.20, ranging from 2 to 35 kg/d; and was higher in estrus group; correlating positively with POI (r=0.31, P<0.01). MPL were 1.37+/-0.17 ng/ml and increased after ovulation, remaining greater than 1.5 ng/ml from Day 4 to 14 of the estrus cycle, followed by a rapid decline up to next estrus. BCS in buffaloes resuming oestrus was constantly higher than those failing to resume ovarian cyclicity. Live weight, prepartum was 510.0+/-5.9 kg with a loss of 3.7+/-2.12 kg, 30 days postpartum. The present study suggests a lower reproductive efficiency of dairy buffaloes under the peri-urban farming system reflected by ovarian cyclicity in 68.63% buffaloes within 150 days postpartum and silent estrus in 51.5% of the cases. Increasing suckling duration and use of oxytocin delayed POI, however, POI was shortest in buffaloes suckled for one month. The high yielding buffaloes also manifested better reproductive cyclicity; while moderate yielder showed shorter ovulation intervals and higher conception rate. ###Answer 1. Changed Reasoning: The meaning of the target word ""depression"" has significantly shifted between the two sentences. In Sentence A, the term is used to describe a mental health disorder characterized by symptoms such as sadness, hopelessness, and a loss of interest in activities. In Sentence B, the term is used to describe a physical condition in dairy buffaloes, specifically the length of time between ovulations. The two sentences have different contexts and connotations, indicating that the term ""depression"" has undergone semantic drift." 71,Depression,"Clinical and epidemiology studies have implicated depression as a risk factor in the morbidity and mortality of many human diseases. This study sought to determine if depression was associated with alterations in cellular immunity variables-specifically, natural killer (NK) cells and CD8 T lymphocytes-in women with HIV infection.","Early life stressful events have detrimental effects on the brain and behavior, which are associated with the development of depression. Immune-inflammatory responses have been reported to contribute in the pathophysiology of depression. Many studies have reported on the beneficial effects of exercise against stress. However, underlying mechanisms through which exercise exerts its effects were poorly studied. Therefore, it applied maternal separation (MS), as a valid animal model of early-life adversity, in rats from postnatal day (PND) 2 to 14 for 180min per day. At PND 28, male Wistar albino rats were subjected to 5 experimental groups; 1) controls 2) MS rats 3) MS rats treated with fluoxetine 5mg/kg to PND 60, 4) MS rats that were subjected to voluntary running wheel (RW) exercise and 5) MS rats that were subjected to mandatory treadmill (TM) exercise until adulthood. At PND 60, depressive-like behaviors were assessed by using forced swimming test (FST), splash test, and sucrose preference test (SPT). Our results revealed that depressive-like behaviors following MS stress were associated with an increase in expression of toll-like receptor 4 (Tlr-4) and its main signaling protein, Myd88, in the hippocampal formation. Also, we found that voluntary (and not mandatory) physical exercise during adolescence is protected against depressant effects of early-life stress at least partly through mitigating the innate immune responses in the hippocampus.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Depression Sentence A: Clinical and epidemiology studies have implicated depression as a risk factor in the morbidity and mortality of many human diseases. This study sought to determine if depression was associated with alterations in cellular immunity variables-specifically, natural killer (NK) cells and CD8 T lymphocytes-in women with HIV infection. Sentence B: Early life stressful events have detrimental effects on the brain and behavior, which are associated with the development of depression. Immune-inflammatory responses have been reported to contribute in the pathophysiology of depression. Many studies have reported on the beneficial effects of exercise against stress. However, underlying mechanisms through which exercise exerts its effects were poorly studied. Therefore, it applied maternal separation (MS), as a valid animal model of early-life adversity, in rats from postnatal day (PND) 2 to 14 for 180min per day. At PND 28, male Wistar albino rats were subjected to 5 experimental groups; 1) controls 2) MS rats 3) MS rats treated with fluoxetine 5mg/kg to PND 60, 4) MS rats that were subjected to voluntary running wheel (RW) exercise and 5) MS rats that were subjected to mandatory treadmill (TM) exercise until adulthood. At PND 60, depressive-like behaviors were assessed by using forced swimming test (FST), splash test, and sucrose preference test (SPT). Our results revealed that depressive-like behaviors following MS stress were associated with an increase in expression of toll-like receptor 4 (Tlr-4) and its main signaling protein, Myd88, in the hippocampal formation. Also, we found that voluntary (and not mandatory) physical exercise during adolescence is protected against depressant effects of early-life stress at least partly through mitigating the innate immune responses in the hippocampus. ###Answer 1. Changed The meaning of the target word ""depression"" has significantly shifted between the two sentences. In Sentence A, the term is used in the context of a risk factor for various diseases, suggesting a more general and broad definition of the term. In Sentence B, the term is used to describe a specific behavioral phenomenon (depressive-like behaviors) in an animal model, with a more specific and narrow definition. Therefore, the meaning of the target word has changed from a general term to a more specific and narrowly defined term." 72,Depression,"Total T4 and T3 concentrations are often suppressed in burned patients. To investigate the significance of such changes, we have characterized serum T4 and T3 after full-thickness scald burns (60% body surface under anesthesia) of 270-gm male Sprague-Dawley rats housed in a light:dark cycle of 14:10 hr. Groups (N = 9-15) of BURN, SHAM (anesthesia, fur clipped, no burn) and CON (controls) were sacrificed on postburn days 8 and 14. T4 and T3 (radioimmunoassay), free indices (FT4I and FT3I = respective total T4 or T3 X in vitro charcoal T3 uptake, T3U), and free concentrations (FT4 and FT3 = total T4 or T3 X respective equilibrium dialyzable fraction, T4DF or T3DF) were not different between CON and SHAM. Compared to SHAM, mean T4 and FT4I (by about 48% of respective SHAM means on both days), TT3 (by 36, 43%), and FT3I (by 38, 45%) (days 8, 14) were suppressed in BURN (all p less than 0.001). T4DF (both days) and T3DF (day 14) were significantly elevated in BURN, demonstrating a deficit in serum binding, but T3U was not. FT4 (by 26, 22%) and FT3 (by 33, 34%) (day 8, 14) were significantly lower in BURN. On either day, covariance analyses (BURN vs. combined CON + SHAM) correlated FT4I or FT3I with respective FT4 or FT3 (all p less than 0.001, slopes not different in BURN vs. CON + SHAM), but the lower FT4I and FT3I in BURN significantly overestimated (all p less than 0.001) the depression of respective FT4 and FT3 in BURN.(ABSTRACT TRUNCATED AT 250 WORDS)","A substantial proportion of suicide attempts seem to be realized in a sudden manner. However, it is unclear how suicide attempters showing a rapid transition from the decision to die to acting differ from suicide attempters showing a slower transition regarding their suicidal history. The main aim of this study was to determine the proportion of suicide attempters, who reported a rapid transition (≤5, ≤10, ≤180 min) between their decision to die and their actual attempt. Furthermore, attempter groups (≤ vs. >5, ≤ vs. >10 and ≤ vs. >180 min) were compared regarding suicidal history (ideation, plans, and number of lifetime as well as 12 month suicide attempts) as well as depression, hopelessness and trait impulsivity. In total, 118 inpatients (62.7% female; age: M = 38.71, SD = 14.71) hospitalized due to a recent suicide attempt were assessed using structured clinical interview measures assessing suicidal history and self-report instruments. Thirty-six percent reported a time period of ≤5 min, 44% a time period of ≤10 min and 73% a time period of ≤180 min between their decision to die and their attempt. Participants with a rapid transition (≤5, ≤10, ≤180 min) did not differ from participants with a slower transition (>5, >10, >180 min) regarding suicidal history, depression, hopelessness and trait impulsivity. Taken together, a rapid transition seems common, but nevertheless, rapidly realized suicide attempts cannot necessarily be characterized as impulsive.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Depression Sentence A: Total T4 and T3 concentrations are often suppressed in burned patients. To investigate the significance of such changes, we have characterized serum T4 and T3 after full-thickness scald burns (60% body surface under anesthesia) of 270-gm male Sprague-Dawley rats housed in a light:dark cycle of 14:10 hr. Groups (N = 9-15) of BURN, SHAM (anesthesia, fur clipped, no burn) and CON (controls) were sacrificed on postburn days 8 and 14. T4 and T3 (radioimmunoassay), free indices (FT4I and FT3I = respective total T4 or T3 X in vitro charcoal T3 uptake, T3U), and free concentrations (FT4 and FT3 = total T4 or T3 X respective equilibrium dialyzable fraction, T4DF or T3DF) were not different between CON and SHAM. Compared to SHAM, mean T4 and FT4I (by about 48% of respective SHAM means on both days), TT3 (by 36, 43%), and FT3I (by 38, 45%) (days 8, 14) were suppressed in BURN (all p less than 0.001). T4DF (both days) and T3DF (day 14) were significantly elevated in BURN, demonstrating a deficit in serum binding, but T3U was not. FT4 (by 26, 22%) and FT3 (by 33, 34%) (day 8, 14) were significantly lower in BURN. On either day, covariance analyses (BURN vs. combined CON + SHAM) correlated FT4I or FT3I with respective FT4 or FT3 (all p less than 0.001, slopes not different in BURN vs. CON + SHAM), but the lower FT4I and FT3I in BURN significantly overestimated (all p less than 0.001) the depression of respective FT4 and FT3 in BURN.(ABSTRACT TRUNCATED AT 250 WORDS) Sentence B: A substantial proportion of suicide attempts seem to be realized in a sudden manner. However, it is unclear how suicide attempters showing a rapid transition from the decision to die to acting differ from suicide attempters showing a slower transition regarding their suicidal history. The main aim of this study was to determine the proportion of suicide attempters, who reported a rapid transition (≤5, ≤10, ≤180 min) between their decision to die and their actual attempt. Furthermore, attempter groups (≤ vs. >5, ≤ vs. >10 and ≤ vs. >180 min) were compared regarding suicidal history (ideation, plans, and number of lifetime as well as 12 month suicide attempts) as well as depression, hopelessness and trait impulsivity. In total, 118 inpatients (62.7% female; age: M = 38.71, SD = 14.71) hospitalized due to a recent suicide attempt were assessed using structured clinical interview measures assessing suicidal history and self-report instruments. Thirty-six percent reported a time period of ≤5 min, 44% a time period of ≤10 min and 73% a time period of ≤180 min between their decision to die and their attempt. Participants with a rapid transition (≤5, ≤10, ≤180 min) did not differ from participants with a slower transition (>5, >10, >180 min) regarding suicidal history, depression, hopelessness and trait impulsivity. Taken together, a rapid transition seems common, but nevertheless, rapidly realized suicide attempts cannot necessarily be characterized as impulsive. ###Answer 1. Changed Reasoning: In Sentence A, the target word ""depression"" is used to describe a suppression of total T4 and T3 concentrations in burned patients. The sentence suggests that the burn injury leads to changes in the body's ability to produce and bind these hormones, which could potentially impact the patient's overall health and well-being. However, in Sentence B, the target word ""depression"" is used in a different context, referring to the rapid transition between the decision to die and the actual attempt. This shift in meaning suggests that the term ""depression"" has undergone semantic drift, as its original meaning related to mental health has been replaced by a new meaning related to the speed of suicide attempts. Therefore, the label ""Changed"" is appropriate for this task." 73,Depression,"Techniques have been developed to introduce specific genes from one species into the germplasm of another, including livestock. This paper reviews reports on evaluation, selection, and breeding procedures for introduction and multiplication of transgenes in breeding populations of livestock. Before transgenes are introduced and multiplied in commercial breeding populations, it is necessary to test transgenics extensively for both favorable and unfavorable transgene effects. Parent stock used to produce transgenic founder animals should be selected to excel in polygenic breeding value for economically important traits, especially if founder animals or their sons are to be used directly by AI in commercial populations. However, polygenic breeding value of founder transgenic animals and inbreeding depression are of negligible importance if a transgene is introgressed into a selection nucleus population from three or four generations of backcrossing. Transgenic development should be economically viable for traits with major effects on net merit, especially in the dairy industry, where transgenic sires can be used extensively by AI. A minimum effect of about 10% of the mean (or one phenotypic standard deviation) is a reasonable approximation of the minimum transgene effect that would be necessary to justify introgression into a nucleus swine population. A transgene effect of 10 to 20% of the mean would be required for most economic traits in beef cattle.","Despite promising new therapies, bipolar depression remains difficult to treat. Up to half of patients do not respond adequately to currently approved treatments. This study evaluated the efficacy of adjunctive inositol for bipolar depression.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Depression Sentence A: Techniques have been developed to introduce specific genes from one species into the germplasm of another, including livestock. This paper reviews reports on evaluation, selection, and breeding procedures for introduction and multiplication of transgenes in breeding populations of livestock. Before transgenes are introduced and multiplied in commercial breeding populations, it is necessary to test transgenics extensively for both favorable and unfavorable transgene effects. Parent stock used to produce transgenic founder animals should be selected to excel in polygenic breeding value for economically important traits, especially if founder animals or their sons are to be used directly by AI in commercial populations. However, polygenic breeding value of founder transgenic animals and inbreeding depression are of negligible importance if a transgene is introgressed into a selection nucleus population from three or four generations of backcrossing. Transgenic development should be economically viable for traits with major effects on net merit, especially in the dairy industry, where transgenic sires can be used extensively by AI. A minimum effect of about 10% of the mean (or one phenotypic standard deviation) is a reasonable approximation of the minimum transgene effect that would be necessary to justify introgression into a nucleus swine population. A transgene effect of 10 to 20% of the mean would be required for most economic traits in beef cattle. Sentence B: Despite promising new therapies, bipolar depression remains difficult to treat. Up to half of patients do not respond adequately to currently approved treatments. This study evaluated the efficacy of adjunctive inositol for bipolar depression. ###Answer 1. Changed Reasoning: In Sentence A, the term ""depression"" is used in the context of genetics and breeding, referring to the introduction of specific genes into an organism. In this context, the term likely refers to the genetic manipulation of the organism, rather than a psychological disorder. In Sentence B, the term ""depression"" is used in the context of psychology and mental health, referring to a mental disorder characterized by persistent feelings of sadness, hopelessness, and a loss of interest in activities. The term is used to describe a condition that is difficult to treat, with many patients not responding adequately to currently approved treatments. As a result, the meaning of the term ""depression"" has changed significantly between the two sentences. In Sentence A, it refers to a genetic manipulation, while in Sentence B, it refers to a psychological disorder. Therefore, I have labeled the term ""changed"" in both sentences." 