Refine
Year of publication
Document Type
- Article (17)
- Conference Proceeding (9)
- Part of a Book (3)
- Report (2)
- Preprint (1)
Has Fulltext
- yes (32)
Is part of the Bibliography
- no (32)
Keywords
- Lexikologie (14)
- Kognitionswissenschaft (4)
- Semantik (4)
- Multimorbidity (3)
- Grammatik (2)
- Kiezdeutsch (2)
- Primary care (2)
- Soziolinguistik (2)
- Syntax (2)
- Agreement (1)
Die folgende Untersuchung wird Parallelen in der semantisch-konzeptuellen Struktur von Nominalgruppen und Sätzen aufzeigen und so unabhängige, semantische Argumente für den „sentential aspect“ von Nominalgruppen liefern, wie er bereits von Abney (1987) auf syntaktischer Seite motiviert wurde. Ich werde im ersten Teil die semantische und syntaktische Struktur von Sätzen skizzieren und hierbei insbesondere die zentralen semantisch-konzeptuellen Operationen identifizieren, die die Generierung von CPs begleiten. Vor diesem Hintergrund werden im zweiten Teil die zentralen übereinzelsprachlichen Merkmale von Nominalgruppen diskutiert und durch semantisch-konzeptuelle (sowie - in einer Skizze - syntaktische) Repräsentationen erfasst. Das Modell zur Struktur von Nominalgruppen wird in Bezug zu den zuvor skizzierten Annahmen über Sätze gestellt. Es wird sich hierbei zeigen, dass bei der Generierung von DPs die gleichen semantisch- konzeptuellen Operationen wirksam werden, wie sie für CPs festgehalten wurden. Ein zentraler Punkt der Diskussion wird das Problem der semantischen Kompositionalität sein. Im Rahmen eines Zwei-Ebenen-Modells der Semantik soll mithilfe semantischer Repräsentationen zugleich die Korrelation sprachlicher und konzeptueller Strukturen erfasst werden.
This volume brings together a cross-section of recent research on the grammar and representation of pronouns, centering around the typology of pronominal paradigms, the generation of syntactic and semantic representations for constructions containing pronouns, and the neurological underpinnings for linguistic distinctions that are relevant for the production and interpretation of these constructions. In this introductory chapter we first give an exposition of our topic (section 2). Taking the interpretation of pronouns as a starting point, we discuss the basic parameters of pronominal representations, and draw a general picture of how morphological, semantic, discourse-pragmatic and syntactic aspects come together. In section 3, we sketch the different domains of research that are concerned with these phenomena, and the particular questions they are interested in, and show how the papers in the present volume fit into the picture. Section 4 gives summaries of the individual papers, and a short synopsis of their main points of convergence.
This paper presents an account of semantics as a system that integrates conceptual representations into language. I define the semantic system as an interface level of the conceptual system CS that translates conceptual representations into a format that is accessible by language. The analysis I put forward does not treat the make up of this level as idiosyncratic, but subsumes it under a unified notion of linguistic interfaces. This allows us to understand core aspects of the linguistic-conceptual interface as an instance of a general pattern underlying the correlation of linguistic and non-linguistic structures. By doing so, the model aims to provide a broader perspective onto the distinction between and interaction of conceptual and linguistic processes and the correlation of semantic and syntactic structures.
Is language the key to number? This article argues that the human language faculty provides the cognitive equipment that enables humans to develop a systematic number concept. Crucially, this concept is based on non-iconic representations that involve relations between relations: relations between numbers are linked with relations between objects. In contrast to this, language-independent numerosity concepts provide only iconic representations. The pattern of forming relations between relations lies at the heart of our language faculty, suggesting that it is language that enables humans to make the step from these iconic representations, which we share with other species, to a generalised concept of number.
