Despite strong evidence for prediction during language comprehension, the underlying mechanisms, and the extent to which they are specific to language, remain unclear. Re-analyzing an ERP study, we examined responses in the time-frequency domain to expected and unexpected (but plausible) words in strongly and weakly constraining sentences, and found results similar to those reported in nonverbal domains. Relative to expected words, unexpected words elicited an increase in the theta band (4–7 Hz) in strongly constraining contexts, suggesting the involvement of control processes to deal with the consequences of having a prediction disconfirmed. Prior to critical word onset, strongly constraining sentences exhibited a decrease in the alpha band (8–12 Hz) relative to weakly constraining sentences, suggesting that comprehenders can take advantage of predictive sentence contexts to prepare for the input. The results suggest that the brain recruits domain-general preparation and control mechanisms when making and assessing predictions during sentence comprehension.

Objectives To investigate the impact of ascites volume on ovarian cancer outcomes. Methods Clinicopathologic features of a cohort of patients with ovarian cancer were obtained from a curated database at a single institution. Progression free survival (PFS) and overall survival (OS) were recorded. Ascites volume at primary surgery was dichotomized at 2000 mL and comparisons for high and low volume ascites were made. Additionally, to elucidate interactions between ascites and ovarian tumor progression, we evaluated the effect of intraperitoneal administrations of cell-free ascites versus saline in a syngeneic mouse model of epithelial ovarian cancer. Results Out of 685 patients identified, 58% had ascites present at the time of initial surgery. Considering the volume of ascites continuously, each liter of ascites was associated with shorter PFS (HR=1.12, 95% CI: 1.07–1.17) and OS (HR=1.12, 95%CI: 1.07–1.17). Patients with ascites greater than the median of 2000 mL had significantly shorter PFS (14.5 months vs. 22.7 months; p < 0.001) and OS (27.7 months vs. 42.9 months; p < 0.001). After adjusting for stage, presence of ascites was inversely associated with ability to achieve optimal cytoreductive surgery. Consistent with these correlative results in patients, intraperitoneal administrations of cell-free ascites accelerated ovarian cancer progression in mice. Conclusions The volume of ascites at initial diagnosis of ovarian cancer correlated with worse PFS and OS. The effect of large volume on prognosis is likely to be in part related to reduced likelihood for complete resection of tumor (R0). If these findings are confirmed in independent studies, consideration should be made to add the presence of large volume ascites at diagnosis to the staging criteria for ovarian cancer.

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Arithmetic problems share many surface-level features with typical sentences. They assert information about the world, and readers can evaluate this information for sensibility by consulting their memories as the statement unfolds. When people encounter the solution to the problem 3 × 4, the brain elicits a robust ERP effect as a function of answer expectancy (12 being the expected completion; 15 being unexpected). Initially, this was labeled an N400 effect, implying that semantic memory had been accessed. Subsequent work suggested instead that the effect was driven by a target P300 to the correct solutions. The current study manipulates operand format to differentially promote access to language-based semantic representations of arithmetic. Operands were presented either as spoken number words or as sequential Arabic numerals. The critical solution was always an Arabic numeral. In Experiment 1, the correctness of solutions preceded by spoken operands modulated N400 amplitude, whereas solutions preceded by Arabic numerals elicited a P300 for correct problems. In Experiment 2, using only spoken operands, the delay between the second operand and the Arabic numeral solution was manipulated to determine if additional processing time would result in a P300. With a longer delay, an earlier N400 and no distinct P300 were observed. In brief, highly familiar digit operands promoted target detection, whereas spoken numbers promoted semantic level processing-even when solution format itself was held constant. This provides evidence that the brain can process arithmetic fact information at different levels of representational meaningfulness as a function of symbolic format.