74,Depression,"Effects of dissociative anesthesia on cardiovascular dynamics and respiration were investigated in rhesus macaques to determine its use in nonhuman primates for restraint and minor surgical procedures. Respiration was spontaneous, and premedicants or anesthetic adjuvants were not used. Two doses of the anesthetic were administered (IM): 1.5 and 3.0 mg/kg. Depressant effects were observed in all variables initially; some cardiovascular variables eventually exceeded preinjection values after the higher (3.0 mg/kg) dose level. At a dose of 1.5 mg/kg, significant depression in myocardial contractility persisted for 20 minutes, and at 3.0 mg/kg for 50 minutes. Stroke volume was minimally affected initially, although significant increases occurred at 40 and 50 minutes after the 3.0 mg/kg injections. Heart rate was depressed by 5% and 7% in the animals given the small and large doses. Values were within control levels by 90 minutes after the anesthetic was injected, except respiratory rate and body temperature. We conclude that the dissociative anesthetic used produces neither marked nor prolonged cardiovascular effects. Since cardiovascular effects are absent by 90 minutes after the anesthetic was injected, dissociative anesthesia is a desirable technique for minor surgical procedures and restraint, especially before physiologic studies.","The developmental impact of selective serotonin reuptake inhibitor (SSRI) and other antidepressant treatments during gestation and postpartum on anxiety and depression behaviors in offspring is unclear. This review focuses on how perinatal exposure to SSRI and other antidepressant may have long term consequences for these affective behaviors during early childhood and beyond. Outcomes vary and consideration is given to methodological factors related to how early SSRI exposure affects developments studied in rodent models such as: a) between pre- and early post-natal SSRI exposure, b) sex, c) experimental models of gestational maternal stress and d) impact of non-SSRI antidepressant medications. We will also review how multiple contextual factors (maternal caregiving and gene x environment interactions) may contribute to the effects of perinatal SSRI exposure and maternal mental illness on affective behaviors in children.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Depression Sentence A: Effects of dissociative anesthesia on cardiovascular dynamics and respiration were investigated in rhesus macaques to determine its use in nonhuman primates for restraint and minor surgical procedures. Respiration was spontaneous, and premedicants or anesthetic adjuvants were not used. Two doses of the anesthetic were administered (IM): 1.5 and 3.0 mg/kg. Depressant effects were observed in all variables initially; some cardiovascular variables eventually exceeded preinjection values after the higher (3.0 mg/kg) dose level. At a dose of 1.5 mg/kg, significant depression in myocardial contractility persisted for 20 minutes, and at 3.0 mg/kg for 50 minutes. Stroke volume was minimally affected initially, although significant increases occurred at 40 and 50 minutes after the 3.0 mg/kg injections. Heart rate was depressed by 5% and 7% in the animals given the small and large doses. Values were within control levels by 90 minutes after the anesthetic was injected, except respiratory rate and body temperature. We conclude that the dissociative anesthetic used produces neither marked nor prolonged cardiovascular effects. Since cardiovascular effects are absent by 90 minutes after the anesthetic was injected, dissociative anesthesia is a desirable technique for minor surgical procedures and restraint, especially before physiologic studies. Sentence B: The developmental impact of selective serotonin reuptake inhibitor (SSRI) and other antidepressant treatments during gestation and postpartum on anxiety and depression behaviors in offspring is unclear. This review focuses on how perinatal exposure to SSRI and other antidepressant may have long term consequences for these affective behaviors during early childhood and beyond. Outcomes vary and consideration is given to methodological factors related to how early SSRI exposure affects developments studied in rodent models such as: a) between pre- and early post-natal SSRI exposure, b) sex, c) experimental models of gestational maternal stress and d) impact of non-SSRI antidepressant medications. We will also review how multiple contextual factors (maternal caregiving and gene x environment interactions) may contribute to the effects of perinatal SSRI exposure and maternal mental illness on affective behaviors in children. ###Answer 1. Changed Reasoning: In Sentence A, the term ""depression"" is used to describe the effects of a dissociative anesthetic on cardiovascular dynamics and respiration in nonhuman primates. The context suggests that the term has a relatively narrow and specific meaning in this context, related to the physiological effects of the anesthetic. There is no suggestion of the term having a broader meaning related to mental health or mood. In Sentence B, the term ""depression"" is used in a different context, to describe the potential long-term consequences of antidepressant treatments during gestation and postpartum on affective behaviors in offspring. The context suggests that the term has a broader meaning related to mood or emotional state, and may be related to mental health issues. The sentence implies that the term ""depression"" has shifted in meaning over time, from a relatively narrow physiological context in Sentence A to a broader psychological or emotional context in Sentence B. Therefore, the label ""Changed"" is appropriate." 75,Depression,"The vulnerability-accumulation (or scarring) hypothesis postulates that the experience of depression induces a lasting increase in vulnerability, and through this raises the risk of recurrence. We examined the validity of the vulnerability-accumulation model for depressive episodes in later life. The sample comprised 26 elderly persons who had remitted from a depressive episode and 96 control respondents who were all selected from the participants of a large community survey among persons aged 57 years or more. Several psychosocial vulnerability indicators were assessed premorbidly, during the depressive episode and after remission. High levels of psychological distress, low life satisfaction, chronic somatic diseases, high neuroticism, and low scores on extraversion, mastery, and self-efficacy appeared to be predictors of depression in this sample. During the depressive episode, psychological distress was higher and life satisfaction, physical, role, and social functioning, as well as feelings of self-efficacy lower than before the episode. Physical and role functioning, cognitive function, and self-efficacy were lower after remission compared to premorbid levels, but (other) personality indices had not changed after remission compared to premorbid levels. Furthermore, we failed to find differences between first and recurrent episodes. Support for the vulnerability-accumulation model was limited at the most. Although psychosocial scarring may occur in the elderly, our findings tentatively suggest that this accumulation does not manifest itself in major vulnerability indicators such as neuroticism.","The role of alcohol, tobacco and cannabis use in social differences in terms of depression is poorly understood.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Depression Sentence A: The vulnerability-accumulation (or scarring) hypothesis postulates that the experience of depression induces a lasting increase in vulnerability, and through this raises the risk of recurrence. We examined the validity of the vulnerability-accumulation model for depressive episodes in later life. The sample comprised 26 elderly persons who had remitted from a depressive episode and 96 control respondents who were all selected from the participants of a large community survey among persons aged 57 years or more. Several psychosocial vulnerability indicators were assessed premorbidly, during the depressive episode and after remission. High levels of psychological distress, low life satisfaction, chronic somatic diseases, high neuroticism, and low scores on extraversion, mastery, and self-efficacy appeared to be predictors of depression in this sample. During the depressive episode, psychological distress was higher and life satisfaction, physical, role, and social functioning, as well as feelings of self-efficacy lower than before the episode. Physical and role functioning, cognitive function, and self-efficacy were lower after remission compared to premorbid levels, but (other) personality indices had not changed after remission compared to premorbid levels. Furthermore, we failed to find differences between first and recurrent episodes. Support for the vulnerability-accumulation model was limited at the most. Although psychosocial scarring may occur in the elderly, our findings tentatively suggest that this accumulation does not manifest itself in major vulnerability indicators such as neuroticism. Sentence B: The role of alcohol, tobacco and cannabis use in social differences in terms of depression is poorly understood. ###Answer 1. Changed Reasoning: In Sentence A, the target word ""depression"" is used to describe a mental health disorder characterized by vulnerability and scarring. The sentence mentions the accumulation of vulnerability during a depressive episode and the failure to find differences between first and recurrent episodes. This suggests that the meaning of ""depression"" has shifted towards a more permanent and lasting condition, rather than a temporary state. In Sentence B, the target word ""depression"" is used in a different context, without any mention of vulnerability or scarring. The sentence instead focuses on the role of substance use in social differences in terms of depression. This suggests that the meaning of ""depression"" has expanded to include a broader range of factors, including social and environmental factors. Therefore, based on the different contexts and meanings associated with the target word in the two sentences, it can be concluded that semantic drift has occurred in the meaning of ""depression""." 76,Depression,"Myelosuppression in patients with cancer is usually the result of tumor invasion of the bone marrow, cytotoxic chemotherapy, or radiation therapy, all of which suppress bone marrow function. Anemia, thrombocytopenia, and neutropenia are the three most clinically significant complications that result from bone marrow depression. Although anemia and thrombocytopenia can produce serious clinical problems, blood-component transfusions--despite having inherent problems of their own--usually are successful in correcting or minimizing these complications. Although neutropenia is manageable in most situations, it remains a serious problem that, at its worst, can progress to life-threatening septicemia. The longer neutrophil counts remain low, the more susceptible patients become to infection by endogenous and exogenous microbial flora. Accordingly, the oncology nurse increases the frequency of patient assessment and monitoring for infection. Control measures are introduced to minimize environmental contaminants. These measures attempt to reduce the incidence of opportunistic infections that frequently occur in patients with severe or prolonged neutropenia and for which antimicrobial therapy is indicated. Implementing specific infection-control interventions and thoroughly educating the patient and his/her family help to limit the clinical problems associated with myelosuppression for most patients.","Atopic dermatitis (AD) is the most common chronic inflammatory skin disease worldwide and displays many atopic, but also non-atopic comorbidities. Among the latter, mental health disorders such as depression have been extensively studied. However, data on addictions are still rare.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Depression Sentence A: Myelosuppression in patients with cancer is usually the result of tumor invasion of the bone marrow, cytotoxic chemotherapy, or radiation therapy, all of which suppress bone marrow function. Anemia, thrombocytopenia, and neutropenia are the three most clinically significant complications that result from bone marrow depression. Although anemia and thrombocytopenia can produce serious clinical problems, blood-component transfusions--despite having inherent problems of their own--usually are successful in correcting or minimizing these complications. Although neutropenia is manageable in most situations, it remains a serious problem that, at its worst, can progress to life-threatening septicemia. The longer neutrophil counts remain low, the more susceptible patients become to infection by endogenous and exogenous microbial flora. Accordingly, the oncology nurse increases the frequency of patient assessment and monitoring for infection. Control measures are introduced to minimize environmental contaminants. These measures attempt to reduce the incidence of opportunistic infections that frequently occur in patients with severe or prolonged neutropenia and for which antimicrobial therapy is indicated. Implementing specific infection-control interventions and thoroughly educating the patient and his/her family help to limit the clinical problems associated with myelosuppression for most patients. Sentence B: Atopic dermatitis (AD) is the most common chronic inflammatory skin disease worldwide and displays many atopic, but also non-atopic comorbidities. Among the latter, mental health disorders such as depression have been extensively studied. However, data on addictions are still rare. ###Answer 1. Changed Reasoning: In Sentence A, the target word ""depression"" is used to describe a specific medical condition (myelosuppression-related complications) and its associated clinical problems (anaemia, thrombocytopenia, and neutropenia). The word carries a negative connotation, emphasizing the adverse effects of the condition on the patient's quality of life. In Sentence B, the target word ""depression"" has a different meaning. It is used to describe a mental health disorder (atopic dermatitis-related depression) and its associated psychological symptoms (e.g., sadness, anxiety). The word carries a different connotation, focusing on the emotional and psychological impact of the condition on the patient. Based on these differences in meaning and connotation, it can be concluded that the word ""depression"" has undergone semantic drift between Sentence A and Sentence B. Therefore, the label ""Changed"" is appropriate." 77,Depression,"We evaluated the possible cardioprotective effects of enflurane (E) and isoflurane (I) in isolated rat hearts subjected to 40 min normothermic arrest. After reperfusion, hearts were stimulated with adrenaline to evaluate their systolic reserves. In hearts not receiving I or E, adenosine triphosphate (ATP) was reduced from 23.0 +/- 0.8 to 9.3 +/- 1.1 mumol/g dry weight (means +/- SEM; P < 0.001) after arrest. This was associated with a significant reduction in ventricular work (Wt) from 13.6 +/- 0.7 to 1.6 +/- 0.7 mW (P < 0.001). Adrenaline partially restored Wt but not the ATP. E and I given only during normothermic arrest (in the cardioplegic solution) resulted in reductions in ATP similar to the hearts not receiving the drugs. However, on reperfusion and subsequent administration of adrenaline, hearts subjected to the anesthetic drugs performed as well as hearts before arrest. For example, in hearts not exposed to I or E, the Wt after the elective arrest was 1.55 +/- 0.05% (mean +/- SEM) of the pre-arrest value. This was significantly less than hearts exposed to either one of the inhalational agents (40.02 +/- 3.49% of the pre-arrest value; P < 0.0001). Adrenaline improved function in hearts which did not receive I or E to 55.02 +/- 12.80% of the pre-arrest value, but this was significantly less than the Wt performed by the hearts exposed to the anesthetic agents (122.67 +/- 7.78% of pre-arrest value; P < 0.001). This beneficial effect of I and E during reperfusion probably is mediated by the effect of the anesthetic agents on Ca2+ slow channels. The effect could not be ascribed to depression of global myocardial contractile function associated with I and E.","The objective is to present the design of a randomized clinical trial (RCT) on the effectiveness and cost effectiveness of a behavioural graded activity programme compared with manual therapy in patients with sub-acute neck pain. Sub-acute is defined as pain existing for 4-12 weeks. The behavioural graded activity programme is a time-contingent increase in activities from baseline towards pre-determined goals. Manual therapy consists mainly of specific spinal mobilization techniques and exercises. The primary outcomes are global perceived effect and functional status. Secondary outcomes are kinesiophobia, distress, coping, depression and somatization. The intensity and persistence of the pain and its interference with activities are also assessed. Direct and indirect costs are measured by means of cost diaries. Measurements take place at baseline and 6 and 12 weeks after randomization. To assess the long-term effect, measurements will also take place after 6 and 12 months. Finally some challenges are discussed concerning the use of a behavioural graded activity programme, manual therapy and outcomes.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Depression Sentence A: We evaluated the possible cardioprotective effects of enflurane (E) and isoflurane (I) in isolated rat hearts subjected to 40 min normothermic arrest. After reperfusion, hearts were stimulated with adrenaline to evaluate their systolic reserves. In hearts not receiving I or E, adenosine triphosphate (ATP) was reduced from 23.0 +/- 0.8 to 9.3 +/- 1.1 mumol/g dry weight (means +/- SEM; P < 0.001) after arrest. This was associated with a significant reduction in ventricular work (Wt) from 13.6 +/- 0.7 to 1.6 +/- 0.7 mW (P < 0.001). Adrenaline partially restored Wt but not the ATP. E and I given only during normothermic arrest (in the cardioplegic solution) resulted in reductions in ATP similar to the hearts not receiving the drugs. However, on reperfusion and subsequent administration of adrenaline, hearts subjected to the anesthetic drugs performed as well as hearts before arrest. For example, in hearts not exposed to I or E, the Wt after the elective arrest was 1.55 +/- 0.05% (mean +/- SEM) of the pre-arrest value. This was significantly less than hearts exposed to either one of the inhalational agents (40.02 +/- 3.49% of the pre-arrest value; P < 0.0001). Adrenaline improved function in hearts which did not receive I or E to 55.02 +/- 12.80% of the pre-arrest value, but this was significantly less than the Wt performed by the hearts exposed to the anesthetic agents (122.67 +/- 7.78% of pre-arrest value; P < 0.001). This beneficial effect of I and E during reperfusion probably is mediated by the effect of the anesthetic agents on Ca2+ slow channels. The effect could not be ascribed to depression of global myocardial contractile function associated with I and E. Sentence B: The objective is to present the design of a randomized clinical trial (RCT) on the effectiveness and cost effectiveness of a behavioural graded activity programme compared with manual therapy in patients with sub-acute neck pain. Sub-acute is defined as pain existing for 4-12 weeks. The behavioural graded activity programme is a time-contingent increase in activities from baseline towards pre-determined goals. Manual therapy consists mainly of specific spinal mobilization techniques and exercises. The primary outcomes are global perceived effect and functional status. Secondary outcomes are kinesiophobia, distress, coping, depression and somatization. The intensity and persistence of the pain and its interference with activities are also assessed. Direct and indirect costs are measured by means of cost diaries. Measurements take place at baseline and 6 and 12 weeks after randomization. To assess the long-term effect, measurements will also take place after 6 and 12 months. Finally some challenges are discussed concerning the use of a behavioural graded activity programme, manual therapy and outcomes. ###Answer 1. Changed Reasoning: The meaning of ""depression"" has shifted significantly between the two sentences. In Sentence A, the term likely refers to the cardioprotective effects of anesthetic agents on the heart, with a mention of ATP reduction. In Sentence B, the term refers to a clinical trial studying the effectiveness of a behavioural graded activity programme for neck pain, with no mention of cardiac function. The shift in meaning is evident in the context of each sentence, and the term has taken on a different connotation over time. Therefore, the label ""Changed"" is appropriate." 