Cross-linguistically, numerals differ from other linguistic expressions in various aspects of their grammatical behavior and their acquisition. What is so special about them? I will show that a closer look at the status of numbers and numerals not only gives an answer to this question, but can also shed some light onto the syntax-semantics interface. Taking into account philosophical approaches from the foundations of mathematics, I will set forth a definition of number as a function that can be fulfilled by certain sequences. This will lead us (i) to dispense with abstract entities “numbers“ and (ii) to regard numeral sequences as sets that can function as numbers. I will show that this OCCAMiam view captures the peculiar features of numeral sequences as a reflex of their “number function”. On the other hand, the integration of number words into complex syntactic structures leads to a morpho-syntactic behavior of cardinals, ordinals and numerals in “#”-constructions that comes close to that of different word classes, depending on parallels in their semantic-conceptual structure.
Auf der Grundlage der bisherigen Forschungsergebnisse zu Transfer und Interferenz wird die Übertragung sprachlichen Wissens in die Interimsprache in eine Theorie des Zweitspracherwerbs integriert. Transfer wird dabei als interlinguale Ausprägung der Generalisierung verstanden, eine Sichtweise, die die Untersuchungsergebnisse zu Bedingungen und Ursachen des Transfers in einen Erklärungszusammenhang mit anderen Phänomenen des Zweitspracherwerbs stellt. Darüberhinaus ermöglicht es diese Interpretation, eine Verbindung zu kognitiven Leistungen des Lerners beim Erstspracherwerb sowie beim Lernen überhaupt herzustellen.
Background Multimorbidity is a highly frequent condition in older people, but well designed longitudinal studies on the impact of multimorbidity on patients and the health care system have been remarkably scarce in numbers until today. Little is known about the long term impact of multimorbidity on the patients' life expectancy, functional status and quality of life as well as health care utilization over time. As a consequence, there is little help for GPs in adjusting care for these patients, even though studies suggest that adhering to present clinical practice guidelines in the care of patients with multimorbidity may have adverse effects. Methods The study is designed as a multicentre prospective, observational cohort study of 3.050 patients aged 65 to 85 at baseline with at least three different diagnoses out of a list of 29 illnesses and syndromes. The patients will be recruited in approx. 120 to 150 GP surgeries in 8 study centres distributed across Germany. Information about the patients' morbidity will be collected mainly in GP interviews and from chart reviews. Functional status, resources/risk factors, health care utilization and additional morbidity data will be assessed in patient interviews, in which a multitude of well established standardized questionnaires and tests will be performed. Discussion The main aim of the cohort study is to monitor the course of the illness process and to analyse for which reasons medical conditions are stable, deteriorating or only temporarily present. First, clusters of combinations of diseases/disorders (multimorbidity patterns) with a comparable impact (e.g. on quality of life and/or functional status) will be identified. Then the development of these clusters over time will be analysed, especially with regard to prognostic variables and the somatic, psychological and social consequences as well as the utilization of health care resources. The results will allow the development of an instrument for prediction of the deterioration of the illness process and point at possibilities of prevention. The practical consequences of the study results for primary care will be analysed in expert focus groups in order to develop strategies for the inclusion of the aspects of multimorbidity in primary care guidelines.
Background: Multimorbidity is a common phenomenon in primary care. Until now, no clinical guidelines for multimorbidity exist. For the development of these guidelines, it is necessary to know whether or not patients are aware of their diseases and to what extent they agree with their doctor. The objectives of this paper are to analyze the agreement of self-reported and general practitioner-reported chronic conditions among multimorbid patients in primary care, and to discover which patient characteristics are associated with positive agreement.
Methods: The MultiCare Cohort Study is a multicenter, prospective, observational cohort study of 3,189 multimorbid patients, ages 65 to 85. Data was collected in personal interviews with patients and GPs. The prevalence proportions for 32 diagnosis groups, kappa coefficients and proportions of specific agreement were calculated in order to examine the agreement of patient self-reported and general practitioner-reported chronic conditions. Logistic regression models were calculated to analyze which patient characteristics can be associated with positive agreement.
