Tackling socio-economic health inequalities is a central concept within public health, but has not always been a part of emergency preparedness plans. These data demonstrate the opportunity to reduce the overall impact and narrow inequalities by considering socio-economic disparities in future pandemic planning.
Lexical processing is influenced by a word's semantic diversity, as estimated by corpus-derived metrics. Although this suggests that contextual variation shapes verbal learning and memory, it is not clear what semantic diversity represents and why this influences lexical processing. Word learning experiments and simulations offer an opportunity to manipulate contextual variation directly and measure the effects on processing. In Experiment 1, adults read novel words in six naturalistic passages spanning one familiar topic (low semantic diversity) or six familiar topics (high semantic diversity). Words experienced in the low-diversity condition showed better learning, an effect replicated by simulating spreading activation in lexical networks differing in semantic diversity. We attributed these findings to "anchoring", a process of stabilizing novel word representations by securing them onto a familiar topic in long-term memory. Simulation 2 and Experiment 2 tested whether word learning might be better placed to take advantage of diversity if novel words were first anchored before diversity was introduced. Simulations and behavioural data both showed that after an anchoring opportunity, novel words forms were better learned in the high-diversity condition. These findings show that anchoring and contextual variation both influence the early stages of word learning.
Here, we view the mental lexicon as a semantic network where words are connected if they are semantically related. Steyvers and Tenenbaum (Cognitive Science, 29, 41–78, 2005) proposed that the growth of semantic networks follows preferential attachment, the observation that new nodes are more likely to connect to preexisting nodes that are more well connected (i.e., the rich get richer). If this is the case, well-connected known words should be better at acquiring new links than poorly connected words. We tested this prediction in three paired-associate learning (PAL) experiments in which participants memorized arbitrary cue–response word pairs. We manipulated the semantic connectivity of the cue words, indexed by the words’ free associative degree centrality. Experiment 1 is a reanalysis of the PAL data from Qiu and Johns (Psychonomic Bulletin & Review, 27, 114–121, 2020), in which young adults remembered 40 cue–response word pairs (e.g., nature–chain) and completed a cued recall task. Experiment 2 is a preregistered replication of Qiu and Johns. Experiment 3 addressed some limitations in Qiu and Johns’s design by using pseudowords as the response items (e.g., boot–arruity). The three experiments converged to show that cue words of higher degree centrality facilitated the recall/recognition of the response items, providing support for the notion that better-connected words have a greater ability to acquire new links (i.e., the rich do get richer). Importantly, while degree centrality consistently accounted for significant portions of variance in PAL accuracy, other psycholinguistic variables (e.g., concreteness, contextual diversity) did not, suggesting that degree centrality is a distinct variable that affects the ease of verbal associative learning.
This review summarizes the evolution of trauma resuscitation from a one-size-fits-all approach to one tailored to patient physiology. The most dramatic change is in the management of actively bleeding patients, with a balanced blood product-based resuscitation approach (avoiding crystalloids) and surgery focused on hemorrhage control, not definitive care. When hemostasis has been achieved, definitive resuscitation to restore organ perfusion is initiated. This approach is associated with decreased mortality, reduced duration of stay, improved coagulation profile, and reduced crystalloid/vasopressor use. This article focuses on the tools and methods used for trauma resuscitation in the acute phase of trauma care.
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