78,Depression,"Depression is a common psychiatric disorder in children, adolescents, adults, and the elderly. Primary care physicians, not mental health professionals, treat the majority of patients with symptoms of depression. Persons who are depressed have feelings of sadness, loneliness, irritability, worthlessness, hopelessness, agitation, and guilt that may be accompanied by an array of physical symptoms. A diagnosis of major depression requires that symptoms be present for two weeks or longer. Identifying patients with depression can be difficult in busy primary care settings where time is limited, but certain depression screening measures may help physicians diagnose the disorder. Patients who score above the predetermined cut-off levels on the screening measures should be interviewed more specifically for a diagnosis of a depressive disorder and treated within the primary care physician's scope of practice or referred to a mental health subspecialist as clinically indicated. Targeted screening in high-risk patients such as those with chronic diseases, pain, unexplained symptoms, stressful home environments, or social isolation, and those who are postnatal or elderly may provide an alternative approach to identifying patients with depression.","Depression and antidepressants are among risk factors for osteoporosis. However, there are still inconsistencies in literature regarding bone consequences of antidepressant drugs and the role of age and the natural decline of bone health in patients with depression.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Depression Sentence A: Depression is a common psychiatric disorder in children, adolescents, adults, and the elderly. Primary care physicians, not mental health professionals, treat the majority of patients with symptoms of depression. Persons who are depressed have feelings of sadness, loneliness, irritability, worthlessness, hopelessness, agitation, and guilt that may be accompanied by an array of physical symptoms. A diagnosis of major depression requires that symptoms be present for two weeks or longer. Identifying patients with depression can be difficult in busy primary care settings where time is limited, but certain depression screening measures may help physicians diagnose the disorder. Patients who score above the predetermined cut-off levels on the screening measures should be interviewed more specifically for a diagnosis of a depressive disorder and treated within the primary care physician's scope of practice or referred to a mental health subspecialist as clinically indicated. Targeted screening in high-risk patients such as those with chronic diseases, pain, unexplained symptoms, stressful home environments, or social isolation, and those who are postnatal or elderly may provide an alternative approach to identifying patients with depression. Sentence B: Depression and antidepressants are among risk factors for osteoporosis. However, there are still inconsistencies in literature regarding bone consequences of antidepressant drugs and the role of age and the natural decline of bone health in patients with depression. ###Answer 1. Changed Reasoning: In Sentence A, the target word ""depression"" is used to describe a psychiatric disorder characterized by feelings of sadness, loneliness, irritability, worthlessness, hopelessness, agitation, and guilt, often accompanied by physical symptoms. In Sentence B, the target word ""depression"" is used in the context of osteoporosis, suggesting a shift in meaning towards a broader definition of the term, encompassing not only the psychiatric disorder but also the potential long-term effects of antidepressant medication on bone health." 79,Depression,"Athymic nude mice and euthymic litter mates with BALB/cA back-ground were infected intranasally with a strain of Sendai virus. While no severe illness occurred in euthymic litter mates, some of nude mice showed marked body weight loss and died within 3 weeks after infection. The remaining nude mice recovered from the early depression and survived for 6 weeks or more with chronic pulmonary lesions. The virus was demonstrable in lungs of these chronic cases up to 10 weeks after infection, and none of infected nude mice were found to have anti-Sendai virus antibodies. Pulmonary lesions were characterized by diffuse interstitial pneumonia with a high incidence of prominent adenomatous metaplasia of alveolar epithelium.","The purpose of this study is to investigate the prevalence rate and risk factors of depression in outpatients who were diagnosed with PE. Therefore, between September 2009 and September 2011, 1801 outpatients at andrology clinics were enrolled and consented to participate in our survey by completed a verbal questionnaire. It included the following: (1) demographic data (e.g., age, body mass index), (2) PE duration, medical history, and sexual history, (3) self-estimated intravaginal ejaculatory latency times, (4) the Zung Self-rating Depression Scale (SDS), and (5) the National Institute of Health Chronic Prostatitis Symptom Index (NIH-CPSI) and (6) the International Index of Erectile Function (IIEF-5). The results showed that a total of 1,206 patients were diagnosed with PE. The prevalence rate of depression in these PE patients was 26.78%. Depression was associated with PE duration, NIH-CPSI score, and IIEF-5 score. Risk factors for depression specifically included PE durations for 13-24, 25-60, or ≥61 months, CPSI scores of 15-30 or ≥31, and IIEF-5 scores <22. These findings suggested that several associated factors (PE duration, CPSI scores, and IIEF-5 scores) were the risk factors of depression in men with PE. ","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Depression Sentence A: Athymic nude mice and euthymic litter mates with BALB/cA back-ground were infected intranasally with a strain of Sendai virus. While no severe illness occurred in euthymic litter mates, some of nude mice showed marked body weight loss and died within 3 weeks after infection. The remaining nude mice recovered from the early depression and survived for 6 weeks or more with chronic pulmonary lesions. The virus was demonstrable in lungs of these chronic cases up to 10 weeks after infection, and none of infected nude mice were found to have anti-Sendai virus antibodies. Pulmonary lesions were characterized by diffuse interstitial pneumonia with a high incidence of prominent adenomatous metaplasia of alveolar epithelium. Sentence B: The purpose of this study is to investigate the prevalence rate and risk factors of depression in outpatients who were diagnosed with PE. Therefore, between September 2009 and September 2011, 1801 outpatients at andrology clinics were enrolled and consented to participate in our survey by completed a verbal questionnaire. It included the following: (1) demographic data (e.g., age, body mass index), (2) PE duration, medical history, and sexual history, (3) self-estimated intravaginal ejaculatory latency times, (4) the Zung Self-rating Depression Scale (SDS), and (5) the National Institute of Health Chronic Prostatitis Symptom Index (NIH-CPSI) and (6) the International Index of Erectile Function (IIEF-5). The results showed that a total of 1,206 patients were diagnosed with PE. The prevalence rate of depression in these PE patients was 26.78%. Depression was associated with PE duration, NIH-CPSI score, and IIEF-5 score. Risk factors for depression specifically included PE durations for 13-24, 25-60, or ≥61 months, CPSI scores of 15-30 or ≥31, and IIEF-5 scores <22. These findings suggested that several associated factors (PE duration, CPSI scores, and IIEF-5 scores) were the risk factors of depression in men with PE. ###Answer 1. Changed The meaning of the target word ""depression"" has shifted significantly between the two sentences. In Sentence A, the word is used to describe a physical symptom (body weight loss and death) in an animal model, with no mention of psychological or emotional aspects. In Sentence B, the word is used to describe a psychological or emotional state (a self-reported measure of sadness or hopelessness) in humans, with a focus on the association between PE duration and depression. The context and meaning of the word have changed significantly between the two timestamps, indicating semantic drift." 80,Depression,"Eight depressed patients received 150 mg of clomipramine for 4 weeks. They completed the Profile of Mood States five to seven times the first week of treatment and five to seven times at the end of treatment. Moods showing significant decrease from the beginning to the end of the first week were: tension-anxiety, depression, anger-hostility, and confusion. The only changes from the beginning to the end of the 4-week period were an increase in vigor and a decrease in fatigue. The occurrence of rapid and slow mood changes with antidepressants suggested that the former were due to sedative effects and the latter occurred at the rate of the improvement in the disease depression.","Selective serotonin reuptake inhibitors (SSRIs) are a widely used group of antidepressants (ADs) with reported potential detrimental effects on bone mineral density (BMD) and increased fracture risk. Here, a comprehensive review of the in vitro, in vivo and clinical studies to date was carried out using the medical search engines MEDLINE (1950 to September 2010) and EMBASE (1980 to September 2010). Serotonin (5-HT) receptors have been identified on osteoclast, osteoblast and osteocyte cell lines. The effect of SSRIs on bone formation and resorption appears to be governed by the activation of a number of 5-HT receptors on osteoblasts and osteoclasts via endocrine, autocrine/paracrine and neuronal pathways. In vitro, in vivo and clinical collective data appears to indicate that SSRIs have a negative effect on bone at the therapeutic dose levels widely used for the treatment of depression in current clinical practice. Caution may therefore have to be employed with the use of SSRIs in patients at an increased risk of falls and osteoporosis. Further studies are needed in order to fully elicit the role of SSRIs in bone formation and their effects in the low oestrogen state.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Depression Sentence A: Eight depressed patients received 150 mg of clomipramine for 4 weeks. They completed the Profile of Mood States five to seven times the first week of treatment and five to seven times at the end of treatment. Moods showing significant decrease from the beginning to the end of the first week were: tension-anxiety, depression, anger-hostility, and confusion. The only changes from the beginning to the end of the 4-week period were an increase in vigor and a decrease in fatigue. The occurrence of rapid and slow mood changes with antidepressants suggested that the former were due to sedative effects and the latter occurred at the rate of the improvement in the disease depression. Sentence B: Selective serotonin reuptake inhibitors (SSRIs) are a widely used group of antidepressants (ADs) with reported potential detrimental effects on bone mineral density (BMD) and increased fracture risk. Here, a comprehensive review of the in vitro, in vivo and clinical studies to date was carried out using the medical search engines MEDLINE (1950 to September 2010) and EMBASE (1980 to September 2010). Serotonin (5-HT) receptors have been identified on osteoclast, osteoblast and osteocyte cell lines. The effect of SSRIs on bone formation and resorption appears to be governed by the activation of a number of 5-HT receptors on osteoblasts and osteoclasts via endocrine, autocrine/paracrine and neuronal pathways. In vitro, in vivo and clinical collective data appears to indicate that SSRIs have a negative effect on bone at the therapeutic dose levels widely used for the treatment of depression in current clinical practice. Caution may therefore have to be employed with the use of SSRIs in patients at an increased risk of falls and osteoporosis. Further studies are needed in order to fully elicit the role of SSRIs in bone formation and their effects in the low oestrogen state. ###Answer 1. Changed Reasoning: In Sentence A, the target word ""depression"" is used to describe a specific medical condition characterized by symptoms of sadness, hopelessness, and a loss of interest in activities. The sentence highlights the effectiveness of clomipramine in treating this condition, with a decrease in moods such as tension-anxiety, depression, anger-hostility, and confusion. The sentence also mentions the duration of treatment and the rate of improvement. In Sentence B, the target word ""depression"" has a different connotation. It is used to describe the potential negative effects of selective serotonin reuptake inhibitors (SSRIs) on bone mineral density (BMD) and increased fracture risk. The sentence highlights the activation of serotonin (5-HT) receptors on osteoblasts and osteoclasts, which appears to govern the effect of SSRIs on bone formation and resorption. The sentence also mentions the need for caution in using SSRIs in patients at an increased risk of falls and osteoporosis. The difference in meaning between the two sentences is significant, as Sentence B implies that SSRIs have a negative effect on bone health, whereas Sentence A does not mention any such effect. Therefore, I would label the target word ""depression"" in Sentence B as having undergone semantic drift compared to Sentence A." 81,Depression,"In healthy subjects, functionally appropriate modulation of short latency leg muscle reflexes occurs during gait. This modulation has been ascribed, in part, to changes in presynaptic inhibition of Ia afferents. The changes in modulation of quadriceps tendon jerk reflexes during gait of healthy subjects were compared with those of hemi- or paraparetic spastic patients. The spasticity was due to unilateral cerebral infarction or traumatic spinal cord injury, respectively. The modulation of the quadriceps femoris tendon jerk reflex at 16 phases of the step cycle was studied. The reflex responses obtained during treadmill walking were compared with control values obtained during gait-mimicking standing postures with corresponding levels of voluntary muscle contraction and knee angles. In healthy subjects the size of the reflexes was profoundly modulated and was generally depressed throughout the step cycle. In patients with spinal lesion the reflex depression during gait was almost removed and was associated with weak or no modulation during the step cycle. In patients with cerebral lesion there was less depression of the reflex size associated with a reduced reflex modulation on the affected side compared with healthy subjects. On the 'unaffected' side of these patients reflex modulation was similar to that of healthy subjects, but the reflex size during gait was not significantly different from standing control values. These observations suggest that the mechanisms responsible for the depression of reflex size and the modulation normally seen during gait in healthy subjects are impaired to different extents in spasticity of spinal or cerebral origin, possibly due to the unilateral preservation of fibre tracts in hemiparesis.","Few Korean studies have explored factors that influence depressive symptoms, a condition that is likely to increase with age. This study examines how worries, psychosocial resources, specifically family support, are related to depressive symptoms among a sample of the oldest old in South Korea. The buffering effects of psychosocial resources previously identified as reducing the impact of worries on depression in the younger old age group were also examined.