Results: We identified four chronic conditions with good agreement (e.g. diabetes mellitus κ = 0.80;PA = 0,87), seven with moderate agreement (e.g. cerebral ischemia/chronic stroke κ = 0.55;PA = 0.60), seventeen with fair agreement (e.g. cardiac insufficiency κ = 0.24;PA = 0.36) and four with poor agreement (e.g. gynecological problems κ = 0.05;PA = 0.10).Factors associated with positive agreement concerning different chronic diseases were sex, age, education, income, disease count, depression, EQ VAS score and nursing care dependency. For example: Women had higher odds ratios for positive agreement with their GP regarding osteoporosis (OR = 7.16). The odds ratios for positive agreement increase with increasing multimorbidity in almost all of the observed chronic conditions (OR = 1.22-2.41).
Conclusions: For multimorbidity research, the knowledge of diseases with high disagreement levels between the patients' perceived illnesses and their physicians' reports is important. The analysis shows that different patient characteristics have an impact on the agreement. Findings from this study should be included in the development of clinical guidelines for multimorbidity aiming to optimize health care. Further research is needed to identify more reasons for disagreement and their consequences in health care.
Background: Multimorbidity is a phenomenon with high burden and high prevalence in the elderly. Our previous research has shown that multimorbidity can be divided into the multimorbidity patterns of 1) anxiety, depression, somatoform disorders (ADS) and pain, and 2) cardiovascular and metabolic disorders. However, it is not yet known, how these patterns are influenced by patient characteristics. The objective of this paper is to analyze the association of socio-demographic variables, and especially socio-economic status with multimorbidity in general and with each multimorbidity pattern.
Methods: The MultiCare Cohort Study is a multicentre, prospective, observational cohort study of 3.189 multimorbid patients aged 65+ randomly selected from 158 GP practices. Data were collected in GP interviews and comprehensive patient interviews. Missing values have been imputed by hot deck imputation based on Gower distance in morbidity and other variables. The association of patient characteristics with the number of chronic conditions is analysed by multilevel mixed-effects linear regression analyses.
Results: Multimorbidity in general is associated with age (+0.07 chronic conditions per year), gender (-0.27 conditions for female), education (-0.26 conditions for medium and -0.29 conditions for high level vs. low level) and income (-0.27 conditions per logarithmic unit). The pattern of cardiovascular and metabolic disorders shows comparable associations with a higher coefficient for gender (-1.29 conditions for female), while multimorbidity within the pattern of ADS and pain correlates with gender (+0.79 conditions for female), but not with age or socioeconomic status.
Conclusions: Our study confirms that the morbidity load of multimorbid patients is associated with age, gender and the socioeconomic status of the patients, but there were no effects of living arrangements and marital status. We could also show that the influence of patient characteristics is dependent on the multimorbidity pattern concerned, i.e. there seem to be at least two types of elderly multimorbid patients. First, there are patients with mainly cardiovascular and metabolic disorders, who are more often male, have an older age and a lower socio-economic status. Second, there are patients mainly with ADS and pain-related morbidity, who are more often female and equally distributed across age and socio-economic groups.
Background: It is not well established how psychosocial factors like social support and depression affect health-related quality of life in multimorbid and elderly patients. We investigated whether depressive mood mediates the influence of social support on health-related quality of life.
Methods: Cross-sectional data of 3,189 multimorbid patients from the baseline assessment of the German MultiCare cohort study were used. Mediation was tested using the approach described by Baron and Kenny based on multiple linear regression, and controlling for socioeconomic variables and burden of multimorbidity.
Results: Mediation analyses confirmed that depressive mood mediates the influence of social support on health-related quality of life (Sobel's p < 0.001). Multiple linear regression showed that the influence of depressive mood (beta = -0.341, p < 0.01) on health-related quality of life is greater than the influence of multimorbidity (beta = -0.234, p < 0.01).
Conclusion: Social support influences health-related quality of life, but this association is strongly mediated by depressive mood. Depression should be taken into consideration in research on multimorbidity, and clinicians should be aware of its importance when caring for multimorbid patients.