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Depression Sentence A: In healthy subjects, functionally appropriate modulation of short latency leg muscle reflexes occurs during gait. This modulation has been ascribed, in part, to changes in presynaptic inhibition of Ia afferents. The changes in modulation of quadriceps tendon jerk reflexes during gait of healthy subjects were compared with those of hemi- or paraparetic spastic patients. The spasticity was due to unilateral cerebral infarction or traumatic spinal cord injury, respectively. The modulation of the quadriceps femoris tendon jerk reflex at 16 phases of the step cycle was studied. The reflex responses obtained during treadmill walking were compared with control values obtained during gait-mimicking standing postures with corresponding levels of voluntary muscle contraction and knee angles. In healthy subjects the size of the reflexes was profoundly modulated and was generally depressed throughout the step cycle. In patients with spinal lesion the reflex depression during gait was almost removed and was associated with weak or no modulation during the step cycle. In patients with cerebral lesion there was less depression of the reflex size associated with a reduced reflex modulation on the affected side compared with healthy subjects. On the 'unaffected' side of these patients reflex modulation was similar to that of healthy subjects, but the reflex size during gait was not significantly different from standing control values. These observations suggest that the mechanisms responsible for the depression of reflex size and the modulation normally seen during gait in healthy subjects are impaired to different extents in spasticity of spinal or cerebral origin, possibly due to the unilateral preservation of fibre tracts in hemiparesis. Sentence B: Few Korean studies have explored factors that influence depressive symptoms, a condition that is likely to increase with age. This study examines how worries, psychosocial resources, specifically family support, are related to depressive symptoms among a sample of the oldest old in South Korea. The buffering effects of psychosocial resources previously identified as reducing the impact of worries on depression in the younger old age group were also examined. ###Answer 1. Changed Reasoning: In Sentence A, the target word ""depression"" is used to describe a neurological condition, specifically spinal or cerebral origin, and its associated symptoms (e.g., modulation of reflexes, reduced reflex size). The context suggests that the term ""depression"" refers to a specific medical condition with distinct symptoms and causes. In Sentence B, the target word ""depression"" is used in a different context, referring to a mental health condition that affects a larger population, including the oldest old in South Korea. The term ""depression"" is used to describe a common mental health issue, rather than a specific medical condition. The context suggests that the term ""depression"" has shifted in meaning, from a medical condition to a more general term for a mental health issue. Therefore, based on the differences in context and meaning between the two sentences, it can be concluded that the term ""depression"" has undergone semantic drift and has changed its meaning over time." 82,Depression,"This paper is an analysis of data on symptoms of depression in a nationwide sample of adults, collected during the National Center for Health Statistics' first Health and Nutrition Examination Survey. The data are analyzed by a statistical adjustment procedure which assesses the impact of the major sociodemographic variables simultaneously, instead of one by one, which avoids a former major source of confusion. The measure of depression is the Center for Epidemiologic Studies Depression (CES-D) Scale. With the exception of race, the study replicates earlier findings. The adjustment procedure facilitates generalization of the results to other populations which are not demographically comparable, such as to smaller locales in the United States, or to populations defined by some criterion variable. Comparison of results is made with earlier work that used the identical measure of depression in two separate locales.","Osteoarthritis Knee (OA) is the leading cause of pain and disability. This may affect the patient's quality of life (QoL) and lead to the onset of mental disorders. The aim of this study was 1) To find the correlation between the severity of OA, depression, and QoL. 2) To compare the severity of OA knee and QoL between urban and rural areas. 199 patients were diagnosed with OA. All patients had self-assessment with questionnaires in terms of 1) demographic data, 2) the knee severity by using Oxford Knee Score, 3) Depression screening by using Patient Health Questionnaire, and 4) World Health Organization Quality of Life Brief-Thai. The results revealed that OA knee patients had excellent (no abnormal symptoms) and good (mild symptoms) levels of severity were 34.2% and 32.2%, respectively. They also had a good level of QoL. The correlation between residential area and other variables were age group (p < 0.01), severity of osteoarthritis (p < 0.01), and depression (p < 0.05). The severity of OA knee and QoL in the mental health aspect was a significant difference in patients in each age group. (p < 0.01 and p < 0.05, respectively). Depression and QoL were not correlated. The conclusion was patients had less severity of osteoarthritis, good QoL, and no anxiety or depression. Residential areas had no impact on QoL but healthcare providers should explain the treatment plan. The next study should focus on the long term of the patient's QoL.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Depression Sentence A: This paper is an analysis of data on symptoms of depression in a nationwide sample of adults, collected during the National Center for Health Statistics' first Health and Nutrition Examination Survey. The data are analyzed by a statistical adjustment procedure which assesses the impact of the major sociodemographic variables simultaneously, instead of one by one, which avoids a former major source of confusion. The measure of depression is the Center for Epidemiologic Studies Depression (CES-D) Scale. With the exception of race, the study replicates earlier findings. The adjustment procedure facilitates generalization of the results to other populations which are not demographically comparable, such as to smaller locales in the United States, or to populations defined by some criterion variable. Comparison of results is made with earlier work that used the identical measure of depression in two separate locales. Sentence B: Osteoarthritis Knee (OA) is the leading cause of pain and disability. This may affect the patient's quality of life (QoL) and lead to the onset of mental disorders. The aim of this study was 1) To find the correlation between the severity of OA, depression, and QoL. 2) To compare the severity of OA knee and QoL between urban and rural areas. 199 patients were diagnosed with OA. All patients had self-assessment with questionnaires in terms of 1) demographic data, 2) the knee severity by using Oxford Knee Score, 3) Depression screening by using Patient Health Questionnaire, and 4) World Health Organization Quality of Life Brief-Thai. The results revealed that OA knee patients had excellent (no abnormal symptoms) and good (mild symptoms) levels of severity were 34.2% and 32.2%, respectively. They also had a good level of QoL. The correlation between residential area and other variables were age group (p < 0.01), severity of osteoarthritis (p < 0.01), and depression (p < 0.05). The severity of OA knee and QoL in the mental health aspect was a significant difference in patients in each age group. (p < 0.01 and p < 0.05, respectively). Depression and QoL were not correlated. The conclusion was patients had less severity of osteoarthritis, good QoL, and no anxiety or depression. Residential areas had no impact on QoL but healthcare providers should explain the treatment plan. The next study should focus on the long term of the patient's QoL. ###Answer 1. Changed The meaning of the target word ""depression"" has significantly shifted between the two sentences. In Sentence A, the term is used to describe a specific statistical analysis of symptoms of depression in a nationwide sample of adults. The focus is on the measurement and adjustment of symptoms, rather than the condition itself. In Sentence B, the term is used to describe a broader range of conditions, including osteoarthritis knee, and the correlation between these conditions and quality of life. The term ""depression"" is used in a more general sense, without the specific focus on measurement and adjustment. This shift in meaning suggests that the term ""depression"" has undergone semantic drift." 83,Depression,"Forty-two patients with depression and epilepsy were entered into an antidepressant trial of amitriptyline, nomifensine and placebo. The dose of the active drug was 25 mg tid, which was doubled in non-responders on the active drug after 6 weeks. At that point a further 6 week follow-up was carried out. Serum antidepressant and anticonvulsant levels were assessed. The results indicated that at 6 weeks all patients showed a decline in their depression scores but at 12 weeks nomifensine was superior to amitriptyline. The possible reasons for this and the clinical implications of this are discussed.","American youth are seriously impacted by depression and suicide. The Texas Youth Depression and Suicide Research Network (TX-YDSRN) Participant Registry Study was initiated in 2020 to develop predictive models for treatment outcomes in youth with depression and/or suicidality. This report presents the study rationale, design and baseline characteristics of the first 1000 participants.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Depression Sentence A: Forty-two patients with depression and epilepsy were entered into an antidepressant trial of amitriptyline, nomifensine and placebo. The dose of the active drug was 25 mg tid, which was doubled in non-responders on the active drug after 6 weeks. At that point a further 6 week follow-up was carried out. Serum antidepressant and anticonvulsant levels were assessed. The results indicated that at 6 weeks all patients showed a decline in their depression scores but at 12 weeks nomifensine was superior to amitriptyline. The possible reasons for this and the clinical implications of this are discussed. Sentence B: American youth are seriously impacted by depression and suicide. The Texas Youth Depression and Suicide Research Network (TX-YDSRN) Participant Registry Study was initiated in 2020 to develop predictive models for treatment outcomes in youth with depression and/or suicidality. This report presents the study rationale, design and baseline characteristics of the first 1000 participants. ###Answer 1. Changed The target word ""depression"" in Sentence A has undergone significant semantic drift compared to its usage in Sentence B. In Sentence A, the term likely refers to a specific mental health disorder characterized by symptoms of sadness, hopelessness, and a loss of interest in activities. In contrast, in Sentence B, the term ""depression"" may refer to a more general feeling of sadness, hopelessness, or despair, without necessarily implying a specific mental health disorder. This shift in meaning could be due to changes in societal perceptions or understandings of mental health, or to the evolution of medical terminology." 84,Depression,"This study investigated the association between the severity and duration of physical disability and sexual esteem, sexual depression, sexual satisfaction, and the frequency of sexual behavior. A total of 1,196 participants completed the study. There were 748 participants (367 males, 381 females) who had a physical disability and 448 participants (171 males, 277 females) who were able-bodied. The age range of participants was 18-69 years, with a mean age of 36.39 years (SD = 10.41). The results demonstrated that people with more severe physical impairments experienced significantly lower levels of sexual esteem and sexual satisfaction and significantly higher levels of sexual depression than people who had mild impairments or who did not report having a physical impairment. The study also found that people with more severe physical disabilities engaged in mutual sexual activity significantly less frequently. Women with physical disabilities had significantly more positive feelings about their sexuality and significantly more frequent mutual sexual experiences than their male counterparts. For people with physical disabilities, the frequency of oral sex and nude cuddling were significant predictors of sexual satisfaction in men, while the frequency of deep kissing predicted sexual satisfaction in women. Furthermore, the viewing of erotica was significantly related to sexual dissatisfaction in men. Finally, it was found that people who had experienced their physical impairment for a longer period of time reported significantly more positive feelings about their sexuality. Implications of these findings are discussed and suggestions are made for future research.","Cognitive impairment, anxiety and depression have been described in patients with congestive heart failure (CHF). We analyzed in-hospital CHF patients before discharge with neuropsychological tests attempting to correlate with prognostic parameters.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Depression Sentence A: This study investigated the association between the severity and duration of physical disability and sexual esteem, sexual depression, sexual satisfaction, and the frequency of sexual behavior. A total of 1,196 participants completed the study. There were 748 participants (367 males, 381 females) who had a physical disability and 448 participants (171 males, 277 females) who were able-bodied. The age range of participants was 18-69 years, with a mean age of 36.39 years (SD = 10.41). The results demonstrated that people with more severe physical impairments experienced significantly lower levels of sexual esteem and sexual satisfaction and significantly higher levels of sexual depression than people who had mild impairments or who did not report having a physical impairment. The study also found that people with more severe physical disabilities engaged in mutual sexual activity significantly less frequently. Women with physical disabilities had significantly more positive feelings about their sexuality and significantly more frequent mutual sexual experiences than their male counterparts. For people with physical disabilities, the frequency of oral sex and nude cuddling were significant predictors of sexual satisfaction in men, while the frequency of deep kissing predicted sexual satisfaction in women. Furthermore, the viewing of erotica was significantly related to sexual dissatisfaction in men. Finally, it was found that people who had experienced their physical impairment for a longer period of time reported significantly more positive feelings about their sexuality. Implications of these findings are discussed and suggestions are made for future research. Sentence B: Cognitive impairment, anxiety and depression have been described in patients with congestive heart failure (CHF). We analyzed in-hospital CHF patients before discharge with neuropsychological tests attempting to correlate with prognostic parameters. ###Answer 1. Changed The target word ""depression"" has undergone a significant change in meaning between Sentence A and Sentence B. In Sentence A, depression is used to describe a mental health disorder characterized by low mood, loss of interest in activities, and difficulty functioning. However, in Sentence B, depression is used to describe a symptom of cognitive impairment and anxiety in patients with congestive heart failure (CHF). The shift in meaning is likely due to changes in the medical and scientific understanding of depression over time, as well as the evolution of medical terminology. Explanation: In Sentence A, the term ""depression"" is used in the context of a psychological study examining the relationship between physical disability and sexual function. In this context, depression is associated with negative emotions and behaviors related to sexuality. However, in Sentence B, the term ""depression"" is used in a different context, describing a symptom of cognitive impairment and anxiety in patients with CHF. This shift in meaning suggests that the term ""depression"" has undergone semantic drift, as it has taken on a new meaning in a different medical context." 85,Depression,Kinetic 1D simulations reveal that a weak density depression in a current-carrying plasma can lead to the formation of a strong potential ramp (double layer). The ramp and plasma turbulence it creates share many features with recent particle and field measurements in the auroral ionosphere. An electron beam accelerated by the ramp produces a series of propagating electron phase-space holes via a spatial two-stream instability. Electron heating associated with the formation and merging of these holes is found to influence the subsequent evolution of the potential ramp.,"Depression symptom severity, the most commonly studied outcome in antidepressant treatment trials, accounts for only a small portion of burden related to major depression. While lost work productivity is the biggest contributor to depression's economic burden, few studies have systematically evaluated the independent effect of treatment on work productivity and the relationship between changes in work productivity and longer-term clinical course.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Depression Sentence A: Kinetic 1D simulations reveal that a weak density depression in a current-carrying plasma can lead to the formation of a strong potential ramp (double layer). The ramp and plasma turbulence it creates share many features with recent particle and field measurements in the auroral ionosphere. An electron beam accelerated by the ramp produces a series of propagating electron phase-space holes via a spatial two-stream instability. Electron heating associated with the formation and merging of these holes is found to influence the subsequent evolution of the potential ramp. Sentence B: Depression symptom severity, the most commonly studied outcome in antidepressant treatment trials, accounts for only a small portion of burden related to major depression. While lost work productivity is the biggest contributor to depression's economic burden, few studies have systematically evaluated the independent effect of treatment on work productivity and the relationship between changes in work productivity and longer-term clinical course. ###Answer 1. Changed The target word ""depression"" has undergone significant semantic drift between the two sentences. In Sentence A, the word is used in the context of plasma physics to describe a weak density depression in a current-carrying plasma, with connotations of turbulence and electron beam acceleration. In Sentence B, the word is used in the context of mental health to describe symptom severity and economic burden, with connotations of treatment and work productivity. The meaning of the word has shifted from a physical phenomenon to a mental health condition, and its connotation has become more negative and personalized." 86,Depression,"We investigated the predictive effect of psychological defenses on the course of major depression in a subsample of psychiatric patients from a larger study. We tested the hypothesis that a group of eight defenses, associated with depression in previous research, would predict, outcome of major depression. After an intake interview, 37 patients were rated on all DSM-III-R Axes, the SCL-90-R, and 28 defenses, using the Defense Mechanism Rating Scales. At 6-month follow-up interview, SCL-90-R and Global Assessment and Functioning (GAF) were redetermined on 34 (92%), 16 of whom had major depression at intake. Overall Defensive Functioning (ODF) significantly predicted GAF at 6-month follow-up over and above initial level of global functioning and presence of a personality disorder. The group of eight defenses were identified more often (p = .068) in depressed patients who improved less than predicted by their initial functional status. The high adaptive level defense, self-observation, was identified more often in those who improved more than predicted by their initial status. Our findings support the theory of a hierarchy of defenses, and the mediating effects of specific low and high adaptive level defenses on the course of a major depressive episode. Further research should examine passive aggression, acting out, help-rejecting complaining, splitting of self-images, splitting of others' images, projective identification, projection, and devaluation in relationship to the onset, course, and treatment response of depressive disorders.","Introduction The COVID-19 pandemic has caused discrimination and social stigma among healthcare workers (HCW) causing psychological problems due to prolonged work shifts, uncertain pay, lack of personal protective equipment (PPE), added fear of infection to self or family, and so on. This online survey is directed towards the determination of anxiety, depression, and stigma among healthcare providers in Nepal during the later phase of the first wave of the COVID-19 pandemic. Materials and methods Anxiety and depression were assessed using standard Generalized Anxiety Disorder-7 (GAD-7), and Patient Health Questionnaire-9 (PHQ-9), respectively. Data for the survey were collected from January 10, 2021, to February 6, 2021, and analyzed using Stata 15 (College Station, TX: StataCorp LLC). Results A total of 213 participants were enrolled in the study from different parts of Nepal and their mean age was 29.90±6.43 years. The prevalence of anxiety and depression among healthcare workers was 46.95% and 41.31%, respectively. A bidirectional relationship was present between GAD-7 and PHQ-9 score interpretation. About 57% of HCW experienced some form of perceived stigmatization due to COVID-19. Frontline HCW were six times more likely to be stigmatized compared to non-front line HCWs and diagnosis of COVID-19 was associated with three times higher odds of facing perceived stigmatization. Conclusion A significant number of HCW experienced symptoms of anxiety and depression during the later phase of the COVID-19 pandemic. Frontline HCW who were infected experienced a higher level of stigma.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Depression Sentence A: We investigated the predictive effect of psychological defenses on the course of major depression in a subsample of psychiatric patients from a larger study. We tested the hypothesis that a group of eight defenses, associated with depression in previous research, would predict, outcome of major depression. After an intake interview, 37 patients were rated on all DSM-III-R Axes, the SCL-90-R, and 28 defenses, using the Defense Mechanism Rating Scales. At 6-month follow-up interview, SCL-90-R and Global Assessment and Functioning (GAF) were redetermined on 34 (92%), 16 of whom had major depression at intake. Overall Defensive Functioning (ODF) significantly predicted GAF at 6-month follow-up over and above initial level of global functioning and presence of a personality disorder. The group of eight defenses were identified more often (p = .068) in depressed patients who improved less than predicted by their initial functional status. The high adaptive level defense, self-observation, was identified more often in those who improved more than predicted by their initial status. Our findings support the theory of a hierarchy of defenses, and the mediating effects of specific low and high adaptive level defenses on the course of a major depressive episode. Further research should examine passive aggression, acting out, help-rejecting complaining, splitting of self-images, splitting of others' images, projective identification, projection, and devaluation in relationship to the onset, course, and treatment response of depressive disorders. Sentence B: Introduction The COVID-19 pandemic has caused discrimination and social stigma among healthcare workers (HCW) causing psychological problems due to prolonged work shifts, uncertain pay, lack of personal protective equipment (PPE), added fear of infection to self or family, and so on. This online survey is directed towards the determination of anxiety, depression, and stigma among healthcare providers in Nepal during the later phase of the first wave of the COVID-19 pandemic. Materials and methods Anxiety and depression were assessed using standard Generalized Anxiety Disorder-7 (GAD-7), and Patient Health Questionnaire-9 (PHQ-9), respectively. Data for the survey were collected from January 10, 2021, to February 6, 2021, and analyzed using Stata 15 (College Station, TX: StataCorp LLC). Results A total of 213 participants were enrolled in the study from different parts of Nepal and their mean age was 29.90±6.43 years. The prevalence of anxiety and depression among healthcare workers was 46.95% and 41.31%, respectively. A bidirectional relationship was present between GAD-7 and PHQ-9 score interpretation. About 57% of HCW experienced some form of perceived stigmatization due to COVID-19. Frontline HCW were six times more likely to be stigmatized compared to non-front line HCWs and diagnosis of COVID-19 was associated with three times higher odds of facing perceived stigmatization. Conclusion A significant number of HCW experienced symptoms of anxiety and depression during the later phase of the COVID-19 pandemic. Frontline HCW who were infected experienced a higher level of stigma. ###Answer 1. Changed Reasoning: In Sentence A, the target word ""depression"" is used in the context of a psychiatric disorder that was previously studied in a larger context. The sentence highlights the predictive effect of psychological defenses on the course of major depression in a subsample of psychiatric patients. The term ""depression"" is used in a clinical setting, and its meaning remains relatively consistent throughout the sentence. In Sentence B, the target word ""depression"" is used in the context of a psychological problem caused by the COVID-19 pandemic. The sentence highlights the anxiety and depression experienced by healthcare workers during the pandemic. The term ""depression"" is used in a different context than in Sentence A, and its meaning has shifted to include the psychological impact of the pandemic on healthcare workers. The sentence suggests that the term ""depression"" has taken on a new meaning in the context of the pandemic, indicating a change in its semantic drift. Therefore, the label ""Changed"" is appropriate." 87,Depression,"Depression during adolescence has been associated with a number of factors, including failure to individuate (Blos, 1968), insecure attachments (Armsden, McCauley, Greenberg, Burke, & Mitchell, 1990), negative parental representations, and object relations that lack self-other differentiation (Blatt, Wein, Chevron, & Quinlan, 1979). The present study examined factors associated with symptoms of depression in 59 nonclinical female adolescents. Specifically, the relationship between a number of theoretically related measures-separation-individuation, interpersonal concerns, self-critical concerns, attachment style, parental representations-and symptoms of depression was investigated. The model developed was able to explain the interrelationships of the variables involved in the psychological process of adolescence, and their demonstrated ability to predict symptoms of depression in normal female adolescents.","For 2.5 years we have been facing the coronavirus disease (COVID-19) and its health, social and economic effects. One of its known consequences is the development of neuropsychiatric diseases such as anxiety and depression. However, reports of manic episodes related to COVID-19 have emerged. Mania is an integral part of the debilitating illness-bipolar disorder (BD). Due to its devastating effects, it is therefore important to establish whether SARS-CoV-2 infection is a causative agent of this severe mental disorder. In this narrative review, we discuss the similarities between the disorders caused by SARS-CoV-2 and those found in patients with BD, and we also try to answer the question of whether SARS-CoV-2 infection may be a risk factor for the development of this affective disorder. Our observation shows that disorders in COVID-19 showing the greatest similarity to those in BD are cytokine disorders, tryptophan metabolism, sleep disorders and structural changes in the central nervous system (CNS). These changes, especially intensified in severe infections, may be a trigger for the development of BD in particularly vulnerable people, e.g., with family history, or cause an acute episode in patients with a pre-existing BD.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Depression Sentence A: Depression during adolescence has been associated with a number of factors, including failure to individuate (Blos, 1968), insecure attachments (Armsden, McCauley, Greenberg, Burke, & Mitchell, 1990), negative parental representations, and object relations that lack self-other differentiation (Blatt, Wein, Chevron, & Quinlan, 1979). The present study examined factors associated with symptoms of depression in 59 nonclinical female adolescents. Specifically, the relationship between a number of theoretically related measures-separation-individuation, interpersonal concerns, self-critical concerns, attachment style, parental representations-and symptoms of depression was investigated. The model developed was able to explain the interrelationships of the variables involved in the psychological process of adolescence, and their demonstrated ability to predict symptoms of depression in normal female adolescents. Sentence B: For 2.5 years we have been facing the coronavirus disease (COVID-19) and its health, social and economic effects. One of its known consequences is the development of neuropsychiatric diseases such as anxiety and depression. However, reports of manic episodes related to COVID-19 have emerged. Mania is an integral part of the debilitating illness-bipolar disorder (BD). Due to its devastating effects, it is therefore important to establish whether SARS-CoV-2 infection is a causative agent of this severe mental disorder. In this narrative review, we discuss the similarities between the disorders caused by SARS-CoV-2 and those found in patients with BD, and we also try to answer the question of whether SARS-CoV-2 infection may be a risk factor for the development of this affective disorder. Our observation shows that disorders in COVID-19 showing the greatest similarity to those in BD are cytokine disorders, tryptophan metabolism, sleep disorders and structural changes in the central nervous system (CNS). These changes, especially intensified in severe infections, may be a trigger for the development of BD in particularly vulnerable people, e.g., with family history, or cause an acute episode in patients with a pre-existing BD. ###Answer 1. Changed Reasoning: The target word ""depression"" has undergone a significant change in meaning between Sentence A (2000) and Sentence B (2020). In Sentence A, the term refers to a psychological disorder typically experienced during adolescence, characterized by separation-individuation, interpersonal concerns, self-critical concerns, and attachment issues. In contrast, in Sentence B, the term ""depression"" is used in the context of COVID-19, specifically to describe the development of neuropsychiatric diseases such as anxiety and depression, including manic episodes. The term is also used to imply the potential causative role of SARS-CoV-2 infection in the development of bipolar disorder. Therefore, the meaning of the target word has shifted from a psychological disorder experienced primarily during adolescence to a broader term encompassing a range of mental health conditions associated with COVID-19." 88,Depression,"The psychometric characteristics of the Self-Report Depression Questionnaire (SRDQ, Reynolds, in press a), a 32-item self-report measure of depressive symptomatology in persons with mental retardation, were examined. The SRDQ was orally administered to 89 adults living in community-based settings. An internal consistency reliability coefficient of .90, and an 11-week test-retest reliability of .63 were obtained. Criterion-related validity was demonstrated by a high degree of relationship, r = .67, p less than .001, between the SRDQ and individual clinical interviews using the Hamilton Depression Rating Scale. An exploratory factor analysis of the SRDQ items was also presented.","Opioid receptors are widely distributed throughout the brain and play an essential role in modulating aspects of human mood, reward, and well-being. Accumulating evidence indicates the endogenous opioid system is dysregulated in depression and that pharmacological modulators of mu, delta, and kappa opioid receptors hold potential for the treatment of depression. Here we review animal and clinical data, highlighting evidence to support: dysregulation of the opioid system in depression, evidence for opioidergic modulation of behavioural processes and brain regions associated with depression, and evidence for opioidergic modulation in antidepressant responses. We evaluate clinical trials that have examined the safety and efficacy of opioidergic agents in depression and consider how the opioid system may be involved in the effects of other treatments, including ketamine, that are currently understood to exert antidepressant effects through non-opioidergic actions. Finally, we explore key neurochemical and molecular mechanisms underlying the potential therapeutic effects of opioid system engagement, that together provides a rationale for further investigation into this relevant target in the treatment of depression.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Depression Sentence A: The psychometric characteristics of the Self-Report Depression Questionnaire (SRDQ, Reynolds, in press a), a 32-item self-report measure of depressive symptomatology in persons with mental retardation, were examined. The SRDQ was orally administered to 89 adults living in community-based settings. An internal consistency reliability coefficient of .90, and an 11-week test-retest reliability of .63 were obtained. Criterion-related validity was demonstrated by a high degree of relationship, r = .67, p less than .001, between the SRDQ and individual clinical interviews using the Hamilton Depression Rating Scale. An exploratory factor analysis of the SRDQ items was also presented. Sentence B: Opioid receptors are widely distributed throughout the brain and play an essential role in modulating aspects of human mood, reward, and well-being. Accumulating evidence indicates the endogenous opioid system is dysregulated in depression and that pharmacological modulators of mu, delta, and kappa opioid receptors hold potential for the treatment of depression. Here we review animal and clinical data, highlighting evidence to support: dysregulation of the opioid system in depression, evidence for opioidergic modulation of behavioural processes and brain regions associated with depression, and evidence for opioidergic modulation in antidepressant responses. We evaluate clinical trials that have examined the safety and efficacy of opioidergic agents in depression and consider how the opioid system may be involved in the effects of other treatments, including ketamine, that are currently understood to exert antidepressant effects through non-opioidergic actions. Finally, we explore key neurochemical and molecular mechanisms underlying the potential therapeutic effects of opioid system engagement, that together provides a rationale for further investigation into this relevant target in the treatment of depression. ###Answer 1. Changed Reasoning: The target word ""depression"" has undergone a significant change in meaning between Sentence A (2000) and Sentence B (2020). In Sentence A, the term is used to describe a psychometric measure used to assess symptoms of depression in individuals with mental retardation. In Sentence B, the term is used to describe a broader range of mood, reward, and well-being processes, and is associated with the endogenous opioid system. The meaning of the term has shifted from a specific psychometric measure to a broader concept related to the opioid system and its role in modulating mood and behavior." 89,Depression,"The majority of patients with mild traumatic brain injury (TBI) recover fairly quickly and are usually restored to their previous level of functioning. However, a significant minority have prolonged, complicated, or incomplete recoveries and have outcomes disproportionately worse than would have been predicted by the objective facts of the injury. This failure to recover as expected was the focus of this study. The participants were 80 adults with actual or suspected mild TBI who were referred to an outpatient mild TBI clinic. Most were characterized by problematic recoveries. The results indicated that those individuals who only had brain injuries made good recoveries, but that those with psychiatric comorbidity did not (chi(2) = 19.65, p = 0.0002). Most of the new psychiatric conditions responsible for poor recovery consisted of depression, anxiety disorders or conversion disorder. Dissociative phenomena appeared common after mild TBI and scores on the Dissociative Experiences Scale predicted brain injury outcome with 77% accuracy.","This study investigated the knowledge of depression and preference for professional help, medications and treatment methods among Australians of Chinese-speaking background, and the perceptions of this population of the causes of mental illness.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Depression Sentence A: The majority of patients with mild traumatic brain injury (TBI) recover fairly quickly and are usually restored to their previous level of functioning. However, a significant minority have prolonged, complicated, or incomplete recoveries and have outcomes disproportionately worse than would have been predicted by the objective facts of the injury. This failure to recover as expected was the focus of this study. The participants were 80 adults with actual or suspected mild TBI who were referred to an outpatient mild TBI clinic. Most were characterized by problematic recoveries. The results indicated that those individuals who only had brain injuries made good recoveries, but that those with psychiatric comorbidity did not (chi(2) = 19.65, p = 0.0002). Most of the new psychiatric conditions responsible for poor recovery consisted of depression, anxiety disorders or conversion disorder. Dissociative phenomena appeared common after mild TBI and scores on the Dissociative Experiences Scale predicted brain injury outcome with 77% accuracy. Sentence B: This study investigated the knowledge of depression and preference for professional help, medications and treatment methods among Australians of Chinese-speaking background, and the perceptions of this population of the causes of mental illness. ###Answer 1. Changed Reasoning: In Sentence A, the term ""depression"" is used to describe a mental health condition that is characterized by problematic recoveries and is often accompanied by psychiatric comorbidities such as anxiety disorders or conversion disorder. The context suggests that the term ""depression"" has a more negative connotation and is associated with a higher level of severity compared to Sentence B. In Sentence B, the term ""depression"" is used in a different context, to describe a preference for professional help, medications, and treatment methods. The term is not associated with any negative connotations, and the context suggests that the term is used to describe a more mild or manageable level of mental health issues. Therefore, based on the context and meaning of the term ""depression"" in each sentence, it can be concluded that semantic drift has occurred, and the term has shifted from a more severe and negative connotation in Sentence A to a less severe and more neutral connotation in Sentence B." 90,Depression,"In looking at the findings of the women subjects of this investigation, alcohol consumption decreased rapidly in younger women with the borderline being roughly at the age of 50 years. This is consistent with general trends in Japan. In terms of the correlation with personality, the proportion of drinkers in those groups consisting of syntonic, self-revelation, nervous and persistent personality types was high at 34-37%. 3 out of the 7 women who were severe problem drinkers were of the persistent personality type. As such, it is believed that depression contributes to problem drinking in middle-aged and elderly women residing in rural communities. According to the results of this investigation focused on women residing in rural communities, 30% of the severe problem drinkers were also suffering from depression. As this figure closely resembles the proportion noted in clinical investigations, it was suggested that in the process of alcoholism becoming involved with health care institutions, there are other contributing factors besides clinical depression.","Inbreeding depression is one of the leading factors preventing the evolution of self-fertilization in plants. In populations where self-fertilization evolves, theory suggests that natural selection against partially recessive deleterious alleles will reduce inbreeding depression. The purpose of this study was to evaluate this hypothesis by comparing the magnitude of inbreeding depression in self-incompatible and self-compatible populations of Leavenworthia alabamica. Within-population crosses were conducted to compare the quantity and quality of offspring produced by outcrossing and self-fertilization. These progeny were grown in a common greenhouse and inbreeding depression was measured in germination, survival, biomass, transition rate to flowering, flower number, petal length, pollen grains/anther, pollen viability, and ovule number. In comparison to outcrossing, self-fertilization led to the production of fewer and smaller seeds within self-incompatible populations. Moreover, inbreeding depression was observed in eight of 11 offspring traits within self-incompatible populations of L. alabamica. In contrast, there was significant inbreeding depression only in flower number within self-compatible populations. The results of this study are consistent with the idea that self-fertilization selectively removes partially recessive deleterious alleles causing inbreeding depression in natural plant populations. However, in plant species such as L. alabamica where self-compatibility may evolve in small populations following long-distance dispersal, declines in inbreeding depression may also be facilitated by genetic drift.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Depression Sentence A: In looking at the findings of the women subjects of this investigation, alcohol consumption decreased rapidly in younger women with the borderline being roughly at the age of 50 years. This is consistent with general trends in Japan. In terms of the correlation with personality, the proportion of drinkers in those groups consisting of syntonic, self-revelation, nervous and persistent personality types was high at 34-37%. 3 out of the 7 women who were severe problem drinkers were of the persistent personality type. As such, it is believed that depression contributes to problem drinking in middle-aged and elderly women residing in rural communities. According to the results of this investigation focused on women residing in rural communities, 30% of the severe problem drinkers were also suffering from depression. As this figure closely resembles the proportion noted in clinical investigations, it was suggested that in the process of alcoholism becoming involved with health care institutions, there are other contributing factors besides clinical depression. Sentence B: Inbreeding depression is one of the leading factors preventing the evolution of self-fertilization in plants. In populations where self-fertilization evolves, theory suggests that natural selection against partially recessive deleterious alleles will reduce inbreeding depression. The purpose of this study was to evaluate this hypothesis by comparing the magnitude of inbreeding depression in self-incompatible and self-compatible populations of Leavenworthia alabamica. Within-population crosses were conducted to compare the quantity and quality of offspring produced by outcrossing and self-fertilization. These progeny were grown in a common greenhouse and inbreeding depression was measured in germination, survival, biomass, transition rate to flowering, flower number, petal length, pollen grains/anther, pollen viability, and ovule number. In comparison to outcrossing, self-fertilization led to the production of fewer and smaller seeds within self-incompatible populations. Moreover, inbreeding depression was observed in eight of 11 offspring traits within self-incompatible populations of L. alabamica. In contrast, there was significant inbreeding depression only in flower number within self-compatible populations. The results of this study are consistent with the idea that self-fertilization selectively removes partially recessive deleterious alleles causing inbreeding depression in natural plant populations. However, in plant species such as L. alabamica where self-compatibility may evolve in small populations following long-distance dispersal, declines in inbreeding depression may also be facilitated by genetic drift. ###Answer 1. Changed Reasoning: In Sentence A, the target word ""depression"" is used to describe a psychological disorder, specifically the symptoms of sadness, hopelessness, and a loss of interest in activities. The sentence suggests that depression may contribute to problem drinking in middle-aged and elderly women residing in rural communities. In contrast, in Sentence B, the target word ""depression"" is used in a different context, describing a genetic phenomenon known as inbreeding depression. In this context, the word ""depression"" refers to the reduction in fitness of offspring resulting from the inbreeding of close relatives. The meaning of the target word has shifted significantly between the two sentences, from a psychological disorder to a genetic phenomenon. Therefore, I have labeled this example as ""Changed""." 91,Depression,The treatment of bipolar depression is a significant clinical problem that remains understudied. The role for antidepressant (AD) agents vs. mood stabilizers has been particularly problematic to ascertain.,"Recent evidence has revealed a contribution of glutamate in the stereotyped cholinergic neuromuscular transmission. Indeed, receptors, transporters and glutamate itself are present at the neuromuscular junction (NMJ) while glutamate activation of metabotropic receptors (mGluRs) decreases synaptic transmission and mediates depression through presynaptic mechanisms. However, we have shown that the mGluRs are located postsynaptically, inconsistent with the presynaptic action of glutamate. In the present study, we tested whether nitric oxide (NO) serves as a retrograde messenger mediating the distant effect of glutamate. Glutamate or an mGluR agonist [trans-(1S,3R)-aminocyclopentanedicarboxylic acid (ACPD)] failed to reduce synaptic transmission in the presence of an NOS inhibitor (3Br7NINa, 3-bromo-7-nitroindazole sodium salt). Moreover, application of 3Br7NINa precluded the effect of the mGluR antagonist MCPG [(S)-alpha-methyl-4-carboxyphenylglycine] on high-frequency-induced synaptic depression. Iontophoretic injections of BAPTA [1,2-bis(2-aminophenoxy)ethane-N,N,N'-tetraacetic acid] in muscle fibres abolished the effect of trans-ACPD on synaptic transmission and blocked the mGluR component of depression, indicating the involvement of muscular calcium in mGluR-induced depression. Also, the use of this protocol unveiled a muscular calcium-dependent potentiating pathway dependent on cyclo-oxygenase activity. In addition, local application of trans-ACPD induced an increase in NO production by muscle fibres visualized with the indicator DAF-FM (4-amino-5-methylamino-2',7'-difluorofluorescein). This was prevented by 3Br7NINa or the iontophoretic injection of BAPTA. Moreover, motor nerve stimulation (50 Hz, 30 s) induced an increase in DAF-FM fluorescence that was abolished by 3Br7NINa and MCPG. Hence, the data suggest that the production of the retrograde molecule NO depends on the postsynaptic calcium-dependent activation of nitric oxide synthase following mGluRs stimulation and is essential for the glutamatergic modulation of synaptic efficacy and plasticity at the NMJ.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Depression Sentence A: The treatment of bipolar depression is a significant clinical problem that remains understudied. The role for antidepressant (AD) agents vs. mood stabilizers has been particularly problematic to ascertain. Sentence B: Recent evidence has revealed a contribution of glutamate in the stereotyped cholinergic neuromuscular transmission. Indeed, receptors, transporters and glutamate itself are present at the neuromuscular junction (NMJ) while glutamate activation of metabotropic receptors (mGluRs) decreases synaptic transmission and mediates depression through presynaptic mechanisms. However, we have shown that the mGluRs are located postsynaptically, inconsistent with the presynaptic action of glutamate. In the present study, we tested whether nitric oxide (NO) serves as a retrograde messenger mediating the distant effect of glutamate. Glutamate or an mGluR agonist [trans-(1S,3R)-aminocyclopentanedicarboxylic acid (ACPD)] failed to reduce synaptic transmission in the presence of an NOS inhibitor (3Br7NINa, 3-bromo-7-nitroindazole sodium salt). Moreover, application of 3Br7NINa precluded the effect of the mGluR antagonist MCPG [(S)-alpha-methyl-4-carboxyphenylglycine] on high-frequency-induced synaptic depression. Iontophoretic injections of BAPTA [1,2-bis(2-aminophenoxy)ethane-N,N,N'-tetraacetic acid] in muscle fibres abolished the effect of trans-ACPD on synaptic transmission and blocked the mGluR component of depression, indicating the involvement of muscular calcium in mGluR-induced depression. Also, the use of this protocol unveiled a muscular calcium-dependent potentiating pathway dependent on cyclo-oxygenase activity. In addition, local application of trans-ACPD induced an increase in NO production by muscle fibres visualized with the indicator DAF-FM (4-amino-5-methylamino-2',7'-difluorofluorescein). This was prevented by 3Br7NINa or the iontophoretic injection of BAPTA. Moreover, motor nerve stimulation (50 Hz, 30 s) induced an increase in DAF-FM fluorescence that was abolished by 3Br7NINa and MCPG. Hence, the data suggest that the production of the retrograde molecule NO depends on the postsynaptic calcium-dependent activation of nitric oxide synthase following mGluRs stimulation and is essential for the glutamatergic modulation of synaptic efficacy and plasticity at the NMJ. ###Answer 1. Changed Reasoning: The meaning of the target word ""depression"" has changed significantly between the two sentences. In Sentence A, the word is used to describe a medical condition, specifically bipolar depression, and is associated with negative symptoms and impairment in functioning. In Sentence B, the word is used to describe a neurotransmitter system and its role in muscle fibre function and plasticity, with no mention of negative symptoms or impairment. The shift in meaning suggests that the term ""depression"" has undergone semantic drift." 92,Depression,"A study was made of the functional activity of natural killer cells (NK-cells), antibody dependent cellular cytotoxicity of killer cells (K-cells) and the effect of interferon (alpha-IFN) in vitro on function of these cells in a group of donors and patients with dilated cardiomyopathy (DCMP) as well as in patients with chronic coronary heart disease (CHD) and myocardial infarction (MI). Patients with DCMP might be divided into 3 groups according to the nature of NK- and K-cell functional activity: in a grave and rapid DCMP course the functional activity of NK- and K-cells was sharply decreased, a favorable course of disease was characterized by normal or raised values of their cytotoxicity. Patients with a severe type of DCMP revealed profound depression of lymphocyte killer activity.","The relationship between Islamic veiling, body dissatisfaction, and desire for cosmetic rhinoplasty (CR) has not been studied. We therefore compared body dissatisfaction (BD), depression, self-esteem, and prevalence and desire to have CR in 1,771 Iranian females.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Depression Sentence A: A study was made of the functional activity of natural killer cells (NK-cells), antibody dependent cellular cytotoxicity of killer cells (K-cells) and the effect of interferon (alpha-IFN) in vitro on function of these cells in a group of donors and patients with dilated cardiomyopathy (DCMP) as well as in patients with chronic coronary heart disease (CHD) and myocardial infarction (MI). Patients with DCMP might be divided into 3 groups according to the nature of NK- and K-cell functional activity: in a grave and rapid DCMP course the functional activity of NK- and K-cells was sharply decreased, a favorable course of disease was characterized by normal or raised values of their cytotoxicity. Patients with a severe type of DCMP revealed profound depression of lymphocyte killer activity. Sentence B: The relationship between Islamic veiling, body dissatisfaction, and desire for cosmetic rhinoplasty (CR) has not been studied. We therefore compared body dissatisfaction (BD), depression, self-esteem, and prevalence and desire to have CR in 1,771 Iranian females. ###Answer 1. Changed Explanation: In Sentence A, the term ""depression"" is used to describe a specific aspect of the disease, referring to the impairment of lymphocyte killer activity. This usage is consistent with the medical understanding of depression as a psychiatric disorder characterized by symptoms of sadness, hopelessness, and a loss of interest in activities. However, in Sentence B, the term ""depression"" is used in a different context, referring to body dissatisfaction. This usage is more in line with the modern colloquial understanding of depression as a negative emotional state related to one's appearance. The term is used to describe a feeling of unhappiness or dissatisfaction with one's body, rather than a specific medical condition. Therefore, the meaning of the term ""depression"" has shifted significantly between the two sentences, indicating semantic drift. The label ""Changed"" is appropriate to describe this shift in meaning." 93,Depression,"Taste disturbance may cause subjective discomfort and impair appetite and food intake. The aim of this study was to estimate the prevalence of perceived taste disturbance and analyze its association to age, gender, whole salivary flow rate, subjective oral dryness, burning mouth, medication, and psychological factors. Five hundred forty-seven men and 656 women aged 20 to 69 years were randomly selected from the Public Dental Health Service register in northern Sweden. Oral complaints were registered and whole salivary flow rate measured. Medication, anxiety, depression, and stress were assessed. Thirty individuals (2.5%), five men (0.9%) and 25 women (3.8%), reported perceived taste disturbances (distorted taste or loss of taste). In men, no individual with taste disturbance was found in the youngest and oldest age groups. The prevalence in the 30-39-year age group was 1.9% and in the 40-49-year group 1.8%. In women, one individual (1%) with taste disturbance was found in the youngest age group. In the 30-39-year group, the prevalence was 3.8%, increasing to 5.1% in the oldest age group. Illness, subjective oral dryness, state anxiety, perceived stress, depression, use of antiasthmatics, and trait anxiety were associated with taste disturbance. It was concluded that perceived taste disturbance might be an interaction of various health factors such as illness and mental condition.","Observational studies have shown that allergic infants, irrespective of the type of diet, show various degrees of growth depression in the first year of life. We investigated whether the type of milk in the complementary feeding period (6-12 months of age) is associated with differences in the increase of standardized growth indices (weight-for-age, WA; length-for-age, LA; and weight-for-length, WL, z-scores) in infants with cow's milk allergy (CMA). Infants with immunoglobulin E-mediated CMA breastfed at least 4 months and progressively weaned in the 5- to 6-month period were randomly assigned to three special formulas, a soy formula (n = 32), a casein hydrolysate (n = 31), and a rice hydrolysate (n = 30). A fourth, non-randomized group was made up by allergic infants still breastfed up to 12 months (n = 32). Groups were compared for WA, LA, and WL z-scores at 6, 9 and 12 months of age. All groups showed low WA and LA z-scores at 6 months of age. Infants fed hydrolyzed products showed a trend toward higher WA z-score increments in the 6- to 12-month period. The use of casein- and rice-based hydrolyzed formulas resulted in higher changes in WA compared with soy formula. Further research should be aimed at optimizing the dietary needs and feeding regimens for infants with CMA.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Depression Sentence A: Taste disturbance may cause subjective discomfort and impair appetite and food intake. The aim of this study was to estimate the prevalence of perceived taste disturbance and analyze its association to age, gender, whole salivary flow rate, subjective oral dryness, burning mouth, medication, and psychological factors. Five hundred forty-seven men and 656 women aged 20 to 69 years were randomly selected from the Public Dental Health Service register in northern Sweden. Oral complaints were registered and whole salivary flow rate measured. Medication, anxiety, depression, and stress were assessed. Thirty individuals (2.5%), five men (0.9%) and 25 women (3.8%), reported perceived taste disturbances (distorted taste or loss of taste). In men, no individual with taste disturbance was found in the youngest and oldest age groups. The prevalence in the 30-39-year age group was 1.9% and in the 40-49-year group 1.8%. In women, one individual (1%) with taste disturbance was found in the youngest age group. In the 30-39-year group, the prevalence was 3.8%, increasing to 5.1% in the oldest age group. Illness, subjective oral dryness, state anxiety, perceived stress, depression, use of antiasthmatics, and trait anxiety were associated with taste disturbance. It was concluded that perceived taste disturbance might be an interaction of various health factors such as illness and mental condition. Sentence B: Observational studies have shown that allergic infants, irrespective of the type of diet, show various degrees of growth depression in the first year of life. We investigated whether the type of milk in the complementary feeding period (6-12 months of age) is associated with differences in the increase of standardized growth indices (weight-for-age, WA; length-for-age, LA; and weight-for-length, WL, z-scores) in infants with cow's milk allergy (CMA). Infants with immunoglobulin E-mediated CMA breastfed at least 4 months and progressively weaned in the 5- to 6-month period were randomly assigned to three special formulas, a soy formula (n = 32), a casein hydrolysate (n = 31), and a rice hydrolysate (n = 30). A fourth, non-randomized group was made up by allergic infants still breastfed up to 12 months (n = 32). Groups were compared for WA, LA, and WL z-scores at 6, 9 and 12 months of age. All groups showed low WA and LA z-scores at 6 months of age. Infants fed hydrolyzed products showed a trend toward higher WA z-score increments in the 6- to 12-month period. The use of casein- and rice-based hydrolyzed formulas resulted in higher changes in WA compared with soy formula. Further research should be aimed at optimizing the dietary needs and feeding regimens for infants with CMA. ###Answer 1. Changed Reasoning: In Sentence A, the word ""depression"" is used to describe a specific symptom of a medical condition (taste disturbance). The context suggests that the term has a clear medical connotation, indicating a physical impairment in the sense of taste. In Sentence B, the word ""depression"" is used in a different context, to describe a psychological state (growth depression). The meaning of the term has shifted significantly, as it is now used to describe a mental health issue rather than a physical symptom. Therefore, the label ""Changed"" is appropriate for this word." 94,Depression,"This study evaluated pharmaceutical charges and economic outcomes related to therapy with the three leading selective serotonin-reuptake inhibitors. Patient treatment episodes of major depression occurring between July 1, 1995 and June 30, 1996 were included for analysis (patient age range, 18-64 yr). Results showed no significant differences among direct and related medical charges for fluoxetine, paroxetine, and sertraline. Direct and related pharmaceutical charges were significantly lower for paroxetine and sertraline compared with fluoxetine. The higher drug charges observed for fluoxetine resulted in higher total treatment charges compared with paroxetine and sertraline.","Adolescence is a vulnerable developmental phase marked by physical, psychological, and social changes that rapidly expose young people to a wide range of new stressors. When differentiating between bipolar disorder and teenage ""acting out,"" a careful history is important. Adolescent bipolar disorder is a psychiatric illness characterized by fluctuating episodes of mood elevation and depression that is frequently neither recognized nor formally diagnosed. Adolescents with bipolar disorder often manifest a more nonepisodic, chronic course with continuous rapid-cycling patterns than do adults. Pharmacologic treatment of adolescent bipolar disorder is difficult and often requires combination therapy to address comorbidities like attention-deficit/hyperactivity disorder and anxiety disorder. Adjuncts to pharmacologic treatment of bipolar disorder can be beneficial. Psychosocial treatments include family education, enhanced parenting techniques, stress management, and the development of effective coping strategies.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Depression Sentence A: This study evaluated pharmaceutical charges and economic outcomes related to therapy with the three leading selective serotonin-reuptake inhibitors. Patient treatment episodes of major depression occurring between July 1, 1995 and June 30, 1996 were included for analysis (patient age range, 18-64 yr). Results showed no significant differences among direct and related medical charges for fluoxetine, paroxetine, and sertraline. Direct and related pharmaceutical charges were significantly lower for paroxetine and sertraline compared with fluoxetine. The higher drug charges observed for fluoxetine resulted in higher total treatment charges compared with paroxetine and sertraline. Sentence B: Adolescence is a vulnerable developmental phase marked by physical, psychological, and social changes that rapidly expose young people to a wide range of new stressors. When differentiating between bipolar disorder and teenage ""acting out,"" a careful history is important. Adolescent bipolar disorder is a psychiatric illness characterized by fluctuating episodes of mood elevation and depression that is frequently neither recognized nor formally diagnosed. Adolescents with bipolar disorder often manifest a more nonepisodic, chronic course with continuous rapid-cycling patterns than do adults. Pharmacologic treatment of adolescent bipolar disorder is difficult and often requires combination therapy to address comorbidities like attention-deficit/hyperactivity disorder and anxiety disorder. Adjuncts to pharmacologic treatment of bipolar disorder can be beneficial. Psychosocial treatments include family education, enhanced parenting techniques, stress management, and the development of effective coping strategies. ###Answer 1. Changed Reasoning: In Sentence B, the term ""depression"" is used in a different context than in Sentence A. In Sentence A, ""depression"" refers to a specific mental health disorder, while in Sentence B, it is used to describe a general state of sadness or unhappiness experienced by adolescents. This shift in meaning indicates semantic drift has occurred." 95,Depression,"Examined the relationship among depression, locus of control of reinforcement, and age in 26 depressed, female, psychiatric outpatients, 26 nondepressed controls, and 55 undergraduate students (23 male, 32 female), of whom 18 were depressed. The mean age of the patients and controls was 40.2, and of the students 19.7. Depression (measured on the Beck Depression Inventory) and locus of control (measured on Rotter's Internal-External questionnaire) were correlated highly. Age was correlated negatively with locus of control scores and positively with depression. With age partialled out, the correlation between external locus of control and depression increased. The association between external locus of control is neither a single function of age nor a response to hospitalization because the depressed Ss in this study were outpatients. The possible causal relationship between external locus of control and depression is discussed.","Minimally invasive and arthroscopic procedures have become an integral part of orthopedics and arthroscopy of the knee in particular has extensively evolved during recent years. Therefore, the purpose of this article is to show the indications and possibilities and also the limitations of arthroscopy-assisted fracture fixation of the knee joint. Based on the literature and our own experiences we consider the following indications for arthroscopy-assisted fracture fixation in the knee to be appropriate: 1) simple fractures of the tibial plateau, depression fractures of the tibial plateau and simple fractures of the patella, 2) arthroscopic control of reconstruction of the articular surface in complex fractures, 3) bony avulsions of the posterior or anterior cruciate ligament, 4) osteochondral flakes, 5) therapy of concomitant intra-articular lesions in fractures of the knee joint and 6) arthroscopy in posttraumatic situations. The various indications are discussed in relation to the current literature and on the basis of case reports. Arthroscopy is not only an assisting and helpful instrument in the therapy of fractures of the knee joint but in some cases it is also indispensable to guarantee optimal fracture management.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Depression Sentence A: Examined the relationship among depression, locus of control of reinforcement, and age in 26 depressed, female, psychiatric outpatients, 26 nondepressed controls, and 55 undergraduate students (23 male, 32 female), of whom 18 were depressed. The mean age of the patients and controls was 40.2, and of the students 19.7. Depression (measured on the Beck Depression Inventory) and locus of control (measured on Rotter's Internal-External questionnaire) were correlated highly. Age was correlated negatively with locus of control scores and positively with depression. With age partialled out, the correlation between external locus of control and depression increased. The association between external locus of control is neither a single function of age nor a response to hospitalization because the depressed Ss in this study were outpatients. The possible causal relationship between external locus of control and depression is discussed. Sentence B: Minimally invasive and arthroscopic procedures have become an integral part of orthopedics and arthroscopy of the knee in particular has extensively evolved during recent years. Therefore, the purpose of this article is to show the indications and possibilities and also the limitations of arthroscopy-assisted fracture fixation of the knee joint. Based on the literature and our own experiences we consider the following indications for arthroscopy-assisted fracture fixation in the knee to be appropriate: 1) simple fractures of the tibial plateau, depression fractures of the tibial plateau and simple fractures of the patella, 2) arthroscopic control of reconstruction of the articular surface in complex fractures, 3) bony avulsions of the posterior or anterior cruciate ligament, 4) osteochondral flakes, 5) therapy of concomitant intra-articular lesions in fractures of the knee joint and 6) arthroscopy in posttraumatic situations. The various indications are discussed in relation to the current literature and on the basis of case reports. Arthroscopy is not only an assisting and helpful instrument in the therapy of fractures of the knee joint but in some cases it is also indispensable to guarantee optimal fracture management. ###Answer 1. Changed Reasoning: The meaning of the target word ""depression"" has shifted significantly between the two sentences. In Sentence A, the term is used in the context of a medical study to describe a mental health disorder, with a focus on its correlation with age and locus of control. In Sentence B, the term is used in the context of orthopedics and arthroscopy, with no mention of its relation to age or mental health. Therefore, the meaning of ""depression"" has changed from a medical term to a more general term for any type of fracture or injury in the knee joint." 96,Depression,"Age differences in the experience of chronic pain remain unclear. A serious barrier to progress in the field of pain and aging arises from the lack of data regarding the psychometric properties of pain scales for use with the elderly. The present study was designed to assess age differences in pain intensity and quality and to compare the psychometric properties of the McGill Pain Questionnaire (MPQ) in young and elderly chronic pain patients. Young (n=139, mean age=42.93+/-9.41 years) and elderly (n=139, mean age=70.12+/-7.51 years) pain center patients, matched on primary diagnosis or pain location, duration, and sex, completed the MPQ, numeric ratings (0-10) of pain intensity, a Pain Map, and the Hospital Anxiety and Depression Scale (HADS). A Pain Management Index (PMI) score was calculated for each patient. Age differences on the measure of pain qualities were found. The elderly group had significantly lower MPQ total and sensory scores and chose fewer words than the young group. However, there were no significant differences between the groups on numeric ratings of highest, usual, and lowest pain intensity. Similarly, there were no age differences on PMI, Pain Map, or the HADS Depression or Anxiety Subscales. Finally, the latent structure, internal consistency, and pattern of subscale correlations of the MPQ were very similar in the young and elderly groups. Possible explanations for the discrepancy in the pattern of age differences on measures of pain intensity and quality are explored. The implications of this pattern of age differences for basic pain mechanisms and pain management should be given serious empirical attention.","Whether depressed patients with evidence of inflammation are more appropriate candidates for immunotherapies is being tested in several clinical trials, which are selecting patients based on elevated C-reactive protein (CRP) and inflammation-related symptoms. However, studies of the clinical and phenotypic profile of depressed patients with elevated CRP are relatively scarce. We have investigated detailed clinical characteristics of 84 depressed patients, grouped as those with (CRP≥3 mg/L) and without (CRP<3 mg/L) inflammation. All patients met the International Classification of Diseases 10th Revision criteria for current depressive episode and had somatic symptoms of depression. We report that depressed patients with inflammation are more likely to be older (","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Depression Sentence A: Age differences in the experience of chronic pain remain unclear. A serious barrier to progress in the field of pain and aging arises from the lack of data regarding the psychometric properties of pain scales for use with the elderly. The present study was designed to assess age differences in pain intensity and quality and to compare the psychometric properties of the McGill Pain Questionnaire (MPQ) in young and elderly chronic pain patients. Young (n=139, mean age=42.93+/-9.41 years) and elderly (n=139, mean age=70.12+/-7.51 years) pain center patients, matched on primary diagnosis or pain location, duration, and sex, completed the MPQ, numeric ratings (0-10) of pain intensity, a Pain Map, and the Hospital Anxiety and Depression Scale (HADS). A Pain Management Index (PMI) score was calculated for each patient. Age differences on the measure of pain qualities were found. The elderly group had significantly lower MPQ total and sensory scores and chose fewer words than the young group. However, there were no significant differences between the groups on numeric ratings of highest, usual, and lowest pain intensity. Similarly, there were no age differences on PMI, Pain Map, or the HADS Depression or Anxiety Subscales. Finally, the latent structure, internal consistency, and pattern of subscale correlations of the MPQ were very similar in the young and elderly groups. Possible explanations for the discrepancy in the pattern of age differences on measures of pain intensity and quality are explored. The implications of this pattern of age differences for basic pain mechanisms and pain management should be given serious empirical attention. Sentence B: Whether depressed patients with evidence of inflammation are more appropriate candidates for immunotherapies is being tested in several clinical trials, which are selecting patients based on elevated C-reactive protein (CRP) and inflammation-related symptoms. However, studies of the clinical and phenotypic profile of depressed patients with elevated CRP are relatively scarce. We have investigated detailed clinical characteristics of 84 depressed patients, grouped as those with (CRP≥3 mg/L) and without (CRP<3 mg/L) inflammation. All patients met the International Classification of Diseases 10th Revision criteria for current depressive episode and had somatic symptoms of depression. We report that depressed patients with inflammation are more likely to be older ( ###Answer 1. Changed Explanation: In Sentence A, the term ""depression"" is used in the context of chronic pain and aging, with a focus on the psychometric properties of pain scales and the experience of pain in older adults. The term is used to describe the psychological symptoms of pain, such as anxiety and depression, and the impact of these symptoms on the ability to complete daily tasks. In this context, the term ""depression"" has a different meaning than in Sentence B, where it is used in the context of inflammation and immunotherapy. In Sentence B, the term ""depression"" is used to describe patients who have evidence of inflammation and are being tested for immunotherapies. The term is used to describe the clinical and phenotypic profile of these patients, including their age and the presence of somatic symptoms. In this context, the term ""depression"" has a different meaning than in Sentence A, as it is used to describe a specific medical condition rather than the psychological symptoms of pain. Based on these differences in context and meaning, it can be concluded that the term ""depression"" has undergone a significant change in meaning between Sentence A and Sentence B. In Sentence A, the term is used to describe psychological symptoms related to pain, while in Sentence B, it is used to describe a medical condition related to inflammation. Therefore, the label ""Changed"" is appropriate for this task." 97,Depression,"This study was designed to assess whether the angiotensin-converting enzyme inhibitor captopril could potentiate the efficacy of a single dose of oral isosorbide dinitrate (ISDN) in patients with coronary artery disease. Fourteen men (mean age 53 years) with stable angina pectoris were studied. In each patient the efficacy of placebo, captopril (50 to 100 mg), ISDN (10 mg), and a combination of captopril (50 to 100 mg) and ISDN (10 mg) was assessed by repeated exercise treadmill tests performed before and 1, 2, 3 and 6 hours after administration of a single dose. A single-blind, randomized technique was applied. According to the mean data in the whole group of 14 patients, captopril alone produced no improvement in exercise duration to the onset of angina and to angina of moderate severity compared with placebo. The magnitude of ST-segment depression did not significantly change after captopril administration. ISDN alone significantly increased exercise duration to onset of angina and to angina of moderate severity (antianginal effect) and decreased the magnitude of ST-segment depression (antiischemic effect) 1 to 3 hours after administration. Combined administration of ISDN and captopril resulted in more expressed antianginal and antiischemic effects; at 2, 3 and 6 hours these effects with ISDN plus captopril were significantly more pronounced than those with ISDN alone. According to individual data, the most marked potentiation of ISDN efficacy was observed in patients who had poor response to ISDN alone. In all 6 patients in whom ISDN alone was ineffective, after the addition of captopril the desired antianginal effect was obtained.(ABSTRACT TRUNCATED AT 250 WORDS)","The current study examined neuropsychological changes over the course of cognitive behavioral therapy (CBT) in outpatients with major depressive disorder and the influence of cognitive deficits as predictors of clinical outcome in depression. A neuropsychological test battery was carried out on depressed outpatients (N = 54) at the beginning and at the end of CBT. Small improvements were found in divided attention, figural memory, and processing speed from pre- to posttreatment. Cognitive deficits in executive functions before treatment predicted the clinical outcome at the end of CBT. The present study reveals that attention and memory deficits are most likely to improve over the course of treatment, whereas executive functions remain stable in the long term. Depressed patients with worse executive functions at the beginning of treatment seem to benefit more from long-term CBT therapy.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Depression Sentence A: This study was designed to assess whether the angiotensin-converting enzyme inhibitor captopril could potentiate the efficacy of a single dose of oral isosorbide dinitrate (ISDN) in patients with coronary artery disease. Fourteen men (mean age 53 years) with stable angina pectoris were studied. In each patient the efficacy of placebo, captopril (50 to 100 mg), ISDN (10 mg), and a combination of captopril (50 to 100 mg) and ISDN (10 mg) was assessed by repeated exercise treadmill tests performed before and 1, 2, 3 and 6 hours after administration of a single dose. A single-blind, randomized technique was applied. According to the mean data in the whole group of 14 patients, captopril alone produced no improvement in exercise duration to the onset of angina and to angina of moderate severity compared with placebo. The magnitude of ST-segment depression did not significantly change after captopril administration. ISDN alone significantly increased exercise duration to onset of angina and to angina of moderate severity (antianginal effect) and decreased the magnitude of ST-segment depression (antiischemic effect) 1 to 3 hours after administration. Combined administration of ISDN and captopril resulted in more expressed antianginal and antiischemic effects; at 2, 3 and 6 hours these effects with ISDN plus captopril were significantly more pronounced than those with ISDN alone. According to individual data, the most marked potentiation of ISDN efficacy was observed in patients who had poor response to ISDN alone. In all 6 patients in whom ISDN alone was ineffective, after the addition of captopril the desired antianginal effect was obtained.(ABSTRACT TRUNCATED AT 250 WORDS) Sentence B: The current study examined neuropsychological changes over the course of cognitive behavioral therapy (CBT) in outpatients with major depressive disorder and the influence of cognitive deficits as predictors of clinical outcome in depression. A neuropsychological test battery was carried out on depressed outpatients (N = 54) at the beginning and at the end of CBT. Small improvements were found in divided attention, figural memory, and processing speed from pre- to posttreatment. Cognitive deficits in executive functions before treatment predicted the clinical outcome at the end of CBT. The present study reveals that attention and memory deficits are most likely to improve over the course of treatment, whereas executive functions remain stable in the long term. Depressed patients with worse executive functions at the beginning of treatment seem to benefit more from long-term CBT therapy. ###Answer 1. Changed Reasoning: In Sentence A, the target word ""depression"" is used in the context of a medical study to describe a specific condition, with a focus on its symptoms and treatment. The word is used in a neutral, clinical manner, without any connotation of negative emotions or feelings of hopelessness. In Sentence B, the target word ""depression"" is used in a different context, to describe the outcome of cognitive behavioral therapy in patients with major depressive disorder. The word is used in a more positive manner, with a focus on the improvement of cognitive functions over time. The meaning of the word has shifted from a neutral clinical term to a more positive term associated with improvement and recovery. Therefore, semantic drift has occurred." 98,Depression,"ISDN (standard release formulation) 40 mg administered 6 times daily (= 240 mg) remained effective during a 4-week treatment of patients with stable angina in terms of decreasing anginal attacks and reducing ischemic ST segment depression at stress testing in the upright position (step climbing test). The sustained antianginal activity is explained by fluctuating plasma levels, provided by rapid drug release from the standard formulation, short administration intervals and an 7-hour-night pause. When comparing acute and chronic antianginal activity of ISDN (40 mg) administered 4 times daily with regard to the type of stress testing it became evident that a marked attenuation of antiischemic activity (-35%; p less than 0.01) occurred in the supine (bicycle ergometry) but not in the upright (step climbing test) position. The most probable explanation for the significant attenuation of efficacy in the supine position is marked blood redistribution into central compartments with increase of cardiac filling pressures during chronic therapy. Rapid development of tolerance both to the hemodynamic and antiischemic effects of glycerol trinitrate within 24 hours could be shown during intravenous administration (3 mg/h) in patients with stable angina. It is concluded that the antiischemic effects of oral ISDN (standard release formulation) administered 4-6 times daily is preserved during long-term therapy due to fluctuating plasma levels. Nitrate therapy providing constant doses over time (e.g. I.V. nitroglycerin) leads to a rapid attenuation of efficacy most probably due to counter regulatory mechanisms.",Major depression occurs in 4.4% to 20% of the general population. Studies suggest that major depression is accompanied by immune dysregulation and activation of the inflammatory response system (IRS). Our objective was to quantitatively summarize the data on concentrations of specific cytokines in patients diagnosed with a major depressive episode and controls.,"###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Depression Sentence A: ISDN (standard release formulation) 40 mg administered 6 times daily (= 240 mg) remained effective during a 4-week treatment of patients with stable angina in terms of decreasing anginal attacks and reducing ischemic ST segment depression at stress testing in the upright position (step climbing test). The sustained antianginal activity is explained by fluctuating plasma levels, provided by rapid drug release from the standard formulation, short administration intervals and an 7-hour-night pause. When comparing acute and chronic antianginal activity of ISDN (40 mg) administered 4 times daily with regard to the type of stress testing it became evident that a marked attenuation of antiischemic activity (-35%; p less than 0.01) occurred in the supine (bicycle ergometry) but not in the upright (step climbing test) position. The most probable explanation for the significant attenuation of efficacy in the supine position is marked blood redistribution into central compartments with increase of cardiac filling pressures during chronic therapy. Rapid development of tolerance both to the hemodynamic and antiischemic effects of glycerol trinitrate within 24 hours could be shown during intravenous administration (3 mg/h) in patients with stable angina. It is concluded that the antiischemic effects of oral ISDN (standard release formulation) administered 4-6 times daily is preserved during long-term therapy due to fluctuating plasma levels. Nitrate therapy providing constant doses over time (e.g. I.V. nitroglycerin) leads to a rapid attenuation of efficacy most probably due to counter regulatory mechanisms. Sentence B: Major depression occurs in 4.4% to 20% of the general population. Studies suggest that major depression is accompanied by immune dysregulation and activation of the inflammatory response system (IRS). Our objective was to quantitatively summarize the data on concentrations of specific cytokines in patients diagnosed with a major depressive episode and controls. ###Answer 1. Changed Reasoning: In Sentence A, the term ""depression"" is used in the context of angina treatment, and it refers to a specific type of angina that is accompanied by chest pain. In this context, the term ""depression"" does not have any connotation of mental illness. In Sentence B, the term ""depression"" is used to refer to a mental disorder, specifically major depression. The shift in meaning is significant, as the term is used to describe a different concept in each sentence. Therefore, the label ""Changed"" is appropriate." 99,Depression,"A recent paper by Barclay and Kent (1998) raised various issues with regards to motherhood and recent immigration. They expressed reservations with conceptualizing extreme misery in new mothers as depression, and with screening for postnatal distress in women from non-English-speaking backgrounds (NESB). They argued that a common self-report measure for postnatal distress screening, the Edinburgh Postnatal Depression Scale (EPDS), was flawed. They also argued that the concept of postnatal depression implies a medical aetiology and, thus, fails to recognise the socio-cultural aspects experienced by NESB women. We address these issues, by demonstrating that the EPDS is not flawed, and by arguing that screening for postpartum distress results in more NESB women being identified and, consequently, offered a service, than if such screening does not occur. We also disagree with the view that the term 'postnatal depression' necessarily implies any aetiology, and that work by our unit, as well as others around the world, indicates that the psychosocial and cultural aspects related to distress in new immigrant mothers is being recognised and acted upon.","Chronic periodontitis (CP) seems to be associated with stress and depression, but little information on this possible association is available in the literature. Thus, the objective of this study was to evaluate the association among stress, the salivary cortisol level (SCL), and CP.","###Task: Identify semantic drift in a target word by comparing its usage in two sentences from different time periods. ###Instructions: You will be given a target word and two sentences containing that word, each from a different timestamp (e.g., Sentence A from 2000 and Sentence B from 2020). Analyze the context and meaning of the target word in each sentence. Determine if the target word has undergone a significant change in meaning or connotation between the two timestamps. Provide a label indicating whether semantic drift has occurred: ""Changed"" if the meaning has significantly shifted, or ""Unchanged"" if the meaning remains similar. Briefly explain your reasoning for the label. ###Data to be labelled: Target word: Depression Sentence A: A recent paper by Barclay and Kent (1998) raised various issues with regards to motherhood and recent immigration. They expressed reservations with conceptualizing extreme misery in new mothers as depression, and with screening for postnatal distress in women from non-English-speaking backgrounds (NESB). They argued that a common self-report measure for postnatal distress screening, the Edinburgh Postnatal Depression Scale (EPDS), was flawed. They also argued that the concept of postnatal depression implies a medical aetiology and, thus, fails to recognise the socio-cultural aspects experienced by NESB women. We address these issues, by demonstrating that the EPDS is not flawed, and by arguing that screening for postpartum distress results in more NESB women being identified and, consequently, offered a service, than if such screening does not occur. We also disagree with the view that the term 'postnatal depression' necessarily implies any aetiology, and that work by our unit, as well as others around the world, indicates that the psychosocial and cultural aspects related to distress in new immigrant mothers is being recognised and acted upon. Sentence B: Chronic periodontitis (CP) seems to be associated with stress and depression, but little information on this possible association is available in the literature. Thus, the objective of this study was to evaluate the association among stress, the salivary cortisol level (SCL), and CP. ###Answer 1. Changed Reasoning: In Sentence A, the term ""depression"" is used to describe a specific psychological state experienced by new immigrant mothers, which is characterized by feelings of extreme misery and distress. The term is used to highlight the socio-cultural aspects of this distress, which are related to the mother's immigration experience. In contrast, in Sentence B, the term ""depression"" is used in a more general sense to describe a psychological disorder that can be caused by various factors, including chronic periodontitis. The term is not used to highlight any specific socio-cultural aspects of the disorder. Therefore, the meaning of the term ""depression"" has changed significantly between the two sentences, indicating semantic drift."